Package Master Report

Speciality Speciality Name Procedure ID Procedure Name Pre
ID Investigations
M1 General Medicine M100001 Acute gastroenteritis with clinical notes

moderate dehydration
M1 General Medicine M100002 Recurrent vomiting with clinical notes

dehydration
M1 General Medicine M100003 Dysentery clinical notes
M1 General Medicine M100004 Renal colic clinical notes
M1 General Medicine M100005 Acute bronchitis clinical notes
M1 General Medicine M100006 Pneumothroax clinical notes
M1 General Medicine M100007 Accelerated hypertension clinical notes
M1 General Medicine M100008 Congestive heart failure clinical notes
M1 General Medicine M100009 Severe anemia clinical notes
M1 General Medicine M100010 Diabetic ketoacidosis clinical notes
M1 General Medicine M100011 Acute febrile illness clinical notes
M1 General Medicine M100012 Acutre excaberation of COPD clinical notes
M1 General Medicine M100013 UTI clinical notes
M1 General Medicine M100014 Malaria clinical notes
M1 General Medicine M100015 Dengue fever clinical notes
M1 General Medicine M100016 Chikungunya fever clinical notes
M1 General Medicine M100017 Leptospirosis clinical notes
M1 General Medicine M100018 Enteric fever clinical notes
M1 General Medicine M100019 Pneumonia clinical notes
M1 General Medicine M100020 Acute excaberation of ILD clinical notes
M1 General Medicine M100021 Liver abscess clinical notes
M1 General Medicine M100022 Acute viral hepatitis clinical notes
M1 General Medicine M100023 Snake bite clinical notes

M1 General Medicine M100024 Acute organophosphorus clinical notes
poisoning
M1 General Medicine M100025 Other poisoning clinical notes
M1 General Medicine M100026 Pyrexia of unknown origin clinical notes
Post
Investigations
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
M1 General Medicine M100027 Pericardial/ Pleural clinical notes
tuberculosis
M1 General Medicine M100028 Systematic lupus clinical notes
erythematosus
M1 General Medicine M100029 Vasculitis clinical notes
M1 General Medicine M100030 Seizures clinical notes
M1 General Medicine M100031 Bacterial/ fungal endocarditis clinical notes
M1 General Medicine M100032 Acute inflammatory clinical notes
demyelinating polyneuropathy
M1 General Medicine M100033 Lung abscess/ Empyema clinical notes

M1 General Medicine M100034 Acute and chronic meningitis clinical notes
M1 General Medicine M100035 Viral encephalitis clinical notes
M1 General Medicine M100036 Persistent/ Chronic diarrohea clinical notes
M1 General Medicine M100037 Acute and chronic pancreatitis clinical notes
M1 General Medicine M100038 Visceral leishmaniasis clinical notes

M1 General Medicine M100039 HIV with complications clinical notes
M1 General Medicine M100040 Neuromuscular disorders clinical notes
M1 General Medicine M100041 Metabolic encephalopathy clinical notes
M1 General Medicine M100042 Sickle cell Anemia clinical notes
M1 General Medicine M100043 Poisonings with unstable vitals clinical notes
M1 General Medicine M100044 Type 1/2 respiratory failure clinical notes

M1 General Medicine M100045 Acute asthmatic attack clinical notes
M1 General Medicine M100046 Acutre excaberation of COPD clinical notes
M1 General Medicine M100047 Severe pneumonia clinical notes

M1 General Medicine M100048 Acute gastroenteritis with clinical notes
severe dehydration
M1 General Medicine M100049 Hypertensive emergencies clinical notes
M1 General Medicine M100050 Dengue hemorrhagic clinical notes
fever/Dengue shock syndrome
M1 General Medicine M100051 Complicated malaria clinical notes

M1 General Medicine M100052 Heat stroke clinical notes
M1 General Medicine M100053 Hyperosmolar Non-Ketotic clinical notes
coma
M1 General Medicine M100054 Cerebrovascular accident clinical notes
M1 General Medicine M100055 Severe sepsis/Septic shock clinical notes
M1 General Medicine M100056 Upper GI bleeding clinical notes
(conservative)
M1 General Medicine M100057 Upper GI bleeding clinical notes
(endoscopic)
M1 General Medicine M100058 Lower GI hemorrhage clinical notes
M1 General Medicine M100059 Immune mediated CNS clinical notes
disorders such as autoimmune
encephalitis
M1 General Medicine M100060 Acute transverse myelitis clinical notes
M1 General Medicine M100061 Guillian Barre Syndrome clinical notes
M1 General Medicine M100062 Hydrocephalus clinical notes
M1 General Medicine M100063 Cerebral sino-venous clinical notes
thrombosis
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
M1 General Medicine M100064 AKI/ renal failure(dialysis clinical notes
payable separately as an add
on package for )
M1 General Medicine M100065 Status epilepticus clinical notes
M1 General Medicine M100066 Status asthmaticus clinical notes
M1 General Medicine M100067 Respiratory failure due to any clinical notes
cause (pneumonia, asthma,
COPD, ARDS, foreign body,
poisoning, head injury etc.)
M1 General Medicine M100068 Blood and blood component clinical notes
transfusion
M1 General Medicine M100069 Plasmapheresis - per session clinical notes
M1 General Medicine M100070 Haemodialysis/Peritoneal clinical notes

Dialysis (only for ARF) - per
session
M1 General Medicine M100071 High end radiological clinical notes
diagnostic (CT, MRI, Imaging
including nuclear imaging) -
can only be clubbed with
medical package. Rs 5000 per
annum limit to a family
M1 General Medicine M100072 High end histopathology clinical notes

(Biopsies) and advanced
serology investigations - can
only be clubbed with medical
package. Rs 5000 per annum
limit to a family
M2 Paediatric medical M200001 Diarrhoea clinical notes

management
M2 Paediatric medical M200002 Acute dysentery clinical notes
management
M2 Paediatric medical M200003 Pneumonia clinical notes
management
M2 Paediatric medical M200004 Urinary tract infection clinical notes
management
M2 Paediatric medical M200005 Acute Exacerbation of asthma clinical notes
management
M2 Paediatric medical M200006 Acute glomerulonephritis clinical notes
management
M2 Paediatric medical M200007 Acute urticaria/ Anaphylaxis clinical notes
management acute asthma
M2 Paediatric medical M200008 Poisonings with normal vital clinical notes
management signs
M2 Paediatric medical M200009 Febrile seizures/other seizures clinical notes
management
M2 Paediatric medical M200010 Epileptic encephalopathy clinical notes
management
M2 Paediatric medical M200011 Optic neuritis clinical notes
management
M2 Paediatric medical M200012 Aseptic meningitis clinical notes
management
M2 Paediatric medical M200013 Trauma clinical notes
management
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
M2 Paediatric medical M200014 Pyrexia of unexplained origin clinical notes
management
M2 Paediatric medical M200015 Chronic cough clinical notes
management
M2 Paediatric medical M200016 Wheezing clinical notes
management
M2 Paediatric medical M200017 Unexplained seizures clinical notes
management
M2 Paediatric medical M200018 Global developmental delay/ clinical notes
management Intellectual disability of
unknown etiology
M2 Paediatric medical M200019 Dysmorphic children clinical notes
management
M2 Paediatric medical M200020 Rickets clinical notes
management
M2 Paediatric medical M200021 Unexplained severe anemia clinical notes
management
M2 Paediatric medical M200022 Short stature clinical notes
management
M2 Paediatric medical M200023 Musculoskeletal problems clinical notes
management
M2 Paediatric medical M200024 Developmental and behavioral clinical notes
management disorders
M2 Paediatric medical M200025 Diabetic ketoacidosis clinical notes
management
M2 Paediatric medical M200026 Nephrotic syndrome with clinical notes
management peritonitis
M2 Paediatric medical M200027 Pyogenic meningitis clinical notes
management
M2 Paediatric medical M200028 Persistent/ Chronic diarrhea clinical notes
management
M2 Paediatric medical M200029 Acute severe malnutrition clinical notes
management
M2 Paediatric medical M200030 Dengue clinical notes
management
M2 Paediatric medical M200031 Enteric fever clinical notes
management
M2 Paediatric medical M200032 Chikungunya clinical notes
management
M2 Paediatric medical M200033 Acute hepatitis clinical notes
management
M2 Paediatric medical M200034 Kala azar clinical notes
management
M2 Paediatric medical M200035 Tuberculosis clinical notes
management
M2 Paediatric medical M200036 HIV with complications clinical notes
management
M2 Paediatric medical M200037 Infantile cholestasis clinical notes
management
M2 Paediatric medical M200038 Haemolytic uremic syndrome clinical notes
management
M2 Paediatric medical M200039 ITP clinical notes
management
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
M2 Paediatric medical M200040 Juvenile myasthenia clinical notes
management
M2 Paediatric medical M200041 Kawasaki Disease clinical notes
management
M2 Paediatric medical M200042 Persistent pneumonia clinical notes
management
M2 Paediatric medical M200043 Empyema clinical notes
management
M2 Paediatric medical M200044 Immune haemolytic anemia clinical notes
management
M2 Paediatric medical M200045 Cyanotic spells clinical notes
management
M2 Paediatric medical M200046 Rheumatic fever clinical notes
management
M2 Paediatric medical M200047 Rheumatoid arthritis clinical notes
management
M2 Paediatric medical M200048 Encephalitis clinical notes
management
M2 Paediatric medical M200049 Chronic meningitis clinical notes
management
M2 Paediatric medical M200050 Intracranial ring enhancing clinical notes
management lesion with complication
(neurocysticercosis,
tuberculoma)
M2 Paediatric medical M200051 Refractory seizures clinical notes
management
M2 Paediatric medical M200052 Floppy infant clinical notes
management
M2 Paediatric medical M200053 Acute neuroregression clinical notes
management
M2 Paediatric medical M200054 Neuromuscular disorders clinical notes
management
M2 Paediatric medical M200055 Opsoclonus myoclonus clinical notes
management syndrome
M2 Paediatric medical M200056 Acute ataxia clinical notes
management
M2 Paediatric medical M200057 Steven Johnson syndrome clinical notes
management
M2 Paediatric medical M200058 Metabolic encephalopathy clinical notes
management
M2 Paediatric medical M200059 Ketogenic diet initiation in clinical notes
management refractory epilepsy
M2 Paediatric medical M200060 Inborn errors of metabolism clinical notes
management
M2 Paediatric medical M200061 Wilson’s disease clinical notes
management
M2 Paediatric medical M200062 Celiac disease clinical notes
management
M2 Paediatric medical M200063 Unexplained jaundice clinical notes
management
M2 Paediatric medical M200064 Unexplained clinical notes
management hepatosplenomegaly
M2 Paediatric medical M200065 Severe pneumonia clinical notes
management
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
M2 Paediatric medical M200066 Severe exacerbation of asthma clinical notes
management
M2 Paediatric medical M200067 Acute kidney injury clinical notes
management
M2 Paediatric medical M200068 Poisonings clinical notes
management
M2 Paediatric medical M200069 Serious trauma with unstable clinical notes
management vitals
M2 Paediatric medical M200070 Upper GI hemorrhage clinical notes
management
M2 Paediatric medical M200071 Lower GI hemorrhage clinical notes
management
M2 Paediatric medical M200072 Acute abdomen clinical notes
management
M2 Paediatric medical M200073 Liver abscess clinical notes
management
M2 Paediatric medical M200074 Complicated malaria clinical notes
management
M2 Paediatric medical M200075 Severe dengue with shock clinical notes
management
M2 Paediatric medical M200076 Congestive cardiac failure clinical notes
management
M2 Paediatric medical M200077 Brain abscess clinical notes
management
M2 Paediatric medical M200078 Acute encephalitic syndrome clinical notes
management
M2 Paediatric medical M200079 Acute demyelinating clinical notes
management myelopathy,
M2 Paediatric medical M200080 Immune mediated CNS clinical notes
management disorders such as autoimmune
encephalitis
M2 Paediatric medical M200081 Acute transverse myelitis clinical notes
management
M2 Paediatric medical M200082 Guillain Barre Syndrome clinical notes
management
M2 Paediatric medical M200083 Hydrocephalus clinical notes
management
M2 Paediatric medical M200084 Intracranial space occupying clinical notes
management lesion
M2 Paediatric medical M200085 Cerebral malaria clinical notes
management
M2 Paediatric medical M200086 Acute ischemic stroke clinical notes
management
M2 Paediatric medical M200087 Cerebral sino-venous clinical notes
management thrombosis
M2 Paediatric medical M200088 Respiratory failure due to any clinical notes
management causes (pneumonia, asthma,
foreign body, poisoning, head
injury etc.)
M2 Paediatric medical M200089 Acute transverse myelitis clinical notes
management
M2 Paediatric medical M200090 Acute encephalitis – clinical notes
management infectious/immune-mediated
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
M2 Paediatric medical M200091 Convulsive & non convulsive clinical notes
management status epilepticus
M2 Paediatric medical M200092 Cerebral herniation clinical notes
management
M2 Paediatric medical M200093 Intracranial hemorrhage clinical notes
management
M2 Paediatric medical M200094 Hepatic encephalopathy clinical notes
management
M2 Paediatric medical M200095 Complicated bacterial clinical notes
management meningitis
M2 Paediatric medical M200096 Raised intracranial pressure clinical notes
management
M2 Paediatric medical M200097 Hypertensive encephalopathy clinical notes
management
M2 Paediatric medical M200098 CRRT (per session) clinical notes
management
M2 Paediatric medical M200099 Blood and blood component clinical notes
management transfusion up to a limit of 2
days
M2 Paediatric medical M200100 Blood and blood component clinical notes
management transfusion for indications like
Thalassemia/Hemoglobinopath
ies - upto a limit of 2 days
M2 Paediatric medical M200101 High end radiological clinical notes

management diagnostic (CT, MRI, Imaging
including nuclear imaging) -
can only be clubbed with
medical package.
M2 Paediatric medical M200102 High end histopathology clinical notes
management (Biopsies) and advanced
serology investigations - can
only be clubbed with medical
package.
M3 Neo-natal M300001 Basic neonatal care package Blood
group,others as
required,Coombs
test,Complete
blood
count,Blood
sugar
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
M3 Neo-natal M300002 Special Neonatal Care Clinical notes on
Package (Rs. 3000 per day, diagnosis and
maximum of 18000 - pre-auth supported by
after 4 days): Babies that investigations
required admission to SNCU or Blood sugar,
NICU:Babies admitted for short Complete blood
term care for conditions like: • picture, Bilirubin,
Mild Respiratory Coombs test,
Distress/tachypnea• Mild blood group
encephalopathy • Severe
jaundice requiring intensive
phototherapy• Haemorrhagic
disease of newborn• Unwell
baby requiring monitoring•
Some dehydration•
Hypoglycaemia
Mother's stay and food in the
hospital for breastfeeding,
family centred care and
(Kangaroo Mother Care) KMC
is mandatory and included in
the package rate
M3 Neo-natal M300003 Intensive Neonatal Care Clinical notes on

Package (Rs. 5000 per day, diagnosis and
maximum of Rs. 50,000 – pre- supported by
auth is needed after 5 investigations
days)Babies with birthweight Blood sugar,
1500-1799 g Complete blood
picture, Bilirubin,
Coombs test,
blood group,
or Babies of any Serum Calcium
birthweight and at least one of and Serum
the following conditions: magnesium.
Imaging methods
• Need for and other
mechanical ventilation for less documentation
than 24 hours or non-invasive as required.
respiratory support (CPAP,
HFFNC)
• Sepsis /
pneumonia without
complications
•
Hyperbilirubinemia requiring
exchange transfusion•
Seizures• Major congenital
malformations (pre-surgical
stabilization, not requiring
ventilation)
•
Cholestasis significant enough
clinical notes
clinical notes
M3 Neo-natal M300004 Advanced Neonatal Care Clinical notes on
Package diagnosis and
supported by
investigations
Blood sugar,
Complete blood
picture, Bilirubin,
Coombs test,
blood group,
Serum Calcium
and Serum
magnesium, x-
ray chest. High
end imaging
methods and
other
documentation
as required.
M3 Neo-natal M300005 Critical Care Neonatal Clinical notes on

Package diagnosis and
supported by
investigations
Blood sugar,
Complete blood
picture, Bilirubin,
Coombs test,
blood group,
Serum Calcium
and Serum
magnesium, x-
ray chest. High
end imaging
methods and
other
documentation
as required.
M3 Neo-natal M300006 Chronic Care Package clinical notes

M3 Neo-natal M300007 High Risk Newborn Post clinical notes
Discharge Care Package
(Protocol Driven)
M3 Neo-natal M300008 Laser Therapy for Retinopathy clinical notes
of Prematurity (Irrespective of
no. of eyes affected) - per
session
M3 Neo-natal M300009 Advanced Surgery for clinical notes
Retinopathy of Prematurity
M3 Neo-natal M300010 Ventriculoperitoneal Shunt clinical notes
Surgery (VP) or Omaya
Reservoir or External Drainage
for Hydrocephalus
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
M4 Paediatric cancer M400001 Acute lymphoblastic leukemia Hematology,
(chemotherapy including Bone marrow
diagnostics): induction examination,
FISH study, CSF
cytology

diagnostics): consolidation examination,
FISH study, CSF
cytology

diagnostics): maintainence examination,
FISH study, CSF
cytology
M4 Paediatric cancer M400004 Acute lymphoblastic leukemia: Hematology,

radiation Bone marrow
examination,
FISH study, CSF
cytology
M4 Paediatric cancer M400005 Acute lymphoblastic leukemia: Hematology,

Supportive care/ rehabilitation Bone marrow
examination,
FISH study, CSF
cytology
M4 Paediatric cancer M400006 Acute myeloid leukemia Hematology,Clini

(chemotherapy including cal assessment
diagnostics): induction
M4 Paediatric cancer M400007 Acute myeloid leukemia Hematology,Clini

(chemotherapy including cal assessment
diagnostics): consolidation
M4 Paediatric cancer M400008 Acute myeloid leukemia: Clinical

Supportive care/ rehabilitation assessment and
investigations
Physical
examination, Blood
investigations,
Bone marrow
examination,
Clinical
Photograph
Physical
examination, Blood
investigations,
Bone marrow
examination,
Clinical
Photograph
Physical
examination, Blood
investigations,
Bone marrow
examination,
Clinical
Photograph
Physical
examination, Blood
investigations,
Bone marrow
examination,
Clinical
Photograph
Physical
examination, Blood
investigations,
Bone marrow
examination,
Clinical
Photograph
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
M4 Paediatric cancer M400009 Hodgkin Lymphoma CT,Biopsy
(Favorable group)
(chemotherapy including
diagnostics): induction
M4 Paediatric cancer M400010 Hodgkin Lymphoma Clinical
(Favorable group): radiation assessment and
investigations
(Favorable group): Supportive assessment and
care/ rehabilitation investigations
M4 Paediatric cancer M400012 Hodgkin Lymphoma CT,Biopsy
(unfavorable group):
chemotherapy including
diagnostics
(unfavorable group): radiation assessment and
investigations
(unfavorable group): assessment and
Supportive care/ rehabilitation investigations
M4 Paediatric cancer M400015 Non-Hodgkin Lymphoma: CT,Biopsy
chemotherapy including
diagnostics
M4 Paediatric cancer M400016 Non-Hodgkin Lymphoma: Clinical

Supportive care/ rehabilitation assessment and
investigations
M4 Paediatric cancer M400017 Retinoblastoma (Intraocular): Clinical
chemotherapy including assessment and
diagnostics investigations

radiation assessment and
investigations
surgery assessment and
investigations
supportive care/ rehabilitation assessment and
investigations
M4 Paediatric cancer M400021 Retinoblastoma (extraocular): Clinical
chemotherapy including assessment and
diagnostics investigations

radiation assessment and
investigations
supportive care/ rehabilitation assessment and
investigations
M4 Paediatric cancer M400024 Brain tumors: chemotherapy Clinical
including diagnostics assessment and
investigations
Chemotherapy
drug batch number
with bar code
Data of RT
treatment plan &
dose
Clinical
assessment and
investigations
Chemotherapy
drug batch number
with bar code
Data of RT
treatment plan &
dose
Clinical
assessment and
investigations
Chemotherapy
drug batch number
with bar code
Clinical
assessment and
investigations
Chemotherapy
drug batch number
with bar code
Data of RT
treatment plan &
dose
Clinical
assessment and
investigations
Clinical
assessment and
investigations
Chemotherapy
drug batch number
with bar code
Clinical
assessment and
investigations
Clinical
assessment and
investigations
Chemotherapy
drug batch number
with bar code
M4 Paediatric cancer M400025 Brain tumors: radiation Clinical
assessment and
investigations
M4 Paediatric cancer M400026 Brain tumors: surgery CT
M4 Paediatric cancer M400027 Brain tumors: supportive care/ Clinical

rehabilitation assessment and
investigations
M4 Paediatric cancer M400028 Wilms tumors: chemotherapy Biopsy,CT
including diagnostics
M4 Paediatric cancer M400029 Wilms tumors: radiation Clinical

assessment and
investigations
M4 Paediatric cancer M400030 Wilms tumors: surgery Clinical
assessment and
investigations
M4 Paediatric cancer M400031 Histiocytosis: chemotherapy CT,Biopsy
M4 Paediatric cancer M400032 Histiocytosis: supportive care/ Clinical

rehabilitation assessment and
investigations
M4 Paediatric cancer M400033 Bone tumors/soft tissue Biopsy , CT-Scan
sarcomas : chemotherapy ,X-ray

sarcomas : radiation ,X-ray

sarcomas : surgery (inlcuding ,X-ray
prosthesis)
sarcomas : supportive care/ ,X-ray
rehabilitation
M4 Paediatric cancer M400037 Chronic Myeloid Leukemia : Bone Marrow
chemotherapy including aspiration
diagnostics cytology
M4 Paediatric cancer M400038 Chronic Myeloid Leukemia : Bone Marrow

supportive care/ rehabilitation aspiration
cytology
M5 Medical Oncology M500001 Lymphoma, Non-Hodgkin’sR- CT,Biopsy

CHOP Regimen (per cycle) x 6
Data of RT
treatment plan &
dose
Histopathological
report,CT
Clinical
assessment and
investigations
Chemotherapy
drug batch number
with bar
code,Clinical
assessment and
investigations
Data of RT
treatment plan &
dose
Clinical
assessment and
investigations
Chemotherapy
drug batch number
with bar code
Clinical
assessment and
investigations
Chemotherapy
drug batch number
with bar code
Data of RT
treatment plan &
dose
Clinical
assessment and
investigations
Clinical
assessment and
investigations
CBC with
periphersl
smear/bone
marrow cytology
CBC with
periphersl
smear/bone
marrow cytology
Chemotherapy
drug batch number
with bar code
M5 Medical Oncology M500002 Multiple MyelomaBortezomib+ Clinical
lenalidomide+ dexamethasone, assessment
per cycle x6
M5 Medical Oncology M500003 Multiple MyelomaBortezomib+ Clinical

cyclophosphamide+ assessment
dexamethasone, per cycle x 6
M5 Medical Oncology M500004 Multiple MyelomaMPT - Clinical

melphalan, thalidomide and assessment
prednisolone, per cycle x 9
M5 Medical Oncology M500005 Multiple MyelomaBortezomib + Clinical

dexamethasone, per cycle x 9 assessment
M5 Medical Oncology M500006 Multiple Clinical

