Health Benefit Package 2.0 under Ayushman Bharat ... - hpsbys

Health Benefit Package 2.0 under Ayushman Bharat and HIMCARE

SL#

PackageDescription

PackageId

Amount

LOS ode urgical ays Status Reserved Documents - Documents -

Pre Claim Processing Authorization

1 BM (Burns Thermal burns–% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing

BM001A S 7,000 3 Y N Clinical Notes, Post Treatment NA Management) MLC copy with clinical photograph,

number, Extent of burns visible on photograph (with rule of 9 chart)

lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.

2 BM (Burns Thermal burns–% 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.

BM001B S 40,000 4 Y N Clinical Notes, Post Treatment 19 Management) MLC copy with clinical photograph,

number, Extent of upto 40% burns visible on photograph (with rule of 9 chart)

lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.

3 BM (Burns Thermal burns–% 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.

BM001C S 50,000 2 Y N Clinical Notes, Post Treatment 19 Management) MLC copy with clinical photograph,

number, Extent of upto 40% - 60% burns visible on photograph (with rule of 9 chart)


4 BM (Burns Thermal burns–% 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.

BM001D S 80,000 2 Y N Clinical Notes, Post Treatment 19 Management) MLC copy with clinical photograph,

number, Extent > 60% burns visible on photograph (with rule of 9 chart)


5 BM (Burns Scald burns–% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing



lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.

6 BM (Burns Scald burns–% 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.




7 BM (Burns Scald burns–% 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.




8 BM (Burns Scald burns–% 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.




9 BM (Burns Flame burns–% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing




10 BM (Burns Flame burns–% 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.




11 BM (Burns Flame burns–% 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.




12 BM (Burns Flame burns–% 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.




13 BM (Burns Electrical contact burns–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.

BM004A S 30,000 2 Y N Circumstances Post Treatment 19 Management) that led to low clinical photograph,

voltage electrical contact burns, MLC copy with number. % burns visible on clinical photograph (with rule of 9 chart)

lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.

14 BM (Burns Electrical contact burns–Electrical contact burns: Low voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.

BM004B S 40,000 2 Y N Circumstances Post Treatment 19 Management) that led to low clinical photograph,



15 BM (Burns Electrical contact burns–Electrical contact burns: High voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.

BM004C S 60,000 4 Y N Circumstances Post Treatment 19 Management) that led to High clinical photograph,



16 BM (Burns Electrical contact burns–Electrical contact burns: High 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.

BM004D S 50,000 1 Y N Circumstances Post Treatment 19 Management) that led to High clinical photograph,



17 BM (Burns Chemical burns–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.

BM005A S 40,000 4 Y N Circumstances Post Treatment 19 Management) that led to clinical photograph

chemical burns, showing treated MLC copy with

number, % and area burnt visible on clinical photograph (with rule of 9 chart)

burns, lab tests, X- rays or other diagnostic procedures done as a part of treatment.Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.

18 BM (Burns Chemical burns–Chemical burns: With 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.

BM005B S 60,000 1 Y N Circumstances Post Treatment 19 Management) that led to clinical photograph

chemical burns, showing treated MLC copy with

number, % and area burnt visible on clinical photograph (with rule of 9 chart)

burns, lab tests, X- rays or other diagnostic procedures done as a part of treatment.Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.

19 BM (Burns Post Burn Contracture surgeries for Functional Improvement–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.

BM006A S 50,000 1 Y N Clinical history Post Treatment 10 Management) detailing the clinical photograph,

burns - etiology, Detailed discharge treatment given summary. Detailed and resultant Procedure / contractures

left. Functional disability to be detailed and expected functional improvement to be shared. Pre- op clinical photograph.

Operative Notes.

20 BM (Burns Post Burn Contracture surgeries for Functional Improvement–Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone - gel sheet and physiotherapy): Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG) / Flap cover is done for each joint with post-operative regular dressings for STSG / FTSG / Flap cover.

BM006B S 50,000 1 Y N Clinical history Post Treatment 10 Management) detailing the clinical photograph,

burns - etiology, Detailed discharge treatment given summary. Detailed and resultant Procedure / contractures

left. Functional disability to be detailed and expected functional improvement to be shared. Pre- op clinical photograph.

Operative Notes.

21 ER (Emergency Laceration - Suturing / Dressing–Laceration - Suturing / Dressing

ER001A M 2,000 1 N N Clinical notes Clinical notes / discharge summary with planned line of treatment & post clinical photograph

NA Room Packages) with planned

line of treatment with pre-clinical photograph

22 ER (Emergency Cardiopulmonary ER002A M 2,000 1 N N Clinical notes Clinical notes / discharge summary with planned line of treatment

NA Room Packages) emergency–Emergency with stable with planned

cardiopulmonary status line of treatment, ECG

23 ER (Emergency Cardiopulmonary ER002B M 10,000 2 N N Clinical notes Clinical notes / discharge summary with planned line of treatment

NA Room Packages) emergency–Emergency with unstable with planned

cardiopulmonary status with line of resuccitation treatment, ECG

24 ER (Emergency Animal bites (Excluding Snake Bite)–Animal bites (Excluding Snake Bite)

ER003A M 1,700 3 N N Classification of Beneficiary NA Room Packages) bites with pre-

clinical photograph

signature / thumb impession; invoice / bar code sticker of the vaccine, Clinical Notes with complete treatment details given

25 IN (Interventional Dural AVMs / AVFs–Dural AVMs (per sitting) with glue

IN001A M 70,000 5 Y N Clinical notes Detailed Procedure 5 Neuroradiology) and CT/MRI/ / Operative Notes.

DSA confirming Radiographic stills the diagnosis photograph/CT/MRI/

Angio, Invoice / bar code of glue used, Detailed Discharge Summary

26 IN (Interventional Dural AVMs / AVFs–Dural AVFs (per sitting) with glue

IN001B M 70,000 5 Y N Clinical notes Detailed Procedure 5 Neuroradiology) and CT/MRI/ / Operative Notes.


Angio, Invoice / bar code of glue used, Detailed Discharge Summary

27 IN (Interventional Dural AVMs / AVFs–Dural AVMs (per sitting) with onyx

IN001C M 150,000 5 Y N Clinical notes Detailed Procedure 5 Neuroradiology) and CT/MRI/ / Operative Notes.


Angio, Invoice / bar code of Onyx used, Detailed Discharge Summary

28 IN (Interventional Dural AVMs / AVFs–Dural AVFs (per sitting) with onyx

IN001D M 150,000 5 Y N Clinical notes Detailed Procedure 5 Neuroradiology) and CT/MRI/ / Operative Notes.


Angio, Invoice / bar code of Onyx used, Detailed Discharge Summary

29 IN (Interventional Cerebral & Spinal AVM embolization - Using Histoacryl (per sitting)–Cerebral AVM embolization - Using Histoacryl (per sitting)

IN002A M 100,000 2 Y N Clinical notes Detailed Procedure 5 Neuroradiology) and CT/MRI/ / Operative Notes.


Angio, Invoice / bar code of histoacryl used, Detailed Discharge Summary

30 IN (Interventional Cerebral & Spinal AVM embolization - Using Histoacryl (per sitting)–Spinal AVM embolization - Using Histoacryl (per sitting)

IN002B M 100,000 3 Y N Clinical notes Detailed Procedure 5 Neuroradiology) and CT/MRI/ / Operative Notes.


Angio, Invoice / bar code of histoacryl used, Detailed Discharge Summary

31 IN (Interventional Coil embolization for aneurysms (includes cost of first 3 coils + balloon and / or stent if used)–Coil embolization for aneurysms (includes cost of first 3 coils + balloon and / or stent if used)

IN003A M 124,000 2 Y N Clinical notes Post procedure x- ray showing coils; Detailed Procedure / Operative Notes. Invoice / bar code of used coil / balloon / stent, detailed discharge summary

7 Neuroradiology) and CT

Angio/MRA/ DSA confirming the diagnosis for which the

procedure is done

32 IN (Interventional Carotico-cavernous Fistula (CCF) embolization–Carotico-cavernous Fistula (CCF) embolization with coils. [includes 5 coils, guide catheter, micro catheter, micro-guidewire, general items]

IN004A M 150,000 1 Y N Clinical notes Post procedure x- ray showing coils; Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories, detailed discharge summary

7 Neuroradiology) and CT/MRI/

DSA confirming the diagnosis

33 IN (Interventional Carotico-cavernous Fistula (CCF) embolization–Carotid-cavernous Fistula (CCF) embolization with balloon (includes one balloon, guide catheter, micro-catheter, micro-guidewire, general items)

IN004B M 75,000 2 Y N Clinical notes Post procedure x- ray showing balloon; Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories, detailed discharge summary



34 IN (Interventional Pre-operative tumour embolization (per session)–Pre-operative tumour embolization (per session)

IN005A M 40,000 5 Y N Clinical notes Intra procedure 5 Neuroradiology) and CT/MRI/ clinical photograph,

DSA confirming Detailed discharge the diagnosis summary, Detailed Procedure / Operative Notes. Invoices / bar code

of embolic agent used.

35 IN (Interventional Intracranial balloon angioplasty with stenting–Intracranial balloon angioplasty with stenting



of balloon and stent

36 IN (Interventional Intracranial thrombolysis / clot retrieval–Intracranial thrombolysis / clot retrieval



of thrombolytic agentused.

37 IN (Interventional Balloon test occlusion–Balloon test occlusion


DSA confirming Detailed discharge the diagnosis summary, Detailed Procedure / Operative Notes.

38 IN (Interventional Parent vessel occlusion - Basic–Parent vessel occlusion - Basic

IN009A M 30,000 2 Y N Clinical notes Intra procedure still photograph showing coil, Detailed Procedure / Operative Notes with procedure deployed; detailed discharge summary; invoice / bar code of coil used



39 IN (Interventional Vertebroplasty –Vertebroplasty IN010A M 40,000 3 Y N Clinical notes Intra procedure 3 Neuroradiology) and CT/MRI clinical photograph,

confirming the Detailed discharge diagnosis and summary, Detailed need of Procedure / procedure; Operative Notes. MLC/ FIR if Invoices of cement traumatic used.

40 MC (Cardiology) Right / Left Heart Catheterization–Right Heart Catheterization

MC001A S 5,000 2 Y N Clinical notes Discharge 2 with planned summary, line of Procedure / treatment, Operative Notes. ECG, ECHO Invoices of catherter

and other accesories used.

41 MC (Cardiology) Right / Left Heart Catheterization–Left Heart Catheterization

MC001B S 5,000 5 Y N Clinical notes Discharge 2 with planned summary, line of Procedure / treatment, Operative Notes. ECG, ECHO Invoices of catherter

and other accesories used.

42 MC (Cardiology) Catheter directed Thrombolysis–For Deep vein thrombosis (DVT)

MC002A S 30,800 1 Y N Clinical notes Post procedure 2 and doppler Colour Doppler of establishing affected limb/part, presence of invoice of catheter DVT used, invoice of the

thrombolytic drug (tPA) used, Detailed Discharge Summary.

43 MC (Cardiology) Catheter directed Thrombolysis–For Mesenteric Thrombosis

MC002B S 30,800 4 Y N Clinical notes Post procedure 2 and doppler Colour Doppler of establishing affected limb/part, presence of invoice of catheter mesentric used, invoice of the thrombosis thrombolytic drug

(tPA) used, Detailed Discharge Summary.

44 MC (Cardiology) Catheter directed Thrombolysis–For Peripheral vessels

MC002C S 30,800 1 Y N Clinical notes Post procedure 2 and doppler Colour Doppler of establishing affected limb/part, presence of invoice of catheter peripheral used, invoice of the vessel thrombolytic drug thrombosis (tPA) used, Detailed

Discharge Summary.

45 MC (Cardiology) Balloon Dilatation–Coartication of Aorta

MC003A S 71,600 2 Y N ECHO & CT Procedure / 2 angiogram Operative Notes report & stills with images, Post

Procedure images / Angiogram, barcode of balloon used, Detailed Discharge Summary

46 MC (Cardiology) Balloon Dilatation–Pulmonary Artrey Stenosis

MC003B S 71,600 2 Y N ECHO & CT Procedure / 2 angiogram Operative Notes report & stills with images, Post

Procedure images / Angiogram, barcode of balloon used, Detailed Discharge Summary

47 MC (Cardiology) Balloon Pulmonary / Aortic Valvotomy–Balloon Pulmonary Valvotomy

MC004A S 56,400 2 Y N Clinical notes Procedure / 2 with planned Operative notes line of with still images, treatment and Post procedure stills ECHO report of Echo with report; with stills. Invoice of blade /

balloon used, Detailed Discharge Summary .

48 MC (Cardiology) Balloon Pulmonary / Aortic Valvotomy–Balloon Aortic Valvotomy

MC004B S 56,400 2 Y N Clinical notes Procedure / 2 with planned Operative notes line of with still images, treatment and Post procedure stills ECHO report of Echo with report; with stills. Invoice of blade /


49 MC (Cardiology) Balloon Mitral Valvotomy–Balloon Mitral Valvotomy

MC005A S 90,700 2 Y N Clinical notes Procedure / 2 with planned Operative notes line of with still images, treatment and Post procedure stills ECHO report of Echo with report; with stills. Invoice of blade /


50 MC (Cardiology) Balloon Atrial Septostomy–Balloon Atrial Septostomy

MC006A S 24,400 2 Y N Clinical notes Procedure / 2 and ECHO / Operative notes and doppler with still images, stills + reports showing the transposition of the great arteries (TGA) & need of septostomy

Post procedure stills of ECHO with report; Invoice of blade / balloon used, Detailed Discharge Summary .

51 MC (Cardiology) ASD Device Closure–ASD Device Closure

MC007A S 98,900 2 Y N Clinical notes Procedure / 2 and ECHO Operative notes report showing with still images, ASD Post procedure stills

of ECHO with report; Invoice of blade / device used, Detailed Discharge Summary .

52 MC (Cardiology) VSD Device Closure–VSD Device Closure

MC008A S 109,900 2 Y N Clinical notes Procedure / 2 and ECHO Operative notes report showing with still images, VSD Post procedure stills


53 MC (Cardiology) PDA Device Closure–PDA Device Closure

MC009A S 55,000 2 Y N Clinical notes Procedure / 2 and ECHO Operative notes report showing with still images, PDA Post procedure stills


54 MC (Cardiology) PDA stenting–PDA stenting MC010A S 71,860 2 Y N Clinical notes Procedure / 2 and ECHO Operative notes report / Angio showing PDA

with still images, Post procedure stills of ECHO with report; Invoice of blade / barcode of stent used, barcode of the stent used, Detailed Discharge Summary .

55 MC (Cardiology) PTCA, inclusive of diagnostic angiogram–PTCA, inclusive of diagnostic angiogram

MC011A S 72,200 3 Y N ECG, ECHO, Procedure / 2 CAG stills Operative notes showing blocks with still images, & Reports Angiogram report,

showing stent & post Stent flow + barcode of the stents used, Detailed Discharge Summary

56 MC (Cardiology) Electrophysiological MC012A S 66,000 5 Y N Clinical notes Discharge 1 Study–Electrophysiological Study with planned summary, EP study line of report treatment, ECG, ECHO, Serum Elctrolytes

57 MC (Cardiology) Electrophysiological MC012B S 96,000 1 Y N Clinical notes Discharge 1 Study–Electrophysiological Study with planned summary, EP study with Radio Frequency Ablation line of report, Procedure / treatment, Operative Notes ECG, ECHO, Serum Elctrolytes

58 MC (Cardiology) Percutaneous Transluminal Septal Myocardial Ablation–Percutaneous Transluminal Septal Myocardial Ablation

MC013A S 34,000 4 Y N Clinical notes and ECG, ECHO, CAG stills showing blaocks justifying the procedure

Angiogram report with stills, showing stent & post Stent flow + barcode / Invoice of the stent used

2

59 MC (Cardiology) Temporary Pacemaker implantation–Temporary Pacemaker implantation

MC014A S 19,200 4 Y N Clinical notes and ECG + Report by cardiologist necessitating procedure

X Ray showing the pacemaker in situ; detailed discharge summary, Detailed Procedure / Operative Notes; Invoice / barcode of pacemaker

2

60 MC (Cardiology) Single Chamber Permanent Pacemaker Implantation–Permanent Pacemaker Implantation - Single Chamber

MC015A S 69,500 5 Y N Clinical notes and ECG + Report by cardiologist necessitating procedure; Angiogram if done

X Ray showing the pacemaker in situ, Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes, detailed discharge summary

2

61 MC (Cardiology) Double Chamber Permanent Pacemaker Implantation –Permanent Pacemaker Implantation - Double Chamber

MC016A S 108,000 1 Y N Clinical notes and ECG + Report by cardiologist necessitating procedure; Angiogram if done

X Ray showing the pacemaker in situ, Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes, detailed discharge summary

2

62 MC (Cardiology) Peripheral Angioplasty–Peripheral Angioplasty

MC017A S 55,500 3 Y N ECHO, Doppler, Angio stills showing blocks & Reports

Post op. Angiogram report/ stills, showing stent; Implant / barcode of stent used

2

63 MC (Cardiology) Bronchial artery Embolisation (for Haemoptysis)–Bronchial artery Embolisation (for Haemoptysis)

MC018A S 32,800 7 Y N Clinical notes Check Angiography 3 and Chest X- of same bronchial Ray / HRCT artery after the chest with CT Pulmonary Angiogram & other investigations

procedure. Detailed discharge summary; Detailed Procedure / Operative Notes, Hb, Serum Creatinine

64 MC (Cardiology) Pericardiocentesis–Pericardiocentesis MC019A S 12,100 2 Y N Clinical notes Intra procedure 1 and ECHO clinical photograph, report justifying post procedure need of ECHO report; procedure Analysis of fluid

removed. 65 MC (Cardiology) Systemic Thrombolysis (for

MI)–Systemic Thrombolysis (for MI) MC020A S 17,900 3 Y N Serial ECGs ECHO, ECG, Lab

Investigation (TROP - T report); invoice / barcode of thrombolytic agent used

3 showing MI, Cardiac markers - CPK- MB, TROP I or TROP T

66 MG (General Acute febrile illness–Acute febrile illness

MG001A M Package 3 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,

day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

67 MG (General Severe sepsis–Severe sepsis MG002A M Package 3 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


68 MG (General Severe sepsis–Septic shock MG002B M Package 2 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


69 MG (General Malaria–Malaria MG003A M Package 3 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


70 MG (General Malaria–Complicated malaria MG003B M Package 2 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


71 MG (General Dengue fever–Dengue fever MG004A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


72 MG (General Dengue fever–Dengue hemorrhagic fever

MG004B M Package 3 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


73 MG (General Dengue fever–Dengue shock syndrome

MG004C M Package 2 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


74 MG (General Chikungunya fever–Chikungunya MG005A M Package 2 N N Clinical notes Detailed ICPs, NA Medicine) fever Amount per detailing history Treatment details,


75 MG (General Enteric fever–Enteric fever MG006A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


76 MG (General HIV with complications–HIV with complications



77 MG (General Leptospirosis–Leptospirosis MG008A M Package 2 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


78 MG (General Acute gastroenteritis with dehydration–Acute gastroenteritis with moderate dehydration



79 MG (General Acute gastroenteritis with dehydration–Acute gastroenteritis with severe dehydration



80 MG (General Diarrohea–Chronic diarrohea MG010A M Package 6 N N Clinical notes Detailed Discharge NA Medicine) Amount per with planned Summary, any other

day (drop line of investigations done down) for treatment admission type: Routine ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

81 MG (General Diarrohea–Persistent diarrohea MG010B M Package 5 N N Clinical notes Detailed Discharge NA Medicine) Amount per with planned Summary summary,

day (drop line of any other down) for treatment; stool investigations done admission examintaion type: Routine ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

82 MG (General Dysentery–Dysentery MG011A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


83 MG (General Acute viral hepatitis–Acute viral hepatitis

MG012A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per with planned Treatment details,

day (drop line of detailed discharge down) for treatment, LFT, summary, All admission USG - Whole investigations type: Routine Abdomen reports. ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

84 MG (General Chronic Hepatitis–Chronic Hepatitis MG013A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per with planned Treatment details,

day (drop line of detailed discharge down) for treatment, LFT, summary, All admission USG - Whole investigations type: Routine Abdomen reports. ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

85 MG (General Liver abscess–Liver abscess MG014A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


86 MG (General Visceral leishmaniasis–Visceral MG015A M Package 3 N N Clinical notes Detailed ICPs, NA Medicine) leishmaniasis Amount per detailing history Treatment details,


87 MG (General Pneumonia–Pneumonia MG016A M Package 4 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


88 MG (General Severe pneumonia–Severe MG017A M Package 1 N N Clinical notes Detailed ICPs, NA Medicine) pneumonia Amount per detailing history Treatment details,


89 MG (General Empyema–Empyema MG018A M Package 4 N N Clinical notes Post Treatment X- ray chest, Detailed Discharge Summary

NA Medicine) Amount per with planned

day (drop line of down) for treatment, admission CBC, X ray type: Routine chest ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

90 MG (General Lung abscess–Lung abscess MG019A M Package 2 N N Clinical notes Post Treatment X- ray chest, CBC, Detailed Discharge summary.


day (drop line of down) for treatment , X- admission ray chest, CBC type: Routine and any other ward (Rs investigations 1800)/ HDU done, planned (Rs (Rs 2700)/ line of ICU (without management ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

91 MG (General Pericardial / Pleural tuberculosis–Pericardial tuberculosis


day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; 1800)/ HDU investigations (Rs (Rs 2700)/ done ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

92 MG (General Pericardial / Pleural tuberculosis–Pleural tuberculosis


day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; 1800)/ HDU investigations (Rs (Rs 2700)/ done ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

93 MG (General Urinary Tract Infection–Urinary Tract Infection



94 MG (General Viral encephalitis–Viral encephalitis MG022A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


95 MG (General Septic Arthritis –Septic Arthritis MG023A M Package 5 Y N Clinical notes Post treatment X- ray / Radiological evidence, CBC, Detailed Discharge Summary


day (drop line of down) for treatment, admission CBC, X-ray of type: Routine the affected ward (Rs joint 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

96 MG (General Skin and soft tissue infections –Skin and soft tissue infections

MG024A M Package 4 Y N Clinical notes Detailed ICPs, NA Medicine) Amount per with planned Treatment details,

day (drop line of detailed discharge down) for treatment, CBC summary, All admission investigations type: Routine reports including ward (Rs CBC 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

97 MG (General Recurrent vomiting with dehydration–Recurrent vomiting with dehydration



98 MG (General Pyrexia of unknown origin–Pyrexia of unknown origin



99 MG (General Bronchiectasis–Bronchiectasis MG027A M Package 2 Y N X ray-Chest, Post treatment X- ray / Radiological evidence, Detailed Discharge Summary, Detailed ICPs, Treatment details, All investigations reports.

NA Medicine) Amount per Clinical notes

day (drop with planned down) for line of admission treatment type: Routine ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

100 MG (General Acute bronchitis–Acute bronchitis MG028A M Package 2 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


101 MG (General Acute excaberation of COPD–Acute excaberation of COPD



102 MG (General Acute excaberation of Interstitial Lung Disease–Acute excaberation of Interstitial Lung Disease



103 MG (General Endocarditis–Bacterial Endocarditis MG031A M Package 4 N N Clinical notes Blood culture NA Medicine) Amount per with planned reports, Post

day (drop line of treatment ECHO, down) for treatment, Detailed Discharge admission ECHO, CBC Summary, Detailed type: Routine ICPs, Treatment ward (Rs details, All 1800)/ HDU investigations (Rs (Rs 2700)/ reports. ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

104 MG (General Endocarditis–Fungal Endocarditis MG031B M Package 2 N N Clinical notes Blood culture NA Medicine) Amount per with planned reports, Post

day (drop line of treatment ECHO, down) for treatment, Detailed Discharge admission ECHO, CBC Summary, Detailed type: Routine ICPs, Treatment ward (Rs details, All 1800)/ HDU investigations (Rs (Rs 2700)/ reports. ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

105 MG (General Vasculitis–Vasculitis MG032A M Package 6 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


106 MG (General Pancreatitis–Acute pancreatitis MG033A M Package 3 N N Cliical notes, Sr Amylase, Lipase, LFT, CBC, USG- abdomen

Post treatment Sr Amylase, Lipase, LFT, USG- abdomen Detailed Discharge Summary

NA Medicine) Amount per

day (drop down) for admission type: Routine ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

107 MG (General Pancreatitis–Chronic pancreatitis MG033B M Package 1 N N Cliical notes, Sr Amylase, Lipase, LFT, CBC, USG- abdomen

Post treatment Sr Amylase, Lipase, LFT, USG- abdomen Detailed Discharge Summary

NA Medicine) Amount per


108 MG (General Ascites–Ascites MG034A M Package 2 Y N Clinial notes, Ascitic Fluid NA Medicine) Amount per LFT, CBC, Analysis and

day (drop USG- abdomen Culture Report, down) for Detailed Discharge admission Summary, type: Routine ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

109 MG (General Acute transverse myelitis–Acute transverse myelitis



110 MG (General Atrial Fibrillation –Atrial Fibrillation MG036A M Package 3 N N Clinical notes Post treatment NA Medicine) Amount per with planned ECG, Detailed

day (drop line of Discharge down) for treatment, Summary, Detailed admission ECG, Sr ICPs, Treatment type: Routine Electrolytes details, All ward (Rs investigations 1800)/ HDU reports. (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

111 MG (General Cardiac Tamponade –Cardiac Tamponade

MG037A M Package 7 N N Clincal notes, Post treatment 2D echo, Fluid Aspirated report, Procedure notes, Detailed Discharge Summary

NA Medicine) Amount per 2D echo


112 MG (General Congestive heart failure–Congestive heart failure



113 MG (General Asthma–Acute asthmatic attack MG039A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


114 MG (General Asthma–Status asthmaticus MG039B M Package 2 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


115 MG (General Respiratory failure–Type 1 respiratory failure



116 MG (General Respiratory failure–Type 2 respiratory failure



117 MG (General Respiratory failure–Due to any cause (pneumonia, asthma, COPD, ARDS, foreign body, poisoning, head injury etc.)


day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management, 3600)/ ICU Copy of MLC / (with FIR (if required) ventilator)(Rs 4500)

118 MG (General Upper GI bleeding–Upper GI bleeding (conservative)



119 MG (General Upper GI bleeding–Upper GI bleeding (endoscopic)



120 MG (General Lower GI hemorrhage–Lower GI hemorrhage



121 MG (General Addison’s disease –Addison’s disease MG043A M Package 2 Y N Clincal notes, Post treatment NA Medicine) Amount per Sr. Cortisol cortisol levels,

day (drop levels, USG- Detailed Discharge down) for abdomen Summary admission type: Routine ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

122 MG (General Renal colic–Renal colic MG044A M Package 6 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


123 MG (General AKI / Renal failure–AKI / Renal failure MG045A M Package 2 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


124 MG (General Seizures–Seizures MG046A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


125 MG (General Status epilepticus–Status epilepticus MG047A M Package 1 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


126 MG (General Cerebrovascular MG048A M Package 6 N N Clinical notes Detailed ICPs, NA Medicine) accident–Cerebrovascular accident Amount per detailing history Treatment details,


127 MG (General Cerebral sino-venous thrombosis / Stroke–Cerebral sino-venous thrombosis



128 MG (General Cerebral sino-venous thrombosis / Stroke–Acute stroke



129 MG (General Cerebral sino-venous thrombosis / Stroke–Acute ischemic stroke



130 MG (General Cerebral sino-venous thrombosis / Stroke–Acute heamorrhagic stroke

MG049D M Package 2 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


131 MG (General Immune mediated CNS disorders–Immune mediated CNS disorders



132 MG (General Hydrocephalus–Hydrocephalus MG051A M Package 3 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


133 MG (General Myxedema coma –Myxedema coma MG052A M Package 4 Y N Clinical notes Post treatment NA Medicine) Amount per with planned Thyroid Profile,

day (drop line of Detailed Discharge down) for treatment, Summary admission Throid profile, type: Routine USG- Thyroid ward (Rs Gland 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

134 MG (General Thyrotoxic crisis –Thyrotoxic crisis MG053A M Package 2 N N Clinical notes Radionuclide Iodine NA Medicine) Amount per with planned uptake study, Post

day (drop line of treatment Thyroid down) for treatment, Profile, Detailed admission Throid profile, Discharge type: Routine USG- Thyroid Summary ward (Rs Gland 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

135 MG (General Gout –Gout MG054A M Package 2 Y N Clinical notes Detailed Discharge NA Medicine) Amount per with planned Summary

day (drop line of down) for treatment, admission Sr.Uric acid type: Routine ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

136 MG (General Pneumothroax–Pneumothroax MG055A M Package 5 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


137 MG (General Neuromuscular MG056A M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) disorders–Neuromuscular disorders Amount per detailing history Treatment details,


138 MG (General Hypoglycemia–Hypoglycemia MG057A M Package 0 N N Clincal notes, Post treatment NA Medicine) Amount per Blood sugar Blood sugar levels,

day (drop level Hba1C, Detailed down) for Discharge admission Summary type: Routine ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

139 MG (General Diabetic Foot–Diabetic Foot MG058A M Package 0 Y N Clincal profile, Post treatment NA Medicine) Amount per Blood sugar Blood sugar levels,

day (drop level,CBC, Hba1C, Photograph down) for Photograph of of the affected foot, admission the affected Detailed Discharge type: Routine foot Summary ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

140 MG (General Diabetic ketoacidosis–Diabetic MG059A M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) ketoacidosis Amount per detailing history Treatment details,


141 MG (General Electrolyte Imbalance–Hypercalcemia MG060A M Package 0 N N Clinical notes Post treatment NA Medicine) Amount per with planned Serum Calcium,

day (drop line of Detailed Discharge down) for treatment, Summary, Detailed admission Serum Calcium ICPs, Treatment type: Routine details, All ward (Rs investigations 1800)/ HDU reports. (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

142 MG (General Electrolyte Imbalance–Hypocalcemia MG060B M Package 6 N N Clinical notes Post treatment NA Medicine) Amount per with planned Serum Calcium,

day (drop line of Detailed Discharge down) for treatment, Summary, Detailed admission Serum Calcium ICPs, Treatment type: Routine details, All ward (Rs investigations 1800)/ HDU reports. (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

143 MG (General Electrolyte Imbalance–Hyponatremia MG060C M Package 6 N N Clinical notes Post treatment NA Medicine) Amount per with planned Serum Electrolytes,

day (drop line of Detailed Discharge down) for treatment, Summary, Detailed admission Serum ICPs, Treatment type: Routine Electrolytes details, All ward (Rs investigations 1800)/ HDU reports. (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

144 MG (General Electrolyte Imbalance–Hypernatremia MG060D M Package 0 N N Clinical notes Post treatment NA Medicine) Amount per with planned Serum Electrolytes,

day (drop line of Detailed Discharge down) for treatment, Summary, Detailed admission Serum ICPs, Treatment type: Routine Electrolytes details, All ward (Rs investigations 1800)/ HDU reports. (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

145 MG (General Hyperosmolar Non-Ketotic MG061A M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) coma–Hyperosmolar Non-Ketotic Amount per detailing history Treatment details,

coma day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

146 MG (General Accelerated MG062A M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) hypertension–Accelerated Amount per detailing history Treatment details,

hypertension day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

147 MG (General Hypertensive MG063A M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) emergencies–Hypertensive Amount per detailing history Treatment details,

emergencies day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

148 MG (General Severe anemia–Severe anemia MG064A M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


149 MG (General Sickle cell Anemia–Sickle cell Anemia MG065A M Package 1 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,


150 MG (General Anaphylaxis –Anaphylaxis MG066A M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) Amount per with planned Treatment details,

day (drop line of detailed discharge down) for treatment, CBC summary, All admission investigations type: Routine reports. ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

151 MG (General Heat stroke–Heat stroke MG067A M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,

day (drop leading to this detailed discharge down) for hospitalization summary, All admission and Admission investigations type: Routine notes showing reports. ward (Rs vitals and 1800)/ HDU examination (Rs (Rs 2700)/ findings; any ICU (without investigations ventilator) (Rs done; planned 3600)/ ICU line of (with management ventilator)(Rs 4500)

152 MG (General Systematic lupus MG068A M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) erythematosus–Systematic lupus Amount per detailing history Treatment details,

erythematosus day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

153 MG (General Guillian Barre Syndrome–Guillian Barre Syndrome

MG069A M Package 1 N N Clinical notes Report of test blocked.

