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BIJU SWASTHYA KALYAN YOJANA (BSKY) PACKAGE RATES Rates ICD Sl Code No 10 Name of the procedure LOS No Non- Code Accredited Accredited PART - A (TREATMENT PROCEDURES / PACKAGES) CARDIOLOGY / CTVS 1 OSTF1 2 D echocardiography 1190 1370 2 OSTF2 2 D TEE 1270 1460 3 OSTF3 3 D echocardiography 1390 1600 4 OSTF4 3 D TEE(Trans oesophageal echo ) 1390 1600 5 OSTF5 AICD implantation Dual Chamber 35640 40990 6 OSTF6 AICD implantation Single Chamber 25620 29460 7 OSTF7 Ambulatory BP monitoring 590 670 Aortic Aneurysm Repair using Cardiopulmonary 8 OSTF8 130500 150000 bypass (CPB) Aortic Aneurysm Repair without using 9 OSTF9 65250 75000 Cardiopulmonary bypass (CPB) 10 OSTF10 Aortic Dissection 12530 14410 11 OSTF11 Aortic stent grafting for aortic aneurysm 77720 89380 Aorto Bi-illiac / Bi-femoral /Axillo bi-femoral 12 OSTF12 78300 90000 bypass with Synthetic Graft 13 OSTF13 Aorto femoral bypass 51480 59210 14 OSTF14 Aorto-pulmonary Window (AP Window) 78300 90000 Aorto-uni-iliac/uni-femoral bypass with synthetic 15 OSTF15 60900 70000 graft 16 OSTF16 Arch Replacement 10250 11790 17 OSTF17 Arterial Switch Operation 104400 120000 18 OSTF18 Ascending aorta replacement 130500 150000 19 OSTF19 ASD Closure 65250 75000 20 OSTF20 ASD/VSD/PDA device closure 32280 37120 21 OSTF21 AV Canal repair 159390 183300 22 OSTF22 AVBD/PVBD 47820 54990 Axillo Brachial Bypass using with Synthetic 23 OSTF23 73950 85000 Graft 24 OSTF24 B.D.Glenn/Left atrium myxoma 79950 91940 25 OSTF25 B.T Shunt/Coarctation 51470 59180 26 OSTF26 Balloon coronary angioplasty/PTCA with VCD 79200 91080 Balloon coronary angioplasty/PTCA without 27 OSTF27 79200 91080 VCD 28 OSTF28 Balloon valvotomy/PTMC 10170 11690 29 OSTF29 Bentall Repair with Biologic Valve 123260 141750 30 OSTF30 Bentall Repair with Prosthetic Valve 29700 34160 31 OSTF31 Bilateral thrombo-embolectomy 26100 30000 32 OSTF32 Brachio -radial Bypass with Synthetic Graft 43500 50000 33 OSTF33 Bronchial artery Embolisation (for Haemoptysis) 21750 25000 34 OSTF34 Bronchial Repair Surgery for Injuries due to FB 30450 35000 35 OSTF35 C.T Guided biopsy 1260 1450 36 OSTF36 CABG 125810 144680 37 OSTF37 CABG with IABP 167310 192410 38 OSTF38 CABG with Valve repair. 167310 192410 39 OSTF39 CABG without bypass. 124740 143460 40 OSTF40 Cardiac CT scan 2250 2590 41 OSTF41 Cardiac MRI 2420 2790 42 OSTF42 Cardiac PET 1490 1710 43 OSTF43 Carotid artery bypass with Synthetic Graft 52200 60000 44 OSTF44 CATH 8910 10250 Catheter directed Thrombolysis for Deep vein 45 OSTF45 thrombosis (DVT), Mesenteric Thrombosis & 43500 50000 Peripheral vessels 46 OSTF46 Central Shunt 43500 50000 47 OSTF47 CMV/PDA 51470 59180 48 OSTF48 Coarctation dilatation 13070 15030 49 OSTF49 Coarctation dilatation with Stenting 18320 21070 50 OSTF50 Coiling - Pseudoaneurysms of Abdomen 47850 55000 51 OSTF51 Combo device implantation 39600 45540 52 OSTF52 Compressed air / piped oxygen per hour 60 70 53 OSTF53 Conduit repair 167310 192410 54 OSTF54 Congenital Cystic Lesions 26100 30000 55 OSTF55 Coronary angiography 10250 11790 Coronary artery bypass grafting (CABG) with LV 56 OSTF56 132330 152100 Aneurysmal repair Coronary artery bypass grafting (CABG) with 