S.NO
CODE ICD CODE SYSTEM PREAUTHORISATION
INVESTIGATION
TREATMENT PROTOCOL PACKAGE
PRICES
POST
OPERATIVE/PROCEDURE
INVESTIGATION
S1 GENERAL SURGERY
S1.1 HEAD & NECK
S1.1.1 NECK
1 S1.1.1.1 29.2 Excision of Branchial CystFine Needle Aspiration Cytology (FNAC) ,
Clinical Photograph , , USG of the Neck - 24000
Post OP HPE, Intraoperative
photos, scar photo
2 S1.1.1.2 29.52.1 Excision of Branchial SinusClinical Photograph Sinogram with IV
canula in situ & USG of Neck - 24000
POST OP HPE, Intraoperative
photos , scar photo
3 S1.1.1.3 39.8.1 Excision of Carotid Body Tumours
Cartotid Angiography / MRI Neck / Colour
Doppler Study Of Neck Vessels& USG
of Neck
- 33930
Colour Doppler Study Of Neck
Vessels,Post OP HPE,
Intraoperative photos , scar photo
4 S1.1.1.4 40.29.1 Excision of Cystic Hygroma -ExtensiveClinical Photograph, FNAC, USG of the
Local Area / CT Local Area - 23240
POST OP HPE, Intraoperative
photos,scar photo
5 S1.1.1.5 40.29.2 Excision of Cystic Hygroma -MajorClinical Photograph, FNAC, USG of the
Local Area - 24000
POST OP HPE, Intraoperative
photos,scar photo
6 S1.1.1.6 40.29.3 Cystic Hygroma Excision-Minor
Fine Needle Aspiration Cytology
(FNAC),USG local area,Clinical
Photograph
- 10000POST OP HPE, Intraoperative
photos , scar photo
7 S1.1.1.7 06.6 Excision of Lingual Thyroid
T3, T4, TSH ,USG Neck / Thyroid Uptake
Measurements With 131-Iodine, FNAC,
Clinical Photograph, ENT Consultation
- 30000POST OP HPE, Intraoperative
photos , scar photo
8 S1.1.1.8 06.8.1 Parathyroidectomy -Non MalignantUSG Neck, FNAC,TFT, P.T.H Assay,
Serum, calcium and phosphorous levels - 30000
POST OP HPE, Intraoperative
photos, scar photo
9 S1.1.1.9 06.7 Excision of Thyroglossal Cyst FistulaClinical Photograph , USG Neck,TFT,
Radionucleide Scan - 30000
POST OP HPE, Intraoperative
photos , scar photo
10 S1.1.1.10 77.91 Excision of Cervical Rib
Color Doppler of subclavian,
X-ray of Thoracic inlet AP, clinical
photographs of affected limb
- 26880
POST OP HPE, Intraoperative
photos , scar photo, Post OP X-
ray of Thoracic inlet AP
11 S1.1.1.11 26.30.3 Removal Of Submandibular Salivary GlandFNAC, Clinical Photograph, USG of the
Neck - 25080
Post OP HPE, Intraoperative
photos , scar photo
ANNEXURE-I
12 S1.1.1.12 26.4 Parotid Duct Repair Silography&Clinical Photograph - 26150 Silography , Intra OP photo
13 S1.1.1.13 26.31 Superficial Parotoidectomy(Non-malignant)USG Neck, Fine Needle Aspiration Cytology
(FNAC) , Clinical Photograph - 21260 Post OP HPE, Intra OP photo
S1.1.2 MANDIBLE
14 S1.1.2.1 76.31.1 Hemimandibulectomy X-Ray Facial Bones,CT Head - 42780
POST OP HPE,Post OP X-Ray
Facial Bones, Intraoperative
photos , scar photo
15 S1.1.2.2 76.31.4 Segmental Mandible Excision X-Ray Facial Bones,CT Head - 34736
POST OP HPE,Post OP X-Ray
Facial Bones, Intraoperative
photos , scar photo
S1.1.3 TOUNGE
16 S1.1.3.1 25.2.1 Partial Glossectomy Clinical Photograph - 26646POST OP HPE, Intraoperative
photos , scar photo
S1.1.4 LIP
17 S1.1.4.1 27.54.2 ABBE Operation FNAC, Clinical Photograph - 20000POST OP HPE, Intraoperative
photos , scar photo
18 S1.1.4.2 27.43.2 Vermilionectomy FNAC, Clinical Photograph - 21170POST OP HPE, Intraoperative
photos , scar photo
19 S1.1.4.3 27.42.2Wedge Excision of
Lip&Vermilionectomy(27.43)FNAC, Clinical Photograph
- 17730
POST OP HPE, Intraoperative
photos , scar photo
20 S1.1.4.4 27.42.1 Wedge Excision of Lip FNAC, Clinical Photograph - 14730POST OP HPE, Intraoperative
photos , scar photo
S1.1.5 THYROID (NO-MALIGNANT)
21 S1.1.5.1 06.2.1 HemithyroidectomyClinical Photograph,FNAC , USG of the
Neck, T F T - 25000
POST OP HPE, Intraoperative
photos , scar photo
22 S1.1.5.1.1 06.2.2 Laproscopic Hemi Thyroidectomy
T3, T4, TSH,USG Neck, Fine Needle
Aspiration Cytology (FNAC), Clinical
Photograph.
- 28330 Post OP HPE, WEBEX
23 S1.1.5.2 06.39.1 Isthmectomy
T3, T4, TSH,USG Neck -, Fine Needle
Aspiration Cytology (FNAC,Clinical
Photograph
- 24300POST OP HPE, Intraoperative
photos , scar photo
24 S1.1.5.2.1 06.39.3 Laproscopic Isthmectomy
T3, T4, TSH ,USG Neck , Fine Needle
Aspiration Cytology (FNAC), Clinical
Photograph
- 28670Routine Histopathological
Examination
25 S1.1.5.3 06.39.2 Partial ThyroidectomyClinical Photograph,FNAC , USG of the
Neck ,T F T - 24210
POST OP HPE, Intraoperative
photos , scar photo
26 S1.1.5.4 06.31.1 Resection Enucleation - ThyroidClinical Photograph,FNAC , USG of the
Neck ,T F T - 25000
POST OP HPE, Intraoperative
photos , scar photo
27 S1.1.5.5 06.31.2 Subtotal ThyroidectomyClinical Photograph,FNAC , USG of the
Neck ,T F T - 28000
POST OP HPE, Intraoperative
photos , scar photo
28 S1.1.5.5.1 06.31.3 Laproscopic Sub total Thyroidectomy T3, T4, TSH ,USG Neck, FNAC - 27780 Post OP HPE, WEBEX
29 S1.1.5.6 06.4.1 Total ThyroidectomyClinical Photograph,FNAC , USG of the
Neck ,T F T - 30000
POST OP HPE, Intraoperative
photos , scar photo
30 S1.1.5.6.1 06.4.2 Laproscopic Total Thyroidectomy
T3, T4, TSH ,USG Neck , Fine Needle
Aspiration Cytology (FNAC) , Clinical
Photograph
- 28810 Post OP HPE, WEBEX
S1.2 BREAST
31 S1.2.1 85.41.1 Simple Mastectomy (Non Malignant) Mammography , USG BreastI, FNAC - 30000POST OP HPE, Intraoperative
photos , scar photo
S1.3 ABDOMEN
32 S1.3.1.1 53.59.1 Epigastric Hernia repair without MeshUSG of the Abdomen ,Clinical
photograph - 25000
USG Abdomen,Intraoperative
photos, scar photo
33 S1.3.1.2 53.69.1 Epigastric Hernia repair with MeshUSG of the Abdomen ,Clinical
photograph - 40000
USG Abdomen,Intraoperative
photos, scar photo
34 S1.3.1.2.1 53.63Laproscopic Surgical treatment for Epigastric
Hernia repair with Mesh
USG of the Abdomen ,Clinical
photograph - 50000
USG Abdomen,Intraoperative
photos, scar photo
35 S1.3.1.3 53.29.2 Unilateral Femoral Hernia repairUSG of the Abdomen ,Clinical
photograph - 25000
USG Abdomen,Intraoperative
photos, scar photo
36 S1.3.1.3.1 53.04Laproscopic Surgical treatment for Unilateral
Femoral Hernia With Mesh
USG of the Abdomen ,Clinical
photograph - 30000
USG Abdomen,Intraoperative
photos, scar photo
37 S1.3.1.4 53.72 Hiatus Hernia Repair - AbdominalUSG of the Abdomen ,Clinical
photograph - 48000
USG Abdomen,Intraoperative
photos, scar photo
38 S1.3.1.4.1 53.71.1Laproscopic Surgical treatment for Hiatus
Hernia With Mesh
USG of the Abdomen ,Clinical
photograph - 50000
USG Abdomen,Intraoperative
photos, scar photo
39 S1.3.1.5 53.9.1Rare Hernias repair
(Spigalion,Obuturator,Sciatic)USG of the part ,Clinical photograph - 20000
USG Abdomen,Intraoperative
photos, scar photo
40 S1.3.1.6 53.49.1 Umbilical Hernia repair without MeshUSG of the Abdomen ,Clinical
photograph - 25000
USG Abdomen,Intraoperative
photos, scar photo
41 S1.3.1.7 53.41 Umbilical Hernia repair with MeshUSG of the Abdomen ,Clinical
photograph - 30000
USG Abdomen,Intraoperative
photos, scar photo
42 S1.3.1.7.1 53.42.1Laproscopic Surgical treatment for - Umbilical
Hernia With Mesh
USG of the Abdomen ,Clinical
photograph - 50000
USG Abdomen,Intraoperative
photos, scar photo
43 S1.3.1.8 53.59.2 Ventral And Scar Hernia repair without MeshUSG of the Abdomen ,Clinical
photograph - 30000
USG Abdomen,Intraoperative
photos, scar photo
44 S1.3.1.9 53.69.2 Ventral And Scar Hernia repair with MeshUSG of the Abdomen ,Clinical
photograph - 40000
USG Abdomen,Intraoperative
photos, scar photo
45 S1.3.1.10 53.03 Herinoplasty with Mesh Direct Inguinal HerniaUSG Abdomen ,Chest X-Ray PA View(1
Film), Clinical Photograph - 25000
USG Abdomen,Intraoperative
photos, scar photo
46 S1.3.1.11 53.62Laproscopic Surgical treatment for Incisional
Hernia with Mesh
USG Abdomen ,Chest X-Ray PA View(1
Film), Clinical Photograph - 40000
USG Abdomen,Intraoperative
photos, scar photo
S1.3.2 APPENDIX
47 S1.3.2.1 47.01 Laproscopic Appendicectomy CBP, Avagdroscore&USG of the abdomen - 20910
WEBEX , .POST OP
HPE,Speciman photo along with
the patient's face
48 S1.3.2.2 47.09.2 Surgical treatment for Appendicular Perforation CBP, Avagdroscore&USG of the abdomen - 25870USG Abdomen,Intraoperative
photos, scar photo
S1.3.3 STOMACH, DUODENUM AND JEJUNUM
49 S1.3.3.1 44.02 Highly Selective Vagotomy Endoscopy - 25000 Clinical Photograph
50 S1.3.3.2 44.03 Selective Vagotomy drainage Upper GI endoscopy,USG Abdomen - 48000WEBEX , POST OP HPE for
Vagus, scar photo
51 S1.3.3.3 44.2 Pyloroplasty & Vagotomy Upper GI endoscopy,USG Abdomen - 48000POST OP HPE for vagus,
Intraoperative photos, scar photo
52 S1.3.3.4 44.39.2 Gastrojejunostomy & Vagotomy Upper GI endoscopy,USG Abdomen - 40000POST OP HPE for vagus,
Intraoperative photos, scar photo
53 S1.3.3.5 44.4 Surgical Management for Bleeding Peptic ulcer Upper GI endoscopy,USG Abdomen - 48000 Intraoperative photos, scar photo
54 S1.3.3.6 43.5.1Partial/Subtotal Gastrectomy with anastomosis
to Esophagus for ulcerUpper GI endoscopy,USG Abdomen - 40000 Intraoperative photos, scar photo
55 S1.3.3.7 43.3.1 Pyloromyotomy Upper GI endoscopy,USG Abdomen - 30000POST OP HPE, Intraoperative
photos, scar photo
56 S1.3.3.8 43.1.1 Gastrostomy Lower GI Endoscopy USG Abdomen - 20000POST OP HPE, Intraoperative
photos, scar photo
57 S1.3.3.9 44.62 Gastrostomy ClosureClinical Photograph, Case sheet with
clinical History - 22000 Intraoperative photos, scar photo
58 S1.3.3.10 44.42 Surgical management of Duodenal perforationUSG Abdomen , CT Scan Abdomen With
Contrast , Plain X-ray erect abdomen - 48000
USG Abdomen,Intraoperative
photos, scar photo
59 S1.3.3.10.1 44.42.1Laproscopic Surgical treatment for Duodenal
Perforation
USG Abdomen , CT Scan Abdomen With
Contrast , Plain X-ray erect abdomen - 48000 WEBEX
S1.3.4 SMALL INTESTINE
60 S1.3.4.1 46.80.1 Surgical treatment for IntususceptionUSG of the abdomen, X-ray of the
abdomen erect - 48000
POST OP HPE, Intraoperative
photos, scar photo
61 S1.3.4.2 45.34.1Surgical treatment for Acute Intestinal
obstrucion
USG of the abdomen, X-ray of the
abdomen erect. Upper GI Study(Double
Contrast),Clinical Photograph
- 48000POST OP HPE, Intraoperative
photos, scar photo
62 S1.3.4.3 46.73Surgical treatment for Acute Intestinal
perforation
USG of the abdomen, X-ray of the
abdomen erect and X-ray chest - 48000
POST OP HPE, Intraoperative
photos, scar photo
63 S1.3.4.4 44.4.1Surgical management For Haemorrhage Of The
Small Intestine
USG Abdomen ,Upper GI endoscopy ,CT
With Contrast - 48000
POST OP HPE, Intraoperative
photos, scar photo
64 S1.3.4.5 46.62Surgical treatment For Recurrent Intestinal
obstruction (Noble Plication Other)
USG of the abdomen, X-ray of the
abdomen erect., Upper GI Study(Double
Contrast),Clinical Photograph, CT with
contrast
- 48000POST OP HPE, Intraoperative
photos, scar photo
65 S1.3.4.6 45.3.2Resection & Anastomosis Of Small
Intestine(45.9)
CT with contrast,plain x-ray abdomen erect
& USG of the abdomen - 65000
POST OP HPE, Intraoperative
photos, scar photo
66 S1.3.4.7 46.2.2 Ileostomy Lower GI Endoscopy ,USG Abdomen - 20000POST OP HPE, Intraoperative
photos, scar photo
67 S1.3.4.8 46.51.2 Ileostomy ClosureClinical Photograph, Case sheet with
clinical History - 25000 Intraoperative photos, scar photo
68 S1.3.4.9 45.33.1 Excision of Meckel's Diverticulum
Abdomen Radiograph Supine Or Erect(1
Film),CT Scan Abdomen With
Contrast/USG Abdomen
- 40000POST OP HPE, Intraoperative
photos, scar photo
S1.3.5 LARGE INTESTINE
69 S1.3.5.1 46.81Surgical treatment for Mal-Rotation & Volvulus
Of The Midgut
CT Scan Abdomen With Contrast
,Abdomen Radiograph Supine Or Erect - 48000
Abdomen Radiograph Supine Or
Erect(1 Film), Intraoperative
photos , scar photo
70 S1.3.5.2 46.82 Surgical treatment for Volvulus of Large bowel
CT Scan Abdomen With Contrast ,
Abdomen Radiograph Supine Or
Erect,USG Abdomen
- 48000
Abdomen Radiograph Supine Or
Erect(1 Film), Intraoperative
photos , scar photo
71 S1.3.5.3 45.63 Surgical treatment for Duplication Of Intestines
CT Scan Abdomen With Contrast ,
Abdomen Radiograph Supine Or
Erect,USG Abdomen
- 48000
Abdomen Radiograph Supine Or
Erect(1 Film), Intraoperative
photos , scar photo
72 S1.3.5.4 45.75 Left Hemi ColectomyCT contrast,USG of the abdomen ,
colonoscopy - 40000
POST OP HPE, Intraoperative
photos, scar photo
73 S1.3.5.5 45.73 Right Hemi ColectomyCT contrast,USG of the abdomen ,
colonoscopy - 40000
POST OP HPE, Intraoperative
photos, scar photo
74 S1.3.5.6 45.82 Total ColectomyCT contrast,USG of the abdomen ,
colonoscopy - 60000
POST OP HPE, Intraoperative
photos, scar photo
75 S1.3.5.6.1 45.81 Laproscopic Colectomy (Total Colectomy)CT contrast,USG of the abdomen ,
colonoscopy - 60000 POST OP HPE,WEBEX
76 S1.3.5.7 46.1.1 ColostomyCT contrast,USG of the abdomen ,
colonoscopy - 20000 Intraoperative photos, scar photo
77 S1.3.5.8 46.52.2 Colostomy closureClinical Photograph, Case sheet with
clinical History - 25000 Intraoperative photos, scar photo
78 S1.3.5.9 70.73.2Rectovaginal fistula Management without
Colostomy
CT contrast,USG of the abdomen ,
colonoscopy - 38800 USG Abdomen
79 S1.3.5.10 46.03 Loop Colostomy SigmoidCT contrast,USG of the abdomen ,
colonoscopy - 20000
POST OP HPE, Intraoperative
photos, scar photo
S1.3.6 RECTUM AND ANUS
80 S1.3.6.1 48.49 Pull Through Abdominal Resection Clinical Photograph,CT
contrast,Colonoscopy - 50000
POST OP HPE, Intraoperative
photos
81 S1.3.6.2 48.62.1 Anterior Resection of Rectum
Colonoscopy /Barium Enema (Single
Contrast \ Double Contrast) , Clinical
Photograph
- 50000POST OP HPE, Intraoperative
photos
82 S1.3.6.3 48.75.1 Rectopexy Open with Mesh for Rectal ProlapseColonoscopy/Sigmoidoscopy (REGID),
USG Abdomen, Clinical Photograph - 40000
USG Abdomen,Intraoperative
photos
83 S1.3.6.3.1 48.75.2Laproscopic Rectopexy With Mesh for Rectal
Prolapse
Colonoscopy/Sigmoidoscopy (REGID),
USG Abdomen, Clinical Photograph - 50000 USG Abdomen, WEBEX
S1.4 LIVER
84 S1.4.1 50.29.2 Surgical treatment For Hydatid cyst of Liver CT contrast,USG of abdomen - 40000
USG of abdomen ,POST OP
HPE, Intraoperative photos , scar
photo
85 S1.4.2 39.1.3 Portocaval AnastomosisUSG of abdomen,UGI endoscopy, Color
doppler of abdomen,LFT - 80000
POST OP USG &
LFT,intraoperative photos , scar
photo,post OP color doppler of
abdomen
S1.5 GALLBLADDER
86 S1.5.1 51.22.3 Cholecystectomy CT of the abdomen , LFT , USG of the
abdomen - 25000
POST OP USG of the abdomen
and POST OP HPE,
Intraoperative photos , scar photo
87 S1.5.2 51.22.4 Laproscopic Cholecystectomy CT of the abdomen , LFT , USG of the
abdomen - 30000
POST OP USG of the abdomen
and POST OP HPE,
Intraoperative photos,scar photo
88 S1.5.3 51.22.1 Cholecystectomy With CBD Exploration (51.41) CT of the abdomen , LFT , USG of the
abdomen - 40000
POST OP USG of the abdomen
and POST OP HPE,
Intraoperative photos including
the face of the patient and scar
photo
89 S1.5.3.1 51.22.2Laproscopic Cholecystectomy With CBD
Exploration (51.41)
USG Abdomen, CT scan Lower Abdomen
Without Contrast/CT Scan Abdomen Without
Contrast, LFT(liver function tests)
- 30000
Routine Histopathological
Examination, USG Abdomen/CT
scan Lower Abdomen Without
Contrast/CT Scan Abdomen Without
Contrast, CT Scan Abdomen With
Contrast, WEBEX
90 S1.5.4 51.02 Cholecystostomy CT of the abdomen , LFT, USG of the
abdomen - 29660
POST OP USG of the abdomen
and POST OP HPE,
Intraoperative photos including
the face of the patient and scar
photo
91 S1.5.5 52.4.2 PancreaticocystojejunostomyCTof the abdomen ,LFT,USG of the
abdomen , Serum,amylase levels - 50000
POST OP USG of the abdomen ,
Intraoperative photos including
the face of the patient and scar
photo
92 S1.5.6 52.4.4 PancreaticocystogastrostomyCTof the abdomen, LFT,USG of the
abdomen , Serum,amylase levels - 41926
POST OP USG of the abdomen ,
Intraoperative photos including
the face of the patient and scar
photo
93 S1.5.7 51.7 Repair Of CBDCTof the abdomen, LFT,USG of the
abdomen , Serum,amylase levels - 48000
POST OP USG of the abdomen ,
Intraoperative photos including
the face of the patient and scar
photo
S1.6 ADRENALS
94 S1.6.1 07.3.1Bilateral Adrenalectomy in nonmalignant
conditions
Adrenal function test ,Urinary VMA ,
Urinary Metanephrine/Nor
metanephrine,Urinary Catecholamines
,,Aldosterone Urine ,24 hour free
cortisol,USG Abdomen , CT Scan
Abdomen With Contrast
- 40000
POST OP USG of the abdomen
and POST OP HPE,
Intraoperative photos ,scar photo
95 S1.6.2 07.22.1Unilateral Adrenelectopmy in nonmalignant
conditions
Adrenal function test ,Urinary VMA ,
Urinary Metanephrine/Nor
metanephrine,Urinary Catecholamines
,,Aldosterone Urine ,24 hour free
cortisol,USG Abdomen , CT Scan
Abdomen With Contrast
- 35000
POST OP USG of the abdomen
and POST OP HPE,
Intraoperative photos ,scar photo
S1.7 SPLEEN
96 S1.7.1 41.5.2 Splenectomy For Hypersplenism
CT Abdomen, peripheral blood
smear,USG of the abdomen & special
blood test depending upon diagnosis
- 40000
POST OP USG of the abdomen
and POST OP HPE,
Intraoperative photos ,scar photo
97 S1.7.2 39.1.1 Splenorenal Anastomosis CT Abdomen,Upper GI endoscopy , USG
Abdomen , LFT,Color doppler abdomen - 70000
POST OP USG of the abdomen ,
Intraoperative photos ,scar
photo,post OP color doppler and
LFT
98 S1.7.3 39.1.2 Warren Shunt for Portal HypertensionCT Abdomen, Upper GI endoscopy , USG
Abdomen , LFT,Color doppler abdomen - 70000
POST OP USG of the abdomen ,
Intraoperative photos , scar
photo,post OP color doppler and
LFT
S1.8 PERIPHERY VESSELS
99 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
100 S2.1.1 20.79.1 LabyrinthectomyCT-Scan PTI , Impidence Audiometry(IA),
Caloric test, PTA, OTO Endoscopic photos - 20000
Intraoperative photos including
the face of the patient and scar
photo
101 S2.1.2 04.42.2 Facial Nerve DecompressionCT-Scan of Mastoids, Facial nerve
conduction test - 20000
Intraoperative photos , scar photo
, Clinical Photograph - Face
showing normal angle of Mouth
and Eye closure after 6 weeks
102 S2.1.3 76.45 Temporal Bone Excision 3D CT Facial Bones - 50000POST OP HPE, Intraoperative
photos, scar photo
103 S2.1.4 19.4.1 Myringoplasty Pure Tone Audiometry - 15080 Pure Tone Audiometry
104 S2.1.4.1 19.4.2 Myringoplasty with ossiculoplasty (19.3)
Pure Tone Audiometry, Impedances
Audiometry(With Stepedeal Reflex) , X-Ray
Of Both Mastoids , OTO endoscopy/ OTO
Endoscopy Photos
- 17000 X-Ray Of Both Mastoids
105 S2.1.5 20.01.1 Myringotomy with grommet for one ear
Pure Tone Audiometry , Impedances
Audiometry(With Stepedeal Reflex) ,OTO
endoscopy/ OTO Endoscopy Photos
- 10000
Pure Tone Audiometry ,
Impedances Audiometry(With
Stepedeal Reflex) , Grommet in
Positoin Photo .
S2.2 THROAT
106 S2.2.1 31.98.1 Microlaryngeal SurgeryNasal Endoscopy, Glottis endoscopic
photos with lesion, WEBEX - 18240
POST OP HPE, Intraoperative
photos, scar photo
107 S2.2.2 30.22 Phono Surgery For Vocal Cord ParalysisLaryngeal endoscopy photos on phonation
and Before WEBEX - 25000
Intraoperative photos ,scar
photo,Post OP normal Gottic
view
108 S2.2.3 31.62 Laryngo FissurectomyCT Scan Neck Includes Chest And Larynx
, DNL(Direct Nasal Laryngoscopy) / DNE - 24930
POST OP HPE, Intraoperative
photos, scar photo
109 S2.2.4 29.39.1 Exision of Tumors In Pharynx Endoscopic view showing tumor, CT Scan
Neck,FNAC - 20000
POST OP HPE, Intraoperative
photos, scar photo
110 S2.2.5 29.39.2 Exision of Parapharyngeal Tumour CT-Scan / MRI Scan , FNAC - 20000POST OP HPE, Intraoperative
photos, scar photo
111 S2.2.6 28.6.1 Adenoidectomy - Gromet Insertion
Pure tone audiometry, Impedance
Audiometry, OTO endoscopic photos, X-
Ray Nasopharynx, X-Ray Mastoids
- 10000
Post OP Grommet in position,
OTO endoscopic photos and Post
Pure tone audio metry
112 S2.2.7 27.7 Uvulo Palato - Pharyngoplasty Polysomnography - 25000 Intraoperative photos , scar photo
S2.3 NOSE
113 S2.3.1 22.5 Endoscopic Sinus Surgery CT PNS , DNE Photo graph - 16500X-Ray PNS, WEBEX , Nasal
endoscopy Photo, Iscar photo
114 S2.3.2 20.4 MastoidectomyCT Temporal Bone , Pure Tone
Audiometry, OTO endoscopic photos - 16500
X-Ray Mastoids, Post Pure Tone
Audiometry, scar, graft insitu,
Intraoperative photos , scar photo
115 S2.3.3 19.5 TympanoplastyPure Tone Audiometry ,, X-Ray Of Both
Mastoids - 16500
Post PTA , OTO endoscopic graft
insitu,Intraoperative photos,scar
photo
116 S2.3.4 19.11 Stapedectomy - Veingraft
CT Temporal Bone , Impedance
Audiometry ,Pure Tone Audiometry, OTO
Endoscopy Photos
- 18000
Post PTA, Clinical Photo With
Piston + Vein
Graft,Intraoperative photos ,scar
photo
117 S2.3.5 21.3 Excision of Benign tumours of NoseCT PNS,DNL(Direct Nasal Laryngoscopy)
\ DNE - 15000
POST OP HPE, Intraoperative
photos ,scar photo
118 S2.3.6 21.32 Surgery for Angiofibroma CT PNS , DNE - 40000POST OP HPE, Intraoperative
photos ,scar photo
119 S2.3.7 09.53 Endoscopic Surgery for DacrocystitisClinical Photograph, DNE and Pre
syringing test - 9910
Endoscopic Photo, WEBEX and
post syringing test, scar photo
120 S2.3.8 21.84 Septo rhinoplasty X-Ray Nasopharynx, Pre DNE Photo - 18490
X-Ray Nasopharynx, DNE PHOTO
3 WEEKS AFTER SURGERY ,
WEBEX Video.