NA Medicine) Amount per and Admission

day (drop notes detailed down) for the need for admission High end type: Routine histopathology ward (Rs (Biopsies) and 1800)/ HDU advanced (Rs (Rs 2700)/ serology ICU (without investigations ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

154 MG (General Snake bite–Snake bite MG070A M Package 1 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,

day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine neurological reports. ward (Rs examination 1800)/ HDU findings; any (Rs (Rs 2700)/ investigations ICU (without done; planned ventilator) (Rs line of 3600)/ ICU management (with ventilator)(Rs 4500)

155 MG (General Poisoning–Acute organophosphorus MG071A M Package 1 N N Clinical notes Detailed ICPs, NA Medicine) poisoning Amount per detailing history Treatment details,

day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine neurological reports. ward (Rs examination 1800)/ HDU findings; any (Rs (Rs 2700)/ investigations ICU (without done; planned ventilator) (Rs line of 3600)/ ICU management, (with Copy of MLC / ventilator)(Rs FIR 4500)

156 MG (General Poisoning–Other poisonings MG071B M Package 0 N N Clinical notes Detailed ICPs, NA Medicine) Amount per detailing history Treatment details,

day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine neurological reports. ward (Rs examination 1800)/ HDU findings; any (Rs (Rs 2700)/ investigations ICU (without done; planned ventilator) (Rs line of 3600)/ ICU management, (with Copy of MLC / ventilator)(Rs FIR 4500)

157 MG (General Haemodialysis / Peritoneal Dialysis–Haemodialysis Dialysis

MG072A M 1,500 0 Y N Clinical notes Detailed ICPs, Daycare Medicine) detailing history Treatment details,

and Admission detailed discharge notes showing summary, All vitals and investigations examination reports. findings; any investigations done; planned line of management

158 MG (General Haemodialysis / Peritoneal Dialysis–Peritoneal Dialysis

MG072B M 1,500 0 Y N Clinical notes Detailed ICPs, Daycare Medicine) detailing history Treatment details,


159 MG (General Plasmapheresis–Plasmapheresis MG073A M 2,000 3 N N Clinical notes Detailed ICPs, Daycare Medicine) detailing history Treatment details,


160 MG (General Blood transfusion–Whole Blood transfusion

MG074A M 2,000 5 N N Clinical notes Detailed ICPs, Post treatment Complete hemogram, Detailed Discharge Summary

Daycare Medicine) with planned

line of treatment, Complete Hemogram, Blood Group, Planned line of

treatment 161 MG (General Blood transfusion–Blood component

including platelet transfusion (RDP, PC, SDP)

MG074B M 2,000 5 N N Clinical notes Detailed ICPs, Post treatment Complete hemogram, Detailed Discharge Summary

Daycare Medicine) with planned

line of treatment, Complete Hemogram, Blood Group, Planned line of

treatment 162 MG (General High end radiological diagnostic

(CT, MRI, Imaging including nuclear imaging)–High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) (Only for ABPMJAY)

MG075A M 5,000 3 Y N Clinical notes Detailed ICPs, NA Medicine) detailing history Treatment details,


163 MG (General High end histopathology (Biopsies) and advanced serology investigations–High end histopathology (Biopsies) and advanced serology investigations

MG076A M 5,000 5 Y N Clinical notes Detailed ICPs, NA Medicine) detailing history Treatment details,


164 MG (General Unspecified Medical MG077A M to be 0 Y N Clinical Notes Detailed treatment NA Medicine) negotiated notes; all

investigations done; detailed discharge summary.

165 MM (Mental Disorder Packages)

Mental Retardation–Mental MM001A M Package 3 Y Y Detailed history Detailed treatment NA Retardation (Reserved for Public Amount per with chronicity; notes; all Hospital Only) day (drop need for investigations done; down) for hospitalization. detailed discharge admission Admission summary. type: Routine under ward (Rs empanneled 1500)/ HDU Psychiatrist is a (Rs (Rs 2500) must.


Mental disorders - Organic, including symptomatic–Mental disorders - Organic, including symptomatic (Reserved for Public Hospital Only)

MM002A M Package 5 Y Y Detailed history Detailed treatment NA Amount per with chronicity; notes; all day (drop need for investigations done; down) for hospitalization. detailed discharge admission Admission summary. type: Routine under ward (Rs empanneled 1500)/ HDU Psychiatrist is a (Rs (Rs 2500) must.


Schizophrenia, schizotypal and delusional disorders–Schizophrenia, schizotypal and delusional disorders (Reserved for Public Hospital Only)



Neurotic, stress-related and somatoform disorders–Neurotic, stress-related and somatoform disorders (Reserved for Public Hospital Only)



Mood (affective) disorders–Mood (affective) disorders (Reserved for Public Hospital Only)



Behavioural syndromes associated with physiological disturbances and physical factors–Behavioural syndromes associated with physiological disturbances and physical factors (Reserved for Public Hospital Only)



Mental and Behavioural disorders due to psychoactive substance use–Mental and Behavioural disorders due to psychoactive substance use (Reserved for Public Hospital Only)

MM007A M Package 5 Y Y Detailed history Detailed treatment NA Amount per of psychoactive notes; all day (drop substanec with investigations done; down) for chronicity; need detailed discharge admission for summary. type: Routine hospitalization. ward (Rs Admission 1500)/ HDU under (Rs (Rs 2500) empanneled Psychiatrist is a

must.


Pre - Electro Convulsive Therapy (ECT) and Pre - Transcranial Magnetic Stimulation (TMS) Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT / MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels, Folate levels, Lipid Profile, Homocysteine levels)–Pre - Electro Convulsive Therapy (ECT) and Pre - Transcranial Magnetic Stimulation (TMS) Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT / MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels, Folate levels, Lipid Profile, Homocysteine levels) (Reserved for Public Hospital Only)

MM008A M 10,000 5 Y Y Detailed history Detailed treatment NA with chronicity; notes; all need for investigations done; specific detailed discharge treatment and summary. expected results. Admission under empanneled Psychiatrist is a must.


Electro Convulsive Therapy (ECT) - per session–Electro Convulsive Therapy (ECT) - per session (Reserved for Public Hospital Only)

MM009A M 3,000 5 Y Y Detailed history Detailed treatment 1 with chronicity; notes; all need for investigations done; specific detailed discharge treatment and summary. expected results. Admission under empanneled Psychiatrist is a must.


Transcranial Magnetic Stimulation (TMS) - per session–Transcranial Magnetic Stimulation (TMS) - per session (Reserved for Public Hospital Only)

MM010A M 1,000 5 Y Y Detailed history Detailed treatment 1 with chronicity; notes; all need for investigations done; specific detailed discharge treatment and summary. expected results. Admission under empanneled Psychiatrist is a must.

175 MN (Neo-Natal Care Packages)

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) –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)

MN001A M 500 5 Y N Detailed clinical notes (incl trigger for hospitalization and examiantion findings), supporting investigations. Admission under neonatologist in NICU (in major locations) and under Pediatrician in smaller locations is a must.

Detailed ICPs (daily Treatment details), detailed discharge summary, All investigations reports.

4


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 –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

MN002A M 3,000 5 Y N Clinical notes with planned line of treatment (incl birth & past history), Investigation Reports supporting diagnosis, Planned line of treatment

Detailed ICPs (daily Treatment details), Procedure / Operative Notes (if applicable), Detailed Discharge Summary, All investigations reports.

6


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 hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate –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

MN003A M 5,000 5 Y N Detailed clinical notes (incl trigger for hospitalization and examiantion findings), supporting investigations. Admission under neonatologist in NICU (in major locations) and under Pediatrician in smaller locations is a must.


7


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 (Kangaroo Mother Care) KMC is mandatory and included in the package rate –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

MN004A M 6,000 5 N N Detailed clinical notes (incl trigger for hospitalization and examiantion findings), supporting investigations. Admission under neonatologist in NICU (in major locations) and under Pediatrician in smaller locations is a must.


7


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 –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

MN005A M 7,000 5 N N Detailed clinical notes (incl trigger for hospitalization and examiantion findings), supporting investigations. Admission under neonatologist in NICU (in major locations) and under Pediatrician in smaller locations is a must.


21


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–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

MN006A M 3,000 3 Y N Claim number of having utilized Package no MN004A or MN005A and Notes mentioning need for stay beyond prescribed upper limit


NA


High Risk Newborn Post Discharge Care Package (Protocol Driven)–High Risk Newborn Post Discharge Care Package (Protocol Driven)

MN007A M 2,400 3 Y N Need of planned care and details of planned post discharge care

Detailed ICP with daily notes, vitals, drugs given, investigation reports Card with pre and post admission general conditions and vital parameters. Details of procedures/operatio ns required for any congenital heart conditions if any.

NA


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

MN008A S 1,500 5 Y N Clinical notes and Fundoscope reports / stills showing extent of ROP and need for procedure.

Details of Laser therapy done.

Daycare


Advanced Surgery for Retinopathy of Prematurity–Advanced Surgery for Retinopathy of Prematurity

MN009A S 15,000 0 Y N Clinical notes Detailed discharge 5 and summary, Detailed Fundoscope Procedure / reports / stills Operative Notes, showing extent Intra procedure of ROP and need for surgery.

clinical photograph


Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus–Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus

MN010A S 5,000 7 Y N Clinical history Detailed discharge 2 and CT/ MRI; summary, Detailed pre-op clinical Procedure / photograph Operative Notes, Intra procedure clinical photograph

185 MO (Medical CT for CA Breast–Cyclophosphamide + Epirubcin

MO001A M 7,200 5 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery,ECG, 2D-ECHO, USG abdomen and pelvis, CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease

REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

186 MO (Medical CT for CA Breast–Weekly Paclitaxel for Adjuvant Therapy

MO001B M 5,800 6 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, USG abdomen and pelvis, CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease


187 MO (Medical CT for CA Breast–Weekly Paclitaxel in metastatic setting

MO001C M 5,800 6 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,



188 MO (Medical CT for CA Breast–Cyclophosphamide + Methotrexate + 5 - FU

MO001D M 3,200 6 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,



189 MO (Medical CT for CA Breast–Docetaxel + Cyclophosphamide

MO001E M 19,800 5 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,



190 MO (Medical CT for CA Breast–Trastuzumab MO001F M 21,200 0 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, Her-2 neu IHC - 3+ or Her 2-neu positive FISH,ECG,2D- ECHO,USG abdomen and pelvis, CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease


191 MO (Medical CT for CA Breast–Tamoxifen MO001G M 1,200 0 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, ER or PR positive , mammography, USG abdomen and pelvis, CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease


192 MO (Medical CT for CA Breast–Letrozole MO001H M 3,900 0 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, ER or PR positive , mammography, USG abdomen and pelvis, CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease


193 MO (Medical CT for CA Breast–Carboplatin + Paclitaxel

MO001I M 14,900 0 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, , mammography, USG abdomen and pelvis, CXR PA view or CECThest+abd omen and pelvis in case of metastatic disease


194 MO (Medical CT for CA Breast–Capecitabine MO001J M 7,400 0 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, , mammography, USG abdomen and pelvis, CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease


195 MO (Medical CT for CA Breast–Carboplatin + Gemcitabine

MO001K M 13,900 0 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, , mammography, USG abdomen and pelvis, CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease


196 MO (Medical CT for CA Breast–Cyclophosphamide + Adriamycin

MO001L M 4,500 5 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery,ECG, 2D-ECHO, USG abdomen and pelvis, CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease


197 MO (Medical CT for CA Breast–Fulvestrant MO001M M 11,000 0 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, ER or PR positive , mammography, USG abdomen and pelvis, CXR PA view or CECT chest abdomen and pelvis


198 MO (Medical CT for CA Breast–Paclitaxel MO001N M 11,800 5 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, , mammography, USG abdomen and pelvis, CXR PA view or CECT chest abdomen and pelvis


199 MO (Medical CT for CA Breast–Exemestane MO001O M 10,400 0 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) Biopsy report or THE DRUGS,

surgical pathology report of Modified radical mastectomy or breast conservation surgery, ER or PR positive , mammography, USG abdomen and pelvis, CXR PA view or CECT chest abdomen and pelvis


200 MO (Medical CT for Metastatic bone malignancy and multiple myeloma–Zoledronic Acid

MO002A M 4,500 5 Y N RFT, skeletal BAR CODE OF Daycare Oncology) survey/bone THE DRUGS,

scan/PET-CT REPORTS OF THE showing bone TESTS metastasis (PATHOLOGY, histopathology RADIOLOGY, showing MICROBIOLOGY, myeloma, lung HEMATOLOGY, cancer,Breast BIOCHEMISTRY,E cancer, renal TC.) DISCHARGE cancer or other

cancer SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

201 MO (Medical CT for CA Ovary–Cisplatin + Irinotecan

MO003A M 10,200 0 Y N CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinom a

BAR CODE OF Daycare Oncology) THE DRUGS,


202 MO (Medical CT for CA Ovary–Lipodox + Carboplatin

MO003B M 17,200 7 Y N CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinom a



203 MO (Medical CT for CA Ovary–Etoposide MO003C M 3,400 1 Y N CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinom a



204 MO (Medical CT for CA Ovary–Irinotecan MO003D M 8,400 0 Y N CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinom a



205 MO (Medical CT for CA Ovary–Lipodox MO003E M 14,800 0 Y N CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinom a



206 MO (Medical CT for CA Ovary–Carboplatin + Gemcitabine

MO003F M 13,900 0 Y N CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinom a



207 MO (Medical CT for CA Ovary–Carboplatin + Paclitaxel

MO003G M 14,700 0 Y N CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinom a



208 MO (Medical CT for Germ Cell Tumor–Carboplatin (AUC 7)

MO004A M 5,800 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

Beta- HCG, REPORTS OF THE AFP, TESTS LDH,CECT (PATHOLOGY, Thorax, RADIOLOGY, abdomen and MICROBIOLOGY, Pelvis, ECG, HEMATOLOGY, Histopathology - BIOCHEMISTRY,E testicular TC.) DISCHARGE seminoma SUMMARY OF

INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

209 MO (Medical CT for Germ Cell Tumor–Bleomycin + Etoposide + Cisplatin

MO004B M 11,600 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

Beta-HCG, REPORTS OF THE AFP, TESTS LDH,CECT (PATHOLOGY, Thorax, RADIOLOGY, abdomen and MICROBIOLOGY, Pelvis, HEMATOLOGY, ECG,PFT BIOCHEMISTRY,E DLCo, TC.) DISCHARGE Histopathology - SUMMARY OF Ovarian, INPATIENT testicular, DEPARTMENT, mediastinal DISCHARGE

SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

210 MO (Medical CT for Germ Cell Tumor–Etoposide + Cisplatin

MO004C M 10,000 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

Beta- HCG, REPORTS OF THE AFP, TESTS LDH,CECT (PATHOLOGY, Thorax, RADIOLOGY, abdomen and MICROBIOLOGY, Pelvis, ECG, HEMATOLOGY, Histopathology - BIOCHEMISTRY,E Ovarian, TC.) DISCHARGE testicular, SUMMARY OF mediastinal INPATIENT

DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

211 MO (Medical CT for Germ Cell Tumor–Gemcitabine + Oxaliplatin

MO004D M 17,500 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



212 MO (Medical CT for Germ Cell Tumor–Gemcitabine + Paclitaxel

MO004E M 17,500 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



213 MO (Medical CT for Germ Cell Tumor–Paclitaxel + Ifosfamide + Cisplatin

MO004F M 24,400 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



214 MO (Medical CT for Germ Cell Tumor–Vinblastin + Ifosfamide + Cisplatin

MO004G M 12,600 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



215 MO (Medical CT for Gestational Trophoblastic Neoplasia–EMA - CO


Beta- HCG, REPORTS OF THE CECT Thorax, TESTS abdomen and (PATHOLOGY, Pelvis RADIOLOGY,

MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

216 MO (Medical CT for Gestational Trophoblastic Neoplasia–EMA - EP




217 MO (Medical CT for Gestational Trophoblastic Neoplasia–Methotrexate




218 MO (Medical CT for Cervical Cancer–Carboplatin + Paclitaxel

MO006A M 14,900 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, THE DRUGS,

RBS,CECT REPORTS OF THE Thorax, TESTS abdomen and (PATHOLOGY, Pelvis,histopath RADIOLOGY, ology MICROBIOLOGY,

HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

219 MO (Medical CT for Cervical Cancer–Cisplatin MO006B M 2,200 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, THE DRUGS,



220 MO (Medical CT for Endometrial Cancer–Carboplatin + Paclitaxel

MO007A M 14,900 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, THE DRUGS,



221 MO (Medical CT for Endometrial Cancer–Cisplatin + Doxorubicin

MO007B M 4,200 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, THE DRUGS,

RBS,CECT REPORTS OF THE Thorax, TESTS abdomen and (PATHOLOGY, Pelvis,histopath RADIOLOGY, ology , ECG,2D

ECHO MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

222 MO (Medical CT for Vulvar Cancer–Cisplatin + 5 FU


MRI REPORTS OF THE pelvis,histopath TESTS ology (PATHOLOGY,

RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

223 MO (Medical CT for Vulvar Cancer–Cisplatin MO008B M 2,200 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

MRI REPORTS OF THE pelvis,histopath TESTS ology (PATHOLOGY,


224 MO (Medical CT for Ewing Sarcoma–VTC + ITMZ for Relapsed Ewing Sarcoma

MO009A M 22,400 0 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,

PET CT or CT REPORTS OF THE CHEST/BONE TESTS SCAN, Bone (PATHOLOGY, marrow studies, RADIOLOGY, Biopsy, ECG, MICROBIOLOGY, 2D-ECHO HEMATOLOGY,

BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

225 MO (Medical CT for Ewing Sarcoma–EFT 2001 MO009B M 9,700 0 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,



226 MO (Medical CT for Ewing Sarcoma–VAC + IE MO009C M 12,500 0 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,



227 MO (Medical CT for Osteogenic Sarcoma–Methotrexate + Doxorubicin + Cisplatin


DTPA GFR, REPORTS OF THE NCCT chest, TESTS MRI of the (PATHOLOGY, involved site,2D RADIOLOGY, ECHO, Pure MICROBIOLOGY, tone HEMATOLOGY, audiometry,hist BIOCHEMISTRY,E opathology TC.) DISCHARGE

SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

228 MO (Medical CT for Osteogenic Sarcoma–Methotrexate + Doxorubicin + Cisplatin for Relapsed Osteogenic Sarcoma

MO010B M 27,000 0 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,

CT CHEST, REPORTS OF THE BONE SCAN, TESTS Biopsy, ECG, (PATHOLOGY, 2D-ECHO, RADIOLOGY, AUDIOMETRY, MICROBIOLOGY, GFR HEMATOLOGY,


229 MO (Medical CT for Osteogenic Sarcoma–OGS - 12


DTPA GFR, REPORTS OF THE NCCT chest, TESTS MRI of the (PATHOLOGY, involved site,2D RADIOLOGY, ECHO, Pure MICROBIOLOGY, tone HEMATOLOGY, audiometry,hist BIOCHEMISTRY,E opathology TC.) DISCHARGE


230 MO (Medical CT for Osteogenic Sarcoma–OGS - 12


DTPA GFR,2D REPORTS OF THE ECHO, Pure TESTS tone,histopathol (PATHOLOGY, ogy RADIOLOGY,


231 MO (Medical CT for Soft Tissue Sarcoma–Gemcitabine + Docetaxel

MO011A M 30,900 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) ECHO, MRI of THE DRUGS,

the involved REPORTS OF THE part, CECT TESTS Thorax, (PATHOLOGY, abdomen and RADIOLOGY, Pelvis,histopath MICROBIOLOGY, ology HEMATOLOGY,


232 MO (Medical CT for Soft Tissue Sarcoma–Ifosfamide+ Adriamycin

MO011B M 13,700 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) ECHO, MRI of THE DRUGS,

the involved REPORTS OF THE part, CECT TESTS Thorax, (PATHOLOGY, abdomen and RADIOLOGY, Pelvis,histopath MICROBIOLOGY, ology HEMATOLOGY,


233 MO (Medical CT for Metastatic Melanoma–Dacarbazine + Cisplatin

MO012A M 7,100 0 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis,histopath (PATHOLOGY, ology RADIOLOGY,


234 MO (Medical CT for Metastatic Melanoma–Temozolamide

MO012B M 23,100 0 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis (PATHOLOGY,


235 MO (Medical CT for Anal Cancer–5 FU + Mitomycin C

MO013A M 10,500 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,

Thorax , REPORTS OF THE abdomen , MRI

Pelvis, CEA, Histopathology

TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

236 MO (Medical CT for Anal Cancer–Capecitabine + Mitomycin C

MO013B M 13,800 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,

Thorax , REPORTS OF THE abdomen , MRI

Pelvis, CEA, Histopathology

TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

237 MO (Medical CT for Anal Cancer–Cisplatin + 5 FU MO013C M 7,600 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,

Thorax , REPORTS OF THE abdomen TESTS ,Pelvis, CEA, (PATHOLOGY, Histopathology RADIOLOGY,


238 MO (Medical CT for Anal Cancer–Carboplatin + Paclitaxel

MO013D M 14,900 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



239 MO (Medical CT for Anal Cancer–Cisplatin + Paclitaxel

MO013E M 13,300 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



240 MO (Medical CT for Colorectal Cancer–5 FU + Leucovorin


Thorax , REPORTS OF THE abdomen TESTS ,Pelvis, CEA, (PATHOLOGY, Histopathology RADIOLOGY, ,Colonoscopy MICROBIOLOGY,


241 MO (Medical CT for Colorectal Cancer–Capecitabine + Irinotecan




242 MO (Medical CT for Colorectal Cancer–Folfox MO014C M 11,100 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



243 MO (Medical CT for Colorectal Cancer–Folfiri MO014D M 8,700 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



244 MO (Medical CT for Colorectal Cancer–Capecitabine + Oxaliplatin




245 MO (Medical CT for Colorectal Cancer–Capecitabine

MO014F M 7,200 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



246 MO (Medical CT for Colorectal Cancer–Capecitabine

MO014G M 7,300 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



247 MO (Medical CT for Colorectal Cancer–Folfirinox MO014H M 15,100 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



248 MO (Medical CT for Esophageal Cancer–Carboplatin + Paclitaxel


Thorax , REPORTS OF THE abdomen TESTS ,Pelvis, (PATHOLOGY, Histopathology RADIOLOGY, ,UGI MICROBIOLOGY, endoscospy HEMATOLOGY,


249 MO (Medical CT for Esophageal Cancer–Cisplatin + 5 FU




250 MO (Medical CT for Esophageal Cancer–Cisplatin + 5 FU

MO015C M 9,600 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



251 MO (Medical CT for Esophageal Cancer–Paclitaxel + Carboplatin for definitive Non - metastatic (With RT)




252 MO (Medical CT for Esophageal Cancer–Paclitaxel + Carboplatin for metastatic (Without RT)




253 MO (Medical CT for Esophageal / Stomach Cancer–Cisplatin + Docetaxel




254 MO (Medical CT for Esophageal / Stomach Cancer–Irinotecan




255 MO (Medical CT for Esophageal / Stomach Cancer–5 FU




256 MO (Medical CT for Esophageal / Stomach Cancer–Capecitabine




257 MO (Medical CT for Esophageal / Stomach Cancer–CAPOX




258 MO (Medical CT for Esophageal / Stomach Cancer–Docetaxel + Cisplatin + 5 FU




259 MO (Medical CT for Esophageal / Stomach Cancer–Docetaxel + Cisplatin + Xeloda




260 MO (Medical CT for Esophageal / Stomach Cancer–Docetaxel + Oxaliplatin + 5 FU

MO016H M 20,400 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



261 MO (Medical CT for Esophageal / Stomach Cancer–Docetaxel + Oxaliplatin + Xeloda

MO016I M 24,900 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



262 MO (Medical CT for Esophageal / Stomach Cancer–Folfiri

MO016J M 8,700 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



263 MO (Medical CT for Esophageal / Stomach Cancer–Folfox

MO016K M 11,100 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



264 MO (Medical CT for Esophageal / Stomach Cancer–Paclitaxel

MO016L M 5,800 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



265 MO (Medical CT for Hepatocellular Carcinoma–Doxorubicin

MO017A M 10,000 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, Triphasic THE DRUGS,

CECT Thorax , abdomen ,Pelvis, Histopathology , AFP,MRI


266 MO (Medical CT for Hepatocellular Carcinoma–Sorafenib

MO017B M 7,400 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, Triphasic THE DRUGS,

CECT Thorax , abdomen ,Pelvis, Histopathology , AFP, Lipid Profile, Urine R/M, 2D ECHO


