S. No. 11045/36/2012/CGHS/HEC

GOVERNMENT OF INDIA

MINISTRY OF HEALTH & FAMILY WELFARE

DIRECTORATE GENERAL OF CENTRAL GOVT. HEALTH SCHEME

E-TENDER DOCUMENT

FOR

DETERMINATION OF RATES AND EMPANELMENT OF PRIVATE HOSPITALS, EXCLUSIVE EYE HOSPITALS / CENTRES , EXCLUSIVE DENTAL CLINICS, CANCER HOSPITALS/UNITS, DIAGNOSTIC LABORATORIES & IMAGING CENTRES UNDER CGHS (EXCEPT MUMBAI)

Director, Central Government Health Scheme (C.G.H.S.) invites e- bids through e-

procurement portal https://eprocure.gov.in/eprocure/app (Two bids System i.e. Technical Bid and

Price Bid) (city wise) from eligible private Hospitals, exclusive Eye hospitals / Centres , exclusive Dental Clinics, Cancer Hospitals/units, Diagnostic laboratories and Imaging Centres (including those already empanelled ) for determination of rates to be fixed for empanelled private health care Organizations for various approved treatment procedures / investigations under CGHS ( a list is enclosed ) to be provided to CGHS beneficiaries and for empanelment under CGHS(except Mumbai).

Tender Documents may be downloaded from Central Public Procurement Portal

https://eprocure.gov.in/eprocure/app .Aspiring Bidders who have not enrolled / registered in e-

procurement should enroll / register before participating through the website

https://eprocure.gov.in/eprocure/app. The portal enrolment is free of cost. Bidders are

advised to go through instructions provided at regarding ‘Instructions for online Bid Submission ‘. Tenderers can access tender documents on the website, fill them with all relevant information and submit the completed tender document online on the website

https://eprocure.gov.in/eprocure/app as per the schedule given below:

Bidding Schedule

Date of Issue/Publishing of Tender

23/01/2014 (16:00Hrs)

Start Date and time for downloading tender documents

23/01/2014 (16:00Hrs)

Bid submission start date 12/02/2014 (10:00Hrs)

Last date and time for downloading tender documents and submission of online bids

24/02/2014 (17:00Hrs)

Last Date and Time for submission of Fee for Tender Form and EMD in physical Form as specified in e-tender

document.

25/02/2014 (17:00Hrs)

Date and time of opening Technical Bids online

26/02/2014 (10:00Hrs)

Amount of Earnest Money Deposit

Rs.1,00,000/- by way of Demand Draft drawn in the name of Pay & Accounts Officer, CGHS, Delhi/NCR or in favour of concerned Additional Director in case of CGHS cities outside Delhi, should be submitted physically before the last date and time as mentioned in the schedule. A scanned

copy of DD for EMD shall be uploaded along with E-Tender also.

Fee For Tender Form Rs.1,000/- by way of Demand Draft drawn in the name of Pay & Accounts Officer, CGHS, Delhi/NCR or in favour of concerned Additional Director in case of CGHS cities outside Delhi .(non-refundable) should be submitted physically before the last date and time as mentioned in the schedule. A scanned copy of DD for EMD shall be

uploaded along with E-Tender also.

Tender opening venue/ Address for Communication

Website: https://eprocure.gov.in/eprocure/app 524, A wing, Nirman Bhawan, New Delhi.

Date and Venue of Pre Bid meeting

11/02/2014 (11:00Hrs) Only for Delhi at PGIMER Auditorium,

RML Hospital, New Delhi. And for all other cities it would be

communicated separately on CGHS website

http://msotransparent.nic.in/cghsnew/index.asp

Instructions for Online Bid Submission

As per the directives of Department of Expenditure, this tender document has been published on the Central Public Procurement Portal (URL: https://eprocure.gov.in). The bidders are required to submit soft copies of their bids electronically on the CPP Portal, using valid Digital Signature Certificates. The instructions given below are meant to assist the bidders in registering on the CPP Portal, prepare their bids in accordance with the requirements and submitting their bids online on the CPP Portal. More information useful for submitting online bids on the CPP Portal may be obtained at: https://eprocure.gov.in/eprocure/app

REGISTRATION: 1) Bidders are required to enroll on the e-Procurement module of the Central Public Procurement Portal (URL: https://eprocure.gov.in/eprocure/app ) by clicking on the link “Online Bidder Enrollment”. Enrolment on the CPP Portal is free of charge.

2) As part of the enrolment process, the bidders will be required to choose a unique username and assign a password for their accounts.

3) Bidders are advised to register their valid email address and mobile numbers as part of the registration process. These would be used for any communication from the CPP Portal.

4) Upon enrolment, the bidders will be required to register their valid Digital Signature Certificate (Class II or Class III Certificates with signing key usage) issued by any Certifying Authority recognized by CCA India (e.g. Sify / TCS / nCode / eMudhra etc.), with their profile.

5) Only one valid DSC should be registered by a bidder. Please note that the bidders are responsible to ensure that they do not lend their DSCs to others which may lead to misuse.

6) Bidder then logs in to the site through the secured log-in by entering their user ID / password and the password of the DSC / eToken.

SEARCHING FOR TENDER DOCUMENTS: 1) There are various search options built in the CPP Portal, to facilitate bidders to search active tenders by several parameters. These parameters could include Tender ID, organization name, location, date, value, etc. There is also an option of advanced search for tenders, wherein the bidders may combine a number of search parameters such as organization name, form of contract, location, date, other keywords etc. to search for a tender published on the CPP Portal.

2) Once the bidders have selected the tenders they are interested in, they may download the required documents / tender schedules. These tenders can be moved to the respective ‘My Tenders’ folder. This would enable the CPP Portal to intimate the bidders through SMS / e-mail in case there is any corrigendum issued to the tender document.

3) The bidder should make a note of the unique Tender ID assigned to each tender, in case they want to obtain any clarification / help from the Helpdesk.

PREPARATION OF BIDS: 1) Bidder should take into account any corrigendum published on the tender document before submitting their bids.

2) Please go through the tender advertisement and the tender document carefully to understand the documents required to be submitted as part of the bid. Please note the number of covers in which the bid documents have to be submitted, the number of documents – including the names and

content of each of the document that need to be submitted. Any deviations from these may lead to rejection of the bid.

3) Bidder, in advance, should get ready the bid documents to be submitted as indicated in the tender document / schedule and generally, they can be in PDF / XLS / RAR / DWF formats. Bid documents may be scanned with 100 dpi with black and white option.

SUBMISSION OF BIDS: 1) Bidder should log into the site well in advance for bid submission so that he/she upload the bid in time i.e. on or before the bid submission time. Bidder will be responsible for any delay due to other issues.

2) The bidder has to digitally sign and upload the required bid documents one by one as indicated in the tender document.

3) Bidder has to select the payment option as “offline” to pay the tender fee / EMD as applicable and enter details of the instrument.

4) Bidder should prepare the EMD as per the instructions specified in the tender document. The original should be posted/couriered/given in person to the Tender Processing Section, latest by the last date of bid submission. The details of the DD/any other accepted instrument, physically sent, should tally with the details available in the scanned copy and the data entered during bid submission time. Otherwise the uploaded bid will be rejected.

5) A standard BoQ format has been provided with the tender document to be filled by all the bidders. Bidders are requested to note that they should necessarily submit their financial bids in the format provided and no other format is acceptable. Bidders are required to download the BoQ file, open it and complete the while coloured (unprotected) cells with their respective financial quotes and other details (such as name of the bidder). No other cells should be changed. Once the details have been completed, the bidder should save it and submit it online, without changing the filename. If the BoQ file is found to be modified by the bidder, the bid will be rejected. 6) The serve time (which is displayed on the bidders’ dashboard) will be considered as the standard time for referencing the deadlines for submission of the bids by the bidders, opening of bids etc. The bidders should follow this time during bid submission.

7) All the documents being submitted by the bidders would be encrypted using PKI encryption techniques to ensure the secrecy of the data. The data entered cannot be viewed by unauthorized persons until the time of bid opening. The confidentiality of the bids is maintained using the secured Socket Layer 128 bit encryption technology. Data storage encryption of sensitive fields is done.

8) The uploaded tender documents become readable only after the tender opening by the authorized bid openers.

9) Upon the successful and timely submission of bids, the portal will give a successful bid submission message & a bid summary will be displayed with the bid no. and the date & time of submission of the bid with all other relevant details.

10) The bid summary has to be printed and kept as an acknowledgement of the submission of the bid. This acknowledgement may be used as an entry pass for any bid opening meetings. ASSISTANCE TO BIDDERS: 1) Any queries relating to the tender document and the terms and conditions contained therein should be addressed to the Tender Inviting Authority for a tender or the relevant contact person indicated in the tender.

2) Any queries relating to the process of online bid submission or queries relating to CPP Portal in general may be directed to the 24x7 CPP Portal Helpdesk. The contact number for the helpdesk is 1800 233 7315.

For any assistance on E-Tendering please contact - 011-23061487

General Instructions to the Bidders (1) The tenders will be received online through portal https://eprocure.gov.in/eprocure/app .

In the Technical Bids, the bidders are required to upload all the documents in .pdf format (2) Possession of a Valid Class II/III Digital Signature Certificate (DSC) in the form of smart

card/e-token in the company's name is a prerequisite for registration and participating in the bid submission activities through https://eprocure.gov.in/eprocure/app . Digital Signature Certificates can be obtained from the authorized certifying agencies, details of which are available in the web site https://eprocure.gov.in/eprocure/app under the link “Information about DSC”.

(3) Tenderer are advised to follow the instructions provided in the ‘Instructions to the Tenderer

for the e-submission of the bids online through the Central Public Procurement Portal for e Procurement at https://eprocure.gov.in/eprocure/app .

EMPANELMENT OF PRIVATE HOSPITALS , EXCLUSIVE EYE HOSPITALS / CENTRES

EXCLUSIVE DENTAL CLINICS, CANCER HOSPITALS/UNITS, DIAGNOSTIC LABORATORIES & IMAGING CENTRES UNDER CGHS-2014

The Central Government Health Scheme (CGHS) provides comprehensive health Care facilities to the Central Government employees / pensioners and certain other categories of beneficiaries as notified by the Central Government from time to time. With a view to ensuring comprehensive health care facilities to CGHS beneficiaries, CGHS has been empanelling private hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer Hospitals/units, diagnostic laboratories and imaging centres periodically.

In this background, willing hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer Hospitals/units, diagnostic laboratories and imaging centres are invited to submit bids for determination of rates for various approved treatment procedures/ investigations and empanelment under CGHS through e-tender 2013. The eligible private health Care Organizations seeking empanelment and having prescribed infrastructure and staff and willing to accept the rates of various treatment procedures/ investigations to be fixed by CGHS through this e- tender and other conditions as detailed in the e-tender document and Memorandum of Agreement (MOA) may apply for the same in the prescribed format online.

The bidding hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer

Hospitals/units and Imaging centres should preferably be accredited by National Accreditation Board for Hospitals & Healthcare Providers (NABH). However, the private health Care Organizations which are not accredited by NABH may also participate in e-tender and can get empanelled under CGHS but their empanelment shall be provisional till they are inspected by Quality Council of India (QCI) and are recommended for continuation of empanelment under CGHS, which must preferably be done within a period of six months but not later than one year from the date of their empanelment.

Similarly, the bidding diagnostic laboratories should have been accredited by National

Accreditation Board for Testing and Calibration Laboratories (NABL). However, the diagnostic laboratories, which are not accredited by NABL may also participate in e-tender and get empanelled under CGHS but their empanelment shall be provisional till they are inspected by Quality Council of India (QCI)/NABL and are recommended for continuation of empanelment under CGHS which must be done preferably within a period of six months but not later than one year from the date of their empanelment.

The hospitals, exclusive Eye hospitals / Centres , exclusive Dental Clinics, Cancer

Hospitals/units and imaging centres which are neither NABH accredited nor QCI recommended and diagnostic laboratories which are neither NABL accredited nor QCI recommended may be empanelled provisionally on the basis of fulfilling the criteria and submission of an affidavit that the information provided has been correct and in the event of failure to get recommendation from QCI / NABH/NABL as the case may be, which must preferably be done with in a period of six months but not later than one year of their empanelment, the empanelled health care Organization shall forego 50% of the PBG and its name would be removed from the panel of CGHS..

CGHS also reserves the right to prescribe/ revise rates for new or existing treatment procedure(s) / investigation(s) from time to time.

Payment Assurance

CGHS would ensure that subject to fulfillment of prescribed conditions, payment of claims (admissible amount) would be done in a time bound manner- Bill Clearing Agency (BCA) shall make provisional payment of 70% of the claimed amount on submission of physical bills within a maximum period of ‘5’ working days and balance admissible amount after due scrutiny within a maximum period of 30 days. Recoveries, if any, will be affected from future bills of hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer Hospitals/units and diagnostic centres as the case may be. The hospitals, Exclusive Eye hospitals/centres, Exclusive Dental Clinics and Diagnostic centres shall be empanelled for all facilities available in the health care Organization as approved by NABH/NABL/QCI and shall not be empanelled for selected specialties/ facilities.

PART - I – EMPANELMENT OF HOSPITALS, EXCLUSIVE EYE HOSPITALS / CENTRES, EXCLUSIVE DENTAL CLINICS, CANCER HOSPITALS/UNITS. PART- II - EMPANELMENT OF DIAGNOSTIC LABORATORIES & IMAGING CENTRES

ELIGIBILITY CRITERIA FOR HOSPITALS/ CANCER HOSPITALS/ EXCLUSIVE EYE CENTRES/ EXCLUSIVE DENTAL CLINICS/ DIAGNOSTIC LABORATORIES AND IMAGING CENTRES (HCO)

1. Scanned Copies of all The health care Organizations (HCO) must fulfill the requirements as detailed below depending on the category under which the bidding hospital / exclusive eye hospital / centre, exclusive dental clinic, cancer hospital/unit / Diagnostic laboratories /Imaging Centre is seeking empanelment and must upload the scanned copies of the required documents. (Scanning shall be in PDF in B/W at not more than 200 dpi)

2. Scanned Copies of all the documents mentioned in Annexures I(a) to I(d) must be uploaded (wherever applicable).

3. The health care Organization must have been in operation for at least one year. Copy of audited balance sheet, profit and loss account for the last financial year (Main documents only- summary sheet-) is to be uploaded.

4. Copy of NABH /NABL Accreditation in case of NABH/NABL Accredited health care Organizations.

5. Copy of NABH/ NABL/QCI application in case of Non-NABH/Non NABL accredited health care Organizations.

6. List of treatment procedures /investigations/ facilities available in the applicant health care Organization.

7. A Demand Draft for Rs.1000/- as application fee (non-refundable) drawn in the name of ‘Pay & Accounts Officer, CGHS in case of Delhi/NCR or in favour of concerned Additional Director in case of CGHS cities outside Delhi, from any Scheduled or commercial or Nationalized Bank.

8. A Demand Draft for Rs.1,00,000/- as E.M.D.drawn in the name of ‘Pay & Accounts Officer, CGHS, Delhi/NCR or in favour of concerned Additional Director in case of CGHS cities outside Delhi from any Scheduled or commercial or Nationalized Bank.

9. State registration certificate / Registration with Local bodies, wherever applicable. 10. Compliance with all statutory requirements including that of Waste Management. 11. Fire Clearance certificate / Certificate by authorized third party regarding the details of

Fire safety mechanism as in place in the health care Organization. 12. Registration under PNDT Act, if Ultrasonography facility is available. 13. AERB approval for imaging facilities/ Radiotherapy, wherever applicable. 14. Certificate of Undertaking as per the format annexed. 15. Certificate of Registration for Organ Transplant facilities, wherever applicable.

16. An Applicant Health care Organization must have the capacity to submit all claims / bills in electronic format to the Bill Clearing Agency and must also have dedicated equipment, software and connectivity for such electronic submission.

17. An Applicant Health care Organization must submit the rates for all treatment procedures / investigations/ facilities available with them and as charged by them.

18. An Applicant health care Organization must give an undertaking accepting the terms and conditions spelt out in the Memorandum of Agreement (Draft at Annexure V) which should be read as part of the this e-tender document.

19. Applicant Health care Organizations must certify that they shall charge as per CGHS rates and that the rates charged by them are not higher than the rates being charged from their other patients who are not CGHS beneficiaries.

20. Applicant Health care Organizations must certify that they are fulfilling all special conditions that have been imposed by any authority in lieu of special concessions such as but not limited to concessional allotment of land or customs duty exemption.

21. Applicant Health care Organizations (except exclusive eye hospitals/centres, exclusive dental clinics/ diagnostic laboratories /imaging Centre) must agree for implementation of EMR/ EHR as per the standards notified by Ministry of Health & Family Welfare within one year of their empanelment.

22. Applicant Hospitals, cancer hospital/units must have minimal annual turnover of Rs. 2 Crores for Metro cities and Rs.1 Crore for Non- Metro cities. Exclusive Eye hospitals/Centres, Exclusive Dental Clinics, Diagnostic laboratories and Imaging Centres must have a minimal annual turnover of Rs. 20 Lacs in Metro Cities and Rs.10 Lacs in Non- Metro Cities. Further, the business from CGHS in the last financial year should not exceed more than 50% of the total business. A certificate to this effect from the Chartered Accountant is to be given by the applicant Health Care Organization.

23. Photo copy of PAN Card. 24. Name and address of their bankers. 25. Scanned Copies of all the documents mentioned in Annexures II to V must be uploaded

(wherever applicable). 26. In addition the imaging centres shall meet the following criteria - upload scanned copies

of relevant documents:

i. MRI Centre

Must have MRI machine with magnet strength of 1.0 Tesla or more.

ii. CT Scan Centre Whole Body CT Scanner with scan cycle of less than one second (sub-second) Must have been approved by AERB

iii. X-ray Centre /Dental X-ray/OPG centre

X- Ray machine must have a minimum current rating of 500 MA with image intensifier TV system Portable X-ray machine must have a minimum current rating of 60 MA Dental X-ray machine must have a minimum current rating of 6 MA OPG X-ray machine must have a current rating of 4.5 -10 MA Must have been approved by AERB

iv. Mammography Centre

Standard quality mammography machine with low radiations and biopsy

attachment.

v. USG / Colour Doppler Centre It should be of high-resolution Ultrasound standard and of equipment having

convex, sector, linear probes of frequency ranging from 3.5 to 10 MHz should

have minimum three probes. and provision/facilities of trans Vaginal/ Trans Rectal Probes.

Must have been registered under PNDT Act

vi. Bone Densitometry Centre

Must be capable of scanning whole body

vii. Nuclear Medicine Centre

Must have been approved by AERB / BARC

PART I

(For Empanelment of Hospitals, exclusive Eye hospitals / centres, exclusive Dental clinics, Cancer Hospitals/units in all CGHS

covered cities except Mumbai)

A. MINIMUM NUMBER OF BEDS REQUIRED (Not for exclusive Eye hospitals/centres & Exclusive Dental clinics) I) METRO CITIES (EXCEPT MUMBAI) ……………………. 50

OTHER CITIES ……………………………………… ….. 30

NB: The number of beds as certified in the Registration Certificate of State

Government / Local Bodies/ NABH/ Fire Authorities shall be taken as the valid

bed strength of the hospital.

B. CATEGORIES OF HEALTH CARE ORGANIZATIONS:

CGHS would consider the following categories of health care Organizations for empanelment:

(a) NABH Accredited Hospitals-

The hospitals applying under this category must be accredited by National Accreditation Board for Hospitals and Health Care providers (NABH) or its equivalent such as Joint Commission International (JCI), ACHS (Australia) or by any other accreditation body approved by International Society for Quality in Health Care (ISQua).

The hospital shall be empanelled for all the facilities available in the hospital (except

IVF and other assisted reproductive treatment procedures).

(b) NON NABH Accredited Hospitals-

Non NABH accredited hospitals may be empanelled provisionally on the basis of

fulfilling the criteria and submission of performance bank guarantee and submission

of an affidavit that the information provided has been correct and in the event of

failure to get recommendation from QCI/NABH preferably within a period of six

months but not later than one year of its empanelment and for all facilities, the

hospital shall forego 50% of the PBG and its name would be removed from the panel

of CGHS.

The hospital shall be empanelled for all the facilities available in the hospital (except

IVF and other assisted reproductive treatment procedures).

C. CANCER HOSPITALS/UNITS

(a) NABH Accredited Cancer Hospitals/ Units

NABH accredited cancer hospitals/units having all treatment facilities for cancer - surgery, Chemotherapy and radio-therapy (approved by BARC / AERB).

(b) Non-NABH Accredited Cancer Hospitals/ Units

Non NABH accredited Cancer hospitals/units having all treatment facilities for cancer - surgery, Chemotherapy and radio-therapy (approved by BARC / AERB) may be provisionally empanelled on the basis of fulfilling the criteria and submission of performance bank guarantee and submission of an affidavit that the information provided has been correct and in the event of failure to get recommendation from QCI/NABH for all cancer facilities preferably within six months but not later than one year of its empanelment, the hospital/unit shall forego 50% of the PBG and its name would be removed from the panel of CGHS.

D. EXCLUSIVE EYE HOSPITALS/ CENTERS:

No minimum bed strength is prescribed for empanelment of exclusive Eye

hospitals/centres

(a) NABH Accredited- Exclusive Eye Hospitals/Centres

(b) Non-NABH Accredited Exclusive Eye Hospitals/ Centres

The exclusive Eye hospital/centre may be empanelled provisionally on the basis of

fulfilling the criteria and submission of performance bank guarantee and submission

of an affidavit that the information provided has been correct and in the event of

failure to get recommendation from QCI/NABH preferably within six months but not

later than one year of its empanelment, the exclusive eye hospital/centre shall forego

50% of the PBG and its name would be removed from the panel of CGHS.

