ORTHOPEDIC

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ORTHOPEDICS

CMU0189 : EXCISION ARTHROPLASTY OF


659 VARIOUS JOINT ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0189 a : EXCISION ARTHROPLASTY OF


660 SMALL JOINTS (FINGERS AND TOES) ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650

CMU0189 b : EXCISION ARTHROPLASTY OF


661 MEDIUM JOINTS (KNEE / SHOULDER) ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300

CMU0189 c : EXCISION ARTHROPLASTY OF


662 MEDIUM JOINTS (ELBOW / ANKLE / WRIST) ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500

CMU0189 d : EXCISION ARTHROPLASTY OF


663 LARGE JOINTS (HIP) ORTHOPEDICS 25200 22700 20400 18350 16550 14900 25200 18350
664 CMU0190 : TOTAL ELBOW REPLACEMENT ORTHOPEDICS 51700 46550 41900 37700 33900 30550 51700 37700

CMU0191 : SHOULDER REPLACEMENT


665 INCLUDING REVERSE CUP ORTHOPEDICS 52800 47500 42750 38500 34650 31200 52800 38500

666 CMU0192 : RADIAL HEAD REPLACEMENT ORTHOPEDICS 34700 31250 28100 25300 22750 20500 34700 25300

CMU0193 : SURGICAL CORRECTION OF


LONGBONE FRACTURES INCLUDING
667 HEMIARTHROPLASTY ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0193 a : SURGICAL CORRECTION OF


LONGBONE FRACTURE - NECK/ SHAFT OF
668 FEMUR ORIF ORTHOPEDICS 24500 22050 19850 17850 16050 14450 24500 17850

CMU0193 b : SURGICAL CORRECTION OF


669 LONGBONE FRACTURE - IM NAILING ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
CMU0193 c : SURGICAL CORRECTION OF
LONGBONE FRACTURE - SHAFT OF OTHER
670 LONG BONES (HUMERUS) ORTHOPEDICS 18700 16850 15150 13650 12250 11050 18700 13650

CMU0193 d : SURGICAL CORRECTION OF


671 LONGBONE FRACTURE - TIBIA ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0193 e : SURGICAL CORRECTION OF


LONGBONE FRACTURE - RADIUS, FIBULA,
672 ULNA (ORIF) ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0193 f : SURGICAL CORRECTION OF


LONGBONE FRACTURE - CLAVICLE ( CRIF)
673 (DISPLACED) ORTHOPEDICS 8800 7900 7150 6400 5750 5200 8800 6400

CMU0193 g : SURGICAL CORRECTION OF


LONGBONE FRACTURE - CLAVICEL (ORIF)
674 (DISPLACED) ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600

CMU0193 h : SURGICAL CORRECTION OF


LONGBONE FRACTURE - BOTH BONES OF
FOREARM, BOTH BONES OF LEG (FIXATION
675 OF BOTH BONES) ORTHOPEDICS 23400 21050 18950 17050 15350 13800 23400 17050
CMU0193 i : SURGICAL CORRECTION OF
LONGBONE FRACTURE - BIMALLEOLAR
676 FRACTURE ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0193 j : SURGICAL CORRECTION OF


LONGBONE FRACTURE - CLOSED
REDUCTION AND PROXIMAL FEMORAL
677 NAILING / SCREW FIXATION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0193 k : SURGICAL CORRECTION OF


LONGBONE FRACTURE - CLOSED
678 REDUCTION AND PINNING / TENS NAIL ORTHOPEDICS 12600 11350 10200 9200 8250 7450 12600 9200

CMU0193 l : SURGICAL CORRECTION OF


LONGBONE FRACTURE - CLOSED
REDUCTION AND INTERNAL FIXATION WITH
679 K WIRE ORTHOPEDICS 6600 5950 5350 4800 4350 3900 6600 4800

CMU0193 m : SURGICAL CORRECTION OF


LONGBONE FRACTURE - TENSION BAND
680 WIRING ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600

CMU0193 n : SURGICAL CORRECTION OF


LONGBONE FRACTURES -
681 HEMIARTHROPLASTY ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850
CMU0194 : CORRECTION OF NON-UNION /
MALUNION FRACTURES INCLUDING
682 HEMIARTHROPLASTY ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0194 a : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES - NECK/
683 SHAFT OF FEMUR ORIF ORTHOPEDICS 24500 22050 19850 17850 16050 14450 24500 17850

