Abark PDF

Benefit Package of Ayushman Bharat - Arogya Karnataka Scheme
for Private Hospitals As on 02-07-2020
Sl No Speciality Name Prcedure code Procedure Name General Ward Rates Semi Private Rates Private Rates Pre-op Investigation Post-op Investigation
1 Burns 2A.S11.00001 2A.S11.00001 : % Total Body Surface Area Burns 7000 0 0 Clinical Photograph, Diagram with Clinical Photograph
(TBSA) (thermal/ scald/ flame burns) - any % (not Rule of 9 for extent of burns
requiring admission). Needs at least 5-6 dressing
2 BURNS 2B.S11.17058 2B.S11.17058 : Post Burn Contracture surgeries for 30000 0 0 CBC/Electrolytes/RFJ, Clinical 1. Post-op photo,
Functional Improvement involving only skin (Package photo and provisional diagonsis 2. Clinical notes,
including splints,pressure garment and physiotherapy- 3. Daily bed side rounds notes,
Moderate 4. LAB investigations,
5.Discharge summary
6. Final bill
3 BURNS 3A.S11.00006 3A.S11.00006 : Electrical contact burns: Low voltage- 40000 0 0 Clinical Photograph Clinical Photograph
with part of limb/limb loss; Includes % TBSA skin
grafted, flap cover, follow-up dressings etc. as deemed
necessary; Surgical procedures are required for deep
burns that are not amenable to heal with dressings
alone.
4 BURNS 3A.S11.00011 3A.S11.00011 : Post Burn Contracture surgeries for 70000 0 0 Clinical Photograph Clinical Photograph
Functional Improvement (Package including splints,
pressure garments, silicone-gel sheet and
physiotherapy): Excluding 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.
5 BURNS 3A.S11.00012 3A.S11.00012 : Post Burn Contracture surgeries for 70000 0 0 Clinical Photograph Clinical Photograph
Functional Improvement (Package including splints,
pressure garments, silicone-gel sheet and
physiotherapy): 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.
6 BURNS 4A.S11.00002 4A.S11.00002 : % Total Body Surface Area Burns 25000 0 0 Clinical Photograph, Diagram with Clinical Photograph
(TBSA) (thermal/ scald/ flame burns): Upto 40 %; Rule of 9 for extent of burns
Includes % TBSA skin grafted, flap cover, follow-up
dressings etc. as deemed necessary; Surgical
procedures are required for deep burns that are not
amenable to heal with dressings alone.
(TBSA) (thermal/ scald/ flame burns): 40 % - 60 %; Rule of 9 for extent of burns
(TBSA) (thermal/ scald/ flame burns): > 60 %; Rule of 9 for extent of burns
9 BURNS 4A.S11.00005 4A.S11.00005 : Electrical contact burns: Low voltage- 30000 0 0 Clinical Photograph Clinical Photograph
without part of limb/limb loss; Includes % TBSA skin
alone.
10 BURNS 4A.S11.00007 4A.S11.00007 : Electrical contact burns: High voltage- 50000 0 0 Clinical Photograph Clinical Photograph
without part of limb/limb loss; Includes % TBSA skin
alone.
11 BURNS 4A.S11.00008 4A.S11.00008 : Electrical contact burns: High voltage- 70000 0 0 Clinical Photograph Clinical Photograph
with part of limb/limb loss; Includes % TBSA skin
alone.
12 BURNS 4A.S11.00009 4A.S11.00009 : Chemical burns: Without significant 30000 0 0 Clinical Photograph Clinical Photograph
facial scarring and/or loss of function; Includes %
TBSA skin grafted, flap cover, follow-up dressings
etc. as deemed necessary; Surgical procedures are
required for deep burns that are not amenable to heal
with dressings alone.
13 BURNS 4A.S11.00010 4A.S11.00010 : Chemical burns: With significant 75000 0 0 Clinical Photograph Clinical Photograph
facial scarring and/or loss of function; Includes %
TBSA skin grafted, flap cover, follow-up dressings
etc. as deemed necessary; Surgical procedures are
required for deep burns that are not amenable to heal
with dressings alone.
14 CARDIOLOGY 3A.S12.00001 3A.S12.00001 : Balloon Atrial Septostomy 25000 0 0 2D ECHO report with stills 2D ECHO report + stills of the
ECHO
15 CARDIOLOGY 3A.S12.00002 3A.S12.00002 : Balloon Aortic Valvotomy 25000 0 0 2D ECHO report 2D ECHO report + stills of ECHO
16 CARDIOLOGY 3A.S12.00003 3A.S12.00003 : Balloon Mitral Valvotomy 30000 0 0 2D ECHO report 2D ECHO report + stills of ECHO
17 CARDIOLOGY 3A.S12.00004 3A.S12.00004 : Balloon Pulmonary Valvotomy 25000 0 0 2D ECHO report 2D ECHO report + stills of ECHO
18 CARDIOLOGY 3A.S12.00005 3A.S12.00005 : Vertebral Angioplasty with single 55000 0 0 2D ECHO , ANGIOGRAM report Post procedure Angio stills
stent (medicated) & stills
19 CARDIOLOGY 3A.S12.00006 3A.S12.00006 : Vertebral Angioplasty with double 70000 0 0 2D ECHO , Angiogram Report & Angiogram-DSA/MRA/CTA
stent(medicated) Stills
20 CARDIOLOGY 3A.S12.00007 3A.S12.00007 : Carotid angioplasty with stent 130000 0 0 Angiogram report & Film showing Post procedure Angio stills +
(medicated) the lesion XRAY + Doppler
21 CARDIOLOGY 3A.S12.00008 3A.S12.00008 : Renal Angioplasty with single stent 65000 0 0 ECG, 2D ECHO, CAG stills 1.Angioplasty stills showing stents
(medicated) showing blocks & Reports & post Stent flow,2. Cartons of the
stents used approved by
FDA/CE/DCGI only
22 CARDIOLOGY 3A.S12.00009 3A.S12.00009 : Renal Angioplasty with double stent 80000 0 0 2D ECHO , ANGIOGRAM report Post procedure Angio stills
(medicated) & stills
23 CARDIOLOGY 3A.S12.00010 3A.S12.00010 : Peripheral Angioplasty with balloon 40000 0 0 ECG, 2D ECHO, CAG stills 1.Angioplasty stills showing stents
showing blocks & Reports & post Stent flow,2. Cartons of the
FDA/CE/DCGI only
24 CARDIOLOGY 3A.S12.00011 3A.S12.00011 : Peripheral Angioplasty with stent 50000 0 0 2D ECHO , ANGIOGRAM report Post procedure Angio stills, ABI
(medicated) & stills , ABI
25 CARDIOLOGY 3A.S12.00012 3A.S12.00012 : Coarctation dilatation 25000 0 0 2D ECHO report 2D ECHO report + stills of ECHO
26 CARDIOLOGY 3A.S12.00014 3A.S12.00014 : ASD Device Closure 88000 0 0 2D ECHO report 2D ECHO stills showing the device
+ Report
27 CARDIOLOGY 3A.S12.00015 3A.S12.00015 : VSD Device Closure 88000 0 0 2D ECHO report 2D ECHO stills showing the device
+ Report
28 CARDIOLOGY 3A.S12.00016 3A.S12.00016 : PDA Device Closure 80000 0 0 2D ECHO report 2D ECHO stills showing the device
+ Report
29 CARDIOLOGY 3A.S12.00017 3A.S12.00017 : PDA multiple Coil insertion 30000 0 0 2D ECHO report 2D ECHO stills showing the coil +
Report
30 CARDIOLOGY 3A.S12.00018 3A.S12.00018 : PDA Coil (one) insertion 25000 0 0 2D ECHO report 2D ECHO stills showing the coil +
Report
31 CARDIOLOGY 3A.S12.00019 3A.S12.00019 : PDA stenting 50000 0 0 2D ECHO , Angiogram Report & Post procedure Angio stills
Stills
32 CARDIOLOGY 3A.S12.00022 3A.S12.00022 : Permanent pacemaker implantation 120000 0 0 ECG + Report by cardiologist + X Ray showing the pacemaker in
(DDR) including Pacemaker value/pulse generator Anigiogram report if done situ
replacement (DOUBLE CHAMBER)
33 CARDIOLOGY 3A.S12.00023 3A.S12.00023 : Permanent pacemaker implantation 75000 0 0 ECG + Report by cardiologist + X Ray showing the pacemaker in
(VVI) including Pacemaker value/pulse generator Anigiogram report if done situ
replacement (SINGLE CHAMBER)
34 CARDIOLOGY 3A.S12.00024 3A.S12.00024 : PTCA - single stent (medicated, 60000 0 0 ECG, 2D ECHO, CAG stills 1.Angioplasty stills showing stents
inclusive of diagnostic angiogram) showing blocks & Reports & post Stent flow,2. Cartons of the
FDA/CE/DCGI only
Page 1
35 CARDIOLOGY 3A.S12.00025 3A.S12.00025 : PTCA - double stent (medicated, 85000 0 0 ECG, 2D ECHO, CAG stills 1.Angioplasty stills showing stents
inclusive of diagnostic angiogram) showing blocks & Reports & post Stent flow,2. Cartons of the
FDA/CE/DCGI only
36 CARDIOLOGY 3A.S12.00026 3A.S12.00026 : PTCA - additonal stent (linked to 28849 0 0 ECG, 2D ECHO, CAG stills Angioplasty stills showing stent &
package no:0025) showing blocks & Reports post Stent flow
37 CARDIOLOGY 3A.S12.00028 3A.S12.00028 : Pulmonary artery stenting 50000 0 0 2D ECHO , Angiogram Report & Post procedure Angio stills
Stills
38 CARDIOLOGY 3A.S12.00029 3A.S12.00029 : Pulmonary artery stenting (double) 65000 0 0 2D ECHO , Angiogram Report & Post procedure Angio stills
Stills
39 CARDIOLOGY 3A.S12.00030 3A.S12.00030 : Right ventricular outflow tract 50000 0 0 2D ECHO, Angiogram Report & Post procedure Angio stills
(RVOT) stenting Stills
40 CARDIOLOGY 3A.S12.00031 3A.S12.00031 : Rotablation+ Balloon Angioplasty 45000 0 0 CAG Report with stills showing CAG stills with balloon and stills
blocks with post flow
41 CARDIOLOGY 3A.S12.00032 3A.S12.00032 : Rotablation+ Balloon Angioplasty + 1 100000 0 0 CAG Report with stills showing CAG stills with balloon and stills
stent (medicated) blocks with post flow
42 CARDIOLOGY 3A.S12.00033 3A.S12.00033 : Rotablation+ Balloon Angioplasty + 2 125000 0 0 CAG Report with stills showing CAG stills with balloon and stills
stent (medicated) blocks with post flow
43 CARDIOLOGY 3A.S12.00034 3A.S12.00034 : Thrombolysis for peripheral ischemia 30000 0 0 Peripheral Angiogram /Doppler Post procedure Angio stills
Report with Stills
44 CARDIOLOGY 3A.S12.00035 3A.S12.00035 : Bronchial artery Embolisation (for 25000 0 0 Chest x-Ray/CT Scan, Hb, Serum Chest x-Ray/CT Scan, Hb, Serum
Haemoptysis) Creatinine Creatinine
45 CARDIOLOGY 3A.S12.00036 3A.S12.00036 : Percutaneous Transluminal Tricuspid 25000 0 0 2D ECHO report with stills 2D ECHO report + stills of the
Commissurotormy (PTTC) ECHO
46 CARDIOLOGY 3A.S12.00037 3A.S12.00037 : Coiling - Pseudoaneurysms of 55000 0 0 CT/MRI or Angiogram, CT, PT,INR, Hb, Serum Creatinine
Abdomen Prothrombin Time (PT),
International normalized ratio (INR)
Hb, Serum Creatinine
47 CARDIOLOGY 3A.S12.00038 3A.S12.00038 : Embolization - Arteriovenous 40000 0 0 USG, CT PT, INR, Hb, Serum USG abd/CT PT,INR, Hb, Serum
Malformation (AVM) in the Limbs Creatinine Creatinine
48 CARDIOLOGY 3A.S12.00039 3A.S12.00039 : Catheter directed Thrombolysis for: 50000 0 0 CT/MRI, Prothrombin Time (PT), CT/MRI, PT,INR, Hb, Serum
Deep vein thrombosis (DVT), Mesenteric Thrombosis International normalized ratio (INR) Creatinine
& Peripheral vessels Hb, Serum Creatinine
49 CARDIOLOGY 3A.S12.17059 3A.S12.17059 : PTCA - one stent (non-medicated, 48000 0 0 ECG, 2D ECHO, CAG stills Angioplasty stills showing stent &
elective) * showing blocks & Reports post Stent flow
50 CARDIOLOGY 3A.S12.17060 3A.S12.17060 : Renal Angioplasty with stent 55000 0 0 2D ECHO , ANGIOGRAM report Post procedure Angio stills
(non-medicated) * & stills
51 CARDIOLOGY 3A.S12.17061 3A.S12.17061 : Pulse Generator replacement 50000 0 0 ECG + Report by cardiologist + X Ray showing the pacemaker in
Anigiogram report if done situ
52 CARDIOLOGY 3A.S12.17062 3A.S12.17062 : Septostomy 20000 0 0 2D ECHO report 2D ECHO report + stills of the
ECHO
53 CARDIOLOGY 3A.S12.17063 3A.S12.17063 : Intravascular ultrasound 20000 0 0 Angiogram Report IVUS/FFR report
(IVUS)/Fractional Flow Reserve (FFR)
54 CARDIOLOGY 3A.S12.17064 3A.S12.17064 : Electrophysiological Study (EP study) 10000 0 0 ECG with report + 2D ECHO report EP study report+ ECG
55 CARDIOLOGY 3A.S12.17065 3A.S12.17065 : Radiofrequency Ablation (RF 25000 0 0 ECG with report + 2D ECHO report RF ablation report +ECG
Ablation)
56 CARDIOLOGY 3A.S12.17066 3A.S12.17066 : 3D Mapping + Ablation 50000 0 0 ECG with report + 2D ECHO report 3D mapping report+ECG with
report
57 CARDIOLOGY 3A.S12.17067 3A.S12.17067 : Rotablation+ PTCA (non-medicated 63000 0 0 CAG Report with stills showing CAG stills with stents and stills with
Stent )* blocks post flow
58 CARDIOLOGY 3A.S12.17068 3A.S12.17068 : Rotablation+ PTCA (One Drug 80000 0 0 ECG, 2D ECHO, CAG stills 1.Angioplasty stills showing stents
Eluting Stent)* showing blocks & Reports & post Stent flow,2. Cartons of the
FDA/CE/DCGI only
59 CARDIOLOGY 3A.S12.17069 3A.S12.17069 : Venous stenting* 50000 0 0 2D ECHO , Angiogram Report & Post procedure Angio stills
Stills
60 CARDIOLOGY 3A.S12.17070 3A.S12.17070 : Coarctoplasty with stenting* 75000 0 0 2D ECHO , Angiogram Report & Post procedure Angio stills
Stills
61 CARDIOLOGY 3A.S12.17071 3A.S12.17071 : Paravalvular leak/ Ruptured sinus of 88000 0 0 2D ECHO Report 2D ECHO stills showing the device
Valsalva aneurysm (RSOV) + Report
62 CARDIOLOGY 3A.S12.17072 3A.S12.17072 : Inferior Vena Cava (or IVC) Stenting 60000 0 0 USG, clotting Time (CT), USG, CT,PT,INR, Hb, Serum
Prothrombin Time (PT), Creatinine
International normalized ratio
(INR), Hb, Serum Creatinine
63 CARDIOLOGY 3A.S12.17087 3A.S12.17087 : Peripheral Angioplasty with stent 60000 0 0 2D ECHO , ANGIOGRAM report Post procedure Angio stills, ABI
(non-medicated) * & stills , ABI
64 CARDIOLOGY 3A.S12.17088 3A.S12.17088 : Carotid angioplasty with stent* 150000 0 0 Angiogram report & Film showing Post procedure Angio stills +
the lesion XRAY + Doppler
65 CARDIOLOGY 4A.S12.00013 4A.S12.00013 : Medical treatment of Acute MI with 15000 0 0 2D ECHO, CPKMB,CAG, ECG 2D ECHO, ECG, LAB
Thrombolysis /Stuck Valve Thrombolysis with report, TROPONINE-T reports INVESTIGATION (Trop T report)
66 CARDIOLOGY 4A.S12.00020 4A.S12.00020 : Pericardiocentesis 10000 0 0 2D ECHO report 2D ECHO report
67 CARDIOLOGY 4A.S12.00021 4A.S12.00021 : Temporary Pacemaker implantation 10000 0 0 ECG + Report by cardiologist X Ray showing the pacemaker in
situ
68 CARDIOLOGY 4A.S12.00027 4A.S12.00027 : PTSMA 30000 0 0 ECG, 2D ECHO, CAG stills Angioplasty stills showing Balloon
showing blocks & Reports & post flow
69 CARDIOLOGY 4A.S12.17073 4A.S12.17073 : PTCA - one stent (non-medicated, 48000 0 0 ECG, 2D ECHO, CAG stills Angioplasty stills showing stents &
emergency, inclusive of angiogram) at the same showing blocks & Reports post Stent flow
admission.*
70 CARDIOLOGY 4A.S12.17074 4A.S12.17074 : PTCA - one Drug Eluting stent ( 60000 0 0 ECG, 2D ECHO, CAG stills 1.Angioplasty stills showing stents
emergency, inclusive of angiogram) at the same showing blocks & Reports & post Stent flow,2. Cartons of the
admission. * stents used approved by
FDA/CE/DCGI only
71 CARDIOLOGY 4A.S12.17075 4A.S12.17075 : PTCA - two bare metal stents ( 55000 0 0 ECG, 2D ECHO, CAG stills Angioplasty stills showing stent &
non-medicated, emergency, inclusive of angiogram) at showing blocks & Reports post Stent flow
the same admission. *
72 CARDIOLOGY 4A.S12.17076 4A.S12.17076 : PTCA - two Drug Eluting stents ( 85000 0 0 ECG, 2D ECHO, CAG stills Angioplasty stills showing stents &
emergency, inclusive of angiogram) at the same showing blocks & Reports post Stent flow
admission. *
73 CARDIOLOGY 4A.S12.17077 4A.S12.17077 : Arrythmias 7000 0 0 CAG CAG
74 CARDIOLOGY 4A.S12.17078 4A.S12.17078 : Stuck valve with Thrombolysis 20000 0 0 ECHO/TEE, PT/INR, RFT, CBC ECHO/TEE, PT/INR, RFT, CBC
75 CARDIOLOGY 4A.S12.17079 4A.S12.17079 : Medical management of unstable 7500 0 0 ECG,ECHO,Cardiac Enzymes, ECG, RFT, CBC
angina/non STS RFT, CBC
76 CARDIOLOGY 4A.S12.17080 4A.S12.17080 : Cardiac failure 7500 0 0 ECG,ECHO,Chest X-ray, RFT, ECHO, CHEST X RAY, RFT, CBC
CBC
77 CARDIOLOGY 4A.S12.17081 4A.S12.17081 : Emergency dialysis for cardiac 15000 0 0 ECHO, RFT, CBC RFT, CBC
conditions
78 CARDIOLOGY 4A.S12.17082 4A.S12.17082 : ICU with ventilator with dialysis 15000 0 0 ECHO, Chest X Ray, RFT, CBC, CHEST X RAY RFT,RFT, CBC,
ABG ABG
79 CARDIOLOGY 4A.S12.17083 4A.S12.17083 : Acute respiratory distress - ventilator 15000 0 0 ECHO, Chest X Ray, RFT, CBC, CHEST X RAY, RFT, CBC, ABG
support ABG
80 CARDIOLOGY 4A.S12.17084 4A.S12.17084 : Pulmonary edema 10000 0 0 ECG, ECHO,Chest X Ray, RFT, ECHO, CHEST X RAY, RFT,
CBC, ABG CBC, ABG
81 CARDIOLOGY 4A.S12.17085 4A.S12.17085 : Laryngoscopy / Bronchoscopy with 5000 0 0 CT / Bronchoscopy report CT / Bronchoscopy report
dilatation of trachea with gum elastic bogie
82 CARDIOLOGY 4A.S12.17086 4A.S12.17086 : Pericardiostomy with balloon 20000 0 0 2D ECHO report 2D ECHO report + stills of the
ECHO
83 Cardiothoracic 2A.S1.00040A 2A.S1.00040A : Excision Mammary Fistula - cross 0 0 0 USG, Fistulogram Scar Photo, HPE Report
Surgery speciality
84 CARDIOTHORA 2B.S13.00077 2b.S13.00077 : Operations for Congenital 15000 0 0 CT Chest report, Clinical photo and 1.Post Op X-ray,
CIC SURGERY Arteriovenous Fistula provisional diagonsis 2. Post-op photo,
3. Clinical notes,
4. Daily bed side rounds notes,
6. OT notes,
5. LAB investigations,
7.Discharge summary, 8. Final bill
85 CARDIOTHORA 2B.S1.00005C 2B.S1.00005C : Arteriovenous (AV) Malformation of 15000 0 0 Clinical Photograph, provisional 1. Scar photo,
CIC SURGERY Soft Tissue Tumour - Excision - cross speciality diagonsis 2. Clinical notes,
4. OT notes,
6.Discharge summary,
7. Final bill
86 CARDIOTHORA 2B.S1.00143A 2B.S1.00143A : Vasovasostomy - cross speciality 11000 0 0 Clinical notes (should have pre-op Clinical photo
CIC SURGERY exam of vasectomy site)
Page 2
87 CARDIOTHORA 2B.S1.00192A 2B.S1.00192A : Lymphatics Excision of 8000 0 0 Clinical Photograph Clinical Photograph
CIC SURGERY Subcutaneous Tissues In Lymphoedema - cross
speciality
88 CARDIOTHORA 2B.S13.00077A 2b.S13.00077A : Operations for Congenital 15000 0 0 CT Chest report Post Op X-ray,scar photo
CIC SURGERY Arteriovenous Fistula - cross speciality
89 CARDIOTHORA 2B.S1.00005B 2B.S1.00005B : Arteriovenous (AV) Malformation of 15000 0 0 Clinical Photograph, provisional 1. Scar photo,
CIC SURGERY Soft Tissue Tumour - Excision - cross speciality diagonsis 2. Clinical notes,
4. OT notes,
7. Final bill
90 CARDIOTHORA 2B.S1.00011A 2B.S1.00011A : Branchial Fistula -cross speciality 14000 0 0 CT scan, Clinical 1. Post-op photo,
CIC SURGERY Photograph,provisional diagonsis 2. Clinical notes,
5.Discharge summary
6. Final bill
91 CARDIOTHORA 2B.S1.00027A 2B.S1.00027A : Drainage Pericardial Effusion - cross 11000 0 0 X -Ray, ECHO,provisional 1. X -Ray film with report,
CIC SURGERY speciality diagonsis 2. Clinical notes,
5.Discharge summary
6. Final bill
92 CARDIOTHORA 2B.S1.00037A 2B.S1.00037A : Excision Bronchial Sinus - cross 8000 0 0 USG/CT,provisional diagonsis 1. Post-op photo,
CIC SURGERY speciality 2. Clinical notes,
4. OT notes,
7. Final bill
93 CARDIOTHORA 2B.S1.00143B 2B.S1.00143B : Vasovasostomy - cross speciality 11000 0 0 Clinical notes (should have pre-op 1. Post-op photo,
CIC SURGERY exam of vasectomy site), provisional 2. Clinical notes,
diagonsis 3. Daily bed side rounds notes,
4. OT notes,
6.Discharge summary, 7. Final bill
94 CARDIOTHORA 2B.S1.00184A 2B.S1.00184A : Laparoscopic Hiatus Hernia Repair - 20000 0 0 UGI ENDOSCOPY, provisional 1. Scar photo,
CIC SURGERY cross speciality diagonsis 2. Clinical notes,
4. OT notes,
7. Final bill
95 CARDIOTHORA 2B.S1.00206A 2B.S1.00206A : Drainage of perivertebral abscess - 7000 0 0 USG/ CT Scan, provisional 1. Post-op photo,
CIC SURGERY cross speciality diagonsis 2. Clinical notes,
4. OT notes,
7. Final bill
96 CARDIOTHORA 2B.S1.00210A 2B.S1.00210A : Thymectomy - cross speciality 23000 0 0 USG, provisional diagonsis 1. Post-op photo,
CIC SURGERY 2. Clinical notes,
4. OT notes,
7. Final bill
97 CARDIOTHORA 2B.S1.00224B 2B.S1.00224B : Rib Resection & Drainage - cross 7500 0 0 Chest X-ray, Clinical Photograph, 1. Post-op photo,
CIC SURGERY speciality provisional diagonsis 2. Clinical notes,
4. OT notes,
7. Final bill
98 CARDIOTHORA 2B.S1.00232A 2B.S1.00232A : Thoracocentesis - cross speciality 1500 0 0 X-ray, CT, provisional diagonsis 1. Post-op photo,
CIC SURGERY 2. Clinical notes,
4. OT notes,
7. Final bill
99 CARDIOTHORA 3A.S13.00001 3A.S13.00001 : Coronary artery bypass grafting 95000 0 0 2D ECHO , CAG Report ECHO,Post op X Ray ,scar photo
CIC SURGERY (CABG)
100 CARDIOTHORA 3A.S13.00002 3A.S13.00002 : Coronary artery bypass grafting 125000 0 0 2D ECHO , CAG Report ECHO,Post op X Ray ,scar photo
CIC SURGERY (CABG) with Intra-aortic balloon pump (IABP)
101 CARDIOTHORA 3A.S13.00003 3A.S13.00003 : Coronary artery bypass grafting 145000 0 0 2D ECHO with stills , CAG Report Post op X Ray , 2D ECHO with
CIC SURGERY (CABG) + one mechanical Valve Replacement + stills, scar photo
Intra-aortic balloon pump (IABP)
102 CARDIOTHORA 3A.S13.00004 3A.S13.00004 : Coronary artery bypass grafting 95000 0 0 2D ECHO with stills , CAG Report ECHO with stills,Post op X Ray
CIC SURGERY (CABG) with LV Aneurysmal repair ,scar photo
CIC SURGERY (CABG) with Mitral Valve repair without ring ,scar photo
CIC SURGERY (CABG) with Mitral Valve repair with ring stills, scar photo
CIC SURGERY (CABG) with post MI Ventricular Septal Defect ,scar photo
(Ventricular Septal Defect) repair
106 CARDIOTHORA 3A.S13.00008 3A.S13.00008 : Open Mitral Valvotomy 80000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of
CIC SURGERY ECHO,scar photo
107 CARDIOTHORA 3A.S13.00009 3A.S13.00009 : Closed Mitral Valvotomy 30000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY + Post Op X-ray,scar photo
108 CARDIOTHORA 3A.S13.00010 3A.S13.00010 : Open Pulmonary Valvotomy 80000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of
109 CARDIOTHORA 3A.S13.00011 3A.S13.00011 : Mitral Valve Repair 80000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
110 CARDIOTHORA 3A.S13.00012 3A.S13.00012 : Tricuspid Valve Repair 80000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
111 CARDIOTHORA 3A.S13.00013 3A.S13.00013 : Aortic Valve Repair 80000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
112 CARDIOTHORA 3A.S13.00014 3A.S13.00014 : Ring for any Valve Repair 20000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
113 CARDIOTHORA 3A.S13.00015 3A.S13.00015 : Mitral Valve Replacement 130000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY (mechanical valve) + Post Op X-ray,scar photo
114 CARDIOTHORA 3A.S13.00016 3A.S13.00016 : Mitral Valve Replacement (biological 125000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY valve) + Post Op X-ray,scar photo
115 CARDIOTHORA 3A.S13.00017 3A.S13.00017 : Aortic Valve Replacement 130000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
116 CARDIOTHORA 3A.S13.00018 3A.S13.00018 : Aortic Valve Replacement (biological 125000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY valve) + Post Op X-ray,scar photo
117 CARDIOTHORA 3A.S13.00019 3A.S13.00019 : Tricuspid Valve Replacement 120000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
118 CARDIOTHORA 3A.S13.00020 3A.S13.00020 : Tricuspid Valve Replacement 125000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY (biological valve) + Post Op X-ray,scar photo
119 CARDIOTHORA 3A.S13.00021 3A.S13.00021 : Double Valve Replacement 150000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
120 CARDIOTHORA 3A.S13.00022 3A.S13.00022 : Double Valve Replacement 155000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY (biological valve) + Post Op X-ray,scar photo
121 CARDIOTHORA 3A.S13.00023 3A.S13.00023 : Ross Procedure 110000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
122 CARDIOTHORA 3A.S13.00024 3A.S13.00024 : Atrial Septal Defect (ASD) 90000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
123 CARDIOTHORA 3A.S13.00025 3A.S13.00025 : Ventricular Septal Defect (VSD) 90000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
Page 3
124 CARDIOTHORA 3A.S13.00026 3A.S13.00026 : Atrioventricular septal defect/ 90000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY Atrioventricular (AV) Canal Defect + Post Op X-ray,scar photo
125 CARDIOTHORA 3A.S13.00027 3A.S13.00027 : Intracardiac repair (ICR) for Tetralogy 90000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY of Fallot (TOF) + Post Op X-ray,scar photo
126 CARDIOTHORA 3A.S13.00028 3A.S13.00028 : Pulmonary Valvotomy + Right 90000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY Ventricular Outflow Tract (RVOT) Resection + Post Op X-ray,scar photo
127 CARDIOTHORA 3A.S13.00029 3A.S13.00029 : Aortopulmonary Window (AP 90000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY Window) + Post Op X-ray,scar photo
128 CARDIOTHORA 3A.S13.00030 3A.S13.00030 : Surgery for Hypertrophic Obstructive 90000 0 0 2D ECHO/TEE Report + Chest 2D ECHO Report + stills of ECHO
CIC SURGERY Cardiomyopathy (HOCM) Xray AP view /Cardiac MRI + Post Op X-ray,scar photo
129 CARDIOTHORA 3A.S13.00031 3A.S13.00031 : Ebsteins 90000 0 0 ECG, 2D ECHO Report 2D ECHO Report + stills of ECHO
130 CARDIOTHORA 3A.S13.00032 3A.S13.00032 : Fontan 100000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
131 CARDIOTHORA 3A.S13.00033 3A.S13.00033 : Total Anomalous Pulmonary Venous 120000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY Connection (TAPVC) + Post Op X-ray,scar photo
132 CARDIOTHORA 3A.S13.00034 3A.S13.00034 : Any RV to PA conduit (Valved) 120000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
133 CARDIOTHORA 3A.S13.00035 3A.S13.00035 : Arterial Switch Operation 120000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
134 CARDIOTHORA 3A.S13.00036 3A.S13.00036 : Double Switch Operation 120000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
135 CARDIOTHORA 3A.S13.00037 3A.S13.00037 : Sennings 120000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
136 CARDIOTHORA 3A.S13.00038 3A.S13.00038 : Mustards 120000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
137 CARDIOTHORA 3A.S13.00039 3A.S13.00039 : Truncus Arteriosus Surgery 120000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
138 CARDIOTHORA 3A.S13.00040 3A.S13.00040 : Root Replacement (Aortic Aneurysm/ 150000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY Aortic Dissection) / Bental Procedure + Post Op X-ray,scar photo
139 CARDIOTHORA 3A.S13.00041 3A.S13.00041 : Aortic Arch Replacement 150000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
140 CARDIOTHORA 3A.S13.00042 3A.S13.00042 : Aortic Aneurysm Repair using 90000 0 0 CT Angio Report Scar photo + Intra op photo
CIC SURGERY Cardiopulmonary bypass (CPB)
141 CARDIOTHORA 3A.S13.00043 3A.S13.00043 : Aortic Aneurysm Repair without 75000 0 0 CT Angio Report Scar photo + Intra op photo
CIC SURGERY using Cardiopulmonary bypass (CPB)
142 CARDIOTHORA 3A.S13.00044 3A.S13.00044 : Pulmonary Embolectomy 150000 0 0 2D ECHO with stills + ABG report 2D ECHO Report + stills of ECHO
CIC SURGERY + CT Chest report + Post Op X-ray,scar photo
143 CARDIOTHORA 3A.S13.00046 3A.S13.00046 : Patent Ductus Arteriosus (PDA) 30000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY Closure + Post Op X-ray, scar photo
144 CARDIOTHORA 3A.S13.00047 3A.S13.00047 : Coarctation Repair 30000 0 0 2D ECHO with stills + CAG report Doppler report + Stills of Doppler
CIC SURGERY
145 CARDIOTHORA 3A.S13.00048 3A.S13.00048 : Coarctation Repair with interpostion 70000 0 0 2D ECHO with stills + CAG report Doppler report + Stills of Doppler
CIC SURGERY graft
146 CARDIOTHORA 3A.S13.00049 3A.S13.00049 : Blalock Thomas Taussig (BT) Shunt 60000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY (inclusives of grafts) + Post Op X-ray,scar photo
147 CARDIOTHORA 3A.S13.00050 3A.S13.00050 : Glenn Shunt (without 60000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY cardiopulmonary bypass) + Post Op X-ray,scar photo
148 CARDIOTHORA 3A.S13.00051 3A.S13.00051 : Central Shunt 60000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
149 CARDIOTHORA 3A.S13.00052 3A.S13.00052 : Pericardiectomy 50000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
150 CARDIOTHORA 3A.S13.00053 3A.S13.00053 : Pulmonary AV Fistula surgery 45000 0 0 CT Chest report Post Op X-ray,scar photo
CIC SURGERY
151 CARDIOTHORA 3A.S13.00054 3A.S13.00054 : Lung Cyst 60000 0 0 CT Chest report Post Op X-ray,scar photo
CIC SURGERY
152 CARDIOTHORA 3A.S13.00055 3A.S13.00055 : Space-Occupying Lesion (SOL) 60000 0 0 CT Chest report Post Op X-ray,scar photo
CIC SURGERY mediastinum
153 CARDIOTHORA 3A.S13.00056 3A.S13.00056 : Surgical Correction of Bronchopleural 70000 0 0 CT Chest report 2D ECHO Report + stills of ECHO
CIC SURGERY Fistula + Post Op X-ray,scar photo
154 CARDIOTHORA 3A.S13.00057 3A.S13.00057 : Diaphragmatic Eventeration 50000 0 0 CT Chest report 2D ECHO Report + stills of ECHO
155 CARDIOTHORA 3A.S13.00058 3A.S13.00058 : Oesophageal Diverticula /Achalasia 50000 0 0 Barium Study + CT Chest report 2D ECHO Report + stills of ECHO
CIC SURGERY Cardia + Post Op X-ray,scar photo
156 CARDIOTHORA 3A.S13.00059 3A.S13.00059 : Diaphragmatic Injuries/Repair 35000 0 0 CT Chest report 2D ECHO Report + stills of ECHO
157 CARDIOTHORA 3A.S13.00060 3A.S13.00060 : Thoracotomy, Thoraco Abdominal 40000 0 0 CT Chest report Post Op X-ray,scar photo
CIC SURGERY Approach
158 CARDIOTHORA 3A.S13.00062 3A.S13.00062 : Bronchial Repair Surgery for Injuries 40000 0 0 CT Chest report + Bronchoscopy ENDOSCOPY PICTURE
CIC SURGERY due to FB report
159 CARDIOTHORA 3A.S13.00064 3A.S13.00064 : Thyomectomy 35000 0 0 CT Chest report X-RAY, scar photo
CIC SURGERY
160 CARDIOTHORA 3A.S13.00065 3A.S13.00065 : Pulmonary Valve Replacement 120000 0 0 2D ECHO Report 2D ECHO Report + stills of ECHO
CIC SURGERY + post Op X-ray,scar photo
161 CARDIOTHORA 3A.S13.00067 3A.S13.00067 : Encysted Empyema/Pleural Effusion - 20000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan
CIC SURGERY Tubercular
162 CARDIOTHORA 3A.S13.00068 3A.S13.00068 : First rib Excision by transaxillary 40000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan ,scar photo
CIC SURGERY approach, Excision of cervical rib / fibrous band /
muscle by cervical approach
163 CARDIOTHORA 3A.S13.00069 3A.S13.00069 : Congenital Cystic Lesions 40000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan ,scar photo
CIC SURGERY
164 CARDIOTHORA 3A.S13.00070 3A.S13.00070 : Pulmonary Sequestration Resection 40000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan ,scar photo
CIC SURGERY
165 CARDIOTHORA 3A.S13.00071 3A.S13.00071 : Pulmonary artero venous 40000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan ,scar photo
CIC SURGERY malformation
166 CARDIOTHORA 3A.S13.00074 3A.S13.00074 : Intrathoracic Aneurysm-Aneurysm 65000 0 0 CT Angio Report Scar photo + Post op intra op photo
CIC SURGERY not Requiring Bypass Techniques
167 CARDIOTHORA 3A.S13.00089A 3A.S13.00089A : Carotid endarterectomy 45000 0 0 Ultrasound CT/MRI/DSA Clinical Photographs+ X-ray
CIC SURGERY
168 CARDIOTHORA 3A.S13.17089 3A.S13.17089 : Coronary artery bypass grafting 100000 0 0 2D ECHO , CAG Report ECHO,Post op X Ray ,scar photo +
CIC SURGERY (CABG) with additional arterial graft* scar photo of graft area
169 CARDIOTHORA 3A.S13.17090 3A.S13.17090 : Valve Replacement with Intra-aortic 140000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY balloon pump (IABP) * + Post Op X-ray,scar photo
170 CARDIOTHORA 3A.S13.17091 3A.S13.17091 : Pulmonary Atresia with or without 105000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY Ventricular Septal Defect * + Post Op X-ray,scar photo
171 CARDIOTHORA 3A.S13.17092 3A.S13.17092 : Pleurectomy 50000 0 0 CT Chest report Post Op X-ray,scar photo
CIC SURGERY
172 CARDIOTHORA 3A.S13.17093 3A.S13.17093 : Mediastinotomy 40000 0 0 CT Chest report Post Op X-ray,scar photo
CIC SURGERY
173 CARDIOTHORA 3A.S13.17094 3A.S13.17094 : Gastro Study Followed by 50000 0 0 Gastroscopy Report ENDOSCOPY PICTURE, scar
CIC SURGERY Thoracotomy & Repairs of Oesophageal Injury for photo
Corrosive Injuries/FB
174 CARDIOTHORA 3A.S13.17095 3A.S13.17095 : Thorocotomy and resection of pluera 50000 0 0 Pre Op X-ray / CT Scan, Post Op X-ray / CT Scan ,scar photo
CIC SURGERY with Lung Bronchoscopy Report
175 CARDIOTHORA 3A.S13.17096 3A.S13.17096 : Congenital Hypoplasia of the lung 40000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan ,scar photo
CIC SURGERY
176 CARDIOTHORA 3A.S13.17097 3A.S13.17097 : Thoracotomy & Excision and fixation 65000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan ,scar photo
CIC SURGERY of the Spine
CIC SURGERY (CABG) + Valve Replacement * stills, scar photo
178 CARDIOTHORA 3A.S13.17100 3A.S13.17100 : Open Aortic Valvotomy * 80000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of
179 CARDIOTHORA 3A.S13.17101 3A.S13.17101 : Aortic Aneurysm Repair without 70000 0 0 CT Angio Report Scar photo + Intra op photo
CIC SURGERY using Cardiopulmonary bypass (CPB) with/without
graft*
180 CARDIOTHORA 3A.S13.17102 3A.S13.17102 : Lobectomy 70000 0 0 CT Chest report Post Op X-ray,scar photo
CIC SURGERY
181 CARDIOTHORA 3A.S6.17024B 3A.S6.17024B : Visceral injuries severe - cross 60000 0 0 Pre-op. of X-ray/CT scan / Ultra Post-Operative X-ray, scar photo
CIC SURGERY speciality sound
182 CARDIOTHORA 3A.S6.17025B 3A.S6.17025B : Chest injuries with ICD bilateral - 11000 0 0 X-ray /ultra sound Post-Operative chest X-ray with
CIC SURGERY cross speciality ICD in situ
183 CARDIOTHORA 3A.S6.17026B 3A.S6.17026B : Chest injuries with ICD + ICU - 2000 0 0 X-ray /ultra sound Post-Operative chest X-ray with
CIC SURGERY cross speciality ICD in situ
184 CARDIOTHORA 3A.S6.17027B 3A.S6.17027B : Chest injuries with ICD + ICU + 26600 0 0 X-ray /ultra sound Post-Operative chest X-ray with
CIC SURGERY Ventilator - cross speciality ICD in situ
Page 4
185 CARDIOTHORA 3A.S8.00025B 3A.S8.00025B : Shunt (peritoneal, ventriculo-atrial/ 20000 0 0 CT report Clinical Photographs
CIC SURGERY peritoneal, theco peritoneal) - cross speciality
186 CARDIOTHORA 3A.S1.00078A 3A.S1.00078A : Hiatus Hernia abdominal - cross 40000 0 0 USG, UGI ENDOSCOPY Scar photo + Intra op photo
CIC SURGERY speciality
187 CARDIOTHORA 3A.S1.00138B 3A.S1.00138B : Pharyngectomy& Reconstruction 12000 0 0 CT Neck, Biopsy HPE, CT Neck, Scar Photo
CIC SURGERY Total - cross specaility
188 CARDIOTHORA 3A.S1.00139A 3A.S1.00139A : Tracheal Stenosis (End to end 15000 0 0 Bronchoscopy , CT Scar photo, Biopsy
CIC SURGERY Anastamosis) (Throat) - cross speciality
189 CARDIOTHORA 3A.S1.00140A 3A.S1.00140A : Tracheoplasty (Throat) - cross 40000 0 0 CT / Bronchoscopy report CT / Bronchoscopy report
190 CARDIOTHORA 3A.S1.00149B 3A.S1.00149B : Aneurysm Resection & Grafting - 70000 0 0 CT Angio Report Scar photo + Intra op photo
CIC SURGERY cross speciality
191 CARDIOTHORA 3A.S1.00150A 3A.S1.00150A : Arterial Embolectomy - cross 10000 0 0 Arterial doppler Scar photo
192 CARDIOTHORA 3A.S1.00151A 3A.S1.00151A : Carotid artery aneurysm repair - 20000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
CIC SURGERY cross speciality + Post Op X-ray,scar photo
193 CARDIOTHORA 3A.S1.00152A 3A.S1.00152A : Carotid Body tumour - Excision - 35000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure
CIC SURGERY cross speciality reports +Duplex scan, scar photo
194 CARDIOTHORA 3A.S1.00157A 3A.S1.00157A : Decortication (Pleurectomy) - cross 50000 0 0 CT Chest report Post Op X-ray,scar photo
195 CARDIOTHORA 3A.S1.00158A 3A.S1.00158A : Dissecting Aneurysms - cross 36000 0 0 2D ECHO Report with stills, 2D ECHO Report + stills of ECHO
CIC SURGERY speciality Doppler + Post Op X-ray,scar photo
196 CARDIOTHORA 3A.S1.00159A 3A.S1.00159A : Distal Abdominal Aorta repair - cross 36000 0 0 Angiogram/CTA/MRA Scar photo
197 CARDIOTHORA 3A.S1.00194A 3A.S1.00194A : Mediastinal Tumour - cross speciality 50000 0 0 Biopsy/FNAC ,CT Clinical Photograph showing scar +
CIC SURGERY HPE report + XRAY Chest
198 CARDIOTHORA 3A.S1.00195A 3A.S1.00195A : Oesophagectomy for Carcinoma 50000 0 0 Biopsy , CT , Endoscopy reports HPE report, scar photo
CIC SURGERY Oesophagus - cross speciality
199 CARDIOTHORA 3A.S1.00207A 3A.S1.00207A : Hernia -hiatus-Transthoracic - cross 25000 0 0 UGI ENDOSCOPY Scar photo/ Intra op photo
200 CARDIOTHORA 3A.S1.00218A 3A.S1.00218A : Pericardiostomy - cross speciality 10000 0 0 2D ECHO 2D ECHO Report + stills of ECHO
201 CARDIOTHORA 3A.S1.00219A 3A.S1.00219A : Pneumonectomy - cross speciality 60000 0 0 CT Chest report Post Op X-ray,scar photo
CIC SURGERY
202 CARDIOTHORA 3A.S1.00221A 3A.S1.00221A : Removal Tumours of Chest Wall - 40000 0 0 CT Chest, biopsy Clinical Photograph showing scar +
CIC SURGERY cross speciality HPE report
203 CARDIOTHORA 3A.S1.00222A 3A.S1.00222A : Procedures Requiring Bypass 35000 0 0 Angiogram Scar photo
CIC SURGERY Techniques - cross speciality
204 CARDIOTHORA 3A.S1.00231A 3A.S1.00231A : Thorachostomy - cross speciality 10000 0 0 Chest X Ray Chest X Ray
CIC SURGERY
205 CARDIOTHORA 3A.S1.00233A 3A.S1.00233A : Thoracoplasty - cross speciality 20000 0 0 X-ray, CT X-ray
CIC SURGERY
206 CARDIOTHORA 3A.S1.00234A 3A.S1.00234A : Thoracoscopic Decortication - cross 25000 0 0 Clinical Photograph Scar photo
207 CARDIOTHORA 3A.S1.00235B 3A.S1.00235B : Thoracoscopic Hydatid Cyst excision 20000 0 0 Chest X-ray / CT Scar photo, HPE
CIC SURGERY - cross speciality
208 CARDIOTHORA 3A.S1.00236A 3A.S1.00236A : Thoracoscopic Lobectomy - cross 25000 0 0 CT/MRI Scar photo, HPE
209 CARDIOTHORA 3A.S1.00237A 3A.S1.00237A : Thoracoscopic Pneumonectomy - 30000 0 0 CT/MRI Scar photo, HPE
210 CARDIOTHORA 3A.S1.00238A 3A.S1.00238A : Thoracoscopic Segmental Resection - 25000 0 0 CT/MRI Scar photo, HPE
211 CARDIOTHORA 3A.S1.00239A 3A.S1.00239A : Thoracoscopic Sympathectomy - 35000 0 0 CT Chest report 2D ECHO Report + stills of ECHO
CIC SURGERY cross speciality + Post Op X-ray, photo of scar, port
insertion
212 CARDIOTHORA 3A.S1.00241A 3A.S1.00241A : Thorax (penetrating wounds) - 12500 0 0 X-ray, Clinical photo Post-op clinical photo & X-Ray
CIC SURGERY CROSS SPECIALITY
213 CARDIOTHORA 4A.S13.00045 4A.S13.00045 : Surgery for Cardiac Tumour/ Left 95000 0 0 2D ECHO with stills + CT Chest 2D ECHO Report + stills of ECHO
CIC SURGERY Atrial (LA) Myxoma/ Right Atrial (RA) Myxoma report + Post Op X-ray,scar photo
214 CARDIOTHORA 4A.S13.00061 4A.S13.00061 : Foreign Body Removal with scope 20000 0 0 CT Chest report + Bronchoscopy ENDOSCOPY PICTURE
CIC SURGERY report
215 CARDIOTHORA 4A.S13.00063 4A.S13.00063 : Lung Injury repair 50000 0 0 CT Chest report X-RAY, scar photo
CIC SURGERY
216 CARDIOTHORA 4A.S13.00066 4A.S13.00066 : Intercostal Drainage and Management 15000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan
CIC SURGERY of ICD, Intercostal Block, Antibiotics &
Physiotherapy
217 CARDIOTHORA 4A.S13.17098 4A.S13.17098 : Management of Mediastinitis / 40000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan
CIC SURGERY mediastinal bleeding
218 CARDIOTHORA 4A.S13.17098A 4A.S13.17098A : Management of Mediastinitis / 40000 0 0 Pre Op X-ray / CT Scan Post Op X-ray / CT Scan
CIC SURGERY mediastinal bleeding
219 CARDIOTHORA 4A.S6.00010B 4A.S6.00010B : Chest injury with one fracture of long 35000 0 0 X-ray of fracture, Chest x-ray / CT Clinical Photograph , X-RAY
CIC SURGERY bone (with implants) - cross speciality
220 CARDIOTHORA 4A.S6.00011B 4A.S6.00011B : Chest injury with fracture of 2 or 35000 0 0 X-ray of fracture, Chest x-ray / CT Clinical Photograph , X-RAY
CIC SURGERY more long bones - cross speciality
221 CARDIOTHORA 4A.S6.17029B 4A.S6.17029B : Inter costal drainage (icd) one side - 8000 0 0 X-ray X-ray
222 CARDIOTHORA 4A.S6.17030B 4A.S6.17030B : Inter costal drainage (icd)bilateral 11000 0 0 X-ray X-ray
CIC SURGERY (flail chest) - cross speciality
CIC SURGERY (flail chest) with icu stay - cross speciality
CIC SURGERY (flail chest) with icu stay with ventilator - cross
speciality
225 CARDIOTHORA 4A.S1.00251A 4A.S1.00251A : AV Shunt for dialysis - cross 7500 0 0 Duplex Clinical photos showing the AV
CIC SURGERY speciality fistula
226 CARDIOTHORA 4A.S1.00251B 4A.S1.00251B : AV Shunt for dialysis - cross 7500 0 0 Duplex Clinical photos showing the AV
CIC SURGERY speciality fistula
227 CARDIOVASCU 3A.S13.00072 3A.S13.00072 : Thromboembolectomy (pre-auth not 30000 0 0 Duplex/Angio Report & stills Scar photo + Intra op photo
LAR SURGERY required, usually done as emergency)
228 CARDIOVASCU 3A.S13.00073 3A.S13.00073 : Surgery for Arterial Aneursysm 90000 0 0 Duplex/Angio Report & stills Scar photo + Intra op photo
LAR SURGERY -Upper/Distal Abdominal Aorta
229 CARDIOVASCU 3A.S13.00075 3A.S13.00075 : Intrathoracic Aneurysm-Requiring 110000 0 0 CT Angio Report Scar photo + Intra op photo
LAR SURGERY Bypass Techniques
230 CARDIOVASCU 3A.S13.00076 3A.S13.00076 : Surgery for Arterial Aneurysm Renal 50000 0 0 Renal arterial Doppler, Angiogram Scar photo + Intra op photo
LAR SURGERY Artery with stills
231 CARDIOVASCU 3A.S13.00078 3A.S13.00078 : Operations for Stenosis of Renal 20000 0 0 Renal arterial Doppler,angiogram & Doppler Report + scar photo
LAR SURGERY Arteries Stills
232 CARDIOVASCU 3A.S13.00079 3A.S13.00079 : Aorto Bi-lliac / Bi femoral /Axillo bi 90000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure with
LAR SURGERY femoral bypass with Synthetic Graft reports graft + scar photo
233 CARDIOVASCU 3A.S13.00080 3A.S13.00080 : Femoro Distal / Femoral - Femoral / 50000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure with
LAR SURGERY Femoral infra popliteal Bypass with Vein Graft reports graft +Duplex scan, scar photo
234 CARDIOVASCU 3A.S13.00081 3A.S13.00081 : Femoro Distal / Femoral - Femoral / 70000 0 0 Angiogram Report Clinical Photographs Duplex, ABI,
LAR SURGERY Femoral infra popliteal Bypass with Synthetic Graft scar photo
235 CARDIOVASCU 3A.S13.00082 3A.S13.00082 : Axillo Brachial Bypass using with 50000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure with
LAR SURGERY Synthetic Graft reports graft +Duplex scan, scar photo
236 CARDIOVASCU 3A.S13.00083 3A.S13.00083 : Brachio - Radial Bypass with 40000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure with
LAR SURGERY Synthetic Graft reports graft +Duplex scan, scar photo
237 CARDIOVASCU 3A.S13.00084 3A.S13.00084 : Excision of body Tumor with vascular 40000 0 0 Angiogram report Stills showing the procedure with
LAR SURGERY repair graft + scar photo,
238 CARDIOVASCU 3A.S13.00085 3A.S13.00085 : Carotid artery bypass with Synthetic 60000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure with
LAR SURGERY Graft reports graft +Duplex scan, scar photo
239 CARDIOVASCU 3A.S13.00086 3A.S13.00086 : Excision of Arterio Venous 50000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure with
LAR SURGERY malformation - Large reports graft + scar photo
240 CARDIOVASCU 3A.S13.00087 3A.S13.00087 : Excision of Arterio Venous 30000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure with
LAR SURGERY malformation - Small reports graft + scar photo
241 CARDIOVASCU 3A.S13.00088 3A.S13.00088 : Deep Vein Thrombosis (DVT) - 65000 0 0 Color doppler Plain X-ray abdomen showing the
LAR SURGERY Inferior Vena Cava (IVC) filter filter
242 CARDIOVASCU 3A.S13.00089 3A.S13.00089 : Carotid endarterectomy 45000 0 0 Ultrasound CT/MRI/DSA Clinical Photographs+ X-ray
LAR SURGERY
243 CARDIOVASCU 3A.S13.00090 3A.S13.00090 : Aortic Angioplasty with two stents / 90000 0 0 ECG, 2D ECHO, CAG stills Angioplasty stills showing Balloon
LAR SURGERY Iliac angioplasty with stent Bilateral showing blocks & Reports & post flow,scar photo
244 CARDIOVASCU 3A.S13.00091 3A.S13.00091 : Bilateral thrombo embolectomy 40000 0 0 Duplex/Angio Report & stills Scar photo + Intra op photo
LAR SURGERY
245 CARDIOVASCU 3A.S13.00092 3A.S13.00092 : Aorto-uni-iliac/uni-femoral bypass 75000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure with
LAR SURGERY with synthetic graft reports graft +Duplex scan, scar photo
Page 5
246 CARDIOVASCU 3A.S13.17103 3A.S13.17103 : Pericardiostomy without balloon 10000 0 0 2D ECHO report 2D ECHO report + stills of the
LAR SURGERY ECHO
247 CARDIOVASCU 3A.S13.17104 3A.S13.17104 : Carotid/other endarterectomy with 50000 0 0 Angiogram report Stills showing the procedure with
LAR SURGERY patch graft + scar photo
248 CARDIOVASCU 3A.S13.17105 3A.S13.17105 : Aortic Angioplasty 40000 0 0 ECG, 2D ECHO, CAG stills Angioplasty stills showing Balloon
LAR SURGERY showing blocks & Reports & post flow, scar photo
249 CARDIOVASCU 3A.S13.17106 3A.S13.17106 : Aortic/ iliac Angioplasty with one 60000 0 0 ECG, 2D ECHO, CAG stills Angioplasty stills showing Balloon
LAR SURGERY stent showing blocks & Reports & post flow, scar photo
250 CARDIOVASCU 3A.S13.17107 3A.S13.17107 : Aneurysm infra renal aorta /aorto 90000 0 0 ANGIO/ Spiral CT Angiogram Scar photo + Intra op photo
LAR SURGERY iliac(including graft) Report
251 CARDIOVASCU 3A.S13.17108 3A.S13.17108 : Aorto uni iliac/uni femoral bypass 70000 0 0 Angiogram/ Computed Tomography Duplex scan, scar photo
LAR SURGERY Angiography (3D-CTA)/Magnetic
Resonance Angiography
252 CARDIOVASCU 3A.S13.17109 3A.S13.17109 : Peripheral arterial aneurysms 50000 0 0 Angiogram Report & Stills Intra op photo
LAR SURGERY
253 CARDIOVASCU 3A.S13.17110 3A.S13.17110 : Aortic Aneurysm Repair using 90000 0 0 CT Angio Report Scar photo + Intra op photo
LAR SURGERY Cardiopulmonary
bypass (CPB) including graft*
254 CARDIOVASCU 3A.S8.00025C 3A.S8.00025C : Shunt (peritoneal, ventriculo-atrial/ 20000 0 0 CT report Clinical Photographs
LAR SURGERY peritoneal, theco peritoneal) - cross speciality
255 CARDIOVASCU 3A.S1.00068A 3A.S1.00068A : Haemangioma Excision (small) - 5000 0 0 clinical photograph Doppler
LAR SURGERY cross speciality
256 CARDIOVASCU 3A.S1.00148A 3A.S1.00148A : Aneurysm not Requiring Bypass 36000 0 0 CT Angio Report Scar photo + Post op intra op photo
LAR SURGERY Techniques - cross speciality
257 CARDIOVASCU 3A.S1.00149A 3A.S1.00149A : Aneurysm Resection & Grafting - 70000 0 0 CT Angio Report Scar photo + Intra op photo
LAR SURGERY cross speciality
258 CARDIOVASCU 3A.S1.00150B 3A.S1.00150B : Arterial Embolectomy - cross 10000 0 0 Arterial doppler Scar photo
LAR SURGERY speciality
259 CARDIOVASCU 3A.S1.00151B 3A.S1.00151B : Carotid artery aneurysm repair - 20000 0 0 2D ECHO Report with stills 2D ECHO Report + stills of ECHO
LAR SURGERY cross speciality + Post Op X-ray,scar photo
260 CARDIOVASCU 3A.S1.00155A 3A.S1.00155A : Congential Arteriovenus Fistula 20000 0 0 Arterial doppler, clinical photo Scar photo
LAR SURGERY (large) - cross speciality
261 CARDIOVASCU 3A.S1.00156B 3A.S1.00156B : Congential Arteriovenus Fistula 10000 0 0 Arterial doppler, clinical photo Scar photo
LAR SURGERY (small) - cross speciality
262 CARDIOVASCU 3A.S1.00158B 3A.S1.00158B : Dissecting Aneurysms - cross 36000 0 0 2D ECHO Report with stills, 2D ECHO Report + stills of ECHO
LAR SURGERY speciality Doppler + Post Op X-ray,scar photo
263 CARDIOVASCU 3A.S1.00159B 3A.S1.00159B : Distal Abdominal Aorta repair - cross 36000 0 0 Angiogram/CTA/MRA Scar photo
264 CARDIOVASCU 3A.S1.00212A 3A.S1.00212A : Operations for Acquired 15000 0 0 Arterial doppler / MRA Scar photo
LAR SURGERY Arteriovenous Fistula - cross speciality
265 CARDIOVASCU 3A.S1.00217A 3A.S1.00217A : Patch Graft Angioplasty - cross 20000 0 0 Arterial Doppler Post Op Arterial Doppler, Scar
LAR SURGERY speciality photo
266 CARDIOVASCU 3A.S1.00227A 3A.S1.00227A : Surgery for Arterial Aneurysm 20000 0 0 CT Angio / MRA Scar photo
LAR SURGERY Spleenic Artery - cross speciality
267 CARDIOVASCU 3A.S1.00228A 3A.S1.00228A : Surgery for Arterial Aneurism 25000 0 0 CT Angio / MRA Scar photo
LAR SURGERY Vertebral - cross speciality
268 CARDIOVASCU 3A.S1.00240A 3A.S1.00240A : Thrombendarterectomy - cross 15000 0 0 Arterial doppler, CT Angio/MRA Scar photo
269 CARDIOVASCU 3A.S10.00002A 3A.S10.00002A : Revascularization of limb/digit - - 25000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, Doppler study, Clinical photo and
LAR SURGERY cross speciality HbsAg,, CXR, ECG,(X-ray of OT note
limb/digit)
270 CARDIOVASCU 3A.S12.00029A 3A.S12.00029A : Pulmonary artery stenting (double) 65000 0 0 2D ECHO , Angiogram Report & Post procedure Angio stills
LAR SURGERY - cross speciality Stills
271 CARDIOVASCU 3A.S12.17069A 3A.S12.17069A : Venous stenting* - cross speciality 50000 0 0 2D ECHO , Angiogram Report & Post procedure Angio stills
LAR SURGERY Stills
272 CARDIOVASCU 3A.S1.00193A 3A.S1.00193A : Repair of Main Arteries of the Limbs 10000 0 0 Pre-operative Doppler study, CT Post-operative Doppler study,
LAR SURGERY - cross speciality angio(Optional)+ Films+ detailed Clinical photo showing scar
Clinical notes
273 DENTAL AND 2A.S16.00001 2A.S16.00001 : Fixation of fracture of jaw with closed 5000 0 0 X Ray film with report X Ray film with report
ORAL AND reduction (1 jaw) using wires - under LA
MAXILLOFACIA
L SURGERY
274 DENTAL AND 2A.S16.00006 2A.S16.00006 : Extraction of impacted tooth under 500 0 0 X Ray film with report X Ray film with report
ORAL AND LA
MAXILLOFACIA
L SURGERY
275 DENTAL AND 2A.S16.00007 2A.S16.00007 : Cyst & tumour of Maxilla/mandible 2500 0 0 X Ray film with report,Clinical X Ray film with report, Clinical
ORAL AND by enucleation/excision/marsupialization under LA Photograph, Photograph
MAXILLOFACIA
L SURGERY
276 DENTAL AND 2B.S16.00002 2B.S16.00002 : Fixation of fracture of jaw with open 12000 0 0 X Ray film with report, Clinical 1. X Ray film showing the fixation
ORAL AND reduction (1 jaw) and fixing of plates/ wire under GA photo and provisional diagonsis with implant
MAXILLOFACIA 2. Post-op photo,
L SURGERY 3. Clinical notes,
4. OT notes,
5.Daily bed side rounds notes,
7.Discharge summary with 8.Final
bill
277 DENTAL AND 2B.S16.00003 2B.S16.00003 : Sequestrectomy 1500 0 0 X Ray film with report, Clinical 1. Post-op photo,
ORAL AND photo and provisional diagonsis 2. Clinical notes,
MAXILLOFACIA 3. Daily bed side rounds notes,
L SURGERY 4. LAB investigations,
5.Discharge summary with
6. Follow up advice,
7.Final bill
278 DENTAL AND 2B.S16.00004 2B.S16.00004 : TM joint ankylosis of both jaws - 15000 0 0 OPG/CT film with report, 1. Post-op photo,
ORAL AND under GA provisional diagonsis 2. Clinical notes,
7.Final bill
279 DENTAL AND 2B.S16.00005 2B.S16.00005 : Release of fibrous bands & grafting 3000 0 0 Clinical photo, provisional diagonsis 1. Post-op photo,
ORAL AND -in (OSMF) treatment under GA 2. Clinical notes, 3. OT
MAXILLOFACIA notes,
L SURGERY 4. Daily bed side rounds notes,
5. LAB investigations, 6.Discharge
summary 7.Final bill
280 DENTAL AND 2B.S16.00008 2B.S16.00008 : Mandible Tumour Resection and 6000 0 0 Clinical photo, Biopsy report, 1. Post-op photo,
ORAL AND reconstruction/Cancer surgery provisional diagnosis 2. Clinical notes,
7.Final bill
281 DENTAL AND 2B.S16.17174 2B.S16.17174 : Drainage of parotid abscess 7000 0 0 X Ray film with report, provisional 1. Post-op photo,
ORAL AND diagnosis 2. Clinical notes,
MAXILLOFACIA 3. OT notes,
6.Discharge summary
7.Final bill
282 DENTAL AND 2B.S2.00029A 2B.S2.00029A : Antrostomy Bilateral - cross 6500 0 0 CT PNS, provisional diagnosis 1. Post-op photo,
ORAL AND speciality 2. Clinical notes,
6.Discharge summary
7.Final bill
Page 6
283 DENTAL AND 2B.S2.00030A 2B.S2.00030A : Antrostomy Unilateral - cross 4500 0 0 CT PNS, provisional diagnosis 1. Post-op photo,
ORAL AND speciality 2. Clinical notes,
6.Discharge summary
7.Final bill
284 DENTAL AND 2B.S2.00066A 2B.S2.00066A : Oro Antral fistula - cross speciality 7500 0 0 Fistulogram/Clinical photograph, 1. Post-op photo,
ORAL AND provisional diagnosis 2. Clinical notes,
6.Discharge summary
7.Final bill
285 DENTAL AND 2B.S2.00078A 2B.S2.00078A : Commondo Operation (glossectomy) 14000 0 0 CT Skull, HPE, provisional 1. Post-op photo,
ORAL AND - cross speciality diagnosis 2. Clinical notes,
6.Discharge summary
7.Final bill
286 DENTAL AND 2B.S2.00083A 2B.S2.00083A : Excision of the Mandible Segmental 7500 0 0 X Ray film with report, Routine X Ray film with report
ORAL AND - cross speciality Blood Inv
MAXILLOFACIA
L SURGERY
287 DENTAL AND 2B.S2.00084A 2B.S2.00084A : Hemi-mandibulectomy with graft - 15000 0 0 X Ray film with report, Routine 1. X Ray film with report,
ORAL AND cross speciality Blood Inv, provisional diagnosis 2. Clinical notes,
6.Discharge summary
7.Final bill
288 DENTAL AND 2B.S1.00044A 2B.S1.00044A : Excision of Growth from Tongue 6000 0 0 Clinical Photograph Scar Photo, HPE Report
ORAL AND only - cross speciality
MAXILLOFACIA
L SURGERY
289 DENTAL AND 2B.S1.00124A 2B.S1.00124A : Salivary Gland Excision - cross 10000 0 0 Clinical Photograph , FNAC, 1. HPR ,
ORAL AND speciality CT,Clinical notes, Routine 2. Scar Photograph,
MAXILLOFACIA investigations 3. Clinical notes,
L SURGERY 4. OT notes,
7.Discharge summary
8.Final bill
290 DENTAL AND 2B.S1.00145B 2B.S1.00145B : Cleft lip operation - cross speciality 12000 0 0 Clinical Photograph, provisional 1. X Ray film with report,
ORAL AND diagnosis 2. Clinical notes,
6.Discharge summary
7.Final bill
291 DENTAL AND 2B.S1.00147B 2B.S1.00147B : Cleft lip & palate operation (for each 15000 0 0 Clincal note and 1. X Ray film with report,
ORAL AND stage) - cross speciality photograph,provisional diagnosis 2. Clinical notes,
6.Discharge summary
7.Final bill
292 DENTAL AND 3A.S16.00009 3A.S16.00009 : Cleft lip and palate surgery (each 15000 0 0 Clinical Photograph Clinical Photograph
ORAL AND stage)
MAXILLOFACIA
L SURGERY
293 DENTAL AND 3A.S2.00085A 3A.S2.00085A : Hemiglossectomy - - cross speciality 25000 0 0 CT/MRI report and Film if required/ Clinical Photograph showing scar +
ORAL AND Biopsy HPE report
MAXILLOFACIA
L SURGERY
294 DENTAL AND 3A.S2.00087A 3A.S2.00087A : Partial Glossectomy - cross 25000 0 0 CT/MRI report and Film if required/ Clinical Photograph showing scar +
ORAL AND speciality Biopsy HPE report
MAXILLOFACIA
L SURGERY
295 DENTAL AND 3A.S2.00088A 3A.S2.00088A : Ranula excision - cross speciality 25000 0 0 CT/MRI report and Film if required/ Clinical Photograph showing scar +
ORAL AND Biopsy HPE report
MAXILLOFACIA
L SURGERY
296 DENTAL AND 3A.S2.00090A 3A.S2.00090A : Total Glossectomy - cross speciality 15000 0 0 CT Clinical photograph
ORAL AND
MAXILLOFACIA
L SURGERY
297 DENTAL AND 3A.S6.00004A 3A.S6.00004A : Head injury requiring 35000 0 0 X-RAY/CT scan(If Required) Post-operative X-ray, Clinical
ORAL AND Facio-Maxillary Injury repairs & fixations (including Photograph showing scar
MAXILLOFACIA implants) - cross speciality
L SURGERY
298 DENTAL AND 3A.S8 .00050A 3A.S8 .00050A : R.F. Lesion for Trigeminal Neuralgia 15000 0 0 MRI Report CD of Procedure
ORAL AND - cross speciality
MAXILLOFACIA
L SURGERY
299 DENTAL AND 3A.S8.00049A 3A.S8.00049A : Peripheral Neurectomy (Trigeminal) 16500 0 0 MRI Report CD of Procedure
ORAL AND - cross speciality
MAXILLOFACIA
L SURGERY
300 DENTAL AND 3A.S1.00197B 3A.S1.00197B : Operation for Carcinoma Lip 10000 0 0 Clinical photograph, HPE Scar photo, HPE
ORAL AND Vermilionectomy - cross speciality
MAXILLOFACIA
L SURGERY
301 DENTAL AND 3A.S1.00198A 3A.S1.00198A : Operation for Carcinoma Lip - 12000 0 0 Clinical photograph, HPE Scar photo, HPE
ORAL AND Wedge Excision and Vermilionectomy - cross
MAXILLOFACIA speciality
L SURGERY
302 DENTAL AND 3A.S1.00199A 3A.S1.00199A : Operation for Carcinoma Lip - 10000 0 0 Clinical photograph, HPE Scar photo, HPE
ORAL AND Wedge-Excision - cross speciality
MAXILLOFACIA
L SURGERY
303 DENTAL AND 3A.S1.00209A 3A.S1.00209A : Operation for carcinoma lip- cheek 12000 0 0 Clinical photograph, HPE Scar photo, HPE
ORAL AND advancement - cross speciality
MAXILLOFACIA
L SURGERY
304 DENTAL AND 3A.S14.00034A 3A.S14.00034A : Cleft Lip and Palate Surgery (per 15000 0 0 Clinical Photograph Clinical Photograph
ORAL AND stage) - cross speciality
MAXILLOFACIA
L SURGERY
305 DENTAL AND 3A.S15.00007A 3A.S15.00007A : Palatectomy- Soft palate - cross 30000 0 0 CT/MRI report and Film, Biopsy Clinical Photograph, HPE report
ORAL AND speciality
MAXILLOFACIA
L SURGERY
306 DENTAL AND 3A.S15.00008A 3A.S15.00008A : Palatectomy- Hard palate - cross 20000 0 0 CT/MRI report and Film, Biopsy Clinical Photograph, HPE report
ORAL AND speciality
MAXILLOFACIA
L SURGERY
307 DENTAL AND 3A.S15.00014A 3A.S15.00014A : Total Maxillectomy - - cross 18000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
ORAL AND speciality HPE report
MAXILLOFACIA
L SURGERY
308 EMERGENCY 4A.M7.00001 4A.M7.00001 : Emergency with stable 1000 0 0 Clincal notes, Chest X-ray/CT Clincal notes, Chest X-ray/CT
ROOM cardiopulmonary status
Page 7
309 EMERGENCY 4A.M7.00002 4A.M7.00002 : Emergency consultation: acute colic, 1000 0 0 Clincal notes Clincal notes
ROOM high fever, cut, stitches, soft tissue injury, FB removal
310 EMERGENCY 4A.M7.00003 4A.M7.00003 : Single bone fracture plaster, 1000 0 0 X Ray film with report, clinical X Ray film with report, clinical
ROOM nebulization for asthmatic attack, moderate note, Blood examination note, Blood examination
dehydration, hypoglycaemia in a diabetic, Dengue
without complication, Syncope, Food poisoning etc
311 EMERGENCY 4A.M7.00004 4A.M7.00004 : Animal bites (Payment after 1700 0 0 Clinical examination Clinical examination
ROOM completion of 5th dose)
312 EMERGENCY 4A.S15.00021B 4A.S15.00021B : Tracheostomy 5000 0 0 Clinical photo Clinical photo
ROOM
313 ENT 2A.S2.00001 2A.S2.00001 : Aural polypectomy 4000 0 0 Clinical photo Scar photo, HPE
314 ENT 2A.S2.00003 2A.S2.00003 : Mastoidectomy 12500 0 0 X-ray mastoid , Pure Tone X-Ray Mastoids, Scar photo
Audiometry Report
315 ENT 2A.S2.00007 2A.S2.00007 : Myringoplasty with Ossiculoplasty 3500 0 0 Pure Tone Audiometry Report and Pure Tone Audiometry Report and
Impedance Audiometry Report Impedance Audiometry Report
316 ENT 2A.S2.00008 2A.S2.00008 : Myringotomy Bilateral 6000 0 0 Pure Tone Audiometry Report Pure Tone Audiometry Report and
Impedance Audiometry Report
317 ENT 2A.S2.00009 2A.S2.00009 : Myringotomy Unilateral 3500 0 0 Pure Tone Audiometry Report Pure Tone Audiometry Report and
318 ENT 2A.S2.00010 2A.S2.00010 : Myringotomy with Grommet - One ear 6500 0 0 Pure Tone Audiometry Report Pure Tone Audiometry Report and
319 ENT 2A.S2.00011 2A.S2.00011 : Myrinogotomy with Grommet - Both 8500 0 0 Pure Tone Audiometry Report and Pure Tone Audiometry Report and
ear Impedance Audiometry Report Impedance Audiometry Report
320 ENT 2A.S2.00013 2A.S2.00013 : Partial amputation Pinna 4000 0 0 Clinical Photograph Clinical Photograph
321 ENT 2A.S2.00017 2A.S2.00017 : Tympanoplasty 9000 0 0 CT Mastoid, Pure Tone Audiometry Pure Tone Audiometry Report
Report
322 ENT 2A.S2.00019 2A.S2.00019 : Ear lobe repair - single (daycare) 1500 0 0 Clinical Photo, Clinical notes Scar Photograph
323 ENT 2A.S2.00035 2A.S2.00035 : Fracture reduction nose with septal 8000 0 0 X-ray of the nasal bone Post-op X-ray with report
correction
324 ENT 2A.S2.00038 2A.S2.00038 : Functional Endoscopic Sinus (FESS) 11000 0 0 CT PNS , Direct Nasal Endoscopic Endoscopy Photo
Photo graph, Clinical notes
325 ENT 2A.S2.00039 2A.S2.00039 : Intra Nasal Ethmoidectomy 5000 0 0 Clinical notes, CT PNS X-Ray
326 ENT 2A.S2.00043 2A.S2.00043 : Turbinectomy Partial Bilateral 3000 0 0 CT, Clinical Notes clinical notes
327 ENT 2A.S2.00044 2A.S2.00044 : Turbinectomy Partial Unilateral 2000 0 0 CT, Clinical Notes clinical notes
328 ENT 2A.S2.00046 2A.S2.00046 : Rhinoplasty 15000 0 0 X- Ray, CT, Clinical Notes X Ray
329 ENT 2A.S2.00047 2A.S2.00047 : Septoplasty 5000 0 0 X- Ray, CT, Clinical Notes Clinical Photograph
330 ENT 2A.S2.00048 2A.S2.00048 : Youngs operation 3000 0 0 clinical notes clinical notes
331 ENT 2A.S2.00049 2A.S2.00049 : Angiofibroma Excision 18000 0 0 Endoscopy Picture, CT, Clinical Clinical photo showing scar
Notes
332 ENT 2A.S2.00052 2A.S2.00052 : Endoscopic Hypophysectomy 21000 0 0 Clinical notes, CT/MRI clinical notes
333 ENT 2A.S2.00053 2A.S2.00053 : Intranasal Diathermy 3000 0 0 clinical notes clinical notes
334 ENT 2A.S2.00054 2A.S2.00054 : Rhinosporidiosis 7000 0 0 X Ray Nasopharynx film with report HPR
335 ENT 2A.S2.00056 2A.S2.00056 : Adeno Tonsillectomy 8000 0 0 Clinical Photograph clinical Photograph
336 ENT 2A.S2.00057 2A.S2.00057 : Adenoidectomy 5000 0 0 X-Ray Nasopharynx Clinical Photograph
337 ENT 2A.S2.00071 2A.S2.00071 : Retro pharyngeal abscess Drainage 5000 0 0 CT/MRI, Clinical photograph X-Ray
338 ENT 2A.S2.00074 2A.S2.00074 : Tonsillectomy (Uni/ Bilateral) 7500 0 0 Clinical Notes Procedure notes
339 ENT 2A.S2.00076 2A.S2.00076 : Superficial Parotidectomy 12000 0 0 Clinical notes, Biopsy, Clinical Histopathological report, Operative
Photograph, CT scan, CT/MRI notes with steps of surgery
340 ENT 2A.S2.00079 2A.S2.00079 : Excision of Branchial Cyst 7000 0 0 Clinical notes & photo Clinical photo showing scar, FNAC/
BIOPSY, Operative notes with steps
of surgery
341 ENT 2A.S2.00080 2A.S2.00080 : Excision of Branchial Sinus 7000 0 0 Clinical notes & photo Clinical photo showing scar, FNAC/
BIOPSY, Operative notes with steps
of surgery
342 ENT 2A.S2.00086 2A.S2.00086 : Palatopharyngoplasty 10000 0 0 Clinical photo HPE Report, OT Notes
343 ENT 2A.S2.00089 2A.S2.00089 : Removal of Submandibular Salivary 5000 0 0 Clinical Photograph , FNAC, HPR , Clinical Photograph
gland Routine Blood Inv
344 ENT 2B.S2.00002 2B.S2.00002 : Labyrinthectomy 20000 0 0 Clinical notes, Audiometry report, 1. X Ray film with report,
provisional diagnosis 2. Clinical notes,
3. OT notes,
6.Discharge summary
7.Final bill
345 ENT 2B.S2.00004 2B.S2.00004 : Mastoidectomy corticol modified/ 8700 0 0 CT Temporal Bone , Pure Tone 1.X-Ray Mastoids,
radical Audiometry Report,provisional 2.Scar photo,
diagnosis 3. Clinical notes,
4. OT notes,
7.Discharge summary
8.Final bill
346 ENT 2B.S2.00005 2B.S2.00005 : Mastoidectomy with tympanoplasty 7500 0 0 Pure Tone Audiometry Report, 1.X-Ray Mastoids,
provisional diagnosis 2.Pure Tone Audiometry report
3.Scar photo,
4. Clinical notes,
5. OT notes,
8.Discharge summary
9.Final bill
347 ENT 2B.S2.00006 2B.S2.00006 : Myringoplasty 5000 0 0 Pure Tone Audiometry Report, 1.X-Ray Mastoids,
provisional diagnosis 2.Scar photo,
3. Clinical notes,
4. OT notes,
7.Discharge summary
8.Final bill
348 ENT 2B.S2.00012 2B.S2.00012 : Ossiculoplasty 7500 0 0 Pure Tone Audiometry Report and 1.Pure Tone Audiometry Report and
Impedance Audiometry Impedance Audiometry Report
Report,provisional diagnosis 2.Scar photo,
3. Clinical notes,
4. OT notes,
7.Discharge summary
8.Final bill
349 ENT 2B.S2.00014 2B.S2.00014 : Excision of Pinna for Growths 8000 0 0 Clinical Photograph,provisional 1.HPR/Clinical photograph
(Squamous/Basal) Injuries - Total Amputation & diagnosis 2.Scar photo,
Excision of External Auditory Meatus 3. Clinical notes,
4. OT notes,
7.Discharge summary
8.Final bill
350 ENT 2B.S2.00016 2B.S2.00016 : Stapedectomy 8000 0 0 Pure Tone Audiometry Report and 1.Clinical Photograph With Piston ,
Impedance Audiometry 2.Pure Tone
Report,provisional diagnosis Audiometry Report
3. Clinical notes,
4. OT notes,
7.Discharge summary
8.Final bill
351 ENT 2B.S2.00021 2B.S2.00021 : Excision of Pinna for Growth 2500 0 0 Clinical Photograph/ 1.HPR/Clinical photograph 2.
(Squamous/Basal/ Injuries) Skin Only FNAC,provisional diagnosis Clinical notes, 3. OT
notes,
Page 8
352 ENT 2B.S2.00025 2B.S2.00025 : Tympanotomy 4000 0 0 Otoscopy, provisional diagnosis 1.Scar photo 2. Clinical
notes, 3. OT notes,
353 ENT 2B.S2.00027 2B.S2.00027 : Aural polypectomy +Tympanoplasty 10000 0 0 CT, Clinical Notes, Audiometry, 1.Scar photo 2. Clinical
provisional diagnosis notes, 3. OT notes,
354 ENT 2B.S2.00028 2B.S2.00028 : Ant. Ethmoidal artery ligation - open/ 11000 0 0 CT PNS, provisional diagnosis 1.Clinical Photograph 2.
endoscopic Clinical notes, 3. OT
notes,
355 ENT 2B.S2.00029 2B.S2.00029 : Antrostomy Bilateral 6500 0 0 CT PNS, provisional diagnosis 1.Clinical Photograph 2.
Clinical notes, 3. OT
notes,
356 ENT 2B.S2.00030 2B.S2.00030 : Antrostomy Unilateral 4500 0 0 CT PNS, provisional diagnosis 1.Clinical Photograph 2.
notes,
357 ENT 2B.S2.00031 2B.S2.00031 : Cryosurgery 3000 0 0 Clinical Photo, provisional diagnosis 1. Clinical Photo 2.
notes,
358 ENT 2B.S2.00033 2B.S2.00033 : Septoplasty + FESS 11500 0 0 CT/ MRI, provisional diagnosis 1. X-Ray 2.
notes,
359 ENT 2B.S2.00034 2B.S2.00034 : Ethmoidectomy External 9200 0 0 CT/ MRI, provisional diagnosis 1. X-Ray 2.
notes,
360 ENT 2B.S2.00036 2B.S2.00036 : Fracture - setting maxilla 8000 0 0 X Ray film with report, PNS, 1. X-Ray 2.
provisional diagnosis Clinical notes, 3. OT
notes,
361 ENT 2B.S2.00041 2B.S2.00041 : Nasal polypectomy Bilateral 9000 0 0 Clinical notes, CT PNS, provisional 1. X-Ray 2.
diagnosis Clinical notes, 3. OT
notes,
362 ENT 2B.S2.00042 2B.S2.00042 : Nasal polypectomy Unilateral 6000 0 0 Clinical notes, CT PNS, Routine 1. X-Ray 2.
investigations Clinical notes, 3. OT
notes,
363 ENT 2B.S2.00051 2B.S2.00051 : Endoscopic DCR 7000 0 0 Lacrimal Syringing 1.Clinical Photograph 2.
Report,provisional diagnosis Clinical notes, 3. OT
notes,
364 ENT 2B.S2.00055 2B.S2.00055 : Septo-rhinoplasty 6600 0 0 X Ray PNS , CT PNS,provisional 1.Clinical Photograph 2.
notes,
365 ENT 2B.S2.00058 2B.S2.00058 : Arytenoidectomy 10000 0 0 CT-Scan / MRI Scan/Endo 1.Clinical Photograph, 2.Endo
photo,provisional diagnosis Picture, 3.X-Ray,
4. Clinical notes,
5. OT notes,
366 ENT 2B.S2.00060 2B.S2.00060 : Tonsillectomy + Myrinogotomy 10000 0 0 Clinical Notes, provisional diagnosis 1. Clinical notes, 2. OT
notes,
367 ENT 2B.S2.00061 2B.S2.00061 : Pharyngeal diverticulum's Excision 10000 0 0 USG Neck, Clinical Notes, Routine 1.USG, 2.
notes,
368 ENT 2B.S2.00062 2B.S2.00062 : Laryngectomy with block dissection 12000 0 0 CT Neck,USG, provisional 1. X Ray film with report, 2.
diagnosis Clinical Photograph, 3. HPE,
4. Clinical notes,
5. OT notes,
369 ENT 2B.S2.00063 2B.S2.00063 : Laryngofissure 3500 0 0 USG Neck,Clinical Notes,Routine 1.USG, 2.
notes,
370 ENT 2B.S2.00066 2B.S2.00066 : Oro Antral fistula 7500 0 0 Fistulogram/Clinical photograph, 1. Clinical Photograph, 2.
Clinical Notes,Routine Clinical notes, 3. OT
investigations notes,
371 ENT 2B.S2.00068 2B.S2.00068 : Parapharyngeal Abscess Drainage 7500 0 0 CT/MRI/ Clinical 1. Clinical notes, 2. OT
photograph,provisional diagnosis notes,
372 ENT 2B.S2.00072 2B.S2.00072 : Tonsillectomy + Styloidectomy 12500 0 0 X-Ray Skull Lateral 1. X-Ray Skull Lateral View 2.
View,provisional diagnosis Clinical notes, 3. OT
notes,
Page 9
373 ENT 2B.S2.00073 2B.S2.00073 : Thyroglossal Fistula/ cyst Excision 7000 0 0 Ultrasound Neck, 1. HPR, 2.
Fistulogram,provisional diagnosis X-Ray, 3. Clinical
notes, 4. OT notes,
374 ENT 2B.S2.00077 2B.S2.00077 : Uvulophanyngo Plasty 14000 0 0 Polysomnography, provisional 1. Clinical Photograph 2.
notes,
375 ENT 2B.S2.00078 2B.S2.00078 : Commondo Operation (glossectomy) 14000 0 0 CT Skull, HPE, provisional 1. Clinical Photograph 2.
notes,
376 ENT 2B.S2.00082 2B.S2.00082 : Excision of Cystic Hygroma Minor 5000 0 0 Clinical notes & photo, USG/CT, 1. Clinical photo showing scar,
Routine investigations 2. BIOPSY,
3.Operative notes with steps of
surgery 4. Clinical notes
5. Daily bed side rounds
notes,
377 ENT 2B.S2.00083 2B.S2.00083 : Excision of the Mandible Segmental 7500 0 0 X Ray film, provisional diagnosis 1. Scar Photo, 2. X Ray
film 3. Clinical notes,
4. OT notes,
378 ENT 2B.S2.00084 2B.S2.00084 : Hemi-mandibulectomy with graft 15000 0 0 X Ray film, provisional diagnosis 1. Scar Photo, 2. X Ray
film 3. Clinical notes,
4. OT notes,
379 ENT 2B.S1.00011B 2B.S1.00011B : Branchial Fistula -cross speciality 14000 0 0 CT scan, Clinical 1. Clinical Photograph 2.
Photograph,provisional diagonsis Clinical notes, 3. OT
notes,
380 ENT 2B.S1.00037A 2B.S1.00037A : Excision Bronchial Sinus - cross 8000 0 0 USG/CT,provisional diagonsis 1. Post-op photo,
speciality 2. Clinical notes,
4. OT notes,
summary, 7. Final bill
381 ENT 2B.S1.00094A 2B.S1.00094A : Laryngectomy & Pharyngeal 10000 0 0 CT Neck,USG, provisional 1. Clinical Photograph 2.
Diverticulum (Throat) - cross speciality diagnosis Clinical notes, 3. OT
notes,
8. HPE
382 ENT 2B.S1.00101A 2B.S1.00101A : Microlaryngoscopic Surgery - cross 12500 0 0 DL scopy findings, provisional 1. Clinical Photograph 2.
speciality diagnosis Clinical notes, 3. OT
notes,
8. HPE
383 ENT 2B.S1.00102B 2B.S1.00102B : Oeshophagoscopy for foreign body 6000 0 0 Endoscopy/ X-Ray, provisional 1. Clinical Photograph 2.
removal - cross speciality diagnosis Clinical notes, 3. OT
notes,
8. Endoscopy picture
384 ENT 2B.S1.00220B 2B.S1.00220B : Removal of Foreign Body from 2500 0 0 Clinical photo, endoscopy, 1. Clinical notes, 2. OT
Trachea or Oesophagus - cross speciality provisional diagnosis notes,
385 ENT 2B.S16.17174B 2B.S16.17174B : Drainage of parotid abscess - cross 7000 0 0 X Ray film with report, provisional 1. Clinical photograph 2. X Ray
speciality diagnosis film 3. Clinical notes,
4. OT notes,
386 ENT 3A.S2.00015 3A.S2.00015 : Excision of Pinna for Growths 6500 0 0 Clinical Photograph HPR/Clinical photograph
(Squamous/Basal) Injuries Total Amputation
387 ENT 3A.S2.00018 3A.S2.00018 : Vidian neurectomy Micro 9000 0 0 Clinical notes OT notes
388 ENT 3A.S2.00020 3A.S2.00020 : Excision of Pinna for Growth 4000 0 0 Clinical Photograph/ FNAC HPR/Clinical photograph
(Squamous/Basal/ Injuries) Skin and Cartilage
389 ENT 3A.S2.00022 3A.S2.00022 : Pharyngectomy and reconstruction 15000 0 0 CT Neck HPE, Scar Photo
390 ENT 3A.S2.00023 3A.S2.00023 : Skull base surgery 37000 0 0 CT-Scan / MRI Scan Clinical Photograph
391 ENT 3A.S2.00024 3A.S2.00024 : Total Amputation & Excision of 7500 0 0 Clinical photograph Scar photo HPE