E. EXCLUSIVE DENTAL CLINICS

No minimum bed strength is prescribed for empanelment of exclusive Dental

Clinics

However there shall be a minimum of ‘2’ Dental chairs for all Dental clinics applying

for empanelment under CGHS.

(a) NABH accredited - Exclusive Dental Clinics

(b) Non- NABH accredited - Exclusive Dental Clinics

The Dental clinic may be empanelled provisionally on the basis of fulfilling the criteria

and submission of performance bank guarantee and submission of an affidavit that

the information provided has been correct and in the event of failure to get

recommendation from QCI/NABH preferably within six months but not later than one

year of its empanelment, the exclusive dental clinic shall forego 50% of the PBG and

its name would be removed from the panel of CGHS.

PART II

(Diagnostic Laboratories & Imaging Centres)

(For Empanelment in all CGHS covered cities except Mumbai)

CATEGORIES OF DIAGNOSTIC LABORATORIES / IMAGING CENTRES

CGHS would consider the following categories of diagnostic laboratories and imaging centres for empanelment :

a. NABL / NABH accredited Diagnostic Laboratories/ Imaging Centres

b. Non- NABL / Non- NABH accredited Diagnostic Laboratories/ Imaging Centres . The Non-NABL/ Non-NABH diagnostic laboratories/Imaging Centres may be

empanelled provisionally on the basis of fulfilling the criteria and submission of

performance bank guarantee and submission of an affidavit that the information

provided has been correct and in the event of failure to get recommendation from

QCI/NABL/NABH as the case may be, preferably within a period of six months but

not later than one year of its empanelment, the diagnostic laboratory/ imaging

centre shall forego 50% of the PBG and its name would be removed from the panel

of CGHS. Similarly already empanelled Non-NABL/Non-NABH diagnostic labs/

imaging centre may also be permitted to continue provisionally and their

empanelment shall be confirmed only after recommendation by QCI/NABL/NABH

as the case may be which must preferably be obtained within a period of 6

months but not later than one year from the date of issue of notification for

empanelment.

1. TWO BID PROCESS

E-Tenders are invited under two bid process –

‘Technical Bid’ and ‘Financial Bid’

Technical Bid of E-Tender Comprises . Scanned copy of Tender Fee, EMD. and Annexures I(a) / I(b) /I(c)/I(d), II and III).

Annexure –I is the application format to be filled up and submitted by the bidder

Hospitals/cancer unit shall fill up Annexure-Ia Exclusive Eye hospitals/Centres shall fill up Annexure-Ib-Eye

Exclusive Dental Clinics shall fill up Annexure-Ic –Dental

Diagnostic Labs

Imaging Centres shall fill up Annexure Id - Lab

Annexure –II is Certificate of Undertaking.

Annexure –III is list of documents (wherever applicable) that are to be scanned and attached to the technical bid.

Financial Bid

Schedule of price bid in the form of BOQ_XXXX .xls

.

of E-Tender comprises list of Rates quoted by bidder for various treatment procedures / investigations/ services.

2. SUBMISSION OF E- TENDERS –ON LINE

Tender Document must be submitted only online on the e-procurement portal https://eprocure.gov.in/ eprocure/app. Class II (signing) Digital signature is required for submission of tender document and uploading scanned documents.

3. DEPOSITION OF FEE FOR TENDER DOCUMENT AND EMD

Tender document fee of Rs. 1000/- and Earnest Money of Rs. 100,000/-(One lac) in the form of Demand Draft from any Scheduled Bank, payable to ‘Pay & Accounts Officer, CGHS Delhi, in case of Delhi and NCR /Concerned Additional Director in case of other cities has to be deposited. Physical DD shall be delivered at the Office of Director (CGHS), Nirman

Bhawan, New Delhi in case of Delhi & NCR before the last date and time as mentioned in the schedule. In case of other cities the DD for Rs.1000/- and

Rs.1,00,000/- (EMD) shall be submitted physically at the office of Additional Director of

concerned City before the last date and time as mentioned in the schedule.

The details of the draft are to be indicated in the E-Tender document at the prescribed space. A scanned copy of DD for EMD shall be uploaded along with E-Tender.

4. PRE-BID MEETING:

The time and place shall be notified on the web site of CGHS at http://msotransparent.nic.in/cghsnew/index.asp The prospective bidders / their representatives shall be free to ask for any additional information concerning work. These clarifications will also be common and applicable to all bidders. No individual correspondence shall be made thereafter with prospective bidders / their representatives.

5. CONDITIONAL BIDS:

Any conditional bid or a bid that is not in the prescribed Performa will not be accepted. 6. EARNEST MONEY REFUND

In case the E-Tender is rejected on technical grounds Earnest Money would be refunded in full.

In case, the E-Tender is rejected after inspection of documents on the grounds of submitting incorrect information then 50% of the Earnest Money would be forfeited and the balance amount would be refunded in due course.

7. OPENING OF TECHNICAL BID OF E- TENDERS

The Technical Bids of the respective tenderers will be opened as per the bidding schedule as per tender document on the e-procurement portal https://eprocure.gov.in/ eprocure/app. The Technical bids will be scrutinized by the respective Technical Evaluation Committees. Those Bidders whose bids are found satisfying the criteria for technical evaluation will only be eligible to be present at the date and time for opening of Price Bid. The Date and time of opening of the Price Bid (BOQ) will be announced on the e-procurement portal https://eprocure.gov.in/ eprocure/app after the completion of evaluation of Technical Bids by the Technical Evaluation Committee.

1. opening of bids shall be undertaken by a team under Additional Director, CGHS of

concerned city

(b) Private Hospitals, exclusive eye hospitals / centres , exclusive dental clinics, cancer hospitals/units, Diagnostic centres, which do not fulfill the technical criteria as specified in the E-tender, shall become ineligible and the rates quoted by them in ‘Financial bid shall not be opened.

8. PRELIMINARY EXAMINATION OF TECHNICAL BIDS

CGHS will examine the bids to determine whether they are complete, whether Earnest Money Deposit has been furnished, and whether the bids are generally in order.

CGHS may waive any minor formality or non- Bids without full technical details and/or EMD, and/or incomplete Annexures will be rejected.

conformity in a bid that does not constitute a material deviation.

9. OPENING OF FINANCIAL BID OF E- TENDERS

The Financial Bids of only such bidders who are found to be eligible and fulfilling the technical criteria would be opened on the given date and time that will be notified on e-procurement portal https://eprocure.gov.in/eprocure/app and CGHS web-site http://msotransparent.nic.in/cghsnew/index.asp.

10. APPROVED RATES and DIFFERENTIAL RATES (City Wise)

The lowest rate (L1 - for each treatment procedure/ investigation) quoted in the commercial Bid by eligible bidders would be the CGHS package rate for that treatment procedure/investigation in that particular city and these rates would be notified on the

website e-procurement portal https://eprocure.gov.in/ eprocure/app. And CGHS at http://msotransparent.nic.in/cghsnew/index.asp

In case the L1 rate is quoted by NABH / NABL accredited health care Organization the same shall be the CGHS rate for NABH / NABL health Care Organization for that procedure /investigation. CGHS rate for Non NABH / Non NABL health Care Organization for that procedure / investigation shall be 15% less than NABH / NABL rate.

Likewise, if, L1 rate is quoted by Non-NABH /Non-NABL accredited health care Organization the same shall be the CGHS rate for non NABH / non NABL health Care Organization for that procedure /investigation. CGHS rate for NABH / NABL accredited health care Organization for that procedure / investigation shall be 15% more than non-NABH / non-NABL rate.

The Health care Organizations which are not performing a particular treatment procedure/investigation would not be eligible for quoting rates for that particular treatment procedure/investigation. In other words, a health Care Organization must have adequate facilities and experience to be eligible to quote rates for a particular treatment procedure/investigation. If at a later stage it is established that rates have been quoted by a particular health care Organization, without having that facilities then its performance Bank Guarantee would be forfeited and its name would be removed from CGHS empanelled list of Organizations

All eligible Hospitals, exclusive eye hospitals / centres, exclusive dental clinics, cancer hospitals/units and diagnostic centres whose commercial bids are opened, shall be offered the CGHS Notified package rate for listed treatment procedure/ investigation in the concerned specialty within the package rate structure specified in the preceding paragraph. In case, it appears to CGHS that the rate(s) quoted for a particular treatment procedure/investigation is not a viable rate, it may ask the bidder to provide a rate justification in the form of the various components included in the rate. If CGHS comes to the conclusion that the rate is indeed unviable, it would reject the rate and take the next lowest rate. The L-1 bidder would in such cases be disqualified for empanelment with CGHS.

In case, it appears to CGHS that the rate(s) quoted for a particular procedure/investigation or procedures/investigations is /are unrealistically high and that the bidders have formed a cartel, CGHS would reject such rate or rates. In such case(s) the last rates available may be offered and such bidders would be disqualified for empanelment with CGHS. In case the L1 rates for various treatment procedures/investigations of a particular city are abnormally high because of lack of competition due to fewer bidders participating in the bidding process, CGHS rates of Delhi or of nearest CGHS city whichever are lower, would be offered to that city.

11. ACCEPTANCE OF RATES All the eligible Hospitals, exclusive eye hospitals / centres, exclusive dental clinics, cancer

hospitals/units and diagnostic centres whose commercial bids have been opened shall have to furnish to CGHS within 15 days of the notification of the approved rates a letter accepting the rates notified by CGHS on its web site. No individual communication would be sent to any health Care Organization. If the letter of acceptance is not received within the stipulated period the names of such health Care Organization would be excluded from the list of health Care Organizations under consideration for empanelment.

12. OFFER OF EMPANELMENT and SIGNING OF MEMORANDUM OF AGREEMENT

i. All eligible health Care Organizations have to submit the letter of acceptance of rates to CGHS.

ii. All eligible NABH / NABL accredited health Care Organizations shall be asked to sign a Memorandum of Agreement with Addl. Additional Director, CGHS of concerned city and submit PBG.

iii. All eligible Non – NABH / Non- NABL health Care Organization shall be offered provisional empanelment for signing MOA and submission of PBG. They will be inspected by Quality Council of India. Such health Care Organizations shall also submit a copy of application and receipt of fee for inspection received from QCI before they are provisionally empanelled. If a particular health Care Organization is not recommended by NABH/NABL/QCI as the case may be for all available facilities in it, preferably within six months but not later than one year of its empanelment then its name shall be removed from CGHS panel and 50% of PBG shall be forfeited.

The health Care Organizations, which are selected for empanelment, will have to enter into an agreement with CGHS for providing services at rates notified by CGHS as per the copy provided at annexure V. This MOA has to be executed on Rs.100/- non-judicial Stamp paper. MOA should be read as part of bid document.

13. VALIDITY OF CGHS RATES

The rates shall be valid for two years and is extendable by another year with mutual agreement.

The empanelled Organizations shall not charge more than CGHS rates.

CGHS “Package Rate” shall mean all inclusive – including lump sum cost of inpatient treatment / day care / diagnostic procedure for which a CGHS beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) – (i) Registration charges, (ii) Admission charges, (iii) Accommodation charges including patients diet, (iv) Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor / consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring charges, (x) Transfusion charges and Blood processing charges (xi)Pre Anesthetic checkup and Anesthesia charges, (xii) Operation theatre charges, (xiii) Procedural charges / surgeon’s fee, (xiv) Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines and consumables (xvi) Related routine and essential investigations (xvii) Physiotherapy charges etc. (xviii) Nursing care charges etc. Package rates also include two pre-operative consultations and two post-operative consultations. Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates or as per actual, whichever is lower. In case a beneficiary demands a specific Brand of Stent / Implant and give his consent in writing, the difference in cost over and above the ceiling rate may be charged from the beneficiary, which is non-reimbursable. During In-patient treatment of the CGHS beneficiary, the hospital will not ask the beneficiary or his / her attendant to purchase separately the medicines / sundries / equipment or accessories from outside and will provide the treatment within the package rate, fixed by the CGHS which includes the cost of all the items. However, the following items are not admissible for reimbursement:

Toiletries Sanitary napkins

Talcum powder Mouth fresheners

In cases of conservative treatment / where there is no CGHS package rate, calculation of admissible amount would be done item wise as per CGHS rates or as per AIIMS rates , if there is no CGHS rate for a particular item. Package rates envisage up to a maximum duration of indoor treatment as follows:

Upto 12 days for Specialized (Super Specialties) treatment Upto 7 days for other Major Surgeries

Upto 3 days for / Laparoscopic surgeries / elective Angioplasty / normal deliveries and 1 day for day care / Minor (OPD) surgeries.

However, if the beneficiary has to stay in the hospital for his / her recovery for a period more than the period covered in package rate, in exceptional cases, supported by relevant medical records and certified as such by hospital, the additional reimbursement may be allowed, which shall be limited to accommodation charges as per entitlement , investigations charges at approved rates, doctors visit charges (not more than 2 visits per day per visit by specialists / consultants) and cost of medicines for additional stay). No additional charge on account of extended period of stay shall be allowed if that extension is due to infection on the consequences of surgical procedure/ faulty investigation procedure etc.

The empanelled health Care Organization cannot charge more than CGHS approved rates when a patient is admitted with valid CGHS Card with prior permission or under emergency. In case of any instance of overcharging the overcharged amount over and above CGHS rate (except inadmissible items and difference paid due to implant/stent of a specific brand chosen by CGHS beneficiary) shall be paid to the beneficiary and shall be recovered from the pending bills of the hospital. If any empanelled health care Organization charges from CGHS beneficiary for any expenses incurred over and above the package rates vis-à-vis medicine, consumables, sundry equipment and accessories etc., which are purchased from external sources, based on specific authorization of treating doctor / staff of the concerned hospital and if they are not falling under the list of non-admissible items, reimbursement shall be made to the beneficiary and the amount shall be recovered from the pending bills of hospitals.

14. EMR / EHR

The empanelled health Care Organizations (except eye hospital/centre, dental clinics, Diagnostic Labs/Imaging Centres) shall have to implement Electronic Medical Records and EHR as per the standards and guidelines approved by Ministry of Health & Family Welfare within one year of its empanelment.

15. EMPANELMENT WITH AUTONOMOUS BODIES-

All empanelled hospitals/ diagnostic centres/ exclusive eye centres/ exclusive dental clinics shall also agree for empanelment with any autonomous body/ public sector undertaking at CGHS Rates, on the recommendation of Ministry of Health & Family Welfare.

16. PERFORMANCE BANK GUARANTEE (PBG)

Private Hospitals, Exclusive Eye Hospitals / Centres, Exclusive Dental Clinics, Cancer Hospitals/Units, Diagnostic Laboratories & Imaging Centres that are recommended for empanelment after the initial assessment shall also have to furnish a performance Bank

Guarantee valid for a period of 30 months i.e. six months beyond the empanelment period, to ensure efficient services and to safeguard against any default:

Hospitals/ Cancer hospitals/units Rs. 10.00 lac

Eye Hospital/Centre Rs.2.00 lac

Dental Clinics Rs.2.00 lac

Diagnostic Centre Rs.2.00 lac

(PBG for Charitable Health Care Organizations shall be 50% of the above amount)

In case of health care Organizations already empanelled under CGHS, they shall submit a new Performance Bank Guarantee after the validity of the existing performance bank guarantee is over.

17. BILLING TO BE IN ELECTRONIC FORMAT

All Billing is to be done in electronic format and medical records need to be submitted in digital format to the Bill Clearing agency (BCA) for necessary processing. In addition to this physical submission of hard copies will also have to be done to the BCA.

18. FEE FOR PROCESSING OF BILLS/CLAIMS

Bill clearing Agency (BCA) would charge a processing fee @ 2% of claimed amount and service tax thereon with a minimum of Rs.12.50/- and maximum of Rs. 750/- per bill. CGHS reserves the right to revise these charges from time to time’

19. PAYMENT OF CLAIMS WITHIN AN ASSURED PERIOD

CGHS would ensure that subject to fulfillment of prescribed conditions, payment of hospital claims (admissible amount) would be done in time bound manner- Bill Clearing Agency (BCA) shall make provisional payment of 70% of the claimed amount within a maximum period of ‘5’ working days on submission of physical bills and balance admissible amount after due scrutiny within a maximum period of 30 days. Recoveries, if any, will be effected from future bills of health care Organizations.

20. CORRUPT AND FRAUDULENT PRACTICES

“Corrupt practice” means the offering, giving, receiving or soliciting of anything of value to influence the action of the public official

“fraudulent practice” means a misrepresentation of facts in order to influence E-Tender process or a execution of a contract to the detriment of CGHS, and includes collusive practice among bidding hospitals /authorized representative/service providers (prior to or after bid submission) designed to establish bid prices at artificial non-competitive levels and to deprive CGHS of the benefits of the free and open competition;

CGHS will reject a proposal for award if it is established that the health care Organization recommended for empanelment has engaged in corrupt or fraudulent practices

CGHS will declare a health care Organization ineligible, either indefinitely or for a stated period of time, to be empanelled if it at any time determines that the bidding health care Organization has engaged in corrupt and fraudulent practices in competing for, or in

executing contract.

21. INTERPRETATION OF THE CLAUSES IN THE TENDER DOCUMENT

In case of any ambiguity in the interpretation of any of the clauses in Bid Document, interpretation of Additional Director, CGHS of the clauses shall be final and binding on all parties.

22. RIGHT TO ACCEPT ANY BID AND TO REJECT ANY OR ALL BIDS

Additional Director, CGHS reserves the right to accept or reject any bid and to annul the bidding process and to reject all the bids at any time without thereby incurring any liability to the affected hospital/ authorized representative/ service provider or any obligation to inform the affected hospital / authorized representative/ service provider of the grounds for his action.

23. LIST OF DOCUMENTS AT ANNEXURE III

Every E-Tender must be accompanied by Scanned documents as listed at Annexure III.

24. MONITORING AND MEDICAL AUDIT

CGHS reserves the right to inspect the health care Organization at any time to ascertain their compliance with the requirements of CGHS.

Bills of empanelled health care Organizations shall be reviewed periodically for irregularities including declaration of planned procedures / admissions as ‘emergencies’, unjustified investigations/treatment, overcharging and prolonged stay, etc., and if any empanelled health Care Organization is found involved in any wrong doings, then the concerned hospitals/other health care Organizations would be suspended/ removed from CGHS panel and would be black listed for specified period for future empanelment with CGHS. Bank guarantee shall also be forfeited.

25. EXIT FROM THE PANEL

The Rates fixed by the CGHS shall continue to hold good unless revised by CGHS. In case the notified rates are not acceptable to the empanelled health care Organizations, or for any other reason, the health care Organization no longer wishes to continue on the list under CGHS, it can apply for exclusion from the panel by giving one month notice. Patients already admitted shall continue to be treated.

26. NODAL OFFICERS

Empanelled health care organizations shall notify two Nodal officers for CGHS beneficiaries, one of them being of the rank of Deputy MS/ Addl. MS, who can be contacted by CGHS beneficiary in case of any eventuality.

TENDER DOCUMENT Annexure-Ia

FOR EMPANELMENT OF HOSPITALS, CANCER HOSPITALS/UNITS IN CGHS

COVERED CITIES (EXCEPT MUMBAI)

1. Name of the CGHS city where hospital is located.

2. Name of the hospital

3. Address of the hospital

4. Tel / fax/e-mail

Telephone No

Fax

e-mail address

Name and Contact details of Nodal persons

Whether NABH Accredited Whether NABH applied for Whether QCI recommended/ applied for Details of Accreditation and Validity period Details of QCI/NABH application

a. Details of the application fee draft of Rs. 1000/-

Name & Address of the Bank DD No. Date of Issue

Details of the draft of EMD of Rs. 100000/-

Name & Address of the Bank DD No. Date of Issue

b. Total turnover during last financial year (Certificate from Chartered Accountant is to be enclosed).

c. Turnover from CGHS during last financial year (Certificate from Chartered Accountant is to be enclosed.)

5. For Empanelment as

Hospital for all available facilities

Cancer Hospital/Unit

(Please select the appropriate column)

6. Total Number of beds

7. Categories of beds available with number of total beds in following type of wards

Casualty/Emergency ward ICCU/ICU Private Semi-Private (2-3 bedded) General Ward bed (4-10)

Others

8. Total Area of the hospital Area allotted to OPD

Area allotted to IPD Area allotted to Wards

9. Specifications of beds with physical facilities/ amenities

Dimension Number of ward of bed in Length Breadth each ward

(Seven Square Meter Floor area per bed required-) (IS: 12433-Part 2:2001)

10. Furnishing specify as (a), (b), (c), (d) as per index below Index (a) Bedsides table

(b) Wardrobe (c) Telephone (d) Any other

11. Amenities specify as (a), (b) (c) (d) as per index below Amenities

(a) Air conditioner (b) T.V. (c) Room service

(d) Any other

12. Nursing Care

Total No. of Nurses No. of Para-medical staff Category of bed Bed/Nurse Ratio (acceptable Actual bed/nurse standard) ratio

a) General 6:1 b) Semi-Private 4:1 c) Private 4:1 d) ICU/ICCU 1:1 e) High dependency Unit 1:1 13. Alternate power source Yes No 14. Bed occupancy rate Bed turnover rate (Norm 85%)

General bed Semi-Private Bed Private Bed

Av daily census Note: Bed occupancy rate = ______________________ Av No. of bed available (i.e. number of authorized bed)

Total discharge during a year Turnover ratio = -------------------------------------- Bed compliment

1. No. of in house Doctors

2. No. of in house Specialists/Consultants

17. Laboratory facilities available - Pathology Biochemistry Microbiology or any other

18. Imaging facilities available

19. No. of Operation Theaters. 20. Whether there is separate OT for Septic cases 21. Supportive services Boilers/sterilizers Ambulance Laundry Housekeeping Canteen Gas plant 22. Waste disposal system as per statutory requirements Dietary Others (preferably) - Blood Bank - Pharmacy - Physiotherapy

23. ESSENTIAL INFORMATION REGARDING CARDIOLOGY & CTVS

Number of coronary angiograms done in last one year Number of Angioplasty done in last one year

Number of open heart surgery done in last one year

Number of CABG done in last year

24. RENAL TRANSPLANTATION, HAEMODIALYSIS/ UROLOGY-UROSURGERY- Number of Renal Transplantations done in one year (2012-13) Number of years of duration of facilities

Number of Hemodialysis unit.