CMU0194 b : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES - IM
684 NAILING ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0194 c : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES - SHAFT
685 OF OTHER LONG BONES (HUMERUS) ORTHOPEDICS 18700 16850 15150 13650 12250 11050 18700 13650

CMU0194 d : CORRECTION OF NON-UNION /


686 MALUNION FRACTURES FRACTURES - TIBIA ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0194 e : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES -
687 RADIUS, FIBULA, ULNA (ORIF) ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
CMU0194 f : CORRECTION OF NON-UNION /
MALUNION FRACTURES FRACTURES -
688 CLAVICLE ( CRIF) (DISPLACED) ORTHOPEDICS 8800 7900 7150 6400 5750 5200 8800 6400

CMU0194 g : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES -
689 CLAVICEL (ORIF) (DISPLACED) ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600

CMU0194 h : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES - BOTH
BONES OF FOREARM, BOTH BONES OF LEG
690 (FIXATION OF BOTH BONES) ORTHOPEDICS 23400 21050 18950 17050 15350 13800 23400 17050

CMU0194 i : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES -
691 BIMALLEOLAR FRACTURE ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0194 j : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES -
CLOSED REDUCTION AND PROXIMAL
692 FEMORAL NAILING / SCREW FIXATION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0194 k : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES -
CLOSED REDUCTION AND PINNING / TENS
693 NAIL ORTHOPEDICS 12600 11350 10200 9200 8250 7450 12600 9200
CMU0194 l : CORRECTION OF NON-UNION /
MALUNION FRACTURES FRACTURES -
CLOSED REDUCTION AND INTERNAL
694 FIXATION WITH K WIRE ORTHOPEDICS 6600 5950 5350 4800 4350 3900 6600 4800

CMU0194 m : CORRECTION OF NON-UNION


/ MALUNION FRACTURES FRACTURES -
695 TENSION BAND WIRING ORTHOPEDICS 13200 11900 10700 9600 8650 7800 13200 9600

CMU0194 n : CORRECTION OF NON-UNION /


MALUNION FRACTURES FRACTURES -
696 HEMIARTHROPLASTY ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850

697 CMU0195 : SKELETAL SKULL TRACTION ORTHOPEDICS 31900 28700 25850 23250 20950 18850 31900 23250

CMU0196 A : IMPLANT EXIT- K-WIRES


698 /SCREWS/OTHER MINOR IMPLANTS ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0196 A-i : IMPLANT EXIT- K-WIRES -


699 SINGLE ORTHOPEDICS 1600 1450 1300 1150 1050 950 1600 1150
CMU0196 A-ii : IMPLANT EXIT- K-WIRES -
700 MULTIPLE ORTHOPEDICS 2600 2350 2100 1900 1700 1550 2600 1900

CMU0196 A-iii : IMPLANT EXIT- SCREWS -


701 SINGLE (OPEN) ORTHOPEDICS 4200 3800 3400 3050 2750 2500 4200 3050

CMU0196 A-iv : IMPLANT EXIT- SCREWS -


702 MULTIPLE (OPEN) ORTHOPEDICS 7900 7100 6400 5750 5200 4650 7900 5750

CMU0196 A-v : IMPLANT EXIT- SCREWS -


703 SINGLE (CLOSED) ORTHOPEDICS 2100 1900 1700 1550 1400 1250 2100 1550

CMU0196 A-vi : IMPLANT EXIT- SCREWS -


704 MULTIPLE (CLOSED) ORTHOPEDICS 3300 2950 2650 2400 2150 1950 3300 2400

CMU0196 A-vii : IMPLANT EXIT- OTHER


MINOR IMPLANTS (TENS, TBW, ETC) -
705 SOLITARY ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850
CMU0196 A-viii : IMPLANT EXIT- OTHER
MINOR IMPLANTS (PINS / TENS, TBW, ETC) -
706 MULTIPLE ORTHOPEDICS 8200 7400 6650 6000 5400 4850 8200 6000