External Auditory Meatus
392 ENT 3A.S2.00032 3A.S2.00032 : CSF Rhinorrhoea Repair 43000 0 0 CT report Clinical Photograph with Scar
393 ENT 3A.S2.00040 3A.S2.00040 : Rhinotomy Lateral 7500 0 0 clinical notes, CT/MRI clinical notes
394 ENT 3A.S2.00050 3A.S2.00050 : Cranio-facial resection 70000 0 0 CT/MRI Report, Clinical Notes CT report and film, Clinical
Photograph showing scar + HPE
report
395 ENT 3A.S2.00059 3A.S2.00059 : Choanal atresia 12500 0 0 Clinical photo Clinical photo showing scar
396 ENT 3A.S2.00064 3A.S2.00064 : Laryngophayryngectomy 20000 0 0 Clinical notes, CT/MRI clinical notes
397 ENT 3A.S2.00065 3A.S2.00065 : Maxilla Excision 12500 0 0 Clinical notes, CT/MRI Procedure notes
398 ENT 3A.S2.00067 3A.S2.00067 : Parapharyngeal Exploration 12500 0 0 CT/MRI Procedure notes
399 ENT 3A.S2.00070 3A.S2.00070 : Pharyngoplasty 10000 0 0 CT/MRI Clinical notes
400 ENT 3A.S2.00075 3A.S2.00075 : Total Parotidectomy 40000 0 0 FNAC,CT Clinical Photograph showing scar +
HPE report
401 ENT 3A.S2.00081 3A.S2.00081 : Excision of Cystic Hygroma Major/ 10000 0 0 Clinical notes & photo, USG/CT Clinical photo showing scar,
Extensive BIOPSY, Operative notes with steps
of surgery & Clinical notes
402 ENT 3A.S2.00085 3A.S2.00085 : Hemiglossectomy 25000 0 0 CT/MRI, Biopsy Clinical Photograph showing scar +
HPE report
403 ENT 3A.S2.00087 3A.S2.00087 : Partial Glossectomy 25000 0 0 CT/MRI, Biopsy Clinical Photograph showing scar +
HPE report
404 ENT 3A.S2.00088 3A.S2.00088 : Ranula excision 25000 0 0 CT/MRI, Biopsy Clinical Photograph showing scar +
HPE report
405 ENT 3A.S2.00090 3A.S2.00090 : Total Glossectomy 15000 0 0 CT, Biopsy HPE Report
406 ENT 3A.S2.00091 3A.S2.00091 : Total Laryngectomy + Neck dissection 25000 0 0 CT, Biopsy Biopsy , Clinical Photograph, HPE
Report
407 ENT 3A.S2.00092 3A.S2.00092 : Laryngopharyngectomy with Gastric 30000 0 0 CT , Biopsy Clinical Photograph showing scar +
pull-up/ jejunal graft HPE report
408 ENT 3A.S2.00093 3A.S2.00093 : Excision of CA cheek/ oral cavity + 30000 0 0 CT , Biopsy Clinical photograph showing scar +
radial forearm flap HPE report
409 ENT 3A.S2.00094 3A.S2.00094 : Excision of growth Jaw + free fibular 25000 0 0 CT , Biopsy Clinical Photograph showing scar +
flap reconstruction HPE report
410 ENT 3A.S1.00045A 3A.S1.00045A : Excision of Growth from Tongue 15000 0 0 CT/MRI, Clinical Photo OT notes, HPE
with neck node dissection - cross speciality
411 ENT 3A.S1.00114B 3A.S1.00114B : Radical Neck Dissection Excision - 15000 0 0 Clinical photo, Clinical notes & Scar photo & HPE
cross speciality Biopsy/ Cytology
Page 10
412 ENT 3A.S1.00134B 3A.S1.00134B : Submandibular Mass Excision + 25000 0 0 CT/MRI/USG report and Film if Clinical Photograph showing scar +
Reconstruction - Cross speciality required/ Biopsy HPE report
413 ENT 3A.S1.00138A 3A.S1.00138A : Pharyngectomy& Reconstruction 12000 0 0 CT Neck, Biopsy HPE, CT Neck, Scar Photo
Total - cross specaility
414 ENT 3A.S1.00139B 3A.S1.00139B : Tracheal Stenosis (End to end 15000 0 0 Bronchoscopy , CT Scar photo, Biopsy
Anastamosis) (Throat) - cross speciality
415 ENT 3A.S1.00140B 3A.S1.00140B : Tracheoplasty (Throat) - cross 40000 0 0 CT / Bronchoscopy report CT / Bronchoscopy report
speciality
416 ENT 3A.S1.00146A 3A.S1.00146A : Cleft palate repair (for each stage) - 12000 0 0 Clinical photo Scar photo
cross speciality
417 ENT 3A.S1.00152B 3A.S1.00152B : Carotid Body tumour - Excision - 35000 0 0 Angiogram/spiral CT Angiogram Stills showing the procedure
cross speciality reports +Duplex scan, scar photo
418 ENT 3A.S1.00162B 3A.S1.00162B : Excision of Parathyroid 30000 0 0 CT Scan Functional scan/PTH Clinical Photograph showing scar +
Adenoma/Carcinoma - cross speciality reports/USG HPE report
419 ENT 3A.S1.00215A 3A.S1.00215A : Parapharyngeal Tumour Excision - 11000 0 0 USG, CT Neck USG,HPE,Scar Photo
cross speciality
420 ENT 3A.S10.00001A 3A.S10.00001A : Ear Pinna Reconstruction with 3000 0 0 X-ray and clinical note OT note with clinical photograph of
costal cartilage/ Prosthesis (including the cost of stages
prosthesis/implants). *If requiring multiple stages,
each stage will cost Rs. 30,000 provided the operating
surgeon demonstrates the photographic results of
previous stages. - cross speciality
421 ENT 4A.S2.00026 4A.S2.00026 : Removal of foreign body from ear 650 0 0 Clinical Photograph, Otoscopic Procedure Notes
findings
422 ENT 4A.S2.00037 4A.S2.00037 : Fracture - setting nasal bone 5000 0 0 X Ray film with report with report X Ray
with reportPNS
423 ENT 4A.S2.00045 4A.S2.00045 : Radical fronto ethmo sphenodectomy 15500 0 0 X-Ray PNS,CT scan of sinuses CT scan of sinuses
424 ENT 4A.S2.00069 4A.S2.00069 : Peritonsillor abscess under LA 1500 0 0 Clinical Photograph Clinical Photograph
425 ENT 4A.S13.00061A 4A.S13.00061A : Foreign Body Removal with scope - 20000 0 0 CT Chest report + Bronchoscopy ENDOSCOPY PICTURE
cross speciality report
426 ENT 4A.S15.00021D 4A.S15.00021D : Tracheostomy 5000 0 0 Clinical photo Clinical photo
427 GENERAL 4A.M7.17256 4A.M7.17256 : Drowning 4000 0 0 Clinical Notes Clinical Notes
EMERGENCY
428 GENERAL 4A.M7.17257 4A.M7.17257 : Injuries caused while operating 4000 0 0 Clinical Notes Clinical Notes
EMERGENCY agricultural equipments
429 GENERAL 2A.M1.00001 2A.M1.00001 : Acute gastroenteritis with moderate 1800 0 0 Relevant Hematological Treatment notes
MEDICINE dehydration - routine ward investigations, Clinical notes
430 GENERAL 2A.M1.00001A 2A.M1.00001A : Acute gastroenteritis with moderate 2700 0 0 Relevant Hematological Treatment notes
MEDICINE dehydration - HDU investigations, Clinical notes
431 GENERAL 2A.M1.00001B 2A.M1.00001B : Acute gastroenteritis with moderate 3600 0 0 Relevant Hematological Treatment notes
MEDICINE dehydration - ICU without ventilator investigations, Clinical notes
432 GENERAL 2A.M1.00001C 2A.M1.00001C : Acute gastroenteritis with moderate 4500 0 0 Relevant Hematological Treatment notes
MEDICINE dehydration - iCU with ventilator investigations, Clinical notes
433 GENERAL 2A.M1.00003 2A.M1.00003 : Dysentery - routine ward 1800 0 0 Relevant Hematological Treatment notes
MEDICINE investigations, Clinical notes
434 GENERAL 2A.M1.00003A 2A.M1.00003A : Dysentery - HDU 2700 0 0 Relevant Hematological Treatment notes
435 GENERAL 2A.M1.00003B 2A.M1.00003B : Dysentery - ICU without ventilator 3600 0 0 Relevant Hematological Treatment notes
436 GENERAL 2A.M1.00003C 2A.M1.00003C : Dysentery - ICU with ventilator 4500 0 0 Relevant Hematological Treatment notes
437 GENERAL 2A.M1.00004 2A.M1.00004 : Renal colic - routine ward 1800 0 0 clinical notes clinical notes
MEDICINE
438 GENERAL 2A.M1.00004A 2A.M1.00004A : Renal colic - HDU 2700 0 0 clinical notes clinical notes
MEDICINE
439 GENERAL 2A.M1.00004B 2A.M1.00004B : Renal colic - ICU without ventilator 3600 0 0 clinical notes clinical notes
MEDICINE
440 GENERAL 2A.M1.00004C 2A.M1.00004C : Renal colic - ICU with ventilator 4500 0 0 clinical notes clinical notes
MEDICINE
441 GENERAL 2A.M1.00005 2A.M1.00005 : Acute bronchitis - routine ward 1800 0 0 clinical notes clinical notes
MEDICINE
442 GENERAL 2A.M1.00005A 2A.M1.00005A : Acute bronchitis - HDU 2700 0 0 clinical notes clinical notes
MEDICINE
443 GENERAL 2A.M1.00005B 2A.M1.00005B : Acute bronchitis - ICU without 3600 0 0 clinical notes clinical notes
MEDICINE ventilator
444 GENERAL 2A.M1.00005C 2A.M1.00005C : Acute bronchitis - iCU with 4500 0 0 clinical notes clinical notes
MEDICINE ventilator
445 GENERAL 2A.M1.00009 2A.M1.00009 : Severe anemia - routine ward 1800 0 0 clinical notes, HB% clinical notes, HB%
MEDICINE
446 GENERAL 2A.M1.00009A 2A.M1.00009A : Severe anemia - HDU 2700 0 0 clinical notes, HB% clinical notes, HB%
MEDICINE
447 GENERAL 2A.M1.00009B 2A.M1.00009B : Severe anemia - ICU without 3600 0 0 clinical notes, HB% clinical notes, HB%
MEDICINE ventilator
448 GENERAL 2A.M1.00009C 2A.M1.00009C : Severe anemia - ICU with 4500 0 0 clinical notes, HB% clinical notes, HB%
MEDICINE ventilator
449 GENERAL 2A.M1.00011 2A.M1.00011 : Acute febrile illness - routine ward 1800 0 0 clinical notes clinical notes
MEDICINE
450 GENERAL 2A.M1.00011A 2A.M1.00011A : Acute febrile illness - HDU 2700 0 0 clinical notes clinical notes
MEDICINE
451 GENERAL 2A.M1.00011B 2A.M1.00011B : Acute febrile illness - ICU without 3600 0 0 clinical notes clinical notes
MEDICINE ventilator
452 GENERAL 2A.M1.00011C 2A.M1.00011C : Acute febrile illness - ICU with 4500 0 0 clinical notes clinical notes
MEDICINE ventilator
453 GENERAL 2A.M1.00013 2A.M1.00013 : UTI - routine ward 1800 0 0 clinical notes, Urine - C/S clinical notes
MEDICINE
454 GENERAL 2A.M1.00013A 2A.M1.00013A : UTI - HDU 2700 0 0 clinical notes, Urine - C/S clinical notes
MEDICINE
455 GENERAL 2A.M1.00013B 2A.M1.00013B : UTI - ICU without ventilator 3600 0 0 clinical notes, Urine - C/S clinical notes
MEDICINE
456 GENERAL 2A.M1.00013C 2A.M1.00013C : UTI - ICU with ventilator 4500 0 0 clinical notes, Urine - C/S clinical notes
MEDICINE
457 GENERAL 2A.M1.00014 2A.M1.00014 : Malaria - routine ward 1800 0 0 clinical notes, Peripheral blood clinical notes
MEDICINE examination report
458 GENERAL 2A.M1.00014A 2A.M1.00014A : Malaria - HDU 2700 0 0 clinical notes, Peripheral blood clinical notes
459 GENERAL 2A.M1.00014B 2A.M1.00014B : Malaria - ICU without ventilator 3600 0 0 clinical notes, Peripheral blood clinical notes
460 GENERAL 2A.M1.00014C 2A.M1.00014C : Malaria - ICU with ventilator 4500 0 0 clinical notes, Peripheral blood clinical notes
461 GENERAL 2A.M1.00015 2A.M1.00015 : Dengue fever - routine ward 1800 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE report report
462 GENERAL 2A.M1.00015A 2A.M1.00015A : Dengue fever - HDU 2700 0 0 clinical notes, Blood examination clinical notes, Blood examination
463 GENERAL 2A.M1.00015B 2A.M1.00015B : Dengue fever - ICU without 3600 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE ventilator report report
464 GENERAL 2A.M1.00015C 2A.M1.00015C : Dengue fever - ICU with ventilator 4500 0 0 clinical notes, Blood examination clinical notes, Blood examination
465 GENERAL 2A.M1.00017 2A.M1.00017 : Leptospirosis - routine ward 1800 0 0 clinical notes, Blood examination clinical notes
MEDICINE report
466 GENERAL 2A.M1.00017A 2A.M1.00017A : Leptospirosis - HDU 2700 0 0 clinical notes, Blood examination clinical notes
MEDICINE report
467 GENERAL 2A.M1.00017B 2A.M1.00017B : Leptospirosis - ICU without 3600 0 0 clinical notes, Blood examination clinical notes
MEDICINE ventilator report
468 GENERAL 2A.M1.00017C 2A.M1.00017C : Leptospirosis - ICU with ventilator 4500 0 0 clinical notes, Blood examination clinical notes
MEDICINE report
469 GENERAL 2A.M1.00018 2A.M1.00018 : Enteric fever - routine ward 1800 0 0 clinical notes, Blood examination clinical notes
MEDICINE report
470 GENERAL 2A.M1.00018A 2A.M1.00018A : Enteric fever - HDU 2700 0 0 clinical notes, Blood examination clinical notes
MEDICINE report
471 GENERAL 2A.M1.00018B 2A.M1.00018B : Enteric fever - ICU without 3600 0 0 clinical notes, Blood examination clinical notes
472 GENERAL 2A.M1.00018C 2A.M1.00018C : Enteric fever - ICU with ventilator 4500 0 0 clinical notes, Blood examination clinical notes
MEDICINE report
473 GENERAL 2A.M1.00019 2A.M1.00019 : Pneumonia - routine ward 1800 0 0 clinical notes, X-ray clinical notes
MEDICINE
Page 11
474 GENERAL 2A.M1.00019A 2A.M1.00019A : Pneumonia - HDU 2700 0 0 clinical notes, X-ray clinical notes
MEDICINE
475 GENERAL 2A.M1.00019B 2A.M1.00019B : Pneumonia - ICU without ventilator 3600 0 0 clinical notes, X-ray clinical notes
MEDICINE
476 GENERAL 2A.M1.00019C 2A.M1.00019C : Pneumonia - ICU with ventilator 4500 0 0 clinical notes, X-ray clinical notes
MEDICINE
477 GENERAL 2A.M1.00021 2A.M1.00021 : Liver abscess - routine ward 1800 0 0 clinical notes, USG /X-ray abdomen clinical notes, USG /X-ray abdomen
MEDICINE
478 GENERAL 2A.M1.00021A 2A.M1.00021A : Liver abscess - HDU 2700 0 0 clinical notes, USG /X-ray abdomen clinical notes, USG /X-ray abdomen
MEDICINE
479 GENERAL 2A.M1.00021B 2A.M1.00021B : Liver abscess - ICU without 3600 0 0 clinical notes, USG /X-ray abdomen clinical notes, USG /X-ray abdomen
MEDICINE ventilator
480 GENERAL 2A.M1.00021C 2A.M1.00021C : Liver abscess - ICU with ventilator 4500 0 0 clinical notes, USG /X-ray abdomen clinical notes, USG /X-ray abdomen
MEDICINE
481 GENERAL 2A.M1.00022 2A.M1.00022 : Acute viral hepatitis - routine ward 1800 0 0 clinical notes, LFT clinical notes, LFT
MEDICINE
482 GENERAL 2A.M1.00022A 2A.M1.00022A : Acute viral hepatitis - HDU 2700 0 0 clinical notes, LFT clinical notes, LFT
MEDICINE
483 GENERAL 2A.M1.00022B 2A.M1.00022B : Acute viral hepatitis - ICU without 3600 0 0 clinical notes, LFT clinical notes, LFT
MEDICINE ventilator
484 GENERAL 2A.M1.00022C 2A.M1.00022C : Acute viral hepatitis - ICU with 4500 0 0 clinical notes, LFT clinical notes, LFT
MEDICINE ventilator
485 GENERAL 2A.M1.00026 2A.M1.00026 : Pyrexia of unknown origin - routine 1800 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE ward report report
486 GENERAL 2A.M1.00026A 2A.M1.00026A : Pyrexia of unknown origin - HDU 2700 0 0 clinical notes, Blood examination clinical notes, Blood examination
487 GENERAL 2A.M1.00026B 2A.M1.00026B : Pyrexia of unknown origin - ICU 3600 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE without ventilator report report
488 GENERAL 2A.M1.00026C 2A.M1.00026C : Pyrexia of unknown origin - ICU 4500 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE with ventilator report report
489 GENERAL 2A.M1.00027 2A.M1.00027 : Pericardial/ Pleural tuberculosis - 1800 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
MEDICINE routine ward X-ray chest
490 GENERAL 2A.M1.00027A 2A.M1.00027A : Pericardial/ Pleural tuberculosis - 2700 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
MEDICINE HDU X-ray chest
491 GENERAL 2A.M1.00027B 2A.M1.00027B : Pericardial/ Pleural tuberculosis - 3600 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
MEDICINE ICU without ventilator X-ray chest
492 GENERAL 2A.M1.00027C 2A.M1.00027C : Pericardial/ Pleural tuberculosis - 4500 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
MEDICINE ICU with ventilator X-ray chest
493 GENERAL 2A.M1.00028 2A.M1.00028 : Systematic lupus erythematosus - 1800 0 0 clinical notes clinical notes
MEDICINE routine ward
494 GENERAL 2A.M1.00028A 2A.M1.00028A : Systematic lupus erythematosus - 2700 0 0 clinical notes clinical notes
MEDICINE HDU
495 GENERAL 2A.M1.00028B 2A.M1.00028B : Systematic lupus erythematosus - 3600 0 0 clinical notes clinical notes
MEDICINE ICU without ventilator
496 GENERAL 2A.M1.00028C 2A.M1.00028C : Systematic lupus erythematosus - 4500 0 0 clinical notes clinical notes
MEDICINE ICU with ventilator
497 GENERAL 2A.M1.00029 2A.M1.00029 : Vasculitis - routine ward 1800 0 0 clinical notes clinical notes
MEDICINE
498 GENERAL 2A.M1.00029A 2A.M1.00029A : Vasculitis - HDU 2700 0 0 clinical notes clinical notes
MEDICINE
499 GENERAL 2A.M1.00029B 2A.M1.00029B : Vasculitis - ICU without ventilator 3600 0 0 clinical notes clinical notes
MEDICINE
500 GENERAL 2A.M1.00029C 2A.M1.00029C : Vasculitis - ICU with ventilator 4500 0 0 clinical notes clinical notes
MEDICINE
501 GENERAL 2A.M1.00031 2A.M1.00031 : Bacterial/ fungal endocarditis - 1800 0 0 clinical notes, X-ray /USG -chest clinical notes
502 GENERAL 2A.M1.00031A 2A.M1.00031A : Bacterial/ fungal endocarditis - 2700 0 0 clinical notes, X-ray /USG -chest clinical notes
MEDICINE HDU
503 GENERAL 2A.M1.00031B 2A.M1.00031B : Bacterial/ fungal endocarditis - ICU 3600 0 0 clinical notes, X-ray /USG -chest clinical notes
MEDICINE without ventilator
504 GENERAL 2A.M1.00031C 2A.M1.00031C : Bacterial/ fungal endocarditis - ICU 4500 0 0 clinical notes, X-ray /USG -chest clinical notes
MEDICINE with ventilator
505 GENERAL 2A.M1.00036 2A.M1.00036 : Persistent/ Chronic diarrohea - routine 1800 0 0 Clinical notes Clinical notes
MEDICINE ward
506 GENERAL 2A.M1.00036A 2A.M1.00036A : Persistent/ Chronic diarrohea - HDU 2700 0 0 Clinical notes Clinical notes
MEDICINE
507 GENERAL 2A.M1.00036B 2A.M1.00036B : Persistent/ Chronic diarrohea - ICU 3600 0 0 Clinical notes Clinical notes
508 GENERAL 2A.M1.00036C 2A.M1.00036C : Persistent/ Chronic diarrohea - ICU 4500 0 0 Clinical notes Clinical notes
509 GENERAL 2A.M1.00037 2A.M1.00037 : Acute and chronic pancreatitis - 1800 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE routine ward report report
510 GENERAL 2A.M1.00037A 2A.M1.00037A : Acute and chronic pancreatitis - 2700 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE HDU report report
511 GENERAL 2A.M1.00037B 2A.M1.00037B : Acute and chronic pancreatitis - ICU 3600 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE without ventilator report report
512 GENERAL 2A.M1.00037C 2A.M1.00037C : Acute and chronic pancreatitis - ICU 4500 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE with ventilator report report
513 GENERAL 2A.M1.00040 2A.M1.00040 : Neuromuscular disorders - routine 1800 0 0 clinical notes clinical notes
MEDICINE ward
514 GENERAL 2A.M1.00040A 2A.M1.00040A : Neuromuscular disorders - HDU 2700 0 0 clinical notes clinical notes
MEDICINE
515 GENERAL 2A.M1.00040B 2A.M1.00040B : Neuromuscular disorders - ICU 3600 0 0 clinical notes clinical notes
516 GENERAL 2A.M1.00040C 2A.M1.00040C : Neuromuscular disorders - ICU with 4500 0 0 clinical notes clinical notes
MEDICINE ventilator
517 GENERAL 2A.M1.00068 2A.M1.00068 : Blood and blood component 2000 0 0 Blood group matching Clinical notes
MEDICINE transfusion (admission for a diagnostic procedure
leading to treatment requiring admission, e.g. bone
marrow and bone biopsy, endoscopy, liver biopsy,
bronchoscopy, CT/MRI under GA, broncho-alveolar
lavage, lumbar puncture, muscle biopsy, pleural
aspiration, ascitic tapping etc.)
518 GENERAL 2A.M1.00071 2A.M1.00071 : High end radiological diagnostic (CT, 5000 0 0 Clincal notes Clincal notes
MEDICINE MRI, Imaging including nuclear imaging) - can only
be clubbed with medical package. Rs 5000 per annum
limit to a family
519 GENERAL 2A.M1.00072 2A.M1.00072 : High end histopathology (Biopsies) 5000 0 0 Clincal notes Clincal notes
MEDICINE and advanced serology investigations - can only be
clubbed with medical package. Rs 5000 per annum
limit to a family
520 GENERAL 2A.S1.00214A 2A.S1.00214A : Hemodialysis per sitting - cross 0 0 0 ECHO, RFT, CBC RFT, CBC
MEDICINE speciality
521 GENERAL 2A.S1.00252A 2A.S1.00252A : Peritoneal dialysis per sitting - cross 0 0 0 Clinical notes, Serum Creatinine OT notes
MEDICINE speciality
522 GENERAL 4A.M1.00050F1 LAB investigation KFD complicated - ICU 2000 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE report report, details of the lab
investigations and any virology test
reports
523 GENERAL 4A.M1.00050F KFD complicated - ICU with ventilator 4500 0 0 clinical notes, Blood examination clinical notes, Blood examination
524 GENERAL 4A.M1.00050E KFD uncomplicated - HDU 2700 0 0 clinical notes, Blood examination clinical notes, Blood examination
525 GENERAL 2B.M1.00008 2B.M1.00008 : Congestive heart failure - routine 1800 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE ward investigations, provisional diagnosis 2. Daily bed side rounds notes,
526 GENERAL 2B.M1.00008A 2B.M1.00008A : Congestive heart failure - HDU 2700 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE investigations, provisional diagnosis 2. Daily bed side rounds notes,
527 GENERAL 2B.M1.00008B 2B.M1.00008B : Congestive heart failure - ICU 3600 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE without ventilator investigations, provisional diagnosis 2. Daily bed side rounds notes,
Page 12
528 GENERAL 2B.M1.00008C 2B.M1.00008C : Congestive heart failure - ICU with 4500 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE ventilator investigations, provisional diagnosis 2. Daily bed side rounds notes,
529 GENERAL 2B.M1.00010 2B.M1.00010 : Diabetic ketoacidosis - routine ward 1800 0 0 Clinical Notes with relevant 1. Clinical notes,
530 GENERAL 2B.M1.00010A 2B.M1.00010A : Diabetic ketoacidosis - HDU 2700 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE investigations
531 GENERAL 2B.M1.00010B 2B.M1.00010B : Diabetic ketoacidosis - ICU without 3600 0 0 Clinical Notes with relevant 1. Clinical notes,
532 GENERAL 2B.M1.00010C 2B.M1.00010C : Diabetic ketoacidosis - ICU with 4500 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE ventilator investigation, provisional diagnosis 2. Daily bed side rounds notes,
533 GENERAL 2B.M1.00033 2B.M1.00033 : Lung abscess/ Empyema - routine 1800 0 0 Clinical notes, X-ray /USG -chest, 1. Clinical notes, 2. X-ray
MEDICINE ward provisional diagnosis /USG -chest 3. Daily bed side
rounds notes,
534 GENERAL 2B.M1.00033A 2B.M1.00033A : Lung abscess/ Empyema - HDU 2700 0 0 Clinical notes, X-ray /USG -chest, 1. Clinical notes, 2. X-ray
MEDICINE provisional diagnosis /USG -chest 3. Daily bed side
rounds notes,
535 GENERAL 2B.M1.00033B 2B.M1.00033B : Lung abscess/ Empyema - ICU 3600 0 0 Clinical notes, X-ray /USG -chest, 1. Clinical notes, 2. X-ray
MEDICINE without ventilator provisional diagnosis /USG -chest 3. Daily bed side
rounds notes,
536 GENERAL 2B.M1.00033C 2B.M1.00033C : Lung abscess/ Empyema - ICU with 4500 0 0 Clinical notes, X-ray /USG -chest, 1. Clinical notes, 2. X-ray
MEDICINE ventilator provisional diagnosis /USG -chest 3. Daily bed side
rounds notes,
537 GENERAL 2B.M1.00048 2B.M1.00048 : Acute gastroenteritis with severe 1800 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
MEDICINE dehydration - routine ward 2. Daily bed side rounds notes,
538 GENERAL 2B.M1.00048A 2B.M1.00048A : Acute gastroenteritis with severe 2700 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
MEDICINE dehydration - HDU 2. Daily bed side rounds notes,
539 GENERAL 2B.M1.00048B 2B.M1.00048B : Acute gastroenteritis with severe 3600 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
MEDICINE dehydration - ICU without ventilator 2. Daily bed side rounds notes,
540 GENERAL 2B.M1.00048C 2B.M1.00048C : Acute gastroenteritis with severe 4500 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
MEDICINE dehydration - ICU with ventilator 2. Daily bed side rounds notes,
541 GENERAL 2B.M1.00057 2B.M1.00057 : Upper GI bleeding (endoscopic) - 1800 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE routine ward investigations, provisional diagnosis 2. Daily bed side rounds notes,
542 GENERAL 2B.M1.00057A 2B.M1.00057A : Upper GI bleeding (endoscopic) - 2700 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE HDU investigations, provisional diagnosis 2. Daily bed side rounds notes,
543 GENERAL 2B.M1.00057B 2B.M1.00057B : Upper GI bleeding (endoscopic) - 3600 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE ICU without ventilator investigations, provisional diagnosis 2. Daily bed side rounds notes,
544 GENERAL 2B.M1.00057C 2B.M1.00057C : Upper GI bleeding (endoscopic) - 4500 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE ICU with ventilator investigations, provisional diagnosis 2. Daily bed side rounds notes,
545 GENERAL 2B.M1.00061 2B.M1.00061 : Guillian Barre Syndrome - routine 1800 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE ward investigations, provisional diagnosis 2. Daily bed side rounds notes,
546 GENERAL 2B.M1.00061A 2B.M1.00061A : Guillian Barre Syndrome - HDU 2700 0 0 Clinical Notes with relevant 1. Clinical notes,
547 GENERAL 2B.M1.00061B 2B.M1.00061B : Guillian Barre Syndrome - ICU 3600 0 0 Clinical Notes with relevant 1. Clinical notes,
MEDICINE without ventilator investigations, provisional diagnosis 2. Daily bed side rounds notes,
548 GENERAL 2B.M1.00061C 2B.M1.00061C : Guillian Barre Syndrome - ICU with 4500 0 0 Clinical Notes with relevant 1. Clinical notes,
549 GENERAL 3A.M1.00002 3A.M1.00002 : Recurrent vomiting with dehydration - 1800 0 0 Relevant Hematological Treatment notes
MEDICINE routine ward investigations, Clinical notes
550 GENERAL 3A.M1.00002A 3A.M1.00002A : Recurrent vomiting with dehydration 2700 0 0 Relevant Hematological Treatment notes
MEDICINE - HDU investigations, Clinical notes
551 GENERAL 3A.M1.00002B 3A.M1.00002B : Recurrent vomiting with dehydration 3600 0 0 Relevant Hematological Treatment notes
MEDICINE - ICU without ventilator investigations, Clinical notes
552 GENERAL 3A.M1.00002C 3A.M1.00002C : Recurrent vomiting with dehydration 4500 0 0 Relevant Hematological Treatment notes
MEDICINE - ICU with ventilator investigations, Clinical notes
553 GENERAL 3A.M1.00016 3A.M1.00016 : Chikungunya fever - routine ward 1800 0 0 clinical notes, Blood examination clinical notes
MEDICINE report
554 GENERAL 3A.M1.00016A 3A.M1.00016A : Chikungunya fever - HDU 2700 0 0 clinical notes, Blood examination clinical notes
MEDICINE report
555 GENERAL 3A.M1.00016B 3A.M1.00016B : Chikungunya fever - ICU without 3600 0 0 clinical notes, Blood examination clinical notes
556 GENERAL 3A.M1.00016C 3A.M1.00016C : Chikungunya fever - ICU with 4500 0 0 clinical notes, Blood examination clinical notes
557 GENERAL 3A.M1.00032 3A.M1.00032 : Acute inflammatory demyelinating 1800 0 0 clinical notes clinical notes
MEDICINE polyneuropathy - routine ward
558 GENERAL 3A.M1.00032A 3A.M1.00032A : Acute inflammatory demyelinating 2700 0 0 clinical notes clinical notes
MEDICINE polyneuropathy - HDU
559 GENERAL 3A.M1.00032B 3A.M1.00032B : Acute inflammatory demyelinating 3600 0 0 clinical notes clinical notes
MEDICINE polyneuropathy - ICU without ventilator
560 GENERAL 3A.M1.00032C 3A.M1.00032C : Acute inflammatory demyelinating 4500 0 0 clinical notes clinical notes
MEDICINE polyneuropathy - iCU with ventilator
561 GENERAL 3A.M1.00034 3A.M1.00034 : Acute and chronic meningitis - routine 1800 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE ward investigations
562 GENERAL 3A.M1.00034A 3A.M1.00034A : Acute and chronic meningitis - HDU 2700 0 0 Clinical Notes with relevant Treatment Notes
563 GENERAL 3A.M1.00034B 3A.M1.00034B : Acute and chronic meningitis - ICU 3600 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE without ventilator investigations
564 GENERAL 3A.M1.00034C 3A.M1.00034C : Acute and chronic meningitis - ICU 4500 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE with ventilator investigations
565 GENERAL 3A.M1.00038 3A.M1.00038 : Visceral leishmaniasis - routine ward 1800 0 0 clinical notes, Blood examination clinical notes, Blood examination
566 GENERAL 3A.M1.00038A 3A.M1.00038A : Visceral leishmaniasis - HDU 2700 0 0 clinical notes, Blood examination clinical notes, Blood examination
567 GENERAL 3A.M1.00038B 3A.M1.00038B : Visceral leishmaniasis - ICU without 3600 0 0 clinical notes, Blood examination clinical notes, Blood examination
Page 13
568 GENERAL 3A.M1.00038C 3A.M1.00038C : Visceral leishmaniasis - ICU with 4500 0 0 clinical notes, Blood examination clinical notes, Blood examination
569 GENERAL 3A.M1.00039 3A.M1.00039 : HIV with complications - routine 1800 0 0 clinical notes, Blood examination clinical notes
MEDICINE ward report
570 GENERAL 3A.M1.00039A 3A.M1.00039A : HIV with complications - HDU 2700 0 0 clinical notes, Blood examination clinical notes
MEDICINE report
571 GENERAL 3A.M1.00039B 3A.M1.00039B : HIV with complications - ICU 3600 0 0 clinical notes, Blood examination clinical notes
MEDICINE without ventilator report
572 GENERAL 3A.M1.00039C 3A.M1.00039C : HIV with complications - ICU with 4500 0 0 clinical notes, Blood examination clinical notes
573 GENERAL 3A.M1.00041 3A.M1.00041 : Metabolic encephalopathy - routine 1800 0 0 clinical notes, CT clinical notes, CT
MEDICINE ward
574 GENERAL 3A.M1.00041A 3A.M1.00041A : Metabolic encephalopathy - HDU 2700 0 0 clinical notes, CT clinical notes, CT
MEDICINE
575 GENERAL 3A.M1.00041B 3A.M1.00041B : Metabolic encephalopathy - ICU 3600 0 0 clinical notes, CT clinical notes, CT
576 GENERAL 3A.M1.00041C 3A.M1.00041C : Metabolic encephalopathy - ICU 4500 0 0 clinical notes, CT clinical notes, CT
577 GENERAL 3A.M1.00042 3A.M1.00042 : Sickle cell Anemia - routine ward 1800 0 0 Clinical notes confirming digonosis clinical notes in relevant reports
MEDICINE
578 GENERAL 3A.M1.00042A 3A.M1.00042A : Sickle cell Anemia - HDU 2700 0 0 Clinical notes confirming digonosis clinical notes in relevant reports
MEDICINE
579 GENERAL 3A.M1.00042B 3A.M1.00042B : Sickle cell Anemia - ICU without 3600 0 0 Clinical notes confirming digonosis clinical notes in relevant reports
MEDICINE ventilator
580 GENERAL 3A.M1.00042C 3A.M1.00042C : Sickle cell Anemia - ICU with 4500 0 0 Clinical notes confirming digonosis clinical notes in relevant reports
MEDICINE ventilator
581 GENERAL 3A.M1.00043 3A.M1.00043 : Poisonings with unstable vitals - 1800 0 0 Clinical notes Clinical notes
582 GENERAL 3A.M1.00043A 3A.M1.00043A : Poisonings with unstable vitals - 2700 0 0 Clinical notes Clinical notes
MEDICINE HDU
583 GENERAL 3A.M1.00043B 3A.M1.00043B : Poisonings with unstable vitals - ICU 3600 0 0 Clinical notes Clinical notes
584 GENERAL 3A.M1.00043C 3A.M1.00043C : Poisonings with unstable vitals - ICU 4500 0 0 Clinical notes Clinical notes
585 GENERAL 3A.M1.00047 3A.M1.00047 : Severe pneumonia - routine ward 1800 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE investigations, X-ray/USG of chest
586 GENERAL 3A.M1.00047A 3A.M1.00047A : Severe pneumonia- HDU 2700 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE investigations, X-ray/USG of chest
587 GENERAL 3A.M1.00047B 3A.M1.00047B : Severe pneumonia - ICU without 3600 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE ventilator investigations, X-ray/USG of chest
588 GENERAL 3A.M1.00047C 3A.M1.00047C : Severe pneumonia - ICU with 4500 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE ventilator investigations, X-ray/USG of chest
589 GENERAL 3A.M1.00058 3A.M1.00058 : Lower GI hemorrhage - routine ward 1800 0 0 clinical notes, USG/CT/MRI clinical notes, USG/CT/MRI
MEDICINE
590 GENERAL 3A.M1.00058A 3A.M1.00058A : Lower GI hemorrhage - HDU 2700 0 0 clinical notes, USG/CT/MRI clinical notes, USG/CT/MRI
MEDICINE
591 GENERAL 3A.M1.00058B 3A.M1.00058B : Lower GI hemorrhage - ICU without 3600 0 0 clinical notes, USG/CT/MRI clinical notes, USG/CT/MRI
MEDICINE ventilator
592 GENERAL 3A.M1.00058C 3A.M1.00058C : Lower GI hemorrhage - ICU with 4500 0 0 clinical notes, USG/CT/MRI clinical notes, USG/CT/MRI
MEDICINE ventilator
593 GENERAL 3A.M1.00062 3A.M1.00062 : Hydrocephalus - routine ward 1800 0 0 CT Report CT Report, Scar Photo, X Ray
MEDICINE
594 GENERAL 3A.M1.00062A 3A.M1.00062A : Hydrocephalus - HDU 2700 0 0 CT Report CT Report, Scar Photo, X Ray
MEDICINE
595 GENERAL 3A.M1.00062B 3A.M1.00062B : Hydrocephalus - ICU without 3600 0 0 CT Report CT Report, Scar Photo, X Ray
MEDICINE ventilator
596 GENERAL 3A.M1.00062C 3A.M1.00062C : Hydrocephalus - ICU with ventilator 4500 0 0 CT Report CT Report, Scar Photo, X Ray
MEDICINE
597 GENERAL 3A.M1.00063 3A.M1.00063 : Cerebral sino-venous thrombosis - 1800 0 0 Clinical notes, CT - brain Clinical notes, CT - brain
598 GENERAL 3A.M1.00063A 3A.M1.00063A : Cerebral sino-venous thrombosis - 2700 0 0 Clinical notes, CT - brain Clinical notes, CT - brain
MEDICINE HDU
599 GENERAL 3A.M1.00063B 3A.M1.00063B : Cerebral sino-venous thrombosis - 3600 0 0 Clinical notes, CT - brain Clinical notes, CT - brain
600 GENERAL 3A.M1.00063C 3A.M1.00063C : Cerebral sino-venous thrombosis - 4500 0 0 Clinical notes, CT - brain Clinical notes, CT - brain
601 GENERAL 3A.M1.00069 3A.M1.00069 : Plasmapheresis - per session 2000 0 0 Blood examination Blood examination
MEDICINE
602 GENERAL 3A.M1.00070 3A.M1.00070 : Haemodialysis/Peritoneal Dialysis 2000 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE (only for ARF) - per session investigations
603 GENERAL 3A.M2.00015D 3A.M2.00015D : Chronic cough - cross speciality - 1800 0 0 Clinical note with Lab reports Treatment note
604 GENERAL 3A.M2.00015E 3A.M2.00015E : Chronic cough - cross speciality - 2700 0 0 Clinical note with Lab reports Treatment note
MEDICINE HDU
605 GENERAL 3A.M2.00015F 3A.M2.00015F : Chronic cough - cross speciality - 4500 0 0 Clinical note with Lab reports Treatment note
606 GENERAL 3A.M2.00015G 3A.M2.00015G : Chronic cough - cross speciality - 3600 0 0 Clinical note with Lab reports Treatment note
607 GENERAL 4A.M1.00006 4A.M1.00006 : Pneumothroax - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE Admission notes showing vitals and detailed discharge summary, All
examination findings; any investigations reports.
investigations done; planned line of
management
608 GENERAL 4A.M1.00006A 4A.M1.00006A : Pneumothroax - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
609 GENERAL 4A.M1.00006B 4A.M1.00006B : Pneumothroax - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE ventilator Admission notes showing vitals and detailed discharge summary, All
management
610 GENERAL 4A.M1.00006C 4A.M1.00006C : Pneumothroax - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
examination findings; any investigations reports and photo of
investigations done; planned line of intubation
management
611 GENERAL 4A.M1.00007 4A.M1.00007 : Accelerated hypertension - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE ward Admission notes showing vitals and detailed discharge summary, All
management
612 GENERAL 4A.M1.00007A 4A.M1.00007A : Accelerated hypertension - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
613 GENERAL 4A.M1.00007B 4A.M1.00007B : Accelerated hypertension - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE without ventilator Admission notes showing vitals and detailed discharge summary, All
management
614 GENERAL 4A.M1.00007C 4A.M1.00007C : Accelerated hypertension - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
615 GENERAL 4A.M1.00012 4A.M1.00012 : Acutre excaberation of COPD - 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE routine ward Admission notes showing vitals and detailed discharge summary, All
management
Page 14
616 GENERAL 4A.M1.00012A 4A.M1.00012A : Acutre excaberation of COPD - 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE HDU Admission notes showing vitals and detailed discharge summary, All
management
617 GENERAL 4A.M1.00012B 4A.M1.00012B : Acutre excaberation of COPD - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
618 GENERAL 4A.M1.00012C 4A.M1.00012C : Acutre excaberation of COPD - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE with ventilator Admission notes showing vitals and detailed discharge summary, All
management
619 GENERAL 4A.M1.00020 4A.M1.00020 : Acute excaberation of ILD - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
620 GENERAL 4A.M1.00020A 4A.M1.00020A : Acute excaberation of ILD - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
621 GENERAL 4A.M1.00020B 4A.M1.00020B : Acute excaberation of ILD - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
622 GENERAL 4A.M1.00020C 4A.M1.00020C : Acute excaberation of ILD - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
623 GENERAL 4A.M1.00023 4A.M1.00023 : Snake bite - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
neurological examination findings; investigations reports.
any investigations done; planned
line of management
624 GENERAL 4A.M1.00023A 4A.M1.00023A : Snake bite - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
line of management
625 GENERAL 4A.M1.00023B 4A.M1.00023B : Snake bite - ICU without ventilator 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
line of management
626 GENERAL 4A.M1.00023C 4A.M1.00023C : Snake bite - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
neurological examination findings; investigations reports and photo of
any investigations done; planned intubation
line of management
627 GENERAL 4A.M1.00024 4A.M1.00024 : Acute organophosphorus poisoning - 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE routine ward Admission notes showing vitals and detailed discharge summary, All
line of management, Copy of MLC /
FIR
628 GENERAL 4A.M1.00024A 4A.M1.00024A : Acute organophosphorus poisoning - 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE HDU Admission notes showing vitals and detailed discharge summary, All
FIR
629 GENERAL 4A.M1.00024B 4A.M1.00024B : Acute organophosphorus poisoning - 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE ICU without ventilator Admission notes showing vitals and detailed discharge summary, All
FIR
630 GENERAL 4A.M1.00024C 4A.M1.00024C : Acute organophosphorus poisoning - 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE ICU with ventilator Admission notes showing vitals and detailed discharge summary, All
FIR
631 GENERAL 4A.M1.00025 4A.M1.00025 : Other poisoning - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
FIR
632 GENERAL 4A.M1.00025A 4A.M1.00025A : Other poisoning - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
FIR
633 GENERAL 4A.M1.00025B 4A.M1.00025B : Other poisoning - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
FIR
634 GENERAL 4A.M1.00025C 4A.M1.00025C : Other poisoning - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
FIR
635 GENERAL 4A.M1.00030 4A.M1.00030 : Seizures - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
636 GENERAL 4A.M1.00030A 4A.M1.00030A : Seizures - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
637 GENERAL 4A.M1.00030B 4A.M1.00030B : Seizures - ICU without ventilator 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
638 GENERAL 4A.M1.00030C 4A.M1.00030C : Seizures - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
Page 15
639 GENERAL 4A.M1.00035 4A.M1.00035 : Viral encephalitis - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
640 GENERAL 4A.M1.00035A 4A.M1.00035A : Viral encephalitis - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
641 GENERAL 4A.M1.00035B 4A.M1.00035B : Viral encephalitis - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
642 GENERAL 4A.M1.00035C 4A.M1.00035C : Viral encephalitis - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
643 GENERAL 4A.M1.00044 4A.M1.00044 : Type 1/2 respiratory failure - routine 1800 0 0 Clinical Notes with relevant Treatment Notes
644 GENERAL 4A.M1.00044A 4A.M1.00044A : Type 1/2 respiratory failure - HDU 2700 0 0 Clinical Notes with relevant Treatment Notes
645 GENERAL 4A.M1.00044B 4A.M1.00044B : Type 1/2 respiratory failure - ICU 3600 0 0 Clinical Notes with relevant Treatment Notes
646 GENERAL 4A.M1.00044C 4A.M1.00044C : Type 1/2 respiratory failure - ICU 4500 0 0 Clinical Notes with relevant Treatment Notes
647 GENERAL 4A.M1.00045 4A.M1.00045 : Acute asthmatic attack - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
648 GENERAL 4A.M1.00045A 4A.M1.00045A : Acute asthmatic attack - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
649 GENERAL 4A.M1.00045B 4A.M1.00045B : Acute asthmatic attack - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
650 GENERAL 4A.M1.00045C 4A.M1.00045C : Acute asthmatic attack - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
651 GENERAL 4A.M1.00046 4A.M1.00046 : Acutre excaberation of COPD 0 0 Clinical Notes with relevant Treatment Notes
652 GENERAL 4A.M1.00049 4A.M1.00049 : Hypertensive emergencies - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
653 GENERAL 4A.M1.00049A 4A.M1.00049A : Hypertensive emergencies - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
654 GENERAL 4A.M1.00049B 4A.M1.00049B : Hypertensive emergencies - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
655 GENERAL 4A.M1.00049C 4A.M1.00049C : Hypertensive emergencies - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
656 GENERAL 4A.M1.00050 4A.M1.00050 : Dengue hemorrhagic fever/Dengue 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE shock syndrome - routine ward Admission notes showing vitals and detailed discharge summary, All
management
657 GENERAL 4A.M1.00050A 4A.M1.00050A : Dengue hemorrhagic fever/Dengue 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE shock syndrome - HDU Admission notes showing vitals and detailed discharge summary, All
management
658 GENERAL 4A.M1.00050B 4A.M1.00050B : Dengue hemorrhagic fever/Dengue 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE shock syndrome - ICU without ventilator Admission notes showing vitals and detailed discharge summary, All
management
659 GENERAL 4A.M1.00050C 4A.M1.00050C : Dengue hemorrhagic fever/Dengue 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
MEDICINE shock syndrome - ICU with ventilator Admission notes showing vitals and detailed discharge summary, All
management
660 GENERAL 4A.M1.00051 4A.M1.00051 : Complicated malaria - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
661 GENERAL 4A.M1.00051A 4A.M1.00051A : Complicated malaria - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
662 GENERAL 4A.M1.00051B 4A.M1.00051B : Complicated malaria - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
663 GENERAL 4A.M1.00051C 4A.M1.00051C : Complicated malaria - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
664 GENERAL 4A.M1.00052 4A.M1.00052 : Heat stroke - routine ward 1800 0 0 Clinical notes detailing history Detailed ICPs, Treatment details,
MEDICINE leading to this hospitalization and detailed discharge summary, All
Admission notes showing vitals and investigations reports.
examination findings; any
management
665 GENERAL 4A.M1.00052A 4A.M1.00052A : Heat stroke - HDU 2700 0 0 Clinical notes detailing history Detailed ICPs, Treatment details,
management
Page 16
666 GENERAL 4A.M1.00052B 4A.M1.00052B : Heat stroke - ICU without ventilator 3600 0 0 Clinical notes detailing history Detailed ICPs, Treatment details,
management
667 GENERAL 4A.M1.00052C 4A.M1.00052C : Heat stroke - ICU with ventilator 4500 0 0 Clinical notes detailing history Detailed ICPs, Treatment details,
Admission notes showing vitals and investigations reports and photo of
examination findings; any intubation
management
668 GENERAL 4A.M1.00053 4A.M1.00053 : Hyperosmolar Non-Ketotic coma - 1800 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE routine ward investigations
669 GENERAL 4A.M1.00053A 4A.M1.00053A : Hyperosmolar Non-Ketotic coma - 2700 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE HDU investigations
670 GENERAL 4A.M1.00053B 4A.M1.00053B : Hyperosmolar Non-Ketotic coma - 3600 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE ICU without ventilator investigations
671 GENERAL 4A.M1.00053C 4A.M1.00053C : Hyperosmolar Non-Ketotic coma - 4500 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE ICU with ventilator investigations
672 GENERAL 4A.M1.00054 4A.M1.00054 : Cerebrovascular accident - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
673 GENERAL 4A.M1.00054A 4A.M1.00054A : Cerebrovascular accident - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
674 GENERAL 4A.M1.00054B 4A.M1.00054B : Cerebrovascular accident - ICU 3600 0 0 Clinical Notes with relevant Treatment Notes
675 GENERAL 4A.M1.00054C 4A.M1.00054C : Cerebrovascular accident - ICU with 4500 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE ventilator investigations
676 GENERAL 4A.M1.00055 4A.M1.00055 : Severe sepsis/Septic shock - routine 1800 0 0 Clinical Notes with relevant Treatment Notes
677 GENERAL 4A.M1.00055A 4A.M1.00055A : Severe sepsis/Septic shock - HDU 2700 0 0 Clinical Notes with relevant Treatment Notes
678 GENERAL 4A.M1.00055B 4A.M1.00055B : Severe sepsis/Septic shock - ICU 3600 0 0 Clinical Notes with relevant Treatment Notes
679 GENERAL 4A.M1.00055C 4A.M1.00055C : Severe sepsis/Septic shock - ICU 4500 0 0 Clinical Notes with relevant Treatment Notes
680 GENERAL 4A.M1.00056 4A.M1.00056 : Upper GI bleeding (conservative) - 1800 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE routine ward investigations
681 GENERAL 4A.M1.00056A 4A.M1.00056A : Upper GI bleeding (conservative) - 2700 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE HDU investigations
682 GENERAL 4A.M1.00056B 4A.M1.00056B : Upper GI bleeding (conservative) - 3600 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE ICU without ventilator investigations
683 GENERAL 4A.M1.00056C 4A.M1.00056C : Upper GI bleeding (conservative) - 4500 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE ICU with ventilator investigations
684 GENERAL 4A.M1.00059 4A.M1.00059 : Immune mediated CNS disorders such 1800 0 0 Clinical notes Clinical notes
MEDICINE as autoimmune encephalitis - routine ward
685 GENERAL 4A.M1.00059A 4A.M1.00059A : Immune mediated CNS disorders 2700 0 0 Clinical notes Clinical notes
MEDICINE such as autoimmune encephalitis - HDU
686 GENERAL 4A.M1.00059B 4A.M1.00059B : Immune mediated CNS disorders 3600 0 0 Clinical notes Clinical notes
MEDICINE such as autoimmune encephalitis - ICU without
ventilator
687 GENERAL 4A.M1.00059C 4A.M1.00059C : Immune mediated CNS disorders 4500 0 0 Clinical notes Clinical notes
MEDICINE such as autoimmune encephalitis - ICU with ventilator
688 GENERAL 4A.M1.00060 4A.M1.00060 : Acute transverse myelitis - routine 1800 0 0 Clinical notes Clinical notes
MEDICINE ward
689 GENERAL 4A.M1.00060A 4A.M1.00060A : Acute transverse myelitis - HDU 2700 0 0 Clinical notes Clinical notes
MEDICINE
690 GENERAL 4A.M1.00060B 4A.M1.00060B : Acute transverse myelitis - ICU 3600 0 0 Clinical notes Clinical notes
691 GENERAL 4A.M1.00060C 4A.M1.00060C : Acute transverse myelitis - ICU with 4500 0 0 Clinical notes Clinical notes
MEDICINE ventilator
692 GENERAL 4A.M1.00064 4A.M1.00064 : AKI/ renal failure(dialysis payable 1800 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE separately as an add on package for ) - routine ward investigations
693 GENERAL 4A.M1.00064A 4A.M1.00064A : AKI/ renal failure(dialysis payable 2700 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE separately as an add on package for ) - HDU investigations
694 GENERAL 4A.M1.00064B 4A.M1.00064B : AKI/ renal failure(dialysis payable 3600 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE separately as an add on package for ) - - ICU without investigations
ventilator
695 GENERAL 4A.M1.00064C 4A.M1.00064C : AKI/ renal failure(dialysis payable 4500 0 0 Clinical Notes with relevant Treatment Notes
MEDICINE separately as an add on package for ) - - ICU with investigations
ventilator
696 GENERAL 4A.M1.00065 4A.M1.00065 : Status epilepticus - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
697 GENERAL 4A.M1.00065A 4A.M1.00065A : Status epilepticus - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
698 GENERAL 4A.M1.00065B 4A.M1.00065B : Status epilepticus - ICU without 3600 0 0 Clinical Notes Clinical Notes
MEDICINE ventilator
699 GENERAL 4A.M1.00065C 4A.M1.00065C : Status epilepticus - ICU with 4500 0 0 Clinical Notes Clinical Notes
MEDICINE ventilator
700 GENERAL 4A.M1.00066 4A.M1.00066 : Status asthmaticus - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
701 GENERAL 4A.M1.00066A 4A.M1.00066A : Status asthmaticus - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
examination findings; any investigations reports with relevant
investigations done; planned line of photographs of monitors etc.,
management
702 GENERAL 4A.M1.00066B 4A.M1.00066B : Status asthmaticus - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
examination findings; any investigations reports with relevant
investigations done; planned line of photographs of monitors etc.,
management
703 GENERAL 4A.M1.00066C 4A.M1.00066C : Status asthmaticus - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
704 GENERAL 4A.M1.00067 4A.M1.00067 : Respiratory failure due to any cause 1800 0 0 Clincal notes, X-ray/CT chest Clincal notes, X-ray/CT chest
MEDICINE (pneumonia, asthma, COPD, ARDS, foreign body,
poisoning, head injury etc.) - routine ward
705 GENERAL 4A.M1.00067A 4A.M1.00067A : Respiratory failure due to any cause 2700 0 0 Clincal notes, X-ray/CT chest Clincal notes, X-ray/CT chest
poisoning, head injury etc.) - HDU
706 GENERAL 4A.M1.00067B 4A.M1.00067B : Respiratory failure due to any cause 3600 0 0 Clincal notes, X-ray/CT chest Clincal notes, X-ray/CT chest
poisoning, head injury etc.) - ICU without ventilator
707 GENERAL 4A.M1.00067C 4A.M1.00067C : Respiratory failure due to any cause 4500 0 0 Clincal notes, X-ray/CT chest Clincal notes, X-ray/CT chest
poisoning, head injury etc.) - ICU with ventilator
Page 17
708 GENERAL 4A.M1.00050F2 Additional drug charges for KFD complicated - ICU 2000 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE report report and list of additional drugs
used if any along with vouchers
709 GENERAL 4A.M1.00050E1 LAB investigation KFD uncomplicated - HDU 2000 0 0 clinical notes, Blood examination clinical notes, Blood examination
MEDICINE report report, details of the lab
investigations and any virology test
reports
710 GENERAL 4A.M1.00050D Suspected KFD - routine ward 1800 0 0 clinical notes, Blood examination clinical notes, Blood examination
711 GENERAL 2A.S1.00001 2A.S1.00001 : Adventious Burse Excision 10000 0 0 Clinical photo Scar photo
SURGERY
712 GENERAL 2A.S1.00003 2A.S1.00003 : Appendicectomy 10000 0 0 Clinical notes, USG report OT note, scar photo, HPE Report
SURGERY
713 GENERAL 2A.S1.00004 2A.S1.00004 : Appendicular Abscess Drainage 12000 0 0 Clinical note, USG report OT note, scar photo
SURGERY
714 GENERAL 2A.S1.00006 2A.S1.00006 : Bakers Cyst Excision 6000 0 0 Clinical photo Scar photo
SURGERY
715 GENERAL 2A.S1.00012 2A.S1.00012 : Breast Lump - Left Excision 5000 0 0 USG/CT, Clinical notes OT note, HPE
SURGERY
716 GENERAL 2A.S1.00013 2A.S1.00013 : Breast Lump - Right Excision 6500 0 0 USG/CT, Clinical notes OT note, HPE
SURGERY
717 GENERAL 2A.S1.00015 2A.S1.00015 : Bursa Excision 4000 0 0 Clinical notes Scar photo
SURGERY
718 GENERAL 2A.S1.00017 2A.S1.00017 : Cervial Lymphnodes Excision 2000 0 0 USG/Biopsy/ FNAC USG, HPE Report
SURGERY
719 GENERAL 2A.S1.00018 2A.S1.00018 : Colostomy 20000 0 0 Biopsy of the primary + CT Scan Clinical Photograph of operated site
SURGERY with film
720 GENERAL 2A.S1.00019 2A.S1.00019 : Cyst over Scrotum Excision 2000 0 0 Clinical Photograph, USG OT notes, Scar photo
SURGERY
721 GENERAL 2A.S1.00020 2A.S1.00020 : Cystic Mass Excision 4000 0 0 X-ray/ CT, Clinical Photo Scar Photo
SURGERY
722 GENERAL 2A.S1.00021 2A.S1.00021 : Dermoid Cyst - Large Excision 4000 0 0 Clinical photo Scar photo
SURGERY
723 GENERAL 2A.S1.00022 2A.S1.00022 : Dermoid Cyst - Small Excision 2000 0 0 Clinical photo Scar photo
SURGERY
724 GENERAL 2A.S1.00023 2A.S1.00023 : Drainage of Ischio Rectal Abscess 4000 0 0 clinical notes OT notes
SURGERY
725 GENERAL 2A.S1.00024 2A.S1.00024 : Incision and Drainage of large Abscess 4000 0 0 Clinical notes, Clinical Photo OT notes, Clinical photo
SURGERY
726 GENERAL 2A.S1.00025 2A.S1.00025 : Drainage of Psoas Abscess 7500 0 0 CT/USG , clinical notes, X-Ray of Clinical photo, OT notes
SURGERY spine
727 GENERAL 2A.S1.00031 2A.S1.00031 : Hydrocele + Orchidectomy 8000 0 0 USG scrotum, Tumour markers Clinical Photograph showing scar (
SURGERY if patient consents)+ HPE report
728 GENERAL 2A.S1.00032 2A.S1.00032 : Epidedectomy 8000 0 0 Clinical notes + USG Clinical photo, OT notes
SURGERY
729 GENERAL 2A.S1.00033 2A.S1.00033 : Epididymal Swelling Excision 6000 0 0 Clinical notes + USG Clinical photo, OT notes
SURGERY
730 GENERAL 2A.S1.00034 2A.S1.00034 : Epidymal Cyst 4000 0 0 Clinical notes + USG Clinical photo, OT notes
SURGERY
731 GENERAL 2A.S1.00035 2A.S1.00035 : Evacuation of Scrotal Hematoma 5000 0 0 Clinical notes + USG Clinical photo, OT notes
SURGERY
732 GENERAL 2A.S1.00038 2A.S1.00038 : Drainage of liver Abscess 8000 0 0 CT/USG - abdomen Clinical photo, OT notes
SURGERY
733 GENERAL 2A.S1.00039 2A.S1.00039 : Excision Filarial Scrotum 5000 0 0 Clinical notes + USG Clinical photo, OT notes
SURGERY
734 GENERAL 2A.S1.00040 2A.S1.00040 : Excision Mammary Fistula 5500 0 0 USG, Fistulogram Scar Photo, HPE Report
SURGERY
735 GENERAL 2A.S1.00042 2A.S1.00042 : Excision Pilonidal Sinus 8000 0 0 Clinical photo OT notes, HPE
SURGERY
736 GENERAL 2A.S1.00047 2A.S1.00047 : Excision of Large Swelling in Hand 3000 0 0 Clinical photo OT notes, HPE
SURGERY
737 GENERAL 2A.S1.00048 2A.S1.00048 : Excision of Small Swelling in Hand 1500 0 0 Clinical photo OT notes, HPE
SURGERY
738 GENERAL 2A.S1.00049 2A.S1.00049 : Excision of Neurofibroma 3000 0 0 Clinical photo OT notes, HPE
SURGERY
739 GENERAL 2A.S1.00050 2A.S1.00050 : Exicision of Sinus and Curettage 5000 0 0 Clinical photo, Sinogram OT notes, HPE
SURGERY
740 GENERAL 2A.S1.00052 2A.S1.00052 : Fibrodenoma Unilateral 7000 0 0 Clinical notes + USG HPE
SURGERY
741 GENERAL 2A.S1.00053 2A.S1.00053 : Fissurectomy 8000 0 0 Clinical notes OT notes
SURGERY
742 GENERAL 2A.S1.00054 2A.S1.00054 : Fissurectomy and Haemorrhoidectomy 12000 0 0 Clinical notes OT notes
SURGERY
743 GENERAL 2A.S1.00055 2A.S1.00055 : Eversion of Hydrocele Sac Bilateral 10000 0 0 Clinical Photograph, USG Clinical Notes
SURGERY
744 GENERAL 2A.S1.00056 2A.S1.00056 : Eversion of Hydrocele Sac Unilateral 5000 0 0 Clinical Photograph, USG Clinical Notes
SURGERY
745 GENERAL 2A.S1.00060 2A.S1.00060 : G J Vagotomy/ Vagotomy + 15000 0 0 Biopsy , CT-Scan , Endoscopy , HPR, Clinical Photograph
SURGERY Pyloroplasty USG
746 GENERAL 2A.S1.00061 2A.S1.00061 : Ganglion - large Excision 3000 0 0 clinical photograph clinical photograph & Scar photo
SURGERY
747 GENERAL 2A.S1.00062 2A.S1.00062 : Ganglion - Small Excision 2000 0 0 clinical photograph clinical photograph & Scar photo
SURGERY
748 GENERAL 2A.S1.00066 2A.S1.00066 : Granuloma Excision 2000 0 0 clinical photograph Scar photo
SURGERY
749 GENERAL 2A.S1.00067 2A.S1.00067 : Haemangioma Excision (large) 10000 0 0 clinical photograph Doppler
SURGERY
750 GENERAL 2A.S1.00069 2A.S1.00069 : Haemorrhage of Small Intestine 15000 0 0 Endoscopy/ CT Abdomen Clinical Photograph, HPE report
SURGERY
751 GENERAL 2A.S1.00071 2A.S1.00071 : Hernia Epigastric 11000 0 0 USG, Clinical Notes Clinical Notes, Scar photo and OT
SURGERY notes
752 GENERAL 2A.S1.00072 2A.S1.00072 : Hernia Incisional 15000 0 0 USG, Clinical Photograph Clinical Notes, Scar photo and OT
SURGERY notes
753 GENERAL 2A.S1.00074 2A.S1.00074 : Hernia Umbilical 11000 0 0 USG, Clinical Photograph Clinical Notes, Scar photo and OT
SURGERY notes
754 GENERAL 2A.S1.00075 2A.S1.00075 : Hernia Femoral 10000 0 0 USG, Clinical Notes Clinical Notes, Scar photo and OT
SURGERY notes
755 GENERAL 2A.S1.00076 2A.S1.00076 : Hernioplasty Inguinal 10000 0 0 USG, Clinical Photograph Clinical Notes, Scar photo and OT
SURGERY notes
756 GENERAL 2A.S1.00077 2A.S1.00077 : Herniorraphy 9000 0 0 USG, Clinical Photograph Clinical Notes, Scar photo and OT
SURGERY notes
757 GENERAL 2A.S1.00080 2A.S1.00080 : Hydrocele - Excision Unilateral 5000 0 0 Clinical Photograph Clinical Notes
SURGERY
758 GENERAL 2A.S1.00081 2A.S1.00081 : Hydrocele - Excision Bilateral 10000 0 0 Clinical Photograph Clinical Notes
SURGERY
759 GENERAL 2A.S1.00083 2A.S1.00083 : Infected Bunion Foot Excision 4000 0 0 Clinical Photograph Scar photograph
SURGERY
760 GENERAL 2A.S1.00096 2A.S1.00096 : Lipoma excision 2500 0 0 Clinical Photo HPR, Scar photo
SURGERY
761 GENERAL 2A.S1.00108 2A.S1.00108 : Papilloma Rectum Excision 4000 0 0 CT Scan, Colonoscopy OT Notes / Post-op CT
SURGERY
762 GENERAL 2A.S1.00110 2A.S1.00110 : Growth in the Scalp Excision 4000 0 0 Biopsy, Clinical photo Scar photo
SURGERY
763 GENERAL 2A.S1.00116 2A.S1.00116 : Rectal Dilatation 2000 0 0 Clinical notes Procedure Notes
SURGERY
764 GENERAL 2A.S1.00118 2A.S1.00118 : Rectopexy 10000 0 0 Clinical Findings Procedure Notes
SURGERY
765 GENERAL 2A.S1.00123 2A.S1.00123 : Haemorroidectomy 5000 0 0 Clinical notes, Practoscopy findings, OT Notes
SURGERY Colonoscopy in elderly
766 GENERAL 2A.S1.00126 2A.S1.00126 : Scrotal Swelling (Multiple) Excision 5000 0 0 Clinical Photograph, USG OT notes, Scar photo
SURGERY
767 GENERAL 2A.S1.00128 2A.S1.00128 : Simple closure - Peptic perforation 15000 0 0 Endoscopy , USG , X-Ray Scar photo, HPE
SURGERY Abdomen- Erect Posture
768 GENERAL 2A.S1.00129 2A.S1.00129 : Sinus Excision 5000 0 0 Sinogram Scar photo
SURGERY
Page 18
769 GENERAL 2A.S1.00130 2A.S1.00130 : Soft Tissue Tumor (small) Excision 5000 0 0 Clinical notes, clinical photo Scar photo, HPE
SURGERY
770 GENERAL 2A.S1.00132 2A.S1.00132 : Splenectomy 25000 0 0 CT/ MRI Scar photo
SURGERY
771 GENERAL 2A.S1.00133 2A.S1.00133 : Submandibular Lymph node Excision 5000 0 0 Clinical Photograph, HPE Scar Photo, HPE Report
SURGERY
772 GENERAL 2A.S1.00135 2A.S1.00135 : Swelling in foot (small) Excision 1500 0 0 Clinical Photograph, X-ray Scar photo, HPE
SURGERY
773 GENERAL 2A.S1.00136 2A.S1.00136 : Swelling in foot (large) Excision 3500 0 0 Clinical Photograph, X-ray Scar photo, HPE
SURGERY
774 GENERAL 2A.S1.00141 2A.S1.00141 : Umbilical Sinus Excision 5000 0 0 Sinogram Scar photo
SURGERY
775 GENERAL 2A.S1.00142 2A.S1.00142 : Varicose Veins - Excision and Ligation 10000 0 0 Venous Doppler Scar photo
SURGERY
776 GENERAL 2A.S1.00154 2A.S1.00154 : Cholecystostomy 10000 0 0 Contrast X-ray, CT Clinical Photograph, HPE report
SURGERY
777 GENERAL 2A.S1.00161 2A.S1.00161 : Excision and Skin Graft of Venous 15000 0 0 Clinical notes Scar photo
SURGERY Ulcer
778 GENERAL 2A.S1.00169 2A.S1.00169 : Total thyroidectomy 20000 0 0 Clinical Photograph , USG , X-RAY Scar photo, HPE
SURGERY
779 GENERAL 2A.S1.00191 2A.S1.00191 : Ligation of Ankle Perforators 10500 0 0 Doppler OT Notes
SURGERY
780 GENERAL 2A.S1.00208 2A.S1.00208 : Intercostal drainage 8000 0 0 X-ray X-ray
SURGERY
781 GENERAL 2A.S1.00214 2A.S1.00214 : Hemodialysis per sitting 0 0 0 ECHO, RFT, CBC RFT, CBC
SURGERY
782 GENERAL 2A.S1.00244 2A.S1.00244 : Debridement of Ulcer-Leprosy 5000 0 0 Clinical photo, x-ray Scar photo, X-Ray
SURGERY
783 GENERAL 2A.S1.00248 2A.S1.00248 : Hernia - Repair & release of 20000 0 0 USG Clinical Notes, Scar photo and OT
SURGERY obstruction+ Hernioplasty notes
784 GENERAL 2A.S1.00249 2A.S1.00249 : Aspiration of cold Abscess of 3000 0 0 Clinical photo, x-ray chest Scar photo, HPE
SURGERY Lymphnode
785 GENERAL 2A.S1.00250 2A.S1.00250 : Aspiration of Empyema 2000 0 0 Chest X-ray C&S Report, X-Ray
SURGERY
786 GENERAL 2A.S1.00252 2A.S1.00252 : Peritoneal dialysis per sitting 0 0 0 Clinical notes, Serum Creatinine OT notes
SURGERY
787 GENERAL 2A.S1.00253 2A.S1.00253 : Vasectomy 2500 0 0 Clinical notes OT notes
SURGERY
788 GENERAL 2B.S1.00005 2B.S1.00005 : Arteriovenous (AV) Malformation of 15000 0 0 Clinical Photograph, provisional 1. Scar photo, 2.
SURGERY Soft Tissue Tumour - Excision diagnosis Clinical notes,
4. OT notes
789 GENERAL 2B.S1.00009 2B.S1.00009 : Bleeding Ulcer - Partial Gastrectomy 25000 0 0 Endoscopy, provisional diagnosis 1. Scar photo, 2.
SURGERY Clinical notes,
4. OT notes
8. HPE report
790 GENERAL 2B.S1.00010 2B.S1.00010 : Block dissection Cervical Nodes 10000 0 0 Clinical photo, CT report, 1. Scar photo, 2.
SURGERY provisional diagnosis Clinical notes,
4. OT notes
8. HPE report
791 GENERAL 2B.S1.00011 2B.S1.00011 : Branchial Fistula 14000 0 0 CT scan, Clinical 1. Scar photo, 2.
SURGERY Photograph,provisional diagonsis Clinical notes,
4. OT notes
792 GENERAL 2B.S1.00026 2B.S1.00026 : Drainage of Subdiaphramatic Abscess 8000 0 0 USG/Clinical Notes, provisional 1. Scar photo, 2.
SURGERY diagonsis Clinical notes,
4. OT notes
793 GENERAL 2B.S1.00027 2B.S1.00027 : Drainage Pericardial Effusion 11000 0 0 X -Ray, ECHO, provisional 1. X -Ray film with report, 2.
4. OT notes
794 GENERAL 2B.S1.00028 2B.S1.00028 : Duodenal Diverticulum 15000 0 0 USG/CT Scan, provisional diagonsis 1. Scar photo, 2.
4. OT notes
795 GENERAL 2B.S1.00029 2B.S1.00029 : Duodenal Jejunostomy 15000 0 0 USG, provisional diagonsis 1. Scar photo, 2.
4. OT notes
796 GENERAL 2B.S1.00030 2B.S1.00030 : Duplication of Intestine 17000 0 0 CT/ USG, provisional diagonsis 1. Scar photo, 2.
4. OT notes
797 GENERAL 2B.S1.00036 2B.S1.00036 : Excision Benign Tumor -Small 15000 0 0 CT/ USG, provisional diagonsis 1. HPE Report, 2.
SURGERY intestine Clinical notes,
4. OT notes
798 GENERAL 2B.S1.00037 2B.S1.00037 : Excision Bronchial Sinus 8000 0 0 USG/CT,provisional diagonsis 1. Scar photo, 2.
4. OT notes
799 GENERAL 2B.S1.00041 2B.S1.00041 : Excision Meckel's Diverticulum 15000 0 0 USG/ CT, provisional diagonsis 1. Scar photo, 2.
4. OT notes
8.HPE Report
800 GENERAL 2B.S1.00043 2B.S1.00043 : Excision Small Intestinal Fistula 12000 0 0 USG/ CT, provisional diagonsis 1. Scar photo, 2.
4. OT notes
Page 19
801 GENERAL 2B.S1.00044 2B.S1.00044 : Excision of Growth from Tongue only 6000 0 0 Clinical Photograph, provisional 1. Scar photo, 2.
4. OT notes
8.HPE Report
802 GENERAL 2B.S1.00046 2B.S1.00046 : Excision of Swelling in Right Cervical 4000 0 0 FNAC/ Biopsy, provisional 1. HPE Report, 2.
SURGERY Region diagonsis Clinical notes,
4. OT notes
803 GENERAL 2B.S1.00051 2B.S1.00051 : Fibroadenoma Bilateral 8000 0 0 Biopsy/ FNAC, USG, provisional 1. HPE Report, 2.
4. OT notes
804 GENERAL 2B.S1.00057 2B.S1.00057 : Fissurectomy with Sphincterotomy 15000 0 0 Clinical notes, provisional diagonsis 1. Clinical notes,
SURGERY 2. Daily bed side rounds notes,
3. OT notes
805 GENERAL 2B.S1.00058 2B.S1.00058 : Foreign Body Removal in Deep Region 5000 0 0 X-Ray / Scopy report, provisional 1. X-Ray / Scopy report, 2.
SURGERY requiring GA diagonsis Clinical notes,
4. OT notes
806 GENERAL 2B.S1.00063 2B.S1.00063 : Gastrojejunostomy 15000 0 0 USG, Endoscopy, provisional 1. Scar photo, 2.
4. OT notes
807 GENERAL 2B.S1.00065 2B.S1.00065 : Graham's Operation for duodenal 15000 0 0 X-ray abdomen/CT, USG, 1. Scar photo, 2.
SURGERY perforation provisional diagonsis Clinical notes,
4. OT notes
8. USG
808 GENERAL 2B.S1.00073 2B.S1.00073 : Hernia - Repair & release of 15000 0 0 USG, Clinical Photograph, 1. Scar photo, 2.
SURGERY obstruction provisional diagonsis Clinical notes,
4. OT notes
809 GENERAL 2B.S1.00079 2B.S1.00079 : Hydatid Cyst of Liver 10000 0 0 CT/MRI, provisional diagonsis 1. Scar photo, 2.
4. OT notes
8.HPE Report
810 GENERAL 2B.S1.00082 2B.S1.00082 : IlieoSigmoidostomy 13000 0 0 CT Scan/ MRI, provisional 1. Scar photo, 2.
4. OT notes
811 GENERAL 2B.S1.00086 2B.S1.00086 : Intestinal Obstruction 12500 0 0 X-Ray abdomen /CT /USG, 1. Scar photo, 2.
SURGERY provisional diagonsis Clinical notes,
4. OT notes
8. USG
812 GENERAL 2B.S1.00088 2B.S1.00088 : Jejunostomy 10000 0 0 USG, provisional diagonsis 1. Scar photo, 2.
4. OT notes
813 GENERAL 2B.S1.00089 2B.S1.00089 : Gastric Perforation 15000 0 0 X Ray abdomen/ CT, provisional 1. Scar photo, 2.
4. OT notes
814 GENERAL 2B.S1.00090 2B.S1.00090 : Intestinal Perforation (Resection 20000 0 0 Erect abdomen X Ray/CT 1. Scar photo, 2.
SURGERY Anastomosis) Abdomen, provisional diagonsis Clinical notes,
4. OT notes
815 GENERAL 2B.S1.00091 2B.S1.00091 : Appendicular Perforation 12000 0 0 USG, Clinical Notes, provisional 1. Scar photo, 2.
4. OT notes
8.HPE Report
816 GENERAL 2B.S1.00094 2B.S1.00094 : Laryngectomy & Pharyngeal 10000 0 0 CT Neck,USG, provisional 1. Scar photo, 2.
SURGERY Diverticulum (Throat) diagnosis Clinical notes,
4. OT notes
8.HPE Report
817 GENERAL 2B.S1.00095 2B.S1.00095 : Ileostomy 20000 0 0 Biopsy of the primary + CT Scan 1. Scar photo, 2.
SURGERY with film, provisional diagonsis Clinical notes,
4. OT notes
818 GENERAL 2B.S1.00097 2B.S1.00097 : Loop Colostomy Sigmoid 12000 0 0 CT/MRI , Endoscopy , USG, 1. Scar photo, 2.
4. OT notes
819 GENERAL 2B.S1.00098 2B.S1.00098 : Mastectomy 12000 0 0 Biopsy, Mammography/ USG, 1. Scar photo, 2.
SURGERY FNAC, provisional diagonsis Clinical notes,
4. OT notes
8.HPE Report
Page 20
820 GENERAL 2B.S1.00099 2B.S1.00099 : Mesenteric Cyst Excision 9000 0 0 USG/ CT Scan/ MRI, provisional 1. Scar photo, 2.
4. OT notes
8.HPE Report
821 GENERAL 2B.S1.00100 2B.S1.00100 : Mesenteric Caval Anastomosis 10000 0 0 CT abdomen/USG, provisional 1. Intra-Op Photograph,
SURGERY diagonsis 2. Clinical notes,
4. OT notes
8.HPE Report
822 GENERAL 2B.S1.00101 2B.S1.00101 : Microlaryngoscopic Surgery 12500 0 0 DL scopy findings, provisional 1. Intra-Op Photograph,
SURGERY diagnosis 2. Clinical notes,
4. OT notes
8.HPE Report
823 GENERAL 2B.S1.00102 2B.S1.00102 : Oeshophagoscopy for foreign body 6000 0 0 Endoscopy/ X-Ray, provisional 1. Endo picture, 2.
SURGERY removal diagnosis Clinical notes,
4. OT notes
824 GENERAL 2B.S1.00105 2B.S1.00105 : Pelvic Abscess - Open Drainage 8000 0 0 USG, provisional diagonsis 1. Scar photo, 2.
4. OT notes
825 GENERAL 2B.S1.00107 2B.S1.00107 : Distal Pancreatectomy with 17000 0 0 CT/ MRI, provisional diagonsis 1. Scar photo, 2.
SURGERY PancreaticoJejunostomy Clinical notes,
4. OT notes
826 GENERAL 2B.S1.00109 2B.S1.00109 : Haemorroidectomy+ Fistulectomy 10000 0 0 Clinical notes, Practoscopy/ 1. Clinical notes,
SURGERY Colonoscopy findings, Fistulogram, 2. Daily bed side rounds notes,
provisional diagonsis 3. OT notes
827 GENERAL 2B.S1.00111 2B.S1.00111 : Porto Caval Anastomosis 15000 0 0 CT/ MRI, provisional diagonsis 1. Clinical notes,
SURGERY 2. Daily bed side rounds notes,
3. OT notes
7. Post-op CT
828 GENERAL 2B.S1.00119 2B.S1.00119 : Repair of Common Bile Duct 12500 0 0 CT/MRI Abdomen, Endoscopic 1. Clinical notes,
SURGERY Retrograde Cholangio 2. Daily bed side rounds notes,
Pancreatography (ERCP), 3. OT notes
provisional diagonsis 4. LAB investigations, 5.Discharge
829 GENERAL 2B.S1.00124 2B.S1.00124 : Salivary Gland Excision 10000 0 0 Clinical Photograph , FNAC, CT, 1. Scar photo, 2.
4. OT notes
8.HPE Report
830 GENERAL 2B.S1.00127 2B.S1.00127 : Sigmoid Diverticulum 15000 0 0 CT/ MRI, provisional diagonsis 1. Scar photo, 2.
4. OT notes
831 GENERAL 2B.S1.00137 2B.S1.00137 : Colectomy Total 17000 0 0 Colonoscopy , CT/ MRI, Biopsy, 1. Scar photo, 2.
4. OT notes
8.HPE Report
832 GENERAL 2B.S1.00143 2B.S1.00143 : Vasovasostomy 11000 0 0 Clinical notes (should have pre-op 1. Scar photo, 2.
SURGERY exam of vasectomy site), provisional Clinical notes,
4. OT notes
833 GENERAL 2B.S1.00145 2B.S1.00145 : Cleft lip operation 12000 0 0 Clinical Photograph, provisional 1. Scar photo, 2.
4. OT notes
834 GENERAL 2B.S1.00147 2B.S1.00147 : Cleft lip & palate operation (for each 15000 0 0 Clincal note and photograph, CT 1. Scar photo, 2.
SURGERY stage) Scan if indicated, provisional Clinical notes,
4. OT notes
835 GENERAL 2B.S1.00153 2B.S1.00153 : Cholecystectomy & Exploration of 13500 0 0 CT , LFT, provisional diagonsis 1. Scar photo, 2.
SURGERY CBD Clinical notes,
4. OT notes
8.HPE Report
836 GENERAL 2B.S1.00164 2B.S1.00164 : Split thickness skin grafts Small (< 5000 0 0 Clinical photograph, provisional 1. Post op photo, 2.
SURGERY 4% TBSA) diagonsis Clinical notes,
4. OT notes
837 GENERAL 2B.S1.00166 2B.S1.00166 : Split thickness skin grafts Large (> 15000 0 0 Clinical photograph, provisional 1. Post op photo, 2.
SURGERY 8% TBSA) diagonsis Clinical notes,
4. OT notes
838 GENERAL 2B.S1.00168 2B.S1.00168 : Hemi thyroidectomy 10000 0 0 FNAC , T F T , USG, provisional 1. Scar photo, 2.
4. OT notes
8.HPE Report
839 GENERAL 2B.S1.00170 2B.S1.00170 : Laparoscopic Hernia Repair 18000 0 0 USG, provisional diagonsis 1. Scar photo, 2.
4. OT notes
Page 21
840 GENERAL 2B.S1.00175 2B.S1.00175 : Lap. Cholecystectomy & CBD 20000 0 0 CT , LFT, provisional diagonsis 1. Scar photo, 2.
SURGERY exploration Clinical notes,
4. OT notes
8.HPE Report
841 GENERAL 2B.S1.00176 2B.S1.00176 : Lap. For intestinal obstruction 15000 0 0 X-Ray abdomen /CT /USG, 1. Scar photo, 2.
4. OT notes
8. USG
842 GENERAL 2B.S1.00177 2B.S1.00177 : Lap. Hepatic resection 25000 0 0 MRI/ CT Abdomen, provisional 1. Scar photo, 2.
4. OT notes
8.HPE Report
843 GENERAL 2B.S1.00178 2B.S1.00178 : Lap. Hydatid of liver surgery 18000 0 0 MRI/ CT Abdomen, provisional 1. Scar photo, 2.
4. OT notes
8.HPE Report
844 GENERAL 2B.S1.00180 2B.S1.00180 : Laparoscopic Appendicectomy 10000 0 0 MRI/ CT, provisional diagonsis 1. Scar photo, 2.
4. OT notes
845 GENERAL 2B.S1.00181 2B.S1.00181 : Laparoscopic Cholecystectomy 12000 0 0 CT , LFT, provisional diagonsis 1. Scar photo, 2.
4. OT notes
8.HPE Report
846 GENERAL 2B.S1.00182 2B.S1.00182 : Laparoscopic cystogastrostomy 15000 0 0 USG/ CT Scan, provisional 1. Clinical photo, 2.
4. OT notes
847 GENERAL 2B.S1.00183 2B.S1.00183 : Laparoscopic Gastrostomy 10500 0 0 USG/ CT Scan, provisional 1. Clinical photo, 2.
4. OT notes
848 GENERAL 2B.S1.00184 2B.S1.00184 : Laparoscopic Hiatus Hernia Repair 20000 0 0 UGI ENDOSCOPY, provisional 1. Scar photo/ Intra op photo,
SURGERY diagonsis 2. Clinical notes,