267 MO (Medical CT for Panceratic Cancer–Gemcitabine + Nanopaclitaxel


Thorax , REPORTS OF THE abdomen TESTS ,Pelvis, (PATHOLOGY, Histopathology/ RADIOLOGY, FNAC, CA19.9, MICROBIOLOGY,


268 MO (Medical CT for Panceratic Cancer–Gemcitabine




269 MO (Medical CT for Panceratic Cancer–Gemcitabine




270 MO (Medical CT for Panceratic Cancer–Folfirinox MO018D M 15,500 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



271 MO (Medical CT for Panceratic Cancer–Capecitabine




272 MO (Medical CT for Panceratic Cancer–Capecitabine + Gemcitabine




273 MO (Medical CT for Gall Bladder Cancer / Cholangiocarcinoma–Capecitabine




274 MO (Medical CT for Gall Bladder Cancer / Cholangiocarcinoma–Cisplatin + Gemcitabine




275 MO (Medical CT for Gall Bladder Cancer / Cholangiocarcinoma–Folfiri




276 MO (Medical CT for Gall Bladder Cancer / Cholangiocarcinoma–Gemcitabine




277 MO (Medical CT for Gall Bladder Cancer / Cholangiocarcinoma–Gemcitabine




278 MO (Medical CT for Gall Bladder Cancer / Cholangiocarcinoma–Oxaliplatin + Gemcitabine




279 MO (Medical CT for Gall Bladder Cancer / Cholangiocarcinoma–CAPIRI




280 MO (Medical CT for Gall Bladder Cancer / Cholangiocarcinoma–Folfox

MO019H M 11,300 0 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,



281 MO (Medical CT for Gastointestinal stromal tumor–Imatinib


Thorax , REPORTS OF THE abdomen TESTS ,Pelvis, (PATHOLOGY, Histopathology/ RADIOLOGY, FNAC, Ckit- MICROBIOLOGY, mutation (not HEMATOLOGY, mandatory) BIOCHEMISTRY,E

TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

282 MO (Medical CT for Gastointestinal stromal tumor –Sunitinib


Thorax , REPORTS OF THE abdomen TESTS ,Pelvis, (PATHOLOGY, Histopathology/ RADIOLOGY, FNAC, Ckit- MICROBIOLOGY, mutation (not HEMATOLOGY, mandatory) BIOCHEMISTRY,E


283 MO (Medical CT for CA Brain–Temozolamide MO021A M 13,000 2 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, MRI THE DRUGS,

brain, REPORTS OF THE Histopathology TESTS

(PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

284 MO (Medical CT for CA Brain–Temozolamide MO021B M 67,600 2 Y N CBC,LFT, RFT, BAR CODE OF Daycare Oncology) RBS, MRI THE DRUGS,

brain, REPORTS OF THE Histopathology TESTS

(PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

285 MO (Medical CT for Mesothelioma–Gemcitabine + Cisplatin


CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology RADIOLOGY,


286 MO (Medical CT for Mesothelioma–Pemetrexed + Cisplatin




287 MO (Medical CT for Mesothelioma–Pemetrexed + Carboplatin




288 MO (Medical CT for Thymic Carcinoma–Cisplatin + Etoposide


CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology , RADIOLOGY, ECHO MICROBIOLOGY,


289 MO (Medical CT for Thymic Carcinoma–Cisplatin + Adriamycin


CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology , RADIOLOGY, ECHO MICROBIOLOGY,


290 MO (Medical CT for CA Head & Neck–Cisplatin + Docetaxel

MO024A M 12,400 2 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,

CECT/MR Face REPORTS OF THE and neck, TESTS histopathology - (PATHOLOGY, squamous RADIOLOGY, carcinoma, MICROBIOLOGY, Nasopharyngea HEMATOLOGY, l carcinoma BIOCHEMISTRY,E Pure tone TC.) DISCHARGE audiometry SUMMARY OF

INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

291 MO (Medical CT for CA Head & Neck–Cisplatin MO024B M 9,800 2 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,

CECT/MR Face REPORTS OF THE and neck, TESTS histopathology - (PATHOLOGY, squamous RADIOLOGY, carcinoma, MICROBIOLOGY, nasopharyngeal HEMATOLOGY, carcinoma,Pure BIOCHEMISTRY,E tone audiometry TC.) DISCHARGE


292 MO (Medical CT for CA Head & Neck–Carboplatin + Gemcitabine

MO024C M 14,300 2 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,

histopathology- REPORTS OF THE squamous TESTS carcinoma,naso (PATHOLOGY, pharyngeal RADIOLOGY, carcinoma, MICROBIOLOGY, salivary gland HEMATOLOGY,


293 MO (Medical CT for CA Head & Neck–Docetaxel + Cisplatin + 5 FU

MO024D M 16,500 2 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,



294 MO (Medical CT for CA Head & Neck–Docetaxel MO024E M 15,000 1 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,



295 MO (Medical CT for CA Head & Neck–Docetaxel MO024F M 14,400 3 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,

CECT/MR Face REPORTS OF THE and neck, TESTS histopathology - (PATHOLOGY, squamous RADIOLOGY, carcinoma MICROBIOLOGY,


296 MO (Medical CT for CA Head & Neck–Etoposide + Carboplatin

MO024G M 7,100 3 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,

histopathology - REPORTS OF THE esthesioneurobl TESTS astoma, (PATHOLOGY, Neuroendocrine RADIOLOGY, , MICROBIOLOGY,


297 MO (Medical CT for CA Head & Neck–Etoposide + Cisplatin

MO024H M 9,200 3 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,

histopathology - REPORTS OF THE esthesioneurobl TESTS astoma, (PATHOLOGY, Neuroendocrine RADIOLOGY, , MICROBIOLOGY,


298 MO (Medical CT for CA Head & Neck–Gemcitabine MO024I M 9,200 3 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,



299 MO (Medical CT for CA Head & Neck–Gemcitabine + Cisplatin

MO024J M 11,100 3 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,



300 MO (Medical CT for CA Head & Neck–Paclitaxel + Carboplatin

MO024K M 7,700 1 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,



301 MO (Medical CT for CA Head & Neck–Paclitaxel + Carboplatin

MO024L M 15,100 1 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,



302 MO (Medical CT for CA Head & Neck–Paclitaxel MO024M M 5,700 1 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,

histopathology- REPORTS OF THE squamous TESTS carcinoma, (PATHOLOGY, salivary gland RADIOLOGY,


303 MO (Medical CT for CA Head & Neck–Paclitaxel MO024N M 12,200 2 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,



304 MO (Medical CT for CA Head & Neck–Carboplatin MO024O M 2,400 3 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,

CECT/MR Face REPORTS OF THE and neck, TESTS histopathology - (PATHOLOGY, squamous RADIOLOGY, carcinoma, MICROBIOLOGY, nasopharyngeal HEMATOLOGY, carcinoma BIOCHEMISTRY,E


305 MO (Medical CT for CA Head & Neck–Cisplatin MO024P M 2,200 3 Y N CBC, BAR CODE OF Daycare Oncology) LFT,RFT,RBS, THE DRUGS,

CECT/MR Face REPORTS OF THE and neck, TESTS histopathology - (PATHOLOGY, squamous RADIOLOGY, carcinoma, MICROBIOLOGY,


306 MO (Medical CT for Renal Cell Cancer–Sunitinib MO025A M 26,400 2 Y N CBC, RFT, BAR CODE OF Daycare Oncology) RBS, CECT THE DRUGS,

Thorax, REPORTS OF THE abdomen and TESTS Pelvis,lipid (PATHOLOGY, profile, 2 D RADIOLOGY, ECHO, TFT, 24

hour urine protein


307 MO (Medical CT for Ureter / Bladder / Urethra–Cisplatin + Methotrexate + Vinblastin

MO026A M 6,000 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,

Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology RADIOLOGY,


308 MO (Medical CT for Ureter / Bladder / Urethra–Carboplatin + Gemcitabine

MO026B M 14,300 3 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,

Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, MRI,histopathol RADIOLOGY, ogy MICROBIOLOGY,


309 MO (Medical CT for Ureter / Bladder / Urethra–Cisplatin + Gemcitabine

MO026C M 11,100 3 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,

Thorax, REPORTS OF THE abdomen and TESTS Pelvis, MRI, (PATHOLOGY, ECG, 2D- RADIOLOGY, ECHO,Histopat MICROBIOLOGY, hology HEMATOLOGY,


310 MO (Medical CT for Ureter / Bladder / Urethra–Cisplatin + 5 FU

MO026D M 7,800 3 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



311 MO (Medical CT for Ureter / Bladder / Urethra–Cisplatin + Paclitaxel

MO026E M 13,500 3 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



312 MO (Medical CT for Ureter / Bladder / Urethra–Docetaxel

MO026F M 14,400 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



313 MO (Medical CT for Ureter / Bladder / Urethra–Gemcitabine + Paclitaxel

MO026G M 17,500 3 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



314 MO (Medical CT for Ureter / Bladder / Urethra–Gemcitabine

MO026H M 9,200 2 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



315 MO (Medical CT for Ureter / Bladder / Urethra–Methotrexate + Vinblastin + Doxorubicin + Cisplatin

MO026I M 6,600 2 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,

Thorax, REPORTS OF THE abdomen and TESTS Pelvis, MRI, (PATHOLOGY, histopathology, RADIOLOGY, ECG, ECHO MICROBIOLOGY,


316 MO (Medical CT for Ureter / Bladder / Urethra–Paclitaxel + Carboplatin

MO026J M 15,100 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



317 MO (Medical CT for Ureter / Bladder / Urethra–Paclitaxel

MO026K M 5,700 2 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



318 MO (Medical CT for CA Penis–Cisplatin + Paclitaxel

MO027A M 13,500 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



319 MO (Medical CT for CA Penis–5 FU + Cisplatin MO027B M 7,800 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



320 MO (Medical CT for CA Penis–Capecitabine MO027C M 7,400 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



321 MO (Medical CT for CA Penis–Paclitaxel + Carboplatin

MO027D M 15,100 2 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



322 MO (Medical CT for CA Penis–Paclitaxel MO027E M 5,700 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



323 MO (Medical CT for CA Penis–Paclitaxel MO027F M 12,200 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



324 MO (Medical CT for CA Penis–Paclitaxel + Carboplatin

MO027G M 7,900 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, CECT THE DRUGS,



325 MO (Medical CT for CA Prostate–Docetaxel MO028A M 11,700 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, PSA, THE DRUGS,

ECG, REPORTS OF THE CECTThorax, TESTS abdomen and (PATHOLOGY, Pelvis,bone RADIOLOGY, scan,histopatho MICROBIOLOGY, logy HEMATOLOGY,


326 MO (Medical CT for CA Prostate–Docetaxel MO028B M 14,100 5 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, PSA, THE DRUGS,



327 MO (Medical CT for CA Prostate–Etoposide + Carboplatin

MO028C M 7,100 3 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, PSA, THE DRUGS,



328 MO (Medical CT for CA Prostate–LHRH Agonist MO028D M 15,300 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, PSA, THE DRUGS,



329 MO (Medical CT for CA Prostate–Mitoxantrone + Prednisolone

MO028E M 4,200 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, PSA, THE DRUGS,



330 MO (Medical CT for CA Prostate–Paclitaxel + Carboplatin

MO028F M 7,700 3 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, PSA, THE DRUGS,



331 MO (Medical CT for CA Prostate–Paclitaxel + Carboplatin

MO028G M 15,100 2 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, PSA, THE DRUGS,



332 MO (Medical CT for CA Prostate–Docetaxel MO028H M 14,700 1 Y N CBC, RFT, BAR CODE OF Daycare Oncology) LFT, PSA, THE DRUGS,



333 MO (Medical CT for B - Cell NHL - High Grade (Except Burkitt's & PCNSL)–R - CEOP

MO029A M 26,200 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,PET CT or THE DRUGS,

CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow/PB cytometry,ECG, 2D-ECHO


334 MO (Medical CT for B - Cell NHL - High Grade (Except Burkitt's & PCNSL)–R - CHOP

MO029B M 27,000 1 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,PET CT or THE DRUGS,

CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry,ECG, 2D-ECHO


335 MO (Medical CT for High - Grade NHL - B Cell–Rituxmab + Dexamethasone + High Dose Cytarabine + Cisplatin


CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry.


336 MO (Medical CT for Relapsed B - Cell NHL - High Grade (Except Burkitt's & PCNSL)–GDP - R


CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry,


337 MO (Medical CT for Relapsed B - Cell NHL - High Grade (Except Burkitt's & PCNSL)–ICE - R


CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry


338 MO (Medical CT for PMBCL / Burkitt's Lymphoma / Seropositive B - Cell NHLR–EPOCH




339 MO (Medical CT for Burkitt's NHL–Codox - M - IVAC / GMALL / BFM / Hyper CVAD




340 MO (Medical CT for Low Grade B - Cell NHL–Bendamustine + Rituximab




341 MO (Medical CT for Low Grade B - Cell NHL–Lenalidomide + Rituximab




342 MO (Medical CT for Low Grade NHL –Rituximab MO035A M 24,800 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,CECT Chest THE DRUGS,

abdomen and REPORTS OF THE pelvis, Bone TESTS marrow studies, (PATHOLOGY, Biopsy or fluid

flow cytometry. RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

343 MO (Medical CT for Low Grade NHL –Rituximab + Cyclophosphamide + Vincristine + Prednisolone

MO035B M 25,800 3 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,USG THE DRUGS,

abdmen and REPORTS OF THE Pelvis CECT TESTS Chest abdomen (PATHOLOGY, and pelvis, RADIOLOGY, Bone marrow MICROBIOLOGY, studies, Biopsy HEMATOLOGY, or fluid flow

cytometry. BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

344 MO (Medical CT for Chronic Lymphocytic Leukemia–Fludarabine + Cyclophosphamide

MO036A M 18,100 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,Chest X ay THE DRUGS,

and USG abdomen/pelvis or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry.


345 MO (Medical CT for Chronic Lymphocytic Leukemia–Rituxmab + Chlorambucil

MO036B M 24,900 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,Chest X ay THE DRUGS,



346 MO (Medical CT for Chronic Lymphocytic Leukemia–Rituximab + Fludarabine + Cyclophosphamide

MO036C M 40,700 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,Chest X ay THE DRUGS,



347 MO (Medical CT for Chronic Lymphocytic Leukemia–Lenalidomide

MO036D M 4,800 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,Chest X ay THE DRUGS,



348 MO (Medical CT for Peripheral T - Cell Lymphoma–CHOEP

MO037A M 5,000 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,LDH,PET THE DRUGS,

CECT or CECT REPORTS OF THE chest abdomen TESTS and pelvis, (PATHOLOGY, Bone marrow RADIOLOGY, studies, Biopsy MICROBIOLOGY,


349 MO (Medical CT for Peripheral T - Cell Lymphoma–CHOP

MO037B M 4,000 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,LDH,PET THE DRUGS,



350 MO (Medical CT for Peripheral T - Cell Lymphoma–SMILE

MO037C M 19,300 1 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,LDH,PET THE DRUGS,



351 MO (Medical CT for NK - T Cell Lymphoma–GELOX




352 MO (Medical CT for NK - T Cell Lymphoma–LVP MO038B M 7,600 1 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,LDH,PET THE DRUGS,



353 MO (Medical CT for Hodgkin's Lymphoma–COPP MO039A M 3,600 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,PET CT or THE DRUGS,

CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy.


354 MO (Medical CT for Hodgkin's Lymphoma–ABVD MO039B M 10,200 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,PET CT or THE DRUGS,



355 MO (Medical CT for Hodgkin's Lymphoma–AEVD MO039C M 10,200 1 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,PET CT or THE DRUGS,



356 MO (Medical CT for Relapsed Hodgkin Lymphoma–ICE




357 MO (Medical CT for Relapsed Hodgkin Lymphoma–MINE

MO040B M 9,700 4 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,LDH,PET THE DRUGS,



358 MO (Medical CT for Relapsed Hodgkin Lymphoma–PTCL - GDP

MO040C M 12,500 2 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,PET CT or THE DRUGS,



359 MO (Medical CT for Relapsed NHL & HL–DHAP MO041A M 11,500 4 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,PET CT or THE DRUGS,



360 MO (Medical CT for MM / Amyloidosis / POEMS–LD


Serum protein REPORTS OF THE electrophoresis, TESTS Immunofixation, (PATHOLOGY, Serum free light

chain assay, Bone marrow studies, Skeletal survey, Urine BJP


361 MO (Medical CT for MM / Amyloidosis / POEMS–POM DEX





362 MO (Medical CT for MM / Amyloidosis–CTD MO043A M 4,000 3 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,




363 MO (Medical CT for MM / Amyloidosis–MPT MO043B M 4,100 3 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,




364 MO (Medical CT for MM / Amyloidosis–VCD MO043C M 14,600 3 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,

Serum protein REPORTS OF THE electrophoresis, TESTS Bone marrow (PATHOLOGY, studies, skeletal RADIOLOGY, survey, Urine MICROBIOLOGY, BJP. HEMATOLOGY,


365 MO (Medical CT for MM / Amyloidosis–VD MO043D M 13,300 3 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,




366 MO (Medical CT for MM / Amyloidosis–VMP MO043E M 12,600 2 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,




367 MO (Medical CT for MM / Amyloidosis–VRD MO043F M 17,800 3 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,




368 MO (Medical CT for MM / Amyloidosis–VTD MO043G M 15,000 3 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,




369 MO (Medical CT for Chronic Myeloid Leukemia–Imatinib

MO044A M 19,400 3 Y N CBC,RFT,LFT, BAR CODE OF Daycare Oncology) MDC,BONE THE DRUGS,

MARROW, REPORTS OF THE BIOPSY,CYTO TESTS GENETICS, (PATHOLOGY, RQ PCR BCR RADIOLOGY, ABL MICROBIOLOGY,


370 MO (Medical CT for Myeloproliferative Neoplasm–Hydroxurea


MARROW REPORTS OF THE ,CYTOGENETI TESTS CS (PATHOLOGY,


371 MO (Medical CT for Acute Myeloid Leukemia–Consolidation

MO046A M 60,000 4 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) RBS, Bone THE DRUGS,

marrow REPORTS OF THE aspiration, flow TESTS cytometry or (PATHOLOGY, Peripheral RADIOLOGY, blood flow MICROBIOLOGY, cytometry, HEMATOLOGY, cytogenetics, BIOCHEMISTRY,E Molecular TC.) DISCHARGE


372 MO (Medical CT for Acute Myeloid Leukemia–Induction

MO046B M 96,000 4 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) RBS, Bone THE DRUGS,



373 MO (Medical CT for Acute Lymphoblastic Leukemia–Consolidation (Phase II, CNS Therapy Reinduction)

MO047A M 160,000 4 Y N CBC BIOCHEM BAR CODE OF Daycare Oncology) THE DRUGS,


374 MO (Medical CT for Acute Lymphoblastic Leukemia–Induction

MO047B M 80,000 4 Y N CBC,MDC,HIV, BAR CODE OF Daycare Oncology) HBSAG,HCV,2 THE DRUGS,

D ECHO,NCCT REPORTS OF THE CHEST,BONE TESTS MARROW or (PATHOLOGY, Peripheral RADIOLOGY, bloodFLOW MICROBIOLOGY, CYTOMETRY, HEMATOLOGY, CYTOGENETI BIOCHEMISTRY,E CS,Molecular,B TC.) DISCHARGE IOPSY, PET- SUMMARY OF CT or CECT INPATIENT chest abdomen DEPARTMENT, and Pelvis(if DISCHARGE LBL) SUMMARY OF

DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

375 MO (Medical CT for Acute Lymphoblastic Leukemia–Maintenance

MO047C M 4,000 0 Y N CBC,MDC,HIV, BAR CODE OF Daycare Oncology) HBSAG,HCV,BI THE DRUGS,

OCHEM,CSF REPORTS OF THE CYTOMORPH TESTS OLOGY,FLOW (PATHOLOGY, CYTOMETRY, RADIOLOGY, BONE MICROBIOLOGY, MARROW HEMATOLOGY, FLOW BIOCHEMISTRY,E CYTOMETRY, TC.) DISCHARGE CYTOGENETI SUMMARY OF CS,NGS,BIOPS INPATIENT Y DEPARTMENT,

DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

376 MO (Medical CT for Lymphoblastic Lymphoma–Consolidation (Phase II, CNS Therapy Reinduction)



377 MO (Medical CT for Lymphoblastic Lymphoma–Induction



DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

378 MO (Medical CT for Lymphoblastic Lymphoma–Maintenance



DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

379 MO (Medical CT for Acute Promyelocytic Leukemia (High Risk)–High Risk Consolidation

MO049A M 32,000 0 Y N CBC BIOCHEM BAR CODE OF Daycare Oncology) ECG THE DRUGS,

BONEMARRO REPORTS OF THE W RQPCR TESTS PML RARA (PATHOLOGY,


380 MO (Medical CT for Acute Promyelocytic Leukemia (High Risk)–High Risk Induction

MO049B M 96,000 0 Y N CBC,MDC,HIV, BAR CODE OF Daycare Oncology) HBSAG,HCV,BI THE DRUGS,

OCHEM,PT,AP REPORTS OF THE TT,FIBRINOGE TESTS N,2D (PATHOLOGY, ECHO,NCCT RADIOLOGY, CHEST,BONE MICROBIOLOGY, MARROW HEMATOLOGY, FLOW BIOCHEMISTRY,E CYTOMETRY, TC.) DISCHARGE CYTOGENETI SUMMARY OF CS,RQPCR INPATIENT PML DEPARTMENT, RARA,BIOPSY DISCHARGE


381 MO (Medical CT for Acute Promyelocytic Leukemia (High Risk)–High Risk Maintenance




382 MO (Medical CT for Acute Promyelocytic Leukemia (Low Risk)–Low Risk Consolidation

MO050A M 12,000 0 Y N CBC LFT BAR CODE OF Daycare Oncology) THE DRUGS,


383 MO (Medical CT for Acute Promyelocytic Leukemia (Low Risk)–Low Risk Induction

MO050B M 80,000 0 Y N CBC BIOCHEM BAR CODE OF Daycare Oncology) THE DRUGS,


384 MO (Medical Febrile Neutopenia–First Line Antibiotics

MO051A M 28,000 0 Y N CBC, BAR CODE OF Daycare Oncology) BIOCHEM, THE DRUGS,

ECG, BONE REPORTS OF THE MARROW, RQ TESTS PCR, PML (PATHOLOGY, RARA RADIOLOGY,


385 MO (Medical Febrile Neutopenia–Second Line Antibiotics and Antifungals

MO051B M 60,000 1 Y N CBC, LFT, RQ BAR CODE OF Daycare Oncology) PCR, PML THE DRUGS,

RARA REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

386 MO (Medical Chemotherapy Complications - Tumor Lysis Syndrome–Chemotherapy Complications - Tumor Lysis Syndrome

MO052A M 24,000 1 Y N CBC, LFT, BAR CODE OF Daycare Oncology) Serum THE DRUGS,

Electrolytes, REPORTS OF THE Blood TESTS Phosphate (PATHOLOGY, levels, Uric RADIOLOGY, Acid, BUN MICROBIOLOGY,


387 MO (Medical Granulocyte Colony Stimulating Factor Use–Granulocyte Colony Stimulating Factor Use

MO053A M 12,800 1 Y N CBC, Bone BAR CODE OF Daycare Oncology) marrow, RFT, THE DRUGS,

LFT REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

388 MO (Medical CT for Langerhans Cell Histiocytosis–Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction)


MARROW, REPORTS OF THE BIOPSY, TESTS SKELETAL (PATHOLOGY, SURVEY OR RADIOLOGY, PET CECT MICROBIOLOGY,


389 MO (Medical CT for Langerhans Cell Histiocytosis–Langerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance)

MO054B M 17,000 1 Y N CBC,RFT,LFT, BAR CODE OF Daycare Oncology) MDC,BONE THE DRUGS,

MARROW, REPORTS OF THE SKELETAL TESTS SURVEY OR (PATHOLOGY, PET CECT RADIOLOGY,


390 MO (Medical CT for Low Grade Glioma–Vincristine + Carboplatin


MRI, Biopsy REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

391 MO (Medical CT for Low Grade Glioma–Vinblastin MO055B M 1,900 1 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,

MRI, Biopsy REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

392 MO (Medical CT for Medulloblastoma / Brain PNET–PACKER


MRI (BRAIN REPORTS OF THE AND SPINE), TESTS Biopsy, CSF (PATHOLOGY, CYTOLOGY, RADIOLOGY,


393 MO (Medical CT for Medulloblastoma / CNS PNET–CET


MRI (BRAIN REPORTS OF THE AND SPINE), TESTS Biopsy, CSF (PATHOLOGY, CYTOLOGY, RADIOLOGY,


394 MO (Medical CT for Neuroblastoma–Cabroplatin + Etoposide + Cyclophosphamide + Doxorubicin


CECT/MRI, REPORTS OF THE BONE TESTS MARROW (PATHOLOGY, STUDIES, RADIOLOGY, MIBG OR MICROBIOLOGY, BONE OR PET HEMATOLOGY, CT SCAN, BIOCHEMISTRY,E BIOPSY, FISH TC.) DISCHARGE


395 MO (Medical CT for Neuroblastoma–RAPID COJEC


CECT/MRI, REPORTS OF THE BONE TESTS MARROW (PATHOLOGY, STUDIES, RADIOLOGY, MIBG OR MICROBIOLOGY, BONE OR PET HEMATOLOGY, CT SCAN, BIOCHEMISTRY,E BIOPSY, FISH TC.) DISCHARGE


396 MO (Medical CT for Neuroblastoma–RETINOID MO057C M 2,000 1 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry THE DRUGS,


397 MO (Medical CT for Retinoblastoma–JOE / COPE MO058A M 7,100 1 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,

MRI/CT (BRAIN REPORTS OF THE AND ORBITS), TESTS ULTRASONOG (PATHOLOGY, RAPHY, BONE RADIOLOGY, MARROW AND MICROBIOLOGY, CSF STUDIES HEMATOLOGY,


398 MO (Medical CT for Rhabdomyosarcoma–VCD MO059A M 4,800 1 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,

MRI OR CECT, REPORTS OF THE BONE TESTS MARROW (PATHOLOGY, STUDIES, RADIOLOGY, BONE SCAN MICROBIOLOGY, OR PET CT, HEMATOLOGY, Biopsy BIOCHEMISTRY,E


399 MO (Medical CT for Rhabdomyosarcoma–VIE MO059B M 16,200 1 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,

MRI OR CECT, REPORTS OF THE BONE TESTS MARROW (PATHOLOGY, STUDIES, RADIOLOGY, BONE SCAN MICROBIOLOGY, OR PET CT, HEMATOLOGY, Biopsy BIOCHEMISTRY,E


400 MO (Medical CT for Relapse Rhabdomyosarcoma–VTC + VAC


MRI OR CECT, REPORTS OF THE BONE TESTS MARROW (PATHOLOGY, STUDIES, RADIOLOGY, BONE SCAN MICROBIOLOGY, OR PET CT, HEMATOLOGY, Biopsy, 2D BIOCHEMISTRY,E ECHO TC.) DISCHARGE


401 MO (Medical CT for Wilms Tumor–VINC + ACTIN. D


CT CHEST REPORTS OF THE ABDOMEN, TESTS ULTRASONOG (PATHOLOGY, RAPHY, RADIOLOGY, BIOPSY MICROBIOLOGY,


402 MO (Medical CT for Wilms Tumor–VINC + ACTIN. D + DOX


CT CHEST REPORTS OF THE ABDOMEN, TESTS ULTRASONOG (PATHOLOGY, RAPHY, RADIOLOGY, BIOPSY, 2D MICROBIOLOGY, ECHO HEMATOLOGY,


403 MO (Medical CT for Wilms Tumor–Cyclo + Dox + Etop + Vinc + Actino . D

MO061C M 12,300 1 Y N CBC, BAR CODE OF Daycare Oncology) Biochemistry, THE DRUGS,

CT CHEST REPORTS OF THE ABDOMEN, TESTS ULTRASONOG (PATHOLOGY, RAPHY, RADIOLOGY, BIOPSY, 2D MICROBIOLOGY, ECHO HEMATOLOGY,


