GOVERNMENT OF ANDHRA PRADESH

ABSTRACT

Health, Medical & Family Welfare – Renaming of Aarogyasri Scheme as

Dr.Nandamuri Taraka Rama Rao Aarogya Seva and also enhancement of
financial coverage – Orders – Issued.
HEALTH MEDICAL AND FAMILY WELFARE (I.1) DEPARTMENT
G.O.MS.No. 127 Dated.27-09-2014.
Read the following:
1. G.O.Ms. No. 227, HM&FW (K2) Dept., dt. 09.06.2006.
2. G.O.Ms. No. 224, HM&FW Dept., dated. 27.06.2008.
3. G.O.Ms. No. 1012, Revenue (CMRF) dated. 12.08.2008.
4. G.O.Ms. No. 67, Revenue (CMRF) dated. 22.01.2009.
5. G.O.Ms.No.108 HM&FW (I.1) Dept dated 18-06-2014.
6. Minutes of the review meeting held by Chief Minister
on 06-08-2014.
7. From the CEO., AHCT., Letter No.3641/P&C/RAS/2014
Dt.20.08.2014.
-oSo-
O R D E R:

In the G.O. first read above, the erstwhile Government of composite

State of Andhra Pradesh launched a community health insurance scheme
called “Rajiv Aarogyasri Health Insurance Scheme” with effect from
01.04.2007 with the objective of providing quality health care to the poor for
identified diseases through a network of service providers from Government
and private sector.

2. On consequent reorganisation of the State of Andhra Pradesh into the

States of Telangana and Andhra Pradesh with effect from 02-06-2014,
orders were issued in the G.O. 5th read above restructuring the Board of
Trustees as a body of only officials of both the States, with the Principal
Secretaries to Government, HM&FW Department of the two States as
Chairman and Co-Chairman, based on their seniority. These orders will be
re-visited in due course.

3. In the meeting held on 06-08-2014, which was attended by the

Minister for Health, Minister for Municipal Administration, Chief Secretary,
Principal Secretary, HM&FW., Principal Secretary, Finance and Chief
Executive Officer, Aarogyasri Healthcare Trust, the Chief Minister reviewed
the implementation of ‘Aarogyasri Scheme’ and ‘Employees Health Scheme’.

4. Accordingly the Chief Executive Officer Aarogyasri Health Care Trust

has submitted the proposals in the reference 7th read above with a request
to Govt., to issue orders to rename the Rajiv Aarogyasri Scheme as
“ Dr.Nandamuri Taraka Ramarao Aarogya Seva” and also enhancement of
coverage by adding new procedures. After careful examination of the
matter, Government hereby issue the following orders:-
(i) The Rajiv Aarogyasri Scheme being implemented in the State of
Andhra Pradesh shall be renamed, and henceforth be called
“ Dr.Nandamuri Taraka Rama Rao Aarogya Seva”.

(ii) The 100 procedures indicated in Annexure shall be added to the

existing 938 procedures and the renamed “ Dr.Nandamuri
Taraka Rama Rao Aarogya Seva” Scheme will provide cashless
treatment in the empanelled Network hospitals for a total 1038
procedures.
(p.t.o)
 :: 2 ::

(iii) The existing limit of financial coverage i.e., Rs.2.00 lakhs per
family per annum is here by enhanced to Rs.2.50 lakhs per
family per annum.

5. This order issues with the concurrence of Finance Department vide

their U.O.No.26/A2/EBS.V/2014, dated.12-9-2014.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)

L.V.SUBRAHMANYAM
PRINCIPAL SECRETARY TO GOVERNMENT

To
The Chief Executive Officer, Aarogyasri Health Care Trust, AP, Hyderabad.
The Director of Medical Education, AP, Hyderabad.
The All the District Collectors in the State.
All Network Hospitals through CEO, Aarogyasri Health Care Trust.
All Heads of the Department of HM&FW.
Copy to:
The Accountant General, AP, Hyderabad
The Director of Treasuries and Accounts, AP, Hyderabad.
The Pay and Accounts Officer, AP, Hyderabad
PS to all Ministers / PS to all Special Chief Secretaries / Principal
Secretaries / Secretaries to Government

// FORWARDED :: BY ORDER //

SECTION OFFICER

Door No. 8-2-293/82/a/ahct, road No. 46, Jubilee Hills, Hyderabad – 500
033.
S.N CODE ICD CODE SYSTEM PREAUTHORISATION INVESTIGATION TREATMENT PACKAGE POST OPERATIVE/PROCEDURE
O PROTOCOL PRICES INVESTIGATION

