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PM-RAHAT
Package Select: ( 2298)
Procedure Code/ Package Name
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BM001A | Criteria 1: % Total Body Surface Area Burns (TBSA):less than 20% in adults and less than 10% in children younger than 12 years. Dressing without anesthesia | Thermal burns(NA)
BM001B | Criteria 2: % Total Body Surface Area Burns (TBSA): Upto 25%; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Thermal burns(NA)
BM001C | Criteria 3: % Total Body Surface Area Burns (TBSA): 25-40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Thermal burns(NA)
BM001D | Criteria 4: % Total Body Surface Area Burns (TBSA):40- 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Thermal burns(NA)
BM001E | Criteria 5: % Total Body Surface Area Burns (TBSA):60-80 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Thermal burns(NA)
BM002A | Criteria 1: % Total Body Surface Area Burns (TBSA): less than 20% in adults and less than 10% in children younger than 12 years. Dressing without anesthesia | Scald burns(NA)
BM002B | Criteria 2: % Total Body Surface Area Burns (TBSA): Upto 25%; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Scald burns(NA)
BM002C | Criteria 3: % Total Body Surface Area Burns (TBSA): 25-40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Scald burns(NA)
BM002D | Criteria 4: % Total Body Surface Area Burns (TBSA):40- 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Scald burns(NA)
BM002E | Criteria 5: % Total Body Surface Area Burns (TBSA):60-80 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Scald burns(NA)
BM003A | % Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing | Flame burns(NA)
BM003B | % Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Flame burns(NA)
BM003C | % Total Body Surface Area Burns (TBSA): 40 % - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Flame burns(NA)
BM003D | % Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow- up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Flame burns(NA)
BM004A | Electrical contact burns: Low voltage - without part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Electrical contact burns(NA)
BM004B | Electrical contact burns: Low voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings Amputation etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Electrical contact burns(NA)
BM004C | Electrical contact burns: High voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover,fasciotomy +/ /amputation/Central IV Line/debridement/early skin grafting pedicle or free flap coverage,follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Electrical contact burns(NA)
BM004D | Electrical contact burns: High voltage - without part of limb / limb loss; Includes % TBSA skin grafted, flap cover, fasciotomy +/- /debridement/early skin grafting/flap cover: pedicle or free flap coverage,follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Electrical contact burns(NA)
BM005A | Chemical burns: Without significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.(Similar to therma burns require more grafting, debridement,(skin grafing/canthopexy) | Chemical burns(NA)
BM005B | Chemical burns: With significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover,debridement,skin grafting,follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | Chemical burns(NA)
BM006A | Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone - gel sheet and physiotherapy): Excluding Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG) / Flap cover is done for each joint with post - operative regular dressings for STSG / FTSG / Flap cover. | Post Burn Contracture surgeries for Functional Improvement(NA)
BM006B | Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments,contracture release & split skin graft with or without flap reconstruction,silicone - gel sheet and physiotherapy): Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG) / Flap cover is done for each joint with post-operative regular dressings for STSG / FTSG / Flap cover. | Post Burn Contracture surgeries for Functional Improvement(NA)
ER001A | Laceration - Suturing / Dressing | Laceration - Suturing / Dressing(NA)
ER002A | Emergency with stable cardiopulmonary status | Cardiopulmonary emergency(NA)
ER002B | Emergency with unstable cardiopulmonary status with resuccitation | Cardiopulmonary emergency(NA)
ER003A | Animal bites (Excluding Snake Bite) | Animal bites (Excluding Snake Bite)(NA)
SB001A | Fracture - Conservative Management - Without plaster | Fracture - Conservative Management - Without plaster(NA)
SU073A | Emergency management of Hematuria(per day) LOS-1-5 days | Emergency management of Hematuria(NA)
HD001A | Lymphangiography | Lymphangiography(Lipidol and needle)
HD002A | Diagnostic venography (DVA) | Diagnostic venography (DVA)()
HD003A | IVUS(Intravascular Ultrasound) | IVUS(Intravascular Ultrasound)()
HD004A | Diskography | Diskography()
HD005A | USG guided percutaneous biopsy | USG guided percutaneous biopsy(Biopsy Gun)
HD006A | USG guided percutaneous FNAC | USG guided percutaneous FNAC()
HD007A | USG guided percutaneous needle aspiration | USG guided percutaneous needle aspiration()
HD008A | CT guided percutaneous biopsy | CT guided percutaneous biopsy(Biopsy Gun)
HD009A | CT guided percutaneous FNAC | CT guided percutaneous FNAC()
HD010A | CT guided percutaneous needle aspiration | CT guided percutaneous needle aspiration()
HD011A | Genetic workup | Genetic workup()
HD012A | Metabolic work up | Metabolic work up()
HD013A | Vedio EEG Monitoring Test (VEEG) | Vedio EEG Monitoring Test (VEEG)()
HP001A | USG guided percutaneous Radiofrequency Ablation (RFA) | USG guided percutaneous Radiofrequency Ablation (RFA)(RF probe for tumor ablation)
HP002A | USG guided percutaneous Microwave Ablation (MWA) | USG guided percutaneous Microwave Ablation (MWA)(Microwave Antenna)
HP003A | CT guided percutaneous Radiofrequency Ablation (RFA) | CT guided percutaneous Radiofrequency Ablation (RFA)(RF probe for tiomr ablation)
HP004A | CT guided percutaneous Microwave Ablation (MWA) | CT guided percutaneous Microwave Ablation (MWA)(Microwave Antenna)
HP005A | USG guided percutaneous catheter drainage | USG guided percutaneous catheter drainage(Pig tail drainage Catheter)
HP006A | CT guided percutaneous catheter drainage | CT guided percutaneous catheter drainage(Pig tail drainage Catheter)
HP007A | Cerebral angiogram under local anesthesia | Cerebral angiogram under local anesthesia()
HP008A | Cerebral angiogram under general anesthesia | Cerebral angiogram under general anesthesia()
HP009A | Spinal Angiogram under general anesthesia | Spinal Angiogram under general anesthesia()
HP010A | Plasmapheresis | Plasmapheresis()
ID001B | Test for Confirmation of COVID- 19 Infection | Laboratory Tests for COVID-19 Infection (PCR) (Reimbursement level for this package will be as per the ICMR guidelines, issued from time to time)(NA)
ID003A | Treatment of COVID-19 Infection | Treatment of COVID-19 Infection(NA)
ID005A | Treatment of systemic fungal infections | Treatment of systemic fungal infections(NA)
IN001A | Carotico-cavernous Fistula (CCF) embolization with coils. [includes 5 coils, guide catheter, micro-catheter, micro- guidewire, general items] | Carotico-cavernous Fistula (CCF) embolization(120000)
IN001B | Carotid-cavernous Fistula (CCF) embolization with balloon (includes one balloon, guide catheter, micro-catheter, micro- guidewire, general items) | Carotico-cavernous Fistula (CCF) embolization(11000)
IN002A | Intracranial balloon angioplasty with stenting | Intracranial balloon angioplasty with stenting(NA)
IN003A | Intracranial thrombolysis / clot retrieval | Intracranial thrombolysis / clot retrieval(NA)
IN004A | Balloon test occlusion | Balloon test occlusion(NA)
IN005A | Parent vessel occlusion - Basic | Parent vessel occlusion - Basic(Yes)
IN006A | Primary percutaneous transhepatic biliary stenting (SEMS) | Primary percutaneous transhepatic biliary stenting (SEMS)(Metallic stent)
IN006B | Percutaneous transhepatic biliary stenting (SEMS) after prior PTBD | Percutaneous transhepatic biliary stenting (SEMS) after prior PTBD(Yes)
IN007A | Percutaneous cholangioplasty | Percutaneous cholangioplasty(Balloon - Rs. 9800)
IN008A | Hepatic venous wedge pressure measurement (HVPG) | Hepatic venous wedge pressure measurement (HVPG)(NA)
IN010A | Tunelled longterm indwelling catheter for refractory ascites/pleural effusion | Tunelled longterm indwelling catheter for refractory ascites/pleural effusion(Long-term indwelling catheters for Ascites/ Plural information (Pleurex kit))
IN011A | Peripherally inserted central catheter (PICC) | Peripherally inserted central catheter (PICC)(PICC line)
IN014A | Primary percutaneous antegrade uretric stenting | Primary percutaneous antegrade uretric stenting(Silicon Stent)
IN015A | Percutaneous antegrade uretric stenting after prior PCN | Percutaneous antegrade uretric stenting after prior PCN(Silicon Stent)
IN016A | Lymphatic occlusion of chylous leak | Lymphatic occlusion of chylous leak(Lipidol+Microcatheter +Coil)
IN017A | PVA embolization (without microcatheter) | PVA embolization(PVA particle)
IN017B | PVA embolization (with microcatheter) | PVA embolization(PVA particle+Microcathetr)
IN018A | Glue embolization (without microcatheter) | Glue embolization(Lipidol+Coils(2))
IN018B | Glue embolization (with microcatheter) | Glue embolization(Lipidol+Microcatheter +Coil)
IN019A | Gelfoam embolization (without microcatheter) | Gelfoam embolization(NA)
IN019B | Gelfoam embolization (with microcatheter) | Gelfoam embolization(Microcatheter)
IN020A | Coil embolization (without microcatheter) | Coil embolization(Coils(3 ))
IN020B | Coil embolization (with microcatheter) | Coil embolization(Microcatheter+Coil (3))
IN021A | Alcohol embolisation | Alcohol embolisation(Microcatheter)
IN022A | Vascular plug assisted embolization | Vascular plug assisted embolization(Vacsular Plug+Coils)
IN023A | Angioplasty (arterial) | Angioplasty (arterial)(Balloon)
IN023B | Angioplasty (arterial) using microguidewire and guiding catheter | Angioplasty (arterial)(Balloon)
IN023C | Angioplasty and bare metal stenting (arterial) | Angioplasty (arterial)(Balloon +metallic stent)
IN023D | Angioplasty and bare metal stenting (arterial) CTO lesion | Angioplasty (arterial)(Balloon +metallic stent)
IN023E | Angioplasty and covered stent placement (arterial) | Angioplasty (arterial)(Balloon + Covered stent)
IN024A | Catheter directed thrombolysis (arterial/venous) | Catheter directed thrombolysis (arterial/venous)(multiside hole thrombolysis catheter), r TPA , balloon)
IN025A | Thrombectomy followed by thrombolysis (arterial/venous) | Thrombectomy followed by thrombolysis (arterial/venous)(multiside hole thrombolysis catheter), r TPA , Thrombectomy Catheter)
IN026A | Angioplasty (venous) | Angioplasty (venous)(Ballon)
IN026B | Angioplasty and stenting hepatic vein | Angioplasty (venous)(Balloon+Metallic stent)
IN026C | Angioplasty and bare metal stenting (venous) | Angioplasty and bare metal stenting (venous)(Ballon+High Pressure large Balloon+metallic stent)
IN026D | Angioplasty (IVC/central vein) with high pressure balloon | Angioplasty (venous)(High Pressure large Ballon)
IN026E | Angioplasty and covered stent placement (venous) | Angioplasty (venous)(High Pressure large Ballon+Covered stent)
IN027A | Angioplasty Below knee angioplasty | Angioplasty-Below knee angioplasty(below knee Balloon)
IN028A | Angioplasty (complex): cutting balloon/drug coated balloon | Angioplasty (complex): cutting balloon/drug coated balloon(Drug Coated balloon/Cutting Ballon)
IN029A | Angioplasty with medicated SFA stent /Specialised stent (arterial) CTO lesion | Angioplasty with medicated SFA stent /Specialised stent (arterial) CTO lesion(NA)
IN030A | Angioplasty (central vein/ CIV ) with high pressure balloon and specilaised venous stent | Angioplasty (central vein/ CIV ) with high pressure balloon Aand specilaised venous stent(NA)
IN031A | Fenestration of dissecting aneurysm | Fenestration of dissecting aneurysm(Balloon, Metallic Stent)
IN032A | TEVAR for aortic aneurysm/ dissection | TEVAR for aortic aneurysm/ dissection(Graft)
IN033A | Post EVAR endoleak management | Post EVAR endoleak management(Yes)
IN034A | IVC filter placement | IVC filter placement(IVC filter)
IN034B | IVC filter placement with Catheter directed thrombolysis (arterial/venous) | IVC filter placement with Catheter directed thrombolysis (arterial/venous)(multiside hole thrombolysis catheter), r TPA , IVC filter)
IN034C | IVC filter Retrieval | IVC filter retrieval(IVC filter Retrieval kit)
IN035A | Retrieval of intravascular foreign body | Retrieval of intravascular foreign body(Snare)
IN036A | Joint/bursa intervention | Joint/bursa intervention(NA)
IN037A | Sacroiliac joint denervation | Sacroiliac joint denervation(NA)
IN038A | Facet joint intra-articular intervention- CS/Thoracic/LS | Facet joint intra-articular intervention- CS/Thoracic/LS(NA)
IN039A | Median branch rhizotomy- CS/Thoracic/LS | Median branch rhizotomy- CS/Thoracic/LS(NA)
IN040A | Radiofrequency ablation- Trigeminal nerve/genicular nerve /celiac plexus /stellate Ganglion/sympathetic nerve (any branch) | Radiofrequency ablation- Trigeminal nerve/genicular nerve /celiac plexus /stellate Ganglion/sympathetic nerve (any branch)(NA)
IN041A | PRP -suprascapular /tennis elbow/other tendon | PRP -suprascapular /tennis elbow/other tendon(NA)
IN042A | Percutaneous Discotomy/nucleotomy using laser or nucleuotome | Percutaneous Discotomy/nucleotomy using laser or nucleuotome(Nucleotome set)
IN043A | Neural foraminal block | Neural foraminal block(NA)
IN044A | Radiofrequency Ablation (RFA) of bone tumor /metastases/osteoid osteoma/liver/kidney/thyroid/b reast | Radiofrequency Ablation (RFA) of bone tumor /metastases/osteoid osteoma(RF probe)
IN045A | Microwave ablation of bone tumor /osteoid osteoma//liver/kidney/thyroid/ breast | Microwave ablation of bone tumor /osteoid osteoma(Microwave probe)
IN046A | Stroke-Stent Retreiver | Stroke-Stent Retreiver(NA)
IN046B | Stroke-Aspiration Catheter | Stroke-Aspiration Catheter(NA)
IN047A | Intervention for Acute stroke (Aspiration & stent retrieval) | Intervention for Acute stroke (Aspiration & stent retrieval)(NA)
IN048A | Aneurysm-3 Coil | Endovascular therapy for intracranial aneurysm(NA)
IN048B | Aneurysm-5 Coil | Endovascular therapy for intracranial aneurysm(NA)
IN048C | Aneurysm-7 Coil | Endovascular therapy for intracranial aneurysm(NA)
IN048D | 3 Coil + Balloon | Endovascular therapy for intracranial aneurysm(NA)
IN048E | 5 Coil + Balloon | Endovascular therapy for intracranial aneurysm(NA)
IN048F | 3 Coil + Balloon+Stent | Endovascular therapy for intracranial aneurysm(NA)
IN048G | 5 Coil + Balloon+Stent | Endovascular therapy for intracranial aneurysm(NA)
IN048H | 7 Coil + Balloon+Stent | Endovascular therapy for intracranial aneurysm(NA)
IN049A | Pial AVF (Single hole) | Arteriovenous fistula (AVF)/Arteriovenous Malformation (AVM)(NA)
IN049B | AVF | Arteriovenous fistula (AVF)/Arteriovenous Malformation (AVM)(NA)
IN049C | AVM (nidus upto 3 cm) | Arteriovenous fistula (AVF)/Arteriovenous Malformation (AVM)(NA)
IN050A | Carotid stenting | Carotid angioplasty & stenting(NA)
IN050B | Carotid stenting-membrane layered | Carotid angioplasty & stenting(NA)
IN051A | Intracranial stenting for Intracranial atheroscelorosis disease (ICAD) | Intracranial stenting for Intracranial atheroscelorosis disease (ICAD)(NA)
IN052A | Dural sinus stenting | Dural sinus stenting(NA)
IN053A | Carotid stenting with protection device | Carotid stenting with protection device(NA)
IN054A | Vasospasm management-post coiling/clipping (Cost per session) | Vasospasm management-post coiling/clipping (Cost per session)(NA)
IN055A | Retinoblastoma under GA | Retinoblastoma package(NA)
IN056A | Percutaneous cholecystostomy | Percutaneous cholecystostomy(NA)
IN057A | PAIR / percutaneous sclerotherapy for Hydatid cyst | PAIR / percutaneous sclerotherapy for Hydatid cyst(NA)
IN058A | Oesophageal /gastric / duodenal / colonic stenting/balloon dilatation | Oesophageal /gastric / duodenal / colonic stenting/balloon dilatation(Balloon+Metallic stent)
IN059A | Transjugular Liver biopsy | Transjugular Liver biopsy(LABS set)
IN060A | Percutaneous gastrostomy | Percutaneous gastrostomy(Gastrostomy set)
IN061A | Transarterial chemoembolization - conventional (cTACE) | Transarterial chemoembolization(lipoiodol+Microcather)
IN061B | Transarterial chemoembolization - Drug eluting beads (DEB-TACE) | Transarterial chemoembolization(DEB+Microcather)
IN062A | Transjugular intrahepatic portosystemic shunt creation (TIPSS)/Direct transjugular Intrahepatic Portosystemic shunt(DIPSS) | Transjugular intrahepatic portosystemic shunt creation (TIPSS)/Direct transjugular Intrahepatic Portosystemic shunt(DIPSS)(RUPS set,covered stent, uncovered stent)
IN063A | Balloon-occluded retrograde transvenous obliteration (BRTO) | Balloon-occluded retrograde transvenous obliteration (BRTO)(lipoiodol+Ballon+coils 2)
IN064A | Plug-assisted retrograde transvenous obliteration (PARTO) | Plug-assisted retrograde transvenous obliteration (PARTO)(Vacsular Plug+coil+lipoidol)
IN065A | Pre-operative portal vein embolization | Pre-operative portal vein embolization(Lipoidol+coils(Vascular plug separate additional cost)
IN066A | USG guided percutaneous ganglion/plexus block (Neuronolysis) | USG guided percutaneous ganglion/plexus block (Neuronolysis)(NA)
IN067A | CT guided percutaneous ganglion/plexus block (Neuronolysis) | CT guided percutaneous ganglion/plexus block (Neuronolysis)(NA)
IN068A | Vertebroplasty/Cementoplasty | Vertebroplasty/Cementoplasty(Vertebroplasty kit including cement)
IN069A | Kyphoplasty | Kyphoplasty(Kyphoplasty kit+Cement)
IN070A | Vaccum assisted breast biopsy | Vaccum assisted breast biopsy(VABB gun)
IN071A | USG guided percutaneous Microwave Ablation (MWA)- benign breast /thyroid tumor | USG guided percutaneous Microwave Ablation (MWA)- benign breast /thyroid tumor(Microwave antenna)
IN072A | Diagnostic angiography (DSA) | Diagnostic angiography (DSA)(NA)
IN073A | Varicose vein: endovenous treatment (for one limb) | Varicose vein: endovenous treatment (for one limb)(NA)
IN074A | Percutaneous Injection sclerotherapy for low flow vascular malformation | Percutaneous Injection sclerotherapy for low flow vascular malformation(NA)
IN075A | Varicocele embolization | Varicocele embolization(Coils, microcatheter,Lipidol)
IN076A | Fistuloplasty / Thrombectomy of dialysis fistula | Fistuloplasty / Thrombectomy of dialysis fistula(NA)
IN077A | AVM (1 vial) | EVOH Package(NA)
IN077B | AVM (3 vial) | EVOH Package(NA)
IN077C | AVM (5 vial) | EVOH Package(NA)
IN078A | Tumor Embolization | Tumor Embolization(NA)
MC002A | For Deep vein thrombosis (DVT) | Catheter directed Thrombolysis(NA)
MC002B | For Mesenteric Thrombosis | Catheter directed Thrombolysis(NA)
MC002C | For Peripheral vessels | Catheter directed Thrombolysis(NA)
MG0100A | Chronic PD catheter Insertion | Chronic PD catheter Insertion(NA)
MG082A | Bone marrow aspiration of biopsy | Bone marrow aspiration of biopsy(NA)
MG083A | Lumbar puncture | Lumbar puncture(NA)
MG084A | Joint Aspiration | Joint Aspiration(NA)
MG085A | DVT Pneumatic Compression Stockings (Add on package in ICU) | DVT Pneumatic Compression Stockings (Add on package in ICU)(NA)
MG097A | Endobronchial Ultrasound guided fine needle biopsy | Endobronchial Ultrasound (EBUS)(NA)
SU008A | Nephrostomy - Percutaneous ultrasound guided | Nephrostomy - Percutaneous ultrasound guided(NA)
MC001A | Right Heart Catheterization | Right / Left Heart Catheterization(NA)
MC001B | Left Heart Catheterization | Right / Left Heart Catheterization(NA)
MC003A | Coarctation of Aorta | Balloon Dilatation(Cardiac Balloon - Adult - 14000 Cardiac Balloon - Pediatric - 33000)
MC003B | Pulmonary Artery Stenosis | Balloon Dilatation(Cardiac Balloon - Adult - 14000 Cardiac Balloon - Pediatric - 33000)
MC004A | Balloon Pulmonary Valvotomy | Balloon Pulmonary / Aortic Valvotomy(Cardiac Balloon - Adult - 14000 Cardiac Balloon - Pediatric - 33000)
MC004B | Balloon Aortic Valvotomy | Balloon Pulmonary / Aortic Valvotomy(Cardiac Balloon - Adult - 14000 Cardiac Balloon - Pediatric - 33000)
MC005A | Balloon Mitral Valvotomy | Balloon Mitral Valvotomy(Balloon & Accessories - 55000)
MC006A | Balloon Atrial Septostomy | Balloon Atrial Septostomy(Balloon & Accessories - 55000)
MC007A | ASD Device Closure | ASD Device Closure(ASD Device - 62000)
MC008A | VSD Device Closure | VSD Device Closure(VSD Device - 72000)
MC009A | PDA Device Closure | PDA Device Closure(PDA Device - 30000)
MC010A | PDA stenting | PDA stenting(Coronary Stent for PDA stenting - Bare Metal - 9373+GST Coronary Stent for PDA stenting - Drug Eluting - 34128+GST)
MC011A | PTCA, inclusive of diagnostic angiogram | PTCA, inclusive of diagnostic angiogram(Drug Eluting- 35834)
MC012A | Electrophysiological Study | Electrophysiological Study(Steerable decapolar catheter, Quadripolar Catheter - 46000)
MC012B | Electrophysiological Study with Radio Frequency Ablation | Electrophysiological Study(Steerable decapolar catheter, Quadripolar Catheter, Radio Frequency Catheter - 76000)
MC013A | Percutaneous Transluminal Septal Myocardial Ablation | Percutaneous Transluminal Septal Myocardial Ablation(NA)
MC014A | Temporary Pacemaker implantation | Temporary Pacemaker implantation(NA)
MC015A | Permanent Pacemaker Implantation - Single Chamber | Single Chamber Permanent Pacemaker Implantation(Single Chamber Pacemaker - 45000)
MC016A | Permanent Pacemaker Implantation - Double Chamber | Double Chamber Permanent Pacemaker Implantation(Double Chamber Pacemaker - 75000)
MC017A | Peripheral Angioplasty | Peripheral Angioplasty(Peripheral Stent - Bare Metal - 21000)
MC018A | Bronchial artery Embolisation (for Haemoptysis) | Bronchial artery Embolisation (for Haemoptysis)(NA)
MC019A | Pericardiocentesis | Pericardiocentesis(NA)
MC020A | Systemic Thrombolysis (for MI) | Systemic Thrombolysis (for MI)(NA)
MC021A | Arteriovenous Malformation (AVM) in the Limbs | Embolization(yes)
MG037A | Cardiac Tamponade | Cardiac Tamponade(NA)
MG031A | Bacterial Endocarditis | Endocarditis(NA)
MG031B | Fungal Endocarditis | Endocarditis(NA)
MG036A | Atrial Fibrillation | Atrial Fibrillation(NA)
MG038A | Congestive heart failure | Congestive heart failure(NA)
MG075A | High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) | High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging)(NA)
MG076A | High end histopathology (Biopsies) and advanced serology investigations | High end histopathology (Biopsies) and advanced serology investigations(NA)
MG001A | Acute febrile illness | Acute febrile illness(NA)
MG002A | Severe sepsis | Severe sepsis(NA)
MG002B | Septic shock | Severe sepsis(NA)
MG003A | Malaria | Malaria(NA)
MG003B | Complicated malaria | Malaria(NA)
MG004A | Dengue fever | Dengue fever(NA)
MG004B | Dengue hemorrhagic fever | Dengue fever(NA)
MG004C | Dengue shock syndrome | Dengue fever(NA)
MG005A | Chikungunya fever | Chikungunya fever(NA)
MG006A | Enteric fever | Enteric fever(NA)
MG007A | HIV with complications | HIV with complications(NA)
MG008A | Leptospirosis | Leptospirosis(NA)
MG009A | Acute gastroenteritis with moderate dehydration | Acute gastroenteritis with dehydration(NA)
MG009B | Acute gastroenteritis with severe dehydration | Acute gastroenteritis with dehydration(NA)
MG0101A | Acute severe ulcerative colitis | Acute severe ulcerative colitis(NA)
MG0102A | Mesenteric Ischemia | Mesenteric Ischemia(NA)
MG0103A | Intestinal obstruction | Intestinal obstruction(NA)
MG0104A | Acute necrotizing severe pancreatitis | Acute necrotizing severe pancreatitis(NA)
MG0105A | Pulmonary Thromboembolism - Add on | Pulmonary Thromboembolism ( Including thrombolytic Therapy)(NA)
MG0106A | Diffuse alveolar Hemorrhage Associated with SLE/Vasculitis/GP Syndrome | Diffuse alveolar Hemorrhage Associated with SLE/Vasculitis/GP Syndrome(NA)
MG0107A | Severe/Refractory Vasculitis | Severe/Refractory Vasculitis(NA)
MG0109A | Pulmonary thromboembolism | Pulmonary thromboembolism(NA)
MG010A | Chronic diarrohea | Diarrohea(NA)
MG010B | Persistent diarrohea | Diarrohea(NA)
MG0110A | Acute liver failure | Acute liver failure(NA)
MG0111A | Pleural Effusion | Pleural Effusion(NA)
MG0112A | Hyberbilirubinemia | Hyberbilirubinemia(NA)
MG0113A | Polytrauma | Polytrauma(NA)
MG0113B | Trauma- FacioMaxillary | Trauma- FacioMaxillary(NA)
MG0113C | Trauma Head injury | Trauma Head injury(NA)
MG0113D | Trauma Rib fracture conservative | Trauma Rib fracture conservative(NA)
MG0113E | Trauma Blunt injury conservative | Trauma Blunt injury conservative(NA)
MG0113F | Trauma Contusion chest injury | Trauma Contusion chest injury(NA)
MG0114A | Oesophageal Varices Banding | Oesophageal Varices Banding(NA)
MG0115A | Inflammatory Myopathy/ Myaesthenic Crisis | Inflammatory Myopathy/ Myaesthenic Crisis(NA)
MG0116A | Guillain Barre syndrome (Plasmapheresis) | Guillain Barre syndrome(NA)
MG0116B | Myasthenic crisis (Plasmapheresis) | Myasthenic crisis (Plasmapheresis)(NA)
MG0117A | Moyamoya revascularization | Moyamoya revascularization(NA)
MG0118A | Evaluation of drug resistant epilepsy-Phase-1 | Evaluation of drug resistant epilepsy-Phase-1(NA)
MG0119A | Drug resistant epilepsy | Drug resistant epilepsy(NA)
MG011A | Dysentery | Dysentery(NA)
MG0120A | Comprehensive medical rehabilitation for spinal injury/ traumatic brain injury, CVA, Cerebral palsy with or without orthosis | Medical/ neuro rehablitation(NA)
MG0120B | Comprehensive medical rehabilitation for of complication secondary to specified disanility/multiple disability including procedures, chemodenevaration with or with out orthosis | Medical/ neuro rehablitation(NA)
MG0120C | Single event multiple level surgery for spasticity management in cerebral palsy | Medical/ neuro rehablitation(NA)
MG0120D | Medical rehabilitation of muscular dystrophy | Medical/ neuro rehablitation(NA)
MG0120E | Medical Rehabilitation intellectual dissability | Medical/ neuro rehablitation(NA)
MG0120F | Medical Rehabilitation special learning disability | Medical/ neuro rehablitation(NA)
MG0120G | Medical Rehabilitation multiple disability | Medical/ neuro rehablitation(NA)
MG012A | Acute viral hepatitis | Acute viral hepatitis(NA)
MG013A | Chronic Hepatitis | Chronic Hepatitis(NA)
MG014A | Liver abscess | Liver abscess(NA)
MG015A | Visceral leishmaniasis | Visceral leishmaniasis(NA)
MG016A | Pneumonia | Pneumonia(NA)
MG017A | Severe pneumonia | Severe pneumonia(NA)
MG018A | Empyema | Empyema(NA)
MG019A | Lung abscess | Lung abscess(NA)
MG020A | Pericardial tuberculosis | Pericardial tuberculosis(NA)
MG020B | Pleural tuberculosis | Pleural tuberculosis(NA)
MG021A | Urinary Tract Infection | Urinary Tract Infection(NA)
MG022A | Viral Encephalitis | Viral Encephalitis(NA)
MG023A | Septic Arthritis | Septic Arthritis(NA)
MG024A | Skin and soft tissue infections | Skin and soft tissue infections(NA)
MG025A | Recurrent vomiting with dehydration | Recurrent vomiting with dehydration(NA)
MG026A | Pyrexia of unknown origin | Pyrexia of unknown origin(NA)
MG027A | Bronchiectasis | Bronchiectasis(NA)
MG028A | Acute bronchitis | Acute bronchitis(NA)
MG029A | Acute excaberation of COPD | Acute excaberation of COPD(NA)
MG030A | Acute excaberation of Interstitial Lung Disease | Acute excaberation of Interstitial Lung Disease(NA)
MG032A | Vasculitis | Vasculitis(NA)
MG033A | Acute pancreatitis | Pancreatitis(NA)
MG033B | Chronic pancreatitis | Pancreatitis(NA)
MG034A | Ascites | Ascites(NA)
MG035A | Acute transverse myelitis | Acute transverse myelitis(NA)
MG039A | Acute asthmatic attack | Asthma(NA)
MG039B | Status asthmaticus | Asthma(NA)
MG040A | Type 1 respiratory failure | Respiratory failure(NA)
MG040B | Type 2 respiratory failure | Respiratory failure(NA)
MG040C | Due to any cause (pneumonia, asthma, COPD, ARDS, foreign body, poisoning, head injury etc.) | Respiratory failure(NA)
MG041A | Upper GI bleeding (conservative) | Upper GI bleeding(NA)
MG041B | Upper GI bleeding (endoscopic) | Upper GI bleeding(NA)
MG042A | Lower GI hemorrhage | Lower GI hemorrhage(NA)
MG043A | Addison?s disease | Addison?s disease(NA)
MG044A | Renal colic | Renal colic(NA)
MG045A | AKI / Renal failure | AKI / Renal failure(NA)
MG047A | Status epilepticus | Pediatric seizure disorders(NA)
MG049C | Acute ischemic stroke | Acute ischemic stroke(NA)
MG049D | Acute hemorrhagic stroke | Acute hemorrhagic stroke(NA)
MG050A | Immune mediated CNS disorders | Immune mediated CNS disorders(NA)
MG051A | Hydrocephalus | Hydrocephalus(NA)
MG052A | Myxedema coma | Myxedema coma(NA)
MG053A | Thyrotoxic crisis | Thyrotoxic crisis(NA)
MG054A | Gout | Gout(NA)
MG055A | Pneumothorax | Pneumothorax(NA)
MG056A | Neuromuscular Disorders | Neuromuscular Disorders(NA)
MG057A | Hypoglycemia | Hypoglycemia(NA)
MG058A | Diabetic Foot -- debridement | Diabetic Foot(NA)
MG059A | Diabetic ketoacidosis | Diabetic ketoacidosis(NA)
MG060A | Hypercalcemia | Electrolyte Imbalance(NA)
MG060B | Hypocalcemia | Electrolyte Imbalance(NA)
MG060C | Hyponatremia | Electrolyte Imbalance(NA)
MG060D | Hypernatremia | Electrolyte Imbalance(NA)
MG060E | Hyperkalaemia | Electrolyte Imbalance(NA)
MG060F | Hypokalaemia | Electrolyte Imbalance(NA)
MG061A | Hyperosmolar Non-Ketotic coma | Hyperosmolar Non-Ketotic coma(NA)
MG062A | Accelerated hypertension | Accelerated hypertension(NA)
MG063A | Hypertensive emergencies | Hypertensive emergencies(NA)
MG064A | Severe anemia | Severe anemia(NA)
MG065A | Sickle cell Anemia | Sickle cell Anemia(NA)
MG066A | Anaphylaxis | Anaphylaxis(NA)
MG067A | Heat stroke | Heat stroke(NA)
MG068A | Systematic lupus erythematosus (SLE)/ Diffuse alveolar hemmorhage associated with SLE | Systematic lupus erythematosus(NA)
MG069A | Guillain Barre syndrome (IVIG) | Guillain Barre syndrome(NA)
MG070A | Snake bite | Snake bite(NA)
MG071A | Acute organophosphorus poisoning | Poisoning(NA)
MG071B | Other poisonings | Poisoning(NA)
MG072B | Peritoneal Dialysis(catheter review ) | Haemodialysis / Peritoneal Dialysis(Consumables - 1000)
MG072C | Acute Haemodialysis | Haemodialysis / Peritoneal Dialysis(NA)
MG072D | Chronic Haemodialysis | Haemodialysis / Peritoneal Dialysis(NA)
MG073A | Plasmapheresis | Plasmapheresis(NA)