S2.4FOREIGN BODY REMOVAL (BRONCHUS-
OESOPHAGUS)
121 S2.4.198.02 /
98.15.2
Bronchoscopy Foreign Body Removal from
Oesophagus/Bronchous(98.15.2)Relevant X-Ray
- 10000
Clinical Photograph, WEBEX
S3 OPHTHALMOLOGY SURGERY
S3.2 CORNEA AND SCLERA
122 S3.2.1 11.64 Therapeutic Penetrating Keratoplasty BSCAN, Clinical Photograph - 19500 Intraoperative photos
123 S3.2.2 11.61 Lamellar Keratoplasty BSCAN, Clinical Photograph - 22486 Intraoperative photos
124 S3.2.3 11.6 Corneal Patch Graft BSCAN, Clinical Photograph - 17410 Intraoperative photos
125 S3.2.4 12.87.1 Scleral Patch Graft BSCAN, Clinical Photograph - 19130 Intraoperative photos
126 S3.2.5 11.63 Penetrating Keratoplasty BSCAN, Clinical Photograph - 17750 Intraoperative photos
127 S3.2.6 11.59.1 Double Z-Plasty BSCAN, Clinical Photograph - 4000 Intraoperative photos
128 S3.2.711.69 /
12.87.2
Amniotic Membrane Graft for Cornea/Sclera
(12.87.2)BSCAN, Clinical Photograph - 11000 Intraoperative photos
S3.3 VITREO-RETINA
S3.3.1 VITRO
129 S3.3.1.1 14.74.1 VitrectomyB-Scan , Fundus floroscence, Clinical
Photograph - 23020
BSCAN,Fundus floroscence,
Intraoperative photos
130 S3.3.1.2 14.74.3Vitrectomy - Membrane Peeling - Endolaser -
Silicon oil or Gas - with or without belt bucklingB.Scan , Fundus Photograph - 30000
BSCAN,Fundus floroscence,
Intraoperative photos
131 S3.3.1.3 14.72 Vitrectomy - Membrane Peeling- Endolaser B.Scan , Fundus Photograph - 20180BSCAN,Fundus floroscence,
Intraoperative photos
132 S3.3.1.4 14.74.2 Vitrectomy Plus Silicon Oil Or Gas (14.75) B.Scan , Fundus Photograph - 23320BSCAN,Fundus floroscence,
Intraoperative photos
133 S3.3.1.5 14.79 Removal Of Silicon Oil Or Gas post Vitrectomy B.Scan , Fundus Photograph - 9726BSCAN,Fundus floroscence,
Intraoperative photos
134 S3.3.1.6 14.75Monthly Intravitreal Anti-Vegf For Macular
Degeneration - Per Injection (Maximum - 6)
Fundus flouroscien angiography,Optical
coherence tomography - 14290
Fundus floroscence ,
Intraoperative photos
S3.3.2 RETINA
135 S3.3.2.1 14.4 Scleral buckle procedure for Retinal detachment B.Scan , Fundus Photograph - 28096BSCAN,Fundus floroscence,
Intraoperative photos
136 S3.3.2.2 14.25.1 Photocoagulation for RetinopathyFundus flouroscien angiography,Optical
coherence tomography - 2000
Fundus floroscence ,
Intraoperative photos
S3.4 ORBIT
137 S3.4.1 16.64 Socket Reconstruction Clinical Photograph,CT Orbits - 25516 Intra OP photos
138 S3.4.2 16.63 Dermis Fat Graft Clinical Photograph - 22890 Intra OP photos
139 S3.4.3 16.0 Orbitotomy CT ORBIT, Clinical Photograph - 27100 Intra OP photos
140 S3.4.4 16.3 Evisceration /Enucleation with Orbital implant CT Skull,Clinical Photograph - 15506 Intra OP photos
141 S3.4.5 04.42.1Decompression/Excision Of Optic Nerve
Lesions MRI - 78000 Intra OP photos
142 S3.4.6 16.99 Surgical Management of Proptosis CT scan/MRI - 60000 Intra OP photos
143 S3.4.7 16.5 Exenteration of OrbitCT Orbits With Contrast, 3D CT Skull /
MRI Orbits With Contrast - 11980
Routine Histopathological
Examination
S3.5 SQUINT CORRECTION SURGERY
144 S3.5.1 15.2.1 Rectus Muscle Surgery(Single) Clinical Photograph - 7920 Intra OP photos
145 S3.5.2 15.4 Rectus Muscle Surgery(TwoThree) Clinical Photograph - 10690 Intra OP photos
146 S3.5.3 15.2.2 Oblique muscle surgery Clinical Photograph - 7720 Intra OP photos
S3.6 LID SURGERY
147 S3.6.1 08.7 Lid Reconstruction surgery Clinical Photograph - 10050 Intra OP photos
148 S3.6.2 08.3 Surgical correction of Ptosis Clinical Photograph , ice pack test with
Chin Elevation photo - 30000 Intra OP photos
S3.7 PEDIATRIC OPHTHALMIC SURGERY
149 S3.3.6 14.25.2Photocoagulation For Retinopathy Of
Prematurity
Fundus Fluorescein Angiography , Fundus
Photograph , Optical Coherence
Tomography
- 9726Fundus floroscence ,
Intraoperative photos
150 S3.3.7 13.71.3Paediatric Cataract Surgery
(Phacoemulsification IOL) B.Scan , Clinical Photograph - 17340
Fundus Photograph,
Intraoperative photos
151 S3.3.8 12.79Glaucoma filtering surgery for paediatric
glaucoma
Fundus Fluorescein Angiography , Fundus
Photograph - 9290
Fundus Photograph,
Intraoperative photos
152 S3.3.9 12.54.1 Glaucoma Surgery Fundus floroscence - 8180 Fundus floroscence
S4GYNAECOLOGY AND OBSTETRICS
SURGERY
S4.1 OBSTETRICS
153 S4.1.1 74.91 Caesarean Hysterectomy with Bladder Repair USG scan (Antenatal) - 46780
POST OP HPE, Intraoperative
photos ,Speciman photo along
with the patient's face
154 S4.1.2 74.99.1 Surgery for Rupture Uterus with Tubectomy USG scan (Antenatal) - 32500
Post OP USG, POST OP HPE,
Intraoperative photos, scar photo,
Speciman photo along with the
patient's face
155 S4.1.3 93.9.1Management of Eclampsia with Complications
Requiring Ventilatory Support
Arterial Blood Gas Analysis (ABG) ,
Coagulation Profile , Renal Profile , LFT,
Pulse Oxymetry Chart ,S.Fibrinogen Level
- 40000
Clinical photograph on
Ventilator, Biochemical
Investigations reports
156 S4.1.4 74.99.2Surgical Management of Abruptio-Placenta with
Coagulation Defects(Dic)
USG scan(Antenatal)), Coagulation
Profile(BT, CT, PT, APTT) - 26820
Clinical Photograph of
Retroplacental clots , Coagulation
Profile, USG if patient has
undergone ISES, Intraoperative
photos
S4.2 GYNAECOLOGY
157 S4.2.1 68.51 Laproscopic Vaginal HysterectomyUSG scan for pelvis, Pap smear,
Endometral biopsy report - 30000
Post OP USG Abdomen,
Speciman photo along with the
patient's face , WEBEX ,POST
OP HPE
158 S4.2.2 65.23 Laparoscopic Cystectomy USG Abdomen - 24910
Post OP USG Abdomen,
WEBEX ,POST OP HPE,
Intraoperative photo, Speciman
photo along with the patient's face
159 S4.2.3 66.62 Laparoscopic Ectopic Resection USG scan, Pregnancy test(Urine or B-
HCG levels) - 22130
Post OP USG Abdomen,
WEBEX ,POST OP HPE,
Intraoperative photos,Speciman
photo along with the patient's face
160 S4.2.5 68.29.1 Laparoscopic Myomectomy
USG scan atleast 6 cm size of symptomatic
if the size is less provide evedence of
previous conservative treatment received 6
months
- 30000
Post OP USG Abdomen,
WEBEX ,POST OP HPE,
Intraoperative photos
161 S4.2.6 66.73 Laparoscopic RecanalisationHSG (Hysterosalpingography) ,
Endometrial Biopsy HPE - 32730
Post OP USG Abdomen,
WEBEX, Intraoperative photos
162 S4.2.7 59.4.4 Laparoscopic Sling Operations Clinical photograph, USG scan - 32500Post OP USG Abdomen,
Intraoperative photos
163 S4.2.8 54.51 Laparoscopic Adhesiolysis Clinical photograph, USG scan - 30000Post OP USG Abdomen,
Intraoperative photos
164 S4.2.9 68.5.1 Vaginal HysterectomyUSG scan for pelvis, Pap smear,
Endometral biopsy report - 25000
Post OP USG Abdomen,
Speciman photo along with the
patient's face , POST OP HPE
165 S4.2.10 68.5.2Vaginal Hysterectomy With Pelvic Floor
Repair(70.79)
USG scan for pelvis, Pap smear,
Endometral biopsy report - 30000
Post OP USG Abdomen,
Speciman photo along with the
patient's face , WEBEX ,POST
OP HPE
166 S4.2.12 70.5Repair of Cystocele ,Rectocele
&Perineorraphy(71.71)
USG Abdomen,Clinical photograph - 20000
Post OP USG Abdomen ,Intra op
photos
167 S4.2.14 70.61 Mc Indoe\'s operation For Vaginal Atresia USG Abdomen, Clinical photo - 39000Intra op photos, Post OP USG
scan
168 S4.2.16 70.77.1 Abdominal Repair for Vault Prolapse USG scan for pelvis,Clinical Photograph - 35000Intra op photos, Post OP USG
scan
169 S4.2.17 70.78Abdominal Repair With Mesh for Vault
ProlapseUSG scan for pelvis,Clinical Photograph - 40000
Intra op photos with mesh in situ,
USG scan,
S5ORTHOPEDIC SURGERY AND
PROCEDURES
S5.1FRACTURE CORRECTION
SURGERIES/PROCEDURES
170 S5.1.1 78.00.1 Bone Grafting As Exclusive Procedure X-Ray ,Clinical Photograph - 20000 Post OP X-RAY, Intraoperative
photos
171 S5.1.2 77.64Excision Or Other Operations For Scaphoid
FracturesX-Ray ,Clinical Photograph - 15000
Post OP X-RAY, Intraoperative
photos
172 S5.1.3 79.3Open reduction & Internal Fixation Of Fingers
& ToesX-Ray ,Clinical Photograph - 15480
Post OP X-RAY, Intraoperative
photos
173 S5.1.4 79.0.1Reduction Of Compound Fractures & External
Fixation(78.10)X-Ray ,Clinical Photograph - 25000
Post OP X-RAY, Intraoperative
photos
174 S5.1.5 84.72.1 Ilizarov Ring Fixator Application X-Ray ,Clinical Photograph - 44000 Post OP X-RAY, Intraoperative
photos
175 S5.1.6 78.10.1 Neglected CTEV. Jess Fixator X-Ray ,Clinical Photograph - 36000 Post OP X-RAY, Intraoperative
photos
176 S5.1.7 81.96 Joint reconstruction/intraarticular fractures X-Ray - 35000 CT local Area
S5.2 DISLOCATIONS
177 S5.2.1 79.8 Open reduction of Deep dislocations X-Ray ,Clinical Photograph - 30000 Post OP X-RAY, Intraoperative
photos
S5.3 AMPUTATIONS (NON-TRAUMATIC)
178 S5.3.1 84.09.2 Amputations - Forequarter X-Ray ,Clinical Photograph - 37070 Post OP X-RAY, Intraoperative
photos
179 S5.3.2 84.19.1Amputations - Hind Quarter And
HemipelvectomyX-Ray ,Clinical Photograph - 50000
Post OP X-RAY, Intraoperative
photos
S5.4 BONE AND JOINT SURGERY/PROCEDURES
180 S5.4.1 81.2.1 Arthrodesis Of - Major Joints X-Ray ,Clinical Photograph,Fluid Analysis - 30000 Post OP X-RAY, Intraoperative
photos
181 S5.4.1.1 81.1.1 Arthrodesis of foot Small joints X- Ray Foot - 15000 X- Ray Foot
182 S5.4.2 80.2 Diagnostic Arthroscopy MRI spine, Clinical Photograph - 24000 Arthroscopy Picture,
Intraoperative photos
183 S5.4.3 80.6 Arthroscopy . Operative MeniscectomyMRI Local Area, Clinical Photograph , X-
Ray - 25000
Arthroscopy Picture,
Intraoperative photos
184 S5.4.4 81.45.1 Anterior cruciate ligamentl reconstruction MRI Knee , X-Ray, Clinical Photograph - 25000
Arthroscopy Picture,
Intraoperative photos, Post OP X-
Ray, Clinical Photos
185 S5.4.5 78.95Surgery for Avascular Necrosis Of Femoral
Head (Core Decompression)MRI Pelvis, X-Ray Pelvis - 29280
Post OP X-RAY, Intraoperative
photos
186 S5.4.6 86.89.3Soft Tissue Reconstruction Procedures For
Joints/Osteotomy
Clinical Photograph, X-Ray, Webex
Clinical Gait - 30000
Post OP X-RAY, Intraoperative
photos
S5.5 SPINE SURGERY
187 S5.5.1 77.39 Anterolateral Clearance For Tuberculosis X-Ray , MRI Spine,Clinical Photograph - 60000 Post OP X-RAY, Intraoperative
photos
188 S5.5.2 77.31 Costo Transversectomy(77.39) X-Ray , MRI Spine,Clinical Photograph - 40120 Post OP X-RAY, Intraoperative
photos
189 S5.5.3 77.89 Spinal Ostectomy And Internal Fixations(78.59) X-Ray , MRI Spine,Clinical Photograph - 47616 Post OP X-RAY, Intraoperative
photos
S5.6 SOFT TISSUE SURGERY
190 S5.6.1 04.5.1 Nerve Repair With GraftingENMG ,Nerve conduction study - ,
Clinical Photograph - 41630
Intraoperative photos,Clinical
Photograph
191 S5.6.2 04.3.1 Neurolysis / Nerve SutureENMG ,Nerve conduction study - ,
Clinical Photograph - 25000
Intraoperative photos,Clinical
Photograph
192 S5.6.3 04.0 Surgery for Brachial Plexus & Cervical Rib
Extremities , Bones & Joints AP & Lateral
View(2 Film) -,MRI ,ENMG
(Elektroneuromyography),Nerve
conduction study ,
- 44760 Post OP X-RAY, Intraoperative
photos
S5.7 TUMOR SURGERY
193 S5.7.1 77.60.4Excision of deep Bone Tumours and Re-
Construction With Conventional Prosthesis MRI, X-Ray - 48810
Post OP HPE,Post OP X-RAY,
Intraoperative photos
194 S5.7.2 77.8Bone tumor surgery reconstruction with internal
fixation(78.59)X-Ray, Clinical Photograph - 48020 X-Ray
S6 SURGICAL GASTRO ENTEROLOGY
S6.1 EMERGENCY
195 S6.1.1 44.4.2 Surgery For Bleeding Ulcers Upper GI endoscopy - 48000 Endoscopy Picture, Intra op
photos, SCAR photos
196 S6.1.2 44.43 Surgery For Obscure Gi Bleed
Upper GI endoscopy, CT Angiogram
Abdomen / Radionuclide scan(Obscure
Blood)
- 72000 Endoscopy Picture, Intra op
photos, SCAR photos
S6.2 OESOPHAGUS
197 S6.2.1 42.55 Colonic Pull UpUpper GI endoscopy , CT Scan Abdomen ,
Colono Scopy - 60000
Post OP HPE, Intraoperative
photos
198 S6.2.2 42.40.1 Oesophagectomy CT Scan Abdomen , Upper GI endoscopy - 90000 Post OP HPE, Intraoperative
photos
199 S6.2.3 43.99.1 Oesophago-Gastrectomy CT Scan Abdomen ,Upper GI endoscopy - 90000 Post OP HPE, Intraoperative
photos
200 S6.2.4 42.7.1 Lap Heller.S MyotomyCT-Scan, Oesophageal manometry/Upper
GI endoscopy - 28110 WEBEX, Post OP HPE
201 S6.2.5 44.67 Lap FundoplicationsCT-Scan , /Upper GI Endoscopy, 24 hrs
Acidvales - 54000 WEBEX, Post OP HPE
S6.3 STOMACH
202 S6.3.143.5.2 /
43.7.1
Partial Gastrectomy with anastomosis to
esophagus/jejunum(43.6.2)
USG Abdomen , CT Scan Abdomen ,
Upper GI Endoscopy ultrasound - 40000
Post OP HPE, Intraoperative
photos
203 S6.3.2 43.9 Total Gastrectomy CT-Scan , Endoscopy ,USG Abdomen - 40000 Post OP HPE, Intraoperative
photos
204 S6.3.3 44 Truncal Vagotomy + Gastro Jejunostomy(44.3) CT-Scan , Endoscopy ,USG Abdomen - 48000 Post OP HPE, Intraoperative
photos
205 S6.3.4 43.6.2Distal Gastrectomy For Gastric Outlet
ObstructionCT-Scan , Endoscopy ,USG Abdomen - 40000
Post OP HPE, Intraoperative
photos
206 S6.3.5 43.4 Surgery for Corrosive Injury Stomach CT-Scan , Endoscopy ,USG Abdomen - 60000 Post OP HPE, Intraoperative
photos
S6.4 SMALL INTESTINE
207 S6.4.1 46.80.2 Surgical management of VolvulusUSG Abdomen , Abdomen Radiograph
Supine Or Erect, CT Scan Abdomen - 48000
Post OP HPE, Intraoperative
photos
208 S6.4.2 46.80.3 Surgical management of MalrotationUSG Abdomen , Abdomen Radiograph
Supine Or Erect, CT Scan Abdomen - 48000
Post OP HPE, Intraoperative
photos
209 S6.4.3 54.51 Lap Adhesiolysis CT-Scan , X-Ray Abdomen , Clinical
history of Previous Surgeries - 30000 WEBEX
S6.5 LARGE INTESTINE
210 S6.5.1 45.73 Right Hemicolectomy Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 40000
Post OP HPE, Intraoperative
photos
211 S6.5.2 45.75 Left Hemicolectomy Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 40000
Post OP HPE, Intraoperative
photos
212 S6.5.3 45.73.3 Extended Right Hemicolectomy Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 48000
Post OP HPE, Intraoperative
photos
213 S6.5.4 48.63.1 Anterior Resection of Large Intestine Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 40000
Post OP HPE, Intraoperative
photos
214 S6.5.5 48.93 Anterior Resection With Ileostomy Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 60000
Post OP HPE, Intraoperative
photos
215 S6.5.6 48.5 Abdominoperinial Resection of rectum Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 50690
Post OP HPE, Intraoperative
photos
216 S6.5.7 48.62.2 Hartman.S Procedure With Colostomy Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 54000
Post OP HPE, Intraoperative
photos
S6.5.8 ULCERATIVE COLITIS
S6.5.8.1 III STAGE PROCEDURE
217 S6.5.8.1.1 45.8 I Stage-Sub Total Colectomy + Ileostomy(46.2) Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 60000
Post OP HPE, Intraoperative
photos
218 S6.5.8.1.2 45.95.1 II Stage-J - Pouch Colono Scopy - 50000 Post OP HPE, Intraoperative
photos
219 S6.5.8.1.3 46.51.5 III Stage-Ileostomy Closure Lower GI Endoscopy,Clinical photograph - 25000 Intraoperative photos
S6.5.8.2 II STAGE PROCEDURE
220 S6.5.8.2.1 45.83I Stage- Sub Total Colectomy + Ileostomy + J -
Pouch
Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 96000
Post OP HPE, Intraoperative
photos
221 S6.5.8.2.2 46.51.4 II Stage- Ileostomy Closure Lower GI Endoscopy,CT-Scan with
Contrast , Colonoscopy,USG Abdomen - 25000 Intraoperative photos
S6.6 LIVER
222 S6.6.1 50.26Hepato Cellular Carcinoma(Advanced) Radio
Frequency Ablation
CT scan Lower Abdomen With
Contrast,EndoscopicUltrasound Diagnostic
Laparoscopy, Alpha Feto Protiens Levels,
Fine Needle Aspiration Cytology (FNAC)
report
- 72000Post OP USG Abdomen,
Intraoperative photos
223 S6.6.2 50.22Haemangioma Sol Liver Hepatectomy + Wedge
Resection
Lower GI Endoscopy, USG Abdomen, CT
Scan Abdomen With Contrast - 90000
Post OP HPE, Intraoperative
photos
224 S6.6.3 50.21 Hydatid Cyst-MarsupilisationCT scan Lower Abdomen Without
Contrast.USG Abdomen - 40000
Post OP HPE, Post OP USG
,Intraoperative photos
S6.7 GALL BLADDER
225 S6.7.1 51.6 Cyst Excision+Hepatic Jejunostomy(51.37)
USG Abdomen, CT scan Lower Abdomen
/ Magnetic Resonance
Cholangiopancreatography (MRCP)
- 54000 Post OP HPE,Intraoperative
photos
226 S6.7.2 51.22.3 Cholecystectomy CT of the abdomen , LFT , USG of the
abdomen - 25000
POST OP USG of the abdomen
and POST OP HPE,
Intraoperative photos , scar photo
227 S6.7.3 51.41 GB+ Calculi CBD Stones Or Dilated CBD
USG Abdomen, Magnetic Resonance
Cholangiopancreatography
(MRCP)/ERCP, CT scan Lower Abdomen
- 50000 Post OP HPE,Intraoperative
photos
228 S6.7.4 51.22.4 Lap.Cholecystectomy
USG Abdomen, CT scan Lower Abdomen
/ Magnetic Resonance
Cholangiopancreatography (MRCP)
- 30000 Post OP HPE,WEBEX
229 S6.7.5 51.37 Hepatico Jejunostomy
USG Abdomen, CT Scan Lower Abdomen
/ Magnetic Resonance
Cholangiopancreatography (MRCP)
- 66970 Post OP HPE,Intraoperative
photos
230 S6.7.6 51.39Choledochoduodenostomy Or Choledocho
Jejunostomy
CT Scan, USG Abdomen, MRI/ Magnetic
Resonance Cholangiopancreatography
(MRCP)
- 40596 Post OP HPE,Intraoperative
photos
S6.8 SPLEEN
231 S6.8.1 41.5.1 SplenectomyCT Scan Abdomen, USG Abdomen
,Complete Haemogram - 35000
Post OP HPE,Intraoperative
photos
232 S6.8.2 41.5.6Splenectomy + Devascularisation + Spleno
Renal Shunt(39.1)
CT Scan Abdomen, USG Abdomen,Color
Doppler Sonography Single Study - 76560
Post OP HPE,Intraoperative
photos
233 S6.8.3 41.42 Spleenectomy For Space Occupying Lesion CT Scan Abdomen , USG Abdomen - 42000 Post OP HPE,Intraoperative
photos
S6.9 PANCREAS
234 S6.9.1 52.22.1 Laproscopic Pancreatic NecrosectomyCT scan Lower Abdomen , ERCP,, Upper
GI endoscopy, USG Abdomen - 112776 Post OP HPE,WEBEX
235 S6.9.2 52.4.3Lateral Pancreaticojejunostomy(Non-
Malignant)
CT scan Lower Abdomen , ERCP,, Upper
GI endoscopy, USG Abdomen - 100000
Post OP HPE,Intraoperative
photos
236 S6.9.3 52.22.2 Open Pancreatic NecrosectomyCT scan Lower Abdomen , ERCP,, Upper
GI endoscopy, USG Abdomen - 120060
Post OP HPE,Intraoperative
photos
237 S6.9.4 52.52.2 Distal Pancreatectomy + Splenectomy(41.5)CT scan Lower Abdomen , ERCP,, Upper
GI endoscopy, USG Abdomen - 120000
Post OP HPE,Intraoperative
photos
238 S6.9.5 52.59 Central PancreatectomyCT scan Lower Abdomen , ERCP,, Upper
GI endoscopy, USG Abdomen - 120000
Post OP HPE,Intraoperative
photos
239 S6.9.7 52.4.2 Cysto JejunostomyCT scan Lower Abdomen , ERCP, USG
Abdomen - 50000 Biopsy , Clinical Photograph
240 S6.9.8 52.4.4 Cysto GastrostomyCT scan Lower Abdomen , ERCP, USG
Abdomen - 41926 Biopsy , Clinical Photograph
S6.10 HERNIA
241 S6.10.1 53.75 Diaphragmatic Hernia (Gortex Mesh Repair) Ba.Study , Chest X-Ray , Endoscopy ,
USG Abdomen - 48000
Intra op photos with mesh insitu ,
Scar photo
S6.11 LIVER SURGERIES
242 S6.11.1 50.3.1 Rt.HepatectomyERCP, CT Scan Abdomen , USG
Abdomen, Alpha Feto Protiens Levels - 86580
Post OP HPE,Intraoperative
photos
243 S6.11.2 50.3.2 Lt.HepatectomyERCP, CT Scan Abdomen , USG
Abdomen, Alpha Feto Protiens Levels - 90000
Post OP HPE,Intraoperative
photos
244 S6.11.3 50.29.3 SegmentectomyERCP, CT Scan Abdomen , USG
Abdomen - 60000
Post OP HPE,Intraoperative
photos
S6.12 PANCREATIC SURGERIES
245 S6.12.1 52.52.1 Distal Pancreatectomy
CT scan, Magnetic Resonance
Cholangiopancreatography (MRCP)
/ERCP
- 120000 Post OP HPE,Intraoperative
photos
246 S6.12.2 52.3 Enucleation Of Cyst CT scan , Sr.Amylase - 90000 Post OP HPE, Intraoperative
photos
247 S6.12.3 52.7 Whipples Any Type CT , ERCP - 100000 Intraoperative photos
248 S6.12.4 52.4.1 Triple Bypass -Pancreas CT, ERCP/MRCP, LFT - 60000 Intraoperative photos
249 S6.12.5 52.4.5 Other Bypasses -Pancreas CT, ERCP/MRCP, LFT - 39250 Intraoperative photos
S6.13 ANUS
250 S6.13.1 49.7.1 Anal Sphincter Repair -With ColostomyEndo anal scan / MRI Abdomen With
Contrast, USG Abdomen - 33850 Endo anal scan
251 S6.13.2 70.73.1Rectovaginal fistula Management with
Colostomy
CT scan Lower Abdomen Without
Contrast, MRI Local Area, TRUS
(Transrectal Ultrasonography),
Sigmoidoscopy (REGID)
- 39320 Scar Photo
S7CARDIAC AND CARDIOTHORACIC
SURGERY
S7.1 CARDIAC INTERVENTIONS / PROCEDURES
252 S7.1.1.1 00.66.1Coronary Balloon Angioplasty with Bare Metal
stent(00.45)2D Echo, CAG, ECG - 55000
PTCA CD, X-RAY, Stent Pouch
with bar code Details
253 S7.1.1.2 00.66.2 PTCA 1 Additional Bare Metal Stent (00.46) 2D Echo, CAG, ECG - 10000PTCA CD, X-RAY, Stent Pouch
with bar code Details
254 S7.1.1.3 00.66.5Coronary Balloon Angioplasty with Drug eluting
stent(00.45)2D Echo, CAG, ECG - 65000
PTCA CD, X-RAY, Stent Pouch
with bar code Details
255 S7.1.1.4 00.66.6 PTCA 1 Additional Drug eluting Stent (00.46) 2D Echo, CAG, ECG - 20000PTCA CD, X-RAY, Stent Pouch
with bar code Details
S7.1.2 ASD AND VSD
256 S7.1.2.1 35.51 ASD Device Closure 2D ECHO With Device Quantification ,
ECG , Chest X-Ray - 80000
2D ECHO Cardiogram Showing
Device In Situ, Chest X-Ray
,Procedure CD, Device pouch,
Post OP scar photo
257 S7.1.2.2 35.53 VSD Device Closure 2D ECHO With Device Quantification ,
ECG , Chest X-Ray - 80000
2D ECHO Cardiogram Showing
Device In Situ, Chest X-Ray
,Procedure CD, Device pouch,
Post OP scar photo
S7.1.3 PTENT DUCTUS ARTERIOUSUS
258 S7.1.3.1 35.83.1 Patent Ductus Arterious - Stenting 2D ECHO , ECG , Chest X-Ray - 75000
2D ECHO Showing Stent In
Situ, Chest X-Ray ,
ECG,Procedure CD, Device
pouch, Post OP scar photo
259 S7.1.3.2 35.83.2 Patent Ductus Arterious - Device Closure 2D ECHO With Device Quantification ,
ECG , Chest X-Ray - 72320
2D ECHO Showing Device In
Situ, Chest X-Ray ,Procedure
CD, Device pouch, Post OP scar
photo
S7.1.3.3 COIL CLOSURE
260 S7.1.3.3.1 35.83.3 Patent Ductus Arterious - Single Coil Closure 2D ECHO , ECG , Chest X-Ray - 25000
2D ECHO ShowingCoil In Situ,
Chest X-Ray ,Procedure CD,
Device pouch, Post OP scar photo
261 S7.1.3.3.2 35.83.4Patent Ductus Arterious - Multiple Coils
Closrue 2D ECHO , ECG , Chest X-Ray - 35000
2D ECHO Showing Coil In Situ,
Chest X-Ray ,Procedure CD,
Device pouch, Post OP scar photo
S7.1.4 BALLOON PROCEDURES
262 S7.1.4.1 35.0 Balloon Valvotomy 2D ECHO , ECG , Chest X-Ray - 26000 2D ECHO, Baloon Pouch, Post
OP scar photo
263 S7.1.4.2 35.41 Balloon Atrial Septostomy 2D ECHO , ECG , Chest X-Ray - 33380 2D ECHO, Baloon Pouch, Post
OP scar photo
S7.1.5 PACEMAKER IMPLANTATION
264 S7.1.5.1 37.8 Permanent Pacemaker Implantation CAG , ECG,2D ECHO - 75000
2D ECHO, Pacemaker Sticker
with bar Code , Chest X-Ray,
Post OP scar photo
265 S7.1.5.2 37.78 Temporary Pacemaker Implantation CAG , ECG,2D ECHO - 13000
2D ECHO, Pacemaker Sticker
with bar Code , Chest X-Ray,
Post OP scar photo
S7.1.6COARACTATION OF AORTA REPAIR /
AORTOPLASTY
266 S7.1.6.1 38.44.1Coaractation of Aorta Repair With Stent +
Aortoplasty(35.11) 2D ECHO , ECG.Aortogram - 80000
2D ECHO Showing stent In Situ,
Chest X-Ray ,Procedure CD,
Device pouch, Post OP scar photo
267 S7.1.6.2 38.34.2Coaractation of Aorta Repair Without Stent+
Aortoplasty(35.11) 2D ECHO , ECG.Aortogram - 30380
2D ECHO , Chest X-Ray
,Procedure CD, Device pouch,
Post OP scar photo
S7.1.7 ANGIOPLASTY
268 S7.1.7.1 39.50.2 Renal Angioplasty CT Scan Abdomen ,Renal Angiogram - 60000
Procedure CD, Doppler Of Renal
Arteries, Stent pouch with bar
code Details ,Post OP scar photo
269 S7.1.7.2 39.50.3 Peripheral Angioplasty
Digital Subtraction Angiography(DSA
Peripheral Artery\Arteries) ,Doppler of
Peripheral Vessels,2D ECHO
- 60000
Doppler of Peripheral Vessels
with stent in situ, Stent pouch
with bar code Details , Procedure
CD,Post OP scar photo
270 S7.1.7.3 00.61 Vertebral Angioplasty Vertibral Arteries Angiography - 75000
Doppler , Stent pouch with bar
code Details , Procedure CD,Post
OP scar photo
271 S7.1.7.4 39.50.4 Perpheral Angioplasty - Additional Stent(00.46)
Digital Subtraction Angiography(DSA
Peripheral Artery\Arteries) ,Doppler of
Peripheral Vessels,2D ECHO
- 9000
Doppler of Peripheral Vessels
with stent in situ, Stent pouch
with bar code Details , Procedure
CD,Post OP scar photo
S7.2CARDIOTHORACIC AND VASCULAR
SURGERIES
S7.2.1 SURGERY FOR CAD
272 S7.2.1.1 36.1.1 Coronary Bypass Surgery 2D ECHO ,CAG, Chest X-Ray , ECG - 115846Intra OP photos, Post OP scar
photos
273 S7.2.1.2 36.1.2 Coronary Bypass Surgery-Post Angioplasty POST PTCA-CAG, Chest X-Ray , ECG - 118720Intra OP photos, Post OP scar
photos
274 S7.2.1.3 36.1.3 Cabg With Iabp Pump
2D ECHO ,CAG, Chest X-Ray , ECG -
139678
Clinical Photograph With IABP
IABP chart, Intra OP photos,
Post OP scar photos
275 S7.2.1.4 36.1.4 Cabg With Aneurismal Repair2D ECHO ,CAG, Chest X-Ray , ECG, CT
Scan Chest With Contrast
- 154250
Intra OP photos, Post OP scar
photos
S7.2.2.1 INTRACARDIAC TUMORS
276 S7.2.2.1 37.34 Surgery For Intracardiac Tumors 2D ECHO , CAG,CT Scan Chest , Chest
X-Ray - 100000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos,Post
OP HPE
S7.2.3 SINUS OF VALSALVA
277 S7.2.3.1 39.52.3surgical management of Ruptured Sinus Of
Valsalva2D ECHO , CAG,CT Scan Chest - 130000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
S7.2.4 TAPVC
278 S7.2.4.1 35.82 surgical management (Correction) of TAPVC2D ECHO , CAG, Chest X-Ray , TEE
(Transesophageal Echocardiogram) - 119840
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
S7.2.5 TOF
279 S7.2.5.1.1 39.0.1 Systemic Pulmonary Shunts With Graft TOF 2D ECHO , CT Angiography - 63600
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar
photos,Graft pouch
280 S7.2.5.1.2 39.0.2 Systemic Pulmonary Shunts Without Graft TOF 2D ECHO , CT Angiography - 554002D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
281 S7.2.5.2 35.81 Total Correction of Tetralogy of Fallot 2D ECHO , CT Angiography - 1042702D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
S7.2.6 ASD AND VSD
282 S7.2.6.1 35.71 Intra Cardiac Repair Of ASD 2D ECHO , CT Angiography - 800002D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
283 S7.2.6.2 35.72 Intracardiac Repair Of VSD 2D ECHO , CT Angiography - 850002D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
S7.2.7 PATENT DUCTUS ARTERIOUSUS
284 S7.2.7.1 35.83.5 Surgery for-PDA2D ECHO , ECG , Chest X-Ray,Cath
report/CD - 40000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
S7.2.8ROSS PROCEDURE INTRACARDIAC REPAIR OF
COMPLEX CONGENITAL HEART DISEASES
285 S7.2.8.1 35.22.1Ross procedure - Intracardiac repair of complex
congenital heart diseases with Special Conduits
2D ECHO , CT Angiography, Chest X-Ray
,Cath report/CD - 150000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
286 S7.2.8.2 35.11
Ross procedure - Intracardiac repair of complex
congenitalheart diseases without Special
Conduits
2D ECHO , CT Angiography, Chest X-Ray
,Cath report/CD - 109510
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
S7.2.9 VALVE REPAIRS
287 S7.2.9.1 35.20.1 Valve repair with Prosthetic Ring 2D ECHO, Chest X-Ray - 140000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos,
Chest X-Ray
288 S7.2.9.2 35.1 Valve repair without Prosthetic Ring 2D ECHO, Chest X-Ray - 110000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos,
Chest X-Ray
289 S7.2.9.3 35.13 Open Pulmonary Valvotomy 2D ECHO, Chest X-Ray - 77000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos,
Chest X-Ray
290 S7.2.9.4 35.02 Closed Mitral Valvotomy 2D ECHO, Chest X-Ray - 40000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos,
Chest X-Ray
291 S7.2.9.5 35.12 Mitral valvotomy (Open) 2D ECHO, Chest X-Ray - 110000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos,
Chest X-Ray
S7.2.10 VALVE REPLACEMENT
292 S7.2.10.1 35.23 Mitral Valve Replacement (With Valve)2D ECHO , ECG,TEE (Transesophageal
Echocardiogram) - 145000
2D ECHO Showing Valve In Situ
, X-ray , Procedure CD ,Post OP
flouro scopy CD, valve
pouch,Intra OP photos, Post OP
scar photos