Criteria for Dialysis:

- The center should have good dialysis unit neat, clean and hygienic like a

minor OT.

- Centre should have at least four good Haemodialysis machines with facility of giving bicarbonate Haemodialysis.

- Centre should have water-purifying unit equipped with reverse osmosis.

- Unit should be regularly fumigated and they should perform regular

antiseptic precautions. - Centre should have facility for providing dialysis in Sero positive cases.

- Centre should have trained dialysis Technician and Sisters and full time Nephrologist and Resident Doctors available to combat the complications during the dialysis.

- Centre should conduct at least 150 dialyses per month and each session of hemodialysis should be at least 4 hours.

- Facility should be available 24 hours a day. Yes No

. Whether it has an immunology lab. If so, does it exist within the city where the hospital is located Yes No

Whether it has blood transfusion

Service with facilities for screening Yes No HIV markers for Hepatitis (B&C), VDRL

Whether it has a tissue typing unit DBCA/IMSA/DRCG scan facility Yes No and the basic radiology facilities

25. LITHOTRIPSY-

No. of cases treated by lithotripsy

in last one year ( 2012-2013) Average number of sitting required Per case Percentage of cases selected for Lithotripsy, which required conventional Surgery due to failure of lithotripsy

26. LIVER TRANSPLANTATION- Essential information reg. Technical expert with experience in liver Transplantation who had assisted in at least Yes No fifty liver transplants. (Name and qualifications)

Month and year since Liver Transplantation is being carried out

No. of liver transplantation done during the last one year Success rate of Liver Transplant Facilities of transplant immunology lab. Tissue typing facilities Yes No Blood Bank Yes No

27. ORTHOPAEDIC JOINT REPLACEMENT Whether there is Barrier Nursing for Isolation for patient.

a. b. Facilities for Arthroscopy Yes No

28. NEUROSURGERY. 9.1 Whether the hospital has aseptic Operation theatre for Neuro Surgery Yes No

Whether there is Barrier Nursing for Yes No Isolation for patient.

a. Whether, it has required instrumentation for Neuro-surgery Yes No Facility for Gamma Knife Surgery , Yes No Facility for Trans-sphenoidal endoscopic Yes No Surgery, Facility for Stereotactic surgery Yes No

29. GASTRO-ENTEROLOGY Whether the hospital has aseptic Operation theatre for Gastro-Enterology & GI Surgery

Yes No

Whether, it has required instrumentation for Gastro-Enterology – GI Surgery Yes No Facilities for Endoscopy – specify details

30. E.N.T. – Essential information reg. Whether the hospital has aseptic Operation theatre for ENT Yes No

Whether, it has required instrumentation

for E.N.T. Surgery including diagnostic procedures Yes No

Facilities for Endoscopy – Yes No Facilities for reconstruction surgery – Yes No

31. Oncology .

I. Whether the hospital has aseptic Operation theatre for Oncology – Surgery Yes No

II. Whether, it has required instrumentation for Oncology Surgery Yes No

III. Facilities for Chemotherapy Yes No IV. Facilities for Radio-therapy ( specify ) Yes No

V. Radio-therapy facility and Manpower shall be as Yes No

VI. Per guidelines of BARC

VII. Details of facilities under Radiotherapy 32. Endoscopic / Laparoscopic Surgery: Criteria for Laparoscopic/Endoscopic Surgery:

- Center should have facilities for casualty/emergency ward, full-fledged

ICU, proper wards, proper number of nurses and paramedical, qualified and sufficient number of Resident doctors/specialists.

- The surgeon should be Post Graduate with sufficient experience and qualification in the specialty concerned.

- He/She should be able to carry out the surgery with its variations and

able to handle its complications. - The hospital should carry out at least 250 laparoscopic surgeries per

year. - The hospital should have at least one complete set of laparoscopic

equipment and instruments with accessories and should have facilities

for open surgery i.e. after conversion from Laparoscopic surgery.

Yes No

SIGNATURE OF APPLICANT OR AUTHORIZED AGENT

Annexure-I b(eye) TENDER DOCUMENT

FOR

EMPANELMENT OF EXCLUSIVE EYE HOSPITALS/CENTRES IN CGHS

COVERED CITIES ( EXCEPT MUMBAI )

1. Name of the CGHS city where Eye hospital /centre is located.

2. Name of the Eye hospital/ centre

3. Address of the Eye hospital / centre

4. Tel / fax/e-mail

Telephone No

Fax

e-mail address

Name and Contact details of Nodal persons

Whether NABH Accredited Whether NABH applied for Whether QCI recommended/ applied for Details of Accreditation and Validity period Details of QCI/NABH application

5. Details of the application fee draft of Rs. 1000/-

Name & Address of the Bank DD No. Date of Issue

Details of the draft of EMD of Rs. 100000/-

Name & Address of the Bank DD No. Date of Issue 6. Total turnover during last financial year

(Certificate from Chartered Accountant is to be enclosed).

7. Turnover from CGHS during last financial year (Certificate from Chartered Accountant is to be enclosed.)

1. FOR IOL IMPLANT:

(i) Phacoemulsifier Unit (IIIrd or IVth generation) – minimum 2 with extra hand

pieces

(ii) Flash/rapid sterilizer – one per OT

(iii) YAG laser for capsulotomy

(iv) Digital anterior segment camera

(v) Specular microscope

Yes No Whether beds available ( General, Semi Private, Private or Deluxe Room Yes No (If yes, specify the number) Gl. ward Semi-Pvt. ward Pvt. Ward

9 ) OCULOPLASTY & ADENEXA:

Specific for Oculoplasty & Adenexa: Specialized Instruments and kits for:

(i)Dacryocystorhinostomy (ii) Eye lid Surgery e.g ptosis and Lid reconstruction Surgery (iii) Orbital surgery (iv) Socket reconstruction (v) Enucleation/evisceration (Vi) Availability of Trained, proficient Oculoplasty surgeon who is trained for Oculoplasty ,Lacrimal and Orbital Surgery

10). A) INVESTIGATIVE FACILITIES: (i) Syringing, Dacryocystography (ii) Exophthalmometry (iii) Ultrasonography – A&B Scan (iv) Imaging facilities - X-ray, CT Scan & MRI Scan (v) Ocular pathology, Microbiology services (vi)& Blood bank services.

(vii) Consultation facilities from related Specialties such as ENT, Neurosurgery, Hematology, Oncology (B) OPERATIVE (O.T.) FACILITIES: Specialized instruments & Kits for the following surgeries should be available. (i) Dacryo cystorhinostomy (ii) Lid surgery including eyelid reconstruction & Ptosis correction. (iii) Orbital surgery (iv) Socket reconstruction (v) Enucleation & Evisceration (vi) Orbital & Adnexal Trauma including Orbital fractures. (C) PERSONNEL: (i) Resident Doctor Support (ii) Nursing care (24 hours) (iii) Resuscitative facilities

11) STRABISMUS SURGERY:

Functional OT with Instruments needed for strabismus surgery

YES NO

Availability of set up for Pediatric Strabismus - Orthoptic room with distance fixation targets (preferably child friendly) may have TV/VCR, Lees/Hess. Chart

YES NO

12) GLAUCOMA: (1) Specific: Facilities for Glaucoma investigation & management.

a) Applanation tonometery

b) Stereo Fundus photography/OCT/ Nerve fibre Analyser

c) YAG Laser for Iridectomy

d) Automated/Goldmann fields (Perimetry)

e) Electrodiagnostic equipments (VER, ERG, EOG)

f) Colour Vision – Ishiahara Charts

g) Contrast sensitivity – Pelli Robson Charts

h) Pediatric Vision testing – HOTV cards

i) Autorefractometers

j) Synaptophore (basic type with antisuppresion)

k) Prism Bars

l) Stereo test (Randot/TNO)

m) Red – Green Goggles

n) Orthoptic room with distance fixation targets

(Preferably child friendly) may have TV/VCR.

o) Lees/Hess chart

SIGNATURE OF APPLICANT OR AUTHORIZED AGENT

Annexure-I c(dental)

TENDER DOCUMENT

FOR

FOR EMPANELMENT OF EXCLUSIVE DENTAL CLINICS IN CGHS COVERED CITIES( EXCEPT MUMBAI)

1. Name of the CGHS city where Exclusive Dental clinic is located.

2. Name of the Exclusive Dental Clinic

3. Address of the Exclusive Dental Clinic

4. Tel / fax/e-mail

Telephone No

Fax

e-mail address

Name and Contact details of Nodal persons

Whether NABH Accredited Whether NABH applied for Whether QCI recommended/ applied for

Details of Accreditation and Validity period

Details of QCI/NABH application

5. Details of the application fee draft of Rs. 1000/- Name & Address of the Bank DD No. Date of Issue

Details of the draft of EMD of Rs. 100000/- Name & Address of the Bank DD No. Date of Issue

6. Total turnover during last financial year (Certificate from Chartered Accountant is to be enclosed).

7. Turnover from CGHS during last financial year (Certificate from Chartered Accountant is to be enclosed.)

8. Exclusive Dental Clinic : (Infrastructure and technical Specifications) 2. Number of Dental Chairs:

(A) (i)For General Dental Clinic (Availability of recovery bed for Dental Clinic) (if available, specify the number of beds) ………………. (ii)For Specialized Dental Clinic

(Whether beds are available for Specialized Dental Clinic)… Yes No

If, Yes Number

(B) Whether separate O.T. YES No available for aseptic / septic cases (For specialized Dental clinics) (C) Alternative Power supply Yes No Give details (D) (a)Laboratory facilities for routine Clinical Pathology, Bio-chemistry,

Microbiology ………………. Yes No

(b) Routine facilities for X-ray OPG Dental X-ray (E) Dental X-ray Machine IOPA 60-70 Kv, 8 mA, Exposure Yes No (with minimum radiation leakage) time selection 0.01 to 3 seconds O.P.G. Machine 60-70 Kv, 8 MA Yes No

* All Specialists employed on regular and visiting basis must possess Dental Council of India’s

recognized qualifications. A Post Graduate should head each specialty.

SIGNATURE OF APPLICANT OR AUTHORIZED AGENT

Annexure –Id (DL/IC) TENDER DOCUMENT

FOR

EMPANELMENT OF DIAGNOSTIC LABORATORIES/ IMAGING CENTRES IN CGHS COVERED CITIES (EXCEPT MUMBAI)

1. Name of the CGHS city where DIAGNOSTIC LAB / IMAGING CENTRE is located.

2. Name of the Diagnostic Lab / Imaging Centre

3. Address of the Diagnostic Lab / Imaging Centre

4. Tel / fax/e-mail

Telephone No

Fax

e-mail / website address

Whether NABL/NABH recommended Whether QCI recommended Whether NABL/NABH/QCI applied for Enclose copy of accreditation certificate (wherever applicable)

Applied for ----------------------------------- Diagnostic Lab (Facilities to be mentioned)

Applied for ……………………………….Imaging Centre (Facilities to be mentioned)

Nuclear Medicines Lab

X-Ray

Ultra Sonography

CT Scan

MRI

ECG / EEG/ Nerve Conduction velocity

Others (for listed procedures)

Details of application fee of Rs. 1000/-

Name of bank Address of bank DD no. Validity

Details of EMD amount of Rs. 100000/-

Name of bank Address of bank DD no. Validity

5. Total turnover during last financial year (Certificate from Chartered Accountant is to be enclosed).

6. Turnover from CGHS during last financial year (Certificate from Chartered Accountant is to be enclosed.)

CRITERIA FOR LABORATORY DIAGNOSTIC CENTER: -

Indicate (√ ) for Yes and (x) for No in the Box

1) Laboratories (Clinical Pathology):

- Space: Minimum 10X12 ft.

Adequate space for collection of samples and dispatch of reports. Waiting space - Minimum for 10 patients.

- Equipment:

Microscope , fully automatic hematology cell counter

Incubator centrifuge machine fridge (300 liters)

Automated Electrophoresis apparatus Automated Coagulation apparatus

Cytology and histopathology related set up

Needle Destroyer Trolley for waste disposal with Bags.

- Manpower with Qualification:

Technician – Diploma in MLT and adequate experience of handling pathology specimens

including Cytology and Histopathology. Facilities for Waste Management: Provision for waste management as per the

Biomedical waste Act., 1998 - Quality Control: Arrangement for Internal and external quality control. - The set up should be able to handle the workload with adequate staff and

equipments. Reports should be available at the earliest depending on the test. - Backup of Generator, UPS, Emergency light

- General requirements for Pathological Diagnostic Centers:

Minimum workload of 40-50 samples per day (not tests).

Slides for Histopathology / Cytology should be preserved a reasonable period.

Records of patients /investigation should be well maintained and updated.

Charges should be displayed on the notice board.

Fire Fighting system should be in place wherever it is necessary.

2) Laboratory (Biochemistry):-

- Space for working lab minimum 10X12 ft.

Reception and sample collection should have an area for

at least 10 patients to sit.

Laboratory (Preferably air-conditioned)

Washing area/waste disposal.

- Equipment:

Refrigerator Water-bath Hot-air-oven Centrifuge machine

Photo-electric calorie meter or Spectrophotometer or semi-auto-analyzer/auto

analyzer Flame Photometer or ISE Analyzer Micro-pipettes

All related Lab glasswares and reagents needle destroyer

standard balance

- Manpower with qualification:

Technician with DMLT.

Provision for waste management as per

the Biomedical waste Act., 1998:

- Quality Control:

Should be Internal as well as External

- Backup of Generator, UPS, Emergency light

- 24 hours supply of water, provision for toilet.

Indicate (√ ) for Yes and (x) for No in the Box

Additional requirements for Laboratory for Hospitals/ Nursing Homes:-

- In addition to the criteria written above the following additional equipment will be required

Blood Gas analyzer Elisa Reader HPLC and Electrophoresis apparatus

3) Laboratory (Microbiology):

- Minimum Space required is 10X12 ft.

Receiving samples & labeling, sorting, registration,

minimum waiting space for 10 patients and

dispatch area.

Media room (autoclave, hot air oven, pouring hood) Area

required minimum 6X4 ft.

Processing of samples – staining, cultures etc.

- Equipment:

Non-expendable – Autoclave Hot Air oven water bath, incubator

centrifuge microscopes vortex ELISA reader.

Expendable – Chemicals, media, glassware, stationery etc.

- Manpower with qualification:

Technician - DMLT

- Provision for waste management as per the

Biomedical waste Act., 1998.

- Quality control:

Internal

External tie up with higher Organizations.

Backup of Generator, UPS, Emergency light.

SIGNATURE OF APPLICANT OR AUTHORIZED AGENT

ANNEXURE-II

CERTIFICATE OF UNDERTAKING

1. It is Certified that the particulars given above are correct and eligibility criteria are satisfied.. 2. That Hospital/ eye centre/Exclusive Dental Clinic/ Diagnostic laboratory/ Imaging Centre

shall not charge CGHS beneficiaries higher than the CGHS notified rates or the rates charged from other patients who are not CGHS beneficiaries.

3. That the rates have been provided against a facility/procedure/investigation actually available

at the Organization. 4. That if any information is found to be untrue, Hospital/ Eye centre/Dental clinic/ Diagnostic

Centre would be liable for de-recognition by CGHS. The Organization will be liable to pay compensation for any financial loss caused to CGHS or physical and or mental injuries caused to its beneficiaries.

5. That the Hospital/ Eye centre/Dental clinic/ Diagnostic Centre has the capability to submit

bills and medical records in digital format and that all Billing will be done in electronic format and medical records will be submitted in digital format.

6. The Hospital/ Eye centre/Dental clinic/ Diagnostic Centre will pay damage to the

beneficiaries if any injury, loss of part or death occurs due to gross negligence. 7. That the Hospital/ Eye centre/Dental clinic/ Diagnostic Centre has not been derecognized by

CGHS or any State Government or other Organizations. 8. That no investigation by central Government/State Government or any statuary Investigating

agency is pending or contemplated against the Hospital/ Eye centre/Dental clinic/ Diagnostic Centre.

9. Agree for the terms and conditions prescribed in the tender document. 3. Hospital agrees to implement Electronic Medical Records and EHR as per the standards

approved by Ministry of Health & Family Welfare within one year of its empanelment

SIGNATURE OF APPLICANT OR AUTHORIZED AGENT

Annexure-III Scanned Copies of the following documents (wherever applicable) are to be uploaded along with E-Tender

1. Copy of legal status , place of registration and principal place of business of the health care Organization or partnership firm, etc.,

2. A copy of partnership deed ,/ memorandum and articles of association, if any 3. Copy of Customs duty exemption certificate and the conditions on which exemption was

accorded. 4. Copy of the license for running Blood Bank. 5. Copy of the documents full filling necessary statutory requirements.

SIGNATURE OF APPLICANT OR AUTHORIZED AGENT

Annexure-IV TENDER ACCEPTANCE LETTER

(To be given on Health Care Organizations Letter Head)

Date: To, ______________________ ______________________ ______________________ ______________________ ______________________ Sub: Acceptance of Terms & Conditions of Tender.

Tender Reference No: ________________________ Name of Tender / Work: - ______________________________________________________________________________________________________________________________________________________________________

Dear Sir, 1. I/ We have downloaded / obtained the tender document(s) for the above mentioned ‘Tender/Work’ from the web site(s) namely: ____________________________________________________________________________________ ____________________________________________________________________________________ as per your advertisement, given in the above mentioned website(s). 2. I / We hereby certify that I / we have read the entire terms and conditions of the tender documents from Page No. _______ to ______ (including all documents like annexure(s), schedule(s), etc .,), which form part of the contract agreement and I / we shall abide hereby by the terms / conditions / clauses contained therein. 3. The corrigendum(s) issued from time to time by your department/ organisation too have also been taken into consideration, while submitting this acceptance letter. 4. I / We hereby unconditionally accept the tender conditions of above mentioned tender document(s) / corrigendum(s) in its totality / entirety. 5. In case any provisions of this tender are found violated , then your department/ organisation shall without prejudice to any other right or remedy be at liberty to reject this tender/bid including the forfeiture of the full said earnest money deposit absolutely. 6. Also I / We have not been suspended / blacklisted by any PSU / Government Department / Financial Organization / Court.

Yours Faithfully, (Signature of the Bidder, with Official Seal)

DRAFT MOA Annexure-V

F. No. D.12034/22/14/CGHS-Desk-I

Government of India

Ministry of Health & F.W.

CGHS Division

All the Hospitals, Exclusive Eye Hospitals/ Centres, Exclusive Dental Clinics and

Diagnostic Laboratories/ Imaging Centers which are to be empanelled by the CGHS are

required to prepare the Agreement between the Additional Director, CGHS and the concerned

Health Care Organization on a non-judicial stamp paper of Rs. 100/- for further necessary

action.

(Additional Director, CGHS)

AGREEMENT

BETWEEN ADDITIONAL DIRECTOR, CGHS

AND …………………………………Name of the City (except Mumbai)

This Agreement is made on the ________ day of _________, 2014 between the President of India acting through ADDITIONAL DIRECTOR, Central Government Health Scheme, Ministry of Health & F.W., Government of India having its office at Nirman Bhawan, New Delhi (hereinafter called CGHS, which expression shall, unless repugnant to the context or meaning thereof, be deemed to mean and include its successors and assigns) of the First Part

AND ……………………………………….. (Name of the Hospital with Address) of the Second Part. WHEREAS, the Central Government Health Scheme is providing comprehensive medical care facilities to the Central Government Employees / Pensioners and such other categories of beneficiaries as are decided from time to time. AND WHEREAS, CGHS proposes to provide treatment facilities and diagnostic facilities to the Beneficiaries in the Private empanelled Hospitals, exclusive eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres in -------------(Name of City) AND WHEREAS, (Name of the Hospitals, Exclusive Eye Hospitals/ Centres, Exclusive Dental Clinics and Diagnostic Laboratories/ Imaging Centers) has agreed to give the following treatment / diagnostic facilities to the CGHS Beneficiaries in the Health Care Organization at the rates offered by CGHS: ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… NOW, THEREFORE, IT IS HEREBY AGREED between the Parties as follows: 1. DEFINITIONS & INTERPRETATIONS

1.1 The following terms and expressions shall have the following meanings for purposes of this Agreement: 1.1.1 “Agreement” shall mean this Agreement and all Schedules, supplements,

appendices, appendages and modifications thereof made in accordance with the terms of this Agreement.

1.1.2 “Benefit” shall mean the extent or degree of service the beneficiaries are entitled to receive as per the rules on the subject.