CMU0196 B : IMPLANT EXIT- PLATES (SPINE


707 IMPLANTS/OTHER MAJOR IMPLANT) ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0196 B-i : IMPLANT EXIT- PLATES


708 (OPEN) ORTHOPEDICS 13100 11800 10600 9550 8600 7750 13100 9550

CMU0196 B-ii : IMPLANT EXIT- FEMORAL


709 SCREWS / IM NAILS / RUSH NAIL (OPEN) ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650

CMU0196 B-iii : IMPLANT EXIT- SPINE


IMPLANTS - UPTO 2 LEVELS(COMPLETE
710 EXIT) (EG- L2-L3, L3-L4) ORTHOPEDICS 19300 17350 15650 14050 12650 11400 19300 14050

CMU0196 B-iv : IMPLANT EXIT- SPINE


IMPLANTS - UPTO 2 LEVELS(PARTIAL EXIT)
711 (EG- L2-L3, L3-L4) ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050
CMU0196 B-v : IMPLANT EXIT- SPINE
IMPLANTS - > 2 LEVELS(COMPLETE EXIT)
712 (EG- L2-L3, L3-L4, L4-L5) ORTHOPEDICS 21500 19350 17400 15650 14100 12700 21500 15650

CMU0196 B-vi : IMPLANT EXIT- SPINE


IMPLANTS - > 2 LEVELS(PARTIAL EXIT) (EG-
713 L2-L3, L3-L4, L4-L5) ORTHOPEDICS 18400 16550 14900 13400 12050 10850 18400 13400

CMU0196 B-vii : IMPLANT EXIT- BIPOLAR,


714 ETC ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500

CMU0196 B-viii : IMPLANT EXIT - OTHER


715 MAJOR IMPLANTS ORTHOPEDICS 13800 12400 11200 10050 9050 8150 13800 10050

CMU0196 C-i : EXTERNAL FIXATOR


REMOVAL - UNILATERAL UNIPLANAR
716 INCLUDING LRS ORTHOPEDICS 8000 7200 6500 5850 5250 4700 8000 5850

CMU0196 C-ii : EXTERNAL FIXATOR


REMOVAL - UNILATERAL BIIPLANAR /
717 BILATERAL UNIPLANAR ORTHOPEDICS 10000 9000 8100 7300 6550 5900 10000 7300
CMU0196 C-iii : EXTERNAL FIXATOR
718 REMOVAL - BILATERAL BIPLANAR ORTHOPEDICS 12000 10800 9700 8750 7850 7100 12000 8750

CMU0196 C-iv : EXTERNAL FIXATOR


719 REMOVAL - CIRCULAR / HYBRID ORTHOPEDICS 15000 13500 12150 10950 9850 8850 15000 10950

CMU0196 C-v : EXTERNAL FIXATOR


720 REMOVAL - ILLIZAROV ORTHOPEDICS 17500 15750 14200 12750 11500 10350 17500 12750

CMU0197 : ARTHRODESIS OF JOINTS -


SHOULDER/ HIP / KNEE /ELBOW/ ANKLE /
721 WRIST / HAND / FOOT ORTHOPEDICS 0 0 0 0 0 0 0 0

722 CMU0197 a : ARTHRODESIS OF JOINTS - HIP ORTHOPEDICS 28400 25550 23000 20700 18650 16750 28400 20700

CMU0197 b : ARTHRODESIS OF JOINTS -


723 SHOULDER / KNEE ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300
CMU0197 c : ARTHRODESIS OF JOINTS -
724 ELBOW/ ANKLE / WRIST ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0197 d : ARTHRODESIS OF JOINTS -


725 ANKLE - TRIPLE ARTHRODESIS ORTHOPEDICS 16800 15100 13600 12250 11000 9900 16800 12250

CMU0197 e : ARTHRODESIS OF JOINTS -


726 HAND / FOOT ORTHOPEDICS 11000 9900 8900 8000 7200 6500 11000 8000

CMU0198 : ARTHROSCOPY PROCEDURES


WITHOUT IMPLANT-ARTHROSCOPIC
MENISCAL REPAIR/KNEE MULTI LIGAMENT
RECONSTRUCTION/TWO OR MORE
727 LIGAMENT RECONSTRUCTION-ANY JOINT ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0198 a : ARTHROSCOPY PROCEDURES