404 MO (Medical CT for Pediatric Acute Lymphoblastic Leukemia–Consolidation (Phase II, CNS Therapy Reinduction)


REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN

405 MO (Medical CT for Pediatric Acute Lymphoblastic Leukemia–Induction



DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN

406 MO (Medical CT for Pediatric Acute Lymphoblastic Leukemia–Maintenance



DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN

407 MO (Medical CT for Pediatric Lymphoblastic Lymphoma–Consolidation (Phase II, CNS Therapy Reinduction)



408 MO (Medical CT for Pediatric Lymphoblastic Lymphoma–Induction



DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN

409 MO (Medical CT for Pediatric Lymphoblastic Lymphoma–Maintenance



DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN

410 MO (Medical CT for Pediatric Acute Myeloid Leukemia–Consolidation - High Dose Cytarabine

MO064A M 57,600 1 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) RBS, Bone THE DRUGS,


SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN

411 MO (Medical CT for Pediatric Acute Myeloid Leukemia–Induction

MO064B M 94,400 1 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) RBS, Bone THE DRUGS,



412 MO (Medical CT for Pediatric Acute Myeloid Leukemia–Induction

MO064C M 92,800 1 Y N CBC, LFT,RFT, BAR CODE OF Daycare Oncology) RBS, Bone THE DRUGS,



413 MO (Medical CT for Pediatric Acute Promyelocytic Leukemia–Consolidation

MO065A M 36,800 1 Y N CBC BIOCHEM BAR CODE OF Daycare Oncology) ECG THE DRUGS,

BONEMARRO REPORTS OF THE W RQPCR TESTS PML RARA (PATHOLOGY,


414 MO (Medical CT for Pediatric Acute Promyelocytic Leukemia–Induction

MO065B M 97,600 1 Y N CBC BIOCHEM BAR CODE OF Daycare Oncology) THE DRUGS,


415 MO (Medical CT for Pediatric Acute Promyelocytic Leukemia–Maintenance




416 MO (Medical CT for Pediatric Hodgkins Lymphoma–COPDAC




417 MO (Medical CT for Pediatric Hodgkins Lymphoma–OPEA




418 MO (Medical CT for Pediatric Hodgkins Lymphoma Relapse–ICE




419 MO (Medical CT for Pediatric Hodgkins Lymphoma Relapse–DECA




420 MO (Medical CT for Pediatric Hodgkins Lymphoma Relapse–IGVD




421 MO (Medical CT for Pediatric Non Hodgkins Lymphoma–LMB 89 - 96 - Consolidation




422 MO (Medical CT for Pediatric Non Hodgkins Lymphoma–LMB 89 - 96 - Induction - COPADAM




423 MO (Medical CT for Pediatric Non Hodgkins Lymphoma–LMB 89 - 96 - Maintenance




424 MO (Medical CT for Pediatric Non Hodgkins Lymphoma–MCP - 842

MO068D M 13,200 1 Y N CBC,Biochemis BAR CODE OF Daycare Oncology) try,PET CT or THE DRUGS,



425 MO (Medical PEDIATRIC-GCT/JEB–PEDIATRIC- MO069A M 10,000 2 Y N CBC, BAR CODE OF Daycare Oncology) GCT/JEB Biochemistry, THE DRUGS,

TUMOR REPORTS OF THE MARKERS, TESTS CECT CHEST (PATHOLOGY, AND RADIOLOGY, ABDOMEN, MICROBIOLOGY, Biopsy, HEMATOLOGY, AUDIOMETRY, BIOCHEMISTRY,E GFR TC.) DISCHARGE


426 MO (Medical CT for Pediatric Hepatoblastoma–Carboplatin + Cisplatin + Doxorubicin


CECT CHEST REPORTS OF THE AND TESTS ABDOMEN, (PATHOLOGY, Biopsy, ECG, RADIOLOGY, 2D-ECHO, MICROBIOLOGY, AUDIOMETRY, HEMATOLOGY, GFR BIOCHEMISTRY,E


427 MO (Medical CT for Pediatric Hepatoblastoma–Cisplatin


S.AFP, CECT REPORTS OF THE CHEST AND TESTS ABDOMEN, (PATHOLOGY, Biopsy, RADIOLOGY, AUDIOMETRY, MICROBIOLOGY, GFR HEMATOLOGY,


428 MO (Medical CT for CA Lung–Docetaxel MO071A M 16,200 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis (PATHOLOGY,


429 MO (Medical CT for CA Lung–Erlotinib MO071B M 13,000 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, EGFR (PATHOLOGY, mutation RADIOLOGY, positive MICROBIOLOGY,


430 MO (Medical CT for CA Lung–Gefitnib MO071C M 11,000 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, EGFR (PATHOLOGY, mutation RADIOLOGY, positive MICROBIOLOGY,


431 MO (Medical CT for CA Lung–Paclitaxel + Carboplatin


CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology RADIOLOGY, (non small cell

carcinoma) MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

432 MO (Medical CT for CA Lung–Pemetrexed + Carboplatin

MO071E M 10,000 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology RADIOLOGY, (non small cell -

adenocarcinom a or adenosquamou s carcinoma)


433 MO (Medical CT for CA Lung–Topotecan MO071F M 24,600 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology - RADIOLOGY, Small Cell Lung

Carcinoma MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

434 MO (Medical CT for CA Lung–Docetaxel MO071G M 14,600 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology- RADIOLOGY, Non Small cell

Lung cancer MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,E TC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS

435 MO (Medical CT for CA Lung–Etoposide + Carboplatin

MO071H M 7,100 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



436 MO (Medical CT for CA Lung–Etoposide + Cisplatin MO071I M 5,500 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



437 MO (Medical CT for CA Lung–Gemcitabine MO071J M 8,900 0 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



438 MO (Medical CT for CA Lung–Gemcitabine + Carboplatin

MO071K M 14,300 5 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



439 MO (Medical CT for CA Lung–Gemcitabine + Cisplatin

MO071L M 11,100 5 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



440 MO (Medical CT for CA Lung–Paclitaxel MO071M M 5,800 5 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



441 MO (Medical CT for CA Lung–Paclitaxel MO071N M 12,000 5 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



442 MO (Medical CT for CA Lung–Paclitaxel + Carboplatin

MO071O M 7,900 1 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



443 MO (Medical CT for CA Lung–Paclitaxel + Cisplatin MO071P M 13,500 3 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



444 MO (Medical CT for CA Lung–Pemetrexed + Cisplatin

MO071Q M 9,200 5 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology - RADIOLOGY, adenocarcinom MICROBIOLOGY, a and HEMATOLOGY, adenosquamou BIOCHEMISTRY,E s carcinoma TC.) DISCHARGE


445 MO (Medical CT for CA Lung–Pemetrexed MO071R M 7,600 5 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,

CECT Thorax, REPORTS OF THE abdomen and TESTS Pelvis, (PATHOLOGY, histopathology RADIOLOGY, (non small cell -

adenocarcinom a or adenosquamou s carcinoma)


446 MO (Medical CT for CA Lung–Vinorelbine + Carboplatin

MO071S M 22,800 4 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



447 MO (Medical CT for CA Lung–Vinorelbine + Cisplatin

MO071T M 20,600 5 Y N CBC, LFT, BAR CODE OF Daycare Oncology) RFT, RBS, THE DRUGS,



448 MP (Paediatric Febrile seizures / other seizures–Febrile seizures

MP001A M Package 5 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,

Management) day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals; planned investigations type: Routine line reports. ward (Rs management; 1800)/ HDU 1st seizure or (Rs (Rs 2700)/ past history ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

449 MP (Paediatric Febrile seizures / other seizures–Flury of seizures

MP001B M Package 7 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


450 MP (Paediatric Febrile seizures / other seizures–Neurocysticercosis

MP001C M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


451 MP (Paediatric Febrile seizures / other seizures–Epilepsy

MP001D M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


452 MP (Paediatric Epileptic encephalopathy–Epileptic MP002A M Package 3 N N Clinical notes Detailed ICPs, NA Madical encephalopathy Amount per detailing history Treatment details,

Management) day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals; planned investigations type: Routine line reports. ward (Rs management; 1800)/ HDU past h/o (Rs (Rs 2700)/ epilpesy ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

453 MP (Paediatric Acute encephalitis–Infectious - uncomplicated


Management) day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings (incl 1800)/ HDU neurological (Rs (Rs 2700)/ examination); ICU (without any ventilator) (Rs investigations 3600)/ ICU done; planned (with line of ventilator)(Rs management 4500)

454 MP (Paediatric Acute encephalitis–Immune-mediated MP003B M Package 1 N N Clinical notes Detailed ICPs, NA Madical - uncomplicated Amount per detailing history Treatment details,


455 MP (Paediatric Acute encephalitis syndrome–Acute encephalitis syndrome


Management) day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

456 MP (Paediatric Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess –Acute meningo encephalitis



457 MP (Paediatric Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess –Aseptic meningitis



458 MP (Paediatric Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess –Febrile encephalopathy

MP005C M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


459 MP (Paediatric Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess –Hypertensive encehalopathy

MP005D M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


460 MP (Paediatric Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess –Metabolic encephalopathy

MP005E M Package 5 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


461 MP (Paediatric Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess –Hepatic encephalopathy

MP005F M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


462 MP (Paediatric Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess –Brain abcess

MP005G M Package 5 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


463 MP (Paediatric Meningitis–Chronic meningitis MP006A M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


464 MP (Paediatric Meningitis–Partially treated pyogenic meningitis



465 MP (Paediatric Meningitis–Neuro tuberculosis MP006C M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


466 MP (Paediatric Meningitis–Complicated bacterial MP006D M Package 1 N N Clinical notes Detailed ICPs, NA Madical meningitis Amount per detailing history Treatment details,


467 MP (Paediatric Meningitis–Acute meningitis MP006E M Package 1 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


468 MP (Paediatric Optic neuritis–Optic neuritis MP007A M Package 1 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,

Management) day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine fundus findings reports. ward (Rs & photograph; 1800)/ HDU planned line (Rs (Rs 2700)/ management; ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

469 MP (Paediatric Medical Management for Raised intracranial pressure–After Decompressive craniotomy / After Shunt procedure / After other emergency neuro surgical procedures / For ICP monitoring



470 MP (Paediatric Intracranial hemorrhage–Intracranial MP009A M Package 1 N N Clinical notes Detailed ICPs, NA Madical hemorrhage Amount per detailing history Treatment details,


471 MP (Paediatric Intracranial space occupying lesion–Intracranial space occupying lesion



472 MP (Paediatric Intracranial ring enhancing lesion with complication (tuberculoma)–Intracranial ring enhancing lesion with complication (tuberculoma)



473 MP (Paediatric Cerebral herniation–Cerebral MP012A M Package 3 N N Clinical notes Detailed ICPs, NA Madical herniation Amount per detailing history Treatment details,


474 MP (Paediatric Acute neuroregression / Acute worsening in neuro metabolic and neurodegenerative conditions–Acute neuroregression / Acute worsening in neuro metabolic and neurodegenerative conditions

MP013A M Package 3 N N Clinical notes Detailed ICPs (daily Treatment details), Procedure / Operative Notes (if applicable), Detailed Discharge Summary, All investigations reports.

NA Madical Amount per with planned

Management) day (drop line of down) for treatment (incl admission birth & past type: Routine history), ward (Rs Investigation 1800)/ HDU Reports (Rs (Rs 2700)/ supporting ICU (without diagnosis ventilator) (Rs (including CT 3600)/ ICU head), Planned (with line of ventilator)(Rs treatment 4500)

475 MP (Paediatric Acute demyelinating MP014A M Package 3 N N Clinical notes Detailed ICPs, NA Madical myelopathy–Acute demyelinating Amount per detailing history Treatment details,

Management) myelopathy day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

476 MP (Paediatric Juvenile myasthenia–Juvenile MP015A M Package 3 N N Clinical notes Detailed ICPs, NA Madical myasthenia Amount per detailing history Treatment details,


477 MP (Paediatric Acute ataxia–Acute ataxia MP016A M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


478 MP (Paediatric Acute ischemic stroke–Acute ischemic stroke



479 MP (Paediatric Wheezing–Wheezing MP018A M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,

Management) day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals; planned investigations type: Routine line reports. ward (Rs management 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

480 MP (Paediatric Chronic cough–Chronic cough MP019A M Package 2 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,

Management) day (drop and earlier detailed discharge down) for Treatment done summary, All admission and Admission investigations type: Routine notes showing reports. ward (Rs vitals; planned 1800)/ HDU line (Rs (Rs 2700)/ management ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

481 MP (Paediatric Acute urticaria / Anaphylaxis acute asthma–Acute urticaria


Management) day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals; planned investigations type: Routine line reports. ward (Rs management; 1800)/ HDU specify the (Rs (Rs 2700)/ trigger ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

482 MP (Paediatric Acute urticaria / Anaphylaxis acute asthma–Anaphylaxis acute asthma


Management) day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals; planned investigations type: Routine line reports. ward (Rs management; 1800)/ HDU specify the (Rs (Rs 2700)/ trigger ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

483 MP (Paediatric Acute abdomen–Acute abdomen MP021A M Package 1 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


484 MP (Paediatric Celiac disease–Celiac disease MP022A M Package 1 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


485 MP (Paediatric Unexplained MP023A M Package 1 N N Clinical notes Detailed ICPs, NA Madical hepatosplenomegaly–Unexplained Amount per detailing history Treatment details,

Management) hepatosplenomegaly day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

486 MP (Paediatric Infantile cholestasis–Infantile MP024A M Package 1 N N Clinical notes Detailed ICPs, NA Madical cholestasis Amount per detailing history Treatment details,


487 MP (Paediatric Acute glomerulonephritis–Acute MP025A M Package 5 N N Clinical notes Detailed ICPs, NA Madical glomerulonephritis Amount per detailing history Treatment details,

Management) day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals; planned investigations type: Routine line reports. ward (Rs management; 1800)/ HDU investigations (Rs (Rs 2700)/ done ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

488 MP (Paediatric Nephrotic syndrome with peritonitis–Nephrotic syndrome with peritonitis


Management) day (drop including past detailed discharge down) for history, summary, All admission examination investigations type: Routine findindgs, reports. ward (Rs investigations 1800)/ HDU done and (Rs (Rs 2700)/ Admission ICU (without notes showing ventilator) (Rs vitals; planned 3600)/ ICU line (with management ventilator)(Rs 4500)

489 MP (Paediatric Haemolytic uremic MP027A M Package 1 N N Clinical notes Detailed ICPs, NA Madical syndrome–Haemolytic uremic Amount per detailing history Treatment details,

Management) syndrome day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

490 MP (Paediatric CRRT–CRRT MP028A M 8,000 5 Y N Clinical notes Detailed ICPs, Daycare Madical detailing history Treatment details,

Management) and Admission detailed discharge notes showing summary, All vitals and investigations examination reports. findings; any investigations done; planned line of management

491 MP (Paediatric Global developmental delay / Intellectual disability of unknown etiology–Global developmental delay

MP029A M Package 2 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing birth Treatment details,

Management) day (drop and subsequent detailed discharge down) for history and summary, All admission Admission investigations type: Routine notes showing reports. ward (Rs vitals; planned 1800)/ HDU line (Rs (Rs 2700)/ management ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

492 MP (Paediatric Global developmental delay / Intellectual disability of unknown etiology–Intellectual disability of unknown etiology

MP029B M Package 2 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing birth Treatment details,

Management) day (drop and subsequent detailed discharge down) for history and summary, All admission Admission investigations type: Routine notes showing reports. ward (Rs vitals; planned 1800)/ HDU line (Rs (Rs 2700)/ management ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

493 MP (Paediatric Rickets - requiring admission for Work Up–Rickets - requiring admission for Work Up

MP030A M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing Treatment details,

Management) day (drop history, detailed discharge down) for investigations summary, All admission done and investigations type: Routine Admission reports. ward (Rs notes showing 1800)/ HDU vitals; planned (Rs (Rs 2700)/ line ICU (without management ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

494 MP (Paediatric Acute severe malnutrition–Acute severe malnutrition



495 MP (Paediatric Developmental and behavioral disorders–Developmental and behavioral disorders


Management) day (drop and detailed discharge down) for examination summary, All admission findings. investigations type: Routine Admission reports. ward (Rs notes showing 1800)/ HDU neurological (Rs (Rs 2700)/ examination; ICU (without any ventilator) (Rs investigations 3600)/ ICU done, planned (with line ventilator)(Rs management 4500)

496 MP (Paediatric Short stature–Short stature MP033A M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing histor, Treatment details,

Management) day (drop parent's height detailed discharge down) for and Admission summary, All admission notes showing investigations type: Routine vitals; planned reports. ward (Rs line 1800)/ HDU management (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

497 MP (Paediatric Dysmorphic children–Dysmorphic MP034A M Package 3 N N Clinical notes Detailed ICPs, NA Madical children Amount per detailing Treatment details,

Management) day (drop history, detailed discharge down) for investigations summary, All admission done and investigations type: Routine Admission reports. ward (Rs notes showing 1800)/ HDU vitals; planned (Rs (Rs 2700)/ line ICU (without management ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500)

498 MP (Paediatric Floppy infant–Floppy infant MP035A M Package 1 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


499 MP (Paediatric Inborn errors of metabolism–Inborn errors of metabolism



500 MP (Paediatric Wilson’s disease–Wilson’s disease MP037A M Package 1 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


501 MP (Paediatric Rheumatoid arthritis–Rheumatoid MP038A M Package 1 N N Clinical notes Detailed ICPs, NA Madical arthritis Amount per detailing history Treatment details,


502 MP (Paediatric Rheumatic fever–Rheumatic fever MP039A M Package 3 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


503 MP (Paediatric Cyanotic spells–Cyanotic spells MP040A M Package 5 N N Clinical notes Detailed ICPs (daily Treatment details), Detailed Discharge Summary, All investigations reports.


Management) day (drop line of down) for treatment (incl admission birth & past type: Routine history), ward (Rs Investigation 1800)/ HDU Reports (Rs (Rs 2700)/ supporting ICU (without diagnosis ventilator) (Rs (including 3600)/ ICU ABG), Planned (with line of ventilator)(Rs treatment 4500)

504 MP (Paediatric Cyanotic spells–Cyanotic spells with CHD

MP040B M Package 1 N N Clinical notes Detailed ICPs (daily Treatment details), Detailed Discharge Summary, All investigations reports (including 2D echo).


Management) day (drop line of down) for treatment (incl admission birth & past type: Routine history), ward (Rs Investigation 1800)/ HDU Reports (Rs (Rs 2700)/ supporting ICU (without diagnosis ventilator) (Rs (including 3600)/ ICU ECHO, ABG), (with Planned line of ventilator)(Rs treatment 4500)

505 MP (Paediatric Cyanotic spells–Cyanotic spells with Chest infection

MP040C M Package 0 N N Clinical notes Detailed ICPs (daily Treatment details), Post treatment CBC and X-ray chest, Detailed Discharge summary


Management) day (drop line of down) for treatment (incl admission birth & past type: Routine history) ward (Rs Investigation 1800)/ HDU Reports (Rs (Rs 2700)/ supporting ICU (without diagnosis ventilator) (Rs (including CBC, 3600)/ ICU X-ray chest), (with Planned line of ventilator)(Rs treatment 4500)

506 MP (Paediatric Cyanotic spells–Cyanotic spells with Sepsis

MP040D M Package 1 N N Clinical notes Detailed ICPs (daily Treatment details), Post treatment CBC, and Radiological investigations, Detailed Discharge summary


Management) day (drop line of down) for treatment (incl admission birth & past type: Routine history), ward (Rs Investigation 1800)/ HDU Reports (Rs (Rs 2700)/ supporting ICU (without diagnosis ventilator) (Rs (including CBC, 3600)/ ICU ABG, (with Radiological ventilator)(Rs investigations), 4500) Planned line of

treatment

507 MP (Paediatric Immune haemolytic anemia–Immune haemolytic anemia



508 MP (Paediatric Idiopathic Thrombocytopenic MP042A M Package 5 N N Clinical notes Detailed ICPs, NA Madical Purpura–Idiopathic Thrombocytopenic Amount per detailing history Treatment details,

Management) Purpura day (drop and Admission detailed discharge down) for notes showing summary, All admission vitals and investigations type: Routine examination reports. ward (Rs findings; any 1800)/ HDU investigations (Rs (Rs 2700)/ done; planned ICU (without line of ventilator) (Rs management 3600)/ ICU (with ventilator)(Rs 4500)

509 MP (Paediatric Kawasaki Disease–Kawasaki Disease MP043A M Package 1 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,


510 MP (Paediatric Steven Johnson syndrome–Steven Johnson syndrome


Management) day (drop (incl drug intake detailed discharge down) for history) and summary, All admission Admission investigations type: Routine notes showing reports. ward (Rs vitals and 1800)/ HDU examination (Rs (Rs 2700)/ findings; any ICU (without investigations ventilator) (Rs done; planned 3600)/ ICU line of (with management ventilator)(Rs 4500)

511 MP (Paediatric Trauma –Trauma MP045A M Package 1 N N Clinical notes Detailed ICPs, NA Madical Amount per detailing history Treatment details,

Management) day (drop / examination detailed discharge down) for findings summary, All admission describing investigations type: Routine trauma; MLC/ reports. ward (Rs FIR; and 1800)/ HDU Admission (Rs (Rs 2700)/ notes showing ICU (without vitals; planned ventilator) (Rs line 3600)/ ICU management (with ventilator)(Rs 4500)

512 MP (Paediatric Ketogenic diet initiation in refractory epilepsy–Ketogenic diet initiation in refractory epilepsy



513 MR (Radiation 2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost)–Radical

MR001A M 11,000 1 Y N HPE report, Detailed Discahrge Daycare Oncology) Clinical notes Summary (with RT

with planned treatment and line of doses given) treatment (documents confirming the Procedure indicated and details of RT

treatment plan).

514 MR (Radiation 2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost)–Adjuvant

MR001B M 11,000 1 Y N HPE report, Detailed Discahrge Daycare Oncology) Clinical notes Summary (with RT


treatment plan).

515 MR (Radiation 2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost)–Neoadjuvant

MR001C M 11,000 1 Y N HPE report, Detailed Discahrge Daycare Oncology) Clinical notes Summary (with RT


treatment plan).

516 MR (Radiation 2D External Beam Radiotherapy - Palliative (Upto 10 Fractions) (Inclusive of Simulation & Planning Cost)–Palliative



treatment plan).

517 MR (Radiation 2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost)–Radical



treatment plan).

518 MR (Radiation 2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost)–Adjuvant



treatment plan).

519 MR (Radiation 2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost)–Neoadjuvant



treatment plan).

520 MR (Radiation Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost)–Radical



treatment plan).

521 MR (Radiation Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost)–Adjuvant



treatment plan).

522 MR (Radiation Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost)–Neoadjuvant



treatment plan).

523 MR (Radiation Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost)–Radical



treatment plan).

524 MR (Radiation Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost)–Adjuvant



treatment plan).

525 MR (Radiation Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost)–Neoadjuvant



treatment plan).

526 MR (Radiation Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost)–Radical



treatment plan).

527 MR (Radiation Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost)–Adjuvant



treatment plan).

528 MR (Radiation Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost)–Neoadjuvant



treatment plan).

529 MR (Radiation Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost)–Radical



treatment plan).

530 MR (Radiation Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost)–Adjuvant



treatment plan).

531 MR (Radiation Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost)–Neoadjuvant



treatment plan).

532 MR (Radiation Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost)–Radical



treatment plan).

533 MR (Radiation Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost)–Adjuvant



treatment plan).

534 MR (Radiation Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost)–Neoadjuvant



treatment plan).

535 MR (Radiation Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost)–Radical



treatment plan).

536 MR (Radiation Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost)–Adjuvant



treatment plan).

537 MR (Radiation Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost)–Neoadjuvant



treatment plan).

538 MR (Radiation SRT / SBRT with IGRT (Stereotacatic radiotherapy) (4 Fractions) (Inclusive of Simulation & Planning Cost)–SRT / SBRT with IGRT (Stereotacatic radiotherapy)



treatment plan).

539 MR (Radiation SRS with IGRT (Stereotacatic radiotherapy) (Inclusive of Simulation & Planning Cost)–SRS with IGRT (Stereotacatic radiotherapy)

MR011A M 70,000 3 Y N Biopsy/ HPE Detailed Discahrge Daycare Oncology) report of Summary (with RT

malignancy; treatment and justification of doses given) SRS?

540 MR (Radiation Respiratory Gating along with Linear Accelerator planning (5 Fractions) (Inclusive of Simulation & Planning Cost)–Respiratory Gating along with Linear Accelerator planning

MR012A M 65,000 2 Y N Clinical notes Detailed Discahrge Daycare Oncology) and Summary (with RT

Documentary treatment and evidence doses given) confirming the need of Respiratory- gated radiotherapy (tumours that move with respiration during radiotherapy (lung, breast and upper abdominal tumpurs)

541 MR (Radiation Brachytherapy High Dose Radiation–Intracavitory



treatment plan).

542 MR (Radiation Brachytherapy High Dose Radiation–Intraluminal



treatment plan).

543 MR (Radiation Brachytherapy High Dose Radiation–Endobiliary



treatment plan).

544 MR (Radiation Brachytherapy High Dose Radiation–Endobronchial

MR013D M 3,500 5 Y N HPE report, Detailed Discahrge Daycare Oncology) Clinical notes Summary (with RT


treatment plan).

545 MR (Radiation Brachytherapy High Dose Radiation–CVS

MR013E M 3,500 5 Y N HPE report, Detailed Discahrge Daycare Oncology) Clinical notes Summary (with RT


treatment plan).

546 MR (Radiation Brachytherapy High Dose Radiation (5 doses) (Inclusive of Simulation, Planning Cost, OT & other charges )–Interstitial



treatment plan).

547 MR (Radiation Brachytherapy High Dose Radiation (5 doses) (Inclusive of Simulation, Planning Cost, OT & other charges )–Surface Mould



treatment plan).

548 SB (Orthopaedics) Fracture - Conservative Management -Without plaster–Fracture - Conservative Management - Without plaster

SB001A S 2,000 2 N N Clinical notes Procedure / Daycare with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Detailed planned line of treatment, X- ray films with reports

Discharge Summary

549 SB (Orthopaedics) Application of Traction–Skeletal Tractions with pin

SB002A S 2,000 1 N N Clinical notes Post Procedure Daycare and X-ray clinical photgraph showing the with pins, detailed need of Procedure / procedure, Operative Notes. clinical Detailed discharge photograph of summary affected part

550 SB (Orthopaedics) Application of Traction–Skin Traction SB002B S 700 1 N N Clinical notes Post Procedure Daycare and X-ray clinical photgraph, showing the detailed Procedure / need of Operative Notes. procedure, Detailed discharge clinical summary photograph of affected part

551 SB (Orthopaedics) Application of P.O.P. casts–Upper Limbs

SB003A S 3,000 5 N N Clinical notes Post Procedure Daycare and X-ray clinical photgraph showing the with POP cast, need of detailed Procedure / procedure, Operative Notes. clinical Detailed discharge photograph of summary affected part

552 SB (Orthopaedics) Application of P.O.P. casts–Lower Limbs

SB003B S 3,000 4 N N Clinical notes Post Procedure Daycare and X-ray clinical photgraph showing the with POP cast, need of detailed Procedure / procedure, Operative Notes. clinical Detailed discharge photograph of summary affected part

553 SB (Orthopaedics) Application of P.O.P. Spikas & Jackets–Spikas

SB004A S 3,500 4 N N Clinical notes Post Procedure Daycare and X-ray clinical photgraph showing the with POP spika, need of detailed Procedure / procedure, Operative Notes. clinical Detailed discharge photograph of summary affected part

554 SB (Orthopaedics) Application of P.O.P. Spikas & Jackets–Jackets

SB004B S 3,500 2 N N Clinical notes Post Procedure Daycare and X-ray clinical photgraph showing the with POP Jacket, need of detailed Procedure / procedure, Operative Notes. clinical Detailed discharge photograph of summary affected part

555 SB (Orthopaedics) External fixation of Fracture–Long bone

SB005A S 19,000 5 N N Clinical notes Post Procedure 4 and X-ray clinical photgraph, confirming the detailed Procedure / diagnosis, Operative Notes. clinical Detailed discharge photograph of summary Invoice affected part and barcode of

implant 556 SB (Orthopaedics) External fixation of Fracture–Small

bone SB005B S 14,500 2 N N Clinical notes Post Procedure 3

and X-ray clinical photgraph, confirming the detailed Procedure / diagnosis, Operative Notes. clinical Detailed discharge photograph of summary Invoice affected part and barcode of

implant

557 SB (Orthopaedics) External fixation of Fracture–Pelvis SB005C S 19,000 7 N N Clinical notes Post Procedure 5 and X-ray clinical photgraph, confirming the detailed Procedure / diagnosis, Operative Notes. clinical Detailed discharge photograph of summary Invoice affected part and barcode of

implant 558 SB (Orthopaedics) External fixation of Fracture–Both

bones - forearms SB005D S 20,000 7 N N Clinical notes Post Procedure 4

and X-ray clinical photgraph, confirming the detailed Procedure / diagnosis, Operative Notes. clinical Detailed discharge photograph of summary Invoice affected part and barcode of

implant 559 SB (Orthopaedics) Percutaneous - Fixation of

Fracture–Percutaneous - Fixation of Fracture

SB006A S 5,000 4 N N Clinical notes Procedure / 4 with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Stickers of planned line of treatment, X- ray films with reports

implants used, Detailed Discharge Summary

560 SB (Orthopaedics) Elastic nailing for fracture fixation–Femur



561 SB (Orthopaedics) Elastic nailing for fracture fixation–Humerus

SB007B S 16,000 7 N N Clinical notes Procedure / 4 with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Stickers of planned line of treatment, X- ray films with reports


562 SB (Orthopaedics) Elastic nailing for fracture fixation–Forearm

SB007C S 16,000 2 N N Clinical notes Procedure / 4 with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Stickers of planned line of treatment, X- ray films with reports


563 SB (Orthopaedics) Internal Fixation of Small Bones –Internal Fixation of Small Bones

SB008A S 10,000 2 N N Clinical notes Post Procedure 3 and X-ray clinical photgraph, confirming the Post procedure X- diagnosis, rayshowing implant; clinical detailed Procedure / photograph of Operative Notes. affected part Detailed discharge

summary Invoice and barcode of implant.