MG074A | Whole Blood transfusion | Blood transfusion(NA)
MG074B | Blood component including platelet transfusion (RDP, PC, SDP) | Blood transfusion(NA)
MG077A | Continuous renal replacement therapy in AKI (initiation cost for disposable)per day for maximum of 5 in one admission | Continuous renal replacement therapy/Continuous veno- venous hemofiltration(NA)
MG078A | Alcoholic Liver Disease / LIVER PARENCHYMAL DISEASE | Alcoholic Liver Disease / LIVER PARENCHYMAL DISEASE(NA)
MG079A | Peripheral Arterial Thrombosis | Peripheral Arterial Thrombosis(NA)
MG081A | Arrhythmia | IHD / CAD / Arrhythmia(NA)
MG081B | CAD | IHD / CAD / Arrhythmia(NA)
MG086A | Acute Ischemic Stoke | Acute Ischemic Stoke(NA)
MG086B | Acute ischemic stroke- intravenous thrombolysis - Recombinant tissue plasminogen activator | Acute ischemic stroke- intravenous thrombolysis(NA)
MG086C | Acute ischemic stroke- Intravenous thrombolysis- Tenecteplase | Acute ischemic stroke- Intravenous thrombolysis(NA)
MG087A | Venous sinus thrombosis | Venous sinus thrombosis(NA)
MG088A | Pyogenic Meningitis | Pyogenic Meningitis(NA)
MG089A | Fungal Meningitis | Fungal Meningitis(NA)
MG090A | Autoimmune encephalitis - Plasmapheresis | Autoimmune encephalitis(NA)
MG090B | Autoimmune encephalitis - Immunoglubulin (IVIG) | Autoimmune encephalitis (IVIG)(NA)
MG090C | Acute transverse myelitis/ Acute demyelinating encephalitis | Acute transverse myelitis/ Acute demyelinating encephalitis(NA)
MG091A | Acute hemorrhagic stroke- Hematoma evacuation | Acute hemorrhagic stroke- Hematoma evacuation(NA)
MG091B | Acute hemorrhagic stroke- Extra ventricular drainage | Acute hemorrhagic stroke- (Extra ventricular drainage)(NA)
MG092B | Myasthenic crisis - Immunoglobulins (IVIG) | Myasthenic crisis (IVIG)(NA)
MG093A | Myasthenic crisis - Plasmapheresis | Myasthenic crisis (Plasmapheresis)(NA)
MG094A | Tuberculous meningitis (Hydrocephalus ? VP SHUNT/ EVD/Omaya) | Tuberculous meningitis (Hydrocephalus ? VP SHUNT/ EVD/Omaya)(NA)
MG095A | Cholangitis | Cholangitis(NA)
MG096A | Intercostal drainage | Intercostal drainage(NA)
MG096B | Bronchoscopy | Fibreoptic bronchoscopy (FOB)(NA)
MG099A | Platelet pheresis | Platelet pheresis(NA)
MP001D | Acute non-febrile seizures | Pediatric seizure disorders(NA)
MP003A | Acute Febrile encephalopathy | ACUTE ENCEPHALOPATHY(NA)
MP003B | Acute Disseminated Encephalomyelitis | ACUTE ENCEPHALOPATHY(NA)
MP004A | hypertensive/metabolic/febrile/ hepatic encephalopathy | ACUTE ENCEPHALOPATHY(NA)
MP005A | Acute meningo encephalitis pyogenic | ACUTE INFECTIOUS MENINGITIS AND MENINGOENCEPHALITIS.(NA)
MP005B | Aseptic meningitis tubercular, | ACUTE INFECTIOUS MENINGITIS AND MENINGOENCEPHALITIS.(NA)
MP005D | Hypertensive encehalopathy viral, | ACUTE INFECTIOUS MENINGITIS AND MENINGOENCEPHALITIS.(NA)
MP005G | Brain abscess/Intracranial abscess/ Aseptic meningitis | ACUTE INFECTIOUS MENINGITIS AND MENINGOENCEPHALITIS.(NA)
MP006B | Partially treated pyogenic meningitis | Meningitis(NA)
MP006C | Neuro tuberculosis | Meningitis(NA)
MP006D | Complicated bacterial meningitis | Meningitis(NA)
MP006E | Acute meningitis | Meningitis(NA)
MP008A | Raised ICP due to neuro surgical procedures/due to trauma/malignancies/ meningo- encephalitis | Medical Management for Raised intracranial pressure(NA)
MP011A | neurocysticercosis, brain tumours | INTRACRANIAL SPACE OCCUPYING LESIONS(NA)
MP015A | Juvenile myasthenia- requiring admission for work-up or in- patient care | Juvenile myasthenia(NA)
MP018A | Acute asthma/Status asthmaticus | Acute childhood asthma(NA)
MP020B | Steven Johnson syndrome | Acute urticaria / Anaphylaxis(NA)
MP021A | Acute abdomen pain | Acute abdomen(NA)
MP023A | Unexplained hepatosplenomegaly-requiring admission for Work Up and/or in-patient management | Unexplained hepatosplenomegaly(NA)
MP024A | Neonatal/infantile cholestasis / Choledochal cysts | Neonatal/ Infantile cholestasis(NA)
MP026A | Nephrotic syndrome with peritonitis | NEPHROTIC SYNDROME(NA)
MP026B | Steroid dependent or resistent | NEPHROTIC SYNDROME(NA)
MP027A | Haemolytic uremic syndrome | Haemolytic uremic syndrome(NA)
MP039A | Acute rheumatic fever | Rheumatic fever(NA)
MP039B | Rheumatic valvular heart disease | Rheumatic fever(NA)
MP040A | Cyanotic spells without CHD | Cyanotic spells(NA)
MP043A | Kawasaki Disease | Kawasaki Disease(NA)
MP047A | Acute laryngotracheobronchitis/Acute epiglottitis | Croup syndrome(NA)
MP050A | Uncomplicated steroid sensitive | NEPHROTIC SYNDROME(NA)
SE043A | Vision Refraction-IOP & Fundus | Glaucoma Screening(NA)
SE043B | Vision Refraction-IOP & Fundus OCT & Visual Fields | Glaucoma Screening(NA)
SE044A | Vision refraction,fundus photo and OCT | Diabetic Retinopathy Screening(NA)
MM001A | Intellectual Disability (ID) | Mental Retardation (intellectual disability)(NA)
MM002A | Mental disorders - Organic, including symptomatic | Mental disorders - Organic, including symptomatic(NA)
MM003A | Schizophrenia, schizotypal and delusional disorders | Schizophrenia, schizotypal and delusional disorders(NA)
MM004A | Neurotic, stress-related and somatoform disorders | Neurotic, stress-related and somatoform disorders(NA)
MM005A | Mood (affective) disorders | Mood (affective) disorders(NA)
MM006A | Behavioural syndromes associated with physiological disturbances and physical factors | Behavioural syndromes associated with physiological disturbances and physical factors(NA)
MM007A | Mental and Behavioural disorders due to psychoactive substance use | Mental and Behavioural disorders due to psychoactive substance use(NA)
MM008A | Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT / MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels, Folate levels, Lipid Profile, Homocysteine levels), serum Lithium level | Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT / MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels, Folate levels, Lipid Profile, Homocysteine levels), serum Lithium level(NA)
MM009A | Electro Convulsive Therapy (ECT) - per session | Electro Convulsive Therapy (ECT) - per session(NA)
MM010A | Autism Spectrum Disorder | NeuroDevelopmental Disorders (NDD) Other than Intellectual Disability(NA)
MM010B | Mixed Developmental Disorder | NeuroDevelopmental Disorders (NDD) Other than Intellectual Disability(NA)
MM010C | Tourette Syndrome / Chronic Tic Disorder | NeuroDevelopmental Disorders (NDD) Other than Intellectual Disability(NA)
MM010D | Attention Deficit Hyperactivity Disorder (ADHD) | NeuroDevelopmental Disorders (NDD) Other than Intellectual Disability(NA)
MM010E | Specific Developmental Disorders | NeuroDevelopmental Disorders (NDD) Other than Intellectual Disability(NA)
MM011A | Oppositional Defiant Disorder | Behavioral and emotional Disorders of Childhood and Adolescence(NA)
MM011B | Conduct Disorder | Behavioral and emotional Disorders of Childhood and Adolescence(NA)
MM011C | Mixed Disorder of Conduct and Emotions | Behavioral and emotional Disorders of Childhood and Adolescence(NA)
MM011D | Anxiety and Depressive Disorders | Behavioral and emotional Disorders of Childhood and Adolescence(NA)
MM011E | Other Internalizing and Externalizing Disorders of Childhood and Adolescence | Behavioral and emotional Disorders of Childhood and Adolescence(NA)
MM012A | Psychological, Behavioural and Developmental and Educational Interventions (Typically Includes Child Counselling / Psychotherapy, Family Counselling / Psychotherapy / Training Such As Parent Management Training, Behavioral / Cognitive- Behavioral Interventions, Developmental Interventions Such As Early Intervention, Speech / Language Therapy, Occupational Therapy, Physiotherapy, Remediation For Specific Learning Disability and Other Rehabilitative / Psychosocial Interventions) | Non-Pharmacological Interventions(NA)
MM013A | Common Medications Used in Management of Child & Adult Psycholoigical DisordersiIncluding Anti-ADHD Medication | Pharmacological Interventions(NA)
MM014A | Psychological Assessments (Includes IQ Testing, Specific Learning Disability Assessments, Assessments For Autism Spectrum Disorder, Developmental Assessments, Projective Tests and Other Tests Of Psychopathology), Other Psychosocial Assessments (Family, Schooling) | Psychological / Psychosocial Assessment Package for All Child And Adolescent Psychiatric Disorders(NA)
MN001A | Neonates 1800-2500g and Neonates of any weight requiring closer monitoring or short-term care on mother's bedside for conditions like, but not limited to: o Birth asphyxia (need for positive pressure ventilation at birth; no HIE) o Moderate jaundice requiring phototherapy o Large for dates (>97 percentile) or Small for gestational age (less than 3rd centile) o Rule-out sepsis . o Investigations warranted because of antenatal scan findings. Includes activities listed under Basic Neonatal care package and Kangaroo Mother Care support | Basic neonatal care package: Babies that can be managed by side of mother in postnatal ward without requiring admission in SNCU/NICU: ? Any newborn needing feeding support ? Babies requiring closer monitoring or short-term care for conditions like: o Birth asphyxia (need for positive pressure ventilation; no HIE) o Moderate jaundice requiring phototherapy o Large for dates (>97 percentile) Babies o Small for gestational age (less than 3rd centile)(NA)
MN002A | Neonates between 1500-1799g OR Neonates of any weight with mild illness like, but not limited to: ? Mild Respiratory Distress/tachypnea ? Mild encephalopathy ? Severe jaundice requiring intensive phototherapy ? Unwell baby requiring monitoring ? Some dehydration ? Hypoglycaemia The above list is illustrative but not limited to these conditions. The required procedures may include radiant warmer care, gavage feeding, oxygen therapy, IV fluid administration, blood transfusion. The package includes food and stay for the mother in the hospital for breastfeeding, Kangaroo Mother Care (KMC) and Family centered care. | Special Neonatal Care Package: Babies that required admission to SNCU or NICU: Babies admitted for short term care for conditions like: ? Mild Respiratory Distress/tachypnea ? Mild encephalopathy ? Severe jaundice requiring intensive phototherapy ? Haemorrhagic disease of newborn ? Unwell baby requiring monitoring ? Some dehydration ? Hypoglycaemia Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate(NA)
MN003A | Neonates of any birthweight with moderate illness like ? Need for mechanical ventilation for less than 24 hours or non-invasive respiratory support (CPAP, HFFNC) ? Sepsis / pneumonia without complications ? Hyperbilirubinemia requiring exchange transfusion ? Seizures requring anti- convulsants ? Major congenital malformations (pre-surgical stabilization) ? Cholestasis requiring investigations and in-hospital management ? Congestive heart failure or shock The above list is illustrative but not limited to these conditions. The package includes mandatory stay and food of the mother in the hospital for breastfeeding, Kangaroo Mother | Intensive Neonatal Care Package Babies with birthweight 1500- 1799 g or Babies of any birthweight and at least one of the following conditions: ? Need for mechanical ventilation for less than 24 hours or non-invasive respiratory support (CPAP, HFFNC) ? Sepsis / pneumonia without complications ? Hyperbilirubinemia requiring exchange transfusion ? Seizures ? Major congenital malformations (pre-surgical stabilization, not requiring ventilation) ? Cholestasis significant enough requiring work up and in- hospital management ? Congestive heart failure or shock Mother's stay and food in the(NA)
MN004A | Neonates between 1200-1499 g OR Neonates of any weight with at least one of the following conditions: ? Any condition requiring invasive ventilation longer than 24 hours ? Moderate to Severe Hypoxic Ischemic encephalopathy ? Cardiac rhythm disorders needing intervention (the cost of cardiac surgery or implant will be covered under cardiac surgery packages) ? Sepsis with complications such as meningitis or bone and joint infection, DIC or shock ? Renal failure requiring dialysis ? Inborn errors of metabolism The above list is illustrative but not limited to these conditions. The package includes mandatory stay and food of the mother in the hospital for breastfeeding, Kangaroo Mother Care (KMC) and Family centered | Advanced Neonatal Care Package: Babies with birthweight of 1200- 1499 g or Babies of any birthweight with at least one of the following conditions: ? Any condition requiring invasive ventilation longer than 24 hours ? Hypoxic Ischemic encephalopathy requiring Therapeutic Hypothermia ? Cardiac rhythm disorders needing intervention (the cost of cardiac surgery or implant will be covered under cardiac surgery packages) ? Sepsis with complications such as meningitis or bone and joint infection, DIC or shock ? Renal failure requiring dialysis ? Inborn errors of metabolism Mother's stay and food in the hospital for breastfeeding, family centred care and(NA)
MN005A | Neonates <1200 g OR Neonates of any weight with at least one of the following conditions: ? Severe Respiratory Failure requiring High Frequency Ventilation or inhaled Nitric Oxide (iNO) ? Multisystem failure requiring multiple organ support including mechanical ventilation and multiple inotropes ? Reuiring parenteral nutrition Critical congenital heart disease (excluding surgical costs) The above list is illustrative but not limited to these conditions. The package includes mandatory stay and food of the mother in the hospital for breastfeeding, Kangaroo Mother Care (KMC) and Family centered care | Critical Care Neonatal Package: Babies with birthweight of <1200 g or Babies of any birthweight with at least one of the following conditions: ? Severe Respiratory Failure requiring High Frequency Ventilation or inhaled Nitric Oxide (iNO) ? Multisystem failure requiring multiple organ support including mechanical ventilation and multiple inotropes ? Critical congenital heart disease Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate(NA)
MN006A | Neonates in Special Neonatal Care, Special Neonatal Care- Plus, Intensive Neonatal Care or Critical Neonatal Care packages (MN002,MN003,MN004, MN005) who have not fully recovered and continue to require NICU/SNCU care, e.g. for respiratory support, gavage feeding, thermal support, etc., | Chronic Care Package: If the baby requires stay beyond the upper limit of usual stay in Package no MN004A or MN005A for conditions like severe BPD requiring respiratory support, severe NEC requiring prolonged TPN support(NA)
MN007A | Includes but not limited to minimum six follow-up visits at 40 weeks PMA, and corrected ages of 3,6,9, 12 and 18 months for Assessment and Management of growth and development. Neurosonogram at 40 weeks PMA if indicated. (Per visit cost) | High Risk Newborn Post Discharge Care Package (Protocol Driven)(NA)
MN008A | Laser Therapy for Retinopathy of Prematurity (Irrespective of no. of eyes affected) per session | Laser Therapy for Retinopathy of Prematurity (Irrespective of no. of eyes affected) - per session(NA)
MN009A | Advanced Surgery for Retinopathy of Prematurity | Advanced Surgery for Retinopathy of Prematurity(NA)
MN010A | Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus | Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus(NA)
MN011A | Neonates > 2.5 kg nursed with mother : Includes clinical monitoring, breastfeeding support, birth vaccination, thyroid screening, universal hearing screening and pre- discharge counselling | Basic neonatal care (Level IA)(NA)
MN012A | ROP screening(per screening for both eyes(documentation of findingsto be done in a structured format) | ROP screening(NA)
MN013A | Brainstem Evoked Response Audiometry(BERA) per Bera | BERA(NA)
MO001A | Cyclophosphamide + Epirubcin Cyclophosphamide - 600 mg /m2 D1 Epirubicin -90mg/m2 D1 every 21 days | CT for CA Breast(NA)
MO001B | Weekly Paclitaxel for Adjuvant Therapy Paclitaxel 80mg/m2 every week | CT for CA Breast(NA)
MO001C | Weekly Paclitaxel in metastatic setting Paclitaxel 80mg/m2 every week | CT for CA Breast(NA)
MO001D | Cyclophosphamide + Methotrexate + 5 - FU Cyclophosphamide - 100mg/m2 orally D1-D14 Methotrexate 40mg/m2 IV D1 D8 5FU 600 mg/m2 D1, D8 every 28 days | CT for CA Breast(NA)
MO001E | Docetaxel + Cyclophosphamide Docetaxel 75mg/m2 D1 Cyclophosphamide 600 mg/m2 D1 every 21 days | CT for CA Breast(NA)
MO001F | Trastuzumab Trastuzumab 8 mg/Kg in Cycle 1 D1 Trastuzumab 6 mg/kg D1 from C2 every 21 days (Maximum 17 Cycles will be given) | CT for CA Breast(NA)
MO001G | Tamoxifen Tamoxifem 20 mg orally daily | CT for CA Breast(NA)
MO001H | Letrozole Letrozole 2.5 mg orally daily | CT for CA Breast(NA)
MO001I | Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Breast(NA)
MO001J | Capecitabine Capecitabine - 1000mg/m2 orally twice daily D1-D14 every 21 days | CT for CA Breast(NA)
MO001K | Carboplatin + Gemcitabine Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 2 D1 D8 Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 5-6 D1 only | CT for CA Breast(NA)
MO001L | Cyclophosphamide + Adriamycin Cyclophosphamide - 600 mg /m2 D1 Adriamycin - 60mg/m2 D1 every 21 days | CT for CA Breast(NA)
MO001M | Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days.per dose13200 (39600 in cycle1 ) then 13200 per month - (per dose 45000 in cycle1 ) then 15000 per month | CT for CA Breast(NA)
MO001N | Paclitaxel Paclitaxel 175 mg/m2 D1 every 21 days | CT for CA Breast(NA)
MO001O | Exemestane Exemestane 25 mg orally daily (q 3 monthsly) | CT for CA Breast(NA)
MO001P | Lapatinib Lapatinib 500 mg BD orally , daily per month | CT for CA Breast(NA)
MO002A | Zoledronic Acid Zoledronic acid 4 mg IV Monthly | CT for Metastatic bone malignancy and multiple myeloma(NA)
MO003A | Cisplatin + Irinotecan Cisplatin 60mg/m2 D1 Irinotecan 60 mg/m2 D1 D8 D15 every 28 days | CT for CA Ovary(NA)
MO003B | Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5-6 D1 every 28 days | CT for CA Ovary(NA)
MO003C | Etoposide 50 mg/m2 OD D1- D21 every 28 days | CT for CA Ovary(NA)
MO003D | Irinotecan Irinotecan 60 -90 mg/m2 D1 D8 every 21 days | CT for CA Ovary(NA)
MO003E | Lipodox Lipodox 40 mg/m2 IV every 28 days | CT for CA Ovary(NA)
MO003F | Carboplatin + Gemcitabine Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 2 D1 D8 Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 5-6 D1 only | CT for CA Ovary(NA)
MO003G | Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Ovary(NA)
MO003H | Cyclophosphamide 50 mg/m2 OD D1-D21 every 28 days | CT for CA Ovary(NA)
MO003I | Tamoxifen Tamoxifem 20 mg orally daily (3 months) | CT for CA Ovary(NA)
MO003J | Letrozole Letrozole 2.5 mg orally daily (3 months) | CT for CA Ovary(NA)
MO003K | Single agent Carboplatin Carboplatin AUC 5-6 D1 every 21 days ( maximum -6 cycle) | CT for CA Ovary(NA)
MO003L | Cisplatin Cisplatin 40 mg/m2 every week (maximum- 6 cycles) | CT for CA Ovary(NA)
MO004A | Carboplatin (AUC 7) Carboplatin AUC 7 every 21 days | CT for Germ Cell Tumor(NA)
MO004B | Bleomycin + Etoposide + Cisplatin Bleomycin 30 units D1 D8 D15 Cisplatin 20 mg/m2 IV D1-D5 Etoposide 100mg/m2 D1-D5 every 21 days | CT for Germ Cell Tumor(NA)
MO004C | Etoposide + Cisplatin Cisplatin 20 mg/m2 IV D1-D5 Etoposide 100mg/m2 D1-D5 every 21 days | CT for Germ Cell Tumor(NA)
MO004D | Gemcitabine + Oxaliplatin Gemcitabine 1000mg/m2 D1 D8 Oxaiplatin 130mg/m2 D1 every 21 days | CT for Germ Cell Tumor(NA)
MO004E | Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days | CT for Germ Cell Tumor(NA)
MO004F | Paclitaxel + Ifosfamide + Cisplatin Paclitaxel 240 mg/m2 D1 Ifosfamide 1500mg/m2 D2-D5 Mesna 300 mg/m2 0h 4h 8h D2- D5 Cisplatin 25mg/m2 D2-D5 every 21 days | CT for Germ Cell Tumor(NA)
MO004G | Vinblastin + Ifosfamide + Cisplatin Vinblastine 0.11 mg/kg IV D1- D2 Mesna 240mg/m2 0h 4h 8h D1- D5 Ifosfamide 1200mg/m2 D1-D5 Cisplatin 20 mg/m2 D1-D5 every 21 days | CT for Germ Cell Tumor(NA)
MO005A | Etoposide + Methotrexate + Dactinomycin- Cyclophosphamide + Vincristine Etoposide 100mg/m2 IV D1 D2 Dactinomycin 0.5 mg IV push D1 D2 Methotrexate 300 mg /m2 D1 Leucovorin 15 mg PO every 12 hrs for 4 doses Cyclophosphamide 600mg/m2 D8 Vincrstine 1 mg/m2 D8 every 2 weeks | CT for Gestational Trophoblastic Neoplasia(NA)
MO005B | Etoposide + Methotrexate + Dactinomycin + Cisplatin Etoposide 100mg/m2 IV D1 D2 D8 Dactinomycin 0.5 mg IV push D1 D2 Methotrexate 300 mg /m2 D1 Leucovorin 15 mg PO every 12 hrs for 4 doses Cisplatin 75mg/m2 D8 every 2 weeks | CT for Gestational Trophoblastic Neoplasia(NA)
MO005C | Methotrexate Methotrexate 1/mg/kg IM every other day x 4 days D1 3 D5 D7 Alternating every other day with Leucovorin 15 mg PO repeat every 14 days | CT for Gestational Trophoblastic Neoplasia(NA)
MO005D | Dactinomycin Inj Dactinomycin 0.5 mg D1- D5 every 14 days | CT for Gestational Trophoblastic Neoplasia(NA)
MO006A | Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for Cervical Cancer(NA)
MO006B | Cisplatin Cisplatin 40 mg/m2 every week | CT for Cervical Cancer(NA)
MO007A | Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5 D1 every 21 days | CT for Endometrial Cancer(NA)
MO007B | Cisplatin + Doxorubicin Doxorubicin 60 mg/m2 D1 Cisplatin 50mg/m2 every 3 weeks | CT for Endometrial Cancer(NA)
MO007C | Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5 D1 every 28 days | CT for Endometrial Cancer(NA)
MO007D | Carboplatin + Gemcitabine Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 2 D1 D8 Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 5-6 D1 only every 3 weeks | CT for Endometrial Cancer(NA)
MO007E | Anastrozole 1 mg orally daily (for 3 months) | CT for Endometrial Cancer(NA)
MO008A | Cisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 3 weeks | CT for Vulvar Cancer(NA)
MO008B | Cisplatin Cisplatin 40 mg/m2 every week | CT for Vulvar Cancer(NA)
MO008C | Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5 D1 every 21 days | CT for Vulvar Cancer(NA)
MO009A | Vincristine + Topotecan + Cyclophosphamide + Irinotecan + Temozolamide Vincristine 1.5mg/m2( day 1) Topotecan 1.5mg/m2 (day 1-5) Cyclophosphamide 250mg/m2 (days 1-5) Given every 3 weeks Irinotecan 10-50 mg/sqM days 1-5 and days 8-12 Temozolamide 100mg/m2 days 1-5 of each cycle every 3 weeks | CT for Ewing Sarcoma(NA)
MO009B | Vincristine + Ifosfamide + Etoposide Vincristine + Doxorubicin + Cyclophosphamide Vincristine + Cyclophosphamide + Dactinomycin. 4 cycles VIE, 6 cycles VAC, 4 cycles VCD Vincristine 1.5mg/m2 (day 1, 8 and 15) Ifosfamide: 1800mg/m2 (days1- 5) Etposide: 100mg/sq.m (days 1- 5) Given every 3 weeks Vincristine 1.5mg/m2 (day 1 and 8) Adriamyicn: 60mg/m2 (day 1) Cyclophosphamide 600mg/m2 (day 1) Given 2-3 weekly Vincristine 1.5mg/m2 (day 1 and 8) Cyclophosphamide 600mg/m2 (day 1) Dactinomycin1mg/m2 (day1) Given 3 weekly | CT for Ewing Sarcoma(NA)
MO009C | Vincristine + Adriamycin + Cyclophosphamide Ifosfamide + Etoposide Ifosfamide: 1800mg/m2 (days1- 5) Etposide: 100mg/sq.m (days 1- 5) Given every 2-3 weekly Vincristine 1.5mg/m2 (day 1 and 8) Adriamyicn: 75mg/m2 (day 1) Cyclophosphamide 1200mg/m2 (day 1) Given 2-3 weekly | CT for Ewing Sarcoma(NA)
MO010A | Doxorubicin + Cisplatin Cisplatin 100mg/m2 Doxorubicin 75mg/m2 given every 3 weeks | CT for Osteogenic Sarcoma(NA)
MO010B | Methotrexate + Doxorubicin + Cisplatin for Relapsed Osteogenic Sarcoma Cisplatin 120mg/sq.m Doxorubicin 75mg/m2 Methotrexate 8-12 gram/m2 Each cycle for 5 weeks | CT for Osteogenic Sarcoma(NA)
MO010C | OGS - 12 Ifosfamide 1800 mg/m2 D1-D5 Mesna 600mg/m2 0h 3h 6h 9h D1-D5 Adriamycin 25mg/m2 D1- D3 Cisplatin 33 mg/m2 D1-D3 every 21 days | CT for Osteogenic Sarcoma(NA)
MO010D | OGS - 12 Ifosfamide 1800 mg/m2 D1-D5 Mesna 600mg/m2 0h 3h 6h 9h D1-D5 Cisplatin 33 mg/m2 D1-D3 every 21 days | CT for Osteogenic Sarcoma(NA)
MO011A | Gemcitabine + Docetaxel Gemcitabine 900 mg/m2 D1 D8 Docetaxel 100 mg/m2 D8 every 21 days | CT for Soft Tissue Sarcoma(NA)
MO011B | Ifosfamide + Adriamycin Doxorubicin 30mg/m2 D1 D2 Ifosfamide 2000 to 3000mg/m2 Mesna 400 to 600 mg/m2 0h 4h 8h D1 - D3 Every 21 days | CT for Soft Tissue Sarcoma(NA)
MO011C | Doxorubicin 60-75/m2, every 21 days | CT for Soft Tissue Sarcoma(NA)
MO012A | Dacarbazine + Cisplatin Dacarbazine 250mg/m2 D1-D5 Cisplatin 75 mg/m2 Every 21 days | CT for Metastatic Melanoma(NA)
MO012B | Temozolamide Temozolamide 200mg/m2 D1- D5 every 28 days | CT for Metastatic Melanoma(NA)
MO012C | Imatinib Tab Imatinib 400/800 mg daily | CT for Metastatic Melanoma(NA)
MO013A | 5 Fluorouracil (FU)+ Mitomycin C 5 Fluorouracil(FU) 1000mg/m2 D1-D4 D29-D32 Mitomycin 10mg/m2 D1 | CT for Anal Cancer(NA)
MO013B | Capecitabine + Mitomycin C Capecitabine 825mg/m2 PO twice daily till completion of RT Mitomycin 10mg/2 D1 | CT for Anal Cancer(NA)
MO013C | Cisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks | CT for Anal Cancer(NA)
MO013D | Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for Anal Cancer(NA)
MO013E | Cisplatin + Paclitaxel Paclitaxel 175 mg/m2 D1 Cisplatin 75mg/m2 D1 every 21 days | CT for Anal Cancer(NA)
MO014A | 5 FU + Leucovorin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 every 14 days | CT for Colorectal Cancer(NA)
MO014B | Capecitabine + Irinotecan Capecitabine 1000mg/m2 D1- D14 Irinotecan 200 mg/m2 D1 every 21 days | CT for Colorectal Cancer(NA)
MO014C | 5 FU + Leucovorin + Oxaliplatin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 every 14 days | CT for Colorectal Cancer(NA)
MO014D | 5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days | CT for Colorectal Cancer(NA)
MO014E | Capecitabine + Oxaliplatin Capecitabine 1000mg/m2 D1- D14 Oxaliplatin 130 mg/m2 D1 every 21 days | CT for Colorectal Cancer(NA)
MO014F | Capecitabine along with RT Capecitabine 825 mg/m2 twice daily | CT for Colorectal Cancer(NA)
MO014G | Capecitabine Capecitabine 1000mg/m2 D1- D14 every 21 days | CT for Colorectal Cancer(NA)
MO014H | 5FU + Leucovorin + Oxaliplatin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Irinotecan 180mg/m2 every 14 days | CT for Colorectal Cancer(NA)
MO015A | Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for Esophageal Cancer(NA)
MO015B | Cisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks | CT for Esophageal Cancer(NA)
MO015C | Cisplatin + 5 FU Cisplatin 75mg/m2 D1 D29 5FU 1000mg/m2 D1-D4 D29 D32 every 35 days | CT for Esophageal Cancer(NA)
MO015D | Paclitaxel + Carboplatin Paclitaxel 50mg/m2 D1 Carboplatin AUC 2 D1 every week | CT for Esophageal Cancer(NA)
MO015E | Paclitaxel + Carboplatin Paclitaxel 50mg/m2 D1 Carboplatin AUC 2 D1 every week | CT for Esophageal Cancer(NA)
MO016A | Cisplatin + Docetaxel Docetaxel 40mg/m2 D1 Cisplatin 40 mg/m2 D1 Leucovorin 400mg/m2 D1 5FU 1000mg/m2 D1 D2 every 14 days | CT for Esophageal / Stomach Cancer(NA)
MO016B | Irinotecan Irinotecan 60- 90 mg/m2 D1 D8 every 21 days | CT for Esophageal / Stomach Cancer(NA)
MO016C | 5 FU 5 FU 250 mg/m2 D1-D5 over 24 hrs every week | CT for Esophageal / Stomach Cancer(NA)
MO016D | Capecitabine Capecitabine 825 mg/m2 twice daily | CT for Esophageal / Stomach Cancer(NA)
MO016E | Capecitabine + Oxaliplatin Capecitabine 1000mg/m2 D1- D14 Oxaliplatin 130 mg/m2 D1 every 21 days | CT for Esophageal / Stomach Cancer(NA)
MO016F | Docetaxel + Cisplatin + 5 FU Docetaxel 40mg/m2 D1 Cisplatin 40 mg/m2 D1 Leucovorin 400mg/m2 D1 5FU 1000mg/m2 D1 D2 every 14 days | CT for Esophageal / Stomach Cancer(NA)
MO016G | Docetaxel + Cisplatin + Capecitabine Docetaxel 40mg/m2 D1 Cisplatin 40 mg/m2 D1 Capecitabine 825mg/m2 twice daily every 14 days | CT for Esophageal / Stomach Cancer(NA)
MO016H | Docetaxel + Oxaliplatin + 5 FU Docetaxel 50mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Leucovorin 400mg/m2 D1 5FU 1200mg/m2 D1 D2 every 14 days | CT for Esophageal / Stomach Cancer(NA)
MO016I | Docetaxel + Oxaliplatin + Capecitabine Docetaxel 50mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Capecitabine 825 mg/m2 Twice daily every 14 days | CT for Esophageal / Stomach Cancer(NA)
MO016J | 5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days | CT for Esophageal / Stomach Cancer(NA)
MO016K | 5FU + Leucovorin + Oxaliplatin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 every 14 days | CT for Esophageal / Stomach Cancer(NA)
MO016L | Paclitaxel Paclitaxel 80mg/m2 every week | CT for Esophageal / Stomach Cancer(NA)
MO017A | Doxorubicin (TACE) Doxorubicin 30-75 mg/m2 one course | CT for Hepatocellular Carcinoma(NA)
MO017B | Sorafenib Sorafenib 400mg PO twice daily | CT for Hepatocellular Carcinoma(NA)
MO017C | Lenvatinib 12 mg daily | CT for Hepatocellular Carcinoma(NA)
MO018A | Gemcitabine + Nanopaclitaxel Gemcitabine 1000mg/m2 D1 D8 D16 Albumin bound Paclitaxel 125mg/m2 D1 D8 D15 every 28 days | CT for Panceratic Cancer(NA)
MO018B | Gemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days | CT for Panceratic Cancer(NA)
MO018C | Gemcitabine Gemcitabine 300mg/m2 weekly | CT for Panceratic Cancer(NA)
MO018D | 5FU + Leucovorin + Oxaliplatin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Irinotecan 180mg/m2 every 14 days | CT for Panceratic Cancer(NA)
MO018E | Capecitabine Capecitabine 825 mg/m2 twice daily | CT for Panceratic Cancer(NA)
MO018F | Capecitabine + Gemcitabine Gemcitabine 1000mg/m2 D1 D8 D15 Capecitabine 830mg/m2 twice daily D1-D21 every 28 days | CT for Panceratic Cancer(NA)
MO019A | Capecitabine Capecitabine 1000 - 1250 mg/m2 twice daily D1 -D14 every 21 days | CT for Gall Bladder Cancer / Cholangiocarcinoma(NA)
MO019B | Cisplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 25 mg/m2 D1 D8 every 21 days | CT for Gall Bladder Cancer / Cholangiocarcinoma(NA)
MO019C | 5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days | CT for Gall Bladder Cancer / Cholangiocarcinoma(NA)
MO019D | Gemcitabine Gemcitabine 300 mg/m2 D 1every week (till RT ends) - per week | CT for Gall Bladder Cancer / Cholangiocarcinoma(NA)
MO019E | Gemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days | CT for Gall Bladder Cancer / Cholangiocarcinoma(NA)
MO019F | Oxaliplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 Oxaliplatin 100 mg/m2 D1 every 14 days | CT for Gall Bladder Cancer / Cholangiocarcinoma(NA)
MO019G | Capecitabine + Irinotecan Capecitabine 1000mg/m2 D1- D14 Irinotecan 200 mg/m2 D1 every 21 days | CT for Gall Bladder Cancer / Cholangiocarcinoma(NA)
MO019H | 5FU + Leucovorin + Oxaliplatin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 every 14 days | CT for Gall Bladder Cancer / Cholangiocarcinoma(NA)
