Item ID Item Name OPD NURSING ITEMS

PATIENT NAME DATE:

57550 24hr Oesophagal pH metry charges 37,900 I V Cannula size……
57481 Anorectal manometry 8,800
37029 Biliary Stent Removal 7,400 I V Set ….
37050 Colonic Stenting (Endoscopic) 11,200 Tegaderm (A)/(P)……..
26451 Colonoscopic Decompression of Colon 8,550
24043 Colonoscopy Argon Plasma coagulation 14,200 Lox jelly…….
16425 Colonoscopy Dilatation 10,250 DNS, NS, RL, 5%Dext.
24042 Colonoscopy Endo therapy for Bleeding 11,500
24041 Colonoscopy Full (Cecum) Diagnostic 8,200 25%Dext, ………
16401 Colonoscopy Limited Diagnostic 5,050 In j Heparin
24272 Colonoscopy Long with Biopsy 8,750
16424 Colonoscopy Polypectomy 8,050 Inj. Norad
16423 Colonoscopy Polypectomy (>5 Polyps) 10,050 Respules………….
46980 Diagnostic EUS (Level I) 10,250
35281 EBUS-TBNA (O) 42,150 Inhaler……………..
42497 EMR (endoscopic mucosal resection) 8,650 Inj. Etomidate
65027 Endoscopic Ultrasound–Diagnostics 10,850
29628 Endoscopy Capsule 10,700 Inj. Dexem
37032 Enteroscopy 8,650 Oxygen Mask (A)/ (P)
16431 ERCP Biliary stent Placement 14,500
24048 ERCP Brushing and Biopsy 14,500 Nasal Oxygen (A)/(P)
16432 ERCP Diagnostic 13,600 ECG Electrodes……..
16412 ERCP Mechanical lithotripsy 14,750 Inj.Propofol 10ml / 20ml
24050 ERCP Metal stent placement 17,950
24047 ERCP Pancreatic Stent 14,750 Inj. Dynapar
24053 ERCP Pancreatic Stone extraction 14,750 Inj. Lopez……Loxicard…...
16409 ERCP Papillotomy 14,500
24045 ERCP Papillotomy+Stone Extraction 14,500 Inj. Rantac……Lox 2%......
Suction catheter/Yanker
16429 ERCP Pseudocyst Drainage 14,750
size…….
43584 ERCP sphincteroplasty + stone extraction 16,550 *3 way stop cock
42496 ESD (Endoscopic Submucosal Dissection) 12,650
57480 Esopahgeal manometry 6,500 Glucose test strip
Surg Gloves size No. 8…./
40260 Esophageal Stenting ( Gastro Diagnostic) 11,200 7….../ 6.5……./ 7.5…….…
3way extn.10, 50, 100,
37710 Esophagoscopy with Biopsy 3,800
150, 200
31446 EUS-FNA 29,250 Syringes 2ml……5 ml…..
39119 Fibro scan (LSM) 5,460
57948 Gastric & Duodenal Biopsy (Endoscopic) 5,650 10ml……20ml……50ml...
PMO Line 50…, 100…,
37052 Liver Abscess Drainage-Gastro 5,150
150….,200…..
24056 Liver Biopsy 3,650 Inj Drotin
37055 Oesophageal Dilatation 7,200 Freka triple lumen….
37056 Oesophageal Dilatation- Sub. Visit 5,750 Inj Termin/Efipress
37033 PEG Removal 5,050 Inj. Emeset
24038 PEG Replacement (without endoscopy) 2,050
37054 Percutaneous Pseudo Cyst Drainage 16,900 Inj Avil
37030 Side Viewing Endoscopy 4,900 Surgeon Gown……
29625 Sigmoidoscopy + APC 10,350 ERCP- Vigiglide wire.........%
24040 Sigmoidoscopy Banding of Hemarrhoids 5,050 Inj Lesuride……..
16403 Sigmoidoscopy Diagnostic 3,100 Peglec powder………
16404 Sigmoidoscopy with Biopsy 3,650
24039 Small Bowel Enteroscopy Diagnostic 9,650 Exelyte solution……..
40259 Stent Removal + Check Cholangiogram ( Gastro Proc) 4,200 Nasal Drop……
16418 UGI Endoscopy Achalasia Dilatation 10,050 ERCP- Cleaver cut…..……%
24029 UGI Endoscopy Argon Plasma Coagulation 13,200 Inj. Perinom……..
24028 UGI Endoscopy Banding of varices 8,550 PC Enema…….
16408 UGI Endoscopy Diagnostic 4,700 Guide wire Hydra ………%
16419 UGI Endoscopy Dilatation of Strcture 8,050 Needle 18G……..16G……
24027 UGI Endoscopy Endo therapy for bleed (Injection, C 8,050 Inj Endocryl……….
24032 UGI Endoscopy Foreign Body removal 9,100 Freka size…………
24030 UGI Endoscopy Glue Injection of varices 8,550 Inj Adnocine…………
16406 UGI Endoscopy H Pylori test 6,150 LMA Mask
24033 UGI Endoscopy Metal Stent Placement 14,000 Biliary plastic stent size………………………
24034 UGI Endoscopy Nasojejunal tube placement 6,900 1 / 1.5 / 2 / 2.5 / 3 / 4 / 5
16422 UGI Endoscopy PEG Placement 11,600 Inj Vit – K……….
24031 UGI Endoscopy Polypectomy 8,550 Ryle’s tube…
24035 UGI Endoscopy Ryles tube placement 6,450 Needle injector size 23
24036 UGI Endoscopy Side viewing scope+/-Stent removal 6,450 12 / 14 / 16 / 18 /…….
16415 UGI Endoscopy Varices Sclerotherapy 8,550 Nasopharyngeal airway
24058 UGI Endoscopy with Biopsy 5,650 Terumo Radifocus………
37035 UGI Haemoclipping 2,250

DR : NAME TECH : NAME

 NURSING ITEMS

Inj. Lablol……

Inj. Vasocon (Aderenaline

Inj. Otide……..

Suppostory Indomethacin
Inj. Deriphyllin..

Inj.Pantocid ..
Inj. Asklerol …

Inj Setrol…
Inj. Dopamine…

Inj PCM / Ing Buscopan

Inj. NTG…….

Inj Sodium biocarbonate..

Inj. Terlipression

Kenacort 40mg inj

Urografin……..

Oflin inj / Monocef………..

Guidel airway.

Surg Glove…Size..………

Exam Gloves…………….
Gauze

Kidney Tray…….

Hemoclip………………

Resolution clip………….

OTSC system……………
Brush Cytomax ………….%

Grasping forceps………….%
Spray Haemoseal probe..

Foreign body forceps…….%

APC Probe………………%
Mirocam Capsule
Probe injection Gold ……%
Balloon multi-3v……...……%

Basket ………………..……%
Spy glass scope…………..%

Spy glass biopsy………….%

Biopsy forceps……….….%

Tandum exel……………...%.
Mouth Guard……………..
Needle injector size 25
H pylori kit………………..
Achalasia balloon dil……%
Tannenbaum stent size…………..
CRE)……% size……….
Rothnet basket…………%.
Needle injector size 21
Snare polypectomy……%.
EBL Band Indus……….
omniview BAND……..
EBL band Superview…….

NURSING : NAME