Sr.No Package no 1708 26.1 Orthopeidc 1709 26.2 Orthopeidc Sub speciality Procedure name Pre-Operative Investigation AC joint reconstruction/ Stabilization/ Acromionplasty (Nonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case-by-case basis) Accessory bone Excision (limbs) congenital, Accessory digits sometime can be removed 1710 26.3 Orthopeidc Amputation - Below Elbow 1711 26.4 Orthopeidc Amputation - Above Elbow 1712 26.5 Orthopeidc Amputation one or more fingers 1713 26.6 Orthopeidc Amputation Wrist 1714 26.7 Orthopeidc Amputation - one or more toes/ digits 1715 26.8 Orthopeidc Amputation Below Knee 1716 26.9 Orthopeidc Amputation Above Knee 1717 26.10 Orthopeidc Foot & Hand Amputation (whole/ partial) 1718 26.11 Orthopeidc Disarticulation (hind & for quarter) 1719 26.12 Orthopeidc Anterior Spine Fixation 1720 26.13 Orthopeidc Posterior Spine Fixation 1721 26.14 Orthopeidc Osteochondroma excision/ Excision of Exostosis 1722 26.15 Orthopeidc Excision Arthoplasty 1723 26.16 Orthopeidc Arthorotomy of any joint Cluster - 26 ORTHOPEDICS X Ray of Affected Limb, MIR of Shoulder Post Operative Investigation No of Follow up Package Rates Remarks Speciality Code PMJAY Procedure Code PMJAY X Ray of Affected Limb 25,000 S5 S500001 X Ray of Affected Limb X Ray of Affected Limb 6,000 S5 S500002 X-Ray/USG/ MRI of affected joints and clinical photo, CBC X Ray of Affected Limb 15,000 S5 S500003 X Ray of Affected Limb 15,000 S5 S500004 X Ray of Affected Limb 6,000 S5 S500005 X Ray of Affected Limb 15,000 S5 S500006 X Ray of Affected Limb 6,000 S5 S500007 X Ray of Affected Limb 15,000 S5 S500008 X Ray of Affected Limb 18,000 S5 S500009 X Ray of Affected Limb 15,000 S5 S500010 25,000 S5 S500011 35,000 S5 S500012 20,000 S5 S500013 10,000 S5 S500014 15,000 S5 S500015 15,000 S5 S500016
1724 26.17 Orthopeidc Arthrodesis Ankle Triple 1725 26.18 Orthopeidc Excision Arthoplasty of Femur head 1726 26.19 Orthopeidc Bimalleolar Fracture Fixation 1727 26.20 Orthopeidc 1728 26.21 Orthopeidc 1729 26.22 Orthopeidc 1730 26.23 Orthopeidc Bone Tumour Excision + reconstruction using implant (malignant/ benign) Bone Tumour (malignant/ benign) curettage and bone grafting Bone Tumour Excision (malignant/ benign) + Joint replacement (depending upon type of joint and implant) Clavicle fracture management - conservative (daycare) 1731 26.24 Orthopeidc Close Fixation - Hand Bones 1732 26.25 Orthopeidc Close Fixation - Foot Bones 1733 26.26 Orthopeidc Close Reduction - Small Joints 1734 26.27 Orthopeidc Closed Interlock Nailing + Bone Grafting femur 1735 26.28 Orthopeidc Closed Interlocking Intermedullary 1736 26.29 Orthopeidc 1737 26.30 Orthopeidc 1738 26.31 Orthopeidc Closed Interlocking Tibia + Orif of Fracture Fixation Closed Reduction and Internal Fixation with K wire Closed Reduction and Percutaneous Screw Fixation (neck femur) 1739 26.32 Orthopeidc Closed Reduction and Percutaneous Pinning 1740 26.33 Orthopeidc Closed Reduction and Percutaneous Nailing 1741 26.34 Orthopeidc 1742 26.35 Orthopeidc Closed Reduction of the Hip (including hip Spika) Debridement & Closure of Major injuries - contused lacerated wounds (anti-biotic + dressing) - minimum of 3 sessions 1743 26.36 Orthopeidc Debridement & Closure of Minor injuries 1744 26.37 Orthopeidc Closed reduction of dislocation (Knee/ Hip) X-Ray, MRI of affected joints, CBC, ESR, CRP 15,000 S5 S500017 Post-Operative X-Ray 22,500 S5 S500018 15,000 S5 S500019 50,000 S5 S500020 20,000 S5 S500021 1,50,000 S5 S500022 X- Ray of affected sights X- Ray of limb treated. 