MyelomaThalidomide+Dexame assessment
thasone(Oral)/ month - max 12
months
M5 Medical Oncology M500007 Colon Rectum5-Fluorouracil- CT,Biopsy
Oxaliplatin - Leucovorin
(FOLFOX) - Max. 6 cycles (Per
cycle)
M5 Medical Oncology M500008 Bone Tumors/Osteosarcoma/ Biopsy,CT
Hepatoblastoma
-OperableCisplatin/carboplatin
- Adriamycin- max 6 cycles
(Per cycle)
M5 Medical Oncology M500009 Lymphoma, Biopsy,CT
Hodgkin'SAdriamycin
Bleomycin
VinblastinDacarbazine (ABVD)
- max 8 cycles (Per cycle) (Day
1 & Day 15)
M5 Medical Oncology M500010 CervixCisplatin/Carboplatin CT,Biopsy

(AUC2) along with RT- max 6
cycles (Per cycle)
M5 Medical Oncology M500011 Neuroblastoma Stage I – Biopsy,CT

IIIVariable Regimen –
Neuroblastoma - max 1 year
(Per cycle)
M5 Medical Oncology M500012 Wilm'sTumorSIOP/National CT,Biopsy
Wilms Tumour Study Group
(NWTS) regimen(Stages I - V)-
max 6 months (Per month) -
Wilm's tumour
M5 Medical Oncology M500013 Colon - rectumMonthly 5-FU CT,Biopsy
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
M5 Medical Oncology M500014 BreastPaclitaxel weekly x 12 CT,Biopsy
weeks
M5 Medical Oncology M500015 BreastCyclophosphamide/Meth CT,Biopsy

otrexate/5Fluorouracil (CMF)
(Per cycle)
M5 Medical Oncology M500016 BreastTamoxifen tabs - Biopsy,CT

maximum 12 cycles (Per
month)
M5 Medical Oncology M500017 BreastAdriamycin/Cyclophosph Biopsy,CT

amide (AC) – per cycle
(Maximum 4 cycles)
M5 Medical Oncology M500018 Breast5- Fluorouracil A-C Biopsy,CT

(FAC) – per cycle (Maximum 6
cycles)
M5 Medical Oncology M500019 BreastAC (AC Then Taxol) CT,Biopsy
M5 Medical Oncology M500020 Small Cell Lung Biopsy,CT

CancerCisplastin/Etoposide
(IIIB) – per cycle (Max. 6
cycles only)
M5 Medical Oncology M500021 Oncology oesophagusCisplatin CT,Biopsy
+ 5 FU(Neoadjuvant
Chemotherapy)/Adjuvant
(ADJ)- per cycle (Max. of 6
cycles only)
M5 Medical Oncology M500022 Stomach Docetaxel Biopsy,CT

+Oxaliplatin+5FU (per cycle)
M5 Medical Oncology M500023 BreastAromatase Inhibitors Biopsy,CT

(Anastazole/Letrozole/Exemest
ane) - maximum 12 cycles (Per
month)
M5 Medical Oncology M500024 Urinary BladderWeekly CT,Biopsy
Cisplatin/Carboplatin- max 6
cycles with RT (Per week)
M5 Medical Oncology M500025 Urinary CT,Biopsy

BladderMethotraxateVinblastin
Adriamycin Cyclophosphamide
(MVAC)
M5 Medical Oncology M500026 RetinoblastomaCarbo/Etoposid CT,Biopsy
e/Vincristine-max 6 cycles (Per
cycle)
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
M5 Medical Oncology M500027 Febrile NeutropeniaIV Biopsy,CT
antibiotics and other supportive
therapy (Per episode)
M5 Medical Oncology M500028 Vaginal/ Vulval Biopsy,CT

CancerCisplastin/5-FU
M5 Medical Oncology M500029 OvaryTaxol + Carboplatin-max CT,Biopsy

6 cycles (Per cycle)
M5 Medical Oncology M500030 Multiple MyelomaMelphalan Clinical

-Prednisone (oral) – per month assessment
(max 12 months) - Ovarian
CA, Bone CA
M5 Medical Oncology M500031 Rectal Cancer Stage 2 And Biopsy,CT
3Gemcitabine +capecitabine-
15,000 per cycle for 6 cycles
M5 Medical Oncology M500032 Multiple MyelomaZoledronic Biopsy,CT

acid - Max 12 cycles (Per
month)
M5 Medical Oncology M500033 Gestational Trophoblast Ds. CT,Beta - HCG

High RiskEtoposide- report
Methotrexate-Actinomycin /
Cyclophosphamide -Vincristine
(EMA-CO)-max 6 cycles (Per
cycle)
M5 Medical Oncology M500034 Gestational Trophoblast Ds. CT,Beta - HCG

Low RiskActinomycin- max 10 report
cycles (Per cycle)
M5 Medical Oncology M500035 Gestational Trophoblast Ds. Beta - HCG

Low RiskWeekly Methotrexate report,CT
(Per week) max. 10 cycles
M5 Medical Oncology M500036 Ovary Germ Cell Biopsy,CT

TumourBleomycin-Etoposide-
Cisplatin (BEP) - max cycles 4
(Per cycle)
M5 Medical Oncology M500037 ProstateHormonal Therapy - Biopsy,CT
Per month
M5 Medical Oncology M500038 TestisBleomycin-Etoposide- CT,Biopsy

Cisplatin (BEP) regimen for
germ cell tumour - max cycles
4 (Per cycle)
M5 Medical Oncology M500039 Acute Myeloid Hematology,Clini
LeukemiaInduction Phase, up cal assessment
to (Daunomycin and cytosine
arabinoside (3:7))
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
M5 Medical Oncology M500040 Acute Myeloid Hematology,Clini
LeukemiaConsolidation Phase, cal assessment
up to (High dose cytosine
arabinoside – per cycle, max.
of 3 to 4 cycles)
M5 Medical Oncology M500041 HistocytosisVariable Regimen- CT,Biopsy
Histocyosis-max 1 year (Per
month)
M5 Medical Oncology M500042 RhabdomyosarcomaVincristine CT,Biopsy

-Actinomycin-
Cyclophosphamide (VACTC)
based chemo - max 1 year
(Per month) -
Rhabdomyosarcoma
M5 Medical Oncology M500043 Ewing’s SarcomaVariable Biopsy,CT

Regimen Inv - Hematology,
Biopsy – Payable
M5 Medical Oncology M500044 Unlisted RegimenPalliative CT- Biopsy,CT

Max 6 cycles (Per cycle)
M5 Medical Oncology M500045 Terminally IllPalliative And Clinical Notes

Supportive Therapy - Per
month
M5 Medical Oncology M500046 Acute Lymphatic Clinical

LeukemiaMaintenance Phase - assessment,Hem
Per month (x 24) atology

LeukemiaInduction assessment,Hem
atology

LeukemiaConsolidation Phase assessment,Hem
atology
M5 Medical Oncology M500049 Head and NeckTab Biopsy,CT

Geftinib/Erlotinib-Max 1 Year
(Per month)
M5 Medical Oncology M500050 Renal cell carcinomaSunitinib/ CT,Biopsy

Pazopanib (per day)
M5 Medical Oncology M500051 Chronic myeloid Bone Marrow

leukemiaImatinib (per month) x Aspiration Report
5 years
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar
code,Clinical Notes
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
Chemotherapy
drug batch number
with bar code
M5 Medical Oncology M500052 Gall Bladder CT/Biopsy
CancerGemcitabine + cisplatin
(per cycle) – for 6 cycles
M6 Radiation Oncology M600001 Cobalt 60 External Beam CT,Blood

Radiotherapy test,Biopsy
(Radical/Adjuvant /
Neoadjuvant)
M6 Radiation Oncology M600002 Cobalt 60 External Beam Blood
Radiotherapy (Palliative) test,CT,Biopsy
M6 Radiation Oncology M600003 Linear Accelerator External CT,Blood
Beam Radiotherapy test,Biopsy
(Palliative)
M6 Radiation Oncology M600004 Linear Accelerator, External CT,Biopsy,Blood
Beam Radiotherapy 3D test
CRT/2D Planning
(Radical/Adjuvant/
Neoadjuvant)
M6 Radiation Oncology M600005 Linear Accelerator, External Biopsy,Blood
Beam Radiotherapy IMRT test,CT
(Intensity Modulated
Radiotherapy)
(Radical/Adjuvant/Neoadjuvant
)
M6 Radiation Oncology M600006 Linear Accelerator External Blood

Beam Radiotherapy IGRT test,CT,Biopsy
(Image Guided radiotherapy)
(Radical/Adjuvant/Neoadjuvent
)
M6 Radiation Oncology M600007 SRT(Stereota1036ic CT,Biopsy,Blood
radiotherapy) test
M6 Radiation Oncology M600008 SRS (Streotactic radiosurgery) Blood
test,Biopsy,CT
M6 Radiation Oncology M600009 Respiratory Gating along with Biopsy,CT,Blood
Linear Accelerator planning test
M6 Radiation Oncology M600010 Electron beam with Linear Blood
accelerator (Radical) test,Biopsy,CT
M6 Radiation Oncology M600011 Tomotherapy(Radical/Adjuvant/ Biopsy,CT,Blood
Neoadjuvant) test
M6 Radiation Oncology M600012 Brachytherapy High Dose CT,Biopsy,Blood
Radiation (Intracavitory) - per test
fraction, maximum of 4
sessions
M6 Radiation Oncology M600013 Brachytherapy High Dose CT,Biopsy,Blood
Radiation (Interstitial) - for one test
application, multiple dose
M6 Radiation Oncology M600014 Brachytherapy High Dose Biopsy,Blood

Radiation (Intraluminal) - per test,CT
fraction, maximum 4 sessions
Chemotherapy
drug batch number
with bar code
M7 Emergency Room M700001 Emergency with stable ECG with
Packages (Care cardiopulmonary status report,X Ray
requiring less than 12
hrs stay)
M7 Emergency Room M700002 Emergency consultation: acute Blood test
Packages (Care colic, high fever, cut, stitches,
requiring less than 12 soft tissue injury, FB removal
hrs stay)
M7 Emergency Room M700003 Single bone fracture plaster, Blood test
Packages (Care nebulization for asthmatic
requiring less than 12 attack, moderate dehydration,
hrs stay) hypoglycaemia in a diabetic,
Dengue without complication,
Syncope, Food poisoning etc
M7 Emergency Room M700004 Animal bites (Payment after Brain and spinal
Packages (Care completion of 5th dose) cord MRI
requiring less than 12
hrs stay)
M8 Mental Disorders M800001 Organic, including Clinical
Packages symptomatic, mental disorders assessment and
(routine ward) investigations
M8 Mental Disorders M800002 Mental and Behavioural Clinical

Packages disorders due to psychoactive assessment and
substance use (routine ward) investigations
M8 Mental Disorders M800003 Schizophrenia, schizotypal and Clinical

Packages delusional disorders (routine assessment and
ward) investigations
M8 Mental Disorders M800004 Mood (affective) disorders Clinical

Packages (routine ward) assessment and
investigations
M8 Mental Disorders M800005 Neurotic, stress-related and Clinical

Packages somatoform disorders (routine assessment and
ward) investigations
M8 Mental Disorders M800006 Behavioural syndromes Clinical

Packages associated with physiological assessment and
disturbances and physical investigations
factors (routine ward)
M8 Mental Disorders M800007 Mental retardation (routine Clinical

Packages ward) assessment and
investigations
X Ray,ECG with
report
clinical notes
clinical notes
Antirabies
register,Stock
register
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
M8 Mental Disorders M800008 Organic, including Clinical
Packages symptomatic, mental disorders assessment
(HDU) report / Risk
Assessment +
Investigation
M8 Mental Disorders M800009 Mental and Behavioural Clinical
Packages disorders due to psychoactive assessment
substance use (HDU) report / Risk
Assessment +
Investigation
M8 Mental Disorders M800010 Schizophrenia, schizotypal and Clinical
Packages delusional disorders (HDU) assessment
report / Risk
Assessment +
Investigation
M8 Mental Disorders M800011 Mood (affective) disorders Clinical
Packages (HDU) assessment
report / Risk
Assessment +
Investigation
M8 Mental Disorders M800012 Neurotic, stress-related and Clinical
Packages somatoform disorders (HDU) assessment
report / Risk
Assessment +
Investigation
M8 Mental Disorders M800013 Behavioural syndromes Clinical
Packages associated with physiological assessment
disturbances and physical report / Risk
factors (HDU) Assessment +
Investigation
M8 Mental Disorders M800014 Mental Retardation (HDU) Clinical
Packages assessment
report / Risk
Assessment +
Investigation
M8 Mental Disorders M800015 Pre- Electro Convulsive Clinical
Packages Therapy (ECT) and Pre- assessment
Transcranial Magnetic
Stimulation (TMS) Package
(Cognitive Tests, Complete
Haemogram, Liver Function
Test, Renal Function Test,
Serum Electrolytes, Electro
Cardiogram (ECG), CT/MRI
Brain, Electroencephalogram,
Thyroid Function Test, VDRL,
HIV Test, Vitamin B12 levels,
Folate levels, Lipid Profile,
Homocysteine levels)
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
M8 Mental Disorders M800016 Electro Convulsive Therapy Clinical
Packages (ECT) - per session assessment
M8 Mental Disorders M800017 Transcranial Magnetic Clinical

Packages Stimulation (TMS) - per assessment
session
S1 General Surgery S100001 Adventious Burse – Excision Clinical notes +

USG
S1 General Surgery S100002 Anterior Resection for CA USG/Colonoscop
y/CT/Biopsy
S1 General Surgery S100003 Appendicectomy USG/CT
S1 General Surgery S100004 Appendicular Abscess – USG/CT
Drainage
S1 General Surgery S100005 Arteriovenous (AV) USG/Color
Malformation of Soft Tissue droppler
Tumour - Excision
S1 General Surgery S100006 Bakers Cyst – Excision Clinical notes +
USG
S1 General Surgery S100007 Bilateral Inguinal block USG/CT/FNAC
dissection
S1 General Surgery S100008 Bleeding Ulcer - Gastrectomy USG/CT
& vagotomy
S1 General Surgery S100009 Bleeding Ulcer - Partial USG/CT
Gastrectomy
S1 General Surgery S100010 Block dissection Cervical Biopsy, Clinical
Nodes Photograph, CT
scan
S1 General Surgery S100011 Branchial Fistula USG/CT/FNAC
S1 General Surgery S100012 Breast Lump - Left – Excision USG/CT
S1 General Surgery S100013 Breast Lump - Right – Excision USG/FNAC
S1 General Surgery S100014 Branchial Cyst USG/FNAC

S1 General Surgery S100015 Bursa – Excision USG/FNAC
S1 General Surgery S100016 Bypass - Inoperable Pancreas USG/CT
S1 General Surgery S100017 Cervial Lymphnodes – Excision USG/FNAC
S1 General Surgery S100018 Colostomy USG/CT/Xray

S1 General Surgery S100019 Cyst over Scrotum – Excision clinical notes
S1 General Surgery S100020 Cystic Mass – Excision clinical notes
S1 General Surgery S100021 Dermoid Cyst - Large – clinical notes

Excision
Clinical
assessment&
Report/ Mental
Status
Examination
Clinical
assessment&
Report/ Mental
Status
Examination
HP/USG
HP/USG
HP/USG
HP/USG
HP/USG
HP/USG
HP/USG
Clinical notes +
USG
Clinical notes +
USG
Biopsy, Clinical
Photograph, CT
scan
HP/USG
HP/USG
HP/USG
HP/USG
HP/USG
HP/USG
HP/USG
HP/USG
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
S1 General Surgery S100022 Dermoid Cyst - Small – clinical notes
Excision
S1 General Surgery S100023 Drainage of Ischio Rectal clinical notes

Abscess
S1 General Surgery S100024 Incision and Drainage of large clinical notes

Abscess
S1 General Surgery S100025 Drainage of Psoas Abscess USG/CT
S1 General Surgery S100026 Drainage of Subdiaphramatic USG/CT

Abscess
S1 General Surgery S100027 Drainage Pericardial Effusion USG/CT
S1 General Surgery S100028 Duodenal Diverticulum USG/CT/UGI
S1 General Surgery S100029 Duodenal Jejunostomy USG/CT
S1 General Surgery S100030 Duplication of Intestine USG/CT

S1 General Surgery S100031 Hydrocele + Orchidectomy Clinical notes +
USG
S1 General Surgery S100032 Epidedectomy Clinical notes +
USG
S1 General Surgery S100033 Epididymal Swelling –Excision USG/FNA
S1 General Surgery S100034 Epidymal Cyst USG/FNA
S1 General Surgery S100035 Evacuation of Scrotal Clinical notes +

Hematoma USG
S1 General Surgery S100036 Excision Benign Tumor -Small USG/CT

intestine
S1 General Surgery S100037 Excision Bronchial Sinus USG/CT
S1 General Surgery S100038 Drainage of liver Abscess USG/CT
S1 General Surgery S100039 Excision Filarial Scrotum Clinical notes +

USG
S1 General Surgery S100040 Excision Mammary Fistula Clinical notes +

USG
S1 General Surgery S100041 Excision Meckel's Diverticulum USG/CT

Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HP
HP
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HP
HP
Clinical notes +
USG
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HP
S1 General Surgery S100042 Excision Pilonidal Sinus clinical notes
S1 General Surgery S100043 Excision Small Intestinal USG/CT

Fistula
S1 General Surgery S100044 Excision of Growth from Biopsy
Tongue only
S1 General Surgery S100045 Excision of Growth from Biopsy
Tongue with neck node
dissection
S1 General Surgery S100046 Excision of Swelling in Right clinical notes
Cervical Region
S1 General Surgery S100047 Excision of Large Swelling in clinical notes

Hand
S1 General Surgery S100048 Excision of Small Swelling in clinical notes

Hand
S1 General Surgery S100049 Excision of Neurofibroma clinical notes
S1 General Surgery S100050 Exicision of Sinus and clinical notes

Curettage
S1 General Surgery S100051 Fibroadenoma – Bilateral Clinical notes +

USG
S1 General Surgery S100052 Fibrodenoma – Unilateral Clinical notes +
USG
S1 General Surgery S100053 Fissurectomy clinical notes
S1 General Surgery S100054 Fissurectomy and clinical notes

Haemorrhoidectomy
S1 General Surgery S100055 Eversion of Hydrocele Sac – clinical notes
Bilateral
S1 General Surgery S100056 Eversion of Hydrocele Sac – clinical notes
Unilateral
S1 General Surgery S100057 Fissurectomy with clinical notes
Sphincterotomy
S1 General Surgery S100058 Foreign Body Removal in Deep Pre-op. X-ray
Region requiring GA
S1 General Surgery S100059 Fundoplication UGI/Clinical
notes
S1 General Surgery S100060 G J Vagotomy/ Vagotomy + UGI/Clinical
Pyloroplasty notes
S1 General Surgery S100061 Ganglion - large – Excision clinical notes
S1 General Surgery S100062 Ganglion - Small – Excision clinical notes
S1 General Surgery S100063 Gastrojejunostomy clinical notes
S1 General Surgery S100064 Gastrostomy clinical notes

Operative notes
with steps of
surgery
HP
HP
HP
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HP
HP
Operative notes
with steps of
surgery
Clinical notes +
USG
Clinical notes +
USG
Clinical notes +
USG
Clinical notes +
USG
Clinical notes +
USG
Clinical notes +
USG
Clinical notes +
USG
Clinical notes +
USG
Clinical notes +
USG
Clinical notes +
USG
Clinical notes +
USG
S1 General Surgery S100065 Graham's Operation for X-ray
duodenal perforation abdomen/USG
S1 General Surgery S100066 Granuloma – Excision clinical notes
S1 General Surgery S100067 Haemangioma – Excision USG/doppler

(large)
S1 General Surgery S100068 Haemangioma – Excision USG/doppler
(small)
S1 General Surgery S100069 Haemorrhage of Small USG/CT
Intestine
S1 General Surgery S100070 Hepatic Resection (lobectomy) USG/CT
S1 General Surgery S100071 Hernia – Epigastric Clinical notes +

USG
S1 General Surgery S100072 Hernia – Incisional Clinical notes +
USG
S1 General Surgery S100073 Hernia - Repair & release of X-RAY/USG
obstruction
S1 General Surgery S100074 Hernia – Umbilical USG Abdomen,
Clinical
Photograph
S1 General Surgery S100075 Hernia – Femoral clinical notes
S1 General Surgery S100076 Hernioplasty – Inguinal X Ray,USG

Abdomen,
Clinical
Photograph,Clinic
al notes + USG
S1 General Surgery S100077 Herniorraphy USG/CT
S1 General Surgery S100078 Hiatus Hernia – abdominal USG Abdomen,

LFT(liver function
tests)
S1 General Surgery S100079 Hydatid Cyst of Liver clinical notes
S1 General Surgery S100080 Hydrocele - Excision – clinical notes

Unilateral
S1 General Surgery S100081 Hydrocele - Excision – Bilateral USG/CT
S1 General Surgery S100082 IlieoSigmoidostomy clinical notes
S1 General Surgery S100083 Infected Bunion Foot – USG/ BIOPSY

Excision
S1 General Surgery S100084 Inguinal Node (dissection) - Abdomen

Unilateral Radiograph
Supine Or
Erect,USG
Abdomen
Clinical notes +
USG
Clinical notes +
USG
HP
HP
clinical notes
HP
Clinical notes +
USG
Clinical notes +
USG
clinical notes
USG/CT
Mesh Sticker,OT
notes
Mesh Sticker,OT
notes
Operative notes
with steps of
surgery
USG/CT
Routine
Histopathological
Examination, USG
Abdomen
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Clinical notes +
USG
Operative notes
with steps of
surgery
HPE, Clinical photo
S1 General Surgery S100085 Intestinal perforation USG/ X-RAY
S1 General Surgery S100086 Intestinal Obstruction USG/CT
S1 General Surgery S100087 Intussusception Barium meal,

Upeer GI
Endoscopy
S1 General Surgery S100088 Jejunostomy X-RAY/USG
S1 General Surgery S100089 Gastric Perforation USG/ X-RAY
S1 General Surgery S100090 Intestinal Perforation Clinical notes +

(Resection Anastomosis) USG
S1 General Surgery S100091 Appendicular Perforation X-RAY/USG
S1 General Surgery S100092 Burst Abdomen Obstruction X-RAY/USG
S1 General Surgery S100093 Closure of Hollow Viscus clinical notes

Perforation
S1 General Surgery S100094 Laryngectomy & Pharyngeal Clinical notes +
Diverticulum (Throat) USG
S1 General Surgery S100095 Ileostomy clinical notes
S1 General Surgery S100096 Lipoma excision USG/CT
S1 General Surgery S100097 Loop Colostomy Sigmoid FNAC, Chest X-

Ray PA View,X-
Ray
Mammogram,
Clinical
Photograph,
USG Abdomen
S1 General Surgery S100098 Mastectomy clinical notes

S1 General Surgery S100099 Mesenteric Cyst – Excision USG/ BIOPSY
S1 General Surgery S100100 Mesenteric Caval Anastomosis CT
S1 General Surgery S100101 Microlaryngoscopic Surgery UGI Endo