1.1.3 “Bill Clearing Agency “(BCA) means the agency appointed by CGHS for processing of Data/ Bills of all CGHS beneficiaries (both serving and pensioner) attending the empanelled Private Hospitals and for making payment.

1.1.4 “Card” shall mean the CGHS Card, issued by any competent authority, of any CGHS city.

1.1.5 “Card Holder” shall mean a person having a CGHS Card . 1.1.6 “CGHS Beneficiary” shall mean a person who is eligible for coverage of CGHS

and hold a valid CGHS card for the benefit. 1.1.7 “Coverage” shall mean the types of persons to be eligible as the beneficiaries

of the Scheme to health services provided under the Scheme, subject to the terms, conditions and limitations.

1.1.8 “Diagnostic Center” shall mean the (Name of the Diagnostic Center) performing tests / investigations

1.1.9 “ Imaging Centre” shall mean the (Name of the Imaging Centre) performing X-ray , CT Scan, MRI, USG, etc.,

1.1.10 “Emergency” shall mean any condition or symptom resulting from any cause, arising suddenly and if not treated at the early convenience, be detrimental to the health of the patient or will jeopardize the life of the patient.

1.1.11 “Empanelment” shall mean the hospitals, exclusive eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres authorized by the CGHS for treatment/ investigation purposes for a particular period.

1.1.12 “Hospital” shall mean the (Name of the Hospital) while performing under this Agreement providing medical investigation, treatment and the healthcare of human beings.

1.1.13 “De-recognition of Hospital” shall mean debarring the hospital on account of adopting unethical practices or fraudulent means in providing medical treatment to or not following the good industry practices of the health care for the CGHS beneficiaries after following certain procedure of inquiry

1.1.14 “Party” shall mean either the CGHS or the Hospital and “Parties” shall mean both the CGHS and the Hospital .

1.1.15 “CGHS “Package Rate” shall mean all inclusive – including lump sum cost of

inpatient treatment / day care / diagnostic procedure for which a CGHS beneficiary has been permitted by the competent authority or for treatment under emergency from the time of admission to the time of discharge including (but not limited to) – (i) Registration charges, (ii) Admission charges, (iii) Accommodation charges including patients diet, (iv) Operation charges, (v) Injection charges, (vi) Dressing charges, (vii) Doctor / consultant visit charges, (viii) ICU / ICCU charges, (ix) Monitoring charges, (x) Transfusion charges and Blood processing charges (xi)Pre Anesthetic checkup and Anesthesia charges, (xii) Operation theatre charges, (xiii) Procedural charges / surgeon’s fee, (xiv) Cost of surgical disposables and all sundries used during hospitalization, (xv) Cost of medicines and consumables (xvi) Related routine and essential investigations (xvii) Physiotherapy charges etc. (xviii) Nursing care charges etc.

Package rates also include two pre-operative consultations and two post-operative consultations.

Cost of Implants / stents / grafts is reimbursable in addition to package rates as per CGHS ceiling rates or as per actual, whichever is lower.

In case a beneficiary demands a specific Brand of Stent / Implant and give his consent in writing, the difference in cost over and above the ceiling rate may be charged from the beneficiary, which is non-reimbursable.

During In-patient treatment of the CGHS beneficiary, the hospital will not ask

the beneficiary or his / her attendant to purchase separately the medicines / sundries / equipment or accessories from outside and will provide the treatment within the package rate, fixed by the CGHS which includes the cost of all the items.

However, the following items are not admissible for reimbursement:

Toiletries Sanitary napkins Talcum powder Mouth fresheners

In cases of conservative treatment / where there is no CGHS package rate, calculation of admissible amount would be done item wise as per CGHS rates or as per AIIMS rates , if there is no CGHS rate for a particular item.

Package rates envisage up to a maximum duration of indoor treatment as follows:

Upto 12 days for Specialized (Super Specialties) treatment Upto 7 days for other Major Surgeries

Upto 3 days for / Laparoscopic surgeries / elective Angioplasty / normal deliveries and

1 day for day care / Minor (OPD) surgeries.

However, if the beneficiary has to stay in the hospital for his / her recovery for a period more than the period covered in package rate, in exceptional cases, supported by relevant medical records and certified as such by hospital, the additional reimbursement may be allowed, which shall be limited to accommodation charges as per entitlement , investigations charges at approved rates, doctors visit charges (not more than 2 visits per day per visit by specialists / consultants) and cost of medicines for additional stay).

No additional charge on account of extended period of stay shall be allowed if that extension is due to infection on the consequences of surgical procedure/ faulty investigation procedure etc.

The empanelled health Care Organization cannot charge more than CGHS approved rates when a patient is admitted with valid CGHS Card with prior permission or under emergency. In case of any instance of overcharging the overcharged amount over and above CGHS rate (except inadmissible items and difference paid due to implant/stent of a specific brand chosen by CGHS beneficiary) shall be paid to the beneficiary and shall be recovered from the pending bills of the hospital.

If any empanelled health care Organization charges from CGHS beneficiary for any expenses incurred over and above the package rates vis-à-vis medicine, consumables, sundry equipment and accessories etc., which are purchased from external sources, based on specific authorization of treating doctor / staff of the concerned hospital and if they are not falling under the list of non-admissible items, reimbursement shall be made to the beneficiary and the amount shall be recovered from the pending bills of hospitals.

1.1.16.“BCA” shall mean a Third Party Administrator authorized by CGHS to process the medical reimbursement claims or to carry out medical audit.

Annexures-I shall be deemed to be an integral part of this Agreement. The terms and conditions stipulated in the tender document shall be read as part of this agreement.

2. DURATION OF AGREEMENT

The Agreement shall remain in force for a period of 2 years or till it is modified or revoked, whichever is earlier. The Agreement may be extended for another year subject to fulfillment of all the terms and conditions of this Agreement and with mutual consent of both parties.

3. CONDITIONS FOR PROVIDING TREATMENT/SERVICES

A. GENERAL CONDITIONS

The hospitals, Exclusive Eye hospitals/centres, Exclusive Dental Clinics and Diagnostic centres shall be empanelled for all facilities/services available in the health care organization as approved by NABH/NABL/QCI and shall not be empanelled for selected specialties/ facilities. The Hospitals, Exclusive Eye Hospitals/centres, Exclusive Dental clinics, Diagnostic Laboratories/ Imaging Centres shall investigate / treat the CGHS beneficiaries only for the condition for which they are referred with due authorization letter.

In case of unforeseen emergencies of these patients during admission for approved procedure, ‘provisions of emergency treatment’ shall be applicable. It is agreed that CGHS beneficiaries shall be attended to on priority. CGHS has the right to monitor the treatment provided in the Private Hospitals, exclusive eye hospitals/centres, exclusive dental clinics, Diagnostic Laboratories/ Imaging centres.

B. AUTHORISATION LETTER FOR TREATMENT The treatment/procedure shall be performed on the basis of the authorization letter issued by the Chief Medical Officer of the concerned CGHS dispensary in case of pensioners and by the administrative department / Ministry in case of serving employees and on the production of a valid CGHS card by the beneficiary.

C. INVESTIGATIONS PRIOR TO ADMISSION All investigations regarding fitness for the surgery will be done prior to the admission for any elective procedure and are part of package.

D. ADDITIONAL PROCEDURES/INVESTIGATIONS

For any material / additional procedure / investigation other than the condition for which the patient was initially permitted, would require the permission of the competent authority except under emergency.

E. PROCEDURE WHERE REFERRED CASE NEEDS TREATMENT IN A SPECIALITY(s) WHICH ARE NOT AVAILABLE IN THE HOSPITAL

The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging shall not undertake treatment of referred cases in specialties which are not available in the hospital. But it will provide necessary treatment to stabilize the patient and transport the patient safely to nearest recognized hospital under intimation to CGHS authorities. However in such cases the Hospital will charge as per the CGHS rates only for the treatment provided.

F. CHANGES IN INFRASTRUCTURE/STAFF TO BE NOTIFIED TO CGHS

The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall immediately communicate to Additional Director / Joint Director of CGHS of concerned city about any change in the infrastructure /Shifting of premises. The empanelment will be temporarily withheld in case of shifting of the facility to any other location without prior permission of CGHS. The new establishment of the same Hospital shall attract a fresh inspection, at the prescribed fee, for consideration of continuation of empanelment.

G. ANNUAL REPORT

The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging will submit an annual report regarding number of referrals received, admitted CGHS beneficiaries, bills submitted to the CGHS and payment received, details of monthly report submitted to the Additional Directors / Joint Additional Directors of CGHS of concerned City. Annual audit report of the hospitals will also be submitted along with the statement. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging shall submit all the medical records in digital format.

H. EMR / EHR

The empanelled health Care Organizations (except eye hospital/centre, dental clinics, Diagnostic Labs/Imaging Centres) shall have to implement Electronic Medical Records and EHR as per the standards and guidelines approved by Ministry of Health & Family Welfare within one year of its empanelment.

I. EMPANELMENT WITH AUTONOMOUS BODIES

All empanelled hospitals/ diagnostic centres/ exclusive eye centres/ exclusive dental clinics shall also agree for empanelment with any autonomous body/ public sector undertaking on same terms & conditions as with CGHS, on recommendation of Ministry of Health & Family Welfare.

J. MEETINGS Authorized signatory / representative of the empanelled health care organizations shall attend the periodic meetings held by Additional Director / A.D. / J.D. / Department / Establishment of CGHS required in connection with improvement of working conditions and for redressal of grievances.

K. INSPECTIONS During the visit by Additional Director / Joint Director/ CMO In-charge of the dispensary or any other authorized representative of the Ministry of Health / Additional Directorate General of Health Services / concerned Department, including BCA, the empanelled health care organization’s authorities will cooperate in carrying out the inspection.

L. AID TO PUBLIC HEALTH AUTHORITIES

In case of any natural disaster / epidemic, the empanelled health care organizations shall fully cooperate with the Ministry of Health / Additional Directorate General of Health Services, Additional Director / Joint Director of CGHS of concerned city and will convey / reveal all the required information, apart from providing treatment.

M. NO COMMERCIAL PUBLICITY The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre will not make any commercial publicity projecting the name of CGHS / Ministry of Health & F.W. or Government of India. However, the fact of empanelment under CGHS shall be displayed at the premises of the empanelled health Care Organization indicating that the charges will be as per CGHS approved rates.

4. TREATMENT IN EMERGENCY

The following ailments may be treated as emergency which is illustrative only and not exhaustive, depending on the condition of the patient:

Acute Coronary Syndromes (Coronary Artery Bye-pass Graft / Percutaneous, Transluminal Coronary Angioplasty) including Myocardial Infarction, Unstable Angina, Ventricular Arrhythmias, Paroxysmal Supra Ventricular Tachycardia, Cardiac Temponade, Acute Left Ventricular Failure / Severe Congestive Cardiac Failure, Accelerated Hypertension, Complete Heart Block and Stoke Adam attack, Acute Aortic Dissection.

Acute Limb Ischemia, Rupture of Aneurysm, Medical and Surgical shock and peripheral circulatory failure.

Cerebro-Vascular attack-Stokes, Sudden unconsciousness, Head injury, Respiratory failure, decompensated lung disease, Cerebro-Meningeal Infections, Convulsions, Acute Paralysis, Acute Visual loss.

Acute Abdomen pain. Road Traffic Accidents / with injuries including fall. Severe Hemorrhage due to any cause.

Acute poisoning. Acute Renal Failure. Acute abdomen pain in female including acute Obstetrical and Gynecological

emergencies. Electric shock. Any other life threatening condition.

In emergency the hospital will not refuse admission or demand an advance payment

from the beneficiary or his family member and will provide credit facilities to the patient whether the patient is a serving employee or a pensioner availing CGHS facilities, on production of a valid CGHS card and the hospital shall submit the bill for reimbursement to the concerned Deptt. / Ministry / CGHS. The refusal to provide the treatment to bonafide CGHS Beneficiaries in emergency cases and other eligible categories of beneficiaries on credit basis, without valid ground, would attract disqualification for continuation of empanelment. The nature and appropriateness of the emergency is subject to verification, which may be verified, inspected or medically audited by the nominated authority on random basis at its own discretion. The Hospital will intimate all instances of patients admitted as emergencies without prior permission to the CGHS authorities / BCA appointed by CGHS within the prescribed time.

5. ENTITLEMENTS FOR VARIOUS TYPES OF WARDS

CGHS beneficiaries are entitled to facilities of private, semi-private or general ward depending on their pay drawn in pay band/ pension. These entitlements are amended from time to time and the latest order in this regards needs to be followed. The entitlement is as follows:-

S. No. Pay drawn in pay band/Basic Pension Entitlement 1. Upto Rs. 13,950/- General Ward 2. Rs. 13,960/- to 19,530/- Semi-Private

Ward 3. Rs. 19,540/- and above Private Ward

a. Private ward is defined as a hospital room where single patient is accommodated

and which has an attached toilet (lavatory and bath). The room should have

furnishings like wardrobe, dressing table, bed-side table, sofa set, carpet, etc. as

well as a bed for attendant. The room has to be air-conditioned.

b. Semi Private Ward is defined as a hospital room where two to three patients are

accommodated and which has attached toilet facilities and necessary furnishings.

c. General ward is defined as a hall that accommodates four to ten patients.

Treatment in higher Category of accommodation than the entitled category is not permissible.

6. APPROVED RATES TO BE CHARGED

The empanelled health care organization shall charge from the CGHS beneficiary as per the rates for a particular procedure / package deal as prescribed by the CGHS and attached as Annexure (rate list), which shall be an integral part of this Agreement. The rates notified

by CGHS shall also be available on web site of Ministry of Health & F.W. at http://msotransparent.nic.in/cghsnew/index.asp The package rate will be calculated as per the duration specified in the tender document. No additional charge on account of extended period of stay shall be allowed if, that extension is due to infection on the consequences of surgical procedure or due to any improper procedure and is not justified. The rate being charged will not be more than what is being charged for same procedure from other (non-CGHS) patients or Organizations. An authenticated list of rates being charged from other non-CGHS Organizations will also be supplied to CGHS within 30 days of this Agreement. The procedure and package rates for any diagnostic investigation, surgical procedure and other medical treatment for CGHS beneficiary under this Agreement shall not be increased during the validity period of this Agreement. The empanelled health care organization agrees that during the In-patient treatment of the CGHS beneficiary, the Hospital will not ask the beneficiary or his attendant to purchase separately the medicines / sundries / equipment or accessories from outside and will provide the treatment within the package deal rate, fixed by the CGHS which includes the cost of all the items. Appropriate action, including removing from CGHS empanelment and / or termination of this Agreement, may be initiated on the basis of a complaint, medical audit or inspections carried out by CGHS teams / appointed BCA.

7. MODE OF PAYMENT FOR TREATMENT OF BENEFICIARIES

For serving employees (other than CGHS/ DGHS /Ministry of H&FW), the payment will be made by the patient and he/she will claim reimbursement from his/her office subject to the approved ceiling rates. In respect of the following categories of beneficiaries, treatment / procedures/services shall be undertaken/provided on credit: No payment shall be sought from them and the bills should be submitted to the BCA / Office of the Additional / Joint Additional Director, CGHS of the concerned city.

o Pensioners, o Ex-Members of Parliament, o Sitting Members of Parliament o Freedom Fighters, o Serving CGHS/DGHS / Ministry of H&FW employees, o Such other categories of CGHS cardholders as notified by the Government.

8. BILL CLEARING AGENCY (BCA)

Bill clearing Agency (BCA) would charge a processing fee @ 2% of claimed amount and service tax thereon with a minimum of Rs.12.50/- and maximum of Rs. 750/- per bill. CGHS reserves the right to revise these charges from time to time’

9. NOTIFICATION OF NODAL OFFICERS

Empanelled health care Organizations shall notify two Nodal officers for CGHS beneficiaries, one of them being of the rank of Deputy MS/Addl. MS, who can be contacted by CGHS beneficiaries in case of any eventuality.

10. INFORMATION TO BE PROVIDED TO THE BCA BY HOSPITALS

EMERGENCY ADMISSIONS

The Hospital will intimate to the BCA and to CGHS within two(2) hours of such admission and the BCA will respond with due authorization in four (4) hours. Treatment in no case would be delayed or denied because authorization by the BCA is only confirmation of the e-workflow in respect of such patient. Post discharge, the hospital would upload bills and other documents as per requirement of CGHS within seventy two (72) hours.

REFERRED ADMISSIONS

Where the CGHS beneficiary visits the hospital with a proper referral and authorization letter, the hospital will verify and submit information of admission to the BCA and to CGHS online. The BCA would respond with an authorization within four (4) hours. Post discharge, the hospital would upload bills and other documents as per requirement of CGHS within seventy two(72) hours.

11. SUBMISSION OF BILLS TO BILL CLEARING AGENCY

In case of Pensioners, etc., where credit bills are sent to CGHS, the Private Empanelled health care Organizations shall submit the physical bill as well as electronic bill to the Bill Clearing Agency for processing of bills. In case of serving employees the electronic bill and details shall be submitted to Bill Clearing Agency where as physical Bill shall be submitted to concerned department/ serving employee for payment. The Data and electronic bills in respect of Serving employees shall be utilized for medical audit and statistical purposes.

12. PROCESSING OF CLAIMS/BILLS BY THE BCA

Bill Clearing Agency (BCA) shall make provisional payment of 70% of the claimed amount on submission of physical bills within a maximum period of ‘5’ working days and balance admissible amount after due scrutiny within a maximum period of 30 days. Recoveries, if any, will be affected from future bills of hospitals, exclusive Eye hospitals / Centres, exclusive Dental Clinics, Cancer Hospitals/units and diagnostic centres as the case may be.

The BCA during the course of the auditing will restrict the claims as per CGHS rules and regulations. BCA will also examine in terms of

(a) Appropriateness of treatment including screening of patients records to identify

unnecessary admissions and unwarranted treatments (b) Whether the planned treatment is shown as emergency treatment (c) Whether the diagnostic medical or surgical procedures that were not required were

conducted by hospital including unnecessary investigations (d) Maintaining database of such information of CGHS beneficiaries for future use. (e) Whether the treatment procedures have been provided as per the approved rates

and the packages. (f) Whether procedures performed were only those for which permission has been

granted

The BCA shall record their findings and intimate the same to the Private Hospital concerned with a copy endorsed to CGHS authority of the city. The payment of the bill/claim to the Private Hospital concerned will be made directly by the BCA after receipt of the physical bills in respect of CGHS pensioner beneficiaries, etc.

13. MEDICAL AUDIT OF BILLS

There shall be a continuous Medical Audit of the services provided by the empanelled Private Hospital.

14. DUTIES AND RESPONSIBILITIES OF EMPANELLED HEALTH CARE ORGANIZATIONS

It shall be the duty and responsibility of the empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Laboratory/ Imaging Centre at all times, to obtain, maintain and sustain the valid registration, recognition and high quality and standard of its services and healthcare and to have all statutory / mandatory licenses, permits or approvals of the concerned authorities under or as per the existing laws”.

15. NON ASSIGNMENT

The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall not assign, in whole or in part, its obligations to perform under the agreement, except with the CGHS’s prior written consent at its sole discretions and on such terms and conditions as deemed fit by the CGHS. Any such assignment shall not relieve the Hospital/ Eye centre/Dental clinic/ Diagnostic Centre from any liability or obligation under this agreement

16. EMPANELLED HEALTH CARE ORGANIZATION’S INTEGRITY AND OBLIGAITONS DURING AGREEMENT PERIOD

The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre is responsible for and obliged to conduct all contracted activities in accordance with the Agreement using state-of-the-art methods and economic principles and exercising all means available to achieve the performance specified in the Agreement. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre is obliged to act within its own authority and abide by the directives issued by the CGHS. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre is responsible for managing the activities of its personnel and will hold itself responsible for their misdemeanors, negligence, misconduct or deficiency in services, if any.

17. PERFORMANCE BANK GUARANTEE (PBG)

Health Care Organizations that are recommended for empanelment after the initial assessment shall also have to furnish a performance Bank Guarantee valid for a period of 30 months i.e. six month beyond empanelment period to ensure efficient service and to safeguard against any default:

Hospitals/Cancer Units Rs. 10.00 lac Eye Centres Rs.2.00 lac Dental Clinics Rs.2.00 lac Diagnostic Centres Rs. 2.00.lac (PBG for charitable Organizations would be 50% of above amount)

In case of health Care Organizations already empanelled under CGHS they shall submit a new Performance Bank Guarantee after the validity of the existing performance guarantee is over.

18. FORFEITURE OF PERFORMANCE BANK GUARANTEE AND REMOVAL FROM LIST OF EMPANELLED ORGANIZATIONS

In case of any violation of the provisions of the MOA by the health care Organizations empanelled under CGHS such as:

1. refusal of service,

2. undertaking unnecessary procedures,

3. prescribing unnecessary drugs/tests

4. over billing,

5. reduction in staff/ infrastructure/ equipment etc. after the hospital/ has been empanelled.

6. Non submission of the report, habitual late submission or submission incorrect data in the

report

7. refusal of credit to eligible beneficiaries and direct charging from them.

8. if not recommended by NABH/NABL/QCI at any stage

9. Discrimination against CGHS beneficiaries vis-à-vis general patients

The amount of Performance Bank Guarantee will be forfeited and the CGHS shall have the right to de-recognize the health Care Organization as the case may be. Such action could be initiated on the basis of a complaint, medical audit or inspections carried out by CGHS teams at random.

The decision of the CGHS will be final.