WITHOUT IMPLANT-ARTHROSCOPIC
728 MENISCAL REPAIR ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300

CMU0198 b : ARTHROSCOPY PROCEDURES


WITHOUT IMPLANT KNEE MULTI LIGAMENT
RECONSTRUCTION (ACL / PCL WITH OTHER
LIGAMIENTS - INVOLVING MORE THAN ONE
729 LIGAMENT) ORTHOPEDICS 41000 36900 33200 29900 26900 24200 41000 29900
CMU0198 c : ARTHROSCOPY PROCEDURES
WITHOUT IMPLANT KNEE MULTI LIGAMENT
RECONSTRUCTION (OTHER LIGAMIENTS -
INVOLVING MORE THAN ONE LIGAMENT -
730 (NO INVOLVEMENT OF ACL AND PCL) ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950

CMU0198 d : ARTHROSCOPY PROCEDURES


WITHOUT IMPLANT- TWO OR MORE
731 LIGAMENT RECONSTRUCTION-ANY JOINT ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150

CMU0199 : EXCISION OR OTHER


732 OPERATIONS FOR SCAPHOID FRACTURES ORTHOPEDICS 25200 22700 20400 18350 16550 14900 25200 18350

CMU0199 a : EXCISION OR OTHER


OPERATIONS FOR SCAPHOID FRACTURES -
733 HERBERT SCREW / AO SCREW ORTHOPEDICS 8400 7550 6800 6100 5500 4950 8400 6100

CMU0199 b : EXCISION OR OTHER


OPERATIONS FOR SCAPHOID FRACTURES -
734 ENDERS PLATE ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650

CMU0199 c : EXCISION OR OTHER


OPERATIONS FOR SCAPHOID FRACTURES -
735 K-WIRE ORTHOPEDICS 6300 5650 5100 4600 4150 3700 6300 4600
CMU0199 d : EXCISION OR OTHER
OPERATIONS FOR SCAPHOID FRACTURES -
736 EXCISION ORTHOPEDICS 15000 13500 12150 10950 9850 8850 15000 10950

CMU0200 : OPEN REDUCTION & INTERNAL


737 FIXATION OF SMALL BONES ORTHOPEDICS 16200 14600 13100 11800 10650 9550 16200 11800

CMU0200 A : OPEN REDUCTION & INTERNAL


738 FIXATION OF SMALL BONES - K-WIRE / PIN ORTHOPEDICS 7400 6650 6000 5400 4850 4350 7400 5400

CMU0200 B : OPEN REDUCTION & INTERNAL


FIXATION OF SMALL BONES - K-WIRES /
739 PINS (MULTIPLE) ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650

CMU0200 C : OPEN REDUCTION & INTERNAL


740 FIXATION OF SMALL BONES - MINIPLATES ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650

CMU0200 D : OPEN REDUCTION & INTERNAL


FIXATION OF SMALL BONES - MINIPLATES
741 (MULTIPLE) ORTHOPEDICS 15500 13950 12550 11300 10150 9150 15500 11300
CMU0200 E : OPEN REDUCTION & INTERNAL
742 FIXATION OF SMALL BONES - NAIL / PLATES ORTHOPEDICS 15500 13950 12550 11300 10150 9150 15500 13950

CMU0201 : FRACTURE REDUCTION &


EXTERNAL FIXATION (INCLUDING LIMB
743 RECONSTRUCTION SYSTEM) ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050

CMU0201 A : FRACTURE REDUCTION &


744 EXTERNAL FIXATION ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050

CMU0201 B : FRACTURE REDUCTION &


EXTERNAL FIXATION - LIMB
745 RECONSTRUCTION SYSTEM ORTHOPEDICS 20000 18000 16200 14600 13100 11800 20000 14600

CMU0202 : ILIZAROV RING FIXATOR


746 APPLICATION ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0202 -A : ILIZAROV RING FIXATOR


747 APPLICATION-HUMERUS / FEMUR ORTHOPEDICS 27500 24750 22300 20050 18050 16250 27500 20050
CMU0202 -B : ILIZAROV RING FIXATOR
748 APPLICATION- TIBIA / RADIUS ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300

CMU0203 : SURGERY FOR NEGLECTED CTEV


749 / RECURRENT CTEV ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0203 -A : SURGERY FOR NEGLECTED