3,000 S5 S500023 X- Ray of limb treated. 4,000 S5 S500024 X- Ray of limb treated. 4,000 S5 S500025 X- Ray of limb treated. 4,000 S5 S500026 X- Ray of limb treated. 19,000 S5 S500027 X- Ray of limb treated. 17,500 S5 S500028 X- Ray of limb treated. 25,000 S5 S500029 X- Ray of limb treated. 6,000 S5 S500030 X- Ray of limb treated. 15,000 S5 S500031 X- Ray of limb treated. 15,000 S5 S500032 X- Ray of limb treated. 20,000 S5 S500033 X- Ray of limb treated. 7,000 S5 S500034 X- Ray of limb treated. 7,000 S5 S500035 X- Ray of limb treated. 3,000 S5 S500036 X- Ray of limb treated. 6,000 S5 S500037
1745 26.38 Orthopeidc Closed reduction of dislocation (Shoulder/ Elbow) X- Ray of limb treated. 5,000 S5 S500038 1746 26.39 Orthopeidc Duputryen s Contracture release + rehabilitation USG of Affected Hand clinical + USG 10,000 S5 S500039 1747 26.40 Orthopeidc Exploration and Ulnar nerve Repair X-Ray, UGS, RMG & NCV Post of USG 10,000 S5 S500040 1748 26.41 Orthopeidc External fixation - Long bone Post of X -Ray 15,000 S5 S500041 1749 26.42 Orthopeidc External fixation - Small bone Post of X -Ray 10,000 S5 S500042 1750 26.43 Orthopeidc External fixation - Pelvis Post of X -Ray 15,000 S5 S500043 1751 26.44 Orthopeidc Fasciotomy Post of X -Ray 7,000 S5 S500044 1752 26.45 Orthopeidc Fixator with Joint Arthrolysis Post of X -Ray 20,000 S5 S500045 1753 26.46 Orthopeidc Fracture - Acetabulum Post of X -Ray 30,000 S5 S500046 1754 26.47 Orthopeidc Fracture - Fibula Internal Fixation Post of X -Ray 10,000 S5 S500047 1755 26.48 Orthopeidc Fracture - Hip Internal Fixation (Intertrochanteric Fracture with implant) + rehabilitation 1756 26.49 Orthopeidc Fracture - Humerus Internal Fixation 1757 26.50 Orthopeidc Fracture - Olecranon of Ulna 1758 26.51 Orthopeidc Fracture - Radius Internal Fixation 1759 26.52 Orthopeidc Fracture - TIBIA Internal Fixation plating 1760 26.53 Orthopeidc Fracture - Ulna Internal Fixation 1761 26.54 Orthopeidc Head Radius Excision 1762 26.55 Orthopeidc High Tibial Osteotomy 1763 26.56 Orthopeidc Closed reduction + Hip Spica 1764 26.57 Orthopeidc Internal Fixation Lateral Epicondyle 1765 26.58 Orthopeidc Internal Fixation of other Small Bones (metatarsals) 1766 26.59 Orthopeidc Limb Lengthening Post of X -Ray 17,000 S5 S500048 Post of X -Ray 17,000 S5 S500049 Post of X -Ray 10,000 S5 S500050 Post of X -Ray 10,000 S5 S500051 Post of X -Ray 17,000 S5 S500052 Post of X -Ray 10,000 S5 S500053 Post of X -Ray 8,000 S5 S500054 Post of X -Ray 17,000 S5 S500055 Post of X -Ray 7,000 S5 S500056 Post of X -Ray 10,000 S5 S500057 Post of X -Ray 10,000 S5 S500058 Post of X -Ray 25,000 S5 S500059