MO020A | Imatinib Imatinib 400 mg once daily | CT for Gastointestinal stromal tumor(NA)
MO020B | Sunitinib Sunitinb 37.5 mg once daily | CT for Gastointestinal stromal tumor(NA)
MO021A | Temozolamide Temozolomide 150 - 200 mg/m2 D1-D5 every 28 days | CT for CA Brain(NA)
MO021B | Temozolamide Temozolomide 75mg/m2 once daily | CT for CA Brain(NA)
MO022A | Gemcitabine + Cisplatin Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 every 21 days | CT for Mesothelioma(NA)
MO022B | Pemetrexed + Cisplatin Pemetrexed 500mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days | CT for Mesothelioma(NA)
MO022C | Pemetrexed + Carboplatin Pemetrexed 500mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for Mesothelioma(NA)
MO023A | Cisplatin + Etoposide Etoposide 100mg/m2 D1 - D3 Cisplatin 75-100 mg/m2 D1 every 21 days | CT for Thymic Carcinoma(NA)
MO023B | Cisplatin + Adriamycin + Cyclophosphamide Cisplatin 50 mg/m2 D1 Doxorubicin 50 mg/m2 D1 Cyclophosphamide 500 mg/m2 D1 every 21 days | CT for Thymic Carcinoma(NA)
MO024A | Cisplatin + Docetaxel Docetaxel 75 mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days | CT for CA Head & Neck(NA)
MO024B | Cisplatin Cisplatin 100mg/m2 every 21 days | CT for CA Head & Neck(NA)
MO024C | Carboplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Head & Neck(NA)
MO024D | Docetaxel + Cisplatin + 5 FU Docetaxel 75 mg/m2 D1 Cisplatin 75 mg/m2 D1 5 FU 750 mg/m2 D1- D5 every 21 days | CT for CA Head & Neck(NA)
MO024E | Docetaxel Docetaxel 20mg/m2 every week | CT for CA Head & Neck(NA)
MO024F | Docetaxel Docetaxel 75 mg/m2 D1 every 21 days | CT for CA Head & Neck(NA)
MO024G | Etoposide + Carboplatin Etoposide 100mg/m2 D1 - D3 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Head & Neck(NA)
MO024H | Etoposide + Cisplatin Etoposide 100mg/m2 D1 - D3 Cisplatin 75-100 mg/m2 D1 every 21 days | CT for CA Head & Neck(NA)
MO024I | Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 every 21 days | CT for CA Head & Neck(NA)
MO024J | Gemcitabine + Cisplatin Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 every 21 days | CT for CA Head & Neck(NA)
MO024K | Paclitaxel + Carboplatin Paclitaxel 80mg/m2 D1 Carboplatin AUC 2 D1 every week | CT for CA Head & Neck(NA)
MO024L | Paclitaxel + Carboplatin (AUC 5) Paclitaxel 175mg/m2 every 21 days | CT for CA Head & Neck(NA)
MO024M | Paclitaxel Paclitaxel 80mg/m2 every week | CT for CA Head & Neck(NA)
MO024N | Paclitaxel Paclitaxel 175mg/m2 every 21 days | CT for CA Head & Neck(NA)
MO024O | Carboplatin Carboplatin AUC 2 every week | CT for CA Head & Neck(NA)
MO024P | Cisplatin Cisplatin 40mg/m2 every week | CT for CA Head & Neck(NA)
MO025A | Sunitinib 50 mg once daily 4 weeks on 2 weeks off | CT for Renal Cell Cancer(NA)
MO025B | Cabozantinib 60 mg od x 1 month every 4 weeks | CT for Renal Cell Cancer(NA)
MO026A | Cisplatin + Methotrexate + Vinblastin Methotrexate 30mg/m2 D1 D8 Vinblastine 4 mg/m2 D1 D8 Doxorubicin 30 mg/m2 D2 Cisplatin 100 mg/m2 D2 Leucovorin 15 mg PO D2 D9 every 21 days | CT for Ureter / Bladder / Urethra(NA)
MO026B | Carboplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Carboplatin AUC 5-6 D1 every 21 days | CT for Ureter / Bladder / Urethra(NA)
MO026C | Cisplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 every 21 days | CT for Ureter / Bladder / Urethra(NA)
MO026D | Cisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks | CT for Ureter / Bladder / Urethra(NA)
MO026E | Cisplatin + Paclitaxel Paclitaxel 175 mg /m2 D1 Cisplatin 75 mg /m2 D1 every 21 days | CT for Ureter / Bladder / Urethra(NA)
MO026F | Docetaxel Docetaxel 75 mg/m2 D1 every 21 days | CT for Ureter / Bladder / Urethra(NA)
MO026G | Gemcitabine + Paclitaxel Gemcitabine 2500 mg/m2 D1 Paclitaxel 150 mg/m2 D1 every 14 days | CT for Ureter / Bladder / Urethra(NA)
MO026H | Gemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days | CT for Ureter / Bladder / Urethra(NA)
MO026I | Methotrexate + Vinblastin + Doxorubicin + Cisplatin Methotrexate 30mg/m2 D1 Vinblastine 3 mg/m2 D2 Doxorubicin 30 mg/m2 D2 Cuisplatin 70 mg/m2 D2 every 14 days | CT for Ureter / Bladder / Urethra(NA)
MO026J | Paclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for Ureter / Bladder / Urethra(NA)
MO026K | Paclitaxel Paclitaxel 80 mg/m2 D1 every week | CT for Ureter / Bladder / Urethra(NA)
MO027A | Cisplatin + Paclitaxel Paclitaxel 175 mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days | CT for CA Penis(NA)
MO027B | 5 FU + Cisplatin 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks | CT for CA Penis(NA)
MO027C | Capecitabine Capecitabine 1000-1250 mg/m2 PO twice daily D1 -D14 every 21 days | CT for CA Penis(NA)
MO027D | Paclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Penis(NA)
MO027E | Paclitaxel Paclitaxel 80 mg/m2 D1 every week | CT for CA Penis(NA)
MO027F | Paclitaxel Paclitaxel 175 mg/m2 D1 every 21 days | CT for CA Penis(NA)
MO027G | Paclitaxel + Carboplatin Paclitaxel 80 mg/m2 D1 Carboplatin AUC 2 D1 every week | CT for CA Penis(NA)
MO028A | Docetaxel Docetaxel 60 mg/m2 D1 every 14 days | CT for CA Prostate(NA)
MO028B | Docetaxel Docetaxel 75 mg/m2 D1 every 21 days | CT for CA Prostate(NA)
MO028C | Etoposide + Carboplatin Etoposide 100mg/m2 D1 - D3 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Prostate(NA)
MO028D | LHRH Agonist Leuprolide 22.5 ug every 3 months | CT for CA Prostate(NA)
MO028E | Mitoxantrone + Prednisolone Mitoxantrone 12mg/m2 every 3 weeks Prednsiolone 10 mg daily | CT for CA Prostate(NA)
MO028F | Paclitaxel + Carboplatin Paclitaxel 80mg/m2 D1 Carboplatin AUC 2 D1 every week | CT for CA Prostate(NA)
MO028G | Paclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Prostate(NA)
MO028H | Docetaxel Docetaxel 20mg/m2 D1 every week | CT for CA Prostate(NA)
MO028I | Abiraterone 1000 mg + Prednisolone 10mg daily Once every month | CT for CA Prostate(NA)
MO029A | Rituximab + Cyclophosphamide + Etoposide + Prednsiolone Rituximab 375mg/m2 Cyclophosphamide 750 mg/m2 Vincristine 1.4 mg/m2, on Day1 Etoposide 65mg/m2 Day 1 to 3 Prednisolone 100 mg Day 1-5 Total 6 cycles, repeat 21 days | CT for B - Cell NHL - High Grade (Except Burkitt's & PCNSL)(NA)
MO029B | Rituximab + Cyclophosphamide + Doxorubicin + Prednsiolone Rituximab 375mg/m2 Cyclophosphamide 750 mg/m2 Doxorubicin 50mg/m2 Vincristine 1.4 mg/m2 on Day1 Prednisolone 100 mg Day 1-5 Total 6 cycles, repeat 21 days | CT for B - Cell NHL - High Grade (Except Burkitt's & PCNSL)(NA)
MO030A | Rituxmab + Dexamethasone + High Dose Cytarabine + Cisplatin Rituximab 375mg/m2 Day 1 Cytarabine 2g/m2 BD on day 2 Dexamethasone 40 mg Day 1 - 4 Cisplatin 75mg/m2 or Carboplatin AUC-5 on day 1 Cycle to be repeated every 21days | CT for High - Grade NHL - B Cell(NA)
MO031A | GDP - R Rituximab 375mg/m2 Day 1 Gemcitabine 1000mg/m2 on day 1 and 8 Dexamethasone 40 mg Day 1 - 4 Cisplatin 75mg/m2 on day 1 Cycle to be repeated every 21days Total- 6 cycles | CT for Relapsed B - Cell NHL - High Grade (Except Burkitt's & PCNSL)(NA)
MO031B | ICE - R Rituximab 375mg/m2 Ifosfamide 1.66g/m2 on day 1 - 3 Mesna 1.66g/m2 day 1 - 3 Carboplatin AUC 5 on day 1 Etoposide 100mg/m2 on day 1 - 3 Cycle every 21days for 6 cycles | CT for Relapsed B - Cell NHL - High Grade (Except Burkitt's & PCNSL)(NA)
MO032A | Etoposide + Prednsiolone + Vincristine + Cyclophosphamide + Doxorubicin Rituximab 375mg/m2 Day 1 Etoposide 50mg/m2 VCR 0.4mg/m2 Doxorubicin 10mg/m2 Day1 - 4 Cyclophosphamide 750mg/m2 on day 5 Prednisolone 100 mg day 1-5 Every 21 days Dose adjustment each cycle depending on nadir counts Total- 6 cycles | CT for PMBCL / Burkitt's Lymphoma / Seropositive B - Cell NHLR(NA)
MO033A | Codox - M - IVAC- cyclophosphamide, vincristine, doxorubicin, high-dose methotrexate / ifosfamide, etoposide, high-dose cytarabine) GMALL (German multicenter acute lymphoblastic leukemia) Berlin- Frankfurt -Munster Hyper CVAD (cyclophosphamide, Vincristine, Adriamycin,Dexamethasone | CT for Burkitt's NHL(NA)
MO034A | Bendamustine + Rituximab Bendamustine 90mg/m2 on day 1, 2 Rituximab 375mg/m2 on day 1 Repeat every 28 days, Total 6 cycles | CT for Low Grade B - Cell NHL(NA)
MO034B | Lenalidomide + Rituximab Rituximab 375mg/m2 Day 1 Lenlidomide 25 mg D1-28, for 8 cycles | CT for Low Grade B - Cell NHL(NA)
MO035A | Rituximab Rituximab 375mg/m2 per week for 6 weeks | CT for Low Grade NHL(NA)
MO035B | Rituximab + Cyclophosphamide + Vincristine + Prednisolone Rituximab 375 mg/m2 Cyclophosphamide 750mg/m2 Vincristine 1.4mg/m2 Day 1 Prednisolone 100 mg Day 1 - 5 Repeat every 21days. Total 6 cycles | CT for Low Grade NHL(NA)
MO036A | Fludarabine + Cyclophosphamide Fludarabine 25mg/m2 D1-3 Cyclophosphamide 250 mg/m2 D1-3 every 28 days for 6 cycles | CT for Chronic Lymphocytic Leukemia(NA)
MO036B | Rituxmab + Chlorambucil Rituximab 375mg/m2 Day 1 Chlorambucil 10 mg/m2 D1-7 Repeat every 28 days for 12 cycles | CT for Chronic Lymphocytic Leukemia(NA)
MO036C | Rituximab + Fludarabine + Cyclophosphamide Rituximab 375mg/m2 on day 1 Fludarabine 25mg/m2 D1 - 3 Cyclophosphamide 250 mg/m2 D1 - 3 Every 28 days for 6 cycles | CT for Chronic Lymphocytic Leukemia(NA)
MO036D | Lenalidomide lenalidomide-10-25 mg/day day 1 to 21 every 28 days | CT for Chronic Lymphocytic Leukemia(NA)
MO037A | CHOEP Cyclophosphamide 750mg/m2 D1 Vincristine 1.4mg/m2 D1 Adriamycin 50 mg/m2 D1 Etoposide 100mg/m2 D1-3 Prednisolone 100 mg D1-5 Every 21days. Total 6 cycles | CT for Peripheral T - Cell Lymphoma(NA)
MO037B | CHOP Cyclophosphamide 750mg/m2 D1 Vincristine 1.4mg/m2 D1 Adriamycin 50 mg/m2 D1 Prednisolone 100 mg D1-5 Every 21days. Total 6 cycles | CT for Peripheral T - Cell Lymphoma(NA)
MO037C | SMILE Methotrexate 2gm/m2 D1 Ifosfamide 1500mg/m2 D2-4 Etoposide 100mg/m2 D2-4 L-asparginase 6000U/m2 D8,10,12,14,16,18,20 Dexamethasone 40mg D1-4 every 28 days | CT for Peripheral T - Cell Lymphoma(NA)
MO038A | GELOX Gemcitabine 1000mg/m2 D1 and D8 Oxaliplatin 130mg/m2 D1 L- asparginase 6000 U/m2 D1-7 Repeat every 21 days | CT for NK - T Cell Lymphoma(NA)
MO038B | LVP L-asparginase 6000U/m2 D1-5 Vincristine 1.4mg/m2 D1 Prednisolone 100mg D1-5 Repeat every 21 days | CT for NK - T Cell Lymphoma(NA)
MO039A | COPP Cyclophosphamide 650mg/m2 D1, 8 Vincristine 1.4mg/m2 D1, 8 Procarbazine 100 mg/m2 D1-14 Prednisolone 40mg/m2 D1-14 Every 28days. Total 6 - 8 cycles | CT for Hodgkin's Lymphoma(NA)
MO039B | ABVD Adriamycin 25mg/m2 Bleomycin 10unit/m2 Vinblastine 6mg/m2 Dacarbazine 375 mg/m2 Day 1,15 Every 28 days for 6 cycles | CT for Hodgkin's Lymphoma(NA)
MO039C | AEVD Adriamycin 25mg/m2 Vinblastine 6mg/m2 Dacarbazine 375 mg/m2 Day 1,15 Etoposide 65mg/m2 Day 1-3, 15 17 Every 28 days for 6 cycles | CT for Hodgkin's Lymphoma(NA)
MO040A | ICE Ifosfamide 1.5 mg/m2 D1-3 Carboplatin AUC5 D2 Etoposide 100mg/m2 D1-3 Every 3 weeks | CT for Relapsed Hodgkin Lymphoma(NA)
MO040B | MINE Ifosfamide 4 gm/m2 over 3days (D1-3) Mitoxantrone 8mg/m2 Etoposide 65mg/m2 D1-3 Every 3 weeks | CT for Relapsed Hodgkin Lymphoma(NA)
MO040C | PTCL - GDP Gemcitabine 1000mg/m2 D1 and D8 Dexamethasone 40mg D1-4 Cisplatin 75mg/m2 D1 or Cacrboplatin AUC-5 Every 3 weeks | CT for Relapsed Hodgkin Lymphoma(NA)
MO041A | DHAP Dexamethasone 40mg D1-4 Cisplatin 100mg/m2 or Carboplatin AUC-5D1 Cytarabine 2 gm/m2 BD D2 Repeat every 21 days | CT for Relapsed NHL & HL(NA)
MO042A | Lenalidomide + Dexamethasone Lenalidomide 25 mg daily Day1- 21 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28days | CT for MM / Amyloidosis / POEMS(NA)
MO042B | Pomalidomide + Dexamethasone Pomalidomide 4 mg daily Day 1- 21 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28 days | CT for MM / Amyloidosis / POEMS(NA)
MO043A | Cyclophosphamide + Thalidomide + Dexamethasone Cyclophosphamide 100mg D1- D14 Thalidomide 100-200 mg daily Day 1-28 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28 days | CT for MM / Amyloidosis(NA)
MO043B | Melphalan + Thalidomide + Prednisolone Melphalan 9mg/m2 D1-D4 Thalidomide 100mg D1-28 Prednisolone 100mg Day1-4 Every 28days | CT for MM / Amyloidosis(NA)
MO043C | Bortezomib + Cyclophosphamide + Dexamethasone Cyclophosphamide - 300 mg/m2 day 1, 8, 15, 22 Dexamethasone 40mg Day 1, 8, 15, 22 Bortezomib 1.3 mg/m2 Day1, 8, 15, 22 Every 28 days | CT for MM / Amyloidosis(NA)
MO043D | Bortezomib + Dexamethasone Bortezomib 1.3 mg/m2 Day1, 8, 15, 22 Dexamethasone 40mg Day1, 8, 15, 22 Every 28 day | CT for MM / Amyloidosis(NA)
MO043E | Bortezomib + Melphalan + Prednsiolone Melphalan 9mg/m2 D1-D4 Prednisolone 100mg Day 1-4 Bortezomib 1.3 mg/m2 Day 1, 8, 15, 22 Every 28 days | CT for MM / Amyloidosis(NA)
MO043F | Bortezomib + Lenalidomide + Dexamethasone Lenalidomide 25 mg daily Day 1 - 21 Dexamethasone 40mg Day 1, 8, 15, 22 Bortezomib 1.3 mg/m2 Day 1, 8, 15, 22 Every 28 days | CT for MM / Amyloidosis(NA)
MO043G | Bortezomib + Thalidomide + Dexamethasone Thalidomide 100 mg daily Day 1 - 28 Dexamethasone 40 mg Day 1, 8, 15, 22 Bortezomib 1.3 mg/m2 Day 1, 8, 15, 22 Every 28 days | CT for MM / Amyloidosis(NA)
MO044A | Imatinib Imatinib 400 mg, 600 mg, 800 mg (per month X 5 years) | CT for Chronic Myeloid Leukemia(NA)
MO044B | Dasatinib 100 mg once a day | CT for Chronic Myeloid Leukemia(NA)
MO045A | Hydroxurea Hydroxurea daily (Dose will be based on blood counts) | CT for Myeloproliferative Neoplasm(NA)
MO046A | Cytarabine 2 gm / M2 BD for 3 days Every 21 days for 3 cycles | CT for Acute Myeloid Leukemia(NA)
MO046B | Cytarabine 100 mg / M2 7 days Daunomycin 60 mg / M2 3 days ( this does not include antibiotics, antifungals, blood and platelets transfusion) | CT for Acute Myeloid Leukemia(NA)
MO047A | Berlin- Frankfurt -Munster-90, Berlin- Frankfurt -Munster-95, Berlin- Frankfurt -Munster-2000 Hyper (cyclophosphamide, Vincristine, Adriamycin,Dexamethasone UKALL (United kingdom acute lymphoblastic leukaemia) GMALL (German multicenter acute lymphoblastic leukemia) Induction phase | CT for Acute Lymphoblastic Leukemia(NA)
MO047B | Berlin- Frankfurt -Munster-90 Berlin- Frankfurt -Munster-95 Berlin- Frankfurt -Munster-2000 Hyper (cyclophosphamide, Vincristine, Adriamycin,Dexamethasone UKALL (United kingdom acute lymphoblastic leukaemia) GMALL (German multicenter acute lymphoblastic leukemia) - Continuation pahse | CT for Acute Lymphoblastic Leukemia(NA)
MO047C | 6 Mercaptopurine 50 mg / M2 daily Methotrexate 25 mg / M2 Weekly for 2 years | CT for Acute Lymphoblastic Leukemia(NA)
MO048A | Berlin- Frankfurt -Munster-90 Berlin- Frankfurt -Munster- 95 Berlin- Frankfurt -Munster- 2000 Hyper CVAD (cyclophosphamide, Vincristine, Adriamycin,Dexamethasone UKALL (United kingdom acute lymphoblastic leukaemia) GMALL (German multicenter acute lymphoblastic leukemia) - Induction phase | CT for Lymphoblastic Lymphoma(NA)
MO048B | Berlin- Frankfurt -Munster-90 Berlin- Frankfurt -Munster-95 Berlin- Frankfurt -Munster-2000 Hyper CVAD (cyclophosphamide, Vincristine, Adriamycin,Dexamethasone UKALL (United kingdom acute lymphoblastic leukaemia) GMALL (German multicenter acute lymphoblastic leukemia)- Continuation phase | CT for Lymphoblastic Lymphoma(NA)
MO048C | 6 Mercaptopurine 50 mg/M2 daily and Methotrexate 25 mg/M2 Weekly for 2 Years | CT for Lymphoblastic Lymphoma(NA)
MO049A | Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary in each protocol | CT for Acute Promyelocytic Leukemia (High Risk)(NA)
MO049B | Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary on protocol | CT for Acute Promyelocytic Leukemia (High Risk)(NA)
MO049C | 6 MP 50 mg / day daily Methotrexate 15 mg Weekly ATRA 45 mg / M2 for 14 days Every three months for 18 Months | CT for Acute Promyelocytic Leukemia (High Risk)(NA)
MO050A | ATO: Arsenic trioxide 0.15 mg / kg day 1-Day 5, day 8-12, day 15-19, day 22-26 every 56 days for 4 cycles ATRA : All trans retinoic acid 45 mg / M2 day 1-Day 14 and Day 29-43 every 56 days for 4 cycles - (per 56 day cycle) | CT for Acute Promyelocytic Leukemia (Low Risk)(NA)
MO050B | ATO: Arsenic trioxide 0.15 mg / kg day 1-45 or 60 ATRA: All trans retinoic acid 45 mg / M2 - day 1-45 or 60 | CT for Acute Promyelocytic Leukemia (Low Risk)(NA)
MO051A | Cefoperazone + Sulbactum Piperalicillin + Tazobactum Cefoperazone Piperacillin Amikacin Gentamicin Cefipime Levofloxacin Amoxycillin and clavulanate Teicoplanin Vancomycin | Febrile Neutopenia(NA)
MO051B | Meropenem Imipenem Colistin Tigecyclin Linezolid Voriconazole Caspfungin Amphotericin - B | Febrile Neutopenia(NA)
MO052A | Rasburicase Febuxostat Allopurinol Sevelamer | Chemotherapy Complications - Tumor Lysis Syndrome(NA)
MO053A | 5 microgram / kg / day (max 300 microgram per day) for 7 days or PEG - GCSF 6mg one single dose per chemotherapy cycle | Granulocyte Colony Stimulating Factor Use(NA)
MO054A | Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction) | CT for Langerhans Cell Histiocytosis(NA)
MO054B | Langerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance) | CT for Langerhans Cell Histiocytosis(NA)
MO055A | Vincristine + Carboplatin Vincristine 1.5mg/m2 (day 1, 8 and 15 for first 4 cycles and then only day 1 from cycle 5 to 17) Carboplatin 550mg/m2 every 3 weeks (all cycles) | CT for Low Grade Glioma(NA)
MO055B | Vinblastin Vinblastine 6 mg/m2 every week | CT for Low Grade Glioma(NA)
MO056A | PACKER | CT for Medulloblastoma / Brain PNET(NA)
MO056B | Cisplatin + Cyclophosphamide + Vincristine Cyclophosphamide 1000mg/m2 (2 days every cycles) Vincristine 1.5mg/m2 (days 1 and 8) Cisplatin 100mg/m2 (1 day per cycle) Cycles given every 3 weekly | CT for Medulloblastoma / CNS PNET(NA)
MO057A | Cabroplatin + Etoposide + Cyclophosphamide + Doxorubicin Carboplatin 600mg/m2 Etoposide 100mg/m2 (days 1-5) Cyclophosphamide Doxorubicin | CT for Neuroblastoma(NA)
MO057B | Carboplatin + Cisplatin + Cyclophosphamide + Vincristine + Etoposide | CT for Neuroblastoma(NA)
MO057C | 13-cis retinoic acid 160mg/m2 per day for 2 weeks Each cycle given 4 weekly | CT for Neuroblastoma(NA)
MO058A | Vincristine + Carboplatin + Etoposide Carboplatin 600mg/m2 day 1 Etoposide 150mg/m2 days 1-3 Vincristine1.5mg/m2 day 1 | CT for Retinoblastoma(NA)
MO059A | Vincristine + Cyclophosphamide + Dactinomycin Vincristine 1.5mg/m2 (day 1, 8 and 15) Cyclophosphamie 1200 - 2200 mg/m2 (day 1) Dactinomycin 1.5mg / m2 (day 1) 3 weekly cycle | CT for Rhabdomyosarcoma(NA)
MO059B | Vincristine + Ifosfamide + Etoposide Vincristine 1.5mg/m2 (days 1, 8 and 15) Ifosfamide 1.8gm/m2 (days 1-5) Etoposide 100mg/m2 (days 1-5) Each cycle every 3 weeks | CT for Rhabdomyosarcoma(NA)
MO060A | Vincristine + Topotecan + Cyclophosphamide and Vincristine + Adriamycin + Cyclophosphamide Vincristine 1.5mg/m2 (day 1) Topotecan 1.5mg/m2 (day 1-5) Cyclophosphamide 250mg/m2 (days 1-5) 3 - weekly Vincristine 1.5mg/m2 Adriamyicn 60mg/m2 Cyclophosphamide 600mg/m2 (all Day 1) Every 3 weeks. Cycles given in couplets | CT for Relapse Rhabdomyosarcoma(NA)
MO061A | Vincristine + Actinomycin D Vincristine 1.5 mg/m2 weekly for 12 weeks and then 3 weekly Actinomycin D 45 microgram / kg 3 weekly for 24 weeks | CT for Wilms Tumor(NA)
MO061B | Vincristine + Actinomycin D + Doxorubicin Vincristine 1.5 mg/m2 weekly for 12 weeks and then 3 weekly Actinomycin D 45 microgram/kg 3 weekly Doxorubicin 60mg/m2 for 24 weeks | CT for Wilms Tumor(NA)
MO061C | Cyclophosphamide + Doxorubicin + Etoposide + Vincristine + Dactinomycin Vincristine 1.5 mg/m2 Dactinomycin 45 microgram/kg Adriamyicn 60mg/m2 Cyclophosphamide Etoposide Weekly chemotherapy - varying hybrid regimen | CT for Wilms Tumor(NA)
MO062A | Consolidation (Phase II, CNS Therapy Reinduction) | CT for Pediatric Acute Lymphoblastic Leukemia(NA)
MO062B | India collaborative childhood leukaemia group Berlin- Frankfurt -Munster Kill acute lymphocytic leukemia cells Mitroxantrone,Chlorambucil,Pre dnisolone: 841 | CT for Pediatric Acute Lymphoblastic Leukemia(NA)
MO062C | 6 - Mercaptopurine 75mg/m2 daily Methotrexate 20mg/m2 weekly Vincristine 1.5mg/m2 monthly Intrathecal methotrexate 12 mg 3 monthly | CT for Pediatric Acute Lymphoblastic Leukemia(NA)
MO062D | Dasatinib + chemo (to be used only with ALL therapy)- Permonth | CT for Ph+ve Pediatric Acute Lymphoblastic Leukemia for adult and paediatric(NA)
MO062E | Imatinib + chemo ((to be used only with ALL therapy) - permonth | CT for Ph+ve Pediatric Acute Lymphoblastic Leukemia for adult and paediatric(NA)
MO063A | Consolidation (Phase II, CNS Therapy Reinduction) | CT for Pediatric Lymphoblastic Lymphoma(NA)
MO063B | India collaborative childhood leukaemia group Berlin- Frankfurt -Munster Kill acute lymphocytic leukemia cells Mitroxantrone,Chlorambucil,Pre dnisolone: 841 | CT for Pediatric Lymphoblastic Lymphoma(NA)
MO063C | 6 - Mercaptopurine 75mg/m2 daily Methotrexate 20mg/m2 weekly Vincristine 1.5mg/m2 monthly Intrathecal methotrexate 12 mg 3 monthly | CT for Pediatric Lymphoblastic Lymphoma(NA)
MO064A | Cytrabine 3 gram/m2 twice a day Days 1, 3 and 5 | CT for Pediatric Acute Myeloid Leukemia(NA)
MO064B | Cytrabine 200mg/m2/day days 1-10 and Daunorubicin 50mg/m2 days 1, 3 and 5 Etposide 100mg/m2 days 1-5 | CT for Pediatric Acute Myeloid Leukemia(NA)
MO064C | Cytrabine 100-200mg/m2/day days 1-7 and Daunorubicin 50mg/m2 days 1, 3 and 5 | CT for Pediatric Acute Myeloid Leukemia(NA)
MO065A | Consolidation | CT for Pediatric Acute Promyelocytic Leukemia(NA)
MO065B | Induction | CT for Pediatric Acute Promyelocytic Leukemia(NA)
MO065C | Maintenance (18 months total cost) | CT for Pediatric Acute Promyelocytic Leukemia(NA)
MO066A | COPDAC: Cyclophosphamide, Vincristine sulfate,Prednisone,Dacarbazine | CT for Pediatric Hodgkins Lymphoma(NA)
MO066B | Oncovin,Etoposide,Prednisone,d oxorubicin hydrochloride | CT for Pediatric Hodgkins Lymphoma(NA)
MO067A | ifosfamide, carboplatin, etoposide | CT for Pediatric Hodgkins Lymphoma Relapse(NA)
MO067B | DECA: Dexamethasone,Etoposide,Cytar abine,Cisplatin | CT for Pediatric Hodgkins Lymphoma Relapse(NA)
MO067C | IGVD: Need to check | CT for Pediatric Hodgkins Lymphoma Relapse(NA)
MO068A | Lymphoma malign B 89-96 Consolidation (second month) | CT for Pediatric Non Hodgkins Lymphoma(NA)
MO068B | Lymphoma malign B 89-96 Consolidation (First month) | CT for Pediatric Non Hodgkins Lymphoma(NA)
MO068C | Lymphoma malign B 89-96 - Maintenance | CT for Pediatric Non Hodgkins Lymphoma(NA)
MO068D | Mitroxantrone,Chlorambucil,Pre dnisolone: 842 | CT for Pediatric Non Hodgkins Lymphoma(NA)
MO069A | PEDIATRIC-GCT/JEB | PEDIATRIC-GCT/JEB(NA)
MO070A | Carboplatin + Cisplatin + Doxorubicin | CT for Pediatric Hepatoblastoma(NA)
MO070B | Cisplatin | CT for Pediatric Hepatoblastoma(NA)
MO071A | Docetaxel Docetaxel 75 mg/m2 D1 every 21 days | CT for CA Lung(NA)
MO071B | Erlotinib Erlotinib 150 mg once daily | CT for CA Lung(NA)
MO071C | Gefitnib Gefitinib 250 mg once daily | CT for CA Lung(NA)
MO071D | Paclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Lung(NA)
MO071E | Pemetrexed + Carboplatin Pemetrexed 500mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Lung(NA)
MO071F | Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days | CT for CA Lung(NA)
MO071G | Docetaxel Docetaxel 20 mg/m2 D1 every week | CT for CA Lung(NA)
MO071H | Etoposide + Carboplatin Etoposide 100mg/m2 D1 - D3 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Lung(NA)
MO071I | Etoposide + Cisplatin Etoposide 100mg/m2 D1 - D3 Cisplatin 75-100 mg/m2 D1 every 21 days | CT for CA Lung(NA)
MO071J | Gemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days | CT for CA Lung(NA)
MO071K | Gemcitabine + Carboplatin Gemcitabine 1000 mg/m2 D1 D8 Carboplatin AUC 5-6 D1 every 21 days | CT for CA Lung(NA)
MO071L | Gemcitabine + Cisplatin Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 D8 every 21 days | CT for CA Lung(NA)
MO071M | Paclitaxel Paclitaxel 80mg/m2 every week | CT for CA Lung(NA)
MO071N | Paclitaxel Paclitaxel 175mg/m2 every 21 days | CT for CA Lung(NA)
MO071O | Paclitaxel + Carboplatin Paclitaxel 50mg/m2 D1 Carboplatin AUC 2 D1 every week | CT for CA Lung(NA)
MO071P | Paclitaxel + Cisplatin Paclitaxel 175 mg/m2 D1 Cisplatin 75mg/m2 D1 every 21 days | CT for CA Lung(NA)
MO071Q | Pemetrexed + Cisplatin Pemetrexed 500mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days | CT for CA Lung(NA)
MO071R | Pemetrexed Pemetrexed 500mg/m2 D1 every 21 days | CT for CA Lung(NA)
MO071S | Vinorelbine + Carboplatin Vinorelbine 25mg/m2 D1 D8 CarboplatinAUC 5-6 D1 every 21 days | CT for CA Lung(NA)
MO071T | Vinorelbine + Cisplatin Vinorelbine 25mg/m2 D1 D8 Cisplatin 75mg/m2 D1 every 21 days | CT for CA Lung(NA)
MO072A | Carboplatin Carboplatin AUC 2 every week | CT for CA Cervix(NA)
MO073A | De-Angelis/Methotrexate | CT for primary CNS lymphoma(NA)
MO074A | SA Carboplatin AUC 7 once every 3 weeks - Max 4 cycles (price per cycle) | GCT Testis(NA)
MO075A | Denosumab Denosumab 120 mg s/c D1, 8, 15 then every 28 days- 19800 per dose. Max 6 dose | CT for GCT of bone(NA)
MO076A | Temozolamide 150mg/m2 D9- 14 + Capecitabine 1gm/me D1- 14 every 28 days | GEP NET Neuroendocrine carcinoma(NA)
MO076B | Carboplatin AUC 5 + Etoposide 100mg/m2 D1-D3 every 21 days | GEP NET high grade Neuroendocrine carcinoma(NA)
SU060A | Induction cycles (PC) Rate per dose -Rs 5000 max no- 06 (including drug) | Intravesical BCG / Mitomycin(NA)
MP001A | Febrile seizures | Pediatric seizure disorders(NA)
MP002A | Epileptic encephalopathy | Epileptic encephalopathy(NA)
MP005C | Febrile encephalopathy fungal | ACUTE INFECTIOUS MENINGITIS AND MENINGOENCEPHALITIS.(NA)
MP005E | Metabolic encephalopathy parasitic, | ACUTE INFECTIOUS MENINGITIS AND MENINGOENCEPHALITIS.(NA)
MP006A | Chronic meningitis | Meningitis(NA)
MP009A | Intracranial hemorrhage | INTRACRANIAL SPACE OCCUPYING LESIONS(NA)
MP010A | Intracranial space occupying lesion tuberculoma, | INTRACRANIAL SPACE OCCUPYING LESIONS(NA)
MP016A | Acute ataxia | Acute ataxia(NA)
MP020A | Acute urticaria/anaphylaxis | Acute urticaria / Anaphylaxis(NA)
MP022A | Celiac disease-requiring admission for Work Up and/or in-patient management | Celiac disease(NA)
MP025A | Acute glomerulonephritis | Acute glomerulonephritis(NA)
MP029A | Global developmental delay/Intellectual disability- requiring admission for Work Up and/or in-patient management | Global developmental delay / Intellectual disability of unknown etiology(NA)
MP030A | Rickets - requiring admission for Work Up and/or in-patient management | Rickets - requiring admission for Work Up(NA)
MP031A | Acute severe malnutrition | Acute severe malnutrition(NA)
MP032A | Developmental and behavioral disorders for Work Up and/or in- patient management | Developmental and behavioral disorders(NA)
MP033A | Short stature- requiring admission for Work Up | Short stature(NA)
MP034A | Children with dysmorphic features- requiring admission for work-up | Children with dysmorphic features(NA)
MP035A | Floppy infant syndrome requiring admission for work-up | Floppy infant syndrome(NA)
MP036A | Inborn errors of metabolism- requiring admission for work-up and/or inpatient care | Inborn errors of metabolism(NA)
MP037A | Wilson?s disease-requiring admission for work-up and/or inpatient care | Wilson?s disease(NA)
MP038A | Juvenile Arthritis | Juvenile Arthritis(NA)
MP040B | Cyanotic spells with CHD | Cyanotic spells(NA)
MP041A | Iron deficiency anemia | SEVERE ANEMIA IN CHILDREN(NA)
MP041B | Thalessmia | SEVERE ANEMIA IN CHILDREN(NA)
MP041D | Other anemias | SEVERE ANEMIA IN CHILDREN(NA)
MP042A | Idiopathic Thrombocytopenic Purpura | Idiopathic Thrombocytopenic Purpura(NA)
MP044A | Steve Johnson syndrome | Steve Johnson syndrome(NA)
MP046A | Ketogenic diet initiation in refractory epilepsy | Ketogenic diet initiation in refractory epilepsy(NA)
MP048A | Hemophilia | Hemostatic Disorders(NA)
MP048B | Platelet disorders | Hemostatic Disorders(NA)
MP051A | Staphylococcal scalded skin syndrome | Staphylococcal scalded skin syndrome(NA)
SE042A | Optic neuritis | Optic neuritis(NA)
MR003A | Rdical/ Adjuvant/ Neo adjuvant/ Palliative | 2D External Beam Radiotherapy (Telecobalt / LA) (Max upto 35#)(NA)
MR005A | Radical/ Adjuvant/ Neoadjuvant | 3D-CRT (Max upto 35#)(NA)
MR006A | Radical/ Adjuvant/ Neoadjuvant | IMRT (Max upto 35#)(NA)
MR010A | SRT / SBRT- Curative (complete treatment to be approved based on Performance Status). No extra charges for gatting and imaging | SRT / SBRT- Curative (complete treatment to be approved based on Performance Status). No extra charges for gatting and imaging(NA)
MR011A | SRS - Curative (complete treatment to be approved based on Performance Status) - Includes imaging charges | SRS - Curative (complete treatment to be approved based on Performance Status) - Includes imaging charges(NA)
MR012A | Respiratory Gating as an addon (complete treatment) | Respiratory Gating as an addon (complete treatment)(NA)
MR013A | Intracavitary Brachytherapy / Intraluminal / Endobiliary / Endoluminal / CVS - (2D/X-ray) | Intracavitary Brachytherapy / Intraluminal / Endobiliary / Endoluminal / CVS - (2D/X-ray)(NA)
MR013B | Endobiliary / Endobronchial Brachytherapy (image based) | Endobiliary / Endobronchial Brachytherapy (image based)(NA)
MR014A | Surface Mould (as a Boost after external RT min 4 # ) - CT/MR planning (complete treatment) | Surface Mould (as a Boost after external RT min 4 # ) - CT/MR planning (complete treatment)(NA)
MR014B | Surface Mould ( Radical Treatment minimum 10 #) - CT/MR planning (complete treatment) | Surface Mould ( Radical Treatment minimum 10 #) - CT/MR planning (complete treatment)(NA)
MR015A | large Dose scan/ Pre Ablation - calculation of treatment | iodine treatment 3 mCi(NA)
MR015B | Ablation of residual disease any risk | iodine treatment 30 mCi(NA)
MR016A | Ablation of residual neck disease low/intermediate | Iodine treatment 50 mCi(NA)
MR017A | Ablation for metastatic disease, High risk | Iodine treatment 100 mCi(NA)
MR018A | Ablation for metastatic disease, High risk | Iodine treatment 150 mCi(NA)
MR019A | Ablation for metastatic disease, High risk | Iodine treatment 200 mCi(NA)
MR020A | Ablation for metastatic disease, High risk | Iodine treatment 250 mCi(NA)
SE040A | GA / EUA separate add on package | GA / EUA separate add on package(NA)
OT002A | Pre Transplant Evaluation and Stem Cell Collection and Cryopreservation | Bone Marrow Transplant (Autologous)(NA)
OT002B | Transplant (includes conditioning) | Bone Marrow Transplant (Autologous)(NA)
OT002C | Post Transplant Care for 3 months (includes supportive care and investigations) | Bone Marrow Transplant (Autologous)(NA)
PM001A | Hematuria Palliative Interventions | Palliative Care Approach to managing Haematuria in advanced cancer patients- Endoscopic/Surgical/Radiologica l, Radiotherpay interventions(NA)