293 S7.2.10.2 35.21 Aortic Valve Replacement (With Valve)2D ECHO , ECG,TEE (Transesophageal
Echocardiogram) - 145000
2D ECHO Showing Valve In Situ
, X-ray , Procedure CD ,Post OP
flouro scopy CD, valve
pouch,Intra OP photos, Post OP
scar photos
294 S7.2.10.3 35.27 Replacement of Tricuspid valve2D ECHO , ECG,TEE (Transesophageal
Echocardiogram) - 144240
2D ECHO Showing Valve In Situ
, X-ray , Procedure CD ,Post OP
flouro scopy CD, valve
pouch,Intra OP photos, Post OP
scar photos
295 S7.2.10.4 35.20.2 Double valve replacement (With Valve)2D ECHO , ECG,TEE (Transesophageal
Echocardiogram) - 178000
2D ECHO Showing Valve In Situ
, X-ray , Procedure CD ,Post OP
flouro scopy CD, valve
pouch,Intra OP photos, Post OP
scar photos
S7.2.11 PERICARDIUM
296 S7.2.11.1 37.12 Pericardiostomy 2D ECHO , ECG , Chest X-Ray - 250002D ECHO,Intra OP photos, Post
OP scar photos, Chest X-Ray
297 S7.2.11.2 37.31 Pericardiectomy2D ECHO , ECG , Chest X-Ray , CT Scan
Chest - 49450
2D ECHO,Intra OP photos, Post
OP scar photos, Chest X-
Ray,Post OP HPE
298 S7.2.11.3 37.0 Pericardiocentesis 2D ECHO , ECG , Chest X-Ray - 150002D ECHO,Intra OP photos, Post
OP scar photos, Chest X-Ray
S7.2.12 COARCTATION - AORTA REPAIR
299 S7.2.12.1 38.44.2 Coarctation-Arota Repair With Graft 2D ECHO , CAG, Chest X-Ray - 100000 Color doppler,Intra OP photos,
Post OP scar photos, Graft pouch
300 S7.2.12.2 38.34.1 Coarctation-Arota Repair Without Graft 2D ECHO , CAG, Chest X-Ray - 70000 Color doppler,Intra OP photos,
Post OP scar photos
S7.2.13 AORTA REPAIR
301 S7.2.13.1 38.40.1 Aneurysm Resection & Grafting 2D ECHO , CAG, Chest X-Ray - 181470 Color doppler, Intra OP photos,
Post OP scar photos, Graft pouch
302 S7.2.13.2 38.35Intrathoracic Aneurysm -Aneurysm Not
Requiring Bypass
Pulmonary Angiogram(CT Angio Chest) ,
Color Doppler - 100000
Color doppler,Intra OP photos,
Post OP scar photos
303 S7.2.13.3 38.45Intrathoracic Aneurysm -Requiring Bypass
(With Graft)
Pulmonary Angiogram(CT Angio Chest) ,
Color Doppler - 180540
Color doppler, Intra OP photos,
Post OP scar photos, Graft pouch
304 S7.2.13.4 39.54 Surgical management of Dissecting Aneurysms CT Angiogram Abdomen - 180000 Color doppler,Intra OP photos,
Post OP scar photos
305 S7.2.13.5 35.22.2Surgical management of Annulus Aortic Ectasia
With Valved Conduits
2D ECHO , CT Scan Chest Without
Contrast, CAG , TEE (Transesophageal
Echocardiogram)
- 158200
Color doppler,Intra OP photos,
Post OP scar photos,2D ECHO,
Post OP flouroscopy CD
S7.2.14 AORTA - AORTO BYPASS
306 S7.2.14.1 39.23 Aorto-Aorto Bypass With Graft
CT Angiogram Abdomen , Colour Doppler
Study Abdominal Aorta And Both Lower
Limbs
- 100000 Color doppler,Intra OP photos,
Post OP scar photos,Graft pouch
307 S7.2.14.2 39.26 Aorto-Aorto Bypass Without Graft
CT Angiogram Abdomen , Colour Doppler
Study Abdominal Aorta And Both Lower
Limbs
- 85000 Color doppler,Intra OP photos,
Post OP scar photos
S7.2.15 FEMORO - POPLITIAL BYPASS
308 S7.2.15.1 39.29.1 Femoro- Poplitial Bypass With GraftCT Angiogram Limbs, Clinical
Photograph ,Doppler Of Peripheral Vessels - 65000
Color doppler,Intra OP photos,
Post OP scar photos, Graft pouch
309 S7.2.15.2 39.29.2 Femoro- Poplitial Bypass Without GraftCT Angiogram Limbs, Clinical
Photograph ,Doppler Of Peripheral Vessels - 45000
Color doppler,Intra OP photos,
Post OP scar photos
S7.2.16 FEMORO - ILEAL BYPASS
310 S7.2.16.1 39.25.1 Femoro- Ileal Bypass With GraftCT Angiogram Limbs, Clinical
Photograph ,Doppler Of Peripheral Vessels - 65000
Color doppler,Intra OP photos,
Post OP scar photos, Graft pouch
311 S7.2.16.2 39.25.2 Femoro- Ileal Bypass Without GraftCT Angiogram Limbs, Clinical
Photograph ,Doppler Of Peripheral Vessels - 45000
Color doppler,Intra OP photos,
Post OP scar photos
S7.2.17 FEMORO - FEMORAL BYPASS
312 S7.2.17.1 39.29.3 Femoro-Femoral Bypass With GraftCT Angiogram Limbs, Clinical
Photograph ,Doppler Of Peripheral Vessels - 65000
Color doppler,Intra OP photos,
Post OP scar photos, Graft pouch
313 S7.2.17.2 39.29.4 Femoro-Femoral Bypass Without GraftCT Angiogram Limbs, Clinical
Photograph ,Doppler Of Peripheral Vessels - 45000
Color doppler,Intra OP photos,
Post OP scar photos
S7.2.18 TGA
314 S7.2.18.1 35.84 TGA - Arterial Switch2D ECHO ,CT Angiography (Coronary
Angiography), Chest X-Ray PA View - 150000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
315 S7.2.18.2 35.91 TGA - Sennings Procedure2D ECHO ,CT Angiography (Coronary
Angiography), Chest X-Ray PA View - 150000
2D ECHO Cardiogram ,Intra OP
photos, Post OP scar photos
S7.2.19.1 TGA
316 S7.2.19.1 38.12.1 TGA - Carotid Embolectomy
CT Angiography Neck\Chest(Cartotid
Angiography) - , Colour Doppler Study Of
Neck Vessels
- 70000 Colour Doppler ,Intra OP photos,
Post OP scar photos
S7.3 LUNGS
317 S7.3.1 32.5.1 Pneumonectomy CT-Chest , X-RAY, PFT - 60000
Intra op photos, Post OP scar
photos, Chest X-Ray Post OP
HPE
318 S7.3.2 32.4.2 Lobectomy CT-Chest , X-RAY, PFT - 60000
Intra op photos, Post OP scar
photos, Chest X-Ray Post OP
HPE
319 S7.3.3 34.51 Decortication of lung CT-Chest , X-RAY, PFT - 60000
Intra op photos, Post OP scar
photos, Chest X-Ray Post OP
HPE
320 S7.3.4 32.2.1 Surgical management of lung cyst CT-Chest , X-RAY, PFT - 40000
Intra op photos, Post OP scar
photos, Chest X-Ray Post OP
HPE
321 S7.3.5 34.3.1Surgical management of SolItary fibrous tumor-
Mediastinum CT-Chest , X-RAY, PFT - 60000
Intra op photos, Post OP scar
photos, Chest X-Ray Post OP
HPE
S7.3.6SURGICAL CORRECTION OF
BRONCHOPLEURAL FISTULA
322 S7.3.6.1 34.73.1Surgical management of Bronchopleural fistula -
Thorocoplasty CT-Chest , X-RAY - 67530
Intra op photos, Post OP scar
photos, Chest X-Ray Post OP
HPE
323 S7.3.6.2 34.73.3Surgical management of Bronchopleural Fistula -
Myoplasty CT-Chest , X-RAY - 75150
Intra op photos, Post OP scar
photos, Chest X-Ray
324 S7.3.6.3 34.73.2 Transpleural Bronchopleural Fistula closure CT-Chest , X-RAY - 65000Intra op photos, Post OP scar
photos, Chest X-Ray
S7.4 CHEST SURGERY
325 S7.4.1 34.81Surgical management of Diaphragmatic
Eventeration
USG Abdomen, BARIUM STUDIES , CT-
Scan, ,Chest X-Ray - 50000
Intra op photos, Post OP scar
photos, Chest X-Ray, Post OP
USG
326 S7.4.2 53.8 Surgical Management of Diaphragmatic Hernia USG Abdomen, CT-Scan, ,Chest X-Ray - 60000
Intra op photos, Post OP scar
photos, Chest X-Ray, Post OP
USG
327 S7.4.3 42.31Surgical Management of Oesophageal
Diverticula /Achalasia Cardia
USG Abdomen, BARIUM STUDIES , CT-
Scan, ,Chest X-Ray, Upper GI endoscopy - 50000
Intra op photos, Post OP scar
photos, Chest X-Ray, Post OP
USG
328 S7.4.4 33.32 Surgical management of Empyema Thoracis
CT Scan Chest With Contrast, Chest X-
Ray PA View(1 Film), PUS Culture &
Sensitivity, Aspirate For Culture,
Pulmonary Function Test(Major)
- 52140 Chest X-Ray PA View(1 Film)
S7.5SURGICAL MANAGEMENT OF
DIAPHRAGMATIC INJURIES
329 S7.5.1 34.82Surgical management of Diaphragmatic injuries,
Thoraco Abdominal approachCT Scan Chest , Chest X-Ray , - 55000
Intra op photos, Post OP scar
photos, Chest X-Ray
S7.6SURGICAL MANAGEMENT OF BRONCHIAL
INJURIES/FB
330 S7.6.1 98.15.1 Bronchoscopic Foreign body removal Bronchoscopy , CT-Scan - 20000Intra op photos, Post OP scar
photos, , Endoscopy picture
331 S7.6.2 33.98Surgical management For Bronchial Injuries due
to foreign Body Bronchoscopy , CT-Scan - 60000
Intra op photos, Post OP scar
photos, , Endoscopy picture
S7.8SURGICAL MANAGEMENT OF
OESOPHAGEAL INJURY/FB
332 S7.8.1 42.9
Gastro Study Followed By Thoracotomy &
Repairs For Oesophageal Injury For Corrosive
Injuries/Fb
Gastroscopy - 65000Intra op photos, Post OP scar
photos, , Endoscopy picture
S7.9SURGICAL MANAGEMENT OF VASCULAR
INJURY
333 S7.9.1 39.3.1Surgery for Arterial Injuries, Venous Injuries
Without Graft
Angiogram-, Color Doppler , Clinical
Photograph - 25000
Intra op photos, Post OP scar
photos, Color Doppler
334 S7.9.1.1 39.56.1
Surgical Management of Vascular Injury In
Upper Limbs - Axillary,Branchial,Radial And
Ulnar -With Vein Graft
Angiogram-, Color Doppler , Clinical
Photograph - 20000
Intra op photos, Post OP scar
photos, Color Doppler
335 S7.9.1.2 39.3.2 Major Vascular Injury -In Lower Limbs-RepairAngiogram-, Color Doppler , Clinical
Photograph - 30000
Intra op photos, Post OP scar
photos, Color Doppler
336 S7.9.1.3 39.3.3Surgical Management of Minor Vascular Injury -
Tibial Vessels In Leg
Angiogram-, Color Doppler , Clinical
Photograph - 20000
Intra op photos, Post OP scar
photos, Color Doppler
337 S7.9.1.4 39.3.4Surgical Management of Minor Vascular Injury -
Vessels In Foot
Angiogram-, Color Doppler , Clinical
Photograph - 20000
Intra op photos, Post OP scar
photos, Color Doppler
338 S7.9.2 39.56.2Surgical Management of Vascular injuries with
vein graft
Angiogram-, Color Doppler , Clinical
Photograph
- 30000
Intra op photos, Post OP scar
photos, Color Doppler
339 S7.9.3 39.57.2Surgical Management of Vascular Injury With
Prosthetic Graft
Angiogram-, Color Doppler , Clinical
Photograph - 40000
Intra op photos, Post OP scar
photos, Color Doppler
340 S7.9.4 39.3.5Surgical Management of Neck Vascular Injury -
Carotid Vessels
Angiogram-, Color Doppler , Clinical
Photograph - 100000
Intra op photos, Post OP scar
photos, Color Doppler
341 S7.9.6 39.3.6Surgical Management of Abdominal Vascular
Injuries - Aorta, Illac Arteries, Ivc, Iliac Veins
USG Abdomen, Angiogram-, Color
Doppler , Clinical Photograph - 100000
Intra op photos, Post OP scar
photos, Color Doppler
342 S7.9.7 39.3.7Surgical Management of Thoracic Vascular
Injuries
CT Scan Chest, Angiogram-, Color
Doppler , Clinical Photograph - 150000
Intra op photos, Post OP scar
photos, Color Doppler
S7.10 CARDIAC INJURES
343 S7.10.1 37.49.1 Surgery for Cardiac injuries Without CPB 2D ECHO, Clinical Photo,Chest X-
Ray,ECG - 70000
Intra OP photos, 2D ECHO, Post
OP scar photo
344 S7.10.2 37.49.2 Surgery for Cardiac injuries With CPB 2D ECHO, Clinical Photo,Chest X-
Ray,ECG - 91960
Intra OP photos, 2D ECHO, Post
OP scar photo
S7.11 VASCULAR SURGERIES
345 S7.11.1 38.0 Peripheral Embolectomy Without GraftSpiral CT Angiogram,, Doppler Of
Peripheral Vessels - 30000
Intra OP photos,Color Doppler,
Post OP scar photo
346 S7.11.2 39.25.3Aorto Billiac - Bifemoral Bypass With Synthetic
Graft
Spiral CT Angiogram, Colour Doppler
Study Abdominal Aorta And Both Lower
Limbs , Clinical Photograph
- 125000Intra OP photos, Color Doppler,
Post OP scar photos, Graft pouch
347 S7.11.3 39.29.5 Axillo Bifemoral Bypass With Synthetic Graft
Spiral CT Angiogram, Colour Doppler
Study Abdominal Aorta And Both Lower
Limbs , Clinical Photograph
- 100000Intra OP photos, Color Doppler,
Post OP scar photos, Graft pouch
348 S7.11.4 39.29.6 Femoro Distal Bypass With Vein Graft
Spiral CT Angiogram, Colour Doppler
Study Abdominal Aorta And Both Lower
Limbs , Clinical Photograph
- 60000Intra OP photos, Color Doppler,
Post OP scar photos
349 S7.11.5 39.29.7 Femoro Distal Bypass With Synthetic Graft
Spiral CT Angiogram, Colour Doppler
Study Abdominal Aorta And Both Lower
Limbs , Clinical Photograph
- 80000Intra OP photos, Color Doppler,
Post OP scar photos, Graft pouch
350 S7.11.6 39.29.8Axillo Brachial Bypass Using With Synthetic
Graft
Spiral CT Angiogram, Colour Doppler
Study Thorasic Aorta And both Upper
Limbs , Clinical Photograph
- 70000Intra OP photos, Color Doppler,
Post OP scar photos, Graft pouch
351 S7.11.7 39.29.9 Brachio - Radial Bypass With Synthetic Graft
Spiral CT Angiogram, Colour Doppler
Study Thorasic Aorta And both Upper
Limbs , Clinical Photograph
- 59000Intra OP photos, Color Doppler,
Post OP scar photos, Graft pouch
352 S7.11.8 39.8.2Excicion Of Carotid Body Tumor With Vascular
Repair
CT Angiography Neck\Chest, Clinical
Photograph - 80000
Colour Doppler , Intra OP photos,
Post OP scar photos,Post Op HPE
353 S7.11.9 39.22 Carotid Artery Bypass With Synthetic GraftCT Angiography Neck\Chest, Clinical
Photograph - 124000
Intra OP photos, Color Doppler,
Post OP scar photos, Graft pouch
354 S7.11.10 38.60.1Excision Of Arterio Venous Malformation -
Large
Color Doppler ,MRI Angiogram , Spiral
CT Angiogram, , Clinical Photograph - 90000
Intra OP photos, Color Doppler,
Post OP scar photo
355 S7.11.11 38.60.2Excision Of Arterio Venous Malformation -
Small
Color Doppler ,MRI Angiogram , Spiral
CT Angiogram, , Clinical Photograph - 44000
Intra OP photos, Color Doppler,
Post OP scar photo
356 S7.11.12 38.1 Arterial Embolectomy
Digital Subtraction Angiography(DSA
Peripheral Artery\Arteries),Colour Doppler
- Lower Limbs
- 30000Intra OP photos, Scar Photo ,
Colour Doppler - Lower Limbs
357 S7.11.13 39.27.1 A V Fistula surgery (creation) at WristColour Doppler Of Specific Limb- , Renal
Profile, USG Abdomen - - 10000
Colour Doppler Of Specific
Limb, Intra OP photos, Scar
Photo
358 S7.11.14 39.27.2 A. V Fistula surgery (creation) At ElbowColour Doppler Of Specific Limb- , Renal
Profile, USG Abdomen - - 10000
Colour Doppler Of Specific
Limb, Intra OP photos, Scar
Photo
359 S7.11.15 38.7.1 DVT - Ivc Filter implantationVenous Doppler , Lung Ventilation &
Perfusion Scan , Clinical Photograph - 100000
Intra OP photos, Plain X-Ray
Abdomen, Procedure CD, IVC
filter pouch with bar Code
360 S7.11.16 38.3 Surgical management of Vascular Tumors Spiral CT Angiogram, Clinical
Photograph - 40000
Intra OP photos, Color Doppler,
Post OP scar photos,Post OP HPE
361 S7.11.17 39.52.1 Small Arterial Aneurysms - Repair Spiral CT Angiogram, Clinical
Photograph - 20000
Intra OP photos, Color Doppler,
Post OP scar photos
362 S7.11.18 39.52.2 Medium Size Arterial Aneurysms - Repair Spiral CT Angiogram, Clinical
Photograph - 25000
Intra OP photos, Color Doppler,
Post OP scar photos
363 S7.11.19 38.40.2Medium Size Arterial Aneurysms - Repair With
Synthetic Graft
Spiral CT Angiogram, Clinical
Photograph - 95000
Intra OP photos, Color Doppler,
Post OP scar photos, Graft pouch
S8 PEDIATRIC SURGERIES
S8.1PAEDIATRIC CONGENITAL
MALFORMATIONS
S8.1.1 GI TRACT
364 S8.1.1 42.12Surgical management of Oesophageal Atresia In
Paediatric PatientsChest X-Ray , USG Abdomen - - 61890
Intra op photos, Post OP scar
photos,
365 S8.1.2 53.72.1Open repair of diaphragmatic hernia in
paediatric patientsChest X-Ray,CT Chest - 50000
Post OP Chesf X Ray ,Intra op
photos, Post OP scar photos,
366 S8.1.3 45.3.3Surgical Management of Intestinal Atresias &
Obstructions In Paediatric Patients
X-Ray abdomen, USG Abdomen , Lower
GI endoscopy - 65000
Post OP X Ray ,Intra op photos,
Post OP scar photos,
367 S8.1.4 51.63Surgical Management of Biliary Atresia &
Choledochal Cyst In Paediatric Patients
CT Scan Abdomen , USG Abdomen,
Bulida Scan (Hepatobiliary Scan) - 69450
Post OP HPE ,Intra op photos,
Post OP scar photos
368 S8.1.5 46.11.1Stage 1 procedure for Anorectal Malformations
In Paediatric PatientsClinical photoraph, Invertogram - 48000
Intra op photos, Post OP scar
photos
369 S8.1.6 45.95.2Stage 2 procedure for Anorectal Malformations
In Paediatric PatientsDistal Cologram, Clinical Photograph - 60000
Intra op photos, Post OP scar
photos
370 S8.1.7 46.11.2Stage 1 procedure for Hirschprungs Disease In
Paediatric PatientsClinical photo, Barium enema - 48000
Intra op photos, Post OP scar
photos
371 S8.1.8 46.52.3Stage 2 procedure for Hirschprungs Disease In
Paediatric PatientsClinical photo, Barium enema - 72000
Intra op photos, Post OP scar
photos
372 S8.2.1 55.8Surgical Management of Congenital
Hydronephrosis in Paediatric PatientsUSG abdomen, Renogram - 54710
Post OP X-Ray abdomen, Post
OP USG,Intra op photos, Post
OP scar photos
373 S8.2.2 56.74.1Surgical Management of Ureteric
ReimplantationsUSG abdomen, MCUG - 34770
Post OP X-Ray, Intra op photos,
Post OP scar photos
374 S8.2.3.1 57.86.1Stage 1 procedure for Exstrophy Bladder in
Paediatric PatientsClinical photo, USG abdomen - 73210
Intra op photos, Post OP scar
photos
375 S8.2.3.2 57.86.2Stage 2 procedure for Exstrophy Bladder in
Paediatric PatientsClinical photo, USG abdomen - 70230
Intra op photos, Post OP scar
photos
376 S8.2.4 58.39Surgical Management of Posterior Urethral
Valves in Paediatric Patients
USG abdomen, RFT, S.Electrolytes,
MCUG - 30000
Intra op photos, Post OP scar
photos,RFT
377 S8.2.5 58.45.1 Single Stage procedure for Hypospadiasis Clinical Photograph - 40000Intra op photos, Post OP scar
photos
378 S8.2.6.1 58.45.2 Stage 1 procedure for Hypospadiasis Clinical Photograph - 29360Intra op photos, Post OP scar
photos
379 S8.2.6.2 58.45.3 Stage 2 procedure for Hypospadiasis Clinical Photograph - 29860Intra op photos, Post OP scar
photos
380 S8.3.1 16.49.1 Surgical Management of Paediatric Tumors CT Scan, Bone scan,USG Abdomen - 50000Post OP HPE ,Intra op photos,
Post OP scar photos
381 S8.4.1 27.54.3 Surgical correction of Cleft Lip Clinical Photograph - 25000Intra op photos, Post OP scar
photos
382 S8.4.2 27.62Surgical correction of Cleft Palate in pediatric
patients Clinical Photograph - 25000
Intra op photos, Post OP scar
photos
383 S8.4.3 27.69Surgical corection of Velo-Pharyngeal
IncompetenceEndoscopy - 35330
Intra op photos, Endoscopy
picture
384 S8.4.4 86.85.1Surgical correction of Syndactyly of Hand For
Each Hand in Paediatric PatientX-Ray , Clinical Photograph - 25000
Intra op photos, Post OP scar
photos
385 S8.4.5 18.71Surgical correction of Microtia/Anotia In
Paediatric Patient Clinical Photograph - 32840
Intra op photos, Post OP scar
photos
386 S8.4.6 76.5.2Surgical Management of Tempero mandibular
Joint Ankylosis Clinical Photograph - 44540
Intra op photos, Post OP scar
photos
S8.2 CONGENITAL MALFORMATIONS
387 S8.5.1 86.04.1 Surgical Management of Hamartoma Excision IVP , Renogram , USG, Clinical Photo,
Color Doppler - 20000
Intra op photos, Post OP scar
photos,Post OP HPE
388 S8.5.2 39.99 Surgical Management of Hemangioma Excision Clinical Photograph , USG, Clinical
photo, Color Doppler - 18830
Intra op photos, Post OP scar
photos,Post OP HPE
389 S8.5.3 40.29.4Surgical management of Lymphangioma In
Paediatric Patients
Clinical Photograph , USG, Clinical
photo, Color Doppler - 48000
Intra op photos, Post OP scar
photos,Post OP HPE
S8.3 HEAD AND NECK
390 S8.3.1 05.2 Neuroblastoma Biopsy , CT, USG - 50000Intra op photos, Post OP scar
photos,Post OP HPE
391 S8.3.2 86.3.13Surgical Management of Congenital Dermal
SinusClinical photo, X-Ray Head - 30000
Intra op photos, Post OP scar
photos,Post OP HPE
392 S8.3.3 86.09.1Surgical Management of Cystic Lesions Of The
NeckUSG, Clinical photo - 24000
Intra op photos, Post OP scar
photos,Post OP HPE
393 S8.3.4 02.1 Surgical management of Encephalocele Neurosonogram, Clinical photo,CT - 42080Intra op photos, Post OP scar
photos,Post OP HPE
394 S8.3.5 29.52.2Surgical management of Sinuses & Fistula of the
neck in Paediatric PatientClinical photo - 20870
Intra op photos, Post OP scar
photos,Post OP HPE
395 S8.3.6 03.52 Meningo Myelocele Spinal ProcedureX-Ray Dorso Lumbar Spine,
Neurosonogram(NSG), Clinical Photograph - 25000 Case Sheet with operation Notes
S8.4 CHEST
396 S8.7.1 98.15.1 Bronchoscopy for Foreign Body Removal Clinical Photograph, X-Ray chest - 20000Intra op photos, ,Post OP X Ray
chest
397 S8.7.2 42.85Surgical Correction of Esophageal Obstructions
In Paediatric Patients
Upper GI endoscopy , Barium Meal
Follow Through - 58500
Intra op photos,Post OP scar
photos
398 S8.7.3 42.89Surgical Correction of Esophageal Substitutions
In Paediatric Patients
Upper GI endoscopy , Barium Meal
Follow Through - 73166
Intra op photos,Post OP scar
photos
399 S8.7.4 32.2 Excision of Thoracoscopic Cysts Clinical Photograph, CT chest, Chest X-
Ray - 40000
Intra op photos, Post OP scar
photos,Post OP HPE ,Chest X
Ray
400 S8.7.5 34.52Thoracoscopic Decortication In Paediatric
Patients Clinical Photograph, X-Ray & CT chest - 48000
Intra op photos, Post OP scar
photos,Post OP HPE ,Chest X
Ray
401 S8.7.6 42.42.4Surgical Correction of Thoracic Duplications In
Paediatric Patients
Clinical Photograph ,Chest X-Ray CT
Scan Chest - 44540
Intra op photos, Post OP scar
photos,Post OP HPE ,Chest X
Ray
402 S8.7.7 34.74 Surgical Correction of Thoracic Wall DefectsClinical Photograph ,Chest X-Ray CT
Scan Chest - 65006
Intra op photos, Post OP scar
photos,Post OP HPE ,Chest X
Ray
403 S8.7.8 34.06 Empyema decortication In Paediatric Patients
CT Scan Chest With Contrast/CT Scan
Chest Without Contrast, Chest X-Ray PA
View(1 Film)
- 30630
Chest X-Ray PA View(1 Film),
Routine Histopathological
Examination
S8.5 ABDOMEN
404 S8.8.1 43.3.2Surgical management of - Gastric Outlet
Obstructions In Paediatric PatientsClinical Photograph, USG abdomen - 30000
Intra op photos, Post OP scar
photos
405 S8.8.2 44.66Surgical management of Gastro Esophageal
Reflux In Paediatric Patients
CT Scan Abdomen, Upper GI Study,
B.M.F.T - 36410
Intra op photos, Post OP scar
photos
406 S8.8.3 50.29.2Surgical Correction of Hydatid Cysts In
Paediatric Patient CT / USG - 40000
Intra op photos, Post OP scar
photos
407 S8.8.4 45.4Surgical management of Intestinal Polyposis In
Paediatric PatientsUSG, Colonoscopy - 60000
Intra op photos Post OP scar
photos,Post OP HPE
408 S8.8.5 46.80.1 Surgical Correction of Intususception USG - 48000 Intra op photos Post OP scar
photos,Post OP HPE
409 S8.8.6 46.99Surgical mangement of Acute Intestinal
Obstruction In Paediatric Patients
USG Abdomen , Abdomen Radiograph
Supine Or Erect - 48000
Intra op photos Post OP scar
photos,Post OP HPE
410 S8.8.7 47.01 Laparoscopic Appendicectomy USG, CBP - 20910WEBEX Post OP scar
photos,Post OP HPE
411 S8.8.8 51.22.4 Laparoscopic Choleycystectomy USG, LFT - 30000WEBEX Post OP scar
photos,Post OP HPE
412 S8.8.9 48.41.1Laparoscopic Pull Through For Ano Rectal
Anomalies In Paediatric PatientsDistal Cologram - 72000
Intra op photos Post OP scar
photos
413 S8.8.10 48.41.2Laparoscopic Pull Through Surgeries For
Hirschprungs Disease In Paediatric PatientsBarium Enema , Clinical Photograph - 72000
Intra op photos, Post OP scar
photos
414 S8.8.11 41.5.5 Paediatric Splenectomy (Non Traumatic) Chest X-Ray,USG Abdomen - 42000USG Abdomen, Intra op photos,
Post OP scar photos,Post OP HPE
415 S8.8.12 07.2Adrenal Gland Surgeries In Paediatric
patients(07.3&07.4)
Urinary VMA, Urinary Metanephrine/Nor
metanephrine,Urinary Catecholamines
,Aldosterone - Urine,24 hour free cortisol
,USG Abdomen
- 47330USG Abdomen, Intra op photos,
Post OP scar photos,Post OP HPE
416 S8.8.13 45.33.2 Meckel's Diverticulectomy In Paediatric PatientsUSG Abdomen /Radio Scintography,
Clinical Photograph - 40000
Routine Histopathological
Examination /Scar Photo
417 S8.8.14 53.0Unilateral Inguinal Hernia repair In Paediatric
PatientsClinical Photograph - 15000 Scar Photo
418 S8.8.15 53.1Bilateral Inguinal Hernia repair In Paediatric
PatientsClinical Photograph - 20000 Scar Photo
419 S8.8.16 53.9.2 Lumbar Hernia repair In Paediatric Patients Clinical Photograph - 15000 Scar Photo
420 S8.8.17 53.21 Femoral Hernia repair In Paediatric Patients Clinical Photograph - 15000 Scar Photo
421 S8.8.18 53.42.2 Umbilical Hernia repair In Paediatric Patients USG Abdomen - 20000 Scar Photo
422 S8.8.19 53.51.2 Incisional Hernia repair In Paediatric Patients Clinical Photograph - 30000 Scar Photo
S8.6 GENITOURINARY SYSTEM
423 S8.6.4 62.5.2 Undescended testis USG, Clinical Photograph - 42080 Intra op photos Post OP scar
photos,Post OP HPE
424 S8.9.1 55.5.1 Simple Nephrectomy in pediatric patients CT , USG, Renogram - 40000 Intra op photos Post OP scar
photos,Post OP HPE
425 S8.9.2 58.45.4 Surgical Correction of Epispadiasis USG, Clinical Photograph - 41866 Intra op photos Post OP scar
photos
426 S8.9.3 61.49Surgical Correction of Scrotal Transposition In
Paediatric Patients Clinical Photograph , USG - 20000
Intra op photos Post OP scar
photos
427 S8.9.5 63.52 Surgical Management for Torsion of Testis Clinical Photograph , USG - 25190 Intra op photos Post OP scar
photos
428 S8.9.6 62.5.3 Laparoscopic Orchidopexy In Paediatric Patients Clinical Photograph , USG - 25000 Intra op photos Post OP scar
photos
429 S8.9.7 63.1.1 Laparoscopic Varicocele Ligation Clinical Photograph , USG - 40000 WEBEX, Post OP scar photos
S9 GENITO URINARY SURGERIES
S9.1 RENAL TRANSPLANTATION
430 S9.1.1 39.27.3A.V. Fistula surgery (creation) [Pre-Transplant
Procedure Only]
Renal Profile , Serum Electrolytes, - Color
dopplar of limb vessels - 10000
Intra op photos Post OP scar
photos
431 S9.1.2 55.6 Renal Transplantation SurgeryCT Scan Lower Abdomen, USG
Abdomen, HLA Typing,RFT - 161100
Intra op photos Post OP scar
photos,Post OP USG
432 S9.1.3 99.23.1Post Renal Transplant Immunosuppressive
Treatment From 1st To 6th Months
Renal Profile, USG Abdomen, Latest
Color Dopplar of Transplant Area - 91670 Bills Copy
433 S9.1.4 39.50.1Balloon dialatation of transplant Renal Artery
stenosisRenal Angiogram - 32610 Renal Angiogram, WEBEX
S9.2 SURGERY FOR RENAL CALCULI
434 S9.2.1 55.11.1 Open Pyelolithotomy CT/IVP , KUB , USG - 21766
Intra op photos Post OP scar
photos,Post OP USG,Post OP X
Ray
435 S9.2.2 55.01 Open Nephrolithotomy CT/IVP , KUB , USG - 24100
Intra op photos Post OP scar
photos,Post OP USG,Post OP X
Ray
436 S9.2.3 57.19 Open Cystolithotomy CT/IVP , KUB , USG - 19130
Intra op photos Post OP scar
photos,Post OP USG,Post OP X
Ray
437 S9.2.4 55.11.2 Laparoscopic Pyelolithotomy USG, IVP/CT - 41806
WEBEX, Post OP scar
photos,Post OP USG,Post OP X
Ray
S9.3 LITHOTRIPSY PROCEDURES
438 S9.3.1 57.0 Cystolithotripsy IVP , KUB , USG - 13000
Intra op photos Post OP scar
photos,Post OP USG,Post OP X
Ray
439 S9.3.2 55.04 PCNL CT/IVP , KUB , USG - 34280
Intra op photos Post OP scar
photos,Post OP USG,Post OP X
Ray
440 S9.3.3 98.51 Extracorporeal shockwave lithotripsy (ESWL) CT/IVP , KUB , USG - 20000
Intra op photos Post OP scar
photos,Post OP USG,Post OP X
Ray,IVP
441 S9.3.4 56.0 ursl CT/IVP , KUB , USG - 25000
Intra op photos Post OP scar
photos,Post OP USG,Post OP X
Ray
442 S9.3.5 55.02 Nephrostomy - Lithotropsy
CT/IVP , USG -
13000
Intra op photos Post OP scar
photos,Post OP USG,Post OP X
Ray
443 S9.3.6 59.8.1 Dj Stent (One Side) CT/IVP , USG - 5000
Intra op photos Post OP scar
photos,Post OP USG,Post OP X
Ray
S9.4OTHER CORRECTIVE
SURGERIES/PROCEDURES
444 S9.4.1.1 58.45.5 Single Stage Urethroplasty for stricture Urethra Retrograde Urethrogram - 50000 Intra op photos , Post OP scar
photos
S9.4.1.2 DOUBLE STAGE
445 S9.4.1.2.1 58.49.1 Stage 1 Urethroplasty for stricture Double Stage Retrograde Urethrogram - 38670 Intra op photos , Post OP scar
photos
446 S9.4.1.2.2 58.49.2 Stage 2 Urethroplasty for stricture Double Stage Retrograde Urethrogram - 37500 Intra op photos , Post OP scar
photos
447 S9.4.2 58.46Reconstruction procedure Urethroplasty for
strictureRetrograde Urethrogram - 37500
Intra op photos , Post OP scar
photos
S9.4.3 HYPOSPADIASIS (ADULT)
448 S9.4.3.1 58.45.1 Single Stage HYPOSPADIASIS (ADULT) Clinical Photograph - 40000 Intra op photos , Post OP scar
photos
S9.4.3.2 DOUBLE STAGE
449 S9.4.3.2.1 58.45.2 Stage-1 HYPOSPADIASIS (ADULT) Clinical Photograph - 29360 Intra op photos , Post OP scar
photos
450 S9.4.3.2.2 58.45.3 Stage-2 HYPOSPADIASIS (ADULT) Clinical Photograph - 29860 Intra op photos , Post OP scar
photos
451 S9.4.4 57.49.1Transurethral resection of bladder tumour
(TURBT)CT Scan Lower Abdomen ,USG Abdomen - 39000
Intra op photos , Post OP scar
photos,Post OP HPE
S9.5 RENAL TRANSPLANTATION
452 S9.5.1 99.23.2Post Renal Transplant Immunosuppressive
Treatment From 7th To 12 Th Month.