S1 General Surgery S100102 Oeshophagoscopy for foreign USG/CT/UGI
body removal
S1 General Surgery S100103 Oesophagectomy USG/doppler
S1 General Surgery S100104 Portal Hypertension shunt USG/ X-RAY
surgery
S1 General Surgery S100105 Pelvic Abscess - Open USG/CT
Drainage
S1 General Surgery S100106 PancreaticoDuodenectomy USG/CT
S1 General Surgery S100107 Distal Pancreatectomy with clinical notes
PancreaticoJejunostomy
S1 General Surgery S100108 Papilloma Rectum – Excision clinical notes
Clinical photograph
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Barium Study
HPE, Clinical photo
HP
HP
Clinical photo, X-
RAY
HPE, Clinical photo
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
clinical and/or
relevant imaging
photographs
HPE report
HP/USG
USG/ BIOPSY
Biopsy report
HP
HP
HP/USG
Clinical notes +
USG
HP/USG
HP/USG
Operative notes
with steps of
surgery
S1 General Surgery S100109 Haemorroidectomy+ Biopsy, Clinical
Fistulectomy Photograph, CT
scan
S1 General Surgery S100110 Growth in the Scalp – Excision CT/ USG/Upper
GI Endoscopy
S1 General Surgery S100111 Porto Caval Anastomosis CT/ USG/Upper
GI Endoscopy
S1 General Surgery S100112 Pyeloroplasty USG/X-ray/FNAC
S1 General Surgery S100113 Radical Mastectomy USG/X-ray/FNAC
S1 General Surgery S100114 Radical Neck Dissection – Clinical notes +

Excision USG
S1 General Surgery S100115 Hernia – Spigelian clinical notes
S1 General Surgery S100116 Rectal Dilation clinical notes
S1 General Surgery S100117 Prolapse of Rectal Mass – clinical notes

Excision
S1 General Surgery S100118 Rectopexy clinical notes
S1 General Surgery S100119 Repair of Common Bile Duct USG/ CT/Biopsy
S1 General Surgery S100120 Resection Anastomosis (Large USG/ CT/Biopsy

Intestine)
S1 General Surgery S100121 Resection Anastomosis (Small USG/CT
Intestine)
S1 General Surgery S100122 Retroperitoneal Tumor –
Excision
S1 General Surgery S100123 Haemorroidectomy USG/FNAC,USG/
CT
S1 General Surgery S100124 Salivary Gland – Excision FNAC
S1 General Surgery S100125 Segmental Resection of Breast clinical notes
S1 General Surgery S100126 Scrotal Swelling (Multiple) – USG/CT

Excision
S1 General Surgery S100127 Sigmoid Diverticulum USG/ X-RAY
S1 General Surgery S100128 Simple closure - Peptic

perforation
S1 General Surgery S100129 Sinus – Excision USG
pelvis,Clinical
photo showing
scar
Operative notes
with steps of
surgery
HPE, Clinical photo
CT Angio Report
Barium meal/ USG

Abdomen
HP
HP/USG
Clinical photograph
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HPE, Clinical photo
HPE, Clinical photo
HP/USG
Histopathological
report
HP
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HPE, Clinical photo
Clinical photo
showing
scar,Histopathologi
cal report
S1 General Surgery S100130 Soft Tissue Tumor (small) – clinical
Excision notes,Mesh
Sticker,OT
notes,Operative
notes with steps
of surgery
S1 General Surgery S100131 Soft Tissue Tumor (large) – USG/CT,clinical

Excision notes,Operative
notes with steps
of surgery,Mesh
Sticker,OT notes
S1 General Surgery S100132 Splenectomy clinical notes

S1 General Surgery S100133 Submandibular Lymph node – FNAC
Excision
S1 General Surgery S100134 Submandibular Mass Excision clinical notes

+ Reconstruction
S1 General Surgery S100135 Swelling in foot (small) – clinical notes

Excision
S1 General Surgery S100136 Swelling in foot (large) – COLONOSCOPY

Excision /CT
S1 General Surgery S100137 Coloectomy – Total USG/CT
S1 General Surgery S100138 Pharyngectomy& CT/MRI

Reconstruction – Total
S1 General Surgery S100139 Tracheal Stenosis (End to end CT/MRI
Anastamosis) (Throat)
S1 General Surgery S100140 Tracheoplasty (Throat) Clinical notes +

USG
S1 General Surgery S100141 Umbilical Sinus – Excision Doppler Report

S1 General Surgery S100142 Varicose Veins - Excision and Clinical notes +
Ligation USG
S1 General Surgery S100143 Vasovasostomy
S1 General Surgery S100144 Volvlous of Large Bowel Mesh Sticker,OT

notes,Operative
notes with steps
of surgery,clinical
notes,PRE OP
CLINICAL
PICTURE
S1 General Surgery S100145 Cleft lip operation PRE OP

CLINICAL
PICTURE
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
HP/USG
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HPE, Clinical photo
HP/USG
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
Clinical photograph
S1 General Surgery S100146 Cleft palate repair (for each PRE OP
stage) CLINICAL
PICTURE
S1 General Surgery S100147 Cleft lip & palate operation (for CT Angio Report
each stage)
S1 General Surgery S100148 Aneurysm not Requiring CT Angio Report
Bypass Techniques t
S1 General Surgery S100149 Aneurysm Resection &
Grafting
S1 General Surgery S100150 Arterial Embolectomy USG/CT
S1 General Surgery S100151 Carotid artery aneurysm repair USG/CT
S1 General Surgery S100152 Carotid Body tumour - Excision USG/CT
S1 General Surgery S100153 Cholecystectomy & Exploration USG/CT/FNAC

of CBD
S1 General Surgery S100154 Cholecystostomy USG/CT/FNAC
S1 General Surgery S100155 Congential Arteriovenus Fistula X Ray,USG/CT

(large)
S1 General Surgery S100156 Congential Arteriovenus Fistula USG/CT,X Ray

(small)
S1 General Surgery S100157 Decortication (Pleurectomy) Operative notes
with steps of
surgery,clinical
notes
S1 General Surgery S100158 Dissecting Aneurysms Operative notes
with steps of
surgery,clinical
notes
S1 General Surgery S100159 Distal Abdominal Aorta repair Operative notes
with steps of
surgery,clinical
notes
S1 General Surgery S100160 Estlander Operation (lip) USG/CT,Doppler
Report
S1 General Surgery S100161 Excision and Skin Graft of
Venous Ulcer
S1 General Surgery S100162 Excision of Parathyroid clinical

Adenoma/Carcinoma notes,USG/CT
S1 General Surgery S100163 Flap Reconstructive Surgery clinical notes
S1 General Surgery S100164 Split thickness skin grafts – clinical notes

Small (< 4% TBSA)
Clinical photograph
Clinical photograph
CT Angio Report
HPE report
Histopathological
report,USG pelvis
USG
pelvis,Histopatholo
gical report
USG
pelvis,Histopatholo
gical report
USG
pelvis,Histopatholo
gical report
USG
pelvis,Histopatholo
gical report
USG
pelvis,Histopatholo
gical report
Histopathological
report,USG pelvis
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Histopathological
report
Operative notes
with steps of
surgery
Histopathological
report
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Medium (4 - 8% TBSA)

Large (> 8% TBSA)
S1 General Surgery S100167 Free Grafts - Wolfe Grafts USG/FNAC
S1 General Surgery S100168 Hemi thyroidectomy USG/FNAC

S1 General Surgery S100169 Total thyroidectomy
S1 General Surgery S100170 Laparoscopic Hernia Repair X Ray,USG
Abdomen,
Clinical
Photograph,USG
/CT
S1 General Surgery S100171 Lap. Assisted left Hemi USG/CT
colectomy t
S1 General Surgery S100172 Lap. Assisted Right Hemi
colectomy t
S1 General Surgery S100173 Lap. Assisted small bowel USG/CT,USG,CB
resection C,Sugar,Viral
markers
S1 General Surgery S100174 Lap. Assisted Total Colectomy USG/CT
S1 General Surgery S100175 Lap. Cholecystectomy & CBD

exploration
S1 General Surgery S100176 Lap. For intestinal obstruction USG/CT,USG,CB
C,Sugar,Viral
markers
S1 General Surgery S100177 Lap. Hepatic resection USG/CT
S1 General Surgery S100178 Lap. Hydatid of liver surgeryUSG/CT
S1 General Surgery S100179 Laparoscopic Adhesinolysis Clinical notes +
USG
S1 General Surgery S100180 Laparoscopic Appendicectomy Clinical notes +
USG
S1 General Surgery S100181 Laparoscopic Cholecystectomy
S1 General Surgery S100182 Laparoscopic USG,CBC,Sugar,

cystogastrostomy Viral markers
S1 General Surgery S100183 Laparoscopic Gastrostomy USG/CT/UGI,US

G,CBC,Sugar,Vir
al markers
S1 General Surgery S100184 Laparoscopic Hiatus Hernia
Repair
S1 General Surgery S100185 Laparoscopic Pyloromyotomy Clinical notes +

USG,USG,CBC,
Sugar,Viral
markers
S1 General Surgery S100186 Laparoscopic Rectopexy Clinical notes +
USG
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HP/USG
HP/USG
Mesh Sticker,OT
notes
HP/USG
HP/USG
Operative notes
with steps of
surgery
HP/USG
HP/USG
Operative notes
with steps of
surgery
HP
HP
HP
HP/USG
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
S1 General Surgery S100187 Laparoscopic Spleenectomy Clinical notes +
USG
S1 General Surgery S100188 Laparoscopic umbilical hernia Clinical notes +
repair USG
S1 General Surgery S100189 Laparoscopic ventral hernia
repair
S1 General Surgery S100190 Laparotomy-peritonitis lavage clinical
and drainage notes,USG,CBC,
Sugar,Viral
markers
S1 General Surgery S100191 Ligation of Ankle Perforators
S1 General Surgery S100192 Lymphatics Excision of clinical

Subcutaneous Tissues In notes,USG pelvis
Lymphoedema
S1 General Surgery S100193 Repair of Main Arteries of the clinical

Limbs notes,radiological
investigations
S1 General Surgery S100194 Mediastinal Tumour USG/CT,CECT/
MRI
S1 General Surgery S100195 Oesophagectomy for

Carcinoma Oesophagus
S1 General Surgery S100196 Operation for Bleeding Peptic UGI
Ulcer endoscopy,USG
pelvis,Biopsy
S1 General Surgery S100197 Operation for Carcinoma Lip – Biopsy

Vermilionectomy
S1 General Surgery S100198 Operation for Carcinoma Lip - Biopsy
Wedge Excision and
Vermilionectomy
S1 General Surgery S100199 Operation for Carcinoma Lip -
Wedge-Excision
S1 General Surgery S100200 Appendicectomy - USG/CT
Appendicular Abscess –
Drainage
S1 General Surgery S100201 Caecostomy Clinical notes +
USG,radiological
investigations,clin
ical notes
S1 General Surgery S100202 Closure of Colostomy Clinical notes +
USG
S1 General Surgery S100203 Coccygeal Teratoma Excision Clinical notes +

USG
HP
Mesh Sticker,OT
notes
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Angiogram
report,clinical
notes
Histopathological
report,Clinical
photo showing
scar,Operative
notes with steps of
surgery
HP
Operative notes
with steps of
surgery,clinical
notes
HP
HP
HP
USG
pelvis,Histopatholo
gical report
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
S1 General Surgery S100204 Congenital Atresia & Stenosis
of Small Intestine
S1 General Surgery S100205 CystoJejunostomy/or clinical notes

Cystogastrostomy
S1 General Surgery S100206 Drainage of perivertebral clinical notes

abscess
S1 General Surgery S100207 Hernia -hiatus-Transthoracic clinical

notes,CHEST X-
ray
S1 General Surgery S100208 Intercostal drainage
S1 General Surgery S100209 Operation for carcinoma lip- clinical notes

cheek advancement
S1 General Surgery S100210 Thymectomy Operative notes

with steps of
surgery,clinical
notes,Biopsy,
Clinical
Photograph, CT
scan
S1 General Surgery S100211 Operation of Choledochal Cyst radiological

investigations,clin
ical notes
S1 General Surgery S100212 Operations for Acquired radiological
Arteriovenous Fistula investigations,Re
gional Angiogram
& Stills,clinical
notes
S1 General Surgery S100213 Operations for Replacement of radiological

Oesophagus by Colon investigations,clin
ical notes,UGI
endoscopy
S1 General Surgery S100214 Hemodialysis per sitting clinical

notes,Serum
Creatinine
S1 General Surgery S100215 Parapharyngeal Tumour Operative notes
Excision with steps of
surgery,USG/CT/
FNAC
S1 General Surgery S100216 Partial/Subtotal Gastrectomy USG/CT/FNAC,O
for Carcinoma perative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery,Mesh
Sticker,OT notes
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery,Biopsy,
Clinical
Photograph, CT
scan
Histopathological
report,Operative
notes with steps of
surgery
radiological
investigations,clinic
al notes
Regional
Angiogram &
Stills,radiological
al notes
UGI
endoscopy,clinical
notes,radiological
investigations
clinical notes
radiological
al notes
radiological
al notes
S1 General Surgery S100217 Patch Graft Angioplasty Operative notes
with steps of
surgery,USG/CT/
FNAC
S1 General Surgery S100218 Pericardiostomy USG/CT/FNAC,O
perative notes
with steps of
surgery
S1 General Surgery S100219 Pneumonectomy USG/CT/Xray
S1 General Surgery S100220 Removal of Foreign Body from clinical notes

Trachea or Oesophagus
S1 General Surgery S100221 Removal Tumours of Chest clinical notes
Wall
S1 General Surgery S100222 Procedures Requiring Bypass clinical notes

Techniques
S1 General Surgery S100223 Resection Enucleation of clinical notes

Adenoma (lung)
S1 General Surgery S100224 Rib Resection & Drainage radiological

investigations
S1 General Surgery S100225 Skin Flaps - Rotation Flaps Operative notes

with steps of
surgery,radiologic
al investigations
S1 General Surgery S100226 Splenectomy - For Trauma CT Angio Report

S1 General Surgery S100227 Surgery for Arterial Aneurism CT Angio Report
Spleen Artery
S1 General Surgery S100228 Surgery for Arterial Aneurism –
Vertebral
S1 General Surgery S100229 Sympathetectomy – Cervical radiological
investigations
S1 General Surgery S100230 Temporal Bone resection FNAC/

BIOPSY,radiologi
cal
investigations,clin
ical notes
S1 General Surgery S100231 Thorachostomy clinical notes
S1 General Surgery S100232 Thoracocentesis clinical notes

clinical
notes,radiological
investigations
radiological
al notes
Clinical photo
showing
scar,Histopathologi
cal report,X
Ray,Operative
notes with steps of
surgery
clinical notes
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HP
CT Angio Report
CT Angio Report
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes,radiological
investigations
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
S1 General Surgery S100233 Thoracoplasty Bronchoscopy
report,Biopsy,
Clinical
Photograph, CT
scan,USG/CT/Xr
ay
S1 General Surgery S100234 Thoracoscopic Decortication USG/CT/Xray,Cli

nical photo
showing scar
S1 General Surgery S100235 Thoracoscopic Hydatid Cyst MRI,clinical notes
excision
S1 General Surgery S100236 Thoracoscopic Lobectomy MRI,clinical notes
S1 General Surgery S100237 Thoracoscopic clinical

Pneumonectomy notes,radiological
investigations
S1 General Surgery S100238 Thoracoscopic Segmental USG/CT/Xray,clin
Resection ical notes
S1 General Surgery S100239 Thoracoscopic CT/MRI,clinical

Sympathectomy notes
S1 General Surgery S100240 Thrombendarterectomy CT/MRI,clinical

notes
S1 General Surgery S100241 Thorax (penetrating wounds) clinical

notes,CT/MRI
S1 General Surgery S100242 Total Thyroidectomy and Block clinical

Dissection notes,CT/MRI
S1 General Surgery S100243 Trendelenburg Operation CT/MRI,clinical

notes
S1 General Surgery S100244 Debridement of Ulcer-Leprosy clinical notes
S1 General Surgery S100245 Tissue Reconstruction Flap clinical notes

Leprosy
S1 General Surgery S100246 Tendon Transfer-Leprosy radiological

investigations,clin
ical notes
S1 General Surgery S100247 Adhenolysis + Appendicectomy clinical
notes,radiological
investigations
S1 General Surgery S100248 Hernia - Repair & release of clinical notes
obstruction+ Hernioplasty
S1 General Surgery S100249 Aspiration of cold Abscess of clinical
Lymphnode notes,USG/CT
Clinical photo
showing scar,X
Ray,HPE, Clinical
photo
clinical
notes,radiological
investigations
MRI,clinical notes
MRI,clinical notes
clinical
notes,radiological
investigations
radiological
investigations,Oper
ative notes with
steps of surgery
radiological
al notes
clinical
notes,radiological
investigations
clinical
notes,radiological
investigations
radiological
al notes
clinical
notes,radiological
investigations
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
clinical notes
clinical notes
Mesh Sticker,OT
notes
clinical
notes,Operative
notes with steps of
surgery
S1 General Surgery S100250 Aspiration of Empyema USG/CT,Color
doppler
S1 General Surgery S100251 AV Shunt for dialysis Color
doppler,USG/CT
S1 General Surgery S100252 Peritoneal dialysis per sitting clinical
notes,Serum
Creatinine
S1 General Surgery S100253 Vasectomy radiological
investigations
S1 General Surgery U100S1 Unspecified Surgical Package
S10 Plastic and S1000001 Ear Pinna Reconstruction with clinical and/or
reconstructive costal cartilage/ Prosthesis relevant imaging
photographs
S10 Plastic and S1000002 Revascularization of limb/digit clinical and/or
reconstructive relevant imaging
photographs
S10 Plastic and S1000003 Hemangioma – Sclerotherapy clinical and/or
reconstructive (under GA) relevant imaging
photographs
S10 Plastic and S1000004 Hemangioma – Debulking/ clinical and/or
reconstructive Excision relevant imaging
photographs
S10 Plastic and S1000005 Tissue Expander for clinical and/or
reconstructive disfigurement following burns/ relevant imaging
trauma/ congenital deformity photographs
(including cost of expander /
implant)
S10 Plastic and S1000006 Scalp avulsion reconstruction clinical and/or
photographs
S10 Plastic and S1000007 NPWT (Inpatient only) clinical and/or
photographs
S10 Plastic and S1000008 Pressure Sore – Surgery clinical and/or
photographs
S10 Plastic and S1000009 Diabetic Foot – Surgery clinical and/or
photographs
S10 Plastic and U100S10 Unspecified Surgical Package
reconstructive
S11 Burns management S1100001 % Total Body Surface Area Clinical
Burns (TBSA) (thermal/ scald/ photograph and
flame burns) - any % (not diagram with
requiring admission). Needs at Rule of 9/ L & B
least 5-6 dressing Chart for extent
of burns
HP/USG
HP/USG
Operative notes
with steps of
surgery
radiological
investigations
clinical and/or
relevant imaging
photographs
clinical and/or
relevant imaging
photographs
clinical and/or
relevant imaging
photographs
clinical and/or
relevant imaging
photographs
clinical and/or
relevant imaging
photographs
clinical and/or
relevant imaging
photographs
clinical and/or
relevant imaging
photographs
clinical and/or
relevant imaging
photographs
clinical and/or
relevant imaging
photographs
Clinical photograph
flame burns): Upto 40 %; diagram with
Includes % TBSA skin grafted, Rule of 9/ L & B
flap cover, follow-up dressings Chart for extent
etc. as deemed necessary; of burns
Surgical procedures are
required for deep burns that
are not amenable to heal with
dressings alone.

flame burns): 40 % - 60 %; diagram with
Includes % TBSA skin grafted, Rule of 9/ L & B
flap cover, follow-up dressings Chart for extent
etc. as deemed necessary; of burns
dressings alone.

flame burns): > 60 %; Includes diagram with
% TBSA skin grafted, flap Rule of 9/ L & B
cover, follow-up dressings etc. Chart for extent
as deemed necessary; of burns
dressings alone.
S11 Burns management S1100005 Electrical contact burns: Low Clinical

voltage- without part of photograph and
limb/limb loss; Includes % diagram with
TBSA skin grafted, flap cover, Rule of 9/ L & B
follow-up dressings etc. as Chart for extent
deemed necessary; Surgical of burns
procedures are required for
deep burns that are not
amenable to heal with
dressings alone.
S11 Burns management S1100006 Electrical contact burns: Low Clinical

voltage- with part of limb/limb photograph and
loss; Includes % TBSA skin diagram with
grafted, flap cover, follow-up Rule of 9/ L & B
dressings etc. as deemed Chart for extent
necessary; Surgical of burns
dressings alone.
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
S11 Burns management S1100007 Electrical contact burns: High Clinical
voltage- without part of photograph and
limb/limb loss; Includes % diagram with
TBSA skin grafted, flap cover, Rule of 9/ L & B
follow-up dressings etc. as Chart for extent
deemed necessary; Surgical of burns
dressings alone.
S11 Burns management S1100008 Electrical contact burns - High Clinical

voltage- with part of limb/limb photograph and
loss Includes % TBSA skin diagram with
grafted, flap cover, follow-up Rule of 9/ L & B
dressings etc. Chart for extent
of burns
S11 Burns management S1100009 Chemical burns: Without Clinical

significant facial scarring photograph and
and/or loss of function diagram with
Rule of 9/ L & B
Chart for extent
of burns
S11 Burns management S1100010 Chemical burns: With Clinical

significant facial scarring photograph and
and/or loss of function diagram with
Rule of 9/ L & B
Chart for extent
of burns
S11 Burns management S1100011 Post Burn Contracture Clinical

surgeries for Functional photograph and
Improvement (Package diagram with
including splints, pressure Rule of 9/ L & B
garments, silicone-gel sheet Chart for extent
and physiotherapy): Excluding of burns
Neck contracture; Contracture
release with - Split thickness
Skin Graft (STSG) / Full
Thickness Skin Graft (FTSG)/
Flap cover is done for each
joint with post-operative regular
dressings for STSG / FTSG /
Flap cover.
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
S11 Burns management S1100012 Post Burn Contracture Clinical
surgeries for Functional photograph and
Improvement (Package diagram with
including splints, pressure Rule of 9/ L & B
garments, silicone-gel sheet Chart for extent
and physiotherapy): Neck of burns
contracture; Contracture
release with - Split thickness
Skin Graft (STSG) / Full
Thickness Skin Graft (FTSG)/
Flap cover is done for each
joint with post-operative regular
dressings for STSG / FTSG /
Flap cover.
S11 Burns management U100S11 Unspecified Surgical Package
S12 Cardiology S1200001 Balloon Atrial Septostomy 2D ECHO report

S12 Cardiology S1200002 Balloon Aortic Valvotomy 2D ECHO report
S12 Cardiology S1200003 Balloon Mitral Valvotomy 2D ECHO report
S12 Cardiology S1200004 Balloon Pulmonary Valvotomy 2D ECHO report
S12 Cardiology S1200005 Vertebral Angioplasty with 2D

single stent (medicated) ECHO,Angiogra
m report
S12 Cardiology S1200006 Vertebral Angioplasty with 2D

double stent(medicated) ECHO,Angiogra
m report
S12 Cardiology S1200007 Carotid angioplasty with stent Angiogram report