PM005A | Pressure sore-Interventions | Palliative Care approach to managing Pressure sore in advanced chronic diseases who are bed ridden-Surgical(NA)
PM009A | Osteoradionecrosis - Conservative | Palliative Care Management of Osteoradionecrosis - Conservative management(NA)
PM010A | Communications terminal stage/ end of life care Conservative | Communications in Adavnced chronic diseases/ terminal stage of illness, for patient and family members with discussions on Goals of care and facilitated shared decision making(NA)
PM011A | Palliative Management of Breathlessnes | Palliative care management of Breathlessness in advanced cancers and chronic respiratory diseases -Conservative management(NA)
PM012A | Cancer Pain Management | Palliative Care Management of Pain for treating Pain crisis, analgesic titration(NA)
PM013A | Pressure sore-in palliative care | Palliative Care approach to managing Pressure sore - Conservative management(NA)
PM014A | Hiccups in Palliative care | Palliative Care Package for Hiccups(NA)
PM015A | Complications in palliative care patients | Conservative management of post procedural or teratment related complications in palliative medicine including electrolyte disorders (including hypercalcemia and ketoacidosis).(NA)
PM016A | Ascitis tapping with long term indwelling catheter | Malignant Ascites drainage with long term catheter insertion in advanced cancer patients(NA)
PM017A | Hematuria in advance cancer patient | Palliative Care Approach to managing Haematuria in advanced cancer patients - Conservative management(NA)
PM018A | Long term indwelling venous catheter | Central lines in cancer patients for drug therapy -Silicon catheters in advanced cancer patients- Long term central lines(NA)
PM019A | Intractable Cough in cancer patients - Conservative management | Symptom Management of Cough in advanced cancer patients -Conservative management(NA)
PM020A | Palliative care in Trismus mucositis | Palliative Care Management of Trismus, mucositis in advanced cancer patient(NA)
PM021A | Conservative management of fatal bleeding in cancer patients | Management of terminal /fatal bleeding malignant head and neck / inguinal lesions(NA)
PM022A | Fatigue in Palliative care | Palliative Care Management of Symptom Cluster ? Fatigue in advanced cancer patients(NA)
PM028A | Palliative Wound Conservative management | Palliative Care approach for malignant wound -Conservative management using drugs and dressings including special dressings.(NA)
PM034A | Palliative care in Constipation | Palliative Care Management of Constipation in advanced cancer patients - Conservative menagament(NA)
PM035A | Palliative care in Bowel Obstruction Conservative management | Palliative Care management of Malignant bowel obstruction - Conservative management(NA)
PM039A | Palliative care end stage disease | Palliative and supportive care for non-malignant disease at advanced or end stage(NA)
PM040A | Cancer pain interventions | Spinal/Epidural/Regional Nerve block, Radiofrequency ablation (RFA) for analgesia(NA)
PM041A | Cancer pain plexus interventions | Celiac Plexus Block/Hypogastric plexus block/ganglion impar block and Neurolysis in advanced cancer patients(NA)
SB002A | Skeletal Tractions with pin | Application of Traction(Pin Cost - 300 per pin)
SB002B | Application of Traction-Skin Traction | Application of Traction(NA)
SB003A | Application of POP cast- Upper limb | Application of P.O.P. casts(NA)
SB003B | Application of P.O.P. casts- Lower Limbs | Application of P.O.P. casts(NA)
SB004A | Application of P.O.P. Spikas & Jackets-Spikas | Application of P.O.P. Spikas & Jackets(NA)
SB004B | Application of P.O.P. Spikas & Jackets-Jackets | Application of P.O.P. Spikas & Jackets(NA)
SB005A | External fixation of Fracture- Long bone | External fixation of Fracture(tubular external fixator with 6 shanz pins and single rod assembly - 8000 double rod assembly - 10000 ilizarov fixator assembly for tibia - 12000 ilizarov fixator assembly for femur - 7000)
SB005B | External fixation of Fracture- Small bone | External fixation of Fracture(External Fixator - 7000)
SB005C | External fixation of Fracture- Pelvis | External fixation of Fracture(External Fixator - 7000)
SB005D | Both bones - forearms + JESS Ligamentotaxis | External fixation of Fracture(External Fixator - 7000)
SB006A | Percutaneous - Fixation of Fracture | Percutaneous - Fixation of Fracture(K - Wire - 250 per wire Screw - 1000 per screw)
SB007A | Elastic nailing for fracture fixation-Femur + shaft tibia | Elastic nailing for fracture fixation((Elastic Nail) - 5000)
SB007B | Elastic nailing for fracture fixation-Humerus | Elastic nailing for fracture fixation((Elastic Nail) - 5000)
SB007C | Elastic nailing for fracture fixation-Forearm | Elastic nailing for fracture fixation((Elastic Nail) - 5000)
SB008A | ORIF Small Bones | Internal Fixation of Small Bones(Plates, screws and K wire - 1500 per plate, one 6 hole small DCP with screws -3500 per plate)
SB009A | Fracture - Long Bones - Metaphyseal - ORIF | Fracture - Long Bones - Metaphyseal - ORIF(Locking Plate for Metaphyseal fracture - Long Bone - 7000 per plate, CC Screw -1000 per screw)
SB010A | ORIF Long Bones | Fixation of Diaphyseal Fracture - Long Bone(Plate for ORIF - Diaphyseal fracture - Long Bone - 6000 per plate, Nail - 7000 per nail)
SB010B | Closed Reduction & Internal Fixation of long bones Fixation | Fixation of Diaphyseal Fracture - Long Bone(IM Nail for CR&F - Diaphyseal fracture - Long Bone - 7000)
SB011A | Plating olecrenon fracture, ulna | Surgery for Comminuted Fracture - Olecranon of Ulna(Plate for Comminuted Fracture - Olecranon of Ulna - 8000)
SB012A | Fracture Head radius-Fixation | Fracture Head radius((Plate / Screw) - 8000 per piece, Herbert screw - 2500 per screw)
SB012B | Fracture Head radius-Excision | Fracture Head radius(NA)
SB013A | Fracture - Single Bone - Forearm - ORIF - Plating / Nailing/DCP/LCP | Fracture - Single Bone - Forearm - ORIF - Plating / Nailing(Nail - 2000 per nail, Plate - 5000 per plate, one small DCP with screw-2500 per piece)
SB014A | Fracture - Both Bones - Forearm ORIF - Plating / Nailing /DCP/LCP | Fracture - Both Bones - Forearm ORIF - Plating / Nailing(two Plates with screw - 5000 , Nails - 2000 per nail)
SB015A | Fracture Condyle - Humerus - ORIF-Lateral Condyle | Fracture Condyle - Humerus - ORIF(Implant for Fracture Condyle - Humerus - ORIF - 1500)
SB015B | ORIF with screw/wire of Medial Condyle | Fracture Condyle - Humerus - ORIF(Implant for Fracture Condyle - Humerus - ORIF - 1500)
SB016A | ORIF Fracture intercondylar Humerus + olecranon osteotomy + TBW | Fracture intercondylar Humerus + olecranon osteotomy((TBW + 2 Plates) - 11000)
SB017A | Open Reduction Internal Fixation | Displaced Clavicle Fracture((Plate) - 3000)
SB018A | ORIF THROUGH Single Approach PLATING | Fracture - Acetabulum(- Recon Plate (2) - 10000)
SB018B | ORIF THROUGH combined Approach PLATING | Fracture - Acetabulum(- Recon Plate (3) - 15000)
SB019A | Closed Reduction and Percutaneous Screw Fixation | Fracture - Neck Femur(Cannulated Screws for Closed Reduction and Percutaneous Screw Fixation (neck femur) - 5000)
SB019B | ORIF Intertrochanteric Fracture with Dynamic Hip Screw | Fracture - Neck Femur(Dynamic Hip Screw for Intertrochanteric Fracture - 5000)
SB019C | ORIF Intertrochanteric Fracture with Proximal Femoral Nail | Fracture - Neck Femur(Proximal Femoral Nail 8000)
SB020A | ORIF of medial malleolus or bimalleolar fracture or Trimalleolar fracture | Ankle Fractures(Implant for Ankle Fracture ORIF Tension Band Wire - 1500 per tension band ,Plate - 5000 per plate, Screw - 1000 per screw)
SB021A | Cervical spine fixation including odontoid | Cervical spine fixation including odontoid(Implant for Cervical spine fixation including odontoid (Screw) - 5000 Implant for Cervical spine fixation including odontoid (Odontoid Screw) - 20000 Implant for Cervical spine fixation including odontoid (Cage) - 10000)
SB022A | Dorsal and lumber spine fixation THROUGH Anterior approach | Dorsal and lumber spine fixation((Plate including screw) (6) - 5000 or Implant for Dorsal and lumber spine fixation (Cage) - 10000)
SB022B | Dorsal and lumber spine fixation THROUGH Posterior approach | Dorsal and lumber spine fixation((Plate including screw) - 5000 per plate or Implant for Dorsal and lumber spine fixation (Cage) - 10000 or IMPLANT (PEDICLE SCREWS + RODS)- 25000)
SB023A | Bone grafting for Fracture Non union | Bone grafting for Non union(NA)
SB024A | Arthorotomy of any joint | Arthorotomy of any joint(NA)
SB025A | Arthrolysis of joint-Elbow | Arthrolysis of joint(NA)
SB025B | Arthrolysis of joint-Knee | Arthrolysis of joint(NA)
SB025C | Arthrolysis of joint-Ankle | Arthrolysis of joint(NA)
SB026A | Arthrodesis-Ankle / Triple with implant | Arthrodesis(Plate 5000 Nail 8000)
SB026B | Arthrodesis-Shoulder | Arthrodesis((Screw / Plate) - 5000)
SB026C | Wrist, Wrist with plating | Arthrodesis((Plate) - 5000)
SB026D | Knee, Knee with plating/Nailing | Arthrodesis(-Compression Assembly - 5000/ Ilizarov - 10000)
SB026E | Arthrodesis-Hand | Arthrodesis(NA)
SB026F | Arthrodesis-Foot | Arthrodesis(NA)
SB026G | Arthrodesis-Ankle / Triple without implant | Arthrodesis(NA)
SB027A | Disarticulation-Hind quarter | Disarticulation(NA)
SB027B | Disarticulation-Fore quarter | Disarticulation(NA)
SB028A | Closed reduction of joint dislocation-Hip | Closed reduction of joint dislocation(NA)
SB028B | Closed reduction of joint dislocation-Shoulder | Closed reduction of joint dislocation(NA)
SB028C | Closed reduction of joint dislocation-Elbow | Closed reduction of joint dislocation(NA)
SB028D | Closed reduction of joint dislocation-Knee | Closed reduction of joint dislocation(NA)
SB029A | Open Reduction of Small Joint without fixation/Open Reduction of Small Joint with fixation | Open Reduction of Small Joint((K - Wire) - 300 for each K wire)
SB030A | Tension Band Wiring | Tension Band Wiring((Wire) - 2000)
SB031A | Hemiarthroplasty-Unipolar | Hemiarthroplasty(Implant for Unipolar Hemiarthroplasty - 4000)
SB031B | Hemiarthroplasty - Bipolar (Non Modular) cemented /non cemented | Hemiarthroplasty(Non - Modular - Non - Cemented - 8500 or Non - Modular - Cemented - 12000)
SB031C | Hemiarthroplasty - Bipolar (Modular) cemented/non cemented | Hemiarthroplasty(Modular - Cemented - 20000, Modular - Uncemented - 25000)
SB032A | Rockwood Type - I | AC Joint reconstruction / Stabilization((Plate/ screw / Fibre wire / reconstruction by tendon etc) - 10000)
SB032B | Rockwood Type - II | AC Joint reconstruction / Stabilization((Plate/ screw / Fibre wire / reconstruction by tendon etc) - 10000)
SB032C | Rockwood Type - III | AC Joint reconstruction / Stabilization((Plate/ screw / Fibre wire / reconstruction by tendon etc) - 10000, Indian readymade Implant - 10000)
SB032D | Rockwood Type - IV | AC Joint reconstruction / Stabilization((Plate/ screw / Fibre wire / reconstruction by tendon etc) - 10000, Indian readymade implant - 10000)
SB032E | Rockwood Type - V | AC Joint reconstruction / Stabilization((Plate/ screw / Fibre wire / reconstruction by tendon etc) - 10000, Indian readymade implant - 10000)
SB032F | Rockwood Type - VI | AC Joint reconstruction / Stabilization(I (Plate/ screw / Fibre wire / reconstruction by tendon etc) - 10000)
SB033A | Excision Arthoplasty of Femur head | Excision Arthoplasty of Femur head(NA)
SB034A | Open Reduction of CDH | Open Reduction of CDH(NA)
SB035A | Patellectomy | Patellectomy(NA)
SB036A | Arthroscopic Meniscus Repair / Meniscectomy | Arthroscopic Meniscus Repair / Meniscectomy(arthroscopic meniscal repair with fibre wire for inside out technique -3000, Crutch - 1000, Brace - 1000)
SB037A | Elbow replacement | Elbow replacement(Implant for Elbow Replacement - 31000)
SB038A | Total Hip Replacement- Cemented | Total Hip Replacement(Implant for Total Hip Replacement - Cemented - 40,250)
SB038B | Total Hip Replacement- Cementless | Total Hip Replacement(Implant for Total Hip Replacement - Cementless - 65000)
SB038C | Total Hip Replacement-Hybrid | Total Hip Replacement(Implant for Total Hip Replacement - Hybrid - 51,750)
SB038D | Revision - Total Hip Replacement | Total Hip Replacement(Implant for Revision Total Hip Replacement - 140000)
SB039A | Primary - Total Knee Replacement | Total Knee Replacement(Implant for Total Knee Replacement - 55000)
SB039B | Revision - Total Knee Replacement | Total Knee Replacement(Implant for Revision Total Knee Replacement - 100000)
SB040A | Bone Tumour Excision (malignant) including GCT / Osteoarthritis Condylar insufficiency with Sevear colateral Ligament Damage + Joint replacement (depending upon type of joint and implant) | Bone Tumour Excision (malignant) including GCT / Osteoarthritis Condylar insufficiency with Sevear colateral Ligament Damage + Joint replacement (depending upon type of joint and implant)(Modular Custom Prosthesis for Bone Tumour Excision - malignant including GCT + Joint replacement - 150000, Mega prosthesis (1) - 100000)
SB041A | Bone Tumour Excision + reconstruction | Bone Tumour Excision + reconstruction((Plate) - 10000, Mega prosthesis (1) - 100000)
SB042A | Bone Tumour (benign) curettage / Excision and bone grafting | Bone Tumour (benign) curettage / Excision and bone grafting(NA)
SB043A | Single Stage Amputation-Above Elbow | Single Stage Amputation(NA)
SB043B | Single Stage Amputation-Below Elbow | Single Stage Amputation(NA)
SB043C | Single Stage Amputation-Above Knee | Single Stage Amputation(NA)
SB043D | Single Stage Amputation-Below Knee | Single Stage Amputation(NA)
SB043E | Single Stage Amputation-Foot | Single Stage Amputation(NA)
SB043F | Single Stage Amputation-Hand | Single Stage Amputation(NA)
SB043G | Single Stage Amputation-Wrist | Single Stage Amputation(NA)
SB044A | Two Stage Amputation-Above Elbow | Two Stage Amputation(NA)
SB044B | Two Stage Amputation-Below Elbow | Two Stage Amputation(NA)
SB044C | Two Stage Amputation-Above Knee | Two Stage Amputation(NA)
SB044D | Two Stage Amputation-Below Knee | Two Stage Amputation(NA)
SB044E | Two Stage Amputation-Foot | Two Stage Amputation(NA)
SB044F | Two Stage Amputation-Hand | Two Stage Amputation(NA)
SB044G | Two Stage Amputation-Wrist | Two Stage Amputation(NA)
SB045A | Amputation - Fingers / Toes- Finger(s) | Amputation - Fingers / Toes(NA)
SB045B | Amputation - Fingers / Toes- Toe(s) | Amputation - Fingers / Toes(NA)
SB046A | Tendon Grafting | Tendon Grafting / Repair(NA)
SB046B | Tendon Repair | Tendon Grafting / Repair(NA)
SB047A | Tendon Release / Tenotomy | Tendon Release / Tenotomy(NA)
SB048A | Tenolysis | Tenolysis(NA)
SB049A | Reconstruction of Cruciate Ligament with implant and brace-Anterior | Reconstruction of Cruciate Ligament with implant and brace(Implant & brace for Reconstruction of ACL / PCL (Bio screw / Endobutton / Suture disc + Ethibond) - 17000, brace and crutches - 2000 per piece, Radiofrequency ablationwand)
SB049B | Reconstruction of Cruciate Ligament with implant and brace-Posterior | Reconstruction of Cruciate Ligament with implant and brace(L (Bio screw / Endobutton / Suture disc + Ethibond) - 17000, brace and crutches - 2000 per piece,radiofrequency ablation wand - 18,000)
SB050A | Fasciotomy | Fasciotomy(NA)
SB051A | Duputryen?s Contracture release + rehabilitation | Duputryen?s Contracture release + rehabilitation(NA)
SB052A | Anti-biotic + dressing - minimum of 5 sessions | Debridement & Closure of injuries - contused lacerated wounds(NA)
SB052B | Anti-biotic + dressing - minimum of 2 sessions | Debridement & Closure of injuries - contused lacerated wounds(NA)
SB053A | Sequestectomy / Curettage | Sequestectomy / Curettage(NA)
SB054A | Spine deformity correction | Spine deformity correction(Implant for Spine deformity correction (Plate including screw) - 5000 per screw Implant for Spine deformity correction (Cage) - 10000)
SB055A | Osteotomy-Long Bone | Osteotomy(Long Bone (Plate/Screw) - 7000 per piece, broad DCP with screws - 5000 per piece, LC DCP - 6000 per piece)
SB055B | Osteotomy-Small Bone | Osteotomy(K Wire - 300 per piece)
SB056A | Pelvic Osteotomy and fixation | Pelvic Osteotomy and fixation(K Wire - 300 per piece, Recon plate - 4000 per piece)
SB057A | High Tibial Osteotomy | High Tibial Osteotomy(Plate for High Tibial Osteotomy - 7000, Fixator - 15000)
SB058A | Ilizarov Fixation | Ilizarov Fixation(Implant for Ilizarov fixation - 10000)
SB059A | Limb Lengthening / Bone Transport by Ilizarov | Limb Lengthening / Bone Transport by Ilizarov(Implant for Limb Lengthening / Bone Transport by Ilizarov - 12000)
SB060A | Growth Modulation and fixation | Growth Modulation and fixation(Implant for Growth Modulation & Fixation (Plate) (6) - 5000)
SB061A | Vertical Talus | Corrective Surgery for foot deformities(NA)
SB061B | Other foot deformities | Corrective Surgery for foot deformities(NA)
SB062A | Correction of club foot per cast | Correction of club foot per cast(NA)
SB063A | Corrective Surgery in Club Foot / JESS Fixator | Corrective Surgery in Club Foot / JESS Fixator(JESS Fixator - 7000)
SB064A | Osteochondroma | Excision of Osteochondroma / Exostosis(NA)
SB064B | Excision of Osteochondroma / Exostosis-Exostosis | Excision of Osteochondroma / Exostosis(NA)
SB065A | Excision of Bursa | Excision of Bursa(NA)
SB066A | Nerve Transposition | Nerve Transposition / Release / Neurolysis(NA)
SB066B | Nerve Release | Nerve Transposition / Release / Neurolysis(NA)
SB066C | Nerve Neurolysis | Nerve Transposition / Release / Neurolysis(NA)
SB067A | Nerve Repair Surgery | Nerve Repair Surgery(NA)
SB068A | Nerve root block | Nerve root block(NA)
SB069A | Exploration and Ulnar nerve Repair | Exploration and Ulnar nerve Repair(NA)
SB070A | Implant Removal under LA-K - Wire | Implant Removal under LA(NA)
SB070B | Implant Removal under LA- Screw | Implant Removal under LA(NA)
SB071A | Implant Removal under RA / GA- Nail | Implant Removal under RA / GA(NA)
SB071B | Implant Removal under RA / GA- Plate | Implant Removal under RA / GA(NA)
SB072A | Core Decompression | Core Decompression(NA)
SB074A | Arthroscopy / open - synovectomy | Arthroscopy / open - synovectomy(radiofrequency ablation wand - 18,000)
SB002C | crutchfiled tong cervical spine traction | Application of Traction(NA)
SB002D | Application of Traction-POP slab | Application of Traction(NA)
SB003C | Application of P.O.P. casts-POP slab | Application of P.O.P. casts(NA)
SB012C | Replacement with Head Radius Prosthesis | Fracture Head radius(Implant Cost - 10000)
SB015C | ORIF with screw of proximal humerus | Fracture Condyle - Humerus - ORIF(Implant for Fracture - Humerus - ORIF - plate - 12000 per plate)
SB038E | Revision of failed hemi Arthroplasty in to THR | Total Hip Replacement(Implant for Total Hip Replacement - 40,250)
SB054B | Combined spinal segment - front and back (anterior/posterior/ combined anterior and posterior) | Spine deformity correction(Implant for Spine deformity correction (Plates)(16) - 5000 per screw Implant for Spine deformity correction (Cage) - 10000)
SC070A | Bone tumors / soft tissue sarcomas: surgery | Bone tumors / soft tissue sarcomas: surgery(NA)
SG092A | Tendon Transfer | Tendon Transfer(NA)
SN032A | Cervical/Thoracic/ Lumbar corpectomy with fusion for Tumor/Infection/Trauma | Thoracic / Lumbar Corpectomy with fusion(Implant for "Thoracic Corpectomy with fusion" -30000)
SN034A | Laminectomy without fusion for lumbar or cervical canal stenosis | Laminectomy(NA)
SN034B | Laminectomy with fusion and fixation for lumbar/cervical/thoracic canal stenosis or for tumor / trauma/Bleed(Cost of implants to be extra) | Laminectomy(Implant for Laminectomy with Fusion and fixation - 10000)
SN046A | Carpal tunnel release | Carpal Tunnel Release(NA)
ST001A | Conservative Management of Head Injury - Severe | Conservative Management of Head Injury(NA)
ST001B | Depressed Fracture | Conservative Management of Head Injury(NA)
ST002A | Head injury with repair of Facio- Maxillary Injury & fixations (including implants) | Head injury with repair of Facio- Maxillary Injury & fixations (including implants)(Implant for Open reduction and internal fixation of maxilla / mandible / zygoma (Plates / Screws) - 4000)
ST003A | Subdural hematoma along with fixation of fracture of single long bone | Craniotomy and evacuation of Haematoma with fixation of fracture of long bone(NA)
ST003B | Extradural hematoma along with fixation of fracture of single long bone | Craniotomy and evacuation of Haematoma with fixation of fracture of long bone(NA)
ST003C | Subdural hematoma along with fixation of fracture of 2 or more long bone. | Craniotomy and evacuation of Haematoma with fixation of fracture of long bone(NA)
ST003D | Extradural hematoma along with fixation of fracture of 2 or more long bone. | Craniotomy and evacuation of Haematoma with fixation of fracture of long bone(NA)
ST004A | Management of Chest injury with fixation of Single Long bone | Management of Chest injury with fracture of Long bone(Implant for "One fracture of long bone (with implants)" - 5000)
ST004B | Management of Chest injury with fixation of 2 or more Long bones | Management of Chest injury with fracture of Long bone(NA)
ST005A | Surgical intervention for Visceral injury and fixation of fracture of single long bone | Management of Visceral injury and fracture long bone(NA)
ST005B | Surgical intervention for Visceral injury and fixation of fracture of 2 or more long bones | Management of Visceral injury and fracture long bone(NA)
ST006A | Internal fixation of Pelviacetabular fracture | Internal fixation of Pelviacetabular fracture(NA)
ST007A | Internal fixation with Flap cover Surgery for wound in compound fracture | Internal fixation with Flap cover Surgery for wound in compound fracture(Implant for Internal Fixation of Bones by Plates, screws and K wire - 1500 per plate, one 6 hole small DCP with screws -3500 per plate)
ST008A | Emergency tendons repair ? Peripheral Nerve repair | Emergency tendons repair ? Peripheral Nerve repair/ reconstructive surgery(NA)
ST009A | Nerve and/or tendon injury. A. Wound exploration and closure. B. Nerve repair. C. Tendon repair | Management of Nerve Plexus / Tendon injuries(Tendon rod - 7000/- per rod)
ST009B | Nerve and/or tendon injury. A. Wound exploration and closure. B. Nerve graft. C. Tendon graft/transfer | Management of Nerve Plexus / Tendon injuries(NA)
ST009C | Tendon injury repair | Management of Nerve Plexus / Tendon injuries(NA)
ST009D | Tendon graft repair | Management of Nerve Plexus / Tendon injuries(NA)
ST009E | Tendon Transfer | Management of Nerve Plexus / Tendon injuries(NA)
ST010A | Nerve and/or tendon injury. A. Wound exploration and closure. B. Nerve repair. C. Tendon repair D. Vascular repair/graft | Plexus injury along with Vascular injury repair / graft(NA)
ST010B | Plexus injury along with Vascular injury graft | Plexus injury along with Vascular injury repair / graft(NA)
SC001A | Hemiglossectomy | Glossectomy(NA)
SC001B | Total Glossectomy | Glossectomy(NA)
SC002A | Soft palate | Palatectomy(NA)
SC002B | Hard palate | Palatectomy(NA)
SC003A | Partial | Maxillectomy(NA)
SC003B | Radical | Maxillectomy(NA)
SC003C | Total | Maxillectomy(NA)
SC004A | Composite resection (Oral Cavity) | Composite resection (Oral Cavity)(NA)
SC005A | Oesophageal stenting | Oesophageal / Tracheal stenting(Oesophageal stent)
SC005B | Tracheal stenting | Oesophageal / Tracheal stenting(Tracheal stent)
SC006A | Open-Transthoracic esophagectomy: 2F / 3F | Transthoracic esophagectomy: 2F / 3F(NA)
SC006B | MIS | Transthoracic esophagectomy: 2F / 3F(NA)
SC007A | Gastric pull-up / Jejunal Graft | Gastric pull-up / Jejunal Graft(NA)
SC008A | Open-Radical Small Bowel Resection | Radical Small Bowel Resection(NA)
SC008B | Radical Small Bowel Resection- Lap. | Radical Small Bowel Resection(NA)
SC009A | Open- Intersphincteric resection | Intersphincteric resection(NA)
SC009B | Intersphincteric resection-Lap. | Intersphincteric resection(NA)
SC010A | Abdominal wall tumour resection | Surgery for Abdominal wall tumour(NA)
SC010B | Abdominal wall tumour resection with reconstruction | Surgery for Abdominal wall tumour(NA)
SC011A | Exploratory laparotomy f / b diversion stoma | Exploratory laparotomy f / b diversion stoma / bypass(NA)
SC011B | Exploratory laparotomy f / b diversion bypass | Exploratory laparotomy f / b diversion stoma / bypass(NA)
SC012A | Open- Intersphincteric resection | Abdominoperineal resection(NA)
SC012B | Abdominoperineal resection - Lap. | Abdominoperineal resection(NA)
SC013A | Omentectomy | Omentectomy(NA)
SC014A | Procedures Requiring Bypass Techniques | Procedures Requiring Bypass Techniques(NA)
SC015A | Segmentectomy - hepatobiliary system | Segmentectomy - hepatobiliary system(NA)
SC016A | Radical | Radical / Revision Cholecystectomy(NA)
SC016B | Revision | Radical / Revision Cholecystectomy(NA)
SC017A | Enucleation of pancreatic neoplasm | Enucleation of pancreatic neoplasm(NA)
SC018A | Hepatoblastoma Excision | Hepatoblastoma Excision(NA)
SC019A | Hemipelvectomy - Internal | Hemipelvectomy - Internal(NA)
SC020A | Pelvic Exenteration Anterior - Open | Pelvic Exenteration(NA)
SC020B | Pelvic Exenteration Anterior - Lap. | Pelvic Exenteration(NA)
SC020C | Pelvic Exenteration Total - Open | Pelvic Exenteration(NA)
SC020D | Pelvic Exenteration Total - Lap. | Pelvic Exenteration(NA)
SC021A | Wilms tumors: surgery | Wilms tumors: surgery(NA)
SC022A | Ureteric end to end anastomosis | Ureteric end to end anastomosis(NA)
SC023A | Distal ureterectomy with reimplantation | Distal ureterectomy with reimplantation(NA)
SC024A | Radical cystectomy With continent diversion - Open | Radical cystectomy(NA)
SC024B | Radical cystectomy With Ileal Conduit - Open | Radical cystectomy(NA)
SC024C | Radical cystectomy- With Ileal Conduit - Lap. | Radical cystectomy(NA)
SC024D | Radical cystectomy- With neobladder - Open | Radical cystectomy(NA)
SC024E | With neobladder - Lap | Radical cystectomy(NA)
SC024F | Radical cystectomy - With ureterosigmoidostomy - Open | Radical cystectomy(NA)
SC024G | With ureterosigmoidostomy - Lap | Radical cystectomy(NA)
SC024H | Radical cystectomy - With ureterostomy -Open | Radical cystectomy(NA)
SC024I | Radical cystectomy-With ureterostomy -Lap. | Radical cystectomy(NA)
SC025A | Channel TURP | Channel TURP(NA)
SC026A | Radical Urethrectomy | Radical Urethrectomy(NA)
SC027A | Penile preserving surgery (WLE, Glansectomy, Laser) | Penile preserving surgery (WLE, Glansectomy, Laser)(NA)
SC028A | Excision of undescended testicular mass | Excision of undescended testicular mass(NA)
SC029A | Germ Cell Tumour Excision | Germ Cell Tumour Excision(NA)
SG081A | Lobectomy-Thoracoscopic | Lobectomy(Linear Cutter 3 cartidges-15000)
SG081B | Lobectomy-Lobectomy-Open | Lobectomy(NA)
SC031A | Leiomyoma excision- Open | Leiomyoma excision(NA)
SC031B | Leiomyoma excision-MIS | Leiomyoma excision(NA)
SC032A | Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Lap. | Radical Hysterectomy(NA)
SC032B | Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Open | Radical Hysterectomy(NA)
SC032C | Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Lap. | Radical Hysterectomy(NA)
SC032D | Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Open | Radical Hysterectomy(NA)
SC032E | Class II radical hysterctomy + BPLND | Radical Hysterectomy(NA)
SC032F | Class III radical hysterctomy + BPLND | Radical Hysterectomy(NA)
SC032G | Hysterectomy + bilateral salpingoophorectomy + omentectomy + peritonectomy and organ resections | Radical Hysterectomy(NA)
SC033A | Radical vaginectomy | Radical vaginectomy(NA)
SC034A | Vulvectomy + reconstruction procedures | Vulvectomy + reconstruction procedures(NA)
SC035A | Radical Trachelectomy | Radical Trachelectomy(NA)
SC036A | Sacral Tumour Excision-Anterior + Posterior approach | Sacral Tumour Excision(NA)
SC036B | Sacral Tumour Excision- Posterior approach | Sacral Tumour Excision(NA)
SC037A | Resection of nasopharyngeal tumour | Resection of nasopharyngeal tumour(NA)
SC038A | Total Pharyngectomy | Total Pharyngectomy(NA)
SC039A | Parapharyngeal Tumour Excision | Parapharyngeal Tumour Excision(NA)
SC040A | Laryngectomy-Partial laryngectomy (voice preserving) | Laryngectomy(Voice prosthesis - 30000)
SC040B | Total Laryngectomy | Laryngectomy(NA)
SC041A | Tracheal resection | Tracheal resection(NA)
SC042A | Tracheal / Carinal resection | Tracheal / Carinal resection(NA)
SC043A | Tracheal Stenosis (End to end Anastamosis) (Throat) | Tracheal Stenosis (End to end Anastamosis) (Throat)(NA)
SC044A | Central airway tumour debulking | Central airway tumour debulking(NA)
SC045A | Diagnostic thoracoscopy | Diagnostic thoracoscopy(NA)
SC046A | Sleeve resection of lung cancer | Sleeve resection of lung cancer(NA)
SC047A | Mediastinoscopy-Diagnostic | Mediastinoscopy(NA)
SC047B | Mediastinoscopy-Staging | Mediastinoscopy(NA)
SC048A | Chest Wall Tumour Excision | Removal of Chest Wall Tumour(NA)
SC048B | Removal of chest wall tumour with reconstruction | Removal of Chest Wall Tumour(NA)
SC049A | Pleurectomy Decortication | Pleurectomy Decortication(NA)
SC050A | Chamberlain procedure | Chamberlain procedure(NA)
SC051A | Extrapleural pneumonectomy | Extrapleural pneumonectomy(NA)
SC052A | Pneumonectomy | Pneumonectomy(NA)
SC053A | Lung metastectomy- Open | Lung metastectomy(NA)
SC053B | Lung metastectomy-VATS | Lung metastectomy(NA)
SC054A | Thoracostomy | Thoracostomy(NA)
SC055A | Mediastinal lymphadenectomy- Open | Mediastinal lymphadenectomy(NA)
SC055B | Mediastinal lymphadenectomy- Video - assisted | Mediastinal lymphadenectomy(NA)
SC056A | Mediastinal mass excision with lung resection | Mediastinal mass excision with lung resection(NA)
SC057A | Segmental resection of lung- Open | Segmental resection of lung(NA)
SC057B | Segmental resection of lung- Thoracoscopic | Segmental resection of lung(NA)
SC058A | Wedge resection lung- Open | Wedge resection lung(NA)
SC058B | Wedge resection lung- Thoracoscopic | Wedge resection lung(NA)
SC059A | Breast conserving surgery (lumpectomy + axillary surgery) | Breast conserving surgery(NA)
SC059B | Breast conserving surgery with Oncoplasty | Breast conserving surgery(NA)
SC060A | Axillary Sampling / Sentinel Node Biopsy | Axillary Sampling / Sentinel Node Biopsy(NA)
SC061A | Axillary dissection | Axillary dissection(NA)
SC062A | Scalp tumour excision with skull bone excision | Scalp tumour excision with skull bone excision(NA)