S1 GENERAL SURGERY
S1.1 HEAD & NECK
S1.1.1 NECK
USG Neck, Fine Needle Aspiration Cytology (FNAC) ,
1 S1.1.1.13 26.31 Superficial Parotoidectomy(Non-malignant) - 21260 Post OP HPE, Intra OP photo
Clinical Photograph
S1.1.5 THYROID (NO-MALIGNANT)
T3, T4, TSH,USG Neck, Fine Needle Aspiration
2 S1.1.5.1.1 06.2.2 Laproscopic Hemi Thyroidectomy - 28330 Post OP HPE, WEBEX
Cytology (FNAC), Clinical Photograph.
T3, T4, TSH ,USG Neck , Fine Needle Aspiration
3 S1.1.5.2.1 06.39.3 Laproscopic Isthmectomy - 28670 Routine Histopathological Examination
Cytology (FNAC), Clinical Photograph
4 S1.1.5.5.1 06.31.3 Laproscopic Sub total Thyroidectomy T3, T4, TSH ,USG Neck, FNAC - 27780 Post OP HPE, WEBEX

T3, T4, TSH ,USG Neck , Fine Needle Aspiration

5 S1.1.5.6.1 06.4.2 Laproscopic Total Thyroidectomy - 28810 Post OP HPE, WEBEX
Cytology (FNAC) , Clinical Photograph
S1.3 ABDOMEN
Laproscopic Surgical treatment for Epigastric Hernia USG Abdomen,Intraoperative photos,
6 S1.3.1.2.1 53.63 USG of the Abdomen ,Clinical photograph - 50000
repair with Mesh scar photo
Laproscopic Surgical treatment for Unilateral Femoral USG Abdomen,Intraoperative photos,
7 S1.3.1.3.1 53.04 USG of the Abdomen ,Clinical photograph - 30000
Hernia With Mesh scar photo
Laproscopic Surgical treatment for Hiatus Hernia With USG Abdomen,Intraoperative photos,
8 S1.3.1.4.1 53.71.1 USG of the Abdomen ,Clinical photograph - 50000
Mesh scar photo
Laproscopic Surgical treatment for - Umbilical Hernia USG Abdomen,Intraoperative photos,
9 S1.3.1.7.1 53.42.1 USG of the Abdomen ,Clinical photograph - 50000
With Mesh scar photo
USG Abdomen ,Chest X-Ray PA View(1 Film), USG Abdomen,Intraoperative photos,
10 S1.3.1.10 53.03 Herinoplasty with Mesh Direct Inguinal Hernia - 25000
Clinical Photograph scar photo
Laproscopic Surgical treatment for Incisional Hernia USG Abdomen ,Chest X-Ray PA View(1 Film), USG Abdomen,Intraoperative photos,
11 S1.3.1.11 53.62 - 40000
with Mesh Clinical Photograph scar photo
S1.3.3 STOMACH, DUODENUM AND JEJUNUM
S1.3.3.10. Laproscopic Surgical treatment for Duodenal USG Abdomen , CT Scan Abdomen With Contrast ,
12 44.42.1 - 48000 WEBEX
1 Perforation Plain X-ray erect abdomen
S1.3.4 SMALL INTESTINE

Abdomen Radiograph Supine Or Erect(1 Film),CT POST OP HPE, Intraoperative photos,

13 S1.3.4.9 45.33.1 Excision of Meckel's Diverticulum - 40000
Scan Abdomen With Contrast/USG Abdomen scar photo
S1.3.5 LARGE INTESTINE
14 S1.3.5.6.1 45.81 Laproscopic Colectomy (Total Colectomy) CT contrast,USG of the abdomen , colonoscopy - 60000 POST OP HPE,WEBEX
15 S1.3.5.9 70.73.2 Rectovaginal fistula Management without Colostomy CT contrast,USG of the abdomen , colonoscopy - 38800 USG Abdomen
POST OP HPE, Intraoperative photos,
16 S1.3.5.10 46.03 Loop Colostomy Sigmoid CT contrast,USG of the abdomen , colonoscopy - 20000
scar photo
S1.3.6 RECTUM AND ANUS
Colonoscopy/Sigmoidoscopy (REGID), USG
17 S1.3.6.3 48.75.1 Rectopexy Open with Mesh for Rectal Prolapse - 40000 USG Abdomen,Intraoperative photos
Abdomen, Clinical Photograph
Laproscopic Rectopexy With Mesh for Rectal Colonoscopy/Sigmoidoscopy (REGID), USG
18 S1.3.6.3.1 48.75.2 - 50000 USG Abdomen, WEBEX
Prolapse Abdomen, Clinical Photograph
S1.5 GALLBLADDER
Routine Histopathological Examination,
USG Abdomen, CT scan Lower Abdomen Without USG Abdomen/CT scan Lower Abdomen
Laproscopic Cholecystectomy With CBD Exploration
19 S1.5.3.1 51.22.2 Contrast/CT Scan Abdomen Without Contrast, LFT(liver - 30000 Without Contrast/CT Scan Abdomen
(51.41) function tests) Without Contrast, CT Scan Abdomen With
Contrast, WEBEX
S1.8 PERIPHERY VESSELS
20 S1.8.1 38.5 Excision and Ligation of Varicose Veins Venous Doppler , Clinical Photograph - 24120 Case Sheet with operation Notes
S2 ENT SURGERY
S2.1 EAR
21 S2.1.4 19.4.1 Myringoplasty Pure Tone Audiometry - 15080 Pure Tone Audiometry
Pure Tone Audiometry, Impedances Audiometry(With
22 S2.1.4.1 19.4.2 Myringoplasty with ossiculoplasty (19.3) Stepedeal Reflex) , X-Ray Of Both Mastoids , OTO - 17000 X-Ray Of Both Mastoids
endoscopy/ OTO Endoscopy Photos