4. OT notes
849 GENERAL 2B.S1.00185 2B.S1.00185 : Laparoscopic Pyloromyotomy 12500 0 0 USG, Clinical Notes, provisional 1. Clinical photo, 2.
4. OT notes
850 GENERAL 2B.S1.00186 2B.S1.00186 : Laparoscopic Rectopexy 15000 0 0 Clinical Findings, provisional 1. Clinical Findings 2.
4. OT notes
851 GENERAL 2B.S1.00187 2B.S1.00187 : Laparoscopic Spleenectomy 12000 0 0 CT/ MRI, provisional diagonsis 1. Scar photo, 2.
4. OT notes
852 GENERAL 2B.S1.00188 2B.S1.00188 : Laparoscopic umbilical hernia repair 12000 0 0 USG, Clinical Photograph, 1. Scar photo, 2.
4. OT notes
853 GENERAL 2B.S1.00189 2B.S1.00189 : Laparoscopic ventral hernia repair 20000 0 0 USG, Clinical Photograph, 1. Scar photo, 2.
4. OT notes
854 GENERAL 2B.S1.00190 2B.S1.00190 : Laparotomy-peritonitis lavage and 7000 0 0 USG/X Ray, provisional diagonsis 1. Scar photo, 2.
SURGERY drainage Clinical notes,
4. OT notes
855 GENERAL 2B.S1.00192 2B.S1.00192 : Lymphatics Excision of Subcutaneous 8000 0 0 Clinical Photograph, provisional 1. Clinical photo, 2.
SURGERY Tissues In Lymphoedema diagonsis Clinical notes,
4. OT notes
856 GENERAL 2B.S1.00196 2B.S1.00196 : Operation for Bleeding Peptic Ulcer 15000 0 0 Endoscopy report, provisional 1. Scar photo, 2.
4. OT notes
8.HPE Report
857 GENERAL 2B.S1.00203 2B.S1.00203 : Coccygeal Teratoma Excision 15000 0 0 Clinical Photograph, provisional 1. Scar photo, 2.
4. OT notes
858 GENERAL 2B.S1.00206 2B.S1.00206 : Drainage of perivertebral abscess 7000 0 0 USG/ CT Scan, provisional 1. Clinical photo, 2.
4. OT notes
Page 22
859 GENERAL 2B.S1.00210 2B.S1.00210 : Thymectomy 23000 0 0 USG, provisional diagonsis 1. Clinical photo, 2.
4. OT notes
860 GENERAL 2B.S1.00211 2B.S1.00211 : Operation of Choledochal Cyst 15000 0 0 CT/ USG, provisional diagonsis 1. Scar photo, 2.
4. OT notes
8.HPE Report 9.USG
861 GENERAL 2B.S1.00220 2B.S1.00220 : Removal of Foreign Body from 2500 0 0 Clinical photo, endoscopy, 1. Clinical notes,
SURGERY Trachea or Oesophagus provisional diagnosis 2. Daily bed side rounds notes,
3. OT notes
862 GENERAL 2B.S1.00223 2B.S1.00223 : Resection Enucleation of Adenoma 10000 0 0 Clinical Photograph, provisional 1. Clinical photo, 2.
SURGERY (lung) diagnosis Clinical notes,
4. OT notes
863 GENERAL 2B.S1.00224 2B.S1.00224 : Rib Resection & Drainage 7500 0 0 Chest X-ray, Clinical Photograph, 1. Clinical photo, 2.
4. OT notes
864 GENERAL 2B.S1.00226 2B.S1.00226 : Splenectomy - For Trauma 20000 0 0 CT/ MRI, provisional diagonsis 1. Scar photo, 2.
4. OT notes
865 GENERAL 2B.S1.00232 2B.S1.00232 : Thoracocentesis 1500 0 0 X-ray, CT, provisional diagnosis 1. X-ray, 2.
4. OT notes
866 GENERAL 2B.S1.00243 2B.S1.00243 : Trendelenburg Operation 10000 0 0 Clinical notes, provisional diagnosis 1. Clinical photo, 2.
4. OT notes
867 GENERAL 2B.S1.00245 2B.S1.00245 : Tissue Reconstruction Flap Leprosy 22000 0 0 Clinical Photograph, provisional 1. Scar photo, 2.
SURGERY diagnosis Clinical notes,
4. OT notes
868 GENERAL 2B.S1.00246 2B.S1.00246 : Tendon Transfer-Leprosy 22000 0 0 Clinical Photograph, Clinical Notes, 1. Clinical photo, 2.
4. OT notes
869 GENERAL 2B.S1.17001 2B.S1.17001 : Endoscopic Retrograde Cholangio 4000 0 0 Liver function test (LFT), USG, 1. Liver function test (LFT), 2.
SURGERY Pancreatography (Endoscopic Retrograde Cholangio provisional diagnosis Clinical notes,
Pancreatography (ERCP) with Interventions 3. Daily bed side rounds notes,
4. OT notes
8.USG
870 GENERAL 2B.S1.17002 2B.S1.17002 : Laproscopic Adrenalectomy 30000 0 0 CT,provisional diagnosis 1. Clinical photo, 2.
4. OT notes
871 GENERAL 2B.S1.17003 2B.S1.17003 : Gastro jejuno Colic Fistula 12500 0 0 USG, provisional diagnosis 1. Scar photo, 2.
4. OT notes
872 GENERAL 2B.S1.17004 2B.S1.17004 : Endoscopic Retrograde Cholangio 2250 0 0 LFT, USG, provisional diagnosis 1. Clinical notes,
SURGERY Pancreatography (ERCP) (Endoscopic Retrograde 2. Daily bed side rounds notes,
Cholangio Pancreatography) 3. OT notes
7.USG
873 GENERAL 2B.S1.17009 2B.S1.17009 : Upper GI Therapeutic(including 2000 0 0 Endoscopy report, provisional 1. Procedure stills, 2.
SURGERY Varicose Intervention) diagonsis Clinical notes,
4. OT notes
874 GENERAL 2B.S16.17174A 2B.S16.17174A : Drainage of parotid abscess - cross 7000 0 0 X Ray film with report, provisional 1. Clinical photo, 2.
SURGERY speciality diagnosis Clinical notes,
4. OT notes
8. X Ray film with report,
875 GENERAL 2B.S2.00031A 2B.S2.00031A : Cryosurgery - cross speciality 3000 0 0 DNE Photo, provisional diagnosis 1. DNE Photo, 2.
4. OT notes
876 GENERAL 3A.S1.00002 3A.S1.00002 : Anterior Resection for Ca 70000 0 0 Endoscopy, biopsy, CT report with Clinical Photograph showing scar
SURGERY film + HPE report
877 GENERAL 3A.S1.00007 3A.S1.00007 : Bilateral Inguinal block dissection 40000 0 0 Biopsy Reports Clinical Photograph showing scar +
SURGERY HPE report
878 GENERAL 3A.S1.00008 3A.S1.00008 : Bleeding Ulcer - Gastrectomy & 25000 0 0 USG/CT, Clinical notes OT note
SURGERY vagotomy
879 GENERAL 3A.S1.00014 3A.S1.00014 : Branchial Cyst 10000 0 0 USG/CT Scar Photo, HPE Report
SURGERY
880 GENERAL 3A.S1.00016 3A.S1.00016 : Bypass - Inoperable Pancreas 15000 0 0 USG/CT USG, Scar photo, HPE Report
SURGERY
881 GENERAL 3A.S1.00045 3A.S1.00045 : Excision of Growth from Tongue with 15000 0 0 CT/MRI, Clinical Photo OT notes, HPE
SURGERY neck node dissection
882 GENERAL 3A.S1.00059 3A.S1.00059 : Fundoplication 35000 0 0 Contrast X ray/endoscopy findings Clinical Photograph showing scar
SURGERY
883 GENERAL 3A.S1.00064 3A.S1.00064 : Gastrostomy 15000 0 0 USG/ CT Scan Clinical photograph
SURGERY
884 GENERAL 3A.S1.00068 3A.S1.00068 : Haemangioma Excision (small) 5000 0 0 clinical photograph Doppler
SURGERY
885 GENERAL 3A.S1.00070 3A.S1.00070 : Hepatic Resection (lobectomy) 20000 0 0 MRI/ CT Abdomen Scar Photo, HPE Report
SURGERY
Page 23
886 GENERAL 3A.S1.00078 3A.S1.00078 : Hiatus Hernia abdominal 40000 0 0 UGI ENDOSCOPY Scar photo/ Intra op photo
SURGERY
887 GENERAL 3A.S1.00084 3A.S1.00084 : Inguinal Node (dissection) - Unilateral 20000 0 0 Biopsy Reports/ Clinical Clinical Photograph showing scar +
SURGERY Photograph HPE report
888 GENERAL 3A.S1.00087 3A.S1.00087 : Intussusception 15000 0 0 USG/CT , Clinical notes Scar photo
SURGERY
889 GENERAL 3A.S1.00092 3A.S1.00092 : Burst Abdomen Obstruction 15000 0 0 Clinical Photograph, Clinical notes HPR , Scar photo & Clinical
SURGERY Photograph,
890 GENERAL 3A.S1.00103 3A.S1.00103 : Oesophagectomy 60000 0 0 Biopsy , CT , Endoscopy reports HPE report, scar photo
SURGERY
891 GENERAL 3A.S1.00104 3A.S1.00104 : Portal Hypertension shunt surgery 50000 0 0 Endoscopy/ USG/ CT/ MRI Clinical Photograph showing scar
SURGERY
892 GENERAL 3A.S1.00106 3A.S1.00106 : PancreaticoDuodenectomy 25000 0 0 CT-Scan , ERCP , ER Clinical HPR , Scar Photograph
SURGERY Photograph , Endoscopy
893 GENERAL 3A.S1.00112 3A.S1.00112 : Pyeloroplasty 10000 0 0 USG, Clinical Notes Scar photo, HPE
SURGERY
894 GENERAL 3A.S1.00113 3A.S1.00113 : Radical Mastectomy 10000 0 0 Mammography, HPE, CT Scan Scar photo & HPE
SURGERY
895 GENERAL 3A.S1.00114 3A.S1.00114 : Radical Neck Dissection Excision 15000 0 0 Clinical photo, Clinical notes & Scar photo & HPE
SURGERY Biopsy/ Cytology
896 GENERAL 3A.S1.00115 3A.S1.00115 : Hernia Spigelian 5000 0 0 USG Clinical Notes, Scar photo and OT
SURGERY notes
897 GENERAL 3A.S1.00117 3A.S1.00117 : Prolapse of Rectal Mass Excision 10000 0 0 Clinical Findings Procedure Notes
SURGERY
898 GENERAL 3A.S1.00120 3A.S1.00120 : Resection Anastomosis (Large 15000 0 0 USG / CT Scan Scar photo, HPE
SURGERY Intestine)
899 GENERAL 3A.S1.00121 3A.S1.00121 : Resection Anastomosis (Small 15000 0 0 USG / CT Scan Scar photo, HPE
SURGERY Intestine)
900 GENERAL 3A.S1.00122 3A.S1.00122 : Retroperitoneal Tumor Excision 50000 0 0 CT abdomen with film, FNAC Clinical Photograph showing scar +
SURGERY HPE report
901 GENERAL 3A.S1.00125 3A.S1.00125 : Segmental Resection of Breast 10000 0 0 Mamography, FNAC, CT if Scar photo, HPE
SURGERY indicated
902 GENERAL 3A.S1.00131 3A.S1.00131 : Soft Tissue Tumor (large) Excision 35000 0 0 Biopsy of the primary tumour + Scar photo, HPE
SURGERY CT/MRI with film
903 GENERAL 3A.S1.00134 3A.S1.00134 : Submandibular Mass Excision + 25000 0 0 CT/MRI/USG report and Film if Clinical Photograph showing scar +
SURGERY Reconstruction required/ Biopsy HPE report
904 GENERAL 3A.S1.00138 3A.S1.00138 : Pharyngectomy& Reconstruction 12000 0 0 CT Neck, Biopsy HPE, CT Neck, Scar Photo
SURGERY Total
905 GENERAL 3A.S1.00139 3A.S1.00139 : Tracheal Stenosis (End to end 15000 0 0 Bronchoscopy , CT Scar photo, Biopsy
SURGERY Anastamosis) (Throat)
906 GENERAL 3A.S1.00140 3A.S1.00140 : Tracheoplasty (Throat) 40000 0 0 CT / Bronchoscopy report CT / Bronchoscopy report
SURGERY
907 GENERAL 3A.S1.00146 3A.S1.00146 : Cleft palate repair (for each stage) 12000 0 0 Clinical photo Scar photo
SURGERY
908 GENERAL 3A.S1.00148 3A.S1.00148 : Aneurysm not Requiring Bypass 36000 0 0 CT Angio Report Scar photo + Post op intra op photo
SURGERY Techniques
909 GENERAL 3A.S1.00149 3A.S1.00149 : Aneurysm Resection & Grafting 70000 0 0 CT Angio Report Scar photo + Intra op photo
SURGERY
910 GENERAL 3A.S1.00150 3A.S1.00150 : Arterial Embolectomy 10000 0 0 Arterial doppler Scar photo
SURGERY
911 GENERAL 3A.S1.00151 3A.S1.00151 : Carotid artery aneurysm repair 20000 0 0 Arterial doppler / CT Angio Scar photo
SURGERY
912 GENERAL 3A.S1.00152 3A.S1.00152 : Carotid Body tumour - Excision 35000 0 0 Angiogram/Spiral CT Angiogram Stills showing the procedure
SURGERY reports +Duplex scan, scar photo
913 GENERAL 3A.S1.00155 3A.S1.00155 : Congential Arteriovenus Fistula (large) 20000 0 0 Arterial doppler, clinical photo Scar photo
SURGERY
914 GENERAL 3A.S1.00156 3A.S1.00156 : Congential Arteriovenus Fistula (small) 10000 0 0 Arterial doppler, clinical photo Scar photo
SURGERY
915 GENERAL 3A.S1.00157 3A.S1.00157 : Decortication (Pleurectomy) 50000 0 0 CT Chest Post Op X-ray,scar photo
SURGERY
916 GENERAL 3A.S1.00158 3A.S1.00158 : Dissecting Aneurysms 36000 0 0 2D ECHO Report with stills, 2D ECHO Report + stills of ECHO
SURGERY Doppler + Post Op X-ray,scar photo
917 GENERAL 3A.S1.00159 3A.S1.00159 : Distal Abdominal Aorta repair 36000 0 0 Angiogram/CTA/MRA Scar photo
SURGERY
918 GENERAL 3A.S1.00160 3A.S1.00160 : Estlander Operation (lip) 7000 0 0 Clinical notes and photograph Scar photo
SURGERY
919 GENERAL 3A.S1.00162 3A.S1.00162 : Excision of Parathyroid 30000 0 0 CT Scan Functional scan/PTH Clinical Photograph showing scar +
SURGERY Adenoma/Carcinoma reports/USG HPE report
920 GENERAL 3A.S1.00163 3A.S1.00163 : Flap Reconstructive Surgery 30000 0 0 X-ray Films + detail notes Clinical photo showing Scar
SURGERY
921 GENERAL 3A.S1.00165 3A.S1.00165 : Split thickness skin grafts Medium (4 10000 0 0 Clinical photograph Scar photo
SURGERY - 8% TBSA)
922 GENERAL 3A.S1.00167 3A.S1.00167 : Free Grafts - Wolfe Grafts 10000 0 0 Clinical photograph Scar photo
SURGERY
923 GENERAL 3A.S1.00171 3A.S1.00171 : Lap. Assisted left Hemi colectomy t 25000 0 0 CT , colonoscopy , USG USG, Scar Photo, HPE
SURGERY
924 GENERAL 3A.S1.00172 3A.S1.00172 : Lap. Assisted Right Hemi colectomy t 25000 0 0 CT , colonoscopy , USG USG, Scar Photo, HPE
SURGERY
925 GENERAL 3A.S1.00173 3A.S1.00173 : Lap. Assisted small bowel resection 40000 0 0 CT, Biopsy Clinical Photograph showing scar
SURGERY + HPE report
926 GENERAL 3A.S1.00174 3A.S1.00174 : Lap. Assisted Total Colectomy 40000 0 0 Colonocopy with film, biopsy, CT Clinical Photograph showing scar
SURGERY report with film + HPE report
927 GENERAL 3A.S1.00179 3A.S1.00179 : Laparoscopic Adhesinolysis 15000 0 0 MRI/ CT Abdomen Scar Photo, HPE Report
SURGERY
928 GENERAL 3A.S1.00193 3A.S1.00193 : Repair of Main Arteries of the Limbs 10000 0 0 Pre-operative Doppler study, CT Post-operative Doppler study,
SURGERY angio(Optional)+ Films+ detailed Clinical photo showing scar
Clinical notes
929 GENERAL 3A.S1.00194 3A.S1.00194 : Mediastinal Tumour 50000 0 0 Biopsy/FNAC ,CT Clinical Photograph showing scar +
SURGERY HPE report + XRAY Chest
930 GENERAL 3A.S1.00195 3A.S1.00195 : Oesophagectomy for Carcinoma 50000 0 0 Biopsy , CT , Endoscopy reports HPE report, scar photo
SURGERY Oesophagus
931 GENERAL 3A.S1.00197 3A.S1.00197 : Operation for Carcinoma Lip 10000 0 0 Clinical photograph, HPE Scar photo, HPE
SURGERY Vermilionectomy
932 GENERAL 3A.S1.00198 3A.S1.00198 : Operation for Carcinoma Lip - Wedge 12000 0 0 Clinical photograph, HPE Scar photo, HPE
SURGERY Excision and Vermilionectomy
933 GENERAL 3A.S1.00199 3A.S1.00199 : Operation for Carcinoma Lip - 10000 0 0 Clinical photograph, HPE Scar photo, HPE
SURGERY Wedge-Excision
934 GENERAL 3A.S1.00200 3A.S1.00200 : Appendicectomy - Appendicular 12000 0 0 Clinical notes, USG/ CT Scar photo, HPE
SURGERY Abscess Drainage
935 GENERAL 3A.S1.00201 3A.S1.00201 : Caecostomy 10000 0 0 Clinical notes, USG/ CT Scar photo, HPE
SURGERY
936 GENERAL 3A.S1.00202 3A.S1.00202 : Closure of Colostomy 30000 0 0 Colonoscopy, Biopsy Clinical Photograph showing scar
SURGERY
937 GENERAL 3A.S1.00205 3A.S1.00205 : CystoJejunostomy/or Cystogastrostomy 20000 0 0 USG/ CT Scan Clinical photograph
SURGERY
938 GENERAL 3A.S1.00207 3A.S1.00207 : Hernia -hiatus-Transthoracic 25000 0 0 UGI ENDOSCOPY Scar photo/ Intra op photo
SURGERY
939 GENERAL 3A.S1.00209 3A.S1.00209 : Operation for carcinoma lip- cheek 12000 0 0 Clinical photograph, HPE Scar photo, HPE
SURGERY advancement
940 GENERAL 3A.S1.00212 3A.S1.00212 : Operations for Acquired Arteriovenous 15000 0 0 Arterial doppler / MRA Scar photo
SURGERY Fistula
941 GENERAL 3A.S1.00213 3A.S1.00213 : Operations for Replacement of 25000 0 0 Endoscopy, USG/CT Scar photo, HPE
SURGERY Oesophagus by Colon
942 GENERAL 3A.S1.00215 3A.S1.00215 : Parapharyngeal Tumour Excision 11000 0 0 USG, CT Neck USG,HPE,Scar Photo
SURGERY
943 GENERAL 3A.S1.00216 3A.S1.00216 : Partial/Subtotal Gastrectomy for 50000 0 0 Endoscopy, biopsy, CT Clinical Photograph showing scar +
SURGERY Carcinoma HPE report
944 GENERAL 3A.S1.00217 3A.S1.00217 : Patch Graft Angioplasty 20000 0 0 Arterial Doppler Post Op Arterial Doppler, Scar
SURGERY photo
945 GENERAL 3A.S1.00218 3A.S1.00218 : Pericardiostomy 10000 0 0 2D ECHO 2D ECHO Report + stills of ECHO
SURGERY + Post Op X-ray,scar photo
946 GENERAL 3A.S1.00219 3A.S1.00219 : Pneumonectomy 60000 0 0 CT Chest Post Op X-ray,scar photo
SURGERY
947 GENERAL 3A.S1.00221 3A.S1.00221 : Removal Tumours of Chest Wall 40000 0 0 CT Chest, biopsy Clinical Photograph showing scar +
SURGERY HPE report
Page 24
948 GENERAL 3A.S1.00222 3A.S1.00222 : Procedures Requiring Bypass 35000 0 0 Angiogram Scar photo
SURGERY Techniques
949 GENERAL 3A.S1.00225 3A.S1.00225 : Skin Flaps - Rotation Flaps 6200 0 0 Clinical photo Scar photo
SURGERY
950 GENERAL 3A.S1.00227 3A.S1.00227 : Surgery for Arterial Aneurysm 20000 0 0 CT Angio / MRA Scar photo
SURGERY Spleenic Artery
951 GENERAL 3A.S1.00228 3A.S1.00228 : Surgery for Arterial Aneurism 25000 0 0 CT Angio / MRA Scar photo
SURGERY Vertebral
952 GENERAL 3A.S1.00229 3A.S1.00229 : Sympathetectomy Cervical 5000 0 0 Clinical notes & Photo, Arterial Scar photo
SURGERY doppler
953 GENERAL 3A.S1.00230 3A.S1.00230 : Temporal Bone resection 60000 0 0 CT/MRI, Biopsy Clinical Photograph showing scar +
SURGERY HPE report
954 GENERAL 3A.S1.00231 3A.S1.00231 : Thorachostomy 10000 0 0 Chest X Ray Chest X Ray
SURGERY
955 GENERAL 3A.S1.00233 3A.S1.00233 : Thoracoplasty 20000 0 0 X-ray, CT X-ray
SURGERY
956 GENERAL 3A.S1.00234 3A.S1.00234 : Thoracoscopic Decortication 25000 0 0 Clinical Photograph Scar photo
SURGERY
957 GENERAL 3A.S1.00235 3A.S1.00235 : Thoracoscopic Hydatid Cyst excision 20000 0 0 Chest X-ray / CT Scar photo, HPE
SURGERY
958 GENERAL 3A.S1.00236 3A.S1.00236 : Thoracoscopic Lobectomy 25000 0 0 CT/MRI Scar photo, HPE
SURGERY
959 GENERAL 3A.S1.00237 3A.S1.00237 : Thoracoscopic Pneumonectomy 30000 0 0 CT/MRI Scar photo, HPE
SURGERY
960 GENERAL 3A.S1.00238 3A.S1.00238 : Thoracoscopic Segmental Resection 25000 0 0 CT/MRI Scar photo, HPE
SURGERY
961 GENERAL 3A.S1.00239 3A.S1.00239 : Thoracoscopic Sympathectomy 35000 0 0 CT Chest 2D ECHO Report + stills of ECHO
SURGERY + Post Op X-ray, photo of scar, port
insertion
962 GENERAL 3A.S1.00240 3A.S1.00240 : Thrombendarterectomy 15000 0 0 Arterial doppler, CT Angio/MRA Scar photo
SURGERY
963 GENERAL 3A.S1.00241 3A.S1.00241 : Thorax (penetrating wounds) 12500 0 0 X-ray, Clinical photo Post-op clinical photo & X-Ray
SURGERY
964 GENERAL 3A.S1.00242 3A.S1.00242 : Total Thyroidectomy and Block 20000 0 0 Clinical Photograph , USG Scar photo, HPE
SURGERY Dissection
965 GENERAL 3A.S1.00247 3A.S1.00247 : Adhenolysis + Appendicectomy 20000 0 0 MRI/ CT Abdomen Scar Photo, HPE Report
SURGERY
966 GENERAL 3A.S1.17005 3A.S1.17005 : Prostate surgery (Code 3A.561) - 25000 0 0 CT report and Film, Biopsy Clinical Photograph, HPE report
SURGERY additional cost
967 GENERAL 3A.S1.17006 3A.S1.17006 : Nephrectomy partial (Code 3A.451)- 25000 0 0 CT report with film, Isotope Clinical Photograph showing scar+
SURGERY additional cost renogram if required HPE report +USG Report
968 GENERAL 3A.S1.17007 3A.S1.17007 : Low AR and APR (Code 3A.417, 25000 0 0 Endoscopy with film, biopsy, CT Clinical Photograph showing scar
SURGERY 3A.418) - additional cost report with film + HPE report
969 GENERAL 3A.S1.17008 3A.S1.17008 : Radical hysterectomy for Ca cervix and 20000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
SURGERY Ca endometrium ( Code 3A.484)- additional cost HPE report
970 GENERAL 3A.S10.00003A 3A.S10.00003A : Hemangioma Sclerotherapy (under 35000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, MRI/MRA
SURGERY GA) - cross speciality HbsAg,CXR, ECG MRI/MRA
971 GENERAL 3A.S10.00004A 3A.S10.00004A : Hemangioma Debulking/ Excision 35000 0 0 CT report OT note,Scar photo
SURGERY - cross speciality
972 GENERAL 3A.S10.00008A 3A.S10.00008A : Pressure Sore Surgery - cross 30000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, Clinical photo and OT note
SURGERY speciality HbsAg, CXR, ECG, Pus for C/S
973 GENERAL 3A.S10.00009A 3A.S10.00009A : Diabetic Foot Surgery - cross 30000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, MRI/MRA
SURGERY speciality HbsAg,, CXR, ECG, Pus for C/S,
MRI/MRA
974 GENERAL 3A.S14.00016A 3A.S14.00016A : Anti GERD Surgery - Cross 10000 0 0 USG and Clinical notes OT Note
SURGERY speciaity
975 GENERAL 3A.S2.00075A 3A.S2.00075A : Total Parotidectomy - - cross 40000 0 0 FNAC,CT Clinical Photograph showing scar +
SURGERY speciality HPE report
976 GENERAL 3A.S2.00081A 3A.S2.00081A : Excision of Cystic Hygroma Major/ 10000 0 0 Clinical notes & photo, USG/CT Clinical photo showing scar, /
SURGERY Extensive - cross speciality BIOPSY, Operative notes with steps
of surgery & Clinical notes
977 GENERAL 3A.S6.17024A 3A.S6.17024A : Visceral injuries severe - cross 60000 0 0 Pre-op. of X-ray/CT scan / Ultra Post-Operative X-ray, scar photo
SURGERY speciality sound
978 GENERAL 3A.S6.17025A 3A.S6.17025A : Chest injuries with ICD bilateral - 11000 0 0 X-ray /ultra sound Post-Operative chest X-ray with
SURGERY cross speciality ICD in situ
979 GENERAL 3A.S6.17026A 3A.S6.17026A : Chest injuries with ICD + ICU - 2000 0 0 X-ray /ultra sound Post-Operative chest X-ray with
SURGERY cross speciality ICD in situ
980 GENERAL 3A.S6.17027A 3A.S6.17027A : Chest injuries with ICD + ICU + 26600 0 0 X-ray /ultra sound Post-Operative chest X-ray with
SURGERY Ventilator - cross speciality ICD in situ
981 GENERAL 3A.S8.00075A 3A.S8.00075A : Nerve Decompression - cross 20000 0 0 Nerve Conductions study Clinical Photographs showing scar
SURGERY speciality
982 GENERAL 3A.S8.00076A 3A.S8.00076A : Peripheral Nerve Surgery Major - 45000 0 0 Nerve Conduction Velocity (Nerve Clinical Photographs showing scar
SURGERY cross speciality conduction velocity (NCV)) and
Electromyography (EMG) reports
983 GENERAL 3A.S8.00077B 3A.S8.00077B : Peripheral Nerve Surgery Minor - 15000 0 0 Nerve Conduction Velocity (Nerve Clinical Photographs showing scar
SURGERY cross speciality conduction velocity (NCV) /
984 GENERAL 3A.M4.00035A 3A.M4.00035A# : Bone tumors/soft tissue sarcomas : 235000 0 0 CT scan/MRI ,USG abdomen pelvis, X-ray, CT Scan, Clinical photograph
SURGERY surgery (inlcuding prosthesis) - cross speciality Clinical photograph Hemogram report
985 GENERAL 4A.S1.00085 4A.S1.00085 : Intestinal perforation 9000 0 0 X-Ray of abdomen/CT (Upright Scar photo
SURGERY position)
986 GENERAL 4A.S1.00093 4A.S1.00093 : Closure of Hollow Viscus Perforation 12500 0 0 X Ray abdomen ,USG Scar photo
SURGERY
987 GENERAL 4A.S1.00144 4A.S1.00144 : Volvlous of Large Bowel 25000 0 0 CT Scan Scar photo
SURGERY
988 GENERAL 4A.S1.00204 4A.S1.00204 : Congenital Atresia & Stenosis of Small 110000 0 0 USG/ CT OT Notes, Scar Photo
SURGERY Intestine
989 GENERAL 4A.S1.00251 4A.S1.00251 : AV Shunt for dialysis 7500 0 0 Duplex Clinical photos showing the AV
SURGERY fistula
990 GENERAL 4A.S6.00008A 4A.S6.00008A : Visceral injury requiring surgical 30000 0 0 X-ray/CT scan / Ultra sound Post-Operative X-ray, scar photo
SURGERY intervention along with fixation of fracture of single
long bone. - cross speciality
991 GENERAL 4A.S6.17029A 4A.S6.17029A : Inter costal drainage (icd) one side - 8000 0 0 X-ray X-ray
SURGERY cross speciality
992 GENERAL 4A.S6.17030A 4A.S6.17030A : Inter costal drainage (icd)bilateral 11000 0 0 X-ray X-ray
SURGERY (flail chest) - cross speciality
SURGERY (flail chest) with icu stay - cross speciality
SURGERY (flail chest) with icu stay with ventilator - cross
speciality
995 GENERAL 4A.S6.17033A 4A.S6.17033A : Blunt injury abdomen with icu stay - 12000 0 0 USG USG
SURGERY cross speciality
996 GENERAL 4A.S6.17034A 4A.S6.17034A : Supra pubic cystostomy in fracture 8000 0 0 X-ray X-ray
SURGERY pelvis - cross speciality
997 GENERAL 4A.S6.00009A 4A.S6.00009A : Visceral injury requiring surgical 45000 0 0 X-ray/CT scan / Ultra sound Post-Operative X-ray, scar photo
SURGERY intervention along with fixation of fracture of 2 or
more long bones. - cross speciality
998 GENERAL 4A.S15.00021A 4A.S15.00021A : Tracheostomy 5000 0 0 Clinical photo Clinical photo
SURGERY
999 INTERVENTION 3A.S9.00001 3A.S9.00001 : Coil embolization for aneurysms 100000 0 0 ANGIOGRAM , MRI Angio Clinical Photograph
AL (includes cost of first 3 coils + balloon and/ or stent if
NEURORADIOL used) 1 to 20 coils may be required as per need.
OGY
1000 INTERVENTION 3A.S9.00002 3A.S9.00002 : Additional coil for coil embolization 24000 0 0 ANGIOGRAM , MRI Angio Clinical Photograph
AL for aneurysms
NEURORADIOL
OGY
1001 INTERVENTION 3A.S9.00003 3A.S9.00003 : Dural AVMs/AVFs (per sitting) with 70000 0 0 Hematological and radiological Hematological and radiological
AL glue investigations, CT/MRI investigations, CT/MRI
NEURORADIOL
OGY
Page 25
1002 INTERVENTION 3A.S9.00004 3A.S9.00004 : Dural AVMs/AVFs (per sitting) with 150000 0 0 Hematological and radiological Hematological and radiological
AL onyx investigations, CT/MRI investigations, CT/MRI
NEURORADIOL
OGY
1003 INTERVENTION 3A.S9.00005 3A.S9.00005 : Carotico-cavernous Fistula (CCF) 150000 0 0 Hematological and radiological Hematological and radiological
AL embolization with coils. [includes 5 coils, guide investigations, CT/MRI investigations, CT/MRI
NEURORADIOL catheter, micro-catheter, micro-guidewire, general
OGY items]
1004 INTERVENTION 3A.S9.00006 3A.S9.00006 : Carotid-cavernous Fistula (CCF) 75000 0 0 Hematological and radiological Hematological and radiological
AL embolization with balloon (includes one balloon, investigations, CT/MRI investigations, CT/MRI
NEURORADIOL guide catheter, micro-catheter, micro-guidewire,
OGY general items)
1005 INTERVENTION 3A.S9.00007 3A.S9.00007 : Cerebral & Spinal AVM embolization 100000 0 0 ANGIOGRAM , MRI Angio Clinical Photograph
AL (per sitting). Using Histoacryl
NEURORADIOL
OGY
1006 INTERVENTION 3A.S9.00008 3A.S9.00008 : Parent vessel occlusion - Basic 30000 0 0 Hematological and radiological Hematological and radiological
AL investigations, CT/MRI investigations, CT/MRI
NEURORADIOL
OGY
1007 INTERVENTION 3A.S9.00009 3A.S9.00009 : Additonal coil for Parent Vessel 24000 0 0 CT/MRI or Angiogram, CT, PT,INR, Hb, Serum Creatinine
AL Occlusion Prothrombin Time (PT),
NEURORADIOL International normalized ratio (INR)
OGY Hb, Serum Creatinine
1008 INTERVENTION 3A.S9.00010 3A.S9.00010 : Additonal balloon for Parent Vessel 11000 0 0 CT/MRI or Angiogram, CT, PT,INR, Hb, Serum Creatinine
AL Occlusion Prothrombin Time (PT),
1009 INTERVENTION 3A.S9.00011 3A.S9.00011 : Balloon test occlusion 70000 0 0 CT/MRI or Angiogram, CT, PT,INR, Hb, Serum Creatinine
AL Prothrombin Time (PT),
1010 INTERVENTION 3A.S9.00012 3A.S9.00012 : Intracranial balloon angioplasty with 1,60,000 0 0 USG, clotting Time (CT), USG, CT,PT,INR, Hb, Serum
AL stenting Prothrombin Time (PT), Creatinine
NEURORADIOL International normalized ratio
OGY (INR), Hb, Serum Creatinine
1011 INTERVENTION 3A.S9.00013 3A.S9.00013 : Intracranial thrombolysis / clot retrieval 1,60,000 0 0 CT/MRI, Prothrombin Time (PT), CT/MRI, PT,INR, Hb, Serum
AL International normalized ratio (INR) Creatinine
NEURORADIOL Hb, Serum Creatinine
OGY
1012 INTERVENTION 3A.S9.00014 3A.S9.00014 : Pre-operative tumour embolization (per 40000 0 0 Chest x-Ray/CT Scan, Hb, Serum Chest x-Ray/CT Scan, Hb, Serum
AL session) Creatinine Creatinine
NEURORADIOL
OGY
1013 INTERVENTION 3A.S9.00015 3A.S9.00015 : Vertebroplasty 40000 0 0 Hematological and radiological Hematological and radiological
AL investigations, CT/MRI investigations, CT/MRI
NEURORADIOL
OGY
1014 MENTAL 2A.M8.00001 2A.M8.00001 : Organic, including symptomatic, 1500 0 0 Clinical notes, CT brain Clinical notes, CT brain
DISORDER mental disorders (routine ward)
PACKAGES
1015 MENTAL 2A.M8.00002 2A.M8.00002 : Mental and Behavioural disorders due 1500 0 0 Clinical notes, CT brain Clinical notes, CT brain
DISORDER to psychoactive substance use (routine ward)
PACKAGES
1016 MENTAL 2A.M8.00003 2A.M8.00003 : Schizophrenia, schizotypal and 1500 0 0 Clinical notes, CT brain Clinical notes, CT brain
DISORDER delusional disorders (routine ward)
PACKAGES
1017 MENTAL 2A.M8.00004 2A.M8.00004 : Mood (affective) disorders (routine 1500 0 0 Clinical notes Clinical notes
DISORDER ward)
PACKAGES
1018 MENTAL 2A.M8.00009 2A.M8.00009 : Mental and Behavioural disorders due 2500 0 0 Clinical notes Clinical notes
DISORDER to psychoactive substance use (HDU)
PACKAGES
1019 MENTAL 2A.M8.00010 2A.M8.00010 : Schizophrenia, schizotypal and 2500 0 0 Clinical notes Clinical notes
DISORDER delusional disorders (HDU)
PACKAGES
1020 MENTAL 2A.M8.00012 2A.M8.00012 : Neurotic, stress-related and 2500 0 0 Clinical notes Clinical notes
DISORDER somatoform disorders (HDU)
PACKAGES
1021 MENTAL 2A.M8.00013 2A.M8.00013 : Behavioural syndromes associated 2500 0 0 Clinical notes Clinical notes
DISORDER with physiological disturbances and physical factors
PACKAGES (HDU)
1022 MENTAL 2A.M8.00014 2A.M8.00014 : Mental Retardation (HDU) 2500 0 0 Clinical notes Clinical notes
DISORDER
PACKAGES
1023 MENTAL 2B.M8.00005 2B.M8.00005 : Neurotic, stress-related and 1500 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
DISORDER somatoform disorders (routine ward) 2. Daily bed side rounds notes,
PACKAGES 3. OT notes
1024 MENTAL 2B.M8.00006 2B.M8.00006 : Behavioural syndromes associated 1500 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
DISORDER with physiological disturbances and physical factors 2. Daily bed side rounds notes,
PACKAGES (routine ward) 3. OT notes
1025 MENTAL 2B.M8.00007 2B.M8.00007 : Mental retardation (routine ward) 1500 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
DISORDER 2. Daily bed side rounds notes,
1026 MENTAL 2B.M8.00008 2B.M8.00008 : Organic, including symptomatic, 2500 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
DISORDER mental disorders (HDU) 2. Daily bed side rounds notes,
1027 MENTAL 2B.M8.00011 2B.M8.00011 : Mood (affective) disorders (HDU) 2500 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
DISORDER 2. Daily bed side rounds notes,
1028 MENTAL 2B.M8.00015 2B.M8.00015 : Pre- Electro Convulsive Therapy 10000 0 0 Complete Haemogram, Liver Complete Haemogram, Liver
DISORDER (ECT) and Pre- Transcranial Magnetic Stimulation Function Test, Renal Function Test, Function Test, Renal Function Test,
PACKAGES (TMS) Package (Cognitive Tests, Complete Serum Electrolytes, Electro Serum Electrolytes, Electro
Haemogram, Liver Function Test, Renal Function Cardiogram (ECG), CT/MRI Brain, Cardiogram (ECG), CT/MRI Brain,
Test, Serum Electrolytes, Electro Cardiogram (ECG), Electroencephalogram, Thyroid Electroencephalogram, Thyroid
CT/MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Function Test, VDRL, HIV Test,
Function Test, VDRL, HIV Test, Vitamin B12 levels, Vitamin B12 levels, Folate levels, Vitamin B12 levels, Folate levels,
Folate levels, Lipid Profile, Homocysteine levels) Lipid Profile, Homocysteine levels) Lipid Profile, Homocysteine levels)
1029 MENTAL 2B.M8.00016 2B.M8.00016 : Electro Convulsive Therapy (ECT) - 3000 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
DISORDER per session 2. Daily bed side rounds notes,
1030 MENTAL 2B.M8.00017 2B.M8.00017 : Transcranial Magnetic Stimulation 1000 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
DISORDER (TMS) - per session 2. Daily bed side rounds notes,
1031 NEONATAL 2A.M2.00001 2A.M2.00001 : Diarrhoea - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1032 NEONATAL 2A.M2.00001A 2A.M2.00001A : Diarrhoea - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
Page 26
1033 NEONATAL 2A.M2.00001B 2A.M2.00001B : Diarrhoea - ICU without ventilator 3600 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1034 NEONATAL 2A.M2.00001C 2A.M2.00001C : Diarrhoea - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1035 NEONATAL 2A.M2.00002 2A.M2.00002 : Acute dysentery - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1036 NEONATAL 2A.M2.00002A 2A.M2.00002A : Acute dysentery - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1037 NEONATAL 2A.M2.00002B 2A.M2.00002B : Acute dysentery - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1038 NEONATAL 2A.M2.00002C 2A.M2.00002C : Acute dysentery - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1039 NEONATAL 2A.M2.00003 2A.M2.00003 : Pneumonia - routine ward 1800 0 0 Clinical Notes with relevant Treatment Notes
AND investigations
PAEDIATRICS
1040 NEONATAL 2A.M2.00003A 2A.M2.00003A : Pneumonia - HDU 2700 0 0 Clinical Notes with relevant Treatment Notes
AND investigations
PAEDIATRICS
1041 NEONATAL 2A.M2.00003B 2A.M2.00003B : Pneumonia - ICU without ventilator 3600 0 0 Clinical Notes with relevant Treatment Notes
AND investigations
PAEDIATRICS
1042 NEONATAL 2A.M2.00003C 2A.M2.00003C : Pneumonia - ICU with ventilator 4500 0 0 Clinical Notes with relevant Treatment Notes
AND investigations
PAEDIATRICS
1043 NEONATAL 2A.M2.00004 2A.M2.00004 : Urinary tract infection - routine ward 1800 0 0 Clinical Notes with relevant Treatment Notes
AND investigations
PAEDIATRICS
1044 NEONATAL 2A.M2.00004A 2A.M2.00004A : Urinary tract infection - HDU 2700 0 0 Clinical Notes with relevant Treatment Notes
AND investigations
PAEDIATRICS
1045 NEONATAL 2A.M2.00004B 2A.M2.00004B : Urinary tract infection - ICU 3600 0 0 Clinical Notes with relevant Treatment Notes
AND without ventilator investigations
PAEDIATRICS
1046 NEONATAL 2A.M2.00004C 2A.M2.00004C : Urinary tract infection - ICU with 4500 0 0 Clinical Notes with relevant Treatment Notes
AND ventilator investigations
PAEDIATRICS
1047 NEONATAL 2A.M2.00006 2A.M2.00006 : Acute glomerulonephritis - routine 1800 0 0 Clinical note with Lab reports Treatment note
AND ward
PAEDIATRICS
1048 NEONATAL 2A.M2.00006A 2A.M2.00006A : Acute glomerulonephritis - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1049 NEONATAL 2A.M2.00006B 2A.M2.00006B : Acute glomerulonephritis - ICU 3600 0 0 Clinical note with Lab reports Treatment note
AND without ventilator
PAEDIATRICS
1050 NEONATAL 2A.M2.00006C 2A.M2.00006C : Acute glomerulonephritis - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1051 NEONATAL 2A.M2.00013 2A.M2.00013 : Trauma - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1052 NEONATAL 2A.M2.00013A 2A.M2.00013A : Trauma - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1053 NEONATAL 2A.M2.00013B 2A.M2.00013B : Trauma - ICU without ventilator 3600 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1054 NEONATAL 2A.M2.00013C 2A.M2.00013C : Trauma - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1055 NEONATAL 2A.M2.00014 2A.M2.00014 : Pyrexia of unexplained origin - 1800 0 0 Clinical note with Lab reports Treatment note
AND routine ward
PAEDIATRICS
1056 NEONATAL 2A.M2.00014A 2A.M2.00014A : Pyrexia of unexplained origin - 2700 0 0 Clinical note with Lab reports Treatment note
AND HDU
PAEDIATRICS
1057 NEONATAL 2A.M2.00014B 2A.M2.00014B : Pyrexia of unexplained origin - 3600 0 0 Clinical note with Lab reports Treatment note
AND ICU without ventilator
PAEDIATRICS
1058 NEONATAL 2A.M2.00014C 2A.M2.00014C : Pyrexia of unexplained origin - 4500 0 0 Clinical note with Lab reports Treatment note
AND ICU with ventilator
PAEDIATRICS
1059 NEONATAL 2A.M2.00019 2A.M2.00019 : Dysmorphic children - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1060 NEONATAL 2A.M2.00019A 2A.M2.00019A : Dysmorphic children - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1061 NEONATAL 2A.M2.00019B 2A.M2.00019B : Dysmorphic children - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1062 NEONATAL 2A.M2.00019C 2A.M2.00019C : Dysmorphic children - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1063 NEONATAL 2A.M2.00020 2A.M2.00020 : Rickets - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1064 NEONATAL 2A.M2.00020A 2A.M2.00020A : Rickets - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1065 NEONATAL 2A.M2.00020B 2A.M2.00020B : Rickets - ICU without ventilator 3600 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1066 NEONATAL 2A.M2.00020C 2A.M2.00020C : Rickets - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1067 NEONATAL 2A.M2.00021 2A.M2.00021 : Unexplained severe anemia - routine 1800 0 0 Clinical note with Lab reports Treatment note
AND ward
PAEDIATRICS
1068 NEONATAL 2A.M2.00021A 2A.M2.00021A : Unexplained severe anemia - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1069 NEONATAL 2A.M2.00021B 2A.M2.00021B : Unexplained severe anemia - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
1070 NEONATAL 2A.M2.00021C 2A.M2.00021C : Unexplained severe anemia - ICU 4500 0 0 Clinical note with Lab reports Treatment note
AND with ventilator
PAEDIATRICS
1071 NEONATAL 2A.M2.00022 2A.M2.00022 : Short stature - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1072 NEONATAL 2A.M2.00022A 2A.M2.00022A : Short stature - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1073 NEONATAL 2A.M2.00022B 2A.M2.00022B : Short stature - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
Page 27
1074 NEONATAL 2A.M2.00022C 2A.M2.00022C : Short stature - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1075 NEONATAL 2A.M2.00023 2A.M2.00023 : Musculoskeletal problems - routine 1800 0 0 Clinical note with Lab reports Treatment note
AND ward
PAEDIATRICS
1076 NEONATAL 2A.M2.00023A 2A.M2.00023A : Musculoskeletal problems - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1077 NEONATAL 2A.M2.00023B 2A.M2.00023B : Musculoskeletal problems - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
1078 NEONATAL 2A.M2.00023C 2A.M2.00023C : Musculoskeletal problems - ICU 4500 0 0 Clinical note with Lab reports Treatment note
AND with ventilator
PAEDIATRICS
1079 NEONATAL 2A.M2.00024 2A.M2.00024 : Developmental and behavioral 1800 0 0 Clinical note with Lab reports Treatment note
AND disorders - routine ward
PAEDIATRICS
1080 NEONATAL 2A.M2.00024A 2A.M2.00024A : Developmental and behavioral 2700 0 0 Clinical note with Lab reports Treatment note
AND disorders - HDU
PAEDIATRICS
1081 NEONATAL 2A.M2.00024B 2A.M2.00024B : Developmental and behavioral 3600 0 0 Clinical note with Lab reports Treatment note
AND disorders - ICU without ventilator
PAEDIATRICS
1082 NEONATAL 2A.M2.00024C 2A.M2.00024C : Developmental and behavioral 4500 0 0 Clinical note with Lab reports Treatment note
AND disorders - ICU with ventilator
PAEDIATRICS
1083 NEONATAL 2A.M2.00028 2A.M2.00028 : Persistent/ Chronic diarrhea - routine 1800 0 0 Clinical note with Lab reports Treatment note
AND ward
PAEDIATRICS
1084 NEONATAL 2A.M2.00028A 2A.M2.00028A : Persistent/ Chronic diarrhea - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1085 NEONATAL 2A.M2.00028B 2A.M2.00028B : Persistent/ Chronic diarrhea - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
1086 NEONATAL 2A.M2.00028C 2A.M2.00028C : Persistent/ Chronic diarrhea - ICU 4500 0 0 Clinical note with Lab reports Treatment note
AND with ventilator
PAEDIATRICS
1087 NEONATAL 2A.M2.00029 2A.M2.00029 : Acute severe malnutrition - routine 1800 0 0 Clinical note with Lab reports Treatment note
AND ward
PAEDIATRICS
1088 NEONATAL 2A.M2.00029A 2A.M2.00029A : Acute severe malnutrition - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1089 NEONATAL 2A.M2.00029B 2A.M2.00029B : Acute severe malnutrition - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
1090 NEONATAL 2A.M2.00029C 2A.M2.00029C : Acute severe malnutrition - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1091 NEONATAL 2A.M2.00031 2A.M2.00031 : Enteric fever - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1092 NEONATAL 2A.M2.00031A 2A.M2.00031A : Enteric fever - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1093 NEONATAL 2A.M2.00031B 2A.M2.00031B : Enteric fever - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1094 NEONATAL 2A.M2.00031C 2A.M2.00031C : Enteric fever - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1095 NEONATAL 2A.M2.00032 2A.M2.00032 : Chikungunya - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1096 NEONATAL 2A.M2.00032A 2A.M2.00032A : Chikungunya - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1097 NEONATAL 2A.M2.00032B 2A.M2.00032B : Chikungunya - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1098 NEONATAL 2A.M2.00032C 2A.M2.00032C : Chikungunya - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1099 NEONATAL 2A.M2.00033 2A.M2.00033 : Acute hepatitis - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1100 NEONATAL 2A.M2.00033A 2A.M2.00033A : Acute hepatitis - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1101 NEONATAL 2A.M2.00033B 2A.M2.00033B : Acute hepatitis - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1102 NEONATAL 2A.M2.00033C 2A.M2.00033C : Acute hepatitis - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1103 NEONATAL 2A.M2.00034 2A.M2.00034 : Kala azar - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1104 NEONATAL 2A.M2.00034A 2A.M2.00034A : Kala azar - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1105 NEONATAL 2A.M2.00034B 2A.M2.00034B : Kala azar - ICU without ventilator 3600 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1106 NEONATAL 2A.M2.00034C 2A.M2.00034C : Kala azar - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1107 NEONATAL 2A.M2.00038 2A.M2.00038 : Haemolytic uremic syndrome - 1800 0 0 Clinical note with Lab reports Treatment note
AND routine ward
PAEDIATRICS
1108 NEONATAL 2A.M2.00038A 2A.M2.00038A : Haemolytic uremic syndrome - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1109 NEONATAL 2A.M2.00038B 2A.M2.00038B : Haemolytic uremic syndrome - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
1110 NEONATAL 2A.M2.00038C 2A.M2.00038C : Haemolytic uremic syndrome - ICU 4500 0 0 Clinical note with Lab reports Treatment note
AND with ventilator
PAEDIATRICS
1111 NEONATAL 2A.M2.00039 2A.M2.00039 : ITP - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1112 NEONATAL 2A.M2.00039A 2A.M2.00039A : ITP - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1113 NEONATAL 2A.M2.00039B 2A.M2.00039B : ITP - ICU without ventilator 3600 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1114 NEONATAL 2A.M2.00039C 2A.M2.00039C : ITP - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
Page 28
1115 NEONATAL 2A.M2.00040 2A.M2.00040 : Juvenile myasthenia - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1116 NEONATAL 2A.M2.00040A 2A.M2.00040A : Juvenile myasthenia - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1117 NEONATAL 2A.M2.00040B 2A.M2.00040B : Juvenile myasthenia - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1118 NEONATAL 2A.M2.00040C 2A.M2.00040C : Juvenile myasthenia - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1119 NEONATAL 2A.M2.00041 2A.M2.00041 : Kawasaki Disease - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1120 NEONATAL 2A.M2.00041A 2A.M2.00041A : Kawasaki Disease - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1121 NEONATAL 2A.M2.00041B 2A.M2.00041B : Kawasaki Disease - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1122 NEONATAL 2A.M2.00041C 2A.M2.00041C : Kawasaki Disease - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1123 NEONATAL 2A.M2.00044 2A.M2.00044 : Immune haemolytic anemia - routine 1800 0 0 Clinical Notes with relevant Treatment Notes
AND ward investigations
PAEDIATRICS
1124 NEONATAL 2A.M2.00044A 2A.M2.00044A : Immune haemolytic anemia - HDU 2700 0 0 Clinical Notes with relevant Treatment Notes
AND investigations
PAEDIATRICS
1125 NEONATAL 2A.M2.00044B 2A.M2.00044B : Immune haemolytic anemia - ICU 3600 0 0 Clinical Notes with relevant Treatment Notes
AND without ventilator investigations
PAEDIATRICS
1126 NEONATAL 2A.M2.00044C 2A.M2.00044C : Immune haemolytic anemia - ICU 4500 0 0 Clinical Notes with relevant Treatment Notes
AND with ventilator investigations
PAEDIATRICS
1127 NEONATAL 2A.M2.00045 2A.M2.00045 : Cyanotic spells - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1128 NEONATAL 2A.M2.00045A 2A.M2.00045A : Cyanotic spells - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1129 NEONATAL 2A.M2.00045B 2A.M2.00045B : Cyanotic spells - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1130 NEONATAL 2A.M2.00045C 2A.M2.00045C : Cyanotic spells - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1131 NEONATAL 2A.M2.00046 2A.M2.00046 : Rheumatic fever - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1132 NEONATAL 2A.M2.00046A 2A.M2.00046A : Rheumatic fever - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1133 NEONATAL 2A.M2.00046B 2A.M2.00046B : Rheumatic fever - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1134 NEONATAL 2A.M2.00046C 2A.M2.00046C : Rheumatic fever - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1135 NEONATAL 2A.M2.00047 2A.M2.00047 : Rheumatoid arthritis - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1136 NEONATAL 2A.M2.00047A 2A.M2.00047A : Rheumatoid arthritis - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1137 NEONATAL 2A.M2.00047B 2A.M2.00047B : Rheumatoid arthritis - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1138 NEONATAL 2A.M2.00047C 2A.M2.00047C : Rheumatoid arthritis - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1139 NEONATAL 2A.M2.00054 2A.M2.00054 : Neuromuscular disorders - routine 1800 0 0 Clinical note with Lab reports Treatment note
AND ward
PAEDIATRICS
1140 NEONATAL 2A.M2.00054A 2A.M2.00054A : Neuromuscular disorders - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1141 NEONATAL 2A.M2.00054B 2A.M2.00054B : Neuromuscular disorders - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
1142 NEONATAL 2A.M2.00054C 2A.M2.00054C : Neuromuscular disorders - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1143 NEONATAL 2A.M2.00063 2A.M2.00063 : Unexplained jaundice - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1144 NEONATAL 2A.M2.00063A 2A.M2.00063A : Unexplained jaundice - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1145 NEONATAL 2A.M2.00063B 2A.M2.00063B : Unexplained jaundice - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1146 NEONATAL 2A.M2.00063C 2A.M2.00063C : Unexplained jaundice - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1147 NEONATAL 2A.M2.00073 2A.M2.00073 : Liver abscess - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1148 NEONATAL 2A.M2.00073A 2A.M2.00073A : Liver abscess - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1149 NEONATAL 2A.M2.00073B 2A.M2.00073B : Liver abscess - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
1150 NEONATAL 2A.M2.00073C 2A.M2.00073C : Liver abscess - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
1151 NEONATAL 2A.M2.00100 2A.M2.00100 : Blood and blood component 1500 0 0 Clinical note with Lab reports Treatment note
AND transfusion for indications like
PAEDIATRICS Thalassemia/Hemoglobinopathies - upto a limit of 2
days
1152 NEONATAL 2A.M2.00101 2A.M2.00101 : High end radiological diagnostic (CT, 5000 0 0 Clinical note CT/MRI report and film
AND MRI, Imaging including nuclear imaging) - can only
PAEDIATRICS be clubbed with medical package.
1153 NEONATAL 2A.M2.00102 2A.M2.00102 : High end histopathology (Biopsies) 5000 0 0 Clinical note HPE and Lab report
AND and advanced serology investigations - can only be
PAEDIATRICS clubbed with medical package.
1154 NEONATAL 2A.S14.00003 2A.S14.00003 : Hernia & Hydrocele 20000 0 0 X-ray abdomen or Ultrasound Scan Photography
AND abdomen
PAEDIATRICS
1155 NEONATAL 2A.S14.00005 2A.S14.00005 : Undescended Testis - Bilateral-Palp + 15000 0 0 Clinical examination Clinical examination
AND Nonpalp
PAEDIATRICS
Page 29
1156 NEONATAL 2A.S14.00006 2A.S14.00006 : Undescended Testis - Bilateral 15000 0 0 USG and Clinical notes OT note
AND Palpable
PAEDIATRICS
1157 NEONATAL 2A.S14.00007 2A.S14.00007 : Undescended Testis - Bilateral 20000 0 0 USG and Clinical notes OT note
AND Non-Palpable
PAEDIATRICS
1158 NEONATAL 2A.S14.00029 2A.S14.00029 : Rectal Polypectomy - Sigmoiescopic 8000 0 0 USG,CT report OT note and HPE report
AND (Ga)
PAEDIATRICS
1159 NEONATAL 2A.M1.00001D 2A.M1.00001D : Acute gastroenteritis with moderate 0 0 0 Relevant Hematological Treatment notes
AND dehydration - routine ward - cross speciality investigations, Clinical notes
PAEDIATRICS
1160 NEONATAL 2A.M1.00001E 2A.M1.00001E : Acute gastroenteritis with moderate 0 0 0 Relevant Hematological Treatment notes
AND dehydration - HDU - cross speciality investigations, Clinical notes
PAEDIATRICS
1161 NEONATAL 2A.M1.00001F 2A.M1.00001F : Acute gastroenteritis with moderate 0 0 0 Relevant Hematological Treatment notes
AND dehydration - iCU with ventilator - cross speciality investigations, Clinical notes
PAEDIATRICS
1162 NEONATAL 2A.M1.00001G 2A.M1.00001G : Acute gastroenteritis with moderate 0 0 0 Relevant Hematological Treatment notes
AND dehydration - ICU without ventilator - cross speciality investigations, Clinical notes
PAEDIATRICS
1163 NEONATAL 2A.M1.00003D 2A.M1.00003D : Dysentery - routine ward - cross 0 0 0 Relevant Hematological Treatment notes
AND speciality investigations, Clinical notes
PAEDIATRICS
1164 NEONATAL 2A.M1.00003E 2A.M1.00003E : Dysentery - HDU - cross speciality 0 0 0 Relevant Hematological Treatment notes
AND investigations, Clinical notes
PAEDIATRICS
1165 NEONATAL 2A.M1.00003F 2A.M1.00003F : Dysentery - ICU with ventilator - 0 0 0 Relevant Hematological Treatment notes
AND cross speciality investigations, Clinical notes
PAEDIATRICS
1166 NEONATAL 2A.M1.00003G 2A.M1.00003G : Dysentery - ICU without ventilator 0 0 0 Relevant Hematological Treatment notes
AND - cross speciality investigations, Clinical notes
PAEDIATRICS
1167 NEONATAL 2A.M1.00005D 2A.M1.00005D : Acute bronchitis - routine ward - 0 0 0 clinical notes clinical notes
AND cross speciality
PAEDIATRICS
1168 NEONATAL 2A.M1.00005E 2A.M1.00005E : Acute bronchitis - HDU - cross 0 0 0 clinical notes clinical notes
AND speciality
PAEDIATRICS
1169 NEONATAL 2A.M1.00005F 2A.M1.00005F : Acute bronchitis - iCU with 0 0 0 clinical notes clinical notes
AND ventilator - cross speciality
PAEDIATRICS
1170 NEONATAL 2A.M1.00005G 2A.M1.00005G : Acute bronchitis - ICU without 0 0 0 clinical notes clinical notes
PAEDIATRICS
1171 NEONATAL 2A.M1.00009D 2A.M1.00009D : Severe anemia - routine ward - 0 0 0 clinical notes, HB% clinical notes, HB%
PAEDIATRICS
1172 NEONATAL 2A.M1.00009E 2A.M1.00009E : Severe anemia - HDU - cross 0 0 0 clinical notes, HB% clinical notes, HB%
AND speciality
PAEDIATRICS
1173 NEONATAL 2A.M1.00009F 2A.M1.00009F : Severe anemia - ICU with ventilator 0 0 0 clinical notes, HB% clinical notes, HB%
AND - cross speciality
PAEDIATRICS
1174 NEONATAL 2A.M1.00009G 2A.M1.00009G : Severe anemia - ICU without 0 0 0 clinical notes, HB% clinical notes, HB%
PAEDIATRICS
1175 NEONATAL 2A.M1.00011D 2A.M1.00011D : Acute febrile illness - routine ward - 0 0 0 clinical notes clinical notes
PAEDIATRICS
1176 NEONATAL 2A.M1.00011E 2A.M1.00011E : Acute febrile illness - HDU - cross 0 0 0 clinical notes clinical notes
AND speciality
PAEDIATRICS
1177 NEONATAL 2A.M1.00011F 2A.M1.00011F : Acute febrile illness - ICU with 0 0 0 clinical notes clinical notes
PAEDIATRICS
1178 NEONATAL 2A.M1.00011G 2A.M1.00011G : Acute febrile illness - ICU without 0 0 0 clinical notes clinical notes
PAEDIATRICS
1179 NEONATAL 2A.M1.00015E 2A.M1.00015E : Dengue fever - HDU - cross 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND speciality report report
PAEDIATRICS
1180 NEONATAL 2A.M1.00015F 2A.M1.00015F : Dengue fever - ICU without 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND ventilator - cross speciality report report
PAEDIATRICS
1181 NEONATAL 2A.M1.00015G 2A.M1.00015G : Dengue fever - routine ward - cross 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND speciality report report
PAEDIATRICS
1182 NEONATAL 2A.M1.00017D 2A.M1.00017D : Leptospirosis - routine ward - cross 0 0 0 clinical notes, Blood examination clinical notes
AND speciality report
PAEDIATRICS
1183 NEONATAL 2A.M1.00017E 2A.M1.00017E : Leptospirosis - HDU - cross 0 0 0 clinical notes, Blood examination clinical notes
AND speciality report
PAEDIATRICS
1184 NEONATAL 2A.M1.00017F 2A.M1.00017F : Leptospirosis - ICU without 0 0 0 clinical notes, Blood examination clinical notes
AND ventilator - cross speciality report
PAEDIATRICS
1185 NEONATAL 2A.M1.00017G 2A.M1.00017G : Leptospirosis - ICU with ventilator - 0 0 0 clinical notes, Blood examination clinical notes
AND cross speciality report
PAEDIATRICS
1186 NEONATAL 2A.M1.00022D 2A.M1.00022D : Acute viral hepatitis - routine ward - 0 0 0 clinical notes, LFT clinical notes, LFT
PAEDIATRICS
1187 NEONATAL 2A.M1.00022E 2A.M1.00022E : Acute viral hepatitis - HDU - cross 0 0 0 clinical notes, LFT clinical notes, LFT
AND speciality
PAEDIATRICS
1188 NEONATAL 2A.M1.00022F 2A.M1.00022F : Acute viral hepatitis - ICU with 0 0 0 clinical notes, LFT clinical notes, LFT
PAEDIATRICS
1189 NEONATAL 2A.M1.00022G 2A.M1.00022G : Acute viral hepatitis - ICU without 0 0 0 clinical notes, LFT clinical notes, LFT
PAEDIATRICS
1190 NEONATAL 2A.M1.00029D 2A.M1.00029D : Vasculitis - routine ward - HDU - 0 0 0 clinical notes clinical notes
PAEDIATRICS
1191 NEONATAL 2A.M1.00029E 2A.M1.00029E : Vasculitis - HDU - cross speciality 0 0 0 clinical notes clinical notes
AND
PAEDIATRICS
1192 NEONATAL 2A.M1.00029F 2A.M1.00029F : Vasculitis - ICU with ventilator - 0 0 0 clinical notes clinical notes
AND HDU - cross speciality
PAEDIATRICS
1193 NEONATAL 2A.M1.00029G 2A.M1.00029G : Vasculitis - ICU without ventilator - 0 0 0 clinical notes clinical notes
PAEDIATRICS
1194 NEONATAL 2A.M1.00031D 2A.M1.00031D : Bacterial/ fungal endocarditis - 0 0 0 clinical notes, X-ray /USG -chest clinical notes
AND routine ward - cross speciality
PAEDIATRICS
1195 NEONATAL 2A.M1.00031E 2A.M1.00031E : Bacterial/ fungal endocarditis - 0 0 0 clinical notes, X-ray /USG -chest clinical notes
PAEDIATRICS
1196 NEONATAL 2A.M1.00031F 2A.M1.00031F : Bacterial/ fungal endocarditis - ICU 0 0 0 clinical notes, X-ray /USG -chest clinical notes
AND with ventilator - cross speciality
PAEDIATRICS
Page 30
1197 NEONATAL 2A.M1.00031G 2A.M1.00031G : Bacterial/ fungal endocarditis - ICU 0 0 0 clinical notes, X-ray /USG -chest clinical notes
AND without ventilator - cross speciality
PAEDIATRICS
1198 NEONATAL 2A.M1.00037D 2A.M1.00037D : Acute and chronic pancreatitis - 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND routine ward - cross speciality report report
PAEDIATRICS
1199 NEONATAL 2A.M1.00037E 2A.M1.00037E : Acute and chronic pancreatitis - ICU 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND without ventilator - cross speciality report report
PAEDIATRICS
1200 NEONATAL 2A.M1.00037F 2A.M1.00037F : Acute and chronic pancreatitis - ICU 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND with ventilator - cross speciality report report
PAEDIATRICS
1201 NEONATAL 2A.M1.00037G 2A.M1.00037G : Acute and chronic pancreatitis - 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND HDU - cross speciality report report
PAEDIATRICS
1202 NEONATAL 2A.M1.00068A 2A.M1.00068A : Blood and blood component 0 0 0 Blood group matching Clinical notes
AND transfusion (admission for a diagnostic procedure
PAEDIATRICS leading to treatment requiring admission, e.g. bone
marrow and bone biopsy, endoscopy, liver biopsy,
aspiration, ascitic tapping etc.) - cross speciality
1203 NEONATAL 2A.M1.00004BG 2A.M1.00004BG : Renal colic - ICU without 0 0 0 clinical notes clinical notes
PAEDIATRICS
1204 NEONATAL 2A.M1.00004D 2A.M1.00004D : Renal colic - routine ward - cross 0 0 0 clinical notes clinical notes
AND speciality
PAEDIATRICS
1205 NEONATAL 2A.M1.00004E 2A.M1.00004E : Renal colic - HDU - cross speciality 0 0 0 clinical notes clinical notes
AND
PAEDIATRICS
1206 NEONATAL 2A.M1.00004F 2A.M1.00004F : Renal colic - ICU with ventilator - 0 0 0 clinical notes clinical notes
PAEDIATRICS
1207 NEONATAL 2A.M1.00013D 2A.M1.00013D : UTI - routine ward - cross speciality 0 0 0 clinical notes, Urine - C/S clinical notes
AND
PAEDIATRICS
1208 NEONATAL 2A.M1.00013E 2A.M1.00013E : UTI - HDU - cross speciality 0 0 0 clinical notes, Urine - C/S clinical notes
AND
PAEDIATRICS
1209 NEONATAL 2A.M1.00013F 2A.M1.00013F : UTI - ICU with ventilator - cross 0 0 0 clinical notes, Urine - C/S clinical notes
AND speciality
PAEDIATRICS
1210 NEONATAL 2A.M1.00013G 2A.M1.00013G : UTI - ICU without ventilator - cross 0 0 0 clinical notes, Urine - C/S clinical notes
AND speciality
PAEDIATRICS
1211 NEONATAL 2A.M1.00027D 2A.M1.00027D : Pericardial/ Pleural tuberculosis - 0 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
AND routine ward - cross speciality X-ray chest
PAEDIATRICS
1212 NEONATAL 2A.M1.00027E 2A.M1.00027E : Pericardial/ Pleural tuberculosis - 0 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
AND HDU - cross speciality X-ray chest
PAEDIATRICS
1213 NEONATAL 2A.M1.00027F 2A.M1.00027F : Pericardial/ Pleural tuberculosis - 0 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
AND ICU without ventilator - cross speciality X-ray chest
PAEDIATRICS
1214 NEONATAL 2A.M1.00027G 2A.M1.00027G : Pericardial/ Pleural tuberculosis - 0 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
AND ICU with ventilator - cross speciality X-ray chest
PAEDIATRICS
1215 NEONATAL 2A.M1.00026D 2A.M1.00026D : Pyrexia of unknown origin - routine 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND ward - cross speciality report report
PAEDIATRICS
1216 NEONATAL 2A.M1.00026E 2A.M1.00026E : Pyrexia of unknown origin - HDU - 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND cross speciality report report
PAEDIATRICS
1217 NEONATAL 2A.M1.00026F 2A.M1.00026F : Pyrexia of unknown origin - ICU 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND with ventilator - cross speciality report report
PAEDIATRICS
1218 NEONATAL 2A.M1.00026G 2A.M1.00026G : Pyrexia of unknown origin - ICU 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND without ventilator - cross speciality report report
PAEDIATRICS
1219 NEONATAL 2A.M1.00028D 2A.M1.00028D : Systematic lupus erythematosus - 1800 0 0 clinical notes clinical notes
AND routine ward - cross speciality
PAEDIATRICS
1220 NEONATAL 2A.M1.00028E 2A.M1.00028E : Systematic lupus erythematosus - 2700 0 0 clinical notes clinical notes
PAEDIATRICS
1221 NEONATAL 2A.M1.00028F 2A.M1.00028F : Systematic lupus erythematosus - 4500 0 0 clinical notes clinical notes
AND ICU with ventilator - cross speciality
PAEDIATRICS
1222 NEONATAL 2A.M1.00028G 2A.M1.00028G : Systematic lupus erythematosus - 3600 0 0 clinical notes clinical notes
AND ICU without ventilator - cross speciality
PAEDIATRICS
1223 NEONATAL 4A.M1.00050L KFD uncomplicated - HDU 2700 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND report report
PAEDIATRICS
1224 NEONATAL 4A.M1.00050M KFD complicated - ICU with ventilator 4500 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND report report
PAEDIATRICS
1225 NEONATAL 4A.M1.00050L1 LAB investigation KFD uncomplicated - HDU 2000 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND report report, details of the lab
PAEDIATRICS investigations and any virology test
reports
1226 NEONATAL 4A.M1.00050M1 LAB investigation KFD complicated - ICU 2000 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND report report, details of the lab
PAEDIATRICS investigations and any virology test
reports
1227 NEONATAL 4A.M1.00050M2 Additional drug charges for KFD complicated - ICU 2000 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND report report and list of additional drugs
PAEDIATRICS used if any along with vouchers
1228 NEONATAL 4A.M1.00050K Suspected KFD - routine ward 1800 0 0 clinical notes, Blood examination clinical notes, Blood examination
AND report report
PAEDIATRICS
1229 NEONATAL 2B.M2.00008 2B.M2.00008 : Poisonings with normal vital signs - 1800 0 0 Clinical note with Lab reports, 1. Clinical notes,
AND routine ward provisional diagnosis 2. Daily bed side rounds notes,
PAEDIATRICS 3. Treatment note
SURGERIES 4. LAB investigations, 5.Discharge
1230 NEONATAL 2B.M2.00008A 2B.M2.00008A : Poisonings with normal vital signs - 2700 0 0 Clinical note with Lab reports, 1. Clinical notes,
AND HDU provisional diagnosis 2. Daily bed side rounds notes,
1231 NEONATAL 2B.M2.00008B 2B.M2.00008B : Poisonings with normal vital signs - 3600 0 0 Clinical note with Lab reports, 1. Clinical notes,
AND ICU without ventilator provisional diagnosis 2. Daily bed side rounds notes,
1232 NEONATAL 2B.M2.00008C 2B.M2.00008C : Poisonings with normal vital signs - 4500 0 0 Clinical note with Lab reports, 1. Clinical notes,
AND ICU with ventilator provisional diagnosis 2. Daily bed side rounds notes,
Page 31
1233 NEONATAL 2B.M2.00025 2B.M2.00025 : Diabetic ketoacidosis - routine ward 1800 0 0 Clinical Notes with relevant 1. Clinical notes,
AND investigations, provisional diagnosis 2. Daily bed side rounds notes,
1234 NEONATAL 2B.M2.00025A 2B.M2.00025A : Diabetic ketoacidosis - HDU 2700 0 0 Clinical Notes with relevant 1. Clinical notes,
1235 NEONATAL 2B.M2.00025B 2B.M2.00025B : Diabetic ketoacidosis - ICU without 3600 0 0 Clinical Notes with relevant 1. Clinical notes,
AND ventilator investigations, provisional diagnosis 2. Daily bed side rounds notes,
1236 NEONATAL 2B.M2.00025C 2B.M2.00025C : Diabetic ketoacidosis - ICU with 4500 0 0 Clinical Notes with relevant 1. Clinical notes,
1237 NEONATAL 2B.M2.00026 2B.M2.00026 : Nephrotic syndrome with peritonitis - 1800 0 0 Complete blood count (CBC), Renal 1. Clinical notes,
AND routine ward function test (RFT), provisional 2. Daily bed side rounds notes,
PAEDIATRICS diagnosis 3. Complete blood
SURGERIES count (CBC), 4.Renal
function test (RFT)
5.Discharge summary 6.Final bill
1238 NEONATAL 2B.M2.00026A 2B.M2.00026A : Nephrotic syndrome with peritonitis 2700 0 0 Complete blood count (CBC), Renal 1. Clinical notes,
AND - HDU function test (RFT), provisional 2. Daily bed side rounds notes,
function test (RFT)
1239 NEONATAL 2B.M2.00026B 2B.M2.00026B : Nephrotic syndrome with peritonitis 3600 0 0 Complete blood count (CBC), Renal 1. Clinical notes,
AND - ICU without ventilator function test (RFT), provisional 2. Daily bed side rounds notes,
function test (RFT)
1240 NEONATAL 2B.M2.00026C 2B.M2.00026C : Nephrotic syndrome with peritonitis 4500 0 0 Complete blood count (CBC), Renal 1. Clinical notes,
AND - ICU with ventilator function test (RFT), provisional 2. Daily bed side rounds notes,
function test (RFT)
1241 NEONATAL 2B.M2.00037 2B.M2.00037 : Infantile cholestasis - routine ward 1800 0 0 Clinical Notes with relevant 1. Clinical notes,
1242 NEONATAL 2B.M2.00037A 2B.M2.00037A : Infantile cholestasis - HDU 2700 0 0 Clinical Notes with relevant 1. Clinical notes,
1243 NEONATAL 2B.M2.00037B 2B.M2.00037B : Infantile cholestasis - ICU without 3600 0 0 Clinical Notes with relevant 1. Clinical notes,
1244 NEONATAL 2B.M2.00037C 2B.M2.00037C : Infantile cholestasis - ICU with 4500 0 0 Clinical Notes with relevant 1. Clinical notes,
1245 NEONATAL 2B.M2.00043 2B.M2.00043 : Empyema - routine ward 1800 0 0 Clinical note with Lab reports, 1. Clinical notes,
AND provisional diagnosis 2. Daily bed side rounds notes,
1246 NEONATAL 2B.M2.00043A 2B.M2.00043A : Empyema - HDU 2700 0 0 Clinical note with Lab reports, 1. Clinical notes,
1247 NEONATAL 2B.M2.00043B 2B.M2.00043B : Empyema - ICU without ventilator 3600 0 0 Clinical note with Lab reports, 1. Clinical notes,
1248 NEONATAL 2B.M2.00043C 2B.M2.00043C : Empyema - ICU with ventilator 4500 0 0 Clinical note with Lab reports, 1. Clinical notes,
1249 NEONATAL 2B.M2.00050 2B.M2.00050 : Intracranial ring enhancing lesion with 1800 0 0 Clinical Notes with relevant 1. Clinical notes,
AND complication (neurocysticercosis, tuberculoma) - investigations, provisional diagnosis 2. Daily bed side rounds notes,
PAEDIATRICS routine ward 3. Treatment note
1250 NEONATAL 2B.M2.00050A 2B.M2.00050A : Intracranial ring enhancing lesion 2700 0 0 Clinical Notes with relevant 1. Clinical notes,
AND with complication (neurocysticercosis, tuberculoma) - investigations, provisional diagnosis 2. Daily bed side rounds notes,
PAEDIATRICS HDU 3. Treatment note
1251 NEONATAL 2B.M2.00050B 2B.M2.00050B : Intracranial ring enhancing lesion 3600 0 0 Clinical Notes with relevant 1. Clinical notes,
PAEDIATRICS ICU without ventilator 3. Treatment note
1252 NEONATAL 2B.M2.00050C 2B.M2.00050C : Intracranial ring enhancing lesion 4500 0 0 Clinical Notes with relevant 1. Clinical notes,
PAEDIATRICS ICU with ventilator 3. Treatment note
1253 NEONATAL 2B.M2.00076 2B.M2.00076 : Congestive cardiac failure - routine 1800 0 0 Clinical Notes with relevant 1. Clinical notes,
AND ward investigations, provisional diagnosis 2. Daily bed side rounds notes,
1254 NEONATAL 2B.M2.00076A 2B.M2.00076A : Congestive cardiac failure - HDU 2700 0 0 Clinical Notes with relevant 1. Clinical notes,
1255 NEONATAL 2B.M2.00076B 2B.M2.00076B : Congestive cardiac failure - ICU 3600 0 0 Clinical Notes with relevant 1. Clinical notes,
AND without ventilator investigations, provisional diagnosis 2. Daily bed side rounds notes,
1256 NEONATAL 2B.M2.00076C 2B.M2.00076C : Congestive cardiac failure - ICU 4500 0 0 Clinical Notes with relevant 1. Clinical notes,
AND with ventilator investigations, provisional diagnosis 2. Daily bed side rounds notes,
Page 32
1257 NEONATAL 2B.M2.00099 2B.M2.00099 : Blood and blood component 1500 0 0 Clinical note with Lab reports Treatment note and HPE report
AND transfusion up to a limit of 2 days(admission for a
PAEDIATRICS diagnostic procedure leading to treatment requiring
SURGERIES admission, e.g. bone marrow and bone biopsy,
endoscopy, liver biopsy, bronchoscopy, CT/MRI
under GA, broncho-alveolar lavage, lumbar puncture,
muscle biopsy, FNAC, pleural aspiration, ascitic
tapping, neostigmine challenge test etc.)
1258 NEONATAL 2B.M3.00009 2B.M3.00009 : Advanced Surgery for Retinopathy of 15000 0 0 Fundoscopy Report, provisional 1. Clinical notes,
AND Prematurity diagnosis 2. Daily bed side rounds notes,
PAEDIATRICS 3. Fundoscopy
SURGERIES Report
1259 NEONATAL 2B.S14.00009 2B.S14.00009 : Undescended Testis - 15000 0 0 USG,Clinical photo, provisional 1. Clinical notes,
AND Unilateral-Palpable diagnosis 2. Daily bed side rounds notes,
PAEDIATRICS
SURGERIES 3. LAB investigations, 4.
Discharge summary 5. Final
bill
1260 NEONATAL 2B.S14.00019 2B.S14.00019 : Gastrostomy + Esophagoscopy+ 20000 0 0 USG, provisional diagnosis 1. Clinical notes,
AND Threading 2. Daily bed side rounds notes,
PAEDIATRICS
bill 6. Clinical
Photograph
1261 NEONATAL 2B.M1.00048D 2B.M1.00048D : Acute gastroenteritis with severe 1800 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
AND dehydration - routine ward - Cross speciality 2. Daily bed side rounds notes,
PAEDIATRICS
bill
1262 NEONATAL 2B.M1.00048E 2B.M1.00048E : Acute gastroenteritis with severe 2700 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
AND dehydration - HDU - Cross speciality 2. Daily bed side rounds notes,
PAEDIATRICS
bill
1263 NEONATAL 2B.M1.00048F 2B.M1.00048F : Acute gastroenteritis with severe 4500 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
AND dehydration - ICU with ventilator - Cross speciality 2. Daily bed side rounds notes,
PAEDIATRICS
bill
1264 NEONATAL 2B.M1.00048G 2B.M1.00048G : Acute gastroenteritis with severe 3600 0 0 Clinical notes, provisional diagnosis 1. Clinical notes,
AND dehydration - ICU without ventilator - Cross speciality 2. Daily bed side rounds notes,
PAEDIATRICS
bill
1265 NEONATAL 2B.S1.00030A 2B.S1.00030A : Duplication of Intestine - cross 17000 0 0 CT/ USG, provisional diagonsis 1. Scar photo, 2.
AND speciality Clinical notes,
PAEDIATRICS 3. Daily bed side rounds notes,
SURGERIES 4. OT notes
1266 NEONATAL 2B.S1.00176A 2B.S1.00176A : Lap. For intestinal obstruction - cross 15000 0 0 X-Ray abdomen /CT /USG, 1. Scar photo, 2.
AND speciality provisional diagonsis Clinical notes,
8. USG
1267 NEONATAL 2B.S1.00185A 2B.S1.00185A : Laparoscopic Pyloromyotomy - cross 12500 0 0 USG, Clinical Notes, provisional 1. Clinical Photograph 2.
AND speciality diagonsis Clinical notes,
1268 NEONATAL 2B.S1.00188A 2B.S1.00188A : Laparoscopic umbilical hernia repair 12000 0 0 USG, provisional diagnosis 1. Clinical Photograph 2.
AND - cross speciality Clinical notes,
1269 NEONATAL 2B.S1.00189A 2B.S1.00189A : Laparoscopic ventral hernia repair - 20000 0 0 Clinical photograph , USG, Routine 1. Clinical Photograph 2.
AND cross speciality Blood Inv, provisional diagnosis Clinical notes,
1270 NEONATAL 3A.M2.00007 3A.M2.00007 : Acute urticaria/ Anaphylaxis acute 1800 0 0 Clinical note with Lab reports Treatment note
AND asthma - routine ward
PAEDIATRICS
SURGERIES
1271 NEONATAL 3A.M2.00007A 3A.M2.00007A : Acute urticaria/ Anaphylaxis acute 2700 0 0 Clinical note with Lab reports Treatment note
AND asthma - HDU
PAEDIATRICS
SURGERIES
1272 NEONATAL 3A.M2.00007B 3A.M2.00007B : Acute urticaria/ Anaphylaxis acute 3600 0 0 Clinical note with Lab reports Treatment note
AND asthma - ICU without ventilator
PAEDIATRICS
SURGERIES
1273 NEONATAL 3A.M2.00007C 3A.M2.00007C : Acute urticaria/ Anaphylaxis acute 4500 0 0 Clinical note with Lab reports Treatment note
AND asthma - ICU with ventilator
PAEDIATRICS
SURGERIES
1274 NEONATAL 3A.M2.00011 3A.M2.00011 : Optic neuritis - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1275 NEONATAL 3A.M2.00011A 3A.M2.00011A : Optic neuritis - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1276 NEONATAL 3A.M2.00011B 3A.M2.00011B : Optic neuritis - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1277 NEONATAL 3A.M2.00011C 3A.M2.00011C : Optic neuritis - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1278 NEONATAL 3A.M2.00015 3A.M2.00015 : Chronic cough - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1279 NEONATAL 3A.M2.00015A 3A.M2.00015A : Chronic cough - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
Page 33
1280 NEONATAL 3A.M2.00015B 3A.M2.00015B : Chronic cough - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1281 NEONATAL 3A.M2.00015C 3A.M2.00015C : Chronic cough - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1282 NEONATAL 3A.M2.00016 3A.M2.00016 : Wheezing - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1283 NEONATAL 3A.M2.00016A 3A.M2.00016A : Wheezing - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1284 NEONATAL 3A.M2.00016B 3A.M2.00016B : Wheezing - ICU without ventilator 3600 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1285 NEONATAL 3A.M2.00016C 3A.M2.00016C : Wheezing - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1286 NEONATAL 3A.M2.00018 3A.M2.00018 : Global developmental delay/ 1800 0 0 Clinical note with Lab reports Treatment note
AND Intellectual disability of unknown etiology - routine
PAEDIATRICS ward
SURGERIES
1287 NEONATAL 3A.M2.00018A 3A.M2.00018A : Global developmental delay/ 2700 0 0 Clinical note with Lab reports Treatment note
AND Intellectual disability of unknown etiology - HDU
PAEDIATRICS
SURGERIES
1288 NEONATAL 3A.M2.00018B 3A.M2.00018B : Global developmental delay/ 3600 0 0 Clinical note with Lab reports Treatment note
AND Intellectual disability of unknown etiology - ICU
PAEDIATRICS without ventilator
SURGERIES
1289 NEONATAL 3A.M2.00018C 3A.M2.00018C : Global developmental delay/ 4500 0 0 Clinical note with Lab reports Treatment note
AND Intellectual disability of unknown etiology - ICU with
PAEDIATRICS ventilator
SURGERIES
1290 NEONATAL 3A.M2.00036 3A.M2.00036 : HIV with complications - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1291 NEONATAL 3A.M2.00036A 3A.M2.00036A : HIV with complications - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1292 NEONATAL 3A.M2.00036B 3A.M2.00036B : HIV with complications - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1293 NEONATAL 3A.M2.00036C 3A.M2.00036C : HIV with complications - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1294 NEONATAL 3A.M2.00042 3A.M2.00042 : Persistent pneumonia - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1295 NEONATAL 3A.M2.00042A 3A.M2.00042A : Persistent pneumonia - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1296 NEONATAL 3A.M2.00042B 3A.M2.00042B : Persistent pneumonia - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1297 NEONATAL 3A.M2.00042C 3A.M2.00042C : Persistent pneumonia - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1298 NEONATAL 3A.M2.00049 3A.M2.00049 : Chronic meningitis - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1299 NEONATAL 3A.M2.00049A 3A.M2.00049A : Chronic meningitis - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1300 NEONATAL 3A.M2.00049B 3A.M2.00049B : Chronic meningitis - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1301 NEONATAL 3A.M2.00049C 3A.M2.00049C : Chronic meningitis - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1302 NEONATAL 3A.M2.00058 3A.M2.00058 : Metabolic encephalopathy - routine 1800 0 0 Clinical note with Lab reports Treatment note
AND ward
PAEDIATRICS
SURGERIES
1303 NEONATAL 3A.M2.00058A 3A.M2.00058A : Metabolic encephalopathy - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1304 NEONATAL 3A.M2.00058B 3A.M2.00058B : Metabolic encephalopathy - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1305 NEONATAL 3A.M2.00058C 3A.M2.00058C : Metabolic encephalopathy - ICU 4500 0 0 Clinical note with Lab reports Treatment note
AND with ventilator
PAEDIATRICS
SURGERIES
1306 NEONATAL 3A.M2.00061 3A.M2.00061 : Wilson s disease - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1307 NEONATAL 3A.M2.00061A 3A.M2.00061A : Wilson s disease - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1308 NEONATAL 3A.M2.00061B 3A.M2.00061B : Wilson s disease - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1309 NEONATAL 3A.M2.00061C 3A.M2.00061C : Wilson s disease - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1310 NEONATAL 3A.M2.00062 3A.M2.00062 : Celiac disease - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
Page 34
1311 NEONATAL 3A.M2.00062A 3A.M2.00062A : Celiac disease - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1312 NEONATAL 3A.M2.00062B 3A.M2.00062B : Celiac disease - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1313 NEONATAL 3A.M2.00062C 3A.M2.00062C : Celiac disease - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1314 NEONATAL 3A.M2.00064 3A.M2.00064 : Unexplained hepatosplenomegaly - 1800 0 0 Clinical note with Lab reports Treatment note
AND routine ward
PAEDIATRICS
SURGERIES
1315 NEONATAL 3A.M2.00064A 3A.M2.00064A : Unexplained hepatosplenomegaly - 2700 0 0 Clinical note with Lab reports Treatment note
AND HDU
PAEDIATRICS
SURGERIES
1316 NEONATAL 3A.M2.00064B 3A.M2.00064B : Unexplained hepatosplenomegaly - 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1317 NEONATAL 3A.M2.00064C 3A.M2.00064C : Unexplained hepatosplenomegaly - 4500 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1318 NEONATAL 3A.M2.00065 3A.M2.00065 : Severe pneumonia - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1319 NEONATAL 3A.M2.00065A 3A.M2.00065A : Severe pneumonia - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1320 NEONATAL 3A.M2.00065B 3A.M2.00065B : Severe pneumonia - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1321 NEONATAL 3A.M2.00065C 3A.M2.00065C : Severe pneumonia - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1322 NEONATAL 3A.M2.00066 3A.M2.00066 : Severe exacerbation of asthma - 1800 0 0 Clinical note with Lab reports Treatment note
AND routine ward
PAEDIATRICS
SURGERIES
1323 NEONATAL 3A.M2.00066A 3A.M2.00066A : Severe exacerbation of asthma - 2700 0 0 Clinical note with Lab reports Treatment note
AND HDU
PAEDIATRICS
SURGERIES
1324 NEONATAL 3A.M2.00066B 3A.M2.00066B : Severe exacerbation of asthma - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1325 NEONATAL 3A.M2.00066C 3A.M2.00066C : Severe exacerbation of asthma - ICU 4500 0 0 Clinical note with Lab reports Treatment note
AND with ventilator
PAEDIATRICS
SURGERIES
1326 NEONATAL 3A.M2.00070 3A.M2.00070 : Upper GI hemorrhage - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1327 NEONATAL 3A.M2.00070A 3A.M2.00070A : Upper GI hemorrhage - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1328 NEONATAL 3A.M2.00070B 3A.M2.00070B : Upper GI hemorrhage - ICU 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1329 NEONATAL 3A.M2.00070C 3A.M2.00070C : Upper GI hemorrhage - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1330 NEONATAL 3A.M2.00071 3A.M2.00071 : Lower GI hemorrhage - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1331 NEONATAL 3A.M2.00071A 3A.M2.00071A : Lower GI hemorrhage - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1332 NEONATAL 3A.M2.00071B 3A.M2.00071B : Lower GI hemorrhage - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1333 NEONATAL 3A.M2.00071C 3A.M2.00071C : Lower GI hemorrhage - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1334 NEONATAL 3A.M2.00072 3A.M2.00072 : Acute abdomen - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1335 NEONATAL 3A.M2.00072A 3A.M2.00072A : Acute abdomen - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1336 NEONATAL 3A.M2.00072B 3A.M2.00072B : Acute abdomen - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1337 NEONATAL 3A.M2.00072C 3A.M2.00072C : Acute abdomen - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1338 NEONATAL 3A.M2.00077 3A.M2.00077 : Brain abscess - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1339 NEONATAL 3A.M2.00077A 3A.M2.00077A : Brain abscess - HDU 2700 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
1340 NEONATAL 3A.M2.00077B 3A.M2.00077B : Brain abscess - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
AND ventilator
PAEDIATRICS
SURGERIES
1341 NEONATAL 3A.M2.00077C 3A.M2.00077C : Brain abscess - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
AND
PAEDIATRICS
SURGERIES
Page 35
1342 NEONATAL 3A.M2.00083 3A.M2.00083 : Hydrocephalus - routine ward 1800 0 0 Clinical examination Clinical examination
AND
PAEDIATRICS
SURGERIES
1343 NEONATAL 3A.M2.00083A 3A.M2.00083A : Hydrocephalus - HDU 2700 0 0 Clinical examination Clinical examination
AND
PAEDIATRICS
SURGERIES
1344 NEONATAL 3A.M2.00083B 3A.M2.00083B : Hydrocephalus - ICU without 3600 0 0 Clinical examination Clinical examination
AND ventilator
PAEDIATRICS
SURGERIES
1345 NEONATAL 3A.M2.00083C 3A.M2.00083C : Hydrocephalus - ICU with ventilator 4500 0 0 Clinical examination Clinical examination
AND
PAEDIATRICS
SURGERIES
1346 NEONATAL 3A.M2.00084 3A.M2.00084 : Intracranial space occupying lesion - 1800 0 0 Clinical note with Lab reports Treatment note
AND routine ward
PAEDIATRICS
SURGERIES
1347 NEONATAL 3A.M2.00084A 3A.M2.00084A : Intracranial space occupying lesion - 2700 0 0 Clinical note with Lab reports Treatment note
AND HDU
PAEDIATRICS
SURGERIES
1348 NEONATAL 3A.M2.00084B 3A.M2.00084B : Intracranial space occupying lesion - 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1349 NEONATAL 3A.M2.00084C 3A.M2.00084C : Intracranial space occupying lesion - 4500 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1350 NEONATAL 3A.M2.00087 3A.M2.00087 : Cerebral sino-venous thrombosis - 1800 0 0 Clinical note with Lab reports Treatment note
AND routine ward
PAEDIATRICS
SURGERIES
1351 NEONATAL 3A.M2.00087A 3A.M2.00087A : Cerebral sino-venous thrombosis - 2700 0 0 Clinical note with Lab reports Treatment note
AND HDU
PAEDIATRICS
SURGERIES
1352 NEONATAL 3A.M2.00087B 3A.M2.00087B : Cerebral sino-venous thrombosis - 3600 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1353 NEONATAL 3A.M2.00087C 3A.M2.00087C : Cerebral sino-venous thrombosis - 4500 0 0 Clinical note with Lab reports Treatment note
PAEDIATRICS
SURGERIES
1354 NEONATAL 3A.M3.00002 3A.M3.00002 : Special Neonatal Care Package (Rs. 3000 0 0 Clinical note and lab reports Treament note
AND 3000 per day, maximum of 18000 - pre-auth after 4
PAEDIATRICS days): Babies that required admission to SNCU or
SURGERIES NICU:
Babies admitted for short term care for conditions like:
Mild Respiratory Distress/tachypnea