Renal Profile, USG Abdomen, Latest
Color Dopplar of Transplant Area - 61210 Bills Copy
S9.6 RENAL
453 S9.6.1 55.02 Nephrostomy - Renal CT/IVP , USG - 13000 Intra op photos Post OP scar
photos,Post OP USG
454 S9.6.2 55.4.1 Nephrectomy for Pyonephrosis/Xgp CT/IVP , USG/DTPA - 40000 Intra op photos Post OP scar
photos,Post OP USG
455 S9.6.3 55.5.1 Simple Nephrectomy IVP , USG/DTPA - 40000 Intra op photos , Post OP scar
photos,Post OP USG
456 S9.6.4 55.5.2 Laproscopic Simple Nephrectomy IVP , USG/DTPA - 50000WEBEX, Post OP scar
photos,Post OP USG
457 S9.6.5 55.5.3 Laproscopic Radical Nephrectomy IVP , USG/DTPA - 61880WEBEX, Post OP scar
photos,Post OP USG
458 S9.6.6 55.4.3 Lap. Partial Nephrectomy CT/IVP , USG - 60000
WEBEX, Post OP scar
photos,Post OP USG,Post OP
HPE
459 S9.6.7 55.51.2 Bilateral Nephroureterectomy CT/IVP , USG - 80000
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
460 S9.6.8 55.39 Renal Cyst Excision CT/IVP , USG - 23220
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
S9.7 RENAL STONE SURGERY/THERAPIES
461 S9.2.5 55.11.3Anatrophic Peylolithotomy For Staghorn
CaliculusCT/IVP , KUB , USG - 50000
Intra op photos , Post OP scar
photos,Post OP USG,Post OP X
Ray
462 S9.7.1 57.01 Endoscope Removal Of Stone In Bladder IVP ,USG , X-Ray KUB - 14000 Endoscopy Picture
S9.8 CORRECTIVE SURGERIES
463 S9.8.1 55.87.2 Anderson Hynes Pyeloplasty CT/IVP , USG , X-RAY/DTPA - 48000Intra op photos , Post OP scar
photos
464 S9.8.2 57.84.1 Surgical correction of Vesicovaginal Fistula CT/IVP , Scopy , RGU - 44000Intra op photos , Post OP scar
photos
465 S9.8.3 58.45.4 Epispadiasis - Correction Clinical Photograph - 41866Intra op photos , Post OP scar
photos
466 S9.8.4 58.43 Closure Of Urethral Fistula RGU, Clinical Photos - 30000Intra op photos , Post OP scar
photos
467 S9.8.5 58.5.1 Optical Urethrotomy RGU , X-RAY,IVP - 20930 Endoscopy Picture, WEBEX
Video
468 S9.8.6 58.0 Perineal Urethrostomy RGU , X-RAY - 31650 Endoscopy Picture
469 S9.8.7 56.74.1 Ureteric Reimplantations MCUG/IVP , USG , X-RAY - 34770Intra op photos , Post OP scar
photos,Post OP USG
470 S9.8.8 56.51 Surgical Procedure for Ileal Conduit Formation IVP , USG , X-RAY - 40670Intra op photos , Post OP scar
photos
471 S9.8.9 56.4 Surgical corrrection of Ureterocele X-RAY, IVP, USG - 23660Intra op photos , Post OP scar
photos,Post OP USG
472 S9.8.10 56.41Excision of Ureterocele with Ureteric
Implantation
USG Abdomen, Intra Veneous Pyelogram,
Micturating Cystourethrogram (MCUG),
CT Scan Lower Abdomen With Contrast
- 42370
USG Abdomen, CT Scan Lower
Abdomen With Contrast, Routine
Histopathological Examination,
Abdomen X-Ray (Lateral View)
473 S9.8.11 56.91 Balloon dilatation of Ureteric strictureCT Scan Lower Abdomen With Contrast,
USG Abdomen, Intra Veneous Pyelogram - 20100
Fluoroscopy, CT Scan Lower
Abdomen With Contrast, USG
Abdomen
S9.9 BLADDER and PROSTATE
474 S9.9.1 60.29.1 Transurethral Resection of Prostate (TURP)USG Abdomen,Cystouretroscopy ,Prostate-
Specific Antigen - 30000
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
475 S9.9.2 60.29.2Transurethral Resection of Prostate (TURP)
Cyst Lithotripsy
USG Abdomen,Cystouretroscopy ,Prostate-
Specific Antigen - 30000
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
476 S9.9.3 60.3 Open ProstatectomyUSG Abdomen,Cystouretroscopy ,Prostate-
Specific Antigen - 33000
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
477 S9.9.3.1 60.5.2 Open radical Prostratectomy
USG Abdomen, CT Scan Lower Abdomen
With Contrast, Prostate-Specific Antigen
(PSA), Cystouretroscopy
- 50000
USG Abdomen, CT Scan Lower
Abdomen With Contrast, Routine
Histopathological Examination
478 S9.9.4 57.88 Caecocystoplasty USG Abdomen, Cystoscopy - 41840Intra op photos , Post OP scar
photos,Post OP USG
479 S9.9.5 57.7 Total Cystectomy USG Abdomen, Cystoscopy - 45020Intra op photos , Post OP scar
photos,Post OP USG
480 S9.9.5.1 57.6.1 Partial CystectomyCT Scan Lower Abdomen With Contrast,
USG Abdomen, Cystoscopy, Renal biopsy - 33850
USG Abdomen, CT Scan Lower
Abdomen With Contrast, Routine
Histopathological Examination
481 S9.9.6 57.59 Bladder Diverticulectomy USG Abdomen, Cystoscopy - 32200Intra op photos , Post OP scar
photos,Post OP USG
482 S9.9.7 59.4.2Surgical Management of Incontinence Urine
(Female)USG Abdomen, Cystoscopy - 22000
Intra op photos , Post OP scar
photos,Post OP USG
483 S9.9.8 59.4.1Surgical Management of Incontinence Urine
(Male)USG Abdomen, Cystoscopy - 25600
Intra op photos , Post OP scar
photos,Post OP USG
484 S9.9.9 57.91.2 Bladder neck reconstruction for Incontinence
USG Abdomen, CT Scan Lower Abdomen
With Contrast, Case sheet with clinical
History
- 60000USG Abdomen, CT Scan Lower
Abdomen With Contrast
485 S9.9.10 59.79Mid urethral sling procedure for stress urinary
incontinence
USG Abdomen, CT Scan Lower Abdomen
With Contrast, Case sheet with clinical
History
- 30000USG Abdomen, CT Scan Lower
Abdomen With Contrast
S9.10 TESTIS AND PENIS
486 S9.10.1 62.5 Orchidopexy Bilateral USG, Clinical Photo - 22866 Intra op photos Post OP scar
photos
487 S9.10.2 63.52 Surgical management of Torsion of Testis USG, Clinical Photo - 25190 Intra op photos Post OP scar
photos
488 S9.10.3 64.42.1 Surgical correction of Chordee USG, Clinical Photo - 32860 Intra op photos Post OP scar
photos
489 S9.10.4 64.3.1 Partial Amputation Of Penis(Non-Malignant) USG, Clinical Photo - 36670 Intra op photos Post OP scar
photos,Post OP HPE
490 S9.10.5 64.3.2 Total Penectomy USG, Clinical Photo - 36670 Intra op photos Post OP scar
photos,Post OP HPE
S9.11 CAPD
491 S9.11.1 59.8.2 CAPD-Tenchkoff catheter insertionUSG Abdomen, CT Scan Lower Abdomen
With Contrast, Renal Profile - 36520
USG Abdomen, CT Scan Lower
Abdomen With Contrast
492 S9.11.2 97.64 CAPD-Tenchkoff catheter removal
Abdomen And Pelvis For Kidneys,
Ureters, And Bladder (KUB), USG
Abdomen, Clinical Photograph
- 33940
Abdomen And Pelvis For
Kidneys, Ureters, And Bladder
(KUB), USG Abdomen, Scar
Photo
493 S9.11.3 97.64.1 CAPD bags per month Clinical Photograph - 8520Case Sheet with treatment details,
Clinical Photograph
S10 NEUROSURGERY
S10.1 BRAIN
494 S10.1.1 01.24.1Craniotomy And Evacuation of Subdural
HaematomaCT Scan - 66000
Intra op photos , Post OP scar
photos,Post OP X Ray
495 S10.1.2 01.24.2Craniotomy And Evacuation of Extradural
HaematomaCT Scan - 60000
Intra op photos , Post OP scar
photos,Post OP X Ray
496 S10.1.3 01.13Burr Hole procedure for evacuation of Brain
AbscessCT Scan - 32679
Intra op photos , Post OP scar
photos,Post OP X Ray
497 S10.1.4 01.53.3Excision Of Lobe (Frontal,Temporal,Cerebe
llum Etc.)CT Scan - 40000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
S10.1.5 EXCISION OF BRAIN TUMOUR
498 S10.1.5.1 01.59.1 Excision of Parasagital Brain tumour CT Scan - 68890
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
499 S10.1.5.2 01.59.2 Excision of Basal Brain tumour CT Scan - 70000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
500 S10.1.5.3 01.59.3 Excision of Brain Stem Brain tumour CT Scan - 70000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
501 S10.1.5.4 01.59.4 Excision of C P Angle Brain tumour CT Scan - 80000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
502 S10.1.5.5 01.59.5 Excision of Other Brain tumours CT Scan - 48250
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
503 S10.1.11 01.59.8 Excision of Subtentorial Brain Tumours CT Scan ,EEG - 48250Intra op photos , Post OP scar
photos,Post OP HPE
504 S10.1.12 02.34.1 Ventriculoatrial / Ventriculoperitonial shunt CT Scan - 30000Intra op photos , Post OP scar
photos,Post OP X Ray
505 S10.1.13 01.09.1 Twist Drill Craniostomy CT Scan - 15000Intra op photos , Post OP scar
photos,Post OP X Ray
506 S10.1.14 01.09.2 Subdural Tapping CT Scan - 19500Intra op photos , Post OP scar
photos,Post OP X Ray
507 S10.1.15 01.09.3 Ventricular Tapping CT Scan - 15000Intra op photos , Post OP scar
photos,Post OP X Ray
508 S10.1.16 01.31 Tapping of Brain Abscess CT Scan - 40000Intra op photos , Post OP scar
photos,Post OP X Ray
509 S10.1.17 39.79.2Surgical Management of Vascular
Malformations MRI Angio - 60000
Intra op photos , Post OP scar
photos,Post OP X Ray
510 S10.1.18 02.34 Ventriculo Peritoneal Shunt CT Scan - 30000Intra op photos , Post OP scar
photos,Post OP X Ray
511 S10.1.19 02.32.1 Atrial Shunt CT Scan - 20000Intra op photos , Post OP scar
photos,Post OP X Ray
512 S10.1.20 02.12Surgical Management of Meningo
Encephalocele MRI - 40000
Intra op photos , Post OP scar
photos,Post OP X Ray
513 S10.1.21 01.59.10 Surgical Management of Meningomyelocele MRI - 40000Intra op photos , Post OP scar
photos,Post OP X Ray
514 S10.1.22 02.31 Surgical Management of C.S.F. Rhinorrhoea CT Scan , Radionuclide Cisternography - 40000 Endoscopic Video Webex
515 S10.1.23 02.0 Cranioplasty CT Scan , Clinical Photograph - 30000Intra op photos , Post OP scar
photos,Post OP X Ray
516 S10.1.23.1 02.05 Cranioplasty With ImpantsCT Scan Head Without Contrast, CT
Angio Of Brain(Head) - 30000 X-Ray Skull
517 S10.1.24 01.59.12 Meningocele Excision MRI - 40000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
518 S10.1.25 02.32 Ventriculo Atrial Shunt CT Scan - 20000Intra op photos , Post OP scar
photos,Post OP X Ray
519 S10.1.26 01.59.13 Excision Of Brain Abcess CT Scan - 70000Intra op photos , Post OP scar
photos,Post OP X Ray
520 S10.1.27 39.51 Aneurysm Clipping MRI Angio - 110000Intra op photos , Post OP scar
photos,Post OP X Ray
521 S10.1.28 02.39 External Ventricular Drainage (EVD) CT Scan - 40000Intra op photos , Post OP scar
photos,Post OP X Ray
S10.2 SPINAL SURGERIES
522 S10.2.1 03.4.1 Surgery for Cord Tumours CT Spine /MRI Spine - 38000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
523 S10.2.2 80.51.2 Excision Of Cervical Inter-Vertebral Discs CT Spine /MRI Spine, X-Ray, - 30000Intra op photos , Post OP scar
photos,Post OP X Ray
524 S10.2.3 80.51.1 Posterior Cervical Discectomy CT Spine /MRI Spine, X-Ray, - 26650Intra op photos , Post OP scar
photos,Post OP X Ray
525 S10.2.4 80.51.5 Anterior Cervical Discectomy CT Spine /MRI Spine, X-Ray, - 26650Intra op photos , Post OP scar
photos,Post OP X Ray
526 S10.2.5 81.02 Anterior Cervical Spine Surgery With Fusion CT Spine /MRI Spine, X-Ray, - 45000Intra op photos , Post OP scar
photos,Post OP X Ray
527 S10.2.6 80.5.1 Anterior Lateral Decompression CT Spine /MRI Spine, X-Ray, - 30000Intra op photos , Post OP scar
photos,Post OP X Ray
528 S10.2.7 03.09.1 Laminectomy CT Spine /MRI Spine, X-Ray, - 26650Intra op photos , Post OP scar
photos,Post OP X Ray
529 S10.2.7.1 03.09.2 Laminoplasty With Implants
CT Spine (Cervical, Dorsal,
Lumbar,Sacral) Without Contrast /MRI
Local Area, X-Ray Dorso Lumbar Spine
- 30180 X-Ray Dorso Lumbar Spine
530 S10.2.8 80.51.6 Discectomy CT Spine /MRI Spine, X-Ray, - 26650Intra op photos , Post OP scar
photos,Post OP X Ray
531 S10.2.9 81.00.2 Spinal Fusion Procedure CT Spine /MRI Spine, X-Ray, - 50000Intra op photos , Post OP scar
photos,Post OP X Ray
532 S10.2.10 03.4.2Surgical Management of Intra Medullary Spinal
TumoursCT Spine /MRI Spine - 50000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
533 S10.2.11 03.59.1 Surgical Management of Spina Bifida Major CT Spine /MRI Spine - 35000Intra op photos , Post OP scar
photos,Post OP X Ray
534 S10.2.12 03.59.2 Surgical Management of Spina Bifida Minor CT Spine /MRI Spine - 30000Intra op photos , Post OP scar
photos,Post OP X Ray
S10.3 OTHER SURGERIES/PROCEDURES
535 S10.3.1 93.59 Stereotactic Procedures CT Scan - 20000Intra op photos , Post OP scar
photos
536 S10.3.2 07.62 Trans Sphenoidal Surgery CT Scan - 40000Intra op photos , Post OP scar
photos,Post OP HPE
537 S10.3.3 81.01.1 Trans Oral Surgery CT Scan - 40000Intra op photos , Post OP scar
photos,Post OP HPE
538 S10.3.4 81.01.2Combined Trans-Oral Surgery & Cv Junction
FusionCT Spine /MRI Spine, X-Ray, - 51190
Intra op photos , Post OP scar
photos,Post OP X Ray
539 S10.3.5 81.01.3 C.V. Junction Fusion CT Spine /MRI Spine, X-Ray, - 40000Intra op photos , Post OP scar
photos,Post OP X Ray
S10.4 BRAIN
540 S10.4.1 01.18 Endoscopy Procedures -Brain CT Scan / MRI - 78000Webex video procedure , Post OP
scar photos,Post OP X Ray
541 S10.4.1.1 01.25 De-Compressive Craniectomy (Non Traumatic) CT Scan / MRI - 80000Intra op photos , Post OP scar
photos,Post OP X Ray
542 S10.4.2 01.39 Evacuation of Intra-Cerebral Hematoma CT Scan / MRI - 72000Intra op photos , Post OP scar
photos,Post OP X Ray
543 S10.4.3 02.2 Endoscopic Third Ventriculostomy CT Scan / MRI - 30000Webex video procedure , Post OP
scar photos,Post OP X Ray
S10.5 SPINE
544 S10.5.1 80.51.3 Anterior Discectomy & Bone Grafting Orthopantomography (OPG), MRI, X-Rays - 40000Intra op photos , Post OP scar
photos,Post OP X Ray
545 S10.5.2 80.51.4 Discectomy With Implants Orthopantomography (OPG), MRI, X-Rays - 65000Intra op photos , Post OP scar
photos,Post OP X Ray
546 S10.5.3 80.99 Corpectomy For Spinal Fixation CT/ MRI, X-Rays - 75000Intra op photos , Post OP scar
photos,Post OP X Ray
547 S10.5.4 78.19Spinal Fixation Rods And Plates, Artificial
DiscsCT/ MRI, X-Rays - 85000
Intra op photos , Post OP scar
photos,Post OP X Ray
548 S10.5.5 03.4.3 Surgical Management of Syringomyelia CT/ MRI, X-Rays - 60000Intra op photos , Post OP scar
photos,Post OP X Ray
S10.6 SOFT TISSUE AND VASCULAR SURGERIES
549 S10.6.1 04.5.2 Surgical treatment for brachial plexus injuries MRI, EMG - NCV, Clinical Video - 72000Intra op photos , Post OP scar
photos
550 S10.6.2 05.22 Cervical Sympathectomy EMG , MRI , Nerve conduction study - 30000Intra op photos , Post OP scar
photos,Post OP HPE
551 S10.6.3 05.23.1 Lumbar Sympathectomy EMG , MRI , Nerve conduction study - 30000Intra op photos , Post OP scar
photos,Post OP HPE
552 S10.6.4 04.42.1Decompression/Excision Of Optic Nerve
Lesions MRI - 78000 Intra OP photos
553 S10.6.5 04.76.1 Peripheral Nerve Injury Repair EMG , Nerve conduction study, Clinical
Photos - 40000
Intra op photos , Post OP scar
photos
554 S10.6.6 16.99 Proptosis MRI - 60000Intra op photos , Post OP scar
photos,Post X Ray
S10.7 EPILEPSY SURGERY
555 S10.7.1 01.53.2 Temporal Lobectomy MRI, EEG Psychologic assesment - 75000Intra op photos , Post OP scar
photos,Post X Ray,CT Scan
556 S10.7.2 01.59.6 Lesionectomy Type 1 MRI, EEG Psychologic assesment - 56859Intra op photos , Post OP scar
photos,Post X Ray,CT Scan
557 S10.7.3 01.59.7 Lesionectomy Type 2 MRI, EEG Psychologic assesment - 57040Intra op photos , Post OP scar
photos,Post X Ray,CT Scan
558 S10.7.4 01.53.1 Temporal Lobectomy Plus Depth Electrodes MRI, EEG Psychologic assesment - 140000Intra op photos , Post OP scar
photos,Post X Ray,CT Scan
S10.8MANAGEMENT OF TRIGEMINAL
NEURALGIA
559 S10.8.1 04.2Radiofrequency Ablation For Trigeminal
Neuralgia EMG , Nerve Conduction - 30000
Intra op photos , Post OP scar
photos
560 S10.8.2 04.41Microvascular Decompression For Trigeminal
Neuralgia EMG , Nerve Conduction - 60000
Intra op photos , Post OP scar
photos
S10.9 MANAGEMENT OF ANEYRISMS
561 S10.9.1 39.72.1 Embolization of Aneurysm CT Angio / MRI Angiography - 75000 Color Doppler, Video Webex
562 S10.9.2 39.79.1 Coil Embolization of Aneurysm (each coil cost) CT Angio of Brain/ MRI Angiography - 30000Intra op photos , Post OP scar
photos
S11 SURGICAL ONCOLOGY
S11.1 HEAD & NECK
563 S11.1.1 86.89Composite Resection & Reconstruction - Head
& Neck in malignant conditions
Biopsy , Clinical Photograph , USG , X-
RAY, CT Scan - 65060
Intra op photos , Post OP scar
photos,Post OP HPE
564 S11.1.2 40.4Neck Dissection Any Type in malignant
conditions
Biopsy , Clinical Photograph , USG , X-
RAY, CT Scan - 32500
Intra op photos , Post OP scar
photos,Post OP HPE
565 S11.1.3 25.2.2 Hemiglossectomy in malignant conditions Biopsy , Clinical Photograph , CT Scan - 41260Intra op photos , Post OP scar
photos,Post OP HPE
566 S11.1.4 76.39 Maxillectomy Any Type in malignant conditions Biopsy , Clinical Photograph , USG , X-
RAY, X-Ray PNS/CT PNS - 30770
Intra op photos , Post OP scar
photos,Post OP HPE
567 S11.1.5 06.4.3 Thyroidectomy any type in malignant conditionsFNAC, Clinical Photograph , USG , X-
RAY - 30000
Intra op photos , Post OP scar
photos,Post OP HPE
568 S11.1.6 26.32.1 Parotidectomy any type in malignant conditionsFNAC, Clinical Photograph , USG , X-
RAY - 25000
Intra op photos , Post OP scar
photos,Post OP HPE
569 S11.1.7 30.4.1Laryngectomy Any Type in malignant
conditions
Biopsy , Clinical Photograph , USG , X-
RAY, UGIE/DL scopy - 68180
Intra op photos , Post OP scar
photos,Post OP HPE
570 S11.1.8 30.4.2Laryngopharyngo Oesophagectomy in malignant
conditions
Biopsy , Clinical Photograph , USG , X-
RAY, UGIE - 97000
Intra op photos , Post OP scar
photos,Post OP HPE
571 S11.1.9 76.31 Hemimandibulectomy in malignant conditions Biopsy , Clinical Photograph , USG , X-
RAY, OPG - 37760
Intra op photos , Post OP scar
photos,Post OP HPE
572 S11.1.10 83.49.3 Head and Neck - Wide Excision Biopsy , Clinical Photograph , USG , X-
RAY, CT Scan - 39570
Intra op photos , Post OP scar
photos,Post OP HPE
S11.2 GASTROINTESTINAL TRACT
573 S11.2.1 42.40.2Oesophagectomy Any Type in malignant
conditions Biopsy , CT , Endoscopy , USG - 78000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
574 S11.2.2 43.89 Gastrectomy Any Type in malignant conditions Biopsy , CT , Endoscopy , USG - 50000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
575 S11.2.3 45.7 Colectomy Any Type in malignant conditions Biopsy , CT , Endoscopy ,
USG,CEA(Carcino Embryonic Antigen) - 52000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
576 S11.2.4 48.63.2Anterior Resection of rectum in malignant
conditions Biopsy , CT , Colonoscopy , CEA, USG - 50000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
577 S11.2.5 48.5Abdominoperinial Resection in malignant
conditions Biopsy , CT , Colonoscopy , CEA, USG - 50690
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
578 S11.2.6 52.7 Whipples Any Type In malignant conditions Biopsy , CT , Endoscopy , USG, CA19.9 - 100000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
579 S11.2.7 52.4.1 Triple Bypass -Pancreas in malignant conditions Biopsy , CT , Endoscopy , USG - 60000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
580 S11.2.8 52.96Other Bypasses-Pancreas in malignant
conditions Biopsy , CT , Endoscopy , USG - 50516
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
S11.3 GENITO URINARY SYSTEM
581 S11.3.1 55.5.4 Radical Nephrectomy Biopsy , CT , IVP , KUB , USG - 50000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
582 S11.3.2 57.71.2Open radical cystectomy with Ilealconduit
diversion
CT Scan Lower Abdomen With Contrast-
I32.018, USG Abdomen-I34.006,
Cystoscopy - I59.010, Biopsy I24.022
- 100000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
583 S11.3.3 57.6.2 Other Cystectomies in malignant conditions Biopsy , CT , IVP , KUB , USG - 87640
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
584 S11.3.4 64.3.2 Total Penectomy USG, Clinical Photo - 36670 Intra op photos Post OP scar
photos,Post OP HPE
585 S11.3.5 64.3.1 Partial Penectomy Clinical Photograph, Biopsy, USG - 36670
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
586 S11.3.6 40.24Inguinal Block Dissection One Side in
malignant conditions Clinical Photograph, Biopsy, USG - 29780
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
587 S11.3.7 60.5.3 Radical Prostatectomy in malignant conditions CT , KUB , USG, Biopsy, PSA - 86646
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
588 S11.3.8 62.3.3 High Orchidectomy Biopsy , USG, Tumor Markers - 22000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
589 S11.3.9 62.4 Bilateral Orchidectomy Biopsy , USG, Tumor Markers - 23340
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
590 S11.3.10 64.3 Emasculation in malignant conditions CT Scan , USG, Clinical photo - 40560
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
S11.4 GYNAECOLOGICAL ONCOLOGY
591 S11.4.1 68.49 Hysterectomy in malignant conditions Biopsy , CT Scan , USG - 32500
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
592 S11.4.2 68.6 Radical Hysterectomy in malignant conditions Biopsy , CT Scan , USG - 55660
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
593 S11.4.3 65.0 Surgery For Carcinoma Ovary Early Stage Biopsy , CT Scan , USG - 31760
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
594 S11.4.4 65.6 Surgery For Carcinoma Ovary Advance Stage Biopsy , CT Scan , USG - 52000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
595 S11.4.5 71.5 Vulvectomy in malignant conditions Biopsy , CT Scan , USG - 45860
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
596 S11.4.6 65.4 / 65.6.1Unilateral /BilateralSalpingo Oophorectomy in
malignant conditions(65.6.1)
Biopsy , CT Scan , USG, CA125 -
30000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
S11.5 TUMORS OF THE FEMALE BREAST
597 S11.5.1 85.4 Mastectomy Any Type in malignant conditions Biopsy , Clinical Photograph , FNAC,
Mammography - 30000
Intra op photos , Post OP scar
photos,Post OP HPE
598 S11.5.2 40.51 Axillary Dissection in malignant conditions Biopsy , Clinical Photograph, CXR,
FNAC, USG Abdomen, Mammography - 39226
Intra op photos , Post OP scar
photos,Post OP HPE
599 S11.5.3 85.22.1 Wide Excision - Breast in malignant conditions Biopsy , Clinical Photograph , FNAC,
Mammography - 5150
Intra op photos , Post OP scar
photos,Post OP HPE
600 S11.5.4 85.21 Lumpectomy Biopsy , Clinical Photograph , FNAC,
Mammography - 3090
Intra op photos , Post OP scar
photos,Post OP HPE
601 S11.5.5 85.7.1 Breast Reconstruction Surgery Clinical Photograph - 41830Intra op photos , Post OP scar
photos
602 S11.5.6 34.4.1 Chest wall Resection Biopsy , Clinical Photograph,,X Ray, CT
Chest - 30000
Intra op photos , Post OP scar
photos,Post OP HPE
S11.6 SKIN TUMORS
603 S11.6.1 86.4.1Skin Tumors Wide Excision in malignant
conditions Biopsy , Clinical Photograph - 34450
Intra op photos , Post OP scar
photos,Post OP HPE
604 S11.6.2 86.4.2Skin Tumors wide Excision + Reconstruction in
malignant conditions(86.6/86.7) Biopsy , Clinical Photograph - 40000
Intra op photos , Post OP scar
photos,Post OP HPE
605 S11.6.3 86.9 Skin Tumors amputation in malignant conditions Biopsy , Clinical Photograph - 24380Intra op photos , Post OP scar
photos,Post OP HPE
S11.7 SOFT TISSUE AND BONE TUMORS
606 S11.7.1 83.49.1 Soft Tissue And Bone Tumors Wide ExcisionBiopsy , Clinical Photograph, X-Ray Local
parts CT/MRI - 15000
Intra op photos , Post OP scar
photos,Post OP HPE
607 S11.7.2 83.49.2Soft Tissue And Bone Tumors Wide Excision +
Reconstruction
Biopsy , Clinical Photograph, X-Ray Local
parts CT/MRI - 25000
Intra op photos , Post OP scar
photos,Post OP HPE
608 S11.7.3 77.60.3Bone and Soft TissueTumors Amputation in
malignant conditions(83.49)
Biopsy , Clinical Photograph, X-Ray Local
parts CT/MRI - 24420
Intra op photos , Post OP scar
photos,Post OP HPE
S11.8 LUNG CANCER
609 S11.8.1 32.5.2 Pneumonectomy for Carcinoma Lung Biopsy , CT Scan , X-RAY,
Bronchoscopy - 80286
Intra op photos , Post OP scar
photos,Post OP HPE,Post OPX
Ray
610 S11.8.2 32.4.3 Lobectomy for Carcinoma Lung Biopsy , CT Scan , X-RAY,
Bronchoscopy - 77000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OPX
Ray
611 S11.8.3 34.51 Decortication Biopsy , CT Scan , X-RAY,
Bronchoscopy - 60000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OPX
Ray
S11.8.4SURGICAL CORRECTION OF
BRONCHOPLEURAL FISTULA
612 S11.8.4.1 34.73.1Surgical Correction Of Bronchopleural Fistula.
Thoracoplasty
Biopsy , CT Scan , X-RAY,
Bronchoscopy - 67530
Intra op photos , Post OP scar
photos,Post OP HPE,Post OPX
Ray
613 S11.8.4.2 34.73.3Surgical Correction Of Bronchopleural Fistula.
Myoplasty
Biopsy , CT Scan , X-RAY,
Bronchoscopy - 75150
Intra op photos , Post OP scar
photos,Post OP HPE,Post OPX
Ray
614 S11.8.4.3 34.73.4
Surgical Correction of Bronchopleural Fistula -
Transpleural BPF Closure in malignant
conditions
Biopsy , CT Scan , X-RAY,
Bronchoscopy - 75040
Intra op photos , Post OP scar
photos,Post OP HPE,Post OPX
Ray
S11.9 CA.ORAL CAVITY
615 S11.9.1 76.31.3Marginal Mandibulectomy in malignant
conditions
CT , Orthopantomogram, Bipsy, Clinical
photo - 44120
Intra op photos , Post OP scar
photos,Post OP
HPE,Orthopantomography (OPG)
616 S11.9.2 76.31.4 Segmental Mandibulectomy CTScan , Clinical Photo, Biopsy - 34736
Intra op photos , Post OP scar
photos,Post OP
HPE,Orthopantomography (OPG)
617 S11.9.3 25.3Total Glossectomy + Reconstruction in
malignant conditions(25.59) CTScan , Clinical Photo, Biopsy - 57850
Intra op photos , Post OP scar
photos,Post OP HPE
618 S11.9.4 27.49.2Full Thickness Buccal Mucosal Resection &
Reconstruction in malignant conditions(27.59) CTScan , Clinical Photo, Biopsy - 63310
Intra op photos , Post OP scar
photos,Post OP HPE
S11.10SURGICAL MANAGEMENT OF CA.EYE/
MAXILLA/ PARA NASAL SINUS
619 S11.10.1 16.59 Orbital Exenteration in malignant conditions CT Orbits / MRI Orbits - 42090Intra op photos , Post OP scar
photos,Post OP HPE
620 S11.10.2 16.51Maxillectomy + Orbital Exenteration in
malignant conditions CT Scan, Clinical Photo, Biopsy - 53860
Intra op photos , Post OP scar
photos,Post OP HPE
621 S11.10.3 76.65.1Maxillectomy + Infratemporal Fossa Clearance
in malignant conditions
3D CT Facial Bones-, Biopsy , X-Ray PNS
- I31.031 - 65680
Intra op photos , Post OP scar
photos,Post OP HPE
622 S11.10.4 76.4 Cranio Facial Resection in malignant conditions 3D CT Facial Bones/ MRI Local Area - 91000Intra op photos , Post OP scar
photos,Post OP HPE
S11.11 CA. NASOPHARYNX
623 S11.11.1 29.3.2Resection of Nasopharyngeal Tumor in
malignant conditions
CT of Nose \ Nasopharynx - , Biopsy ,
Clinical Photo - 76600
Intra op photos , Post OP scar
photos,Post OP HPE
S11.12 CA. SOFT PALATE
624 S11.12.1 27.32 Palatectomy any type in malignant conditionsCT Scan Neck / MRI Neck,Biopsy ,
Clinical Photograph - 39786
Intra op photos , Post OP scar
photos,Post OP HPE
S11.13 CA. EAR
625 S11.13.1 18.3 Sleeve Resection of Ear in malignant conditionsCT Scan /MRI Local Area , Biopsy ,
Clinical Photograph - 44310
Intra op photos , Post OP scar
photos,Post OP HPE
626 S11.13.2 76.5.3Resection of Lateral Temporal Bone in
malignant conditions CT Scan/ MRI, Biopsy, Clinical Photo - 68120
Intra op photos , Post OP scar
photos,Post OP HPE
627 S11.13.3 76.5.4Subtotal Resection of Temporal Bone in
malignant conditions CT Scan/ MRI, Biopsy, Clinical Photo - 71970
Intra op photos , Post OP scar
photos,Post OP HPE
628 S11.13.4 76.5.5Total Resection of Temporal Bone in malignant
conditions CT Scan/ MRI, Biopsy, Clinical Photo - 78000
Intra op photos , Post OP scar
photos,Post OP HPE
S11.14 CA. SALIVARY GLAND
629 S11.14.1 26.32.2Excision of Submandibular gland in malignant
conditionsCT Scan Neck,Clinical Photograph, FNAC - 26000
Intra op photos , Post OP scar
photos,Post OP HPE
S11.15 CA. THYROID
630 S11.15.1 31.5Tracheal Resection in malignant conditions(CA.
THYROID) Bronchoscopy , CT, FNAC/BIOPSY - 65000
Intra op photos , Post OP scar
photos,Post OP HPE
S11.16 CA. TRACHEA
631 S11.16.1 34.3.4Superior Mediastinal Dissection+Sternotomy in
malignant conditions(77.31)