Pure Tone Audiometry , Impedances Pure Tone Audiometry , Impedances

23 S2.1.5 20.01.1 Myringotomy with grommet for one ear Audiometry(With Stepedeal Reflex) ,OTO - 10000 Audiometry(With Stepedeal Reflex) ,
endoscopy/ OTO Endoscopy Photos Grommet in Positoin Photo .
S2.3 NOSE
X-Ray Nasopharynx, DNE PHOTO 3
24 S2.3.8 21.84 Septo rhinoplasty X-Ray Nasopharynx, Pre DNE Photo - 18490 WEEKS AFTER SURGERY , WEBEX
Video.
S3 OPHTHALMOLOGY SURGERY
S3.4 ORBIT
CT Orbits With Contrast, 3D CT Skull / MRI Orbits
25 S3.4.7 16.5 Exenteration of Orbit - 11980 Routine Histopathological Examination
With Contrast
S3.7 PEDIATRIC OPHTHALMIC SURGERY
26 S3.3.9 12.54.1 Glaucoma Surgery Fundus floroscence - 8180 Fundus floroscence
 S5 ORTHOPEDIC SURGERY AND PROCEDURES
FRACTURE CORRECTION
S5.1
SURGERIES/PROCEDURES
27 S5.1.7 81.96 Joint reconstruction/intraarticular fractures X-Ray - 35000 CT local Area
S5.4 BONE AND JOINT SURGERY/PROCEDURES
28 S5.4.1.1 81.1.1 Arthrodesis of foot Small joints X- Ray Foot - 15000 X- Ray Foot
S5.7 TUMOR SURGERY
Bone tumor surgery reconstruction with internal
29 S5.7.2 77.8 X-Ray, Clinical Photograph - 48020 X-Ray
fixation(78.59)
S6 SURGICAL GASTRO ENTEROLOGY
S6.13 ANUS
Endo anal scan / MRI Abdomen With Contrast,
30 S6.13.1 49.7.1 Anal Sphincter Repair -With Colostomy - 33850 Endo anal scan
USG Abdomen
CT scan Lower Abdomen Without Contrast, MRI
31 S6.13.2 70.73.1 Rectovaginal fistula Management with Colostomy Local Area, TRUS (Transrectal Ultrasonography), - 39320 Scar Photo
Sigmoidoscopy (REGID)
S7 CARDIAC AND CARDIOTHORACIC SURGERY
S7.1 CARDIAC INTERVENTIONS / PROCEDURES
Coronary Balloon Angioplasty with Drug eluting PTCA CD, X-RAY, Stent Pouch with
32 S7.1.1.3 00.66.5 2D Echo, CAG, ECG - 65000
stent(00.45) bar code Details
PTCA CD, X-RAY, Stent Pouch with
33 S7.1.1.4 00.66.6 PTCA 1 Additional Drug eluting Stent (00.46) 2D Echo, CAG, ECG - 20000
bar code Details
S7.4 CHEST SURGERY
CT Scan Chest With Contrast, Chest X-Ray PA
34 S7.4.4 33.32 Surgical management of Empyema Thoracis View(1 Film), PUS Culture & Sensitivity, Aspirate - 52140 Chest X-Ray PA View(1 Film)
For Culture, Pulmonary Function Test(Major)
S8 PEDIATRIC SURGERIES
S8.3 HEAD AND NECK
X-Ray Dorso Lumbar Spine, Neurosonogram(NSG),
35 S8.3.6 03.52 Meningo Myelocele Spinal Procedure - 25000 Case Sheet with operation Notes
Clinical Photograph
S8.4 CHEST
CT Scan Chest With Contrast/CT Scan Chest Chest X-Ray PA View(1 Film), Routine
36 S8.7.8 34.06 Empyema decortication In Paediatric Patients - 30630
Without Contrast, Chest X-Ray PA View(1 Film) Histopathological Examination
S8.5 ABDOMEN
USG Abdomen /Radio Scintography, Clinical Routine Histopathological Examination
37 S8.8.13 45.33.2 Meckel's Diverticulectomy In Paediatric Patients - 40000
Photograph /Scar Photo
38 S8.8.14 53.0 Unilateral Inguinal Hernia repair In Paediatric Patients Clinical Photograph - 15000 Scar Photo
39 S8.8.15 53.1 Bilateral Inguinal Hernia repair In Paediatric Patients Clinical Photograph - 20000 Scar Photo
40 S8.8.16 53.9.2 Lumbar Hernia repair In Paediatric Patients Clinical Photograph - 15000 Scar Photo
41 S8.8.17 53.21 Femoral Hernia repair In Paediatric Patients Clinical Photograph - 15000 Scar Photo
42 S8.8.18 53.42.2 Umbilical Hernia repair In Paediatric Patients USG Abdomen - 20000 Scar Photo
43 S8.8.19 53.51.2 Incisional Hernia repair In Paediatric Patients Clinical Photograph - 30000 Scar Photo
S9 GENITO URINARY SURGERIES
S9.1 RENAL TRANSPLANTATION