(medicated) & film showing
the lesion
S12 Cardiology S1200008 Renal Angioplasty with single CAG stills

stent (medicated) showing blocks &
Reports,2D
ECHO,ECG
Clinical photograph
2D ECHO report
2D ECHO report
2D ECHO report
2D ECHO report
Post op.
Angiogram
report,Carton of
the stent used
approved by
FDA/DCGI only
Post op.
Angiogram
report,Carton of
the stent used
approved by
FDA/DCGI only
Doppler
Report,MRI of
shoulder,X
Ray,Carton of the
stent used
approved by
FDA/DCGI only
Carton of the stent

used approved by
FDA/DCGI
only,Post op.
Angiogram report,
showing stent &
post Stent flow
S12 Cardiology S1200009 Renal Angioplasty with double CAG stills
stent (medicated) showing blocks &
Reports,2D
ECHO,ECG
S12 Cardiology S1200010 Peripheral Angioplasty with CAG stills

balloon showing blocks &
Reports,2D
ECHO
S12 Cardiology S1200011 Peripheral Angioplasty with 2D
stent (medicated) ECHO,Angiogra
m report & stills
S12 Cardiology S1200012 Coarctation dilatation 2D ECHO report
S12 Cardiology S1200013 Medical treatment of Acute MI CAG report,2D

with Thrombolysis /Stuck Valve ECHO,CPK-
Thrombolysis MB,TROPONINE
-T report,ECG
with report
S12 Cardiology S1200014 ASD Device Closure 2D ECHO report
- TRPG
S12 Cardiology S1200015 VSD Device Closure 2D ECHO report

- TRPG
S12 Cardiology S1200016 PDA Device Closure 2D ECHO report
S12 Cardiology S1200017 PDA multiple Coil insertion 2D ECHO report
S12 Cardiology S1200018 PDA Coil (one) insertion 2D ECHO report
S12 Cardiology S1200019 PDA stenting Angiogram report

& stills,2D ECHO
S12 Cardiology S1200020 Pericardiocentesis 2D ECHO report

S12 Cardiology S1200021 Temporary Pacemaker ECG,Report by
implantation cardiologist
S12 Cardiology S1200022 Permanent pacemaker Angiogram

implantation (DDR) including report,ECG,Repo
Pacemaker value/pulse rt by cardiologist
generator replacement
(DOUBLE CHAMBER)
Carton of the stent
used approved by
FDA/DCGI
only,Post op.
Angiogram report,
showing stent &
post Stent flow
Post procedure
Angio stills
Carton of the stent

used approved by
FDA/DCGI
only,Post
procedure Angio
stills
2D ECHO report +
stills of ECHO
Lab Investigation
(Troponine - T
report),ECG,2D
ECHO
2D ECHO stills
showing the device
+ Report
2D ECHO stills
showing the device
+ Report
2D ECHO stills
showing the device
+ Report
2D ECHO stills
showing the coil +
Report
2D ECHO stills
showing the coil +
Report
Post procedure
Angio stills
2D ECHO report
X Ray showing the
pacemaker in situ
X Ray showing the

pacemaker in situ
S12 Cardiology S1200023 Permanent pacemaker ECG,Report by
implantation (VVI) including cardiologist,Angio
Pacemaker value/pulse gram report
generator replacement
(SINGLE CHAMBER)
S12 Cardiology S1200024 PTCA - single stent CAG stills
(medicated, inclusive of showing blocks &
diagnostic angiogram) Reports,ECG,2D
ECHO
S12 Cardiology S1200025 PTCA - double stent CAG stills

(medicated, inclusive of showing blocks &
diagnostic angiogram) Reports,ECG,2D
ECHO
S12 Cardiology S1200026 PTCA - additonal stent (linked CAG stills

to package no:0025) showing blocks &
Reports
S12 Cardiology S1200027 PTSMA 2D

ECHO,ECG,CAG
stills showing
blocks & Reports
S12 Cardiology S1200028 Pulmonary artery stenting Angiogram report

& stills,2D ECHO
S12 Cardiology S1200029 Pulmonary artery stenting 2D

(double) ECHO,Angiogra
m report & stills
S12 Cardiology S1200030 Right ventricular outflow tract Angiogram report
(RVOT) stenting & stills,2D ECHO
S12 Cardiology S1200031 Rotablation+ Balloon CAG stills

Angioplasty showing blocks &
Reports
S12 Cardiology S1200032 Rotablation+ Balloon ECG,2D
Angioplasty + 1 stent ECHO,CAG stills
(medicated) showing blocks &
Reports
X Ray showing the
pacemaker in situ
Post op.
Angiogram report,
showing stent &
post Stent
flow,Carton of the
stent used
approved by
FDA/DCGI only
Post op.
Angiogram report,
showing stent &
post Stent
flow,Carton of the
stent used
approved by
FDA/DCGI only
Carton of the stent

used approved by
FDA/DCGI only
Post op.
Angiogram report,
showing stent &
post Stent
flow,Carton of the
stent used
approved by
FDA/DCGI only
Post procedure
Angio stills
Post procedure
Angio stills
Post procedure
Angio stills
CAG stills with

balloon and stills
with post flow
Carton of the stent
used approved by
FDA/DCGI
only,Post op.
Angiogram report,
showing stent &
post Stent flow
S12 Cardiology S1200033 Rotablation+ Balloon CAG stills
Angioplasty + 2 stent showing blocks &
(medicated) Reports,ECG,2D
ECHO
S12 Cardiology S1200034 Thrombolysis for peripheral Peripheral

ischemia Angiogram
/Doppler Report
with Stills
S12 Cardiology S1200035 Bronchial artery Embolisation Hb,Chest x-
(for Haemoptysis) Ray/CT
Scan,Serum
Creatinine
S12 Cardiology S1200036 Percutaneous Transluminal 2D ECHO
Tricuspid Commissurotormy
(PTTC)
S12 Cardiology S1200037 Coiling - Pseudoaneurysms of Prothrombin Time
Abdomen (PT),International
normalized ratio
(INR),Hb,Serum
Creatinine
S12 Cardiology S1200038 Embolization - Arteriovenous CT,Serum

Malformation (AVM) in the Creatinine,Hb,Int
Limbs ernational
normalized ratio
(INR),Prothrombi
n Time
(PT),Ultrasound
S12 Cardiology S1200039 Catheter directed Thrombolysis Prothrombin Time

for: Deep vein thrombosis (PT),Serum
(DVT), Mesenteric Thrombosis Creatinine,Hb,CT
& Peripheral vessels /MRI,International
normalized ratio
(INR)
S12 Cardiology U100S12 Unspecified Surgical Package
S13 Cardio-thoracic and S1300001 Coronary artery bypass 2D ECHO,CAG

Vascular surgery grafting (CABG) report

Vascular surgery grafting (CABG) with Intra- report
aortic balloon pump (IABP)
Vascular surgery grafting (CABG) + one report
mechanical Valve
Replacement + Intra-aortic
balloon pump (IABP)
Post op.
Angiogram report,
showing stent &
post Stent
flow,Carton of the
stent used
approved by
FDA/DCGI only
Post procedure
Angio stills
Hb,Chest x-
Ray/CT
Scan,Serum
Creatinine
2D ECHO
Serum
Creatinine,CT,Prot
hrombin Time
(PT),International
normalized ratio
(INR),Hb
Prothrombin Time
(PT),Serum
Creatinine,CT,Ultra
sound,Hb,Internati
onal normalized
ratio (INR)
Serum
Creatinine,CT/MRI,
Prothrombin Time
(PT),International
normalized ratio
(INR),Hb
Scar Photo,2D
ECHO,Post- op. X-
ray
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Post- op. X-
ray,Scar Photo
S13 Cardio-thoracic and S1300004 Coronary artery bypass CAG report,2D
Vascular surgery grafting (CABG) with LV ECHO
Aneurysmal repair
Vascular surgery grafting (CABG) with Mitral ECHO
Valve repair without ring
Vascular surgery grafting (CABG) with Mitral report
Valve repair with ring
Vascular surgery grafting (CABG) with post MI ECHO
Ventricular Septal Defect
(Ventricular Septal Defect)
repair
S13 Cardio-thoracic and S1300008 Open Mitral Valvotomy 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300009 Closed Mitral Valvotomy 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300010 Open Pulmonary Valvotomy 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300011 Mitral Valve Repair 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300012 Tricuspid Valve Repair 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300013 Aortic Valve Repair 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300014 Ring for any Valve Repair 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300015 Mitral Valve Replacement 2D ECHO
Vascular surgery (mechanical valve)
S13 Cardio-thoracic and S1300016 Mitral Valve Replacement 2D ECHO

Vascular surgery (biological valve)
S13 Cardio-thoracic and S1300017 Aortic Valve Replacement 2D ECHO

S13 Cardio-thoracic and S1300018 Aortic Valve Replacement 2D ECHO
S13 Cardio-thoracic and S1300019 Tricuspid Valve Replacement 2D ECHO
S13 Cardio-thoracic and S1300020 Tricuspid Valve Replacement 2D ECHO

S13 Cardio-thoracic and S1300021 Double Valve Replacement 2D ECHO

S13 Cardio-thoracic and S1300022 Double Valve Replacement 2D ECHO

Scar
Photo,ECHO,Post-
op. X-ray
Post- op. X-
ray,ECHO,Scar
Photo
Scar
Photo,ECHO,Post-
op. X-ray
ECHO,ECHO,Post
- op. X-ray
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Scar
Photo,Post- op. X-
ray
Post- op. X-
ray,Scar
Photo,ECHO
Scar Photo,Post-
op. X-ray,ECHO
Scar Photo,Post-
op. X-ray,ECHO
Post- op. X-
ray,ECHO,Scar
Photo
Scar Photo,Post-
op. X-ray,ECHO
ECHO,Scar
Photo,Post- op. X-
ray
Post- op. X-
ray,ECHO,Scar
Photo
Scar Photo,Post-
op. X-ray,ECHO
Scar Photo,Post-
op. X-ray,ECHO
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Scar
Photo,Post- op. X-
ray
Scar
Photo,ECHO,Post-
op. X-ray
S13 Cardio-thoracic and S1300023 Ross Procedure 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300024 Atrial Septal Defect (ASD) 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300025 Ventricular Septal Defect 2D ECHO

Vascular surgery (VSD)
S13 Cardio-thoracic and S1300026 Atrioventricular septal defect/ 2D ECHO

Vascular surgery Atrioventricular (AV) Canal
Defect
S13 Cardio-thoracic and S1300027 Intracardiac repair (ICR) for 2D ECHO
Vascular surgery Tetralogy of Fallot (TOF)
S13 Cardio-thoracic and S1300028 Pulmonary Valvotomy + Right 2D ECHO
Vascular surgery Ventricular Outflow Tract
(RVOT) Resection
S13 Cardio-thoracic and S1300029 Aortopulmonary Window (AP 2D ECHO
Vascular surgery Window)
S13 Cardio-thoracic and S1300030 Surgery for Hypertrophic Chest Xray AP

Vascular surgery Obstructive Cardiomyopathy view,2D
(HOCM) ECHO/TEE,Cardi
ac MRI
S13 Cardio-thoracic and S1300031 Ebsteins 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300032 Fontan 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300033 Total Anomalous Pulmonary 2D ECHO
Vascular surgery Venous Connection (TAPVC)
S13 Cardio-thoracic and S1300034 Any RV to PA conduit (Valved) 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300035 Arterial Switch Operation 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300036 Double Switch Operation 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300037 Sennings 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300038 Mustards 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300039 Truncus Arteriosus Surgery 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300040 Root Replacement (Aortic 2D ECHO

Vascular surgery Aneurysm/ Aortic Dissection) /
Bental Procedure
S13 Cardio-thoracic and S1300041 Aortic Arch Replacement 2D ECHO
Vascular surgery
ECHO,Scar
Photo,Post- op. X-
ray
Post- op. X-
ray,Scar
Photo,ECHO
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Scar
Photo,Post- op. X-
ray
Scar Photo,Post-
op. X-ray,ECHO
Post- op. X-
ray,Scar
Photo,ECHO
Post- op. X-
ray,Scar
Photo,ECHO
ECHO,Post- op. X-
ray,Scar Photo
ECHO,Post- op. X-
ray,Scar Photo
Scar Photo,Post-
op. X-ray,ECHO
Post- op. X-
ray,Scar
Photo,ECHO
Scar Photo,Post-
op. X-ray,ECHO
Post- op. X-
ray,ECHO,Scar
Photo
Post- op. X-
ray,Scar
Photo,ECHO
Scar Photo,Post-
op. X-ray,ECHO
Scar Photo,Post-
op. X-ray,ECHO
Post- op. X-
ray,Scar
Photo,ECHO
Post- op. X-
ray,Scar
Photo,ECHO
ECHO,Scar
Photo,Post- op. X-
ray
S13 Cardio-thoracic and S1300042 Aortic Aneurysm Repair using 2D ECHO
Vascular surgery Cardiopulmonary bypass
(CPB)
S13 Cardio-thoracic and S1300043 Aortic Aneurysm Repair 2D ECHO
Vascular surgery without using Cardiopulmonary
bypass (CPB)
S13 Cardio-thoracic and S1300044 Pulmonary Embolectomy Chest x-Ray/CT

Vascular surgery Scan,ABG
report,2D ECHO
S13 Cardio-thoracic and S1300045 Surgery for Cardiac Tumour/ 2D ECHO,Chest
Vascular surgery Left Atrial (LA) Myxoma/ Right x-Ray/CT Scan
Atrial (RA) Myxoma
S13 Cardio-thoracic and S1300046 Patent Ductus Arteriosus 2D ECHO
Vascular surgery (PDA) Closure
S13 Cardio-thoracic and S1300047 Coarctation Repair 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300048 Coarctation Repair with CAG report,2D
Vascular surgery interpostion graft ECHO
S13 Cardio-thoracic and S1300049 Blalock–Thomas–Taussig (BT) 2D ECHO
Vascular surgery Shunt (inclusives of grafts)
S13 Cardio-thoracic and S1300050 Glenn Shunt (without 2D ECHO

Vascular surgery cardiopulmonary bypass)
S13 Cardio-thoracic and S1300051 Central Shunt 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300052 Pericardiectomy 2D ECHO

Vascular surgery
S13 Cardio-thoracic and S1300053 Pulmonary AV Fistula surgery CT Chest report
Vascular surgery
S13 Cardio-thoracic and S1300054 Lung Cyst CT Chest report

Vascular surgery
S13 Cardio-thoracic and S1300055 Space-Occupying Lesion CT Chest report
Vascular surgery (SOL) mediastinum
S13 Cardio-thoracic and S1300056 Surgical Correction of CT Chest report

Vascular surgery Bronchopleural Fistula
S13 Cardio-thoracic and S1300057 Diaphragmatic Eventeration CT Chest report

Vascular surgery
S13 Cardio-thoracic and S1300058 Oesophageal Diverticula CT Chest

Vascular surgery /Achalasia Cardia report,Barium
Study
S13 Cardio-thoracic and S1300059 Diaphragmatic Injuries/Repair CT Chest report
Vascular surgery
S13 Cardio-thoracic and S1300060 Thoracotomy, Thoraco CT Chest report

Vascular surgery Abdominal Approach
Scar Photo,Post-
op. X-ray,ECHO
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Post- op. X-
ray,Scar Photo
ECHO,Scar
Photo,Post- op. X-
ray
Post- op. X-
ray,Scar
Photo,ECHO
Doppler report with

stills
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Post- op. X-
ray,Scar Photo
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Post- op. X-
ray,Scar Photo
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Scar
Photo,Post- op. X-
ray
ECHO,Scar
Photo,Scar Photo
Post- op. X-
ray,Scar
Photo,ECHO
Post- op. X-
ray,Scar Photo
S13 Cardio-thoracic and S1300061 Foreign Body Removal with CT Chest
Vascular surgery scope report,Bronchosc
opy report
S13 Cardio-thoracic and S1300062 Bronchial Repair Surgery for Bronchoscopy
Vascular surgery Injuries due to FB report,CT Chest
report
S13 Cardio-thoracic and S1300063 Lung Injury repair CT Chest report
Vascular surgery
S13 Cardio-thoracic and S1300064 Thyomectomy CT Chest report
Vascular surgery
S13 Cardio-thoracic and S1300065 Pulmonary Valve Replacement 2D ECHO
Vascular surgery
S13 Cardio-thoracic and S1300066 Intercostal Drainage and Post Op X-ray /
Vascular surgery Management of ICD, CT Scan
Intercostal Block, Antibiotics &
Physiotherapy
S13 Cardio-thoracic and S1300067 Encysted Empyema/Pleural Post Op X-ray /
Vascular surgery Effusion - Tubercular CT Scan
S13 Cardio-thoracic and S1300068 First rib Excision by Post Op X-ray /
Vascular surgery transaxillary approach, CT Scan
Excision of cervical rib / fibrous
band / muscle by cervical
approach
S13 Cardio-thoracic and S1300069 Congenital Cystic Lesions Post Op X-ray /
Vascular surgery CT Scan
S13 Cardio-thoracic and S1300070 Pulmonary Sequestration Post Op X-ray /

Vascular surgery Resection CT Scan
S13 Cardio-thoracic and S1300071 Pulmonary artero venous Post Op X-ray /

Vascular surgery malformation CT Scan
S13 Cardio-thoracic and S1300072 Thromboembolectomy (pre- Angiogram

Vascular surgery auth not required, usually done report,Duplex
as emergency) ultrasound
S13 Cardio-thoracic and S1300073 Surgery for Arterial Aneursysm CT Angio Report
Vascular surgery -Upper/Distal Abdominal Aorta
S13 Cardio-thoracic and S1300074 Intrathoracic Aneurysm- CT Angio Report

Vascular surgery Aneurysm not Requiring
Bypass Techniques
S13 Cardio-thoracic and S1300075 Intrathoracic Aneurysm- CT Angio Report
Vascular surgery Requiring Bypass Techniques
S13 Cardio-thoracic and S1300076 Surgery for Arterial Aneurysm Angiogram

Vascular surgery Renal Artery report,Renal
arterial Doppler
S13 Cardio-thoracic and S1300077 Operations for Congenital Regional
Vascular surgery Arteriovenous Fistula Angiogram &
Stills
S13 Cardio-thoracic and S1300078 Operations for Stenosis of Angiogram report
Vascular surgery Renal Arteries & stills,Renal
arterial Doppler
Endoscopy Picture
Endoscopy Picture
Scar Photo,Post-
op. X-ray
Scar Photo,Post-
op. X-ray
ECHO,ECHO,Scar
Photo
Post Op X-ray / CT
Scan
Post Op X-ray / CT
Scan
Scar Photo,Post
Op X-ray / CT
Scan
Post Op X-ray / CT
Scan,Scar Photo
Scar Photo,Post
Op X-ray / CT
Scan
Scar Photo,Post
Op X-ray / CT
Scan
Post op CT
angio,Scar Photo
Post op CT
angio,Scar Photo
Scar Photo,Post
op CT angio
Scar Photo,Post
op CT angio
Doppler
Report,Scar Photo
Scar Photo
Scar
Photo,Doppler
Report
S13 Cardio-thoracic and S1300079 Aorto Bi-lliac / Bi femoral /Axillo Angiogram/spiral
Vascular surgery bi femoral bypass with CT Angiogram
Synthetic Graft reports
S13 Cardio-thoracic and S1300080 Femoro Distal / Femoral - Angiogram/spiral

Vascular surgery Femoral / Femoral infra CT Angiogram
popliteal Bypass with Vein reports
Graft
S13 Cardio-thoracic and S1300081 Femoro Distal / Femoral - Angiogram/spiral

Vascular surgery Femoral / Femoral infra CT Angiogram
popliteal Bypass with Synthetic reports
Graft
S13 Cardio-thoracic and S1300082 Axillo Brachial Bypass using Angiogram/spiral

Vascular surgery with Synthetic Graft CT Angiogram
reports
S13 Cardio-thoracic and S1300083 Brachio - Radial Bypass with Angiogram/spiral

Vascular surgery Synthetic Graft CT Angiogram
reports
S13 Cardio-thoracic and S1300084 Excision of body Tumor with Angiogram/spiral

Vascular surgery vascular repair CT Angiogram
reports
S13 Cardio-thoracic and S1300085 Carotid artery bypass with Angiogram/spiral

Vascular surgery Synthetic Graft CT Angiogram
reports
S13 Cardio-thoracic and S1300086 Excision of Arterio Venous Angiogram/spiral

Vascular surgery malformation - Large CT Angiogram
reports
S13 Cardio-thoracic and S1300087 Excision of Arterio Venous Angiogram/spiral
Vascular surgery malformation - Small CT Angiogram
reports
S13 Cardio-thoracic and S1300088 Deep Vein Thrombosis (DVT) - Color doppler
Vascular surgery Inferior Vena Cava (IVC) filter
S13 Cardio-thoracic and S1300089 Carotid endarterectomy Angiogram report

Vascular surgery
Scar Photo,Stills
showing the
procedure with
graft
Stills showing the
procedure with
graft,Scar
Photo,Duplex
ultrasound
Scar Photo,Duplex
ultrasound,Stills
showing the
procedure with
graft
Stills showing the

procedure with
graft,Duplex
ultrasound,Scar
Photo
Scar Photo,Duplex
ultrasound,Stills
showing the
procedure with
graft
Duplex
ultrasound,Stills
showing the
procedure with
graft,Scar Photo
Stills showing the
procedure with
graft,Duplex
ultrasound,Scar
Photo
Scar Photo,Scar
Photo
Scar Photo,Stills
showing the
procedure with
graft
Scar Photo,X-ray
abdomen showing
the filter
Scar Photo,Stills
showing the
procedure with
graft
S13 Cardio-thoracic and S1300090 Aortic Angioplasty with two ECG,2D
Vascular surgery stents / Iliac angioplasty with ECHO,CAG stills
stent Bilateral showing blocks &
Reports
S13 Cardio-thoracic and S1300091 Bilateral thrombo embolectomy Duplex

Vascular surgery ultrasound/Angio
gram - pre or
intra operative
S13 Cardio-thoracic and S1300092 Aorto-uni-iliac/uni-femoral Angiogram/
Vascular surgery bypass with synthetic graft Computed
Tomography
Angiography (3D-
CTA)/Magnetic
Resonance
Angiography
S13 Cardio-thoracic and U100S13 Unspecified Surgical Package

Vascular surgery
S14 Paediatric surgery S1400001 Ankyloglossia Major clinical notes
S14 Paediatric surgery S1400002 Ankyloglossia Minor clinical notes
S14 Paediatric surgery S1400003 Hernia & Hydrocele clinical notes
S14 Paediatric surgery S1400004 Sacrococcygeal Teratoma clinical notes
S14 Paediatric surgery S1400005 Undescended Testis - Bilateral- clinical notes
Palp + Nonpalp
S14 Paediatric surgery S1400006 Undescended Testis - Bilateral clinical notes
Palpable
S14 Paediatric surgery S1400007 Undescended Testis - Bilateral clinical notes
Non-Palpable
S14 Paediatric surgery S1400008 Undescended Testis - clinical notes
Reexploration/ Second Stage
S14 Paediatric surgery S1400009 Undescended Testis - clinical notes
Unilateral-Palpable
S14 Paediatric surgery S1400010 Ano Rectal Malformation - Abd- clinical notes
Perineal PSARP
S14 Paediatric surgery S1400011 Ano Rectal Malformation – clinical notes
Anoplasty
S14 Paediatric surgery S1400012 Ano Rectal Malformation – clinical notes
Cutback
S14 Paediatric surgery S1400013 Ano Rectal Malformation - clinical notes
PSARP
Redo Pullthrough
Transposition
S14 Paediatric surgery S1400016 Anti GERD Surgery clinical notes
S14 Paediatric surgery S1400017 Duplication Cyst Excision clinical notes
S14 Paediatric surgery S1400018 Fecal Fistula Closure clinical notes
S14 Paediatric surgery S1400019 Gastrostomy + clinical notes
Esophagoscopy+ Threading
S14 Paediatric surgery S1400020 GI Tumor Excision clinical notes
S14 Paediatric surgery S1400021 Hirschsprung’s Disease - clinical notes
Myectomy
S14 Paediatric surgery S1400022 Hirschsprung’s Disease - Pull clinical notes
Through
Angioplasty stills
showing Balloon &
post flow,Scar
Photo
Scar Photo,Duplex
ultrasound
Scar Photo,Duplex
ultrasound
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
S14 Paediatric surgery S1400023 Hirschsprung’s Disease - Retal clinical notes
Biopsy-Punch
S14 Paediatric surgery S1400024 Hirschsprung’s Disease - Retal clinical notes
Biopsy –Open
S14 Paediatric surgery S1400025 Hirschsprung’s Disease - clinical notes
Sphinecterotomy
S14 Paediatric surgery S1400026 Intussusception - Non – clinical notes
Operative Reduction in infants
S14 Paediatric surgery S1400027 Intussusception – Operative in clinical notes

infants
S14 Paediatric surgery S1400028 Ladds Procedure clinical notes
S14 Paediatric surgery S1400029 Rectal Polypectomy - clinical notes
Sigmoiescopic (Ga)
S14 Paediatric surgery S1400030 Retro-Peritoneal clinical notes
Lymphangioma Excision
S14 Paediatric surgery S1400031 Congenital Diaphragmatic clinical notes
Hernia
S14 Paediatric surgery S1400032 Congenital Lobar Emphysema clinical notes
S14 Paediatric surgery S1400033 Exomphalos/gastroschisis clinical notes