CT Scan Chest , Chest X-Ray ,
Bronchoscopy - 60750
Intra op photos , Post OP scar
photos,Post OP HPE
632 S11.16.2 31.5Tracheal Resection in malignant conditions(CA.
TRACHEA)
CT Scan Chest , Chest X-Ray ,
Bronchoscopy - 65000
Intra op photos , Post OP scar
photos,Post OP HPE
S11.17 CA. PARATHYROID
633 S11.17.1 06.8.2 Parathyroidectomy in malignant conditions
USG Neck ,CT Neck ,TC-99 Parathyroid
Scan , Serum Calcium Levels , P.T.H
Assay (Parathyroid Assay)
- 35000Intra op photos , Post OP scar
photos,Post OP HPE
S11.18 CA. GASTRO INTESTINAL TRACT
634 S11.18.1 45.3.1 Small Bowel Resection in malignant conditionsBarium Meal Follow Through-,CT Scan
Abdomen/MRI Abdomen With Contrast - 48000
Intra op photos , Post OP scar
photos,Post OP HPE
635 S11.18.2 46.51.1 Ileostomy Closure in malignant conditions Colonoscopy, Clinical Photo - 25000Intra op photos , Post OP scar
photos,
636 S11.18.3 46.52.1 Colostomy Closure in malignant conditions Colonoscopy, Clinical Photo - 25000Intra op photos , Post OP scar
photos
S11.19 CA. RECTUM
637 S11.19.1 48.52Abdomino Perineal Resection (Apr) +
Sacrectomy in malignant conditions(77.99)
CT, Colonoscopy and Biopsy,
CEA(Carcino Embryonic Antigen) - 60000
USG Abdomen - I34.006,
Routine Histopathological
Examination - I24.018
638 S11.19.2 48.64 Posterior Exenteration for Carcinoma RectumCT, Colonoscopy and Biopsy,
CEA(Carcino Embryonic Antigen) - 60000
Intra op photos , Post OP scar
photos,Post OP HPE
639 S11.19.3 48.69 Total Exenteration for Carcinoma RectumCT, Colonoscopy and Biopsy,
CEA(Carcino Embryonic Antigen) - 98000
Intra op photos , Post OP scar
photos,Post OP HPE
S11.20 CA. GALL BLADDER
640 S11.20.1 51.22Radical Cholecystectomy in malignant
conditionsCT scan , UGIE, FNAC - 78000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
S11.21 SPLEEN
641 S11.21.1 41.5.7 Splenectomy in malignant conditions CT Scan Abdomen,USG Abdomen -, - 42800
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
S11.22SURGICAL MANAGEMENT OF
RETROPERITONEAL TUMOR
642 S11.22.1 54.4Resection Of Retroperitoneal Tumors in
malignant conditions
USG Abdomen, FNAC, CT scan Lower
Abdomen - 60000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
S11.23SURGICAL MANAGEMENT OF
ABDOMINAL WALL TUMOR
643 S11.23.1 54.3.1Abdominal Wall Tumor Resection in malignant
conditions
USG Abdomen, FNAC, CT scan Lower
Abdomen - 52480
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
644 S11.23.2 54.3.3Resection With Reconstruction of Abdominal
wall Tumors in malignant conditions
USG Abdomen, FNAC, CT scan Lower
Abdomen - 59000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
S11.24 GYNAEC CANCERS
645 S11.24.1 40.53Bilateral Pelvic Lymph Node
Dissection(BPLND)- Gynaec cancersCT Pelvis/MRI Pelvis - 51700
Intra op photos , Post OP scar
photos,Post OP HPE
646 S11.24.2 67.4 Radical Trachelectomy in malignant conditions CT scan ,X Ray - 50570Intra op photos , Post OP scar
photos,Post OP HPE
647 S11.24.3 70.4.1 Radical Vaginectomy in malignant conditions CT Scan / MRI - 53120Intra op photos , Post OP scar
photos,Post OP HPE
648 S11.24.4 70.4.2 Radical Vaginectomy + Reconstruction(70.62)CT Scan / MRI -
60550Intra op photos , Post OP scar
photos,Post OP HPE
S11.25 CA. CERVIX
649 S11.25.1 68.69.2
Radical Hysterectomy +Bilateral Pelvic Lymph
Node Dissection (Bplnd) + Bilateral Salpingo
Ophorectomy (Bso) / Ovarian Transposition in
malignant conditions
CT Scan / MRI - 50010
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
650 S11.25.2 68.8.2 Anterior Exenteration - Carcinoma Cervix CT Scan / MRI - 84750
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
651 S11.25.3 68.8.3 Posterior Exenteration - Carcinoma Cervix CT Scan / MRI - 65000
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
652 S11.25.4 68.8.4 Total Pelvic Exenteration - Carcinoma Cervix CT Scan / MRI - 98000
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
653 S11.25.5 68.8.5 Supra Levator Exenteration - Carcinoma Cervix CT Scan / MRI - 90000
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
S11.26 CA. ENDOMETRIUM
654 S11.26.1 68.69.1
Total Abdominal Hysterectomy(Tah) + Bilateral
Salpingo Ophorectomy (Bso) + Bilateral Pelvic
Lymph Node Dissection (Bplnd) +
Omentectomy in malignant conditions
USG Abdomen,CT Scan / MRI - 62140
Intra op photos , Post OP scar
photos,Post OP USG,Post OP
HPE
S11.27SOFT TISSUE /BONE TUMORS . CHEST
WALL
655 S11.27.1 34.4.1Surgical Resection of Soft tissue /Bone tumors
of Chest wall
Biopsy , Clinical Photograph,,X Ray, CT
Chest - 30000
Intra op photos , Post OP scar
photos,Post OP HPE
656 S11.27.2 34.4.2
Surgical Resection and Reconstruction of Soft
tissue /Bone tumors of Chest wall in malignant
conditions
CT Scan Chest With Contrast - I32.011,
Chest X-Ray PA View(1 Film) - I31.005 - 70000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
S11.28SURGICAL MANAGEMENT OF BONE / SOFT
TISSUE TUMORS
657 S11.28.1.1 77.60.11
Surgery (removal) for Bone/Soft tissue tumors-
Without Prosthesis in malignant
conditions(83.49)
Bone Scan , CT-Chest , CT-Local Part ,
MRI, FNAC, Clinical photo - 49170
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
658 S11.28.1.2 77.60.12
Surgery (removal) for Bone / Soft tissue tumors-
With Custom Made Prosthesis in malignant
conditions(83.49+84.40)
Bone Scan , CT-Chest , CT-Local Part ,
MRI, FNAC, Clinical photo - 85510
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
659 S11.28.1.3 77.60.13
Surgery (removal) for Bone / Soft tissue tumors-
With Modular Prosthesis in malignant
conditions(83.49+84.40)
Bone Scan , CT-Chest , CT-Local Part ,
MRI, FNAC, Clinical photo - 98000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
660 S11.28.2 84.09.1 Forequarter Amputation in malignant conditions Bone Scan , CT-Chest , CT-Local Part ,
MRI, FNAC, Clinical photo - 78230
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
661 S11.28.3 84.19.2 Hemipelvectomy in malignant conditions CT Scan, MRI-Pelvis - 78886
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
662 S11.28.4 84.19.3Internal Hemipelvectomy in malignant
conditions CT Scan, MRI-Pelvis - 79640
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
663 S11.28.5 84.56Curettage & Bone Cement in malignant
conditionsBone Scan , CT , MRI, FNAC - 51130
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
664 S11.28.6 77.60.1 Bone Resection in malignant conditions Bone Scan , CT , MRI, FNAC - 42970
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
665 S11.28.7 77.81Shoulder Girdle Resection in malignant
conditionsBone Scan , CT , MRI, FNAC - 55090
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
666 S11.28.8 77.99 Sacral Resection in malignant conditions Bone Scan , CT , MRI, FNAC - 60000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
S11.29 GENITO URINARY CANCER
667 S11.29.1 55.4.2 Open Partial NephrectomyCT Scan , USG Abdomen, FNAC, Isotope
renogram - 40000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
668 S11.29.2 55.51.6
Nephroureterectomy For Transitional Cell
Carcinoma Of Renal Pelvis in malignant
conditions
CT Scan , USG Abdomen, FNAC, Isotope
renogram - 65000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
S11.30 TESTES CANCER
669 S11.30.1 40.59.1
Retro Peritoneal Lymph Node
Dissection(Rplnd) (For Residual Disease) in
malignant conditions
CT-Abdomen + Pelvis , CT-Chest ,
Tumor Markers - 78000
Intra op photos , Post OP scar
photos,Post OP HPE
670 S11.30.2 07.22.2Unilateral Adrenalectomy in malignant
conditions
Adrenal function test,Urinary VMA,
Urinary Metanephrine/Nor
metanephrine,Urinary Catecholamines
,Aldosterone - Urine ,24 hour free
cortisol,USG Abdomen, CT Scan
Abdomen / MRI Abdomen ,
- 65636Intra op photos , Post OP scar
photos,Post OP HPE
671 S11.30.3 56.5Urinary Diversion in malignant
conditions(56.6/56.7)
Biopsy, CT Scan -
63250
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
672 S11.30.4 40.5Retro Peritoneal Lymph Node Dissection Rplnd
As Part Of Staging in malignant conditions CT, Tumor Markers - 40000
Intra op photos , Post OP scar
photos,Post OP HPE
S11.31 CA. URINARY BLADDER
673 S11.31.1 57.79.2Anterior Exenteration (CA. URINARY
BLADDER) CT Scan, Biopsy, Cystoscopy - 60000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
674 S11.31.2 57.79.3Total Exenteration (CA. URINARY
BLADDER) CT Scan, Biopsy, Cystoscopy - 75000
Intra op photos , Post OP scar
photos,Post OP HPE,Post OP
USG
675 S11.31.3 40.53.1Bilateral Pelvic Lymph Node Dissection(Bplnd)
(CA. URINARY BLADDER) CT Scan - 40000
Intra op photos , Post OP scar
photos,Post OP HPE
S11.32 THORACIC AND MEDIASTINUM
676 S11.32.1 34.3.2Resection of mediastinal tumors in malignant
conditionsCT Scan Chest , Chest X-Ray - 63760
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
S11.33 LUNG
677 S11.33.1 32.29.1Solitary Lung Metastatectomy in malignant
conditionsCT Scan Chest /MRI Chest - 69060
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
678 S11.33.2 32.29.2Lung Metastatectomy multiple in malignant
conditionsCT Scan Chest /MRI Chest - 78000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
679 S11.33.3 32.4.1 Sleeve Resection of Lung Cancer Bronchoscopy ,CT Scan Chest /MRI Chest - 108000
Intra op photos , Post OP scar
photos,Post OP X Ray,Post OP
HPE
S11.34 ESOPHAGUS
680 S11.34.1 42.42.2
Oesophagectomy With Two Field
Lymphadenectomy in malignant
conditions(40.59)
CT Scan, UGIE, Biopsy - 117000Intra op photos , Post OP scar
photos,Post OP HPE
681 S11.34.2 42.42.3
Oesophagectomy With Three Field
Lymphadenectomy in malignant
conditions(40.59)
CT Scan, UGIE, Biopsy - 120000Intra op photos , Post OP scar
photos,Post OP HPE
S11.35 PALLIATIVE SURGERIES
682 S11.35.1 31.1 Tracheostomy in malignant conditions Clinical Photograph - 6230Intra op photos , Post OP scar
photos
683 S11.35.2 43.1.2 Gastrostomy in malignant conditions Clinical Photograph, UGIE, Biopsy, USG
Abd - 20000
Intra op photos , Post OP scar
photos
684 S11.35.3 46.32.2 Jejunostomy in malignant conditions Clinical Photograph, UGIE, Biopsy, USG
Abd - 31850
Intra op photos , Post OP scar
photos
685 S11.35.4 46.2.1 Ileostomy in malignant conditionsLower GI Endoscopy ,Clinical Photograph,
Biopsy, USG Abd - 32600
Intra op photos , Post OP scar
photos
686 S11.35.5 46.1.2 Colostomy in malignant conditionsClinical Photograph, Colonoscopy, Biopsy,
USG - 20000
Intra op photos , Post OP scar
photos
687 S11.35.6 57.18 Suprapubic cystostomy Clinical Photograph, USG, - 16990Intra op photos , Post OP scar
photos
688 S11.35.7 34.04Intercostal Drainage(Icd) in malignant
conditions Clinical Photograph, CXR - 3000
Intra op photos , Post OP scar
photos
689 S11.35.8 44.39.1 Gastro Jejunostomy in malignant conditions Clinical Photograph, UGIE, Biopsy, USG
Abd - 50000
Intra op photos , Post OP scar
photos
690 S11.35.9 45.93Ileotransverse Colostomy in malignant
conditions
Clinical Photograph, Colonoscopy, Biopsy,
USG - 60000
Intra op photos , Post OP scar
photos
691 S11.35.10 42.65Substernal Gastric Bypass in malignant
conditions
Clinical Photograph, UGIE, Biopsy, USG
Abd - 49770
Intra op photos , Post OP scar
photos
S11.36 RECONSTRUCTION
692 S11.36.1 86.63Reconstructon with Myocutaneous / Cutaneous
Flap in malignant conditions Clinical Photograph - 35670
Intra op photos , Post OP scar
photos
693 S11.36.2 39.59Micro Vascular Reconstruction in malignant
conditions Clinical Photograph - 45480
Intra op photos , Post OP scar
photos
S12 MEDICAL ONCOLOGY
S12.1 BREAST CANCER
694 S12.1.1 99.25.1Chemotherapy for Breast Cancer with
Adriamycin / Cyclophosphamide (Ac)
CBP, LFT, RFT, HPE, IHC report for ER,
PR, USG abdomen, Chest X-Ray, Bone
Scan ,Alkaline Phosphatase Levels ,Case
sheet with clinical History,Mammogram
- 3600
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
695 S12.1.2 99.25.4Chemotherapy for Breast Cancer with 5-
Fluorouracil A-C (Fac)
CBP, LFT, RFT, HPE, IHC report for ER,
PR, USG abdomen, Chest X-Ray, Bone
Scan ,Alkaline Phosphatase Levels ,Case
sheet with clinical History,Mammogram
- 3600
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
696 S12.1.3 99.25.16Chemotherapy for Breast Cancer with Ac (Ac
Then T)
CBP, LFT, RFT, HPE, IHC report for ER,
PR, USG abdomen, Chest X-Ray, Bone
Scan ,Alkaline Phosphatase Levels ,Case
sheet with clinical History,Mammogram
- 3600
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
697 S12.1.4 99.25.28 Chemotherapy for Breast Cancer with Paclitaxel
CBP, LFT, RFT, HPE, IHC report for ER,
PR, USG abdomen, Chest X-Ray, Bone
Scan ,Alkaline Phosphatase Levels ,Case
sheet with clinical History,Mammogram
- 7000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
698 S12.1.5 99.25.40
Chemotherapy for Breast Cancer with
Cyclophosphamide/ Methotrexate / 5fluorouracil
(Cmf)
CBP, LFT, RFT, HPE, IHC report for ER,
PR, USG abdomen, Chest X-Ray, Bone
Scan ,Alkaline Phosphatase Levels ,Case
sheet with clinical History,Mammogram
- 2000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
699 S12.1.6 99.25.52Chemotherapy for Breast Cancer with
Tamoxifen Tabs
CBP, LFT, RFT, HPE, IHC report for ER,
PR, USG abdomen, Chest X-Ray, Bone
Scan ,Alkaline Phosphatase Levels ,Case
sheet with clinical History,Mammogram
- 500
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
700 S12.1.7 99.25.64Chemotherapy for Breast Cancer with
Aromatase Inhibitors
CBP, LFT, RFT, HPE, IHC report for ER,
PR, USG abdomen, Chest X-Ray, Bone
Scan ,Alkaline Phosphatase Levels ,Case
sheet with clinical History,Mammogram
- 1200
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
701 S12.1.8 99.25.72 Chemotherapy for Breast Cancer with Docetaxel
Routine Histopathological Examination,
Prostate-Specific Antigen (PSA), Estrogen
Receptor/Progesterone Receptor, Chest X-
Ray PA View(1 Film), Chest X-Ray
Lateral View(1 Film), USG local area,
Bone Scan
- 9990 Clinical Photograph
S12.2 CERVICAL CANCER
702 S12.2.1 99.25.73Chemotherapy for Cervical Cancer with Weekly
Cisplatin
CBP, LFT, RFT. U/S abdomen or CT
abdomen, Chest X-Ray, Biopsy, RT chart,
Post op HPE,Case sheet with clinical
History
- 2000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.3 VULVAL CANCER
703 S12.3.1 99.25.12Chemotherapy for Vulval Cancer with
Cisplatin/5-Fu Biopsy, Chest X-Ray, U/S abdomen - 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.4 VAGINAL CANCER
704 S12.4.1 99.25.23Chemotherapy for Vaginal Cancer with
Cisplatin/5-Fu Biopsy , Chest X-Ray, U/S abdomen - 6000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.5 OVARIAN CANCER
705 S12.5.1 99.25.34Chemotherapy for Ovarian cancer with
Carboplatin / Paclitaxel Biopsy , CT , USG, Chest X-Ray - 11000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.6 OVARY- GERM CELL TUMOR
706 S12.6.1 99.25.45
Chemotherapy for Ovarian cancer with Germ
Cell Tumor Bleomycin-Etoposide-Cisplatin
(Bep)
Biopsy , CT , USG, Tumor Markers,
Chest X-Ray - 8000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.7 GESTATIONAL TROPHOBLAST DS.
S12.7.1CHEMOTHERAPY FOR LOW RISK
GESTATIONAL TROPHOBLAST DS.
707 S12.7.1.1 99.25.56Chemotherapy for low risk Gestational
trophoblast DS with Weekly Methotrexate Biopsy , CT , USG, Tumor Markers - 2000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
708 S12.7.1.2 99.25.67Chemotherapy for low risk Gestational
trophoblast DS with Actinomycin Biopsy , CT , USG, Tumor Markers - 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.7.2CHEMOTHERAPY FOR HIGH RISK
GESTATIONAL TROPHOBLAST DS.
709 S12.7.2.1 99.25.78
Chemotherapy for high risk Gestational
trophoblast DS with Etoposide-Methotrexate -
Actinomycin / Cyclophosphamide Vincristine
(Ema-Co)
Biopsy , CT , USG, Tumor Markers - 7000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.8 TESTICULAR CANCER
710 S12.8.1 99.25.83Chemotherapy for Testicular Cancer with
Bleomycin with Etoposide-Cisplatin (Bep)
Biopsy , CT , USG, Tumor Markers,
Chest X-Ray - 8000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.9 PROSTATE CANCER
711 S12.9.1 99.24 Prostate Cancer with Hormonal Therapy Biopsy , USG, PSA - 3710
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.10 BLADDER CANCER
712 S12.10.1 99.25.2Chemotherapy for Bladder Cancer with Weekly
Cisplatin.
CBP, LFT, RFT, CT abdomen, Biopsy,
Chest X-Ray, RT Chest,HPE,Case sheet
with clinical History ,USG Abdomen
- 2000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
713 S12.10.2 99.25.3
Chemotherapy for Bladder Cancer with
Methotrexate Vinblastine Adriamycin
Cyclophosphamide (Mvac)
CBP, LFT, RFT, CT abdomen, Biopsy,
Chest X-Ray, RT Chest,HPE,Case sheet
with clinical History ,USG Abdomen
- 6000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.11LUNG CANCER NON-SMALL CELL LUNG
CANCER
714 S12.11.1 99.25.5Chemotherapy for Non SMAL cell Lung Cancer
with Cisplatin/Etoposide (Iiib)
CBP, LFT, RFT, CECT Chest, HPE,Case
sheet with clinical History - 7000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
715 S12.11.2 99.25.6Chemotherapy for Non SMAL cell Lung Cancer
with Erlotinib
Chest X-Ray PA View(1 Film), USG local
area, CT local area without contrast,
Routine histopathological examination,
Clinical Photograph
- 15000Case Sheet with treatment details,
Clinical Photograph
716 S12.11.3 99.25.9Chemotherapy for Non SMAL cell Lung Cancer
with PEM + Cisplatin
Routine Histopathological Examination,
USG local area, SAlkaline Phosphatase
Levels, Bone Scan, CT local area with
contrast, Clinical Photograph
- 19990 Case Sheet with treatment details
717 S12.11.4 99.25.7Chemotherapy for Non SMAL cell Lung Cancer
with GEFITINIB
Routine Histopathological Examination,
CT scan chest with contrast, USG local
area, Alkaline Phosphatase Levels, Case
sheet with clinical History
- 7080Case Sheet with treatment details,
Clinical Photograph
718 S12.11.5 99.25.8Chemotherapy for Non SMAL cell Lung Cancer
with Paclitaxel /Carboplatin
Routine Histopathological Examination,
CT chest with contrast/CT upper abdomen
with contrast, Fine Needle Aspiration
Cytology (FNAC)/Routine
histopathological examination, Alkaline
Phosphatase Levels
- 9990Case Sheet with treatment details,
Clinical Photograph
S12.12 OESOPHAGEAL CANCER
719 S12.12.1 99.25.10Chemotherapy for Oesophageal Cancer with
Cisplatin/5fu
CBP, LFT, RFT, Upper GI Endoscopy,
CECT Chest & Abdomen, HPE,Case sheet
with clinical History
- 6500
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.13 GASTRIC CANCER
720 S12.13.1 99.25.11Chemotherapy for Gastric Cancer with 5-Fu
Leucovorin (Mcdonald Regimen)
CBP, LFT, RFT, CT scan abdomen, Chest
X-Ray. Upper GI scopy, Endoscopic
Biopsy, Post op HPE,Case sheet with
clinical History
- 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
721 S12.13.2 99.25.13 Chemotherapy for Gastric Cancer with EOX
Routine Histopathological Examination,
CT Scan Abdomen With Contrast, Upper
GI endoscopy, Chest X-Ray PA View(1
Film), Case sheet with clinical History
- 14990Case Sheet with treatment details,
Clinical Photograph
722 S12.13.3 99.25.14Chemotherapy for Gastric Cancer with
Gemcitabine+Oxaliplatin
Routine Histopathological Examination,
CT scan Lower Abdomen Without
Contrast, Chest X-Ray PA View(1 Film)
- 15990Case Sheet with treatment details,
Clinical Photograph
723 S12.13.4 99.25.15Chemotherapy for Gastric Cancer with
Gemcitabine / Cisplatin
Routine Histopathological Examination,
CT scan Lower Abdomen Without
Contrast, Chest X-Ray PA View(1 Film)
- 12000Case Sheet with treatment details,
Clinical Photograph
724 S12.13.5 99.25.17Chemotherapy for Gastric Cancer with
Imatinib(CML)
Routine Histopathological Examination,
Upper GI endoscopy, Chest X-Ray PA
View(1 Film), BCR-ABL1 Transcripts By
Quantitative PCR, Upper GI endoscopy
- 5630Case Sheet with treatment details
, Clinical Photograph
725 S12.13.6 99.25.18 Chemotherapy for Gastric Cancer with Dcf
Routine Histopathological Examination,
CT scan Abdomen With Contrast, Chest X-
Ray PA View(1 Film), Upper GI
endoscopy , Case sheet with clinical
History
- 17990Case Sheet with treatment details,
Clinical Photograph
S12.14 COLORECTAL CANCER
726 S12.14.1 99.25.19Chemotherapy for Colorectal Cancer with
Monthly 5-Fu
CBP, LFT, RFT, CT scan abdomen,
Colonoscopy, Chest X-Ray. Colonoscopic
Biopsy, Post op HPE, CEA, Case sheet
with clinical History
- 5200
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
727 S12.14.2 99.25.20
Chemotherapy for Colorectal Cancer with 5-
Fluorouracil-Oxaliplatin Leucovorin (Folfox)
(Stage III) Only
CBP, LFT, RFT, CT scan abdomen,
Colonoscopy, Chest X-Ray. Colonoscopic
Biopsy, Post op HPE, CEA, Case sheet
with clinical History
- 11500
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
728 S12.14.3 99.25.21Chemotherapy for Colorectal Cancer with
Capecitabine + bevacizumab (metastatic)
Chest X-Ray PA View(1 Film), Colono
Scopy, CEA(Carcino Embryonic Antigen)
125, CT Scan Abdomen With Contrast
Abdomen(Whole)
- 7710Case Sheet with treatment details
, Clinical Photograph
729 S12.14.4 99.25.22
Chemotherapy for Colorectal Cancer with
Capecitabine + Oxalipantia (adjuvant) and
metastatic
Chest X-Ray PA View(1 Film), Colono
Scopy, CEA(Carcino Embryonic Antigen)
125-, CT Scan Abdomen With
ContrastAbdomen(Whole)
- 11990Case Sheet with treatment details,
Clinical Photograph
730 S12.14.5 99.25.24Chemotherapy for Colorectal Cancer with
Capacitabine
Routine Histopathological Examination,
CT Scan Abdomen With Contrast, Chest X-
Ray PA View(1 Film), Colono Scopy,
CEA(Carcino Embryonic Antigen)
- 6990Case Sheet with treatment details,
Clinical Photograph
S12.15 OSTEOSARCOMA/ BONE TUMORS
731 S12.15.1 99.25.25Chemotherapy for Bone Tumors with
Cisplatin/Adriamycin
CBP, LFT, RFT, CT scan/MRI of Bone
lesion, CECT Scan Chest, Biopsy/HPE,
CEA, Case sheet with clinical History
- 7000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.16.1 LYMPHOMA I) HODGKIN DISEASE
732 S12.16.1.1 99.25.26
Chemotherapy for Bone Tumors - Hodgkin
Lymphoma disease with Adriamycin Bleomycin
Vinblastine Dacarbazine (Abvd)
CBP, LFT, RFT, Lymphnode Biopsy &
IHC, Bone marrow Biopsy, CECT - neck,
chest abdomen, Chest X-Ray, USG - neck
abdomen,Case sheet with clinical History
- 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.16.2 LYMPHOMA II) NHL
733 S12.16.2.1 99.25.27
Chemotherapy for Non Hodgkin Lymphoma
with Cyclophosphamide Adriamycin Vincristine
Prednisone (Chop)
CBP, LFT, RFT, Lymphnode Biopsy &
IHC, Bone marrow Biopsy, CECT - neck,
chest abdomen, Chest X-Ray, USG - neck
abdomen,Case sheet with clinical History
- 4500
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
734 S12.16.2.2 99.25.29Chemotherapy for Non Hodgkin Lymphoma
with R - chop
CT Scan Lower Abdomen With Contrast,
CT local Area , CT Scan Neck
(Thyroid,Parathyroid,Softtissues)With
Contrast/ PET Scan BEFORE
TREATMENT AFTER 4 CYCLES, END
OF TREATMENT CT Scan Chest With
Contrast, USG Abdomen, Routine
Histopathological Examination, Bone
Marrow Aspiration,Complete blood
picture(CBP) , LFT(liver function tests),
Renal Profile, IHC
- 44990Case Sheet with treatment details
, Clinical Photograph
S12.17 MULTIPLE MYELOMA
735 S12.17.1 99.25.30Chemotherapy for Multiple Myeloma with
Vincristine, Adriamycin,Dexamethasone(Vad)
CBP, LFT, RFT, Bone marrow, SPE,
Skeletal Survey, Chest X-Ray,SR
PROTEIN ELECTROPHOROSIS,Case
sheet with clinical History
- 4000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
736 S12.17.2 99.25.31Chemotherapy for Multiple Myeloma with
Thalidomide+Dexamethasone(Oral)
CBP, LFT, RFT, Bone marrow, SPE,
Skeletal Survey, Chest X-Ray,SR
PROTEIN ELECTROPHOROSIS,Case
sheet with clinical History
- 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
737 S12.17.3 99.25.32Chemotherapy for Multiple Myeloma with
Melphalan Prednisone (Oral)
CBP, LFT, RFT, Bone marrow, SPE,
Skeletal Survey, Chest X-Ray,SR
PROTEIN ELECTROPHOROSIS,Case
sheet with clinical History
- 4500
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.18 WILMS TUMOR
738 S12.18.1 99.25.33Chemotherapy for Wilms Tumor with Siopwts
Regimen(Stages I-III)
CBP, LFT, RFT, CT abdomen, U/S
abdomen, Chest X-Ray, Bone scan, Bone
marrow, Biopsy, Biopsy, HPE/FNAC,Case
sheet with clinical History
- 7000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.19 HEPATOBLASTOMA- OPERABLE
739 S12.19.1 99.25.35Chemotherapy for Hepatoblastoma operable
with Cisplatin -Adriamycin
CBP, LFT, RFT, CT abdomen, U/S
abdomen, Chest X-Ray, Bone scan, Bone
marrow, Biopsy, Biopsy, HPE/FNAC,Case
sheet with clinical History
- 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
740 S12.19.2 99.25.84Chemotherapy Chemotherapy for
Hepatoblastoma operable with Sorafenib
Alpha Feto Protiens Levels, Routine
Histopathological Examination, LFT(liver
function tests), USG local area
- 9990 Case Sheet with operation Notes
S12.20 CHILDHOOD B CELL LYMPHOMAS
741 S12.20.1 99.25.36Chemotherapy for Childhood B cell Lymphoma
with variable regimen
CBP, LFT, RFT, Bone marrow,
Lymphnode biopsy with IAC, CECT -
neck chest abdomen, U/S abdomen, Chest
X-Ray, U/S neck,Case sheet with clinical
History
- 20000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.21 NEUROBLASTOMA ( STAGES I-III )
742 S12.21.1 99.25.37Chemotherapy for Neuroblastoma (Stages I-III )
with Variable Regimen
CBP, LFT, RFT, CECT chest abdomen
neck, U/S neck, Chest X-Ray, U/S
abdomen, FNAC, Bone scan, Bone
marrow,Case sheet with clinical History
- 10000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
743 S12.21.2 99.25.38Chemotherapy for Neuroblastoma (Stages I-III )
PCV (medulloblastoma)
Routine Histopathological Examination, CT
Scan Head With Contrast, Chest X-Ray PA
View(1 Film), Case sheet with clinical History
- 4990 Case Sheet with operation Notes
S12.22 RETINOBLASTOMA
744 S12.22.1 99.25.39Chemotherapy for Retinoblastoma with
Carbo/Etoposide/Vincristine
CBP, LFT, RFT, CECT Head Orbits, Bone
scan, Bone Marrow, FNAC - 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.23 HISTIOCYTOSIS
745 S12.23.1 99.25.41Chemotherapy for Histiocytosis with Variable
Regimen
CBP, LFT, RFT, CECT Head & Neck,
Chest abd, X-Ray skull, chest U/S
abdomen, Bone scan, Bone marrow,
Biopsy/FNAC
- 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.24 RHABDOMYOSARCOMA
746 S12.24.1 99.25.42
Chemotherapy for Rhabdomyosarcoma with
Vincristine-Actinomycin-
Cyclophosphamide(Vactc) Based Chemo
CBP, LFT, RFT, CECT Head & Neck,
Chest abd, X-Ray skull, chest U/S
abdomen, Bone scan, Bone marrow,
Biopsy/FNAC
- 9000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.25 EWINGS SARCOMA
747 S12.25.1 99.25.43Chemotherapy for Ewings Sarcoma with
Variable Regimen
Biopsy , CT-Scan , U/S abdomen, Bone
scan, Bone marrow - 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.26 ACUTE MYELOID LEUKEMIA
748 S12.26.1 99.25.44Chemotherapy for Acute Myeloid Leukemia
with Induction Phase Heamatology, Bone marrow aspiration - 60000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
749 S12.26.2 99.25.46Chemotherapy for Acute Myeloid Leukemia
with Consolidation PhaseIMA, CBP - 60000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
750 S12.26.3 99.25.47Chemotherapy for Acute Myeloid Leukemia
with Maintenance phase
CBP, BMA Remission Report , PMLRA
Treatment Report - 3000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.27 ACUTE LYMPHOBLASTIC LEUKEMIA
751 S12.27.1.1 99.25.48Chemotherapy for Acute Lymphoblastic
Leukemia with Induction 1st And 2nd Months
CBP, BMA Remission Report, Immuno
pheno typing/ Cytochemistry - 100000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
752 S12.27.1.2 99.25.49Chemotherapy for Acute Lymphoblastic
Leukemia with Induction 3rd, 4th, 5thCBP, BMA Remission Report - 10000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
753 S12.27.1.3 99.25.50Chemotherapy for Acute Lymphoblastic
Leukemia with Induction MaintenanceCBP, BMA Remission Report - 12000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.28 FOR UNLISTED REGIMEN
754 S12.28.1 99.25.51 Palliative Chemotherapy for unlisted Regimen Biopsy , CT , USG, Ascending to type of
malignancy - 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.29ACUTE LYMPHOBLASTIC LEUKEMIA -
FOR TERMINALLY ILL CANCER PATIENT
755 S12.29.1 99.25.53Palliative And Supportive Therapy for
terminally ill cancer patientHPE, CBP, Renal Profile, LFT - 3000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.30 COLO RECTAL CANCER STAGE 2 AND 3
756 S12.30.1 99.25.54
Chemotherapy for Acute Myeloid Leukemia
with Xelox Along With Adjuvant Chemotherapy
Of As-I
CT-Abdomen + Pelvis , Photograph ,
Tissue Biospy, Chest X-Ray or U/S
abdomen
- 12000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.31 MULTIPLE MYELOMA
757 S12.31.1 99.25.55
Chemotherapy for Multiple myeloma with
Zoledronic Acid Along With Adjuvant
Chemotherapy Of As-I
Biopsy , Bone marrow aspiration ,
S.Electrolytes , SPE , Skeltal survey - 3000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
758 S12.31.2 99.25.57Chemotherapy for Multiple myeloma with
Lenalidomide dexa
Bone Marrow Profile/Routine
Histopathological Examination, Bence Jones
Protein In Urine, Protein Electrophoresis,
Renal Profile, Complete Blood Picture [CBP]
- 9990 Case Sheet with operation Notes
759 S12.31.3 99.25.58Chemotherapy for Multiple myeloma with
MPT(myeloma)
Bone Marrow Profile/Routine
Histopathological Examination, Bence
Jones Protein In Urine, Skeletal Survey
Protein Electrophoresis
- 5360 Case Sheet with operation Notes
760 S12.31.4 99.25.59Chemotherapy for Multiple myeloma with
Imatinib (GSIT)USG local area - 6990 Case Sheet with operation Notes
S12.32 FEBRILE NEUTROPENIA
761 S12.32.1 99.25.60
Chemotherapy for Febrile Neutropenia with 1st
Line Iv Antibiotics And Other Supportive
Therapy ( Third Generation Cephalosporin,
Aminoglycoside Etc.,)
Blood Ca/S , Tissue Biospy , X-Ray
Chest,CBP, HPE - 5000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
762 S12.32.2 99.25.61
Chemotherapy for Febrile Neutropenia with 2nd
Line Iv Antibiotics And Other Supportive
Therapy(Carbapenems, Fourth Generation
Cephalosporins, Piperacillin, Anti-Fungal .