57 OSTF57 post MI Ventricular Septal Defect (Ventricular 132330 152100 Septal Defect) repair Coronary Care with Cardiac Monitoring (Room 58 OSTF58 830 950 Rent extra) 59 OSTF59 CT coronary angiography 5970 6870 Diagnostic Electrophysiological studies 60 OSTF60 4510 5190 conventional 61 OSTF61 Diaphragmatic Eventeration 34800 40000 62 OSTF62 Diaphragmatic Injuries/Repair 30450 35000 63 OSTF63 Digital subtraction angiography- venogram 11390 13100 Digital subtraction angiography-Peripheral 64 OSTF64 11390 13100 artery 65 OSTF65 Double Switch Operation 104400 120000 66 OSTF66 DSO 92330 106170 67 OSTF67 ECG 50 60 68 OSTF68 Embolectomy 20790 23910 Embolization - Arteriovenous Malformation 69 OSTF69 34800 40000 (AVM) in the Limbs Encysted Empyema/Pleural Effusion - 70 OSTF70 8700 10000 Tubercular 71 OSTF71 Endomyocardial biopsy 9900 11390 72 OSTF72 Exchange Transfusion 300 340 73 OSTF73 Excision of Arterio Venous malformation - Large 43500 50000 74 OSTF74 Excision of Arterio Venous malformation - Small 26100 30000 75 OSTF75 Excision of body Tumor with vascular repair 30450 35000 76 OSTF76 External Loop/event recording 2820 3250 Femoro Distal / Femoro - Femoral / Femoro- 77 OSTF77 78300 90000 infra popliteal bypass with Synthetic Graft Femoro Distal / Femoro - Femoral / Femoro 78 OSTF78 43500 50000 infra popliteal Bypass with Vein Graft 79 OSTF79 Fetal Echocardiography 1390 1600 80 OSTF80 Fontan Proedure 167310 192410 81 OSTF81 Fractional Flow Reserve 12630 14520 82 OSTF82 Gunshot injury 51470 59180 83 OSTF83 Heart transplant 245920 282810 84 OSTF84 Holter analysis 850 970 85 OSTF85 HUTT test 2180 2510 86 OSTF86 IABP 7750 8910 87 OSTF87 Incubator charges (Per day) 380 440 Intercostal Drainage and Management of ICD, 88 OSTF88 8700 10000 Intercostal Block, Antibiotics & Physiotherapy 89 OSTF89 Intra vascular coils 45540 52380 Intrathoracic Aneurysm- not Requiring Bypass 90 OSTF90 78300 90000 Techniques Intrathoracic Aneurysm-Requiring Bypass 91 OSTF91 108750 125000 Techniques 92 OSTF92 IVC Filter implantation 14380 16530 93 OSTF93 IVUS 24750 28470 94 OSTF94 Lung Cyst 39150 45000 95 OSTF95 Lung Injury repair 30450 35000 96 OSTF96 MV repair / AV repair/TV Repair 107240 123260 97 OSTF97 MVR/AVR 104400 120000 98 OSTF98 Neonatal ICU charges (Per day) 440 500 99 OSTF99 Oesophageal Diverticula /Achalasia Cardia 30450 35000 100 OSTF100 Open Mitral Valvotomy 65250 75000 101 OSTF101 Open Pulmonary Valvotomy 65250 75000 102 OSTF102 Operations for Congenital Arteriovenous Fistula 13050 15000 103 OSTF103 Operations for Stenosis of Renal Arteries 34800 40000 104 OSTF104 P.A.Banding septostomy 51470 59180 105 OSTF105 Paediatric care for New born (Per day) 210 240 106 OSTF106 PDA multiple Coil insertion 17400 20000 107 OSTF107 PDA Coil (one) insertion 13050 15000 108 OSTF108 PDA stenting 34800 40000 Percutaneous Transluminal Tricuspid 109 OSTF109 21750 25000 Commissurotormy (PTTC) 110 OSTF110 Pericardectomy 41900 48190 111 OSTF111 Pericardiocentesis 3370 3880 112 OSTF112 Peripheral Angioplasty with VCD 11390 13100 113 OSTF113 Peripheral Angioplasty without VCD 11390 13100 Permanent pacemaker implantation 114 OSTF114 30740 35360 Biventricular Permanent pacemaker implantation- Dual 