S14 Paediatric surgery S1400034 Cleft Lip and Palate Surgery clinical notes
(per stage)
S14 Paediatric surgery U100S14 Unspecified Surgical Package
S15 Surgical Oncology S1500001 Tracheal resection Biopsy,CECT
S15 Surgical Oncology S1500002 Sternotomy with superior Biopsy,CECT

mediastinal dissection
S15 Surgical Oncology S1500003 Substernal bypass Biopsy
S15 Surgical Oncology S1500004 Resection of nasopharyngeal CECT/

tumour MRI,Biopsy
S15 Surgical Oncology S1500005 Myocutaneous flap Biopsy
S15 Surgical Oncology S1500006 Fasciocutaneous flap Biopsy
S15 Surgical Oncology S1500007 Palatectomy- Soft palate CECT/

MRI,Biopsy
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
Clinical photograph
showing scar,HPE
report
HPE report,Clinical
photograph
showing scar
Clinical photograph
showing scar
Clinical photograph
showing scar
HPE report,Clinical
photograph
showing scar
S15 Surgical Oncology S1500008 Palatectomy- Hard palate Biopsy,CECT/
MRI
S15 Surgical Oncology S1500009 Microvascular reconstruction Biopsy
S15 Surgical Oncology S1500010 Composite resection Biopsy,CECT/

MRI
S15 Surgical Oncology S1500011 Composite resection with Biopsy,CECT/

reconstruction(excluding MRI
microvascular)
S15 Surgical Oncology S1500012 Neck dissection-selective FNAC,Biopsy
S15 Surgical Oncology S1500013 Neck dissection- Biopsy,Biopsy

comprehensive
S15 Surgical Oncology S1500014 Total Maxillectomy CECT/

MRI,Biopsy
S15 Surgical Oncology S1500015 Radical Maxillectomy CECT/

MRI,Biopsy
S15 Surgical Oncology S1500016 Radical parotidectomy CECT/

MRI,FNAC
S15 Surgical Oncology S1500017 Partial laryngectomy ( voice CECT,Biopsy

preserving)
S15 Surgical Oncology S1500018 Voice prosthesis CECT,Biopsy
S15 Surgical Oncology S1500019 Total Thyroidectomy with CECT,FNAC

central compartment LN
dissection
S15 Surgical Oncology S1500020 Total Thyroidectomy with CECT,FNAC

central compartment LN
dissection with Lateral LN
dissection
S15 Surgical Oncology S1500021 Tracheostomy Clinical report
HPE report,Clinical
photograph
showing scar
Clinical photograph
showing scar
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
Clinical photograph
showing scar,HPE
report
Clinical photograph
showing scar,HPE
report
Scar Photo,Invoice
of prosthesis
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
S15 Surgical Oncology S1500022 Axillary dissection CECT,FNAC/
BIOPSY
S15 Surgical Oncology S1500023 Breast conserving surgery FNAC/

(lumpectomy + axillary surgery) BIOPSY,CECT
S15 Surgical Oncology S1500024 Lung metastectomy- solitary CECT,FNAC/

BIOPSY
S15 Surgical Oncology S1500025 Lung metastectomy- multiple FNAC/

(< four) BIOPSY,CECT
S15 Surgical Oncology S1500026 Lung metastectomy- multiple CECT,FNAC/

(> four) BIOPSY
S15 Surgical Oncology S1500027 Sleeve resection of lung FNAC/

cancer BIOPSY,CECT
S15 Surgical Oncology S1500028 Oesophagectomy with two field CECT,Biopsy,UGI

lymphadenectomy endoscopy
S15 Surgical Oncology S1500029 Oesophagectomy with three CECT,Biopsy,UGI

field lymphadenectomy endoscopy
S15 Surgical Oncology S1500030 Enucleation of pancreatic CECT

neoplasm
S15 Surgical Oncology S1500031 Radical Cholecystectomy CECT/ MRI
S15 Surgical Oncology S1500032 Abdominal wall tumour CECT

resection
Clinical photograph
showing scar,HPE
report
Clinical photograph
showing scar,HPE
report
CHEST X-
ray,Clinical
photograph
showing scar,HPE
report
HPE report,Clinical
photograph
showing
scar,CHEST X- ray
HPE report,Clinical
photograph
showing
scar,CHEST X- ray
CHEST X-
ray,Clinical
photograph
showing scar,HPE
report
Clinical photograph
showing
scar,CHEST X-
ray,HPE report
HPE report,Clinical
photograph
showing
scar,CHEST X- ray
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
HPE report,Clinical
photograph
showing scar
S15 Surgical Oncology S1500033 Abdominal wall tumour CECT
resection with reconstruction
S15 Surgical Oncology S1500034 Oesophageal stenting CECT

including stent cost
S15 Surgical Oncology S1500035 Triple bypass GI tract CECT,Biopsy,End
oscopy Picture
S15 Surgical Oncology S1500036 Segmentectomy- hepatobiliary CECT/ MRI

system
S15 Surgical Oncology S1500037 Radical Hysterectomy + Biopsy,CECT

Bilateral pelvic lymph node
dissection + bilateral salpingo
ophorectomy (BSO)/ ovarian
transposition
S15 Surgical Oncology S1500038 Skin Tumours Wide Excision + Clinical report
Reconstruction
S15 Surgical Oncology S1500039 Skin Tumours Amputation Clinical report
S15 Surgical Oncology S1500040 Radical Vaginectomy Biopsy,CECT
S15 Surgical Oncology S1500041 Radical Vaginectomy + CECT,Biopsy
Reconstruction
S15 Surgical Oncology S1500042 Bilateral Pelvic Lymph Node Biopsy,CECT
Dissection (BPLND)
S15 Surgical Oncology S1500043 Radical Trachelectomy Biopsy,CECT
S15 Surgical Oncology S1500044 Vulvectomy with bilateral groin Biopsy

dissection
S15 Surgical Oncology S1500045 Limb salvage surgery for bone Bone Scan,CT-
tumor with prosthesis Thorax,CECT/
MRI-local,Biopsy
S15 Surgical Oncology S1500046 Hemipelvectomy CECT/ MRI-

local,Biopsy
S15 Surgical Oncology S1500047 Sacral resection CECT/ MRI-

pelvis,Biopsy
S15 Surgical Oncology S1500048 Chest wall resection with Biopsy,CT/ XRAY
reconstruction for soft tissue / -thorax
bone tumors
S15 Surgical Oncology U100S15 Unspecified Surgical Package

HPE report,Clinical
photograph
showing scar
Stent invoice
HPE report,Clinical
photograph
showing scar
Clinical photograph
showing scar,HPE
report
Clinical photograph
showing scar,HPE
report
HPE report
HPE report
Clinical photograph
showing scar,HPE
report
Clinical photograph
showing scar,HPE
report
HPE report
XRAY showing
prosthesis,HPE
report,Clinical
photo showing
scar
Clinical photograph
showing scar,HPE
report
Clinical photograph
showing scar,HPE
report
HPE report,Clinical
photograph
showing scar
S16 Oral and Maxillofacial S1600001 Fixation of fracture of jaw with Clinical
Surgery closed reduction (1 jaw) using assessment and
wires - under LA investigations
S16 Oral and Maxillofacial S1600002 Fixation of fracture of jaw with Clinical
Surgery open reduction (1 jaw) and assessment and
fixing of plates/ wire – under investigations
GA
S16 Oral and Maxillofacial S1600003 Sequestrectomy Clinical
Surgery assessment and
investigations
S16 Oral and Maxillofacial S1600004 TM joint ankylosis of both jaws Clinical
Surgery - under GA assessment and
investigations
S16 Oral and Maxillofacial S1600005 Release of fibrous bands & Clinical
Surgery grafting -in (OSMF) treatment assessment and
under GA investigations
S16 Oral and Maxillofacial S1600006 Extraction of impacted tooth Clinical
Surgery under LA assessment and
investigations
S16 Oral and Maxillofacial S1600007 Cyst & tumour of Clinical
Surgery Maxilla/mandible by assessment and
enucleation/excision/marsupiali investigations
zation under LA
S16 Oral and Maxillofacial S1600008 Mandible Tumour Resection Clinical
Surgery and reconstruction/Cancer assessment and
surgery investigations
S16 Oral and Maxillofacial S1600009 Cleft lip and palate surgery clinical notes
Surgery (each stage)
S16 Oral and Maxillofacial U100S16 Unspecified Surgical Package
Surgery
S2 Otorhinolaryngology S200001 Aural polypectomy Operative notes
with steps of
surgery,Operative
notes with steps
of surgery
S2 Otorhinolaryngology S200002 Labyrinthectomy CECT/ MRI,CT
Temporal Bone
S2 Otorhinolaryngology S200003 Mastoidectomy CECT/ MRI,X

Ray,X-Ray/CT
Temporal bone
S2 Otorhinolaryngology S200004 Mastoidectomy corticol clinical notes,PTA
modified/ radical , X-Ray Mastoids
S2 Otorhinolaryngology S200005 Mastoidectomy with carotid

tympanoplasty Angiography /
MRI Neck /
Colour Doppler
Study Of Neck
Vessels & USG
of Neck,FNAC/
BIOPSY
S2 Otorhinolaryngology S200006 Myringoplasty PTA and IA

Clinical
assessment and
investigations
Clinical
assessment and
investigations
Clinical
assessment and
investigations
Clinical
assessment and
investigations
Clinical
assessment and
investigations
Clinical
assessment and
investigations
Clinical
assessment and
investigations
Clinical
assessment and
investigations
clinical notes
clinical
notes,Histopatholo
gical report
FNAC/
BIOPSY,clinical
notes
Clinical photo
showing scar
Clinical photo
showing scar
Clinical photo
showing
scar,Histopathologi
cal report
PTA and IA
S2 Otorhinolaryngology S200007 Myringoplasty with clinical
Ossiculoplasty notes,Endoscopy
Picture,PTA and
IA
S2 Otorhinolaryngology S200008 Myringotomy – Bilateral clinical notes
S2 Otorhinolaryngology S200009 Myringotomy – Unilateral clinical notes
S2 Otorhinolaryngology S200010 Myringotomy with Grommet - PTA and IA

One ear
S2 Otorhinolaryngology S200011 Myrinogotomy with Grommet - PTA and IA
Both ear
S2 Otorhinolaryngology S200012 Ossiculoplasty PTA and IA
S2 Otorhinolaryngology S200013 Partial amputation – Pinna PTA and IA
S2 Otorhinolaryngology S200014 Excision of Pinna for Growths CT

(Squamous/Basal) Injuries -
Total Amputation & Excision of
External Auditory Meatus
S2 Otorhinolaryngology S200015 Excision of Pinna for Growths CT

(Squamous/Basal) Injuries
Total Amputation
S2 Otorhinolaryngology S200016 Stapedectomy PTA and IA
S2 Otorhinolaryngology S200017 Tympanoplasty PTA and

IA,clinical notes
S2 Otorhinolaryngology S200018 Vidian neurectomy – Micro clinical notes

S2 Otorhinolaryngology S200019 Ear lobe repair - single PTA and
(daycare) IA,Endoscopy
Picture,CECT/
MRI
S2 Otorhinolaryngology S200020 Excision of Pinna for Growth CT
(Squamous/Basal/ Injuries)
Skin and Cartilage
S2 Otorhinolaryngology S200021 Excision of Pinna for Growth CT
(Squamous/Basal/ Injuries)
Skin Only
S2 Otorhinolaryngology S200022 Pharyngectomy and CT/MRI
reconstruction
S2 Otorhinolaryngology S200023 Skull base surgery CT
S2 Otorhinolaryngology S200024 Total Amputation & Excision of clinical notes
External Auditory Meatus
S2 Otorhinolaryngology S200025 Tympanotomy clinical notes
S2 Otorhinolaryngology S200026 Removal of foreign body from clinical notes
ear
S2 Otorhinolaryngology S200027 Aural polypectomy PTA and IA
+Tympanoplasty
clinical notes
clinical
notes,Operative
notes with steps of
surgery
Endoscopy
Picture,Clinical
photo showing
scar,clinical notes
Otoscopic findings
Otoscopic findings
Otoscopic findings
Post op audiogram
clinical notes
Histopathological
report,clinical
notes
Post op audiogram
Clinical photo
showing
scar,clinical notes
clinical notes
Clinical
Photographs with
Graft site +
Showing scar
HPE report,clinical
notes
HPE report,clinical
notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
S2 Otorhinolaryngology S200028 Ant. Ethmoidal artery ligation - CT
open/ endoscopic
S2 Otorhinolaryngology S200029 Antrostomy – Bilateral X
Ray,CT/MRI,clinic
al notes
S2 Otorhinolaryngology S200030 Antrostomy – Unilateral clinical notes
S2 Otorhinolaryngology S200031 Cryosurgery X

Ray,CT/MRI,clinic
al notes
S2 Otorhinolaryngology S200032 CSF Rhinorrhoea – Repair CT/MRI
S2 Otorhinolaryngology S200033 Septoplasty + FESS clinical notes
S2 Otorhinolaryngology S200034 Ethmoidectomy – External CT,CT/MRI

S2 Otorhinolaryngology S200035 Fracture reduction nose with X
septal correction Ray,CT/MRI,clinic
al notes,X Ray
S2 Otorhinolaryngology S200036 Fracture - setting maxilla X
Ray,CT/MRI,clinic
al notes
S2 Otorhinolaryngology S200037 Fracture - setting nasal bone X
Ray,CT/MRI,clinic
al notes
S2 Otorhinolaryngology S200038 Functional Endoscopic Sinus CT/MRI,clinical
(FESS) notes
S2 Otorhinolaryngology S200039 Intra Nasal Ethmoidectomy CT/MRI,clinical
notes
S2 Otorhinolaryngology S200040 Rhinotomy – Lateral CT/MRI,clinical
notes
S2 Otorhinolaryngology S200041 Nasal polypectomy – Bilateral CT
S2 Otorhinolaryngology S200042 Nasal polypectomy – Unilateral CT
S2 Otorhinolaryngology S200043 Turbinectomy Partial – Bilateral CT
S2 Otorhinolaryngology S200044 Turbinectomy Partial – CT

Unilateral
S2 Otorhinolaryngology S200045 Radical fronto ethmo CT/MRI,clinical
sphenodectomy notes
S2 Otorhinolaryngology S200046 Rhinoplasty Endoscopy

Picture,X Ray
S2 Otorhinolaryngology S200047 Septoplasty clinical notes
S2 Otorhinolaryngology S200048 Youngs operation clinical notes
S2 Otorhinolaryngology S200049 Angiofibrom Excision CT,Endoscopy
Picture
clinical notes
X Ray,clinical
notes
X Ray,Operative
notes with steps of
surgery,clinical
notes,Post op X
Ray,clinical
notes,Post op X
Ray,clinical notes
X Ray,clinical
notes
clinical notes
X Ray,clinical
notes
X Ray,clinical
notes
clinical notes,X
Ray
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
Operative notes
with steps of
surgery,Histopathol
ogical
report,clinical
notes
X Ray
clinical notes
clinical notes
Clinical photo
showing scar
S2 Otorhinolaryngology S200050 Cranio-facial resection CT/MRI,clinical
notes
S2 Otorhinolaryngology S200051 Endoscopic DCR Clinical photo
showing scar
S2 Otorhinolaryngology S200052 Endoscopic Hypophysectomy CT/MRI,clinical
notes
S2 Otorhinolaryngology S200053 Intranasal Diathermy clinical notes
S2 Otorhinolaryngology S200054 Rhinosporidiosis clinical notes
S2 Otorhinolaryngology S200055 Septo-rhinoplasty clinical notes
S2 Otorhinolaryngology S200056 Adeno Tonsillectomy X Ray
S2 Otorhinolaryngology S200057 Adenoidectomy X Ray
S2 Otorhinolaryngology S200058 Arytenoidectomy clinical notes

S2 Otorhinolaryngology S200059 Choanal atresia Clinical photo
showing
scar,clinical notes
S2 Otorhinolaryngology S200060 Tonsillectomy + Myrinogotomy clinical notes
S2 Otorhinolaryngology S200061 Pharyngeal diverticulum's – CT,Barium Study

Excision
S2 Otorhinolaryngology S200062 Laryngectomy with block CT/MRI

dissection
S2 Otorhinolaryngology S200063 Laryngofissure clinical notes
S2 Otorhinolaryngology S200064 Laryngophayryngectomy CT/MRI,clinical
notes
S2 Otorhinolaryngology S200065 Maxilla – Excision CT/MRI,clinical
notes
S2 Otorhinolaryngology S200066 Oro Antral fistula CT/MRI
S2 Otorhinolaryngology S200067 Parapharyngeal – Exploration CT/MRI

S2 Otorhinolaryngology S200068 Parapharyngeal Abscess – CT/MRI
Drainage
S2 Otorhinolaryngology S200069 Peritonsillor abscess under LA clinical notes
S2 Otorhinolaryngology S200070 Pharyngoplasty X Ray,CT/MRI

S2 Otorhinolaryngology S200071 Retro pharyngeal abscess – CT
Drainage
clinical notes
Clinical photo
showing scar
clinical notes
clinical notes
clinical notes
clinical notes
Clinical photo
showing scar
Clinical photo
showing
scar,Histopathologi
cal report,Clinical
photo showing
scar,Clinical photo
showing
scar,Clinical photo
showing scar
clinical notes
clinical notes
clinical notes
Histopathological
report,clinical
notes
clinical notes
clinical notes
clinical notes
Histopathological
report,clinical
notes
Histopathological
report,clinical
notes
clinical notes
clinical notes
Clinical photo
showing scar
clinical notes
clinical notes
S2 Otorhinolaryngology S200072 Tonsillectomy + Styloidectomy clinical
notes,Clinical
photo showing
scar
S2 Otorhinolaryngology S200073 Thyroglossal Fistula/ cyst – USG/ X-RAY
Excision
S2 Otorhinolaryngology S200074 Tonsillectomy – (Uni/ Bilateral) Clinical photo
showing
scar,Biopsy,
Clinical
Photograph, CT
scan,USG/ X-
RAY
S2 Otorhinolaryngology S200075 Total Parotidectomy Biopsy, Clinical

Photograph, CT
scan,CT/MRI,clini
cal notes
S2 Otorhinolaryngology S200076 Superficial Parotidectomy clinical
notes,CT/MRI,Bio
psy, Clinical
Photograph, CT
scan
S2 Otorhinolaryngology S200077 Uvulophanyngo Plasty Clinical photo
showing
scar,clinical notes
S2 Otorhinolaryngology S200078 Commondo Operation Clinical photo

(glossectomy) showing scar
S2 Otorhinolaryngology S200079 Excision of Branchial Cyst clinical

notes,Clinical
photo showing
scar
S2 Otorhinolaryngology S200080 Excision of Branchial Sinus clinical

notes,Clinical
photo showing
scar
S2 Otorhinolaryngology S200081 Excision of Cystic Hygroma USG/CT/FNAC,cl

Major/ Extensive inical
notes,Clinical
photo showing
scar
S2 Otorhinolaryngology S200082 Excision of Cystic Hygroma clinical notes,X

Minor Ray
Clinical photo
showing scar
clinical notes
Histopathological
report,Clinical
photo showing
scar,clinical notes
Operative notes
with steps of
surgery,Histopathol
ogical report
Operative notes
with steps of
surgery,Histopathol
ogical report
Operative notes
with steps of
surgery,Clinical
photo showing
scar
Clinical photo
showing
scar,FNAC/
BIOPSY
FNAC/
BIOPSY,Operative
notes with steps of
surgery,Clinical
photo showing
scar
FNAC/
BIOPSY,Operative
notes with steps of
surgery,Clinical
photo showing
scar
Operative notes
with steps of
surgery,clinical
notes,Clinical
photo showing
scar
Operative notes
with steps of
surgery,X
Ray,clinical notes
S2 Otorhinolaryngology S200083 Excision of the Mandible clinical notes
Segmental
S2 Otorhinolaryngology S200084 Hemi-mandibulectomy with USG/ X-RAY,X

graft Ray
S2 Otorhinolaryngology S200085 Hemiglossectomy CT,Biopsy,

Clinical
Photograph, CT
scan,Biopsy,
Clinical
Photograph, CT
scan
S2 Otorhinolaryngology S200086 Palatopharyngoplasty Clinical photo

showing scar
S2 Otorhinolaryngology S200087 Partial Glossectomy Biopsy, Clinical

Photograph, CT
scan
S2 Otorhinolaryngology S200088 Ranula excision Clinical photo
showing
scar,clinical notes
S2 Otorhinolaryngology S200089 Removal of Submandibular Biopsy, Clinical

Salivary gland Photograph, CT
scan,CT
S2 Otorhinolaryngology S200090 Total Glossectomy Biopsy, Clinical

Photograph, CT
scan,CT
S2 Otorhinolaryngology S200091 Total Laryngectomy + Neck Biopsy
dissection
S2 Otorhinolaryngology S200092 Laryngopharyngectomy with Biopsy