564 SB (Orthopaedics) Fracture - Long Bones - Metaphyseal - ORIF–Fracture - Long Bones - Metaphyseal - ORIF



565 SB (Orthopaedics) Fixation of Diaphyseal Fracture - Long Bone–Open Reduction Internal Fixation

SB010A S 20,900 4 N N Clinical notes Post procedure 4 and radiological imaging study (X investigations Ray), Post confirming the Procedure clinical diagnosis (X- photograph, ray), clinical detailed Procedure / photograph of Operative Notes. affected part invoice and barcode

of implant 566 SB (Orthopaedics) Fixation of Diaphyseal Fracture - Long

Bone–Closed Reduction & Fixation SB010B S 25,000 3 N N Clinical notes Post procedure 4

and radiological imaging study (X investigations Ray), Post confirming the Procedure clinical diagnosis (X- photograph, ray), clinical detailed Procedure / photograph of Operative Notes. affected part invoice and barcode

of implant 567 SB (Orthopaedics) Surgery for Comminuted Fracture -

Olecranon of Ulna–Plating SB011A S 19,800 5 N N Clinical notes Post Procedure 3

and X-ray clinical photgraph, confirming the Post procedure X- diagnosis, ray; detailed clinical Procedure / photograph of Operative Notes. affected part Detailed discharge

summary, Invoice and barcode of implant

568 SB (Orthopaedics) Fracture Head radius–Fixation SB012A S 15,000 4 N N Clinical notes Post procedure 4 and X-ray imaging study (X confirming the Ray), Post diagnosis, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.

Detailed discharge summary, Invoice and barcode of implant

569 SB (Orthopaedics) Fracture Head radius–Excision SB012B S 9,200 3 N N Clinical notes Post procedure 3 and X-ray imaging study (X confirming the Ray), Post diagnosis, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.

Detailed discharge summary

570 SB (Orthopaedics) Fracture - Single Bone - Forearm - ORIF - Plating / Nailing–Fracture - Single Bone - Forearm - ORIF - Plating / Nailing



571 SB (Orthopaedics) Fracture - Both Bones - Forearm - ORIF - Plating / Nailing–Fracture - Both Bones - Forearm - ORIF - Plating / Nailing



572 SB (Orthopaedics) Fracture Condyle - Humerus - ORIF–Lateral Condyle

SB015A S 10,000 5 N N Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part

Post Procedure clinical photgraph, Post procedure X- rayshowing implant; detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.

3

573 SB (Orthopaedics) Fracture Condyle - Humerus - ORIF–Medial Condyle

SB015B S 10,000 6 N N Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part

Post Procedure clinical photgraph, Post procedure X- rayshowing implant; detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.

3

574 SB (Orthopaedics) Fracture intercondylar Humerus + olecranon osteotomy–Fracture intercondylar Humerus + olecranon osteotomy

SB016A S 26,100 6 N N Clinical notes and X-ray showing the need of procedure, clinical photograph of affected part

Post Procedure X- ray showing osteotomy as well as frature maneged; detailed Procedure / Operative Notes. Detailed discharge summary, Invoice and barcode of implant

5

575 SB (Orthopaedics) Displaced Clavicle Fracture–Open Reduction Internal Fixation



576 SB (Orthopaedics) Fracture - Acetabulum–Single Approach

SB018A S 38,000 6 N N Clinical notes Procedure / 7 with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Detailed planned line of treatment, X- ray films with reports

Discharge Summary, Invoice and barcode of implant

577 SB (Orthopaedics) Fracture - Acetabulum–Combined Approach

SB018B S 48,500 7 N N Clinical notes Procedure / 7 with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Detailed planned line of treatment, X- ray films with reports


578 SB (Orthopaedics) Fracture - Neck Femur–Closed Reduction and Percutaneous Screw Fixation

SB019A S 15,000 1 N N Clinical notes Post procedure 2 and X-ray imaging study (X confirming the Ray), Post diagnosis, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.

Invoice and barcode of implant

579 SB (Orthopaedics) Fracture - Neck Femur–Intertrochanteric Fracture with Dynamic Hip Screw

SB019B S 20,800 3 N N Clinical notes Post procedure 5 and X-ray imaging study (X confirming the Ray), Post diagnosis, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.


580 SB (Orthopaedics) Fracture - Neck Femur–Intertrochanteric Fracture with Proximal Femoral Nail

SB019C S 24,100 5 N N Clinical notes Post procedure 5 and X-ray imaging study (X confirming the Ray), Post diagnosis, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.


581 SB (Orthopaedics) Ankle Fractures–Open Reduction Internal Fixation

SB020A S 19,000 7 N N Clinical notes Detailed discharge 5 and X-ray of summary Post ankle joint, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes, Invoice and barcode

of implant 582 SB (Orthopaedics) Cervical spine fixation including

odontoid –Cervical spine fixation including odontoid



583 SB (Orthopaedics) Dorsal and lumber spine fixation–Anterior

SB022A S 50,000 10 N N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports

Procedure / Operation notes, Post procedure X- ray films with reports, Detailed Discharge Summary, Invoice and barcode of implant

7

584 SB (Orthopaedics) Dorsal and lumber spine fixation–Posterior

SB022B S 40,000 2 N N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports


7

585 SB (Orthopaedics) Bone grafting for Non union –Bone grafting for Non union

SB023A S 10,000 3 Y N Clinical notes detailing earlier surgery that resulted in non- union and radiological investigations confirming the diagnosis (X- ray of affected joint), clinical photograph

Post procedure imaging study (X Ray), Post Procedure clinical photgraphof donor and recipient sites, detailed Procedure / Operative Notes. Detailed discharge summary

3

586 SB (Orthopaedics) Arthorotomy of any joint–Arthorotomy of any joint

SB024A S 14,000 7 Y N Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part

Post op clinical photgraph, detailed Procedure / Operative Notes. Detailed Discharge summary

7

587 SB (Orthopaedics) Arthrolysis of joint–Elbow SB025A S 15,000 2 Y N Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part

Post Procedure clinical photgraph, detailed Procedure / Operative Notes., Post procedure imaging study (X Ray)

4

588 SB (Orthopaedics) Arthrolysis of joint–Knee SB025B S 15,000 2 Y N Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part


4

589 SB (Orthopaedics) Arthrolysis of joint–Ankle SB025C S 15,000 2 Y N Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part


4

590 SB (Orthopaedics) Arthrodesis–Ankle / Triple with implant

SB026A S 20,000 2 Y N Clinical notes detailing indication and X-ray of ankle and foot, clinical photograph of affected part

Post procedure X- ray, Post Procedure clinical photgraph, detailed Procedure / Operative Notes, Detailed Discharge summary, Invoice and barcode of implant

5

591 SB (Orthopaedics) Arthrodesis–Shoulder SB026B S 20,000 3 Y N Clinical notes detailing indication and X-ray of ankle and foot, clinical photograph of affected part

Post procedure X- ray, Post Procedure clinical photgraph, detailed Procedure / Operative Notes, Invoice and barcode of implant

3

592 SB (Orthopaedics) Arthrodesis–Wrist SB026C S 20,000 1 Y N Clinical notes detailing indication and X-ray of ankle and foot, clinical photograph of affected part


3

593 SB (Orthopaedics) Arthrodesis–Knee SB026D S 25,000 1 Y N Clinical notes detailing indication and X-ray of ankle and foot, clinical photograph of affected part


4

594 SB (Orthopaedics) Arthrodesis–Hand SB026E S 27,000 1 Y N Clinical notes detailing indication and X-ray of ankle and foot, clinical photograph of affected part

Post procedure X- ray, Post Procedure clinical photgraph, detailed Procedure / Operative Notes.

3

595 SB (Orthopaedics) Arthrodesis–Foot SB026F S 27,000 1 Y N Clinical notes detailing indication and X-ray of ankle and foot, clinical photograph of affected part

Post procedure X- ray, Post Procedure clinical photgraph, detailed Procedure / Operative Notes, Detailed Discharge summary.

3

596 SB (Orthopaedics) Arthrodesis–Ankle / Triple without implant

SB026G S 15,000 3 Y N Clinical notes detailing indication and X-ray of ankle and foot, clinical photograph of affected part

Post procedure X- ray, Post Procedure clinical photgraph, detailed Procedure / Operative Notes, Detailed Discharge summary.

3

597 SB (Orthopaedics) Disarticulation–Hind quarter SB027A S 25,000 5 Y N Clinical notes Post Procedure 10 justifying clinical photgraph, surgery with X Ray of affected limb, clinical photograph of affected part showing the gangrene/ injury/ severe anatomical deformity

detailed Procedure / Operative Notes. Detailed Discharge summary

598 SB (Orthopaedics) Disarticulation–Fore quarter SB027B S 25,000 5 Y N Clinical notes Post Procedure 10 justifying clinical photgraph, surgery with X Ray of affected limb, clinical photograph of affected part showing the gangrene/ injury/ severe anatomical deformity

detailed Procedure / Operative Notes. Detailed Discharge summary

599 SB (Orthopaedics) Closed reduction of joint dislocation–Hip

SB028A S 7,400 1 N N Clinical notes Post procedure Daycare and X-ray imaging study (X confirming the Ray), Post diagnosis, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.

Detailed discharge summary,

600 SB (Orthopaedics) Closed reduction of joint dislocation–Shoulder

SB028B S 5,500 3 N N Clinical notes Post procedure 7 and X-ray imaging study (X confirming the Ray), Post diagnosis, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.


601 SB (Orthopaedics) Closed reduction of joint dislocation–Elbow

SB028C S 5,500 7 N N Clinical notes Post procedure Daycare and X-ray imaging study (X confirming the Ray), Post diagnosis, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.


602 SB (Orthopaedics) Closed reduction of joint dislocation–Knee

SB028D S 5,500 7 N N Clinical notes Post procedure Daycare and X-ray imaging study (X confirming the Ray), Post diagnosis, Procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.


603 SB (Orthopaedics) Open Reduction of Small Joint–Open Reduction of Small Joint

SB029A S 10,000 7 N N Clinical and Post procedure 2 radiological imaging study (X investigations Ray), Post confirming the Procedure clinical diagnosis (X- photgraph, detailed ray of affected joint), clinical photograph of child

Procedure / Operative Notes. Detailed discharge summary, Invoice and barcode of implant

604 SB (Orthopaedics) Tension Band Wiring–Tension Band Wiring



605 SB (Orthopaedics) Hemiarthroplasty–Unipolar SB031A S 18,000 7 Y N Clinical notes Post Procedure 5 and X-ray/ CT clinical photgraph, justifying the detailed discharge surgery, summary, detailed Procedure / Operative Notes. Post op X-ray

showing the implant & invoice / bar code of implant.

606 SB (Orthopaedics) Hemiarthroplasty–Bipolar (Non - Modular)

SB031B S 22,000 7 Y N Clinical notes Post Procedure 7 and X-ray/ CT clinical photgraph, justifying the detailed discharge surgery, summary, detailed Procedure / Operative Notes. Post op X-ray

showing the implant & invoice / bar code of implant.

607 SB (Orthopaedics) Hemiarthroplasty–Bipolar (Modular) SB031C S 35,000 7 Y N Clinical notes and X-ray/ CT justifying the surgery,

Post Procedure clinical photgraph, detailed discharge summary, detailed Procedure / Operative Notes. Post op X-ray showing the implant & invoice / bar code of implant.

7

608 SB (Orthopaedics) AC Joint reconstruction / Stabilization–Rockwood Type - I

SB032A S 30,500 7 Y N Clinical notes detailing Rockwood type of fracture, X- ray/ MRI and justification of surgery done

Post-op X-ray of operated limb, Post Procedure clinical photgraph, detailed Procedure / Operative Notes, Detailed Discharge summary, Invoice and barcode of implant

4

609 SB (Orthopaedics) AC Joint reconstruction / Stabilization–Rockwood Type - II

SB032B S 30,500 7 Y N Clinical notes detailing Rockwood type of fracture, X- ray/ MRI and justification of surgery done


4

610 SB (Orthopaedics) AC Joint reconstruction / Stabilization–Rockwood Type - III

SB032C S 30,500 7 Y N Clinical notes detailing Rockwood type of fracture, X- ray/ MRI and justification of surgery done


4

611 SB (Orthopaedics) AC Joint reconstruction / Stabilization–Rockwood Type - IV

SB032D S 30,500 0 Y N Clinical notes detailing Rockwood type of fracture, X- ray/ MRI and justification of surgery done


4

612 SB (Orthopaedics) AC Joint reconstruction / Stabilization–Rockwood Type - V

SB032E S 30,500 0 Y N Clinical notes detailing Rockwood type of fracture, X- ray/ MRI and justification of surgery done


4

613 SB (Orthopaedics) AC Joint reconstruction / Stabilization–Rockwood Type - VI

SB032F S 30,500 0 Y N Clinical notes detailing Rockwood type of fracture, X- ray/ MRI and justification of surgery done


4

614 SB (Orthopaedics) Excision Arthoplasty of Femur head–Excision Arthoplasty of Femur head

SB033A S 17,500 0 Y N Clinical notes detailing indication and X-ray, clinical photograph of affected part

Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary

5

615 SB (Orthopaedics) Open Reduction of CDH–Open Reduction of CDH

SB034A S 20,000 0 N N Clinical and radiological investigations confirming the diagnosis (X- ray of both hips), clinical photograph

Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary

5

616 SB (Orthopaedics) Patellectomy–Patellectomy SB035A S 11,000 0 N N Clinical notes and X-ray of the patella justifying the procedure, clinical photograph of affected part

Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary

5

617 SB (Orthopaedics) Arthroscopic Meniscus Repair / Meniscectomy–Arthroscopic Meniscus Repair / Meniscectomy

SB036A S 12,000 0 Y N Clinical notes and MRI justifying procedure

Intra operative still image, post procedure clinical photgraph, detailed Procedure / Operative Notes, Detailed Discharge summary.

2

618 SB (Orthopaedics) Elbow replacement–Elbow replacement

SB037A S 45,100 0 Y N Clinical notes and X-ray/ CT justifying the surgery


5

619 SB (Orthopaedics) Total Hip Replacement–Cemented SB038A S 70,000 0 Y N Clinical notes and X-ray/ CT justifying the surgery

Post Procedure X- ray showing implant, detailed Procedure / Operative Notes. Bar code of implant & cement used, Detailed discharge summary

7

620 SB (Orthopaedics) Total Hip Replacement–Cementless SB038B S 97,000 0 Y N Clinical notes and X-ray/ CT justifying the surgery

Post Procedure X- ray showing implant, detailed Procedure / Operative Notes. Bar code of implant used, Detailed discharge summary

7

621 SB (Orthopaedics) Total Hip Replacement–Hybrid SB038C S 77,000 0 Y N Clinical notes and X-ray/ CT justifying the surgery

Post Procedure X- ray showing implant, detailed Procedure / Operative Notes. Bar code of implant / cement used, Detailed discharge summary

7

622 SB (Orthopaedics) Total Hip Replacement–Revision - Total Hip Replacement

SB038D S 140,000 0 Y N Clinical notes and X-ray/ CT justifying the surgery

Post Procedure X- ray showing implant, detailed Procedure / Operative Notes. Bar code of implant / cement used, Detailed discharge summary

7

623 SB (Orthopaedics) Total Knee Replacement–Primary - Total Knee Replacement

SB039A S 80,000 0 Y N Clinical notes and X-ray/ CT justifying the surgery


5

624 SB (Orthopaedics) Total Knee Replacement–Revision - Total Knee Replacement

SB039B S 130,000 0 Y N Clinical notes and X-ray/ CT justifying the surgery


5

625 SB (Orthopaedics) Bone Tumour Excision (malignant) including GCT + Joint replacement (depending upon type of joint and implant)–Bone Tumour Excision (malignant) including GCT + Joint replacement (depending upon type of joint and implant)

SB040A S 177,000 0 Y N Clinical notes Post procedure 7 justifying need imaging study (X of this surgery and X-ray/ MRI of affected part, Biopsy, clinical photograph of affected part

Ray), Post Procedure with implant; invoice and barcode of implant. detailed Procedure / Operative Notes. Histopathology of excised tissue, Detailed Discharge summary

626 SB (Orthopaedics) Bone Tumour Excision + reconstruction–Bone Tumour Excision + reconstruction


Ray), Post procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, invoice and barcode of implant

627 SB (Orthopaedics) Bone Tumour (benign) curettage / Excision and bone grafting–Bone Tumour (benign) curettage / Excision and bone grafting


Ray), Post Procedure clinical photgraph of both donor and recipient sites, detailed Procedure / Operative Notes. Histopathology of curreted tissue, Detailed Discharge summary

628 SB (Orthopaedics) Single Stage Amputation–Above Elbow

SB043A S 15,000 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

629 SB (Orthopaedics) Single Stage Amputation–Below Elbow

SB043B S 15,000 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

630 SB (Orthopaedics) Single Stage Amputation–Above Knee SB043C S 15,000 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

631 SB (Orthopaedics) Single Stage Amputation–Below Knee SB043D S 15,000 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

632 SB (Orthopaedics) Single Stage Amputation–Foot SB043E S 15,000 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

633 SB (Orthopaedics) Single Stage Amputation–Hand SB043F S 15,000 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

634 SB (Orthopaedics) Single Stage Amputation–Wrist SB043G S 15,000 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

635 SB (Orthopaedics) Two Stage Amputation–Above Elbow SB044A S 23,200 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

636 SB (Orthopaedics) Two Stage Amputation–Below Elbow SB044B S 23,200 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

637 SB (Orthopaedics) Two Stage Amputation–Above Knee SB044C S 23,200 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

638 SB (Orthopaedics) Two Stage Amputation–Below Knee SB044D S 23,200 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

639 SB (Orthopaedics) Two Stage Amputation–Foot SB044E S 23,200 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

640 SB (Orthopaedics) Two Stage Amputation–Hand SB044F S 23,200 0 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

641 SB (Orthopaedics) Two Stage Amputation–Wrist SB044G S 23,200 10 N N X Ray of Post Procedure 5 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

642 SB (Orthopaedics) Amputation - Fingers / Toes–Finger(s) SB045A S 10,400 10 N N X Ray of Post Procedure 2 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

643 SB (Orthopaedics) Amputation - Fingers / Toes–Toe(s) SB045B S 10,400 10 N N X Ray of Post Procedure 2 affected limb, clinical photgraph, clinical notes detailed Procedure / and clinical Operative Notes. photograph of Detailed discharge affected part summary justifying the indication; MLC/ FIR if traumatic

644 SB (Orthopaedics) Tendon Grafting / Repair–Tendon Grafting

SB046A S 15,000 10 Y N Clinical notes Post Procedure 3 detailing clinical photgraph of jusification of donor and receipent surgery, clinical sites; detailed photograph of Procedure / affected part Operative Notes.


645 SB (Orthopaedics) Tendon Grafting / Repair–Tendon Repair

SB046B S 15,000 10 Y N Clinical notes Post Procedure 3 detailing clinical photgraph; jusification of detailed Procedure / surgery, clinical Operative Notes. photograph of Detailed discharge affected part summary

646 SB (Orthopaedics) Tendon Release / Tenotomy–Tendon Release / Tenotomy

SB047A S 5,000 10 Y N Clinical notes Post Procedure Daycare and justifying clinical photgraph, need of detailed Procedure / surgery, clinical Operative Notes. photograph of Detailed discharge affected part summary

647 SB (Orthopaedics) Tenolysis–Tenolysis SB048A S 5,000 10 Y N Clinical notes Post Procedure Daycare and justifying clinical photgraph, need of detailed Procedure / surgery, clinical Operative Notes photograph of including agent affected part used for lysis of

tendon. Detailed discharge summary

648 SB (Orthopaedics) Reconstruction of Cruciate Ligament with implant and brace–Anterior

SB049A S 42,700 10 Y N Clinical notes Post Procedure 3 and MRI scan clinical photgraph, of affected detailed Procedure / knee, Clinical Operative Notes. photograph of Post proedure X-ray affected part showing implant;

ensure brace is provided in package cost, Detailed Discharge summary

649 SB (Orthopaedics) Reconstruction of Cruciate Ligament with implant and brace–Posterior

SB049B S 42,700 10 Y N Clinical notes Post Procedure 3 and MRI scan clinical photgraph, of affected detailed Procedure / knee, Clinical Operative Notes. photograph of Post proedure X-ray affected part showing implant;

ensure brace is provided in package cost, Detailed Discharge summary

650 SB (Orthopaedics) Fasciotomy–Fasciotomy SB050A S 10,500 10 Y N Clinical Detailed discharge 2 documents summary, Post justifying Procedure clinical surgery with photgraph, detailed USG Evidence, Procedure / clinical Operative Notes. photograph of affected part

651 SB (Orthopaedics) Duputryen’s Contracture release + rehabilitation–Duputryen’s Contracture release + rehabilitation

SB051A S 8,500 10 Y N Clinical notes Detailed discharge 4 and clinical summary Post photograph of Procedure clinical affected part photgraph, detailed confirming the Procedure / diagnosis Operative Notes.

652 SB (Orthopaedics) Debridement & Closure of injuries - contused lacerated wounds–Anti- biotic + dressing - minimum of 5 sessions

SB052A S 10,900 10 N N Clinical notes +/-X-ray confirming the diagnosis, clinical photograph of affected part

Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary Evidence of 5 sessions dressing

6

653 SB (Orthopaedics) Debridement & Closure of injuries - contused lacerated wounds–Anti- biotic + dressing - minimum of 2 sessions

SB052B S 3,000 7 N N Clinical notes +/-X-ray confirming the diagnosis, clinical photograph of affected part

Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary Evidence of 2 sessions dressing

Daycare

654 SB (Orthopaedics) Sequestectomy / Curettage–Sequestectomy / Curettage

SB053A S 10,000 3 Y N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports

Procedure / Operation notes, Post procedure X- ray films with reports, Detailed Discharge Summary

4

655 SB (Orthopaedics) Spine deformity correction–Spine deformity correction

SB054A S 40,000 7 Y N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports


7

656 SB (Orthopaedics) Osteotomy–Long Bone SB055A S 23,000 5 Y N Clinical notes Post procedure 5 and X-ray of the affected bone justifying the procedure, clinical photograph of affected part

imaging study (X Ray), Post procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, invoice and barcode of implant

657 SB (Orthopaedics) Osteotomy–Small Bone SB055B S 10,000 0 Y N Clinical notes Post procedure 4 and X-ray of the affected bone justifying the procedure, clinical photograph of affected part

imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary

658 SB (Orthopaedics) Pelvic Osteotomy and fixation–Pelvic Osteotomy and fixation

SB056A S 20,000 5 Y N Clinical notes Post procedure 7 and X-ray of the patella justifying the procedure, clinical photograph of affected part

imaging study (X Ray) showing the implant, Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Invoice and barcode of implant used. Detailed discharge summary

659 SB (Orthopaedics) High Tibial Osteotomy–High Tibial Osteotomy

SB057A S 23,000 3 Y N Clinical notes Post procedure 5 and X-ray imaging study (X confirming the Ray), Post diagnosis, procedure clinical clinical photgraph, detailed photograph of Procedure / affected part Operative Notes.

Detailed discharge summary, invoice and barcode of implant

660 SB (Orthopaedics) Ilizarov Fixation–Ilizarov Fixation SB058A S 25,000 5 Y N Clinical and Post Procedure 6 radiological clinical photgraph / investigations Post procedure X- confirming the ray showing indication, implant; detailed clinical Procedure / photograph of Operative Notes. affected part Detailed discharge


661 SB (Orthopaedics) Limb Lengthening / Bone Transport by Ilizarov–Limb Lengthening / Bone Transport by Ilizarov

SB059A S 35,700 3 Y N Clinical and Post procedure 8 radiological clinical photograph; investigations Intra procedure still confirming the pictures; Detailed diagnosis, discharge summary clinical Detailed Procedure photograph of / Operative Notes, affected part Invoice and barcode showing short of implant limb as compared to other limb

662 SB (Orthopaedics) Growth Modulation and fixation–Growth Modulation and fixation

SB060A S 10,000 5 Y N Clinical notes Procedure / 6 with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Detailed planned line of treatment, X- ray films with reports


663 SB (Orthopaedics) Corrective Surgery for foot deformities–Vertical Talus

SB061A S 15,000 5 Y N Clinical notes Procedure / 5 with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Detailed planned line of treatment, X- ray films with reports

Discharge Summary

664 SB (Orthopaedics) Corrective Surgery for foot deformities–Other foot deformities

SB061B S 15,000 5 Y N Clinical notes Procedure / 5 with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Detailed planned line of treatment, X- ray films with reports

Discharge Summary

665 SB (Orthopaedics) Correction of club foot per cast–Correction of club foot per cast

SB062A S 3,000 3 Y N Clinical notes Post Procedure Daycare and X-ray clinical photgraph confirming the with cast, detailed diagnosis, Procedure / clinical Operative Notes, photograph of Detailed Discharge affected part summary.

666 SB (Orthopaedics) Corrective Surgery in Club Foot / JESS Fixator–Corrective Surgery in Club Foot / JESS Fixator

SB063A S 20,000 5 Y N Clinical notes Procedure / Daycare with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Detailed planned line of treatment, X- ray films with reports


667 SB (Orthopaedics) Excision of Osteochondroma / Exostosis–Osteochondroma

SB064A S 10,000 3 Y N Clinical notes Post Procedure 3 justifying clinical photgraph, surgery with detailed Procedure / evidence from Operative X-ray / MRI Notes.Detailed scan of affected part, clinical photograph of affected part

Discharge summary Histopath of removed tissue

668 SB (Orthopaedics) Excision of Osteochondroma / Exostosis–Exostosis

SB064B S 10,000 3 Y N Clinical notes Post Procedure 3 justifying clinical photgraph, surgery with detailed Procedure / evidence from Operative X-ray / MRI Notes.Detailed scan of affected part, clinical photograph of affected part

Discharge summary Histopath of removed tissue

669 SB (Orthopaedics) Excision of Bursa–Excision of Bursa SB065A S 3,000 2 Y N Clinical notes Detailed discharge Daycare detailing summary, Post findings Procedure clinical confirming the photgraph, detailed diagnosis, Procedure / clinical Operative Notes. photograph of affected part

670 SB (Orthopaedics) Nerve Transposition / Release / Neurolysis–Nerve Transposition

SB066A S 13,000 1 Y N Clinical notes justifying surgery with evidence of MRI / EMG/ NCV

Intra Procedure still images, detailed Procedure / Operative Notes. Detailed Discharge summary

3

671 SB (Orthopaedics) Nerve Transposition / Release / Neurolysis–Nerve Release

SB066B S 13,000 2 Y N Clinical notes justifying surgery with evidence of MRI / EMG/ NCV


3

672 SB (Orthopaedics) Nerve Transposition / Release / Neurolysis–Nerve Neurolysis

SB066C S 13,000 5 Y N Clinical notes justifying surgery with evidence of MRI / EMG/ NCV


3

673 SB (Orthopaedics) Nerve Repair Surgery–Nerve Repair Surgery

SB067A S 13,800 3 Y N Clinical notes justifying surgery with evidence of MRI / EMG/ NCV

Intra procedure still images, Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary

4

674 SB (Orthopaedics) Nerve root block–Nerve root block SB068A S 3,000 3 Y N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports


Daycare

675 SB (Orthopaedics) Exploration and Ulnar nerve Repair–Exploration and Ulnar nerve Repair

SB069A S 9,800 3 Y N Clinical +/- and radiological investigations confirming the need of surgery; +/- NCV report

Detailed discharge summary, Post Procedure clinical photgraph, detailed Procedure / Operative Notes.