750 CTEV / RECURRENT CTEV - JESS FIXATOR ORTHOPEDICS 19000 17100 15400 13850 12450 11200 19000 13850

CMU0203 -B : SURGERY FOR NEGLECTED


CTEV/RECURRENT CTEV - TA -
751 LENGTHENING - PERCUTANEOUS + POP ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850

CMU0203 -C : SURGERY FOR NEGLECTED


CTEV/RECURRENT CTEV - TA -
752 LENGTHENING - 'Z' - PLASTY ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500

CMU0203 -D : SURGERY FOR NEGLECTED


CTEV/RECURRENT CTEV - TA -
753 LENGTHENING - POSTERIOMEDIAL RELEASE ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500
CMU0204 : OPEN REDUCTION OF
DISLOCATIONS -
DEEP/SHOULDER/ACROMIO -
754 CLAVICULAR/HIP/ELBOW ORTHOPEDICS 25500 22950 20650 18600 16750 15050 25500 18600

CMU0204 -A : OPEN REDUCTION OF


DISLOCATIONS - DEEP /
755 HIP/SHOULDER/ELBOW ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0204 -B : ACROMIO - CLAVICULAR


756 JOINT WITH IMPLANT ORTHOPEDICS 18000 16200 14600 13100 11800 10650 18000 13100

CMU0204 -C : RECURRENT SHOULDER


757 DISLOCATION ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300

CMU0205 : KNEE LIGAMENT


RECONSTRUCTION-ACL
RECONSTRUCTION/PCL
758 RECONSTRUCTION/MPFL RECONSTRUCTION ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0205 -A : KNEE LIGAMENT


RECONSTRUCTION-ACL
759 RECONSTRUCTION/PCL RECONSTRUCTION ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950
CMU0205 -B : KNEE LIGAMENT
760 RECONSTRUCTION-MPFL RECONSTRUCTION ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150

CMU0206 : AVASCULAR NECROSIS OF


761 FEMORAL HEAD (CORE DECOMPRESSION) ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150
CMU0207 : SOFT TISSUE RECONSTRUCTION
PROCEDURES AROUND JOINTS-PLC
RECONSTRUCTION/ELBOW PLRI LIGAMENT
RECONTRUCTION/ANKLE ATFL
RECONSTRUCTION/HIGH TIBIAL
762 OSTEOTOMY/TENDON TRANSFER ORTHOPEDICS 30500 27450 24700 22250 20000 18000 30500 22250

CMU0207 -A : SOFT TISSUE


RECONSTRUCTION PROCEDURES AROUND
JOINTS-PLC RECONSTRUCTION/ELBOW PLRI
LIGAMENT RECONTRUCTION/ANKLE ATFL
763 RECONSTRUCTION ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150

764 CMU0207 -B : HIGH TIBIAL OSTEOTOMY ORTHOPEDICS 22000 19800 17800 16050 14450 13000 22000 16050

CMU0207 -C : TENDON TRANSFER (UTILIZE


765 PACKAGE CMU0832 B) ORTHOPEDICS 0 0 0 0 0 0 0 0
CMU0208 : ANTEROLATERAL CLEARANCE
766 FOR TUBERCULOSIS ORTHOPEDICS 32600 29350 26400 23750 21400 19250 32600 23750

767 CMU0209 : COSTO TRANSVERSECTOMY ORTHOPEDICS 30200 27200 24450 22000 19800 17850 30200 22000

CMU0210 : SPINAL OSTECTOMY AND


768 INTERNAL FIXATIONS ORTHOPEDICS 49000 44100 39700 35700 32150 28950 49000 35700

CMU0211 : SURGERY FOR PATELLA


769 FRACTURE ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0211 -a : SURGERY FOR PATELLA


770 FRACTURE- K-WIRE ORTHOPEDICS 3200 2900 2600 2350 2100 1900 3200 2350

CMU0211 -b : SURGERY FOR PATELLA


771 FRACTURE - TBW ORTHOPEDICS 12600 11350 10200 9200 8250 7450 12600 9200
CMU0211 -c : SURGERY FOR PATELLA
772 FRACTURE - ENCIRCLAGE ORTHOPEDICS 7400 6650 6000 5400 4850 4350 7400 5400

CMU0212 : SMALL BONE FRACTURES-K-


773 WIRING ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0212 -a : SMALL BONE FRACTURES-K-


774 WIRING - SINGLE ORTHOPEDICS 3200 2900 2600 2350 2100 1900 3200 2350

CMU0212 -b : SMALL BONE FRACTURES-K-


775 WIRING - MULTIPLE ORTHOPEDICS 5600 5050 4550 4100 3650 3300 5600 4100

CMU0213 : SURGICAL CORRECTION FOR


776 PELVIC BONE FRACTURES ORTHOPEDICS 33900 30500 27450 24700 22250 20000 33900 24700

CMU0214 : CORRECTION OF SACRO ILLIAC


777 JOINT / ACETABULAR FRACTURES ORTHOPEDICS 34400 30950 27850 25100 22550 20300 34400 25100
CMU0214 -a : CORRECTION OF SACRO
778 ILLIAC JOINT ORTHOPEDICS 22000 19800 17800 16050 14450 13000 22000 16050