Gastric pull-up/ jejunal graft
S2 Otorhinolaryngology S200093 Excision of CA cheek/ oral Hematological
cavity + radial forearm flap and radiological
investigations
S2 Otorhinolaryngology S200094 Excision of growth Jaw + free Hematological
fibular flap reconstruction and radiological
investigations
S2 Otorhinolaryngology U100S2 Unspecified Surgical Package
S3 Opthalmology S300001 Buckle Removal Hematological

and radiological
investigations
S3 Opthalmology S300002 Canaliculo Dacryocysto Hematological
Rhinostomy and radiological
investigations
clinical notes,X
Ray,Histopathologi
cal report
Histopathological
report,Biopsy,Oper
ative notes with
steps of surgery
Histopathological
report,Operative
notes with steps of
surgery
Histopathological
report,Clinical
photo showing
scar,Operative
notes with steps of
surgery
Histopathological
report,clinical
notes
Clinical photo
showing
scar,Operative
notes with steps of
surgery
Histopathological
report,Clinical
photo showing
scar
clinical
notes,Histopatholo
gical report
Clinical photograph
showing scar
Clinical photograph
showing scar
Hematological and
radiological
investigations
clinical notes
clinical notes
S3 Opthalmology S300003 Capsulotomy (YAG) Hematological
and radiological
investigations
S3 Opthalmology S300004 Corneal Grafting Hematological
and radiological
investigations
S3 Opthalmology S300005 Prophylactic Cryoretinopexy- Hematological
Closed and radiological
investigations
S3 Opthalmology S300006 Cyclocryotherapy/Cyclophotoc Hematological
oagulation and radiological
investigations
S3 Opthalmology S300007 Pterygium + Hematological
ConjunctivalAutograft and radiological
investigations
S3 Opthalmology S300008 Dacryocystectomy with Hematological
implants and radiological
investigations
S3 Opthalmology S300009 Enucleation Hematological
and radiological
investigations
S3 Opthalmology S300010 Enucleation with Implant Hematological
and radiological
investigations
S3 Opthalmology S300011 Exenteration Hematological
and radiological
investigations
S3 Opthalmology S300012 Glaucoma Surgery Hematological
(Trabeculectomy only) with or and radiological
without Mitomycin C, including investigations
postoperative medications for
12 weeks (and wherever
surgical or laser procedures
required for bleb augmentation
and anterior chamber
maintenance)
S3 Opthalmology S300013 Intraocular Foreign Body Hematological

Removal from Anterior and radiological
Segment investigations
S3 Opthalmology S300014 Intraocular Foreign Body Hematological
Removal from Posterior and radiological
Segment investigations
S3 Opthalmology S300015 Lensectomy /pediatric lens Hematological
aspiration and radiological
investigations
S3 Opthalmology S300016 Limbal Dermoid Removal Hematological
and radiological
investigations
S3 Opthalmology S300017 Surgical Membranectomy Hematological
and radiological
investigations
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
S3 Opthalmology S300018 Perforating Corneo - Scleral Hematological
Injury and radiological
investigations
S3 Opthalmology S300019 Ptosis Surgery Hematological
and radiological
investigations
S3 Opthalmology S300020 IRIS Prolapse – Repair Hematological
and radiological
investigations
S3 Opthalmology S300021 Retinal Detachment Surgery Hematological
and radiological
investigations
S3 Opthalmology S300022 Small Tumour of Lid – Excision Hematological
+ Lid Reconstruction and radiological
investigations
S3 Opthalmology S300023 Socket Reconstruction with Hematological
amniotic membrane and radiological
investigations
S3 Opthalmology S300024 Iridectomy – Laser Hematological
and radiological
investigations
S3 Opthalmology S300025 Iridectomy – Surgical Hematological
and radiological
investigations
S3 Opthalmology S300026 Iris cyst removal Hematological
and radiological
investigations
S3 Opthalmology S300027 Vitrectomy Hematological
and radiological
investigations
S3 Opthalmology S300028 Vitrectomy + Retinal Hematological
Detachment surgery (pre-auth and radiological
required) investigations
S3 Opthalmology S300029 Cataract with foldable Hematological
hydrophobic acrylic IOL by and radiological
Phaco emulsification tech investigations
S3 Opthalmology S300030 Cataract with non-foldable IOL Hematological
using SICS technique and radiological
investigations
S3 Opthalmology S300031 Cataract with foldable Hematological
hydrophobic acrylic IOL by and radiological
Phaco emulsification tech + investigations
Glaucoma
S3 Opthalmology S300032 Cataract with non-foldable IOL Hematological
using SICS technique + and radiological
Glaucoma investigations
S3 Opthalmology S300033 Conjunctival tumour excision + Hematological
AMG and radiological
investigations
S3 Opthalmology S300034 Entropion correction Hematological
and radiological
investigations
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
S3 Opthalmology S300035 Ectropion correction Hematological
and radiological
investigations
S3 Opthalmology S300036 Evisceration Hematological
and radiological
investigations
S3 Opthalmology S300037 Laser for retinopathy (per Hematological
sitting) and radiological
investigations
S3 Opthalmology S300038 Lid tear Hematological
and radiological
investigations
S3 Opthalmology S300039 Orbitotomy Hematological
and radiological
investigations
S3 Opthalmology S300040 Squint correction (per muscle) Hematological
and radiological
investigations
S3 Opthalmology S300041 Anterior Chamber Hematological
Reconstruction +Perforating and radiological
corneo - Scleral Injury + IOL investigations
S3 Opthalmology S300042 PRP - Retinal Laser including 3 Hematological
sittings and radiological
investigations
S3 Opthalmology U100S3 Unspecified Surgical Package
S4 Obstetrics and S400001 Hysterectomy ± Salpingo- USG,CBC,Sugar,

Gynaecology oophorectomy Viral markers
S4 Obstetrics and S400002 Abdominal Myomectomy USG,CBC,Sugar,
Gynaecology Viral markers
S4 Obstetrics and S400003 Surgeries for Prolapse - Sling Urine,CBC,Sugar
Gynaecology Surgeries ,Viral marker
S4 Obstetrics and S400004 Surgeries for Stress Urine,CBC,Sugar
Gynaecology Incontinence 'Burch' ,Viral marker
S4 Obstetrics and S400005 Hysterotomes - 2nd Trimester USG pelvis

Gynaecology abortions
S4 Obstetrics and S400006 Incisional Hernia Repair clinical notes
Gynaecology
S4 Obstetrics and S400007 Radical Hysterectomy Urine,CBC,Sugar

Gynaecology (Wertheims) ,Viral marker
S4 Obstetrics and S400008 Laparotomy and proceed for Clinical/HP report
Gynaecology Ovarian Cancers. Omentomy of
with Bilateral Salpingo- biopsy,IVP,CBC
oophorectomy
S4 Obstetrics and S400009 Non descent vaginal Clinical/USG,Ca1
Gynaecology hysterectomy 25/or CEA
S4 Obstetrics and S400010 Vaginal hysterectomy with clinical notes
Gynaecology anterior and posterior
colpoperineorrhaphy
S4 Obstetrics and S400011 Vaginal surgical repair for Urine,CBC,Sugar
Gynaecology vesico-vaginal fistula ,Viral marker
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
HPE report
HPE report
Clinical notes +
USG
Operative notes
with steps of
surgery
Post.op ultrasound
(pelvis)
Operative notes
with steps of
surgery
HPE report
HPE report
HPE report
S4 Obstetrics and S400012 Sacrocolpopexy clinical notes
Gynaecology
S4 Obstetrics and S400013 Repair for rectovaginal fitulas Urine,CBC,Sugar

Gynaecology ,Viral marker
S4 Obstetrics and S400014 Vaginoplasty Clinical report
Gynaecology
S4 Obstetrics and S400015 LLETZ Clinical report

Gynaecology
S4 Obstetrics and S400016 Colpotomy Clinical report

Gynaecology
S4 Obstetrics and S400017 Dilation and Evacuation (D&E) Clinical report

Gynaecology
S4 Obstetrics and S400018 Cervical biopsy and Clinical/indication

Gynaecology Polypectomy Colposcopy
report
S4 Obstetrics and S400019 Bartholins Cyst Enucleation/ USG pelvis
Gynaecology Incision drainage
S4 Obstetrics and S400020 Vulvectomy simple USG pelvis

Gynaecology
S4 Obstetrics and S400021 Radical Vulvectomy Clinical report

Gynaecology
S4 Obstetrics and S400022 Diagnostic laparoscopy Clinical report
Gynaecology
S4 Obstetrics and S400023 Laparoscopic hysterectomy Clinical report

Gynaecology (TLH)
S4 Obstetrics and S400024 Laparoscopic myomectomy HPE report
Gynaecology
S4 Obstetrics and S400025 Laparoscopic cystectomy Clinical report
Gynaecology
S4 Obstetrics and S400026 Laparoscopic ovarotomy USG pelvis

Gynaecology
S4 Obstetrics and S400027 Laparoscopic adhesiolysis USG pelvis
Gynaecology
S4 Obstetrics and S400028 Laparoscopic tubal surgeries - USG pelvis
Gynaecology salpingectomy, salpingotomy
S4 Obstetrics and S400029 Drag hysteroscopy Clinical report
Gynaecology
S4 Obstetrics and S400030 Hysteroscopic myomectomies Clinical report

Gynaecology
S4 Obstetrics and S400031 Hysteroscopic adhesiolysis Clinical report

Gynaecology
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HPE report
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HPE report
Operative notes
with steps of
surgery
Post.op ultrasound
(pelvis)
HPE report
Operative notes
with steps of
surgery
HPE report
HPE report
HPE report
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
S4 Obstetrics and S400032 Hysteroscopic polypectomy Clinical Indication
Gynaecology
S4 Obstetrics and S400033 Hysteroscopic IUCD removal USG pelvis

Gynaecology
S4 Obstetrics and S400034 Caesarian Delivery Clinical report
Gynaecology
S4 Obstetrics and S400035 Caesarian hysterectomy USG pelvis

Gynaecology
S4 Obstetrics and S400036 High risk delivery: Pre-mature USG pelvis

Gynaecology delivery
S4 Obstetrics and S400037 High risk delivery: Expected Clinical report

Gynaecology Gestation at delivery less than
35 weeks
S4 Obstetrics and S400038 High risk delivery: Mothers with Clinical report
Gynaecology eclampsia or imminent
eclampsia
S4 Obstetrics and S400039 High risk delivery: Obstructed
Gynaecology labour
S4 Obstetrics and S400040 High risk delivery: Major Fetal Clinical
Gynaecology malformation requiring assessment and
intervention immediately after investigations
birth
S4 Obstetrics and S400041 High risk delivery: Mothers with Clinical
Gynaecology severe anaemia (<7 g/dL) assessment and
investigations
S4 Obstetrics and S400042 High risk delivery: Other Clinical
Gynaecology maternal and fetal conditions assessment and
as per guidelines-Such as Rh investigations
haemolytic disease,
uncontrolled diabetes, severe
growth retardation etc that
qualify for high risk delivery
etc.
S4 Obstetrics and S400043 Manual removal of placenta Clinical

Gynaecology assessment and
investigations
S4 Obstetrics and S400044 Laparotomy for ruptured Clinical
Gynaecology ectopic assessment and
investigations
S4 Obstetrics and S400045 MTP > 12 weeks Clinical
investigations
S4 Obstetrics and S400046 MTP upto 12 weeks Clinical
investigations
S4 Obstetrics and S400047 MTP upto 8 weeks Clinical report
Gynaecology
Operative notes
with steps of
surgery
HPE report
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
clinical notes
Operative notes
with steps of
surgery
S4 Obstetrics and S400048 McDonald's stitch UPT report
Gynaecology
S4 Obstetrics and S400049 Shirodkar's stitch USG pelvis

Gynaecology
S4 Obstetrics and S400050 Tuboplasty Clinical report
Gynaecology
S4 Obstetrics and S400051 Laparotomy for broad ligament Bldgr<ABO Rh
Gynaecology haematoma
S4 Obstetrics and S400052 Trans-vaginal tape/ Trans- Obstetric

Gynaecology obturator tape ultrasound
S4 Obstetrics and S400053 Abdominal Perineal neo Clinical report
Gynaecology construction Cx + Uteria +
Vagina
S4 Obstetrics and S400054 Ablation of Endometriotic Spot Bldgr<ABO Rh
Gynaecology + Adhenolysis
S4 Obstetrics and S400055 Ablation of Endometriotic Spot Obstetric

Gynaecology +Salpingostomy ultrasound
S4 Obstetrics and S400056 Adhenolysis + Hernia - Ventral Clinical report
Gynaecology - Lipectomy/Incision
S4 Obstetrics and S400057 Adhenolysis+ Ovarian Bldgr<ABO Rh
Gynaecology Cystectomy
S4 Obstetrics and S400058 Adhenolysis+ Salpingostomy Obstetric

Gynaecology ultrasound
S4 Obstetrics and S400059 Broad Ligment Haemotoma Clinical report
Gynaecology drainage
S4 Obstetrics and S400060 Brust abdomen repair Clinical report
Gynaecology
S4 Obstetrics and S400061 Cone Biopsy Cervix Clinical report

Gynaecology
S4 Obstetrics and S400062 Conventional Tubectomy HSG/SonoHSG

Gynaecology
S4 Obstetrics and S400063 Cyst -Vaginal Enucleation Clinical notes +

Gynaecology USG
S4 Obstetrics and S400064 Cyst-Labial Clinical report

Gynaecology
S4 Obstetrics and S400065 Cystocele - Anterior repair USG pelvis

Gynaecology
S4 Obstetrics and S400066 Cystocele - Anterior Repair + Clinical report
Gynaecology Perineal Tear Repair
S4 Obstetrics and S400067 D&C (Dilatation &curretage) + Clinical report

Gynaecology Electro Cauterisation Cryo
Surgery
S4 Obstetrics and S400068 D&C (Dilatation&curretage) Clinical notes +
Gynaecology USG
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
USG pelvis
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Post.op ultrasound
(pelvis)
S4 Obstetrics and S400069 Diagnostic laparoscopy & Clinical/USG,Ca1
Gynaecology hysteroscopy for infertility 25/or CEA
S4 Obstetrics and S400070 Electro Cauterisation Cryo Clinical report
Gynaecology Surgery
S4 Obstetrics and S400071 Exploration of abdominal Clinical report

Gynaecology haematoma (after laparotomy
+ LSCS)
S4 Obstetrics and S400072 Fractional Curretage CBC, Sugar
Gynaecology
S4 Obstetrics and S400073 Gaping Perineal wound Clinical report

Gynaecology secondary suturing/ episiotomy
S4 Obstetrics and S400074 HaematoColpo/Excision - Clinical report

Gynaecology Vaginal Septum
S4 Obstetrics and S400075 Hymenectomy& Repair of Clinical report

Gynaecology Hymen
S4 Obstetrics and S400076 Amniocentesis Clinical report

Gynaecology
S4 Obstetrics and S400077 Chorionic villus sampling Clinical report

Gynaecology
S4 Obstetrics and S400078 Cordocentesis Clinical report

Gynaecology
S4 Obstetrics and S400079 Intrauterine transfusions Biopsy D & C

Gynaecology
S4 Obstetrics and U100S4 Unspecified Surgical Package
Gynaecology
S5 Orthopaedics S500001 AC joint reconstruction/ X rays of affected
Stabilization/ Acromionplasty limb,MRI of
(Nonoperative management is shoulder,X rays
recommended for Rockwood of affected limb
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)
S5 Orthopaedics S500002 Accessory bone – Excision X rays of affected

(limbs) – congenital, Accessory limb
digits sometime can be
removed
S5 Orthopaedics S500003 Amputation - Below Elbow Clinical
photograph
HPE report
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
HPE report
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Operative notes
with steps of
surgery
Biopsy report
X rays of affected
limb
Clinical photograph
S5 Orthopaedics S500004 Amputation - Above Elbow Clinical
photograph
S5 Orthopaedics S500005 Amputation – one or more Clinical
fingers photograph
S5 Orthopaedics S500006 Amputation – Wrist Clinical
photograph
S5 Orthopaedics S500007 Amputation - one or more toes/ Clinical
digits photograph
S5 Orthopaedics S500008 Amputation – Below Knee Clinical
photograph
S5 Orthopaedics S500009 Amputation – Above Knee Clinical
photograph
S5 Orthopaedics S500010 Foot & Hand Amputation Clinical
(whole/ partial) photograph
S5 Orthopaedics S500011 Disarticulation (hind & for Clinical
quarter) report,radiologica
l investigations
S5 Orthopaedics S500012 Anterior Spine Fixation Clinical
report,radiologica
l investigations
S5 Orthopaedics S500013 Posterior Spine Fixation Clinical
report,radiologica
l investigations
S5 Orthopaedics S500014 Osteochondroma excision/ Clinical
Excision of Exostosis report,radiologica
l investigations
S5 Orthopaedics S500015 Excision Arthoplasty radiological
investigations,Cli
nical report
S5 Orthopaedics S500016 Arthorotomy of any joint clinical notes
S5 Orthopaedics S500017 Arthrodesis Ankle Triple radiological
investigations,Cli
nical report
S5 Orthopaedics S500018 Excision Arthoplasty of Femur X Ray,clinical
head notes
S5 Orthopaedics S500019 Bimalleolar Fracture Fixation clinical notes,X
Ray
S5 Orthopaedics S500020 Bone Tumour Excision + radiological
reconstruction using implant investigations,Cli
(malignant/ benign) nical report
S5 Orthopaedics S500021 Bone Tumour (malignant/ Clinical
benign) curettage and bone report,radiologica
grafting l investigations
S5 Orthopaedics S500022 Bone Tumour Excision radiological
(malignant/ benign) + Joint investigations,Cli
replacement (depending upon nical report
type of joint and implant)
S5 Orthopaedics S500023 Clavicle fracture management - X Ray,clinical
conservative (daycare) notes,CT/MRI
S5 Orthopaedics S500024 Close Fixation - Hand Bones X Ray

Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
radiological
investigations,Clini
cal report
radiological
cal report
Clinical
report,radiological
investigations
Clinical
report,radiological
investigations
Clinical
report,radiological
investigations
clinical notes
Clinical
report,radiological
investigations
clinical notes,X
Ray
X Ray,Post op X
Ray,clinical notes
radiological
cal report
radiological
cal report
radiological
investigations,radio
logical
investigations
Post op X
Ray,clinical
notes,Operative
notes with steps of
surgery
Clinical photograph
S5 Orthopaedics S500025 Close Fixation - Foot Bones X Ray
S5 Orthopaedics S500026 Close Reduction - Small Joints X Ray
S5 Orthopaedics S500027 Closed Interlock Nailing + X Ray

Bone Grafting – femur
S5 Orthopaedics S500028 Closed Interlocking X Ray
Intermedullary
S5 Orthopaedics S500029 Closed Interlocking Tibia + Orif X Ray
of Fracture Fixation
S5 Orthopaedics S500030 Closed Reduction and Internal X Ray
Fixation with K wire
S5 Orthopaedics S500031 Closed Reduction and X Ray
Percutaneous Screw Fixation
(neck femur)
Percutaneous Pinning
Percutaneous Nailing
S5 Orthopaedics S500034 Closed Reduction of the Hip X Ray
(including hip Spika)
S5 Orthopaedics S500035 Debridement & Closure of Clinical Notes +
Major injuries - contused X-Rays
lacerated wounds (anti-biotic +
dressing) - minimum of 3
sessions
S5 Orthopaedics S500036 Debridement & Closure of Clinical Notes +
Minor injuries X-Rays
S5 Orthopaedics S500037 Closed reduction of dislocation Clinical Notes +
(Knee/ Hip) X-Rays
S5 Orthopaedics S500038 Closed reduction of dislocation Clinical Notes +
(Shoulder/ Elbow) X-Rays
S5 Orthopaedics S500039 Duputryen’s Contracture clinical notes
release + rehabilitation
S5 Orthopaedics S500040 Exploration and Ulnar nerve electro-diagnostic
Repair studies
S5 Orthopaedics S500041 External fixation - Long bone X Ray
S5 Orthopaedics S500042 External fixation - Small bone X Ray
S5 Orthopaedics S500043 External fixation - Pelvis X Ray
S5 Orthopaedics S500044 Fasciotomy clinical notes

S5 Orthopaedics S500045 Fixator with Joint Arthrolysis Clinical Notes +
X-Rays
S5 Orthopaedics S500046 Fracture - Acetabulum X Ray
S5 Orthopaedics S500047 Fracture - Fibula Internal X Ray
Fixation
S5 Orthopaedics S500048 Fracture - Hip Internal Fixation X Ray
(Intertrochanteric Fracture with
implant) + rehabilitation
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical photograph
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
clinical notes
electro-diagnostic
studies
Clinical photograph
Clinical photograph
Clinical photograph
clinical notes
Clinical Notes + X-
Rays
X Ray
X Ray
X Ray
S5 Orthopaedics S500049 Fracture - Humerus Internal X Ray
Fixation
S5 Orthopaedics S500050 Fracture - Olecranon of Ulna X Ray
S5 Orthopaedics S500051 Fracture - Radius Internal X Ray
Fixation
S5 Orthopaedics S500052 Fracture - TIBIA Internal X Ray
Fixation plating
S5 Orthopaedics S500053 Fracture - Ulna Internal X Ray
Fixation
S5 Orthopaedics S500054 Head Radius – Excision clinical notes
S5 Orthopaedics S500055 High Tibial Osteotomy clinical notes
S5 Orthopaedics S500056 Closed reduction + Hip Spica clinical notes
S5 Orthopaedics S500057 Internal Fixation Lateral clinical notes

Epicondyle
S5 Orthopaedics S500058 Internal Fixation of other Small clinical notes
Bones (metatarsals)
S5 Orthopaedics S500059 Limb Lengthening clinical notes
S5 Orthopaedics S500060 Llizarov Fixation clinical notes
S5 Orthopaedics S500061 Multiple Tendon Repair Clinical

report,electro-
diagnostic
studies
S5 Orthopaedics S500062 Nerve Repair Surgery Clinical
report,electro-
diagnostic
studies
S5 Orthopaedics S500063 Nerve Transposition/Release/ clinical notes
Neurolysis
S5 Orthopaedics S500064 Open Reduction Internal Clinical Notes +
Fixation (2 Small Bones) X-Rays
S5 Orthopaedics S500065 Open Reduction Internal Clinical Notes +
Fixation (Large Bone) X-Rays
S5 Orthopaedics S500066 Open Reduction of CDH Clinical Notes +
X-Rays
S5 Orthopaedics S500067 Open Reduction of Small Joint Clinical Notes +
X-Rays
S5 Orthopaedics S500068 Open Reduction with bone Clinical Notes +
grafting of nonunion X-Rays
S5 Orthopaedics S500069 Osteotomy -Small Bone Clinical Notes +
X-Rays
S5 Orthopaedics S500070 Osteotomy -Long Bone Clinical Notes +
X-Rays
S5 Orthopaedics S500071 Patellectomy Clinical Notes +
X-Rays
S5 Orthopaedics S500072 Pelvic Osteotomy with fixation Clinical Notes +
with plaster X-Rays
S5 Orthopaedics S500073 Percutaneous - Fixation of Clinical Notes +
Fracture X-Rays
S5 Orthopaedics S500074 Excision of Bursa clinical notes
X Ray
X Ray
X Ray
X Ray
X Ray
X Ray,clinical
notes
X Ray,clinical
notes
X Ray,clinical
notes
clinical notes,X
Ray
X Ray,clinical
notes
clinical notes,X
Ray
X Ray,clinical
notes
Clinical photograph
showing scar
electro-diagnostic
studies,Clinical
photograph
showing scar
clinical notes
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
clinical notes
S5 Orthopaedics S500075 Reconstruction of ACL/PCL radiological
with implant and brace investigations,Cli
nical report
S5 Orthopaedics S500076 Sequestrectomy of Long clinical notes
Bones + anti-biotics + dressing
S5 Orthopaedics S500077 Tendo Achilles Tenotomy clinical notes