Mild 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
1355 NEONATAL 3A.M3.00003 3A.M3.00003 : Intensive Neonatal Care Package (Rs. 5000 0 0 Clinical note and lab reports Treament note
AND 5000 per day, maximum of Rs. 50,000 pre-auth is
PAEDIATRICS needed after 5 days)
SURGERIES Babies with birthweight 1500-1799 g
or
Babies of any birthweight and at least one of the
following conditions:
Need for mechanical ventilation for less than 24

hours or non-invasive 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 requiring work up and

in-hospital management
Congestive heart failure or shock
package rate
Page 36
1356 NEONATAL 3A.M3.00004 3A.M3.00004 : Advanced Neonatal Care Package (Rs. 6000 0 0 Clinical note and lab reports Treament note
AND 6000 per day, maximum of Rs. 75,000 pre-auth is
PAEDIATRICS needed after 7 days):
SURGERIES Babies with birthweight of 1200-1499 g
or
Babies of any birthweight with at least one of the
Any condition requiring invasive ventilation longer
than 24 hours
Hypoxic Ischemic encephalopathy requiring

Therapeutic Hypothermia
Cardiac rhythm disorders needing intervention (the

cost of cardiac surgery or implant will be covered
under cardiac surgery packages)
Sepsis with complications such as meningitis or bone

and joint infection, DIC or shock
Renal failure requiring dialysis
Inborn errors of metabolism

package rate
1357 NEONATAL 3A.M3.00005 3A.M3.00005 : Critical Care Neonatal Package (Rs. 7000 0 0 Clinical note and lab reports Treament note
AND 7000 per day, maximum of Rs. 1,20,000 pre-auth
PAEDIATRICS after 10 days):
SURGERIES Babies with birthweight of <1200 g
or
Babies of any birthweight with at least one of the
Severe Respiratory Failure requiring High Frequency