779 CMU0214 -b : ACETABULAR FRACTURES ORTHOPEDICS 29500 26550 23900 21500 19350 17400 29500 21500

780 CMU0215 : TOTAL KNEE REPLACEMENT ORTHOPEDICS 68300 68300 68300 68300 68300 68300 68300 68300

CMU0215 A : TOTAL KNEE REPLACEMENT 71


781 YEARS AND ABOVE ORTHOPEDICS 68300 68300 68300 68300 68300 68300 68300 68300

CMU0216 A : TOTAL HIP REPLACEMENT-


782 CEMENTED ORTHOPEDICS 70100 63100 63100 63100 63100 63100 70100 63100

CMU0216 B : TOTAL HIP REPLACEMENT-


783 UNCEMETED ORTHOPEDICS 80600 72550 72550 72550 72550 72550 80600 72550
CMU0217 A : REVISION HIP REPLACEMENT
SURGERY - CEMENTED (ONLY WITH
SPECIFIC APPROVAL - GOVERNMENT
784 RESERVED) ORTHOPEDICS 77400 69650 69650 69650 69650 69650 77400 69650

CMU0217 B : REVISION HIP REPLACEMENT


SURGERY - UNCEMENTED (ONLY WITH
SPECIFIC APPROVAL - GOVERNMENT
785 RESERVED) ORTHOPEDICS 87900 79100 79100 79100 79100 79100 87900 79100

CMU0218 : REVISION KNEE REPLACEMENT


SURGERY ( ONLY WITH SPECIFIC APPROVAL -
786 GOVERNMENT RESERVED) ORTHOPEDICS 81900 73700 73700 73700 73700 73700 81900 73700

787 CMU0219 : ARTHROSCOPIC BANKART REPAIR ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 27000

CMU0220 : ARTHROSCOPIC ROTATOR CUFF


788 REPAIR ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 27000

CMU0647 -II : AMPUTATIONS - FORE


QUARTER / HIND QUARTER WITH OR
1419 WITHOUT HEMIPELVECTOMY ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600
CMU0647 -IIA : AMPUTATIONS - FORE
1420 QUARTER ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600

CMU0647 -IIB : AMPUTATIONS - HIND


1421 QUARTER / INTERNAL HEMIPELVECTOMY ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600

CMU0647 -IIC : AMPUTATIONS - HIND


1422 QUARTER / EXTERNAL HEMIPELVECTOMY ORTHOPEDICS 42000 37800 34000 30600 27550 24800 42000 30600

CMU0746 -II : RECONSTRUCTIVE SURGERY


FOLLWING FACIO MAXILLARY TRAUMA,
1747 FRACTURE MANDIBLE, MAXILLA ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0746 -II-A : RECONSTRUCTIVE


SURGERY FOLLWING FACIO MAXILLARY
1748 TRAUMA, FRACTURE MAXILLA ORTHOPEDICS 11700 10550 9500 8550 7700 6900 11700 8550

CMU0746 -II-B : RECONSTRUCTIVE


SURGERY FOLLWING FACIO MAXILLARY
1749 TRAUMA, FRACTURE MANDIBLE ORTHOPEDICS 11700 10550 9500 8550 7700 6900 11700 8550
CMU0746 -II-C : RECONSTRUCTIVE
SURGERY FOLLWING FACIO MAXILLARY
TRAUMA, FRACTURE MANDIBLE, MAXILLA-
1750 INTERDENTAL WIRING ORTHOPEDICS 5800 5200 4700 4250 3800 3400 5800 4250