SC063A | Neuroblastoma Excision | Neuroblastoma Excision(NA)
SC064A | Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus-Growth - Squamous | Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus(NA)
SC064B | Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus-Growth - Basal | Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus(NA)
SC064C | Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus-Injury | Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus(NA)
SC065A | Neck dissection - comprehensive | Neck dissection - comprehensive(NA)
SC066A | Benign Soft Tissue Tumour - Excision (Small) | Benign Soft Tissue Tumour - Excision(NA)
SC067A | Malignant Soft Tissue Tumour (Small)- Excision (New procedure) | Malignant Soft Tissue Tumour - Excision(NA)
SC068A | Myocutaneous flap | Regional flap(NA)
SC068B | Fasciocutaneous flap | Regional flap(NA)
SC069A | Rotationplasty | Rotationplasty(NA)
SC071A | Endoprosthesis Revision- Complete | Endoprosthesis Revision(NA)
SC071B | Endoprosthesis Revision-Partial | Endoprosthesis Revision(NA)
SC072A | Vertebral Tumour Excision and Reconstruction | Vertebral Tumour Excision and Reconstruction(NA)
SC073A | Microvascular reconstruction (free flaps) | Microvascular reconstruction (free flaps)(Implant for Microvascular reconstruction - 15000)
SC074A | Vascular reconstruction | Vascular reconstruction(NA)
SC075A | Curopsy / Sclerotherapy | Curopsy / Sclerotherapy(NA)
SC076A | Chemo Port Insertion | Chemo Port Insertion(Chemo Port - Adult - 15000 Chemo Port - Pediatric - 25000)
SC077A | Posterior Exenteration (Gynaec) | Posterior Exenteration (Gynaec)(NA)
SC078A | Bilateral pelvic lymph Node Dissection (BPLND) | Bilateral pelvic lymph Node Dissection (BPLND)18(NA)
SC079A | Head & Neck Flap Cutting any type | Plastic surgery flap division(NA)
SC081A | Cytoreductive surgery for ovarian cancer | Cytoreductive surgery for ovarian cancer(NA)
SC082A | Wide Excision- Oral Cavity Malignancy | Wide Excision- Oral Cavity Malignancy(NA)
SE037A | Exenteration | Exenteration(NA)
SG001A | Oesophagectomy | Oesophagectomy(NA)
SG003C | Partial Gastrectomy for Carcinoma | Gastrectomy(NA)
SG003D | Subtotal Gastrectomy for Carcinoma | Gastrectomy(NA)
SG003E | Total Gastrectomy - Lap. | Gastrectomy(NA)
SG003F | Total Gastrectomy - Open | Gastrectomy(NA)
SG0106A | Subtotal Colectomy- Open | Subtotal Colectomy(NA)
SG0106B | Subtotal Colectomy-Lap | Subtotal Colectomy(NA)
SG010A | Gastrojejunostomy | Gastrojejunostomy(NA)
SG012A | Feeding Jejunostomy | Feeding Jejunostomy(NA)
SG020A | Total Colectomy- Open | Total Colectomy(NA)
SG020B | Total Colectomy-Lap | Total Colectomy(NA)
SG021A | Hemi colectomy Right-Open | Hemi colectomy(NA)
SG021B | Hemi colectomy-Right- Lap | Hemi colectomy(NA)
SG021C | Hemi colectomy Left-Open | Hemi colectomy(NA)
SG021D | Hemi colectomy-Left- Lap | Hemi colectomy(NA)
SG023A | Colostomy | Colostomy(NA)
SG024A | Closure of stoma | Closure of stoma(NA)
SG028A | Rectal Polyp Excision | Rectal Polyp Excision(NA)
SG029A | Anterior Resection of rectum- Open | Anterior Resection of rectum(NA)
SG029B | Anterior Resection of rectum- Lap | Anterior Resection of rectum(NA)
SG037A | Hepatic Resection- Open | Hepatic Resection(NA)
SG037B | Hepatic Resection-Lap | Hepatic Resection(NA)
SG043A | Bypass - Inoperable Pancreas | Bypass - Inoperable Pancreas(NA)
SG044A | Distal Pancreatectomy/Pancreatico Jejunostomy with/without spleenlectomy | Distal Pancreatectomy with Pancreatico Jejunostomy(NA)
SG045A | PancreaticoDuodenectomy (Whipple's) | PancreaticoDuodenectomy (Whipple's)(NA)
SG049A | Retroperitoneal Tumor ? Excision | Retroperitoneal Tumor ? Excision(NA)
SG059A | Orchidectomy | Orchidectomy(NA)
SG061A | Estlander Operation (lip) | Estlander Operation (lip)(NA)
SG062A | Wedge Excision | Operation for Carcinoma Lip(NA)
SG062B | Wedge Excision and Vermilionectomy | Operation for Carcinoma Lip(NA)
SG062C | Cheek advancement | Operation for Carcinoma Lip(NA)
SG063A | Complete Excision of Growth from Tongue only (inclusive of Histopathology) | Complete Excision of Growth from Tongue only (inclusive of Histopathology)(NA)
SG064A | Excision of Growth from Tongue with neck node dissection | Excision of Growth from Tongue with neck node dissection(NA)
SG066A | Submandibular Mass Excision | Submandibular Mass Excision(NA)
SG067A | Radical Neck Dissection | Radical Neck Dissection(NA)
SG069A | Carotid Body tumour - Excision | Carotid Body tumour - Excision(NA)
SG070A | Hemi thyroidectomy | Thyroidectomy(NA)
SG070B | Total thyroidectomy | Thyroidectomy(NA)
SG070C | Total Thyroidectomy with Block Dissection | Thyroidectomy(NA)
SG071A | Excision of Parathyroid Adenoma/Carcinoma | Excision of Parathyroid Adenoma / Carcinoma(NA)
SG074A | Breast Lump Excision (Benign) or Accssory breast | Breast Lump Excision (Benign) or Accssory breast(NA)
SG075A | Simple Mastectomy | Mastectomy(NA)
SG075B | Radical / Modified Radical Mastectomy | Mastectomy(NA)
SG087A | Flap Reconstructive Surgery | Flap Reconstructive Surgery(NA)
SG091A | Skin Flaps - Rotation Flaps | Skin Flaps - Rotation Flaps(NA)
SL004A | Mastoidectomy-Simple | Mastoidectomy(NA)
SL004B | Mastoidectomy-Radical | Mastoidectomy(NA)
SL005A | Myringotomy with or without Grommet-Unilateral | Myringotomy with or without Grommet(NA)
SL005B | Myringotomy with or without Grommet-Bilateral | Myringotomy with or without Grommet(NA)
SL021A | Total Parotidectomy | Parotidectomy(NA)
SL021B | Superficial Parotidectomy | Parotidectomy(NA)
SL027A | Neck dissection-Selective Benign neck tumour excision | Neck dissection(NA)
SL027B | Comprehensive Benign neck tumour excision | Neck dissection(NA)
SL027C | Selective Pharyngeal diverticulum excision | Neck dissection(NA)
SL027D | Comprehensive Pharyngeal diverticulum excision | Neck dissection(NA)
SL020A | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx without reconstruction | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction(Implant for Excision of tumour of oral cavity / paranasal sinus / laryngopharynx - 20000)
SL020B | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with pedicled flap reconstruction | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction(NA)
SL020C | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with free flap reconstruction | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction(Implant for Excision of tumour of oral cavity / paranasal sinus / laryngopharynx - 20000)
SL025A | Open laryngeal framework surgery / Thyroplasty | Open laryngeal framework surgery / Thyroplasty(Implant for Open laryngeal framework surgery / Thyroplasty (Keel / Stent) - 15000)
SL029A | Endoscopic CSF Rhinorrhea Repair | Anterior skull base surgery(Fibrin Glue - 9000)
SL029B | Optic nerve decompression | Anterior skull base surgery(Fibrin Glue - 9000)
SL029C | Orbital decompression | Anterior skull base surgery(Fibrin Glue - 9000)
SL029D | Craniofacial resection | Anterior skull base surgery(Fibrin Glue - 9000)
SL029E | Maxillary swing | Anterior skull base surgery(Fibrin Glue - 9000)
SL030A | Endoscopic Hypophysectomy | Advanced anterior skull base surgery(Fibrin Glue - 9000)
SL030B | Clival tumour excision | Advanced anterior skull base surgery(Fibrin Glue - 9000)
SL031A | Subtotal petrosectomy | Lateral skull base procedures(Fibrin Glue - 9000)
SL031B | Post-traumatic facial nerve decompression | Lateral skull base procedures(Fibrin Glue - 9000)
SL031C | CSF Otorrhoea repair | Lateral skull base procedures(Fibrin Glue - 9000)
SL032A | Fisch approach | Advanced lateral skull base surgery(Fibrin Glue - 9000)
SL032B | Translabyrinthine approach | Advanced lateral skull base surgery(Fibrin Glue - 9000)
SL032C | Transcochlear approach | Advanced lateral skull base surgery(Fibrin Glue - 9000)
SL032D | Temporal Bone resection | Advanced lateral skull base surgery(Fibrin Glue - 9000)
SO002A | Laparotomy and proceed for Ovarian Cancers. Omentomy with Bilateral Salpingo-oophorectomy | Laparotomy and proceed for Ovarian Cancers. Omentomy with Bilateral Salpingo- oophorectomy(NA)
SO003A | Laparoscopic tubal surgeries (for any indication including ectopic pregnancy) | Laparoscopic tubal surgeries (for any indication including ectopic pregnancy)(NA)
SO004A | Procedure on Fallopian Tube for establishing Tubal Patency | Procedure on Fallopian Tube for establishing Tubal Patency(NA)
SU075A | Urethrovaginal fistula repair | Urethrovaginal fistula repair(NA)
SU090A | Radical Retroperitoneal lymph node dissection- Open | Radical Retroperitoneal lymph node dissection(NA)
SU090B | Radical Retroperitoneal lymph node dissection - Lap. | Radical Retroperitoneal lymph node dissection(NA)
SU003A | Nephrectomy For Benign pathology - Open | Nephrectomy(NA)
SU003B | Nephrectomy -For Benign pathology - Lap. | Nephrectomy(NA)
SU003C | Nephrectomy- Radical (Renal tumor) - Open | Nephrectomy(NA)
SU003D | Nephrectomy- Radical (Renal tumor) - Lap. | Nephrectomy(NA)
SU004A | Nephrectomy - Partial or Hemi- Open | Nephrectomy - Partial or Hemi(NA)
SU004B | Nephrectomy - Partial or Hemi- Lap. | Nephrectomy - Partial or Hemi(NA)
SU010A | Nephro ureterectomy (Benign)- Open | Nephro ureterectomy (Benign)(NA)
SU010B | Nephro ureterectomy (Benign) - Lap. | Nephro ureterectomy (Benign)(NA)
SU011A | Nephro ureterectomy with cuff of bladder-Open | Nephro ureterectomy with cuff of bladder(NA)
SU011B | Nephro ureterectomy with cuff of bladder Lap. | Nephro ureterectomy with cuff of bladder(NA)
SE001A | Ptosis Surgery | Ptosis Surgery(NA)
SE002A | Entropion correction | Entropion correction(NA)
SE003A | Ectropion correction | Ectropion correction(NA)
SE004A | Lid Tear Repair | Lid Tear Repair(NA)
SE005A | Lid Abscess Drainage | Lid Abscess Drainage(NA)
SE006A | Lid Tumor excision + Lid Reconstruction | Lid Tumor excision + Lid Reconstruction(NA)
SE007A | Chalazion Removal | Chalazion Removal(NA)
SE008A | Squint correction-Minor - upto 2 muscles | Squint correction(NA)
SE008B | Squint correction-Major - 3 or more muscles (complex surgery involving four muscles or oblique muscles) | Squint correction(NA)
SE009A | Conjunctival tumour excision including Amniotic Membrane Graft | Conjunctival tumour excision including Amniotic Membrane Graft(Tissue graft- amniotic membrane)
SE010A | Canaliculo Dacryocystorhinostomy with Silicon Tube / Stent | Dacryocystorhinostomy(Silicon Tube / Silicon stent - 2000)
SE010B | Canaliculo Dacryocystorhinostomy without Silicon Tube / Stent | Dacryocystorhinostomy(NA)
SE010C | Dacryocystorhinostomy with Silicon Tube / Stent | Dacryocystorhinostomy(Silicon Tube / Silicon stent - 2000)
SE010D | Dacryocystorhinostomy without Silicon Tube / Stent | Dacryocystorhinostomy(NA)
SE011A | Corneal Ulcer Management | Corneal Ulcer Management(NA)
SE012A | Corneal Grafting | Corneal Grafting(NA)
SE012C | Lamellar Keratoplasty | Corneal Grafting(NA)
SE013A | Corneal Collagen Crosslinking | Corneal Collagen Crosslinking(NA)
SE014A | Pterygium + Conjunctival Autograft | Pterygium + Conjunctival Autograft(NA)
SE015A | Corneo / Scleral / Corneo scleral tear repair | Corneo / Scleral / Corneo scleral tear repair(NA)
SE016A | Corneal / Scleral Patch Graft | Corneal / Scleral Patch Graft(NA)
SE017A | Scleral buckling surgery | Scleral buckling surgery(NA)
SE018A | Scleral Buckle Removal | Scleral Buckle Removal(NA)
SE019A | Limbal Dermoid Removal | Limbal Dermoid Removal(Tissue graft - Cornea / Sclera - 3000)
SE021A | Paediatric lensectomy | Surgery for Pediatric Cataract(Foldable Hydrophobic intraocular lens 3000)
SE021B | Pediatric lens aspiration with posterior capsulotomy & anterior vitrectomy | Surgery for Pediatric Cataract(Foldable Hydrophobic intraocular lens 3000)
SE021C | Paediatric Membranectomy & anterior vitrectomy | Surgery for Pediatric Cataract(Foldable Hydrophobic intraocular lens 3000)
SE022A | Capsulotomy (YAG) | Capsulotomy (YAG)(NA)
SE023A | SFIOL (inclusive of Vitrectomy) | SFIOL (inclusive of Vitrectomy)(Glue for Scleral fixated IOL - 3000)
SE024A | Secondary IOL / IOL Exchange / Explant | Secondary IOL / IOL Exchange / Explant(IOL - 3000)
SE025A | IRIS Prolapse ? Repair | IRIS Prolapse ? Repair(NA)
SE026A | Iridectomy | Iridectomy(NA)
SE027A | Cyclocryotherapy / Cyclophotocoagulation | Glaucoma Surgery(NA)
SE027B | Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including postoperative medications for 12 weeks (and wherever surgical or laser procedures required for bleb augmentation and anterior chamber maintenance) | Glaucoma Surgery(NA)
SE027C | Glaucoma Shunt Surgery | Glaucoma Surgery(Valved / Non Valved Glaucoma tube - shunt - 7000)
SE027D | Pediatric Glaucoma Surgery | Glaucoma Surgery(NA)
SE028A | EUA for Confirmation of Pediatric Glaucoma | EUA for Confirmation of Pediatric Glaucoma(NA)
SE029A | Retinal Laser Photocoagulation - For retinal tear repair Per Eye Per Sitting | Retinal Laser Photocoagulation(NA)
SE029B | Pan Retinal Photocoagulation (PRP) - Retinal Laser including 3 sittings / package of retino laser photocoagulation (3 sittings per eye for both eyes) | Retinal Laser Photocoagulation(NA)
SE030A | ROP Laser - Per Eye | ROP Laser - Per Eye(NA)
SE031A | Retinal Cryopexy | Retinal Cryopexy(NA)
SE032A | Vitreoretinal Surgery (with Silicon Oil Insertion) | Vitreoretinal Surgery (with Silicon Oil Insertion)(Implant for "Vitreoretinal Surgery" (IOL & Per flouro carbon liquid) - 6000)
SE033A | SOR (Silicon Oil Removal) | SOR (Silicon Oil Removal)(NA)
SE034A | Endophthalmitis (excluding Vitrectomy) | Endophthalmitis (excluding Vitrectomy)(NA)
SE035A | Enucleation Without implant | Enucleation(NA)
SE035B | Enucleation With implant | Enucleation(Implant for "Enucleation" (Conformers + Plastic / silicon ball type implant) - 1000)
SE036A | Evisceration | Evisceration(Implant for "Evisceration" (Conformers + Plastic / silicon ball type implant) - 1000)
SE038A | Socket Reconstruction including Amniotic Membrane Graft | Socket Reconstruction including Amniotic Membrane Graft(NA)
SE039A | Orbitotomy | Orbitotomy(NA)
SE041A | Orbital fracture repair under GA | Orbital fracture repair(NA)
SG002A | Operations for Replacement of Oesophagus by Colon | Operations for Replacement of Oesophagus by Colon(NA)
SG003A | Bleeding Ulcer - Partial Gastrectomy without Vagotomy | Gastrectomy(NA)
SG003B | Bleeding Ulcer - Partial Gastrectomy with Vagotomy | Gastrectomy(NA)
SG004A | Operative Gastrostomy | Operative Gastrostomy(NA)
SG005A | G J Vagotomy | Vagotomy(NA)
SG005B | Vagotomy + Pyloroplasty | Vagotomy(NA)
SG006A | Operation for Bleeding Peptic Ulcer | Operation for Bleeding Peptic Ulcer(NA)
SG007A | Gastric Perforation | Operation for Gastric / Duodenal Perforation(NA)
SG007B | Duodenal Perforation | Operation for Gastric / Duodenal Perforation(NA)
SG008A | Pyloroplasty | Pyloroplasty(NA)
SG009A | Pyloromyotomy | Pyloromyotomy(NA)
SG056B | Operation for Hydrocele (B/L) | Operation for Hydrocele(NA)
SG073B | Sympathectomy-Bilateral (B/L) | Sympathectomy(NA)
SG0109A | ERCP | ERCP(NA)
SG0110A | Brachial sinus excision | Brachial sinus excision(NA)
SG0111A | Epididymal Excision under GA | Epididymal Excision under GA(NA)
SG0112A | Mesentric cyst excision | Mesentric cyst excision(NA)
SG0113A | Mole Excision | Mole Excision(NA)
SG0114A | Neurofibroma Excision under LA | Neurofibroma Excision under LA(NA)
SG0115A | Ingrowing Toe Nail | Ingrowing Toe Nail(NA)
SG0116A | Splenorenal Anastomosis | Splenorenal Anastomosis(NA)
SG0117A | Replacement Surgery For Corrosive Injury Stomach | Replacement Surgery For Corrosive Injury Stomach(NA)
SG0118A | Choledochoduodenostomy Or Choledocho Jejunostomy | Choledochoduodenostomy Or Choledocho Jejunostomy(NA)
SG0119A | Hepatico Jejunostomy for biliary stricture | Hepatico Jejunostomy for biliary stricture(NA)
SG011A | CystoJejunostomy - Open | Surgical Management of PseudoCyst(NA)
SG011B | CystoJejunostomy - Lap | Surgical Management of PseudoCyst(NA)
SG011C | Cystogastrostomy - Open | Surgical Management of PseudoCyst(NA)
SG011D | Cystogastrostomy - Lap | Surgical Management of PseudoCyst(NA)
SG0120A | I Stage- Sub Total Colectomy + Ileostomy + J - Pouch | I Stage- Sub Total Colectomy + Ileostomy + J - Pouch(NA)
SG0121A | Pancreatic Necrosectomy | Pancreatic Necrosectomy(NA)
SG0122A | Distal Pancreatectomy + Splenectomy | Distal Pancreatectomy + Splenectomy(NA)
SG0123A | Heller Myotomy (Lap./Open) | Heller Myotomy (Lap./Open)(NA)
SG0124A | I Stage-Sub Total Colectomy + Ileostomy | I Stage-Sub Total Colectomy + Ileostomy(NA)
SG013A | Ileostomy | Ileostomy(NA)
SG014A | Congenital Atresia & Stenosis of Small Intestine | Congenital Atresia & Stenosis of Small Intestine(NA)
SG015A | Operation for Duplication of Intestine | Operation for Duplication of Intestine(NA)
SG016A | Excision Duodenal Diverticulum | Diverticulectomy(NA)
SG016B | Excision Meckel's Diverticulum | Diverticulectomy(NA)
SG017A | Appendicectomy- Open | Appendicectomy(NA)
SG017B | Lap- Appendicectomy | Appendicectomy(NA)
SG018A | Appendicular Perforation | Appendicular Perforation(NA)
SG019A | Operative drainage of Appendicular Abscess | Operative drainage of Appendicular Abscess(NA)
SG022A | Operative Management of Volvulus of Large Bowel | Operative Management of Volvulus of Large Bowel(NA)
SG025A | Sigmoid Resection | Sigmoid Resection(NA)
SG026A | Perineal Procedure for Rectal Prolapse | Perineal Procedure for Rectal Prolapse(NA)
SG027A | Abdominal Procedure for Rectal Prolapse - Open | Abdominal Procedure for Rectal Prolapse(NA)
SG027B | Retinal Laser Photocoagulation - For retinal tear repair Per Eye Per Sitting | Abdominal Procedure for Rectal Prolapse(NA)
SG030A | Resection Anastomosis - Open | Resection Anastomosis(NA)
SG030B | Resection Anastomosis-Lap | Resection Anastomosis(NA)
SG031A | Procedure for Fissure in Ano | Procedure for Fissure in Ano(NA)
SG032A | Haemorroidectomy-without Stapler | Haemorroidectomy(NA)
SG032B | Haemorroidectomy-with Stapler | Haemorroidectomy(Haemorroid Stapler one- 17000)
SG033A | Management of Pilonidal Sinus | Management of Pilonidal Sinus(NA)
SG034A | Exicision of Sinus and Curettage | Exicision of Sinus and Curettage(NA)
SG035A | Exploratory Laparotomy | Exploratory Laparotomy(NA)
SG036A | Closure of Burst Abdomen | Closure of Burst Abdomen(NA)
SG038A | Operation forAbdominal Hydatid Cyst (Single Organ) - Change in Name | Operation forAbdominal Hydatid Cyst (Single Organ) - Change in Name(NA)
SG039A | Without Exploration of CBD - Open | Cholecystectomy(NA)
SG039B | With Exploration of CBD - Open | Cholecystectomy(NA)
SG039C | Without Exploration of CBD - Lap | Cholecystectomy(NA)
SG039D | With Exploration of CBD - Lap | Cholecystectomy(NA)
SG040A | Operative Cholecystostomy- Open | Operative Cholecystostomy(NA)
SG040B | Operative Cholecystostomy-Lap | Operative Cholecystostomy(NA)
SG041A | Operation of Choledochal Cyst | Operation of Choledochal Cyst(NA)
SG042A | Splenectomy- Open | Splenectomy(NA)
SG042B | Splenectomy-Lap | Splenectomy(NA)
SG046A | Porto Caval Anastomosis | Porto Caval Anastomosis(NA)
SG047A | Mesenteric Caval Anastomosis | Mesenteric Caval Anastomosis(NA)
SG048A | Mesenteric Cyst ? Excision | Mesenteric Cyst ? Excision(NA)
SG050A | Groin Hernia Repair-Inguinal - Open | Groin Hernia Repair(Mesh - 6 X 3 - Polypropylene - 800)
SG050B | Groin Hernia Repair Inguinal - Lap. | Groin Hernia Repair(Mesh - 6 X 3 - Polypropylene - 1500)
SG050C | Groin Hernia Repair-Femoral - Open | Groin Hernia Repair(Mesh - 15 X 15 - Polypropylene - 2000)
SG050D | Groin Hernia Repair-Femoral - Lap | Groin Hernia Repair(Mesh - 6 X 3 - Polypropylene - 1500)
SG050E | Groin Hernia Repair Obturator - Lap. | Groin Hernia Repair(Tackers - 15000 Mesh - 15 X 15 - 2000)
SG051A | Hernia - Ventral-Epigastric | Hernia - Ventral(Mesh - 15 X 15 - 2000)
SG051B | Hernia - Ventral-Umbilical | Hernia - Ventral(Mesh - 15 X 15 - 2000)
SG051C | Hernia - Ventral-Paraumbilical | Hernia - Ventral(Mesh - 15 X 15 - 2000)
SG051D | Hernia - Ventral-Spigelian | Hernia - Ventral(Mesh - 15 X 15 - 2000)
SG052A | Repair of Incisional Hernia Lap/Open | Repair of Incisional Hernia(Mesh - 30 X 30 - 5000 or Mesh - 15 X 15 - 2000)
SG053A | Hiatus Hernia Repair - Open | Hiatus Hernia Repair / Fundoplication(NA)
SG053B | Hiatus Hernia Repair - Lap | Hiatus Hernia Repair / Fundoplication(NA)
SG053C | Fundoplication - Open(+/- Hiatus Hernia repair) | Hiatus Hernia Repair / Fundoplication(NA)
SG054A | Single Cyst | Excision of cyst / Sebaceous Cysts over scrotum(NA)
SG054B | Multiple Cysts | Excision of cyst / Sebaceous Cysts over scrotum(NA)
SG055A | Excision Filarial Scrotum | Excision Filarial Scrotum(NA)
SG056A | Operation for Hydrocele (U/L) | Operation for Hydrocele(NA)
SG057A | Epididymal Cyst excision | Epididymal Cyst / Nodule Excision(NA)
SG057B | Epididymal Nodule excision | Epididymal Cyst / Nodule Excision(NA)
SG058A | Vasovasostomy | Vasovasostomy(NA)
SG060A | Inguinal Node (dissection) - U/L | Inguinal Node (dissection) - U/L(NA)
SG065A | Microlaryngoscopic Surgery | Microlaryngoscopic Surgery(NA)
SG068A | Surgical removal of Branchial Cyst/Sinus | Surgical removal of Branchial Cyst/Sinus(NA)
SG072A | Thymectomy | Thymectomy(NA)
SG073A | Sympathectomy-Unilateral (U/L) | Sympathectomy(NA)
SG076A | Excision Mammary Fistula | Excision Mammary Fistula(NA)
SG077A | Intercostal drainage Only | Intercostal drainage Only(NA)
SG078A | Rib Resection & Drainage | Rib Resection & Drainage(NA)
SG079A | Thoracoplasty | Thoracoplasty(NA)
SG080A | Decortication (Pleurectomy) | Decortication (Pleurectomy)(NA)
SG082A | Thoracoscopic Segmental Resection | Thoracoscopic Segmental Resection(Linear Cutter 3 cartidges-15000)
SG083A | Lung Hydatid Cyst removal | Lung Hydatid Cyst removal(NA)
SG084A | Incision & Drainage of Abscess | Incision & Drainage of Abscess(NA)
SG085A | Lipoma Excision | Lipoma / Cyst / other cutaneous swellings Excision(NA)
SG085B | Cyst Excision | Lipoma / Cyst / other cutaneous swellings Excision(NA)
SG085C | Other cutaneous swellings Excision | Lipoma / Cyst / other cutaneous swellings Excision(NA)
SG086A | Debridement of Ulcer | Debridement of Ulcer(NA)
SG088A | Free Grafts - Wolfe Grafts | Free Grafts - Wolfe Grafts(NA)
SG089A | Tissue Reconstruction Flap | Tissue Reconstruction Flap(NA)
SG090A | Split thickness skin grafts-Small (< 4% TBSA) | Split thickness skin grafts(NA)
SG090B | Split thickness skin grafts- Medium (4 - 8% TBSA) | Split thickness skin grafts(NA)
SG090C | Split thickness skin grafts-Large (> 8% TBSA) | Split thickness skin grafts(NA)
SG093A | Lymphatics Excision of Subcutaneous Tissues In Lymphoedema | Lymphatics Excision of Subcutaneous Tissues In Lymphoedema(NA)
SG094A | AV Fistula without prosthesis | AV Fistula without prosthesis(NA)
SG095A | Management of Varicose Veins- Operative management | Management of Varicose Veins(NA)
SG095B | Minor sclerotherapy | Management of Varicose Veins(NA)
SG096A | Biopsy-Lymph Node | Biopsy(NA)
SG096B | Endometrial Aspiration | Biopsy(NA)
SG096C | Cervix Cancer screening (PAP + Colposcopy) | Biopsy(NA)
SG096E | Biopsy-Vulval | Biopsy(NA)
SG097A | Stoma Management follow up of Ileostomy | Stoma Management(NA)
SG097B | Stoma Management follow up of Colostomy | Stoma Management(NA)
SG098A | Foreign Body Removal | Foreign Body Removal(NA)
SG099A | Necrotising fasciitis / Fournier Gangrene | Necrotising fasciitis / Fournier Gangrene(NA)
SG100A | Surgical management of Lower GI bleed (inclusive of sigmoidoscopy / colonoscopy) - Colonoscopic management only excluding local perineal conditions | Surgical management of Lower GI bleed (inclusive of sigmoidoscopy / colonoscopy) - Colonoscopic management only excluding local perineal conditions(NA)
SG101A | Caecopexy | Caecopexy(NA)
SG102A | Repair of Renal Artery Stenosis | Repair of Renal Artery Stenosis(yes)
SG103A | ERCP + Stenting/Stone removal | ERCP(yes)
SG104A | Circumcision - Phimosis / Paraphimosis or any other clinical condition | Circumcision(NA)
SG105A | Percutaneous transhepatic external biliary drainage (PTBD) | Percutaneous transhepatic external biliary drainage (PTBD)(yes)
SL026A | Tracheostomy | Tracheostomy / Tracheotomy(NA)
SL026B | Tracheotomy | Tracheostomy / Tracheotomy(NA)
SL028A | Deep neck abscess drainage | Deep neck abscess drainage/ Post trauma neck exploration(NA)
SL028B | Post trauma neck exploration | Deep neck abscess drainage/ Post trauma neck exploration(NA)
SL001A | Pinna surgery for tumor | Pinna surgery for tumour / trauma(NA)
SL001B | Pinna surgery for trauma | Pinna surgery for tumour / trauma(NA)
SL002A | Tympanoplasty (can be stratified (GA/LA) and price adjusted accordingly ) | Tympanoplasty(yes)
SL003A | Stapedectomy | Stapedectomy / tympanotomy(NA)
SL003B | Tympanotomy | Stapedectomy / tympanotomy(NA)
SL006A | Endoscopic DCR | Endoscopic DCR(NA)
SL007A | Epistaxis treatment - packing (inc. of pack cost) | Epistaxis treatment - packing(NA)
SL008A | Functional septo rhinoplasty | Functional septo rhinoplasty(NA)
SL009A | Septoplasty | Septoplasty(NA)
SL010A | Fracture - setting nasal bone | Fracture - setting nasal bone(NA)
SL011A | Inferior turbinate reduction under GA(HOW IS IT DIFFERENT FROM TURBINATE REDUCTION AT THE END?) | Inferior turbinate reduction under GA(NA)
SL012A | Open sinus surgery(Open Sinus Surgery (Single/Multiple Sinuses) | Open sinus surgery(NA)
SL013A | Functional Endoscopic Sinus (FESS)stratified as U/L or B/L and cost adjusted | Functional Endoscopic Sinus (FESS)(NA)
SL014A | Ant. Ethmoidal artery ligation - Open | Ant. Ethmoidal / sphenopalatine artery ligation(NA)
SL014B | Ant. Ethmoidal artery ligation - Endoscopic | Ant. Ethmoidal / sphenopalatine artery ligation(NA)
SL014C | Sphenopalatine artery ligation - Open | Ant. Ethmoidal / sphenopalatine artery ligation(NA)
SL014D | Sphenopalatine artery ligation - Endoscopic | Ant. Ethmoidal / sphenopalatine artery ligation(NA)
SL015A | Adenoidectomy | Adenoidectomy(NA)
SL016A | Tonsillectomy - U/L tonsillectomy (unilateral/bilateral) | Tonsillectomy(NA)
SL016B | Tonsillectomy - B/L adenotonsillectomy | Tonsillectomy(NA)
SL017A | Peritonsillar abscess drainage | Peritonsillar abscess drainage / intraoral calculus removal(NA)
SL017B | Intraoral calculus removal | Peritonsillar abscess drainage / intraoral calculus removal(NA)
SL018A | Thyroglossal cyst excision | Thyroglossal / Branchial cyst / sinus / fistula excision(NA)
SL018B | Thyroglossal sinus excision | Thyroglossal / Branchial cyst / sinus / fistula excision(NA)
SL018C | Thyroglossal fistula excision | Thyroglossal / Branchial cyst / sinus / fistula excision(NA)
SL018D | Branchial sinus excision | Thyroglossal / Branchial cyst / sinus / fistula excision(NA)
SL018E | Branchial fistula excision | Thyroglossal / Branchial cyst / sinus / fistula excision(NA)
SL019A | Uvulopalatopharyngoplasty (UPPP) | Uvulopalatopharyngoplasty (UPPP)(NA)
SL022A | Removal of Submandibular Salivary gland | Removal of Submandibular Salivary gland(NA)
SL022B | Removal of Ranula | Removal of Submandibular Salivary gland(NA)
SL023A | Rigid laryngoscopy - Diagnostic + / - biopsy | Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy(NA)
SL023B | Rigid bronchoscopy - Diagnostic + / - biopsy | Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy(NA)
SL023C | Rigid oesophagoscopy - Diagnostic + / - biopsy | Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy(NA)
SL024A | Microlaryngeal surgery with or without laser | Microlaryngeal surgery with or without laser(NA)
SL033A | Closed reduction for fracture of maxilla | Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma(NA)
SL033B | Closed reduction for fracture of mandible | Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma(NA)
SL033C | Closed reduction for fracture of zygoma | Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma(NA)
SL033D | Closed reduction and Intermaxillary fixation for fracture of mandible | Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma(NA)
SL034A | Open reduction and internal fixation of maxilla | Open reduction and internal fixation of maxilla / mandible / zygoma(Implant for Open reduction and internal fixation of maxilla / mandible / zygoma (Plates / Screws) - 4000)
SL034B | Open reduction and internal fixation of mandible | Open reduction and internal fixation of maxilla / mandible / zygoma(Implant for Open reduction and internal fixation of maxilla / mandible / zygoma (Plates / Screws) - 4000)
SL034C | Open reduction and internal fixation of zygoma | Open reduction and internal fixation of maxilla / mandible / zygoma(Implant for Open reduction and internal fixation of maxilla / mandible / zygoma (Plates / Screws) - 4000)
SL035A | Turbinate reduction | Clinic based therapeutic interventions of ENT(NA)
SL035B | Biopsy | Clinic based therapeutic interventions of ENT(NA)
SL035C | Intratympanic injections | Clinic based therapeutic interventions of ENT(NA)
SL035D | Wide bore aspiration | Clinic based therapeutic interventions of ENT(NA)
SL036A | Cochlear Implant Surgery* Surgery(53000) *pre -op evaluation(including vaccine for meningitis)- 10000/- *Initial mapping and swithch on - 5000/-Rehabilitation Therapy (part- 1 for first 6 months) - 21700 Rehabilitation Therapy (part- 2 for second 6 months)- 40300 | Cochlear Implant Surgery* Surgery(53000) *pre -op evaluation(including vaccine for meningitis)- 10000/- *Initial mapping and swithch on - 5000/-Rehabilitation Therapy (part- 1 for first 6 months) - 21700 Rehabilitation Therapy (part- 2 for second 6 months)- 40300(NA)
SN035B | Trigeminal Nerve Neurectomy | Neurectomy(NA)
SM001A | Extraction of impacted tooth under LA | Extraction of impacted tooth under LA(NA)
SM002A | Osteomyelitis -Acute | Sequestrectomy Debridement(NA)
SM002B | Osteomyelitis-Chronic | Sequestrectomy Debridement(NA)
SM003A | 1.TM joint ankylosis of both jaws - under GA (Unilateral) | TM joint ankylosis of both jaws - under GA(NA)
SM003B | 2.TM joint ankylosis of both jaws - under GA (Bilateral)- (Covering Reconstruction) | TM joint ankylosis of both jaws - under GA(NA)
SM004A | Closed reduction (1 jaw) using wires - under LA/GA | Fixation of fracture of jaw(NA)
SM004B | Open reduction (1 jaw) and fixing of plates / wire ? under LA/GA Cost of implant Titanium:- TBF at pre-auth | Fixation of fracture of jaw(8000)
SM005A | Enucleation / excision of cyst / tumour of jaws under LA +cost of implant | Surgery for Cyst & tumour of Maxilla / Mandible(NA)