4

676 SB (Orthopaedics) Implant Removal under LA–K - Wire SB070A S 5,000 3 Y N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports


Daycare

677 SB (Orthopaedics) Implant Removal under LA–Screw SB070B S 5,000 3 Y N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports


Daycare

678 SB (Orthopaedics) Implant Removal under RA / GA–Nail SB071A S 15,000 1 Y N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports


2

679 SB (Orthopaedics) Implant Removal under RA / GA–Plate

SB071B S 15,000 1 Y N Clinical notes Procedure / 2 with planned Operation notes, line of Post procedure X- treatment ray films with including reports, Detailed planned line of treatment, X- ray films with reports

Discharge Summary

680 SC (Surgical Glossectomy–Hemiglossectomy SC001A S 24,000 3 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,

line of Post Procedure treatment and Photographs of FNAC/ surgical site, HPE BIOPSY, CECT report, Detailed

Discharge Summary

681 SC (Surgical Glossectomy–Total Glossectomy SC001B S 30,000 2 Y N Clinical notes Procedure / 11 Oncology) with planned Operative Notes,


Discharge Summary

682 SC (Surgical Palatectomy–Soft palate SC002A S 20,000 3 Y N Clinical notes, detailed Procedure / Operative Notes, Clinical photgraph showing scar, detailed discharge summary, HPE

4 Oncology) Biopsy and

clinical photograph +/- CT/ MRI

683 SC (Surgical Palatectomy–Hard palate SC002B S 20,000 5 Y N Clinical notes, detailed Procedure / Operative Notes, Clinical photgraph showing scar, detailed discharge summary, HPE

6 Oncology) Biopsy and

clinical photograph +/- CT/ MRI

684 SC (Surgical Maxillectomy–Partial SC003A S 27,000 2 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed discharge summary

6 Oncology) and Biopsy,

CECT

685 SC (Surgical Maxillectomy–Radical SC003B S 33,000 3 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed Discharge summary


CECT

686 SC (Surgical Maxillectomy–Total SC003C S 30,000 3 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed Discharge summary


CECT

687 SC (Surgical Composite resection (Oral Cavity)–Composite resection (Oral Cavity)

SC004A S 40,000 3 Y N Clinical notes, detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary

8 Oncology) Biopsy, CT

reports and clinical photograph

688 SC (Surgical Oesophageal / Tracheal stenting–Oesophageal stenting

SC005A S 45,000 1 Y N Clinical notes Barcode of Stent; Detailed Procedure / Operative Notes, Detailed Discharge summary.

4 Oncology) and CECT,

OGD Scopy

689 SC (Surgical Oesophageal / Tracheal stenting–Tracheal stenting

SC005B S 45,000 3 Y N Clinical notes Barcode of Stent; Detailed Procedure / Operative Notes,Detailed Discharge summary

4 Oncology) and CECT,

OGD Scopy

690 SC (Surgical Transthoracic esophagectomy: 2F / 3F–Open

SC006A S 60,000 3 Y N Clinical notes Procedure / 7 Oncology) with planned Operative Notes,


Discharge Summary

691 SC (Surgical Transthoracic esophagectomy: 2F / 3F–MIS

SC006B S 60,000 1 Y N Clinical notes Procedure / 7 Oncology) with planned Operative Notes,


Discharge Summary

692 SC (Surgical Gastric pull-up / Jejunal Graft–Gastric pull-up / Jejunal Graft



Discharge Summary

693 SC (Surgical Radical Small Bowel Resection–Open SC008A S 33,000 1 Y N Clinical notes Procedure / 7 Oncology) with planned Operative Notes,


Discharge Summary

694 SC (Surgical Radical Small Bowel Resection–Lap. SC008B S 33,000 2 Y N Clinical notes Procedure / 7 Oncology) with planned Operative Notes,


Discharge Summary

695 SC (Surgical Intersphincteric resection–Open SC009A S 40,200 1 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,

line of HPE report, treatment and Detailed Discharge FNAC/ Summary BIOPSY, CECT

696 SC (Surgical Intersphincteric resection–Lap. SC009B S 40,200 3 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,

line of HPE report, treatment and Detailed Discharge FNAC/ Summary BIOPSY, CECT

697 SC (Surgical Surgery for Abdominal wall tumour–Abdominal wall tumour resection

SC010A S 25,000 3 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary

3 Oncology) and CT

abdomen reports; biopsy

698 SC (Surgical Surgery for Abdominal wall tumour–Abdominal wall tumour resection with reconstruction

SC010B S 39,000 3 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary

6 Oncology) and CT

abdomen reports; biopsy

699 SC (Surgical Exploratory laparotomy f / b diversion stoma / bypass–Exploratory laparotomy f / b diversion stoma


line of Post Procedure treatment, Photographs of CECT surgical site, HPE

report, Detailed Discharge Summary

700 SC (Surgical Exploratory laparotomy f / b diversion stoma / bypass–Exploratory laparotomy f / b diversion bypass


line of Post Procedure treatment, Photographs of CECT surgical site, HPE


701 SC (Surgical Abdominoperineal resection–Open SC012A S 39,600 3 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,

line of HPE report, treatment, HPE Detailed Discharge Summary

702 SC (Surgical Abdominoperineal resection–Lap. SC012B S 39,600 3 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,

line of HPE report, treatment, HPE Detailed Discharge Summary

703 SC (Surgical Omentectomy–Omentectomy SC013A S 21,000 3 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,

line of Post Procedure treatment, HPE Photographs of surgical site, HPE


704 SC (Surgical Procedures Requiring Bypass Techniques–Procedures Requiring Bypass Techniques




705 SC (Surgical Segmentectomy - hepatobiliary system–Segmentectomy - hepatobiliary system



CECT/ MRI

706 SC (Surgical Radical / Revision Cholecystectomy–Radical


6 Oncology) and CECT/MRI

reports; biopsy

707 SC (Surgical Radical / Revision Cholecystectomy–Revision

SC016B S 39,600 1 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary

6 Oncology) and CECT/MRI

reports; biopsy

708 SC (Surgical Enucleation of pancreatic neoplasm–Enucleation of pancreatic neoplasm

SC017A S 39,600 1 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary

6 Oncology) and CECT/ MRI

& biopsy and IHC report

709 SC (Surgical Hepatoblastoma SC018A S 52,200 1 Y N Clinical notes Procedure / 8 Oncology) Excision–Hepatoblastoma Excision with planned Operative Notes,

line of Post Procedure treatment, HPE, Photographs of CT surgical site, HPE


710 SC (Surgical Hemipelvectomy - SC019A S 54,000 1 Y N Clinical notes Procedure / 11 Oncology) Internal–Hemipelvectomy - Internal with planned Operative Notes,

line of Post Procedure treatment, HPE, Photographs of CT surgical site, HPE


711 SC (Surgical Pelvic Exenteration–Anterior - Open SC020A S 58,800 2 Y N Clinical notes Procedure / 15 Oncology) with planned Operative Notes,

line of HPE report, treatment, HPE, Detailed Discharge CT Summary

712 SC (Surgical Pelvic Exenteration–Anterior - Lap. SC020B S 58,800 2 Y N Clinical notes Procedure / 15 Oncology) with planned Operative Notes,


713 SC (Surgical Pelvic Exenteration–Total - Open SC020C S 58,800 1 Y N Clinical notes Procedure / 15 Oncology) with planned Operative Notes,


714 SC (Surgical Pelvic Exenteration–Total - Lap. SC020D S 58,800 2 Y N Clinical notes Procedure / 15 Oncology) with planned Operative Notes,


715 SC (Surgical Wilms tumors: surgery–Wilms tumors: surgery


line of Post Procedure treatment, Photographs of Biopsy/HPE, surgical site, HPE CT abdomen report, Detailed

Discharge Summary

716 SC (Surgical Ureteric end to end anastomosis –Ureteric end to end anastomosis

SC022A S 24,000 1 Y N CT KUB, Procedure / 6 Oncology) Clinical notes Operative Notes,

with planned Post Procedure line of Photographs of treatment surgical site, HPE


717 SC (Surgical Distal ureterectomy with reimplantation–Distal ureterectomy with reimplantation




718 SC (Surgical Radical cystectomy–With continent diversion - Open

SC024A S 98,000 1 Y N HPE, Clinical Procedure / 8 Oncology) notes with Operative Notes,

planned line of Post Procedure treatment, CT Photographs of surgical site, HPE


719 SC (Surgical Radical cystectomy–With Ileal Conduit - Open

SC024B S 88,000 1 Y N HPE, Clinical Procedure / 8 Oncology) notes with Operative Notes,



720 SC (Surgical Radical cystectomy–With Ileal Conduit - Lap.

SC024C S 88,000 1 Y N HPE, Clinical Procedure / 8 Oncology) notes with Operative Notes,



721 SC (Surgical Radical cystectomy–With neobladder - Open

SC024D S 98,000 5 Y N HPE, Clinical Procedure / 11 Oncology) notes with Operative Notes,



722 SC (Surgical Radical cystectomy–With neobladder - Lap

SC024E S 98,000 3 Y N HPE, Clinical Procedure / 11 Oncology) notes with Operative Notes,



723 SC (Surgical Radical cystectomy–With SC024F S 75,000 2 Y N HPE, Clinical Procedure / 8 Oncology) ureterosigmoidostomy - Open notes with Operative Notes,



724 SC (Surgical Radical cystectomy–With SC024G S 75,000 5 Y N HPE, Clinical Procedure / 8 Oncology) ureterosigmoidostomy - Lap notes with Operative Notes,



725 SC (Surgical Radical cystectomy–With SC024H S 70,000 3 Y N HPE, Clinical Procedure / 8 Oncology) ureterostomy -Open notes with Operative Notes,



726 SC (Surgical Radical cystectomy–With SC024I S 70,000 3 Y N HPE, Clinical Procedure / 8 Oncology) ureterostomy -Lap. notes with Operative Notes,



727 SC (Surgical Channel TURP–Channel TURP SC025A S 22,800 7 Y N Clinical notes Procedure / 4 Oncology) with planned Operative Notes,

line of HPE report, treatment, PSA, Detailed Discharge USG- prostate Summary

728 SC (Surgical Radical Urethrectomy –Radical Urethrectomy




729 SC (Surgical Penile preserving surgery (WLE, Glansectomy, Laser)–Penile preserving surgery (WLE, Glansectomy, Laser)


planned line of HPE report, treatment Detailed Discharge Summary

730 SC (Surgical Excision of undescended testicular mass –Excision of undescended testicular mass

SC028A S 24,000 7 Y N CT, Clinical Procedure / 5 Oncology) notes with Operative Notes,

planned line of HPE report, treatment Detailed Discharge Summary

731 SC (Surgical Germ Cell Tumour Excision–Germ Cell Tumour Excision

SC029A S 30,000 7 Y N Beta HCG, Procedure / 6 Oncology) AFP, USG, CT, Operative Notes,

Clinical notes HPE report, with planned Detailed Discharge line of

treatment Summary

732 SC (Surgical Bilateral salpingoophorectomy–Open SC030A S 21,000 2 Y N Clinical notes Procedure / 5 Oncology) with planned Operative Notes,



733 SC (Surgical Bilateral salpingoophorectomy–Lap. SC030B S 21,000 1 Y N Clinical notes Procedure / 5 Oncology) with planned Operative Notes,



734 SC (Surgical Leiomyoma excision–Open SC031A S 42,000 1 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,

line of Post Procedure treatment, USG Photographs of surgical site, HPE


735 SC (Surgical Leiomyoma excision–MIS SC031B S 42,000 5 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,

line of Post Procedure treatment, USG Photographs of surgical site, HPE


736 SC (Surgical Radical Hysterectomy–Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Lap.


line of Post Procedure treatment and Photographs of Biopsy, CECT/ surgical site, HPE MRI report, Detailed

Discharge Summary

737 SC (Surgical Radical Hysterectomy–Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Open



Discharge Summary

738 SC (Surgical Radical Hysterectomy–Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Lap.

SC032C S 27,000 0 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,


Discharge Summary

739 SC (Surgical Radical Hysterectomy–Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Open

SC032D S 27,000 3 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,


Discharge Summary

740 SC (Surgical Radical Hysterectomy–Class II radical hysterctomy + BPLND

SC032E S 27,000 5 Y N Clinical notes Procedure / 11 Oncology) with planned Operative Notes,


Discharge Summary

741 SC (Surgical Radical Hysterectomy–Class III radical hysterctomy + BPLND

SC032F S 27,000 5 Y N Clinical notes Procedure / 11 Oncology) with planned Operative Notes,


Discharge Summary

742 SC (Surgical Radical Hysterectomy–Hysterectomy SC032G S 34,000 5 Y N Clinical notes Procedure / 13 Oncology) + bilateral salpingoophorectomy + with planned Operative Notes,

omentectomy + peritonectomy and line of Post Procedure organ resections treatment and Photographs of Biopsy, CECT/ surgical site, HPE MRI report, Detailed

Discharge Summary

743 SC (Surgical Radical vaginectomy–Radical SC033A S 30,000 3 Y N Clinical notes HPE report, detailed Procedure / Operative Notes. Detailed discharge summary

6 Oncology) vaginectomy and CECT,

biopsy

744 SC (Surgical Vulvectomy + reconstruction procedures–Vulvectomy + reconstruction procedures


line of HPE report, treatment, Detailed Discharge Biopsy/HPE Summary

745 SC (Surgical Radical Trachelectomy–Radical SC035A S 40,000 2 Y N Clinical notes HPE report, detailed Procedure / Operative Notes. Detailed discharge summary , Post procedure Clinical photgraph showing scar

11 Oncology) Trachelectomy and CECT,

biopsy

746 SC (Surgical Sacral Tumour Excision–Anterior + Posterior approach




747 SC (Surgical Sacral Tumour Excision–Posterior approach




748 SC (Surgical Resection of nasopharyngeal tumour–Resection of nasopharyngeal tumour


8 Oncology) and Biopsy of

primary, CECT/MRI

749 SC (Surgical Total Pharyngectomy–Total SC038A S 36,000 2 Y N Clinical notes Procedure / 8 Oncology) Pharyngectomy with planned Operative Notes,

line of Post Procedure treatment, HPE, Photographs of CT / MRI surgical site, HPE


750 SC (Surgical Parapharyngeal Tumour SC039A S 31,200 2 Y N Clinical notes Procedure / 6 Oncology) Excision–Parapharyngeal Tumour with planned Operative Notes,

Excision line of Post Procedure treatment, HPE, Photographs of CT / MRI surgical site, HPE


751 SC (Surgical Laryngectomy–Partial laryngectomy SC040A S 69,000 2 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed Discharge summary

6 Oncology) (voice preserving) and Biopsy,

CECT film and report

752 SC (Surgical Laryngectomy–Total Laryngectomy SC040B S 36,000 2 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report


CECT film and report

753 SC (Surgical Tracheal resection–Tracheal SC041A S 36,000 2 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed discharge summary

8 Oncology) resection and CECT/

Biopsy confirming diagnosis

754 SC (Surgical Tracheal / Carinal resection–Tracheal / Carinal resection




755 SC (Surgical Tracheal Stenosis (End to end Anastamosis) (Throat)–Tracheal Stenosis (End to end Anastamosis) (Throat)




756 SC (Surgical Central airway tumour debulking–Central airway tumour debulking




757 SC (Surgical Diagnostic thoracoscopy–Diagnostic SC045A S 15,000 2 Y N Cinical notes, Procedure / 3 Oncology) thoracoscopy radiological Operative Notes,

evidence for Post Procedure indication Photographs of surgical site, HPE


758 SC (Surgical Sleeve resection of lung cancer–Sleeve resection of lung cancer


7 Oncology) and FNAC/

BIOPSY, CECT

759 SC (Surgical Mediastinoscopy–Diagnostic SC047A S 22,200 5 Y N Cinical notes, Procedure / 2 Oncology) radiological Operative Notes,



760 SC (Surgical Mediastinoscopy–Staging SC047B S 22,200 0 Y N Cinical notes, Procedure / 2 Oncology) radiological Operative Notes,



761 SC (Surgical Removal of Chest Wall Tumour–Chest Wall Tumour Excision


line of Post Procedure treatment and Photographs of HPE, CT surgical site, HPE


762 SC (Surgical Removal of Chest Wall Tumour–Removal of chest wall tumour with reconstruction


line of Post Procedure treatment and Photographs of HPE, CT surgical site, HPE


763 SC (Surgical Pleurectomy SC049A S 39,000 1 Y N Clinical notes Procedure / 5 Oncology) Decortication–Pleurectomy with planned Operative Notes,

Decortication line of Post Procedure treatment and Photographs of HPE, CT surgical site, HPE


764 SC (Surgical Chamberlain procedure–Chamberlain SC050A S 22,200 1 Y N Clinical notes Procedure / 2 Oncology) procedure with planned Operative Notes,

line of Post Procedure treatment and Photographs of CT Thorax surgical site, HPE


765 SC (Surgical Extrapleural SC051A S 66,000 1 Y N Clinical notes Procedure / 7 Oncology) pneumonectomy–Extrapleural with planned Operative Notes,

pneumonectomy line of Post Procedure treatment, HPE, Photographs of CT surgical site, HPE


766 SC (Surgical Pneumonectomy–Pneumonectomy SC052A S 54,000 3 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,

line of Post Procedure treatment and Photographs of CT Thorax, surgical site, HPE biopsy report, Detailed

Discharge Summary

767 SC (Surgical Lung metastectomy–Open SC053A S 30,000 5 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary


BIOPSY, CECT

768 SC (Surgical Lung metastectomy–VATS SC053B S 30,000 5 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary


BIOPSY, CECT

769 SC (Surgical Thoracostomy–Thoracostomy SC054A S 19,800 5 Y N Clinical notes Procedure / 2 Oncology) with planned Operative Notes,

line of Post Procedure treatment, Photographs of clinical surgical site, HPE photograph report, Detailed

Discharge Summary

770 SC (Surgical Mediastinal lymphadenectomy–Open SC055A S 36,000 5 Y N Clinical notes Procedure / 4 Oncology) with planned Operative Notes,

line of Post Procedure treatment, CT Photographs of surgical site, HPE


771 SC (Surgical Mediastinal lymphadenectomy–Video - assisted


line of Post Procedure treatment, CT Photographs of surgical site, HPE


772 SC (Surgical Mediastinal mass excision with lung resection–Mediastinal mass excision with lung resection



Discharge Summary

773 SC (Surgical Segmental resection of lung–Open SC057A S 42,000 1 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,


Discharge Summary

774 SC (Surgical Segmental resection of lung–Thoracoscopic



Discharge Summary

775 SC (Surgical Wedge resection lung–Open SC058A S 36,000 1 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,


Discharge Summary

776 SC (Surgical Wedge resection lung–Thoracoscopic SC058B S 36,000 3 Y N Clinical notes Procedure / 6 Oncology) with planned Operative Notes,


Discharge Summary

777 SC (Surgical Breast conserving surgery–Breast conserving surgery (lumpectomy + axillary surgery)

SC059A S 22,800 3 Y N Clinical notes detailed Procedure / Operative Notes, HPE report; detailed discharge summary

3 Oncology) and

Mammography, FNAC/ BIOPSY; CT/ MRI

778 SC (Surgical Breast conserving surgery–Breast conserving surgery with Oncoplasty

SC059B S 24,600 2 Y N Clinical notes detailed Procedure / Operative Notes, HPE report; detailed discharge summary

4 Oncology) and

Mammography, FNAC/ BIOPSY; CT/ MRI

779 SC (Surgical Axillary Sampling / Sentinel Node Biopsy–Axillary Sampling / Sentinel Node Biopsy

SC060A S 16,200 2 Y N FNAC, Clinical Procedure / 3 Oncology) notes with Operative Notes,

planned line of Post Procedure treatment Photographs of surgical site, HPE


780 SC (Surgical Axillary dissection–Axillary dissection SC061A S 19,800 2 Y N Clinical notes detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary


BIOPSY, CECT/ Chest X-

ray

781 SC (Surgical Scalp tumour excision with skull bone excision–Scalp tumour excision with skull bone excision


planned line of Post Procedure treatment, Photographs of surgical site, HPE


782 SC (Surgical Neuroblastoma SC063A S 60,000 4 Y N HPE, Clinical Procedure / 8 Oncology) Excision–Neuroblastoma Excision notes with Operative Notes,



783 SC (Surgical Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus–Growth - Squamous




784 SC (Surgical Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus–Growth - Basal

SC064B S 21,600 3 Y N HPE, Clinical Procedure / 2 Oncology) notes with Operative Notes,



785 SC (Surgical Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus–Injury

SC064C S 21,600 2 Y N Clinical notes Procedure / 2 Oncology) with planned Operative Notes,

line of Post Procedure treatment, Photographs of Clinical surgical site, HPE photograph report, Detailed

Discharge Summary

786 SC (Surgical Neck dissection - comprehensive–Neck dissection - comprehensive

SC065A S 16,000 2 Y N Clinical notes, detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary

4 Oncology) USG/ CT neck

and Biopsy/FNAC

787 SC (Surgical Benign Soft Tissue Tumour - Excision–Benign Soft Tissue Tumour - Excision




788 SC (Surgical Malignant Soft Tissue Tumour - Excision–Malignant Soft Tissue Tumour - Excision




789 SC (Surgical Regional flap–Myocutaneous flap SC068A S 30,600 3 Y N Clinical notes detailed Procedure / Operative Notes, Clinical photgraph showing scar, detailed discharge summary


primary

790 SC (Surgical Regional flap–Fasciocutaneous flap SC068B S 30,600 3 Y N Clinical notes detailed Procedure / Operative Notes, Clinical photgraph showing scar, detailed discharge summary


primary

791 SC (Surgical Rotationplasty–Rotationplasty SC069A S 45,000 1 Y N Clinical notes Procedure / 7 Oncology) with planned Operative Notes,

line of Post Procedure treatment Photographs of surgical site, Detailed Discharge Summary

792 SC (Surgical Bone tumors / soft tissue sarcomas: surgery–Bone tumors / soft tissue sarcomas: surgery




793 SC (Surgical Endoprosthesis Revision–Complete SC071A S 39,000 1 Y N Clinical notes Procedure / 7 Oncology) with planned Operative Notes,

line of Post Procedure treatment, Photographs of radiological surgical site, evidence for Detailed Discharge indication Summary

794 SC (Surgical Endoprosthesis Revision–Partial SC071B S 24,000 3 Y N Clinical notes Procedure / 4 Oncology) with planned Operative Notes,

line of Post Procedure treatment, Photographs of radiological surgical site, evidence for Detailed Discharge indication Summary

795 SC (Surgical Vertebral Tumour Excision and Reconstruction–Vertebral Tumour Excision and Reconstruction


line of Post Procedure treatment, Photographs of radiological surgical site, HPE evidence for report, Detailed indication Discharge

Summary

796 SC (Surgical Microvascular reconstruction (free flaps)–Microvascular reconstruction (free flaps)

SC073A S 60,000 1 Y N Clinical notes detailed discharge 7 Oncology) and Biopsy of summary, detailed

primary with Procedure / details of earlier Operative Notes, surgery done Clinical Photograph and

establishing need of microvascular reconstruction

showing scar

797 SC (Surgical Vascular reconstruction –Vascular reconstruction

SC074A S 57,600 1 Y N Clincal notes Detailed Discharge 9 Oncology) Summary

798 SC (Surgical Curopsy / Sclerotherapy–Curopsy / Sclerotherapy

SC075A S 19,200 1 Y N Clincal notes Detailed Discharge 3 Oncology) Summary

799 SC (Surgical Chemo Port Insertion–Chemo Port Insertion


line of discharge summary, treatment Invoice of Chemo

port used

800 SE (Opthalmology) Ptosis Surgery–Ptosis Surgery SE001A S 8,000 1 Y N Clinical Still image of the the procedure with pt. ID and date, Detailed discharge summary, detailed operative notes.

Daycare Photograph of affected eye (Photographic record of the patient should be maintained for comparison. Photographs should have be taken in primary position as well as in lateral gazes)

801 SE (Opthalmology) Entropion correction–Entropion correction

SE002A S 6,600 1 Y N Clinical notes and Clinical Photograph

Detailed discharge summary, Still image of the the procedure with pt. ID and date,operative notes.

Daycare

802 SE (Opthalmology) Ectropion correction –Ectropion correction

SE003A S 6,500 1 Y N Clinical notes and Clinical Photograph

Detailed discharge summary, Still image of the the procedure with pt. ID and date,operative notes.

Daycare

803 SE (Opthalmology) Lid Tear Repair–Lid Tear Repair SE004A S 5,000 1 N N Clinical notes; FIR/MLC in case of accident, Clinical Photograph

Still image of the the procedure with pt. ID and date,operative notes. Detailed discharge summary

Daycare

804 SE (Opthalmology) Lid Abscess Drainage–Lid Abscess Drainage

SE005A S 3,000 3 N N Patient details, diagnosis, doctors notes, photo

Discharge notes, microbiology report,Still image of the patient undergoing the procedure with date stamp

Daycare

805 SE (Opthalmology) Lid Tumor excision + Lid Reconstruction–Lid Tumor excision + Lid Reconstruction

SE006A S 10,000 2 Y N Clinical notes and Clinical Photograph of affected part, stated plan for lab investigation of host tissue (HP/ Microbiology/ot her)

Still image of the the procedure with pt. ID and date, HP report, Procedure / Operative Notes. Detailed discharge summary

Daycare

806 SE (Opthalmology) Chalazion Removal–Chalazion Removal

SE007A S 2,000 0 Y N Patient details, diagnosis, doctors notes, photo

Discharge notes, pathology report, Still image of the patient undergoing the procedure with date stamp

Daycare

807 SE (Opthalmology) Squint correction–Minor - upto 2 muscles

SE008A S 4,000 0 Y N Clinical notes detailing which muscles affected; indication justifying the need for GA (if required), Clinical Photograph

Still image of the the procedure with pt. ID and date,Procedure / Operative Notes. Detailed discharge summary

Daycare

808 SE (Opthalmology) Squint correction–Major - 3 or more muscles (complex surgery involving four muscles or oblique muscles)

SE008B S 14,000 0 Y N Clinical notes detailing which muscles affected; indication justifying the need for GA (if required), Clinical Photograph

Still image of the the procedure with pt. ID and date,Procedure / Operative Notes. Detailed discharge summary

Daycare

809 SE (Opthalmology) Conjunctival tumour excision including Amniotic Membrane Graft–Conjunctival tumour excision including Amniotic Membrane Graft

SE009A S 7,000 7 Y N Clinical notes , Clinical Photograph of affected part

Still image of the the procedure with pt. ID and date, HP report, detailed discharge summary, detailed Procedure / Operative Notes.

Daycare

810 SE (Opthalmology) Dacryocystorhinostomy–Canaliculo Dacryocystorhinostomy with Silicon Tube / Stent

SE010A S 10,000 3 Y N Dye disappearance test , Tear meniscus height measurement, Probing and irrigation

Still image of the the procedure with pt. ID and date, operative notes

1

811 SE (Opthalmology) Dacryocystorhinostomy–Canaliculo Dacryocystorhinostomy without Silicon Tube / Stent

SE010B S 8,000 0 Y N Dye disappearance test , Tear meniscus height measurement, Probing and irrigation

Still image of the the procedure with pt. ID and date, operative notes

1

812 SE (Opthalmology) Dacryocystorhinostomy–Dacryocystor hinostomy with Silicon Tube / Stent

SE010C S 10,000 5 Y N Clinical notes and establishing lacrimal cancer with Evidence of biopsy. Pre- op clinical photograph.

Still image of the the procedure with pt. ID and date,operative notes. Detailed discharge summary Invoice of implants

Daycare

813 SE (Opthalmology) Dacryocystorhinostomy–Dacryocystor hinostomy without Silicon Tube / Stent

SE010D S 8,000 5 Y N Clinical notes and establishing lacrimal cancer with Evidence of biopsy. Pre- op clinical photograph.