S5 Orthopaedics S500078 Tendon Grafting clinical notes
S5 Orthopaedics S500079 Tendon Release/ Tenotomy clinical notes
S5 Orthopaedics S500080 Tenolysis clinical notes
S5 Orthopaedics S500081 Tension Band Wiring Patella Clinical Notes +
X-Rays
S5 Orthopaedics S500082 Application of P.O.P. casts for Clinical Notes +
Upper & Lower Limbs X-Rays
S5 Orthopaedics S500083 Application of P.O.P. Spikas& Clinical Notes +
Jackets X-Rays
S5 Orthopaedics S500084 Application of Skeletal Clinical Notes +
Tractions with pin X-Rays
S5 Orthopaedics S500085 Application of Skin Traction Clinical Notes +
X-Rays
S5 Orthopaedics S500086 Head radius - Excision + clinical notes
Fracture - Ulna Internal
Fixation
S5 Orthopaedics S500087 External fixation - both bones clinical notes
of forearms
S5 Orthopaedics S500088 Fracture intercondylarHumerus clinical notes
+ olecranon osteotomy
S5 Orthopaedics S500089 Correction of club foot per cast clinical notes
S5 Orthopaedics S500090 Arthroscopic Meniscus Repair/ radiological

Meniscectomy investigations,Cli
nical report
S5 Orthopaedics S500091 Total Hip Replacement radiological
(cemented) investigations,Cli
nical report
S5 Orthopaedics S500092 Total Hip Replacement radiological
(cementless) investigations,Cli
nical report
S5 Orthopaedics S500093 Total Hip Replacement (hybrid) Clinical
report,radiologica
l investigations
S5 Orthopaedics S500094 Bipolar Hemiarthroplasty (hip & Clinical
shoulder) report,radiologica
l investigations
S5 Orthopaedics S500095 Unipolar Hemiarthroplasty Clinical
report,radiologica
l investigations
S5 Orthopaedics S500096 Total Knee Replacement radiological
investigations,Cli
nical report
S5 Orthopaedics S500097 Elbow replacement Clinical
report,radiologica
l investigations
radiological
cal report
X Ray,clinical
notes
clinical notes
clinical notes
clinical notes
clinical notes
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
Clinical Notes + X-
Rays
X Ray,clinical
notes
X Ray,clinical
notes
X Ray,clinical
notes
X Ray,clinical
notes
radiological
cal report
Clinical
report,radiological
investigations
Clinical
report,radiological
investigations
Clinical
report,radiological
investigations
Clinical
report,radiological
investigations
radiological
cal report
radiological
cal report
Clinical
report,radiological
investigations
S5 Orthopaedics S500098 Arthrodesis of shoulder radiological
investigations,Cli
nical report
S5 Orthopaedics S500099 Arthrodesis of Knee (with Clinical
implant) report,radiologica
l investigations
S5 Orthopaedics S500100 Arthrodesis of Wrist (with Clinical
l investigations
S5 Orthopaedics S500101 Arthrodesis of Ankle (with Clinical
l investigations
S5 Orthopaedics U100S5 Unspecified Surgical Package
S6 Polytrauma S600001 Nerve Plexus injuries, Tendon CT,Nerve

injury repair/reconstruction/ conduction
Transfer velocity (NCV)
S6 Polytrauma S600002 Plexus injury along with Nerve

Vascular injury repair/ graft Conduction
study,CT,Pre-op.
Doppler study
S6 Polytrauma S600003 Internal fixation with Flap cover X-RAY/CT,PRE

Surgery for wound in OP CLINICAL
compound fracture PICTURE
S6 Polytrauma S600004 Head injury requiring Facio- X-RAY/CT

Maxillary Injury repairs &
fixations (including implants)
S6 Polytrauma S600005 Internal fixation of X-RAY/CT

Pelviacetabular fracture
S6 Polytrauma S600006 Craniotomy and evacuation of CT,Pre-op. X-ray

Haematoma – subdural/Extra
dural along with fixation of
fracture of single long bone
S6 Polytrauma S600007 Craniotomy and evacuation of CT,Pre-op. X-ray
Haematoma – subdural/Extra
dural along with fixation of
fracture of 2 or more long
bone.
S6 Polytrauma S600008 Visceral injury requiring Ultra sound/ X-
surgical intervention along with ray,Pre-op. X-
fixation of fracture of single ray,CT scan
long bone.
radiological
cal report
Clinical
report,radiological
investigations
Clinical
report,radiological
investigations
Clinical
report,radiological
investigations
POST OP
ELECTRO
DISGNOSTIC
STUDY,Clinical
Photographs with
Graft site +
Showing scar
Clinical photo
showing scar,Post-
op. Doppler study
Clinical
Photograph
showing flap
cover,Post- op. X-
ray
Post- op. X-
ray,Clinical
photograph
showing scar
Post- op. X-
ray,Clinical
photograph
showing scar
Scar Photo,Post-
op. X-ray
Scar Photo,Post-
op. X-ray
Scar Photo,Post-
op. X-ray
S6 Polytrauma S600009 Visceral injury requiring Pre-op. X-
surgical intervention along with ray,Ultra sound/
fixation of fracture of 2 or more X-ray,CT scan
long bones.
S6 Polytrauma S600010 Chest injury with one fracture CHEST X-
of long bone (with implants) ray,Pre-op. X-ray
of fracture
S6 Polytrauma S600011 Chest injury with fracture of 2 Pre-op. X-ray of
or more long bones fracture
S6 Polytrauma S600012 Emergency tendons repair ± electro-diagnostic
Peripheral Nerve repair/ studies,Clinical
reconstructive surgery report
S6 Polytrauma U100S6 Unspecified Surgical Package
S7 Urology S700001 Adrenalectomy-unilateral, open CT/MRI,USG

pelvis,clinical
notes
S7 Urology S700002 Adrenalectomy-unilateral, CT/MRI,USG

Laparoscopic pelvis,clinical
notes
S7 Urology S700003 Adrenalectomy-bilateral, open clinical

notes,CT/MRI,US
G pelvis
S7 Urology S700004 Adrenalectomy-biilateral, CT/MRI,USG

Laparoscopic pelvis,clinical
notes
S7 Urology S700005 Paraganglioma excision with USG

liver mobilization pelvis,CT/MRI,cli
nical notes
S7 Urology S700006 Nephrectomy (Benign) Open clinical

notes,USG
KUB/CT
Urography, MRI,
Urography,CT/M
RI
S7 Urology S700007 Nephrectomy (Benign) USG KUB/CT

Laparoscopic Urography, MRI,
Urography,CT/M
RI,clinical notes
S7 Urology S700008 Nephrectomy-Radical (Renal USG KUB/CT
tumor) Open Urography, MRI,
Urography,CT/M
RI,clinical notes
S7 Urology S700009 Nephrectomy-Radical (Renal USG KUB/CT
tumor) Laparoscopic Urography, MRI,
Urography,CT/M
RI,clinical notes
Post- op. X-
ray,Scar Photo
Post- op. X-
ray,Scar Photo
Post- op. X-
ray,Scar Photo
Clinical
Photographs with
Graft site +
Showing scar,MRI
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
S7 Urology S700010 Nephrectomy-Partial or Hemi, clinical
Open notes,CT/MRI,US
G KUB/CT
Urography, MRI,
Urography
S7 Urology S700011 Nephrectomy-Partial or Hemi, CT/MRI,clinical
Laparoscopic notes,USG
KUB/CT
Urography, MRI,
Urography
S7 Urology S700012 Nephro ureterectomy (Benign) USG KUB/CT
Open Urography, MRI,
Urography,CT/M
RI,clinical notes
S7 Urology S700013 Nephro ureterectomy (Benign) USG KUB/CT
Urography,CT/M
RI,clinical notes
S7 Urology S700014 Nephro ureterectomy with cuff USG KUB/CT
of bladder Open Urography, MRI,
Urography,CT/M
RI,clinical notes
S7 Urology S700015 Nephro ureterectomy with cuff USG KUB/CT
of bladder Laparoscopic Urography, MRI,
Urography,CT/M
RI,clinical notes
S7 Urology S700016 Pyeloplasty/pyeloureterostomy/ USG KUB/CT
pyelopyelostomy Open Urography, MRI,
Urography,CT/M
RI,clinical notes
S7 Urology S700017 Pyeloplasty/pyeloureterostomy/ USG KUB/CT
pyelopyelostomy Laparoscopic Urography, MRI,
Urography,CT/M
RI,clinical notes
S7 Urology S700018 Endopyelotomy (retrograde CT/MRI,USG
with laser/bugbee) KUB/CT
Urography, MRI,
Urography,clinical
notes
S7 Urology S700019 Endopyelotomy (antegrade CT/MRI,USG
with laser/bugbee) KUB/CT
Urography, MRI,
Urography,clinical
notes
S7 Urology S700020 Ureterocalycostomy Open USG KUB/CT
Urography, MRI,
Urography,clinical
notes,CT/MRI
S7 Urology S700021 Ureterocalycostomy USG KUB/CT
Urography,clinical
notes,CT/MRI
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
S7 Urology S700022 Uretero-ureterostomy Open clinical
notes,USG
pelvis,CT/MRI
S7 Urology S700023 Uretero-ureterostomy clinical

Laparoscopic notes,CT/MRI,US
G KUB/CT
Urography, MRI,
Urography
S7 Urology S700024 PCNL (Percutaneous USG KUB/CT
Nephrolithotomy) - Bilateral Urography, MRI,
Urography,clinical
notes,CT/MRI
S7 Urology S700025 PCNL (Percutaneous clinical
Nephrolithotomy) - Unilateral notes,CT/MRI,US
G KUB/CT
Urography, MRI,
Urography
S7 Urology S700026 Extracoporeal shock-wave CT/MRI,X-ray
Lithotripsy (SWL) stone, with or KUB/NCCT
without stent (one side) Abdomen
KUB,clinical
notes
S7 Urology S700027 Extracoporeal shock-wave clinical notes,X-
Lithotripsy (SWL) stone, with or ray KUB/NCCT
without stent (both sides) Abdomen
KUB,CT/MRI
S7 Urology S700028 Pyelolithotomy-Open clinical
notes,CT/IVP ,
KUB , USG
S7 Urology S700029 Pyelolithotomy-Laparoscopic clinical

notes,USG, IVP,
USG/CT Abd
S7 Urology S700030 Nephrolithotomy-Open clinical notes,X-

ray KUB/USG
KUB/CT,
Urography,CT/M
RI
S7 Urology S700031 Anatrophic nephrolithotomy clinical
notes,CT/IVP ,
KUB , USG
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
MCU/CT
Cystography,clinica
l notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery,MCU/CT
Cystography
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes,X Ray,X-ray
KUB/USG KUB/CT,
Urography
S7 Urology S700032 Perinephric Abscess drainage X-ray KUB/USG
(percutaneous) KUB/CT,
Urography,clinical
notes
S7 Urology S700033 Perinephric Abscess drainage clinical

(Open) notes,USG
KUB/CT
Scan/MRI Scan
S7 Urology S700034 Renal Cyst deroofing or clinical
marsupialization-Open notes,USG
KUB/CT
Scan/MRI Scan
S7 Urology S700035 Renal Cyst deroofing or USG KUB/CT
marsupialization-Laparoscopic Scan/MRI
Scan,clinical
notes
S7 Urology S700036 Nephrostomy-percutaneous clinical
ultrasound guided notes,USG, IVP,
USG/CT Abd
S7 Urology S700037 Ureterolithotomy-Open clinical

notes,USG
KUB/CT
Scan/MRI Scan
S7 Urology S700038 Ureterolithotomy-Laparoscopic clinical

notes,USG
KUB/CT
Scan/MRI Scan
S7 Urology S700039 Ureteroscopy+stone removal clinical

with lithotripsy, lower ureter, notes,USG
unilateral KUB/CT
Scan/MRI Scan
S7 Urology S700040 Ureteroscopy+stone removal clinical

with lithotripsy, upper ureter, notes,USG
unilateral KUB/CT
Scan/MRI Scan
S7 Urology S700041 Ureteroscopy+stone removal USG KUB/CT

with lithotripsy, bilateral Scan/MRI Scan
Operative notes
with steps of
surgery,clinical
notes,CT/MRI,USG
pelvis
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
CT/MRI,clinical
notes,Operative
notes with steps of
surgery
X-ray KUB/USG
KUB/CT,
Urography,clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes,X-ray
KUB/USG KUB/CT,
Urography
clinical
notes,Operative
notes with steps of
surgery,X-ray
KUB/USG KUB/CT,
Urography
X-ray KUB/USG
KUB/CT,
Urography,Operati
ve notes with steps
of surgery,clinical
notes
clinical notes,X-ray
KUB/USG KUB/CT,
Urography,Operati
ve notes with steps
of surgery
S7 Urology S700042 Ureterotomy (Cutaneous) USG KUB/CT
Scan/MRI Scan
S7 Urology S700043 Endoureterotomy USG KUB/CT

(laser/bugbee) Scan/MRI Scan
S7 Urology S700044 Ureteric reimplantation- X-ray KUB/USG

unilateral-open KUB/CT,
Urography

bilateral-open KUB/CT,
Urography,clinical
notes

unilateral-Laparoscopic KUB/CT,
Urography,clinical
notes
bilateral-Laparoscopic KUB/CT,
Urography,clinical
notes
S7 Urology S700048 Uretero-vaginal/uterine fistula clinical notes,X-
repair open ray KUB/USG
KUB/CT,
Urography
S7 Urology S700049 Uretero-vaginal/uterine fistula clinical notes,X-

repair Laparoscopic ray KUB/USG
KUB/CT,
Urography
S7 Urology S700050 Ureterolysis-open, for MCU/IVP/CT

retroperitoneal fibrosis (with or Urography,clinical
without omental wrapping) notes
S7 Urology S700051 Ureterolysis-Laparoscopic, for X-ray KUB/USG

retroperitoneal fibrosis (with or KUB/CT,
without omental wrapping) Urography,clinical
notes
S7 Urology S700052 Boari flap for ureteric stricture, X-ray KUB/USG
open KUB/CT,
Urography,clinical
notes
KUB/USG KUB/CT,
Urography,Operati
ve notes with steps
of surgery
KUB/USG KUB/CT,
Urography,Operati
ve notes with steps
of surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,MCU/IVP/
CT
Urography,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,MCU/IVP/CT
Urography,Operati
ve notes with steps
of surgery
MCU/IVP/CT
Urography,Operati
ve notes with steps
of surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
S7 Urology S700053 Boari flap for ureteric stricture, X-ray KUB/USG
Laparoscopic KUB/CT,
Urography,clinical
notes
S7 Urology S700054 Ileal replacement for ureteric X-ray KUB/USG
stricture KUB/CT,
Urography,clinical
notes
S7 Urology S700055 DJ stent unilateral including X-ray KUB/NCCT
cystoscopy, ureteric Abdomen
catheterization, retrograde KUB,clinical
pyelogram notes
S7 Urology S700056 DJ stent bilateral including X-ray KUB/USG

cystoscopy, ureteric KUB/CT,
catheterization, retrograde Urography,clinical
pyelogram notes
S7 Urology S700057 Ureteric sampling including clinical
cystoscopy, ureteric notes,USG
catheterization, retrograde pelvis,CT/MRI
pyelogram
S7 Urology S700058 Ureterocele incision including X Ray,clinical
cystoscopy, ureteric notes,MCU/IVP/C
catheterization, retrograde T Urography
pyelogram
S7 Urology S700059 Urachal Cyst excision -open clinical
notes,USG, IVP,
USG/CT Abd
S7 Urology S700060 Cystolithotomy-open, including CT/IVP , KUB ,

cystoscopy USG,clinical
notes
S7 Urology S700061 Cystolithotripsy/Urethral Stone CT/IVP , KUB ,

endoscopic, including USG,clinical
cystoscopy notes
S7 Urology S700062 TURBT (Transurethral CT/MRI,clinical

Resection of the Bladder notes,USG pelvis
Tumor)
S7 Urology S700063 TUR-fulgration (Transurethral clinical

fulgration of the Bladder notes,USG
Tumor) pelvis,CT/MRI
S7 Urology S700064 Intravesical BCG/Mitomycin 6 USG KUB/CT

induction cycles (weekly for 6 Urography, MRI,
weeks-total cost of 6 cycles) Urography,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Clinical photo
showing scar
USG/CT,Operative
notes with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,X
Ray,USG/CT,clinic
al notes
USG/ X-
RAY,Clinical photo
showing scar
Operative notes
with steps of
surgery,clinical
notes
KUB/USG KUB/CT,
Urography,Operati
ve notes with steps
of surgery
X-ray KUB/USG
KUB/CT,
Urography,clinical
notes,Operative
notes with steps of
surgery
S7 Urology S700065 Intravesical BCG/Mitomycin clinical notes
maintenance for 12 doses
(total cost of 12 doses)
S7 Urology S700066 Post TURBT - Check USG KUB/CT
Cystoscopy (Per sitting) with or Urography, MRI,
without cold-cup biopsy Urography,USG
KUB/CT
Urography, MRI,
Urography,clinical
notes
S7 Urology S700067 Diagnostic Cystoscopy clinical

notes,USG
KUB/CT
Urography, MRI,
Urography
S7 Urology S700068 Bladder Neck incision- USG KUB/CT

endoscopic Urography, MRI,
Urography,clinical
notes
S7 Urology S700069 Extrophy Bladder repair USG KUB/CT

including osteotomy if needed Urography, MRI,
+ epispadias repair + ureteric Urography,clinical
reimplant notes
S7 Urology S700070 Bladder injury repair (as an USG KUB/CT

independent procedure with or Urography, MRI,
without urethral injury) Urography,clinical
notes
S7 Urology S700071 Bladder injury repair (only to be USG KUB/CT

used if done as a part of Urography, MRI,
ongoing laparotomy/other Urography,clinical
surgery) notes
S7 Urology S700072 Bladder injury repair with USG KUB/CT

colostomy (as an independent Urography, MRI,
procedure with or without Urography,clinical
urethral injury) notes
clinical notes
Operative notes
with steps of
surgery,X-ray
KUB/USG KUB/CT,
Urography,Operati
ve notes with steps
of surgery,clinical
notes
X-ray KUB/USG
KUB/CT,
Urography,X-ray
KUB/USG KUB/CT,
Urography,Operati
ve notes with steps
of surgery,clinical
notes
KUB/USG KUB/CT,
Urography,Operati
ve notes with steps
of surgery
clinical notes,USG
pelvis,CT/MRI,Ope
rative notes with
steps of surgery
MCU/CT
Cystography,Opera
tive notes with
steps of
surgery,clinical
notes
MCU/CT
Cystography,Opera
tive notes with
steps of
surgery,clinical
notes
MCU/CT
Cystography,Opera
tive notes with
steps of
surgery,clinical
notes
S7 Urology S700073 Partial Cystectomy-open CT Scan/MRI
/MCU,clinical
notes
S7 Urology S700074 Partial Cystectomy- clinical

Laparoscopic notes,USG
KUB/CT
Urography, MRI,
Urography
S7 Urology S700075 Radical cystectomy with CT/MRI,USG

neobladder-open pelvis,clinical
notes
S7 Urology S700076 Radical cystectomy with CT/MRI,USG

continent diversion-open pelvis,clinical
notes
S7 Urology S700077 Radical Cystectomy with Ileal USG KUB/CT

Conduit-open Scan/MRI
Scan,clinical
notes
S7 Urology S700078 Radical Cystectomy with USG KUB/CT
ureterostomy-open Scan/MRI
Scan,clinical
notes
S7 Urology S700079 Radical Cystectomy with USG KUB/CT
ureterosigmoidostomy-open Scan/MRI
Scan,clinical
notes
S7 Urology S700080 Other Cystectomies USG KUB/CT

Scan/MRI
Scan,clinical
notes
S7 Urology S700081 Suprapubic Cystostomy - USG KUB/CT

Open, as an independent Scan/MRI
procedure Scan,clinical
notes
S7 Urology S700082 Suprapubic Drainage - USG KUB/CT
Closed/Trocar Scan/MRI
Scan,clinical
notes
S7 Urology S700083 VVF/Uterovaginal Repair - USG KUB/CT
Transvaginal approach Scan/MRI
Scan,clinical
notes
Abdominal,Open Scan/MRI
Scan,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
MCU/CT
Cystography,Opera
tive notes with
steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Histopathological
report,Clinical
photo showing
scar,USG pelvis
Operative notes
with steps of
surgery,clinical
notes
Histopathological
report,Clinical
photo showing
scar,USG pelvis
Clinical photo
showing
scar,Histopathologi
cal report,USG
pelvis
USG pelvis,Clinical
photo showing
scar,Histopathologi
cal report
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Abdominal, Laparoscopic Scan/MRI
Scan,clinical
notes
S7 Urology S700086 Hysterectomy as part of CT/IVP , Scopy ,
VVF/uterovaginal fistula repair RGU,clinical
(top-up) notes
S7 Urology S700087 Urethrovaginal fistula repair clinical

notes,USG
pelvis,CT/MRI
S7 Urology S700088 Y V Plasty of Bladder clinical

Neck/Bladder Neck notes,USG
Reconstruction pelvis,CT/MRI
S7 Urology S700089 Augmentation cystoplasty- X-ray KUB/USG

open KUB/CT,
Urography,clinical
notes
S7 Urology S700090 Augmentation cystoplasty- USG, IVP/
Laparoscopic MCU,clinical
notes
S7 Urology S700091 Open bladder diverticulectomy clinical notes,X-

with/without ureteric re- ray KUB/USG
implantation KUB/CT,
Urography
S7 Urology S700092 Open simple prostatetctomy for USG
BPH pelvis,CT/MRI,cli
nical notes
S7 Urology S700093 TURP-Transurethral Resection USG

of the Prostate, BPH, pelvis,clinical
Monopolar/Bipolar/Laser notes,CT/MRI
S7 Urology S700094 Holmium Laser Prostatectomy CT Scan/MRI

/MCU,clinical
notes
S7 Urology S700095 TURP/Laser + Circumcision USG

pelvis,clinical
notes,CT/MRI
Operative notes
with steps of
surgery,clinical
notes
MCU/IVP/CT
Urography,clinical
notes,Operative
notes with steps of
surgery
clinical
notes,MCU/IVP/CT
Urography,Operati
ve notes with steps
of surgery
USG KUB/CT
Urography, MRI,
Urography,Operati
ve notes with steps
of surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Clinical photo
showing
scar,Histopathologi
cal report,USG
pelvis
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,MCU/IVP/
CT
Urography,clinical
notes
S7 Urology S700096 TURP/Laser + Cystolithotripsy clinical
notes,USG
Abdomen,Cystou
retroscopy
,ProstateSpecific
Antigen
S7 Urology S700097 TURP/Laser + Cystolithotomy- clinical

open notes,CT/MRI,US
G pelvis
S7 Urology S700098 TURP/Laser + Orchidectomy CT/MRI,clinical

notes,USG pelvis
S7 Urology S700099 TURP/Laser + TURBT clinical

notes,USG
pelvis,CT/MRI
S7 Urology S700100 TURP/Laser + URS with stone USG

removal pelvis,CT/MRI,cli
nical notes
S7 Urology S700101 TURP/Laser + VIU (visual USG

internal Ureterotomy) pelvis,CT/MRI,cli
nical notes
S7 Urology S700102 TURP/Laser + Hydrocele USG

surgery pelvis,CT/MRI,cli
nical notes
S7 Urology S700103 TURP/Laser + Hernioplasty CT/MRI,USG

pelvis,clinical
notes
S7 Urology S700104 TURP/Laser + Urethral CT/MRI,USG

dilatation-non endoscopic pelvis,clinical
notes
S7 Urology S700105 TURP/Laser + Urethral USG

dilatation-endoscopic pelvis,clinical
notes,CT/MRI
S7 Urology S700106 Radical prostatectomy - open USG

pelvis,CT/MRI,cli
nical notes
S7 Urology S700107 Radical prostatectomy - CT Scan/MRI

laparoscopic /MCU,clinical
notes
clinical
notes,Operative
notes with steps of
surgery,X-ray
KUB/USG KUB/CT,
Urography
clinical
notes,MCU/CT
Cystography,Opera
tive notes with
steps of surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
S7 Urology S700108 Transrectal Ultrasound guided CT Scan/MRI
prostate biopsy (minimum 12 /MCU,clinical
core) notes
S7 Urology S700109 Reduction of Paraphimosis CT Scan/MRI