Ventilation or inhaled Nitric Oxide (iNO)
Multisystem failure requiring multiple organ support
including mechanical ventilation and multiple
inotropes
Critical congenital heart disease
package rate
1358 NEONATAL 3A.M3.00006 3A.M3.00006 : Chronic Care Package (Rs. 3000 per 3000 0 0 Clinical note and lab reports Treament note
AND day, maximum of Rs. 30,000): If the baby requires
PAEDIATRICS stay beyond the upper limit of usual stay in Package
SURGERIES no 0004 or 0005 for conditions like severe BPD
requiring respiratory support, severe NEC requiring
prolonged TPN support
1359 NEONATAL 3A.M3.00007 3A.M3.00007 : High Risk Newborn Post Discharge 2400 0 0 Clinical note and lab reports Treament note
AND Care Package (Protocol Driven)
PAEDIATRICS
SURGERIES
1360 NEONATAL 3A.M3.00008 3A.M3.00008 : Laser Therapy for Retinopathy of 1500 0 0 Clinical note and lab reports Treament note
AND Prematurity (Irrespective of no. of eyes affected) - per
PAEDIATRICS session
SURGERIES
1361 NEONATAL 3A.M4.00009 3A.M4.00009 : Hodgkin Lymphoma (Favorable 70000 0 0 Lymphnode Biopsy, HPE, CT USG abdomen pelvis,Chest x-ray
AND group) (chemotherapy including diagnostics): thorax
PAEDIATRICS induction
SURGERIES
1362 NEONATAL 3A.M4.00012 3A.M4.00012 : Hodgkin Lymphoma (unfavorable 1,10,000 0 0 Lymphnode Biopsy, HPE, CT USG abdomen pelvis,Chest x-ray
AND group): chemotherapy including diagnostics thorax
PAEDIATRICS
SURGERIES
1363 NEONATAL 3A.M4.00019 3A.M4.00019 : Retinoblastoma (Intraocular): surgery 100000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
AND Aspitation/ Flow cytometry drug batch number with bar code
PAEDIATRICS
SURGERIES
1364 NEONATAL 3A.M4.00026 3A.M4.00026 : Brain tumors: surgery 55000 0 0 MRI Report Clinical Photographs showing the
AND scar + HPE report
PAEDIATRICS
SURGERIES
1365 NEONATAL 3A.M4.00030 3A.M4.00030 : Wilms tumors: surgery 5000 0 0 CT report with film, biopsy/FNAC Clinical Photograph, chemotherapy
AND drug batch number with bar code
PAEDIATRICS
SURGERIES
1366 NEONATAL 3A.S14.00001 3A.S14.00001 : Ankyloglossia Major 15000 0 0 Clinical Photography Post-op photo
AND
PAEDIATRICS
SURGERIES
1367 NEONATAL 3A.S14.00002 3A.S14.00002 : Ankyloglossia Minor 5000 0 0 Clinical Photography Post op photo
AND
PAEDIATRICS
SURGERIES
1368 NEONATAL 3A.S14.00004 3A.S14.00004 : Sacrococcygeal Teratoma 20000 0 0 Clinical examination Clinical examination
AND
PAEDIATRICS
SURGERIES
1369 NEONATAL 3A.S14.00008 3A.S14.00008 : Undescended Testis - Reexploration/ 25000 0 0 USG/OT notes of previous surgery Scar photo
AND Second Stage
PAEDIATRICS
SURGERIES
1370 NEONATAL 3A.S14.00010 3A.S14.00010 : Ano Rectal Malformation - 60000 0 0 Colostogram pic for males, Photo of Clinical Photograph showing scar
AND Abd-Perineal PSARP perineum region for females
PAEDIATRICS
SURGERIES
1371 NEONATAL 3A.S14.00011 3A.S14.00011 : Ano Rectal Malformation Anoplasty 20000 0 0 Clinical Note OT note
AND
PAEDIATRICS
SURGERIES
1372 NEONATAL 3A.S14.00012 3A.S14.00012 : Ano Rectal Malformation Cutback 30000 0 0 Photo of the perineum region Scar photo
AND
PAEDIATRICS
SURGERIES
1373 NEONATAL 3A.S14.00013 3A.S14.00013 : Ano Rectal Malformation - PSARP 20000 0 0 Clinical Note OT note
AND
PAEDIATRICS
SURGERIES
Page 37
1374 NEONATAL 3A.S14.00014 3A.S14.00014 : Ano Rectal Malformation - Redo 15000 0 0 CT, USG report and Films OT note
AND Pullthrough
PAEDIATRICS
SURGERIES
1375 NEONATAL 3A.S14.00015 3A.S14.00015 : Ano Rectal Malformation - 15000 0 0 CT, USG report and Films OT note
AND Transposition
PAEDIATRICS
SURGERIES
1376 NEONATAL 3A.S14.00016 3A.S14.00016 : Anti GERD Surgery 10000 0 0 USG and Clinical notes OT Note
AND
PAEDIATRICS
SURGERIES
1377 NEONATAL 3A.S14.00017 3A.S14.00017 : Duplication Cyst Excision 20000 0 0 USG and Clinical notes OT Note
AND
PAEDIATRICS
SURGERIES
1378 NEONATAL 3A.S14.00018 3A.S14.00018 : Fecal Fistula Closure 25000 0 0 USG and Clinical notes OT Note
AND
PAEDIATRICS
SURGERIES
1379 NEONATAL 3A.S14.00020 3A.S14.00020 : GI Tumor Excision 30000 0 0 CT, USG report and Films OT note
AND
PAEDIATRICS
SURGERIES
1380 NEONATAL 3A.S14.00021 3A.S14.00021 : Hirschsprung s Disease - Myectomy 40000 0 0 Rectal biopsy/ X-Ray/Contast Clinical photo showing scar +
AND Enema Biopsy Report.
PAEDIATRICS
SURGERIES
1381 NEONATAL 3A.S14.00022 3A.S14.00022 : Hirschsprung s Disease - Pull 20000 0 0 Rectal biopsy/ X-Ray/Contast Clinical photo showing scar +
AND Through Enema Biopsy Report.
PAEDIATRICS
SURGERIES
1382 NEONATAL 3A.S14.00023 3A.S14.00023 : Hirschsprung s Disease - Retal 10000 0 0 Contrast Enema / Biopsy Clinical Photograph showing scar
AND Biopsy-Punch
PAEDIATRICS
SURGERIES
1383 NEONATAL 3A.S14.00024 3A.S14.00024 : Hirschsprung s Disease - Retal Biopsy 10000 0 0 Rectal biopsy/ X-Ray/Contast Clinical photo showing scar +
AND Open Enema Biopsy Report.
PAEDIATRICS
SURGERIES
1384 NEONATAL 3A.S14.00025 3A.S14.00025 : Hirschsprung s Disease - 60000 0 0 Contrast Enema / Biopsy Clinical Photograph showing scar
AND Sphinecterotomy
PAEDIATRICS
SURGERIES
1385 NEONATAL 3A.S14.00026 3A.S14.00026 : Intussusception - Non Operative 18000 0 0 USG/Xray Post op USG, Post op X Ray
AND Reduction in infants
PAEDIATRICS
SURGERIES
1386 NEONATAL 3A.S14.00028 3A.S14.00028 : Ladds Procedure 30000 0 0 X-ray abdomen or Ultrasound Scan Photography
AND abdomen
PAEDIATRICS
SURGERIES
1387 NEONATAL 3A.S14.00030 3A.S14.00030 : Retro-Peritoneal Lymphangioma 25000 0 0 CT, USG report and Films OT note and HPE report
AND Excision
PAEDIATRICS
SURGERIES
1388 NEONATAL 3A.S14.00031 3A.S14.00031 : Congenital Diaphragmatic Hernia 110000 0 0 X-Ray Clinical Photograph showing
AND scar+Post op X ray
PAEDIATRICS
SURGERIES
1389 NEONATAL 3A.S14.00032 3A.S14.00032 : Congenital Lobar Emphysema 25000 0 0 Clinical Notes with relevant Treatment Notes
AND investigations
PAEDIATRICS
SURGERIES
1390 NEONATAL 3A.S14.00033 3A.S14.00033 : Exomphalos/gastroschisis 25000 0 0 CT, USG report and Films OT note
AND
PAEDIATRICS
SURGERIES
1391 NEONATAL 3A.S14.00034 3A.S14.00034 : Cleft Lip and Palate Surgery (per 15000 0 0 Clinical Photograph Clincal Photograph
AND stage)
PAEDIATRICS
SURGERIES
1392 NEONATAL 3A.S14.17111 3A.S14.17111 : Splenectomy - Child 45000 0 0 CT/ MRI CT/ MRI
AND
PAEDIATRICS
SURGERIES
1393 NEONATAL 3A.S14.17112 3A.S14.17112 : Biliary Atresia 65000 0 0 CT Abdomen Clinical Photograph showing scar
AND
PAEDIATRICS
SURGERIES
1394 NEONATAL 3A.S14.17113 3A.S14.17113 : Oesophageal Atresia 110000 0 0 X-Ray Clinical Photograph showing scar
AND
PAEDIATRICS
SURGERIES
1395 NEONATAL 3A.S14.17114 3A.S14.17114 : Unilateral Inguinal Hernia- Age less 15000 0 0 Clinical photograph, USG HPR, Clinical photograph
AND than 1 year
PAEDIATRICS
SURGERIES
1396 NEONATAL 3A.S14.17115 3A.S14.17115 : Urinary Diversion - Temporary 25000 0 0 MCU, USG Clinical Photograph showing scar
AND
PAEDIATRICS
SURGERIES
1397 NEONATAL 3A.S14.17116 3A.S14.17116 : Urinary Diversion - Undiversion 35000 0 0 MCU, USG Clinical Photograph showing scar
AND
PAEDIATRICS
SURGERIES
1398 NEONATAL 3A.S14.17117 3A.S14.17117 : Insertion of Chemo port 20000 0 0 Lab reports confirming cancer Clinical Photograph showing
AND chemo Port
PAEDIATRICS
SURGERIES
1399 NEONATAL 3A.S14.17118 3A.S14.17118 : Congenital Hydronephrosis 50000 0 0 USG, Renal Isotope Scan Clinical Photograph showing scar
AND Open/Lap*
PAEDIATRICS
SURGERIES
1400 NEONATAL 3A.S14.17119 3A.S14.17119 : Anorectal Malformations Stage 3 45000 0 0 Clinical Photograph Clinical Photograph showing scar
AND
PAEDIATRICS
SURGERIES
1401 NEONATAL 3A.S14.17120 3A.S14.17120 : Pyloromyotomy 35000 0 0 USG/Contrast X ray Clinical Photograph showing scar
AND
PAEDIATRICS
SURGERIES
1402 NEONATAL 3A.S14.17121 3A.S14.17121 : Bladder Augumentation 80000 0 0 MCU/USG Clinical photo
AND
PAEDIATRICS
SURGERIES
1403 NEONATAL 3A.S14.17122 3A.S14.17122 : Hypospadias Definitive Repair - 60000 0 0 Clinical photo showing the meatal Nil
AND proximal penile opening
PAEDIATRICS
SURGERIES
1404 NEONATAL 3A.S14.17123 3A.S14.17123 : Hypospadias Re-Do 40000 0 0 Clinical photo showing the meatal Nil
AND opening
PAEDIATRICS
SURGERIES
Page 38
1405 NEONATAL 3A.S14.17124 3A.S14.17124 : Fistula Closure Hypospadiacs 20000 0 0 Clinical Photograph Nil
AND
PAEDIATRICS
SURGERIES
1406 NEONATAL 3A.S14.17125 3A.S14.17125 : Faciomaxillary surgery 35000 0 0 X-RAY/CT scan Clinical Photograph showing scar +
AND post op. XRAY
PAEDIATRICS
SURGERIES
1407 NEONATAL 3A.S14.17132 3A.S14.17132 : Surgery for chronic pancreatitis 70000 0 0 CT/MRI Clinical Photograph showing scar
AND
PAEDIATRICS
SURGERIES
1408 NEONATAL 3A.S14.17133 3A.S14.17133 : Omphalocele-Minor 40000 0 0 Clinical Photograph Clinical Photograph showing scar
AND
PAEDIATRICS
SURGERIES
1409 NEONATAL 3A.S14.17134 3A.S14.17134 : Bilateral Inguinal Hernia for age < 1 22500 0 0 Clinical Photograph Clinical Photograph showing scar
AND year
PAEDIATRICS
SURGERIES
1410 NEONATAL 3A.S14.17135 3A.S14.17135 : Meconium Aspiration syndrome 50900 0 0 Clinical notes confirming digonosis clinical notes in relevant reports
AND
PAEDIATRICS
SURGERIES
1411 NEONATAL 3A.S14.17136 3A.S14.17136 : Meningo Encephalocele * 40000 0 0 MRI Report Post Op CT Report and film,
AND Clinical Photograph showing Scar
PAEDIATRICS
SURGERIES
1412 NEONATAL 3A.S14.17138 3A.S14.17138 : Unsescended Non palpable testis 20000 0 0 USG abdomen Scar photo
AND stage 1
PAEDIATRICS
SURGERIES
1413 NEONATAL 3A.S14.17139 3A.S14.17139 : Stent Removal 5000 0 0 X Ray Post op X Ray
AND
PAEDIATRICS
SURGERIES
1414 NEONATAL 3A.S14.17141 3A.S14.17141 : Septicemia not requiring ventilation 49200 0 0 Clinical notes confirming digonosis clinical notes in relevant reports
AND
PAEDIATRICS
SURGERIES
1415 NEONATAL 3A.S14.17142 3A.S14.17142 : Hypospadias Definitive Repair - mid 50000 0 0 Clinical photo showing the meatal Nil
AND penile opening
PAEDIATRICS
SURGERIES
1416 NEONATAL 3A.S14.17143 3A.S14.17143 : Hypospadias Definitive Repair - distal 40000 0 0 Clinical photo showing the meatal Nil
AND penile opening
PAEDIATRICS
SURGERIES
1417 NEONATAL 3A.S14.17144 3A.S14.17144 : VLBW not requiring ventilation 119900 0 0 Clinical notes confirming digonosis clinical notes in relevant reports
AND
PAEDIATRICS
SURGERIES
1418 NEONATAL 3A.S14.17145 3A.S14.17145 : Respiratory distress syndrome 75550 0 0 Clinical notes confirming digonosis clinical notes in relevant reports
AND
PAEDIATRICS
SURGERIES
1419 NEONATAL 3A.S14.17146 3A.S14.17146 : Hypospadias First Stage 30000 0 0 Clinical photo showing the meatal Nil
AND opening
PAEDIATRICS
SURGERIES
1420 NEONATAL 3A.S14.17147 3A.S14.17147 : Asphyxia with convulsions 73400 0 0 Clinical notes confirming digonosis clinical notes in relevant reports
AND
PAEDIATRICS
SURGERIES
1421 NEONATAL 3A.S14.17148 3A.S14.17148 : Meningomyelocele * 40000 0 0 CT report Post Op CT Report and film, scar
AND photo
PAEDIATRICS
SURGERIES
1422 NEONATAL 3A.S14.17149 3A.S14.17149 : Laparotomy and excision of cyst (For 30000 0 0 USG/CT Scar Photo, HPE Report
AND Paediatric benign abdominal cyst)
PAEDIATRICS
SURGERIES
1423 NEONATAL 3A.S7.00045A 3A.S7.00045A : Ureteric reimplantation-bilateral-open 70000 0 0 MCU, USG Clinical Photograph showing scar
AND - cross speciality
PAEDIATRICS
SURGERIES
1424 NEONATAL 3A.S7.00046A 3A.S7.00046A : Ureteric 45000 0 0 MCU, USG Clinical Photograph showing scar
AND reimplantation-unilateral-Laparoscopic - cross
PAEDIATRICS speciality
SURGERIES
1425 NEONATAL 3A.S7.00069A 3A.S7.00069A : Extrophy Bladder repair including 70000 0 0 MCU Clinical Photograph
AND osteotomy if needed + epispadias repair + ureteric
PAEDIATRICS reimplant - cross speciality
SURGERIES
1426 NEONATAL 3A.S8.00025A 3A.S8.00025A : Shunt (peritoneal, ventriculo-atrial/ 20000 0 0 CT report Clinical Photographs
AND peritoneal, theco peritoneal) - cross speciality
PAEDIATRICS
SURGERIES
1427 NEONATAL 3A.S8.17048A 3A.S8.17048A : Fetal Surgery for 75000 0 0 Ultrasound abdomen Ultrasound + scar photograph
AND Myelomeningocoele - cross speciality
PAEDIATRICS
SURGERIES
1428 NEONATAL 3A.S1.00078B 3A.S1.00078B : Hiatus Hernia abdominal - cross 40000 0 0 USG, UGI ENDOSCOPY Scar photo + Intra op photo
AND speciality
PAEDIATRICS
SURGERIES
1429 NEONATAL 3A.S1.00087A 3A.S1.00087A : Intussusception - cross speciality 15000 0 0 USG/CT , Clinical notes Scar photo
AND
PAEDIATRICS
SURGERIES
1430 NEONATAL 3A.S1.00112B 3A.S1.00112B : Pyeloroplasty - cross speciality 10000 0 0 USG, Clinical Notes Scar photo, HPE
AND
PAEDIATRICS
SURGERIES
1431 NEONATAL 3A.S1.00157B 3A.S1.00157B : Decortication (Pleurectomy) - cross 50000 0 0 CT Chest report Post Op X-ray,scar photo
AND speciality
PAEDIATRICS
SURGERIES
1432 NEONATAL 3A.S1.00219B 3A.S1.00219B : Pneumonectomy - cross speciality 60000 0 0 CT Chest report Post Op X-ray,scar photo
AND
PAEDIATRICS
SURGERIES
1433 NEONATAL 3A.S1.00239B 3A.S1.00239B : Thoracoscopic Sympathectomy - 35000 0 0 CT Chest report 2D ECHO Report + stills of ECHO
AND cross speciality + Post Op X-ray, photo of scar, port
PAEDIATRICS insertion
SURGERIES
1434 NEONATAL 3A.M1.00002D 3A.M1.00002D : Recurrent vomiting with dehydration 1800 0 0 Relevant Hematological Treatment notes
AND - routine ward - cross speciality investigations, Clinical notes
PAEDIATRICS
SURGERIES
1435 NEONATAL 3A.M1.00002E 3A.M1.00002E : Recurrent vomiting with dehydration 2700 0 0 Relevant Hematological Treatment notes
AND - HDU - cross speciality investigations, Clinical notes
PAEDIATRICS
SURGERIES
Page 39
1436 NEONATAL 3A.M1.00002F 3A.M1.00002F : Recurrent vomiting with dehydration 3600 0 0 Relevant Hematological Treatment notes
AND - ICU with ventilator - cross speciality investigations, Clinical notes
PAEDIATRICS
SURGERIES
1437 NEONATAL 3A.M1.00002G 3A.M1.00002G : Recurrent vomiting with dehydration 4500 0 0 Relevant Hematological Treatment notes
AND - ICU without ventilator - cross speciality investigations, Clinical notes
PAEDIATRICS
SURGERIES
1438 NEONATAL 4A.M2.00005 4A.M2.00005 : Acute Exacerbation of asthma - 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND routine ward Admission notes showing vitals and detailed discharge summary, All
PAEDIATRICS examination findings; any investigations reports.
SURGERIES investigations done; planned line of
management
1439 NEONATAL 4A.M2.00005A 4A.M2.00005A : Acute Exacerbation of asthma - 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND HDU Admission notes showing vitals and detailed discharge summary, All
management
1440 NEONATAL 4A.M2.00005B 4A.M2.00005B : Acute Exacerbation of asthma - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND without ventilator Admission notes showing vitals and detailed discharge summary, All
management
1441 NEONATAL 4A.M2.00005C 4A.M2.00005C : Acute Exacerbation of asthma - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND with ventilator Admission notes showing vitals and detailed discharge summary, All
PAEDIATRICS examination findings; any investigations reports and photo of
SURGERIES investigations done; planned line of intubation
management
1442 NEONATAL 4A.M2.00009 4A.M2.00009 : Febrile seizures/other seizures - 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND routine ward Admission notes showing vitals; detailed discharge summary, All
PAEDIATRICS planned line management; 1st investigations reports.
SURGERIES seizure or past history
1443 NEONATAL 4A.M2.00009A 4A.M2.00009A : Febrile seizures/other seizures - 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND HDU Admission notes showing vitals; detailed discharge summary, All
1444 NEONATAL 4A.M2.00009B 4A.M2.00009B : Febrile seizures/other seizures - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND without ventilator Admission notes showing vitals; detailed discharge summary, All
1445 NEONATAL 4A.M2.00009C 4A.M2.00009C : Febrile seizures/other seizures - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND with ventilator Admission notes showing vitals; detailed discharge summary, All
PAEDIATRICS planned line management; 1st investigations reports and photo of
SURGERIES seizure or past history intubation
1446 NEONATAL 4A.M2.00010 4A.M2.00010 : Epileptic encephalopathy - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND ward Admission notes showing vitals; detailed discharge summary, All
PAEDIATRICS planned line management; past h/o investigations reports.
SURGERIES epilpesy
1447 NEONATAL 4A.M2.00010A 4A.M2.00010A : Epileptic encephalopathy - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND Admission notes showing vitals; detailed discharge summary, All
SURGERIES epilpesy
1448 NEONATAL 4A.M2.00010B 4A.M2.00010B : Epileptic encephalopathy - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND without ventilator Admission notes showing vitals; detailed discharge summary, All
SURGERIES epilpesy
1449 NEONATAL 4A.M2.00010C 4A.M2.00010C : Epileptic encephalopathy - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND ventilator Admission notes showing vitals; detailed discharge summary, All
PAEDIATRICS planned line management; past h/o investigations reports and photo of
SURGERIES epilpesy intubation
1450 NEONATAL 4A.M2.00012 4A.M2.00012 : Aseptic meningitis - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND Admission notes showing vitals and detailed discharge summary, All
management
1451 NEONATAL 4A.M2.00012A 4A.M2.00012A : Aseptic meningitis - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1452 NEONATAL 4A.M2.00012B 4A.M2.00012B : Aseptic meningitis - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND ventilator Admission notes showing vitals and detailed discharge summary, All
management
1453 NEONATAL 4A.M2.00012C 4A.M2.00012C : Aseptic meningitis - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1454 NEONATAL 4A.M2.00017 4A.M2.00017 : Unexplained seizures - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1455 NEONATAL 4A.M2.00017A 4A.M2.00017A : Unexplained seizures - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1456 NEONATAL 4A.M2.00017B 4A.M2.00017B : Unexplained seizures - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1457 NEONATAL 4A.M2.00017C 4A.M2.00017C : Unexplained seizures - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1458 NEONATAL 4A.M2.00027 4A.M2.00027 : Pyogenic meningitis - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
PAEDIATRICS examination findings (incl investigations reports.
SURGERIES neurological examination); any
management
1459 NEONATAL 4A.M2.00027A 4A.M2.00027A : Pyogenic meningitis - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1460 NEONATAL 4A.M2.00027B 4A.M2.00027B : Pyogenic meningitis - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1461 NEONATAL 4A.M2.00027C 4A.M2.00027C : Pyogenic meningitis - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
PAEDIATRICS examination findings (incl investigations reports and photo of
SURGERIES neurological examination); any intubation
management
Page 40
1462 NEONATAL 4A.M2.00030 4A.M2.00030 : Dengue - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1463 NEONATAL 4A.M2.00030A 4A.M2.00030A : Dengue - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1464 NEONATAL 4A.M2.00030B 4A.M2.00030B : Dengue - ICU without ventilator 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1465 NEONATAL 4A.M2.00030C 4A.M2.00030C : Dengue - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1466 NEONATAL 4A.M2.00035 4A.M2.00035 : Tuberculosis - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
PAEDIATRICS examination findings; investigations investigations reports.
SURGERIES done
1467 NEONATAL 4A.M2.00035A 4A.M2.00035A : Tuberculosis - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
SURGERIES done
1468 NEONATAL 4A.M2.00035B 4A.M2.00035B : Tuberculosis - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
SURGERIES done
1469 NEONATAL 4A.M2.00035C 4A.M2.00035C : Tuberculosis - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
PAEDIATRICS examination findings; investigations investigations reports and photo of
SURGERIES done intubation
1470 NEONATAL 4A.M2.00048 4A.M2.00048 : Encephalitis - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1471 NEONATAL 4A.M2.00048A 4A.M2.00048A : Encephalitis - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1472 NEONATAL 4A.M2.00048B 4A.M2.00048B : Encephalitis - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1473 NEONATAL 4A.M2.00048C 4A.M2.00048C : Encephalitis - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1474 NEONATAL 4A.M2.00051 4A.M2.00051 : Refractory seizures - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1475 NEONATAL 4A.M2.00051A 4A.M2.00051A : Refractory seizures - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1476 NEONATAL 4A.M2.00051B 4A.M2.00051B : Refractory seizures - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1477 NEONATAL 4A.M2.00051C 4A.M2.00051C : Refractory seizures - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1478 NEONATAL 4A.M2.00052 4A.M2.00052 : Floppy infant - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1479 NEONATAL 4A.M2.00052A 4A.M2.00052A : Floppy infant - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1480 NEONATAL 4A.M2.00052B 4A.M2.00052B : Floppy infant - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1481 NEONATAL 4A.M2.00052C 4A.M2.00052C : Floppy infant - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1482 NEONATAL 4A.M2.00053 4A.M2.00053 : Acute neuroregression - routine ward 1800 0 0 Clinical notes with planned line of Detailed ICPs (daily Treatment
AND treatment (incl birth & past history), details), Procedure / Operative
PAEDIATRICS Investigation Reports supporting Notes (if applicable), Detailed
SURGERIES diagnosis (including CT head), Discharge Summary, All
Planned line of treatment investigations reports.
1483 NEONATAL 4A.M2.00053A 4A.M2.00053A : Acute neuroregression - HDU 2700 0 0 Clinical notes with planned line of Detailed ICPs (daily Treatment
AND treatment (incl birth & past history), details), Procedure / Operative
1484 NEONATAL 4A.M2.00053B 4A.M2.00053B : Acute neuroregression - ICU without 3600 0 0 Clinical notes with planned line of Detailed ICPs (daily Treatment
AND ventilator treatment (incl birth & past history), details), Procedure / Operative
1485 NEONATAL 4A.M2.00053C 4A.M2.00053C : Acute neuroregression - ICU with 4500 0 0 Clinical notes with planned line of Detailed ICPs (daily Treatment
AND ventilator treatment (incl birth & past history), details), Procedure / Operative
Planned line of treatment investigations reports and photo of
intubation
Page 41
1486 NEONATAL 4A.M2.00055 4A.M2.00055 : Opsoclonus myoclonus syndrome - 1800 0 0 Detailed clinical notes (incl trigger Detailed ICPs (daily Treatment
AND routine ward for hospitalization and examiantion details), detailed discharge
PAEDIATRICS findings), supporting investigations. summary, All investigations reports.
SURGERIES Admission under neonatologist in
NICU (in major locations) and
under Pediatrician in smaller
locations is a must.
1487 NEONATAL 4A.M2.00055A 4A.M2.00055A : Opsoclonus myoclonus syndrome - 2700 0 0 Detailed clinical notes (incl trigger Detailed ICPs (daily Treatment
AND HDU for hospitalization and examiantion details), detailed discharge
1488 NEONATAL 4A.M2.00055B 4A.M2.00055B : Opsoclonus myoclonus syndrome - 3600 0 0 Detailed clinical notes (incl trigger Detailed ICPs (daily Treatment
AND ICU without ventilator for hospitalization and examiantion details), detailed discharge
1489 NEONATAL 4A.M2.00055C 4A.M2.00055C : Opsoclonus myoclonus syndrome - 4500 0 0 Detailed clinical notes (incl trigger Detailed ICPs (daily Treatment
AND ICU with ventilator for hospitalization and examiantion details), detailed discharge
PAEDIATRICS findings), supporting investigations. summary, All investigations reports
1490 NEONATAL 4A.M2.00056 4A.M2.00056 : Acute ataxia - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1491 NEONATAL 4A.M2.00056A 4A.M2.00056A : Acute ataxia - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1492 NEONATAL 4A.M2.00056B 4A.M2.00056B : Acute ataxia - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1493 NEONATAL 4A.M2.00056C 4A.M2.00056C : Acute ataxia - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1494 NEONATAL 4A.M2.00057 4A.M2.00057 : Steven Johnson syndrome - routine 1800 0 0 Clinical notes detailing history (incl Detailed ICPs, Treatment details,
AND ward drug intake history) and Admission detailed discharge summary, All
PAEDIATRICS notes showing vitals and investigations reports.
SURGERIES examination findings; any
management
1495 NEONATAL 4A.M2.00057A 4A.M2.00057A : Steven Johnson syndrome - HDU 2700 0 0 Clinical notes detailing history (incl Detailed ICPs, Treatment details,
AND drug intake history) and Admission detailed discharge summary, All
management
1496 NEONATAL 4A.M2.00057B 4A.M2.00057B : Steven Johnson syndrome - ICU 3600 0 0 Clinical notes detailing history (incl Detailed ICPs, Treatment details,
AND without ventilator drug intake history) and Admission detailed discharge summary, All
management
1497 NEONATAL 4A.M2.00057C 4A.M2.00057C : Steven Johnson syndrome - ICU 4500 0 0 Clinical notes detailing history (incl Detailed ICPs, Treatment details,
AND with ventilator drug intake history) and Admission detailed discharge summary, All
PAEDIATRICS notes showing vitals and investigations reports and photo of
SURGERIES examination findings; any intubation
management
1498 NEONATAL 4A.M2.00059 4A.M2.00059 : Ketogenic diet initiation in refractory 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND epilepsy - routine ward Admission notes showing vitals and detailed discharge summary, All
management
1499 NEONATAL 4A.M2.00059A 4A.M2.00059A : Ketogenic diet initiation in refractory 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND epilepsy - HDU Admission notes showing vitals and detailed discharge summary, All
management
1500 NEONATAL 4A.M2.00059B 4A.M2.00059B : Ketogenic diet initiation in refractory 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND epilepsy - ICU without ventilator Admission notes showing vitals and detailed discharge summary, All
management
1501 NEONATAL 4A.M2.00059C 4A.M2.00059C : Ketogenic diet initiation in refractory 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND epilepsy - ICU with ventilator Admission notes showing vitals and detailed discharge summary, All
management
1502 NEONATAL 4A.M2.00060 4A.M2.00060 : Inborn errors of metabolism - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND ward Admission notes showing vitals and detailed discharge summary, All
management
1503 NEONATAL 4A.M2.00060A 4A.M2.00060A : Inborn errors of metabolism - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1504 NEONATAL 4A.M2.00060B 4A.M2.00060B : Inborn errors of metabolism - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1505 NEONATAL 4A.M2.00060C 4A.M2.00060C : Inborn errors of metabolism - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1506 NEONATAL 4A.M2.00067 4A.M2.00067 : Acute kidney injury - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
Page 42
1507 NEONATAL 4A.M2.00067A 4A.M2.00067A : Acute kidney injury - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1508 NEONATAL 4A.M2.00067B 4A.M2.00067B : Acute kidney injury - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1509 NEONATAL 4A.M2.00067C 4A.M2.00067C : Acute kidney injury - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1510 NEONATAL 4A.M2.00068 4A.M2.00068 : Poisonings - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
PAEDIATRICS neurological examination findings; investigations reports.
SURGERIES any investigations done; planned
FIR
1511 NEONATAL 4A.M2.00068A 4A.M2.00068A : Poisonings - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
FIR
1512 NEONATAL 4A.M2.00068B 4A.M2.00068B : Poisonings - ICU without ventilator 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
FIR
1513 NEONATAL 4A.M2.00068C 4A.M2.00068C : Poisonings - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
PAEDIATRICS neurological examination findings; investigations reports and photo of
SURGERIES any investigations done; planned intubation
FIR
1514 NEONATAL 4A.M2.00069 4A.M2.00069 : Serious trauma with unstable vitals - 1800 0 0 Clinical notes detailing history / Detailed ICPs, Treatment details,
AND routine ward examination findings describing detailed discharge summary, All
PAEDIATRICS trauma; MLC/ FIR; and Admission investigations reports.
SURGERIES notes showing vitals; planned line
management
1515 NEONATAL 4A.M2.00069A 4A.M2.00069A : Serious trauma with unstable vitals - 2700 0 0 Clinical notes detailing history / Detailed ICPs, Treatment details,
AND HDU examination findings describing detailed discharge summary, All
management
1516 NEONATAL 4A.M2.00069B 4A.M2.00069B : Serious trauma with unstable vitals - 3600 0 0 Clinical notes detailing history / Detailed ICPs, Treatment details,
AND ICU without ventilator examination findings describing detailed discharge summary, All
management
1517 NEONATAL 4A.M2.00069C 4A.M2.00069C : Serious trauma with unstable vitals - 4500 0 0 Clinical notes detailing history / Detailed ICPs, Treatment details,
AND ICU with ventilator examination findings describing detailed discharge summary, All
PAEDIATRICS trauma; MLC/ FIR; and Admission investigations reports and photo of
SURGERIES notes showing vitals; planned line intubation
management
1518 NEONATAL 4A.M2.00074 4A.M2.00074 : Complicated malaria - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1519 NEONATAL 4A.M2.00074A 4A.M2.00074A : Complicated malaria - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1520 NEONATAL 4A.M2.00074B 4A.M2.00074B : Complicated malaria - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1521 NEONATAL 4A.M2.00074C 4A.M2.00074C : Complicated malaria - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1522 NEONATAL 4A.M2.00075 4A.M2.00075 : Severe dengue with shock - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1523 NEONATAL 4A.M2.00075A 4A.M2.00075A : Severe dengue with shock - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1524 NEONATAL 4A.M2.00075B 4A.M2.00075B : Severe dengue with shock - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1525 NEONATAL 4A.M2.00075C 4A.M2.00075C : Severe dengue with shock - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1526 NEONATAL 4A.M2.00078 4A.M2.00078 : Acute encephalitic syndrome - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1527 NEONATAL 4A.M2.00078A 4A.M2.00078A : Acute encephalitic syndrome - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1528 NEONATAL 4A.M2.00078B 4A.M2.00078B : Acute encephalitic syndrome - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1529 NEONATAL 4A.M2.00078C 4A.M2.00078C : Acute encephalitic syndrome - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1530 NEONATAL 4A.M2.00079 4A.M2.00079 : Acute demyelinating myelopathy - 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
Page 43
1531 NEONATAL 4A.M2.00079A 4A.M2.00079A : Acute demyelinating myelopathy, - 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1532 NEONATAL 4A.M2.00079B 4A.M2.00079B : Acute demyelinating myelopathy, - 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND ICU without ventilator Admission notes showing vitals and detailed discharge summary, All
management
1533 NEONATAL 4A.M2.00079C 4A.M2.00079C : Acute demyelinating myelopathy, - 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND ICU with ventilator Admission notes showing vitals and detailed discharge summary, All
management
1534 NEONATAL 4A.M2.00080 4A.M2.00080 : Immune mediated CNS disorders such 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND as autoimmune encephalitis - routine ward Admission notes showing vitals and detailed discharge summary, All
management
1535 NEONATAL 4A.M2.00080A 4A.M2.00080A : Immune mediated CNS disorders 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND such as autoimmune encephalitis - HDU Admission notes showing vitals and detailed discharge summary, All
management
1536 NEONATAL 4A.M2.00080B 4A.M2.00080B : Immune mediated CNS disorders 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND such as autoimmune encephalitis - ICU without Admission notes showing vitals and detailed discharge summary, All
PAEDIATRICS ventilator examination findings; any investigations reports.
management
1537 NEONATAL 4A.M2.00080C 4A.M2.00080C : Immune mediated CNS disorders 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND such as autoimmune encephalitis - ICU with ventilator Admission notes showing vitals and detailed discharge summary, All
management
1538 NEONATAL 4A.M2.00081 4A.M2.00081 : Acute transverse myelitis - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1539 NEONATAL 4A.M2.00081A 4A.M2.00081A : Acute transverse myelitis - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1540 NEONATAL 4A.M2.00081B 4A.M2.00081B : Acute transverse myelitis - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1541 NEONATAL 4A.M2.00081C 4A.M2.00081C : Acute transverse myelitis - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1542 NEONATAL 4A.M2.00082 4A.M2.00082 : Guillain Barre Syndrome - routine 1800 0 0 Clinical notes and Admission notes Clinical notes and Admission notes
AND ward detailed the need for High end detailed the need for High end
PAEDIATRICS histopathology (Biopsies) and histopathology (Biopsies) and
SURGERIES advanced serology investigations advanced serology investigations
1543 NEONATAL 4A.M2.00082A 4A.M2.00082A : Guillain Barre Syndrome - HDU 2700 0 0 Clinical notes and Admission notes Clinical notes and Admission notes
AND detailed the need for High end detailed the need for High end
1544 NEONATAL 4A.M2.00082B 4A.M2.00082B : Guillain Barre Syndrome - ICU 3600 0 0 Clinical notes and Admission notes Clinical notes and Admission notes
AND without ventilator detailed the need for High end detailed the need for High end
1545 NEONATAL 4A.M2.00082C 4A.M2.00082C : Guillain Barre Syndrome - ICU with 4500 0 0 Clinical notes and Admission notes Clinical notes and Admission notes
AND ventilator detailed the need for High end detailed the need for High end
1546 NEONATAL 4A.M2.00085 4A.M2.00085 : Cerebral malaria - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1547 NEONATAL 4A.M2.00085A 4A.M2.00085A : Cerebral malaria - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1548 NEONATAL 4A.M2.00085B 4A.M2.00085B : Cerebral malaria - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1549 NEONATAL 4A.M2.00085C 4A.M2.00085C : Cerebral malaria - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1550 NEONATAL 4A.M2.00086 4A.M2.00086 : Acute ischemic stroke - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1551 NEONATAL 4A.M2.00086A 4A.M2.00086A : Acute ischemic stroke - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1552 NEONATAL 4A.M2.00086B 4A.M2.00086B : Acute ischemic stroke - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1553 NEONATAL 4A.M2.00086C 4A.M2.00086C : Acute ischemic stroke - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1554 NEONATAL 4A.M2.00088 4A.M2.00088 : Respiratory failure due to any causes 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND (pneumonia, asthma, foreign body, poisoning, head Admission notes showing vitals and detailed discharge summary, All
PAEDIATRICS injury etc.) - routine ward examination findings; any investigations reports.
management, Copy of MLC / FIR
(if required)
1555 NEONATAL 4A.M2.00088A 4A.M2.00088A : Respiratory failure due to any causes 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
PAEDIATRICS injury etc.) - HDU examination findings; any investigations reports.
(if required)
Page 44
1556 NEONATAL 4A.M2.00088B 4A.M2.00088B : Respiratory failure due to any causes 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
PAEDIATRICS injury etc.) - ICU without ventilator examination findings; any investigations reports.
(if required)
1557 NEONATAL 4A.M2.00088C 4A.M2.00088C : Respiratory failure due to any causes 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
PAEDIATRICS injury etc.) - ICU with ventilator examination findings; any investigations reports and photo of
(if required)
1558 NEONATAL 4A.M2.00089 4A.M2.00089 : Acute transverse myelitis 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1559 NEONATAL 4A.M2.00090 4A.M2.00090 : Acute encephalitis 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND infectious/immune-mediated - routine ward Admission notes showing vitals and detailed discharge summary, All
management
1560 NEONATAL 4A.M2.00090A 4A.M2.00090A : Acute encephalitis 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND infectious/immune-mediated - HDU Admission notes showing vitals and detailed discharge summary, All
management
1561 NEONATAL 4A.M2.00090B 4A.M2.00090B : Acute encephalitis 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND infectious/immune-mediated - ICU without ventilator Admission notes showing vitals and detailed discharge summary, All
management
1562 NEONATAL 4A.M2.00090C 4A.M2.00090C : Acute encephalitis 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND infectious/immune-mediated - ICU with ventilator Admission notes showing vitals and detailed discharge summary, All
management
1563 NEONATAL 4A.M2.00091 4A.M2.00091 : Convulsive & non convulsive status 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND epilepticus - routine ward Admission notes showing vitals; detailed discharge summary, All
1564 NEONATAL 4A.M2.00091A 4A.M2.00091A : Convulsive & non convulsive status 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND epilepticus - HDU Admission notes showing vitals; detailed discharge summary, All
1565 NEONATAL 4A.M2.00091B 4A.M2.00091B : Convulsive & non convulsive status 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND epilepticus - ICU without ventilator Admission notes showing vitals; detailed discharge summary, All
1566 NEONATAL 4A.M2.00091C 4A.M2.00091C : Convulsive & non convulsive status 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND epilepticus - ICU with ventilator Admission notes showing vitals; detailed discharge summary, All
PAEDIATRICS planned line management; 1st investigations reports and photo of
SURGERIES seizure or past history intubation
1567 NEONATAL 4A.M2.00092 4A.M2.00092 : Cerebral herniation - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1568 NEONATAL 4A.M2.00092A 4A.M2.00092A : Cerebral herniation - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1569 NEONATAL 4A.M2.00092B 4A.M2.00092B : Cerebral herniation - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1570 NEONATAL 4A.M2.00092C 4A.M2.00092C : Cerebral herniation - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1571 NEONATAL 4A.M2.00093 4A.M2.00093 : Intracranial hemorrhage - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1572 NEONATAL 4A.M2.00093A 4A.M2.00093A : Intracranial hemorrhage - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1573 NEONATAL 4A.M2.00093B 4A.M2.00093B : Intracranial hemorrhage - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1574 NEONATAL 4A.M2.00093C 4A.M2.00093C : Intracranial hemorrhage - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1575 NEONATAL 4A.M2.00094 4A.M2.00094 : Hepatic encephalopathy - routine ward 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1576 NEONATAL 4A.M2.00094A 4A.M2.00094A : Hepatic encephalopathy - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1577 NEONATAL 4A.M2.00094B 4A.M2.00094B : Hepatic encephalopathy - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1578 NEONATAL 4A.M2.00094C 4A.M2.00094C : Hepatic encephalopathy - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
Page 45
1579 NEONATAL 4A.M2.00095 4A.M2.00095 : Complicated bacterial meningitis - 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1580 NEONATAL 4A.M2.00095A 4A.M2.00095A : Complicated bacterial meningitis - 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1581 NEONATAL 4A.M2.00095B 4A.M2.00095B : Complicated bacterial meningitis - 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND ICU without ventilator Admission notes showing vitals and detailed discharge summary, All
management
1582 NEONATAL 4A.M2.00095C 4A.M2.00095C : Complicated bacterial meningitis - 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
AND ICU with ventilator Admission notes showing vitals and detailed discharge summary, All
management
1583 NEONATAL 4A.M2.00096 4A.M2.00096 : Raised intracranial pressure - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1584 NEONATAL 4A.M2.00096A 4A.M2.00096A : Raised intracranial pressure - HDU 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1585 NEONATAL 4A.M2.00096B 4A.M2.00096B : Raised intracranial pressure - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1586 NEONATAL 4A.M2.00096C 4A.M2.00096C : Raised intracranial pressure - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1587 NEONATAL 4A.M2.00097 4A.M2.00097 : Hypertensive encephalopathy - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1588 NEONATAL 4A.M2.00097A 4A.M2.00097A : Hypertensive encephalopathy - 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1589 NEONATAL 4A.M2.00097B 4A.M2.00097B : Hypertensive encephalopathy - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1590 NEONATAL 4A.M2.00097C 4A.M2.00097C : Hypertensive encephalopathy - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1591 NEONATAL 4A.M2.00098 4A.M2.00098 : CRRT (per session) 8000 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
1592 NEONATAL 4A.M2.17175 4A.M2.17175 : Medical Management of Acute Renal 1500 0 0 Clinical Notes with relevant Treatment Notes
AND Failure With Dialysis in Paediatric patients investigations
PAEDIATRICS
SURGERIES
1593 NEONATAL 4A.M3.00001 4A.M3.00001 : Basic neonatal care package (Rs. 500 500 0 0 Detailed clinical notes (incl trigger Detailed ICPs (daily Treatment
AND per day, maximum 1500): Babies that can be managed for hospitalization and examiantion details), detailed discharge
PAEDIATRICS by side of mother in postnatal ward without requiring findings), supporting investigations. summary, All investigations reports.
SURGERIES admission in SNCU/NICU: Admission under neonatologist in
Any newborn needing feeding support NICU (in major locations) and
Babies requiring closer monitoring or short-term care under Pediatrician in smaller
for conditions like: locations is a must.
o Birth asphyxia (need for positive pressure
ventilation; no HIE)
o Moderate jaundice requiring phototherapy
o Large for dates (>97 percentile) Babies
o Small for gestational age (less than 3rd centile)
1594 NEONATAL 4A.M3.00010 4A.M3.00010 : Ventriculoperitoneal Shunt Surgery 27000 0 0 CT Report CT Report, Scar Photo, X Ray
AND (VP) or Omaya Reservoir or External Drainage for
PAEDIATRICS Hydrocephalus
SURGERIES
1595 NEONATAL 4A.S14.00027 4A.S14.00027 : Intussusception Operative in infants 30000 0 0 USG OT notes
AND
PAEDIATRICS
SURGERIES
1596 NEONATAL 4A.S14.17126 4A.S14.17126 : Airway Reconstruction for benign 50000 0 0 Endoscopic Picture OT notes
AND conditions
PAEDIATRICS
SURGERIES
1597 NEONATAL 4A.S14.17127 4A.S14.17127 : Anorectal Malformations Stage 1 35000 0 0 USG OT notes
AND
PAEDIATRICS
SURGERIES
1598 NEONATAL 4A.S14.17128 4A.S14.17128 : Paediatric intestinal obstruction 65000 0 0 USG OT notes
AND >1month
PAEDIATRICS
SURGERIES
1599 NEONATAL 4A.S14.17129 4A.S14.17129 : Laparotomy for peritonitis 50000 0 0 USG OT notes, Scar Picture
AND
PAEDIATRICS
SURGERIES
1600 NEONATAL 4A.S14.17130 4A.S14.17130 : Omphalocele-Major/Gastroschisis 70000 0 0 USG OT notes
AND
PAEDIATRICS
SURGERIES
1601 NEONATAL 4A.S14.17131 4A.S14.17131 : Exstropy Bladder Stage 1 80000 0 0 USG OT notes
AND
PAEDIATRICS
SURGERIES
1602 NEONATAL 4A.S14.17137 4A.S14.17137 : Bronchoscospy for foreign body 25000 0 0 X Ray OT Notes/ X Ray
AND removal
PAEDIATRICS
SURGERIES
Page 46
1603 NEONATAL 4A.S14.17140 4A.S14.17140 : Bowel resection and anastomosis 55000 0 0 USG OT notes
AND
PAEDIATRICS
SURGERIES
1604 NEONATAL 4A.S1.00204A 4A.S1.00204A : Congenital Atresia & Stenosis of 110000 0 0 USG/ CT OT Notes, Scar Photo
AND Small Intestine - cross speciality
PAEDIATRICS
SURGERIES
1605 NEUROSURGER 2A.S8.00004 2A.S8.00004 : Carpal Tunnel Release including pre 10000 0 0 MRI clinical photograph
Y and post Op. MRI
1606 NEUROSURGER 2B.S8.00015 2B.S8.00015 : Laminectomy with Fusion and fixation 50000 0 0 CT/MRI report, provisional 1. Scar photo, 2.
Y diagnosis Clinical notes,
4. OT notes
8. X-ray-Lumbar Spine
1607 NEUROSURGER 2B.S8.00018 2B.S8.00018 : Lumbar Disc including pre and post 30000 0 0 Clinical findings, MRI Report, 1. Scar photo, 2.
Y Op. MRI provisional diagnosis Clinical notes,
4. OT notes
1608 NEUROSURGER 2B.S8.00023 2B.S8.00023 : Micro discectomy Lumbar 40000 0 0 Clinical findings, MRI Report, 1. Scar photo, 2.
Y provisional diagnosis Clinical notes,
4. OT notes
1609 NEUROSURGER 2B.S8.00029 2B.S8.00029 : Spine - Decompression & Fusion with 50000 0 0 Clinical findings, MRI Report, 1. Post Op X-Ray Report and film
Y fixation provisional diagnosis 2. Clinical notes,

4. OT notes
1610 NEUROSURGER 2B.S8.00074 2B.S8.00074 : Muscle Biopsy with report 7000 0 0 Reports of relevant investigation, 1. HPE Report 2.
Y provisional diagnosis Clinical notes,
4. OT notes
1611 NEUROSURGER 2B.S1.00005A 2B.S1.00005A : Arteriovenous (AV) Malformation of 15000 0 0 Clinical Photograph, provisional 1. Scar photo, 2.
Y Soft Tissue Tumour - Excision - cross speciality diagnosis Clinical notes,
4. OT notes
1612 NEUROSURGER 3A.S8.00001 3A.S8.00001 : Anterior Encephalocele 50000 0 0 MRI Report Post Op CT Report and film,
Y Clinical Photograph showing Scar
1613 NEUROSURGER 3A.S8.00003 3A.S8.00003 : Burr hole with chronic Sub Dural 20000 0 0 CT Report CT Report, Scar Photo
Y Haematoma (including pre and post Op. CT)
1614 NEUROSURGER 3A.S8.00005 3A.S8.00005 : Cervical Ribs Bilateral 35000 0 0 MRI X Ray film with report, Clinical
Y Photograph
1615 NEUROSURGER 3A.S8.00006 3A.S8.00006 : Cervical Ribs Unilateral 20000 0 0 MRI X Ray film with report, Clinical
Y Photograph
1616 NEUROSURGER 3A.S8.00007 3A.S8.00007 : CranioPlasty - Endogenous graft 30000 0 0 CT report Post Op CT Report and film,
Y Clinical Photograph showing the
scar
1617 NEUROSURGER 3A.S8.00008 3A.S8.00008 : CranioPlasty - Exogenous graft 40000 0 0 CT report Post Op CT Report and film,
Y (inclusive of cost of implant) Clinical Photograph showing the
scar
1618 NEUROSURGER 3A.S8.00009 3A.S8.00009 : Craniostenosis 50000 0 0 CT/MRI Report Post-op CT report and film
Y
1619 NEUROSURGER 3A.S8.00010 3A.S8.00010 : Duroplasty - Endogenous 12500 0 0 CT/MRI CT/MRI, scar Photo
Y
1620 NEUROSURGER 3A.S8.00011 3A.S8.00011 : Duroplasty - Exogenous 12500 0 0 CT/MRI CT/MRI, scar Photo
Y
1621 NEUROSURGER 3A.S8.00013 3A.S8.00013 : Haematoma - Brain (hypertensive) 50000 0 0 CT Report CT Report, Scar Photo, X Ray
Y
1622 NEUROSURGER 3A.S8.00014 3A.S8.00014 : Haematoma (Child subdural) inclusive 50000 0 0 CT Report CT Report, Scar Photo, X Ray
Y of General anaesthesia, pre and post Op. CT
1623 NEUROSURGER 3A.S8.00016 3A.S8.00016 : Laminectomy with Fusion 40000 0 0 Clinical findings, MRI Report photo showing scar
Y
1624 NEUROSURGER 3A.S8.00017 3A.S8.00017 : Local Neurectomy 16000 0 0 Clinical notes Scar photo
Y
1625 NEUROSURGER 3A.S8.00019 3A.S8.00019 : Meningocele Anterior 36000 0 0 CT report Post Op CT Report and film, scar
Y photo
1626 NEUROSURGER 3A.S8.00020 3A.S8.00020 : Meningocele Lumbar 36000 0 0 CT report Post Op CT Report and film, scar
Y photo
1627 NEUROSURGER 3A.S8.00021 3A.S8.00021 : Meningococcal Occipital 50000 0 0 CT /MRI report CT report, Scar photo
Y
1628 NEUROSURGER 3A.S8.00022 3A.S8.00022 : Micro discectomy Cervical 40000 0 0 Clinical findings, MRI Report Post Op X-ray, Clinical Photograph
Y showing scar
1629 NEUROSURGER 3A.S8.00024 3A.S8.00024 : Brachial Plexus Repair 27000 0 0 MRI X-RAY and clinical photograph
Y
1630 NEUROSURGER 3A.S8.00025 3A.S8.00025 : Shunt (peritoneal, ventriculo-atrial/ 20000 0 0 CT report Clinical Photographs
Y peritoneal, theco peritoneal)
1631 NEUROSURGER 3A.S8.00026 3A.S8.00026 : Skull Traction 8000 0 0 CT report Clinical photograph
Y
1632 NEUROSURGER 3A.S8.00027 3A.S8.00027 : Spine - Canal Stenosis 40000 0 0 MRI report & film, Clinical findings Post Op X-Ray Report and film
Y
1633 NEUROSURGER 3A.S8.00028 3A.S8.00028 : Spine - Decompression & Fusion 40000 0 0 Clinical findings, MRI Report Post Op X-Ray Report and film
Y
1634 NEUROSURGER 3A.S8.00030 3A.S8.00030 : Spine - Extradural Tumour 30000 0 0 MRI Report Biopsy report + HPE Report + scar
Y photo
1635 NEUROSURGER 3A.S8.00031 3A.S8.00031 : Spine - Extradural Tumour with 45000 0 0 MRI Report Biopsy report + HPE Report + scar
Y fixation photo
1636 NEUROSURGER 3A.S8.00032 3A.S8.00032 : Spine - Extradural Haematoma 30000 0 0 MRI Report scar photo
Y
1637 NEUROSURGER 3A.S8.00033 3A.S8.00033 : Spine - Extradural Haematoma with 40000 0 0 CT Report CT Report, Scar Photo, X Ray
Y fixation
1638 NEUROSURGER 3A.S8.00034 3A.S8.00034 : Spine - Intradural Tumour 40000 0 0 MRI Report Biopsy report + HPE Report + scar
Y photo
1639 NEUROSURGER 3A.S8.00035 3A.S8.00035 : Spine - Intradural Tumour with fixation 50000 0 0 CT Report CT Report, Scar Photo, X Ray &
Y HPE
1640 NEUROSURGER 3A.S8.00036 3A.S8.00036 : Spine - Intradural Haematoma 40000 0 0 MRI Report scar photo
Y
1641 NEUROSURGER 3A.S8.00037 3A.S8.00037 : Spine - Intradural Haematoma with 50000 0 0 MRI Report scar photo
Y fixation
1642 NEUROSURGER 3A.S8.00038 3A.S8.00038 : Spine - Intramedullar Tumour 40000 0 0 MRI Report Post Op X-ray Report and film +
Y HPE report
1643 NEUROSURGER 3A.S8.00039 3A.S8.00039 : Spine - Intramedullar Tumour - fixation 60000 0 0 MRI Report Biopsy report + HPE Report + scar
Y photo
1644 NEUROSURGER 3A.S8.00040 3A.S8.00040 : Trans Sphenoidal including pre and 40000 0 0 CT/MRI Report HPE report
Y post Op. MRI
1645 NEUROSURGER 3A.S8.00041 3A.S8.00041 : Tumours Supratentorial 50000 0 0 CT report /MRI Clinical features Post Op CT Report and film,
Y Clinical Photographs showing the
scar + HPE report
1646 NEUROSURGER 3A.S8.00042 3A.S8.00042 : Tumours Meninges Gocussa 50000 0 0 CT Histopathological report, CT
Y
1647 NEUROSURGER 3A.S8.00043 3A.S8.00043 : Tumours Meninges Posterior 50000 0 0 CT report /MRI Clinical features Post Op CT Report and film,
Y Clinical Photographs showing the
scar + HPE report
Page 47
1648 NEUROSURGER 3A.S8.00044 3A.S8.00044 : Ventricular Puncture 15000 0 0 CT report Post Op CT Report and film,
Y Clinical Photograph showing Scar
1649 NEUROSURGER 3A.S8.00045 3A.S8.00045 : Brain Biopsy 15000 0 0 CT report HPE, scar photo
Y
1650 NEUROSURGER 3A.S8.00046 3A.S8.00046 : Cranial Nerve Anastomosis 32000 0 0 CT Post Op CT Report and film,
Y
1651 NEUROSURGER 3A.S8.00047 3A.S8.00047 : Depressed Fracture 30000 0 0 CT report Clinical Photographs showing scar,
Y Post CT report and film
1652 NEUROSURGER 3A.S8.00048 3A.S8.00048 : Nerve Biopsy excluding Hensens 10000 0 0 Nerve Conduction Velocity (Nerve Clinical Photograph + HPE report
Y conduction velocity (NCV)) and
1653 NEUROSURGER 3A.S8.00049 3A.S8.00049 : Peripheral Neurectomy (Trigeminal) 16500 0 0 MRI Report CD of Procedure
Y
1654 NEUROSURGER 3A.S8.00050 3A.S8.00050 : R.F. Lesion for Trigeminal Neuralgia 15000 0 0 MRI Report CD of Procedure
Y
1655 NEUROSURGER 3A.S8.00052 3A.S8.00052 : Excision of Brain 80000 0 0 CT report /MRI Clinical features Post Op CT Report and film,
Y TumorSupratentorial-Parasagital Clinical Photographs showing the
scar + HPE report
1656 NEUROSURGER 3A.S8.00053 3A.S8.00053 : Excision of Brain 80000 0 0 CT report Post Op CT Report and film,
Y TumorSupratentorial-Basal Clinical Photographs showing the
scar + HPE report
1657 NEUROSURGER 3A.S8.00054 3A.S8.00054 : Excision of Brain 80000 0 0 CT report Post Op CT Report and film,
Y TumorSupratentorial-Brainstem Clinical Photographs showing the
scar + HPE report
Y TumorSupratentorial-C P Angle Clinical Photographs showing the
scar + HPE report
Y TumorSupratentorial& others Clinical Photographs showing the
scar + HPE report
1660 NEUROSURGER 3A.S8.00057 3A.S8.00057 : Abscess Tapping single 15000 0 0 CT report Post Op CT Report,film and scar
Y photo
1661 NEUROSURGER 3A.S8.00060 3A.S8.00060 : Aneurysm Clipping including 110000 0 0 MRI/CT Angio / DSA report Post Op CT Report and film, scar
Y angiogram photo
1662 NEUROSURGER 3A.S8.00063 3A.S8.00063 : Spinal Fusion Procedure with implant 60000 0 0 Clinical findings, MRI Report Post Op X-Ray Report and film, +
Y Showing scar + XRAY showing the
implants
1663 NEUROSURGER 3A.S8.00064 3A.S8.00064 : Spina Bifida Surgery 40000 0 0 MRI Report Clinical Photographs showing scar
Y
1664 NEUROSURGER 3A.S8.00065 3A.S8.00065 : Stereotactic Lesioning 60000 0 0 Neuro Psychologist report, Clinical Photographs showing scar ,
Y Neurologist report, MRI CT Brain report and film
1665 NEUROSURGER 3A.S8.00066 3A.S8.00066 : Posterior Cervical Discetomy without 30000 0 0 MRI report Clinical Photographs showing scar
Y implant
1666 NEUROSURGER 3A.S8.00067 3A.S8.00067 : Posterior Cervical Fusion with implant 60000 0 0 MRI report Clinical Photographs showing scar
Y (Lateral mass fixation) + X-ray - Cervical spine
1667 NEUROSURGER 3A.S8.00068 3A.S8.00068 : Cervical Disc Multiple level without 35000 0 0 CT/MRI report Clinical Photographs showing scar
Y Fusion + X-ray-Cervical Spine
1668 NEUROSURGER 3A.S8.00069 3A.S8.00069 : Thoracic/Lumbar Corpectomy with 70000 0 0 MRI Report Clinical Photographs showing scar +
Y fusion inclusive of implant X-ray Report and film showing the
implants
1669 NEUROSURGER 3A.S8.00070 3A.S8.00070 : Transoral surgery (Anterior) and CV 80000 0 0 MRI Report + XRAY Post Op X-ray report and film
Y Junction (Posterior Sterlization)
1670 NEUROSURGER 3A.S8.00071 3A.S8.00071 : Trans oral Surgery 40000 0 0 CT report Post Op X-ray Report and film,
Y HPE report
1671 NEUROSURGER 3A.S8.00072 3A.S8.00072 : Foramen Magnum Decompression 45000 0 0 CT/MRI report Clinical Photographs showing scar
Y
1672 NEUROSURGER 3A.S8.00073 3A.S8.00073 : Endoscopic CSF Rhinorrhea Repair 30000 0 0 CT/MRI report Clinical Photographs showing scar
Y
1673 NEUROSURGER 3A.S8.00075 3A.S8.00075 : Nerve Decompression 20000 0 0 Nerve Conductions study Clinical Photographs showing scar
Y
1674 NEUROSURGER 3A.S8.00076 3A.S8.00076 : Peripheral Nerve Surgery Major 45000 0 0 Nerve Conduction Velocity (Nerve Clinical Photographs showing scar
Y conduction velocity (NCV)) and
1675 NEUROSURGER 3A.S8.00077 3A.S8.00077 : Peripheral Nerve Surgery Minor 15000 0 0 Nerve Conduction Velocity (Nerve Clinical Photographs showing scar
Y conduction velocity (NCV) /
1676 NEUROSURGER 3A.S8.00078 3A.S8.00078 : Epilepsy Surgery 50000 0 0 EEG, Neuro Psychologist report, CT + Clinical Photographs showing
Y Neurologist report, CT/MRI scar
1677 NEUROSURGER 3A.S8.00079 3A.S8.00079 : Arterio venous malformation (AVM) 100000 0 0 MRI Angio/DSA report CT report and film,scar photo
Y excision (whatever size and location)
1678 NEUROSURGER 3A.S8.00080 3A.S8.00080 : Scalp Arterio venous malformation 25000 0 0 CT/MRI Report Clinical Photograph showing scar +
Y (AVM) HPE report
1679 NEUROSURGER 3A.S8.00081 3A.S8.00081 : Superficial Temporal Artery (STA): 100000 0 0 MRI Angio/DSA report CT Report and film,scar photo
Y middle cerebral artery (MCA) or (other EC - IC)
Bypass procedure
1680 NEUROSURGER 3A.S8.00082 3A.S8.00082 : Excision of Orbital Tumour 50000 0 0 CT/MRI Report CT, Clinical Photograph showing
Y scar + HPE report, Post-op CT
report and film
1681 NEUROSURGER 3A.S8.00083 3A.S8.00083 : Gamma Knife radiosurgery (GKRS)/ 75000 0 0 CT/MRI Report Clinical Photographs
Y SRS for tumours/ Arteriovenous malformation (AVM)
1682 NEUROSURGER 3A.S8.17048 3A.S8.17048 : Fetal Surgery for Myelomeningocoele 75000 0 0 Ultrasound abdomen Ultrasound + scar photograph
Y
1683 NEUROSURGER 3A.S8.17049 3A.S8.17049 : Excision of Brain Tumor 80000 0 0 CT report Post Op CT Report and film,
Y Infratentorial-C P Angle * Clinical Photographs showing the
scar + HPE report
1684 NEUROSURGER 3A.S8.17050 3A.S8.17050 : Excision of Brain Tumor Supratentorial 50000 0 0 CT report Post Op CT Report and film,
Y & others * Clinical Photographs showing the
scar + HPE report
1685 NEUROSURGER 3A.S8.17051 3A.S8.17051 : Stereotaxic Procedures 25000 0 0 CT/ MRI report Post Op CT Report and film + HPE
Y report
1686 NEUROSURGER 3A.S8.17052 3A.S8.17052 : Endoscopic venticulostomy 30000 0 0 CT report Clinical Photograph showing scar,
Y DT Brain film and report
1687 NEUROSURGER 3A.S8.17053 3A.S8.17053 : Anterior Cervical Discectomy Multiple 60000 0 0 Clinical findings, MRI Report Photo showing the scar + XRAY
Y level with Implants* showing the implants
1688 NEUROSURGER 3A.S8.17054 3A.S8.17054 : Laminectomy-Cervical * 30000 0 0 Clinical findings, MRI Report photo showing scar
Y
1689 NEUROSURGER 3A.S8.17055 3A.S8.17055 : Decompressive craniotomy 40000 0 0 CT report Clinical Photographs showing scar,
Y Post CT report and film
1690 NEUROSURGER 3A.S8.17057 3A.S8.17057 : MVD (Micro Vascular Decompression) 50000 0 0 MRI Report Clinical Photographs
Y
1691 NEUROSURGER 3A.S8.00061 3A.S8.00061 : Additonal clip for Aneurysm Clipping 15000 0 0 MRI/CT Angio / DSA report Post Op CT Report and film, scar
Y photo
1692 NEUROSURGER 3A.S9.00015A 3A.S9.00015A : Vertebroplasty - cross speciality 40000 0 0 Hematological and radiological Hematological and radiological
Y investigations, CT/MRI investigations, CT/MRI
1693 NEUROSURGER 3A.M2.00077D 3A.M2.00077D : Brain abscess - cross speciality - 1800 0 0 Clinical note with Lab reports Treatment note
Y routine ward
1694 NEUROSURGER 3A.M2.00077E 3A.M2.00077E : Brain abscess - cross speciality - 2700 0 0 Clinical note with Lab reports Treatment note
Y HDU
1695 NEUROSURGER 3A.M2.00077F 3A.M2.00077F : Brain abscess - cross speciality - 4500 0 0 Clinical note with Lab reports Treatment note
Y ICU with ventilator
1696 NEUROSURGER 3A.M2.00077G 3A.M2.00077G : Brain abscess - cross speciality - - 3600 0 0 Clinical note with Lab reports Treatment note
Y ICU without ventilator
1697 NEUROSURGER 3A.M2.00083D 3A.M2.00083D : Hydrocephalus - cross speciality - 1800 0 0 CT Report CT Report, Scar Photo, X Ray
Y routine ward
1698 NEUROSURGER 3A.M2.00083E 3A.M2.00083E : Hydrocephalus - cross speciality - 2700 0 0 CT Report CT Report, Scar Photo, X Ray
Y HDU
1699 NEUROSURGER 3A.M2.00083F 3A.M2.00083F : Hydrocephalus - cross speciality - 4500 0 0 CT Report CT Report, Scar Photo, X Ray
Y ICU with ventilator
1700 NEUROSURGER 3A.M2.00083G 3A.M2.00083G : Hydrocephalus - cross speciality - 3600 0 0 CT Report CT Report, Scar Photo, X Ray
Y ICU without ventilator
1701 NEUROSURGER 3A.M2.00084D 3A.M2.00084D : Intracranial space occupying lesion 1800 0 0 Clinical note with Lab reports Treatment note
Y - cross speciality - routine ward
1702 NEUROSURGER 3A.M2.00084E 3A.M2.00084E : Intracranial space occupying lesion - 2700 0 0 Clinical note with Lab reports Treatment note
Y cross speciality - HDU
Page 48
1703 NEUROSURGER 3A.M2.00084F 3A.M2.00084F : Intracranial space occupying lesion - 4500 0 0 Clinical note with Lab reports Treatment note
Y cross speciality - ICU with ventilator
1704 NEUROSURGER 3A.M2.00084G 3A.M2.00084G : Intracranial space occupying lesion 3600 0 0 Clinical note with Lab reports Treatment note
Y - cross speciality - ICU without ventilator
1705 NEUROSURGER 3A.M2.00087D 3A.M2.00087D : Cerebral sino-venous thrombosis - 1800 0 0 Clinical notes, CT - brain Clinical notes, CT - brain
Y cross speciality - routine ward
1706 NEUROSURGER 3A.M2.00087E 3A.M2.00087E : Cerebral sino-venous thrombosis - 2700 0 0 Clinical notes, CT - brain Clinical notes, CT - brain
Y cross speciality - HDU
1707 NEUROSURGER 3A.M2.00087F 3A.M2.00087F : Cerebral sino-venous thrombosis - 4500 0 0 Clinical notes, CT - brain Clinical notes, CT - brain
Y cross speciality - ICU with ventilator
1708 NEUROSURGER 3A.M2.00087G 3A.M2.00087G : Cerebral sino-venous thrombosis - 3600 0 0 Clinical notes, CT - brain Clinical notes, CT - brain
Y cross speciality - ICU without ventilator
1709 NEUROSURGER 3A.M4.00026A 3A.M4.00026A : Brain tumors: surgery - cross 55000 0 0 MRI Report Clinical Photographs showing the
Y speciality scar + HPE report
1710 NEUROSURGER 3A.S1.00230B 3A.S1.00230B : Temporal Bone resection - cross 60000 0 0 CT/MRI, Biopsy Clinical Photograph showing scar +
Y speciality HPE report
1711 NEUROSURGER 3A.S10.00006A 3A.S10.00006A : Scalp avulsion reconstruction - 50000 0 0 CBC,RBS,RFT,S Electrolytes, Clinical photo and OT note
Y cross speciality HIV,HbsAg, CXR, ECG
1712 NEUROSURGER 3A.S14.17136A 3A.S14.17136A : Meningo Encephalocele * - cross 40000 0 0 MRI Report Post Op CT Report and film,
Y speciality Clinical Photograph showing Scar
1713 NEUROSURGER 3A.S14.17148A 3A.S14.17148A : Meningomyelocele * - cross 40000 0 0 CT report Post Op CT Report and film, scar
Y speciality photo
1714 NEUROSURGER 3A.S2.00023A 3A.S2.00023A : Skull base surgery - cross speciality 37000 0 0 CT-Scan / MRI Scan Clinical Photograph
Y
1715 NEUROSURGER 3A.S6.00001B 3A.S6.00001B : Nerve Plexus injuries, Tendon injury 50000 0 0 MRI + Xray Films(if relevant)+ Clinical photo showing Scar
Y repair/reconstruction/ Transfer - cross speciality Clinical Picture(Mandatory) + detail
notes
1716 NEUROSURGER 3A.S6.00002A 3A.S6.00002A : Plexus injury along with Vascular 60000 0 0 MRI + Xray Films(if relevant)+ Clinical photo showing Scar
Y injury repair/ graft - cross speciality Clinical Picture(Mandatory) + detail
notes
1717 NEUROSURGER 3A.S6.00004B 3A.S6.00004B : Head injury requiring 35000 0 0 X-RAY/CT scan(If Required) Post-operative X-ray, Clinical
Y Facio-Maxillary Injury repairs & fixations (including Photograph showing scar
implants) - cross speciality
1718 NEUROSURGER 4A.S8.00002 4A.S8.00002 : Burr hole 18000 0 0 CT Report CT Report, Scar Photo
Y
1719 NEUROSURGER 4A.S8.00012 4A.S8.00012 : Haematoma - Brain (head injuries) 60000 0 0 CT Report , X Ray OT Notes, CT Report, Clinical
Y (including pre and post Op. CT) Photograph
1720 NEUROSURGER 4A.S8.00051 4A.S8.00051 : Twist Drill Craniostomy 15000 0 0 CT report Film and scar photo
Y
1721 NEUROSURGER 4A.S8.00058 4A.S8.00058 : Abscess Tapping multiple 20000 0 0 CT report Post Op CT Report,film and scar
Y photo
1722 NEUROSURGER 4A.S8.00059 4A.S8.00059 : Excision of Brain Abscess 50000 0 0 CT report Post Op CT Report and film,
Y Clinical Photograph showing the
scar
1723 NEUROSURGER 4A.S8.00062 4A.S8.00062 : External Ventricular Drainage (EVD) 15000 0 0 CT report Post Op CT Report and film,
Y including antibiotics Clinical Photograph showing Scar
1724 NEUROSURGER 4A.S8.17056 4A.S8.17056 : Craniotomy and Evacuation of 50000 0 0 CT Report CT Report, Scar Photo, X Ray
Y Haematoma -Extradural *
1725 NEUROSURGER 4A.S6.00006A 4A.S6.00006A : Craniotomy and evacuation of 60000 0 0 CT Report , X Ray OT Notes, CT Report, Clinical
Y Haematoma subdural/Extra dural along with fixation Photograph
of fracture of single long bone - cross speciality
1726 NEUROSURGER 4A.S6.00007A 4A.S6.00007A : Craniotomy and evacuation of 75000 0 0 CT Report , X Ray OT Notes, CT Report, Clinical
Y Haematoma subdural/Extra dural along with fixation Photograph
of fracture of 2 or more long bone. - cross speciality
1727 NEUROSURGER 4A.S6.00012A 4A.S6.00012A : Emergency tendons repair 30000 0 0 X-ray Films/ Clinical Picture Clinical photo showing Scar
Y Peripheral Nerve repair/ reconstructive surgery - cross
speciality
1728 NEUROSURGER 4A.S6.17036A 4A.S6.17036A : Head injury with icu (conservative)) - 7000 0 0 CT Clinical photo with treatment notes
Y cross speciality
1729 NEUROSURGER 4A.S6.17037A 4A.S6.17037A : Head injury with icu stay (with 15000 0 0 CT Clinical photo with treatment notes
Y ventilator)
1730 NEUROSURGER 4A.S6.17038A 4A.S6.17038A : Head injury with minimal surgical 25000 0 0 CT Clinical/scar photo with treatment
Y intervention - cross speciality notes
1731 NEUROSURGER 4A.S15.00021C 4A.S15.00021C : Tracheostomy 5000 0 0 Clinical photo Clinical photo
Y
1732 OBSTETRICS 2A.S4.00001 2A.S4.00001 : Hysterectomy 20000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
AND Salpingo-oophorectomy HPE report
GYNAECOLOGY
1733 OBSTETRICS 2A.S4.00002 2A.S4.00002 : Abdominal Myomectomy 16000 0 0 Ultrasonography/ Tubal patency test HPE, OT notes
AND
GYNAECOLOGY
1734 OBSTETRICS 2A.S4.00004 2A.S4.00004 : Surgeries for Stress Incontinence 35000 0 0 APTT(activated partial Clinical Photograph of
AND 'Burch' thromboplastin time) , Heamatocrit , Retroplacental clots , USG
GYNAECOLOGY PT (Prothrombin time), Platelet
Count , S.Fibrinogen Level , USG
1735 OBSTETRICS 2A.S4.00005 2A.S4.00005 : Hysterotomes - 2nd Trimester abortions 5000 0 0 USG and clinical notes Clinical note
AND
GYNAECOLOGY
1736 OBSTETRICS 2A.S4.00006 2A.S4.00006 : Incisional Hernia Repair 15000 0 0 USG and clinical notes Clinical Photograph and OT note
AND
GYNAECOLOGY
1737 OBSTETRICS 2A.S4.00007 2A.S4.00007 : Radical Hysterectomy (Wertheims) 20000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
AND HPE report
GYNAECOLOGY
1738 OBSTETRICS 2A.S4.00009 2A.S4.00009 : Non descent vaginal hysterectomy 14000 0 0 Ultrasonography, X Ray, ECG, HPR,OT notes
AND LFT,RFT, FBS,PPBS, T3,T4,THS/
GYNAECOLOGY Endometrial Biopsy/Cervical
biopsy
1739 OBSTETRICS 2A.S4.00017 2A.S4.00017 : Dilation and Evacuation (D&E) 5000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1740 OBSTETRICS 2A.S4.00018 2A.S4.00018 : Cervical biopsy and Polypectomy 3000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1741 OBSTETRICS 2A.S4.00019 2A.S4.00019 : Bartholins Cyst Enucleation/ Incision 3000 0 0 Clinical notes OT note
AND drainage
GYNAECOLOGY
1742 OBSTETRICS 2A.S4.00032 2A.S4.00032 : Hysteroscopic polypectomy 3000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1743 OBSTETRICS 2A.S4.00033 2A.S4.00033 : Hysteroscopic IUCD removal 3000 0 0 X-ray,USG and Clinical note OT note
AND
GYNAECOLOGY
1744 OBSTETRICS 2A.S4.00034 2A.S4.00034 : Caesarian Delivery 9000 0 0 USG and clinical notes OT Note
AND
GYNAECOLOGY
1745 OBSTETRICS 2A.S4.00035 2A.S4.00035 : Caesarian hysterectomy 16000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1746 OBSTETRICS 2A.S4.00045 2A.S4.00045 : MTP > 12 weeks 3000 0 0 USG and clinical notes Procedure Note
AND
GYNAECOLOGY
Page 49
1747 OBSTETRICS 2A.S4.00046 2A.S4.00046 : MTP upto 12 weeks 5000 0 0 USG and clinical notes Procedure Note
AND
GYNAECOLOGY
1748 OBSTETRICS 2A.S4.00047 2A.S4.00047 : MTP upto 8 weeks 3500 0 0 USG and clinical notes Procedure Note
AND
GYNAECOLOGY
1749 OBSTETRICS 2A.S4.00051 2A.S4.00051 : Laparotomy for broad ligament 16000 0 0 USG and clinical notes OT Note
AND haematoma
GYNAECOLOGY
1750 OBSTETRICS 2A.S4.00054 2A.S4.00054 : Ablation of Endometriotic Spot + 10000 0 0 USG and clinical notes OT Note
AND Adhenolysis
GYNAECOLOGY
1751 OBSTETRICS 2A.S4.00061 2A.S4.00061 : Cone Biopsy Cervix 1000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1752 OBSTETRICS 2A.S4.00062 2A.S4.00062 : Conventional Tubectomy 4000 0 0 Clinical note OT note
AND
GYNAECOLOGY
1753 OBSTETRICS 2A.S4.00063 2A.S4.00063 : Cyst -Vaginal Enucleation 3000 0 0 Clinical note OT note and HPE
AND
GYNAECOLOGY
1754 OBSTETRICS 2A.S4.00064 2A.S4.00064 : Cyst-Labial 3000 0 0 Clinical note OT note

AND
GYNAECOLOGY
1755 OBSTETRICS 2A.S4.00067 2A.S4.00067 : D&C (Dilatation &curretage) + Electro 4000 0 0 USG and clinical notes OT Note
AND Cauterisation Cryo Surgery
GYNAECOLOGY
1756 OBSTETRICS 2A.S4.00068 2A.S4.00068 : D&C (Dilatation&curretage) 3000 0 0 USG and clinical notes OT Note
AND
GYNAECOLOGY
1757 OBSTETRICS 2A.S4.00072 2A.S4.00072 : Fractional Curretage 4000 0 0 USG and clinical notes OT Note and HPE
AND
GYNAECOLOGY
1758 OBSTETRICS 2A.S4.00073 2A.S4.00073 : Gaping Perineal wound secondary 2500 0 0 Clinical note OT note
AND suturing/ episiotomy
GYNAECOLOGY
1759 OBSTETRICS 2A.S4.00075 2A.S4.00075 : Hymenectomy& Repair of Hymen 7000 0 0 USG and clinical notes OT Note
AND
GYNAECOLOGY
1760 OBSTETRICS 2A.S4.00076 2A.S4.00076 : Amniocentesis 5000 0 0 USG and clinical notes OT Note and Aminiotic fluid
AND analysis report
GYNAECOLOGY
1761 OBSTETRICS 2B.S4.00003 2B.S4.00003 : Surgeries for Prolapse - Sling Surgeries 16000 0 0 Clinical Notes, USG, provisional 1. Clinical notes,
AND diagnosis 2. Daily bed side rounds notes,
GYNAECOLOGY 3. OT notes
1762 OBSTETRICS 2B.S4.00010 2B.S4.00010 : Vaginal hysterectomy with anterior and 16000 0 0 Ultrasonography, X Ray, ECG, 1. Clinical notes,
AND posterior colpoperineorrhaphy LFT,RFT, FBS,PPBS, T3,T4,THS, 2. Daily bed side rounds notes,
GYNAECOLOGY Endometrial biopsy , Cervical 3. OT notes
biopsy, provisional diagnosis 4. LAB investigations, 5.Discharge
7.Ultrasonography
1763 OBSTETRICS 2B.S4.00013 2B.S4.00013 : Repair for rectovaginal fitulas 10000 0 0 Clinical Notes, USG/KUB/Urology 1. Clinical notes,
AND opinion, provisional diagnosis 2. Daily bed side rounds notes,
1764 OBSTETRICS 2B.S4.00020 2B.S4.00020 : Vulvectomy simple 15000 0 0 Clinical Notes, USG/CT/MRI, 1. Clinical notes,
7.HPE
1765 OBSTETRICS 2B.S4.00022 2B.S4.00022 : Diagnostic laparoscopy 11000 0 0 USG, provisional diagnosis 1. Clinical notes,
AND 2. Daily bed side rounds notes,
7.Clinical Photograph
1766 OBSTETRICS 2B.S4.00023 2B.S4.00023 : Laparoscopic hysterectomy (TLH) 20000 0 0 Ultrasonography, X Ray, ECG, 1. Clinical notes,
AND LFT,RFT, FBS,PPBS, T3,T4,THS, 2. Daily bed side rounds notes,
GYNAECOLOGY provisional diagnosis 3. OT notes
7.HPE
1767 OBSTETRICS 2B.S4.00024 2B.S4.00024 : Laparoscopic myomectomy 12000 0 0 Ultrasonography/ Tubal patency 1. Clinical notes,
AND test, provisional diagnosis 2. Daily bed side rounds notes,
7.HPE
1768 OBSTETRICS 2B.S4.00025 2B.S4.00025 : Laparoscopic cystectomy 15000 0 0 USG, Routine investigations and 1. Clinical notes,
AND CA 125, provisional diagnosis 2. Daily bed side rounds notes,
7.HPE
1769 OBSTETRICS 2B.S4.00027 2B.S4.00027 : Laparoscopic adhesiolysis 6000 0 0 CT , X-Ray Abdomen, provisional 1. Clinical notes,
7.HPE 8.Clinical
photograph
1770 OBSTETRICS 2B.S4.00044 2B.S4.00044 : Laparotomy for ruptured ectopic 10000 0 0 Serum Beta HCG, USG, CBC, 1. Clinical notes,
AND Routine investigation, provisional 2. Daily bed side rounds notes,
GYNAECOLOGY diagnosis 3. OT notes
1771 OBSTETRICS 2B.S4.00048 2B.S4.00048 : McDonald's stitch 4000 0 0 USG and clinical notes, provisional 1. Clinical notes,
1772 OBSTETRICS 2B.S4.00049 2B.S4.00049 : Shirodkar's stitch 4000 0 0 Clinical Notes, provisional diagnosis 1. Clinical notes,
Page 50
1773 OBSTETRICS 2B.S4.00050 2B.S4.00050 : Tuboplasty 9500 0 0 Ultrasonography, X Ray, ECG, 1. Clinical notes,
AND LFT,RFT, FBS,PPBS, T3,T4,THS, 2. Daily bed side rounds notes,
GYNAECOLOGY provisional diagnosis 3. OT notes
1774 OBSTETRICS 2B.S4.00056 2B.S4.00056 : Adhenolysis + Hernia - Ventral - 16000 0 0 USG and clinical notes, provisional 1. Clinical notes,
AND Lipectomy/Incision diagnosis 2. Daily bed side rounds notes,
1775 OBSTETRICS 2B.S4.00057 2B.S4.00057 : Adhenolysis+ Ovarian Cystectomy 10000 0 0 USG and clinical notes, provisional 1. Clinical notes,
7.HPE
1776 OBSTETRICS 2B.S4.00058 2B.S4.00058 : Adhenolysis+ Salpingostomy 10000 0 0 USG and clinical notes, provisional 1. Clinical notes,
7.HPE
1777 OBSTETRICS 2B.S4.00060 2B.S4.00060 : Brust abdomen repair 14000 0 0 USG and clinical notes, provisional 1. Clinical notes,
7.HPE
1778 OBSTETRICS 2B.S4.00065 2B.S4.00065 : Cystocele - Anterior repair 12000 0 0 USG and clinical notes, provisional 1. Clinical notes,
1779 OBSTETRICS 2B.S4.00069 2B.S4.00069 : Diagnostic laparoscopy & hysteroscopy 5000 0 0 USG and clinical notes, provisional 1. Clinical notes,
AND for infertility diagnosis 2. Daily bed side rounds notes,
1780 OBSTETRICS 2B.S4.00071 2B.S4.00071 : Exploration of abdominal haematoma 14000 0 0 USG and clinical notes, provisional 1. Clinical notes,
AND (after laparotomy + LSCS) diagnosis 2. Daily bed side rounds notes,
7.HPE
1781 OBSTETRICS 2B.S4.00077 2B.S4.00077 : Chorionic villus sampling 5000 0 0 USG, Lab investigation and clinical 1. Clinical notes,
AND notes, provisional diagnosis 2. Daily bed side rounds notes,
7. sampling report
1782 OBSTETRICS 2B.S4.17015 2B.S4.17015 : Lap. Salphingo-oophorectomy 10000 0 0 USG, CA 125, provisional diagnosis 1. Clinical notes,
7.HPE
1783 OBSTETRICS 2B.S4.17016 2B.S4.17016 : Lap. Assisted Vaginal Hysterectomy 11500 0 0 Ultrasonography, X Ray, ECG, 1. Clinical notes,
AND (LAVH) LFT,RFT, FBS,PPBS, T3,T4,THS/ 2. Daily bed side rounds notes,
GYNAECOLOGY Endometrial Biopsy/Cervical 3. OT notes
biopsy, provisional diagnosis 4. LAB investigations, 5.Discharge
7.HPE
1784 OBSTETRICS 3A.S4.00008 3A.S4.00008 : Laparotomy and proceed for Ovarian 20000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
AND Cancers. Omentomy with Bilateral HPE report
GYNAECOLOGY Salpingo-oophorectomy
1785 OBSTETRICS 3A.S4.00011 3A.S4.00011 : Vaginal surgical repair for 10000 0 0 Clinical Notes, USG/KUB/Urology OT notes
AND vesico-vaginal fistula opinion
GYNAECOLOGY
1786 OBSTETRICS 3A.S4.00012 3A.S4.00012 : Sacrocolpopexy 16000 0 0 Clinical note,USG OT Note