SM005B | Enucleation / excision of cyst / tumour of jaws under GA | Surgery for Cyst & tumour of Maxilla / Mandible(NA)
SM006A | Maxilla / Mandible neoplastic Tumour Resection and reconstruction (Cancer surgery) | Mandible Tumour Resection and reconstruction / Cancer surgery(NA)
SM007A | 1.Release of fibrous bands & grafting - in (OSMF) treatment under LA: 5000 | Release of fibrous bands & grafting - in (OSMF) treatment under GA(NA)
SM007B | 2. Release of fibrous release bands & coronoidectomy with grafting - in (OSMF) treatment under GA | Release of fibrous bands & grafting - in (OSMF) treatment under GA(NA)
SM008A | Apicoectomy (A) (1-3 teeth) LA/GA 3-6:4000 | Apicoectomy (A) Tooth(NA)
SM009A | Correction of oro-antral Fistula | Correction of oro-antral communication(NA)
SM010A | Intraoral submandibular sialolithotomy LA/ GA | Submandibular sialolithotomy(NA)
SM010C | Submandibular sialolithotomy | Submandibular sialolithotomy(NA)
SM011A | Dentoalveolar trauma - wiring (dental /trauma wiring- one jaw) | Dentoalveolar trauma - wiring(NA)
SM012A | Extraoral parotid sialolithotomy under GA | Parotid sialolithotomy(NA)
SM012B | Intraoral parotid sialolithotomy | Parotid sialolithotomy(NA)
SM013A | Re-implantation of Avulsed tooth with wiring (1-3 teeth) 3-6 :6000 | Re-implantation of Avulsed tooth with wiring(Re-implantation of Avulsed tooth with wiring (4-6 teeth):12000 Re-implantation of Avulsed tooth with wiring (7-9 teeth):18000)
SM014A | Osteoradionecrosis of jaws management by excision under LA | Osteoradionecrosis management by excision(NA)
SM014B | 2.Osteoradionecrosis of Jaws management by excision and / or reconstruction under GA inlcuidng Implant | Osteoradionecrosis management by excision(NA)
SS001A | Cleft Lip and Palate Surgery (per stage) | Cleft Lip and Palate Surgery (per stage)(NA)
SN001A | Surgery for Depressed Skull fracture | Depressed Skull Fracture(NA)
SN002A | Cranioplasty with autologus bone graft | CranioPlasty(NA)
SN002B | Cranioplasty with exogenous Graft | CranioPlasty(Implant for "CranioPlasty with Exogenous graft" - (Rs. 20000))
SN003A | Twist Drill Craniostomy | Twist Drill Craniostomy(NA)
SN004A | Cranial vault remodeling/ surgery for "Craniosynostosis" | Craniostenosis(25000)
SN005A | Anterior cranial fossa encephalocele/meningocele repair | Meningocele(NA)
SN005B | Surgery for spina bifida cystica/occulta | Meningocele(NA)
SN005C | Posterior cranial fossa encephalocele/meningocele repair | Meningocele(NA)
SN006A | Surgery for supratentorial Extra- axial Tumours (Meningioma etc) | Surgery for tumour meninges(NA)
SN006B | Surgery for infratentorial ExtraaxialTumour(meningioma etc) | Surgery for tumour meninges(NA)
SN007A | Duroplasty with Endogenous graft- (May be perfomed as a add-on procedure) | Duroplasty(NA)
SN007B | Duroplasty with Exogenous graft (May be perfomed as an add-on procedure) Cost of graft will be extra | Duroplasty(Rs. 20000)
SN008A | Burr hole surgery for evacuation of hematoma/ biopsy/ pus drainage/Placement of ICP monitoring device | Burr hole surgery(20000)
SN008B | Burr hole surgery with chronic Sub Dural Haematoma | Burr hole surgery(NA)
SN009A | Evacuation of Post-trauamtic Intraparenchymal Hematoma | Surgery for Haematoma - Intracranial(NA)
SN009B | Spontaneous Intraparenchymal hematoma evacuation | Surgery for Haematoma - Intracranial(NA)
SN009C | Evacuation of Post-trauamtic Intraparenchymal Hematoma in Pediatric Age group | Surgery for Haematoma - Intracranial(NA)
SN010A | Excision of Brain abscess | Excision of Brain Abscess(NA)
SN011A | Craniotomy/Burr hole and Tapping of Brain Abscess | Abscess Tapping(NA)
SN012A | Epilepsy Surgery | Epilepsy Surgery(NA)
SN013A | Brain Biopsy- Open/Stereotactic guided | Brain Biopsy(NA)
SN014A | Excision of Orbital Tumour | Excision of Orbital Tumour(NA)
SN015A | Parasagital Tumours | Excision of Brain Tumor Supratentorial(NA)
SN015B | Skull Base Tumours | Excision of Brain Tumor Supratentorial(NA)
SN015C | Surgerey for infratentorial intra- axial tumours | Excision of Brain Tumor Supratentorial(NA)
SN015D | Cerebello-pontine angle Angle | Excision of Brain Tumor Supratentorial(NA)
SN015E | Supratentorial & other Tumours | Excision of Brain Tumor Supratentorial(NA)
SN016A | Stereotactic Lesioning for movement disoders | Stereotactic Lesioning(NA)
SN017A | Endoscpic/Microscopic Trans Sphenoidal Surgery | Trans Sphenoidal Surgery(NA)
SN018A | Trans oral Surgery | Trans oral Surgery(NA)
SN019A | Trans oral anterior decompression and Posterior stabilisation or C V junction | Transoral surgery (Anterior) and CV Junction (Posterior stabilisation)(Implant for "Transoral surgery (Anterior) and CV Junction (Posterior Sterlization)" - (rs. 30000))
SN020A | External Ventricular Drainage (EVD) | External Ventricular Drainage (EVD) including antibiotics(NA)
SN021A | Ventricular Tap | Ventricular Puncture(NA)
SN022A | Ventriculo-Peritoneal Shunt (Low/Medium/High Pressure or Flow regulated valve) | Shunt Surgery(NA)
SN022B | Ventriculo - pleural Shunt (Low/Medium/High Pressure or Flow regulated valve) | Shunt Surgery(NA)
SN022C | Ventriculo - atrial Shunt (Low/Medium/High Pressure or Flow regulated valve) | Shunt Surgery(NA)
SN022D | Theco - peritoneal Shunt (Low/Medium/High Pressure or Flow regulated valve) | Shunt Surgery(NA)
SN023A | Aneurysm Clipping including DSA or CTA | Aneurysm Clipping including angiogram(Clip for Aneurysm (3) - 15000)
SN024A | Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure | Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure(NA)
SN025A | Craniotmy and excision of arteriovenous malformation | Arterio venous malformation (AVM) excision(NA)
SN025B | Laminectomy/Laminotomy and excision of Intraspinal arteriovenous malformation | Arterio venous malformation (AVM) excision(NA)
SN025C | Excision of scalp arteriovenous malformation | Arterio venous malformation (AVM) excision(NA)
SN026A | Foramen magnum decompression for Chiari malormation with or without duraplasty or tonsillar resection. | Foramen Magnum Decompression(NA)
SN027A | Skull Traction | Skull Traction(NA)
SN028A | Posterior cervical laminoforaminotomy and discectomy | Posterior Cervical Discetomy without implant(NA)
SN029A | Posterior cervical fusion using lateral mass or pedicle screws and rods | Posterior Cervical Fusion with implant (Lateral mass fixation)(Implant for "Posterior Cervical Fusion with implant (Lateral mass fixation)"- 30000)
SN030A | Anterior cervical discectomy without fusion | Cervical Disc Multiple level without Fusion(NA)
SN031A | Excision of Cervical Ribs | Excision of Cervical Ribs(NA)
SN033A | Microscopic/Endoscopic Lumbar Discectomy (One level) | Lumbar Discectomy(NA)
SN035A | Peripheral Neurectomy | Neurectomy(NA)
SN036A | Anterior Cervical Discectomy with fusion (Cost of implants to be extra) | Micro discectomy(30000)
SN039A | Intraspinal Extradural hematoma evacuation | Spine - Extradural Haematoma(NA)
SN041A | Excision of extradural spinal tumor | Spine - Extradural Tumour(NA)
SN041B | Excision of extradural spinal tumor with fusion and fixation (Cost of implants to be extra) | Spine - Extradural Tumour(Implant for Spine - Extradural Tumour with fixation - 30000)
SN042A | Excision of Intradural extramedullary tumor | Spine - Intradural Tumour(NA)
SN042B | Excision of Intradural extramedullary tumor with fusion and ficxation (Cost of implants to be extra) | Spine - Intradural Tumour(Implant for Spine - Intradural Tumour with fixation - 30000)
SN043A | Excision of Intramedullary tumor of spine | Spine - Intramedullar Tumour(NA)
SN043B | Excision of Intramedullary tumor with fusion and ficxation (Cost of implants to be extra) | Spine - Intramedullar Tumour(Implant for Spine - Intramedullar Tumour with fixation - 30000)
SN044A | R. F. Lesioning for Trigeminal Neuralgia | R. F. Lesioning for Trigeminal Neuralgia(NA)
SN045A | Brachial Plexus repair | Brachial Plexus ? Repair(NA)
SN047A | Peripheral nerve repair/Neurolysis | Nerve Decompression(NA)
SN048A | Cranial nerve re- anastomosis/Repair (Facial/) | Cranial Nerve Anastomosis(NA)
SN049B | Peripheral nerve tumor excision and repair | Peripheral Nerve Surgery(NA)
SN050A | Nerve Biopsy excluding Hansen's | Nerve Biopsy excluding Hensens(NA)
SN051A | Muscle Biopsy | Muscle Biopsy with report(NA)
SN054A | Gamma Knife Radiosurgery for tumors/AVMs/ Trigeminal Neuralgia | Gamma Knife radiosurgery (GKRS) / SRS for tumours / Arteriovenous malformation (AVM)(NA)
SN057A | Endoscopic Third ventriculostomy | Endoscopic Third Ventriculostomy(NA)
SN059A | Radiofrequency lesioning for sacroilitis | R. F. Lesioning(NA)
SN059B | Radiofrequency lesioning for chronic back pain | R. F. Lesioning(NA)
SN060A | Discectomy - Dorsal | Discectomy - Dorsal(NA)
SN062A | Reexploration for Cranial / Spinal surgeries | Reexploration for Cranial / Spinal surgeries(NA)
SN063A | Conservatively managed spinal injury with ventilator | Conservative management of high cervical injury(NA)
SN063C | Conservatively managed Severe Head injury | Conservative management of high cervical injury(NA)
SN064A | AVM EMBOLISATION/THROMBECTO MY | AVM EMBOLISATION(NA)
SN065A | Ventricular tapping with Omayya reservoir/external ventricular drain | Ventricular tap(NA)
SN066A | Craniectomy/ DECRA for head injury/acute stroke/cerebral venous thrombosis | Decompressive Caniectomy(NA)
SO006A | Abdominal Myomectomy | Abdominal Myomectomy(NA)
SO007A | Hysteroscopic Myomectomy | Hysteroscopic Myomectomy(NA)
SO009A | Hysteroscopic polypectomy | Hysteroscopic polypectomy(NA)
SO010A | Abdominal Hysterectomy | Hysterectomy(NA)
SO010B | Abdominal Hysterectomy + Salpingo-oophorectomy | Hysterectomy(NA)
SO010C | Non descent vaginal hysterectomy | Hysterectomy(NA)
SO010D | Vaginal hysterectomy with anterior and posterior colpoperineorrhaphy | Hysterectomy(NA)
SO010E | Laparoscopic hysterectomy (TLH) | Hysterectomy(NA)
SO010F | Laparoscopically assisted vaginal hysterectomy (LAVH) | Hysterectomy(NA)
SO011A | Caesarean hysterectomy | Caesarean hysterectomy(NA)
SO012A | Manchester Repair | Manchester Repair(NA)
SO013A | Surgeries for Prolapse - Sling Surgeries | Sling Surgeries for Prolapse(Sling - 5000)
SO014A | Hysterotomy | Hysterotomy(NA)
SO015A | Lap. Surgery for Endometriosis (Other than Hysterectomy) | Lap. Surgery for Endometriosis (Other than Hysterectomy)(NA)
SO016A | With biopsy | Diagnostic hysteroscopy(NA)
SO016B | Without biopsy | Diagnostic hysteroscopy(NA)
SO017A | Hysteroscopic IUCD removal | Hysteroscopic IUCD removal(NA)
SO018A | D&C (Dilatation&curretage) | D&C (Dilatation&curretage)(NA)
SO019A | Dilation and Evacuation (D&E) | Dilation and Evacuation (D&E)(NA)
SO020A | Pyometra drainage | Pyometra drainage(NA)
SO021A | Intrauterine transfusions | Intrauterine transfusions(NA)
SO022A | Hysteroscopic adhesiolysis | Hysteroscopic adhesiolysis(NA)
SO023A | Laparoscopic adhesiolysis | Laparoscopic adhesiolysis(NA)
SO024A | Trans-vaginal tape (tape cost additional=30-35000) | Trans - vaginal tape / Trans- obturator tape(Tension free Vaginal Tape)
SO024B | Trans-obturator tape (tape cost additional=30-35000) | Trans - vaginal tape / Trans- obturator tape(Trans Obturator Tape)
SO025A | Open- Sacrocolpopexy (Abdominal) | Sacrocolpopexy (Abdominal)(Mesh - 15 X 15 - 2000)
SO025B | Sacrocolpopexy (Abdominal)- Lap. | Sacrocolpopexy (Abdominal)(Mesh - 15 X 15 - 2000)
SO026A | LLETZ (including PAP smear and colposcopy) | LLETZ (including PAP smear and colposcopy)(NA)
SO027A | Vaginal Sacrospinus fixation with repair | Vaginal Sacrospinus fixation with repair(NA)
SO028A | Excision of Vaginal Septum (vaginal route) | Excision of Vaginal Septum (vaginal route)(NA)
SO029A | Hymenectomy for imperforate hymen | Hymenectomy for imperforate hymen(NA)
SO030A | Anterior & Posterior Colpoperineorrhapy | Anterior & Posterior Colpoperineorrhapy(NA)
SO031A | Vaginoplasty (McIndoe procedure) | Vaginoplasty (McIndoe procedure)(NA)
SO032A | Vaginal repair for vesico-vaginal fistula (Open) | Vaginal repair for vesico-vaginal fistula (Repair for VVF)(NA)
SO033A | Rectovaginal fistula repair | Rectovaginal fistula repair(NA)
SO034A | Vulval Hematoma drainage | Vulval Hematoma drainage(NA)
SO035A | Vulvectomy simple | Vulvectomy simple(NA)
SO036A | Radical Vulvectomy with Inguinal and Pelvic lymph node disection | Radical Vulvectomy with Inguinal and Pelvic lymph node disection(NA)
SO037A | Abdomino Perineal repair for Mullerian Anomaly | Abdomino Perineal repair for Mullerian Anomaly(NA)
SO038A | Colpotomy | Colpotomy(NA)
SO039A | Diagnostic laparoscopy | Diagnostic laparoscopy(NA)
SO040A | Open- Laparotomy for ectopic/ benign disorders | Laparotomy for ectopic/ benign disorders(NA)
SO040B | PID | Laparotomy for ectopic/ benign disorders(NA)
SO041A | Lap | Cystectomy(NA)
SO042A | Cystocele - Anterior repair | Cystocele - Anterior repair(NA)
SO043A | Abdominal | Burch(NA)
SO043B | Laparoscopic -Burch | Burch(NA)
SO044A | Electro Cauterisation / Cryo Surgery | Electro Cauterisation / Cryo Surgery(NA)
SO045A | EUA for (minor girls / unmarried sexually inactive / victims of sexual abuse) | EUA for (minor girls / unmarried sexually inactive / victims of sexual abuse)(NA)
SO046A | Hospitalisation for Antenatal Complications | Hospitalisation for Antenatal Complications(NA)
SO047A | Amniocentesis | Amniocentesis(NA)
SO048A | Chorionic villus sampling | Chorionic villus sampling(NA)
SO049A | Cordocentesis | Cordocentesis(NA)
SO050A | McDonald's stitch | McDonald's stitch(NA)
SO051A | Shirodkar's stitch | Shirodkar's stitch(NA)
SO052A | Medical management of ectopic pregnancy | Medical management of ectopic pregnancy(NA)
SO053A | MTP upto 8 weeks | Medical Termination of Pregnancy(NA)
SO053B | MTP 8 to 12 weeks | Medical Termination of Pregnancy(NA)
SO053C | MTP > 12 weeks | Medical Termination of Pregnancy(NA)
SO054B | Mothers with eclampsia / imminent eclampsia / severe pre-eclampsia | High risk delivery(NA)
SO054C | Major Fetal malformation requiring intervention immediately after birth | High risk delivery(NA)
SO054D | Mothers with severe anaemia (<7 g/dL) | High risk delivery(NA)
SO054E | Other maternal and fetal conditions as per guidelines-eg previous caesarean section, diabetes, severe growth retardation, etc that qualify for high risk delivery. | High risk delivery(NA)
SO055A | Manual removal of placenta | Manual removal of placenta(NA)
SO056A | Secondary suturing of episiotomy | Secondary suturing of episiotomy(NA)
SO057A | Caesarean Delivery | Caesarean Delivery(NA)
SO059A | Vulvo vaginal/ bartholin cyst/ abscess enucleation | Vulvo vaginal / bartholin cyst/ abscess enucleation / drainage(NA)
SO059B | Vulvo vaginal/ bartholin cyst/ abscess drainage | Vulvo vaginal / bartholin cyst/ abscess enucleation / drainage(NA)
SO060A | Hysterrectomy + salpingo opherectomy + omentectomy + BPLND- Open | Staging laparotomy for ovarian cancer (simple)(NA)
SO061A | Vaginal Myomectomy | Vaginal Myomectomy(NA)
SO062A | Cystectomy - Open | Cystectomy(NA)
SO063A | lap | Laparoscopy for Ectopic/ other benign disorders(NA)
SO064A | Sterilisation- Open | Sterilisation(NA)
SO064B | Sterilisation- Lap | Sterilisation(NA)
SO065A | Reversal of Sterilisation/ Tuboplasty (lap/ open) | Reversal of Sterilisation/ Tuboplasty (lap/ open)(NA)
SO066A | Diagnostic Hystero - Laparoscopy with/ without Chromopertubation | Diagnostic Hystero - Laparoscopy with/ without Chromopertubation(NA)
SO067A | Laparotomy for Broad Ligament Hematoma (including internal iliac ligation) | Laparotomy for Broad Ligament Hematoma(NA)
SO068A | Complete Perineal Tear | Complete Perineal Tear(NA)
SO070A | Resuturing of wounds | Resuturing of wounds(NA)
SO071A | Post coital / Injury Repair | Post coital / Injury Repair(NA)
SO072A | Cone biopsy | Cone biopsy(NA)
SO073A | Biopsy- Cervical, Endometrial EA/ ECC; Vulvar; Polypectomy | Biopsy- Cervical, Endometrial EA/ ECC; Vulvar; Polypectomy(NA)
SO075A | Operative vaginal delivery (Vacuum/ forceps) | Operative vaginal delivery (Vacuum/ forceps)(NA)
SO076A | Surgical management of PPH after vaginal delivery | Surgical management of PPH after vaginal delivery(NA)
SC030A | Salpingoophorectomy- Open | Salpingoophorectomy(NA)
SC030B | Salpingoophorectomy -Lap. | Salpingoophorectomy(NA)
SU029A | Uretero - vaginal fistula repair - Open | Uretero-vaginal / Uterine fistula repair(NA)
SU029B | Uretero - Uterine fistula repair - Open | Uretero-vaginal / Uterine fistula repair(NA)
SU029C | Uretero - vaginal fistula repair - Laparoscopic | Uretero-vaginal / Uterine fistula repair(NA)
SU029D | Uretero - Uterine fistula repair - Laparoscopic | Uretero-vaginal / Uterine fistula repair(NA)
SP001A | Pressure Sore ? Surgery | Pressure Sore ? Surgery(NA)
SP002A | Diabetic Foot ? Conservative management | Diabetic Foot ? Surgery(NA)
SP003A | Revascularization of limb / digit (single didgit) | Revascularization of limb / digit(NA)
SP03B | Revascularization of limb / digit(morethan one digit) | Revascularization of limb / digit(B. >1digit/limb : cost - 90,000/-)
SP004A | Ear Pinna Reconstruction with costal cartilage / Prosthesis (including the cost of prosthesis / implants) | Ear Pinna Reconstruction with costal cartilage / Prosthesis (including the cost of prosthesis / implants)(ear pinna with recons. Cartilage(inc.all stages): cost- 75,000/)
SP004B | Ear Pinna Reconstruction with costal cartilage / Prosthesis (including the cost of prosthesis / implants) | Ear Pinna Reconstruction with costal cartilage / Prosthesis (including the cost of prosthesis / implants)(NA)
SP005A | Scalp avulsion reconstruction | Scalp avulsion reconstruction(NA)
SP006A | Tissue Expander for disfigurement following burns | Tissue Expander for disfigurement following burns / trauma / congenital deformity (including cost of expander / implant)(Tissue Expander / Implant for disfigurement following burns / trauma / congenital deformity)
SP006B | Tissue Expander for disfigurement following trauma | Tissue Expander for disfigurement following burns / trauma / congenital deformity (including cost of expander / implant)(Tissue Expander / Implant for disfigurement following burns / trauma / congenital deformity)
SP006C | Tissue Expander for disfigurement following congenital deformity | Tissue Expander for disfigurement following burns / trauma / congenital deformity (including cost of expander / implant)(Tissue Expander / Implant for disfigurement following burns / trauma / congenital deformity)
SP007A | Sclerotherapy under GA | Hemangioma(NA)
SP007B | Debulking | Hemangioma(NA)
SP007C | Excision | Hemangioma(NA)
SP008A | NPWT | NPWT(NA)
SP009A | Resuturing of Any Wound gap Surgeries | Resuturing of Any Wound gap Surgeries(NA)
SP009B | Resuturing of Any Wound gap Surgeries | Diabetic Foot ? Surgery(NA)
SS002A | Ankyloglossia Minor | Ankyloglossia(NA)
SS002B | Ankyloglossia Major | Ankyloglossia(NA)
SS003A | Anti GERD Surgery | Anti GERD Surgery(NA)
SS004A | Gastrostomy + Esophagoscopy + Threading | Gastrostomy + Esophagoscopy + Threading(NA)
SS005A | Ladds Procedure | Ladds Procedure(NA)
SS006A | Duplication Cyst Excision | Duplication Cyst Excision(NA)
SS007A | Non ? Operative Reduction in infants | Intussusception(NA)
SS007B | Operative in infants | Intussusception(NA)
SS008A | Myectomy | Surgery for Hirschsprung?s Disease(NA)
SS008B | Pull Through | Surgery for Hirschsprung?s Disease(NA)
SS008C | Rectal Biopsy - Punch | Surgery for Hirschsprung?s Disease(NA)
SS008D | Rectal Biopsy ? Open | Surgery for Hirschsprung?s Disease(NA)
SS008E | Sphinecterotomy | Surgery for Hirschsprung?s Disease(NA)
SS009A | Rectal Polypectomy - Sigmoiescopic Under GA | Rectal Polypectomy - Sigmoiescopic Under GA(NA)
SS010A | Abd - Perineal PSARP | Ano Rectal Malformation(NA)
SS010B | Anoplasty | Ano Rectal Malformation(NA)
SS010C | Cutback | Ano Rectal Malformation(NA)
SS010D | PSARP | Ano Rectal Malformation(NA)
SS010E | Redo - Pullthrough | Ano Rectal Malformation(NA)
SS010F | Transposition | Ano Rectal Malformation(NA)
SS011A | Fecal Fistula Closure | Fecal Fistula Closure(NA)
SS012A | GI Tumor Excision | GI Tumor Excision(NA)
SS013A | Congenital Diaphragmatic Hernia | Congenital Diaphragmatic Hernia(NA)
SS014A | Exomphalos | Exomphalos / Gastroschisis(NA)
SS014B | Gastroschisis | Exomphalos / Gastroschisis(NA)
SS015A | Hernia & Hydrocele | Hernia & Hydrocele(NA)
SS016A | Retro - Peritoneal Lymphangioma Excision | Retro - Peritoneal Lymphangioma Excision(NA)
SS017A | Surgery for Sacrococcygeal Teratoma | Surgery for Sacrococcygeal Teratoma(NA)
SS018A | Surgery for Congenital Lobar Emphysema | Surgery for Congenital Lobar Emphysema(NA)
SS019A | Undescended Testis-Bilateral - Palpable + Nonpalpable | Undescended Testis(NA)
SS019B | Undescended Testis-Bilateral Palpable | Undescended Testis(NA)
SS019C | Undescended Testis-Bilateral Non - Palpable | Undescended Testis(NA)
SS019D | Undescended Testis-Unilateral - Palpable | Undescended Testis(NA)
SS019E | Undescended Testis- Reexploration / Second Stage | Undescended Testis(NA)
SS020A | Excision of accessory auricle | Excision of accessory auricle(NA)
SS021A | Repair of macrostomia | MACROSTOMIA REPAIR(NA)
SS022A | Parathyroidectomy | PARATHYROIDECTOMY(NA)
SS023A | Dilatation of Stenson's duct | STENSON'S DUCT DILATATION(NA)
SS024A | Excision of supernumerary digit | SUPERNUMMERY DIGIT EXISION(NA)
SS025A | Syndactyly repair | SYNDACTYLY(NA)
SS026A | Repair of tongue laceration | TONGUE LACERATION(NA)
SS027A | Sternomastoid division | TORTICOLLIS(NA)
SS028A | Non-operative management of liver trauma | LIVER TRAUMA NON-OP(NA)
SS029A | NON-SHUNTS | PORTAL HYPERTENSION(NA)
SS030A | Separation of twins | CONJOINED TWINS(NA)
SS031A | PRIMARY REPAIR | ESOPHAGEAL ATRESIA/TEF(NA)
SS032A | Ladd's procedure | MALROTATION(NA)
SS033A | VESICOSTOMY | POSTERIOR URETHERAL VALVES(NA)
SS034A | Splenorapphy | SPLENORRHAPHY(NA)
SS035A | Esophageal dilatation | ESOPHAGEAL DILATATION(NA)
SS036A | Kiidney biopsy | OPEN KIDNEY BIOPSY(NA)
SS037A | Appendicovesicostomy or Monti procedure | APPENDICO- VESICOSTOMY/Mitraffanof(NA)
SS038A | Vesicostomy | VESICOSTOMY(NA)
SS039A | Supra-glotoplasty | SUPRAGLOTTOPLASTY(NA)
SS040A | Airway reconstruction | SINGLE STAGE AIRWAY RECONSTRUCTION(NA)
SS041A | Staged airway reconstruction | STAGED AIRWAY RECONSTRUCTION(NA)
SS042A | Slide tracheoplasty | SLIDE TRACHEOPLASTY(NA)
SG56B | Operation for Hydrocele (B/L) | Operation for Hydrocele (U/L)(NA)
SU001A | Adrenalectomy- Open | Adrenalectomy(NA)
SU001B | Adrenalectomy -Lap. | Adrenalectomy(NA)
SU018A | Ureterolithotomy -Open | Ureterolithotomy(NA)
SU018B | Lap.-Ureterolithotomy | Ureterolithotomy(NA)
SU021A | Pyeloplasty - Open | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy(NA)
SU021B | Pyeloplasty - Laparoscopic | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy(NA)
SU021C | Pyeloureterostomy - Open | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy(NA)
SU021D | Pyeloureterostomy - Laparoscopic | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy(NA)
SU021E | Pyelopyelostomy - Open | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy(NA)
SU021F | Pyelopyelostomy - Laparoscopic | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy(NA)
SU023A | Ureterocalycostomy - Open | Ureterocalycostomy(NA)
SU023B | Ureterocalycostomy - Laparoscopic | Ureterocalycostomy(NA)
SU024A | Pyelolithotomy - Open | Pyelolithotomy(NA)
SU024B | Lap. | Pyelolithotomy(NA)
SU027A | Ureterostomy (Cutaneous) | Ureterostomy(NA)
SU028A | Uretero-ureterostomy- Open | Uretero-ureterostomy(NA)
SU028B | Uretero-ureterostomy Lap. | Uretero-ureterostomy(NA)
SU030A | Ureteric reimplantation - Open | Ureteric reimplantation(NA)
SU030B | Lap. | Ureteric reimplantation(NA)
SU033A | DJ stent Insertion (One side) | DJ stent Insertion (One side)(DJ Stent - 200)
SU037A | Acute management of upper urinary tract trauma ? conservative (1-5 days)plus high end investigation package | Acute management of upper urinary tract trauma ? conservative(NA)
SU040A | Open - including cystoscopy | Cystolithotomy - Open, including cystoscopy(NA)
SU041A | Cystolithotripsy endoscopic, including cystoscopy | Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy(NA)
SU041B | Urethral Stone removal endoscopic, including cystoscopy | Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy(NA)
SU043A | Partial Cystectomy- Open | Partial Cystectomy(NA)
SU043B | Lap. | Partial Cystectomy(NA)
SU045A | Augmentation cystoplasty - Open | Augmentation cystoplasty(NA)
SU045B | Lap. | Augmentation cystoplasty(NA)
SU048A | Open bladder diverticulectomy with / without ureteric re- implantation | Open bladder diverticulectomy with / without ureteric re- implantation(NA)
SU049A | Bladder injury repair (with or without urethral injury) | Bladder injury repair (with or without urethral injury)(NA)
SU050A | Bladder injury repair with colostomy (with or without urethral injury) | Bladder injury repair with colostomy (with or without urethral injury)(NA)
SU051A | Extrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric reimplant | Extrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric reimplant(NA)
SU052A | Neurogenic bladder - Package for evaluation / investigation (catheter + ultrasound + culture + RGU/ MCU) for 1 month (medicines - antibiotics) | Neurogenic bladder - Package for evaluation / investigation (catheter + ultrasound + culture + RGU/ MCU) for 1 month (medicines - antibiotics)(NA)
SU061A | Suprapubic Drainage - Closed / Trocar | Suprapubic Drainage - Closed / Trocar(NA)
SU064A | Emergency management of Acute retention of Urine | Emergency management of Acute retention of Urine(NA)
SU065A | Meatotomy | Meatotomy / Meatoplasty(NA)
SU065B | Meatoplasty | Meatotomy / Meatoplasty(NA)
SU066A | Urethroplasty - End to end | Urethroplasty(NA)
SU066B | Urethroplasty - Substitution - single stage | Urethroplasty(NA)
SU066C | Urethroplasty - Substitution - two stage | Urethroplasty(NA)
SU066D | Urethroplasty - Transpubic | Urethroplasty(NA)
SU068A | Non endocopic as an independent procedure | Urethral Dilatation(NA)
SU068B | Endocopic as an independent procedure | Urethral Dilatation(NA)
SU069A | Perineal Urethrostomy without closure | Perineal Urethrostomy without closure(NA)
SU070A | Post. Urethral Valve fulguration(to be checked from pead surgery) | Post. Urethral Valve fulguration(NA)
SU071A | Hypospadias repair-Single stage | Hypospadias repair(NA)
SU071B | Hypospadias repair-Two or more stage (First Stage) | Hypospadias repair(NA)
SU071D | Hypospadias repair-Two or more stage (Final Stage)/Fistula repair | Hypospadias repair(NA)
SU076A | Urethrorectal fistula repair | Urethrorectal fistula repair(NA)
SU086A | Orchiectomy-High inguinal | Orchiectomy(NA)
SU088A | Orchiopexy with laparoscopyto be cross checked with pead surgery | Orchiopexy(NA)
SU088B | Orchiopexy without laparoscopy - U/L | Orchiopexy(NA)
SU088C | Orchiopexy without laparoscopy - B/L | Orchiopexy(NA)
SU094A | Emergency management of Ureteric stone - Package for evaluation / investigation (ultrasound + culture) for 3 weeks (medicines). | Emergency management of Ureteric stone - Package for evaluation / investigation (ultrasound + culture) for 3 weeks (medicines).(NA)
SN063B | Moderate head injury | Conservative management of high cervical injury(NA)
SN063D | Simple head injury | Conservative management of high cervical injury(NA)
SU005A | Nephrolithotomy- Open | Nephrolithotomy(NA)
SU005B | Anatrophic | Nephrolithotomy(NA)
SU007A | PCNL (Percutaneous Nephrolithotomy) | PCNL (Percutaneous Nephrolithotomy)(NA)
SU0100A | Torsion of testis | Torsion of testis(NA)
SU013A | Perinephric Abscess drainage - Open | Perinephric Abscess drainage(NA)
SU013B | Perinephric Abscess drainage- Percutaneous | Perinephric Abscess drainage(NA)
SU014A | Ureteroscopy + Stone removal with lithotripsy-Lower Ureter | Ureteroscopy + Stone removal with lithotripsy(NA)
SU014B | Ureteroscopy + Stone removal with lithotripsy-Upper Ureter | Ureteroscopy + Stone removal with lithotripsy(NA)
SU016A | Extracoporeal shock - wave Lithotripsy (ESWL) stone, with or without stent (one side) | Extracoporeal shock - wave Lithotripsy (ESWL)(DJ Stent - 200)
SU025A | Internal Ureterotomy including cystoscopy as an independent procedure | Internal Ureterotomy including cystoscopy as an independent procedure(NA)
SU026A | Open - Ureterolysis for retroperitoneal fibrosis (with or without omental wrapping) | Ureterolysis for retroperitoneal fibrosis (with or without omental wrapping)(NA)
SU026B | Ureterolysis for retroperitoneal fibrosis (with or without omental wrapping- Lap. | Ureterolysis for retroperitoneal fibrosis (with or without omental wrapping)(NA)
SU031A | Open - Boari flap for ureteric stricture | Boari flap for ureteric stricture(NA)
SU031B | Boari flap for ureteric stricture- Lap. | Boari flap for ureteric stricture(NA)
SU032A | Ileal replacement for ureteric stricture | Ileal replacement for ureteric stricture(NA)
SU034A | DJ Stent Removal (Bilateral) | DJ Stent Removal (Bilateral)(NA)
SU035A | Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram | Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram(NA)
SU036A | Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram | Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram(NA)
SU038A | Retrograde with laser / bugbee | Endopyelotomy(NA)
SU038B | Antegrade with laser / bugbee | Endopyelotomy(NA)
SU046A | Deflux for VUR(only procedure charge) | Deflux for VUR(NA)
SU054A | Bladder Neck incision - Endoscopic | Bladder Neck incision - Endoscopic(NA)
SU055A | TURBT (Transurethral Resection of the Bladder Tumor) | TURBT (Transurethral Resection of the Bladder Tumor)(NA)
SU056A | TURBT - Restage | TURBT - Restage(NA)
SU057A | Post TURBT - Check Cystoscopy (Per sitting) with cold-cup biopsy | Post TURBT - Check Cystoscopy (Per sitting) with cold-cup biopsy(NA)
SU058A | Urachal Cyst excision - Open | Urachal Cyst excision(NA)
SU058B | Urachal Cyst excision - Laparoscopic | Urachal Cyst excision(NA)
SU062A | Stress incontinence surgery - Open | Stress incontinence surgery(BIS standard sling for women - 5000)
SU074A | Excision of Urethral Caruncle | Excision of Urethral Caruncle(NA)
SU077A | Open simple prostatetctomy for BPH | Open simple prostatetctomy for BPH(NA)
SU078A | Radical prostatectomy-Open | Radical prostatectomy(NA)
SU078B | Lap. | Radical prostatectomy(NA)
SU080A | TURP-Transurethral Resection of the Prostate, BPH-Monopolar | TURP-Transurethral Resection of the Prostate, BPH(NA)
