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Orthopedic Surgery Costs

This document contains orthopedic procedure codes and associated costs. There are many codes listed across various joint replacements, fracture repairs, and implant removals. The costs provided are for different private medical insurance plans.

Uploaded by

Ahmed Vanzara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
219 views28 pages

Orthopedic Surgery Costs

This document contains orthopedic procedure codes and associated costs. There are many codes listed across various joint replacements, fracture repairs, and implant removals. The costs provided are for different private medical insurance plans.

Uploaded by

Ahmed Vanzara
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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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