44 S9.1.4 39.50.1 Balloon dialatation of transplant Renal Artery stenosis Renal Angiogram - 32610 Renal Angiogram, WEBEX
S9.8 CORRECTIVE SURGERIES
USG Abdomen, CT Scan Lower
USG Abdomen, Intra Veneous Pyelogram,
Abdomen With Contrast, Routine
45 S9.8.10 56.41 Excision of Ureterocele with Ureteric Implantation Micturating Cystourethrogram (MCUG), CT Scan - 42370
Histopathological Examination,
Lower Abdomen With Contrast
Abdomen X-Ray (Lateral View)
CT Scan Lower Abdomen With Contrast, USG Fluoroscopy, CT Scan Lower Abdomen
46 S9.8.11 56.91 Balloon dilatation of Ureteric stricture - 20100
Abdomen, Intra Veneous Pyelogram With Contrast, USG Abdomen
S9.9 BLADDER and PROSTATE
USG Abdomen, CT Scan Lower Abdomen With USG Abdomen, CT Scan Lower
47 S9.9.3.1 60.5.2 Open radical Prostratectomy Contrast, Prostate-Specific Antigen (PSA), - 50000 Abdomen With Contrast, Routine
Cystouretroscopy Histopathological Examination
USG Abdomen, CT Scan Lower
CT Scan Lower Abdomen With Contrast, USG
48 S9.9.5.1 57.6.1 Partial Cystectomy - 33850 Abdomen With Contrast, Routine
Abdomen, Cystoscopy, Renal biopsy
Histopathological Examination
USG Abdomen, CT Scan Lower Abdomen With USG Abdomen, CT Scan Lower
49 S9.9.9 57.91.2 Bladder neck reconstruction for Incontinence - 60000
Contrast, Case sheet with clinical History Abdomen With Contrast
Mid urethral sling procedure for stress urinary USG Abdomen, CT Scan Lower Abdomen With USG Abdomen, CT Scan Lower
50 S9.9.10 59.79 - 30000
incontinence Contrast, Case sheet with clinical History Abdomen With Contrast
S9.11 CAPD
USG Abdomen, CT Scan Lower Abdomen With USG Abdomen, CT Scan Lower
51 S9.11.1 59.8.2 CAPD-Tenchkoff catheter insertion - 36520
Contrast, Renal Profile Abdomen With Contrast
Abdomen And Pelvis For Kidneys, Ureters, And Abdomen And Pelvis For Kidneys,
52 S9.11.2 97.64 CAPD-Tenchkoff catheter removal Bladder (KUB), USG Abdomen, Clinical - 33940 Ureters, And Bladder (KUB), USG
Photograph Abdomen, Scar Photo
Case Sheet with treatment details,
53 S9.11.3 97.64.1 CAPD bags per month Clinical Photograph - 8520
Clinical Photograph
 S10 NEUROSURGERY
S10.1 BRAIN
S10.1.5 EXCISION OF BRAIN TUMOUR
CT Scan Head Without Contrast, CT Angio Of
54 S10.1.23.1 02.05 Cranioplasty With Impants - 30000 X-Ray Skull
Brain(Head)
S10.2 SPINAL SURGERIES
CT Spine (Cervical, Dorsal, Lumbar,Sacral) Without
55 S10.2.7.1 03.09.2 Laminoplasty With Implants Contrast /MRI Local Area, X-Ray Dorso Lumbar - 30180 X-Ray Dorso Lumbar Spine
Spine
S12 MEDICAL ONCOLOGY
S12.1 BREAST CANCER
Routine Histopathological Examination, Prostate-
Specific Antigen (PSA), Estrogen
56 S12.1.8 99.25.72 Chemotherapy for Breast Cancer with Docetaxel Receptor/Progesterone Receptor, Chest X-Ray PA - 9990 Clinical Photograph
View(1 Film), Chest X-Ray Lateral View(1 Film),
USG local area, Bone Scan
LUNG CANCER NON-SMALL CELL LUNG
S12.11
CANCER
Chest X-Ray PA View(1 Film), USG local area, CT
Chemotherapy for Non SMAL cell Lung Cancer with Case Sheet with treatment details,
57 S12.11.2 99.25.6 local area without contrast, Routine - 15000
Erlotinib Clinical Photograph
histopathological examination, Clinical Photograph
Routine Histopathological Examination, USG local
Chemotherapy for Non SMAL cell Lung Cancer with
58 S12.11.3 99.25.9 area, SAlkaline Phosphatase Levels, Bone Scan, CT - 19990 Case Sheet with treatment details
PEM + Cisplatin
local area with contrast, Clinical Photograph
Routine Histopathological Examination, CT scan
Chemotherapy for Non SMAL cell Lung Cancer with Case Sheet with treatment details,