19. LIQUIDATED DAMAGES

a. The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall provide the services as per the requirements specified by the CGHS in terms of the provisions of this Agreement. In case of initial violation of the provisions of the Agreement by the Hospital such as refusal of service or direct charging from the CGHS Beneficiaries or defective service and negligence, the amount equivalent to 15% of the amount of Performance Bank Guarantee will be charged as agreed Liquidated Damages by the CGHS, however, the total amount of the Performance Bank Guarantee will be maintained intact being a revolving Guarantee.

b. In case of repeated defaults by the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre , the total amount of Performance Bank Guarantee will be forfeited and action will be taken for removing the Health Care Organization from the empanelment of CGHS as well as termination of this Agreement

c. For over-billing and unnecessary procedures, the extra amount so charged will be deducted from the pending / future bills of the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre and the CGHS shall have the right to issue a written warning to the health Care Organization not to do so in future. The recurrence, if any, will lead to the stoppage of referral to that particular Health care Organization or De-recognition from CGHS.

20. TERMINATION FOR DEFAULT

The CGHS may, without prejudice to any other remedy for breach of Agreement, by written notice of default sent to the Hospital terminate the Agreement in whole or part: If the empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre fails to provide any or all of the services for which it has been empanelled within the period(s) specified in the Agreement, or within any extension thereof if granted by the

CGHS pursuant to Condition of Agreement or If the Health Care Organization fails to perform any other obligation(s) under the Agreement. If the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre in the judgment of the CGHS has engaged in corrupt or fraudulent practices in competing for or in executing the Agreement.

21. INDEMNITY

The empanelled Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall at all times, indemnify and keep indemnified CGHS / the Government against all actions, suits, claims and demands brought or made against it in respect of anything done or purported to be done by the Health Care Organization in execution of or in connection with the services under this Agreement and against any loss or damage to CGHS / the Government in consequence to any action or suit being brought against the CGHS / the Government, along with (or otherwise), Health Care Organization as a Party for anything done or purported to be done in the course of the execution of this Agreement. The Health Care Organization will at all times abide by the job safety measures and other statutory requirements prevalent in India and will keep free and indemnify the CGHS from all demands or responsibilities arising from accidents or loss of life, the cause or result of which is the Hospital negligence or misconduct. The Health care Organization will pay all indemnities arising from such incidents without any extra cost to CGHS and will not hold the CGHS responsible or obligated. CGHS / the Government may at its discretion and shall always be entirely at the cost of the Health Care Organization defend such suit, either jointly with the Health Care Organization enter or singly in case the latter chooses not to defend the case

22. ARBITRATION

If any dispute or difference of any kind whatsoever (the decision whereof is not herein otherwise provided for) shall arise between the CGHS and the Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre upon or in relation to or in connection with or arising out of the Agreement, shall be referred to for arbitration by the Additional Secretary & Director General, CGHS ,Ministry of Health & FW, Government of India, who will give written award of his decision to the Parties. The decision of the Additional Secretary & Director General, CGHS will be final and binding. The provisions of the Arbitration and Conciliation Act, 1996 shall apply to the arbitration proceedings. The venue of the arbitration proceedings shall be at Delhi / New Delhi.

23. MISCELLANEOUS

Nothing under this Agreement shall be construed as establishing or creating between the Parties any relationship of Master and Servant or Principal and Agent between the CGHS and the Health Care Organization. The Health care Organization shall work or perform their duties under this Agreement or otherwise.

The Health care Organization agrees that any liability arising due to any default or negligence in not represent or hold itself out as agent of the CGHS.

The CGHS will not be responsible in any way for any negligence or misconduct of the Health Care Organization and its employees for any accident, injury or damage sustained or suffered by any CGHS beneficiary or any third party resulting from or by any operation conducted by and on behalf of the Hospital or in the course of doing its performance of the medical services shall be borne exclusively by the hospital who shall alone be responsible for the defect and / or deficiencies in rendering such services.

The Hospital/ Exclusive Eye centre/Exclusive Dental clinic/ Diagnostic Laboratory/ Imaging Centre shall notify the Government of any material change in their status and their

shareholdings or that of any Guarantor of the in particular where such change would have an impact on the performance of obligation under this Agreement.

This Agreement can be modified or altered only on written agreement signed by both the parties.

Should the Hospital/ Exclusive Eye centre/Exclusive Dental clinic/ Diagnostic Laboratory/ Imaging Centre get wound up or partnership is dissolved, the CGHS shall have the right to terminate the Agreement. The termination of Agreement shall not relieve the hospital or their heirs and legal representatives from the liability in respect of the services provided by the Health care Organization during the period when the Agreement was in force.

The Hospital, Exclusive Eye centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre shall bear all expenses incidental to the preparation and stamping of this agreement.

24. OTHER SERVICES TO BE PROVIDED

The empanelled Private Health Care Organization will, on the request of CGHS, agree to provide training to CGHS medical, Para-medical and nursing staff.

25. NOTICES

25.1 Any notice given by one party to the other pursuant to this Agreement shall be sent to other

party in writing by registered post or by facsimile and confirmed by original copy by post to the other Party’s address as below.

CGHS: Additional Director CGHS, Ministry of Health & FW, Government of India, Nirman Bhawan, New Delhi.

Hospital with address: (………………………………………………………………………)

25.2 A notice shall be effective when served or on the notice’s effective date, whichever is later. Registered communication shall be deemed to have been served even if it returned with remarks like refused, left, premises locked, etc.

IN WITNESSES WHEREOF, the parties have caused this Agreement to be signed and executed on the day, month and the year first above mentioned.

Signed by

Additional Director, Central Government Health Scheme Ministry of Health & Family Welfare, Government of India

For and on behalf of The President of India

In the Presence of (Witnesses) 1. 2.

Signed by

For and on behalf of (Hospital ) Duly authorized vide Resolution No. ……… dated …….

of (name of Hospital ) In the presence of (Witnesses) 1. 2.

Performance Bank Guarantee

To: (Additional Director, CGHS) WHEREAS _____________________________________________________(Name of Health Care Organization ) has undertaken, Agreement No. ______________ ________________________ dated, __________________2013 to ________ ___________ _________ _______________________ (Description of Services) hereinafter called "the Agreement". AND WHEREAS it has been stipulated by you in the said Agreement that the Hospital, Exclusive Eye hospital/centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre selected for empanelment shall furnish you with a bank Guarantee by a nationalized bank for the sum specified therein as security for compliance with the Hospital performance obligations in accordance with the Agreement. AND WHEREAS we have agreed to give the Hospital, Exclusive Eye hospital/centre, Exclusive Dental clinic, Diagnostic Laboratory/ Imaging Centre a guarantee: THEREFORE WE hereby affirm that we are Guarantors and responsible to you, on behalf of Hospital / Diagnostic Centre (herein after referred to “the Second Part,” up to a total of _________________________________(Amount of the guarantee in Words and Figures) and we hereby irrevocably, unconditionally and absolutely undertake to immediately pay you, upon your first written demand declaring the Second Part to be in default under the Agreement and without cavil or argument, any sum or sums within the limit of ___________________________ as aforesaid, without your needing to prove or to show this grounds or reasons for your demand or the sum specified therein. This guarantee is valid until the ___________ day of ______________ 2009 Signature and Seal of Guarantors

_____________________________________ _____________________________________

Date _____________________________________ Address:_____________________________________

CGHS PROCEDURES

S.No. Name of Treatment Procedure

OPD

1 Consultation OPD

2 Consultation- for Inpatients

3 Dressings of wounds

4 Suturing of wounds with local anesthesia

5 Aspiration Plural Effusion - Diagnostic

6 Aspiration Plural Effusion - Therapeutic

7 Abdominal Aspiration - Diagnostic

8 Abdominal Aspiration - Therapeutic

9 Pericardial Aspiration

10 Joints Aspiration

11 Biopsy Skin

12 Removal of Stitches

13 Venesection

14 Phimosis Under LA

15 Sternal puncture

16 Injection for Haemorrhoids

17 Injection for Varicose Veins

18 Catheterisation

19 Dilatation of Urethra

20 Incision & Drainage

21 Intercostal Drainage

22 Peritoneal dialysis

Skin

23 Excision of Moles

24 Excision of Warts

25 Excision of Molluscum contagiosum

26 Excision of Veneral Warts

27 Excision of Corns

28 I/D Injection Keloid

29 Chemical Cautery (s)

Opthalmology

30 Subconjunctival/subtenon’s injections in one eyes

31 Subconjunctival/subtenon’s injections in both eyes

32 Pterygium surgery

33 Conjunctival peritomy

34 Conjunctival wound repair or exploration following blunt trauma

35 Removal of corneal foreign body

36 Cauterization of ulcer/subconjunctival injection in one eye

37 Cauterization of ulcer/subconjunctival injection in both eyes

38 Corneal grafting—Penetrating keratoplasty

39 Corneal grafting—Lamellar keratoplasty

40 Cyanoacrylate /fibrin glue application for corneal perforation

41 Bandage contact lenses for corneal perforation

42 Scleral grafting or conjunctival flap for corneal perforation

43 Keratoconus correction with therapeutic contact lenses

44 UV radiation for cross-linking for keratoconus

45 EDTA for band shaped keratopathy

46 Arcuate keratotomy for astigmatism

47 Re-suturing (Primary suturing) of corneal wound

48 Penetrating keratoplasty ---- with glaucoma surgery

49 Penetrating keratoplasty --- with vitrectomy

50 Penetrating keratoplasty ---- with IOL implantation

51 DALK- Deep anterior lamellar keratoplasty

52 Keratoprosthesis stage I and II

53 DSAEK- Descemet’s stripping automated endothelial keratoplasty

54 ALTK- Automated lamellar therapeutic keratoplasty

55 Probing and Syringing of lacrimal sac- in one eye

56 Probing and Syringing of lacrimal sac- in both eye

57 Dacryocystorhinostomy—Plain

58 Dacryocystorhinostomy—Plain with intubation and/or with lacrimal

implants

59 Dacryocystorhinostomy—conjunctival with implant

60 Caliculoplasty

61 Dacryocystectomy

62 Punctal plugs for dry eyes

63 Refraction

64 Indirect ophthalmoscopy

65 Orthoptic check-up- with synoptophore

66 Lees’ charting or Hess’ charting

67 Orthoptic exercises

68 Pleoptic exercises

69 Perimetry/field test—Goldman

70 Perimetry/field test— automated

71 Fluorescein angiography for fundus or iris

72 Ultrasound A- Scan

73 Ultrasound B- Scan

74 Fundus Photo Test

75 Indocyanin green angiography

76 Corneal endothelial cell count with specular microscopy

77 Corneal topography

78 Corneal pachymetry

79 Auto-refraction

80 Macular function tests

81 Potential acuity metry

82 Laser interferometry

83 OCT- Optical coherence tomography

84 HRT- Heidelberg’s retinal tomogram

85 GDX--- Nerve fibre layer analyzer

86 UBM- Ultrasound bio microscopy

87 Non Contact tonometry

88 IOP measurement with schiotz

89 IOP measurement with applation tonometry

90 Three mirror examination for reti

91 90 D lens examination

92 Gonioscopy

93 Chalazion incision and curettage in one eye

94 Chalazion incision and curettage in both eyes

95 Ptosis surgery with fasanella servat procedure

96 Ptosis surgery with LPS resection one lid

97 Ptosis surgery with Sling surgery one lid

98 Ectropion surgery- one lid

99 Ectropion surgery- both lids

100 Epicanthus correction

101 Cantholysis and canthotomy

102 Entropion surgery- one lid

103 Entropion surgery- both lids

104 Tarsorraphy

105 Suturing of lid lacerations

106 Lid retraction repair

107 Concretions removal

108 Bucket handle procedure for lid tumors

109 Cheek rotation flap for lid tumors

110 Orbitotomy

111 Enucleation

112 Enucleation with orbital implants and artificial prosthesis

113 Evisceration

114 Evisceration with orbital implants and artificial prosthesis

115 Telecanthus correction

116 Orbital decompression

117 Exenteration

118 Exenteration with skin grafting

119 Fracture orbital repair

120 Retinal laser procedures

121 Retinal detachment surgery

122 Retinal detachment surgery with scleral buckling

123 Buckle removal

124 Silicone oil removal

125 Anterior retina l cryopexy

126 Squint correction for one eye

127 Squint correction for both eyes

128 Trabeculectomy

129 Trabeculotomy

130 Trabeculectomy with Trabeculotomy

131 Trephition

132 Goniotomy

133 Glaucoma surgery with Glaucoma valves

134 Cyclocryotherapy

135 YAG laser iridotomy

136 YAG laser capsulotomy

137 ALT-Argon laser trabeculoplasty

138 PDT-Photodymic therapy

139 TTT- Transpupillary thermal therapy

140 PTK- Phototherapeutic keratectomy

141 Argon/diode laser for retinal detatchment

142 Intralase application for keratoconus

143 EOG- electro-oculogram

144 ERG- Electro-retinogram

145 VEP- visually evoked potential

146 Vitrectomy- pars plana

147 Intravitreal injections- of antibiotics

148 Intravitreal injections- of avastin including cost of drug

149 Intravitreal injections- of lucentis including cost of drug

150 X- Ray orbit

151 CT-orbit and brain

152 MRI- Orbit and brain

153 Dacryocystography

154 Orbital angio-graphical studies

155 ECCE with IOL

156 SICS with IOL

157 Phaco with foldable IOL (silicone and acrylic)/PMMA IOL

158 Pars plana lensectomy with/without IOL

159 Secondary IOL implantation- AC IOL PC IOL or scleral fixated IOL

160 Cataract extraction with IOL with capsular tension rings (Cionni’s

ring)

161 Optic nerve sheathotomy

162 Iridodialysis repair or papillary reconstruction

163 Iris cyst removal

164 Lid Abscess incision and Drainage

165 Orbital Abscess incision and Drainage

166 Biopsy

167 Paracentesis

168 Scleral graft for scleral melting or perforation

169 Amniotic membrane grafting

170 Cyclodiathermy

171 Intraocular foreign body removal

172 Electrolysis

173 Perforating injury repair

174 Botulinum injection for blepharospasm or squint

Dental Procedures

175 Flap Operation per quadrant

176 Gingivectomy per quadrant

177 Reduction & immobilization of fracture- Maxilla Under LA

178 Reduction & immobilization of fracture-Mandible Under LA

179 splints/Cirucum mandibular wiring under LA

180 splints/Cirucum mandibular wiring under GA

181 Internal wire fixation/plate fixation of Maxilla under LA

182 Internal wire fixation/plate fixation of Maxilla under GA

183 Internal wire fixation/plate fixation of Mandible under LA

184 Internal wire fixation/plate fixation of Mandible under GA

185 Extraction per tooth under LA

186 Complicated Ext. per Tooth under LA

187 Extraction of impacted tooth under LA

188 Extraction in mentally retarded/patients with systemic

diseases/patient with special needs under short term GA

189 Cyst & tumour of Maxilla /mandible by enucleation/ excision/

marsupalisation upto 4 cms under LA

190 Cyst & tumour of Maxilla/mandible by enucleation/ excision/

marsupalisation size more than 4 cms under LA

191 Cyst & tumour of Maxilla/mandible by

enucleation/excision/marsupalisation size more than 4 cms under GA

192 TM joint ankylosis- under GA

193 Biopsy Intraoral-Soft tissue

194 Biopsy Intraoral-Bone

195 Hemi-mandibulectomy with graft

196 Hemi-mandibulectomy without graft

197 Segmental-mandibulectomy with graft

198 Segmental-mandibulectomy without graft

199 Maxillectomy- Total with graft

200 Maxillectomy- Total without graft

201 Maxillectomy- partial with graft

202 Maxillectomy- partial without graft

203 Release of fibrous bands & grafting -in (OSMF) treatment under GA

204 Pre-prosthetic surgery- Alveoloplasty

205 Pre-prosthetic surgery - ridge augmentation

206 Root canal Treatment(RCT) Anterior teeth(per tooth)

207 Root canal Treatment(RCT) Posterior teeth (per tooth)

208 Apicoectomy- Single root

209 Apicoectomy-Multiple roots

210 Metal Crown-per unit

211 Metal crown with Acrylic facing per unit

212 Complete single denture-metal based

213 Complete denture- acrylic based per arch

214 Removable partial denture-Metal based-upto 3 teeth

215 Removable partial denture-Metal based-more than 3 teeth

216 Removable partial denture-Acrylic based-upto 3 teeth

217 Removable partial denture-Acrylic based-more than 3 teeth

218 Amalgum restoration-per tooth

219 Composite Restoration-per tooth-anterior tooth

220 Glas Ionomer-per tooth

221 Scaling & polishing

222 Removable Orthodontics appliance- per Arch

223 Fixed Orhtodontics-per Arch

224 Space maintainers-Fixed

225 Habit breaking appliances-removable

226 Habit breaking appliances-Fixed

227 Expansion plate

228 Feeding appliance for cleft palate

229 Maxillo-facial prosthesis (sal/auricular/orbital/facial lost part)

230 Functional orthodentic appliances

231 Obturator (Maxillo-facial)

232 Occlusal night guard(splint)

ENT

233 Pure Tone Audiogram

234 Impedence with stepedeal reflex

235 SISI Tone Decay

236 Multiple hearing assessment test to Adults

237 Speech Discrimination Score

238 Speech Assessment

239 Speech therapy per session of 30-40 minutes

240 Cold Calorie Test for Vestibular function

241 Removal of foreign body From Nose

242 Removal of foreign body From Ear

243 Syringing (Ear)

244 Polyp removal under LA

245 Polyp removal under GA

246 Peritonsillar abscess Drainage under LA

247 Myringoplasty

248 Staepedectomy

249 Myringotomy with Grommet insertion

250 Tympanotomy

251 Tympanoplasty

252 Mastoidectomy

253 Otoplasty

254 Labyrinthectomy

255 Skull Base surgery

256 Facial Nerve Decompression

257 Septoplasty

258 Submucous Resection

259 Septo-rhinoplasty

260 Rhinoplasty- Non-cosmetic

261 Fracture Reduction

262 Intra nasal Diathermy

263 Turbinectomy

264 Endoscopic DCR

265 Endoscopic Surgery

266 Septal Perforation Repair

267 Antrum Puncture

268 Lateral Rhinotomy

269 Cranio-facial resection

270 Caldwell Luc Surgery

271 Angiofibroma Excision

272 Endoscopic Hypophysectomy

273 Endoscopic Optic Nerve Decompression

274 Decompression of Orbit

275 Punch/Wedge biopsy

276 Tonsillectomy

277 Uvulo-palatoplasty

278 FESS for antrochoal polyp

279 FESS for ethmoidal polyp

280 Polyp removal ear

281 Polyp removal Nose(Septal polyp)

282 Mastoidectomy plus Ossciculoplasty including TORP or PORP

283 Endolymphatic sac decompression

284 Diagnostic endoscopy under GA

285 Yonges operation for Atrophic rhinitis

286 Vidian neurectomy for vasomotor Rhinitis

287 nasal Packing-anterior

288 nasal Packing-posterior

289 Ranula Excision

290 Tongue Tie excision

291 Sub Mandibular Duct Lithotomy

292 Adenoidectomy

293 Palatopharyngoplasty

294 Cleft Palate repair

295 Pharyngoplasty

296 Styloidectomy

297 Direct laryngoscopy including Biopsy under GA

298 Oesophagoscopy/foreign body removal from

299 Bronchoscopy with F.B.removal

300 Other Major Surgery

301 Other Minor Surgery

Head and Neck

302 Ear Lobe Repair one side

303 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only

304 Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and

Cartilage

305 Partial Amputation of Pinna

306 Total Amputation of Pinna

307 Total Amputation & Excision of External Auditory Meatus

308 Excision of Cystic Hygroma

309 Excision of Cystic Hygroma Extensive

310 Excision of Branchial Cyst

311 Excision of Branchial Sinus

312 Excision of Pharyngeal Diverticulum

313 Excision of Carotid Body-Tumours

314 Operation for Cervical Rib

315 Block Dissection of Cervical Lymph Nodes

316 Pharyngectomy & Reconstruction

317 Operation for Carcinoma Lip - Wedge-Excision

318 Operation for Carcinoma Lip - Vermilionectomy

319 Operation for Carcinoma Lip - Wedge Excision and Vermilonectomy

320 Estlander Operation

321 Abbe Operation

322 Cheek Advancement

323 Excision of the Maxilla

324 Excision of mandible-segmental

325 Mandibulectomy

326 Partial Glossectomy

327 Hemiglossectomy

328 Total Glossectomy

329 Commondo Operation

330 Parotidectomy - Superficial

331 Parotidectomy - Total

332 Parotidectomy - Radical

333 Repair of Parotid Duct

334 Removal of Submandibular Salivary gland

335 Hemithyroidectomy

336 Partial Thyroidectomy (lobectomy)

337 Subtotal Thyroidectomy

338 Total Thyroidectomy

339 Resection Enucleation of thyroid Adenoma

340 Total Thyroidectomy and Block Dissection

341 Excision of Lingual Thyroid

342 Excision of Thyroglossal Cyst/Fistula

343 Excision of Parathyroid Adenoma/Carcinoma

344 Laryngectomy

345 Laryngo Pharyngectomy

346 Hyoid Suspension

347 Genioplasty

348 Direct Laryngoscopy including biopsy under GA

349 Phonosurgery

350 Fibroptic examition of Larynx under LA

351 Microlaryngeal Surgery

352 Laryngofissure

353 Tracheal Stenosis Excision

354 Head and neck cancer

355 Excisional Biopsies

356 Benign Tumour Excisions

357 Temporal Bone subtotal resection

358 Modified Radical Neck Dissection

359 Carotid Body Excision

360 Total Laryngectomy

361 Flap Reconstructive Surgery

362 Parapharyngeal Tumour Excision

363 Other Major Surgery

364 Other Minor Surgery

Breast

365 Drainage of abscess

366 Excision of lumps

367 Local mastectomy-simple

368 Radical mastectomy-formal or modified.

369 Excision of mammary fistula

370 Segmental resection of breast

371 Other Major Surgery

372 Other Minor Surgery

General surgery

373 Injury Of Superficial Soft Tissues

374 Suturing of small wounds

375 Secondary suture of wounds

376 Debridement of wounds

377 Removal Of Foreign Bodies

378 Biopsies

379 Excision of Cervical Lymph Node

380 Excision of Axillary Lymph Node

381 Excision of Inguinal Lymph Node

382 Excision Biopsy of Ulcers

383 Excision Biopsy of Superficial Lumps

384 Incision Biopsy of Growths/Ulcers

385 Trucut Needle Biopsy

386 Percutaneous Kidney Biopsy

387 Marrow Biopsy (Open)

388 Muscle Biopsy

389 Scalene Node Biopsy

390 Excision of Sebaceous Cysts

391 Excision of Superficial Lipoma

392 Excision of Superficial Neurofibroma

393 Excision of Dermoid Cysts

394 Haemorrhoidectomy

395 Stappler haemorrhoidectomy

396 keloid excision

397 Vericose vein surgery;Tendelenburg operation with suturing or

ligation.