SU080B | TURP-Transurethral Resection of the Prostate, BPH-Bipolar | TURP-Transurethral Resection of the Prostate, BPH(NA)
SU081A | Transrectal Ultrasound guided prostate biopsy (minimum 12 core) | Transrectal Ultrasound guided prostate biopsy (minimum 12 core)(NA)
SU082A | Partial/ Total Penectomy | Penectomy(NA)
SU082B | Total Penectomy + Perineal Urethrostomy | Penectomy(NA)
SU083A | Surgery for Priapism-Aspiration | Surgery for Priapism(NA)
SU083B | Surgery for Priapism-Shunt | Surgery for Priapism(NA)
SU085A | Penile prosthesis insertion | Penile prosthesis insertion(Penile Prosthesis - Malleable - Indian Implant)
SU087A | Bilateral Orchidectomy for hormone ablation | Bilateral Orchidectomy for hormone ablation(NA)
SU089A | Surgical Correction of Varicocele Non Microsurgical | Surgical Correction of Varicocele(NA)
SU089B | Surgical Correction of Varicocele Microsurgical Startification | Surgical Correction of Varicocele(NA)
SU091A | Ilio-Inguinal lymphadenectomy | Ilio-Inguinal lymphadenectomy(NA)
SU095A | Retrograde Intrarenal Surgery with Laser Lithotripsy | Retrograde Intrarenal Surgery with Laser Lithotripsy(NA)
SU096B | Repair for VVF - Laparoscopic/open | Repair for VVF(NA)
SU097A | Permanent tunnelled catheter placement as substitute for AV fistula in long term dialysis | Permanent tunnelled catheter placement as substitute for AV fistula in long term dialysis(NA)
SU098A | Pelvic lymphadenectomy, after prior cancer surgery- Open | Pelvic lymphadenectomy, after prior cancer surgery(NA)
SU098B | Pelvic lymphadenectomy, after prior cancer surgery- Laparoscopic | Pelvic lymphadenectomy, after prior cancer surgery(NA)
SU099A | Botulinum toxin injection for Neuropathic bladder | Botulinum toxin injection for Neuropathic bladder(NA)
SV001A | Unifocalization of MAPCA | Surgical Correction of Category - I Congenital Heart Disease(PTFE Graft - Thin - 30000)
SV001B | Isolated Secundum Atrial Septal Defect (ASD) Repair | Surgical Correction of Category - I Congenital Heart Disease(PTFE Graft - Thin - 30000)
SV001C | Glenn procedure | Surgical Correction of Category - I Congenital Heart Disease(NA)
SV001D | Pulmonary Artery Banding | Surgical Correction of Category - I Congenital Heart Disease(NA)
SV001E | Systemic - Pulmonary Artery shunt | Surgical Correction of Category - I Congenital Heart Disease(PTFE graft - Thin - 30000)
SV001F | Vascular Ring division | Surgical Correction of Category - I Congenital Heart Disease(NA)
SV001G | Coarctation repair | Surgical Correction of Category - I Congenital Heart Disease(Dacron Graft - Straight - 30000)
SV002A | ASD closure + Partial Anomalous Venous Drainage Repair | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 PTFE graft small (upto 8 mm)- 30000 PTFE Graft Large (>8mm) - 50000 Dacron Graft Straight - 30000)
SV002B | ASD Closure + Mitral procedure | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002C | ASD Closure + Tricuspid procedure | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002D | ASD Closure + Pulmonary procedure | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002E | ASD Closure + Infundibular procedure | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002F | VSD closure | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002G | Infundibular PS repair | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002H | Valvular PS / PR repair | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002I | Partial AV canal repair | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002J | Intermediate AV canal repair | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002K | Atrial septectomy + Glenn | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002L | Atrial septectomy + PA Band | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002M | Sinus of Valsalva aneurysm repair with aortic valve procedure | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002N | Sinus of Valsalva aneurysm repair without aortic valve procedure | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV002O | Sub-aortic membrane resection | Surgical Correction of Category - II Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003A | Ebstien anomoly repair | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003B | Double switch operation | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003C | Rastelli Procedure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003D | Fontan procedure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000 Dacron Graft Straight - 30000 PTFE Graft Straight - 50000)
SV003E | AP window repair | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003F | Arch interruption Repair without VSD closure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003G | Arch interruption Repair with VSD closure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003H | DORV Repair | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003I | Supravalvular AS repair | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003J | Konno procedure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003K | Norwood procedure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003L | VSD closure + RV - PA conduit | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003M | VSD + Aortic procedure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003N | VSD + Mitral procedure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003O | VSD + Tricuspid procedure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003P | VSD + Pulmonary artery procedure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003Q | VSD + Infundibular procedure | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003R | VSD + Coarctation repair | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003S | TAPVC Repair | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003T | Truncus arteriosus repair | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003U | Tetralogy of Fallot Repair | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003V | Complete AV canal repair | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003W | Arterial switch operation | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003X | Senning Operation | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003Y | Mustard Operation | Surgical Correction of Category - III Congenital Heart Disease(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV003Z | ALCAPA repair | Surgical Correction of Category - III Congenital Heart Disease(NA)
SV004A | Coronary artery bypass grafting (CABG), with or without intraoperative IABP) | Coronary artery bypass grafting (CABG), including intra operative balloon pump (if required)(NA)
SV005A | Aortic valve replacement | Single Valve Procedure(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000)
SV005B | Mitral valve replacement / Mitral valve repair | Single Valve Procedure(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000 Valve Ring - Mitral - 35000)
SV005C | Tricuspid valve replacement / Tricuspid valve repair | Single Valve Procedure(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000 Valve Ring - Tricuspid - 35000)
SV006A | Double valve replacement / repair | Double Valve Procedure(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV007A | Triple valve replacement / repair | Triple valve procedure(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV008A | Closed mitral valvotomy | Closed Mitral Valvotomy including thoracotomy(NA)
SV009A | Ross Procedure | Ross Procedure(RV - PA Conduit - 120000)
SV010A | Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM) | Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM)(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV011A | Pericardial window (via thoracotomy) | Pericardial window (via thoracotomy)(NA)
SV012A | Pericardiectomy | Pericardiectomy(NA)
SV013A | Patent Ductus Arteriosus (PDA) Closure via thoracotomy | Patent Ductus Arteriosus (PDA) Closure via thoracotomy(NA)
SV014A | Bental Procedure | Aortic Root Replacement Surgery(Composite Aortic Valved conduit - Mechanical - 100000 Dacron Graft - Straight - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000)
SV014B | Aortic Dissection | Aortic Root Replacement Surgery(Composite Aortic Valved conduit - Mechanical - 100000 Dacron Graft - Straight - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000)
SV014C | Aortic Aneurysm ( Root Ascending ) | Aortic Root Replacement Surgery(Composite Aortic Valved conduit - Mechanical - 100000 Dacron Graft - Straight - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000)
SV014D | Valve sparing root replacement | Aortic Root Replacement Surgery(Composite Aortic Valved conduit - Mechanical - 100000 Dacron Graft - Straight - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000)
SV014E | AVR + Root enlargement | Aortic Root Replacement Surgery(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000 Dacron Graft Straight - 30000 PTFE Graft Straight - 50000)
SV015A | Aortic Arch Replacement using cardiopulmonary bypass | Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass(Arch Graft - 85000 Coselli Graft - 85000 Complex grafts other than Arch Graft & Coseli Graft - 85000)
SV015B | Thoracoabdominal aneurysm Repair using partial cardiopulmonary bypass | Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass(Arch Graft - 85000 Coselli Graft - 85000 Complex grafts other than Arch Graft & Coseli Graft - 85000)
SV016A | Aortic Aneurysm Repair using Cardiopulmonary bypass (CPB) | Aortic Aneurysm Repair(Dacron Graft - Straight - 30000)
SV016B | Aortic Aneurysm Repair using Left Heart Bypass | Aortic Aneurysm Repair(Dacron Graft - Straight - 30000)
SV016C | Aortic Aneurysm Repair without using Cardiopulmonary bypass (CPB) | Aortic Aneurysm Repair(Dacron Graft - Straight - 30000)
SV016D | Aortic Aneurysm Repair without using Left Heart Bypass | Aortic Aneurysm Repair(Dacron Graft - Straight - 30000)
SV017A | Aorto Iliac bypass - U/L | Aorto Iliac / Aorto femoral bypass (Uni and Bi)(Dacron Graft - Bifurcated - 35000 PTFE Graft - Bifurcated - 50000)
SV017B | Aorto femoral bypass - U/L | Aorto Iliac / Aorto femoral bypass (Uni and Bi)(Dacron Graft - Bifurcated - 35000 PTFE Graft - Bifurcated - 50000)
SV017C | Aorto Iliac bypass - B/L | Aorto Iliac / Aorto femoral bypass (Uni and Bi)(Dacron Graft - Bifurcated - 35000 PTFE Graft - Bifurcated - 50000)
SV017D | Aorto femoral bypass - B/L | Aorto Iliac / Aorto femoral bypass (Uni and Bi)(Dacron Graft - Bifurcated - 35000 PTFE Graft - Bifurcated - 50000)
SV018A | Pulmonary Embolectomy | Pulmonary Embolectomy / Thromboendarterectomy(NA)
SV018B | Pulmanary Thromboendarterectomy | Pulmonary Embolectomy / Thromboendarterectomy(NA)
SV019A | Femoro - Femoral Bypass | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019B | Carotid - endearterectomy | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019C | Carotid Body Tumor Excision | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019D | Thoracic Outlet syndrome Repair | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019E | Carotid aneurysm repair | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019F | Subclavian aneurysm repair | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019G | Axillary aneurysm repair | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019H | Brachial artery aneurysm repair | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019I | Femoral artery aneurysm repair | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019J | Popliteal artery aneurysm repair | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019K | Femoral - popliteal Bypass | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019L | Axillo - Brachial Bypass | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019M | Carotio - carotid Bypass | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019N | Carotido - subclavian artery bypass | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019O | Carotido - axillary bypass | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019P | Axillo - femoral bypass - U/L | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019Q | Axillo - femoral bypass - B/L | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019R | Aorto - carotid bypass | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019S | Aorto - subclavian bypass | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019T | Patch Graft Angioplasty | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019U | Small Arterial Aneurysms ? Repair | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019V | Medium size arterial aneurysms with synthetic graft | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019W | Surgery for Arterial Aneursysm ?Vertebral | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019X | Surgery for Arterial Aneurysm Renal Artery | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019Y | Operations for Acquired Arteriovenous Fistual | Peripheral Arterial Surgeries(PTFE graft small (upto 8 mm ) - 30000 PTFE Graft Large (>8mm) -50000)
SV019Z | Congenital Arterio Venous Fistula | Peripheral Arterial Surgeries(NA)
SV020A | Peripheral Thromboembolectomy | Thromboembolectomy(NA)
SV021A | Peripheral arterial injury repair (without bypass) | Peripheral arterial injury repair (without bypass)(NA)
SV022A | Thoracotomy, Thoraco Abdominal Approach | Thoracotomy, Thoraco Abdominal Approach(NA)
SV023A | Lung cyst exision | Lung surgery including Thoracotomy(NA)
SV023B | Decortication | Lung surgery including Thoracotomy(NA)
SV023C | Hydatid cyst | Lung surgery including Thoracotomy(NA)
SV023D | Other simple lung procedure excluding lung resection | Lung surgery including Thoracotomy(NA)
SV023E | Bronchial Repair Surgery for Injuries due to FB | Lung surgery including Thoracotomy(NA)
SV024A | Pulmonary Resection | Pulmonary Resection(NA)
SV025A | Foreign Body Removal with scope | Foreign Body Removal with scope(NA)
SV026A | Surgical Correction of Bronchopleural Fistula | Surgical Correction of Bronchopleural Fistula(NA)
SV027A | Space - Occupying Lesion (SOL) mediastinum | Space - Occupying Lesion (SOL) mediastinum(NA)
SV028A | Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy | Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy(NA)
SV029A | Diaphragmatic Repair | Diaphragmatic Repair(Mesh - 6 X 3 - Polypropylene - 1500)
SV030A | Surgery for Cardiac Tumour | Surgery for Cardiac Tumour(NA)
SV031A | Tetralogy of Fallot Repair (immediate re operation) | Immediate reoperation (within 5 days)(PTFE Patch - Thin - 30000 Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Pericardial Patch - 18000 RV - PA Conduit - 120000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV031B | Aortic valve replacement /repair | Immediate reoperation (within 5 days)(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000)
SV031C | Mitral valve replacement /repair | Immediate reoperation (within 5 days)(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000 Valve Ring - Mitral - 35000)
SV031D | Tricuspid valve replacement /repair | Immediate reoperation (within 5 days)(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000 Valve Ring - Tricuspid - 35000)
SV031E | Double valve replacement /repair | Immediate reoperation (within 5 days)(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV031F | Triple valve replacement /repair | Immediate reoperation (within 5 days)(Mechanical Valve - Bileaflet - 40000 Mechanical Valve - Tilting Disc - 28000 Tissue Valve - 80000 Valve Ring - Mitral - 35000 Valve Ring - Tricuspid - 35000)
SV032A | Low Cardiac Output syndrome requiring IABP insertion post - operatively | Low Cardiac Output syndrome requiring IABP insertion post - operatively(IABP Catheter- 50000)
SV033A | Re-do sternotomy | Re-do sternotomy(NA)
SV034A | Excessive bleeding requiring re- exploration | Excessive bleeding requiring re- exploration(NA)
SV035A | Mediastinotomy | Mediastinotomy(NA)
SV036A | Pectus excavation (incluidng implants if any) | Pectus excavation(NA)
SV037A | Left ventricular aneurysm repair | Left ventricular aneurysm repair(NA)
SV038A | CABG + Left ventricular aneurysm repair | CABG + Left ventricular aneurysm repair(NA)
SV039A | Tracheal repair | Tracheal repair(NA)
SV040A | Aortic stenting +Cost of Stent) | Aortic stenting(Stent -350000)
HM001A | Recombinant tissue plasminogen activator- 0.9 mg/kg (not to exceed 90 mg total treatment dose) infused over 60 minutes. | Recombinant tissue plasminogen activator(NA)
HM002A | Tenecteplase - 0.2 mg/kg given as a bolus dose over 1-2min volume of TNK to be administered at a dilution of 2mg/ml | Tenecteplase(NA)
HM003A | Heparin - Based on weight and age of patient | Heparin(NA)
HM004A | Methylprednisolone - 0.117- 1.66 mg/kg/day orally divided every 6-8 hours | Methylprednisolone(NA)
HM005A | Erythropoeitin - 5000 units- Rs700 10000 units-Rs1000 | Erythropoeitin(NA)
HM006A | Liposomal amphotericin - for 2.5 Gm dosage. @ 2500 per 50mg | Liposomal amphotericin(NA)
HM007A | IVIG - 2000 per GM @ 2 GM/Per Kg body weight. Almost 20 GM in adult dose.( Mx. Of 200000 , paid on actual utilization) | IVIG(IVIG - 2000 per GM @ 2 GM/Per Kg body weight. Almost 20 GM in adult dose)
HM008A | IvIg for Kawasaki Disease - 2mg gm/Kg body wt/day ( price per gram) | IvIg for Kawasaki Disease(IvIg ( for Kawasaki Disease) -2gm/Kg body wt/day ( price per gram))
HM009A | IvIg for GB Syndrome - 2gm /Kg body weight ( price per gram) | IvIg for GB Syndrome(IvIg for GB Syndrome - 2gm /Kg body weight ( price per gram))
HM010A | IvIg for ITP - 2gm /Kg body weight ( price per gram) | IvIg for ITP(IvIg for ITP - 2gm /Kg body weight ( price per gram))
HM011A | Rituximab - 500mg /50ml ( Price per 500mg/50ml box) 2 doses initially on Day 0 and Day 15, then every 6 months | Rituximab(Rituximab - 500mg /50ml ( Price per 500mg/50ml box))
HM012A | Human Albumin 20% - 250- 500ml (Price per 100ml infusion) | Human Albumin 20%(Human Albumin 20% - 250-500ml (Price per 100ml infusion))
HM013A | Albumin 5% - 250-500ml (Price per 100ml infusion) | Albumin 5%(Albumin 5% - 250- 500ml (Price per 100ml infusion))
HM017A | Imipenem - . 3 gm per day dose | Imipenem(Imipenem - 3 gm per day dose)
HM018A | Meropenem - 3 gm Per day dose | Meropenem(Meropenem - 3 gm Per day dose)
HM019A | Piperacillin-Tazobactem - 4.5gm TDS per day dose | Piperacillin-Tazobactem(Piperacillin- Tazobactem - 4.5gm TDS per day dose)
HM020A | Colistin - Variable | Colistin(Colistin - Variable)
HM021A | Vancomycin - 15 mg/kg IV BD per day | Vancomycin(Vancomycin - 15 mg/kg IV BD)
HM022A | Amphotericin deoxycholate 0.3 mg/kg IV qDay | Amphotericin deoxycholate(NA)
IN011GJA | Additonal coil for Parent Vessel Occlusion | Additonal coil for Parent Vessel Occlusion(NA)
IN012GJA | Additonal balloon for Parent Vessel Occlusion | Additonal balloon for Parent Vessel Occlusion(NA)
IN013GJA | Additional coil for coil embolization for aneurysms | Additional coil for coil embolization for aneurysms(NA)
MC023GJA | Coil clouser | Coiling(NA)
MC023GJB | Pseudoaneurysms of Abdomen | Coiling(NA)
MC025GJA | Percutaneous Transluminal Tricuspid Commissurotormy (PTTC) | Percutaneous Transluminal Tricuspid Commissurotormy (PTTC)(NA)
MC026GJA | Pulmonary artery stenting | Pulmonary artery stenting(NA)
MC027GJA | Right ventricular outflow tract (RVOT) stenting | Right ventricular outflow tract (RVOT) stenting(NA)
MC028GJA | 3D Maping + Ablation | 3D Maping + Ablation(NA)
MC030GJA | CAG (Coronary Angiography) / Peripheral Angiography/ Renal Angiography | Angiography(NA)
MC030GJB | Check Angiography | Angiography(NA)
MC030GJC | Coronary Angiography + Peripheral Angiography | Angiography(NA)
MC030GJD | Coronary Angiography + Renal Angiography | Angiography(NA)
MC033GJA | PDA Coil (one) insertion | PDA Coil (one) insertion(NA)
MC034GJA | Post MI VSD closure | Post MI VSD closure(NA)
MC036GJA | Bi Ventricular Pacing - CRT | Bi Ventricular Pacing - CRT(NA)
MC037GJA | AICD - Automatic Implantable Cardiac Defibrillator (with device SingleChamber) | AICD - Automatic Implantable Cardiac Defibrillator (with device SingleChamber)(NA)
MC038GJA | AICD - Automatic Implantable Cardiac Defibrillator (with device DoubleChamber) | AICD - Automatic Implantable Cardiac Defibrillator (with device DoubleChamber)(NA)
MC039GJA | Combo: AICD+Bi ventricular pacemaker (with device) | Combo: AICD+Bi ventricular pacemaker (with device)(NA)
MG084GJA | Intraparenchymal / Subarachnoid Hemmorrhage (Conservative management) | Intraparenchymal / Subarachnoid Hemmorrhage (Conservative management)(NA)
MG085GJA | Meninfoencephalitis, or / and EVD / VP shunt (Consevative management) | Meninfoencephalitis, or / and EVD / VP shunt (Consevative management)(NA)
MG088GJA | Thrombolysis with Actilyse for Ischemic stroke | Thrombolysis with Actilyse for Ischemic stroke(NA)
MG089GJA | Endovascular intervention for salvaging hemodialysis AV fistula | Endovascular intervention for salvaging hemodialysis AV fistula(NA)
MG091GJA | Brachiocephalic AV fistula for Hemodialysis | Brachiocephalic AV fistula for Hemodialysis(NA)
MO073GJB | Aplastic Anaemia - ATG + Cyclosporine + Steroid | Aplastic Anaemia(NA)
MO073GJA | Allogeneic stem cell Transplant | Aplastic Anaemia(NA)
MO074GJA | ATRA, Arsenic trioxide, Daunorubicin, Cytarabine 6 MP, methotrexate | APML(NA)
MO075GJA | Methotrexate Vinblastine Adriamycin Cyclophosphamide (MVAC) | Bladder Cancer(NA)
MO075GJB | Weekly Cisplatin | Bladder Cancer(NA)
MO076GJA | Congenital condition amenable to BMT - Allogeneic stem cell Transplant | Congenital condition amenable to BMT(NA)
MO077GJA | Palliative and Supportive Therapy | For Terminally ill cancer patient(NA)
MO078GJA | 5-FU -Leucovorin (McDonald Regimen), Epirubicin/Taxanes/Platin | Gastric Cancer(NA)
MO080GJA | Gemcitabine 1000 mg/sq m D1 and 8 , Oxaliplatin 85 mg per sq m | Hepatobilliary tumor(NA)
MO081GJA | Bortezamib, Lenalinomide, Bisphosphonates, Autologus stem cell transplant | Multiple Myeloma(NA)
MO081GJB | Melphalan -Prednisone (oral) | Multiple Myeloma(NA)
MO081GJC | Thalidomide+Dexamethasone(O ral) | Multiple Myeloma(NA)
MO081GJD | Vincristine, Adriamycin,Dexamethasone(VA D) | Multiple Myeloma(NA)
MO082GJA | Allogeneic stem cell Transplant | Myelodysplastic syndrome(NA)
MO082GJB | Myelodysplastic syndrome - Lenalinomide Decitabine | Myelodysplastic syndrome(NA)
MO083GJA | Variable Regimen Variable regimens, Autologous Stem Cell | Neuroblastoma (Stages I - III)(NA)
MO084GJA | All Cancer for all oncology cluster diagnostic or staging in proven cancer patient | PET Study(NA)
MO085GJA | Cisplatin/Adriamycin + ifosmide (IAP) | Osteosarcoma Bone Tumors(NA)
MO086GJA | Fixation of pathological fracture [Palliative package ^] | Palliative package(NA)
MO086GJB | Pain killer / G-CSF/ Drainage ? Biliary and urinary / Stenting ? Biliary/ Stenting ? urinary / Nutritional supplement [Palliative package ^] | Palliative package(NA)
MO087GJA | Relapsed Paediatric Solid Tumor - Autologus stem cell transplant | Relapsed Paediatric Solid Tumours(NA)
MO088GJB | Taxanes, Ifosphamides, Vinblastine, Gemcitabine, Docetaxol, Platin | Testicular Cancer(NA)
MO089GJA | Thalassemia/Haemoglobinopat hies Sickle cell anaemia - Allogeneic Bone Marrow Transplant | Thalassemia / Haemoglobinopathies Sickle cell anaemia(NA)
MO090GJA | Palliative Chemotherapy | Unlisted regimen(NA)
MO091GJA | Cisplatin 100mg/m2 D1 and5FU 1000mg/sq m D1-3 | Vaginal Cancer(NA)
MO092GJA | SIOP/NWTS regimen(Stages I - IV) | Wilm's Tumor(NA)
MR015GJA | Interstitial Brachy therapy (Radical Treatment min 10 #) - CT/MR planning (complete treatment) | Brachytherapy(NA)
MR015GJB | Interstitial Brachy therapy (as a Boost after external RT min 4 # ) - CT/MR planning (complete treatment) | Brachytherapy(NA)
MR015GJC | Intracavitary / Intraluminal Brachytherapy - CT/MR planning (Image based Brachy therapy) | Brachytherapy(NA)
MR016GJA | Hypofractionated Breast Cancer (40Gy/15# or 42Gy/16#) | Hypofractionated Breast Cancer (40Gy/15# or 42Gy/16#)(NA)
MR016GJB | Hypofractionated Prostate (70Gy/28# or 70Gy/26#) | Hypofractionated Prostate (70Gy/28# or 70Gy/26#)(NA)
MR017GJA | Electron Boost (Max upto 10#) | Electron Boost (Max upto 10#)(NA)
MR017GJB | Electron treatment curative (Max upto 35#) | Electron treatment curative (Max upto 35#)(NA)
MR017GJC | ARC (VMAT /Rapid ARC) (Max upto 35#) | ARC (VMAT /Rapid ARC) (Max upto 35#)(NA)
MR018GJA | Radio Iodine Therapy(Package amount per Dose) | Iodine Therapy(NA)
MR019GJA | SRS - Palliative (complete treatment to be approved based on Performance Status) - includes imaging charges | SRS - Palliative (complete treatment to be approved based on Performance Status) - includes imaging charges(NA)
MR019GJB | SRT / SBRT - Palliative (complete treatment to be approved based on Performance Status). No extra charges for gatting and imaging | SRT / SBRT - Palliative (complete treatment to be approved based on Performance Status). No extra charges for gatting and imaging(NA)
MR020GJA | Tomotherapy - Adjuvant/ Neoadjuvant/ Radical | Tomotherapy (Max upto 35#)(NA)
MR021GJA | Total Body Radiation (complete treatment) | Total Body Radiation (complete treatment)(NA)
OT002GJA | Liver transplantation from deceased donor Part - 3 Operative Part | Liver transplantation from deceased donor Part - 3 Operative Part(NA)
OT003GJA | for 1 to 3 day | Chest Infection after transplant with 10day ICU care Include ICU stay , ICU ventilator , ICU medicine , isolation ward(NA)
OT003GJB | for 10 day or above | Chest Infection after transplant with 10day ICU care Include ICU stay , ICU ventilator , ICU medicine , isolation ward(NA)
OT003GJC | for 3 to 7 day | Chest Infection after transplant with 10day ICU care Include ICU stay , ICU ventilator , ICU medicine , isolation ward(NA)
OT004GJC | 3-10 days | Chest Infection after transplant with 10day ICU care with Ventilator, isolation ward(NA)
OT004GJA | for 11-20 days | Chest Infection after transplant with 10day ICU care with Ventilator, isolation ward(NA)
OT004GJB | for 21 and above days | Chest Infection after transplant with 10day ICU care with Ventilator, isolation ward(NA)
OT005GJA | for 13 and above Days | CMV infection after kidney transplant Include IV gancyclovir 500 mg / Hospital stay for 14 day, tab.Valgancyclovir 450 mg OD(NA)
OT005GJB | for 3-7 days | CMV infection after kidney transplant Include IV gancyclovir 500 mg / Hospital stay for 14 day, tab.Valgancyclovir 450 mg OD(NA)
OT005GJC | for 8-12 days | CMV infection after kidney transplant Include IV gancyclovir 500 mg / Hospital stay for 14 day, tab.Valgancyclovir 450 mg OD(NA)
OT006GJA | for 13 and above Days | CMV infection after liver transplant Include IV gancyclovir 500 mg / Hospital stay for 14 day, tab.Valgancyclovir 450 mg OD for 13 and above Days(NA)
OT006GJB | for 3-7 days | CMV infection after liver transplant Include IV gancyclovir 500 mg / Hospital stay for 14 day, tab.Valgancyclovir 450 mg OD for 3-7 days(NA)
OT006GJC | for 8-12 days | CMV infection after liver transplant Include IV gancyclovir 500 mg / Hospital stay for 14 day, tab.Valgancyclovir 450 mg OD for 8-12 days(NA)
OT007GJA | Dual lobe liver transplantation: One lobe from one living donor and other lobe from other living donor (Two donor hepatectomy and one liver recipient surgery) | Dual lobe liver transplantation: One lobe from one living donor and other lobe from other living donor (Two donor hepatectomy and one liver recipient surgery)(NA)
OT008GJA | Dual lobe liver transplantation: One lobe from one living donor and other lobe from other living donor (Two donor hepatectomy and one liver recipient surgery) Receipient Ix Part-5 Operativr Part for both Donor and recippient | Dual lobe liver transplantation: One lobe from one living donor and other lobe from other living donor (Two donor hepatectomy and one liver recipient surgery) Receipient Ix Part-5 Operativr Part for both Donor and recippient(NA)
OT009GJA | for liver donor | Emergency Exploratory laparotomy(NA)
OT009GJB | for liver recipient | Emergency Exploratory laparotomy(NA)
OT010GJA | for abdominal wash | Exploratory laparotomy after pancreas transplant(NA)
OT010GJB | for pancreatectomy | Exploratory laparotomy after pancreas transplant(NA)
OT011GJA | HEPATITIS C VIRUS TREAMENTInclude Sofosbuvir400+ledispasvir90mg OD for 3 months and HCVRNA quantity ( 3 times) (Rate per Month) | HEPATITIS C VIRUS TREAMENTInclude Sofosbuvir400+ledispasvir90mg OD for 3 months and HCVRNA quantity ( 3 times) (Rate per Month)(NA)
OT012GJA | Invasive fungal infection after liver transplant Include Liposomal Amphotericin 5-10 mg/kg/day for 30 days and Surgical debridement, ICU stay for 10 days Hospital stay for 21 days With Liposomal Amphotericin 300 mg/day | Invasive fungal infection after liver transplant Include Liposomal Amphotericin 5-10 mg/kg/day for 30 days and Surgical debridement, ICU stay for 10 days Hospital stay for 21 days With Liposomal Amphotericin 300 mg/day(NA)
OT013GJA | Kidney transplantation Laparoscopic Donor nephrectomy | Kidney transplantation Laparoscopic Donor nephrectomy(NA)
OT014GJA | Liver resection for HCC in Child- A cirrhosis | Liver resection for HCC in Child- A cirrhosis(NA)
OT015GJA | Part - 1 | Liver transplantation from deceased donor(NA)
OT015GJB | Part - 2 | Liver transplantation from deceased donor(NA)
OT016GJA | Part - 1 | Liver transplantation from living donor(NA)
OT016GJB | Part - 2 | Liver transplantation from living donor(NA)
OT016GJC | Part -3 Operative Part | Liver transplantation from living donor(NA)
OT017GJA | Part - 1 | Living donor hepatectomy(NA)
OT017GJB | Part-2 Investigations CT triphasic angiography for celiac axis, CT Volumetry, MR cholengiography | Living donor hepatectomy(NA)
OT017GJC | Part-3 Operative Part | Living donor hepatectomy(NA)
OT018GJB | (Calcineurin and mTOR based ) Include Prednisolone Tacrolimus 2 mg/day Everolimus 1 mg/day, Mycophenolate upto 2 g/day (Rate per month) | Maintainence immunosuppresants and investigations after 12 months of liver transplant(NA)
OT018GJA | (Calcineurin based ) Include Prednisolone, Tacrolimus 2mg/day Mycophenolate upto 2 g /day(Rate per month) | Maintainence immunosuppresants and investigations after 12 months of liver transplant(NA)
OT019GJA | Monthly everolimus Immunosuppression after kidney transplant(Rate per Month) | Monthly everolimus Immunosuppression after kidney transplant(Rate per Month)(NA)