AND
GYNAECOLOGY
1787 OBSTETRICS 3A.S4.00014 3A.S4.00014 : Vaginoplasty 10000 0 0 Clinical note OT Note

AND
GYNAECOLOGY
1788 OBSTETRICS 3A.S4.00015 3A.S4.00015 : LLETZ 15000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1789 OBSTETRICS 3A.S4.00016 3A.S4.00016 : Colpotomy 1200 0 0 USG and clinical notes OT note
AND
GYNAECOLOGY
1790 OBSTETRICS 3A.S4.00021 3A.S4.00021 : Radical Vulvectomy 15000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1791 OBSTETRICS 3A.S4.00026 3A.S4.00026 : Laparoscopic ovarotomy 10000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1792 OBSTETRICS 3A.S4.00028 3A.S4.00028 : Laparoscopic tubal surgeries - 11000 0 0 USG and clinical notes OT note and HPE
AND salpingectomy, salpingotomy
GYNAECOLOGY
1793 OBSTETRICS 3A.S4.00029 3A.S4.00029 : Drag hysteroscopy 6000 0 0 USG and clinical notes OT note
AND
GYNAECOLOGY
1794 OBSTETRICS 3A.S4.00030 3A.S4.00030 : Hysteroscopic myomectomies 6000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1795 OBSTETRICS 3A.S4.00031 3A.S4.00031 : Hysteroscopic adhesiolysis 6000 0 0 USG and clinical notes OT note and HPE
AND
GYNAECOLOGY
1796 OBSTETRICS 3A.S4.00053 3A.S4.00053 : Abdominal Perineal neo construction 20000 0 0 USG/CT, Lab report and clinical OT note
AND Cx + Uteria + Vagina notes
GYNAECOLOGY
1797 OBSTETRICS 3A.S4.00055 3A.S4.00055 : Ablation of Endometriotic Spot 10000 0 0 USG and clinical notes OT Note
AND +Salpingostomy
GYNAECOLOGY
1798 OBSTETRICS 3A.S4.00066 3A.S4.00066 : Cystocele - Anterior Repair + Perineal 13000 0 0 USG and clinical notes OT Note
AND Tear Repair
GYNAECOLOGY
Page 51
1799 OBSTETRICS 3A.S4.00070 3A.S4.00070 : Electro Cauterisation Cryo Surgery 4000 0 0 Clinical note OT Note, Clinical photograph
AND
GYNAECOLOGY
1800 OBSTETRICS 3A.S4.00074 3A.S4.00074 : HaematoColpo/Excision - Vaginal 5000 0 0 USG and clinical notes OT Note and HPE
AND Septum
GYNAECOLOGY
1801 OBSTETRICS 3A.S4.00078 3A.S4.00078 : Cordocentesis 5000 0 0 USG and clinical notes OT Note
AND
GYNAECOLOGY
1802 OBSTETRICS 3A.S4.00079 3A.S4.00079 : Intrauterine transfusions 10000 0 0 USG and clinical notes Procedure Note
AND
GYNAECOLOGY
1803 OBSTETRICS 3A.S1.17008B 3A.S1.17008B : Radical hysterectomy for Ca cervix 20000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
AND and Ca endometrium ( Code 3A.484)- additional cost - HPE report
GYNAECOLOGY cross speciality
1804 OBSTETRICS 3A.S7.00130A 3A.S7.00130A : Stress incontinence surgery, open - 20000 0 0 Clinical Notes Endo Picture / Operative Picture
GYNAECOLOGY
1805 OBSTETRICS 3A.S7.00131B 3A.S7.00131B : Stress incontinence surgery, 30000 0 0 Clinical Notes Endo Picture / Operative Picture
AND laparoscopic - cross speciality
GYNAECOLOGY
1806 OBSTETRICS 3A.S7.00132C 3A.S7.00132C : Stress incontinence surgery with 45000 0 0 Clinical Notes Endo Picture / Operative Picture
AND slings - cross speciality
GYNAECOLOGY
1807 OBSTETRICS 4A.S4.00036 4A.S4.00036 : High risk delivery: Pre-mature delivery 9000 0 0 USG and clinical notes Delivery note/OT note
AND
GYNAECOLOGY
1808 OBSTETRICS 4A.S4.00037 4A.S4.00037 : High risk delivery: Expected Gestation 9000 0 0 USG and clinical notes Delivery note/OT note
AND at delivery less than 35 weeks
GYNAECOLOGY
1809 OBSTETRICS 4A.S4.00038 4A.S4.00038 : High risk delivery: Mothers with 9000 0 0 USG and clinical notes Delivery note/OT note
AND eclampsia or imminent eclampsia
GYNAECOLOGY
1810 OBSTETRICS 4A.S4.00039 4A.S4.00039 : High risk delivery: Obstructed labour 9000 0 0 USG and clinical notes Delivery note/OT note
AND
GYNAECOLOGY
1811 OBSTETRICS 4A.S4.00040 4A.S4.00040 : High risk delivery: Major Fetal 9000 0 0 USG and clinical notes, Post USG and clinical notes, Post
AND malformation requiring intervention immediately after delivery resaucitation efforts are to delivery resaucitation efforts are to
GYNAECOLOGY birth be mentioned mandatorily at the be mentioned mandatorily at the
times of claims times of claims
1812 OBSTETRICS 4A.S4.00041 4A.S4.00041 : High risk delivery: Mothers with severe 9000 0 0 USG, Lab report and clinical notes, Delivery note/OT note, USG, Lab
AND anaemia (<7 g/dL) Hemogram report to be enclosed report and clinical notes, Hemogram
GYNAECOLOGY report to be enclosed
1813 OBSTETRICS 4A.S4.00042 4A.S4.00042 : High risk delivery: Other maternal and 9000 0 0 USG, Lab report and clinical notes Delivery note/OT note
AND fetal conditions as per guidelines-Such as Rh
GYNAECOLOGY haemolytic disease, uncontrolled diabetes, severe
growth retardation etc that qualify for high risk
delivery etc.
1814 OBSTETRICS 4A.S4.00043 4A.S4.00043 : Manual removal of placenta 4250 0 0 Clinical Notes/USG Clinical Notes
AND
GYNAECOLOGY
1815 OBSTETRICS 4A.S4.00052 4A.S4.00052 : Trans-vaginal tape/ Trans-obturator 15000 0 0 APTT(activated partial Clinical Photograph of
AND tape thromboplastin time) , Heamatocrit , Retroplacental clots , USG
GYNAECOLOGY PT (Prothrombin time), Platelet
Count , S.Fibrinogen Level , USG
1816 OBSTETRICS 4A.S4.00059 4A.S4.00059 : Broad Ligment Haemotoma drainage 7650 0 0 Clinical Notes, Ultrasonography OT Notes
AND
GYNAECOLOGY
1817 OBSTETRICS 4A.S4.17017 4A.S4.17017 : Abruptio-Placenta With Coagulation 25000 0 0 Arterial Blood Gas Biochemical investigations
AND Defects( Disseminated Intravascular Coagulation (ABG),APTT(activated partial
GYNAECOLOGY (DiC)) thromboplastin
time),CHE,LFT,RFT,Haematocrit,
platelet count, S fibrogen
1818 OBSTETRICS 4A.S4.17018 4A.S4.17018 : Perforation of Uterus after D/E 12750 0 0 Clinical Notes, Ultrassonography OT Notes
AND laprotomy and closure
GYNAECOLOGY
1819 ONCOLOGY 2A.S15.00007A 2A.S15.00007A : Cyst & tumour of Maxilla/mandible 0 0 0 X Ray film with report,Clinical X Ray film with report, Clinical
by enucleation/excision/marsupialization under LA - Photograph, Photograph
cross speciality
1820 ONCOLOGY 2B.S15.00019 2B.S15.00019 : Total Thyroidectomy with central 20000 0 0 FNAC/CT/MRI report and Film, 1. Clinical Photograph showing scar
compartment LN dissection provisional diagnosis 2. Clinical notes,

4. OT notes
8.HPE
1821 ONCOLOGY 2B.S2.00078B 2B.S2.00078B : Commondo Operation (glossectomy) 14000 0 0 CT , Biopsy, provisional diagnosis 1. Clinical Photograph
- cross speciality 2. Clinical notes,
4. OT notes
1822 ONCOLOGY 2B.S2.00083B 2B.S2.00083B : Excision of the Mandible Segmental 7500 0 0 X -Ray, CT , Biopsy, provisional 1. X -Ray , 2.
- cross speciality diagnosis Clinical Photograph 3.
Clinical notes,
5. OT notes
1823 ONCOLOGY 2B.S2.00084B 2B.S2.00084B : Hemi-mandibulectomy with graft - 15000 0 0 CT , Biopsy, provisional diagnosis 1. Clinical Photograph
cross speciality 2. Clinical notes,
4. OT notes
1824 ONCOLOGY 2B.S1.00010A 2B.S1.00010A : Block dissection Cervical Nodes - 10000 0 0 Clinical photo, CT report, 1. Scar Photo 2.
cross speciality provisional diagnosis Clinical notes,
4. OT notes
1825 ONCOLOGY 2B.S1.00036B 2B.S1.00036B : Excision Benign Tumor -Small 15000 0 0 CT/ USG, provisional diagonsis 1. Clinical notes,
intestine - cross speciality 2. Daily bed side rounds notes,
3. OT notes
7.HPE
Page 52
1826 ONCOLOGY 2B.S1.00046A 2B.S1.00046A : Excision of Swelling in Right 4000 0 0 FNAC/ Biopsy, provisional 1. Clinical notes,
Cervical Region - cross speciality diagnosis 2. Daily bed side rounds notes,
3. OT notes
7.HPE
1827 ONCOLOGY 2B.S1.00051A 2B.S1.00051A : Fibroadenoma Bilateral - cross 8000 0 0 FNAC, USG, Routine Blood Inv, 1. Clinical notes,
speciality provisional diagnosis 2. Daily bed side rounds notes,
3. OT notes
7.HPE
1828 ONCOLOGY 2B.S1.00088A 2B.S1.00088A : Jejunostomy - cross speciality 10000 0 0 USG, provisional diagnosis 1. Clinical Photograph
2. Clinical notes,
4. OT notes
1829 ONCOLOGY 2B.S1.00094B 2B.S1.00094B : Laryngectomy & Pharyngeal 10000 0 0 CT Neck,USG, provisional 1. Clinical Photograph
Diverticulum (Throat) - cross speciality diagnosis 2. Clinical notes,
4. OT notes
8. HPE
1830 ONCOLOGY 2B.S1.00095A 2B.S1.00095A : Ileostomy - cross speciality 20000 0 0 Biopsy of the primary + CT Scan 1. Clinical Photograph
with film, provisional diagnosis 2. Clinical notes,
4. OT notes
1831 ONCOLOGY 2B.S1.00097A 2B.S1.00097A : Loop Colostomy Sigmoid - cross 12000 0 0 CT/MRI , Endoscopy , USG, 1. Clinical Photograph
speciality provisional diagnosis 2. Clinical notes,
4. OT notes
1832 ONCOLOGY 2B.S1.00098A 2B.S1.00098A : Mastectomy - cross speciality 12000 0 0 Biopsy, Mammography/ USG, 1. Clinical Photograph
FNAC, provisional diagnosis 2. Clinical notes,
4. OT notes
8. HPE
1833 ONCOLOGY 2B.S1.00107A 2B.S1.00107A : Distal Pancreatectomy with 17000 0 0 CT/ MRI, provisional diagonsis 1. Scar Photo 2.
PancreaticoJejunostomy - cross speciality Clinical notes,
4. OT notes
1834 ONCOLOGY 2B.S1.00137A 2B.S1.00137A : Colectomy Total - cross speciality 17000 0 0 Colonoscopy , CT/ MRI, Biopsy, 1. Clinical Photograph
provisional diagnosis 2. Clinical notes,
4. OT notes
8. HPE
1835 ONCOLOGY 2B.S1.00168A 2B.S1.00168A : Hemi thyroidectomy - cross 10000 0 0 FNAC , T F T , USG, provisional 1. Scar photo,
speciality diagnosis 2. Clinical notes,
4. OT notes
summary 7.Final bill 8.HPE Report
1836 ONCOLOGY 2B.S1.00177A 2B.S1.00177A : Lap. Hepatic resection - cross 25000 0 0 MRI/ CT Abdomen, provisional 1. Scar Photo 2.
speciality diagnosis Clinical notes,
4. OT notes
8. HPE
1837 ONCOLOGY 2B.S1.00203A 2B.S1.00203A : Coccygeal Teratoma Excision - cross 15000 0 0 Clinical Photograph, provisional 1. Clinical Photograph
speciality diagnosis 2. Clinical notes,
4. OT notes
1838 ONCOLOGY 2B.S1.00223A 2B.S1.00223A : Resection Enucleation of Adenoma 10000 0 0 Clinical Photograph, provisional 1. Clinical Photograph
(lung) - cross speciality diagnosis 2. Clinical notes,
4. OT notes
1839 ONCOLOGY 2B.S15.00008A 2B.S15.00008A : Mandible Tumour Resection and 6000 0 0 X Ray film with report, provisional 1. X Ray film with report, 2.
reconstruction/Cancer surgery - cross speciality diagnosis Clinical Photograph 3.
Clinical notes,
5. OT notes
1840 ONCOLOGY 3A.M4.00004 3A.M4.00004 : Acute lymphoblastic leukemia: 5000 0 0 Haematology, Bone Marrow Photo with RT Machine , RT
radiation Aspitation/ Flow cytometry treatment chart
1841 ONCOLOGY 3A.M4.00010 3A.M4.00010 : Hodgkin Lymphoma (Favorable 10000 0 0 Hematology + Biopsy/FNAC report Photo with RT Machine , RT
group): radiation treatment chart
1842 ONCOLOGY 3A.M4.00013 3A.M4.00013 : Hodgkin Lymphoma (unfavorable 15000 0 0 Hematology + Biopsy/FNAC report Photo with RT Machine , RT
group): radiation treatment chart
1843 ONCOLOGY 3A.M4.00018 3A.M4.00018 : Retinoblastoma (Intraocular): radiation 10000 0 0 Biopsy , CT report with film Photo with RT Machine , RT
treatment chart
1844 ONCOLOGY 3A.M4.00022 3A.M4.00022 : Retinoblastoma (extraocular): 10000 0 0 Biopsy , CT report with film Photo with RT Machine , RT
radiation treatment chart
1845 ONCOLOGY 3A.M4.00025 3A.M4.00025 : Brain tumors: radiation 30000 0 0 CT report /MRI Clinical features Photo with RT Machine , RT
treatment chart
1846 ONCOLOGY 3A.M4.00029 3A.M4.00029 : Wilms tumors: radiation 5000 0 0 CT report with film, biopsy/FNAC Photo with RT Machine , RT
treatment chart
1847 ONCOLOGY 3A.M4.00034 3A.M4.00034 : Bone tumors/soft tissue sarcomas : 25000 0 0 Biopsy , CT-Scan with film Photo with RT Machine , RT
radiation treatment chart
1848 ONCOLOGY 3A.M4.00035 3A.M4.00035#: Bone tumors/soft tissue sarcomas : 235000 0 0 CT scan/MRI ,Tumor board form, X-ray, CT Scan,Tumor Board form,
surgery (inlcuding prosthesis) USG abdomen pelvis, Clinical Clinical photograph Hemogram
photograph report
1849 ONCOLOGY 3A.M6.00001 3A.M6.00001 : Cobalt 60 External Beam 20000 0 0 Biopsy/FNAC ,CT report and Film Photo with RT Machine , RT
Radiotherapy (Radical/Adjuvant / Neoadjuvant) treatment chart RT planning Data
1850 ONCOLOGY 3A.M6.00002 3A.M6.00002 : Cobalt 60 External Beam 10000 0 0 CT report and Film, Biopsy Photo with RT Machine , RT
Radiotherapy (Palliative) treatment chart RT planning Data
1851 ONCOLOGY 3A.M6.00003 3A.M6.00003 : Linear Accelerator External Beam 20000 0 0 CT report and Film, Biopsy Photo with RT Machine , RT
Radiotherapy (Palliative) treatment chart
1852 ONCOLOGY 3A.M6.00004 3A.M6.00004 : Linear Accelerator, External Beam 50000 0 0 CT report and film, biopsy Photo with RT machine, RT
Radiotherapy 3D CRT/2D Planning treatment chart
(Radical/Adjuvant/ Neoadjuvant)
1853 ONCOLOGY 3A.M6.00005 3A.M6.00005 : Linear Accelerator, External Beam 75000 0 0 CT report and Film, Biopsy Photo with RT Machine , RT
Radiotherapy IMRT (Intensity Modulated treatment chart
Radiotherapy) (Radical/Adjuvant/Neoadjuvant)
1854 ONCOLOGY 3A.M6.00006 3A.M6.00006 : Linear Accelerator External Beam 120000 0 0 CT report and Film, Biopsy Photo with RT Machine , RT
Radiotherapy IGRT (Image Guided radiotherapy) treatment chart
(Radical/Adjuvant/Neoadjuvent)
1855 ONCOLOGY 3A.M6.00007 3A.M6.00007 : SRT(Stereota1036ic radiotherapy) 75000 0 0 Biopsy/FNAC ,CT report and Film Photo with RT Machine , RT
treatment chart RT planning Data
Page 53
1856 ONCOLOGY 3A.M6.00008 3A.M6.00008 : SRS (Streotactic radiosurgery) 70000 0 0 Biopsy/FNAC ,CT report and Film Photo with RT Machine , RT
1857 ONCOLOGY 3A.M6.00009 3A.M6.00009 : Respiratory Gating along with Linear 70000 0 0 ECHO, Chest X Ray, RFT, CBC, Photo with RT Machine , RT
Accelerator planning ABG treatment chart RT planning Data
1858 ONCOLOGY 3A.M6.00010 3A.M6.00010 : Electron beam with Linear accelerator 50000 0 0 Biopsy/FNAC ,CT report and Film Photo with RT Machine , RT
(Radical) treatment chart
1859 ONCOLOGY 3A.M6.00011 3A.M6.00011 : 50000 0 0 CT report and film, biopsy Photo with RT machine, RT
Tomotherapy(Radical/Adjuvant/Neoadjuvant) treatment chart
1860 ONCOLOGY 3A.M6.00012 3A.M6.00012 : Brachytherapy High Dose Radiation 4500 0 0 Biopsy/FNAC ,CT report and Film Photo with RT Machine , RT
(Intracavitory) - per fraction, maximum of 4 sessions treatment chart, RT planning data
1861 ONCOLOGY 3A.M6.00013 3A.M6.00013 : Brachytherapy High Dose Radiation 30000 0 0 CT/MRI report and Film, Biopsy Photo with RT Machine , RT
(Interstitial) - for one application, multiple dose treatment chart RT planning Data
1862 ONCOLOGY 3A.M6.00014 3A.M6.00014 : Brachytherapy High Dose Radiation 4500 0 0 Biopsy/FNAC ,CT report and Film Photo with RT Machine , RT
(Intraluminal) - per fraction, maximum 4 sessions treatment chart, RT planning data
1863 ONCOLOGY 3A.M6.17241 3A.M6.17241 : Cobalt 60 External Beam 20000 0 0 Biopsy/FNAC ,CT report and Film Photo with RT Machine , RT
Radiotherapy, Definitive, Neoadjuvant, Adjuvant treatment chart RT planning Data
1864 ONCOLOGY 3A.M6.17242 3A.M6.17242 : Brachytherapy/ Interstitial LDR , 15000 0 0 CT / MRI report with film, Biopsy Photo with RT Machine , RT
adjuvant treatment chart RT planning Data
1865 ONCOLOGY 3A.M6.17243 3A.M6.17243 : Linear accelerator teletherapy, 55000 0 0 CT report and film, biopsy Photo with RT machine, RT
Definitive+Tab Temozolamide treatment chart, RT planning data
1866 ONCOLOGY 3A.M6.17244 3A.M6.17244 : Linear accelerator teletherapy, 80000 0 0 CT report and Film, Biopsy Photo with RT Machine , RT
3DCRT, Definitive along with +concurrent Tab treatment chart RT planning Data
Temozolamide along with RT
1867 ONCOLOGY 3A.M6.17245 3A.M6.17245 : Linear accelerator (Photons) 50000 0 0 CT/MRI report and Film, Biopsy Photo with RT Machine , RT
teletherapy, Adjuvant treatment chart
1868 ONCOLOGY 3A.M6.17246 3A.M6.17246 : Cobalt 60 External Beam 20000 0 0 CT report and Film, Biopsy Photo with RT Machine , RT
Radiotherapy, Definitive treatment chart RT planning Data
1869 ONCOLOGY 3A.M6.17247 3A.M6.17247 : Radioiodine Treatment < 100 20000 0 0 Biopsy/FNAC Radioiodine original treatment chart
Millicuries and Thyroid scan, Biopsy/HPE
1870 ONCOLOGY 3A.M6.17248 3A.M6.17248 : Radioiodine Treatment > 100 30000 0 0 Biopsy/FNAC Radioiodine original treatment chart
Millicuries and Thyroid scan , Biopsy/HPE
1871 ONCOLOGY 3A.M6.17249 3A.M6.17249 : Accelerated partial breast irradiation 50000 0 0 Biopsy/FNAC , Photo with RT Machine , RT
(APBI) any type/ LINAC/3DCRT/IMRT Mammography/USG, chest Xray treatment chart
1872 ONCOLOGY 3A.M6.17250 3A.M6.17250 : Linear accelerator,Involved-Site 25000 0 0 Hematology + Biopsy/FNAC report Photo with RT Machine , RT
Radiotherapy (ISRT)/Involved field radiation therapy treatment chart
(IFRT)/3DCRT/IMRT
1873 ONCOLOGY 3A.M6.17251 3A.M6.17251 : Linear accelerator, less than 20 25000 0 0 Hematology + Biopsy/FNAC report Photo with RT Machine , RT
fractions/3DCRT/IMRT treatment chart
1874 ONCOLOGY 3A.M6.17252 3A.M6.17252 : Linear accelerator teletherapy, 75000 0 0 Biopsy/FNAC ,CT report and Film Photo with RT Machine , RT
3DCRT,IMRT,VMAT Adjuvant/Definitive treatment chart
1875 ONCOLOGY 3A.M6.17253 3A.M6.17253 : Brachytherapy/ Interstitial HDR one 30000 0 0 CT/MRI report and Film, Biopsy Photo with RT Machine , RT
application, multiple doses Definitive/Boost treatment chart RT planning Data
1876 ONCOLOGY 3A.M6.17254 3A.M6.17254 : Cobalt 60 teletherapy, Palliative 10000 0 0 CT report and Film, Biopsy Photo with RT Machine , RT
1877 ONCOLOGY 3A.M6.17255 3A.M6.17255 : Linear accelerator teletherapy, 20000 0 0 CT report and Film, Biopsy Photo with RT Machine , RT
Palliative treatment chart
1878 ONCOLOGY 3A.S15.00001 3A.S15.00001 : Tracheal resection 18000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
HPE report
1879 ONCOLOGY 3A.S15.00002 3A.S15.00002 : Sternotomy with superior mediastinal 12000 0 0 CT report and Film, Biopsy Clinical Photograph showing the
dissection scar + HPE report
1880 ONCOLOGY 3A.S15.00003 3A.S15.00003 : Substernal bypass 35000 0 0 Biopsy of the primary Clinical Photograph showing the
procedure/scar
1881 ONCOLOGY 3A.S15.00004 3A.S15.00004 : Resection of nasopharyngeal tumour 50000 0 0 CT/MRI report and Film, Biopsy Clinical Photograph, HPE report
1882 ONCOLOGY 3A.S15.00005 3A.S15.00005 : Myocutaneous flap 25000 0 0 Biopsy of the primary Clinical Photograph showing scar
1883 ONCOLOGY 3A.S15.00006 3A.S15.00006 : Fasciocutaneous flap 15000 0 0 X-ray Films + detail notes+ pre-op Clinical photo showing Scar
clinical photo
1884 ONCOLOGY 3A.S15.00007 3A.S15.00007 : Palatectomy- Soft palate 30000 0 0 CT/MRI report and Film, Biopsy Clinical Photograph, HPE report
1885 ONCOLOGY 3A.S15.00008 3A.S15.00008 : Palatectomy- Hard palate 20000 0 0 CT/MRI report and Film, Biopsy Clinical Photograph, HPE report
1886 ONCOLOGY 3A.S15.00009 3A.S15.00009 : Microvascular reconstruction 45000 0 0 Biopsy of the primary Clinical Photograph showing scar
1887 ONCOLOGY 3A.S15.00010 3A.S15.00010 : Composite resection 50000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
HPE report
1888 ONCOLOGY 3A.S15.00011 3A.S15.00011 : Composite resection with 65000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
reconstruction(excluding microvascular) HPE report
1889 ONCOLOGY 3A.S15.00012 3A.S15.00012 : Neck dissection-selective 12000 0 0 Biopsy , USG/CT of neck with film Clinical Photograph showing scar +
HPE report
1890 ONCOLOGY 3A.S15.00013 3A.S15.00013 : Neck dissection-comprehensive 25000 0 0 Biopsy , USG/CT of neck with film Clinical Photograph showing scar +
HPE report
1891 ONCOLOGY 3A.S15.00014 3A.S15.00014 : Total Maxillectomy 18000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
HPE report
1892 ONCOLOGY 3A.S15.00015 3A.S15.00015 : Radical Maxillectomy 40000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
HPE report
1893 ONCOLOGY 3A.S15.00016 3A.S15.00016 : Radical parotidectomy 25000 0 0 FNAC,CT Clinical Photograph showing scar +
HPE report
1894 ONCOLOGY 3A.S15.00017 3A.S15.00017 : Partial laryngectomy ( voice 20000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
preserving) HPE report
1895 ONCOLOGY 3A.S15.00018 3A.S15.00018 : Voice prosthesis 40000 0 0 CT report, Biopsy, +Photograph Invoice of prosthesis, scar photo
with AM
1896 ONCOLOGY 3A.S15.00020 3A.S15.00020 : Total Thyroidectomy with central 25000 0 0 FNAC/CT/MRI report and Film Clinical Photograph showing scar +
compartment LN dissection with Lateral LN dissection HPE report
1897 ONCOLOGY 3A.S15.00022 3A.S15.00022 : Axillary dissection 15000 0 0 Biopsy/FNAC , Clinical Photograph showing scar +
Mammography/USG, chest Xray HPE report
1898 ONCOLOGY 3A.S15.00023 3A.S15.00023 : Breast conserving surgery 25000 0 0 Biopsy/FNAC , Clinical Photograph showing scar +
(lumpectomy + axillary surgery) Mammography/USG, chest Xray HPE report
1899 ONCOLOGY 3A.S15.00024 3A.S15.00024 : Lung metastectomy- solitary 30000 0 0 Biopsy/FNAC ,CT report and Film Clinical Photograph showing scar +
HPE report + XRAY Chest
1900 ONCOLOGY 3A.S15.00025 3A.S15.00025 : Lung metastectomy- multiple (< four) 50000 0 0 Biopsy/FNAC ,CT report and Film Clinical Photograph showing scar +
1901 ONCOLOGY 3A.S15.00026 3A.S15.00026 : Lung metastectomy- multiple (> four) 60000 0 0 Biopsy/FNAC ,CT report and Film Clinical Photograph showing scar +
1902 ONCOLOGY 3A.S15.00027 3A.S15.00027 : Sleeve resection of lung cancer 90000 0 0 Biopsy/FNAC ,CT report and Film Clinical Photograph showing scar +
1903 ONCOLOGY 3A.S15.00028 3A.S15.00028 : Oesophagectomy with two field 75000 0 0 Biopsy , CT , Endoscopy reports HPE report, scar photo
lymphadenectomy
1904 ONCOLOGY 3A.S15.00029 3A.S15.00029 : Oesophagectomy with three field 90000 0 0 Biopsy , CT , Endoscopy reports Biopsy , CT , Endoscopy reports
lymphadenectomy
1905 ONCOLOGY 3A.S15.00030 3A.S15.00030 : Enucleation of pancreatic neoplasm 25000 0 0 CT / MRI with film/IHC report Clinical Photograph showing scar +
HPE report
1906 ONCOLOGY 3A.S15.00031 3A.S15.00031 : Radical Cholecystectomy 60000 0 0 CT /MRI report and Film, biopsy Clinical Photograph showing the
scar + HPE report +USG Report
1907 ONCOLOGY 3A.S15.00032 3A.S15.00032 : Abdominal wall tumour resection 35000 0 0 CT abdomen report and Film Clinical Photograph showing scar +
HPE report
1908 ONCOLOGY 3A.S15.00033 3A.S15.00033 : Abdominal wall tumour resection with 45000 0 0 CT abdomen report and Film Clinical Photograph showing scar +
reconstruction HPE report
1909 ONCOLOGY 3A.S15.00034 3A.S15.00034 : Oesophageal stenting including stent 40000 0 0 CT abdomen report and Film Stent invoice
cost
1910 ONCOLOGY 3A.S15.00035 3A.S15.00035 : Triple bypass GI tract 40000 0 0 Biopsy , CT , Endoscopy Clinical Photograph showing scar +
HPE report
1911 ONCOLOGY 3A.S15.00036 3A.S15.00036 : Segmentectomy- hepatobiliary system 50000 0 0 CT /MRI report and Film Clinical Photograph showing scar,
USG and HPE Report
1912 ONCOLOGY 3A.S15.00037 3A.S15.00037 : Radical Hysterectomy + Bilateral 50000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
pelvic lymph node dissection + bilateral salpingo HPE report
ophorectomy (BSO)/ ovarian transposition
1913 ONCOLOGY 3A.S15.00038 3A.S15.00038 : Skin Tumours Wide Excision + 50000 0 0 Biopsy of the primary tumour + Clinical Photograph showing scar +
Reconstruction CT/MRI with film HPE report
1914 ONCOLOGY 3A.S15.00039 3A.S15.00039 : Skin Tumours Amputation 25000 0 0 Biopsy of the primary tumour + Clinical Photograph showing scar +
CT/MRI with film HPE report
1915 ONCOLOGY 3A.S15.00040 3A.S15.00040 : Radical Vaginectomy 40000 0 0 CT report and Film, Biopsy HPE report
1916 ONCOLOGY 3A.S15.00041 3A.S15.00041 : Radical Vaginectomy + 45000 0 0 CT report and Film, Biopsy HPE report
Reconstruction
1917 ONCOLOGY 3A.S15.00042 3A.S15.00042 : Bilateral Pelvic Lymph Node 30000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
Dissection (BPLND) HPE report
1918 ONCOLOGY 3A.S15.00043 3A.S15.00043 : Radical Trachelectomy 40000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
HPE report
1919 ONCOLOGY 3A.S15.00044 3A.S15.00044 : Vulvectomy with bilateral groin 45000 0 0 Clinical Notes, USG/CT/MRI OT Notes, HPE
dissection
Page 54
1920 ONCOLOGY 3A.S15.00045 3A.S15.00045 : Limb salvage surgery for bone tumor 75000 0 0 CT-Local part/MRI, CT Chest with Clinical Photograph XRAY
with prosthesis film, ,Bone Scan report + Biopsy Showing prosthesis + HPE report
Report
1921 ONCOLOGY 3A.S15.00046 3A.S15.00046 : Hemipelvectomy 65000 0 0 CT/MRI Pelvis with film Clinical Photograph showing scar /
HPE report + XRAY
1922 ONCOLOGY 3A.S15.00047 3A.S15.00047 : Sacral resection 60000 0 0 CT/MRI Pelvis with film Clinical Photograph showing scar /
HPE report + XRAY
1923 ONCOLOGY 3A.S15.00048 3A.S15.00048 : Chest wall resection with 40000 0 0 CT Chest with film, biopsy Clinical Photograph showing scar +
reconstruction for soft tissue / bone tumors HPE report
1924 ONCOLOGY 3A.S15.17150 3A.S15.17150 : Forequarter amputation 30000 0 0 CT-Local part/MRI with film + Clinical Photograph showing scar+
Biopsy Report HPE report
1925 ONCOLOGY 3A.S15.17151 3A.S15.17151 : Shoulder Girdle Resection 40000 0 0 CT-Local part including chest /MRI Clinical Photograph showing scar +
report with film + Biopsy Report HPE report
1926 ONCOLOGY 3A.S15.17152 3A.S15.17152 : Mastectomy +Axillary Dissection 25000 0 0 Biopsy/FNAC , HPE report, scar photo ( if patient
Mammography/USG, chest Xray consents)
1927 ONCOLOGY 3A.S15.17153 3A.S15.17153 : Gastro Jejunostomy 30000 0 0 Biopsy of the primary + CT Scan Clinical photograph showing scar
with film
1928 ONCOLOGY 3A.S15.17154 3A.S15.17154 : Ileotransverse Colostomy 30000 0 0 Biopsy of the primary + CT Scan Clinical photograph with scar
with film
1929 ONCOLOGY 3A.S15.17155 3A.S15.17155 : Distal Pancreatectomy 60000 0 0 CT / MRI with film/IHC report Clinical Photograph showing scar +
HPE report
1930 ONCOLOGY 3A.S15.17156 3A.S15.17156 : Enucleation of Cyst 50000 0 0 CT report and Film Clinical Photograph showing scar +
HPE report
1931 ONCOLOGY 3A.S15.17157 3A.S15.17157 : Whipples surgery ( inclusive of 80000 0 0 CT / MRI/IHC Clinical Photograph showing scar +
staplers) HPE report
1932 ONCOLOGY 3A.S15.17158 3A.S15.17158 : Hepatectomy (right or left) 85000 0 0 CT /MRI report and Film Clinical Photograph showing scar,
USG and HPE Report
1933 ONCOLOGY 3A.S15.17159 3A.S15.17159 : Anterior Exenteration 70000 0 0 Cystoscopy, biopsy, CT report and Clinical Photograph showing scar+
Film HPE report
1934 ONCOLOGY 3A.S15.17160 3A.S15.17160 : Total Exenteration 75000 0 0 Cystoscopy, biopsy, CT report and Clinical Photograph showing scar+
Film HPE report
1935 ONCOLOGY 3A.S15.17161 3A.S15.17161 : Urinary diversion 40000 0 0 Biopsy, USG Scrotum report and Clinical Photograph showing scar,
Film post op USG
1936 ONCOLOGY 3A.S15.17162 3A.S15.17162 : Surgery for Ca Ovary - advance stage 60000 0 0 USG/CT Reports with film,CA 125 Clinical Photograph showing scar +
with Mesenteric/Peritoneal/Omental Metastatsis HPE report + USG report
1937 ONCOLOGY 3A.S15.17163 3A.S15.17163 : Microlaryngeal Surgery including 11000 0 0 Clinical Photograph Clinical Photograph, HPE report
Phonosurgery
1938 ONCOLOGY 3A.S15.17164 3A.S15.17164 : Laryngectomy - any type, with neck 40000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
node dissection HPE report
1939 ONCOLOGY 3A.S15.17165 3A.S15.17165 : Laryngopharyngo Oesophagectomy 70000 0 0 Biopsy , CT , Endoscopy reports HPE report, scar photo
1940 ONCOLOGY 3A.S15.17166 3A.S15.17166 : GI Stenting including stent cost 40000 0 0 CT abdomen report and Film Stent invoice
1941 ONCOLOGY 3A.S15.17167 3A.S15.17167 : Composite Resection + Micro 80000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
vascular reconstruction HPE report
1942 ONCOLOGY 3A.S15.17168 3A.S15.17168 : Laser Surgery of Larynx 30000 0 0 Clinical Photograph Photos with laser machine, CD of
procedure/intra op stills + HPE
report
1943 ONCOLOGY 3A.S15.17169 3A.S15.17169 : VATS/Laparoscopy ( for deep seated 10000 0 0 CT report with film Scar Photo
biopsy)
1944 ONCOLOGY 3A.S15.17170 3A.S15.17170 : Abdominoperinial Resection 50000 0 0 Endoscopy with film, biopsy, CT Clinical Photograph showing scar
report with film + HPE report
1945 ONCOLOGY 3A.S15.17171 3A.S15.17171 : Surgery for Ca Ovary - early stage 40000 0 0 USG/CT Reports with film,CA 125 Clinical Photograph showing scar +
HPE report + USG report
1946 ONCOLOGY 3A.S15.17172 3A.S15.17172 : Mastectomy +Axillary 40000 0 0 Biopsy/FNAC , HPE report, scar photo ( if patient
Dissection+Defect Closure with Flap Mammography/USG, chest Xray consents)
1947 ONCOLOGY 3A.S15.17173 3A.S15.17173 : Wide excision of lesion 25000 0 0 CT/MRI report and Film if required, Clinical Photograph showing scar +
Biopsy, clinical picture HPE report
1948 ONCOLOGY 3A.M4.00001 3A.M4.00001 : Acute lymphoblastic leukemia 50000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
(chemotherapy including diagnostics): induction Aspitation/ Flow cytometry drug batch number with bar code
(chemotherapy including diagnostics): consolidation Aspitation/ Flow cytometry drug batch number with bar code
(chemotherapy including diagnostics): maintainence Aspitation/ Flow cytometry drug batch number with bar code
1951 ONCOLOGY 3A.M4.00005 3A.M4.00005 : Acute lymphoblastic leukemia: 20000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
Supportive care/ rehabilitation Aspitation/ Flow cytometry drug batch number with bar code
1952 ONCOLOGY 3A.M4.00006 3A.M4.00006 : Acute myeloid leukemia 75000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
(chemotherapy including diagnostics): induction Aspitation/ Flow cytometry drug batch number with bar code
1953 ONCOLOGY 3A.M4.00007 3A.M4.00007 : Acute myeloid leukemia 75000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
(chemotherapy including diagnostics): consolidation Aspitation/ Flow cytometry drug batch number with bar code
1954 ONCOLOGY 3A.M4.00008 3A.M4.00008 : Acute myeloid leukemia: Supportive 30000 0 0 Haematology + Cytoflowmetry Clinical Photograph, chemotherapy
care/ rehabilitation report drug batch number with bar code,
treatment drug details in discharge
summary
1955 ONCOLOGY 3A.M4.00011 3A.M4.00011 : Hodgkin Lymphoma (Favorable 15000 0 0 Biopsy, CT Clinical Photograph, chemotherapy
group): Supportive care/ rehabilitation drug batch number with bar code
1956 ONCOLOGY 3A.M4.00014 3A.M4.00014 : Hodgkin Lymphoma (unfavorable 25000 0 0 Biopsy, CT Clinical Photograph, chemotherapy
group): Supportive care/ rehabilitation drug batch number with bar code,
summary
1957 ONCOLOGY 3A.M4.00015 3A.M4.00015 : Non-Hodgkin Lymphoma: 1,50,000 0 0 Lymphnode Biopsy,HPE, BMA Heamogram,Biochemestry,chest
chemotherapy including diagnostics x-ray
1958 ONCOLOGY 3A.M4.00016 3A.M4.00016 : Non-Hodgkin Lymphoma: Supportive 50000 0 0 Biopsy, CT Clinical Photograph, chemotherapy
care/ rehabilitation drug batch number with bar code,
summary
1959 ONCOLOGY 3A.M4.00017 3A.M4.00017 : Retinoblastoma (Intraocular): 45000 0 0 Biopsy , CT report with film Clinical Photograph, chemotherapy
chemotherapy including diagnostics drug batch number with bar code
1960 ONCOLOGY 3A.M4.00020 3A.M4.00020 : Retinoblastoma (Intraocular): 20000 0 0 Biopsy , CT report with film Clinical Photograph, chemotherapy
supportive care/ rehabilitation drug batch number with bar code,
summary
1961 ONCOLOGY 3A.M4.00021 3A.M4.00021 : Retinoblastoma (extraocular): 110000 0 0 MRI of orbit and brain Chest x-ray,USG abdomen
chemotherapy including diagnostics pelvis,BMA
1962 ONCOLOGY 3A.M4.00023 3A.M4.00023 : Retinoblastoma (extraocular): 35000 0 0 Biopsy , CT report with film Clinical Photograph, chemotherapy
supportive care/ rehabilitation drug batch number with bar code
1963 ONCOLOGY 3A.M4.00024 3A.M4.00024 : Brain tumors: chemotherapy including 40000 0 0 CT report /MRI Clinical features Clinical Photograph, chemotherapy
diagnostics drug batch number with bar code
1964 ONCOLOGY 3A.M4.00027 3A.M4.00027 : Brain tumors: supportive care/ 25000 0 0 CT report /MRI Clinical features Clinical Photograph, chemotherapy
rehabilitation drug batch number with bar code
1965 ONCOLOGY 3A.M4.00028 3A.M4.00028 : Wilms tumors: chemotherapy 20000 0 0 CT report with film, biopsy/FNAC Clinical Photograph, chemotherapy
including diagnostics drug batch number with bar code
1966 ONCOLOGY 3A.M4.00031 3A.M4.00031 : Histiocytosis: chemotherapy including 50000 0 0 Skin Biopsy / Lymphnode Heamogram,Biochemestry
diagnostics Biopsy,USG abdomen pelvis
1967 ONCOLOGY 3A.M4.00032 3A.M4.00032 : Histiocytosis: supportive care/ 5000 0 0 Hematology + Biopsy/FNAC report Clinical Photograph, chemotherapy
rehabilitation drug batch number with bar code
1968 ONCOLOGY 3A.M4.00033 3A.M4.00033 : Bone tumors/soft tissue sarcomas : 80000 0 0 Biopsy , CT-Scan with film Clinical Photograph, chemotherapy
chemotherapy including diagnostics drug batch number with bar code
1969 ONCOLOGY 3A.M4.00036 3A.M4.00036 : Bone tumors/soft tissue sarcomas : 50000 0 0 Biopsy , CT-Scan with film Clinical Photograph, chemotherapy
supportive care/ rehabilitation drug batch number with bar code
1970 ONCOLOGY 3A.M4.00037 3A.M4.00037 : Chronic Myeloid Leukemia : 6000 0 0 Haematology, Bone Marrow Photo with RT Machine , RT
chemotherapy including diagnostics Aspitation/ Flow cytometry treatment chart
1971 ONCOLOGY 3A.M4.00038 3A.M4.00038 : Chronic Myeloid Leukemia : 1,00,000 0 0 BMA report and Molecular analysis Heamogram,Biochemestry, ,
supportive care/ rehabilitation report treatment drug details in discharge
summary
1972 ONCOLOGY 3A.M5.00001 3A.M5.00001 : Lymphoma, Non-Hodgkin sR-CHOP 6000 0 0 Biopsy, CT report with film Clinical Photograph, chemotherapy
Regimen (per cycle) x 6 drug batch number with bar code
1973 ONCOLOGY 3A.M5.00002 3A.M5.00002 : Multiple MyelomaBortezomib+ 5000 0 0 Bone Marrow Aspiration Report, Clinical Photograph, chemotherapy
lenalidomide+ dexamethasone, per cycle x6 Serum Protein electrophoresis, drug batch number with bar code
CRAB criteria
1974 ONCOLOGY 3A.M5.00003 3A.M5.00003 : Multiple MyelomaBortezomib+ 5000 0 0 Bone Marrow Aspiration Report, Clinical Photograph, chemotherapy
cyclophosphamide+ dexamethasone, per cycle x 6 Serum Protein electrophoresis, drug batch number with bar code
CRAB criteria
1975 ONCOLOGY 3A.M5.00004 3A.M5.00004 : Multiple MyelomaMPT - melphalan, 5000 0 0 Bone Marrow Aspiration Report, Clinical Photograph, chemotherapy
thalidomide and prednisolone, per cycle x 9 Serum Protein electrophoresis, drug batch number with bar code
CRAB criteria
Page 55
1976 ONCOLOGY 3A.M5.00005 3A.M5.00005 : Multiple MyelomaBortezomib + 5000 0 0 Bone Marrow Aspiration Report, Clinical Photograph, chemotherapy
dexamethasone, per cycle x 9 Serum Protein electrophoresis, drug batch number with bar code
CRAB criteria
1977 ONCOLOGY 3A.M5.00006 3A.M5.00006 : Multiple 5000 0 0 Bone Marrow Aspiration Report, Clinical Photograph, chemotherapy
MyelomaThalidomide+Dexamethasone(Oral)/ month - Serum Protein electrophoresis, drug batch number with bar code
max 12 months CRAB criteria
1978 ONCOLOGY 3A.M5.00007 3A.M5.00007 : Colon 8000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
Rectum5-Fluorouracil-Oxaliplatin - Leucovorin with bar code
(FOLFOX) - Max. 6 cycles (Per cycle)
1979 ONCOLOGY 3A.M5.00008 3A.M5.00008 : Bone Tumors/Osteosarcoma/ 3000 0 0 Biopsy , CT-Scan with film Clinical Photograph, chemotherapy
Hepatoblastoma -OperableCisplatin/carboplatin - drug batch number with bar code
Adriamycin- max 6 cycles (Per cycle)
1980 ONCOLOGY 3A.M5.00009 3A.M5.00009 : Lymphoma, Hodgkin'S Adriamycin 10000 0 0 Biopsy, CT Clinical Photograph, chemotherapy
Bleomycin VinblastinDacarbazine (ABVD) - max 8 drug batch number with bar code
cycles (Per cycle) (Day 1 & Day 15)
1981 ONCOLOGY 3A.M5.00010 3A.M5.00010 : Cervix Cisplatin/Carboplatin (AUC2) 5000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
along with RT- max 6 cycles (Per cycle) drug batch number with bar code
1982 ONCOLOGY 3A.M5.00011 3A.M5.00011 : Neuroblastoma Stage I IIIVariable 10000 0 0 CT report with film, biopsy/FNAC Clinical Photograph, chemotherapy
Regimen Neuroblastoma - max 1 year (Per cycle) drug batch number with bar code
1983 ONCOLOGY 3A.M5.00012 3A.M5.00012 : Wilm'sTumor SIOP/National Wilms 7000 0 0 CT report with film, biopsy/FNAC Clinical Photograph, chemotherapy
Tumour Study Group (NWTS) regimen(Stages I - V)- drug batch number with bar code
max 6 months (Per month) - Wilm's tumour
1984 ONCOLOGY 3A.M5.00013 3A.M5.00013 : Colon - rectum Monthly 5-FU 4000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
with bar code
1985 ONCOLOGY 3A.M5.00014 3A.M5.00014 : BreastPaclitaxel weekly x 12 weeks 4500 0 0 Biopsy/FNAC , Chemotherapy drug batch number
Mammography/USG, chest Xray with bar code
1986 ONCOLOGY 3A.M5.00015 3A.M5.00015 : Breast 1500 0 0 Biopsy/FNAC , Chemotherapy drug batch number
Cyclophosphamide/Methotrexate/5 Fluorouracil Mammography/USG, chest Xray with bar code
(CMF) (Per cycle)
1987 ONCOLOGY 3A.M5.00016 3A.M5.00016 : BreastTamoxifen tabs - maximum 12 100 0 0 Biopsy/FNAC , Chemotherapy drug batch number
cycles (Per month) Mammography/USG, chest Xray with bar code
1988 ONCOLOGY 3A.M5.00017 3A.M5.00017 : Breast Adriamycin/Cyclophosphamide 3000 0 0 Biopsy/FNAC , Chemotherapy drug batch number
(AC) per cycle (Maximum 4 cycles) Mammography/USG, chest Xray with bar code
1989 ONCOLOGY 3A.M5.00018 3A.M5.00018 : Breast5- Fluorouracil A-C (FAC) per 5000 0 0 Biopsy/FNAC , Chemotherapy drug batch number
cycle (Maximum 6 cycles) Mammography/USG, chest Xray with bar code
1990 ONCOLOGY 3A.M5.00019 3A.M5.00019 : BreastAC (AC Then Taxol) 5000 0 0 Biopsy/FNAC , Chemotherapy drug batch number
Mammography/USG, chest Xray with bar code
1991 ONCOLOGY 3A.M5.00020 3A.M5.00020 : Small Cell Lung Cancer 7000 0 0 Biopsy/FNAC ,CT report and Film Chemotherapy drug batch number
Cisplastin/Etoposide (IIIB) per cycle (Max. 6 cycles with bar code
only)
1992 ONCOLOGY 3A.M5.00021 3A.M5.00021 : Oncology oesophagusCisplatin + 5 3000 0 0 Endoscopy with film, biopsy, CT Chemotherapy drug batch number
FU(Neoadjuvant Chemotherapy)/Adjuvant (ADJ)- per report with film with bar code
cycle (Max. of 6 cycles only)
1993 ONCOLOGY 3A.M5.00022 3A.M5.00022 : Stomach Docetaxel +Oxaliplatin+5FU 4000 0 0 Endoscopy with film, biopsy, CT Chemotherapy drug batch number
20,000 per cycle for 4 cycles report with film with bar code
CapOX- 10,000 per cycle for 8 cycles
1994 ONCOLOGY 3A.M5.00023 3A.M5.00023 : Breast Aromatase Inhibitors 900 0 0 Biopsy/FNAC , Chemotherapy drug batch number
(Anastazole/Letrozole/Exemestane) - Mammography/USG, chest Xray with bar code
maximum 12 cycles (Per month)
1995 ONCOLOGY 3A.M5.00024 3A.M5.00024 : Urinary Bladder Weekly 2000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
Cisplatin/Carboplatin- max 6 cycles with RT (Per drug batch number with bar code
week)
1996 ONCOLOGY 3A.M5.00025 3A.M5.00025 : Urinary Bladder Methotraxate 5000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
Vinblastin Adriamycin Cyclophosphamide (MVAC) drug batch number with bar code
1997 ONCOLOGY 3A.M5.00026 3A.M5.00026 : Retinoblastoma 4000 0 0 Biopsy , CT report with film Clinical Photograph, chemotherapy
Carbo/Etoposide/Vincristine-max 6 cycles (Per cycle) drug batch number with bar code
1998 ONCOLOGY 3A.M5.00027 3A.M5.00027 : Febrile NeutropeniaIV antibiotics and 30000 0 0 Haemogram for each episode Clinical Photograph, Discharge
other supportive therapy (Per episode) summary (with details of drugs
given)
1999 ONCOLOGY 3A.M5.00028 3A.M5.00028 : Vaginal/ Vulval Cancer 3000 0 0 CT report and Film, Biopsy/Tumour Clinical Photograph, chemotherapy
Cisplastin/5-FU markers drug batch number with bar code
2000 ONCOLOGY 3A.M5.00029 3A.M5.00029 : OvaryTaxol + Carboplatin-max 6 15000 0 0 CT report and Film, Biopsy/Tumour Clinical Photograph, chemotherapy
cycles (Per cycle) markers drug batch number with bar code
2001 ONCOLOGY 3A.M5.00030 3A.M5.00030 : Multiple MyelomaMelphalan 1500 0 0 Bone Marrow Aspiration Report, Clinical Photograph, chemotherapy
-Prednisone (oral) per month (max 12 months) - Serum Protein electrophoresis, drug batch number with bar code
Ovarian CA, Bone CA CRAB criteria
2002 ONCOLOGY 3A.M5.00031 3A.M5.00031 : Rectal Cancer Stage 2 And 4000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
3Gemcitabine +capecitabine-15,000 per cycle for 6 with bar code
cycles
2003 ONCOLOGY 3A.M5.00032 3A.M5.00032 : Multiple MyelomaZoledronic acid - 2000 0 0 CT/PET /Bone scan/ Xray, Biopsy if Chemotherapy drug batch number
Max 12 cycles (Per month) required with bar code
2004 ONCOLOGY 3A.M5.00033 3A.M5.00033 : Gestational Trophoblast Ds. High 10000 0 0 B HCG report,CT report and Film Clinical Photograph, chemotherapy
RiskEtoposide-Methotrexate-Actinomycin / drug batch number with bar code
Cyclophosphamide -Vincristine (EMA-CO)-max 6
cycles (Per cycle)
2005 ONCOLOGY 3A.M5.00034 3A.M5.00034 : Gestational Trophoblast Ds. Low Risk 1000 0 0 B HCG report,CT report and Film Clinical Photograph, chemotherapy
Actinomycin- max 10 cycles (Per cycle) drug batch number with bar code
2006 ONCOLOGY 3A.M5.00035 3A.M5.00035 : Gestational Trophoblast Ds. Low 1000 0 0 B HCG report,CT report and Film Clinical Photograph, chemotherapy
RiskWeekly Methotrexate (Per week) max. 10 cycles drug batch number with bar code
2007 ONCOLOGY 3A.M5.00036 3A.M5.00036 : Ovary Germ Cell Tumour 6000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
Bleomycin-Etoposide-Cisplatin (BEP) - max cycles 4 drug batch number with bar code
(Per cycle)
2008 ONCOLOGY 3A.M5.00037 3A.M5.00037 : Prostate Hormonal Therapy - Per 3000 0 0 CT report and Film, Biopsy,PSA Clinical Photograph, chemotherapy
month with evidence of bone metastasis drug batch number with bar code
2009 ONCOLOGY 3A.M5.00038 3A.M5.00038 : Testis Bleomycin-Etoposide-Cisplatin 10000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
(BEP) regimen for germ cell tumour - max cycles 4 drug batch number with bar code
(Per cycle)
2010 ONCOLOGY 3A.M5.00039 3A.M5.00039 : Acute Myeloid LeukemiaInduction 100000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
Phase, up to (Daunomycin and cytosine arabinoside Aspitation/ Flow cytometry drug batch number with bar code
(3:7))
2011 ONCOLOGY 3A.M5.00040 3A.M5.00040 : Acute Myeloid 75000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
LeukemiaConsolidation Phase, up to (High dose Aspitation/ Flow cytometry drug batch number with bar code
cytosine arabinoside per cycle, max. of 3 to 4 cycles)
2012 ONCOLOGY 3A.M5.00041 3A.M5.00041 : Histocytosis Variable 8000 0 0 Biopsy , CT report with film Clinical Photograph, chemotherapy
Regimen-Histocyosis-max 1 year (Per month) drug batch number with bar code
2013 ONCOLOGY 3A.M5.00042 3A.M5.00042 : Rhabdomyosarcoma 6000 0 0 Biopsy , CT report with film Clinical Photograph, chemotherapy
Vincristine-Actinomycin-Cyclophosphamide drug batch number with bar code
(VACTC) based chemo - max 1 year (Per month) -
Rhabdomyosarcoma
2014 ONCOLOGY 3A.M5.00043 3A.M5.00043 : Ewing s SarcomaVariable Regimen 6000 0 0 X-Ray,CT Scan with film, Biopsy Clinical Photograph, chemotherapy
Inv - Hematology, Biopsy Payable drug batch number with bar code
2015 ONCOLOGY 3A.M5.00044 3A.M5.00044 : Unlisted Regimen Palliative CT- Max 5000 0 0 CT/MRI , HPE report Chemotherapy drug batch number
6 cycles (Per cycle) with bar code
2016 ONCOLOGY 3A.M5.00045 3A.M5.00045 : Terminally Ill Palliative And 3000 0 0 CT/MRI , HPE report Chemotherapy drug batch number
Supportive Therapy - Per month with bar code
2017 ONCOLOGY 3A.M5.00046 3A.M5.00046 : Acute Lymphatic Leukemia 5000 0 0 Haematology, Bone Marrow Photo with RT Machine , RT
Maintenance Phase - Per month (x 24) Aspitation/ Flow cytometry treatment chart
2018 ONCOLOGY 3A.M5.00047 3A.M5.00047 : Acute Lymphatic Leukemia Induction 50000 0 0 Haematology, Bone Marrow Photo with RT Machine , RT
Aspitation/ Flow cytometry treatment chart
2019 ONCOLOGY 3A.M5.00048 3A.M5.00048 : Acute Lymphatic Leukemia 50000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
Consolidation Phase Aspitation/ Flow cytometry drug batch number with bar code
2020 ONCOLOGY 3A.M5.00049 3A.M5.00049 : Head and NeckTab 3000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
Geftinib/Erlotinib-Max 1 Year (Per month) with bar code
2021 ONCOLOGY 3A.M5.00050 3A.M5.00050 : Renal cell carcinoma Sunitinib/ 2500 0 0 CT report with film, Isotope Chemotherapy drug batch number
Pazopanib (per day) renogram if required with bar code
2022 ONCOLOGY 3A.M5.00051 3A.M5.00051 : Chronic myeloid leukemiaImatinib 6000 0 0 Haematology, Bone Marrow Photo with RT Machine , RT
(per month) x 5 years Aspitation/ Flow cytometry treatment chart
2023 ONCOLOGY 3A.M5.00052 3A.M5.00052 : Gall Bladder Cancer Gemcitabine + 10000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
cisplatin (per cycle) for 6 cycles drug batch number with bar code
2024 ONCOLOGY 3A.M5.17176 3A.M5.17176 : Paclitaxel + Cisplatin / Carboplatin 2. 12000 0 0 Biopsy/FNAC ,CT report and Film Chemotherapy drug batch number
Gemcitabine D1 & D8 + Cisplatin / Carboplatin -Max. with bar code
6 cycles only (Per cycle)
2025 ONCOLOGY 3A.M5.17177 3A.M5.17177 : Pemetrexed +Carboplatin/Cisplatin 15000 0 0 Biopsy/FNAC ,CT report and Film, Chemotherapy drug batch number
(Stage IIIB, IV Adenocarcinoma)- Max. 6 cycles only with bar code
(Per cycle)
Page 56
2026 ONCOLOGY 3A.M5.17178 3A.M5.17178 : Cisplatin/Adriamycin+ifosmide (IAP)- 15000 0 0 Biopsy , CT-Scan with film Clinical Photograph, chemotherapy
max 6 cycles (Per cycle) -Adj/Neo adjuvant/Palliative drug batch number with bar code
(Osteosarcoma)
2027 ONCOLOGY 3A.M5.17179 3A.M5.17179 : High Dose Methotrexate (MTX)- max 15000 0 0 Biopsy , CT-Scan with film Clinical Photograph, chemotherapy
6 cycles (Per cycle) drug batch number with bar code
2028 ONCOLOGY 3A.M5.17180 3A.M5.17180 : IFS + ADR-max 6 cycles (Per cycle) 15000 0 0 Biopsy , CT-Scan with film Clinical Photograph, chemotherapy
-Adj/Neo adjuvant/Palliative drug batch number with bar code
2029 ONCOLOGY 3A.M5.17181 3A.M5.17181 : Consolidation 1 to 4 phases(per 33000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
phase)- AML Aspitation/ Flow cytometry drug batch number with bar code
2030 ONCOLOGY 3A.M5.17182 3A.M5.17182 : Adult ALL -Hyper CVAD/BFM - 4 36000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
cycles ( Each cycle= A + B) Aspitation/ Flow cytometry drug batch number with bar code
2031 ONCOLOGY 3A.M5.17183 3A.M5.17183 : D'angelo's for CNS primary and 20000 0 0 Haematology + Cytoflowmetry Clinical Photograph, chemotherapy
secondary lymphomas -(Max. 6 months) (Per month) report drug batch number with bar code
2032 ONCOLOGY 3A.M5.17184 3A.M5.17184 : Salvage CT - GDP (Gemcitabine - 12000 0 0 Hematology + Biopsy/FNAC report Clinical Photograph, chemotherapy
Cisplatin- Dexamethasone)- Maximum 6 cycles (Per drug batch number with bar code
cycle)
2033 ONCOLOGY 3A.M5.17185 3A.M5.17185 : Salvage CT - ICE 15000 0 0 Hematology + Biopsy/FNAC report Clinical Photograph, chemotherapy
(Ifosfamide-Carboplatin-Etoposide)- Maximum 6 drug batch number with bar code
cycles (Per cycle)
2034 ONCOLOGY 3A.M5.17186 3A.M5.17186 : Salvage CT -DHAP (cytosine 25000 0 0 Hematology + Biopsy/FNAC report Clinical Photograph, chemotherapy
arabinoside-cisplatin-dexamethasone) - Maximum 6 drug batch number with bar code
cycles (Per cycle)
2035 ONCOLOGY 3A.M5.17187 3A.M5.17187 : Second generation Tab TKI - max 12 6000 0 0 Hematology + FNAC report Clinical Photograph, chemotherapy
cycles per year (Per month) - (Failure of Imatinib) /Cytogenetics/ BCR-ABL drug batch number with bar code
2036 ONCOLOGY 3A.M5.17188 3A.M5.17188 : Bendamustine- max 6 cycles (Per 10000 0 0 Hematology + Biopsy/FNAC report Clinical Photograph, chemotherapy
cycle) - CLL drug batch number with bar code
2037 ONCOLOGY 3A.M5.17189 3A.M5.17189 : Bendamustine + Ritumaxib- 6-8 cycles 20000 0 0 Hematology + Biopsy/FNAC report Clinical Photograph, chemotherapy
(Per cycle) - CLL (Available only at select centres) drug batch number with bar code
2038 ONCOLOGY 3A.M5.17190 3A.M5.17190 : R-CHOP -max 6 cycles (Per cycle) 20000 0 0 Biopsy, CT report with film Clinical Photograph, chemotherapy
drug batch number with bar code
2039 ONCOLOGY 3A.M5.17191 3A.M5.17191 : Variable Regimen-Non Lymphoblastic 20000 0 0 Hematology + Biopsy/FNAC report Clinical Photograph, chemotherapy
NHL, (Per cycle) max. 8 cycles.(Amount as per drug drug batch number with bar code
cost)
2040 ONCOLOGY 3A.M5.17192 3A.M5.17192 : Plasma cell Leukemia / Multiple 20000 0 0 Bone Marrow Aspiration Report, Clinical Photograph, chemotherapy
Myeloma - Thaladomide, Dexamethasone, Bortezomib Serum Protein electrophoresis drug batch number with bar code
- max 6 cycles
2041 ONCOLOGY 3A.M5.17193 3A.M5.17193 : Carbo/Etoposide/Vincristine-max 6 5000 0 0 Biopsy , CT report with film Clinical Photograph, chemotherapy
cycles (Per cycle) - Retinoblastoma drug batch number with bar code
2042 ONCOLOGY 3A.M5.17194 3A.M5.17194 : Variable Regimen- LCH-max 1 year 8000 0 0 Biopsy,IHC , CT report with film Clinical Photograph, chemotherapy
(Per month)(Amount as per drug cost) drug batch number with bar code
2043 ONCOLOGY 3A.M5.17195 3A.M5.17195 : FEC (Epirubicin based)(Maximum 6 8000 0 0 Biopsy/FNAC , Chemotherapy drug batch number
cycles) (Per cycle) Mammography/USG, chest Xray with bar code
2044 ONCOLOGY 3A.M5.17196 3A.M5.17196 : 1. TC Docetaxel + 12000 0 0 Biopsy/FNAC , Chemotherapy drug batch number
Cyclophosphamide. 2. TAC Docetaxel + Doxorubicin Mammography/USG, chest Xray with bar code
+ Cyclophosphamide. 3. Gemcitabine D1 & D8 +/-
Cisplatin/ Carboplatin - maximum 6 cycles (Per
cycle)
2045 ONCOLOGY 3A.M5.17197 3A.M5.17197 : Capetabine (Day 1-14) - 6 cycles 4000 0 0 CT/USG report and Film, Xray, Chemotherapy drug batch number
(Palliative/Adjuvant); As Concurrent as RT sensitizor Biopsy with bar code
with all RT
2046 ONCOLOGY 3A.M5.17198 3A.M5.17198 : Variable Regimen maximum 6 cycles 8000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
(Per cycle) (Amount as per drug cost) with bar code
2047 ONCOLOGY 3A.M5.17199 3A.M5.17199 : Cisplatin/Carboplatin- 5FU (Per cycle) 6000 0 0 Endoscopy with film, biopsy, CT Chemotherapy drug batch number
-Oesophageal CA report with film with bar code
2048 ONCOLOGY 3A.M5.17200 3A.M5.17200 : Epirubicin+Cisplatin+5FU (Per cycle) 8000 0 0 Endoscopy with film, biopsy, CT Chemotherapy drug batch number
report with film with bar code
2049 ONCOLOGY 3A.M5.17201 3A.M5.17201 : EOX (Epirubicin + Oxaloplatin + 12000 0 0 Endoscopy with film, biopsy, CT Chemotherapy drug batch number
Capcetabine) - Max 6 cycles report with film with bar code
2050 ONCOLOGY 3A.M5.17202 3A.M5.17202 : Monthly 5-Fluorouracil(FU) (Per 3000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
cycle) -Colorectal cancer with bar code
2051 ONCOLOGY 3A.M5.17203 3A.M5.17203 : Imatinib -Max for 6 months (Per 5000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
month) with bar code
2052 ONCOLOGY 3A.M5.17204 3A.M5.17204 : Gemcitabine+Cisplatin(Day 1,Day 8 10000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
)-max 6 cycles (Per cycle) with bar code
2053 ONCOLOGY 3A.M5.17205 3A.M5.17205 : Tab Sorafenib- max 12 months (Per 8000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
2054 ONCOLOGY 3A.M5.17206 3A.M5.17206 : Oxiplatin+Capecitabine- max. of 6 8000 0 0 CT/MRI with film, Biopsy Chemotherapy drug batch number
cycles for palliative only or 8 cycles for adjuvant (Per with bar code
cycle)
2055 ONCOLOGY 3A.M5.17207 3A.M5.17207 : Weekly Cisplatin/Carboplatin- max 6 2000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
cycles with RT (Per week) with bar code
2056 ONCOLOGY 3A.M5.17208 3A.M5.17208 : 20000 0 0 CT report and Film, Biopsy/Tumour Clinical Photograph, chemotherapy
Taxol,Ifophomide,Cisplatin/Carboplatin(TIP)/Vinblast markers drug batch number with bar code
ine,Ifosphimide,Cisplatin(VeIP)- max cycles 4 (Per
cycle)
2057 ONCOLOGY 3A.M5.17209 3A.M5.17209 : Cisplatin/Carboplatin (AUC2)- Max. 2000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
of 6 cycles only (Per cycle) drug batch number with bar code
2058 ONCOLOGY 3A.M5.17210 3A.M5.17210 : Carboplatin/Paclitaxel-max 6 cycles 12000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
(Per cycle) drug batch number with bar code
2059 ONCOLOGY 3A.M5.17211 3A.M5.17211 : Weekly Methotrexate (Per week) max. 1000 0 0 B HCG report,CT report and Film Clinical Photograph, chemotherapy
10 cycles drug batch number with bar code
2060 ONCOLOGY 3A.M5.17212 3A.M5.17212 : Etoposide-Methotrexate-Actinomycin 8000 0 0 B HCG report,CT report and Film Clinical Photograph, chemotherapy
/ Cyclophosphamide -Vincristine (EMA-CO)-max 6 drug batch number with bar code
cycles (Per cycle)
2061 ONCOLOGY 3A.M5.17213 3A.M5.17213 : Variable Regimen (Amount as per 8000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
drug cost)- max 6 cycles (Per cycle) drug batch number with bar code
2062 ONCOLOGY 3A.M5.17214 3A.M5.17214 : Gemcitabine+ Carboplatin/ Liposomal 12000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
Doxorubicin/ Albumin bound Paclitaxel ( Adjuvant), drug batch number with bar code
max 6 cycles
2063 ONCOLOGY 3A.M5.17215 3A.M5.17215 : Palliative CT- Max 6 cycles (Per 8000 0 0 CT/USG report and Film, Xray, Chemotherapy drug batch number
cycle) For Primary and secondary tumours Biopsy with bar code
2064 ONCOLOGY 3A.M5.17216 3A.M5.17216 : Zoledronic acid - Max 12 cycles (Per 3000 0 0 CT/PET /Bone scan/ Xray, Biopsy if Chemotherapy drug batch number
month) required with bar code
2065 ONCOLOGY 3A.M5.17217 3A.M5.17217 : Tab Temozolemide for 6 months 45000 0 0 CT report and Film, Biopsy Pharmacy Bill/Invoice with batch
(5days every month x 6 months) no. of the drug strip
2066 ONCOLOGY 3A.M5.17218 3A.M5.17218 : Growth Factor / Pegrafil (Per cycle) 2000 0 0 Biopsy/FNAC , Chemotherapy drug batch number
(Maximum 4 cycles) Mammography/USG, chest Xray with bar code
2067 ONCOLOGY 3A.M5.17219 3A.M5.17219 : Cisplatin/Carboplatin (AUC2) along 2000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
with RT- max 6 cycles (Per cycle) with bar code
2068 ONCOLOGY 3A.M5.17220 3A.M5.17220 : Cisplatin + 5FU + Taxol/Docitaxel ( 11000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
only hypopharynx) HPE report
2069 ONCOLOGY 3A.M5.17221 3A.M5.17221 : Palliative CT (Paclitaxel + Cisplatin or 8000 0 0 CT / USG report and Film, X ray, Chemotherapy drug batch number
5 FU + Cisplatin) - Max 6 cycles (Per cycle) Biopsy with bar code
2070 ONCOLOGY 3A.M5.17222 3A.M5.17222 : Palliative CT 1. Docetaxel + 10000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
Cisplatin / Carboplatin. 2. Gemcitabine D1& D8 + with bar code
Cisplatin / Carboplatin - max 6 cycles (Per cycle)
2071 ONCOLOGY 3A.M5.17223 3A.M5.17223 : Tab Sorefinib- max 12 months (Per 8000 0 0 CT/MRI report and Film, Biopsy Chemotherapy drug batch number
2072 ONCOLOGY 3A.M5.17225 3A.M5.17225 : SIOP/NATIONAL WILMS 8000 0 0 CT report with film, biopsy/FNAC Clinical Photograph, chemotherapy
TUMOUR STUDY GROUP(NWTS) regimen(Stages drug batch number with bar code
I - V)- max 6 months (Per month) - Wilm's tumour
2073 ONCOLOGY 3A.M5.17226 3A.M5.17226 : Bleomycin-Etoposide-Cisplatin (BEP) 10000 0 0 CT report and Film, Biopsy Clinical Photograph, chemotherapy
(Per cycle) - Germ cell tumours, extra gonadal tumour drug batch number with bar code
2074 ONCOLOGY 3A.M5.17227 3A.M5.17227 : 9000 0 0 Biopsy , CT report with film Clinical Photograph, chemotherapy
Vincristine-Actinomycin-Cyclophosphamide(Vact C) drug batch number with bar code
based chemo - max 1 year (Per cycle)-
Rhabdomyosarcoma
2075 ONCOLOGY 3A.M5.17228 3A.M5.17228 : Cisplatin + 5 FU(Neoadjuvant 6000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
Chemotherapy)/Palliative - Max. of 4 cycles only (Per with bar code
cycle)
2076 ONCOLOGY 3A.M5.17229 3A.M5.17229 : Bleomycin-Etoposide-Cisplatin 10000 0 0 CT report and Film, Biopsy/Tumour Clinical Photograph, chemotherapy
(BEP)- max cycles 4 (Per cycle) Germ cell tumours, markers drug batch number with bar code
extra gonadal tumour
2077 ONCOLOGY 3A.M5.17230 3A.M5.17230 : Tab Sorafenib-max 12 months (Per 8000 0 0 CT report and Film, Biopsy Clinical Photograph,chemotherapy
month) drug batch number with bar code
Page 57
2078 ONCOLOGY 3A.M5.17231 3A.M5.17231 : Tab Geftinib/Erlotinib-Max 1 Year 6000 0 0 CT report and Film, Biopsy Chemotherapy drug batch number
(Per month) with bar code
2079 ONCOLOGY 3A.M5.17232 3A.M5.17232 : Variable Regimen -Ewings Sarcoma- 10000 0 0 X-Ray,CT Scan with film, Biopsy Clinical Photograph, chemotherapy
max 17 cycles in 1 year (Per cycle)(Amount as per drug batch number with bar code
drug cost)
2080 ONCOLOGY 3A.M5.17233 3A.M5.17233 : Induction/1st Phase-AML ( 2nd 50000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
Induction - permitted in adults only) Aspitation/ Flow cytometry drug batch number with bar code
2081 ONCOLOGY 3A.M5.17234 3A.M5.17234 : Doxorubicin - Bleomycin - 12000 0 0 Biopsy, CT Clinical Photograph, chemotherapy
Vinblastine Dacarbazine (DBVD)-max 6-8 cycles (Per drug batch number with bar code
cycle) (Day1 & Day15) - Hodgkins Lymphoma
2082 ONCOLOGY 3A.M5.17235 3A.M5.17235 : Aromatase Inhibitors ( 900 0 0 Biopsy/FNAC , Chemotherapy drug batch number
Anastazole/Letrozole/ Exemestane)- maximum 12 Mammography/USG, chest Xray with bar code
cycles (Per month)
2083 ONCOLOGY 3A.M5.17236 3A.M5.17236 : Maintenance ( Paed and adults) - ALL 3000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
(Per month) Aspitation/ Flow cytometry drug batch number with bar code
2084 ONCOLOGY 3A.M5.17237 3A.M5.17237 : Imatinib Min 400 mg/day-max 12 5000 0 0 Hematology + FNAC report Clinical Photograph, chemotherapy
cycles per year (Per month) - AML, CML /Cytogenetics/ BCR-ABL drug batch number with bar code
2085 ONCOLOGY 3A.M5.17238 3A.M5.17238 : Paclitaxel/docetaxel(Maximum 9000 0 0 Biopsy/FNAC , Chemotherapy drug batch number
4cycles) (Adjuvant) (Per cycle) Mammography/USG, chest Xray with bar code
2086 ONCOLOGY 3A.M5.17239 3A.M5.17239 : Carboplatin/cisplatin + 12000 0 0 Biopsy Reports Clinical Photograph showing scar +
Paclitaxel/Docetaxel (Neoadjuvant HPE report
Chemotherapy)-Max. of 4 cycles only (Per cycle) -For
stage III and IVA
2087 ONCOLOGY 3A.M5.17240 3A.M5.17240 : Palliative CT- Max 6 cycles (Per 8000 0 0 Biopsy/FNAC , Chemotherapy drug batch number
cycle) Mammography/USG, chest Xray with bar code
2088 ONCOLOGY 3A.S2.00085B 3A.S2.00085B : Hemiglossectomy - - cross speciality 25000 0 0 CT , Biopsy Clinical photograph
2089 ONCOLOGY 3A.S2.00087B 3A.S2.00087B : Partial Glossectomy - cross speciality 25000 0 0 CT , Biopsy Clinical photograph
2090 ONCOLOGY 3A.S2.00090B 3A.S2.00090B : Total Glossectomy - cross speciality 15000 0 0 CT , Biopsy Clinical photograph
2091 ONCOLOGY 3A.S1.00002A 3A.S1.00002A : Anterior Resection for Ca - cross 70000 0 0 Endoscopy, biopsy, CT report with Clinical Photograph showing scar
speciality film + HPE report
2092 ONCOLOGY 3A.S1.00007A 3A.S1.00007A : Bilateral Inguinal block dissection - 40000 0 0 Biopsy Reports Clinical Photograph showing scar +
cross speciality HPE report
2093 ONCOLOGY 3A.S1.00016A 3A.S1.00016A : Bypass - Inoperable Pancreas - cross 15000 0 0 USG/CT USG, Scar photo, HPE Report
speciality
2094 ONCOLOGY 3A.S1.00045B 3A.S1.00045B : Excision of Growth from Tongue 15000 0 0 CT/MRI, Clinical Photo OT notes, HPE
with neck node dissection - cross speciality
2095 ONCOLOGY 3A.S1.00084A 3A.S1.00084A : Inguinal Node (dissection) - 20000 0 0 Biopsy Reports/ Clinical Clinical Photograph showing scar +
Unilateral - cross speciality Photograph HPE report
2096 ONCOLOGY 3A.S1.00103A 3A.S1.00103A : Oesophagectomy - cross speciality 60000 0 0 Biopsy , CT , Endoscopy reports HPE report, scar photo
2097 ONCOLOGY 3A.S1.00113A 3A.S1.00113A : Radical Mastectomy - cross speciality 10000 0 0 Mammography, HPE, CT Scan Scar photo & HPE
2098 ONCOLOGY 3A.S1.00114A 3A.S1.00114A : Radical Neck Dissection Excision - 15000 0 0 Clinical photo, Clinical notes & Scar photo & HPE
cross speciality Biopsy/ Cytology
2099 ONCOLOGY 3A.S1.00120A 3A.S1.00120A : Resection Anastomosis (Large 15000 0 0 USG / CT Scan Scar photo, HPE
Intestine) - cross speciality
2100 ONCOLOGY 3A.S1.00121A 3A.S1.00121A : Resection Anastomosis (Small 15000 0 0 USG / CT Scan Scar photo, HPE
Intestine) - cross speciality
2101 ONCOLOGY 3A.S1.00122A 3A.S1.00122A : Retroperitoneal Tumor Excision - 50000 0 0 CT abdomen with film, FNAC Clinical Photograph showing scar +
2102 ONCOLOGY 3A.S1.00125A 3A.S1.00125A : Segmental Resection of Breast - cross 10000 0 0 Mamography, FNAC, CT if Scar photo, HPE
speciality indicated
2103 ONCOLOGY 3A.S1.00131A 3A.S1.00131A : Soft Tissue Tumor (large) Excision - 35000 0 0 Biopsy of the primary tumour + Scar photo, HPE
cross speciality CT/MRI with film
2104 ONCOLOGY 3A.S1.00134A 3A.S1.00134A : Submandibular Mass Excision + 25000 0 0 CT/MRI/USG report and Film if Clinical Photograph showing scar +
Reconstruction - Cross speciality required/ Biopsy HPE report
2105 ONCOLOGY 3A.S1.00162A 3A.S1.00162A : Excision of Parathyroid 30000 0 0 CT Scan Functional scan/PTH Clinical Photograph showing scar +
Adenoma/Carcinoma - cross speciality reports/USG HPE report
2106 ONCOLOGY 3A.S1.00163A 3A.S1.00163A : Flap Reconstructive Surgery - cross 30000 0 0 X-ray Films + detail notes Clinical photo showing Scar
speciality
2107 ONCOLOGY 3A.S1.00171A 3A.S1.00171A : Lap. Assisted left Hemi colectomy t - 25000 0 0 CT , colonoscopy , USG USG, Scar Photo, HPE
cross speciality
2108 ONCOLOGY 3A.S1.00172A 3A.S1.00172A : Lap. Assisted Right Hemi colectomy 25000 0 0 CT , colonoscopy , USG USG, Scar Photo, HPE
t - cross speciality
2109 ONCOLOGY 3A.S1.00173A 3A.S1.00173A : Lap. Assisted small bowel resection - 40000 0 0 CT, Biopsy Clinical Photograph showing scar
cross speciality + HPE report
2110 ONCOLOGY 3A.S1.00174B 3A.S1.00174B : Lap. Assisted Total Colectomy - cross 40000 0 0 Colonocopy with film, biopsy, CT Clinical Photograph showing scar
speciality report with film + HPE report
2111 ONCOLOGY 3A.S1.00195B 3A.S1.00195B : Oesophagectomy for Carcinoma 50000 0 0 Biopsy , CT , Endoscopy reports HPE report, scar photo
Oesophagus - cross speciality
2112 ONCOLOGY 3A.S1.00197A 3A.S1.00197A : Operation for Carcinoma Lip 10000 0 0 Clinical photograph, HPE Scar photo, HPE
Vermilionectomy - cross speciality
2113 ONCOLOGY 3A.S1.00198B 3A.S1.00198B : Operation for Carcinoma Lip - 12000 0 0 Clinical photograph, HPE Scar photo, HPE
Wedge Excision and Vermilionectomy - cross
speciality
2114 ONCOLOGY 3A.S1.00199B 3A.S1.00199B : Operation for Carcinoma Lip - 10000 0 0 Clinical photograph, HPE Scar photo, HPE
Wedge-Excision - cross speciality
2115 ONCOLOGY 3A.S1.00202A 3A.S1.00202A : Closure of Colostomy - cross 30000 0 0 Colonoscopy, Biopsy Clinical Photograph showing scar
speciality
2116 ONCOLOGY 3A.S1.00205A 3A.S1.00205A : CystoJejunostomy/or 20000 0 0 USG/ CT Scan Clinical photograph
Cystogastrostomy - cross speciality
2117 ONCOLOGY 3A.S1.00209B 3A.S1.00209B : Operation for carcinoma lip- cheek 12000 0 0 Clinical photograph, HPE Scar photo, HPE
advancement - cross speciality
2118 ONCOLOGY 3A.S1.00213A 3A.S1.00213A : Operations for Replacement of 25000 0 0 Endoscopy, USG/CT Scar photo, HPE
Oesophagus by Colon - cross speciality
2119 ONCOLOGY 3A.S1.00215B 3A.S1.00215B : Parapharyngeal Tumour Excision - 11000 0 0 USG, CT Neck USG,HPE,Scar Photo
cross speciality
2120 ONCOLOGY 3A.S1.00216B 3A.S1.00216B : Partial/Subtotal Gastrectomy for 50000 0 0 Endoscopy, biopsy, CT Clinical Photograph showing scar +
Carcinoma - cross speciality HPE report
2121 ONCOLOGY 3A.S1.00230A 3A.S1.00230A : Temporal Bone resection - cross 60000 0 0 CT/MRI, Biopsy Clinical Photograph showing scar +
speciality HPE report
2122 ONCOLOGY 3A.S1.00242A 3A.S1.00242A : Total Thyroidectomy and Block 20000 0 0 Clinical Photograph , USG Scar photo, HPE
Dissection - cross speciality
2123 ONCOLOGY 3A.S1.17006A 3A.S1.17006A : Nephrectomy partial (Code 25000 0 0 CT report with film, Isotope Clinical Photograph showing scar+
3A.451)- additional cost - cross speciality renogram if required HPE report +USG Report
2124 ONCOLOGY 3A.S1.17007A 3A.S1.17007A : Low AR and APR (Code 3A.417, 25000 0 0 Endoscopy with film, biopsy, CT Clinical Photograph showing scar
3A.418) - additional cost - cross speciality report with film + HPE report
2125 ONCOLOGY 3A.S1.17008A 3A.S1.17008A : Radical hysterectomy for Ca cervix 20000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
and Ca endometrium ( Code 3A.484)- additional cost - HPE report
cross speciality
2126 ONCOLOGY 3A.S7.00141A 3A.S7.00141A : Bilateral Orchidectomy for hormone 15000 0 0 Biopsy Reports /PSA with evidence Clinical Photograph showing scar (
ablation of bone metastasis if patient consents)+ HPE report
2127 ONCOLOGY 3A.M4.00026B 3A.M4.00026B : Brain tumors: surgery - cross 55000 0 0 MRI Report Clinical Photographs showing the
speciality scar + HPE report
2128 ONCOLOGY 3A.M4.00030A 3A.M4.00030A : Wilms tumors: surgery - cross 5000 0 0 CT scan,USG abdomen pelvis, Chest x-ray,USG,HPE report
speciality
2129 ONCOLOGY 4A.S15.00021 4A.S15.00021 : Tracheostomy 5000 0 0 Clinical photo Clinical photo
2130 ONCOLOGY 4A.M5.17224 4A.M5.17224 : IV antibiotics and other supportive 10000 0 0 Haemogram for each episode Clinical Photograph, Discharge
therapy For Febrile Neutropenia (Per episode) summary (with details of drugs
given)
2131 OPTHALMOLOG 2A.S3.00001 2A.S3.00001 : Buckle Removal 5000 0 0 clinical notes Procedure notes
Y
2132 OPTHALMOLOG 2A.S3.00007 2A.S3.00007 : Pterygium + ConjunctivalAutograft 9000 0 0 Clinical Photograph Clinical Photograph
Y
2133 OPTHALMOLOG 2A.S3.00008 2A.S3.00008 : Dacryocystectomy with implants 10000 0 0 Sac Synrige Report Procedure notes
Y
2134 OPTHALMOLOG 2A.S3.00016 2A.S3.00016 : Limbal Dermoid Removal 4000 0 0 Hematological and radiological clinical notes
Y investigations
2135 OPTHALMOLOG 2A.S3.00029 2A.S3.00029 : Cataract with foldable hydrophobic 7500 0 0 A Scan Report patient photograph
Y acrylic IOL by Phaco emulsification tech
2136 OPTHALMOLOG 2A.S3.00030 2A.S3.00030 : Cataract with non-foldable IOL using 5000 0 0 A Scan Report Clinical Photograph
Y SICS technique
2137 OPTHALMOLOG 2A.S3.00033 2A.S3.00033 : Conjunctival tumour excision + AMG 5000 0 0 Clinical Photograph Clinical notes
Y
2138 OPTHALMOLOG 2A.S3.00034 2A.S3.00034 : Entropion correction 4000 0 0 Clinical Photograph patient photograph
Y
Page 58
2139 OPTHALMOLOG 2A.S3.00035 2A.S3.00035 : Ectropion correction 5000 0 0 Clinical Photograph patient photograph
Y
2140 OPTHALMOLOG 2A.S3.00036 2A.S3.00036 : Evisceration 3500 0 0 Clinical Photograph Clinical Photograph
Y
2141 OPTHALMOLOG 2A.S3.00038 2A.S3.00038 : Lid tear 5000 0 0 Clinical Photograph Clinical Photograph
Y
2142 OPTHALMOLOG 2B.S3.00004 2B.S3.00004 : Corneal Grafting 8500 0 0 Clinical notes,Clinical Photograph, 1. Clinical Photograph
Y provisional diagnosis 2. Clinical notes,
4. OT notes
2143 OPTHALMOLOG 2B.S3.00005 2B.S3.00005 : Prophylactic Cryoretinopexy- Closed 2500 0 0 Clinical notes,Clinical Photograph, 1. Clinical Photograph
4. OT notes
2144 OPTHALMOLOG 2B.S3.00010 2B.S3.00010 : Enucleation with Implant 8000 0 0 CT Skull- Orbit , Clinical 1. Clinical Photograph 2. Clinical
Y Photograph, provisional diagnosis notes, 3. Daily bed side
rounds notes,
4. OT notes
2145 OPTHALMOLOG 2B.S3.00012 2B.S3.00012 : Glaucoma Surgery (Trabeculectomy 1100 0 0 Intraocular Pressure reading, 1. Clinical Photograph
Y only) with or without Mitomycin C, including provisional diagnosis 2. Clinical notes,
postoperative medications for 12 weeks (and wherever 3. Daily bed side rounds notes,
surgical or laser procedures required for bleb 4. OT notes
augmentation and anterior chamber maintenance) 5. LAB investigations, 6.Discharge
2146 OPTHALMOLOG 2B.S3.00013 2B.S3.00013 : Intraocular Foreign Body Removal 4000 0 0 B Scan Report, provisional 1. Clinical Photograph
Y from Anterior Segment diagnosis 2. Clinical notes,
4. OT notes
2147 OPTHALMOLOG 2B.S3.00015 2B.S3.00015 : Lensectomy /pediatric lens aspiration 9000 0 0 Slit lamp Examination report 1. Fundus Photograph
Y &Fundoscopy, provisional diagnosis 2. Clinical notes,
4. OT notes
2148 OPTHALMOLOG 2B.S3.00017 2B.S3.00017 : Surgical Membranectomy 8000 0 0 Indirect Opthalmoscopy report, 1. Fundus Photograph
4. OT notes
2149 OPTHALMOLOG 2B.S3.00018 2B.S3.00018 : Perforating Corneo - Scleral Injury 6600 0 0 Clinical Photograph, provisional 1. Scar Photo 2.
Y diagnosis, provisional diagnosis Clinical notes,
4. OT notes
2150 OPTHALMOLOG 2B.S3.00019 2B.S3.00019 : Ptosis Surgery 1100 0 0 Clinical Photograph, provisional 1. Clinical Photograph
Y diagnosis 2. Clinical notes,
4. OT notes
2151 OPTHALMOLOG 2B.S3.00020 2B.S3.00020 : IRIS Prolapse Repair 4000 0 0 Slit lamp examination report, 1. Clinical Photograph
4. OT notes
2152 OPTHALMOLOG 2B.S3.00021 2B.S3.00021 : Retinal Detachment Surgery 15000 0 0 B Scan , Fundus Photograph, 1. Fundus Photograph
4. OT notes
2153 OPTHALMOLOG 2B.S3.00022 2B.S3.00022 : Small Tumour of Lid Excision + Lid 10000 0 0 Clinical Photograph, provisional 1. Clinical Photograph
Y Reconstruction diagnosis 2. Clinical notes,
4. OT notes
2154 OPTHALMOLOG 2B.S3.00023 2B.S3.00023 : Socket Reconstruction with amniotic 8000 0 0 Clinical Photograph, provisional 1. Clinical Photograph
Y membrane diagnosis 2. Clinical notes,
4. OT notes
2155 OPTHALMOLOG 2B.S3.00025 2B.S3.00025 : Iridectomy Surgical 3000 0 0 Clinical Note / slit lamp report, 1. Slit lamp report
4. OT notes
2156 OPTHALMOLOG 2B.S3.00027 2B.S3.00027 : Vitrectomy 7500 0 0 B.Scan , Fundus Photograph, 1. Fundus Photograph
4. OT notes
2157 OPTHALMOLOG 2B.S3.00031 2B.S3.00031 : Cataract with foldable hydrophobic 10500 0 0 A Scan Report, provisional 1. Clinical Photograph
Y acrylic IOL by Phaco emulsification tech + Glaucoma diagnosis 2. Clinical notes,
4. OT notes
2158 OPTHALMOLOG 2B.S3.00032 2B.S3.00032 : Cataract with non-foldable IOL using 6500 0 0 A Scan Report, provisional 1. Clinical Photograph
Y SICS technique + Glaucoma diagnosis 2. Clinical notes,
4. OT notes
2159 OPTHALMOLOG 2B.S3.00037 2B.S3.00037 : Laser for retinopathy (per sitting) 1500 0 0 Fundoscopy Report, provisional 1. Fundoscopy Report 2.
4. OT notes
2160 OPTHALMOLOG 2B.S3.00039 2B.S3.00039 : Orbitotomy 6600 0 0 Clinical Photograph, provisional 1. Clinical Photograph
4. OT notes
Page 59
2161 OPTHALMOLOG 2B.S3.00040 2B.S3.00040 : Squint correction (per muscle) 4000 0 0 Clinical Photograph, provisional 1. Clinical Photograph
4. OT notes
2162 OPTHALMOLOG 2B.S3.00041 2B.S3.00041 : Anterior Chamber Reconstruction 11500 0 0 Clinical Note / slit lamp report, 1. Slit lamp report
Y +Perforating corneo - Scleral Injury + IOL provisional diagnosis 2. Clinical notes,
4. OT notes
2163 OPTHALMOLOG 2B.S3.00042 2B.S3.00042 : PRP - Retinal Laser including 3 sittings 5000 0 0 Fundoscopy Report, provisional 1. Fundoscopy Report 2.
4. OT notes
2164 OPTHALMOLOG 2B.S3.17010 2B.S3.17010 : Photocoagulation for Retinopathy for 3 2000 0 0 Fundoscopy Report, provisional 1. Fundoscopy Report 2.
Y sittings-Complete package diagnosis Clinical notes,
4. OT notes
2165 OPTHALMOLOG 2B.S3.17011 2B.S3.17011 : Therapeutic Penetrating Keratoplasty 3300 0 0 Clinical Photo, provisional diagnosis 1. Clinical Photograph
Y 2. Clinical notes,
4. OT notes
2166 OPTHALMOLOG 2B.S3.17012 2B.S3.17012 : Lamellar Keratoplasty 3300 0 0 Clinical Photo, provisional diagnosis 1. Clinical Photograph
Y 2. Clinical notes,
4. OT notes
2167 OPTHALMOLOG 2B.S3.17013 2B.S3.17013 : Scleral Patch Graft 8000 0 0 Clinical Photograph, provisional 1. Clinical Photograph
4. OT notes
2168 OPTHALMOLOG 2B.S3.17014 2B.S3.17014 : Glaucoma Filtering Surgery For 8500 0 0 Intraocular Pressure reading, 1. Clinical Photograph
Y Paediatric Glaucoma provisional diagnosis 2. Clinical notes,
4. OT notes
2169 OPTHALMOLOG 3A.S3.00002 3A.S3.00002 : Canaliculo Dacryocysto Rhinostomy 10000 0 0 Clinical notes Procedure notes, sac syringe
Y
2170 OPTHALMOLOG 3A.S3.00003 3A.S3.00003 : Capsulotomy (YAG) 1500 0 0 Clinical notes Clinical Photograph, Procedure
Y notes
2171 OPTHALMOLOG 3A.S3.00006 3A.S3.00006 : 3000 0 0 Clinical notes,Clinical Photograph Clinical Photograph, Procedure
Y Cyclocryotherapy/Cyclophotocoagulation notes
2172 OPTHALMOLOG 3A.S3.00009 3A.S3.00009 : Enucleation 6000 0 0 CT Skull- Orbit , Clinical Clinical Photograph, Procedure
Y Photograph notes
2173 OPTHALMOLOG 3A.S3.00011 3A.S3.00011 : Exenteration 15000 0 0 CT Skull- Orbit , Clinical Clinical Photograph, Procedure
Y Photograph notes
2174 OPTHALMOLOG 3A.S3.00014 3A.S3.00014 : Intraocular Foreign Body Removal 20000 0 0 B Scan Report Clinical Photograph
Y from Posterior Segment
2175 OPTHALMOLOG 3A.S3.00024 3A.S3.00024 : Iridectomy Laser 2000 0 0 Clinical Note / slit lamp report Clinical Note / Slit lamp report
Y
2176 OPTHALMOLOG 3A.S3.00026 3A.S3.00026 : Iris cyst removal 2500 0 0 Clinical Note / slit lamp report Clinical Note / Slit lamp report
Y
2177 OPTHALMOLOG 3A.S3.00028 3A.S3.00028 : Vitrectomy + Retinal Detachment 17500 0 0 B.Scan , Fundus Photograph Fundus Photograph
Y surgery (pre-auth required)
2178 OPTHALMOLOG 3A.S8.00082A 3A.S8.00082A : Excision of Orbital Tumour - cross 50000 0 0 CT/MRI Report CT, Clinical Photograph showing
Y speciality scar + HPE report, Post-op CT
report and film
2179 OPTHALMOLOG 3A.M2.00011D 3A.M2.00011D : Optic neuritis - routine ward - cross 1800 0 0 Clinical note with Lab reports Treatment note
Y speciality
2180 OPTHALMOLOG 3A.M2.00011E 3A.M2.00011E : Optic neuritis - HDU - cross 2700 0 0 Clinical note with Lab reports Treatment note
Y speciality
2181 OPTHALMOLOG 3A.M2.00011F 3A.M2.00011F : Optic neuritis - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
Y ventilator - cross speciality
2182 OPTHALMOLOG 3A.M2.00011G 3A.M2.00011G : Optic neuritis - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
Y - cross speciality
2183 OPTHALMOLOG 3A.M4.00019A 3A.M4.00019A : Retinoblastoma (Intraocular): 100000 0 0 Haematology, Bone Marrow Clinical Photograph, chemotherapy
Y surgery - cross speciality Aspitation/ Flow cytometry drug batch number with bar code
2184 ORTHOPAEDICS 2A.S5.00001 2A.S5.00001 : AC joint reconstruction/ Stabilization/ 25000 0 0 X-ray X-Ray, Scar photo
Acromionplasty (Nonoperative management is
recommended for Rockwood type I and II injuries,
whereas surgical reconstruction is recommended for
type IV and VI separations. The management for type
III and V injuries is more controversial and is
determined on a case-by-case basis)
2185 ORTHOPAEDICS 2A.S5.00002 2A.S5.00002 : Accessory bone Excision (limbs) 6000 0 0 X-ray, Clinical photo Scar photo, X-Ray
congenital, Accessory digits sometime can be removed
2186 ORTHOPAEDICS 2A.S5.00003 2A.S5.00003 : Amputation - Below Elbow 15000 0 0 X-ray, clinical photo of the part, Scar photo, X-Ray, HPE for
HPE for tumours tumours
2187 ORTHOPAEDICS 2A.S5.00004 2A.S5.00004 : Amputation - Above Elbow 18000 0 0 X-ray X-ray
2188 ORTHOPAEDICS 2A.S5.00005 2A.S5.00005 : Amputation one or more fingers 6000 0 0 X-ray Scar photo, X-Ray
2189 ORTHOPAEDICS 2A.S5.00006 2A.S5.00006 : Amputation Wrist 15000 0 0 X-ray Scar photo, X-Ray
2190 ORTHOPAEDICS 2A.S5.00007 2A.S5.00007 : Amputation - one or more toes/ digits 6000 0 0 X-ray Scar photo, X-Ray
2191 ORTHOPAEDICS 2A.S5.00008 2A.S5.00008 : Amputation Below Knee 15000 0 0 X-ray, clinical photo of the part, Scar photo, X-Ray, HPE for
HPE for tumours tumours
2192 ORTHOPAEDICS 2A.S5.00009 2A.S5.00009 : Amputation Above Knee 20000 0 0 X-ray X-ray
2193 ORTHOPAEDICS 2A.S5.00010 2A.S5.00010 : Foot & Hand Amputation (whole/ 15000 0 0 X-ray, clinical photo of the part, Scar photo, X-Ray, HPE for
partial) HPE for tumours tumours
2194 ORTHOPAEDICS 2A.S5.00014 2A.S5.00014 : Osteochondroma excision/ Excision of 10000 0 0 X-ray Scar photo, X-Ray
Exostosis
2195 ORTHOPAEDICS 2A.S5.00015 2A.S5.00015 : Excision Arthoplasty 15000 0 0 X-ray, CT/MRI Scar photo, X-Ray
2196 ORTHOPAEDICS 2A.S5.00016 2A.S5.00016 : Arthorotomy of any joint 15000 0 0 X-ray, Rountine Blood Inv. Biopsy X-Ray, Scar photo
2197 ORTHOPAEDICS 2A.S5.00017 2A.S5.00017 : Arthrodesis Ankle Triple 15000 0 0 X-RAY, Fluid Analysis/Biospy X-Ray, Scar photo
2198 ORTHOPAEDICS 2A.S5.00018 2A.S5.00018 : Excision Arthoplasty of Femur head 22500 0 0 X-ray, CT/MRI Scar photo, X-Ray
2199 ORTHOPAEDICS 2A.S5.00023 2A.S5.00023 : Clavicle fracture management - 3000 0 0 X-ray X-Ray
conservative (daycare)
2200 ORTHOPAEDICS 2A.S5.00024 2A.S5.00024 : Close Fixation - Hand Bones 4000 0 0 X-ray X-Ray showing implant
2201 ORTHOPAEDICS 2A.S5.00025 2A.S5.00025 : Close Fixation - Foot Bones 4000 0 0 X-ray X-Ray showing implant
2202 ORTHOPAEDICS 2A.S5.00026 2A.S5.00026 : Close Reduction - Small Joints 4000 0 0 X-ray x-ray
2203 ORTHOPAEDICS 2A.S5.00029 2A.S5.00029 : Closed Interlocking Tibia + Orif of 30000 0 0 X-RAY/CT scan(If Required) Post-operative X-ray, Clinical
Fracture Fixation Photograph showing scar
Page 60
2204 ORTHOPAEDICS 2A.S5.00032 2A.S5.00032 : Closed Reduction and Percutaneous 15000 0 0 X Ray Scar photo, x-ray showing implant
Pinning
2205 ORTHOPAEDICS 2A.S5.00034 2A.S5.00034 : Closed Reduction of the Hip (including 7000 0 0 X-ray Post-op X-ray, Scar photo
hip Spika)
2206 ORTHOPAEDICS 2A.S5.00036 2A.S5.00036 : Debridement & Closure of Minor 3000 0 0 Clinical Notes + X-Rays Clinical Notes + X-Rays
injuries
2207 ORTHOPAEDICS 2A.S5.00037 2A.S5.00037 : Closed reduction of dislocation (Knee/ 6000 0 0 X-ray X-ray, scar photo
Hip)
2208 ORTHOPAEDICS 2A.S5.00038 2A.S5.00038 : Closed reduction of dislocation 5000 0 0 X-ray Patient Photo with Arthroscopic
(Shoulder/ Elbow) incision
2209 ORTHOPAEDICS 2A.S5.00039 2A.S5.00039 : Duputryen s Contracture release + 10000 0 0 clinical notes & photograph clinical notes & photograph
rehabilitation
2210 ORTHOPAEDICS 2A.S5.00040 2A.S5.00040 : Exploration and Ulnar nerve Repair 10000 0 0 Xray Films(if relevant)+ Clinical Clinical photo showing Scar
Picture(Mandatory) + detail notes
2211 ORTHOPAEDICS 2A.S5.00042 2A.S5.00042 : External fixation - Small bone 10000 0 0 X-RAY/CT scan(If Required) Post-operative X-ray, Clinical
Photograph showing scar
2212 ORTHOPAEDICS 2A.S5.00047 2A.S5.00047 : Fracture - Fibula Internal Fixation 10000 0 0 X-ray Scar photo, X-ray
2213 ORTHOPAEDICS 2A.S5.00050 2A.S5.00050 : Fracture - Olecranon of Ulna 10000 0 0 X-ray Scar photo, X-ray
2214 ORTHOPAEDICS 2A.S5.00051 2A.S5.00051 : Fracture - Radius Internal Fixation 10000 0 0 X-ray Scar photo, X-ray
2215 ORTHOPAEDICS 2A.S5.00052 2A.S5.00052 : Fracture - TIBIA Internal Fixation 17000 0 0 X-ray Scar photo, X-ray
plating
2216 ORTHOPAEDICS 2A.S5.00053 2A.S5.00053 : Fracture - Ulna Internal Fixation 10000 0 0 X-ray Scar photo, X-ray
2217 ORTHOPAEDICS 2A.S5.00054 2A.S5.00054 : Head Radius Excision 8000 0 0 X-ray Scar photo, X-ray
2218 ORTHOPAEDICS 2A.S5.00055 2A.S5.00055 : High Tibial Osteotomy 17000 0 0 Clinical photo, X-ray Scar photo, X-ray
2219 ORTHOPAEDICS 2A.S5.00056 2A.S5.00056 : Closed reduction + Hip Spica 7000 0 0 X-ray Clinical photo with spica, X-ray
2220 ORTHOPAEDICS 2A.S5.00057 2A.S5.00057 : Internal Fixation Lateral Epicondyle 10000 0 0 X-ray Scar photo, X-ray
2221 ORTHOPAEDICS 2A.S5.00058 2A.S5.00058 : Internal Fixation of other Small Bones 10000 0 0 X-ray X-ray
(metatarsals)
2222 ORTHOPAEDICS 2A.S5.00063 2A.S5.00063 : Nerve Transposition/Release/ 8000 0 0 Clinical Photograph Scar photo
Neurolysis
2223 ORTHOPAEDICS 2A.S5.00067 2A.S5.00067 : Open Reduction of Small Joint 15000 0 0 X-ray Scar photo, X-ray
2224 ORTHOPAEDICS 2A.S5.00069 2A.S5.00069 : Osteotomy -Small Bone 17000 0 0 X-ray Scar photo, X-ray
2225 ORTHOPAEDICS 2A.S5.00070 2A.S5.00070 : Osteotomy -Long Bone 30000 0 0 X-ray Scar photo, X-ray
2226 ORTHOPAEDICS 2A.S5.00071 2A.S5.00071 : Patellectomy 8000 0 0 X-ray Scar photo, X-ray
2227 ORTHOPAEDICS 2A.S5.00073 2A.S5.00073 : Percutaneous - Fixation of Fracture 7000 0 0 X-ray X-ray
2228 ORTHOPAEDICS 2A.S5.00074 2A.S5.00074 : Excision of Bursa 3000 0 0 Clinical photo Scar photo
2229 ORTHOPAEDICS 2A.S5.00076 2A.S5.00076 : Sequestrectomy of Long Bones + 25000 0 0 X-ray, Clinical photo X-ray
anti-biotics + dressing
2230 ORTHOPAEDICS 2A.S5.00077 2A.S5.00077 : Tendo Achilles Tenotomy 5000 0 0 Clinical photo Clinical photo
2231 ORTHOPAEDICS 2A.S5.00079 2A.S5.00079 : Tendon Release/ Tenotomy 5000 0 0 Clinical photo Clinical photo
2232 ORTHOPAEDICS 2A.S5.00080 2A.S5.00080 : Tenolysis 5000 0 0 Clinical photo Clinical photo
2233 ORTHOPAEDICS 2A.S5.00081 2A.S5.00081 : Tension Band Wiring Patella 15000 0 0 X-ray Scar photo, X-ray
2234 ORTHOPAEDICS 2A.S5.00082 2A.S5.00082 : Application of P.O.P. casts for Upper 3000 0 0 X-ray Clinical photo, X-ray
& Lower Limbs
2235 ORTHOPAEDICS 2A.S5.00083 2A.S5.00083 : Application of P.O.P. Spikas& Jackets 3500 0 0 X-ray Clinical photo, X-ray
2236 ORTHOPAEDICS 2A.S5.00084 2A.S5.00084 : Application of Skeletal Tractions with 3000 0 0 X-ray Clinical photo, X-ray
pin
2237 ORTHOPAEDICS 2A.S5.00085 2A.S5.00085 : Application of Skin Traction 1000 0 0 Clinical notes Clinical photo
2238 ORTHOPAEDICS 2A.S5.00086 2A.S5.00086 : Head radius - Excision + Fracture - 20000 0 0 X-ray Scar photo, X-ray
Ulna Internal Fixation
2239 ORTHOPAEDICS 2A.S5.00089 2A.S5.00089 : Correction of club foot per cast 15000 0 0 Clinical photo Clinical photo with POP
2240 ORTHOPAEDICS 2A.S5.00098 2A.S5.00098 : Arthrodesis of shoulder 40000 0 0 X-ray Scar photo, X-ray
2241 ORTHOPAEDICS 2A.S8.00004A 2A.S8.00004A : Carpal Tunnel Release including pre 0 0 0 MRI clinical photograph
and post Op. MRI - cross speciality
2242 ORTHOPAEDICS 2A.S1.00244A 2A.S1.00244A : Debridement of Ulcer-Leprosy - cross 0 0 0 Clinical photo, x-ray Scar photo, X-Ray
speciality
2243 ORTHOPAEDICS 2B.S5.00019 2B.S5.00019 : Bimalleolar Fracture Fixation 15000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. X-Ray
3.Clinical notes,