Azoles Etc.,)
Blood Ca/S , Tissue Biospy , X-Ray
Chest,CBP, HPE - 40000
Case Sheet with treatment details
,Drip photo, Clinical Photo,
Pharmacy bills
S12.33 CHRONIC LYMPHOID LEUKAMIA
763 S12.33.1 99.25.62Chemotherapy for Chronic lymphoid leukemia
with Benadamustine
Bone Marrow Aspiration, Renal Profile,
Complete Blood Picture [CBP] , LFT(liver
function tests), Abdomen X-Ray (Lateral
View) , USG Abdomen , Immuno pheno
typing
- 16000Clinical Photograph , Case Sheet
with operation Notes
764 S12.33.2 99.25.63Chemotherapy for Chronic lymphoid leukemia
with Chilorambucil
Bone Marrow Aspiration, Renal Profile,
Complete Blood Picture [CBP] , LFT(liver
function tests)\, Immuno pheno typing
- 2990Clinical Photograph , Case Sheet
with operation Notes
765 S12.33.3 99.25.65Chemotherapy for Chronic lymphoid leukemia
with IA
LFT(liver function tests), Routine
Histopathological Examination, CT local
area without contrast, Chest X-Ray PA
View(1 Film), Chest X-Ray Lateral
View(1 Film)
- 10000Clinical Photograph, Case Sheet
with operation Notes
766 S12.33.4 99.25.66Chemotherapy for Chronic lymphoid leukemia
with Imatinib(CML)
Bone Marrow Aspiration/ Routine
Histopathological Examination - 6990
Routine Histopathological
Examination, CT local area
without contrast, USG local area,
Case Sheet with operation Notes
767 S12.33.5 99.25.68Chemotherapy for Chronic lymphoid leukemia
with Sunitinib
LFT(liver function tests), USG local area,
Chest X-Ray PA View(1 Film), Chest X-
Ray Lateral View(1 Film)
- 14990 Clinical Photograph
S12.34 BRAIN TUMORS
768 S12.34.1 99.25.69Chemotherapy With Temozolamide (brain
tumours)
Routine Histopathological Examination, CT
Brain Plain and Contrast /MRI Brain with
contrast
- 10000Clinical Photograph , Case Sheet
with operation Notes
S12.35 OTHERS
769 S12.35.1 99.25.70Chemotherapy With Benadamustin -
RITUXIMAB
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 ,
CT Scan Chest With Contrast/CT Scan
neck(thyroid, para thyroid, soft tissues) with
contrast /CT Scan with Abdomen with contrast
, Renal Profile, Complete Blood Picture [CBP]
- 59990Clinical Photograph , Case Sheet
with operation Notes
770 S12.35.2 99.25.71 Chemotherapy With TIP (GCT 2nd line)
Beta HCG(Human Chorionic Gonadotropin)
Levels, Alpha Feto Protiens Levels, Lactate
Dehydrogenase (LDH), CT Scan Chest With
Contrast, CT Scan with Abdomen with
contrast
- 20000Clinical Photograph , Case Sheet
with operation Notes
771 S12.35.3 99.25.85 Chemotherapy with Capeiri (metastatic)
CT Scan Abdomen Without
Contrast,Routine Histopathological
Examination
- 7710 Case Sheet with operation Notes
772 S12.35.4 99.25.86Chemotherapy with Capeox (adjuvant) and
metastatic
CT Scan Abdomen Without
Contrast,Routine Histopathological
Examination
- 7190 Case Sheet with operation Notes
S13 RADIATION ONCOLOGY
S13.1COBALT 60 EXTERNAL BEAM
RADIOTHERAPY
773 S13.1.1 92.23.1Radical Treatment with Cobalt 60 External
Beam Radiotherapy
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 26000
RT Treatment Charts , Clinical
Photograph, Check Films,
DRR/DVH/TPR - Reports
774 S13.1.2 92.23.2Palliative Treatment with Cobalt 60 External
Beam Radiotherapy
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 13000
RT Treatment Charts , Clinical
Photograph, Check Films,
DRR/DVH/TPR - Reports
775 S13.1.3 92.23.3Adjuvant Treatment with Cobalt 60 External
Beam Radiotherapy
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 15000
RT Treatment Charts , Clinical
Photograph, Check Films,
DRR/DVH/TPR - Reports
S13.2EXTERNAL BEAM RADIOTHERAPY (ON
LINEAR ACCELERATOR)
776 S13.2.1 92.24.1Radical Treatment With Photons External Beam
Radiotherapy (on Linear Accelerator)
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 65000
RT Treatment Charts , Clinical
Photograph, Check Films,
DRR/DVH/TPR - Reports
777 S13.2.2 92.24.2Palliative Treatment With Photons External
Beam Radiotherapy (on Linear Accelerator)
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 26000
RT Treatment Charts , Clinical
Photograph, Check Films,
DRR/DVH/TPR - Reports
778 S13.2.3 92.24.3
Adjuvant Treatment With Photons/Electrons /
(92.25)External Beam Radiotherapy (on Linear
Accelerator)
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 45000
RT Treatment Charts , Clinical
Photograph, Check Films,
DRR/DVH/TPR - Reports
S13.3.1 BRACHYTHERAPY A) INTRACAVITARY
779 S13.3.1.1 92.20.1Brachytherapy Intracavitary I. Ldr Per
Application
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 5850
RT Treatment Charts , Clinical
Photograph
780 S13.3.1.2 92.20.2Brachytherapy Intracavitary II. Hdr Per
Application
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 3250
RT Treatment Charts , Clinical
Photograph, Bladder/Rectal dose
chart
S13.3.2 BRACHYTHERAPY B) INTERSTITIAL
781 S13.3.2.1 92.27.1 Brachytherapy Interstitial I. Ldr Per Application Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 16330
RT Treatment Charts , Clinical
Photograph
782 S13.3.2.2 92.27.2Brachytherapy Interstitial II. Hdr One
Application And Multiple Dose Fractions
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 25000
RT Treatment Charts , Clinical
Photograph, Isodose Chart/DVH
charts
S13.4.1SPECIALIZED RADIATION THERAPY - IMRT
(Intensity modulated radiotherapy)
783 S13.4.1.1 92.29.1
Specialized Radiation therapy- IMRT (Intensity
modulated radiotherapy) Upto 40 Fractions
IMRT In 8 Weeks
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 115700
RT Treatment Charts , CT ,
Tumor Markers , USG,
DVH/DRR/TPR/Isodose charts
S14.4.2SPECIALIZED RADIATION THERAPY - 3DCRT(3-
D conformational radiotherapy)
784 S13.4.2.1 92.29.2
Specialized Radiation therapy - 3DCRT(3-D
conformational radiotherapy)Upto 30 Fractions
3DCRT In 6 Weeks
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 95000
CT , USG,
DVH/DRR/TPR/Isodose charts
S14.4.3 SPECIALIZED RADIATION THERAPY - SRS/SRT
785 S13.4.3.1 92.29.3Specialized Radiation therapy - SRS/SRT Upto
30 Fractions In SRS/SRT 6 Weeks
Biopsy , CT , USG , CXR, Case Sheet
with Clinical History,HPE - 95000
RT Treatment Charts , Tumor
Markers,
DVH/DRR/TPR/Isodose charts
S14 PLASTIC SURGERY
S14.1 PLASTIC REPAIR
786 S14.1.1 27.54.1 Surgical Management Of Cleft Lip Clinical Photograph - 20000
Intraoperative photos including
the face of the patient and scar
photo
787 S14.1.2 27.62 Surgical correction of Cleft Palate Clinical Photograph - 25000
Intraoperative photos including
the face of the patient and scar
photo
788 S14.1.3 27.69Surgical corection of Velo-Pharyngeal
IncompetenceEndoscopy - 35330
Intra op photos, Endoscopy
picture
789 S14.1.4 86.85Surgical Management of Syndactyly of Hand
For Each Hand Clinical Photograph & X-ray of the part - 32746
Intraoperative photos including
the face of the patient and scar
photo
790 S14.1.5 18.71.1Reconstruction or prosthetic appliance for
absent ear Clinical Photograph - 30000
Intraoperative photos including
the face of the patient and scar
photo
791 S14.1.6 76.5.2 Surgery for Tm Joint Ankylosis Clinical Photograph & X-ray of the part - 44540
Intraoperative photos including
the face of the patient and scar
photo
S14.2 BURNS
792 S14.2.1.1 96.5.1 Conservative management of 40% burns Clinical Photographs & Burns chart - 60000Management photos and scar
photos
793 S14.2.1.2 86.28.1 Surgical Management of 40% mixed burns Clinical Photographs & Burns chart - 65000
Skin grafting Intraoperative
photos including the face of the
patient and scar photo
794 S14.2.1.3 96.5.2 Conservative management of 50% burns Clinical Photographs & Burns chart - 120000Management photos and scar
photos
795 S14.2.1.4 86.28.2 Surgical Management of 50% mixed burns Clinical Photographs & Burns chart - 115260
Skin grafting Intraoperative
photos including the face of the
patient and scar photo
796 S14.2.2.1 96.59.5 Conservative management of 60% burns Clinical Photographs & Burns chart - 90525Management photos and scar
photos
797 S14.2.2.2 86.28.3 Surgical Management of 60% mixed burns Clinical Photographs & Burns chart - 133540
Skin grafting Intraoperative
photos including the face of the
patient and scar photo
798 S14.2.2.3 86.28.4Surgical Management of above 60% mixed
burns Clinical Photographs & Burns chart - 131580
Skin grafting Intraoperative
photos including the face of the
patient and scar photo
S14.3
POST BURN CONTRACTURE SURGERIES
FOR FUNCTIONAL
IMPROVEMENT(PACKAGE INCLUDING
SPLINTS, PRESSURE GARMENTS AND
PHYSIOTHERAPY)
799 S14.3.1 83.91.1 Post Burn Contracture Surgeries - Mild Clinical Photograph - 38570
Skin grafting Intraoperative
photos including the face of the
patient and scar photo
800 S14.3.2 83.91.2 Post Burn Contracture Surgeries - Moderate Clinical Photograph - 40596
Skin grafting Intraoperative
photos including the face of the
patient and scar photo
801 S14.3.3 83.91.3 Post Burn Contracture Surgeries - Severe Clinical Photograph - 48000
Skin grafting Intraoperative
photos including the face of the
patient and scar photo
S14.4 PLASTIC SURGERY
802 S14.4 82.48Surgical correction for Congenital Deformity of
Hand (Per Hand)Clinical Photograph and X-ray of the part - 23510
Intraoperative photos including
the face of the patient and scar
photo
803 S14.5 02.01 Surgical correction for Craniosynostosis 3D CT , MRI - 87870
Intraoperative photos including
the face of the patient and scar
photo ,post op 3D CT
804 S14.6 18.79Surgical Correction of anamolies of Ear (cup &
bat ears)Clinical Photographs - 25000
Intraoperative photos including
the face of the patient and scar
photo
805 S14.7 83.99.1Management of electrical burns with vitals
exposed with flap coverClinical Photographs - 50000
Skin grafting Intraoperative
photos including the face of the
patient and scar photo
806 S14.8 86.04 Reduction Surgery For Filarial Lymphoedema Clinical Photographs - 39610
Intraoperative photos including
the face of the patient and scar
photo
807 S14.9 86.81.2 Surgical Correction of Hemifacial Atrophy 3D CT , MRI - 88330
Intraoperative photos including
the face of the patient and scar
photo ,post op 3D CT
808 S14.10 86.81.4 Surgical Correction of hemifacial microsomia 3D CT , MRI - 81010
Intraoperative photos including
the face of the patient and scar
photo
809 S14.11 82.8Surgical Correction of Leprosy Reconstructive
Surgery
Clinical Photographs & nerve conduction
study - 21400
Intraoperative photos including
the face of the patient and scar
photo
810 S14.12 04.3.2Surgical Correction of Nerve and Tendon Repair
+ Vascular Repair (82.4+39.3)
Clinical Photographs , nerve conduction
study report,color doppler of part & X-ray
of the part
- 46790
ntraoperative photos including the
face of the patient and scar photo
& color doppler of the part,and
clinical photographs showing
functional improvement
811 S14.13 76.41.1 Correction of lid retraction Clinical Photograph,ICE pack test with
chin elevation - 25000
Intraoperative photos including
the face of the patient and scar
photo
812 S14.14 76.41Surgical Correction of lid retraction with
Tumour of Mandible And Maxilla
Clinical Photograph,Biopsy,CT or X-ray
of the part,OPG film and report - 58850
post op HPE report,Intraoperative
photos including the face of the
patient and scar photo & X-ray of
the part
813 S14.15 70.62 Reconstructive procedures for vaginal atresia
Clinical Photograph,Ultrasound of the
abdomen and pelvis and gynaec
consultation
- 37450
Intraoperative photos including
the face of the patient and scar
photo & post operative gynaec
assembly by gynaecologist
814 S14.16 39.7 Surgical correction for Vascular malformationsClinical Photograph,color doppler,USG of
the part - 32950
Intraoperative photos including
the face of the patient and scar
photo & post op HPE report and
color doppler
815 S14.17 08.52
Tarsorrhaphy surgery to prevent exposure
keratitis to prevent loss or impairment of vision
especially in facial burns
Clinical Photograph - 10000Clinical Photograph , Case Sheet
with operation Notes
816 S14.18 76.7.2 Panfacial fractures combination with polytrauma3D CT Facial Bones, X-Ray Facial Bones,
Clinical Photograph - 102510 X-Ray Facial Bones
817 S14.19 82.6.1Aplasia / hypoplasia / post traumatic loss of
thumb for reconstruction - conventional surgeryX-Ray , Clinical Photograph - 63540 CT Local Area Without Contrast,
818 S14.20 84.22.2 Reimplantation / revascularization - single digit X-Ray, Clinical Photograph - 83920 X-Ray , Clinical Photograph
819 S14.21 84.22.1Reimplantation / revascularization - multiple
digits per fingerX-Ray, Clinical Photograph - 83920 X-Ray , Clinical Photograph
820 S14.22 86.74.1
Flap cover for trauma of the hand / forearm /
arm / foot / leg / thigh etc., with exposure of
the underlying vital structures like tendons,
nerves, vessels, bone, with or without any
fracture- flap insert
Clinical Photograph - 60000 Clinical Photograph
S15 POLY TRAUMA
S15.1 ORTHOPEDIC TRAUMA
821 S15.1.1 79.0 Surgical Correction Of Longbone Fracture Clinical Photograph, X-Ray - 30000 Intraoperative photos, scar photo
,post OP X Ray
822 S15.1.2 84.91.1 Amputation Surgery X-RAY, Clinical Photos, Doppler - 10000 Intraoperative photos, scar photo
,post OP X Ray
823 S15.1.3 83.6 Management of Soft Tissue Injury Clinical Photograph, X-Ray - 6500 Intraoperative photos, scar photo
S15.2 NEURO-SURGICAL TRAUMA
824 S15.2.1.1 96.59.1Medical Management in General Ward @
Rs.900/-Neuro surgical trauma
CT , X-RAY,Clinical Photograph,Case
sheet with clinical History - 10800
Daily Clinical Photograph , Case
Sheet with Clinical Notes
825 S15.2.1.2 96.7.1Intesive care managementof Neuro Surgical
Trauma in Neuro Icu @Rs.4000/Day
CT , X-RAY,Clinical Photograph,Case
sheet with clinical History - 48000
Daily Clinical Photograph , Case
Sheet with Clinical Notes
826 S15.2.2 05.9Surgical Treatment (Up To) for Neuro Surgical
Trauma
CT , X-RAY,Clinical Photograph,Case
sheet with clinical History - 150000
Daily Clinical Photograph , Case
Sheet with Clinical Notes,Post
OP X-Ray,
S15.3 CHEST INJURIES
827 S15.3.1.1 96.59.2Conservative management for Chest Injuries In
General [email protected]/Day
CT , X-RAY,Clinical Photograph,Case
sheet with clinical History - 5400
Daily Clinical Photograph , Case
Sheet with Clinical Notes
828 S15.3.1.2 93.9.2Intesive care management for Chest injuries in
RICU Rs. 4000/- per day
CT , X-RAY,Clinical Photograph,Case
sheet with clinical History - 35000
Daily Clinical Photograph , Case
Sheet with Clinical Notes
829 S15.3.2 34.71 Surgical Treatment for Chest injuries CT , X-RAY,Clinical Photograph,Case
sheet with clinical History - 28810
Daily Clinical Photograph , Case
Sheet with Clinical Notes,Post
OP X-Ray,
S15.4 ABDOMINAL INJURIES
830 S15.4.1.1 96.59.3Conservative management for Abdominal
Injuries In General [email protected]/Day
CT , USG , X-RAY,Clinical
Photograph,Case sheet with clinical
History
- 5400
Daily Clinical Photograph , Case
Sheet with Clinical Notes,Post
OP USG
831 S15.4.1.2 96.7.2Intensive care management for abdominal
injuries in surgical ICU @ Rs.4000/-
CT , USG , X-RAY,Clinical
Photograph,Case sheet with clinical
History
- 28000
Daily Clinical Photograph , Case
Sheet with Clinical Notes,Post
OP USG
832 S15.4.2 54.7.1 Surgical Management for Abdominal Injuries
CT , USG , X-RAY,Clinical
Photograph,Case sheet with clinical
History
- 75000
Daily Clinical Photograph , Case
Sheet with Clinical Notes,Post
OP USG
S15.5 EMERGENCY ROOM PROCEDURES
833 S15.5.1 31.1 Tracheostomy Clinical Photograph, X-Ray - 6230 Clinical Photograph, X-Ray
834 S15.5.2 34.32 Thoracostomy Clinical Photograph, X-Ray - 10520 Clinical Photograph, X-Ray
S15.6WOUND MANAGEMENT FOR COMPOUND
FRACTURES
835 S15.6.1 79.6.1Surgical Management of Grade I&II Compound
Fractures Clinical Photograph , X-Ray - 15000
Post OP X Ray,Intra OP photos,
Scar Photo
836 S15.6.2 79.6.2Surgical Management of Grade III Compound
Fractures Clinical Photograph , X-Ray - 26000
Post OP X Ray,Intra OP photos,
Scar Photo
837 S15.6.3 79.6.3Surgical Management of wound In Compound
Fracture with Flap cover(86.7) Clinical Photograph , X-Ray - 26000
Post OP X Ray,Intra OP photos,
Scar Photo
S15.7
OTHER SMALL BONE FRACTURES-K-
WIRING (TO BE COVERED ALONG WITH
OTHER INJURIES ONLY AND NOT AS
EXCLUSIVE PROCEDURE)
838 S15.7.1 78.16
Surgical Management of Patella Fracture (To Be
Covered Along With Other Injuries Only And
Not As Exclusive Procedure)
X-Ray - 5000Post OP X Ray,Intra OP photos,
Scar Photo
839 S15.7.2 78.10.3
Surgical management with K-Wiring for Small
bone fractures (To Be Covered Along With
Other Injuries Only And Not As Exclusive
Procedure)
X-Ray - 5000Post OP X Ray,Intra OP photos,
Scar Photo
S15.8SURGICAL MANAGEMENT WITH FACIAL
INJURIES
840 S15.8.1 76.7.1Surgical Management with Facial Bone
Fractures (Facio- Maxillary Injuries)Clinical Photograph , X-Ray Facial Bones - 15000
Post OP X Ray,Intra OP photos,
Scar Photo
S15.9 PELVIC BONE FRACTURE
841 S15.9.1 78.59 Surgical Correction Of Pelvic Bone Fractures. Clinical Photograph , X-Ray - 34900Post OP X Ray,Intra OP photos,
Scar Photo
S16 COCHLEAR IMPLANT SURGERY
S16.1COCHLEAR IMPLANT SURGERY FOR
CHILDREN BELOW 2 YEARS
842 S16.1 20.96 Cochlear Implant Surgery Cochlear committee approval report - 520000 -
S16.2 AUDITORY-VERBAL THERAPY
843 S16.2.1 95.49.7Initial Mapping/Switch On for Auditory - Verbal
Therapy Progress Reports , Mapping Charts - 50000
Progress Reports , Mapping
Charts
844 S16.2.2 95.49.8
Post Switch On Mapping/Initiation Of AVT And
Training Of Child And Mother - First
Installment
Progress Reports , Mapping Charts - 20000 Progress Reports , Mapping
Charts
845 S16.2.3 95.49.3
Post Switch On Mapping/Initiation Of AVT And
Training Of Child And Mother - Second
Installment
Progress Reports , Mapping Charts - 20000 Progress Reports , Mapping
Charts
846 S16.2.4 95.49.4
Post Switch On Mapping/Initiation Of AVT And
Training Of Child And Mother - Third
Installment
Progress Reports , Mapping Charts - 20000 Progress Reports , Mapping
Charts
847 S16.2.5 95.49.5
Post Switch On Mapping/Initiation Of AVT And
Training Of Child And Mother - Fourth
Installment
Progress Reports , Mapping Charts - 20000 Progress Reports , Mapping
Charts
S16.3 HEARING IMPAIRED
848 S16.3.1 20.95Behind Ear Analogue Hearing Aid for Hearing
impaired Audiometry - 10000 Clinical Photograph
S17 PROSTHESES
S17.1.1 SYMES PROSTHESES
849 S17.1.1.1 84.40.1SYMES Prostheses - High Density
Ppolyethylene (HDP) / Polypropylene (PP)
Clinical Photograph,X-Ray - 1000
Clinical Photograph,X-Ray
850 S17.1.1.2 84.40.2 SYMES Prostheses - Fibre Clinical Photograph,X-Ray - 1200 Clinical Photograph,X-Ray
851 S17.1.1.3 84.40.3 SYMES Prostheses - Modular Clinical Photograph,X-Ray - 1500 Clinical Photograph,X-Ray
S17.1.2 BELOW KNEE(BK/PTB) PROSTHESES
852 S17.1.2.1 84.46.1
Below Knee/ Petellar Tendon Bearing - High
Density Ppolyethylene (HDP) / Polypropylene
(PP)
Clinical Photograph,X-Ray -
1200
Clinical Photograph,X-Ray
853 S17.1.2.2 84.46.2 Below Knee/Petellar Tendon Bearing - Fibre Clinical Photograph,X-Ray - 1500 Clinical Photograph,X-Ray
854 S17.1.2.3 84.46.3 Below Knee/Petellar Tendon Bearing - Modular Clinical Photograph,X-Ray - 3000 Clinical Photograph,X-Ray
S17.1.3 THROUGH KNEE PROSTHESES
855 S17.1.3.1 84.47.1Through Knee - High Density Ppolyethylene
(HDP) / Polypropylene (PP)
Clinical Photograph,X-Ray - 1500
Clinical Photograph,X-Ray
856 S17.1.3.2 84.47.2 Through Knee - Fibre Clinical Photograph,X-Ray - 1800 Clinical Photograph,X-Ray
857 S17.1.3.3 84.47.3 Through Knee - Modular Clinical Photograph,X-Ray - 3500 Clinical Photograph,X-Ray
S17.1.4 ABOVE KNEE(AK) PROSTHESES
858 S17.1.4.1 84.45.1Above Knee - High Density Ppolyethylene
(HDP) / Polypropylene (PP)
Clinical Photograph,X-Ray - 1500
Clinical Photograph,X-Ray
859 S17.1.4.2 84.45.2 Above Knee - Fibre Clinical Photograph,X-Ray - 1800 Clinical Photograph,X-Ray
860 S17.1.4.3 84.45.3 Above Knee - Modular Clinical Photograph,X-Ray - 3500 Clinical Photograph,X-Ray
861 S17.1.5.1 84.47.4 Hip disarticulation prostheses - Hdp/Pp Clinical Photograph,X-Ray - 2500 Clinical Photograph,X-Ray
862 S17.1.5.2 84.47.5 Hip disarticulation prostheses - Fibre Clinical Photograph,X-Ray - 3000 Clinical Photograph,X-Ray
863 S17.1.5.3 84.47.6 Hip disarticulation prostheses - Modular Clinical Photograph,X-Ray - 6000 Clinical Photograph,X-Ray
864 S17.1.5.4 84.45.4 Above Knee - Partial Foot Prostheses Clinical Photograph,X-Ray - 500 Clinical Photograph,X-Ray
S17.2 UPPERLIMB
865 S17.2.1.1 84.41.1Upper Limb - High Density Ppolyethylene
(HDP) / Polypropylene (PP)
Clinical Photograph,X-Ray - 1500
Clinical Photograph,X-Ray
866 S17.2.1.2 84.41.2 Upper Limb - Fibre Clinical Photograph,X-Ray - 1800 Clinical Photograph,X-Ray
867 S17.2.1.3 84.41.3 Upper Limb - Modular Clinical Photograph,X-Ray - 3500 Clinical Photograph,X-Ray
S17.2.2 ABOVE ELBOW PROTHESES
868 S17.2.2.1 84.44.1Above Elbow - High Density Ppolyethylene
(HDP) / Polypropylene (PP)
Clinical Photograph,X-Ray - 1500
Clinical Photograph,X-Ray
869 S17.2.2.2 84.44.2 Above Elbow - Fibre Clinical Photograph,X-Ray - 2000 Clinical Photograph,X-Ray
870 S17.2.2.3 84.44.3 Above Elbow - Modular Clinical Photograph,X-Ray - 4000 Clinical Photograph,X-Ray
S17.2.3 WHOLE UPPERLIMB PROSHESES
871 S17.2.3.1 84.43.1Whole Upper Limb - High Density
Ppolyethylene (HDP) / Polypropylene (PP)
Clinical Photograph,X-Ray - 1000
Clinical Photograph,X-Ray
872 S17.2.3.2 84.43.2 Whole Upper Limb - Fibre Clinical Photograph,X-Ray - 1200 Clinical Photograph,X-Ray
873 S17.2.3.3 84.43.3 Whole Upper Limb - Modular Clinical Photograph,X-Ray - 1500 Clinical Photograph,X-Ray
M1 CRITICAL CARE
874 M1.1 J46Medical Management of Acute Severe Asthma
With Acute Respiratory Failure
ABG , Serum IgE , Spirometry , clinical
photo intubated with ventilator, CBP, ESR,
RBS, S.Electrolytes, RFT, Chest X-Ray
film & Report, sputum/ET culture if
required
Asthma Guide lines - GINA
/India, Ventilatory Care 50000
ABG, Case Sheet with treatment
details
875 M1.2 J44.0Medical Management of COPD with
Respiratory Failure (Infective Exacerbation)
Blood gases , HRCT Chest, Chest X-Ray
and report , ventilator when necessary,
CBP, ESR, RBS, S.Electrolytes, RFT,
sputum/ET culture with sensitivity
report,ICU Photo on Ventilator,ABG
According to International
Guide lines, Ventilatory Care 80000
ABG , other lab investigation,
PFT, 2D ECHO, FOB, CBP,
ESR, Sputum for AFB, Case
sheet with clinical improvement
876 M1.3 J20.0Medical Management of Acute Bronchitis with
Pneumonia and Respiratory Failure
Clinical photo HRCT, Chest X-Ray film
with report, sputum AFB, FOB , ICU
Photo on Ventilator
IP 10 days, Inhalers, LABA,
Ventilatory Care 60000
ABG , CBP, ESR, sputum AFB,
other lab investigation, Case sheet
with clinical improvement
877 M1.4 J80.A Medical Management of ARDS
Clinical photo,HRCT Scan , FOB ,
SputumC/S , Ventilator, Chest X-Ray film
and report, 2D ECHO, FIO2/ pa O2 ratio
Antimicrobials, MICU, O2,
Ventilatory Care 100000
ABG , CBP, ESR, sputum AFB,
other lab investigation, Case sheet
with clinical improvement
878 M1.5 J80.BMedical Management of ARDS with Multi
Organ failure (R65.1)
ABGS , Clinical photoHRCT Scan , FOB
, SputumC/S, , Ventilator, Chest X-Ray
film and report, 2D ECHO, FIO2/ pa O2
ratio
Antimicrobials, MICU, O2,
Ventilatory Care 115000
ABG , CBP, ESR, sputum AFB,
other lab investigation, Case sheet
with clinical improvement
879 M1.6 J80.CMedical Management of ARDS with DIC
(Blood and Blood Products) (D65)
ABGS , Clinical photoHRCT Scan , FOB
, SputumC/S , Ventilator, Chest X-Ray
film and report, 2D ECHO, FIO2/ pa O2
ratio
Cryo precipitate, FFP,
Ventilatory Care 140000
ABG , CBP, ESR, sputum AFB,
other lab investigation, Case sheet
with clinical improvement
880 M1.7 T63Medical Management of Poisioning Requiring
Ventilatory Assistance
Clinical photo ,Renal chemistry
Drug/Poison level in blood,Blood gases ,
Intubation , Ventilatory assistance,ABG
MICU, O2, Ventilatory Care,
atropine 50000
ABG , CBP, ESR, other lab
investigation, Case sheet with
clinical improvement
881 M1.8 R57.2 Intensive care management of Septic Shock
Blood Culture , Blood gases , Clinical
phot Renal Chemistry , Intubation , USG ,
Urine Culture , Ventilatory assistance
Antimicrobials, MICU, O2,
Ventilatory Care and other
supportive measures
60000
ABG , CBP, ESR, other lab
investigation, Case sheet with
clinical improvement
M2 GENERAL MEDICINE
882 M2.1 D69.5Medical Management of Thrombocytopenia
With Bleeding Diathesis
Aspiration / BiopsyReport , Bone Marrow
, Leptospira , PT APTT , Parasite F / V ,
Platelet count , Report and Clinical photo
Factor -VIII, IV fluids, PRP,
SDPIV - IgIV antimicrobials 30000
ABG , CBP, ESR, other lab
investigation, Case sheet with
clinical improvement
883 M2.2.1 D66Medical Management of Hemophilia
(D67/D68.0)Factor VIII / IX , PT APTT , Webex - Factor -VIII, IV-FPP 60000
Case sheet with clinical
improvement ,Lab Investigations
884 M2.2.2 D69.9Medical Management of Other Coagulation
DisordersFactor VIII & IX, Von willi brands factor
Factor - VIII -
Cryoprecipitate, IV FFP 44000
Case sheet with clinical
improvement ,Lab Investigations
885 M2.3 D56.1Medical Management of Chelation Therapy For
Thalassemia Major
Ferritin , Heamatocrit , Heamogram ,
Peripheral Smear , S.Iron , Serum Chelation Theraphy 15000
Case sheet with clinical
improvement ,Lab Investigations
886 M2.4 B50.0 Medical Management of Cerebral Malaria
Cerebrospinal Fluid (CSF) Analysis Cell
Count, Parasite F Test and Quantitative
Buffy Coat (QBC), CBP, CT-Scan Brain
,LFT, Renal Profile
Blood and Platelet
Transfusion, IV antibiotics, IV
fluids, Mefloquine, Oral
Chloroquine or IV quinine or
IV artesunate, Paracetamol,
Ventilatiory Support
25000
Case sheet with clinical
improvement, Serial ABGs,
S.Electrolytes, CT Scan
Brain, Clinical and Lab
Investigations
887 M2.5 A17.0 Medical Management of TB MeningitisX-Ray PA View, CSFADA Analysis ,
Sputum for AFB , LFT-,CT Scan Brain
Anticonvulsants (Midazolam
or Lorazepam, Phenobarbitone
or Phenytoin), Antitubercular
theraphy, IV Mannitol, IV
antibiotics, IV dexamethasone
and oral steroids, IV fluids,
Mechanical Ventilatory
support, Naso gastric feeds,
Paracetamol
30000Case sheet with clinical
improvement ,Lab Investigations
888 M2.6 T63.0Medical Management of Snake Bite Requiring
Ventilator Support
CBP, RFT, PT/INR, APTT BT/CT, ABG 8
hrly (3-day X 7-days) , Blood Sugar 4 hrly
, CT Scan Brain , EEG
Anticonvulsants
(Inj.Lorazepam,
Inj.Phenobarbitone,
Inj.Phenytoin), Antisnake
Venom, IV fluids,
Inj.Meropenem,
Inj.Midazolam infusion,
Inj.Vancomycin,
Inotropes(Dobutamine,
Dopamine, Adrenaline,
Noradrenaline), Mechanical
Ventilation, Oxygen
60000
Case sheet with clinical
improvement ,Lab Investigations
,Serial ABG
889 M2.7 T63.2.AMedical Management of Scorpion Sting
Requiring Ventilator Support
ABG 8 hrly (3-day X 7-days) , Arterial
Blood Pressure , Blood Sugar 8 hrly , CVP
monitoring , ECG , 2D ECHO
Antiscorption Venom, IV
fluids, Inj.Meropenem,
Inj.Midazolam infusion,
Inj.Vancomycin,
Inotropes(Dobutamine,
Dopamine, Adrenaline,
Noradrenaline), Mechanical
Ventilation, Oxygen
25000
Case sheet with clinical
improvement ,Lab Investigations
,Serial ABG
890 M2.8 R40.2Medical Management of Metabolic Coma
Requiring Ventilatory Support
S.Electrolytes, ABG , Arterial Blood
Pressure , Blood Sugar , Blood Urea , CVP
monitoring , ECG , Echo , S.Creatininine ,
Thyroid Profile,Serum Ammonia
Levels,Urine ketone bodies,CSF
Analysis,ICU Photo on Ventilator
Adrenaline, Antiscorption
Venom, Dobutamine,
Dopamine, IV antibiotics, IV
fluids, Inj.Midazolam infusion,
Mechanical Ventilation,
Noradrenaline, Oxygen,
Sodium Nitroprusside
35000
Case sheet with clinical
improvement ,Lab Investigations
,Serial ABG
891 M2.9 A91Medical Management of Dengue Haemorrhagic
Fever
Complete Blood Picture [CBP] ,Platelet
Count ,CUE (pH , Specific Gravity , Sugar
, Protein And Microscopy) , Renal profile ,
LFT(liver function tests) , ICU Photo on
Ventilator
Antibiotics, IV fluids, Platelet
transfusion 35000
Platelet Count , PCV, Dengue
Serology ,Stool For Microscopy,
Case Sheet with treatment details
M3 INFECTIOUS DISEASES
892 M3.1 A35 Medical Management of Severe TetanusABG, Skin Swab For Culture &
Sensitivity, ICU Photo on Ventilator
MEDICAL, Tracheostomy,
ventilator 27970
Clinical Photograph, Serial
ABGs, Lab Investigations
893 M3.2 A36.AMedical Management of Complicated
Diphtheria
ECG-5 times , Throat swab for c/s-3 times
, Urine for ketone bodies
MEDICAL, Tracheostomy,
ventilator 26800
Case sheet with clinical
improvement ,Lab Investigations
894 M3.3 B45.1Medical Management of Cryptococcal
Meningitis
Cryptococcal antigen , CSF analysis,
HIV,, CT-Scan Brain Amphoterecin B, Fluconazole 29800
Case sheet with clinical
improvement ,Lab Investigations
M4 PEDIATRICS
M4.1 NEONATAL INTENSIVE CARE
895 M4.1.1 P22.0.B
Medical management of term Baby With
Septicemia Culture Positive,Hyperbili rubinemia
Not requiring Ventilatory support.