OT020GJA | Monthly investigations and immunosuppression after kidney transplant Include Prednisolone,Tacrolimus 4mg/day,Mycophenolate 360 or 500 mg (4 tables) /day, Sepmax OD (Package Rate per month) | Monthly investigations and immunosuppression after kidney transplant Include Prednisolone,Tacrolimus 4mg/day,Mycophenolate 360 or 500 mg (4 tables) /day, Sepmax OD (Package Rate per month)(NA)
OT021GJB | Include Prednisolone ,Tacrolimus 4mg/day, Mycophenolate upto 2 g / day , Fluconazole 100mg/day, Septran 1 tablet once a day, | Monthly investigations and immunosuppression from 4-12 months after liver transplant(NA)
OT021GJA | Include Prednisolone Tacrolimus 2 mg/day +Everolimus 1 mg/day, Mycophenolate upto 2 g /day Fluconazole 100mg/day, Septran 1 tablet once a day | Monthly investigations and immunosuppression (with everolimus)from 4-12 months after liver transplant(NA)
OT022GJA | Monthly investigations and immunosuppression from discharge after kidney transplant Include Prednisolone ,Tacrolimus 4mg/day, Mycophenolate 360 or 500 mg (4 tables) /day, Valgancyclovir 450 mg OD, Fluconazole 100mg OD, Sepmax OD (Rate is per Month) | Monthly investigations and immunosuppression from discharge after kidney transplant Include Prednisolone ,Tacrolimus 4mg/day, Mycophenolate 360 or 500 mg (4 tables) /day, Valgancyclovir 450 mg OD, Fluconazole 100mg OD, Sepmax OD (Rate is per Month)(NA)
OT023GJA | Include Prednisolone, Tacrolimus 4mg/day, Mycophenolate upto 2 g /day, Valgancyclovir 450 mg ,Fluconazole 100mg/day, Septran 1 tablet once a day For First Month | Monthly investigations and immunosuppression from day of discharge to 3 months after liver transplant(NA)
OT023GJB | Include Prednisolone, Tacrolimus 4mg/day, Mycophenolate upto 2 g /day, Valgancyclovir 450 mg ,Fluconazole 100mg/day, Septran 1 tablet once a day For Second Month | Monthly investigations and immunosuppression from day of discharge to 3 months after liver transplant(NA)
OT023GJC | Include Prednisolone, Tacrolimus 4mg/day, Mycophenolate upto 2 g /day, Valgancyclovir 450 mg ,Fluconazole 100mg/day, Septran 1 tablet once a day For Third Month | Monthly investigations and immunosuppression from day of discharge to 3 months after liver transplant(NA)
OT024GJA | Monthly once a day tacrolimus immunosuppression after kidney transplant (Rate per Month) | Monthly once a day tacrolimus immunosuppression after kidney transplant (Rate per Month)(NA)
OT025GJA | Monthly sirolimus immunosuppression after kidney transplant (Rate per Month) | Monthly sirolimus immunosuppression after kidney transplant (Rate per Month)(NA)
OT026GJA | Part - 1 | Open dual Kidney transplantation from deceased donor(NA)
OT026GJB | Part - 4 Operative Part | Open dual Kidney transplantation from deceased donor(NA)
OT026GJC | Part=3 Investigation Single Antigen Quantitative | Open dual Kidney transplantation from deceased donor(NA)
OT026GJD | Part-2 Investigations HLA Typing LCM, FCM Single Antigen Qualitative | Open dual Kidney transplantation from deceased donor(NA)
OT027GJA | Part - 1 | Open Kidney transplantation from deceased donor(NA)
OT027GJB | Part=3 InvestigationSingle Antigen Quantitative | Open Kidney transplantation from deceased donor(NA)
OT027GJC | Part-2 Investigations HLA Typing LCM, FCM Single Antigen Qualitative | Open Kidney transplantation from deceased donor(NA)
OT027GJD | Part-4 Operative Part | Open Kidney transplantation from deceased donor(NA)
OT028GJB | Part - 1 | Open Kidney transplantation from living donor(NA)
OT028GJC | Part - 3 | Open Kidney transplantation from living donor(NA)
OT028GJA | Part-2 Investigations HLA Typing LCM, FCM Single Antigen Qualitative | Open Kidney transplantation from living donor(NA)
OT028GJD | Part-4 Operative Part | Open Kidney transplantation from living donor(NA)
OT029GJA | Part - 1 | Pancreas transplant(NA)
OT029GJB | Part - 4 Operative Part | Pancreas transplant(NA)
OT029GJC | Part-2 Investigations HLA Typing LCM, FCM Single Antigen Qualitative | Pancreas transplant(NA)
OT029GJD | Part-3 Investigation Single Antigen Quantitative, S. Amylase, S. lipase, C-Peptide, GAD Antibody, Plain CT of Abdomen | Pancreas transplant(NA)
OT030GJA | Percutaneous liver allograft biopsy | Percutaneous liver allograft biopsy(NA)
OT031GJA | for acute B cell rejection Albumin and Rituximab based protocol ( Rate is per sittings with limit of 4 sittings) | Plasmapheresis(NA)
OT031GJB | for highly sensitized recipient Albumin and Rituximab based protocol (rate is per sittings with limit of 4 sittings) | Plasmapheresis(NA)
OT032GJA | ERCP | Post liver transplant(NA)
OT032GJB | ERCP with stenting | Post liver transplant(NA)
OT032GJF | Hepatitis B infection (entecavir resistant)Includes tenofovir 300 mg /day (Rate Per Month) | Post liver transplant(NA)
OT032GJG | Hepatitis B infection Includes entecavir 0.5 mg /day (Rate Per Month) | Post liver transplant(NA)
OT032GJH | Hepatitis C infectionIncludes sofosbuvir 400 mg/ day + daclatasavir 60 mg/day + ribavirin 1000 mg/day (Rate Per Month) | Post liver transplant(NA)
OT032GJC | Incisional hernia repair (Prosthetic mesh) | Post liver transplant(NA)
OT032GJI | Percutaneous Endoscopy guided gastrostomy (PEG) | Post liver transplant(NA)
OT032GJD | Percutaneous transhepatic biliary drainage (PTBD) | Post liver transplant(NA)
OT032GJE | Roux en Y jejunojejunostomy and choledochojejunostomy | Post liver transplant(NA)
OT033GJA | Radiofrequency ablation (RFA) for HCC for Child-A, B and C cirrhosis(Rate per session) | Radiofrequency ablation (RFA) for HCC for Child-A, B and C cirrhosis(Rate per session)(NA)
OT034GJA | Part - 1 | Robotic kidney transplantation(NA)
OT034GJB | Part-2 Investigations HLA Typing LCM, FCM Single Antigen Qualitative | Robotic kidney transplantation(NA)
OT034GJC | Part-3 Investigation Single Antigen Quantitative | Robotic kidney transplantation(NA)
OT034GJD | Part-4 Operative Part | Robotic kidney transplantation(NA)
OT035GJB | Part - 4 Operative Part | Robotic kidney transplantation from deceased donor Part - 4 Operative Part(NA)
OT035GJC | Part-2 Investigations HLA Typing LCM, FCM Single Antigen Qualitative | Robotic kidney transplantation from deceased donor(NA)
OT035GJD | Part-3 Investigation Single Antigen Quantitative | Robotic kidney transplantation from deceased donor(NA)
OT035GJA | Robotic kidney transplantation from deceased donor Part - 1 | Robotic kidney transplantation from deceased donor Part - 1(NA)
OT036GJA | Part - 1 | Robotic kidney transplantation from deceased donor(NA)
OT036GJB | Part - 4 Operative Part | Robotic kidney transplantation from deceased donor(NA)
OT036GJC | Part-2 Investigations HLA Typing LCM, FCM Single Antigen Qualitative | Robotic kidney transplantation from living donor(NA)
OT036GJD | Part-3 Investigation Single Antigen Quantitative | Robotic kidney transplantation from living donor(NA)
OT037GJA | Part - 1 | Split liver transplantation from deceased donor(NA)
OT037GJB | Part - 2 | Split liver transplantation from deceased donor(NA)
OT037GJC | Part - 3 Operative Part | Split liver transplantation from deceased donor(NA)
OT038GJA | Trans-jugular Intrahepatic Porto- Systemic Shunt procedure (TIPS) | Trans-jugular Intrahepatic Porto- Systemic Shunt procedure (TIPS)(NA)
OT039GJA | Trans-jugular liver allograft biopsy | Trans-jugular liver allograft biopsy(NA)
OT040GJA | for 13 Days abd above | Treatment for B cell rejection with Therapeutic Plasma exchange with ALBUMIN +IVIG 5 gm (4 sessions), Inj Rituximab 200 mg or Inj Boretezomib 2 mg (4 doses) IV methyl prednisolone, Hospital stay(NA)
OT040GJB | for 8-13 Days | Treatment for B cell rejection with Therapeutic Plasma exchange with ALBUMIN +IVIG 5 gm (4 sessions), Inj Rituximab 200 mg or Inj Boretezomib 2 mg (4 doses) IV methyl prednisolone, Hospital stay(NA)
OT040GJC | for3-7 days | Treatment for B cell rejection with Therapeutic Plasma exchange with ALBUMIN +IVIG 5 gm (4 sessions), Inj Rituximab 200 mg or Inj Boretezomib 2 mg (4 doses) IV methyl prednisolone, Hospital stay(NA)
OT041GJA | for 3rd month | Treatment for T cell rejection with thymoglobulin IV methyl prednisolone ,IV thymoglobulin 75 mg , Hospital stay for 15 d,Valgancyclovir 450 mg/day Fluconazole 100 mg/day(NA)
OT041GJB | for First month | Treatment for T cell rejection with thymoglobulin IV methyl prednisolone ,IV thymoglobulin 75 mg , Hospital stay for 15 d,Valgancyclovir 450 mg/day Fluconazole 100 mg/day(NA)
OT041GJC | for second month | Treatment for T cell rejection with thymoglobulin IV methyl prednisolone ,IV thymoglobulin 75 mg , Hospital stay for 15 d,Valgancyclovir 450 mg/day Fluconazole 100 mg/day(NA)
OT042GJA | for 3-7 days | Treatment for T cell rejection IV methyl prednisolone IV, Hospital stay(NA)
OT042GJB | for 13 and above days | Treatment for T cell rejection IV methyl prednisolone IV, Hospital stay(NA)
OT042GJC | for 8-12 days | Treatment for T cell rejection IV methyl prednisolone IV, Hospital stay(NA)
OT043GJA | for 13 and above Days | Treatment for T cell rejection with thymoglobulin IV methyl prednisolone, IV thymoglobulin 75 mg, Hospital stay(NA)
OT043GJB | for 3-7 days | Treatment for T cell rejection with thymoglobulin IV methyl prednisolone, IV thymoglobulin 75 mg, Hospital stay(NA)
OT043GJC | for 8-12 days | Treatment for T cell rejection with thymoglobulin IV methyl prednisolone, IV thymoglobulin 75 mg, Hospital stay(NA)
OT044GJA | Treatment of Invasive fungal infection after kidney transplant Include Liposomal Amphotericin 300MG /day(5mg/kg for 60 kg person) for 30 days and Surgical debridement Hospital stay for 10 days ,ICU stay for 10 d (Rate per day with limit of 30 days) | Treatment of Invasive fungal infection after kidney transplant Include Liposomal Amphotericin 300MG /day(5mg/kg for 60 kg person) for 30 days and Surgical debridement Hospital stay for 10 days ,ICU stay for 10 d (Rate per day with limit of 30 days)(NA)
OT045GJB | Wound exploration for kidney graft nephrectomy | Wound exploration for kidney graft nephrectomy(NA)
OT046GJC | Yearly HEPATITIS B VIRUS TREATMENT Include ENTECAVIR 0.5 MG OD for 12 months, HBVDNA quantity( 3 time) (Rate per Month) | Yearly HEPATITIS B VIRUS TREATMENT Include ENTECAVIR 0.5 MG OD for 12 months, HBVDNA quantity( 3 time) (Rate per Month)(NA)
SB075GJA | Congenital, Accessory digits sometime can be removed | Accessory bone excision (limbs)(NA)
SB076GJA | Clavicle fracture management - conservative | Clavicle fracture management - conservative(NA)
SB077GJA | Close Reduction - Small Joints | Close Reduction - Small Joints(NA)
SB078GJA | Closed Interlock Nailing + Bone Grafting ? femur | Closed Interlock Nailing + Bone Grafting ? femur(NA)
SB080GJA | Closed Reduction and Internal Fixation with K wire | Closed Reduction and Internal Fixation with K wire(NA)
SB084GJA | Internal Fixation Lateral Epicondyle | Internal Fixation Lateral Epicondyle(NA)
SB085GJA | Sequestrectomy of Long Bones + anti-biotics + dressing | Sequestrectomy of Long Bones + anti-biotics + dressing(NA)
SB086GJA | Tendo Achilles Tenotomy | Tendo Achilles Tenotomy(NA)
SC081GJA | Urinary diversion | Urinary diversion(NA)
SC090GJA | Drain Insertion any type | Drain Insertion any type(NA)
SC093GJA | Inguinal Block Dissection-one side | Inguinal Block Dissection-one side(NA)
SC095GJA | Surgery for Ca Ovary - early stage | Surgery for Ca Ovary - early stage(NA)
SC096GJA | Surgery for Ca Ovary - advance stage | Surgery for Ca Ovary - advance stage(NA)
SC097GJA | Wide excision for CA Breast | Wide excision for CA Breast(NA)
SC098GJA | Decortication | Decortication(NA)
SC099GJA | Laryngopharyngo Oesophagectomy | Laryngopharyngo Oesophagectomy(NA)
SC100GJA | Hemimandibulectomy | Hemimandibulectomy(NA)
SC101GJA | Resection with reconstruction for GI System | Resection with reconstruction for GI System(NA)
SC102GJA | Triple Bypass | Triple Bypass(NA)
SC105GJA | Forequarter amputation | Forequarter amputation(NA)
SC106GJA | Bone resection | Bone resection(NA)
SC107GJA | Nephroureterectomy for Transitional Cell Carcinoma of renal pelvis (one side) | Nephroureterectomy for Transitional Cell Carcinoma of renal pelvis (one side)(NA)
SC108GJA | Retro Peritoneal Lymph Node Dissection(RPLND) (for Residual Disease) | Retro Peritoneal Lymph Node Dissection(RPLND) (for Residual Disease)(NA)
SC109GJA | Retro Peritoneal Lymph Node Dissection RPLND as part of staging | Retro Peritoneal Lymph Node Dissection RPLND as part of staging(NA)
SC112GJA | Suprapubic Cystostomy | Suprapubic Cystostomy(NA)
SC114GJA | Substernal bypass | Substernal bypass(NA)
SC115GJA | Amputation for bone / soft tissue tumours (Major / Minor) | Amputation for bone / soft tissue tumours (Major / Minor)(NA)
SC116GJA | Inguinal Block Dissection-both side | Inguinal Block Dissection-both side(NA)
SC119GJA | ICD Tube Insertion | ICD Tube Insertion(NA)
SC120GJA | Skin Tumours Wide Excision + Reconstruction | Skin Tumours Wide Excision + Reconstruction(NA)
SC121GJA | Skin Tumours Amputation | Skin Tumours Amputation(NA)
SC122GJA | Voice prosthesis | Voice prosthesis(NA)
SN064GJA | Anterio Lateral Decompression | Anterio Lateral Decompression(NA)
SN065GJA | Bone flap removal | Bone flap removal(NA)
SN066GJA | Bony tumor of skull | Bony tumor of skull(NA)
SN067GJA | Posterior (Arnold-Chiary Malformation and others) | CV Junction decompression(NA)
SN068GJA | C.S.F. Rhinorrhoea (Transcranial / Transnasal) | C.S.F. Rhinorrhoea (Transcranial / Transnasal)(NA)
SN070GJA | For CCF | Carotid ligation(NA)
SN070GJB | For Giant Aneurysm | Carotid ligation(NA)
SN073GJA | Extradural | Craniotomy and Evacuation of Haematoma(NA)
SN075GJA | Global (Anterior and Posterior combine) | DL Spine Stablisation(NA)
SN075GJB | Posterior Level four | DL Spine Stablisation(NA)
SN075GJC | Posterior Level three | DL Spine Stablisation(NA)
SN075GJD | Posterior Level two | DL Spine Stablisation(NA)
SN076GJA | Aqueductoplasty with implant | Endoscopic brain surgeries(NA)
SN076GJB | Aqueductoplasty without implant | Endoscopic brain surgeries(NA)
SN076GJC | Cyst Excision | Endoscopic brain surgeries(NA)
SN076GJD | Diagnostic | Endoscopic brain surgeries(NA)
SN076GJE | Endoscopic Spine Surgery | Endoscopic Spine Surgery(NA)
SN076GJF | Tumor Excision | Endoscopic brain surgeries(NA)
SN078GJA | Excision of Brain Tumors ? Infratentorial | Excision of Brain Tumors ? Infratentorial(NA)
SN079GJA | Infratentorial tumor with spinal extension | Infratentorial tumor with spinal extension(NA)
SN082GJA | Cervical | Laminoplasty(NA)
SN082GJB | Dorsal | Laminoplasty(NA)
SN082GJC | Lumber | Laminoplasty(NA)
SN084GJA | MVD | MVD(NA)
SN085GJA | Posterior Fixation Alone | Posterior Fixation Alone(NA)
SN086GJA | Reexploration for debridement / CSF Leak / Hematoma | Reexploration for debridement / CSF Leak / Hematoma(NA)
SN087GJA | Skull base surgery | Skull base surgery(NA)
SN091GJA | Subdural Tapping | Subdural Tapping(NA)
SN092GJA | Supratentorial tumor with infratentorial tumour extension | Supratentorial tumor with infratentorial tumour extension(NA)
SN093GJA | Transpedicular Biopsy | Transpedicular Biopsy(NA)
SN096GJA | Vertebral artery Stenting | Vertebral artery Stenting(NA)
SO097GJA | Rupture uterus, closer and repair with tubal ligation | Rupture uterus, closer and repair with tubal ligation(NA)
SO098GJA | Normal delivery | Normal delivery(NA)
SP009GJA | Ear Reconstruction for Microtia (stage-I) | Reconstruction(NA)
SP009GJB | Reconstructive lower limb surgery following infection, Trauma, Tumors / Malignancy, Developmental including diabetic foot ? SEVERE | Reconstruction(NA)
SS020GJA | H- type fistula | H- type fistula(NA)
SS021GJA | 2nd Stage procedure | Hypospidias(NA)
SS022GJA | Colostomy, iliostomy / pouchostomy (first stage of male / female ARM, cloaca, pouch colon or hirschsprung diease] | Anorectal malformation(NA)
SS022GJB | Low ARM (male and female) | Anorectal malformation(NA)
SS023GJA | Biliary Atresia | Biliary Atresia(NA)
SS025GJA | Duodenal atresia- Kimuras duodenoduodenostomy | Duodenal atresia- Kimuras duodenoduodenostomy(NA)
SS026GJA | Empyema Thoracis | Empyema Thoracis(NA)
SS027GJA | Continent | Epispadias repair(NA)
SS027GJB | Incontinent (Epispadias repair + BNR) | Epispadias repair(NA)
SS028GJA | Exomphalos/gastroschisis | Exomphalos/gastroschisis(NA)
SS029GJA | First stage bladder closure | Exstrophy bladder(NA)
SS029GJB | Primary or secondary ureterosigmoidostomy | Exstrophy bladder(NA)
SS029GJC | Second stage bladder neck reconstruction | Exstrophy bladder(NA)
SS029GJD | Total correction - single stage | Exstrophy bladder(NA)
SS030GJA | Hirschsprungs Disease- Single Stage | Hirschsprung's Disease- Single Stage(NA)
SS031GJA | Hydrocephalus in children- Ventriculoperitoneal shunt | Hydrocephalus in children- Ventriculoperitoneal shunt(NA)
SS032GJA | 1st Stage procedure | Hypospidias(NA)
SS032GJB | Single stage surgery | Hypospidias(NA)
SS033GJA | Intermediate and High variety Stage 1 colostomy | Intermediate & High variety Stage 1 colostomy(NA)
SS034GJA | Intestinal Atresias and Obstructions | Intestinal Atresias & Obstructions(NA)
SS035GJA | NEC - operative - Exploratory laparotomy + repair of perforation | NEC - operative - Exploratory laparotomy + repair of perforation(NA)
SS036GJA | Pure atresia - first stage(?o?stomy and ?G?stomy) | Oesophageal atresia(NA)
SS036GJB | Pure atresia - second stage (oesaphageal replacement) | Oesophageal atresia(NA)
SS037GJA | Posterior urethral valve - stabilization + cystoscopy + puv fulguration and or vesicostomy | Posterior urethral valve - stabilization + cystoscopy + puv fulguration & or vesicostomy(NA)
SS040GJA | Second stage- PSARVUP/Abdominoperineal Pull through Definitive surgery | Second stage- PSARVUP/Abdominoperineal Pull through Definitive surgery(NA)
SS041GJA | Second stage-Definitive surgery | Second stage-Definitive surgery(NA)
SS042GJA | Single stage PSARP female ( Rectovestibular fistula/ anovestibular fistula/ vestibular anus etc) | Single stage PSARP female ( Rectovestibular fistula/ anovestibular fistula/ vestibular anus etc)(NA)
SS044GJA | Stage three colostomy closure/ Ileostomy closure | Stage three colostomy closure/ Ileostomy closure(NA)
SS045GJA | Stage two PSARP/Abdominoperineal Pull through | Stage two PSARP/Abdominoperineal Pull through(NA)
SS046GJA | Third stage- Colostomy / ileostomy closure | Third stage- Colostomy / ileostomy closure(NA)
SS047GJA | Tracheo-oesphageal fistula (type c) | Tracheo-oesphageal fistula (type c)(NA)
SS048GJA | Vesicoureteric reflux, megaureter- ureteric reimplantation unilateral/bilateral | Vesicoureteric reflux, megaureter- ureteric reimplantation unilateral/bilateral(NA)
ST011GJA | External fixator with soft tissue injury - Large bones | External fixator with soft tissue injury(NA)
ST012GJA | External fixator with soft tissue injury - Small bones | External fixator with soft tissue injury(NA)
ST013GJA | Flap cover Surgery for wound in compound fracture | Flap cover Surgery for wound in compound fracture(NA)
ST017GJA | Prepatellar bursa and repair of MCL of knee | Prepatellar bursa and repair of MCL of knee(NA)
ST019GJA | Shoulder Jacket | Shoulder Jacket(NA)
ST020GJA | Surgical Correction of Pelvic bone fractures. | Surgical Correction of Pelvic bone fractures.(NA)
ST024GJA | Wound management for compound fracture (Any grade) | Wound management for compound fracture (Any grade)(NA)
SU100GJA | Colostomy and Suprapubic urinary diversion for pelvix fracture injury | Colostomy & Suprapubic urinary diversion for pelvix fracture injury(NA)
SU101GJA | Open | Colovaginal fistula repair(NA)
SU103GJA | Endoureterotomy (laser/bugbee) | Endoureterotomy (laser/bugbee)(NA)
SU105GJA | Laparoscopic | Heminephrectomy for fusion anomaly(NA)
SU105GJB | Open | Heminephrectomy for fusion anomaly(NA)
SU106GJA | Open surgery for Colovesical fistula | Open surgery for Colovesical fistula(NA)
SU109GJA | With laparoscopy, unilateral | Orchiopexy(NA)
SU111GJA | SPC for atony bladder | SPC for atony bladder(NA)
SU112GJA | Laparoscopic | Stress incontinence surgery(NA)
SU112GJB | With slings | Stress incontinence surgery(NA)
SU113GJA | Open, as an independent procedure | Suprapubic Cystostomy(NA)
SU121GJA | Laparoscopy surgery | Urinary tract trauma(NA)
SU121GJB | Open surgery (exploratory) | Urinary tract trauma(NA)
SV036GJA | Brachio - Radial Bypass with Synthetic Graft | Brachio - Radial Bypass with Synthetic Graft(NA)
SV037GJA | Pulmonary Atresia with or without VSD | Pulmonary Atresia with or without VSD(NA)
SV038GJA | Pulmonary AV Fistula surgery | Pulmonary AV Fistula surgery(NA)
SV039GJA | Oesophageal Diverticula /Achalasia Cardia | Oesophageal Diverticula /Achalasia Cardia(NA)
SV040GJA | Pulmonary artero venous malformation | Pulmonary artero venous malformation(NA)
SV041GJA | Operations for Stenosis of Renal Arteries | Operations for Stenosis of Renal Arteries(NA)
SV043GJA | Re DO | CABG(NA)
SV043GJB | with post MI VSD repair | CABG(NA)
SV044GJA | Coarctation Repair with graft | Coarctation Repair with graft(NA)
SV045GJA | Congenital Cystic Lesions/ Cystic Hygroma | Congenital Cystic Lesions/ Cystic Hygroma(NA)
SV046GJA | Diaphragmatic Eventeration | Diaphragmatic Eventeration(NA)
SV046GJB | Diaphragmatic Hernia | Diaphragmatic Hernia(NA)
SV047GJA | with CPB (inclu. Graft) | Dissecting Aneurysms(NA)
SV047GJB | without CPB (incl. graft) | Dissecting Aneurysms(NA)
SV048GJA | Encysted Empyema/Pleural Effusion - Tubercular | Encysted Empyema/Pleural Effusion - Tubercular(NA)
SV049GJA | Large | Excision of Arterio Venous malformation(NA)
SV049GJB | Small | Excision of Arterio Venous malformation(NA)
SV050GJA | First rib Excision by transaxillary approach, Excision of cervical rib / fibrous band / muscle by cervical approach | First rib Excision by transaxillary approach, Excision of cervical rib / fibrous band / muscle by cervical approach(NA)
SV051GJA | Lobectomy | Lobectomy(NA)
SV052GJA | Lung Injury repair | Lung Injury repair(NA)
SV054GJA | Peripheral Embolectomy without graft | Peripheral Embolectomy without graft(NA)
SV055GJA | Pleurectomy | Pleurectomy(NA)
SV056GJA | Pneumonectomy | Pneumonectomy(NA)
SV057GJA | Pulmonary Conduit | Pulmonary Conduit(NA)
SV058GJA | Pulmonary Valve Replacement | Pulmonary Valve Replacement(NA)
SV059GJA | Pulmonary Valvotomy + RVOT Resection | Pulmonary Valvotomy + RVOT Resection(NA)
SV061GJA | Surgery with CPB | Surgery with CPB(NA)
SV061GJB | Surgery without CPB | Surgery without CPB(NA)
SV064GJA | Thyomectomy | Thyomectomy(NA)
SV065GJA | Major Vessels | Vascular Procedure(NA)
SV065GJB | Minor Vessels | Vascular Procedure(NA)
SV066GJA | Vascular Tumors | Vascular Tumors(NA)
SO054GJF | Pre-mature delivery | High risk delivery(NA)
MO036BGJ | Bendamustine CLL | CT for Chronic Lymphocytic Leukemia(NA)
MO36CGJ | CVP - Cyclophosphamide, Vincristine, Steroids CLL | CT for Chronic Lymphocytic Leukemia(NA)
MO036DGJ | L + P -- Chlorambucil, Steroids CLL | CT for Chronic Lymphocytic Leukemia(NA)
No Package Code found Not Maped On Portal-New Added (removed by NHA in 1991)1 | Rituximab CLL | CT for Chronic Lymphocytic Leukemia(NA)
No Package Code found Not Maped On Portal-New Added (removed by NHA in 1991)2 | Cervical (Neck) | Biopsy(NA)
SG109GJA | FISTULECTOMY for Low anal Fistula (Inculding dressing and post operative Infection t/t) | FISTULECTOMY(NA)
SG110GJA | FISTULECTOMY for High anal Fistula (Inculding dressing and post operative Infection t/t) | FISTULECTOMY(NA)
SG111GJA | Surgical Exploration of PSOAS ABSCESS | Surgical Exploration of PSOAS ABSCESS(NA)
No Package Code found Not Maped On Portal-New Added 1 | excision of seminal vesicle cyst (For Paediatrci Patient only) | excision of seminal vesicle cyst(NA)
No Package Code found Not Maped On Portal-New Added 2 | excision of prostatic utricle (For Paediatrci Patient only) | excision of prostatic utricle(NA)
No Package Code found Not Maped On Portal-New Added 3 | Renal Auto-transplantation | Renal Auto-transplantation(NA)
OT048GJA | Heart transplant | Heart & lung transplant(NA)
OT049GJA | UTERINE TRANSPLANT | UTERINE TRANSPLANT(NA)
No Package Code found Not Maped On Portal-New Added 4 | Lung transplant | Lung transplant(NA)
No Package Code found Not Maped On Portal-New Added 5 | Heart & lung transplant | Heart & lung transplant(NA)
No Package Code found Not Maped On Portal-New Added 6 | TEVAR | TEVAR(NA)
No Package Code found Not Maped On Portal-New Added 7 | EVAR | EVAR(NA)
No Package Code found Not Maped On Portal-New Added 8 | Frozen Elephant Trunk Procedure with Opn & Endovascular Implant (Hybrid Procedure) | Frozen Elephant Trunk Procedure with Opn & Endovascular Implant (Hybrid Procedure)(NA)
No Package Code found Not Maped On Portal-New Added 9 | Laser guided cardiac procedure for lead extraction or stenosis of stent | Laser guided cardiac procedure(NA)
No Package Code found Not Maped On Portal-New Added 10 | Cardiac biopsy | Cardiac biopsy(NA)
No Package Code found Not Maped On Portal-New Added 11 | Cardiac MRI | Cardiac MRI(NA)
No Package Code found Not Maped On Portal-New Added 12 | Rotator Cuff repair | Rotator Cuff repair(NA)
No Package Code found Not Maped On Portal-New Added 13 | Hemiarthroplasty- Shoulder | Hemiarthroplasty- Shoulder(NA)
No Package Code found Not Maped On Portal-New Added 14 | Antibiotic Hip/ Knee cement spacer | Antibiotic Hip/ Knee cement spacer(NA)
No Package Code found Not Maped On Portal-New Added 15 | Arthroscopic Reconstruction of Medial or Lateral Collateral Ligament | Arthroscopic Reconstruction of Medial Collateral Ligament(NA)
No Package Code found Not Maped On Portal-New Added 16 | Arthroscopic Repair of Medial or Lateral Collateral Ligament | Arthroscopic Repair of Medial Collateral Ligament(NA)
No Package Code found Not Maped On Portal-New Added 13a | Arthroscopic Bankart Repair/ Latarjet Procedure/ SLAP | Arthroscopic Bankart Repair/ Latarjet Procedure/ SLAP(NA)
No Package Code found Not Maped On Portal-New Added 14a | Arthroscopic MPFL Reconstruction | Arthroscopic MPFL Reconstruction(NA)
No Package Code found Not Maped On Portal-New Added 15a | Open Reduction and Fixation of Shoulder Joint (With Mandatory Implant / Bone Graft) | Open Reduction and Fixation of Shoulder Joint (With Implant / Bone Graft)(NA)
No Package Code found Not Maped On Portal-New Added 16a | Total Knee/ Hip Arthroplasty with Long Stem | Total Knee/ Hip Arthroplasty with Long Stem(NA)
No Package Code found Not Maped On Portal-New Added 117 | Shoulder Arthroplasty | Shoulder Arthroplasty(NA)
No Package Code found Not Maped On Portal-New Added 118 | Antibiotic Beads Placement (Stimulan) | Antibiotic Beads Placement (Stimulan)(NA)
No Package Code found Not Maped On Portal-New Added 119 | Colpocleisis | Colpocleisis(NA)
New Added 119 | RENAL BIOPSY (HPE + IF) (Package Includes H and E, PAS stain, Silver stain, Mason's Trichome and IF panel, ; CBC, PT, APTT, RFT, post biopsy USG) | RENAL BIOPSY (HPE + IF)(NA)
New Added 120 | Renal Biopsy (HPE + IF + EM) (Package Includes H and E, PAS stain, Silver stain, Mason's Trichome and IF panel, EM ; CBC, PT, APTT, RFT, post biopsy USG) | Renal Biopsy (HPE + IF + EM)(NA)
New Added 121 | ABO incompatible Transplant (This procedure can be combine with HP010A, HM012A) | ABO incompatible Transplant (including Rituximab, plasmapharesis with Inj albumin uptil 8 sessions, IVIG)(NA)
New Added 122 | Desensitization protocol 1 (RTX 2 doses on Day 1 and 15 + IVIg 2g/kg 2 doses Rituximab on day 28 and 42) for living/ deceased donor kidney transplant | Desensitization protocol 1 (RTX 2 doses on Day 1 and 15 + IVIg 2g/kg 2 doses Rituximab on day 28 and 42) for living/ deceased donor kidney transplant(NA)
New Added 123 | Desensitization protocol 2 (RTX 100-500mg + plasmapharesis with Inj albumin uptil 6 sessions + IVIG 200mg/kg) | Desensitization protocol 2 (RTX 100-500mg + plasmapharesis with Inj albumin uptil 6 sessions + IVIG 200mg/kg)(NA)
New Added 124 | Citrate CRRT | Citrate CRRT(NA)
New Added 125 | CKD with vascular access issue for dialysis | CKD with vascular access issue for dialysis(NA)
New Added 126 | Tarsorraphy | Tarsorraphy()
New Added 127 | Optic Neuritis Management | Glucoma Screening()
New Added 128 | Minimal Invasive Glucoma Surgery (MIGS) | Diabetic retinopathy Screening()
IN002 | Spinal AVM embolization - Using Histoacryl (per sitting) | Cerebral & Spinal AVM embolization - Using Histoacryl (per sitting)(NA)
IN033A | Miscellaneous vascular IR procedure | Miscellaneous vacular IR procedure(NA)
MG048 | Cerebrovascular accident | Cerebrovascular accident(NA)
MG049 | Cerebral sino-venous thrombosis | Cerebral sino-venous thrombosis / Stroke(NA)
MO003 | Liposomal Doxorubicin and Gemcitabine | CT for CA Ovary(NA)
MO014 | Monthly 5-FU | CT for Colorectal Cancer(NA)
MO021 | Tenozolamide, Procarbazine, CCNU, Vincristine | CT for CA Brain(NA)
MO024 | CISPLATIN + MTX | CT for CA Head & Neck(NA)
MO028 | Docetaxol + steriods with G-CSF | CT for CA Prostate(NA)
MO044 | Imatinib, Nilotinib, Dasatinib Allogeneic stem cell Transplant | CT for Chronic Myeloid Leukemia(NA)
MP012 | Cerebral herniation | Cerebral herniation(NA)
MP013 | Acute neuroregression / Acute worsening in neuro metabolic and neurodegenerative conditions | Acute neuroregression / Acute worsening in neuro metabolic and neurodegenerative conditions(NA)
MP014 | Acute demyelinating myelopathy | Acute demyelinating myelopathy(NA)
MP019 | Chronic cough | Chronic cough(NA)
MP045 | Trauma | Trauma(NA)
SB027 | Hip and Knee Disarticulation | Hip & Knee Disarticulation(NA)
SC024 | Open with mainz 2 pouch - Radical | Cystectomy(NA)
SN037 | Surgery for Spinal Canal Stenosis | Surgery for Spinal Canal Stenosis(NA)
SN038-With | Spine - Decompression & Fusion with fixation | Spine - Decompression & Fusion(NA)
SN038 | Spine - Decompression & Fusion | Spine - Decompression & Fusion(NA)
SN040 | Spine - Intradural Haematoma with fixation | Spine - Intradural Haematoma(NA)
SO001 | Lap. Salpingo-oophrectomy | Lap. Salpingo-oophrectomy(NA)
SO058 | Re exploration after laparotomy | Re exploration after laparotomy / Caesarean Section(NA)
SU002-LAP | Lap. | Renal Cyst deroofing or Marsupialization(NA)
SU002-Open | Open | Renal Cyst deroofing or Marsupialization(NA)
SU042 | Diagnostic Cystoscopy | Diagnostic Cystoscopy(NA)
SU053 | Y V Plasty of Bladder Neck / Bladder Neck Reconstruction | Y V Plasty of Bladder Neck / Bladder Neck Reconstruction(NA)
SU079 | Holmium Laser Prostatectomy | Holmium Laser Prostatectomy(NA)
SU122GJA | Surgical intervention with Robot | Surgical intervention with Robot(Consumables for Robotic surgery)
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