Oesophagus

398 Atresia of Oesophagus and Tracheo Oesophageal Fistula

399 Operations for Replacement of Oesophagus by Colon

400 Oesophagectomy for Carcinoma Easophagus

401 Oesophageal Intubation (Mausseau Barbin Tube)

402 Achalasia Cardia Transthoracic

403 Achalasia Cardia Abdominal

404 Oesophago Gastrectomy for mid 1/3 lesion

405 Heller’s Operation

406 Colon-Inter position or Replacement of Oesophagus

407 Oesophago Gastrectomy – Lower Corringers procedure

408 Other Major Surgery

409 Other Minor Surgery

Abdomen / GI Surgery

410 Gastroscopy

411 Gastric & Duodenal Biopsy (Endoscopic)

412 Pyloromyotomy

413 Gastrostomy

414 Simple Closure of Perforated peptic Ulcer

415 Vagotomy Pyleroplasty / Gastro Jejunostomy

416 Duodenojejunostomy

417 Partial/Subtotal Gastrectomy for Carcinoma

418 Partial/Subtotal Gastrectomy for Ulcer

419 Operation for Bleeding Peptic Ulcer

420 Gastrojejunostomy & Vagotomy

421 Operation for Gastrojejunal Ulcer

422 Total Gastrectomy for Cancer

423 Highly Selective Vagotomy

424 Selective Vagotomy & Drainage

425 Congenital Diaphragmatic Hernia

426 Hiatus Hernia Repair- Abdominal

427 Hiatus Hernia Repair- Transthoracic

428 Exploratory Laparotomy

429 Epigastric Hernia Repair

430 Umbilical Hernia Repair

431 Ventral /incisional Hernia Repair

432 Inguinal Hernia Herniorraphy

433 Inguinal Hernia - Hernioplasty

434 Femoral Hernia Repair

435 Rare Hernias Repair (Spigalion, Obturator, Lumbar, Sciatic)

436 Splenectomy - For Trauma

437 Splenectomy - For Hypersplenism

438 Splenorenal Anastomosis

439 Portocaval Anastomosis

440 Direct Operation on Oesophagus for Portal Hypertension

441 Mesentericocaval Anastomosis

442 Warren Shunt

443 Pancerato Duodenectomy

444 By Pass Procedure for Inoperable Carcinoma of Pancreas

445 Cystojejunostomy or Cystogastrostomy

446 Cholecystectomy

447 Cholecystectomy & Exploration of CBD

448 Repair of CBD

449 Operation for Hydatid Cyst of Liver

450 Cholecystostomy

451 Hepatic Resections (Lobectomy /Hepatectomy)

452 Operation on Adrenal Glands - Bilateral

453 Operation on Adrenal Glands - Unilateral

454 Appendicectomy

455 Appendicular Abscess – Drainage

456 Mesenteric Cyst- Excision

457 Peritonioscopy/Laparoscopy

458 Jejunostomy

459 Ileostomy

460 Resection & Anastomosis of Small Intestine

461 Duodenal Diverticulum

462 Operation for Intestinal Obstruction

463 Operation for Intestinal perforation

464 Benign Tumours of Small Intestine

465 Excision of Small Intestine Fistula

466 Operations for GI Bleed

467 Operations for Haemorrhage of Small Intestines

468 Operations of the Duplication of the Intestines

469 Operations for Recurrent Intestinal Obstruction (Noble Plication &

Other Operations for Adhesions)

470 Ilieosigmoidostomy and related resection

471 Ilieotransverse Colostomy and related resection

472 Caecostomy

473 Loop Colostomy Transverse Sigmoid

474 Terminal Colostomy

475 Closure of Colostomy

476 Right Hemi-Colectomy

477 Left Hemi-Colectomy

478 Total Colectomy

479 Operations for Volvulus of Large Bowel

480 Operations for Sigmoid Diverticulitis

481 Fissure in Ano with Internal sphinctrectomy with fissurectomy.

482 Fissure in Ano - Fissurectomy

483 Rectal Polyp-Excision

484 Operation of Haemorrhoids -Lords procedure

485 Fistula in Ano - High Fistulectomy

486 Fistula in Ano - Low Fistulectomy

487 Prolapse Rectum - Theirch Wiring

488 Prolapse Rectum - Rectopexy

489 Prolapse Rectum - Grahams Operation

490 Operations for Hirschsprungs Disease

491 Excision of Pilonidal Sinus (open)

492 Excision of Pilonidal Sinus with closure

493 Abdomino-Perineal Excision of Rectum

494 Anterior Resection of rectum

495 Pull Through Abdominal Resection

496 Retro Peritoneal Tumor Removal

497 Radio ablation of varicose veins

498 Laser ablation of varicose veins

499 Laproscopic Fundoplication

500 Laproscopic Spleenectomy

501 Laproscopic Removal of hydatid cyst

502 Laproscopic treatment of Pseudo Pancreatic cyst

503 Laproscopic whipples operation

504 Laproscopic GI bypass operation

505 Laproscopic Total Colectomy

506 Laproscopic Hemi Colectomy

507 Laproscopic Anterior Resection

508 Laproscopic Cholecystetomy

509 Laproscopic Appedicectomy

510 Laproscopic Hernia inguinal repair

511 Laproscopic ventral Hernia Repair

512 Laproscopic Paraumblical Hernia Repair

513 Laproscopic Adrenelectomy

514 Laproscopic Nephrectomy

515 Laproscopic CBD Exploration and Repair of CBD

516 Other Major Surgery

517 Other Minor Surgery

ICU/CCU procedures (Special Care Cases)

518 Coronary Care with Cardiac Monitoring including ECG & Diet

519 Compressed air / piped oxygen /per hour

520 Ventilator charges/day

521 Paediatric care for New born per day

522 Incubator charges (Per day)

523 Neonatal ICU charges (Per day)

524 Resuscitation

525 Exchange Transfusion

526 Pneupack ventilator in Nursery (Per day)

Cardiovascular and cardiac surgery & investigations

527 ASD Closure

528 VSD with graft

529 TOF/TAPVC/TCPC/REV/RSOV repair

530 B.D.Glenn/Left atrium myxoma

531 Senning/ASO with graft

532 DSO

533 AV Canal repair

534 Fonten

535 Conduit repair

536 CABG

537 CABG + IABP

538 CABG + Valve.

539 CABG without bypass.

540 Ascending aorta replacement

541 DVR

542 MVR/AVR

543 MV repair + AV repair

544 Aorta femoral bypass

545 B.T Shunt/Coaractation

546 P.A.Banding septostomy

547 Pericardectomy

548 CMV/PDA

549 Gunshot injury

550 Heart transplant

551 Balloon coronary angioplasty/PTCA with VCD

552 Balloon coronary angioplasty/PTCA without VCD

553 Intra coronary stenting

554 Direct stenting

555 Rotablation

556 balloon valvotomy/PTMC

557 CATH

558 Arch Replacement

559 Aortic Dissection

560 Thoraco Abdominal Aneurism Repair

561 Embolectomy

562 Vascular Repair

563 Bentall Repair with Prosthetic Valve

564 Bentall Repair with Biologic Valve

565 Coaractation dilatation

566 Coaractation dilatation with Stenting

567 TPI Single Chamber

568 TPI Dual Chamber

569 Permanent pacemaker implantation- Single Chamber

570 Permanent pacemaker implantation- Dual Chamber

571 Permanent pacemaker implantation Biventricular

572 AICD implantation Single Chamber

573 AICD implantation Dual Chamber

574 Combo device implantation

575 Diagnostic Electrophysiological studies conventional

576 Diagnostic Electrophysiological studies 3D/Carto

577 Ambulatory BP monitoring

578 External Loop/event recording

579 RF Ablation conventional

580 RF Ablation Atrial Tachycardia/Carto

581 Endomyocardial biopsy

582 IABP

583 Intra vascular coils

584 Septostomy- Balloon

585 Septostomy- Blade

586 AVBD/PVBD

587 Digital subtraction angiography-Peripheral artery

588 Digital subtraction angiography- venogram

589 Percutaneous valve replacement

590 C.T Guided biopsy

591 Sinogram

592 Peripheral Angioplasty with VCD

593 Peripheral Angioplasty without VCD

594 Renal Angioplasty

595 Carotid Angioplasty

596 IVUS

597 OCT

598 FFR

599 ICE

600 Holter analysis

601 Aortic stent grafting for aortic aneurysm

602 IVC Filter implantation

603 ASD/VSD/PDA device closure

604 ECG

605 TMT

606 HUTT

607 2 D echocardiography

608 3 D echocardiography

609 Fetal Echo

610 2 D TEE

611 3 D TEE(Trans esophageal echo )

612 Stress Echo -exercise

613 Stress Echo- pharmacological

614 Stress MPI- exercise

615 Stress MPI - pharmacological

616 Coronary angiography

617 CT coronary angiography

618 Cardiac CT scan

619 Cardiac MRI

620 Stress Cardiac MRI

621 MR angiography.

622 Cardiac PET

623 Pericardiocentesis

624 Other Major Surgery

625 Other Minor Surgery

Obstetrics and Gynaecology

626 Normal delivery with or without Episiotomy & P. repair

627 vacuum delivery

628 Forceps Delivery

629 Cesarean Section

630 Cesarean Hysterectomy

631 Rupture Uterus closure & repair with Tubal Ligation

632 Perforation of Uterus after D/E Laparotomy & Closure

633 Laparotomy for Ectopic pregnancy

634 Laparotomy-peritonitis Lavage and Drainage

635 Salphingo-Oophorectomy/ Oophorectomy Laproscopic

636 Ovarian Cystectomy-laparoscopic.

637 Ovarian Cystectomy -laparotomy.

638 Salpingo-Oophorectomy-laparotomy

639 Laproscopic Broad Ligament Hematoma Drainage with repair

640 Exploration of perineal Haematoma & Repair

641 Exploration of abdominal Haematoma (after laparotomy + LSCS)

642 Manual Removal of Placenta

643 Examination under anesthesia (EUA)

644 Burst-abdomen Repair

645 Gaping Perineal Wound Secondary Suturing

646 Gaping abdominal wound Secondary Suturing

647 Complete perineal tear-repair

648 Exploration of PPH-tear repair

649 Suction evacuation vesicular mole

650 Suction evacuation Missed abortion/ incomplete abortion

651 Colpotomy

652 Repair of post-coital tear/ perineal injury

653 Excision of urethral caruncle

654 Shirodhkar/ Mc. Donald’s stitch

655 Abdominal Hysterectomy with or without salpingo-oophorectomy

656 Vaginal Hysterectomy (NDVH)

657 Vaginal Hysterectomy with repairs (UV Prolapse)

658 Myomectomy -laparotomy

659 Myomectomy -laparoscopic

660 Vaginoplasty

661 Vulvectomy -Simple

662 Vulvectomy-Radical

663 RVF Repair

664 Manchester Operation

665 Shirodkar’s sling Operation or other sling operations for prolapse

uterus

666 Laparoscopic sling operations for prolapse uterus

667 Diagnostic Curettage

668 Cervical Biopsy

669 Polypectomy

670 Other-Minor Operation Endometrial

671 Excision Vaginal Cyst/Bartholin Cyst

672 Excision Vaginal Septum

673

Laparoscopy -Diagnostic with chromopertubation and or adhesiolysis

and drilling

674 Laparoscopy Sterilization

675 LAVH

676 Balloon Temponade for PPH

677 Total laparoscopic hysterectomy

678

Laparoscopic treatment of Ectopic pregnancy-

salpingectomy/salpinostomy conservative

679 Conisation of cervix

680 Trachhelectomy of cervix for early CA cervix

681 Hysteroscopic cannulation

682 Laparotomy recannalization of Fallopian tubes-(Tubuloplasty)

683 Laparoscopic recannalization of Fallopian tubes-(Tubuloplasty)

684 Colposcopy

685 Inversion of Uterus – Vaginal Reposition

686 Inversion of Uterus – Abdominal Reposition

687 Laparoscopic VVF Repair

688 Abdominal VVF Repair

689 Vaginal VVF Repair

690 Interventional Ultrasonography (CVS)

691 Amniocentesis

692 Karyotyping

693 Thermal balloon ablation.

694 Ultrasonographic myolysis

695 Vaginal Myomectomy

696 Intra Uterine Inseminition

697 ICSI

698 Laparotomy abdominal sacro-colpopexy

699 Vaginal Colpopexy

700 Laparoscopic abdominal sacro-colpopexy

701 Laparotomy pelvic Lymphadenectomy

702 Laparoscopic pelvic Lymphadenectomy

703 Pap smear

704 Endometrial aspiration cytology/biopsy

705 Transvaginal sonography (TVS for Follicular monitioring /aspiration)

706 laparoscopic treatment for stress incontinence

707 Transvaginal tapes for Stress incontinence

708 trans-obturator tapes for Stress incontinence

709 Interventional radiographic arterial embolization

710 Diagnostic cystoscopy

711 Staging laparotomy surgery for CA Ovary

712 Internal Iliac ligation

713 stepwise devascularisation

714 Assisted breech delivery

715 Intra-uterine fetal blood transfusion

716 Hysteroscopy TCRE

717 Hysteroscopy Removal of IUCD

718 Hysteroscopy Removal of Septum

719 Hysteroscopy Diagnostic

720 Radical Hysterectomy for Cancer cervix with pelvic

lymphadenectomy

721

Radical Hysterectomy for Cancer endometrium extending to cervix

with pelvic and para aortic lymphadenectomy

722 Sterilization Post partum (minilap)

723 Sterilization interval (minilap)

724 Ultrasonography Level II scan/Anomaly Scan

725 Fetal nuchal Translucency

726 Fetal Doppler/Umblical Doppler/Uterine Vessel Doppler

727 MTP- 1st Trimester

728 MTP - 2nd Trimester

729 Triple test

730 Quadruple test

731 Biophysical score

732 HPV testing

733 B-HCG

734 Other Major Surgery

735 Other Minor Surgery

Nephrology and Urology.

736 Partial Nephrectomy -open

737 Partial Nephrectomy-laproscopic/endoscopic

738 Nephrolithomy -open

739 Nephrolithomy -laproscopic/endoscopic

740 Pyelolithotomy-open

741 Pyelolithotomy -laproscopic/endoscopic

742 Operations for Hydronephrosis -pyeloplasty open

743 Operations for Hydronephrosis -pyeloplasty Lap/endoscopic

744 Operations for Hydronephrosis Endoplyelotomy antegrade

745 Operations for Hydronephrosis Endoplyelotomy retrograde

746 Operations for Hydronephrosis -ureterocalicostomy

747 Operations for Hydronephrosis-Ileal ureter

748 Open Drainage of Perinephric Abscess

749 Percutaneous Drainage of Perinephric Abscess -Ultrasound guided

750 Cavernostomy

751 Operations for Cyst of the Kidney -open

752 Operations for Cyst of the Kidney -Lap/endoscopic

753 Ureterolithotomy -open

754 Ureterolithotomy-Lap/Endoscopic

755 Nephroureterectomy open

756 Nephroureterectomy -Lap/Endoscopic

757 Operations for Ureter for -Double Ureters

758 Operations for Ureter -for Ectopia of Single Ureter

759 Operations for Vesico- ureteric Reflux -Open

760 Operations for Vesico- ureteric Reflux-Lap/Endoscopic

761

Operations for Vesico- ureteric Reflux/ Urinary incontinence with

bulking agents

762 Ureterostomy - Cutaneous

763 Uretero-Colic anastomosis

764 Formation of an Ileal Conduit

765 Ureteric Catheterisation

766 Biopsy of Bladder (Cystoscopic)

767 Cysto-Litholapaxy

768 Operations for Injuries of the Bladder

769 Suprapubic Drainage (Cystostomy/vesicostomy)

770 Simple Cystectomy

771 Diverticulectomy -open

772 Diverticulectomy- Lap/Endoscopic

773 Diverticulectomy -Endoscopic incision of neck

774 Augmentation Cystoplasty

775 Operations for Extrophy of the Bladder- Single stage repair

776 Operations for Extrophy of the Bladder- Multistage repair

777

Operations for Extrophy of the Bladder- simple cystectomy with

urinary diversion

778 Repair of Ureterocoel -Open

779 Repair of Ureterocoel -Lap/Endoscopic

780 Repair of Ureterocoel -Endoscopic incision

781 Open Suprapubic Prostatectomy

782 Open Retropubic Prostatectomy

783 Transurethral Resection of Prostate (TURP)

784 Urethroscopy/ Cystopanendoscopy

785 Internal urethrotomy -optical

786 Internal urethrotomy -Core through urethroplasty

787 Urethral Reconstruction -End to end ansatamosis

788

Urethral Reconstruction - substitution urethroplasty (Transpubic

urethroplasty

789 Abdomino Perineal urethroplasty

790 Posterior Urethral Valve fulguration.

791 Operations for Incontinence of Urine - Male -Open

792 Operations for Incontinence of Urine - Male -Sling

793 Operations for Incontinence of Urine - Male-Bulking agent

794 Operations for Incontinence of Urine - Female -Open

795 Operations for Incontinence of Urine - Female-Sling

796 Operations for Incontinence of Urine - Female-Bulking agent

797 Reduction of Paraphimosis

798 Circumcision

799 Meatotomy

800 Meatoplasty

801 Operations for Hypospadias + Chordee Correction

802 Operations for Hypospadias - Second Stage

803 Operations for Hypospadias - One Stage Repair

804 Operations for Crippled Hypospadias

805 Operations for Epispadias _primary repair

806 Operations for Epispadias-crippled epispadias

807 Partial Amputation of the Penis

808 Total amputation of the Penis

809 Orchidectomy-Simple

810 Orchidectomy -Radical

811 Post Radical Orchidectomy retroperitoneal lymph node dissection.

812 Epididymectomy

813

Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma-

Open

814

Adreneclectomy Unilateral/Bilateral for Tumour/For Carcinoma -

Lap/Endoscopic

815 Operations for Hydrocele - Unilateral

816 Operations for Hydrocele - Bilateral

817 Vasectomy (Should be free for Family Welfare)

818 Operation for Torsion of Testis

819 Micro-surgical Vasovasostomy /Vaso epidedymal ansatamosis.

820 Operations for Varicocele Unilateral-Microsurgical

821 Operations for Varicocele Palomo’s Unilateral - Lap

822 Operations for Varicocele Bilateral --Microsurgical

823 Operations for Varicocele Bilateral – Lap/ Palomo

824 Block Dissection of ilio-inguinal Nodes - One Side (For Ca-Penis)

825 Block Dissection of ilio-inguinal Nodes - Both Sides (For Ca-Penis)

826 Excision of Filarial Scrotum

827 Kidney Transplantation (related)

828 Kidney Transplantation (Spousal/ unrelated)

829 ABO incompatible Transplantation

830 Swap Transplantation

831 Kidney Transplant Graft Nephrectomy

832 Donor Nephrectomy (open)

833 Donor Nephrectomy (Laproscopic)

834 Cadaver Transplantation

835

Kidney Transplant with Native Kidney Nephrectomy (Related)/

Unilateral

836 Kidney Transplant with Native Kidney Nephrectomy (Related)/

Bilateral

837

Kidney Transplant with Native Kidney Nephrectomy (Spousal/

Unrelated) Unilateral

838

Kidney Transplant with Native Kidney Nephrectomy (Spousal/

Unrelated) Bilateral

839 Post-Transplant Collection drainage for Lymphocele (open)

840 Post-Transplant Collection drainage for Lymphocele (percutaneous)

841 Post-Transplant Collection drainage for Lymphocele (Laproscopic)

842 Arteriovenous Fistula for Haemodialysis

843 Arteriovenous Shunt for Haemodialysis

844 Jugular Catheterization for Haemodialysis

845 Subclavian Catheterization for Haemodialysis

846 One sided (single Lumen) Femoral Catheterization for

Haemodialysis

847 Bilateral (single Lumen) Femoral Catheterization for Haemodialysis

848 Double Lumen Femoral Catheterization for Haemodialysis

849 Permcath Insertion

850 Arterio venous Prosthetic Graft

851 Single lumen Jugular Catheterization

852 Single lumen Subclavian Catheterization

853 Plasma Exchange/ Plasma phresis

854 Open method CAPD catheter insertion

855 Schlendinger method CAPD catheter insertion

856 Sustained low efficiency hemodialysis

857 Continuous Veno venous/Arteriovenous Hemofilteration

858 Hemodialysis for Sero negative cases

859 Hemodialysis for Sero Positive cases

860 Acute Peritoneal Dialysis

861 Fistologram for Arteriovenous Fistula

862 Ultrasound guided kidney Biopsy

863 Fistula stenosis dilation

864 Slow continuous Ultrafilteration

865 PCNL - Unilateral

866 PCNL - Bilateral

867 Endoscopic Bulking agent Inject

868 Testicular Biopsy

869 Radical Nephrectomy -Open

870 Radical Nephrectomy -Lap/Endoscopic

871 Radical Nephrectomy plus IV thrombus

872 Radical Nephrectomy plus IV thrombus plus cardiac bypass.

873 Vesico Vaginal Fistula Repair (Open)

874 Vesico Vaginal Fistula Repair (Laproscopic)

875 Radical Cystectomy -Ileal conduit

876 Radical Cystectomy - continent diversion.

877 Radical Cystectomy – Neo bladder

878 Nephrectomy Simple -Open

879 Nephrectomy Simple-lap/Endoscopic

880 Nephrostomy -Open

881 Nephrostomy -Lap/Endoscopic

882 Ureteric Re- implant for Megaureter/Vesicoureteric reflex/ uterocele

(open)