Still image of the the procedure with pt. ID and date,operative notes. Detailed discharge summary Invoice of implants

Daycare

814 SE (Opthalmology) Corneal Ulcer Management–Corneal Ulcer Management

SE011A S 4,000 0 N N clinical presentation photo

Still image of the patient undergoing the procedure with date stamp

5

815 SE (Opthalmology) Corneal Grafting–Corneal Grafting SE012A S 8,500 0 Y N Clinical notes detailing Indication for corneal grafting and supporting investigation, Clinical Photograph; details of donor cornea, stated plan for lab investigation of host tissue (HPE/ Microbiology/ot her)


Daycare

816 SE (Opthalmology) Corneal Grafting–Corneal Graft - Follow Up

SE012B S 2,000 0 N N clinical notes Still image of the patient undergoing the procedure with date stamp

Daycare

817 SE (Opthalmology) Corneal Collagen Crosslinking–Corneal Collagen Crosslinking

SE013A S 9,000 8 Y N PENTACAM PROGRESSIO N MAPS 3 to 6 months apart

Still image of the patient undergoing the procedure with date stamp

Daycare

818 SE (Opthalmology) Pterygium + Conjunctival Autograft–Pterygium + Conjunctival Autograft

SE014A S 5,000 2 Y N Clinical notes and Retinoscopy, Corneal topography (not mandatory), keratometry, Clinical Photograph

Still image of the the procedure with pt. ID and date, detailed discharge summary, detailed operative notes.

Daycare

819 SE (Opthalmology) Corneo / Scleral / Corneo scleral tear repair–Corneo / Scleral / Corneo scleral tear repair

SE015A S 11,500 0 Y N Clinical notes and FIR/MLC (since injury), USG B scan, Clinical Photograph

Still image of the the procedure with pt. ID and date, Detailed discharge summary, barcode of Intraocular Lens used,operative notes.

2

820 SE (Opthalmology) Corneal / Scleral Patch Graft–Corneal / Scleral Patch Graft

SE016A S 3,000 3 N N preoperative clinical photo

operative notes, Still image of the patient undergoing the procedure with date stamp

3

821 SE (Opthalmology) Scleral buckling surgery–Scleral buckling surgery

SE017A S 15,000 7 N N Clinical notes operative notes. Detailed discharge summary,Still image of the the procedure with pt. ID and date

1

822 SE (Opthalmology) Scleral Buckle Removal–Scleral Buckle Removal

SE018A S 5,500 5 N N Clinical notes with, Indication for removal, stated plan for lab investigation of host tissue (Microbiology)

Still image of the the procedure with pt. ID and date, operative notes. Detailed discharge summary, microbiological report

Daycare

823 SE (Opthalmology) Limbal Dermoid Removal–Limbal Dermoid Removal

SE019A S 4,000 7 Y N Clinical notes Still image of the the procedure with pt. ID and date, Detailed discharge summary, detailed operative notes.

Daycare and Indication for Limbal Dermoid Removal like increase in dermoid size/ increasing astigmatism/vis ual deterioration/ce ntral opacification of the cornea) Clinical Photograph

824 SE (Opthalmology) Cataract surgery–Phaco SE020A S 7,500 7 Y N Clinical notes Detailed discharge Daycare emulsification with foldable detailing visual summary, operative hydrophobic acrylic IOL impairment notes. Barcode of (Best corrected IOL used. Still visual acquity- image of the the BCVA) of procedure with pt. cataract and ,

Ocular Biometry (A scan and ketometry) and Clinical photo of affected part

ID and date

825 SE (Opthalmology) Cataract surgery–SICS with non- foldable IOL

SE020B S 5,000 7 Y N Clinical notes detailing visual impairment (Best corrected visual acquity- BCVA) of cataract and , Ocular Biometry (A scan and ketometry) and Clinical photo of affected part

Detailed discharge summary, operative notes. Barcode of IOL used. Still image of the the procedure with pt. ID and date

Daycare

826 SE (Opthalmology) Surgery for Pediatric Cataract–Paediatric lensectomy

SE021A S 12,200 5 Y N Clinical notes detailing Indication for Lensectomy /pediatric lens aspiration/ membranectom y and supporting investigation, Clinical Photograph

Still image of the the procedure with pt. ID and date, Detailed discharge summary, detailed operative notes with visual outcomes. Barcode of IOL used

Daycare

827 SE (Opthalmology) Surgery for Pediatric Cataract–Pediatric lens aspiration with posterior capsulotomy & anterior vitrectomy

SE021B S 12,200 5 Y N Clinical notes detailing Indication for Lensectomy /pediatric lens aspiration/ membranectom y and supporting investigation, Clinical Photograph


Daycare

828 SE (Opthalmology) Surgery for Pediatric Cataract–Paediatric Membranectomy & anterior vitrectomy

SE021C S 12,200 8 Y N Clinical notes detailing Indication for Lensectomy /pediatric lens aspiration/ membranectom y and supporting investigation, Clinical Photograph


Daycare

829 SE (Opthalmology) Capsulotomy (YAG)–Capsulotomy (YAG)

SE022A S 1,500 8 Y N Clinical notes detailing when was cataract surgery was done and notes mentioning indication for this procedure with vision and fundus. Clinical photo of patient before procedure

procedure notes, Detailed discharge summary, Still image of the the procedure with pt. ID and date

Daycare

830 SE (Opthalmology) SFIOL (inclusive of Vitrectomy)–SFIOL (inclusive of Vitrectomy)

SE023A S 18,000 10 Y N Clinical notes with planned line of treatment, Pre operative Clinical Photograph of affected part

Still image of the patient undergoing the procedure with date stamp operative notes. Detailed discharge summary, Barcode of SFIOL.

Daycare

831 SE (Opthalmology) Secondary IOL / IOL Exchange / Explant–Secondary IOL / IOL Exchange / Explant

SE024A S 5,000 0 Y N Clinical notes, pre operative documentation of indication for intervention and Clinical Photograph of affected part

Still image of the patient undergoing the procedure with date stamp, operative notes. Detailed discharge summary; Barcode of IOL

Daycare

832 SE (Opthalmology) IRIS Prolapse – Repair–IRIS Prolapse – Repair

SE025A S 4,000 6 N N Clinical notes, pre operative documentation of indication for intervention and Clinical Photograph of affected part

Still image of the patient undergoing the procedure with date stamp, operative notes. Detailed discharge summary

Daycare

833 SE (Opthalmology) Iridectomy–Iridectomy SE026A S 2,000 5 Y N Clinical notes showing Indication for Iridectomy(Lase r), Tonometry, Gonioscopy,an d clinical photo

Still image of the the procedure with pt. ID and date, procedure notes. Detailed discharge summary

Daycare

834 SE (Opthalmology) Glaucoma Surgery –Cyclocryotherapy / Cyclophotocoagulation

SE027A S 3,700 5 Y N Clinical notes establishing long standing history of Glaucoma with recent documentation of vision and reports of field of vision.

Detailed Procedure / Operative Notes and discharge summary.

Daycare

835 SE (Opthalmology) Glaucoma Surgery–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)

SE027B S 11,000 10 Y N Clinical notes and IOP measurement, documentary evidence supporting chronicity

Still image of the the procedure with pt. ID and date ,operative notes. Detailed discharge summary; ensure that post op medicine for 12 weeks is given

Daycare

836 SE (Opthalmology) Glaucoma Surgery –Glaucoma Shunt Surgery

SE027C S 20,000 10 Y N Clinical notes and IOP measurement, documentary evidence supporting chronicity/ Failed Trabeculectomy


3

837 SE (Opthalmology) Glaucoma Surgery –Pediatric Glaucoma Surgery

SE027D S 15,000 10 Y N Clinical notes and IOP measurement, documentary evidence of paediatric glaucoma with confirmation of diagnosis under GA/Examinatio n under anaesthesia (EUA)


4

838 SE (Opthalmology) EUA for Confirmation of Pediatric Glaucoma–EUA for Confirmation of Pediatric Glaucoma

SE028A S 3,000 10 Y N Clinical notes and/or documentary evidence

Still image of the patient undergoing the procedure with date stamp, operative notes. Detailed discharge summary with IOP,Fundus,Cornea l diameter

Daycare

839 SE (Opthalmology) Retinal Laser Photocoagulation –For retinal tear repair Per Eye Per Sitting

SE029A S 1,500 10 Y N clinical notes and or supportive documents

discharge summary, clinical notes, Still image of the the procedure with pt. ID and date

Daycare

840 SE (Opthalmology) Retinal Laser Photocoagulation –Pan Retinal Photocoagulation (PRP) - Retinal Laser including 3 sittings / package of retino laser photocoagulation (3 sittings per eye for both eyes)

SE029B S 8,500 7 Y N clinical notes and or supportive documents

Still image of the the procedure with pt. ID and date; discharge summary, clinical notes

Daycare

841 SE (Opthalmology) ROP Laser - Per Eye–ROP Laser - Per Eye

SE030A S 5,000 7 N N Clinical notes Discharge summary, Still image of the patient undergoing the procedure with date stamp

Daycare

842 SE (Opthalmology) Retinal Cryopexy–Retinal Cryopexy SE031A S 3,800 4 Y N Clinical notes with Indication for procedure

Detailed Procedure notes and discharge summary,Still image of the the procedure with pt. ID and date

Daycare

843 SE (Opthalmology) Vitreoretinal Surgery (with Silicon Oil Insertion)–Vitreoretinal Surgery (with Silicon Oil Insertion)

SE032A S 23,900 6 Y N Clinical notes Detailed discharge Daycare and or Clinical summary, operative documents, B Scan (optional)

notes, IOL sticker, Still image of the the procedure with pt. ID and date

844 SE (Opthalmology) SOR (Silicon Oil Removal)–SOR (Silicon Oil Removal)

SE033A S 9,300 6 Y N Clinical notes Detailed discharge Daycare and or Clinical summary, operative documents, B Scan

notes., sticker of IOL,Still image of the the procedure with pt. ID and date

845 SE (Opthalmology) Endophthalmitis (excluding SE034A S 8,000 0 N N Clinical notes Still image of the patient undergoing the procedure with date stamp, operative notes. Detailed discharge summary

5 Vitrectomy)–Endophthalmitis with planned (excluding Vitrectomy) line of treatment, Pre operative Clinical Photograph of affected part

846 SE (Opthalmology) Enucleation–Without implant SE035A S 8,400 7 Y N Clinical notes Intra procedure 2 establishing clinical photograph, Indication and detailed discharge justifying summary, ,operative enucleation and notes, confirmation supporting that specimen was investigation, sent for Clinical histopathology. Photograph; Recommendati on/opinion of 2 ophthalmologist s for the procedure

847 SE (Opthalmology) Enucleation–With implant SE035B S 9,000 0 Y N Clinical notes establishing Indication and justifying enucleation and supporting investigation, Clinical Photograph, Recommendati on/opinion of 2 ophthalmologist s for the procedure

Still image of the the procedure with pt. ID and date, detailed discharge summary, ,operative notes. Invoice of implant, confirmation/ declaration that the specimen has been sent for histopathology and report will be sent for filing later

2

848 SE (Opthalmology) Evisceration–Evisceration SE036A S 4,800 7 Y N Indication for Evisceration and supporting investigation report, Clinical Photograph, Recommendati on/opinion of 2 ophthalmologist s for the procedure, stated plan for lab investigation of host tissue (HP/ Microbiology/ot her)

Detailed discharge summary, Still image of the the procedure with pt. ID and date,operative notes, Confirmation/declar ation that specimen sent for lab investigationmicrobi o/path and report will be submitted

Daycare

849 SE (Opthalmology) Exenteration–Exenteration SE037A S 15,000 0 Y N Indication for Exenteration and supporting investigation, (Biopsy / CT / MRI establishing indication for Exenteration) Clinical Photograph, Recommendati on/opinion of 2 ophthalmologist s for the procedure

Still image of the the procedure with pt. ID and date,operative notes. Histopathological exam report. Detailed discharge summary, confirmation/ declaration that the specimen has been sent for histopathology and report will be sent for filing later

Daycare

850 SE (Opthalmology) Socket Reconstruction including Amniotic Membrane Graft–Socket Reconstruction including Amniotic Membrane Graft

SE038A S 11,200 7 Y N Clinical notes and showing Indication for socket reconstruction, Clinical Photograph of affected part


1

851 SE (Opthalmology) Orbitotomy–Orbitotomy SE039A S 14,000 0 Y N Clinical notes detailing indication and CT Scan, Clinical Photograph, stated plan for lab investigation of host tissue (HP/ Microbiology/ot her)

Still image of the the procedure with pt. ID and date, HP Report of actual surgery, operative notes, Lab (Histopath) report

Daycare

852 SE (Opthalmology) GA / EUA separate add on package–GA / EUA separate add on package

SE040A S 3,000 7 Y N Clinical Notes Clinical Notes for the associated surgery / disease along with Pre OP, Operative and Anesthesia, Post OP notes

Daycare justifying the need for GA in the associated surgery

853 SG (General Oesophagectomy–Oesophagectomy SG001A S 28,300 0 N N Clinical notes Histopath, Intra 5 Surgery) and procedure clinical

USG/CT/MRI/ photograph, Biopsy report detailed discharge confirming the summary, Detailed diagnosis for Operative notes which the surgery is done

854 SG (General Operations for Replacement of Oesophagus by Colon–Operations for Replacement of Oesophagus by Colon

SG002A S 30,500 7 N N Clinical notes Picture of removed esopahgus (Intra procedure clinical photograph), Scar photo (should be two scars or one huge thoracolumbar scar coverin both colon removal & esopagus replacement) Detailed discharge summary, Detailed Operative notes

10 Surgery) and X-ray,

CT/MRI/ UGIE findings confirming the diagnosis for which the surgery is done,

Biospy,

855 SG (General Gastrectomy–Bleeding Ulcer - Partial Gastrectomy without Vagotomy

SG003A S 25,000 0 N N Clinical notes, Intra Operative 5 Surgery) UGI Endoscopy Photograph,

confirming the Histopathology diagnosis report, Detailed Operative notes &

detailed discharge summary.

856 SG (General Gastrectomy–Bleeding Ulcer - Partial Gastrectomy with Vagotomy

SG003B S 25,000 6 N N Clinical notes, Intra Operative 5 Surgery) UGI Endoscopy Photograph,

confirming the Histopathology diagnosis report, Detailed Operative notes &

detailed discharge summary.

857 SG (General Gastrectomy–Partial Gastrectomy for Carcinoma

SG003C S 27,800 7 N N Clinical notes Intra procedure 6 Surgery) and mandatory clinical photograph,

Biopsy + Histopathology Endoscopy/ CT report, post Scan procedure clinical confirming the photograph, diagnosis, Detailed Operative Clinical notes, Detailed photograph discharge summary

858 SG (General Gastrectomy–Subtotal Gastrectomy SG003D S 27,800 7 N N Clinical notes Intra procedure 6 Surgery) for Carcinoma and mandatory clinical photograph,

Biopsy + Histopathology Endoscopy/ CT report, post Scan procedure clinical confirming the photograph, diagnosis, Detailed Operative Clinical notes, Detailed photograph discharge summary

859 SG (General Gastrectomy–Total Gastrectomy - Lap.

SG003E S 51,600 7 N N Clinical notes Intra procedure 5 Surgery) and Endoscopy clinical photograph,

report +/- Video Histopathology /Biopsy/ CT report, post Scan procedure clinical confirming the photograph, diagnosis for Detailed Operative which this notes, Detailed surgery is done discharge summary

860 SG (General Gastrectomy–Total Gastrectomy - Open

SG003F S 51,600 3 N N Clinical notes Intra procedure 5 Surgery) and Endoscopy clinical photograph,


861 SG (General Operative Gastrostomy–Operative SG004A S 15,000 3 N N Clinical notes Intra procedure 5 Surgery) Gastrostomy and Endoscopy clinical photograph,


862 SG (General Vagotomy–G J Vagotomy SG005A S 23,500 5 N N Clinical notes Endoscopic intra 5 Surgery) and Endoscopy operative

report with Photograph,Histopa confirming the thology report, diagnosis for Detailed Operative which this notes, detailed surgery is done discharge summary

863 SG (General Vagotomy–Vagotomy + Pyloroplasty SG005B S 23,500 7 N N Clinical notes Endoscopic intra 5 Surgery) and Endoscopy operative

report with Photograph,Histopa confirming the thology report, diagnosis for Detailed Operative which this notes, detailed surgery is done discharge summary

864 SG (General Operation for Bleeding Peptic Ulcer–Operation for Bleeding Peptic Ulcer

SG006A S 22,500 2 N N Clinical notes Intra procedure 5 Surgery) and Endoscopy clinical Photograph,

confirming the Detailed discharge diagnosis, summary, Detailed Operative notes

865 SG (General Operation for Gastric / Duodenal Perforation–Gastric Perforation

SG007A S 18,500 5 N N Clinical notes Intra procedure 6 Surgery) and X Ray clinical photograph,

Erect/USG/ CT Detailed Operative Abdomen notes, detailed confirming the discharge summary diagnosis, FIR/MLC in case of traumatic aetiology

866 SG (General Operation for Gastric / Duodenal Perforation–Duodenal Perforation

SG007B S 18,500 3 N N Clinical notes Intra procedure 6 Surgery) and X Ray clinical photograph,

Erect/USG/ CT Detailed Operative Abdomen notes, detailed confirming the discharge summary diagnosis, FIR/MLC in case of traumatic aetiology

867 SG (General Pyloroplasty–Pyloroplasty SG008A S 14,000 2 N N Clinical notes Intra procedure 5 Surgery) and Endoscopy clinical photograph,

confirming the detailed discharge diagnosis for summary, Detailed which the Operative notes surgery is done

868 SG (General Pyloromyotomy–Pyloromyotomy SG009A S 15,000 10 N N Clinical notes Endoscopic still 5 Surgery) and Endoscopy Photograph,

report Detailed discharge confirming the summary, Detailed diagnosis of Operative notes nfantile hypertrophic pyloric stenosis

869 SG (General Gastrojejunostomy–Gastrojejunostom SG010A S 18,500 10 N N Clinical notes intra operative 5 Surgery) y and Endoscopy photograph Detailed

report OR Operative notes, Biopsy OR CT detailed discharge Scan summary confirming the diagnosis for which this surgery is done

870 SG (General CystoJejunostomy / SG011A S 20,000 10 N N Clinical notes Detailed discharge 6 Surgery) Cystogastrostomy–CystoJejunostomy and USG / CT summary, post

Open confirming the procedure clinical diagnosis for photograph, which Detailed Operative procedure is notes, scar photo needed

871 SG (General CystoJejunostomy / SG011B S 20,000 10 N N Clinical notes Detailed discharge 6 Surgery) Cystogastrostomy–CystoJejunostomy and USG / CT summary, post

Lap. confirming the procedure clinical diagnosis for photograph, which Detailed Operative procedure is notes, scar photo needed

872 SG (General CystoJejunostomy / SG011C S 20,000 10 N N Clinical notes Detailed discharge 6 Surgery) Cystogastrostomy–Cystogastrostomy - and USG / CT summary, post

Open confirming the procedure clinical diagnosis for photograph, which Detailed Operative procedure is notes, scar photo needed

873 SG (General CystoJejunostomy / SG011D S 20,000 7 N N Clinical notes Detailed discharge 6 Surgery) Cystogastrostomy–Cystogastrostomy - and USG / CT summary, post

Lap. confirming the procedure clinical diagnosis for photograph, which Detailed Operative procedure is notes, scar photo needed

874 SG (General Feeding Jejunostomy–Feeding SG012A S 10,000 7 N N Clinical notes Intra procedure 6 Surgery) Jejunostomy and Endoscopy clinical photograph

report +/- Video detailed discharge /Biopsy/ CT summary, Detailed Scan

confirming the diagnosis for which this surgery is done

Operative notes

875 SG (General Ileostomy–Ileostomy SG013A S 14,000 0 N N Clinical notes Histopath, Post 6 Surgery) and Endoscopy procedure clinical

/ Biopsy/ CT photograph, Scan Detailed Operative confirming the notes, detailed diagnosis for discharge summary which this surgery is done

876 SG (General Congenital Atresia & Stenosis of Small Intestine–Congenital Atresia & Stenosis of Small Intestine

SG014A S 23,000 12 N N Clinical notes Intra procedure 6 Surgery) and X ray, clinical stills,

CT/MRI Abd Detailed Operative confirming the notes, Detailed diagnosis discharge summary

877 SG (General Operation for Duplication of Intestine–Operation for Duplication of Intestine

SG015A S 18,000 0 N N Clinical notes USG, Intra 7 Surgery) and USG Abd/ operative clinical

CT/MRI photograph, /Endoscopic Detailed Operative Ultrasound - notes, Detailed any one test discharge summary, confirming the histopath of diagnosis. removed part.

878 SG (General Diverticulectomy–Excision Duodenal SG016A S 20,000 0 N N Clinical notes Intra operative 5 Surgery) Diverticulum and CT clinical photograph,

Scan/Endoscop Detailed Operative y/Double notes, scar photo balloon Detailed discharge enteroscopy summary confirming the diagnosis

879 SG (General Diverticulectomy–Excision Meckel's SG016B S 15,000 0 N N Clinical notes Histopath, Intra 3 Surgery) Diverticulum and operative clinical

USG/CT/MRI photograph, report Detailed Operative confirming the notes; detailed diagnosis discharge summary

880 SG (General Appendicectomy–Open SG017A S 11,000 10 N N Clinical notes Histopathology 3 Surgery) and USG report, Intra

confirming the procedure clinical diagnosis photograph of removed appendix, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary

881 SG (General Appendicectomy–Lap. SG017B S 11,000 0 N N Clinical notes Histopathology 3 Surgery) and USG report, Intra

confirming the procedure clinical diagnosis photograph of removed appendix, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary

882 SG (General Appendicular SG018A S 17,500 0 N N Clinical notes Histopath, Intra 5 Surgery) Perforation–Appendicular Perforation and X Ray procedure clinical

Abdomen photograph, Erect/USG detailed discharge confirming the summary and diagnosis Detailed Operative notes

883 SG (General Operative drainage of Appendicular Abscess–Operative drainage of Appendicular Abscess

SG019A S 12,000 0 N N Clinical notes, Intra Operative 3 Surgery) USG clinical photograph,

Detailed Operative notes & discharge

summary.

884 SG (General Total Colectomy–Open SG020A S 23,000 0 N N Clinical notes Histopathology, 7 Surgery) and CT Scan/ Intra procedure

Colonoscopy clinical photograph, confirming the detailed discharge diagnosis and summary, Detailed need of Operative notes surgery; Biopsy of the lsoion

885 SG (General Total Colectomy–Lap. SG020B S 23,000 0 N N Clinical notes Histopathology, 7 Surgery) and CT Scan/ Intra procedure

Colonoscopy clinical photograph, confirming the detailed discharge diagnosis and summary, Detailed need of Operative notes surgery; Biopsy of the lsoion

886 SG (General Hemi colectomy–Right - Open SG021A S 25,000 12 N N Clinical notes Histopathology 6 Surgery) and CT report and Intra

Scan/Colonosc procedure Clinical opy confirming photograp of the diagnosis removed colon, for which the

surgery is done, Biopsy

Detailed discharge summary, Detailed Operative notes

887 SG (General Hemi colectomy–Right - Lap. SG021B S 25,000 0 N N Clinical notes Histopathology 6 Surgery) and CT report and Intra




888 SG (General Hemi colectomy–Left - Open SG021C S 25,000 0 N N Clinical notes Histopathology 6 Surgery) and CT report and Intra




889 SG (General Hemi colectomy–Left - Lap. SG021D S 25,000 0 N N Clinical notes Histopathology 6 Surgery) and CT report and Intra




890 SG (General Operative Management of Volvulus of Large Bowel–Operative Management of Volvulus of Large Bowel

SG022A S 25,000 0 N N Clinical notes Detailed discharge 4 Surgery) and X Ray summary, X Ray

Abdomen / CT Abdomen, Detailed Contrast Operative notes. confirming the diagnosis,

891 SG (General Colostomy–Colostomy SG023A S 14,000 0 N N Clinical notes Post procedure 7 Surgery) and CT/ MRI/ clinical photograph,

Colonoscopy Detailed Operative evidence of notes & detailed need of surgery notes. surgery.

892 SG (General Closure of stoma–Closure of stoma SG024A S 14,500 5 N N Clinical notes Post procedure 4 Surgery) detailing why clinical photograph,

colostomy was Detailed Operative done? Clinical notes, Detailed photograph discharge summary

893 SG (General Sigmoid Resection–Sigmoid SG025A S 21,500 3 N N Clinical notes Histopathology, 4 Surgery) Resection and Barium X- Intra procedure

rays / CT scan/ clinical photograph, sigmoidoscopy, Detailed Operative confirming the notes, detailed diagnosis discharge summary

894 SG (General Perineal Procedure for Rectal Prolapse–Perineal Procedure for Rectal Prolapse

SG026A S 14,000 0 N N Clinical notes +/-Colonoscopy / CT confirming the diagnosis,

Histopath, Intra 2 Surgery) procedure clinical

photograph, detailed discharge summary, Detailed Operative notes

895 SG (General Abdominal Procedure for Rectal Prolapse–Open

SG027A S 19,000 0 N N Clinical notes +/-Colonoscopy confirming the diagnosis of prolapse

Intra procedure 4 Surgery) clinical photograph,

detailed discharge summary, Detailed Operative notes,

896 SG (General Abdominal Procedure for Rectal Prolapse–Lap.

SG027B S 19,000 0 N N Clinical notes +/-Colonoscopy confirming the diagnosis of prolapse

Intra procedure 4 Surgery) clinical photograph,

detailed discharge summary, Detailed Operative notes,

897 SG (General Rectal Polyp Excision–Rectal Polyp Excision

SG028A S 9,600 0 N N Clinical notes Histopath, Intra 1 Surgery) and procedure clinical

Colonoscopy +/- photograph, Biopsy justifying Detailed Operative surgery, notes, detailed discharge summary

898 SG (General Anterior Resection of rectum–Open SG029A S 28,500 0 N N Clinical notes, Histopathology 10 Surgery) Biopsy, report, post

Colonoscopy procedure clinical photograph, Detailed Operative notes & detailed

discharge summary

899 SG (General Anterior Resection of rectum–Lap. SG029B S 28,500 0 N N Clinical notes, Histopathology 10 Surgery) Biopsy, report, post

Colonoscopy procedure clinical photograph, Detailed Operative notes & detailed

discharge summary

900 SG (General Resection Anastomosis–Open SG030A S 25,000 0 N N Clinical notes Histopath of 7 Surgery) and X Ray resected part, Intra

Abdomen procedure clinical Erect/USG / CT

confirming the diagnosis

photograph, detailed discharge summary and Detailed Operative notes

901 SG (General Resection Anastomosis–Lap. SG030B S 25,000 0 N N Clinical notes Histopath of 7 Surgery) and X Ray resected part, Intra

Abdomen procedure clinical Erect/USG / CT

confirming the diagnosis

photograph, detailed discharge summary and Detailed Operative notes

902 SG (General Procedure for Fissure in Ano–Procedure for Fissure in Ano

SG031A S 8,000 0 N N Clinical notes Detailed Operative Daycare Surgery) and proctoscpic notes; detailed

findings discharge summary confirming the diagnosis for which this surgery is done,

903 SG (General Haemorroidectomy–without Stapler SG032A S 15,000 0 N N Clinical notes Post procedure Daycare Surgery) and clinical photograph,

proctoscopy Detailed Operative notes notes, detailed confirming the discharge summary diagnosis

904 SG (General Haemorroidectomy–with Stapler SG032B S 32,000 0 N N Clinical notes Post procedure Daycare Surgery) and clinical photograph,

proctoscopy Detailed Operative notes notes, detailed confirming the discharge summary diagnosis

905 SG (General Management of Pilonidal Sinus–Management of Pilonidal Sinus

SG033A S 5,000 0 N N Clinical notes Histopath, Intra- Daycare Surgery) and operative clinical

confirmation of photograph, Pilonidal sinus Detailed Operative on examination notes

906 SG (General Exicision of Sinus and Curettage–Exicision of Sinus and Curettage

SG034A S 5,000 0 N N Clinical notes post procedure Daycare Surgery) and some clinical photograph,

imaging to Detailed Operative show tract of notes; detailed sinus, discharge summary. confirming the

diagnosis, Clinical Photograph

+/- Histopath of surreted material

907 SG (General Exploratory Laparotomy–Exploratory SG035A S 10,000 0 N N Clinical notes Intra procedure 5 Surgery) Laparotomy detailing clinical photograph,

original Analysis of fluid pathology that removed, Detailed led to discharge summary, peritonitis; Detailed Operative supported by X

Ray/USG/CT Scan Abdomen

notes describing management done of pathology that led to peritonitis; cautious about OT time; this should take 2-3 hours.