CMU0749 -IV : TUMOR RESECTION - ANY


1762 TYPE WITH RECONSTRUCTION ORTHOPEDICS 28800 25900 23350 21000 18900 17000 28800 21000

CMU0750 -IV : TUMOR RESECTION - ANY


1775 TYPE WITHOUT RECONSTRUCTION ORTHOPEDICS 0 0 0 0 0 0 0 0

CMU0750 -IV-a : SKIN TUMOR - RESECTION -


1776 WITHOUT RECONSTRUCTION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

CMU0750 -IV-b : SOFT TISSUE TUMOR -


1777 RESECTION - WITHOUT RECONSTRUCTION ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650

CMU0750 -IV-c : BONE TUMOR - RESECTION


1778 - WITHOUT RECONSTRUCTION ORTHOPEDICS 20900 18800 16950 15250 13700 12350 20900 15250
CMU0828 : BONE RESECTION /
2004 CURRETTAGE/ CEMENTING- ANY CAUSE ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950

2005 CMU0828 -a : BONE RESECTION ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150

CMU0828 -a-I : BONE RESECTION /


CURRETTAGE/ CEMENTING- ANY CAUSE -
2006 CEMENTING (ONLY AS ADDON) ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850

2007 CMU0828 -b : BONE CURETTAGE ORTHOPEDICS 15800 14200 12800 11500 10350 9350 15800 11500

CMU0828 -b-I : BONE RESECTION /


CURRETTAGE/ CEMENTING- ANY CAUSE -
2008 CEMENTING (ONLY AS ADD ON) ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850

CMU0840 -II : AMPUTATION OF ANY SITE /


2055 ANY CAUSE WITHOUT PROSTHESIS ORTHOPEDICS 0 0 0 0 0 0 0 0
2056 CMU0840 -II-A : AMPUTATION OF AK / BK ORTHOPEDICS 31500 28350 25500 22950 20650 18600 31500 22950

2057 CMU0840 -II-B : AMPUTATION OF AE / BE ORTHOPEDICS 26300 23650 21300 19150 17250 15550 26300 19150

CMU0840 -II-C : AMPUTATION OF FORE-


2058 FOOT ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

2059 CMU0840 -II-D : SYM'S AMPUTATION ORTHOPEDICS 21000 18900 17000 15300 13800 12400 21000 15300

CMU0840 -II-E : TRANS META-TARSAL


2060 AMPUTATION ORTHOPEDICS 16500 14850 13350 12050 10850 9750 16500 12050

2061 CMU0840 -II-F : AMPUTATION OF GREAT TOE ORTHOPEDICS 7400 6650 6000 5400 4850 4350 7400 5400
2062 CMU0840 -II-G : AMPUTATION TOE - SINGLE ORTHOPEDICS 5300 4750 4300 3850 3500 3150 5300 3850

CMU0840 -II-H : AMPUTATION TOE-


2063 MULTIPLE ORTHOPEDICS 7700 6950 6250 5600 5050 4550 7700 5600

CMU0840 -II-I : AMPUTATION OF FINGER -


2064 SINGLE ORTHOPEDICS 7000 6300 5650 5100 4600 4150 7000 5100

CMU0840 -II-J : AMPUTATION OF FINGER -


2065 MULTIPLE ORTHOPEDICS 10500 9450 8500 7650 6900 6200 10500 7650

CMU0841 -I I : CUSTOM MADE PROSTHESIS


(EXTERNAL) (EXCEPT FINGERS, TOES AND
SMALL JOINTS) - TRANSRADIAL - MOBILITY
2079 GRADE 3 ORTHOPEDICS 105000 105000 105000 105000 105000 105000 105000 105000

CMU0841 -II I : CUSTOM MADE PROSTHESIS


(EXTERNAL) (EXCEPT FINGERS, TOES AND
SMALL JOINTS) - TRANSRADIAL - MOBILITY
2092 GRADE 3 ORTHOPEDICS 52500 52500 52500 52500 52500 52500 52500 52500
2171 CMU0883 -II : POSTERIOR DISCECTOMY ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850

CMU0887 -II : LAMINECTOMY -


2181 MICROLUMBAR ORTHOPEDICS 30000 27000 24300 21850 19700 17700 30000 21850

CMU0888 -II : LAMINECTOMY AT ANY LEVEL -


2183 CONVENTIONAL ORTHOPEDICS 28000 25200 22700 20400 18350 16550 28000 20400

CMU0890 - II : POSTERIOR
DECOMPRESSION & STABILISATION(
2186 INSTRUMENTED) WITH SPACER / IMPLANT ORTHOPEDICS 55000 49500 44550 40100 36100 32500 55000 40100

2641 CMU1014 : REVISION AMPUTATION ORTHOPEDICS 35000 31500 28350 25500 22950 20650 35000 25500

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