59 S12.11.4 99.25.7 chest with contrast, USG local area, Alkaline - 7080
GEFITINIB Clinical Photograph
Phosphatase Levels, Case sheet with clinical History
Routine Histopathological Examination, CT chest
with contrast/CT upper abdomen with contrast, Fine
Chemotherapy for Non SMAL cell Lung Cancer with Case Sheet with treatment details,
60 S12.11.5 99.25.8 Needle Aspiration Cytology (FNAC)/Routine - 9990
Paclitaxel /Carboplatin Clinical Photograph
histopathological examination, Alkaline
Phosphatase Levels
S12.13 GASTRIC CANCER
Routine Histopathological Examination, CT Scan
Abdomen With Contrast, Upper GI endoscopy, Case Sheet with treatment details,
61 S12.13.2 99.25.13 Chemotherapy for Gastric Cancer with EOX - 14990
Chest X-Ray PA View(1 Film), Case sheet with Clinical Photograph
clinical History
 Routine Histopathological Examination, CT scan
Chemotherapy for Gastric Cancer with Case Sheet with treatment details,
62 S12.13.3 99.25.14 Lower Abdomen Without Contrast, Chest X-Ray PA - 15990
Gemcitabine+Oxaliplatin Clinical Photograph
View(1 Film)
Routine Histopathological Examination, CT scan
Chemotherapy for Gastric Cancer with Gemcitabine / Case Sheet with treatment details,
63 S12.13.4 99.25.15 Lower Abdomen Without Contrast, Chest X-Ray PA - 12000
Cisplatin Clinical Photograph
View(1 Film)
Routine Histopathological Examination, Upper GI
endoscopy, Chest X-Ray PA View(1 Film), BCR- Case Sheet with treatment details ,
64 S12.13.5 99.25.17 Chemotherapy for Gastric Cancer with Imatinib(CML) - 5630
ABL1 Transcripts By Quantitative PCR, Upper GI Clinical Photograph
endoscopy
Routine Histopathological Examination, CT scan
Abdomen With Contrast, Chest X-Ray PA View(1 Case Sheet with treatment details,
65 S12.13.6 99.25.18 Chemotherapy for Gastric Cancer with Dcf - 17990
Film), Upper GI endoscopy , Case sheet with Clinical Photograph
clinical History
S12.14 COLORECTAL CANCER
Chest X-Ray PA View(1 Film), Colono Scopy,
Chemotherapy for Colorectal Cancer with Case Sheet with treatment details ,
66 S12.14.3 99.25.21 CEA(Carcino Embryonic Antigen) 125, CT Scan - 7710
Capecitabine + bevacizumab (metastatic) Clinical Photograph
Abdomen With Contrast Abdomen(Whole)
Chest X-Ray PA View(1 Film), Colono Scopy,
Chemotherapy for Colorectal Cancer with Case Sheet with treatment details,
67 S12.14.4 99.25.22 CEA(Carcino Embryonic Antigen) 125-, CT Scan - 11990
Capecitabine + Oxalipantia (adjuvant) and metastatic Clinical Photograph
Abdomen With ContrastAbdomen(Whole)
Routine Histopathological Examination, CT Scan
Chemotherapy for Colorectal Cancer with Abdomen With Contrast, Chest X-Ray PA View(1 Case Sheet with treatment details,
68 S12.14.5 99.25.24 - 6990
Capacitabine Film), Colono Scopy, CEA(Carcino Embryonic Clinical Photograph
Antigen)
S12.16.2 LYMPHOMA II) NHL
CT Scan Lower Abdomen With Contrast, CT local
Area , CT Scan Neck
(Thyroid,Parathyroid,Softtissues)With Contrast/
PET Scan BEFORE TREATMENT AFTER 4
Chemotherapy for Non Hodgkin Lymphoma with R - Case Sheet with treatment details ,
69 S12.16.2.2 99.25.29 CYCLES, END OF TREATMENT CT Scan Chest - 44990
chop Clinical Photograph
With Contrast, USG Abdomen, Routine
Histopathological Examination, Bone Marrow
Aspiration,Complete blood picture(CBP) , LFT(liver
function tests), Renal Profile, IHC
S12.19 HEPATOBLASTOMA- OPERABLE
 Chemotherapy Chemotherapy for Hepatoblastoma Alpha Feto Protiens Levels, Routine Histopathological
70 S12.19.2 99.25.84 - 9990 Case Sheet with operation Notes
operable with Sorafenib Examination, LFT(liver function tests), USG local area