115 OSTF115 26790 30800 Chamber Permanent pacemaker implantation- Single 116 OSTF116 19140 22010 Chamber 117 OSTF117 Pneupack ventilator in Nursery (Per day) 640 730 118 OSTF118 PTSMA 21750 25000 119 OSTF119 Pulmonary arterio venous malformation 34800 40000 120 OSTF120 Pulmonary AV Fistula surgery 39150 45000 121 OSTF121 Pulmonary Sequestration Resection 34800 40000 122 OSTF122 Pulmonary Valve Replacement 104400 120000 Pulmonary Valvotomy with Right Ventricular 123 OSTF123 104400 120000 Outflow Tract (RVOT) Resection 124 OSTF124 Renal Angioplasty 53780 61840 125 OSTF125 Resuscitation 210 240 126 OSTF126 RF Ablation Atrial Tachycardia/CARTO 44550 51240 127 OSTF127 RF Ablation conventional 31190 35870 128 OSTF128 ROSS Procedure 91350 105000 129 OSTF129 Rotablation 48390 55650 130 OSTF130 Senning/ASO with graft 120970 139120 131 OSTF131 Septostomy- Balloon 15990 18390 132 OSTF132 Septostomy- Blade 19360 22260 133 OSTF133 Sinogram 860 990 134 OSTF134 Space-Occupying Lesion (SOL) mediastinum 39150 45000 135 OSTF135 Stress Cardiac MRI 2970 3420 136 OSTF136 Stress Echo- exercise 1340 1540 137 OSTF137 Stress Echo- pharmacological 2480 2850 138 OSTF138 Stress MPI - pharmacological 2480 2850 139 OSTF139 Stress MPI- exercise 1940 2230 Surgery for Arterial Aneursysm -Upper/Distal 140 OSTF140 78300 90000 Abdominal Aorta 141 OSTF141 Surgery for Arterial Aneurysm Renal Artery 34800 40000 Surgery for Hypertrophic Obstructive Cardio- 142 OSTF142 78300 90000 Myopathy (HOCM) 143 OSTF143 Surgical Correction of Bronchopleural Fistula 43500 50000 144 OSTF144 Thoraco Abdominal Aneurysm Repair 14850 17080 145 OSTF145 Thoracotomy, Thoraco Abdominal Approach 26100 30000 146 OSTF146 Thrombolysis for peripheral ischaemia 8700 10000 147 OSTF147 TOF/TAPVC/TCPC/REV/RSOV repair 125810 144680 Total Anomalous Pulmonary Venous 148 OSTF148 91350 105000 Connection (TAPVC) 149 OSTF149 TPI Dual Chamber 7280 8370 150 OSTF150 TPI Single Chamber 6690 7690 Tricuspid Valve Replacement (bi-leaflet 151 OSTF151 104400 120000 mechanical valve) 152 OSTF152 Tricuspid Valve Replacement (biological valve) 108750 125000 153 OSTF153 Truncus Arteriosus Surgery 100050 115000 154 OSTF154 Vascular Repair 33660 38710 155 OSTF155 Ventilator charges (Per day) 590 680 156 OSTF156 VSD with graft 65250 75000 OPHTHALMOLOGY 157 OSTF157 90 D lens examination 70 80 158 OSTF158 ALT-Argon laser trabeculoplasty 1490 1710 ALTK- Automated lamellar therapeutic 159 OSTF159 16340 18790 keratoplasty 160 OSTF160 Amniotic membrane grafting 1090 1260 Anterior Chamber Reconstruction for 161 OSTF161 10010 11500 Perforating Corneo - Scleral Injury with IOL 162 OSTF162 Anterior retinal cryopexy 1160 1330 163 OSTF163 Arcuate keratotomy for astigmatism 2780 3190 164 OSTF164 Argon/diode laser for retinal detatchment 1140 1320 165 OSTF165 Auto-refraction 50 60 166 OSTF166 Bandage contact lenses for corneal perforation 510 590 167 OSTF167 Biopsy 510 590 168 OSTF168 Botulinum injection for blepharospasm or squint 2380 2740 169 OSTF169 Bucket handle procedure for lid tumors 440 500 170 OSTF170 Buckle removal 1140 1320 171 OSTF171 Canaliculo-Dacryocysto-Rhinostomy 8700 10000 172 OSTF172 Canaliculoplasty 2280 2620 173 OSTF173 Cantholysis and canthotomy