5. OT notes
2244 ORTHOPAEDICS 2B.S5.00021 2B.S5.00021 : Bone Tumour (malignant/ benign) 20000 0 0 X-ray, CT, Bone scan, HPE, 1. Scar Photo 2. X-Ray
curettage and bone grafting provisional diagnosis 3.Clinical notes,

5. OT notes
9. HPE
2245 ORTHOPAEDICS 2B.S5.00027 2B.S5.00027 : Closed Interlock Nailing + Bone 19000 0 0 X-ray, Rountine Blood Inv. 1. Scar Photo 2. X-Ray
Grafting femur ,provisional diagnosis 3.Clinical notes,

5. OT notes
2246 ORTHOPAEDICS 2B.S5.00028 2B.S5.00028 : Closed Interlocking Intermedullary 17500 0 0 X-ray, Rountine Blood Inv. 1. Scar Photo 2. X-Ray
,provisional diagnosis 3.Clinical notes,

5. OT notes
2247 ORTHOPAEDICS 2B.S5.00030 2B.S5.00030 : Closed Reduction and Internal Fixation 6000 0 0 X-ray, provisional diagnosis 1. X-Ray 2.Clinical
with K wire notes,
4. OT notes
2248 ORTHOPAEDICS 2B.S5.00031 2B.S5.00031 : Closed Reduction and Percutaneous 15000 0 0 X-ray, provisional diagnosis 1. X-Ray showing implant
Screw Fixation (neck femur) 2.Clinical notes,
4. OT notes
Page 61
2249 ORTHOPAEDICS 2B.S5.00033 2B.S5.00033 : Closed Reduction and Percutaneous 20000 0 0 X Ray, provisional diagnosis 1. Scar Photo 2. X-Ray
Nailing showing implant
3.Clinical notes,
5. OT notes
2250 ORTHOPAEDICS 2B.S5.00041 2B.S5.00041 : External fixation - Long bone 15000 0 0 X-RAY/CT scan(If Required) , 1. Scar Photo 2. Post
provisional diagnosis op X-Ray 3.Clinical
notes,
5. OT notes
2251 ORTHOPAEDICS 2B.S5.00043 2B.S5.00043 : External fixation - Pelvis 15000 0 0 X Ray film with report, provisional 1. X-Ray film with report
diagnosis 2.Clinical notes,
4. OT notes
2252 ORTHOPAEDICS 2B.S5.00045 2B.S5.00045 : Fixator with Joint Arthrolysis 20000 0 0 X-RAY, provisional diagnosis 1. Scar Photo 2. Post
op X-Ray 3.Clinical
notes,
5. OT notes
2253 ORTHOPAEDICS 2B.S5.00048 2B.S5.00048 : Fracture - Hip Internal Fixation 17000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. Post
(Intertrochanteric Fracture with implant) + op X-Ray 3.Clinical
rehabilitation notes,
5. OT notes
2254 ORTHOPAEDICS 2B.S5.00049 2B.S5.00049 : Fracture - Humerus Internal Fixation 17000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. Post
op X-Ray 3.Clinical
notes,
5. OT notes
2255 ORTHOPAEDICS 2B.S5.00059 2B.S5.00059 : Limb Lengthening 15000 0 0 Clinical Photograph, provisional 1. Scar Photo 2.
diagnosis Clinical Photograph
3.Clinical notes,
5. OT notes
2256 ORTHOPAEDICS 2B.S5.00065 2B.S5.00065 : Open Reduction Internal Fixation 20000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. Post
(Large Bone) op X-Ray 3.Clinical
notes,
5. OT notes
9.Invoice of implants
2257 ORTHOPAEDICS 2B.S5.00066 2B.S5.00066 : Open Reduction of CDH 30000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. Post
op X-Ray 3.Clinical
notes,
5. OT notes
2258 ORTHOPAEDICS 2B.S5.00068 2B.S5.00068 : Open Reduction with bone grafting of 20000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. Post
nonunion op X-Ray 3.Clinical
notes,
5. OT notes
2259 ORTHOPAEDICS 2B.S5.00075 2B.S5.00075 : Reconstruction of ACL/PCL with 30000 0 0 MRI, provisional diagnosis 1.MRI 2.Clinical
implant and brace notes,
4. OT notes
2260 ORTHOPAEDICS 2B.S5.00087 2B.S5.00087 : External fixation - both bones of 25000 0 0 X-ray, provisional diagnosis 1. Clinical Photo 2.
forearms Post op X-Ray 3.Clinical
notes,
5. OT notes
2261 ORTHOPAEDICS 2B.S5.00088 2B.S5.00088 : Fracture intercondylarHumerus + 20000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. Post
olecranon osteotomy op X-Ray 3.Clinical
notes,
5. OT notes
2262 ORTHOPAEDICS 2B.S5.00090 2B.S5.00090 : Arthroscopic Meniscus Repair/ 20000 0 0 MRI Report, provisional diagnosis 1. Scar Photo 2. Post
Meniscectomy op X-Ray 3.Clinical
notes,
5. OT notes
2263 ORTHOPAEDICS 2B.S5.00094 2B.S5.00094 : Bipolar Hemiarthroplasty (hip & 40000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. Post
shoulder) op X-Ray 3.Clinical
notes,
5. OT notes
2264 ORTHOPAEDICS 2B.S5.00095 2B.S5.00095 : Unipolar Hemiarthroplasty 30000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. Post
op X-Ray 3.Clinical
notes,
5. OT notes
2265 ORTHOPAEDICS 2B.S5.00097 2B.S5.00097 : Elbow replacement 40000 0 0 X-ray, provisional diagnosis 1. Scar Photo 2. Post
op X-Ray 3.Clinical
notes,
5. OT notes
2266 ORTHOPAEDICS 2B.S5.00099 2B.S5.00099 : Arthrodesis of Knee (with implant) 40000 0 0 X-ray, provisional diagnosis 1. Clinical Photo 2.
Post op X-Ray 3.Clinical
notes,
5. OT notes
Page 62
2267 ORTHOPAEDICS 2B.S5.00100 2B.S5.00100 : Arthrodesis of Wrist (with implant) 30000 0 0 X-ray, provisional diagnosis 1. Clinical Photo 2.
notes,
5. OT notes
2268 ORTHOPAEDICS 2B.S5.00101 2B.S5.00101 : Arthrodesis of Ankle (with implant) 30000 0 0 X-ray, provisional diagnosis 1. Clinical Photo 2.
notes,
5. OT notes
2269 ORTHOPAEDICS 2B.S5.17019 2B.S5.17019 : Maysers muscle pedicle graft for 20000 0 0 X Ray film with report, provisional 1. X Ray film with report 2.Clinical
Non-union fracture neck femur (orthroplasty) diagnosis notes,
4. OT notes
2270 ORTHOPAEDICS 2B.S5.17020 2B.S5.17020 : Facio-Maxillary Injury repairs & 5000 0 0 X-RAY/CT scan, provisional 1. Clinical Photograph showing scar
fixations diagnosis 2. Post op X-Ray
3.Clinical notes,
5. OT notes
2271 ORTHOPAEDICS 2B.S5.17021 2B.S5.17021 : Anterolateral Clearance For 18000 0 0 MRI, provisional diagnosis 1. X Ray film with report 2.Clinical
Tuberculosis notes,
4. OT notes
2272 ORTHOPAEDICS 2B.S5.17022 2B.S5.17022 : Posterior cruciate ligament (PCL) 17700 0 0 MRI, provisional diagnosis 1.MRI 2.Clinical
Reconstruction notes,
4. OT notes
2273 ORTHOPAEDICS 2B.S5.17023 2B.S5.17023 : Blunt injury abdomen 10000 0 0 USG, provisional diagnosis 1. USG 2.Clinical
notes,
4. OT notes
2274 ORTHOPAEDICS 2B.S8.00015A 2B.S8.00015A : Laminectomy with Fusion and 50000 0 0 CT/MRI report, provisional 1. Clinical Photograph showing scar
fixation - cross speciality diagnosis 2. X-ray-Lumbar Spine
3.Clinical notes,

5. OT notes
2275 ORTHOPAEDICS 2B.S8.00023A 2B.S8.00023A : Micro discectomy Lumbar - cross 40000 0 0 Clinical findings, MRI Report, 1. Clinical Photograph showing scar
speciality provisional diagnosis 2.Clinical
notes,
4. OT notes
2276 ORTHOPAEDICS 2B.S8.00029A 2B.S8.00029A : Spine - Decompression & Fusion 50000 0 0 Clinical findings, MRI Report, 1. Post Op X-Ray Report and film
with fixation - cross speciality provisional diagnosis 2.Clinical
notes,
4. OT notes
2277 ORTHOPAEDICS 2B.S8.00074A 2B.S8.00074A : Muscle Biopsy with report - cross 7000 0 0 Reports of relevant investigation, 1.HPE Report 2.Clinical
speciality provisional diagnosis notes,
4. OT notes
2278 ORTHOPAEDICS 2B.S1.00164B 2B.S1.00164B : Split thickness skin grafts Small (< 5000 0 0 CBC/Electrolytes/RFJ, Clincal 1. Post-op photo 2.Clinical notes,
4% TBSA) - - cross speciality photo, provisional diagnosis
4. OT notes
2279 ORTHOPAEDICS 2B.S1.00224A 2B.S1.00224A : Rib Resection & Drainage - cross 7500 0 0 Chest X-ray, Clinical Photograph, 1.Clinical Photograph 2.Clinical
4. OT notes
2280 ORTHOPAEDICS 2B.S1.00246B 2B.S1.00246B : Tendon Transfer-Leprosy - - cross 22000 0 0 Clinical Photograph, Clinical Notes, 1.Clinical Photograph 2.Clinical
4. OT notes
2281 ORTHOPAEDICS 2B.S5.00003A 2B.S5.00003A : Sequestrectomy - cross speciality 1500 0 0 X Ray film with report, provisional 1. X Ray film with report 2.Clinical
diagnosis notes,
4. OT notes
2282 ORTHOPAEDICS 3A.S5.00011 3A.S5.00011 : Disarticulation (hind & for quarter) 25000 0 0 X-ray, clinical photo, CT, HPE for Scar photo, X-Ray, HPE for
tumours tumours
2283 ORTHOPAEDICS 3A.S5.00012 3A.S5.00012 : Anterior Spine Fixation 35000 0 0 X-ray, CT/MRI X-ray / CT/MRI Scan, scar photo
2284 ORTHOPAEDICS 3A.S5.00013 3A.S5.00013 : Posterior Spine Fixation 20000 0 0 X-ray, CT/MRI X-ray / CT/MRI Scan, scar photo
2285 ORTHOPAEDICS 3A.S5.00020 3A.S5.00020 : Bone Tumour Excision + 50000 0 0 X-ray, CT, Bone scan, HPE Scar photo, X-Ray, HPE
reconstruction using implant (malignant/ benign)
2286 ORTHOPAEDICS 3A.S5.00022 3A.S5.00022 : Bone Tumour Excision (malignant/ 150000 0 0 X-ray, CT, Bone scan, HPE Scar photo, X-Ray, HPE
benign) + Joint replacement (depending upon type of
joint and implant)
2287 ORTHOPAEDICS 3A.S5.00046 3A.S5.00046 : Fracture - Acetabulum 26600 0 0 X-RAY/CT scan Clinical Photograph showing scar +
post op. XRAY
2288 ORTHOPAEDICS 3A.S5.00060 3A.S5.00060 : Llizarov Fixation 26600 0 0 X-ray Post op X-ray, Pt photo with
applicator
2289 ORTHOPAEDICS 3A.S5.00061 3A.S5.00061 : Multiple Tendon Repair 10000 0 0 X-ray Films/ Clinical Picture + Clinical photo showing Scar
detail notes
2290 ORTHOPAEDICS 3A.S5.00062 3A.S5.00062 : Nerve Repair Surgery 15000 0 0 Clinical Photograph Clinical Photograph
2291 ORTHOPAEDICS 3A.S5.00072 3A.S5.00072 : Pelvic Osteotomy with fixation with 30000 0 0 X-ray photo with plaster, X-ray
plaster
2292 ORTHOPAEDICS 3A.S5.00078 3A.S5.00078 : Tendon Grafting 20000 0 0 Xray Films(if relevant)+ Clinical Clinical photo showing Scar
Picture(Mandatory) + detail notes
2293 ORTHOPAEDICS 3A.S5.00091 3A.S5.00091 : Total Hip Replacement (cemented) 60100 0 0 X-ray Post-op X-ray, Scar photo
2294 ORTHOPAEDICS 3A.S5.00092 3A.S5.00092 : Total Hip Replacement (cementless) 69100 0 0 X-ray Post-op X-ray, Scar photo
Page 63
2295 ORTHOPAEDICS 3A.S5.00093 3A.S5.00093 : Total Hip Replacement (hybrid) 100000 0 0 X-ray Post-op X-ray, Scar photo
2296 ORTHOPAEDICS 3A.S5.00096 3A.S5.00096 : Total Knee Replacement 65000 0 0 X-ray Post-op X-ray, Scar photo
2297 ORTHOPAEDICS 3A.S6.00001C 3A.S6.00001C : Nerve Plexus injuries, Tendon injury 50000 0 0 MRI + Xray Films(if relevant)+ Clinical photo showing Scar
repair/reconstruction/ Transfer - cross speciality Clinical Picture(Mandatory) + detail
notes
2298 ORTHOPAEDICS 3A.S6.00002B 3A.S6.00002B : Plexus injury along with Vascular 60000 0 0 MRI + Xray Films(if relevant)+ Clinical photo showing Scar
injury repair/ graft - cross speciality Clinical Picture(Mandatory) + detail
notes
2299 ORTHOPAEDICS 3A.S6.00003B 3A.S6.00003B : Internal fixation with Flap cover 40000 0 0 X-RAY/CT scan(If Required) Post-operative X-ray, Clinical
Surgery for wound in compound fracture - cross Photograph showing scar
speciality
2300 ORTHOPAEDICS 3A.S8.00016A 3A.S8.00016A : Laminectomy with Fusion - cross 40000 0 0 Clinical findings, MRI Report photo showing scar
speciality
2301 ORTHOPAEDICS 3A.S8.00028A 3A.S8.00028A : Spine - Decompression & Fusion - 40000 0 0 Clinical findings, MRI Report Post Op X-Ray Report and film
cross speciality
2302 ORTHOPAEDICS 3A.S8.00075B 3A.S8.00075B : Nerve Decompression - cross 20000 0 0 Nerve Conductions study Clinical Photographs showing scar
speciality
2303 ORTHOPAEDICS 3A.S8.00076B 3A.S8.00076B : Peripheral Nerve Surgery Major - 45000 0 0 Nerve Conduction Velocity (Nerve Clinical Photographs showing scar
cross speciality conduction velocity (NCV)) and
2304 ORTHOPAEDICS 3A.S8.00077A 3A.S8.00077A : Peripheral Nerve Surgery Minor - 15000 0 0 Nerve Conduction Velocity (Nerve Clinical Photographs showing scar
cross speciality conduction velocity (NCV) /
2305 ORTHOPAEDICS 3A.M4.00035B 3A.M4.00035B# : Bone tumors/soft tissue sarcomas : 235000 0 0 CT scan/MRI ,USG abdomen pelvis, X-ray, CT Scan, Clinical photograph
surgery (inlcuding prosthesis) - cross speciality Clinical photograph Hemogram report
2306 ORTHOPAEDICS 4A.S5.00035 4A.S5.00035 : Debridement & Closure of Major 7000 0 0 Clinical Notes + X-Rays Clinical Notes + X-Rays
injuries - contused lacerated wounds (anti-biotic +
dressing) - minimum of 3 sessions
2307 ORTHOPAEDICS 4A.S5.00044 4A.S5.00044 : Fasciotomy 15000 0 0 complete blood count,clinical Scar photo
photograph
2308 ORTHOPAEDICS 4A.S5.00064 4A.S5.00064 : Open Reduction Internal Fixation (2 12000 0 0 X-ray X-ray
Small Bones)
2309 ORTHOPAEDICS 4A.S6.00008C 4A.S6.00008C : Visceral injury requiring surgical 30000 0 0 X-ray/CT scan / Ultra sound Post-Operative X-ray, scar photo
intervention along with fixation of fracture of single
long bone. - cross speciality
2310 ORTHOPAEDICS 4A.S6.00010A 4A.S6.00010A : Chest injury with one fracture of long 35000 0 0 X-ray of fracture, Chest x-ray / CT Clinical Photograph , X-RAY
bone (with implants) - cross speciality
2311 ORTHOPAEDICS 4A.S6.00011A 4A.S6.00011A : Chest injury with fracture of 2 or 35000 0 0 X-ray of fracture, Chest x-ray / CT Clinical Photograph , X-RAY
more long bones - cross speciality
2312 ORTHOPAEDICS 4A.S6.00012C 4A.S6.00012C : Emergency tendons repair 30000 0 0 X-ray Films/ Clinical Picture Clinical photo showing Scar
Peripheral Nerve repair/ reconstructive surgery - cross
speciality
2313 ORTHOPAEDICS 4A.S6.17028B 4A.S6.17028B : Deglove injury of extremities - cross 12000 0 0 complete blood count,clinical Scar photo
speciality photograph, X ray of affected part
2314 ORTHOPAEDICS 4A.S6.00009C 4A.S6.00009C : Visceral injury requiring surgical 45000 0 0 X-ray/CT scan / Ultra sound Post-Operative X-ray, scar photo
intervention along with fixation of fracture of 2 or
more long bones. - cross speciality
2315 PLASTIC AND 2B.S1.00145A 2B.S1.00145A : Cleft lip operation - cross speciality 12000 0 0 Clinical Photograph, provisional 1.Clinical Photograph 2.Clinical
RECONSTRUCTI diagnosis notes,
VE SURGERY 3. Daily bed side rounds notes,
4. OT notes
2316 PLASTIC AND 2B.S1.00147A 2B.S1.00147A : Cleft lip & palate operation (for each 15000 0 0 Clincal note and photograph, 1.Clinical Photograph 2.Clinical
RECONSTRUCTI stage) - cross speciality provisional diagnosis notes,
4. OT notes
2317 PLASTIC AND 2B.S1.00164A 2B.S1.00164A : Split thickness skin grafts Small (< 5000 0 0 CBC/Electrolytes/RFJ, Clincal 1. Post-op photo 2.Clinical
RECONSTRUCTI 4% TBSA) - - cross speciality photo, provisional diagnosis notes,
4. OT notes
2318 PLASTIC AND 2B.S1.00166A 2B.S1.00166A : Split thickness skin grafts Large (> 15000 0 0 CBC/Electrolytes/RFJ, Clincal 1. Post-op photo 2.Clinical
RECONSTRUCTI 8% TBSA) - - cross speciality photo, provisional diagnosis notes,
4. OT notes
2319 PLASTIC AND 2B.S1.00245A 2B.S1.00245A : Tissue Reconstruction Flap Leprosy - 22000 0 0 Clinical Photograph, provisional 1. Scar photo 2.Clinical
RECONSTRUCTI cross speciality diagnosis notes,
4. OT notes
2320 PLASTIC AND 2B.S1.00246A 2B.S1.00246A : Tendon Transfer-Leprosy - - cross 22000 0 0 Clinical Photograph, Clinical Notes, 1. Clinical Photograph 2.Clinical
RECONSTRUCTI speciality provisional diagnosis notes,
4. OT notes
2321 PLASTIC AND 3A.S10.00001 3A.S10.00001 : Ear Pinna Reconstruction with costal 30000 0 0 X-ray and clinical note OT note with clinical photograph of
RECONSTRUCTI cartilage/ Prosthesis (including the cost of stages
VE SURGERY prosthesis/implants). *If requiring multiple stages,
each stage will cost Rs. 30,000 provided the operating
surgeon demonstrates the photographic results of
previous stages.
2322 PLASTIC AND 3A.S10.00002 3A.S10.00002 : Revascularization of limb/digit 25000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, Doppler study, Clinical photo and
RECONSTRUCTI HbsAg,, CXR, ECG,(X-ray of OT note
VE SURGERY limb/digit)
2323 PLASTIC AND 3A.S10.00003 3A.S10.00003 : Hemangioma Sclerotherapy (under 35000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, MRI/MRA
RECONSTRUCTI GA) HbsAg,CXR, ECG MRI/MRA
VE SURGERY
2324 PLASTIC AND 3A.S10.00004 3A.S10.00004 : Hemangioma Debulking/ Excision 35000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, MRI/MRA
RECONSTRUCTI HbsAg, CXR, ECG, MRI/MRA
VE SURGERY
2325 PLASTIC AND 3A.S10.00005 3A.S10.00005 : Tissue Expander for disfigurement 50000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, Clinical photo and OT note
RECONSTRUCTI following burns/ trauma/ congenital deformity HbsAg,, CXR, ECG.
VE SURGERY (including cost of expander / implant)
2326 PLASTIC AND 3A.S10.00006 3A.S10.00006 : Scalp avulsion reconstruction 50000 0 0 CBC,RBS,RFT,S Electrolytes, Clinical photo and OT note
RECONSTRUCTI HIV,HbsAg, CXR, ECG
VE SURGERY
2327 PLASTIC AND 3A.S10.00007 3A.S10.00007 : NPWT (Inpatient only) 2000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, Clinical photo and OT note
RECONSTRUCTI HbsAg,, CXR, ECG.
VE SURGERY
2328 PLASTIC AND 3A.S10.00008 3A.S10.00008 : Pressure Sore Surgery 30000 0 0 CBC,RBS,RFT,S Electrolytes, HIV, Clinical photo and OT note
RECONSTRUCTI HbsAg, CXR, ECG, Pus for C/S
VE SURGERY
2329 PLASTIC AND 3A.S10.00009 3A.S10.00009 : Diabetic Foot Surgery 30000 0 0 Clinical Photograph, Post - op Photograph, MRI/MRA
RECONSTRUCTI CBC,RBS,RFT,S Electrolytes, HIV,
VE SURGERY HbsAg,, CXR, ECG, Pus for C/S,
MRI/MRA
2330 PLASTIC AND 3A.S6.00001A 3A.S6.00001A : Nerve Plexus injuries, Tendon injury 50000 0 0 MRI + Xray Films(if relevant)+ Clinical photo showing Scar
RECONSTRUCTI repair/reconstruction/ Transfer - cross speciality Clinical Picture(Mandatory) + detail
VE SURGERY notes
2331 PLASTIC AND 3A.S6.00003A 3A.S6.00003A : Internal fixation with Flap cover 40000 0 0 X-RAY/CT scan(If Required) Post-operative X-ray, Clinical
RECONSTRUCTI Surgery for wound in compound fracture - cross Photograph showing scar
VE SURGERY speciality
2332 PLASTIC AND 3A.S1.00163B 3A.S1.00163B : Flap Reconstructive Surgery - cross 30000 0 0 X-ray Films + detail notes Clinical photo showing Scar
RECONSTRUCTI speciality
VE SURGERY
Page 64
2333 PLASTIC AND 3A.S1.00165A 3A.S1.00165A : Split thickness skin grafts Medium 10000 0 0 Clinical photograph Scar photo
RECONSTRUCTI (4 - 8% TBSA) - cross speciality
VE SURGERY
2334 PLASTIC AND 3A.S1.00167A 3A.S1.00167A : Free Grafts - Wolfe Grafts - cross 10000 0 0 Clinical photograph Scar photo
VE SURGERY
2335 PLASTIC AND 3A.S1.00225A 3A.S1.00225A : Skin Flaps - Rotation Flaps - cross 6200 0 0 Clinical photo Scar photo
VE SURGERY
2336 PLASTIC AND 3A.S6.00002C 3A.S6.00002C : Plexus injury along with Vascular 60000 0 0 MRI + Xray Films(if relevant)+ Clinical photo showing Scar
RECONSTRUCTI injury repair/ graft - cross speciality Clinical Picture(Mandatory) + detail
VE SURGERY notes
2337 PLASTIC AND 4A.S6.00012B 4A.S6.00012B : Emergency tendons repair 30000 0 0 X-ray Films/ Clinical Picture Clinical photo showing Scar
RECONSTRUCTI Peripheral Nerve repair/ reconstructive surgery - cross
VE SURGERY speciality
2338 PLASTIC AND 4A.S6.17028A 4A.S6.17028A : Deglove injury of extremities - cross 12000 0 0 complete blood count,clinical Scar photo
RECONSTRUCTI speciality photograph, X ray of affected part
VE SURGERY
2339 POLYTRAUMA 2B.S6.00005 2B.S6.00005 : Internal fixation of Pelviacetabular 40000 0 0 X Ray film with report, provisional 1. X Ray film with report, 2. Scar
fracture diagnosis photo 3.Clinical notes,