S12.21 NEUROBLASTOMA ( STAGES I-III )

Routine Histopathological Examination, CT Scan Head
Chemotherapy for Neuroblastoma (Stages I-III ) PCV
71 S12.21.2 99.25.38 With Contrast, Chest X-Ray PA View(1 Film), Case - 4990 Case Sheet with operation Notes
(medulloblastoma)
sheet with clinical History
S12.31 MULTIPLE MYELOMA
Bone Marrow Profile/Routine Histopathological
Chemotherapy for Multiple myeloma with Examination, Bence Jones Protein In Urine, Protein
72 S12.31.2 99.25.57 - 9990 Case Sheet with operation Notes
Lenalidomide dexa Electrophoresis, Renal Profile, Complete Blood Picture
[CBP]
Bone Marrow Profile/Routine Histopathological
Chemotherapy for Multiple myeloma with
73 S12.31.3 99.25.58 Examination, Bence Jones Protein In Urine, Skeletal - 5360 Case Sheet with operation Notes
MPT(myeloma)
Survey Protein Electrophoresis
Chemotherapy for Multiple myeloma with Imatinib
74 S12.31.4 99.25.59 USG local area - 6990 Case Sheet with operation Notes
(GSIT)
S12.33 CHRONIC LYMPHOID LEUKAMIA
Bone Marrow Aspiration, Renal Profile, Complete
Chemotherapy for Chronic lymphoid leukemia with Blood Picture [CBP] , LFT(liver function tests), Clinical Photograph , Case Sheet with
75 S12.33.1 99.25.62 - 16000
Benadamustine Abdomen X-Ray (Lateral View) , USG Abdomen , operation Notes
Immuno pheno typing
Bone Marrow Aspiration, Renal Profile, Complete
Chemotherapy for Chronic lymphoid leukemia with Clinical Photograph , Case Sheet with
76 S12.33.2 99.25.63 Blood Picture [CBP] , LFT(liver function tests)\, - 2990
Chilorambucil operation Notes
Immuno pheno typing
LFT(liver function tests), Routine Histopathological
Examination, CT local area without contrast, Chest Clinical Photograph, Case Sheet with
77 S12.33.3 99.25.65 Chemotherapy for Chronic lymphoid leukemia with IA - 10000
X-Ray PA View(1 Film), Chest X-Ray Lateral operation Notes
View(1 Film)
Routine Histopathological Examination,
Chemotherapy for Chronic lymphoid leukemia with Bone Marrow Aspiration/ Routine Histopathological CT local area without contrast, USG
78 S12.33.4 99.25.66 - 6990
Imatinib(CML) Examination local area, Case Sheet with operation
Notes
LFT(liver function tests), USG local area, Chest X-
Chemotherapy for Chronic lymphoid leukemia with
79 S12.33.5 99.25.68 Ray PA View(1 Film), Chest X-Ray Lateral View(1 - 14990 Clinical Photograph
Sunitinib
Film)
S12.34 BRAIN TUMORS
Routine Histopathological Examination, CT Brain Plain Clinical Photograph , Case Sheet with
80 S12.34.1 99.25.69 Chemotherapy With Temozolamide (brain tumours) - 10000
and Contrast /MRI Brain with contrast operation Notes
 S12.35 OTHERS
LFT(liver function tests), Routine Histopathological
Examination, Chest X-Ray PA View(1 Film), USG local
area, Bone Marrow Profile, CT Brain Plain and Contrast ,
Clinical Photograph , Case Sheet with
81 S12.35.1 99.25.70 Chemotherapy With Benadamustin -RITUXIMAB CT Scan Chest With Contrast/CT Scan neck(thyroid, para - 59990
operation Notes
thyroid, soft tissues) with contrast /CT Scan with
Abdomen with contrast , Renal Profile, Complete Blood
Picture [CBP]
Beta HCG(Human Chorionic Gonadotropin) Levels,
Alpha Feto Protiens Levels, Lactate Dehydrogenase Clinical Photograph , Case Sheet with