1767 26.60 Orthopeidc Llizarov Fixation 1768 26.61 Orthopeidc Multiple Tendon Repair Clinical + Electro Diagnostic study 1769 26.62 Orthopeidc Nerve Repair Surgery Clinical + Electro Diagnostic study 1770 26.63 Orthopeidc Nerve Transposition/Release/ Neurolysis Clinical + Electro Diagnostic study 1771 26.64 Orthopeidc 1772 26.65 Orthopeidc Open Reduction Internal Fixation (2 Small Bones) Open Reduction Internal Fixation (Large Bone) 1773 26.66 Orthopeidc Open Reduction of CDH 1774 26.67 Orthopeidc Open Reduction of Small Joint 1775 26.68 Orthopeidc Open Reduction with bone grafting of nonunion 1776 26.69 Orthopeidc Osteotomy -Small Bone 1777 26.70 Orthopeidc Osteotomy -Long Bone 1778 26.71 Orthopeidc Patellectomy 1779 26.72 Orthopeidc Pelvic Osteotomy with fixation with plaster 1780 26.73 Orthopeidc Percutaneous - Fixation of Fracture 1781 26.74 Orthopeidc Excision of Bursa 1782 26.75 Orthopeidc 1783 26.76 Orthopeidc Reconstruction of ACL/PCL with implant and brace Sequestrectomy of Long Bones + anti-biotics + dressing 1784 26.77 Orthopeidc Tendo Achilles Tenotomy 1785 26.78 Orthopeidc Tendon Grafting 1786 26.79 Orthopeidc Tendon Release/ Tenotomy 1787 26.80 Orthopeidc Tenolysis Post of X -Ray 10,000 S5 S500060 showing scar showing scar + Electro Dignostic study showing scar + Electro Dignostic study 20,000 S5 S500061 15,000 S5 S500062 8,000 S5 S500063 Post of X -Ray 10,000 S5 S500064 Post of X -Ray 20,000 S5 S500065 Post of X -Ray 30,000 S5 S500066 Post of X -Ray 15,000 S5 S500067 Post of X -Ray 20,000 S5 S500068 Post of X -Ray 17,000 S5 S500069 Post of X -Ray 30,000 S5 S500070 Post of X -Ray 8,000 S5 S500071 Post of X -Ray, Clinical photo 30,000 S5 S500072 Post of X -Ray 7,000 S5 S500073 Radiology Investigation 3,000 S5 S500074 30,000 S5 S500075 25,000 S5 S500076 5,000 S5 S500077 15,000 S5 S500078 5,000 S5 S500079 5,000 S5 S500080
1788 26.81 Orthopeidc Tension Band Wiring Patella 1789 26.82 Orthopeidc Application of P.O.P. casts for Upper & Lower Limbs 1790 26.83 Orthopeidc Application of P.O.P. Spikas& Jackets 1791 26.84 Orthopeidc Application of Skeletal Tractions with pin 1792 26.85 Orthopeidc Application of Skin Traction 1793 26.86 Orthopeidc Head radius - Excision + Fracture - Ulna Internal Fixation 1794 26.87 Orthopeidc External fixation - both bones of forearms 1795 26.88 Orthopeidc Fracture intercondylarhumerus + olecranon osteotomy 1796 26.89 Orthopeidc Correction of club foot per cast 1797 26.90 Orthopeidc Arthroscopic Meniscus Repair/ Meniscectomy 1798 26.91 Orthopeidc Bipolar Hemiarthroplasty (hip & shoulder) 1799 26.92 Orthopeidc Unipolar Hemiarthroplasty 1800 26.93 Orthopeidc Elbow replacement 1801 26.94 Orthopeidc Arthrodesis of shoulder 1802 26.95 Orthopeidc Arthrodesis of Knee (with implant) 1803 26.96 Orthopeidc Arthrodesis of Wrist (with implant) 1804 26.97 Orthopeidc Arthrodesis of Ankle (with implant) 1805 26.98 Orthopeidc Unspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per family,package amount is Negotiable) 15,000 S5 S500081 3,000 S5 S500082 3,500 S5 S500083 3,000 S5 S500084 1,000 S5 S500085 20,000 S5 S500086 25,000 S5 S500087 20,000 S5 S500088 15,000 S5 S500089 20,000 S5 S500090 40,000 S5 S500094 30,000 S5 S500095 40,000 S5 S500097 40,000 S5 S500098 40,000 S5 S500099 30,000 S5 S500100 30,000 S5 S500101 Concern Investigation Concern Investigation 1,00,000 S5 U100