/MCU,clinical
notes
S7 Urology S700110 Excision of Urethral Caruncle clinical notes,CT

Scan/MRI /MCU
S7 Urology S700111 Meatoplasty USG

pelvis,CT/MRI,cli
nical notes
S7 Urology S700112 Meatotomy CT/MRI,USG

pelvis,clinical
notes
S7 Urology S700113 Post Urethral Valve fulguration CT Scan/MRI

/MCU,clinical
notes
S7 Urology S700114 Urethroplasty-End to end RGU,clinical

notes
S7 Urology S700115 Urethroplasty-Substitution- CT/MRI,USG

single stage pelvis,clinical
notes
S7 Urology S700116 Urethroplasty-Substitution-two RGU,clinical

stage notes
S7 Urology S700117 Urethroplasty-Transpubic CT/MRI,USG

pelvis,clinical
notes
S7 Urology S700118 Urethroplasty-two stage USG

without substitution pelvis,CT/MRI,cli
nical
notes,Clinical
photo showing
scar
S7 Urology S700119 Perineal Urethrostomy without USG

closure pelvis,CT/MRI,cli
nical notes
Histopathological
report,Operative
notes with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes,Uroflowmetry
report /
Cystoscopy
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,MCU/CT
Cystography,clinica
l notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
Clinical photo
showing
scar,Operative
notes with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
S7 Urology S700120 Urethrorectal fistula repair USG
pelvis,CT/MRI,cli
nical notes
S7 Urology S700121 Urethral Dilatation-non USG, IVP,

endocopic as an independent USG/CT
procedure Abd,clinical notes
S7 Urology S700122 Urethral Dilatation-endocopic MCU/CT

as an independent procedure Cystography,clini
cal notes
S7 Urology S700123 Internal Ureterotomy including MCU/CT

cystoscopy as an independent Cystography,clini
procedure cal notes
S7 Urology S700124 Hypospadias repair-single USG

stage pelvis,CT/MRI,cli
nical notes
S7 Urology S700125 Hypospadias repair-two or USG

more stage pelvis,CT/MRI,cli
nical notes
S7 Urology S700126 Orchiopexy-without USG

laparoscopy, unilateral pelvis,CT/MRI,cli
nical
notes,Clinical
photo showing
scar
S7 Urology S700127 Orchiopexy-without USG

laparoscopy, bilateral pelvis,CT/MRI,cli
nical notes
S7 Urology S700128 Orchiopexy-with laparoscopy, USG

unilateral pelvis,CT/MRI,cli
nical notes
S7 Urology S700129 Orchiopexy-with laparoscopy, USG

bilateral pelvis,clinical
notes,CT/MRI
S7 Urology S700130 Stress incontinence surgery, clinical

open notes,USG
pelvis,CT/MRI
S7 Urology S700131 Stress incontinence surgery, clinical

laparoscopic notes,U.SCOPY,
USG, UDS
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
Clinical photo
showing
scar,Operative
notes with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
S7 Urology S700132 Stress incontinence surgery clinical
with slings notes,U.SCOPY,
USG, UDS
S7 Urology S700133 Partial Penectomy clinical

notes,USG
pelvis,CT/MRI
S7 Urology S700134 Total Penectomy + Perineal CT/MRI,USG

Urethrostomy pelvis,clinical
notes
S7 Urology S700135 Ilio-Inguinal lymphadenectomy- USG

unilateral pelvis,CT/MRI,cli
nical notes
S7 Urology S700136 Ilio-Inguinal lymphadenectomy- USG

notes,CT/MRI
S7 Urology S700137 Pelvic lymphadenectomy open, clinical

after prior cancer surgery notes,USG
pelvis,CT/MRI
S7 Urology S700138 Pelvic lymphadenectomy clinical

laparoscopic, after prior cancer notes,USG
surgery pelvis,CT/MRI
S7 Urology S700139 Orchiectomy-High inguinal clinical

notes,CT/MRI,US
G pelvis
S7 Urology S700140 Orchiectomy-simple CT/MRI,clinical

notes,USG pelvis
S7 Urology S700141 Bilateral Orchidectomy for USG

hormone ablation pelvis,CT/MRI,cli
nical notes
S7 Urology S700142 Retroperitoneal lymph node clinical

dissection-open notes,USG
pelvis,CT/MRI
S7 Urology S700143 Retroperitoneal lymph node clinical

dissection-Laparoscopic notes,CT/MRI,US
G pelvis
S7 Urology S700144 Infertility-Scrotal exploration CT/MRI,clinical

unilateral notes,USG pelvis
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
S7 Urology S700145 Infertility-Scrotal exploration USG
notes,CT/MRI
S7 Urology S700146 Infertility-Vasoepididymostomy, USG

microsurgical, unilateral pelvis,CT/MRI,cli
nical notes
S7 Urology S700147 Infertility-Vasoepididymostomy, USG

microsurgical, bilateral pelvis,clinical
notes,CT/MRI
S7 Urology S700148 Varicocele-unilateral-non clinical

microsurgical notes,CT/MRI,US
G pelvis
S7 Urology S700149 Varicocele-unilateral- clinical

microsurgical notes,CT/MRI,US
G pelvis
S7 Urology S700150 Varicocele-bilateral-non CT/MRI,clinical

microsurgical notes,USG pelvis
S7 Urology S700151 Varicocele-bilateral- USG

microsurgical pelvis,clinical
notes,CT/MRI
S7 Urology S700152 Penile prosthesis insertion, clinical

Malleable (Indian implant) notes,CT/MRI,US
G pelvis
S7 Urology S700153 Priapism-aspiration/shunt CT/MRI,USG

pelvis,clinical
notes
S7 Urology S700154 Neurogenic bladder-Package Clinical

for evaluation/investigation assessment and
(catheter + ultrasound + culture investigations
+ RGU/ MCU) for 1 month
(medicines - antibiotics).
Follow up visit once in 3
months
S7 Urology S700155 Chronic prostatitis-Package for Clinical

evaluation/investigation assessment and
(ultrasound + culture + prostate investigations
massage) for 1 month
(medicines)
S7 Urology S700156 Emergency management of Clinical
Ureteric stone - Package for assessment and
evaluation/investigation investigations
(ultrasound + culture) for 3
weeks (medicines).
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
Operative notes
with steps of
surgery,clinical
notes
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
clinical
notes,Operative
notes with steps of
surgery
clinical notes
clinical notes
clinical notes
Hematuria assessment and
investigations
Acute retention of Urine assessment and
investigations
S7 Urology S700159 Acute management of upper Clinical
urinary tract trauma – assessment and
conservative investigations
S7 Urology S700160 Urinary tract trauma – open CT/MRI,USG
surgery (exploratory) pelvis,clinical
notes
S7 Urology S700161 Urinary tract trauma – clinical

Laparoscopy surgery notes,CT/MRI,US
G pelvis
S7 Urology U100S7 Unspecified Surgical Package
S8 Neurosurgery S800001 Anterior Encephalocele CT/MRI

S8 Neurosurgery S800002 Burr hole CT/MRI
S8 Neurosurgery S800003 Burr hole with chronic Sub
Dural Haematoma (including
pre and post Op. CT)
S8 Neurosurgery S800004 Carpal Tunnel Release
including pre and post Op. MRI
S8 Neurosurgery S800005 Cervical Ribs – Bilateral

S8 Neurosurgery S800006 Cervical Ribs – Unilateral
S8 Neurosurgery S800007 CranioPlasty - Endogenous CT Brain
graft
S8 Neurosurgery S800008 CranioPlasty - Exogenous graft CT Brain
S8 Neurosurgery S800009 Craniostenosis

S8 Neurosurgery S800010 Duroplasty - Endogenous CT/MRI
S8 Neurosurgery S800011 Duroplasty - Exogenous CT/MRI
S8 Neurosurgery S800012 Haematoma - Brain (head

injuries) (including pre and post
Op. CT)
S8 Neurosurgery S800013 Haematoma - Brain
(hypertensive)
S8 Neurosurgery S800014 Haematoma (Child subdural)
inclusive of General
anaesthesia, pre and post Op.
CT
S8 Neurosurgery S800015 Laminectomy with Fusion and
fixation
S8 Neurosurgery S800016 Laminectomy with Fusion
S8 Neurosurgery S800017 Local Neurectomy
clinical notes
clinical notes
clinical notes
Operative notes
with steps of
surgery,clinical
notes
Operative notes
with steps of
surgery,clinical
notes
clinical notes
clinical notes
CT,Clinical
photograph
showing scar
CT,Clinical
photograph
showing scar
CT/MRI, scar
Photo
CT/MRI, scar
Photo
S8 Neurosurgery S800018 Lumbar Disc including pre and
post Op. MRI
S8 Neurosurgery S800019 Meningocele – Anterior Brain and spinal
cord MRI
S8 Neurosurgery S800020 Meningocele – Lumbar Brain and spinal
cord MRI
S8 Neurosurgery S800021 Meningococcal – Occipital CT/MRI
S8 Neurosurgery S800022 Micro discectomy – Cervical CT/MRI
S8 Neurosurgery S800023 Micro discectomy – Lumbar CT/MRI
S8 Neurosurgery S800024 Brachial Plexus – Repair CT/MRI
S8 Neurosurgery S800025 Shunt (peritoneal, ventriculo- CT/MRI
atrial/ peritoneal, theco
peritoneal)
S8 Neurosurgery S800026 Skull Traction CT/MRI
S8 Neurosurgery S800027 Spine - Canal Stenosis CT/MRI
S8 Neurosurgery S800028 Spine - Decompression & CT/MRI

Fusion
S8 Neurosurgery S800029 Spine - Decompression & CT/MRI
Fusion with fixation
S8 Neurosurgery S800030 Spine - Extradural Tumour CT/MRI
S8 Neurosurgery S800031 Spine - Extradural Tumour with CT/MRI

fixation
S8 Neurosurgery S800032 Spine - Extradural Haematoma CT/MRI
S8 Neurosurgery S800033 Spine - Extradural Haematoma CT/MRI

with fixation
S8 Neurosurgery S800034 Spine - Intradural Tumour CT/MRI
S8 Neurosurgery S800035 Spine - Intradural Tumour with CT/MRI

fixation
S8 Neurosurgery S800036 Spine - Intradural Haematoma CT/MRI
S8 Neurosurgery S800037 Spine - Intradural Haematoma CT/MRI

with fixation
S8 Neurosurgery S800038 Spine - Intramedullar Tumour CT/MRI
S8 Neurosurgery S800039 Spine - Intramedullar Tumour - CT/MRI

fixation
S8 Neurosurgery S800040 Trans Sphenoidal including pre CT/MRI
and post Op. MRI
S8 Neurosurgery S800041 Tumours – Supratentorial CT
S8 Neurosurgery S800042 Tumours Meninges – Gocussa CT,CT
S8 Neurosurgery S800043 Tumours Meninges – Posterior
S8 Neurosurgery S800044 Ventricular Puncture

S8 Neurosurgery S800045 Brain Biopsy
S8 Neurosurgery S800046 Cranial Nerve Anastomosis
S8 Neurosurgery S800047 Depressed Fracture
X-Ray/ Post.op
scar
X-Ray/ Post.op
scar
Scar Photo
Scar Photo
Scar Photo
Scar Photo
clinical notes
Clinical photograph
Clinical photograph
Clinical photograph
Post- op. X-ray
Biopsy & Scar

Photo
Histopathological
report
CT/MRI, scar
Photo
CT/MRI, scar
Photo
Histopathological
report
CT/MRI, scar
Photo
CT/MRI, scar
Photo
CT/MRI, scar
Photo
Histopathological
report
Histopathological
report
CT
Histopathological
report,CT
CT,Histopathologic
al report
CT,Histopathologic
al report
S8 Neurosurgery S800048 Nerve Biopsy excluding
Hensens
S8 Neurosurgery S800049 Peripheral Neurectomy
(Trigeminal)
S8 Neurosurgery S800050 R.F. Lesion for Trigeminal
Neuralgia
S8 Neurosurgery S800051 Twist Drill Craniostomy
S8 Neurosurgery S800052 Excision of Brain CT
TumorSupratentorial-
Parasagital
TumorSupratentorial-Basal
TumorSupratentorial-Brainstem

TumorSupratentorial-C P Angle

TumorSupratentorial& others
S8 Neurosurgery S800057 Abscess Tapping single
S8 Neurosurgery S800058 Abscess Tapping multiple
S8 Neurosurgery S800059 Excision of Brain Abscess Clinical
photograph
showing scar,CT
S8 Neurosurgery S800060 Aneurysm Clipping including Clinical
angiogram photograph
showing scar,X-
RAY/CT
S8 Neurosurgery S800061 Additonal clip for Aneurysm Clinical
Clipping Photographs with
Graft site +
Showing scar,X-
RAY/CT
S8 Neurosurgery S800062 External Ventricular Drainage Clinical
(EVD) including antibiotics photograph
showing
scar,Post.op CT
S8 Neurosurgery S800063 Spinal Fusion Procedure with Pre-op. X-ray
implant
S8 Neurosurgery S800064 Spina Bifida Surgery
S8 Neurosurgery S800065 Stereotactic Lesioning Clinical
photograph
showing scar,CT/
MRI brain
S8 Neurosurgery S800066 Posterior Cervical Discetomy

without implant
S8 Neurosurgery S800067 Posterior Cervical Fusion with Clinical
implant (Lateral mass fixation) photograph
showing scar,X-
RAY cervical
spine
Histopathological
report,CT
Histopathological
report,CT
Histopathological
report,CT
CT,Histopathologic
al report
Histopathological
report,CT
Clinical photograph
showing scar,CT
Clinical photograph
showing scar,X-
RAY/CT
Clinical
Photographs with
Graft site +
Showing scar,X-
RAY/CT
Clinical photograph
showing
scar,Post.op CT
Pre-op. X-ray
Clinical photograph
showing scar,CT/
MRI brain
Clinical photograph
showing scar,X-
RAY cervical spine
S8 Neurosurgery S800068 Cervical Disc Multiple level Clinical
without Fusion photograph
showing scar,X-
RAY cervical
spine
S8 Neurosurgery S800069 Thoracic/Lumbar Corpectomy X Ray,Clinical
with fusion inclusive of implant photograph
showing scar
S8 Neurosurgery S800070 Transoral surgery (Anterior) X Ray,Post.op
and CV Junction (Posterior MRI
Sterlization)
S8 Neurosurgery S800071 Trans oral Surgery
S8 Neurosurgery S800072 Foramen Magnum
Decompression
S8 Neurosurgery S800073 Endoscopic CSF Rhinorrhea CT/MRI
Repair
S8 Neurosurgery S800074 Muscle Biopsy with report
S8 Neurosurgery S800075 Nerve Decompression
S8 Neurosurgery S800076 Peripheral Nerve Surgery Clinical
Major photograph
showing scar
S8 Neurosurgery S800077 Peripheral Nerve Surgery Clinical
Minor photograph
showing scar
S8 Neurosurgery S800078 Epilepsy Surgery Clinical
photograph
showing scar,CT
S8 Neurosurgery S800079 Arterio venous malformation Clinical
(AVM) excision (whatever size photograph
and location) showing scar,X
Ray
S8 Neurosurgery S800080 Scalp Arterio venous Clinical
malformation (AVM) photograph
showing
scar,Histopatholo
gical report
S8 Neurosurgery S800081 Superficial Temporal Artery Clinical
(STA): middle cerebral artery photograph
(MCA) or (other EC - IC) showing scar,X
Bypass procedure Ray
S8 Neurosurgery S800082 Excision of Orbital Tumour Clinical
photograph
showing
scar,Histopatholo
gical report,CT
S8 Neurosurgery S800083 Gamma Knife radiosurgery Clinical photo
(GKRS)/ SRS for tumours/ showing scar
Arteriovenous malformation
(AVM)
S8 Neurosurgery U100S8 Unspecified Surgical Package
Clinical photograph
showing scar,X-
RAY cervical spine
X Ray,Clinical
photograph
showing scar
X Ray,Post.op MRI
CT/MRI
Clinical photograph
showing scar
Clinical photograph
showing scar
Clinical photograph
showing scar,CT
X Ray,Clinical
photograph
showing scar
Clinical photograph
showing
scar,Histopathologi
cal report
Clinical photograph
showing scar,X
Ray
Histopathological
report,Clinical
photograph
showing scar,CT
Clinical photo
showing scar
S9 Interventional S900001 Coil embolization for Hematological
Neuroradiology aneurysms (includes cost of and radiological
first 3 coils + balloon and/ or investigations
stent if used)
S9 Interventional S900002 Additional coil for coil Hematological
Neuroradiology embolization for aneurysms and radiological
investigations
S9 Interventional S900003 Dural AVMs/AVFs (per sitting) Hematological
Neuroradiology with glue and radiological
investigations
S9 Interventional S900004 Dural AVMs/AVFs (per sitting) Hematological
Neuroradiology with onyx and radiological
investigations
S9 Interventional S900005 Carotico-cavernous Fistula Hematological
Neuroradiology (CCF) embolization with coils. and radiological
[includes 5 coils, guide investigations
catheter, micro-catheter, micro-
guidewire, general items]
S9 Interventional S900006 Carotid-cavernous Fistula Hematological

Neuroradiology (CCF) embolization with and radiological
balloon (includes one balloon, investigations
guide catheter, micro-catheter,
micro-guidewire, general
items)
S9 Interventional S900007 Cerebral & Spinal AVM Hematological

Neuroradiology embolization (per sitting). and radiological
Using Histoacryl investigations
S9 Interventional S900008 Parent vessel occlusion - Basic Hematological
Neuroradiology and radiological
investigations
S9 Interventional S900009 Additonal coil for Parent Vessel Hematological
Neuroradiology Occlusion and radiological
investigations
S9 Interventional S900010 Additonal balloon for Parent Hematological
Neuroradiology Vessel Occlusion and radiological
investigations
S9 Interventional S900011 Balloon test occlusion Hematological
investigations
S9 Interventional S900012 Intracranial balloon angioplasty Hematological
Neuroradiology with stenting and radiological
investigations
S9 Interventional S900013 Intracranial thrombolysis / clot Hematological
Neuroradiology retrieval and radiological
investigations
S9 Interventional S900014 Pre-operative tumour Hematological
Neuroradiology embolization (per session) and radiological
investigations
S9 Interventional S900015 Vertebroplasty Hematological
investigations
S9 Interventional U100S9 Unspecified Surgical Package
Neuroradiology
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations
Hematological and
radiological
investigations

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Speciality Speciality Name Procedure ID Procedure Name Pre

M1 General Medicine M100001 Acute gastroenteritis with clinical notes

M1 General Medicine M100002 Recurrent vomiting with clinical notes

M1 General Medicine M100004 Renal colic clinical notes

M1 General Medicine M100005 Acute bronchitis clinical notes

M1 General Medicine M100006 Pneumothroax clinical notes

M1 General Medicine M100007 Accelerated hypertension clinical notes

M1 General Medicine M100008 Congestive heart failure clinical notes

M1 General Medicine M100009 Severe anemia clinical notes

M1 General Medicine M100010 Diabetic ketoacidosis clinical notes

M1 General Medicine M100011 Acute febrile illness clinical notes

M1 General Medicine M100012 Acutre excaberation of COPD clinical notes

M1 General Medicine M100013 UTI clinical notes

M1 General Medicine M100014 Malaria clinical notes

M1 General Medicine M100015 Dengue fever clinical notes

M1 General Medicine M100016 Chikungunya fever clinical notes

M1 General Medicine M100017 Leptospirosis clinical notes

M1 General Medicine M100018 Enteric fever clinical notes

M1 General Medicine M100019 Pneumonia clinical notes

M1 General Medicine M100020 Acute excaberation of ILD clinical notes

M1 General Medicine M100021 Liver abscess clinical notes

M1 General Medicine M100022 Acute viral hepatitis clinical notes

M1 General Medicine M100023 Snake bite clinical notes

M1 General Medicine M100033 Lung abscess/ Empyema clinical notes

M1 General Medicine M100038 Visceral leishmaniasis clinical notes

M1 General Medicine M100044 Type 1/2 respiratory failure clinical notes

M1 General Medicine M100047 Severe pneumonia clinical notes

M1 General Medicine M100051 Complicated malaria clinical notes

M1 General Medicine M100070 Haemodialysis/Peritoneal clinical notes

M1 General Medicine M100072 High end histopathology clinical notes

M2 Paediatric medical M200001 Diarrhoea clinical notes

M2 Paediatric medical M200101 High end radiological clinical notes

M3 Neo-natal M300003 Intensive Neonatal Care Clinical notes on

M3 Neo-natal M300005 Critical Care Neonatal Clinical notes on

M3 Neo-natal M300006 Chronic Care Package clinical notes

M4 Paediatric cancer M400002 Acute lymphoblastic leukemia Hematology,

M4 Paediatric cancer M400003 Acute lymphoblastic leukemia Hematology,

M4 Paediatric cancer M400004 Acute lymphoblastic leukemia: Hematology,

M4 Paediatric cancer M400005 Acute lymphoblastic leukemia: Hematology,

M4 Paediatric cancer M400006 Acute myeloid leukemia Hematology,Clini

M4 Paediatric cancer M400007 Acute myeloid leukemia Hematology,Clini

M4 Paediatric cancer M400008 Acute myeloid leukemia: Clinical

M4 Paediatric cancer M400016 Non-Hodgkin Lymphoma: Clinical

M4 Paediatric cancer M400018 Retinoblastoma (Intraocular): Clinical

M4 Paediatric cancer M400022 Retinoblastoma (extraocular): Clinical

M4 Paediatric cancer M400027 Brain tumors: supportive care/ Clinical

M4 Paediatric cancer M400029 Wilms tumors: radiation Clinical

M4 Paediatric cancer M400032 Histiocytosis: supportive care/ Clinical

M4 Paediatric cancer M400034 Bone tumors/soft tissue Biopsy , CT-Scan

M4 Paediatric cancer M400035 Bone tumors/soft tissue Biopsy , CT-Scan

M4 Paediatric cancer M400038 Chronic Myeloid Leukemia : Bone Marrow

M5 Medical Oncology M500001 Lymphoma, Non-Hodgkin’sR- CT,Biopsy

M5 Medical Oncology M500003 Multiple MyelomaBortezomib+ Clinical

M5 Medical Oncology M500004 Multiple MyelomaMPT - Clinical

M5 Medical Oncology M500005 Multiple MyelomaBortezomib + Clinical

M5 Medical Oncology M500006 Multiple Clinical

M5 Medical Oncology M500010 CervixCisplatin/Carboplatin CT,Biopsy

M5 Medical Oncology M500011 Neuroblastoma Stage I – Biopsy,CT

M5 Medical Oncology M500015 BreastCyclophosphamide/Meth CT,Biopsy

M5 Medical Oncology M500016 BreastTamoxifen tabs - Biopsy,CT

M5 Medical Oncology M500017 BreastAdriamycin/Cyclophosph Biopsy,CT

M5 Medical Oncology M500018 Breast5- Fluorouracil A-C Biopsy,CT

M5 Medical Oncology M500019 BreastAC (AC Then Taxol) CT,Biopsy