82 S12.35.2 99.25.71 Chemotherapy With TIP (GCT 2nd line) - 20000
(LDH), CT Scan Chest With Contrast, CT Scan with operation Notes
Abdomen with contrast
CT Scan Abdomen Without Contrast,Routine
83 S12.35.3 99.25.85 Chemotherapy with Capeiri (metastatic) - 7710 Case Sheet with operation Notes
Histopathological Examination
CT Scan Abdomen Without Contrast,Routine
84 S12.35.4 99.25.86 Chemotherapy with Capeox (adjuvant) and metastatic - 7190 Case Sheet with operation Notes
Histopathological Examination
S14 PLASTIC SURGERY
S14.4 PLASTIC SURGERY
Tarsorrhaphy surgery to prevent exposure keratitis to
Clinical Photograph , Case Sheet with
85 S14.17 08.52 prevent loss or impairment of vision especially in Clinical Photograph - 10000
operation Notes
facial burns
3D CT Facial Bones, X-Ray Facial Bones, Clinical
86 S14.18 76.7.2 Panfacial fractures combination with polytrauma - 102510 X-Ray Facial Bones
Photograph
Aplasia / hypoplasia / post traumatic loss of thumb for
87 S14.19 82.6.1 X-Ray , Clinical Photograph - 63540 CT Local Area Without Contrast,
reconstruction - conventional surgery
88 S14.20 84.22.2 Reimplantation / revascularization - single digit X-Ray, Clinical Photograph - 83920 X-Ray , Clinical Photograph
Reimplantation / revascularization - multiple digits per
89 S14.21 84.22.1 X-Ray, Clinical Photograph - 83920 X-Ray , Clinical Photograph
finger
Flap cover for trauma of the hand / forearm / arm / foot
/ leg / thigh etc., with exposure of the underlying
90 S14.22 86.74.1 Clinical Photograph - 60000 Clinical Photograph
vital structures like tendons, nerves, vessels, bone,
with or without any fracture- flap insert
M2 GENERAL MEDICINE
Complete Blood Picture [CBP] ,Platelet Count
Antibiotics, IV Platelet Count , PCV, Dengue Serology
,CUE (pH , Specific Gravity , Sugar , Protein And
91 M2.9 A91 Medical Management of Dengue Haemorrhagic Fever fluids, Platelet 35000 ,Stool For Microscopy, Case Sheet with
Microscopy) , Renal profile , LFT(liver function
transfusion treatment details
tests) , ICU Photo on Ventilator
M4 PEDIATRICS
 M4.2 PEDIATRIC INTENSIVE CARE
M4.2.1 RESPIRATORY
ECHO Cardiogram , Anti-Streptolysin O (ASO)
Titres , Erythrocyte Sedimentation Rate (ESR) ,
Inj Procain
CUE (pH , Specific Gravity , Sugar , Protein And
pencillin,
Microscopy) , Blood Culture & Sensitivity -
Medical Management of Rheumatic heart disease in Antipuretics, Chest X-Ray PA View(1 Film), Case
92 M4.2.2.6 I05 Automated , Chest X Ray , ECG (Electro 15000
Paediatric patient Steroid, Sheet with treatment details
Cardiogram) , Complete Blood Picture [CBP] ,
Lasix/Dijoxil if
Throat Swab For KLB , Anti Nuclear Anti Body
CCF
(ANA) Indirect Immunofluorescence (IIF) /Anti
Nuclear Anti Body (ANA) Titres
MEDICAL MANAGEMENT OF GENERAL
M4.3
PEDIATRICS
Coomb s Test Direct, Bone Marrow Aspiration Blood/Blood
,Serum Bilirubin Levels , Platelet Count , Complete product trasfusion,
Medical Management of Auto immune hemolytic Complete Blood Picture [CBP], Case
93 M4.6.4 D59.1 Blood Picture [CBP] , Reticulocyte Count , Blood steroids, IVIG, 14990
anemia in Paediatric patient Sheet with treatment details
Grouping And RH Typing ,Anti Nuclear Anti Body Cyclosporise A or
(ANA) Titres, Double Stranded (DS) DNA Dinazole
Diph Anti toxin,