883

Ureteric Re -implant for Megaureter/Vesicoureteric reflex/ uterocele

(Laproscopic)

884 Partial Cystectomy

885 TURP & TUR Bladder Tumour

886 TURP with Cystolithotripsy

887 Closure of Urethral Fistula

888 Orchidopexy - Unilateral -Open

889 Orchidopexy - Unilateral- Lap/Endoscopic

890 Orchidopexy - Bilateral -Open

891 Orchidopexy - Bilateral -Lap/Endoscopic

892 Cystolithotomy -Suprapubic

893 Endoscopic Removal of Stone in Bladder

894

Resection Bladder Neck Endoscopic /Bladder neck

incision/transurethral incision on prostrate

895 Ureteroscopic Surgery

896 Urethroplasty 1st Stage

897 Scrotal Exploration

898 Perineal Urethrostomy

899 Dilatation of Stricture Urethra under G.A.

900 Dilatation of Stricture Urethra under LA

901 Laproscopic Nephrectomy

902 Laproscopic partial Nephrectomy

903 Laproscopic nephrolithotomy

904 Laproscopic pyelolithotomy

905 Laproscopic Pyeloplasty

906 Laproscopic surgery for Renal cyst

907 Laproscopic ureterolithotomy

908 Laproscopic Nephro ureterotectomy

909 Lithotripsy Extra corporeal shock wave.

910 Uroflow Study (Uroflometry)

911 Urodynamic Study (Cystometry)

912 Cystoscopy with Retrograde Catheter -Unilateral /RGP

913 Cystoscopy with Retrograde Catheter - Bilateral /RGP

914 Cystoscopy with Bladder Biopsy (Cold Cup Biopsy)

915

Voiding-cysto-urethrogram and retrograde urethrogram

(Nephrostogram)

916 Radical prostatectomy-Open

917 Radical prostatectomy-Laproscopic

918 Radical prostatectomy- Robotic (Robotic Partial Nephrectomy)

919 Hollmium YAG Prostate Surgery

920 Hollmium YAG OIU

921 Hollmium YAG Core Through

922 Hollmium YAG Stone Lithotripsy

924 Green Light laser for prostate

925 RIRS/ Flexible Ureteroscopy

926 Microscopic VEA/ Vaso-Vasostomy (for Infertility)

927

Cystoscopic Botulinum Toxin Injection ( Over active bladder/

Neurogenic bladder)

928 Peyronie’s disease – Plaque excision with grafting

929

High Intensity Focus Ultrasound (HIFU) (Robotic) for Carcinoma

prostrate and renal cell carcinoma

930 Prosthetic surgery for urinary incontinence

931 TRUS guided prostate biopsy

932 Ultra sound guided PCN

933 Other Major Surgery

934 Other Minor Surgery

Neuro-surgery

935 Craniotomy and Evacuation of Haematoma -Subdural

936 Craniotomy and Evacuation of Haematoma -Extradural

937 Evacuation /Excision of Brain Abscess by craniotomy

938 Excision of Lobe (Frontal Temporal Cerebellum etc.)

939 Excision of Brain Tumours -Supratentorial

940 Excision of Brain Tumours -Infratentorial

941 Surgery of spinal Cord Tumours

942 Ventriculoatrial /Ventriculoperitoneal Shunt

943 Twist Drill Craniostomy

944 Subdural Tapping

945 Ventricular Tapping

946 Abscess Tapping

947 Placement of ICP Monitor -

948 Skull Traction Application

949 Lumber Pressure Monitoring

950 Vascular Malformations

951 Meningo Encephalocoele excision and repair

952 Meningomyelocoel Repair

953 C.S.F. Rhinorrhaea Repair

954 Cranioplasty

955 Anterior Cervical Dissectomy

956 Brachial Plexus Exploration and neurotization

957 Median Nerve Decompression

958 Peripheral Nerve Surgery – Major

959 Peripheral Nerve Surgery Minor

960 Ventriculo-Atrial Shunt

961 Nerve Biopsy

962 Brain Biopsy

963 Anterior Cervical Spine Surgery with fusion

964 Anterio Lateral Decompression of spine

965 Brain Mapping

966 Cervical or Dorsal or Lumbar Laminectomy

967 Combined Trans-oral Surgery & CV Junction Fusion

968 C.V. Junction Fusion procedures

969 Depressed Fracture Elevation

970 Lumbar Discectomy

971 Endarterectomy (Carotid)

972 R.F. Lesion for Trigeminal Neuralgia

973 Spasticity Surgery -

974 Spinal Fusion Procedure

975 Spinal Intra Medullary Tumours

976 Spinal Bifida Surgery Major

977 Spinal Bifida Surgery Minor

978 Stereotaxic Procedures- biopsy/aspiration of cyst

979 Trans Sphenoidal Surgery

980 Trans Oral Surgery

981 Implantation of DBS -One electrode

982 Implantation of DBS -two electrodes

983 Endoscopic aqueductoplasty

984 Facial nerve reconstruction

985 Carotid stenting

986 Cervical disc arthroplasty

987 Lumbar disc arthroplasty

988 Corpus callostomy for Epilepsy

989 Hemishpherotomy for Epilepsy

990 Endoscopic CSF rhinorrhea repair

991 Burr hole evacuation of chronic subdural haematoma

992 Epilepsy surgery

993 RF lesion for facet joint pain syndrome

994 Cervical laminoplasty

995 Lateral mass C1-C2 screw fixation

996 Microsurgical decompression for Trigeminal nerve

997 Microsurgical decompression for hemifacial spasm

998 IC EC bypass procedures

999 Image guided craniotomy

1000 Baclofen pump implantation

1001 Programmable VP shunt

1002 Endoscopic sympathectomy

1003 Lumber puncture

1004 External ventricular drainage (EVD)

1005 Endoscopic 3rd ventriculostomy

1006 Endoscopic cranial surgery/Biopsy/aspiration

1007 Endoscopic discectomy (Lumbar, Cervical)

1008 Aneurysm coiling (Endovascular)

1009 Surgery for skull fractures

1010 Carpel Tunnel decompression

1011 Clipping of intracranial aneurysm

1012 Surgery for intracranial Arteriovenous malformarions(AVM)

1013 Foramen magnum decompression for Chari Malformation

1014 Dorsal column stimulation for backache in failed back syndrome

1015 Surgery for recurrent disc prolapse/epidural fibrosis

1016 Surgery for brain stem tumours

1017

Decompressive craniotomy for hemishpherical acute subdural

haematoma/brain swelling/large infarct

1018 Intra-arterial thrombolysis with TPA (for ischemic stroke )

1019 Steriotactic aspiration of intracerebral haematoma

1020 Endoscopic aspiration of intracerebellar haematoma

1021

Steriotactic Radiosurgery for brain pathology(X knife/Gamma ) -

ONE session

1022

Steriotactic Radiosurgery for brain pathology(X knife / Gamma knife

-Two or more sessions

1023 Chemotheraphy wafers for malignant brain tumors

1024 Battery Placement for DBS

1025 Baclofen pump implantation for spasticity

1026 Peripheral Nerve tumor surgery

1027 Surgery Intra Cranial Meningioma

1028 Surgery for Intracranial Schwannoma

1029 Surgery for Gliomas

1030 Surgery for Orbital tumors

1031 Surgery for Cranial (Skull) tumors

1032 Surgery for Scalp AVM’s

1033 Kyphoplasty

Balloon Kyphoplasty

1034 Lesioning procedures for Parkinson’s disease, Dystonia etc.

1040 Other Major Surgery

1041 Other Minor Surgery

Paediatric surgery

1042 Excision of thyroglossal Duct/Cyst

1043 Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach)

1044 Tracheo Oesophageal Fistula (Correction Surgery)

1045 Colon Replacement of Oesophagus

1046 Omphalo Mesenteric Cyst Excision

1047 Omphalo Mesenteric Duct- Excision

1048 Meckels Diverticulectomy

1049 Omphalocele 1st Stage (Hernia Repair)

1050 Omphalocele 2nd Stge (Hernia Repair)

1051 Gastrochisis Repair

1052 Inguinal Herniotomy

1053 Congenital Hydrocele

1054 Hydrocele of Cord

1055 Torsion Testis Operation

1056 Congenital Pyloric Stenosis- operation

1057 Duodenal- Atresia Operation

1058 Pancreatic Ring Operation

1059 Meconium Ileus Operation

1060 Malrotation of Intestines Operation

1061 Rectal Biopsy (Megacolon)

1062 Colostomy Transverse

1063 Colostomy Left Iliac

1064 Abdominal Perineal Pull Through (Hirschaprugis Disease)

1065 Imperforate Anus Low Anomaly -Cut Back Operation

1066 Imperforate Anus Low Anomaly - Perineal Anoplasty

1067 Imperforate Anus High Anomaly -Sacroabdomino Perineal Pull

Through

1068 Imperforate Anus High Anomaly - Closure of Colostomy

1069 Intususception Operation

1070 Choledochoduodenostomy for Atresia of Extra Hepatic Billiary Duct

1071 Operation of Choledochal Cyst

1072 Nephrectomy for -Pyonephrosis

1073 Nephrectomy for - Hydronephrosis

1074 Nephrectomy for -Wilms Tumour

1075 Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour

1076 Sacro-Coccygeal Teratoma Excision

1077 Neuroblastoma Debulking

1078 Neuroblastoma Total Excision

1079 Rhabdomyosarcoma wide Excision

1080 Congenital Atresia & Stenosis of Small Intestine

1081 Muconium ileus

1082 Mal-rotation & Volvulus of the Midgut

1083 Excision of Meckle’s Deverticulum

1084 Other Major Surgery

1085 Other Minor Surgery

Burns and Plastic surgery

1086 Primary Suturing of Wound

1087 Injection of Keloids - Ganglion

1088 Injection of Keloids - Haemangioma

1089 Free Grafts - Wolfe Grafts

1090 Free Grafts - Theirech- Small Area 5%

1091 Free Grafts - Large Area 10%

1092 Free Grafts - Very Large Area 20% and above.

1093 Skin Flaps - Rotation Flaps

1094 Skin Flaps - Advancement Flaps

1095 Skin Flaps - Direct- cross Leg Flaps- Cross Arm Flap

1096 Skin Flaps - Cross Finger

1097 Skin Flaps - Abdomil

1098 Skin Flaps - Thoracic

1099 Skin Flaps - Arm Etc.

1100 Subcutaneous Pedicle Flaps Raising

1101 Subcutaneous Pedicle Flaps Delay

1102 Subcutaneous Pedicle Flaps Transfer

1103 Cartilate Grafting

1104 Reduction of Facial Fractures of Nose

1105 Reduction of Facial Fractures of Maxilla

1106 Reduction of Fractures of Mandible & Maxilla - Eye Let Splinting

1107 Reduction of Fractures of Mandible & Maxilla - Cast Netal Splints

1108 Reduction of Fractures of Mandible & Maxilla - Gumming Splints

1109 Internal Wire Fixation of Mandible & Maxilla

1110 Cleft Lip - repair.

1111 Cleft Palate Repair

1112 Primary Bone Grafting for alveolar cleft in Cleft Lip

1113 Secondary Surgery for Cleft Lip Deformity

1114 Secondary Surgery for Cleft Palate

1115 Reconstruction of Eyelid Defects - Minor

1116 Reconstruction of Eyelid Defects - Major

1117 Plastic Surgery of Different Regions of the Ear - Minor

1118 Plastic Surgery of Different Regions of the Ear - Major

1119 Plastic Surgery of the Nose - Minor

1120 Plastic Surgery of the Nose - Major

1121 Plastic Surgery for Facial Paralysis (Support with Reanimation)

1122 Pendulous Breast - Mammoplasty

1123 Underdeveloped Breast Mammoplasty

1124 After Mastectomy (Reconstruction)Mammoplasty

1125 Syndactyly Repair

1126 Dermabrasion Face

1127 upto 30% Burns 1st Dressing

1128 upto 30% Burns Subsequent Dressing

1129 30% to 50% Burns 1st Dressing

1130 30% to 50% Burns Subsequent Dressing

1131 Extensive Burn -above 50% Frist Dressing

1132 Extensive Burn -above 50% Subsequent dressing

Orthopedics

1133 Plaster Work

1134 Fingers (post slab)

1135 Fingers full plaster

1136 Colles Fracture - Below elbow

1137 Colles Fracture - Full plaster

1138 Colles fracture Ant. Or post. slab

1139 Above elbow full plaster

1140 Above Knee post-slab

1141 Below Knee full plaster

1142 Below Knee post-slab

1143 Tube Plaster (or plaster cylinder)

1144 Above knee full plaster

1145 Above knee full slab

1146 Minerva Jacket

1147 Plaster Jacket

1148 Shoulder spica

1149 Single Hip spica

1150 Double Hip spica

1151 Strapping

1152 Strapping of Finger

1153 Strapping of Toes

1154 Strapping of Wrist

1155 Strapping of Elbow

1156 Strapping of Knee

1157 Strapping of Ankle

1158 Strapping of Chest

1159 Strapping of Shoulder

1160 Figure of 8 bandage

1161 Collar and cuff sling

1162 Ball bandage

1163 Application of P.O.P Casts for Upper & Lower Limbs

1164 Application of Functiol Cast Brace

1165 Application of Skin Traction

1166 Application of Skeletal Tractions

1167 Bandage & Strappings for Fractures

1168 Aspiration & Intra Articular Injections

1169 Application of P.O.P Spices & Jackets

1170 Close Reduction of Fractures of Limb & P.O.P

1171 Reduction of Compound Fractures

1172 Open Reduction & Internal Fixation of Fingurs & Toes

1173

Open Reduction offracture of Long Bones of Upper / Lower Limb -

iling & Exterl Fixation

1174

Open Reduction of fracture of Long Bones of Upper / Lower Limb -

AO Procedures

1175 Tension Band Wirings

1176 Bone Grafting

1177 Excision of Bone Tumours

1178 Excision or other Operations for Scaphoid Fractures

1179 Sequestrectomy & Saucerisation

1180 Sequestrectomy & Saucerizations -Arthrotomy

1181 Multiple Pinning Fracture Neck Femur

1182 Plate Fixations for Fracture Neck Femur

1183 A.O.Compression Procedures for Fracture Neck Femur

1184

Open Reduction of Fracture Neck Femur Muscle Pedicle Graft and

Internal Fixations

1185 Close Reduction of Dislocations

1186 Open Reduction of Dislocations

1187 Open Reduction of Fracture Dislocation & Internal Fixation

1188 Neurolysis/Nerve repair

1189 Nerve Repair with Grafting

1190 Tendon with Transplant or Graft

1191 Tendon Lengthening/Tendon repair

1192 Tendon Transfer

1193 Laminectomy Excision Disc and Tumours

1194 Spil Ostectomy and Internal Fixations

1195 Anterolateral decompression for tuberculosis/ Costo-Transversectomy

1196 Antereolateral Decompression and Spil Fusion

1197 Corrective Ostectomy & Internal Fixation - short bones

1198 Corrective Ostectomy & Internal Fixation - long bones

1199 Arthrodesis of - Minor Joints

1200 Arthrodesis of - Major Joints

1201 Soft Tissue Operations for C.T.E.V.

1202 Soft Tissue Operations for Polio

1203 Hemiarthroplasty- Hip

1204 Hemiarthroplasty- Shoulder

1205 Operations for Brachial Plexus & Cervical Rib

1206 Amputations - Below Knee

1207 Amputations - Below Elbow

1208 Amputations - Above Knee

1209 Amputations - Above Elbow

1210 Amputations - Forequarter

1211 Amputations -Hind Quarter and Hemipelvectomy

1212 Disarticulations - Major joint

1213 Disarticulations - Minor joint

1214 Arthrography

1215 Arthroscopy - Diagnostic

1216 Arthroscopy-therapeutic: without implant

1217 Arthroscopy-therapeutic: with implant

1218 Soft Tissue Operation on JOINTS -SMALL

1219 Soft Tissue Operation on JOINTS -LARGE

1220 Myocutaneous and Fasciocutaneous FlaP Procedures for Limbs

1221 Removal of Wires & Screw

1222 Removal of Plates/IL

1223 Total Hip Replacement

1224 Total Ankle Joint Replacement

1225 Total Knee Joint Replacement

1226 Total Shoulder Joint Replacement

1227 Total Elbow Joint Replacement

1228 Total Wrist Joint Replacement

1229 Total finger joint replacement

1230 Tubular external fixator

1231 Ilizarov's external fixator

1232 Pelvi-acetebular fracture -Internal fixation

1233 Meniscectomy

1234 Meniscus Repair

1235 ACL Reconstruction

1236 PCL Reconstruction

1237 Knee Collateral Ligament Reconstruction

1238 Bencarf Repair Shoulder

1239 RC Repair

1240 Biceps tenodesis

1241 Distal biceps tendon repair

1242 Arthrolysis of knee

1243 Capsulotomy of Shoulder

1244 Conservative Pop

1245 Application for CTEV per sitting

1246 Total Hip Replacement Revision Stage-I

1247 Total Hip Replacement Revision Stage-II

1248 Total Knee Replacement Revision Stage-I

1249 Total Knee Replacement Revision Stage-II

1250 Illizarov/ external fixation for limb lengthening/ deformity correction

1251 Discectomy/ Micro Discectomy

1252 Laminectomy

1253 Spinal Fixation Cervical/dorsolumbar/ lumbosacral

1254 Fusion Surgery Cervical/ Lumbar Spine upto 2 Level

1255 More than 2 Level

1256 Scoliosis Surgery/ Deformity Correction of Spine

1257 Vertebroplasty

1258 Spinal Injections

1259 DHS for Fracture Neck Femur

1260 Proximal Femoral Nail (PFN for IT Fracture)

1261 Spinal Osteotomy

1262 Illizarov’s / External Fixation for Trauma

1263 Soft Tissue Operations for Polio/ Cerebral Palsy

1264 Mini Fixator for Hand/Foot

1265 Other Major Surgery

1266 Other Minor Surgery

Physiotherapy

1267 Ultrasonic therapy

1268 S.W. Diathermy

1269 Electrical stimulation (therapeutic)

1270 Muscle testing and diagnostic

1271 Infra red

1272 U.V. Therapeutic dose

1273 Intermittent Lumbar Traction

1274 Intermittent Cervical traction

1275 Wax bath

1276 Hot pack

1277 Breathing Exercises & Postural Drainage

1278 Cerebral Palsy – exercise

1279 Post – polio exercise

Nuclear Medicine.