Lumbar Puncture CSF analysis ,
Neurosonogram, CRP, S.Bilerubin, Blood
culture
25 % dextrose, Calcium
gluconate, Fluconazole, IV
antibiotics -Meropenem -
500mg, Maintenance IV Fluids
- Isolyte P, Nasogastric tube
feeds, Phototherapy,
Tobramycin -80mg
35000Case sheet with clinical
improvement ,Lab Investigations
896 M4.1.2 P22.0.D
Medical Management of Preterm Baby 33 To 34
Weeks with Severe Hyaline Membrane Disease
Clinically evident septicemia
Hyperbilirubinemia requiring Bubble Cpap.
2D ECHO , Neurosonogram(NSG)
3,CSFanalysis, ABG,Chest X-Ray PA
View, Serum Bilirubin Levels - , Blood
Culture & Sensitivity - Automated ,
Aspirate Culture (Tracheal )
25 % dextrose, Aminoven,
Calcium gluconate, Heparin,
IV antibiotics (Piperacillin
Tazobactum-1, Tobramycin -
80 mg), Midazolam,
Nasogastric tube feeds,
Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen
60000Case sheet with clinical
improvement ,Lab Investigations
897 M4.1.3 P22.0.D
Medical Management of pre term baby of 33 To
34 Weeks with Severe Hyaline Membrane
Disease Clinically evident septicemia
Hyperbilirubinemia requiring ventilatory
support.
2D ECHO , Neurosonogram(NSG)
3,CSFanalysis, ABG,Chest X-Ray PA
View, Serum Bilirubin Levels - , Blood
Culture & Sensitivity - Automated ,
Aspirate Culture (Tracheal )
25 % dextrose, Aminoven,
Calcium gluconate, FFP,
Heparin, IV antibiotics
(Piperacillin Tazobactum-1,
Tobramycin - 80 mg),
Maintenance IV Fluids -
Isolyte P, Mechanical
ventilation, Midazolam,
Nasogastric tube feeds, PRBC,
PRP, Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen
60000Case sheet with clinical
improvement ,Lab Investigations
898 M4.1.4 P22.0.B
Medicalmanagement of Preterm baby of 35 To
36 Weeks with Mild Hyaline Membrane Disease
septicemia Culture Positive Hyperbilirubinem ia
not requiring ventilatory support.
2D ECHO , Neurosonogram(NSG)
3,CSFanalysis, Chest X-Ray PA View,
Serum Bilirubin Levels - , Blood Culture
& Sensitivity - Automated , Aspirate
Culture (Tracheal )
25 % dextrose, Calcium
gluconate, Fluconazole, IV
antibiotics -Meropenem -
500mg, Maintenance IV Fluids
- Isolyte P, Nasogastric tube
feeds, Phototherapy,
Supplemental Oxygen,
Tobramycin -80mg
35000Case sheet with clinical
improvement ,Lab Investigations
899 M4.1.5 P22.0.A
Medicalmanagement of Preterm baby of 33 To
34 Weeks with Mild Hyaline Membrane Disease
septicemia Culture Positive Hyperbilirubinem ia
not requiring ventilatory support.
2D ECHO , Neurosonogram(NSG)
3,CSFanalysis, ABG, Chest X-Ray PA
View, Serum Bilirubin Levels - , Blood
Culture & Sensitivity - Automated ,
Aspirate Culture (Tracheal )
25 % dextrose, Calcium
gluconate, FFP, Fluconazole,
IV antibiotics -Meropenem -
500mg, Maintenance IV Fluids
- Isolyte P, Nasogastric tube
feeds, PRBC, PRP,
Phototherapy, Supplemental
Oxygen, Tobramycin -80mg
35000Case sheet with clinical
improvement ,Lab Investigations
900 M4.1.6 P22.0.D
Medical management of Preterm baby of 33 To
34 Weeks with severe Hyaline Membrane
Disease septicemia Culture Positive
Hyperbilirubinem requiring ventilatory support/
bubble Cpap.
2D ECHO , Neurosonogram(NSG)
3,CSFanalysis, ABG, Chest X-Ray PA
View, Serum Bilirubin Levels - , Blood
Culture & Sensitivity - Automated ,
Aspirate Culture (Tracheal )
25 % dextrose, Aminoven,
Calcium gluconate,
Dobutamine, Dopamine, FFP,
Fluconazole, Heparin, IV
antibiotics -Meropenem -
500mg, Maintenance IV Fluids
- Isolyte P, Mechanical
ventilation, Nasogastric tube
feeds, Normal saline, PRBC,
PRP, Phototherapy,
Supplemental Oxygen,
Surfactant therapy - Neosurf,
Tobramycin -80mg,
Vecuronium
60000Case sheet with clinical
improvement ,Lab Investigations
901 M4.1.7 P22.0.D
Medical management of Preterm baby of 30 To
32 Weeks with severe Hyaline Membrane
Disease septicemia Culture Positive
Hyperbilirubinem ia requiring Mechanical
ventilatory support.
2D ECHO , Neurosonogram(NSG)
3,CSFanalysis, ABG, Chest X-Ray PA
View, Serum Bilirubin Levels - , Blood
Culture & Sensitivity - Automated ,
Aspirate Culture (Tracheal )
25 % dextrose, Aminoven,
Calcium gluconate,
Dobutamine, Dopamine, FFP,
Heparin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Mechanical
ventilation, Midazolam,
Nasogastric tube feeds, PRBC,
PRP, Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen,
Surfactant therapy - Neosurf,
Vecuronium
60000Case sheet with clinical
improvement ,Lab Investigations
902 M4.1.8 P22.0.E
Medical management of Preterm baby of<30
Weeks with severe Hyaline Membrane Disease
septicemia Culture PositiveHyperbilirubinem ia
requiring Mechanical ventilatory support.
2D ECHO , Neurosonogram(NSG)4
,CSFanalysis, ABG, Chest X-Ray PA
View, Serum Bilirubin Levels - , Blood
Culture & Sensitivity - Automated ,
Aspirate Culture (Tracheal )
25 % dextrose, Aminoven,
Calcium gluconate,
Dobutamine, Dopamine, FFP,
Heparin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Mechanical
ventilation, Midazolam,
Nasogastric tube feeds,
Normal saline, PRBC, PRP,
Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen,
Surfactant therapy - Neosurf,
Vecuronium
90000Case sheet with clinical
improvement ,Lab Investigations
903 M4.1.9 P22.0.D
Medical management of Preterm baby of 33 To
34 Weeks with severe Hyaline Membrane
Disease septicemia Culture Positive
Hyperbilirubinem ia Patent Ductus Arteriosus-
requiring Mechanical ventilatory support.
2D ECHO , Neurosonogram(NSG)4
,CSFanalysis, ABG, Chest X-Ray PA
View, Serum Bilirubin Levels - , Blood
Culture & Sensitivity - Automated ,
Aspirate Culture (Tracheal )
25 % dextrose, Aminoven,
Calcium gluconate,
Dobutamine, Dopamine, FFP,
Frusemide, Heparin, IV
antibiotics (Meropenem -
500mg , Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Mechanical
ventilation, Midazolam,
Nasogastric tube feeds,
Normal saline, PRBC, PRP,
Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen,
Surfactant therapy - Neosurf,
Vecuronium
60000Case sheet with clinical
improvement ,Lab Investigations
904 M4.1.10 P22.0.D
Medical management of pre-term Baby of 30 To
32 Weeks Septi cemia Ductus Arteriosus -
requiring Mechanical Ventilation.
2D ECHO -TWICE , Neurosonogram on
day 2 and 5, X-Ray chest, Ventilator
photo, CRP, ABG, CSF analysis, TSB
Blood culture
25 % dextrose, Aminoven,
Calcium gluconate,
Dobutamine, Dopamine, FFP,
Frusemide, Heparin, IV
antibiotics (Meropenem -
500mg , Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Mechanical
ventilation, Midazolam,
Nasogastric tube feeds, PRBC,
PRP, Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen,
Surfactant therapy - Neosurf,
Vecuronium
60000Case sheet with clinical
improvement ,Lab Investigations
905 M4.1.11 P22.0.E
Medical management of pre-term Baby of <30
Weeks Severe Hyaline Membrane Disease Septi
cemia Culture Positive,Hyperbili rubinemia
Patent Ductus Arteriosus -requiring Mechanical
Ventilation.
2D ECHO -TWICE , Neurosonogram on
day 2 and 5, X-Ray chest, Ventilator
photo, CRP, ABG, CSF analysis, TSB
Blood culture
25 % dextrose, Aminoven,
Calcium gluconate,
Dobutamine, Dopamine, FFP,
Frusemide, Heparin, IV
antibiotics (Meropenem -
500mg , Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Mechanical
ventilation, Midazolam,
Nasogastric tube feeds,
Normal saline, PRBC, PRP,
Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen,
Surfactant therapy - Neosurf,
Vecuronium
90000Case sheet with clinical
improvement ,Lab Investigations
906 M4.1.12 P22.0.C
Medical Management of Term Baby With
Persistent Pulmonary Hypertension Ventilation-
Hfo Hyperbilirubinem ia Clinically evident
septicemia.
2D ECHO - 4 , Neurosonogram 2
25 % dextrose, Aminoven,
Calcium gluconate,
Dobutamine, Dopamine, FFP,
Frusemide, Heparin, IV
antibiotics (Meropenem -
500mg , Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Mechanical
ventilation, Midazolam,
Nasogastric tube feeds,
Normal saline, PRBC, PRP,
Phototherapy-Umbilical
venous and arterial lines,
Sodium bicarbonate,
Supplemental Oxygen,
Surfactant therapy - Neosurf,
Vecuronium
50000Case sheet with clinical
improvement ,Lab Investigations
907 M4.1.13 P22.0.B
Medical Management of Term Baby With
Severe Perinatal Asphyxia Clinically evident
septicemia, Hyperbilirubinem ia - Not requiring
Ventilatory support.
BERA CSF analysis(LP) , CT-Scan ,
Neurosonogram 2
25 % dextrose, Calcium
gluconate, IV Phenobarbitone,
IV Phenytoin, IV antibiotics
(Piperacillin Tazobactum,
Tobramycin - 80 mg ),
Maintenance IV Fluids -
Isolyte P, Midazolam,
Nasogastric tube feeds,
Normal saline, Phisiotherapy,
Supplemental Oxygen
35000Case sheet with clinical
improvement ,Lab Investigations
908 M4.1.14 P22.0.C
Medical Management of Term Baby With
Severe Perinatal Asphyxia Clinically evident
septicemia, Hyperbilirubinemia - requiring
Ventilatory support.
BERA CSF analysis(LP) , CT-Scan ,
Neurosonogram 3
25 % dextrose, Aminoven,
Calcium gluconate,
Dobutamine, Dopamine, FFP,
Heparin, IV Phenobarbitone,
IV Phenytoin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Midazolam,
Nasogastric tube feeds,
Normal saline, PRBC, PRP,
Phisiotherapy, Phototherapy-
Umbilical venous and arterial
lines, Supplemental Oxygen,
Vecuronium
50000Case sheet with clinical
improvement ,Lab Investigations
909 M4.1.15 P22.0.B
Medical Management of Term Baby Severe
Hyperbilirubinemia Clinically evident
Septicemia.
Neurosonogram
Whole blood, 25 % dextrose,
Calcium gluconate, Double
surface Phototherapy, Double
volume exchange transfusion,
IV antibiotics (Piperacillin
Tazobactum, Tobramycin - 80
mg ), Maintenance IV Fluids -
Isolyte P, Nasogastric tube
feeds
35000Case sheet with clinical
improvement ,Lab Investigations
910 M4.1.16 P22.0.CMedical management of Seizures in term baby
requiring ventilatory support.
Blood ammonia , CT-Scan , Lumbar
Puncture CSF analysis , Metabolilc
screening-blood and urine ABG ,
Neurosonogram , Ultra sound of abdomin ,
lactate
25 % dextrose, Aminoven,
Calcium gluconate,
Dobutamine, Dopamine, FFP,
Heparin, IV Phenobarbitone,
IV Phenytoin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Mechanical
ventilation, Midazolam,
Nasogastric tube feeds, PRBC,
PRP, Phisiotherapy,
Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen
50000Case sheet with clinical
improvement ,Lab Investigations
911 M4.1.17 P22.0.B
Medical Management of Necrotising
Enterocolitis, Clinically evident Septicemia,
Hyperbilirubinem ia not requiring ventilatory
support.
Abdomen radiograph, , LFT ,
Neurosonogram , Stool for occult blood ,
Ultra sound of abdomin
Metronidazole, 25 %
dextrose, Albumin, Aminoven,
Calcium gluconate, Central
line, Heparin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Nasogastric tube
feeds, Normal saline,
Phototherapy, Total parenteral
nutrition
35000Case sheet with clinical
improvement ,Lab Investigations
912 M4.1.18 P22.0.C
Medical Management of Term Baby, Fulminant
septicemia Culture Positive with Septic Shock,
Hyperbilirubinem ia Renal Failure requiring
ventilatory support.
2D ECHO , Abdomen radiograph, ,
BERA CSF analysis(LP) , LFT ,
Neurosonogram , Stool for occult blood ,
Ultra sound of abdomin
25 % dextrose, Adrenaline,
Albumin, Aminoven, Calcium
gluconate, Dobutamine,
Dopamine, FFP, Frusemide,
Heparin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -
80mgFluconazole),
Maintenance IV Fluids -
Isolyte P, Midazolam,
Nasogastric tube feeds,
Nonadrenaline, Normal saline,
PRBC, PRP, Peritoneal
dialysis, Phototherapy-
Umbilical venous and arterial
lines, Sodium bicarbonate,
Supplemental Oxygen, Total
parenteral nutrition,
Vecuronium
50000Case sheet with clinical
improvement ,Lab Investigations
M4.2 PEDIATRIC INTENSIVE CARE
M4.2.1 RESPIRATORY
913 M4.2.1.1 P22.9.AMedical management of Severe
Bronchiolitis(Non Ventilated)
ABG OD , Clinical Photograph,Chest X
Ray
Budesonide, IV fluids, Inj.
Ceftriaxone, Inj.
Hydrocortisone, Oxygen,
Salbutamol
15000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
914 M4.2.1.2 P22.9.BMedical Management of Severe
Bronchiolitis(Ventilated)
ABG 8th hrly , Clinical Photograph,Chest
X Ray, ICU Photo on Ventilator
Budesonide, IV fluids, Inj.
Amikacin, Inj. Methyl
prednisolone, Inj. Midazolam
Infusion ., Inj. Pipracillin
Tazobactum, Oxygen,
Salbutamol, nebulisations
20000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
915 M4.2.1.3 P22.9.AMedical Management of Severe
Bronchopneumon ia(Non Ventilated)
ABG OD , Clinical Photograph,Chest X
Ray Oxygen 15000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
916 M4.2.1.4 P22.9.BMedical Management of Severe
Bronchopneumon ia(Ventilated)
ABG 8th hrly , Clinical Photograph,Chest
X Ray , ICU Photo on Ventilator
Budesonide, IV fluids, Inj.
Amikacin, Inj. Midazolam
Infusion ., Inj. Pipracillin
Tazobactum, Mechanical
ventilation, Oxygen,
Salbutamol, nebulisations
20000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
917 M4.2.1.5 P22.9.BMedical Management of Acute Severe Asthma
(Ventilated)
ABG 8th hrly , Clinical Photograph,Chest
X Ray, ICU Photo on Ventilator
Budesonide, IV fluids, Inj.
Amikacin, Inj. Midazolam
Infusion ., Inj. Pipracillin
Tazobactum, Mechanical
ventilation, Oxygen,
Salbutamol, nebulisations
20000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
918 M4.2.1.6 P22.9.AMedical Management of Severe Aspiration
Pneumonia (Non Ventilated)
ABG OD , Clinical Photograph,Chest X
Ray
IV fluids, Inj. Amikacin, Inj.
Pipracillin Tazobactum,
Oxygen, Salbutamol,
nebulisations
15000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
919 M4.2.1.7 P22.9.BMedical Management of Severe Aspiration
Pneumonia ( Ventilated)
ABG 8th hrly , Clinical Photograph,Chest
X Ray, ICU Photo on Ventilator
IV fluids, Inj. Amikacin, Inj.
Midazolam Infusion ., Inj.
Pipracillin Tazobactum,
Mechanical ventilation,
Oxygen, Salbutamol,
nebulisations
20000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
920 M4.2.1.8 J80.BMedical Management of ARDS With Multi-
Organ Failure
ABGS , Clinical Photo , FOB , HRCT
Scan , Sputum C-S , Ventilator
Antimicrobials, MICU, O2,
Ventilatiory Care 115000
Case sheet with clinical
improvement ,Lab
Investigations, ABG
921 M4.2.1.9 J80.CMedical Management of ARDS Plus DIC
(Blood & Blood Products)
ABGS , Clinical Photo , FOB , HRCT
Scan , Sputum C-S , Ventilator
Cryp Precipitate, FFP,
Ventilatiory Care 140000
Case sheet with clinical
improvement ,Lab
Investigations, ABG
922 M4.2.2.1 I40Medical Management of Severe Myocarditis in
Paediatric patient
Holter/24 Hr ECG (Monitering) - ,
Arterial Blood Gas Analysis (ABG) - 12
Hrly, 2D ECHO ,Chest X Ray
IV fluids, Inj. Adrenaline, Inj.
Amikacin, Inj. Lasix, Inj.
Midazolam Infusion ., Inj.
Pipracillin Tazobactum,
Mechanical ventilation,
Oxygen, Syp. Digoxin, T.
Captopril, T.lasilactone, inj.
Milrinone, inj.Dobutamine,
inj.Dopamine, inotropes
40000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
923 M4.2.2.2 Q24.9.B
Medical Management of Congenital Heart
Disease With Infection (Non Ventilated) in
Paediatric patient
2D ECHO , Sepsis profile-I12.008, Blood
Culture & Sensitivity - Automated, C-
Reactive Protein, Pulse Oxymetry Chart
IV fluids, Inj. Ceftriaxone,
Oxygen, inj.Dobutamine,
inj.Dopamine, inj.Tobramycin
25000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
924 M4.2.2.3 Q24.9.C
Medical Management of Congenital Heart
Disease With Infection And Cardiogenic Shock
(Ventilated) in Paediatric patients
ABG 8th hrly, Blood Culture & Sensitivity
- Automated-, ECG, 2D ECHO , Serum
Electrolytes Serum Calcium , Serum
Magnesium, ICU Photo on Ventilator
Adrenaline, Dobutamine,
Dopamine, IV fluids, Inj.
Midazolam, Inj. Vancomycin,
Mechanical ventilation X,
Nonadrenaline, Oxygen, inj.
Meropenem, inotropes,
milirinone
50000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
925 M4.2.2.4 R57.0.AMedical Management of Cardiogenic Shock in
Paediatric patients
ABG 8th hrly, ECG, 2D ECHO , Serum
Electrolytes Serum Calcium , Serum
Magnesium, ICU Photo on Ventilator
Adrenaline, Dobutamine,
Dopamine, IV fluids,
Nonadrenaline, Oxygen, inj.
Meropenem, inotropes,
milirinone
50000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
926 M4.2.2.5 I33.0 Medical Management of Infective Endocarditis
2D ECHO , Sepsis profile-I12.008, Blood
Culture & Sensitivity - Automated, C-
Reactive Protein, Pulse Oxymetry Chart
Adrenaline, Dobutamine,
Dopamine, IV fluids, Inj.
Midazolam, Low molecular
weight Heparin, Mechanical
ventilation, Nonadrenaline,
Oxygen, inj. Meropenem,
inj.Heparin, inotropes,
milirinone
25000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
927 M4.2.2.6 I05Medical Management of Rheumatic heart
disease in Paediatric patient
ECHO Cardiogram , Anti-Streptolysin O
(ASO) Titres , Erythrocyte Sedimentation
Rate (ESR) , CUE (pH , Specific Gravity ,
Sugar , Protein And Microscopy) , Blood
Culture & Sensitivity - Automated , Chest
X Ray , ECG (Electro Cardiogram) ,
Complete Blood Picture [CBP] , Throat
Swab For KLB , Anti Nuclear Anti Body
(ANA) Indirect Immunofluorescence (IIF)
/Anti Nuclear Anti Body (ANA) Titres
Inj Procain pencillin,
Antipuretics, Steroid,
Lasix/Dijoxil if CCF
15000Chest X-Ray PA View(1 Film),
Case Sheet with treatment details
928 M4.2.3.1 G04.2.AMedical Management of Meningo- Encephalitis
(Non Ventilated)
Sepsis profile , CSF Analysis.CT-Scan
Brain EEG , Blood Culture & Sensitivity -
Automatedplete Blood Picture [CBP]
I23.014, Serum Electrolytes , Serum
Magnesium Levels, Serum Calcium Levels
Anticonvulsants, IV fluids,
Inj. Midazolam Infusion ., Inj.
Vancomycin, Oxygen,
inj.Acyclovir, inj.Lorazapem,
inj.Phenibarbitone,
inj.Phenytoin, inj.cefepime
40000Case sheet with clinical
improvement ,Lab Investigations
929 M4.2.3.2 G04.2.BMedical Management of Meningo- Encephalitis
in Paediatric patients (Ventilated)
Sepsis profile , CSF Analysis.CT-Scan
Brain EEG , Blood Culture & Sensitivity -
Automatedplete Blood Picture [CBP]
I23.014, Serum Electrolytes , Serum
Magnesium Levels, Serum Calcium
Levels,ABG 8th hrly, ICU Photo on
Ventilator
Anticonvulsants, IV fluids,
Inj. Midazolam Infusion ., Inj.
Vancomycin, Oxygen,
inj.Acyclovir, inj.Lorazapem,
inj.Phenibarbitone,
inj.Phenytoin, inj.cefepime
60000
Case sheet with clinical
improvement ,Lab
Investigations, ABG
930 M4.2.3.3 G41 Medical Management of Status Epilepticus
CSF Analysis.CT-Scan Brain EEG , Serum
Electrolytes , Serum Magnesium Levels,
Serum Calcium Levels,ABG 8th hrly
Anticonvulsants, IV fluids,
Inj. Midazolam Infusion ., Inj.
Vancomycin, Mechanical
ventilation, Oxygen,
inj.Acyclovir, inj.Lorazapem,
inj.Phenibarbitone,
inj.Phenytoin, inj.cefepime
21510
Case sheet with clinical
improvement ,Lab
Investigations, ABG
931 M4.2.3.4 R56.0
Medical Management of Febrile Seizures
(Atypical- Mechanical Ventilated) in Paediatric
patients
CSF Analysis.CT-Scan Brain EEG , Serum
Electrolytes , Serum Magnesium Levels,
Serum Calcium Levels,ABG 8th hrly ,
Temperature Chart , ICU Photo on
Ventilator
Anticonvulsants, IV fluids,
Inj. Amikacin, Inj. Midazolam
Infusion ., Mechanical
ventilation, Oxygen,
inj.Lorazapem,
inj.Phenibarbitone,
inj.Phenytoin, inj.cefepime
25000
Case sheet with clinical
improvement ,Lab
Investigations, ABG
932 M4.2.3.5 I62.9Medical Management of Intra Cranial Bleed in
Paediatric patient
ABG 8th hrly , Blood sugar 4 hrly , CT
Brain ,Carotid doppler
Adrenaline, Anticonvulsants,
IV fluids, Inj. Midazolam
Infusion ., Mechanical
ventilation, Nonadrenaline,
Oxygen, inj. Meropenem,
inj.Calcium, inj.Dobutamine,
inj.Dopamine, inj.Lorazapem,
inj.Phenibarbitone,
inj.Phenytoin, inj.Tobramycin,
inotropes, milirinone
50000
Case sheet with clinical
improvement ,Lab
Investigations, ABG
933 M4.2.4.1 K92.2.AMedical Management of Acute Gastro Intestinal
Bleed in Paediatric patients
ABG OD,Upper GI Endoscopy , USG
abdomen
Antibiotics (Inj. Ceftriaxone ,
Inj. Ofloxacin, Inj. Amikacin),
Dobutamine, Dopamine, IV
fluids, Inj. Midazolam Infusion
., Mechanical ventilation,
Oxygen, endoscopic
sclerotherapy, inotropes
25000
Case sheet with clinical
improvement ,Lab
Investigations, ABG
934 M4.2.4.2 K85.AMedical management of Acute Pancreatitis
(Mild) in pediatric patients
S.Amylase+ Lypase, ABG, CT-Scan ,
USG abdomen
Adrenaline, Antibiotics ( Inj.
Meropenem , Inj.
Vancomycin), Dobutamine,
Dopamine, IV fluids, Inj.
Midazolam Infusion ., Insulin,
Mechanical ventilation,
Nonadrenaline, Oxygen, TPN,
inj.Calcium, inotropes,
milirinone
50000
Case sheet with clinical
improvement ,Lab
Investigations, ABG,Sr Amylase,
Lypase
935 M4.2.4.3 K72.0.AMedical Management of Acute Hepatitis With
Hepatic Encephalopathy in Paediatric patient
LFT, CT , ABG 8th hrly , Blood sugar 4
hrly , CT-Scan , Hepatic viral studies (
Hepatitis B, Hepatitis C, Hepatitis A) ,
USG abdomen,Serum Ammonia Levels
Inj. N- Acetyl Cystein,
Adrenaline,
Antibiotic(inj.Meropenem),
Anticonvulsants, IV fluids, Inj.
L-ornathine, Inj. Midazolam
Infusion ., L- Carnitine,
Mechanical ventilation,
Nonadrenaline, Oxygen,
inj.Calcium, inj.Dobutamine,
inj.Dopamine, inj.Lorazapem,
inj.Phenibarbitone,
inj.Phenytoin, inotropes,
milirinone
50000
Case sheet with clinical
improvement ,Lab
Investigations, ABG,
936 M4.2.5.1 N17.9.A Medical Management of Acute Renal Failure
CBP, S.Electrolytes, PH and bicorbonate,
ECG for hyperkalemia and X-Ray for
cardiac enlargement, ABG 8th hrly , Blood
Urea cum Serum Creatinine 4 hrly , USG
abdomen
Antibiotics(inj.Meropenem,inj
.ofloxacin), Dobutamine,
Dopamine, IV fluids, Inj.
Midazolam Infusion .,
Mechanical ventilation,
Oxygen, Peritoneal dialysis,
inj.Calcium, inotropes
20000
Case sheet with clinical
improvement ,Lab
Investigations, ABG,
937 M4.2.6.1 E10.1Medical Management of Diabetic Ketoacidosis
in Paediatric patient
ABG 8 hrly , , Blood sugar 4 hrly , Serum
Electrolytes, CVP monitoring, csf, chest X-
Ray
Calcium, Dobutamine,
Dopamine, IV antibiotics
(Piperacillin Tazobactum,
Tobramycin - 80 mg ), IV
fluids, Oxygen, inotropes,
insulin infusion
30000
Case sheet with clinical
improvement ,Lab
Investigations, ABG,
938 M4.2.7.1 R57.2 Medical management of Septic shock
ABG 8 hrly, ECG, CT Brain, X-Ray chest,
Blood culture, CRP, ECHO , EEG , USG
abdomen, Blood sugar 4th hour
Adrenaline, Anticonvulsants,
Dobutamine, Dopamine, IV
fluids, Inj. Midazolam Infusion
., Inj. Vancomycin,
Mechanical ventilation,
Nonadrenaline, Oxygen, TPN,
inj. Meropenem,
inj.Lorazapem,
inj.Phenibarbitone,
inj.Phenytoin, inotropes,
milirinone
60000
Case sheet with clinical
improvement ,Lab
Investigations, ABG,
939 M4.2.8.1 T63.0Medical Management of Snake Bite Requiring
Ventilatory Assistance
BT CT, platelet count, HB%, Urea, ABG
4 hrly (3/day X 4 days) , ABG 8 hrly
(3/day X 4 days) , CT Brain , ECHO ,
EEG, ICU Photo on Ventilator
Adrenaline, Anticonvulsants,
Dobutamine, Dopamine, IV
fluids, Inj. Midazolam Infusion
., Inj. Vancomycin,
Mechanical ventilation,
Nonadrenaline, Oxygen,
antisnake Venom, inj.
Meropenem,
inj.Phenibarbitone,
inj.Phenytoin, inotropes
60000
Case sheet with clinical
improvement ,Lab
Investigations, ABG,
940 M4.2.8.2 T63.2.B
Medical Management of Scorpion Sting With
Myocarditis And Cardiogenic Shock Requiring
Ventilatory Assistance in Paediatric patients
ABG 8 hrly (3/day X 4 days) , Blood
sugar 8 hrly , CVP monitoring , ECG ,
ECHO , ICU Photo on Ventilator ,Serum
Electrolytes
Adrenaline, Antiscorpion
Venom, Dobutamine,
Dopamine, IV fluids, Inj.
Midazolam Infusion ., Inj.