Anti pyrelits, IV
ECG (Electro Cardiogram) -3Times, Throat Swab fluids, Blood
Medical Management of Diphtheria in Paediatric
94 M4.7.6 A36.B For KLB -3 Times, ECHO Cardiogram ,Chest X- transfusion, in 15000 Case sheet with clinical improvement
patient
Ray PA View(1 Film) ,Renal Profile CCF dijoxin, inj
Pencillin.Erithrom
ycin
M6 NEPHROLOGY
Renal Profile, LFT(liver function tests), Complete
Blood Picture [CBP], ECG (Electro Cardiogram),
USG Abdomen, Blood Culture & Sensitivity -
Antibiotics, Renal Profile, CUE (pH , Specific
Automated, CUE (pH , Specific Gravity , Sugar ,
95 M6.6 N00 Medical Management of Acute Glomerulo Nephritis Supportive 26020 Gravity , Sugar , Protein And
Protein And Microscopy), Spot PR/CR (Protein-
Management Microscopy)
Creatinine) Ratio, Anti-Streptolysin O (ASO) Titres,
ANA, ANCA (Anti Neutrophil Cyto Plasmic Anti
Body), 24 Hrs Urinary Protein
M8 PULMONOLOGY
 Complete Blood Picture [CBP] , Erythrocyte
Sedimentation Rate (ESR), Random Blood Sugar
(RBS) Test ,, Chest X-Ray PA View(1 Film), Antibiotics, IV Chest X-Ray PA View(1 Film),
96 M8.8 J18.9 Medical Management of Pneumonias Arterial Blood Gas Analysis (ABG), C-Reactive fluids, Supportive 30000 Complete Blood Picture [CBP], C-
Protein, Sputum For Culture & Sensitivity, Fluid Management Reactive Protein4
for Fungal Stain, Aspirate For Culture(Barium,
Fungus, Anaerobic), Blood Culture & Sensitivity
M11 ENDOCRINOLOGY
M11.2 OTHER ENDOCRINAL DISORDERS
T3, T4, TSH, Basal Cortisol Levels (Adrenal Hormone Therapy
Hypopiturasim Initial Evaluation And Management Corticotrophin Stimulation Test), Cortisol Assay for three months T4, Case sheet with clinical
97 M11.2.5 E23.1 26000
With Growth Hormone After Dexamethasone,Growth Hormone (Basal, Post improvement
Glucose Load) ,
T3, T4, TSH, Basal Cortisol Levels (Adrenal
Hypopiturasim Maintanance Phase Monthly Package Corticotrophin Stimulation Test), Cortisol Assay Harmone Therapy T4,Case sheet with clinical
98 M11.2.6 E23.2 13560
For Growth Hormone After Dexamethasone,Growth Hormone (Basal, Post life long improvement
Glucose Load)
Antithypoid
99 M11.2.7 E05.0 Medical Management of Grave'S Disease T3, T4, TSH 10060 Case Sheet with treatment details
medication
M12 GASTROENTEROLOGY
Antibiotics,
LFT(liver function tests), USG Abdomen, Upper GI Betablockers,
Medical Management of Cirrhosis Decompensated Case sheet with clinical History, Case
100 M12.18 K74.6.A endoscopy, Fluid Analysis, HBs Ag, HCV Geno Banding of varices, 36870
Including SBP, Portal HTN, Bleed Sheet with treatment details
Type/HCV, Rna Quantitative Lactulose,
Ritaximin
LFT(liver function tests), USG Abdomen, HBs Ag,
Supportive Mgmt,
HCV Geno Type /HCV, Rna Quantitative, Anti-
Medical Management of Acute Hepatitis (Viral, Antiviral Drugs, LFT(liver function tests), Case sheet
101 M12.19 K75.9 Endomysial Antibodies ,IgA/IgG/IgM, Anti-HAV 15000
Alcohol, Drugs, Misc. Infections) Stop offending with clinical improvement
IgM (IgM Antibody To Hepatitis A Antigen), Case
agent.
sheet with clinical History
Medical Management of Ascities Of Any Etiology Paracentesis, treat
102 M12.20 R18 USG Abdomen, Ascitic Fluid Analysis- Routine 15010 Fluid Analysis
(Tubercolor, Melignant, Pancreatic, Biliary) the cause