RADIO-ISOTOPE THERAPY

1280 131-lodine Therapy

1281 131-lodine Therapy <15mCi

1282 131-lodine Therapy 15-50mCi

1283 131-lodine Therapy 51-100mCi

1284 131-lodine Therapy >100mCi

1285 Phosphorus-32 therapy for metastatic bone pain palliation

1286 Samarium-153 therapy for metastatic bone pain palliation

1287 Radiosynovectomy with Yttrium

Radiotherapy and Chemotherapy

1288 Cobalt 60 therapy

1289 Radical therapy

1290 Palliative therapy

1291 Linear accelerator

1292 Radical therapy

1293 Palliative therapy

1294 3 D Planning

1295 2 D Planing

1296 IMRT(Intensity Modulated radiotherapy)

1297 SRT (Stereotactic radiotherapy)

1298 SRS(Stereotactic radio surgery)

1299 IGRT(Image guided radiotherapy)

1300 Respiratory Gating-alongwith Linear accelerator planning

1301 Electron beam with Linear accelerator

1302 Tomotherapy

Brachytherapy- High Dose radiation

1303 Intracavitory

1304 Interstitial

1305 Intraluminal

1306 Surface mould

1307 GLIADAL WAFER

Chemotharapy

1308 Neoadjuvant

1309 Adjuvant

1310 Concurrent-chemoadiation

1311 Single drug

1312 Multiple drugs

1313 Targeted therapy

1314 Chemoport facility

1315 PICC line (peripherally inserted Central canulisation)

List of procedures/ tests in Gastroenterology

A) Endoscopic procedures

1316 a. Upper G.I. Endoscopy + Lower G.I. Endoscopy

1317 a. Diagnostic endoscopy

1318 b. Endoscopic biopsy

1319 c. Endoscopic mucosal resection

1320 d. Oesophageal stricture dilatation

1321 e. Balloon dilatation of achalasia cardia

1322 f. Foreign body removal

1323 g. Oesophageal stenting

1324 h. Band ligation of oesophageal varices

1325 i. Sclerotherapy of oesophageal varices

1326 j. Glue injection of varices

1327 k. Argon plasma coagulation

1328 l. Pyloric balloon dilatation

1329 m. Enteranal stenting

1330 n. Duodenal stricture dilation

1331 o. Single balloon enterocopy

1332 p. Double balloon enteroscopy

1333 q. Capsule endoscopy

1334 r. Polypectomy

1335 s. Piles banding

1336 t. Colonic stricture dilatation

1337 u. Hot biopsy forceps procedures

1338 v. Colonic stenting

1339 w. Junction biopsy

1340 x. rrow band imaging

1341 y. Conjugal microscopy

1342 z. ERCP

1343 a. Diagnostic ERCP

1344 b. Endoscopic sphincterotomy

1345 c. CBD stone extraction

1346 d. CBD stricture dilatation

1347 e. Biliary stenting (plastic and metallic)

1348 f. Mechanical lithotripsy of CBD stones

1349 g. Pancreatic sphincterotomy

1350 h. Pancreatic stricture dilatation

1351 i. Pancreatic stone extraction

1352 j. Mechanical lithotripsy of pancreatic stones

1353 k. Endoscopic cysto gastrostomy

1354 l. Balloon dilatation of papilla

1355 B. Endoscopic ultrasound

1356 a. Diagnostic ultrasound

1357 b. Colored doplar

1358 c. Ultrasound guided FC

1359 d. Ultrasound guided abscess Drainage 1360 e. PTBD

1361 f. Biliary stenting 1362 C. Angiography

1363 a. Diagnostic angiography

1364 b. Vascular embolization

1365 c. TIPS

1366 d. Trans jugular liver biopsy

1367 e. IVC graphy + hepatic veinography

1368 f. Muscular stenting

1369 g. BRTO

1370 h. Portal haemodymic studies

1371 D. Manometry and PH metry

1372 a. Oesophageal PH metry

1373 b. Oesophageal manometry

1374 c. Small bowel manometry

1375 d. Anorectal manometry

1376 e. Colonic manometry

1377 f. Biliary manometry

1378 E. Sengstaken blackenesse tube tempode

1379 F. Lintas machles tube tempode

1380 G. Bichemistry Serology and Molecular biology 1381 a. D-xylase test

1382 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase 1383 c. Breath tests

1384 d. H pylori serology for ciliac disease

1385 e. HBV genotyping

1386 f. HCV genotyping

1387 H. Extra corporeal shortwave lithotripsy

1388 a. CBD stones 1389 b. Pancreatic duct stones

1390 I. Liver biopsy

S.No. NAME OF INVESTIGATION

DENTAL 1 Dental IOPA X-ray

2 Occlusal X-ray

3 OPG X-ray

PULMONARY

4 Lung Ventilation & Perfusion Scan (V/Q Scan)

5 Lung Perfusion Scan

OSTEOLOGY

6 Whole Body Bone Scan with SPECT.

7 Three phase whole body Bone Scan

NEUROSCIENCES

8 Brain Perfusion SPECT Scan with Technetium 99m

radiopharmaceuticals.

9 Radionuclide Cisternography for CSF leak

GASTRO AND HEPATOBILIARY

10 Gastro esophageal Reflux Study (G.E.R. Study)

11 Gastro intestinal Bleed (GloB.) Study with Technetium 99m labeled

RBCs.

12 Hepatobiliary Scintigraphy.

13 Meckel's Scan

14 Hepatosplenic scintigraphy with Technetium-99m

radiopharmaceuticals

15 Gastric emptying

GENITOURINARY

16 Renal Cortical Scintigraphy with Technetium 99m D.M.S.A.

17 Dynamic Renography.

18 Dynamic Renography with Diuretic.

19 Dynamic Renography with Captopril

20 Testicular Scan

ENDOCRINOLOGY

21 Thyroid Uptake measurements with 131-Iodine.

22 Thyroid Scan with Technetium 99m Pertechnetate.

23 Lodine-131 Whole Body Scan.

24 Whole Body Scan with M.I.B.G.

25 Parathyroid Scan

RADIO-ISOTOPE THERAPY

26 131-lodine Therapy

27 131-lodine Therapy <15mCi

28 131-lodine Therapy 15-50mCi

29 131-lodine Therapy 51-100mCi

30 131-lodine Therapy >100mCi

31 Phosphorus-32 therapy for metastatic bone pain palliation

32 Samarium-153 therapy for metastatic bone pain palliation

33 Radiosynovectomy with Yttrium

CARDIOLOGY

34 Stress thallium / Myocardial Perfusion Scintigraphy

35 Rest thallium / Myocardial Perfusion Scintigraphy

36 Venography

37 ECG

38 STRESS ECHO- DOBUTAMINE

39 STRESS ECHO- EXERCISE

40 TMT

41 TEE

42 Lymph angiography

TUMOUR IMAGING

43 Scintimammography.

44 Indium lableled octeriotide Scan.

PET SCAN

45 FDG Whole body PET / CT Scan

46 Brain I Heart FDG PET / CTScan,

47 Gallium-68 Peptide PET / CT imaging for Neuroendocrine Tumor

48 Non-FDG PET / CT Scan

Laboratory Medicine

Clinical Pathology

49 Urine routine- pH, Specific gravity, sugar, protein and microscopy

50 Urine-Microalbumin

51 Stool routine

52 Stool occult blood

53 Post coital smear examination

54 Semen analysis

Haematology

55 Haemoglobin (Hb)

56 Total Leucocytic Count (TLC)

57 Differential Leucocytic Count (DLC)

58 E.S.R.

59 Total Red Cell count with MCV,MCH,MCHC,DRW

60 Complete Haemogram/CBC, Hb,RBC count and indices, TLC, DLC,

Platelet, ESR, Peripheral smear examination

61 Platelet count

62 Reticulocyte count

63 Absolute Eosinophil count

64 Packed Cell Volume (PCV)

65 Peripheral Smear Examination

66 Smear for Malaria parasite

67 Bleeding Time

68 Osmotic fragility Test

69 Bone Marrow Smear Examination

70 Bone Marrow Smear Examination with iron stain

71 Bone Marrow Smear Examination and cytochemistry

72 Activated partial ThromboplastinTime (APTT)

73 Rapid test for malaria(card test)

74 WBC cytochemistry for leukemia -Complete panel

75 Bleeding Disorder panel- PT, APTT, Thrombin Time Fibrinogen, D-

Dimer/ FDP 76 Factor Assays-Factor VIII 77 Factor Assays-Factor IX

78 Platelet Function test

79 Tests for hypercoagulable states- Protein C, Protein S, Antithrombin

80 Tests for lupus anticoagulant

81 Tests for Antiphospholipid antibody IgG, IgM ( for cardiolipin and

B2 Glycoprotein 1)

82 Thalassemia studies (Red Cell indices and Hb HPLC)

83 Tests for Sickling / Hb HPLC)

Blood Bank

84 Blood Group & RH Type

85 Cross match

86 Red cell concentrate

87 Coomb’s Test Direct

88 Coomb’s Test Indirect

89 Single Cell

90 3 cell panel- antibody screening for pregnant female

91 11 cells panel for antibody identification

92 Serology

93 HBs Ag

94 HCV

95 HIV I and II

96 VDRL

97 RH Antibody titer

98 Platelet Concentrate

99 Random Donor Platelet(RDP)

100 Single Donor Platelet (SDP- Aphresis)

Histopathology

101 Routine-H & E

102 special stain

103 Immunohistochemistry(IHC)

104 Frozen section

105 Paraffin section

Cytology

106 Pap Smear

107 Body fluid for Malignant cells

108 FNAC

109 special stain on cytology

Flow cytometry

110 Leukemia panel /Lymphoma panel

111 PNH Panel-CD55,CD59

Cytogenetic studies

112 Karyotyping

113 FISH

114 PCR

Bio-Chemistry

115 Blood Glucose Random

116 24 hrs urine for Proteins,Sodium, creatinine

117 Blood Urea Nitrogen

118 Serum Creatinine

119 Quantitative Albumin/Sugar

120 Urine Bile Pigment and Salt

121 Urine Urobilinogen

122 Urine Ketones

123 Urine Occult Blood

124 Urine total proteins

125 Rheumatoid Factor test

126 Bence Jones protein

127 Serum Uric Acid

128 Serum Bilirubin total & direct

129 Serum Iron

130 C.R.P.

131 C.R.P Quantitative

132 Body fluid (CSF/Ascitic Fluid etc.)Sugar, Protein etc.

133 Albumin.

134 Creatinine clearance.

135 Serum Cholesterol

136 Total Iron Binding Capacity

137 Glucose (Fasting & PP)

138 Serum Calcium -Total

139 Serum Calcium -Ionic

140 Serum Phosphorus

141 Total Protein Alb/Glo Ratio

142 IgG.

143 IgM.

144 IgA.

145 ANA.

146 Ds DNA.

147 S.G.P.T.

148 S.G.O.T.

149 Serum amylase

150 Serum Lipase

151 Serum Lactate

152 Serum Magnesium

153 Serum Sodium

154 Serum Potassium

155 Serum Ammonia

156 Anemia Profile

157 Serum Testosterone

158 Imprint Smear From Endoscopy

159 Triglyceride

160 Glucose Tolerance Test (GTT)

161 Triple Marker.

162 C.P.K.

163 Foetal Haemoglobin (HbF)

164 Prothrombin Time (P.T.)

165 L.D.H.

166 Alkaline Phosphatase

167 Acid Phosphatase

168 CK MB

169 CK MB Mass

170 Troponin I

171 Troponin T

172 Glucose Phosphate Dehydrogenase (G, 6PD)

173 Lithium.

174 Dilantin (phenytoin).

175 Carbamazepine.

176 Valproic acid.

177 Feritin.

178 Blood gas analysis

179 Blood gas analysis with electrolytes

180 Urine pregnancy test

181 Tests for Antiphospholipid antibodies syndrome.

182 Hb A1 C

183 Hb Electrophoresis/ Hb HPLC

184 Kidney Function Test.

185 Liver Function Test.

186 Lipid Profile.( Total cholesterol,LDL,HDL,treigylcerides)

187 Nutritional Markers

188 Serum Iron

189 Total Iron Binding Capacity

190 Serum Ferritin

191 Vitamin B12 assay.

192 Folic Acid assay.

193 Extended Lipid Profile.( Total

cholesterol,LDL,HDL,treigylcerides,Apo A1,Apo B,Lp(a) )

194 Apo A1.

195 Apo B.

196 Lp (a).

197 CD 3,4 and 8 counts

198 CD 3,4 and 8 percentage

199 LDL.

200 Homocysteine.

201 HB Electrophoresis.

202 Serum Electrophoresis.

203 Fibrinogen.

204 Chloride.

205 Magnesium.

206 GGTP.

207 Lipase.

208 Fructosamine.

209 β2 microglobulin

210 Albumin.

211 Catecholamines.

212 Creatinine clearance.

Tumour markers.

213 PSA- Total.

214 PSA- Free.

215 AFP.

216 HCG.

217 CA. 125.

218 CA 19,9.

219 CA 15.3.

220 Vinyl Mandelic Acid

221 Calcitonin

222 Carcioembryonic antigen(CEA)

OTHERS

223 Immunofluorescence

224 Direct(Skin and kidney Disease)

225 Indirect (antids DNA Anti Smith ANCA)

226 VitD3 assay

227 Serum Protein electrophoresis with immunofixationelectrophoresis

(IFE)

228 BETA-2 Microglobulin assay

229 Anti cycliocitrullinated peptide (Anti CCP)

230 Anti tissuetransglutaminase antibody

231 Serum Erythropoetin

232 ACTH

233 Beta HCG

Harmones

234 T3, T4, TSH

235 T3

236 T4

237 TSH

238 LH

239 FSH

240 Prolactin

241 Cortisol

242 Enteropoetin

243 PTH(Paratharmone)

244 Calcitonin

245 C-Peptide.

246 Insulin.

247 Progesterone.

248 17-DH Progesterone.

249 DHEAS.

250 Androstendione.

251 Growth Hormone.

252 TPO.

253 Throglobulin.

254 Hydatic Serology.

255 Anti Sperm Antibodies.

HBV DNA.

256 Qualitative.

257 Quantitative.

HCV RNA.

258 Qualitative.

259 HPV serology

260 Rota Virus serology

261 PCR for TB

262 PCR for HIV

263 Chlamydae antigen

264 chlamydae antibody

265 Brucella serology

266 Influenza A serology

USG, X-ray , CT, MRI, Bone Densitometry

267 USG for Obstetrics - Anomalies scan

268 Abdomen USG

269 Pelvic USG ( prostate, gynae, infertility etc)

270 Small parts USG ( scrotum, thyroid , parathyroid etc)

271 Neonatal head (Tranfontanellar)

272 Neonatal spine

273 Contrast enhanced USG

274 USG Breast

275 USG Hystero-Salpaingography (HSG)

276 Carotid Doppler

277 Arterial Colour Doppler

278 Venous Colour Doppler

279 Colour Doppler, renal arteries/any other organ

280 USG guided intervention-aspiration

281 USG guided intervention- FNAC

282 USG guided intervention - biopsy

283 USG guided intervention - nephrostomy

284 USG guided intervention percutaneous catheter drainage/ tube

placement

X-Ray

285 Abdomen AP Supine or Erect (One film)

286 Abdomen Lateral view (one film)

287 Chest PA view (one film)

288 Chest Lateral (one film)

289 Mastoids: Towne view, oblique views (3 films)

290 Extremities, bones & Joints AP & Lateral views (Two films)

291 Pelvis A.P (one film)

292 T. M. Joints (one film)

293 Abdomen & Pelvis for K. U. B.

294 Skull A. P. & Lateral (2 films)

295 Spine A. P. & Lateral (2 films)

296 PNS view (1 film)

X ray Contrast studies

297 Barium Swallow

298 Barium Upper GI study

299 Barium Upper GI study (Double contrast)

300 Barium Meal follow through

301 Barium Enema (Single contrast/double contrast)

302 Small bowel enteroclysis

303 ERCP (Endoscopic Retrograde Cholangio – Pancreatography)

304 General :Fistulography /Sinography/Sialography/Dacrocystography/

T-Tube cholangiogram/Nephrostogram

305 Percutaneous transhepatic cholangiography (PTC)

306 Intravenous Pyelography (IVP)

307 Micturating Cystourethrography (MCU)

308 Retrograde Urethrography (RGU)

309 Contrast Hystero-Salpingography (HSG)

310 X ray - Arthrography

311 Cephalography

312 Myelography

313 Diagnostic Digital Subtraction Angiography (DSA)

Mammography

314 X-ray Mammography

315 Ultrasound Mammography

316 MRI Mammography

CT

317 CT Head-Without Contrast

318 CT Head- with Contrast (+/- CT angiography)

319 C. T. Chest - without contrast (for lungs)

320 C. T. Chest - with contrast (+/- CT angiography)

321 C. T. Scan Abdomen Including Pelvis With Contrast

322 C. T. Scan Abdomen Including Pelvis Without Contrast

323 C. T. Scan Whole Abdomen Without Contrast

324 C. T. Scan Whole Abdomen With Contrast

325 Triple Phase CT abdomen

326 CT angiography abdomen/ Chest

327 CT Enteroclysis

328 C. T. Scan Neck – Without Contrast

329 C. T. Scan Neck – With Contrast

330 C. T. Scan Orbits - Without Contrast

331 C. T. Scan Orbits - With Contrast

332 C. T. Scan of Para Nasal Sinuses- Without Contrast

333 C. T. Scan of Para Nasal Sinuses - With Contrast

334 C. T. Spine (Cervical, Dorsal, Lumbar, Sacral)–without contrast

335 CT Temporal bone – without contrast

336 CT - Dental

337 C. T. Scan Limbs -Without Contrast

338 C. T. Scan Limbs -With Contrast including CT angiography

339 C.T. Guided intervention –FNAC

340 C.T. Guided Trucut Biopsy

341 C. T. Guided intervention -percutaneous catheter drainage / tube

placement

MRI

342 MRI Head – Without Contrast

343 MRI Head – With Contrast

344 MRI Orbits – Without Contrast

345 MRI Orbits – With Contrast

346 MRI Nasopharynx and PNS – Without Contrast

347 MRI Nasopharynx and PNS – With Contrast

348 MR for Salivary Glands with Sialography

349 MRI Neck - Without Contrast

350 MRI Neck- with contrast

351 MRI Shoulder – With contrast

352 MRI Shoulder – Without contrast

353 MRI shoulder both Joints - Without contrast

354 MRI Shoulder both joints – With contrast

355 MRI Wrist Single joint - Without contrast

356 MRI Wrist Single joint - With contrast

357 MRI Wrist both joints - Without contrast

358 MRI Wrist Both joints - With contrast

359 MRI knee Single joint - Without contrast

360 MRI knee Single joint - With contrast

361 MRI knee both joints - Without contrast

362 MRI knee both joints - With contrast

363 MRI Ankle Single joint - Without contrast

364 MRI Ankle single joint - With contrast

365 MRI Ankle both joints - With contrast

366 MRI Ankle both joints - Without contrast

367 MRI Hip - With contrast

368 MRI Hip – without contrast

369 MRI Pelvis – Without Contrast

370 MRI Pelvis – with contrast

371 MRI Extremities - With contrast

372 MRI Extremities - Without contrast

373 MRI Temporomandibular – B/L - With contrast

374 MRI Temporomandibular – B/L - Without contrast

375 MR Temporal Bone/ Inner ear with contrast

376 MR Temporal Bone/ Inner ear without contrast

377 MRI Abdomen – Without Contrast

378 MRI Abdomen – With Contrast

379 MRI Breast - With Contrast

380 MRI Breast - Without Contrast

381 MRI Spine Screening - Without Contrast

382 MRI Chest – Without Contrast

383 MRI Chest – With Contrast

384 MRI Cervical/Cervico Dorsal Spine – Without Contrast

385 MRI Cervical/ Cervico Dorsal Spine – With Contrast

386 MRI Dorsal/ Dorso Lumbar Spine - Without Contrast

387 MRI Dorsal/ Dorso Lumbar Spine – With Contrast

388 MRI Lumbar/ Lumbo-Sacral Spine – Without Contrast

389 MRI Lumbar/ Lumbo-Sacral Spine – With Contrast

390 Whole body MRI (For oncological workup)

391 MRI Angiography – Without Contrast

392 MRI Angiography – With Contrast

393 MR cholecysto-pancreatography.

394 MR Enteroclysis

Bone Densitometry (Dexa Scan)

395 Dexa Scan Bone Densitometry - Two sites

396 Dexa Scan Bone Densitometry - Three sites (Spine, Hip & extremity)

397 Dexa Scan Bone Densitometry Whole body

NEUROLOGICAL INVESTIGATIONS AND PROCEDURES

398 EEG/Video EEG 399 EMG (Electro myography)

400 Nerve condition velocity (at least 2 limbs) 401 Decremental response (before and after neo stigmine)

402 Incremental response

403 SSEP (Somato sensory evoked potentials)

404 Poly somnography

405 Brachial plexus study

406 Muscle biopsy

407 ACHR anti body titre

408 Anti MUSK body titre

409 Serum COPPER

410 Serum ceruloplasmin

411 Urinary copper

412 Serum homocystine

413 Serum valproate level

414 Serum phenol barbitone level

415 Coagulation profile

416 Protein C, S anti thrombine – III

417 Serum lactate level

CSF

418 a. Basic studies including cell count, protein, sugar, gram stain,

India Ink preparation and smear for AFP

419 b. Special studies

420 PCR for tuberculosis/ Herpes simplex

421 Bacterial culture and sensitivity

422 Mycobacterial culture and sensitivity

423 Fungal culture

424 Malignant cells

425 Anti measles antibody titre (with serum antibody titre)

426 Viral culture

427 Antibody titre (Herpes simplex, cytomegalo virus, flavivirus, zoster

varicella virus)

428 Oligoclonal band

429 Myelin Basic protein

430 Lactate

431 Crypto coccal antigen

TESTS IN GASTRO-ENTEROLOGY

432 a. D-xylase test

433 b. Fecal fat test/ fecal chymotrypsin/ fecal elastase

434 c. Breath tests

435 d. H pylori serology for ciliac disease

436 e. HBV genotyping

437 f. HCV genotyping

Tests in Endocrinology ( in addition to those included under

Harmones)

438 Urinary VMA

439 Urinary metanephrine/Normetanephrine

440 Urinary free catecholamine

441 Serum catecholamine

442 Serum aldosterone

443 24 Hr urinary aldosterone

444 Plasma renin activity

445 Serum aldosterone/renin ratio

446 Osmolality urine

447 Osmolality serum

448 Urinary sodium

449 Urinary Chloride

450 Urinary potassium

451 Urinary calcium

452 Anti TPO ante body

453 Thyroid binding globulin

454 Serum cotisole

455 24 hr. urinary free cotisole

456 Islet cell antebody

457 GAD antibody

458 Insulin associated antibody

459 IGF-1

460 IGF-BP3

461 Sex hormone binding globulin

462 USG guided FNAC thyroid gland

463 FT3

464 FT4

465 FT4/TSH

466 FT3/FT4/TSH

467 E2

468 Thyro globulin antibody