5. OT notes
2340 POLYTRAUMA 3A.S6.00001 3A.S6.00001 : Nerve Plexus injuries, Tendon injury 50000 0 0 MRI + Xray Films(if relevant)+ Clinical photo showing Scar
repair/reconstruction/ Transfer Clinical Picture(Mandatory) + detail
notes
2341 POLYTRAUMA 3A.S6.00002 3A.S6.00002 : Plexus injury along with Vascular 60000 0 0 MRI + Xray Films(if relevant)+ Clinical photo showing Scar
injury repair/ graft Clinical Picture(Mandatory) + detail
notes
2342 POLYTRAUMA 3A.S6.00003 3A.S6.00003 : Internal fixation with Flap cover 40000 0 0 X-RAY/CT scan(If Required) Post-operative X-ray, Clinical
Surgery for wound in compound fracture Photograph showing scar
2343 POLYTRAUMA 3A.S6.00004 3A.S6.00004 : Head injury requiring Facio-Maxillary 35000 0 0 X-RAY/CT scan(If Required) Post-operative X-ray, Clinical
Injury repairs & fixations (including implants) Photograph showing scar
2344 POLYTRAUMA 3A.S6.17024 3A.S6.17024 : Visceral injuries severe 60000 0 0 Pre-op. of X-ray/CT scan / Ultra Post-Operative X-ray, scar photo
sound
2345 POLYTRAUMA 3A.S6.17025 3A.S6.17025 : Chest injuries with ICD bilateral 11000 0 0 X-ray /ultra sound Post-Operative chest X-ray with
ICD in situ
2346 POLYTRAUMA 3A.S6.17026 3A.S6.17026 : Chest injuries with ICD + ICU 20000 0 0 X-ray /ultra sound Post-Operative chest X-ray with
ICD in situ
2347 POLYTRAUMA 3A.S6.17027 3A.S6.17027 : Chest injuries with ICD + ICU + 26600 0 0 X-ray /ultra sound Post-Operative chest X-ray with
Ventilator ICD in situ
2348 POLYTRAUMA 4A.S6.00006 4A.S6.00006 : Craniotomy and evacuation of 60000 0 0 CT Report , X Ray OT Notes, CT Report, Clinical
Haematoma subdural/Extra dural along with fixation Photograph
of fracture of single long bone
2349 POLYTRAUMA 4A.S6.00007 4A.S6.00007 : Craniotomy and evacuation of 75000 0 0 CT Report , X Ray OT Notes, CT Report, Clinical
Haematoma subdural/Extra dural along with fixation Photograph
of fracture of 2 or more long bone.
2350 POLYTRAUMA 4A.S6.00008 4A.S6.00008 : Visceral injury requiring surgical 30000 0 0 X-ray/CT scan / Ultra sound Post-Operative X-ray, scar photo
intervention along with fixation of fracture of single
long bone.
2351 POLYTRAUMA 4A.S6.00009 4A.S6.00009 : Visceral injury requiring surgical 45000 0 0 X-ray/CT scan / Ultra sound Post-Operative X-ray, scar photo
intervention along with fixation of fracture of 2 or
more long bones.
2352 POLYTRAUMA 4A.S6.00010 4A.S6.00010 : Chest injury with one fracture of long 35000 0 0 X-ray of fracture, Chest x-ray / CT Clinical Photograph , X-RAY
bone (with implants)
2353 POLYTRAUMA 4A.S6.00011 4A.S6.00011 : Chest injury with fracture of 2 or more 35000 0 0 X-ray of fracture, Chest x-ray / CT Clinical Photograph , X-RAY
long bones
2354 POLYTRAUMA 4A.S6.00012 4A.S6.00012 : Emergency tendons repair Peripheral 30000 0 0 X-ray Films/ Clinical Picture Clinical photo showing Scar
Nerve repair/ reconstructive surgery
2355 POLYTRAUMA 4A.S6.17028 4A.S6.17028 : Deglove injury of extremities 12000 0 0 complete blood count,clinical Scar photo
photograph, X ray of affected part
2356 POLYTRAUMA 4A.S6.17029 4A.S6.17029 : Inter costal drainage (icd) one side 8000 0 0 X-ray X-ray
2357 POLYTRAUMA 4A.S6.17030 4A.S6.17030 : Inter costal drainage (icd)bilateral (flail 11000 0 0 X-ray X-ray
chest)
chest) with icu stay
chest) with icu stay with ventilator
2360 POLYTRAUMA 4A.S6.17033 4A.S6.17033 : Blunt injury abdomen with icu stay 12000 0 0 USG USG
2361 POLYTRAUMA 4A.S6.17034 4A.S6.17034 : Supra pubic cystostomy in fracture 8000 0 0 X-ray X-ray
pelvis
2362 POLYTRAUMA 4A.S6.17035 4A.S6.17035 : Spine injuries - with ct/mri 7000 0 0 CT/MRI CT/MRI
2363 POLYTRAUMA 4A.S6.17036 4A.S6.17036 : Head injury with icu (conservative)) 7000 0 0 CT Clinical photo with treatment notes
2364 POLYTRAUMA 4A.S6.17037 4A.S6.17037 : Head injury with icu stay (with 15000 0 0 CT Clinical photo with treatment notes
ventilator)
2365 POLYTRAUMA 4A.S6.17038 4A.S6.17038 : Head injury with minimal surgical 25000 0 0 CT Clinical/scar photo with treatment
intervention notes
2366 PULMONOLOG 2A.M1.00005H 2A.M1.00005H : Acute bronchitis - routine ward - 0 0 0 clinical notes clinical notes
Y cross speciality
2367 PULMONOLOG 2A.M1.00005I 2A.M1.00005I : Acute bronchitis - HDU - cross 0 0 0 clinical notes clinical notes
Y speciality
2368 PULMONOLOG 2A.M1.00005J 2A.M1.00005J : Acute bronchitis - ICU without 0 0 0 clinical notes clinical notes
2369 PULMONOLOG 2A.M1.00005K 2A.M1.00005K : Acute bronchitis - iCU with 0 0 0 clinical notes clinical notes
2370 PULMONOLOG 2A.M1.00019D 2A.M1.00019D : Pneumonia - routine ward - cross 0 0 0 clinical notes, X-ray clinical notes
Y speciality
2371 PULMONOLOG 2A.M1.00019E 2A.M1.00019E : Pneumonia - HDU - cross speciality 0 0 0 clinical notes, X-ray clinical notes
Y
2372 PULMONOLOG 2A.M1.00019F 2A.M1.00019F : Pneumonia - ICU without ventilator - 0 0 0 clinical notes, X-ray clinical notes
Y cross speciality
2373 PULMONOLOG 2A.M1.00019G 2A.M1.00019G : Pneumonia - ICU with ventilator - 0 0 0 clinical notes, X-ray clinical notes
Y cross speciality
2374 PULMONOLOG 2A.M1.00027H 2A.M1.00027H : Pericardial/ Pleural tuberculosis - 0 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
Y routine ward - cross speciality X-ray chest
2375 PULMONOLOG 2A.M1.00027I 2A.M1.00027I : Pericardial/ Pleural tuberculosis - 0 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
Y HDU - cross speciality X-ray chest
2376 PULMONOLOG 2A.M1.00027J 2A.M1.00027J : Pericardial/ Pleural tuberculosis - 0 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
Y ICU without ventilator - cross speciality X-ray chest
2377 PULMONOLOG 2A.M1.00027K 2A.M1.00027K : Pericardial/ Pleural tuberculosis - 0 0 0 clinical notes, Smear examination, clinical notes, X-ray chest
Y ICU with ventilator - cross speciality X-ray chest
2378 PULMONOLOG 3A.M1.00039D 3A.M1.00039D : HIV with complications - routine 1800 0 0 clinical notes, Blood examination clinical notes
Y ward - cross speciality report
2379 PULMONOLOG 3A.M1.00039E 3A.M1.00039E : HIV with complications - HDU - 2700 0 0 clinical notes, Blood examination clinical notes
Y cross speciality report
2380 PULMONOLOG 3A.M1.00039F 3A.M1.00039F : HIV with complications - ICU 3600 0 0 clinical notes, Blood examination clinical notes
Y without ventilator - cross speciality report
2381 PULMONOLOG 3A.M1.00039G 3A.M1.00039G : HIV with complications - ICU with 4500 0 0 clinical notes, Blood examination clinical notes
Y ventilator - cross speciality report
2382 PULMONOLOG 3A.M1.00047D 3A.M1.00047D : Severe pneumonia - routine ward - 1800 0 0 Clinical Notes with relevant Treatment Notes
Y cross speciality investigations, X-ray/USG of chest
2383 PULMONOLOG 3A.M1.00047E 3A.M1.00047E : Severe pneumonia- HDU - cross 2700 0 0 Clinical Notes with relevant Treatment Notes
Y speciality investigations, X-ray/USG of chest
2384 PULMONOLOG 3A.M1.00047F 3A.M1.00047F : Severe pneumonia - ICU without 3600 0 0 Clinical Notes with relevant Treatment Notes
Y ventilator - cross speciality investigations, X-ray/USG of chest
2385 PULMONOLOG 3A.M1.00047G 3A.M1.00047G : Severe pneumonia - ICU with 4500 0 0 Clinical Notes with relevant Treatment Notes
Y ventilator - cross speciality investigations, X-ray/USG of chest
2386 PULMONOLOG 3A.M2.00015H 3A.M2.00015H : Chronic cough - routine ward - cross 1800 0 0 Clinical note with Lab reports Treatment note
Y speciality
2387 PULMONOLOG 3A.M2.00015I 3A.M2.00015I : Chronic cough - HDU - cross 2700 0 0 Clinical note with Lab reports Treatment note
Y speciality
2388 PULMONOLOG 3A.M2.00015J 3A.M2.00015J : Chronic cough - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
Page 65
2389 PULMONOLOG 3A.M2.00015K 3A.M2.00015K : Chronic cough - ICU with ventilator 4500 0 0 Clinical note with Lab reports Treatment note
2390 PULMONOLOG 3A.M2.00016D 3A.M2.00016D : Wheezing - routine ward - cross 1800 0 0 Clinical note with Lab reports Treatment note
Y speciality
2391 PULMONOLOG 3A.M2.00016E 3A.M2.00016E : Wheezing - HDU - cross speciality 2700 0 0 Clinical note with Lab reports Treatment note
Y
2392 PULMONOLOG 3A.M2.00016F 3A.M2.00016F : Wheezing - ICU without ventilator - 3600 0 0 Clinical note with Lab reports Treatment note
Y cross speciality
2393 PULMONOLOG 3A.M2.00016G 3A.M2.00016G : Wheezing - ICU with ventilator - 4500 0 0 Clinical note with Lab reports Treatment note
Y cross speciality
2394 PULMONOLOG 3A.M2.00042D 3A.M2.00042D : Persistent pneumonia - routine ward 1800 0 0 Clinical note with Lab reports Treatment note
2395 PULMONOLOG 3A.M2.00042E 3A.M2.00042E : Persistent pneumonia - HDU - cross 2700 0 0 Clinical note with Lab reports Treatment note
Y speciality
2396 PULMONOLOG 3A.M2.00042F 3A.M2.00042F : Persistent pneumonia - ICU without 3600 0 0 Clinical note with Lab reports Treatment note
2397 PULMONOLOG 3A.M2.00042G 3A.M2.00042G : Persistent pneumonia - ICU with 4500 0 0 Clinical note with Lab reports Treatment note
2398 PULMONOLOG 3A.M2.00066D 3A.M2.00066D : Severe exacerbation of asthma - 1800 0 0 Clinical note with Lab reports Treatment note
Y routine ward - cross speciality
2399 PULMONOLOG 3A.M2.00066E 3A.M2.00066E : Severe exacerbation of asthma - 2700 0 0 Clinical note with Lab reports Treatment note
Y HDU - cross speciality
2400 PULMONOLOG 3A.M2.00066F 3A.M2.00066F : Severe exacerbation of asthma - ICU 3600 0 0 Clinical note with Lab reports Treatment note
Y without ventilator - cross speciality
2401 PULMONOLOG 3A.M2.00066G 3A.M2.00066G : Severe exacerbation of asthma - ICU 4500 0 0 Clinical note with Lab reports Treatment note
Y with ventilator - cross speciality
2402 PULMONOLOG 4A.M1.00006D 4A.M1.00006D : Pneumothroax - routine ward - 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y cross speciality Admission notes showing vitals and detailed discharge summary, All
management
2403 PULMONOLOG 4A.M1.00006E 4A.M1.00006E : Pneumothroax - HDU - cross 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y speciality Admission notes showing vitals and detailed discharge summary, All
management
2404 PULMONOLOG 4A.M1.00006F 4A.M1.00006F : Pneumothroax - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y ventilator - cross speciality Admission notes showing vitals and detailed discharge summary, All
management
2405 PULMONOLOG 4A.M1.00006G 4A.M1.00006G : Pneumothroax - ICU with ventilator 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y - cross speciality Admission notes showing vitals and detailed discharge summary, All
management
2406 PULMONOLOG 4A.M1.00012D 4A.M1.00012D : Acutre excaberation of COPD - 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y routine ward - cross speciality Admission notes showing vitals and detailed discharge summary, All
management
2407 PULMONOLOG 4A.M1.00012E 4A.M1.00012E : Acutre excaberation of COPD - 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y HDU - cross speciality Admission notes showing vitals and detailed discharge summary, All
management
2408 PULMONOLOG 4A.M1.00012F 4A.M1.00012F : Acutre excaberation of COPD - ICU 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y without ventilator - cross speciality Admission notes showing vitals and detailed discharge summary, All
management
2409 PULMONOLOG 4A.M1.00012G 4A.M1.00012G : Acutre excaberation of COPD - ICU 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y with ventilator - cross speciality Admission notes showing vitals and detailed discharge summary, All
management
2410 PULMONOLOG 4A.M1.00044D 4A.M1.00044D : Type 1/2 respiratory failure - 1800 0 0 Clinical Notes with relevant Treatment Notes
Y routine ward - cross speciality investigations
2411 PULMONOLOG 4A.M1.00044E 4A.M1.00044E : Type 1/2 respiratory failure - HDU 2700 0 0 Clinical Notes with relevant Treatment Notes
Y - cross speciality investigations
2412 PULMONOLOG 4A.M1.00044F 4A.M1.00044F : Type 1/2 respiratory failure - ICU 3600 0 0 Clinical Notes with relevant Treatment Notes
Y without ventilator - cross speciality investigations
2413 PULMONOLOG 4A.M1.00044G 4A.M1.00044G : Type 1/2 respiratory failure - ICU 4500 0 0 Clinical Notes with relevant Treatment Notes
Y with ventilator - cross speciality investigations
2414 PULMONOLOG 4A.M1.00045D 4A.M1.00045D : Acute asthmatic attack - routine 1800 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y ward - cross speciality Admission notes showing vitals and detailed discharge summary, All
management
2415 PULMONOLOG 4A.M1.00045E 4A.M1.00045E : Acute asthmatic attack - HDU - cross 2700 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
Y speciality Admission notes showing vitals and detailed discharge summary, All
management
2416 PULMONOLOG 4A.M1.00045F 4A.M1.00045F : Acute asthmatic attack - ICU without 3600 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
2417 PULMONOLOG 4A.M1.00045G 4A.M1.00045G : Acute asthmatic attack - ICU with 4500 0 0 Clinical notes detailing history and Detailed ICPs, Treatment details,
management
2418 PULMONOLOG 4A.M1.00055D 4A.M1.00055D : Severe sepsis/Septic shock - routine 1800 0 0 Clinical Notes with relevant Treatment Notes
Y ward - cross speciality investigations
2419 PULMONOLOG 4A.M1.00055E 4A.M1.00055E : Severe sepsis/Septic shock - HDU - 2700 0 0 Clinical Notes with relevant Treatment Notes
Y cross speciality investigations
2420 PULMONOLOG 4A.M1.00055F 4A.M1.00055F : Severe sepsis/Septic shock - ICU 3600 0 0 Clinical Notes with relevant Treatment Notes
2421 PULMONOLOG 4A.M1.00055G 4A.M1.00055G : Severe sepsis/Septic shock - ICU 4500 0 0 Clinical Notes with relevant Treatment Notes
2422 PULMONOLOG 4A.M2.00005D 4A.M2.00005D : Acute Exacerbation of asthma - 1800 0 0 Clinical Notes with relevant Treatment Notes
Y routine ward - cross speciality investigations
2423 PULMONOLOG 4A.M2.00005E 4A.M2.00005E : Acute Exacerbation of asthma - 2700 0 0 Clinical Notes with relevant Treatment Notes
Y HDU - cross speciality investigations
2424 PULMONOLOG 4A.M2.00005F 4A.M2.00005F : Acute Exacerbation of asthma - ICU 3600 0 0 Clinical Notes with relevant Treatment Notes
2425 PULMONOLOG 4A.M2.00005G 4A.M2.00005G : Acute Exacerbation of asthma - ICU 4500 0 0 Clinical Notes with relevant Treatment Notes
2426 PULMONOLOG 4A.M2.00035D 4A.M2.00035D : Tuberculosis - routine ward - cross 1800 0 0 CBC, CT CBC,CT
Y speciality
2427 PULMONOLOG 4A.M2.00035E 4A.M2.00035E : Tuberculosis - HDU - cross 2700 0 0 CBC, CT CBC,CT
Y speciality
2428 PULMONOLOG 4A.M2.00035F 4A.M2.00035F : Tuberculosis - ICU without ventilator 3600 0 0 CBC, CT CBC,CT
2429 PULMONOLOG 4A.M2.00035G 4A.M2.00035G : Tuberculosis - ICU with ventilator - 4500 0 0 CBC, CT CBC,CT
Y cross speciality
2430 SIMPLE 2A.S11.00001A 2A.S11.00001A : % Total Body Surface Area Burns 0 0 0 Clinical Photograph, Diagram with Clinical Photograph
SECONDARY (TBSA) (thermal/ scald/ flame burns) - any % (not Rule of 9 for extent of burns
GENERAL requiring admission). Needs at least 5-6 dressing
PROCEDURES
Page 66
2431 SIMPLE 2A.M1.00001H 2A.M1.00001H : Acute gastroenteritis with moderate 0 0 0 Relevant Hematological Treatment notes
SECONDARY dehydration - routine ward investigations, Clinical notes
GENERAL
PROCEDURES
2432 SIMPLE 2A.M1.00003H 2A.M1.00003H : Dysentery - routine ward 0 0 0 Relevant Hematological Treatment notes
SECONDARY investigations, Clinical notes
GENERAL
PROCEDURES
2433 SIMPLE 2A.M1.00004H 2A.M1.00004H : Renal colic - routine ward 0 0 0 clinical notes clinical notes
SECONDARY
GENERAL
PROCEDURES
2434 SIMPLE 2A.M1.00005H 2A.M1.00005H : Acute bronchitis - routine ward 0 0 0 clinical notes clinical notes
SECONDARY
GENERAL
PROCEDURES
2435 SIMPLE 2A.M1.00009H 2A.M1.00009H : Severe anemia - routine ward 0 0 0 clinical notes, HB% clinical notes, HB%
SECONDARY
GENERAL
PROCEDURES
2436 SIMPLE 2A.M1.00011H 2A.M1.00011H : Acute febrile illness - routine ward 0 0 0 clinical notes clinical notes
SECONDARY
GENERAL
PROCEDURES
2437 SIMPLE 2A.M1.00013H 2A.M1.00013H : UTI - routine ward 0 0 0 clinical notes, Urine - C/S clinical notes
SECONDARY
GENERAL
PROCEDURES
2438 SIMPLE 2A.M1.00014D 2A.M1.00014D : Malaria - routine ward 0 0 0 clinical notes, Peripheral blood clinical notes
SECONDARY examination report
GENERAL
PROCEDURES
2439 SIMPLE 2A.M1.00015H 2A.M1.00015H : Dengue fever - routine ward 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
SECONDARY report report
GENERAL
PROCEDURES
2440 SIMPLE 2A.M1.00017H 2A.M1.00017H : Leptospirosis - routine ward 0 0 0 clinical notes, Blood examination clinical notes
SECONDARY report
GENERAL
PROCEDURES
2441 SIMPLE 2A.M1.00018D 2A.M1.00018D : Enteric fever - routine ward 0 0 0 clinical notes, Blood examination clinical notes
SECONDARY report
GENERAL
PROCEDURES
2442 SIMPLE 2A.M1.00019D 2A.M1.00019D : Pneumonia - routine ward 0 0 0 clinical notes, X-ray clinical notes
SECONDARY
GENERAL
PROCEDURES
2443 SIMPLE 2A.M1.00022H 2A.M1.00022H : Acute viral hepatitis - routine ward 0 0 0 clinical notes, LFT clinical notes, LFT
SECONDARY
GENERAL
PROCEDURES
2444 SIMPLE 2A.M1.00026H 2A.M1.00026H : Pyrexia of unknown origin - routine 0 0 0 clinical notes, Blood examination clinical notes, Blood examination
SECONDARY ward report report
GENERAL
PROCEDURES
2445 SIMPLE 2A.M1.00036D 2A.M1.00036D : Persistent/ Chronic diarrohea - 0 0 0 Clinical notes Clinical notes
SECONDARY routine ward
GENERAL
PROCEDURES
2446 SIMPLE 2A.M1.00068B 2A.M1.00068B : Blood and blood component 0 0 0 Blood group matching Clinical notes
SECONDARY transfusion (admission for a diagnostic procedure
GENERAL leading to treatment requiring admission, e.g. bone
PROCEDURES marrow and bone biopsy, endoscopy, liver biopsy,
aspiration, ascitic tapping etc.)
2447 SIMPLE 2A.S1.00066A 2A.S1.00066A : Granuloma Excision 0 0 0 clinical photograph Scar photo
SECONDARY
GENERAL
PROCEDURES
2448 SIMPLE 2A.S1.00110A 2A.S1.00110A : Growth in the Scalp Excision 0 0 0 Biopsy, Clinical photo Scar photo
SECONDARY
GENERAL
PROCEDURES
2449 SIMPLE 2A.S1.00135A 2A.S1.00135A : Swelling in foot (small) Excision 0 0 0 Clinical Photograph, X-ray Scar photo, HPE
SECONDARY
GENERAL
PROCEDURES
2450 SIMPLE 2A.M2.00001D 2A.M2.00001D : Diarrhoea (Paediatrics) - routine 0 0 0 Clinical note with Lab reports Treatment note
SECONDARY ward
GENERAL
PROCEDURES
2451 SIMPLE 2A.M2.00002D 2A.M2.00002D : Acute dysentery (Paediatrics) - 0 0 0 Clinical note with Lab reports Treatment note
GENERAL
PROCEDURES
2452 SIMPLE 2A.M2.00003D 2A.M2.00003D : Pneumonia (Paediatrics) - routine 0 0 0 Clinical Notes with relevant Treatment Notes
SECONDARY ward investigations
GENERAL
PROCEDURES
2453 SIMPLE 2A.M2.00013D 2A.M2.00013D : Trauma (Paediatrics) - routine ward 0 0 0 Clinical note with Lab reports Treatment note
SECONDARY
GENERAL
PROCEDURES
2454 SIMPLE 2A.M2.00014D 2A.M2.00014D : Pyrexia of unexplained origin 0 0 0 Clinical note with Lab reports Treatment note
SECONDARY (Paediatrics) - routine ward
GENERAL
PROCEDURES
2455 SIMPLE 2A.M2.00020D 2A.M2.00020D : Rickets (Paediatrics) - routine ward 0 0 0 Clinical note with Lab reports Treatment note
SECONDARY
GENERAL
PROCEDURES
2456 SIMPLE 2A.M2.00021D 2A.M2.00021D : Unexplained severe anemia 0 0 0 Clinical note with Lab reports Treatment note
GENERAL
PROCEDURES
2457 SIMPLE 2A.M2.00028D 2A.M2.00028D : Persistent/ Chronic diarrhea 0 0 0 Clinical note with Lab reports Treatment note
GENERAL
PROCEDURES
2458 SIMPLE 2A.M2.00029D 2A.M2.00029D : Acute severe malnutrition 0 0 0 Clinical note with Lab reports Treatment note
GENERAL
PROCEDURES
2459 SIMPLE 2A.M2.00031D 2A.M2.00031D : Enteric fever (Paediatrics) - routine 0 0 0 Clinical note with Lab reports Treatment note
SECONDARY ward
GENERAL
PROCEDURES
2460 SIMPLE 2A.M2.00032D 2A.M2.00032D : Chikungunya (Paediatrics) - routine 0 0 0 Clinical note with Lab reports Treatment note
SECONDARY ward
GENERAL
PROCEDURES
Page 67
2461 SIMPLE 2A.M2.00033D 2A.M2.00033D : Acute hepatitis (Paediatrics) - 0 0 0 Clinical note with Lab reports Treatment note
GENERAL
PROCEDURES
2462 SIMPLE 2A.M2.00046D 2A.M2.00046D : Rheumatic fever (Paediatrics) - 0 0 0 Clinical note with Lab reports Treatment note
GENERAL
PROCEDURES
2463 SIMPLE 2A.M2.00047D 2A.M2.00047D : Rheumatoid arthritis (Paediatrics) - 0 0 0 Clinical note with Lab reports Treatment note
GENERAL
PROCEDURES
2464 SIMPLE 2A.M2.00004D 2A.M2.00004D : Urinary tract infection (Paediatrics) 0 0 0 clinical notes, Peripheral blood clinical notes
SECONDARY - routine ward examination report
GENERAL
PROCEDURES
2465 SIMPLE 2A.S4.00047A 2A.S4.00047A : MTP upto 8 weeks 0 0 0 USG and clinical notes Procedure Note
SECONDARY
GENERAL
PROCEDURES
2466 SURGICAL 2B.S1.00009A 2B.S1.00009A : Bleeding Ulcer - Partial Gastrectomy 25000 0 0 Endoscopy, provisional diagnosis 1. Scar photo
GASTROENTER - cross speciality 2.Clinical notes,
OLOGY 3. Daily bed side rounds notes,
4. OT notes
6.Discharge summary
7.Final bill
8.HPE
2467 SURGICAL 2B.S1.00026A 2B.S1.00026A : Drainage of Subdiaphramatic Abscess 8000 0 0 USG/Clinical Notes, provisional 1. Scar photo
GASTROENTER - cross speciality diagnosis 2.Clinical notes,
4. OT notes
summary
7.Final bill
2468 SURGICAL 2B.S1.00028A 2B.S1.00028A : Duodenal Diverticulum - cross 15000 0 0 USG/CT Scan, provisional diagnosis 1. Scar photo
GASTROENTER speciality 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2469 SURGICAL 2B.S1.00029A 2B.S1.00029A : Duodenal Jejunostomy - cross 15000 0 0 USG, provisional diagnosis 1. Clinical Photo
4. OT notes
6.Discharge summary
7.Final bill
2470 SURGICAL 2B.S1.00030B 2B.S1.00030B : Duplication of Intestine - cross 17000 0 0 CT/ USG, provisional diagonsis 1. Scar photo
4. OT notes
6.Discharge summary
7.Final bill
2471 SURGICAL 2B.S1.00036A 2B.S1.00036A : Excision Benign Tumor -Small 15000 0 0 CT/ USG, provisional diagonsis 1. HPE Report
GASTROENTER intestine - cross speciality 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2472 SURGICAL 2B.S1.00041A 2B.S1.00041A : Excision Meckel's Diverticulum - 15000 0 0 USG/ CT, provisional diagnosis 1. Scar photo
GASTROENTER cross speciality 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
8.HPE
2473 SURGICAL 2B.S1.00043A 2B.S1.00043A : Excision Small Intestinal Fistula - 12000 0 0 USG/ CT, provisional diagnosis 1. Clinical Photo
GASTROENTER cross speciality 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2474 SURGICAL 2B.S1.00063A 2B.S1.00063A : Gastrojejunostomy - cross speciality 15000 0 0 USG, Endoscopy, provisional 1. Clinical Photo
GASTROENTER diagonsis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2475 SURGICAL 2B.S1.00065A 2B.S1.00065A : Graham's Operation for duodenal 15000 0 0 X-ray abdomen/CT, USG, 1. Scar photo
GASTROENTER perforation - cross speciality provisional diagnosis 2.Clinical notes,
4. OT notes
summary
7.Final bill
8.USG
2476 SURGICAL 2B.S1.00079A 2B.S1.00079A : Hydatid Cyst of Liver - cross 10000 0 0 CT/MRI,provisional diagnosis 1. Scar photo
4. OT notes
6.Discharge summary
7.Final bill
8.HPE
2477 SURGICAL 2B.S1.00082A 2B.S1.00082A : IlieoSigmoidostomy - cross speciality 13000 0 0 CT Scan/ MRI, provisional 1. Clinical Photo
GASTROENTER diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2478 SURGICAL 2B.S1.00088B 2B.S1.00088B : Jejunostomy - cross speciality 10000 0 0 USG, provisional diagnosis 1. Clinical Photo
GASTROENTER 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2479 SURGICAL 2B.S1.00090A 2B.S1.00090A : Intestinal Perforation (Resection 20000 0 0 Erect abdomen X Ray/CT 1. Clinical Photo
GASTROENTER Anastomosis) - cross speciality Abdomen, provisional diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
Page 68
2480 SURGICAL 2B.S1.00095B 2B.S1.00095B : Ileostomy - cross speciality 20000 0 0 Biopsy of the primary + CT Scan 1. Clinical Photo
GASTROENTER with film, provisional diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2481 SURGICAL 2B.S1.00097B 2B.S1.00097B : Loop Colostomy Sigmoid - cross 12000 0 0 CT/MRI , Endoscopy , USG, 1. Clinical Photo
GASTROENTER speciality provisional diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2482 SURGICAL 2B.S1.00099A 2B.S1.00099A : Mesenteric Cyst Excision 9000 0 0 USG/ CT Scan/ MRI, provisional 1. Scar photo
4. OT notes
6.Discharge summary
7.Final bill
8.HPE
2483 SURGICAL 2B.S1.00100A 2B.S1.00100A : Mesenteric Caval Anastomosis - cross 10000 0 0 CT abdomen/USG, provisional 1. Clinical Photo
GASTROENTER speciality diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2484 SURGICAL 2B.S1.00102A 2B.S1.00102A : Oeshophagoscopy for foreign body 6000 0 0 Endoscopy/ X-Ray, provisional 1. Clinical Photo
GASTROENTER removal - cross speciality diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2485 SURGICAL 2B.S1.00107B 2B.S1.00107B : Distal Pancreatectomy with 17000 0 0 CT/ MRI, provisional diagnosis 1. Clinical Photo
GASTROENTER PancreaticoJejunostomy - cross speciality 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2486 SURGICAL 2B.S1.00111A 2B.S1.00111A : Porto Caval Anastomosis - Cross 15000 0 0 CT/ MRI, provisional diagnosis 1. Clinical Photo
4. OT notes
6.Discharge summary
7.Final bill
2487 SURGICAL 2B.S1.00119A 2B.S1.00119A : Repair of Common Bile Duct 12500 0 0 CT/MRI Abdomen, Endoscopic 1. Clinical Photo
GASTROENTER Retrograde Cholangio 2.Clinical notes,
OLOGY Pancreatography (ERCP), 3. Daily bed side rounds notes,
provisional diagnosis 4. OT notes
6.Discharge summary
7.Final bill
2488 SURGICAL 2B.S1.00137B 2B.S1.00137B : Colectomy Total - cross speciality 17000 0 0 Colonoscopy , CT/ MRI, Biopsy, 1. Scar photo
GASTROENTER provisional diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
8.HPE
2489 SURGICAL 2B.S1.00175A 2B.S1.00175A : Lap. Cholecystectomy & CBD 20000 0 0 CT , LFT, provisional diagnosis 1. Scar photo
GASTROENTER exploration - cross speciality 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
8.HPE
2490 SURGICAL 2B.S1.00176B 2B.S1.00176B : Lap. For intestinal obstruction - cross 15000 0 0 X-Ray abdomen /CT /USG, 1. Scar photo
GASTROENTER speciality provisional diagnosis 2.Clinical notes,
4. OT notes
summary
7.Final bill
8.USG
2491 SURGICAL 2B.S1.00185B 2B.S1.00185B : Laparoscopic Pyloromyotomy - cross 12500 0 0 USG, Clinical notes, provisional 1. Clinical Photo
GASTROENTER speciality diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2492 SURGICAL 2B.S1.00186A 2B.S1.00186A : Laparoscopic Rectopexy 15000 0 0 Clinical Findings, provisional 1. Clinical Photo
4. OT notes
6.Discharge summary
7.Final bill
2493 SURGICAL 2B.S1.00220A 2B.S1.00220A : Removal of Foreign Body from 2500 0 0 Clinical photo, endoscopy, 1.Clinical notes,
GASTROENTER Trachea or Oesophagus - cross speciality provisional diagnosis 2. Daily bed side rounds notes,
OLOGY 3. OT notes
5.Discharge summary
6.Final bill
2494 SURGICAL 2B.S1.17001A 2B.S1.17001A : Endoscopic Retrograde Cholangio 4000 0 0 Liver function test (LFT), USG, 1. Liver function test (LFT),
GASTROENTER Pancreatography (Endoscopic Retrograde Cholangio provisional diagnosis 2.Clinical notes,
OLOGY Pancreatography (ERCP) with Interventions - cross 3. Daily bed side rounds notes,
speciality 4. OT notes
6.Discharge summary
7.Final bill
8.USG
2495 SURGICAL 2B.S1.17002A 2B.S1.17002A : Laproscopic Adrenalectomy - cross 30000 0 0 CT, provisional diagnosis 1. Clinical photograph
4. OT notes
6.Discharge summary
7.Final bill
2496 SURGICAL 2B.S1.17003A 2B.S1.17003A : Gastro jejuno Colic Fistula - cross 12500 0 0 USG, provisional diagnosis 1. Scar photo
4. OT notes
6.Discharge summary
7.Final bill
Page 69
2497 SURGICAL 2B.S1.17004A 2B.S1.17004A : Endoscopic Retrograde Cholangio 2250 0 0 LFT, USG, provisional diagnosis 1. USG
GASTROENTER Pancreatography (ERCP) (Endoscopic Retrograde 2.Clinical notes,
OLOGY Cholangio Pancreatography) - cross speciality 3. Daily bed side rounds notes,
4. OT notes
6.Discharge summary
7.Final bill
2498 SURGICAL 2B.S1.17009A 2B.S1.17009A : Upper GI Therapeutic(including 2000 0 0 Endoscopy report, provisional 1. USG
GASTROENTER Varicose Intervention) - cross speciality diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2499 SURGICAL 2B.S1.00058A 2B.S1.00058A : Foreign Body Removal in Deep 5000 0 0 X-Ray / Scopy report, provisional 1. USG
GASTROENTER Region requiring GA - cross speciality diagnosis 2.Clinical notes,
4. OT notes
6.Discharge summary
7.Final bill
2500 SURGICAL 3A.S1.00016B 3A.S1.00016B : Bypass - Inoperable Pancreas - cross 15000 0 0 USG/CT USG, Scar photo, HPE Report
GASTROENTER speciality
OLOGY
2501 SURGICAL 3A.S1.00059A 3A.S1.00059A : Fundoplication - cross speciality 35000 0 0 Contrast X ray/endoscopy findings Clinical Photograph showing scar
GASTROENTER
OLOGY
2502 SURGICAL 3A.S1.00064A 3A.S1.00064A : Gastrostomy - cross speciality 15000 0 0 USG/ CT Scan Clinical photograph
GASTROENTER
OLOGY
2503 SURGICAL 3A.S1.00070A 3A.S1.00070A : Hepatic Resection (lobectomy) - 20000 0 0 MRI/ CT Abdomen Scar Photo, HPE Report
GASTROENTER cross speciality
OLOGY
2504 SURGICAL 3A.S1.00087B 3A.S1.00087B : Intussusception - cross speciality 15000 0 0 USG/CT , Clinical notes Scar photo
GASTROENTER
OLOGY
2505 SURGICAL 3A.S1.00104A 3A.S1.00104A : Portal Hypertension shunt surgery - 50000 0 0 Endoscopy/ USG/ CT/ MRI Clinical Photograph showing scar
GASTROENTER Cross speciality
OLOGY
2506 SURGICAL 3A.S1.00106A 3A.S1.00106A : PancreaticoDuodenectomy - cross 25000 0 0 CT-Scan , ERCP , ER Clinical HPR , Scar Photograph
GASTROENTER speciality Photograph , Endoscopy
OLOGY
2507 SURGICAL 3A.S1.00112A 3A.S1.00112A : Pyeloroplasty - cross speciality 10000 0 0 USG, Clinical Notes Scar photo, HPE
GASTROENTER
OLOGY
2508 SURGICAL 3A.S1.00171B 3A.S1.00171B : Lap. Assisted left Hemi colectomy t - 25000 0 0 CT , colonoscopy , USG USG, Scar Photo, HPE
OLOGY
2509 SURGICAL 3A.S1.00172B 3A.S1.00172B : Lap. Assisted Right Hemi colectomy t 25000 0 0 CT , colonoscopy , USG USG, Scar Photo, HPE
GASTROENTER - cross speciality
OLOGY
2510 SURGICAL 3A.S1.00174A 3A.S1.00174A : Lap. Assisted Total Colectomy - 40000 0 0 Colonocopy with film, biopsy, CT Clinical Photograph showing scar
GASTROENTER cross speciality report with film + HPE report
OLOGY
2511 SURGICAL 3A.S1.00201A 3A.S1.00201A : Caecostomy - cross speciality 10000 0 0 Clinical notes, USG/ CT Scar photo, HPE
GASTROENTER
OLOGY
2512 SURGICAL 3A.S1.00213B 3A.S1.00213B : Operations for Replacement of 25000 0 0 Endoscopy, USG/CT Scar photo, HPE
GASTROENTER Oesophagus by Colon - cross speciality
OLOGY
2513 SURGICAL 3A.S1.00216A 3A.S1.00216A : Partial/Subtotal Gastrectomy for 50000 0 0 Endoscopy, biopsy, CT Clinical Photograph showing scar +
GASTROENTER Carcinoma - cross speciality HPE report
OLOGY
2514 SURGICAL 3A.S1.00235A 3A.S1.00235A : Thoracoscopic Hydatid Cyst excision 20000 0 0 Chest X-ray / CT Scar photo, HPE
OLOGY
2515 SURGICAL 3A.S1.00247A 3A.S1.00247A : Adhenolysis + Appendicectomy - 20000 0 0 MRI/ CT Abdomen Scar Photo, HPE Report
OLOGY
2516 SURGICAL 4A.S1.00085A 4A.S1.00085A : Intestinal perforation - cross 9000 0 0 X-Ray of abdomen/CT (Upright Scar photo
GASTROENTER speciality position)
OLOGY
2517 SURGICAL 4A.S1.00093A 4A.S1.00093A : Closure of Hollow Viscus Perforation 12500 0 0 X Ray abdomen ,USG Scar photo
OLOGY
2518 SURGICAL 4A.S1.00144A 4A.S1.00144A : Volvlous of Large Bowel - cross 25000 0 0 CT Scan Scar photo
GASTROENTER speciality
OLOGY
2519 SURGICAL 4A.S6.00008B 4A.S6.00008B : Visceral injury requiring surgical 30000 0 0 X-ray/CT scan / Ultra sound Post-Operative X-ray, scar photo
GASTROENTER intervention along with fixation of fracture of single
OLOGY long bone. - cross speciality
2520 SURGICAL 4A.S6.17033B 4A.S6.17033B : Blunt injury abdomen with icu stay - 12000 0 0 USG USG
OLOGY
2521 SURGICAL 4A.S6.00009B 4A.S6.00009B : Visceral injury requiring surgical 45000 0 0 X-ray/CT scan / Ultra sound Post-Operative X-ray, scar photo
GASTROENTER intervention along with fixation of fracture of 2 or
OLOGY more long bones. - cross speciality
2522 Unspecific 3A.U1.00001 3A.U1.00001 : Unspecified Surgical Package 0 0
package
2523 UROLOGY 2A.S7.00032 2A.S7.00032 : Perinephric Abscess drainage 10000 0 0 USG Scar photo
(percutaneous)
2524 UROLOGY 2A.S7.00067 2A.S7.00067 : Diagnostic Cystoscopy 5000 0 0 Clinical Notes Investigation Report
2525 UROLOGY 2A.S7.00109 2A.S7.00109 : Reduction of Paraphimosis 1500 0 0 Clinical Photograph Clinical Photograph
2526 UROLOGY 2A.S7.00111 2A.S7.00111 : Meatoplasty 3500 0 0 Clinical photograph Operative photograph
2527 UROLOGY 2A.S7.00112 2A.S7.00112 : Meatotomy 3500 0 0 Clinical photograph Operative photograph
2528 UROLOGY 2A.S7.00121 2A.S7.00121 : Urethral Dilatation-non endocopic as 2000 0 0 CT Scan Clinical Photograph
an independent procedure
2529 UROLOGY 2A.S7.00140 2A.S7.00140 : Orchiectomy-simple 10000 0 0 USG scrotum, Tumour markers Clinical Photograph showing scar (
if patient consents)+ HPE report
2530 UROLOGY 2A.S7.00148 2A.S7.00148 : Varicocele-unilateral-non 10000 0 0 USG, Clinical photograph Clinical Photograph
microsurgical
2531 UROLOGY 2A.S7.00149 2A.S7.00149 : Varicocele-unilateral-microsurgical 12000 0 0 USG, Clinical photograph Clinical Photograph
2532 UROLOGY 2A.S7.00150 2A.S7.00150 : Varicocele-bilateral-non microsurgical 15000 0 0 USG, Clinical photograph Clinical Photograph
2533 UROLOGY 2A.S7.00153 2A.S7.00153 : Priapism-aspiration/shunt 15000 0 0 CT/MRI/USG, clinical notes, Operative notes with steps of
surgery, clinical notes
2534 UROLOGY 2A.S7.00159 2A.S7.00159 : Acute management of upper urinary 2000 0 0 USG Doctors Note
tract trauma conservative
2535 UROLOGY 2B.S7.00029 2B.S7.00029 : Pyelolithotomy-Laparoscopic 15000 0 0 USG, provisional diagnosis 1. Clinical photograph 2.Clinical
notes,
4. OT notes
2536 UROLOGY 2B.S7.00033 2B.S7.00033 : Perinephric Abscess drainage (Open) 7500 0 0 USG, provisional diagnosis 1. Scar photo 2.Clinical
notes,
4. OT notes
2537 UROLOGY 2B.S7.00059 2B.S7.00059 : Urachal Cyst excision -open 15000 0 0 USG/CT KUB, provisional 1. HPR
diagnosis 2.Clinical notes,
4. OT notes
Page 70
2538 UROLOGY 2B.S7.00110 2B.S7.00110 : Excision of Urethral Caruncle 5000 0 0 Clinical Notes, provisional diagnosis 1. Clinical photograph 2.Clinical
notes,
4. OT notes
2539 UROLOGY 2B.S7.00127 2B.S7.00127 : Orchiopexy-without laparoscopy, 15000 0 0 USG, provisional diagnosis 1.Clinical notes,
bilateral 2. Daily bed side rounds notes,
3. OT notes
2540 UROLOGY 2B.S7.00135 2B.S7.00135 : Ilio-Inguinal 15000 0 0 USG, provisional diagnosis 1. Scar photo 2.Clinical
lymphadenectomy-unilateral notes,
4. OT notes
2541 UROLOGY 2B.S7.00136 2B.S7.00136 : Ilio-Inguinal 25000 0 0 USG, provisional diagnosis 1. Scar photo 2.Clinical
lymphadenectomy-bilateral notes,
4. OT notes
2542 UROLOGY 2B.S7.17039 2B.S7.17039 : Operation for Double Ureter 15750 0 0 IVP/CT KUB with Contrast, 1. Scar photo 2.Clinical
provisional diagnosis notes,
4. OT notes
2543 UROLOGY 2B.S7.17040 2B.S7.17040 : Pyelolithotomy 13500 0 0 IVP/CT KUB with Contrast, 1. Scar photo 2.Clinical
provisional diagnosis notes,
4. OT notes
2544 UROLOGY 2B.S1.17002B 2B.S1.17002B : Laproscopic Adrenalectomy - cross 30000 0 0 CT, provisional diagnosis 1. Clinical photograph 2.Clinical
speciality notes,
4. OT notes
2545 UROLOGY 3A.S7.00001 3A.S7.00001 : Adrenalectomy-unilateral, open 25000 0 0 CT/MRI report with film, Urinary Clinical Photograph showing scar+
hormones HPE report
2546 UROLOGY 3A.S7.00002 3A.S7.00002 : Adrenalectomy-unilateral, 30000 0 0 USG Clinical Photograph
Laparoscopic
2547 UROLOGY 3A.S7.00003 3A.S7.00003 : Adrenalectomy-bilateral, open 32000 0 0 USG Clinical Photograph
2548 UROLOGY 3A.S7.00004 3A.S7.00004 : Adrenalectomy-biilateral, Laparoscopic 45000 0 0 CT/MRI report with film, Urinary Clinical Photograph showing scar+
hormones HPE report
2549 UROLOGY 3A.S7.00005 3A.S7.00005 : Paraganglioma excision with liver 50000 0 0 CT/MRI, clinical notes Operative notes with steps of
mobilization surgery, Scar photo, HPE report
2550 UROLOGY 3A.S7.00006 3A.S7.00006 : Nephrectomy (Benign) Open 35000 0 0 USG, CT KUB /Isotope Renogram Scar & Specimen Photo +HPE
report
2551 UROLOGY 3A.S7.00007 3A.S7.00007 : Nephrectomy (Benign) Laparoscopic 45000 0 0 USG & CT KUB /Isotope Scar Photo + HPE Report
Renogram
2552 UROLOGY 3A.S7.00008 3A.S7.00008 : Nephrectomy-Radical (Renal tumor) 45000 0 0 Ultrasound abd /CT Scan abd with Clinical Photograph showing scar +
Open film, Isotope Renogram if required HPE report
2553 UROLOGY 3A.S7.00009 3A.S7.00009 : Nephrectomy-Radical (Renal tumor) 30000 0 0 USG & CT KUB with Contrast / Scar Photo + HPE Report
Laparoscopic Isotope Renogram
2554 UROLOGY 3A.S7.00010 3A.S7.00010 : Nephrectomy-Partial or Hemi, Open 30000 0 0 USG & CT KUB with Contrast Scar Photo + HPE Report
2555 UROLOGY 3A.S7.00011 3A.S7.00011 : Nephrectomy-Partial or Hemi, 60000 0 0 USG & CT KUB with Contrast / Scar Photo + HPE Report
Laparoscopic Isotope Renogram
2556 UROLOGY 3A.S7.00012 3A.S7.00012 : Nephro ureterectomy (Benign) Open 25000 0 0 IVP , USG USG
2557 UROLOGY 3A.S7.00013 3A.S7.00013 : Nephro ureterectomy (Benign) 30000 0 0 IVP , USG USG
Laparoscopic
2558 UROLOGY 3A.S7.00014 3A.S7.00014 : Nephro ureterectomy with cuff of 30000 0 0 IVP , USG USG
bladder Open
2559 UROLOGY 3A.S7.00015 3A.S7.00015 : Nephro ureterectomy with cuff of 45000 0 0 CT report with film, Isotope Clinical Photograph showing scar+
bladder Laparoscopic renogram if required HPE report
2560 UROLOGY 3A.S7.00016 3A.S7.00016 : 25000 0 0 USG & IVP/CT with Contrast Scar Photo
Pyeloplasty/pyeloureterostomy/pyelopyelostomy Open
2561 UROLOGY 3A.S7.00017 3A.S7.00017 : 40000 0 0 USG & IVP/CT with Contrast Scar Photo
Pyeloplasty/pyeloureterostomy/pyelopyelostomy
Laparoscopic
2562 UROLOGY 3A.S7.00018 3A.S7.00018 : Endopyelotomy (retrograde with 25000 0 0 USG/IVP USG/IVP
laser/bugbee)
2563 UROLOGY 3A.S7.00019 3A.S7.00019 : Endopyelotomy (antegrade with 28000 0 0 USG/IVP USG/IVP
laser/bugbee)
2564 UROLOGY 3A.S7.00020 3A.S7.00020 : Ureterocalycostomy Open 30000 0 0 CT KUB with Contrast Scar Photo +X-Ray Kub
2565 UROLOGY 3A.S7.00021 3A.S7.00021 : Ureterocalycostomy Laparoscopic 35000 0 0 CT KUB with Contrast Scar Photo +X-Ray Kub
2566 UROLOGY 3A.S7.00022 3A.S7.00022 : Uretero-ureterostomy Open 25000 0 0 USG/IVP USG/IVP
2567 UROLOGY 3A.S7.00023 3A.S7.00023 : Uretero-ureterostomy Laparoscopic 35000 0 0 USG/IVP USG/IVP
2568 UROLOGY 3A.S7.00024 3A.S7.00024 : PCNL (Percutaneous Nephrolithotomy) 38000 0 0 CT KUB with Contrast/IVU Scar Photo +X-ray KUB
- Bilateral
2569 UROLOGY 3A.S7.00025 3A.S7.00025 : PCNL (Percutaneous Nephrolithotomy) 25000 0 0 CT KUB with Contrast/IVU Scar Photo +X-ray KUB
- Unilateral
2570 UROLOGY 3A.S7.00026 3A.S7.00026 : Extracoporeal shock-wave Lithotripsy 8500 0 0 CT KUB with Contrast X-ray KUB/USG
(SWL) stone, with or without stent (one side)
2571 UROLOGY 3A.S7.00027 3A.S7.00027 : Extracoporeal shock-wave Lithotripsy 18000 0 0 CT KUB with Contrast X-ray KUB
(SWL) stone, with or without stent (both sides)
2572 UROLOGY 3A.S7.00028 3A.S7.00028 : Pyelolithotomy-Open 36000 0 0 CT KUB with Contrast Scar Photo,X-Ray/USG KUB
2573 UROLOGY 3A.S7.00030 3A.S7.00030 : Nephrolithotomy-Open 36000 0 0 USG/X-ray KUB Scar Photo,X-Ray/USG KUB
2574 UROLOGY 3A.S7.00031 3A.S7.00031 : Anatrophic nephrolithotomy 45000 0 0 USG, CT KUB with Contrast Scar Photo +X-Ray Kub
2575 UROLOGY 3A.S7.00034 3A.S7.00034 : Renal Cyst deroofing or 20000 0 0 IVP , USG USG
marsupialization-Open
2576 UROLOGY 3A.S7.00035 3A.S7.00035 : Renal Cyst deroofing or 30000 0 0 IVP , USG USG
marsupialization-Laparoscopic
2577 UROLOGY 3A.S7.00036 3A.S7.00036 : Nephrostomy-percutaneous ultrasound 10000 0 0 USG Scar Photo With Nephrostomy Tube
guided
2578 UROLOGY 3A.S7.00037 3A.S7.00037 : Ureterolithotomy-Open 30000 0 0 CT KUB with Contrast Scar Photo +X-Ray Kub
2579 UROLOGY 3A.S7.00038 3A.S7.00038 : Ureterolithotomy-Laparoscopic 35000 0 0 CT KUB with Contrast Scar Photo +X-Ray Kub
2580 UROLOGY 3A.S7.00039 3A.S7.00039 : Ureteroscopy+stone removal with 20000 0 0 CT KUB X-ray KUB
lithotripsy, lower ureter, unilateral
lithotripsy, upper ureter, unilateral
lithotripsy, bilateral
2583 UROLOGY 3A.S7.00042 3A.S7.00042 : Ureterotomy (Cutaneous) 20000 0 0 USG KUB/CT Scan/MRI Scan Operative notes with steps of
surgery, X-ray KUB/USG
KUB/CT, Urography
2584 UROLOGY 3A.S7.00043 3A.S7.00043 : Endoureterotomy (laser/bugbee) 20000 0 0 USG KUB/CT Scan/MRI Scan Operative notes with steps of
surgery, X-ray KUB/USG
KUB/CT, Urography
2585 UROLOGY 3A.S7.00044 3A.S7.00044 : Ureteric reimplantation-unilateral-open 38000 0 0 CT KUB/IVP/MCU Scar photo
2586 UROLOGY 3A.S7.00045 3A.S7.00045 : Ureteric reimplantation-bilateral-open 70000 0 0 MCU, USG Clinical Photograph showing scar
2587 UROLOGY 3A.S7.00046 3A.S7.00046 : Ureteric 45000 0 0 MCU, USG Clinical Photograph showing scar
reimplantation-unilateral-Laparoscopic
2588 UROLOGY 3A.S7.00047 3A.S7.00047 : Ureteric 35000 0 0 MCU, USG Clinical Photograph showing scar
reimplantation-bilateral-Laparoscopic
2589 UROLOGY 3A.S7.00048 3A.S7.00048 : Uretero-vaginal/uterine fistula repair 27000 0 0 USG USG
open
2590 UROLOGY 3A.S7.00049 3A.S7.00049 : Uretero-vaginal/uterine fistula repair 37000 0 0 USG USG
Laparoscopic
2591 UROLOGY 3A.S7.00050 3A.S7.00050 : Ureterolysis-open, for retroperitoneal 20000 0 0 MCU/IVP/CT Urography, clinical OT notes, Scar photo
fibrosis (with or without omental wrapping) notes
Page 71
2592 UROLOGY 3A.S7.00051 3A.S7.00051 : Ureterolysis-Laparoscopic, for 30000 0 0 X-ray KUB/USG KUB/CT, OT notes, Scar photo
retroperitoneal fibrosis (with or without omental Urography, Clinical notes
wrapping)
2593 UROLOGY 3A.S7.00052 3A.S7.00052 : Boari flap for ureteric stricture, open 42000 0 0 CT KUB/IVP Clinical Picture, Scar Photo
2594 UROLOGY 3A.S7.00053 3A.S7.00053 : Boari flap for ureteric stricture, 40000 0 0 CT KUB/IVP Clinical Picture, Scar Photo
Laparoscopic
2595 UROLOGY 3A.S7.00054 3A.S7.00054 : Ileal replacement for ureteric stricture 40000 0 0 IVP , USG , X-RAY Clinical Photograph
2596 UROLOGY 3A.S7.00055 3A.S7.00055 : DJ stent unilateral including 7500 0 0 USG /X-ray KUB X-ray KUB
cystoscopy, ureteric catheterization, retrograde
pyelogram
2597 UROLOGY 3A.S7.00056 3A.S7.00056 : DJ stent bilateral including cystoscopy, 10000 0 0 X-ray KUB & USG X-ray KUB & USG
ureteric catheterization, retrograde pyelogram
2598 UROLOGY 3A.S7.00057 3A.S7.00057 : Ureteric sampling including 10000 0 0 USG USG
pyelogram
2599 UROLOGY 3A.S7.00058 3A.S7.00058 : Ureterocele incision including 15000 0 0 RGU , X-RAY Clinical Photograph
pyelogram
2600 UROLOGY 3A.S7.00060 3A.S7.00060 : Cystolithotomy-open, including 18000 0 0 USG/X ray KUB Scar Photo,X-Ray/USG KUB
cystoscopy
2601 UROLOGY 3A.S7.00061 3A.S7.00061 : Cystolithotripsy/Urethral Stone 17000 0 0 X-ray KUB/USG X-ray KUB
endoscopic, including cystoscopy
2602 UROLOGY 3A.S7.00062 3A.S7.00062 : TURBT (Transurethral Resection of the 30000 0 0 USG/CT KUB with Contrast Cystoscopy Finding/ HPE Report,
Bladder Tumor) P.O USG
2603 UROLOGY 3A.S7.00063 3A.S7.00063 : TUR-fulgration (Transurethral 18000 0 0 USG/CT KUB,Uroflowmetry HPE Report,P.O USG
fulgration of the Bladder Tumor)
2604 UROLOGY 3A.S7.00064 3A.S7.00064 : Intravesical BCG/Mitomycin 6 12000 0 0 USG, HPE Case sheets
induction cycles (weekly for 6 weeks-total cost of 6
cycles)
2605 UROLOGY 3A.S7.00065 3A.S7.00065 : Intravesical BCG/Mitomycin 24000 0 0 USG, HPE Case sheets
maintenance for 12 doses (total cost of 12 doses)
2606 UROLOGY 3A.S7.00066 3A.S7.00066 : Post TURBT - Check Cystoscopy (Per 5000 0 0 USG & urine cytology Cystoscopy Finding, X-Ray KUB
sitting) with or without cold-cup biopsy
2607 UROLOGY 3A.S7.00068 3A.S7.00068 : Bladder Neck incision-endoscopic 22500 0 0 USG & Uroflowmetry Uroflowmetry,ENDO Picture
2608 UROLOGY 3A.S7.00069 3A.S7.00069 : Extrophy Bladder repair including 70000 0 0 MCU Clinical Photograph
osteotomy if needed + epispadias repair + ureteric
reimplant
2609 UROLOGY 3A.S7.00070 3A.S7.00070 : Bladder injury repair (as an 20000 0 0 CT KUB Endo Picture/Operative Picture
independent procedure with or without urethral injury)
2610 UROLOGY 3A.S7.00072 3A.S7.00072 : Bladder injury repair with colostomy 25000 0 0 Clinical photograph Scar photo
(as an independent procedure with or without urethral
injury)
2611 UROLOGY 3A.S7.00073 3A.S7.00073 : Partial Cystectomy-open 40000 0 0 CT KUB with Contrast Procedure Picture
2612 UROLOGY 3A.S7.00074 3A.S7.00074 : Partial Cystectomy-Laparoscopic 30000 0 0 CT KUB with Contrast Procedure Picture
2613 UROLOGY 3A.S7.00075 3A.S7.00075 : Radical cystectomy with 50000 0 0 CT KUB with Contrast Scar photo
neobladder-open
2614 UROLOGY 3A.S7.00076 3A.S7.00076 : Radical cystectomy with continent 50000 0 0 CT KUB with Contrast Scar photo
diversion-open
2615 UROLOGY 3A.S7.00077 3A.S7.00077 : Radical Cystectomy with Ileal 75000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
Conduit-open HPE report
2616 UROLOGY 3A.S7.00078 3A.S7.00078 : Radical Cystectomy with 35000 0 0 CT KUB with Contrast Scar photo
ureterostomy-open
2617 UROLOGY 3A.S7.00079 3A.S7.00079 : Radical Cystectomy with 35000 0 0 CT KUB with Contrast Scar photo
ureterosigmoidostomy-open
2618 UROLOGY 3A.S7.00080 3A.S7.00080 : Other Cystectomies 40000 0 0 CT report and Film, Biopsy Clinical Photograph showing scar +
HPE report
2619 UROLOGY 3A.S7.00081 3A.S7.00081 : Suprapubic Cystostomy - Open, as an 10000 0 0 Biopsy of the primary tumor Clinical Photograph showing
independent procedure procedure/scar
2620 UROLOGY 3A.S7.00083 3A.S7.00083 : VVF/Uterovaginal Repair - 25000 0 0 CT KUB USG, Treating doctor note
Transvaginal approach
2621 UROLOGY 3A.S7.00084 3A.S7.00084 : VVF/Uterovaginal Repair - 25000 0 0 CT KUB USG, Treating doctor note
Abdominal,Open
2622 UROLOGY 3A.S7.00085 3A.S7.00085 : VVF/Uterovaginal Repair - Abdominal, 40000 0 0 Cystoscopy,CECT KUB/ IVP Clinical Photograph/ Cystogram
Laparoscopic
2623 UROLOGY 3A.S7.00086 3A.S7.00086 : Hysterectomy as part of 5000 0 0 Cystoscopy,CECT KUB/ IVP Clinical Photograph/ Cystogram
VVF/uterovaginal fistula repair (top-up)
2624 UROLOGY 3A.S7.00087 3A.S7.00087 : Urethrovaginal fistula repair 40000 0 0 USG/X ray KUB NIL
2625 UROLOGY 3A.S7.00088 3A.S7.00088 : Y V Plasty of Bladder Neck/Bladder 20000 0 0 USG/MCU Clinical Photograph
Neck Reconstruction
2626 UROLOGY 3A.S7.00089 3A.S7.00089 : Augmentation cystoplasty-open 30000 0 0 USG Scar photo
2627 UROLOGY 3A.S7.00090 3A.S7.00090 : Augmentation 40000 0 0 USG Scar photo
cystoplasty-Laparoscopic
2628 UROLOGY 3A.S7.00091 3A.S7.00091 : Open bladder diverticulectomy 30000 0 0 CT KUB Endo Picture/Operative Picture
with/without ureteric re-implantation
2629 UROLOGY 3A.S7.00092 3A.S7.00092 : Open simple prostatetctomy for BPH 35000 0 0 USG, Uroflowmetry Scar Photo + HPE Report
2630 UROLOGY 3A.S7.00093 3A.S7.00093 : TURP-Transurethral Resection of the 30000 0 0 USG/CT KUB,Uroflowmetry HPE Report,P.O USG
Prostate, BPH, Monopolar/Bipolar/Laser
2631 UROLOGY 3A.S7.00094 3A.S7.00094 : Holmium Laser Prostatectomy 40000 0 0 USG, Uroflowmetry Scar Photo + HPE Report
2632 UROLOGY 3A.S7.00095 3A.S7.00095 : TURP/Laser + Circumcision 30000 0 0 USG/CT KUB,Uroflowmetry HPE Report,P.O USG
2633 UROLOGY 3A.S7.00096 3A.S7.00096 : TURP/Laser + Cystolithotripsy 30000 0 0 USG/CT KUB,Uroflowmetry HPE Report,P.O USG
2634 UROLOGY 3A.S7.00097 3A.S7.00097 : TURP/Laser + Cystolithotomy-open 35000 0 0 USG/CT KUB,Uroflowmetry HPE Report,P.O USG
2635 UROLOGY 3A.S7.00098 3A.S7.00098 : TURP/Laser + Orchidectomy 30000 0 0 USG/CT KUB,Uroflowmetry HPE Report,P.O USG
2636 UROLOGY 3A.S7.00099 3A.S7.00099 : TURP/Laser + TURBT 30000 0 0 USG/CT KUB,Uroflowmetry HPE Report,P.O USG
2637 UROLOGY 3A.S7.00100 3A.S7.00100 : TURP/Laser + URS with stone removal 40000 0 0 CT KUB X-ray KUB
2638 UROLOGY 3A.S7.00101 3A.S7.00101 : TURP/Laser + VIU (visual internal 40000 0 0 USG/CT KUB,Uroflowmetry HPE Report,P.O USG
Ureterotomy)
2639 UROLOGY 3A.S7.00102 3A.S7.00102 : TURP/Laser + Hydrocele surgery 40000 0 0 USG/CT KUB,Uroflowmetry HPE Report,P.O USG
2640 UROLOGY 3A.S7.00103 3A.S7.00103 : TURP/Laser + Hernioplasty 40000 0 0 USG/CT KUB,Uroflowmetry P.O USG
2641 UROLOGY 3A.S7.00104 3A.S7.00104 : TURP/Laser + Urethral dilatation-non 40000 0 0 USG/CT KUB,Uroflowmetry P.O USG
endoscopic
2642 UROLOGY 3A.S7.00105 3A.S7.00105 : TURP/Laser + Urethral 40000 0 0 USG/CT KUB,Uroflowmetry P.O USG
dilatation-endoscopic
2643 UROLOGY 3A.S7.00106 3A.S7.00106 : Radical prostatectomy - open 50000 0 0 CT report and Film, Biopsy Clinical Photograph, HPE report
2644 UROLOGY 3A.S7.00107 3A.S7.00107 : Radical prostatectomy - laparoscopic 75000 0 0 CT report and Film, Biopsy Clinical Photograph, HPE report
2645 UROLOGY 3A.S7.00108 3A.S7.00108 : Transrectal Ultrasound guided prostate 6000 0 0 PSA,Transrectal USG HPE Report
biopsy (minimum 12 core)
2646 UROLOGY 3A.S7.00113 3A.S7.00113 : Post Urethral Valve fulguration 30000 0 0 MCU, USG Clinical Photograph/Endoscopic
picture
2647 UROLOGY 3A.S7.00114 3A.S7.00114 : Urethroplasty-End to end 45000 0 0 RGU Scar photo, clinical notes and OT
photos
2648 UROLOGY 3A.S7.00115 3A.S7.00115 : Urethroplasty-Substitution-single stage 30000 0 0 RGU & MCU Scar photo,
2649 UROLOGY 3A.S7.00116 3A.S7.00116 : Urethroplasty-Substitution-two stage 25000 0 0 RGU & MCU Scar photo,
2650 UROLOGY 3A.S7.00117 3A.S7.00117 : Urethroplasty-Transpubic 30000 0 0 RGU Scar photo,
2651 UROLOGY 3A.S7.00118 3A.S7.00118 : Urethroplasty-two stage without 30000 0 0 RGU Scar photo,
substitution
2652 UROLOGY 3A.S7.00119 3A.S7.00119 : Perineal Urethrostomy without closure 25000 0 0 RGU& MCU Scar photo,
2653 UROLOGY 3A.S7.00120 3A.S7.00120 : Urethrorectal fistula repair 40000 0 0 RGU& MCU Scar photo,
2654 UROLOGY 3A.S7.00122 3A.S7.00122 : Urethral Dilatation-endocopic as an 5000 0 0 CT Scan Clinical Photograph
independent procedure
2655 UROLOGY 3A.S7.00123 3A.S7.00123 : Internal Ureterotomy including 10000 0 0 USG Clinical Photograph
cystoscopy as an independent procedure
2656 UROLOGY 3A.S7.00124 3A.S7.00124 : Hypospadias repair-single stage 25000 0 0 Clinical Photograph Scar photo,
2657 UROLOGY 3A.S7.00125 3A.S7.00125 : Hypospadias repair-two or more stage 25000 0 0 Clinical Photograph Scar photo,
2658 UROLOGY 3A.S7.00126 3A.S7.00126 : Orchiopexy-without laparoscopy, 15000 0 0 USG Clinical Notes
unilateral
2659 UROLOGY 3A.S7.00128 3A.S7.00128 : Orchiopexy-with laparoscopy, 30000 0 0 USG Clinical Notes
unilateral
2660 UROLOGY 3A.S7.00129 3A.S7.00129 : Orchiopexy-with laparoscopy, bilateral 30000 0 0 USG Clinical Notes
2661 UROLOGY 3A.S7.00130 3A.S7.00130 : Stress incontinence surgery, open 20000 0 0 Clinical Notes Endo Picture / Operative Picture
2662 UROLOGY 3A.S7.00131 3A.S7.00131 : Stress incontinence surgery, 30000 0 0 Clinical Notes Endo Picture / Operative Picture
laparoscopic
2663 UROLOGY 3A.S7.00132 3A.S7.00132 : Stress incontinence surgery with slings 45000 0 0 Clinical Notes Endo Picture / Operative Picture
2664 UROLOGY 3A.S7.00133 3A.S7.00133 : Partial Penectomy 15000 0 0 Biopsy Reports Clinical Photograph showing scar (
Page 72
2665 UROLOGY 3A.S7.00134 3A.S7.00134 : Total Penectomy + Perineal 25000 0 0 Biopsy Reports Clinical Photograph showing scar (
Urethrostomy if patient consents)+ HPE report
2666 UROLOGY 3A.S7.00137 3A.S7.00137 : Pelvic lymphadenectomy open, after 25000 0 0 USG-KUB, HPE report Scar photo, HPE
prior cancer surgery
2667 UROLOGY 3A.S7.00138 3A.S7.00138 : Pelvic lymphadenectomy laparoscopic, 30000 0 0 USG-KUB, HPE report Scar photo, HPE
after prior cancer surgery
2668 UROLOGY 3A.S7.00139 3A.S7.00139 : Orchiectomy-High inguinal 15000 0 0 USG scrotum, Tumour markers Clinical Photograph showing scar (
2669 UROLOGY 3A.S7.00141 3A.S7.00141 : Bilateral Orchidectomy for hormone 15000 0 0 Biopsy Reports /PSA with evidence Clinical Photograph showing scar (
ablation of bone metastasis if patient consents)+ HPE report
2670 UROLOGY 3A.S7.00142 3A.S7.00142 : Retroperitoneal lymph node 25000 0 0 CT Scar photo
dissection-open
2671 UROLOGY 3A.S7.00143 3A.S7.00143 : Retroperitoneal lymph node 80000 0 0 CT report and film, biopsy Clinical photograph showing scar,
dissection-Laparoscopic HPE report
2672 UROLOGY 3A.S7.00144 3A.S7.00144 : Infertility-Scrotal exploration unilateral 10000 0 0 USG/CT- Clinical Photograph Clinical Photograph
2673 UROLOGY 3A.S7.00145 3A.S7.00145 : Infertility-Scrotal exploration bilateral 12000 0 0 USG/CT- Clinical Photograph Clinical Photograph
2674 UROLOGY 3A.S7.00146 3A.S7.00146 : Infertility-Vasoepididymostomy, 15000 0 0 USG/CT- Clinical Photograph Clinical Photograph
microsurgical, unilateral
2675 UROLOGY 3A.S7.00147 3A.S7.00147 : Infertility-Vasoepididymostomy, 20000 0 0 USG/CT- Clinical Photograph Clinical Photograph
microsurgical, bilateral
2676 UROLOGY 3A.S7.00151 3A.S7.00151 : Varicocele-bilateral-microsurgical 20000 0 0 USG, Clinical photograph Clinical Photograph
2677 UROLOGY 3A.S7.00152 3A.S7.00152 : Penile prosthesis insertion, Malleable 30000 0 0 CT/MRI/USG, clinical notes, Operative notes with steps of
(Indian implant) surgery, clinical notes
2678 UROLOGY 3A.S7.00154 3A.S7.00154 : Neurogenic bladder-Package for 7500 0 0 USG/CT X-Ray, catheter + ultrasound +
evaluation/investigation (catheter + ultrasound + culture + RGU/ MCU
culture + RGU/ MCU) for 1 month (medicines -
antibiotics). Follow up visit once in 3 months
2679 UROLOGY 3A.S7.00155 3A.S7.00155 : Chronic prostatitis-Package for 2500 0 0 USG ultrasound + culture + prostate
evaluation/investigation (ultrasound + culture + massage - Reports
prostate massage) for 1 month (medicines). Follow up
visit once in 3 months
2680 UROLOGY 3A.S7.00156 3A.S7.00156 : Emergency management of Ureteric 3500 0 0 USG Ultrasound + culture Report
stone - Package for evaluation/investigation
(ultrasound + culture) for 3 weeks (medicines).
2681 UROLOGY 3A.S7.00157 3A.S7.00157 : Emergency management of Hematuria 2000 0 0 USG Doctors Note
2682 UROLOGY 3A.S7.00161 3A.S7.00161 : Urinary tract trauma Laparoscopy 30000 0 0 clinical notes, CT/MRI/USG - pelvis Operative notes with steps of
surgery surgery
2683 UROLOGY 3A.S7.17041 3A.S7.17041 : Lap. Nephrectomy Radical 50000 0 0 USG & CT KUB with Contrast / Scar Photo + HPE Report
Isotope Renogram
2684 UROLOGY 3A.S7.17042 3A.S7.17042 : Retrograde Intra Renal surgery (RIRS 50000 0 0 CT KUB with Contrast C ARM Picture with Patient Details,
with laser) for renal and PUJ calculi* X-ray KUB/USG
2685 UROLOGY 3A.S7.17043 3A.S7.17043 : URSL* (Inclusive of stent) 22500 0 0 CT KUB X-ray KUB
2686 UROLOGY 3A.S7.17044 3A.S7.17044 : URSL-LASER* 25000 0 0 CT KUB X-ray KUB, Purchase Voucher for
Laser machine
2687 UROLOGY 3A.S7.17045 3A.S7.17045 : Hypospadiasis(Adult)* 35000 0 0 Clinical Photograph Scar photo,
2688 UROLOGY 3A.S7.17046 3A.S7.17046 : Visual Internal Urethrotomy 12000 0 0 USG & RGU Uroflowmetry/ENDO PICTURE
2689 UROLOGY 3A.M4.00030B 3A.M4.00030B : Wilms tumors: surgery - cross 5000 0 0 CT scan,USG abdomen pelvis, Chest x-ray,USG,HPE report
speciality
2690 UROLOGY 3A.S1.00122B 3A.S1.00122B : Retroperitoneal Tumor Excision - 50000 0 0 CT abdomen with film, FNAC Clinical Photograph showing scar +
2691 UROLOGY 3A.S1.17005A 3A.S1.17005A : Prostate surgery (Code 3A.561) - 25000 0 0 CT report and Film, Biopsy Clinical Photograph, HPE report
additional cost - Cross speciality
2692 UROLOGY 3A.S1.17006B 3A.S1.17006B : Nephrectomy partial (Code 25000 0 0 CT report with film, Isotope Clinical Photograph showing scar+
3A.451)- additional cost - cross speciality renogram if required HPE report +USG Report
2693 UROLOGY 4A.S7.00071 4A.S7.00071 : Bladder injury repair (only to be used if 20000 0 0 Endoscopy with film, biopsy, CT Clinical Photograph showing scar +
done as a part of ongoing laparotomy/other surgery) report with film HPE report
2694 UROLOGY 4A.S7.00082 4A.S7.00082 : Suprapubic Drainage - Closed/Trocar 2000 0 0 RGU,MCU RGU,MCU
2695 UROLOGY 4A.S7.00158 4A.S7.00158 : Emergency management of Acute 2000 0 0 USG Doctors Note + X-ray
retention of Urine
2696 UROLOGY 4A.S7.00160 4A.S7.00160 : Urinary tract trauma open surgery 10000 0 0 CBC,RFT,USG CBC,RFT,USG
(exploratory) Abd,HIV,HBsAg,HCV,Urine R/E, Abd,HIV,HBsAg,HCV,Urine R/E,
LFT,Lipid Profile LFT,Lipid Profile
2697 UROLOGY 4A.S7.17047 4A.S7.17047 : Acutekidney injury with hemodialysis, 25000 0 0 CBC,RFT,USG CBC,RFT,USG
inclusive of pre-op inv,post -op inv,procedure Abd,HIV,HBsAg,HCV,Urine R/E, Abd,HIV,HBsAg,HCV,Urine R/E,
cost,ICU/wards stay,and medication for 15 days LFT,Lipid Profile LFT,Lipid Profile
2698 UROLOGY 4A.S1.00251C 4A.S1.00251C : AV Shunt for dialysis - cross 7500 0 0 Duplex Clinical photos showing the AV
speciality fistula
2699 UROLOGY 4A.S6.17034B 4A.S6.17034B : Supra pubic cystostomy in fracture 8000 0 0 X-ray X-ray
pelvis - cross speciality
Page 73

Abark PDF

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Abark PDF

Uploaded by

Copyright:

Available Formats

Benefit Package of Ayushman Bharat - Arogya Karnataka Scheme

for Private Hospitals As on 02-07-2020

3. Daily bed side rounds notes,

Mild Respiratory Distress/tachypnea

Need for mechanical ventilation for less than 24

Sepsis / pneumonia without complications

Hyperbilirubinemia requiring exchange transfusion

Cholestasis significant enough requiring work up and

Hypoxic Ischemic encephalopathy requiring

Cardiac rhythm disorders needing intervention (the

Sepsis with complications such as meningitis or bone

Inborn errors of metabolism

Severe Respiratory Failure requiring High Frequency

3. Daily bed side rounds notes,

1754 OBSTETRICS 2A.S4.00064 2A.S4.00064 : Cyst-Labial 3000 0 0 Clinical note OT note

1786 OBSTETRICS 3A.S4.00012 3A.S4.00012 : Sacrocolpopexy 16000 0 0 Clinical note,USG OT Note

1787 OBSTETRICS 3A.S4.00014 3A.S4.00014 : Vaginoplasty 10000 0 0 Clinical note OT Note

3. Daily bed side rounds notes,

4. Daily bed side rounds notes,

4. Daily bed side rounds notes,

4. Daily bed side rounds notes,

4. Daily bed side rounds notes,

4. Daily bed side rounds notes,

4. Daily bed side rounds notes,

You might also like