Vancomycin, Mechanical
ventilation, Nonadrenaline,
Oxygen, Sodium nitroprusside,
inj. Meropenem, inotropes
40000
Case sheet with clinical
improvement ,Lab
Investigations, ABG,
941 M4.2.8.3 T65.9
Medical Management of Poison Ingestion/
Aspiration Requiring Ventilatory Assistance in
Paediatric patients
Blood sugar 8 hrly , CVP monitoring ,
ABG 8 hrly (3/day X 4 days) , ECG ,
ECHO , arterial blood pressure, ICU Photo
on Ventilator
Dobutamine, Dopamine, IV
fluids, Inj. Midazolam Infusion
., Mechanical ventilation,
Oxygen, Specific antidote,
inotropes
40000
Case sheet with clinical
improvement ,Lab
Investigations, ABG,
M4.3MEDICAL MANAGEMENT OF GENERAL
PEDIATRICS
942 M4.3.1 J18.0.A
Medical Management of Acute Broncho Lobar
pneumonia With Empyema/ Pleural Effusion in
Paediatric patients(J18.1/J43/J90)
Rapid AFB Culture, Chest X-Ray, Blood
Culture & Sensitivity - Automated, LFT, C-
Reactive Protein, Fluid analysis culture
and sensitivity
IV Antibiotics (Amoxycillin
clavulanate or ceftriaxone ,
Amikacin ,vancomycin),
Mechanical ventilation if
required and oral antibiotics,
Anti tubercular drugs after
discharge, IV fluids, Oxygen,
chest physiotherapy
25000
Case sheet with clinical
improvement ,Lab
Investigations, Chest X Ray
943 M4.3.2 J18.0.B
Medical Management of Acute Broncho Lobar
pneumonia With Pyo Pneumothorax in
Paediatric patient(J18.1/J86/J93)
Rapid AFB Culture, Chest X-Ray, Blood
Culture & Sensitivity - Automated, LFT, C-
Reactive Protein, Fluid analysis culture
and sensitivity
Mechanical ventilation if
required and oral antibiotics,
Anti tubercular drugs after
discharge, ICD chest drain, IV
antibiotics, IV fluids, Oxygen,
chest physiotherapy,
nebulisations
20000
Case sheet with clinical
improvement ,Lab
Investigations, Chest X Ray
944 M4.3.3.2 N39.0.B
Medical Management of Urinary Tract Infection
With Complications Like Pyelonephritis And
Renal Failure in Paediatric patient(N13.617.9)
MCUG ( Micturating cysto urethrogram),
Urine for Culture and Sensitivity,
Ultrasound , Renal Profile
Amikacin and ofloxacin
paracetamol, Dialysis, IV
Antibiotics (Amoxycillin
clavulanate or ceftriaxone ,
Amikacin ,vancomycin), IV
fluids, oral antibiotics
(Amoxycillin clavulanate or
Cefixime)
14160
Urine Culture & Sensitivity-Case
sheet with clinical improvement
,Lab Investigations
945 M4.4.1 Q24.9.A
Medical Management of Congenital Heart
Disease With Congestive Cardiac Failure in
Paediatric patients
ECG , 2D ECHO, Chest X-Ray
Digoxin, IV Antibiotics
(Ceftriaxone , Amikacin or
ofloxacin), IV fluids,
Mechanical ventilation,
Oxygen, diuretics,
nebulisations
15000
Case sheet with clinical
improvement ,Lab
Investigations, Chest X Ray,2D
ECHO , ECG
946 M4.4.2 I50.9.DMedical Management of Acquired Heart
Disease With Congestive Cardiac FailureECG , 2D ECHO, Chest X-Ray
Ace inihibitors, Digoxin, IV
Antibiotics (Ceftriaxone ,
Amikacin or ofloxacin), IV
fluids, Mechanical ventilation,
Oxygen, diuretics,
nebulisations
15000
Case sheet with clinical
improvement ,Lab
Investigations, Chest X Ray,2D
ECHO , ECG
947 M4.4.3 I41.1Medical Management of Viral Myocarditis in
Paediatric patient
ECG , 2D ECHO, Chest X-Ray , Blood
Culture & Sensitivity
IV Antibiotics (Ceftriaxone ,
Amikacin or ofloxacin), IV
fluids, Oxygen, diuretics,
inotropes, steroids
20000
Case sheet with clinical
improvement ,Lab
Investigations, Chest X Ray,2D
ECHO , ECG
948 M4.5.1 N04.A
Medical Management of Steroid Resistant
Nephrotic Syndrome Complicated Or Resistant
in Paediatric patients
Renal Biopsy, Urine Culture & Sensitivity,
Renal Profil, 24 Hrs Urinary Protein
Antihypertensives, IV
Antibiotics (Ceftriaxone ,
Amikacin or ofloxacin),
Immunosuppressives ., ascitic
tap, diuretics, pleural tap
25000
Case sheet with clinical
improvement ,Renal profile,Post
OP HPE
949 M4.5.3 N17.9.AMedical Management of Acute Renal Failure in
Paediatric patient
Collagen vascular profile , Complement
levels c1 , c3, , RFT , Serum Electrolytes ,
Antibiotics,
Antihypertensives, Haemo
dialysis, Peritoneal dialysis,
Supportive management,
diuretics
20000Case sheet with clinical
improvement ,Renal profile
950 M4.5.4 N17.9.DMedical Management of Acute Renal Failure
With Dialysis in Paediatric patients
Collagen vascular profile , Complement
levels c1 , c3, , RFT , Serum Electrolytes ,
Antibiotics,
Antihypertensives, Haemo
dialysis, Peritoneal dialysis,
Supportive management,
diuretics
20000Case sheet with clinical
improvement ,Renal profile
951 M4.6.1 D56.1Medical Management of Thalassemia Major
Requiring Chelation Therapy
Hb electrophoresis , Osmotic fragility test
, Serum Ferritin
Blood transfusion., Chelating
Agents, IV fluids 15000
Case sheet with clinical
improvement ,Lab investigations
952 M4.6.2 D68.0Medical Management of Haemophillia Including
Von Willibrands disease in Paediatric patients
Factor VIII & IX, VWF I,Prothrombin
Time , Activated Partial Thrombo Plastin
Time (APTT)
Blood and Blood products,
Factor concentrate 20000
Case sheet with clinical
improvement ,Lab investigations
953 M4.6.3 D64.9.AMedical Management of Anemia Of Unknown
Cause
Hemoglobin Electrophoresis - ,Bone
Marrow Aspiration, Hemogram Iron
studies
Bloods transfusion,
Hemantinics etc, IV fluids 10000
Case sheet with clinical
improvement ,Lab investigations
954 M4.6.4 D59.1Medical Management of Auto immune
hemolytic anemia in Paediatric patient
Coomb s Test Direct, Bone Marrow
Aspiration ,Serum Bilirubin Levels ,
Platelet Count , Complete Blood Picture
[CBP] , Reticulocyte Count , Blood
Grouping And RH Typing ,Anti Nuclear
Anti Body (ANA) Titres, Double Stranded
(DS) DNA
Blood/Blood product
trasfusion, steroids, IVIG,
Cyclosporise A or Dinazole
14990Complete Blood Picture [CBP],
Case Sheet with treatment details
955 M4.7.1 G00.9 Medical Management of Pyogenic Meningitis CT-Scan , Lumbar Puncture CSF analysis,
Hemogram, Iron studies, Bone marrow
IV dexamethasone for below 5
yr old children,
Anticonvulsants (midazolam
or lorazepam, Phenobarbitone
or Phenytoin), IV antibiotics
(Amoxycillin clavulanate
,ceftriaxone , Amikacin or
ofloxacin,vancomycin), IV
fluids, Paracetamol,
Ventilatory Support
27980
Case sheet with clinical
improvement, Repeat CSF, X-
Ray chest, Blood C/S
956 M4.7.2 A17.AMedical Management of Neuro Tuberculosis in
Paediatric patient
Brain CSF ADA analysis , CT-Scan, Blood
C/S, X-Ray chest, CT scan , Acid-Fast
Bacilli (AFB) Staining-
IVMannitol, Anticonvulsants
(midazolam or lorazepam,
Phenobarbitone or Phenytoin),
IV antibiotics, IV
dexamethasone and oral
steroids, IV fluids, Nasogastric
tube feeds, Paracetamol, anti
tubercular therapy, ventilatory
support
15000Case sheet with clinical
improvement, Repeat CSF
957 M4.7.3 A17.BMedical Management of Neuro Tuberculosis
With Ventilation in Paediatric patient
Brain CSF ADA analysis , CT-Scan, Blood
C/S, X-Ray chest, CT scan , Acid-Fast
Bacilli (AFB) Staining-Montoux test, ABG
IVMannitol, Anticonvulsants
(midazolam or lorazepam,
Phenobarbitone or Phenytoin),
IV antibiotics, IV
dexamethasone and oral
steroids, IV fluids, Nasogastric
tube feeds, Paracetamol, anti
tubercular therapy, mechanical
ventilation SUPPORT
25000Case sheet with clinical
improvement, lab investigation
958 M4.7.4 A01.BMedical Management of Enteric Fever
Complicated in Paediatric patient
Blood Culture & Sensitivity - Automated,
USG Abdomen, Widal Test-, Temperature
Chart -
Paracetamol, followed by oral
antibiotics ( Cefixime,
Ofloxacin), IV antibiotics
ceftriaxone, Amikacin ,
ofloxacin, IV fluids
10733Case sheet with clinical
improvement, lab investigation
959 M4.7.5 B50.0Medical Management of Cerebral Malaria
(Falciparum)
Lumbar Puncture CSF analysis , Parasite
F Test and QBC
IV antibiotics ceftriaxone,
Amikacin , ofloxacin, IV
artesunate, IV artesunate, IV
fluids, IV quinine, Mechanical
ventilation, Oral chloroquine,
blood and platelet transfusion,
mefloquine
25000Case sheet with clinical
improvement, lab investigation
960 M4.7.6 A36.BMedical Management of Diphtheria in
Paediatric patient
ECG (Electro Cardiogram) -3Times,
Throat Swab For KLB -3 Times, ECHO
Cardiogram ,Chest X-Ray PA View(1
Film) ,Renal Profile
Diph Anti toxin, Anti pyrelits,
IV fluids, Blood transfusion, in
CCF dijoxin, inj
Pencillin.Erithromycin
15000Case sheet with clinical
improvement
961 M4.8.1 G41.9
Medical Management of Convulsive
Disorders/Status Epilepticus (Fits)in Paediatric
patient
CSF analysis,EEG ,CT-Scan Brain ,
Serum Electrolytes, Serum Magnesium
Levels , Serum Calcium Levels , Serum
Phosphorus Levels
Anticonvulsants, IV fluids,
Oxygen, ventilator 10000
Case sheet with clinical
improvement, lab investigation
962 M4.8.2 G46Medical Management of Stroke Syndrome in
Paediatric patient 2D ECHO , ANGIOGRAM , CT , EEG
Anti Epieptics, IV fluids, Low
molecular weight Heparin,
Oxygen
20000
Post treatment CT,Case sheet
with clinical improvement, lab
investigation
963 M4.8.3 G05Medical Management of Encephalitis /
Encephalopathy in Paediatric patient
CT , Lumbar Puncture CSF analysis,Viral
studies
Anticonvulsants, IV fluids,
Mannitol, inj.Acyclovir 25000
Viral studies,Case sheet with
clinical improvement, lab
investigation
964 M4.8.4 G61.0Medical Management of Guillian-Barre
Syndrome
ABG , ENMG , Lumbar Puncture CSF
analysis , Nerve Conduction studies
IV fluids, immunoglobin,
physiotherapy, ventilary and
supportive care
80000Case sheet with clinical
improvement, lab investigation
M5 CARDIOLOGY
965 M5.1.1 I21.9.A
Medical Management of Acute Mi
(Conservative Management Without
Angiogram)
2DEcho , CPKMB , Troponin, RFT,
S.Electrolytes, Daily ECG, STK chart
mandatory
Medical 10000 2DEcho , ECG , Lab
Investigations
966 M5.1.2 I21.9.B Management Of Acute MI With Angiogram
2DEcho , CPKMB , Coronary
Angiodraphy , Troponin, Daily ECG till
discharge, STK chart mandatory,
Medical 30000 2DEcho , ECG , Lab
Investigations, STK vial photo
967 M5.1.3 I21.9.EMedical Management of Acute MI With
Cardiogenic Shock
2DEcho CD, CPKMB , Coronary
Angiodraphy , ECG , Troponin, RFT,
S.Electrolytes, Daily ECG
Medical 30000 2DEcho , ECG , Lab
Investigations
968 M5.1.4 I21.9.FMedical Management of Acute MI Requiring
IABP Pump
2DEcho CD, CPKMB , Coronary
Angiodraphy , ECG , Troponin, RFT,
S.Electrolytes, Daily ECG, CXR on
flouroscopy showing in situ
Medical 55000 2DEcho , ECG , Lab
Investigations
969 M5.1.5 I50.9.BMedical Management of Refractory Cardiac
Failure
2DEcho CD(showing LVEF<35% or LV
disfunction), CPKMB , Coronary
Angiodraphy , ECG , Troponin, CXR, JVP
photo, RFT, S.Electrolytes, CAG CD and
report
Medical 40000 2DEcho CD and Report, ECG ,
Lab Investigations
970 M5.2 I33.0 Medical Management of Infective Endocarditis
2D ECHO , Sepsis profile-I12.008, Blood
Culture & Sensitivity - Automated, C-
Reactive Protein, Pulse Oxymetry Chart
Adrenaline, Dobutamine,
Dopamine, IV fluids, Inj.
Midazolam, Low molecular
weight Heparin, Mechanical
ventilation, Nonadrenaline,
Oxygen, inj. Meropenem,
inj.Heparin, inotropes,
milirinone
25000
Case sheet with clinical
improvement ,Lab
Investigations, ABG , X-RAY ,
pulse oxymetry Chart
971 M5.3 I26 Medical Management of Pulmonary Embolism
CT Scan Chest With Contrast - I32.011,
Pulmonary Angiogram 2D ECHO With
Colour Doppler , D-Dimer Test
Medical 35000 Color Doppler , Lung Ventilation
& Perfusion Scan-
972 M5.4 I49.9.A Medical Management of Complex Arrhythmias2D ECHO With Colour Doppler With
Tracing, ECG , Procedure CD Cartoguided 140000
2D ECHO , ECG , Lab
Investigations, RF Ablation/Carto
Mapping , Webex
973 M5.5 I49.9.B Ablation Therapy for Simple Arrythmias2D ECHO With Colour Doppler With
Tracing, ECG , Procedure CD Focus Ablation 91000
2D ECHO , ECG , Lab
Investigations, RF Ablation/Carto
Mapping , Webex
974 M5.6 I31.3Medical Management of Pericardial Effusion,
Tamponade with¿Aspiration
2D ECHO CD, Blood c/s , ECG,
Pericardial fluid analysis, CXR Aspiration 16000
2D ECHO , ECG , Lab
Investigations,Chest X Ray
M6 NEPHROLOGY
975 M6.1 N17.A Medical Management of AKI
2D ECHO , Calicum , ECG , Electolytes ,
HBSAG , HCD , HIV , Phosphate , RFT ,
S.Protein , USG , Urine protein , uric
acid,ABG
Dialysis and supportive
therapy 19710 Renal Profile-I02.060
976 M6.2 N04.C Medical Management of Nephrotic Syndrome
HIV , RFT , Serum Total Proteins
Levels,Spot PR/CR (Protein-Creatinine)
Ratio ,, 24 Hrs Urinary Protein, Anti
Nuclear Anti Body (ANA) Titres
Immunosuppressive RX 16890 RFT , other lab investigation
977 M6.3 N17.9.BMedical Management of Rapidly Progressive
Renal Failure
Renal Profile, Serum Total Proteins
Levels,Serum Albumin Levels-, Anti
Nuclear Anti Body (ANA), Complement
Levels (C3, C4)-,Anti-DNA Antibodies
I15.018
Medicines, Steroids parenteral 30766 RFT , other lab investigation
978 M6.4 N18.5Medical Management of Chronic Renal Failure
1 (Crf )
24 hrs urine , HCV , Alb/Globulin ratio ,
HB Sag , RFT , S.Calcium , S.Protein ,
S.Uric acid , S.electrolytes , Spot
Urine/Creatinine ratio , X-Ray Chest
Dialysis and supportive
therapy, Initial treatment 30870 RFT , other lab investigation
979 M6.5 N18.6.A Maintenance Hemodialysis For Crf
24 hrs urine , Spot Urine/Creatinine ratio ,
2D ECHO , Alb/Globulin ratio , HB Sag ,
HCV , RFT , S.Calcium , S.Po4 , S.Protein
, S.Uric acid , S.electrolytes , X-Ray Chest
Dialysis and supportive
therapy (Minimum of 10
dialysis)
12500 HB%, RFT ,Dialysis chart
980 M6.6 N00Medical Management of Acute Glomerulo
Nephritis
Renal Profile, LFT(liver function tests),
Complete Blood Picture [CBP], ECG
(Electro Cardiogram), USG Abdomen,
Blood Culture & Sensitivity - Automated,
CUE (pH , Specific Gravity , Sugar ,
Protein And Microscopy), Spot PR/CR
(Protein-Creatinine) Ratio, Anti-
Streptolysin O (ASO) Titres, ANA, ANCA
(Anti Neutrophil Cyto Plasmic Anti Body),
24 Hrs Urinary Protein
Antibiotics, Supportive
Management 26020
Renal Profile, CUE (pH , Specific
Gravity , Sugar , Protein And
Microscopy)
M7 NEUROLOGY
981 M7.1 G04.0 Medical Management of ADEM
Evoked Potentials , CSF Monoclonal
Bands, , CSF analysis , HIV profile , MRI
Brain
antacids, Dialysis and
supportive therapy (Minimum
of 8 dialysis), Inj.
Methylprednisolone, Oral
steroids for 4 weeks,
Ventilatory Support,
physiotherapy, supportive care,
vitamin supplementaion
20000
Case sheet with clinical
improvement ,clinical and lab
investigation
982 M7.2 G61.8Medical Management of Chronic Inflammatory
Demyelinating Polyneuropathy(CIDP)
Carotid and vertebral Doppler etc. special
tests for Evaluation of cause ,
Echocardiography , Nerve Biopsy . , CSF
analysis , CT Brain , ECG , EMG , Lipid
profile , MRI Brain , MRV /MRA , NCS ,
Serum Protein electropheresis , repeated
blood tests for electrolytes and glucose
Ajathioprine, Oral steroids,
physiotherapy, vitamin
supplementaion
14340
Case sheet with clinical
improvement ,clinical and lab
investigation
983 M7.3 I60Medical Management of Hemorrhagic
Stroke/Strokes(I61/I62/I63/I64)
4-Vessel Cerebral Angio if necessary
(DSA) , CT BRAIN , Carotid and
Vertebral Doppler etc. , ECG ,
Enchocardiography , Lipid profile , MRA ,
MRI BRAIN , MRV , Special tests for
Evaluation of Cause
Antidiabetics, IVMannitol,
Surgery if necessary, antacids,
Antihypertensives, IV fluids
31030
Case sheet with clinical
improvement ,clinical and lab
investigation
984 M7.4 I63 Medical Management of Ischemic Strokes
Carotid and vertebral Doppler etc. special
tests for Evaluation of cause ,
Echocardiography , CT Brain , ECG ,
Lipid profile , MRI Brain , MRV /MRA ,
repeated blood tests for electrolytes and
glucose
Antidiabetics, IVMannitol,
antacids, Antihypertensives,
Heparanoids for 5 days, IV
fluids, surgery in some cases
20000
Case sheet with clinical
improvement ,clinical and lab
investigation
985 M7.5 G72 Medical Management of Acquired Myopathies
Serum calcium , Muscle Biopsy , NCS,
/EMG , Phosphate and alkaline phophatase
, Serum CPK , endocrine evaluation
Azathiaprine, Calcium
supplementation,
Prednisolone, endocrine
therapy, vitamin
supplementation
19460
Case sheet with clinical
improvement ,clinical and lab
investigation
986 M7.6 G02.1Medical Management of Neuroinfections -
Fungal Meningitis
CSF serology for tuberculous antigens ,
ADA , CSF analysis , CT Brain , Cell
count , Fungal studies , MRI Brain scan ,
culture
IVMannitol, antacids,
Antifungal drugs, IV fluids,
steroids
54330
Case sheet with clinical
improvement ,clinical and lab
investigation
987 M7.7 G00.9Medical Management of Neuroinfections -
Pyogenic Meningitis(Bacterial)
ADA , CSF analysis , CT Brain , Cell
count , MRI Brain scan , culture
IVMannitol, Surgery if
necessary, Higher antibiotics,
IV fluids, antacids, steroids
27980
Case sheet with clinical
improvement ,clinical and lab
investigation
988 M7.8 G05.1
Medical Management of Neuroinfections -Viral
Meningoencephalitis (Including Herpes
Encephalitis)
ADA , CSF analysis , CSF antibodies for
HSV , CT Brain , Cell count , MRI Brain
scan , culture
IVMannitol, Methyl
prednisolone, antacids, IV
fluids, acyclovir
37520
Case sheet with clinical
improvement ,clinical and lab
investigation
989 M7.9 G70.0Medical Management of Neuromuscular
disorders (Myasthenia Gravis)
CT-Abdomen , CT-Chest , Neostgmine
test , RNS , Thyroid profile
Azathiaprine, Calcium
supplementation,
Prednisolone, Ventilatory
Care, neostignime
21350
Case sheet with clinical
improvement ,clinical and lab
investigation
990 M7.10 G61.0Medical Management of Guillian-Barre
Syndrome
ABG , ENMG , Lumbar Puncture CSF
analysis , Nerve Conduction studies
IV fluids, immunoglobin,
physiotherapy, ventilary and
supportive care
80000Case sheet with clinical
improvement, lab investigation
991 M7.11 H46 Medical Management of Optic Neuritis Lumbar Puncture CSF analysis , MRI
Brain and Optic nerves , VEPs
antacids, Inj. Methyl
prednisolone, oral steroids for
2 weeks, vitamin
supplementation
10890
Case sheet with clinical
improvement ,clinical and lab
investigation
992 M7.12 99.14.1 Management with Immunoglobulin Therapy - Iv Investigations indicative of diseases - 100000
Case sheet with clinical
improvement ,clinical and lab
investigation
M8 PULMONOLOGY
993 M8.1 J47Medical Management of Bronchiectasis with
Repeated Hospitalisation>6per Year
FOB - Procedure video, HRCT Chest ,
Spirometry , Sputum culture/BAL , drug
susceptability, Brochial Washing Culture
sensitivety, CXR PA view, CBP, ESR
According to International
Guide lines 30000
CBP, ESR, CXR PA view, stable
clinical condition
994 M8.2 J85Medical Management of Lung Abscess ,Non
Resolving
CT-Chest , FOB - Procedure video, HRCT
Chest, PUS c/s/ Bronchial washings c/s,
CXR PS view, CBP, ESR, Sputum for
AFB
Injectable Antibiotics,
Bronchial toilet 35000
CBP, ESR, CXR PA view, stable
clinical condition
995 M8.3 J93.9Medical Management of Pneumothorax
(Large/Recurrent)
HRCT Chest , VATS, CXR Chest, CBP,
ESR
Antimicrobials, MICU stay,
Oxygen, Pleuredesis if
required, Thoracostomy
30000 CBP, ESR, CXR PA view
996 M8.4 J84.9Medical Management of Interstitial Lung
Diseases
FOB - Procedure video, 2D ECHO, HRCT
Chest, Spirometry, Collagen profile, BAL
report, CXR PA view, CBP, ESR, LFT,
RFT
Antimicrobials if required,
MICU stay, Steroids,
Immunosuppressants O2
inhalation
30000CBP, ESR, CXR PA view, stable
clinical condition
997 M8.5 J64 Medical Management of Pneumoconiosis
FOB - Procedure video + Report, 2D
ECHO, HRCT Chest, Collagen profile,
BAL report, CXR PA view,
MICU stay, O2 inhalation,
Medical management 35000
CBP, ESR, CXR PA view, stable
clinical condition
998 M8.6 J96.9.AMedical Management of Acute Respiratory
Failure (Without Ventilator)
2D ECHO, ABG, CXR PA view, ECG,
CBP, ESR, Electrolytes, Sputum, FOB if
required
MICU stay, O2 inhalation,
NIV if required,
Antimicrobials.
25000
CBP, ESR, CXR PA view, Daily
ABG reports, stable clinical
condition
999 M8.7 J96.9.BMedical Management of Acute Respiratory
Failure (With Ventilator)
2D ECHO, ABG, CXR PA view/Bedside
Electrolytes, ECG, Sputum, FOB if
required, LFT, RFT
MICU stay, Antimicrobials,
Oxygen, Supportive therapy 50000
CBP, ESR, CXR PA view, Daily
ABG reports, LFT, RFT, stable
clinical condition
1000 M8.8 J18.9 Medical Management of Pneumonias
Complete Blood Picture [CBP] ,
Erythrocyte Sedimentation Rate (ESR),
Random Blood Sugar (RBS) Test ,, Chest
X-Ray PA View(1 Film), Arterial Blood
Gas Analysis (ABG), C-Reactive Protein,
Sputum For Culture & Sensitivity, Fluid
for Fungal Stain, Aspirate For
Culture(Barium, Fungus, Anaerobic),
Blood Culture & Sensitivity
Antibiotics, IV fluids,
Supportive Management 30000
Chest X-Ray PA View(1 Film),
Complete Blood Picture [CBP], C-
Reactive Protein4
M9 DERMATOLOGY
1001 M9.1 L10 Medical management of Pemphigus DIF , Skin biopsy - HPE , Tzanck Smear IV antibiotics, IV fluids, IV
steroids, Pulse therapy 27770
Case sheet with clinical
improvement ,clinical and lab
investigation
1002 M9.2 L51.2Medical management of Toxic Epidermal
Necrolysis
Blood culture , Echo-Cardiogram , LFT ,
Skin biopsy - HPE, , Skin swab, , USG
abdomen , urine culture
IV antibiotics, IV fluids, IV
steroids 37800
Case sheet with clinical
improvement ,clinical and lab
investigation
1003 M9.3 L51.1Medical management of Stevens- Johnson
Syndrome
Blood culture , Echo-Cardiogram , LFT ,
Skin biopsy - HPE , Skin swab, , USG
abdomen , urine culture
IV antibiotics, IV fluids, IV
steroids 21656
Case sheet with clinical
improvement ,clinical and lab
investigation
M10 RHEUMATOLOGY
1004 M10.1.1 M32Medical management of SLE (Systemic Lupus
Erythematosis)
24 Hrs URINARY PROTEIN , ACL
ANTIBODIES , ANA PROFILE , EN
ANTIGEN , HR CT , KIDNEYBIOPSY ,
dSDNA, Antids DNA levels
As per American College of
Rheumatology Guidelines. 25651
clinical and lab investigation,
CBP, RFT, Renal Biopsy
1005 M10.1.2 M32.1Medical management of Sle (Systemic Lupus
Erythematosis) with sepsisANA, Antids DNA levels - 71250 clinical and lab investigation
1006 M10.2 L94.0 Medical management of Scleroderma
2D ECHO , ANA PROFILE , RENAL
DOPPLER , SKIN BIOPSY WITH HPE
REPORT, Antitopoisomerace 1 ab,
anticentromere ab, anti RNP ab
As per American College of
Rheumatology Guidelines. 30000 CBP, RFT, Biopsy
1007 M10.3 M35.1Medical management of Mctd Mixed
Connective Tissue Disorder
24 Hrs URINARY PROTEIN , CPK ,
ENMG , KIDNEYBIOPSY , LDH , MRI
OF HANDS , MRI OF MUSCLES, Anti
RNP antibodies
As per American College of
Rheumatology Guidelines. 25000 CBP, RFT, Biopsy
1008 M10.4 M35.0Medical management of Primary Sjogren\'S
Syndrome
24 Hrs URINARY PROTEIN , ANA
PROFILE , CANCA , CPK , ENMG ,
KIDNEYBIOPSY , LDH , MRI OF
HANDS , MRI OF MUSCLES , pANCA,
Anti Ro ab, Anti La ab
As per American College of
Rheumatology Guidelines. 20000 CBP, HCV, HIV
1009 M10.5 I77.9 Medical management of Vasculitis CBP, ESR, RFT As per American College of
Rheumatology Guidelines. 30000
HIV, HCV, Biopsy, RFT, CBP,
ESR
M11 ENDOCRINOLOGY
M11.1UNCONTROLLED DIABETES MELLITUS
WITH INFECTIOUS EMERGENCIES
1010 M11.1.1 E11.2Medical management of Pyelonephritis in
uncontrolled Diabetes melitus
USG , Urine C and S, FBS, PLBS, HB
A/C
Antibiotics, IV fluids, other
therapy with treatment of
Diabetics
21510FBS, PLBS, clinical and lab
investigation
1011 M11.1.2 J22Medical management of Lower Respiratoy Tract
Infection CXR , Sputum C/S, FBS, PLBS, HB A/C
Antibiotics, IV fluids, other
therapy with treatment of
Diabetics
23000FBS, PLBS, Chest X-Ray,
clinical and lab investigation
1012 M11.1.3 J32.9 Medical management of Fungal Sinusitis CT PNS, FBS, PLBS, HB A/C
Anti-fingal agents,
Antibiotics, IV fluids, other
therapy with treatment of
Diabetics
40940X-Ray, PNS, clinical and lab
investigation
1013 M11.1.4 K81 Medical management of Cholecystitis CT-Abdomen , USG, FBS, PLBS, HB
A/C, LFT
Antibiotics, IV fluids, other
therapy with treatment of
Diabetics
29700USG abdomen, clinical and lab
investigation
1014 M11.1.5 E11.5Medical management of Cavernous Sinus
Thrombosis in uncontrolled Diabetes melitus MRI , Venogram, FBS, PLBS, HB A/C
Antibiotics, IV fluids, other
therapy with treatment of
Diabetics
41010 clinical and lab investigation
1015 M11.1.6 B46.1Medical management of Rhinocerebral
Mucormycosis CT-Scan, FBS, PLBS, HB A/C
Anti-fingal agents,
Antibiotics, IV fluids, other
therapy with treatment of
Diabetics
51620 clinical and lab investigation
M11.2 OTHER ENDOCRINAL DISORDERS
1016 M11.2.1 E23.1Initial evaluation and management of
Hypopituitarism with growth harmone
FSH , LH , estradiol , t3 t4TSH ,
testosterone
Hormone Therapy for three
months 26000 clinical and lab investigation
1017 M11.2.2 E22.0 Hormonal therapy for Pituitary - Acromegaly
t3 t4TSH , 2D ECHO , Basal cortisal cost
ACTH , FSH , LH , MRI colonoscopy if
needed, , Post glucose on assay , Visual
field , estradiol , prolactin , testosterone ,
water deprivation test(if needed),
Hormone Therapy for three
months 18440
ACTH assay, clinical and lab
investigation
1018 M11.2.3 E24.9 Medical Management of Cushings Syndrome
ACTH assay , CT Chest , Cortisol assay
after dexamethasone , DHEAS , Dexa of
Hip spine , MRI pituitary CT ABD
Diabetis mellitus drugs,
Hypertension, Osteoporesis,
infection with antibiotics,
surgery
30000ACTH assay, clinical and lab
investigation
1019 M11.2.4 Q96 / Q98.4
Hormonal therapy for Delayed Puberty
Hypogonadism-Turners Syndrome/Kleinfelter
Syndrome(Q98.4)
testosterone , 2D ECHO , FSH , LH , MRI
brain DEXA , T4 TSH X-ray bone age ,
USG pelvis karyotyping , X-ray skull ,
estradiol
Inj Testosterone250mg/ 3
wks, oc pills 14500 clinical and lab investigation
1020 M11.2.5 E23.1Hypopiturasim Initial Evaluation And
Management With Growth Hormone
T3, T4, TSH, Basal Cortisol Levels
(Adrenal Corticotrophin Stimulation Test),
Cortisol Assay After
Dexamethasone,Growth Hormone (Basal,
Post Glucose Load) ,
Hormone Therapy for three
months
26000T4, Case sheet with clinical
improvement
1021 M11.2.6 E23.2Hypopiturasim Maintanance Phase Monthly
Package For Growth Hormone
T3, T4, TSH, Basal Cortisol Levels
(Adrenal Corticotrophin Stimulation Test),
Cortisol Assay After
Dexamethasone,Growth Hormone (Basal,
Post Glucose Load)
Harmone Therapy life long 13560T4,Case sheet with clinical
improvement
1022 M11.2.7 E05.0 Medical Management of Grave'S Disease T3, T4, TSH Antithypoid medication 10060 Case Sheet with treatment details
M12 GASTROENTEROLOGY
1023 M12.1 K22.1Medical management of Corrosive Oesophageal
Injury Endoscopic dilatation-video/photo MICU stay, Medical treatment 21310 Barium swallow
1024 M12.2 K22.2Conservative management of Oesophageal
Foreign Body
Foreign body removal - photo of the
procedure Conservative 7930 Endoscopic photograph
1025 M12.3 K22.3.AConservative management of Oesophageal
Perforation CT scan thorax,and abdomen, Conservative, MICU stay 50000 -
1026 M12.4 K22.0 Medical management of Achalasia Cardia UGI Endoscopy Botulinum, Dilatation, Taxim
inj. 13290 Endoscopic photograph
1027 M12.5 I85.1Medical Management of Oesophageal Varices
using Variceal Banding UGI Endoscopy Endoscopic variceal banding 12190 Endoscopic photograph
1028 M12.6 I85Medical Management of Oesophageal Varices
with Sclerotherapy UGI Endoscopy
Endoscopic sclerotherapy
injection 10100 Endoscopic photograph
1029 M12.7 J95.0 Medical management of Oesophageal Fistula CT Thorax Gastrograffin contrast picture Covered esophageal stent -
MICU 30000 Photograph of stent in position
1030 M12.8 K31.8Medical management of GAVE(Gastric Antral
Vascular Ectasia)
Argon laser coagulation , UGI
Endoscopyphoto Argon laser, MEDICAL 20000 Endoscopic photograph
1031 M12.9 I86.4 Medical management of Gastric Varices Endoscopic Glue injection , UGI
Endoscopy MICU 14900 Endoscopic photograph
1032 M12.10 K85.AMedical management of Acute Pancreatitis
(Mild)
CT-Abdomen + Pelvis , EUS , MRCP,
S.Amylase, lypase MICU 50000 Lab Investigations , USG
1033 M12.11 K85.BMedical management of Acute Pancreatitis
(Severe)
CT-Abdomen + Pelvis, S.Electrolytes,
Serial ABG at admission and following O2
supplementaries
MICU 150000 Lab Investigations , USG
1034 M12.12 K86.3.AConservative management of Acute Pancreatitis
With Pseudocyst (Infected)
CT-Abdomen + Pelvis , EUS , Post
procedure USG
Endoscopy drainage, MICU,
Percutaneous drainage,
surgical drainage
30000 Lab Investigations , USG
1035 M12.13 K86.1Conservative management of Chronic
Pancreatitis with Severe Pain CT-Abdomen + Pelvis , EUS
Celiac ganglion block,
Conservative, ERCP,
ERCP+Stenting, EUS guided,
MICU
30000 Lab Investigations
1036 M12.14 K92.2.B Conservative management of Obscure GI Bleed BMFT , Capsule Endoscopy , Enteroscopy
biopsy Argon Laser Rx 50000 Endoscopic photograph
1037 M12.15 K72Conservative management of Cirrhosis with
Hepatic Encephalopathy
Ascitic fluid analysis , UGI Endoscopy,
USG abdomen, S.animonia levels, LFT EVL-EST, MICU 10 days 40000 Lab Investigations
1038 M12.16 K76.7Medical management of Cirrhosis with Hepato
Renal Syndrome Reports of Serum Chemistry
EVL-EST, MEDICAL, MICU
10 days 40000 Lab Investigations
1039 M12.17.1 K91.8 Medical management of Post op stent ERCP , EUS , MRCP , PTBD Biliary stent, MEDICAL 46830 Radiological and endoscopic
image
1040 M12.17.2 K91.9 Medical management of Post op leaks ERCP , EUS , MRCP , PTBD Biliary stent, MEDICAL 47300 Radiological and endoscopic
image
1041 M12.17.3 K83.0 Medical management of Sclerosing Cholangitis ERCP , EUS , MRCP , PTBD Biliary stent, MEDICAL 75000 Radiological and endoscopic
image
1042 M12.18 K74.6.A
Medical Management of Cirrhosis
Decompensated Including SBP, Portal HTN,
Bleed
LFT(liver function tests), USG Abdomen,
Upper GI endoscopy, Fluid Analysis, HBs
Ag, HCV Geno Type/HCV, Rna
Quantitative
Antibiotics, Betablockers,
Banding of varices, Lactulose,
Ritaximin
36870Case sheet with clinical History,
Case Sheet with treatment details
1043 M12.19 K75.9Medical Management of Acute Hepatitis (Viral,
Alcohol, Drugs, Misc. Infections)
LFT(liver function tests), USG Abdomen,
HBs Ag, HCV Geno Type /HCV, Rna
Quantitative, Anti-Endomysial Antibodies
,IgA/IgG/IgM, Anti-HAV IgM (IgM
Antibody To Hepatitis A Antigen), Case
sheet with clinical History
Supportive Mgmt, Antiviral
Drugs, Stop offending agent. 15000
LFT(liver function tests), Case
sheet with clinical improvement
1044 M12.20 R18
Medical Management of Ascities Of Any
Etiology (Tubercolor, Melignant, Pancreatic,
Biliary)
USG Abdomen, Ascitic Fluid Analysis-
RoutineParacentesis, treat the cause 15010 Fluid Analysis