908 SG (General Closure of Burst Abdomen–Closure of Burst Abdomen

SG036A S 15,000 0 N N Clinical notes Intra procedure 6 Surgery) describing the clinical photograph,

original surgery Detailed Operative that led to burst notes, detailed abdomen and X

Ray/USG/ CT Abdomen confirming the diagnosis for which the surgery is done

discharge summary

909 SG (General Hepatic Resection–Open SG037A S 20,000 0 N N Clinical notes Histopath, Intra 7 Surgery) and procedure clinical

USG/CT/MRI / photograph, Biopsy report detailed discharge confirming the summary, Detailed justification of Operative notes surgery.

910 SG (General Hepatic Resection–Lap. SG037B S 20,000 0 N N Clinical notes Histopath, Intra 7 Surgery) and procedure clinical

USG/CT/MRI / photograph, Biopsy report detailed discharge confirming the summary, Detailed justification of Operative notes surgery.

911 SG (General Abdominal Hydatid Cyst (Single Organ)–Abdominal Hydatid Cyst (Single Organ)


USG/CT/MRI photograph, report Detailed Operative confirming the notes and detailed diagnosis. discharge summary

912 SG (General Cholecystectomy–Without Exploration SG039A S 22,800 0 N N Clinical notes Intra procedure 6 Surgery) of CBD - Open and USG clinical photograph,

confirming the Detailed discharge diagnosis summary, Detailed Operative notes

913 SG (General Cholecystectomy–With Exploration of CBD - Open

SG039B S 22,800 0 N N Clinical notes Intra procedure 6 Surgery) and USG clinical photograph,


914 SG (General Cholecystectomy–Without Exploration SG039C S 22,800 0 N N Clinical notes Intra procedure 6 Surgery) of CBD - Lap. and USG clinical photograph,


915 SG (General Cholecystectomy–With Exploration of CBD - Lap.

SG039D S 22,800 5 N N Clinical notes Intra procedure 6 Surgery) and USG clinical photograph,


916 SG (General Operative Cholecystostomy–Open SG040A S 10,000 5 N N Clinical notes Intra procedure 4 Surgery) and USG/CT clinical photograph,

Scan Detailed discharge confirming the summary, Detailed diagnosis for Operative notes which the surgery is done,

917 SG (General Operative Cholecystostomy–Lap. SG040B S 10,000 3 N N Clinical notes Intra procedure 4 Surgery) and USG/CT clinical photograph,

Scan Detailed discharge confirming the summary, Detailed diagnosis for Operative notes which the surgery is done,

918 SG (General Operation of Choledochal Cyst–Operation of Choledochal Cyst

SG041A S 24,500 4 N N Clinical notes Histopath, Detailed 5 Surgery) and USG/CT discharge summary,

Abdomen Scar photo, Detailed Operative notes

919 SG (General Splenectomy–Open SG042A S 25,000 5 N N Clinical notes Detailed Operative 7 Surgery) and USG/CT notes, histopath,

Scan and Lab detailed discharge investigations summary, confirming the diagnosis and justifying the surgery.

920 SG (General Splenectomy–Lap. SG042B S 25,000 5 N N Clinical notes Detailed Operative 7 Surgery) and USG/CT notes, histopath,

Scan and Lab detailed discharge investigations summary, confirming the diagnosis and justifying the surgery.

921 SG (General Bypass - Inoperable Pancreas–Bypass - Inoperable Pancreas

SG043A S 23,500 3 N N Clinical and Histopathology 7 Surgery) radiological report, Intra

evidence of operative clinical inoperability photograph, (biopsy, ERCP, Detailed Operative MRCP) notes and discharge

summary.

922 SG (General Distal Pancreatectomy with Pancreatico Jejunostomy –Distal Pancreatectomy with Pancreatico Jejunostomy

SG044A S 25,000 3 N N Clinical notes Histopath, Intra 7 Surgery) and Sr procedure clinical

Amylase, CT/ photograph, USG, ERCP detailed discharge justifying the summary, Detailed surgery, Operative notes

923 SG (General PancreaticoDuodenectomy SG045A S 30,000 3 N N Clinical notes Histopath, Intra 7 Surgery) (Whipple's)–PancreaticoDuodenecto and CT/ USG, procedure clinical

my (Whipple's) ERCP photograph, confirming the detailed discharge diagnosis, summary and Detailed Operative notes

924 SG (General Porto Caval Anastomosis–Porto Caval Anastomosis

SG046A S 31,500 1 N N Clinical notes Intra procedure 7 Surgery) and USG- clinical photograph,

doppler detailed discharge /CT/MRI report summary, Detailed confirming the Operative notes diagnosis for which the surgery is done

925 SG (General Mesenteric Caval SG047A S 28,500 14 N N Clinical notes Intra procedure 6 Surgery) Anastomosis–Mesenteric Caval and clinical photograph,

Anastomosis USG/CT/MRI/ detailed discharge Endoscopy summary and report Detailed Operative confirming the notes diagnosis for which the anastomosis is done

926 SG (General Mesenteric Cyst – Excision–Mesenteric Cyst – Excision


USG/CT/MRI photograph, report detailed discharge confirming the summary and diagnosis Detailed Operative notes

927 SG (General Retroperitoneal Tumor – Excision–Retroperitoneal Tumor – Excision

SG049A S 23,000 14 N N Clinical notes Histopath, Intra 5 Surgery) and X procedure clinical

Ray/USG/CT photograph, Abdomen detailed discharge confirming the summary, Detailed diagnosis Operative notes

928 SG (General Groin Hernia Repair–Inguinal - Open SG050A S 16,200 14 N N Clinical notes Post procedure 3 Surgery) and USG clinical photograph,

(specifying size detailed discharge of defect), summary Detailed Clinical Operative notes, photograph Invoice of Mesh

used

929 SG (General Groin Hernia Repair–Inguinal - Lap. SG050B S 16,200 14 N N Clinical notes Post procedure 3 Surgery) and USG clinical photograph,


used

930 SG (General Groin Hernia Repair–Femoral - Open SG050C S 16,200 14 N N Clinical notes Post procedure 3 Surgery) and USG clinical photograph,


used

931 SG (General Groin Hernia Repair–Femoral - Lap SG050D S 16,200 14 N N Clinical notes Post procedure 3 Surgery) and USG clinical photograph,


used

932 SG (General Groin Hernia Repair–Obturator - Lap. SG050E S 35,000 14 N N Clinical notes Post procedure 2 Surgery) and USG clinical photograph,


used

933 SG (General Hernia - Ventral–Epigastric SG051A S 22,400 14 N N Clinical notes Post procedure 4 Surgery) and USG clinical photograph,

(specifying size detailed discharge of defect), summary Detailed Clinical Operative notes +/- photograph Invoice of Mesh

used

934 SG (General Hernia - Ventral–Umbilical SG051B S 22,400 0 N N Clinical notes Post procedure 4 Surgery) and USG clinical photograph,


used

935 SG (General Hernia - Ventral–Paraumbilical SG051C S 22,400 0 N N Clinical notes Post procedure 4 Surgery) and USG clinical photograph,


used

936 SG (General Hernia - Ventral–Spigelian SG051D S 22,400 0 N N Clinical notes Post procedure 4 Surgery) and USG clinical photograph,


used

937 SG (General Repair of Incisional Hernia–Repair of Incisional Hernia

SG052A S 35,000 0 N N Clinical notes Post procedure 3 Surgery) including info clinical photograph,

about previous detailed discharge surgery in summary Detailed whose incision Operative notes +/- this hernia has

occurred and USG (specifying size of defect), Clinical photograph

Invoice of Mesh used

938 SG (General Hiatus Hernia Repair / Fundoplication–Hiatus Hernia Repair - Open

SG053A S 23,500 0 N N Clinical notes Intra procedure 5 Surgery) and X-ray/ USG clinical photograph,

+ UGI Detailed Operative Endoscopy notes & discharge

summary

939 SG (General Hiatus Hernia Repair / Fundoplication–Hiatus Hernia Repair - Lap.

SG053B S 23,500 0 N N Clinical notes Intra procedure 5 Surgery) and X-ray/ USG clinical photograph,


summary

940 SG (General Hiatus Hernia Repair / Fundoplication–Fundoplication - Open

SG053C S 23,500 2 N N Clinical notes Intra procedure 5 Surgery) and X-ray/ USG clinical photograph,


summary

941 SG (General Hiatus Hernia Repair / Fundoplication–Fundoplication - Lap.

SG053D S 23,500 2 N N Clinical notes Intra procedure 5 Surgery) and X-ray/ USG clinical photograph,


summary

942 SG (General Excision of cyst / Sebaceous Cysts over scrotum–Single Cyst

SG054A S 2,000 2 N N Deailed Clinical Intra operative 1 Surgery) notes clinical photograph,

Detailed Operative notes; detailed discharge summary.

943 SG (General Excision of cyst / Sebaceous Cysts over scrotum–Multiple Cysts

SG054B S 7,000 2 N N Deailed Clinical Intra operative 1 Surgery) notes clinical photograph,

Detailed Operative notes; detailed discharge summary.

944 SG (General Excision Filarial Scrotum–Excision Filarial Scrotum

SG055A S 6,500 2 N N Clinical notes +/-USG report confirming the diagnosis

Histopath, detailed 3 Surgery) Operative notes,


945 SG (General Operation for Hydrocele (U/L)–Operation for Hydrocele (U/L)

SG056A S 5,000 2 N N Clinical notes Histopath, Intra Daycare Surgery) and +/- Scrotal procedure clinical

USG confirming photograph, the diagnosis Detailed Operative notes and detailed

discharge summary

946 SG (General Epididymal Cyst / Nodule Excision–Epididymal Cyst exision

SG057A S 4,600 2 N N Clinical notes Histopath, Intra Daycare Surgery) and USG report operative clinical

confirming the photograph, diagnosis Detailed Operative notes, Detailed discharge summary

947 SG (General Epididymal Cyst / Nodule Excision–Epididymal Nodule excision

SG057B S 4,600 0 N N Clinical notes Histopath, Intra Daycare Surgery) and USG report operative clinical

confirming the photograph, diagnosis Detailed Operative notes, Detailed discharge summary

948 SG (General Vasovasostomy–Vasovasostomy SG058A S 12,000 0 N N Clinical notes Detailed discharge 2 Surgery) detailing need summary, Detailed

of surgery after Operative notes. vasectomy?

Evidence of When and where was vasectomy done? Is the EHCP equipped for microsurgery?

Since this is microsurgery evaluate time taken (2 hours+)

949 SG (General Orchidectomy–Orchidectomy SG059A S 11,200 0 N N Clinical notes Histopath, Intra 2 Surgery) and describing operative clinical

Swelling in photograph, scrotum, USG Detailed Operative of scrotum, notes, Detailed FNAC, tumour discharge summary markers (if cancer of prostate/testis,e tc is the indication); justification of orchidectmy

950 SG (General Inguinal Node (dissection) - U/L–Inguinal Node (dissection) - U/L

SG060A S 16,000 0 N N Clinical notes Histopath, Intra 3 Surgery) and USG/ procedure clinical

Biopsy report photograph detailed confirming the discharge summary, diagnosis for Detailed Operative which the notes surgery is done

951 SG (General Estlander Operation (lip)–Estlander Operation (lip)

SG061A S 9,300 0 N N Clinical notes Post procedure 4 Surgery) detailing the clinical photograph,

original Detailed Operative pathology thet notes, Detailed has led to this

surgery with suporting investigation reports. FIR/MLC in case of traumatic aetiology, Clinical Photograph

discharge summary

952 SG (General Operation for Carcinoma Lip–Wedge Excision

SG062A S 19,000 0 N N Clinical notes Histopath, Post 6 Surgery) and Biopsy procedure clinical

report, Clinical photograph, Photograph Detailed Operative notes, Detailed discharge summary

953 SG (General Operation for Carcinoma Lip–Wedge Excision and Vermilionectomy

SG062B S 23,800 0 N N Clinical notes Histopath, Post 6 Surgery) and Biopsy procedure clinical


954 SG (General Operation for Carcinoma Lip–Cheek advancement

SG062C S 26,800 0 N N Clinical notes Histopath, Post 6 Surgery) and Biopsy procedure clinical


955 SG (General Complete Excision of Growth from Tongue only (inclusive of Histopathology)–Complete Excision of Growth from Tongue only (inclusive of Histopathology)

SG063A S 9,400 0 N N Clinical notes Histopath, Post Daycare Surgery) confirming the procedure clinical

diagnosis, photograph, Clinical Detailed Operative Photograph; notes; detailed FNAC if done discharge summary

956 SG (General Excision of Growth from Tongue with neck node dissection–Excision of Growth from Tongue with neck node dissection

SG064A S 23,500 0 N N Clinical notes Histopath, Post 3 Surgery) and procedure clinical

USG/CT/MRI photograph, report Detailed Operative confirming the notes; detailed diagnosis, discharge summary Clinical Photograph

957 SG (General Microlaryngoscopic SG065A S 18,500 7 N N Clinical notes Post procedure 3 Surgery) Surgery–Microlaryngoscopic Surgery and Nasal Nasal Endoscopy

Endoscopy and post procedure confirming the clinical photograph diagnosis for OR Intra procedure which this clinical photograph, surgery is done detailed discharge

summary, Detailed Operative notes

958 SG (General Submandibular Mass SG066A S 15,000 7 N N Clinical notes Histopath, Post 5 Surgery) Excision–Submandibular Mass and USG/CT procedure clinical

Excision Scan photograph, confirming the Detailed Operative diagnosis for notes, detailed which the discharge summary surgery is done

+/- Biopsy/FNAC, Clinical Photograph

959 SG (General Radical Neck Dissection–Radical Neck Dissection

SG067A S 15,000 3 N N Clinical notes Histopath, Intra 6 Surgery) and CT procedure clinical

Scan/MRI Neck photograph OR confirming the Post procedure diagnosis, clinical photograph, Biopsy, Clinical detailed discharge Photograph summary, Detailed Operative notes

960 SG (General Surgical removal of Branchial Cyst–Surgical removal of Branchial Cyst

SG068A S 15,000 3 N N Clinical notes Histopathology 2 Surgery) with USG or CT report, post

Scan procedure clinical confirming photograph, diagnosis; Pre- Detailed Operative op Clinical

Photograph notes & detailed discharge summary.

961 SG (General Carotid Body tumour - Excision–Carotid Body tumour - Excision

SG069A S 20,000 0 N N Clinical notes Intra procedure 7 Surgery) and USG Neck/ clinical photograph,

Colour doppler Detailed Operative confirming the notes, diagnosis Histopathology, Detailed discharge summary

962 SG (General Thyroidectomy–Hemi thyroidectomy SG070A S 17,000 3 N N Clinical notes Histopath report, 2 Surgery) and Thyroid Post procedure

Function Test, clinical photograph, FNAC/USG Detailed Operative confirming the notes, Detailed diagnosis and discharge summary justifying the surgery.

963 SG (General Thyroidectomy–Total thyroidectomy SG070B S 20,000 0 N N Clinical notes Histopath report, 4 Surgery) and Thyroid Post procedure

Function Test, clinical photograph, FNAC/USG Detailed Operative confirming the notes, Detailed diagnosis and discharge summary justifying the surgery.

964 SG (General Thyroidectomy–Total Thyroidectomy SG070C S 28,000 0 N N Clinical notes Histopath report, 5 Surgery) with Block Dissection and FNAC/ Post procedure

Biopsy/ Thyroid clinical photograph, Function Scar Photo, Test/USG Detailed discharge confirming the summary, Detailed diagnosis and Operative notes need for surgery

965 SG (General Excision of Parathyroid Adenoma / Carcinoma–Excision of Parathyroid Adenoma

SG071A S 20,400 0 N N Clinical notes Histopathology, 4 Surgery) and USG/CT Intra procedure

Scan/Nuclear clinical photograph, Imaging Detailed discharge confirming the summary,, Detailed diagnosis. Operative notes

966 SG (General Excision of Parathyroid Adenoma / Carcinoma–Excision of Parathyroid Carcinoma

SG071B S 20,400 0 N N Clinical notes Histopathology, 4 Surgery) and USG/CT Intra procedure

Scan/Nuclear clinical photograph, Imaging Detailed discharge confirming the summary,, Detailed diagnosis. Operative notes

967 SG (General Thymectomy–Thymectomy SG072A S 28,000 0 N N Clinical notes Histopath, Post 6 Surgery) and procedure clinical

Investigation photograph, report Detailed Operative confirming the notes, Detailed need for discharge summary surgery (CT/MRI), Single-fiber electromyograp hy in case of myasthenia gravis, Clinical photograph

968 SG (General Sympathectomy–Sympathectomy SG073A S 15,000 0 N N Clinical notes Intra procedure 5 Surgery) and supporting clinical photograph,

Evidence of detailed discharge need of surgery summary, Detailed (EMG,Nerve

conduction study, CT/MRI) Clinical Photograph

Operative notes

969 SG (General Breast Lump Excision (Benign)–Breast Lump Excision (Benign)

SG074A S 6,000 2 N N Clinical notes, Histopathology 1 Surgery) Sono report, intra

mammogram operative clinical OR photograph, Mamography Detailed Operative showing breast notes & detailed lump +/- FNAC

report discharge summary.

970 SG (General Mastectomy–Simple Mastectomy SG075A S 20,000 2 N N Clinical notes Histopath, Post 3 Surgery) and procedure clinical

Mammography, photograph, Biopsy Detailed Operative confirming the notes; detailed diagnosis, discharge summary Clinical Photograph

971 SG (General Mastectomy–Radical / Modified Radical Mastectomy

SG075B S 25,000 2 N N Clinical notes Histopath, detailed 4 Surgery) and discharge summary,

Mammography Detailed Operative and Biopsy notes justifying surgery

972 SG (General Excision Mammary Fistula–Excision Mammary Fistula

SG076A S 14,500 2 N N Clinical notes Histopath, Detailed Daycare Surgery) and Operative notes,

sonomammogr Detailed discharge am report summary confirming the diagnosis,

973 SG (General Intercostal drainage Only–Intercostal drainage Only

SG077A S 4,800 2 N N Clinical notes Analysis report of drained fluid; post procedure clinical photograph, Detailed Operative notes; Detailed discharge summary

Daycare Surgery) and detailing

need of ICD; Clinical photograph, Chest X-Ray PA

974 SG (General Rib Resection & Drainage–Rib Resection & Drainage

SG078A S 14,000 0 N N Clinical notes Pus C/S, Post procedure X Ray, Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary

3 Surgery) and X Ray, CT/

MRI confirming the diagnosis for which the surgery is done, Clinical photograph

975 SG (General Thoracoplasty–Thoracoplasty SG079A S 20,000 0 N N Clinical notes Post procedure 6 Surgery) and X Ray, clinical photograph,

CT/MRI Chest Detailed Operative confirming the notes, Intra indication for procedure clinical this surgery, photograph, Clinical Detailed discharge Photograph summary

976 SG (General Decortication SG080A S 28,000 0 N N Clinical notes Histopathology, 3 Surgery) (Pleurectomy)–Decortication and USG/CT Detailed discharge

(Pleurectomy) Scan summary and confirming the Detailed Operative diagnosis for notes which the surgery is done,

Biopsy

977 SG (General Lobectomy–Thoracoscopic SG081A S 27,500 0 N N Clinical notes Intra procedure 5 Surgery) and CT Thorax clinical photograph,

confirming the Detailed Operative diagnosis, notes, histopath, Biopsy +/- Detailed discharge Cytology summary, Scar Photo

978 SG (General Lobectomy–Open SG081B S 27,500 7 N N Clinical notes Intra procedure 5 Surgery) and CT Thorax clinical photograph,

confirming the Detailed Operative diagnosis, notes, histopath, Biopsy +/- Detailed discharge Cytology summary, Scar Photo

979 SG (General Thoracoscopic Segmental SG082A S 25,000 7 N N Clinical notes Intra procedure 5 Surgery) Resection–Thoracoscopic Segmental and CT Thorax clinical photograph,

Resection confirming the Detailed Operative diagnosis, +/- notes, histopath, Biopsy report Detailed discharge summary, Scar Photo

980 SG (General Lung Hydatid Cyst removal–Lung Hydatid Cyst removal

SG083A S 20,000 7 N N Clinical notes Post procedure 3 Surgery) and X Ray, clinical photograph,

CT/MRI Chest Detailed Operative confirming the notes, Intra diagnosis, procedure clinical Clinical photograph, Photograph Detailed discharge summary, Histopathology

981 SG (General Incision & Drainage of Abscess–Incision & Drainage of Abscess

SG084A S 5,000 7 N N Clinical notes C/S report of Wound or Pus, Intra operative clinical photograph, Detailed Operative notes & detailed discharge summary.

Daycare Surgery) and USG report

confirming large abscess.

982 SG (General Lipoma / Cyst / other cutaneous swellings Excision–Lipoma Excision

SG085A S 5,000 7 N N Clinical notes Histopath, Post Daycare Surgery) and clinical procedure clinical

photograph to photograph, confirm Detailed Operative diagnosis. notes, detailed discharge summary

983 SG (General Lipoma / Cyst / other cutaneous swellings Excision–Cyst Excision

SG085B S 5,000 7 N N Clinical notes Histopath, Post Daycare Surgery) and clinical procedure clinical


984 SG (General Lipoma / Cyst / other cutaneous swellings Excision–Other cutaneous swellings Excision

SG085C S 5,000 7 N N Clinical notes Histopath, Post Daycare Surgery) and clinical procedure clinical


985 SG (General Debridement of Ulcer–Debridement of Ulcer

SG086A S 5,000 7 N N Clinical notes Post procedure Daycare Surgery) and Clinical clinical photograph,

photograph of Detailed Operative affected part, notes, Detailed Evidence of discharge summary confirmed diagnosis of Leprosy

986 SG (General Flap Reconstructive Surgery–Flap Reconstructive Surgery

SG087A S 20,000 7 N N Clinical notes Post procedure 4 Surgery) detailing the clinical photograph,

original Detailed Operative pathology thet notes, Detailed has led to this

surgery with suporting investigation reports. Clinical Photograph

discharge summary

987 SG (General Free Grafts - Wolfe Grafts–Free Grafts - Wolfe Grafts

SG088A S 14,000 7 N N Clinical notes Post procedure Daycare Surgery) detailing clinical photograph,

original Detailed Operative pathology, with notes, Detailed suporting discharge summary reports, Clinical Photograph

988 SG (General Tissue Reconstruction Flap–Tissue Reconstruction Flap

SG089A S 25,000 7 N N Clinical notes Intra procedure 5 Surgery) and Clinical clinical photograph,

photograph of Post procedure affected part clinical photograph justifying (if flap taken from surgery. other site; even of Evidence of donor site), Detailed confirmed Operative notes, diagnosis of Detailed discharge Leprosy summary

989 SG (General Split thickness skin grafts–Small (< 4% TBSA)

SG090A S 13,500 7 N N Clinical notes Post procedure Daycare Surgery) detailing time of clinical photograph,

Burns,, Clinical Detailed Operative Photograph notes, Detailed discharge summary

990 SG (General Split thickness skin grafts–Medium (4 -8% TBSA)

SG090B S 13,500 7 N N Clinical notes Post procedure Daycare Surgery) detailing time of clinical photograph,


991 SG (General Split thickness skin grafts–Large (> 8% TBSA)

SG090C S 13,500 7 N N Clinical notes Post procedure Daycare Surgery) detailing time of clinical photograph,


992 SG (General Skin Flaps - Rotation Flaps–Skin Flaps - Rotation Flaps

SG091A S 11,400 10 N N Clinical notes Post procedure Daycare Surgery) and Clinical clinical photograph,

Photograph, Detailed Operative medical records notes, detailed of previous discharge summary surgeries and indication of this

surgery

993 SG (General Tendon Transfer–Tendon Transfer SG092A S 15,000 10 N N Clinical notes Intra procedure 3 Surgery) and Clinical clinical photograph,

photograph of Post procedure affected part, clinical photograph, Evidence of Detailed Operative confirmed notes, Detailed diagnosis of discharge summary Leprosy

994 SG (General Lymphatics Excision of Subcutaneous Tissues In Lymphoedema–Lymphatics Excision of Subcutaneous Tissues In Lymphoedema

SG093A S 10,000 10 N N Clinical notes Histopathology 3 Surgery) and detailing report, post

history, Clinical procedure clinical Photograph photograph, Detailed Operative notes, Detailed discharge summary.

995 SG (General AV Fistula without prosthesis–AV Fistula without prosthesis

SG094A S 6,000 10 N N Clinical notes Post Procedure Daycare Surgery) detailing need clinical photograph,

for AV shunt Detailed Operative with supporting notes, Detailed Evidence of discharge summary Creatinine/ RFT

996 SG (General Management of Varicose Veins–Management of Varicose Veins

SG095A S 14,000 10 N N Clinical notes Detailed discharge 3 Surgery) and Duplex summary, Post

ultrasonography procedure clinical / Colour photograph, Doppler Detailed Operative confirming the notes diagnosis, pre- op clinical photograph

997 SG (General Biopsy–Lymph Node SG096A S 5,000 10 N N Clinical notes Histopathology Daycare Surgery) and Clinical report, post

Photograph of procedure clinical Enlarged lymph photograph, nodes +/- Detailed Operative FNAC report notes

998 SG (General Biopsy–Endometrial Aspiration SG096B S 2,000 10 N N Clinical notes Pic of specimen, Histopathology report, discharge summary

Daycare Surgery) with supporting

investigations

999 SG (General Biopsy–Cervix Cancer screening (PAP + Colposcopy)

SG096C S 1,000 10 N N Clinical notes Pic of specimen, Histopathology report, discharge summary


investigations

1000 SG (General Biopsy–Cervical (Neck) SG096D S 1,500 10 N N Clinical notes Pic of specimen, Histopathology report, discharge summary


investigations

1001 SG (General Biopsy–Vulval SG096E S 1,500 10 N N Clinical notes Pic of specimen, Histopathology report, discharge summary


investigations

1002 SG (General Stoma Management–Stoma SG097A S 4,500 10 Y N Earlier Invoice / Receipt of drugs and consumables

NA Surgery) Management follow up of Ileostomy discharge

summary, Clinical Notes

1003 SG (General Stoma Management–Stoma SG097B S 4,500 10 Y N Earlier Invoice / Receipt of drugs and consumables

NA Surgery) Management follow up of Colostomy discharge

summary, Clinical Notes

1004 SG (General Foreign Body Removal–Foreign Body Removal

SG098A S 5,000 10 N N Clinical notes Post procedure Daycare Surgery) and X-ray/ USG clinical photograph,

report of the Detailed Operative affected part notes, detailed confirming the discharge summary diagnosis, Still and relevant Photograph of

the imaging imaging study for comparison

1005 SL Pinna surgery for tumour / trauma–Pinna surgery for tumour

SL001A S 8,600 10 Y N History, Pre-op Histopath report, Daycare (Otorhinolaryngology Clinical Post procedure

) photograph and clinical photograph Biopsy of affected part,

detailed Procedure / Operative Notes, detailed discharge summary

1006 SL Pinna surgery for tumour / trauma–Pinna surgery for trauma

SL001B S 8,600 10 N N History, Pre-op Post procedure Daycare (Otorhinolaryngology Clinical clinical photograph

) photograph of affected part, detailed Procedure / Operative Notes, detailed discharge summary

1007 SL Tympanoplasty–Tympanoplasty SL002A S 19,900 10 Y N Clinical notes Intra procedure 2 (Otorhinolaryngology and Audiogram/ clinical photograph,

) Tympanometry Post procedure (or impedence clinical photograph audiometry) as of affected part, justification of detailed Procedure / surgery Operative Notes.

Detailed discharge summary Invoice of graft used

1008 SL Stapedectomy / SL003A S 18,000 10 Y N Clinical notes Intra procedure 2 (Otorhinolaryngology tympanotomy–Stapedectomy and audiometry microscope clinical

) confirming photograph; conductive detailed Procedure / deafness Operative Notes,

detailed discharge summary

1009 SL Stapedectomy / SL003B S 18,000 10 Y N Clinical notes Intra procedure 2 (Otorhinolaryngology tympanotomy–Tympanotomy and audiometry microscope clinical

) confirming photograph; conductive detailed Procedure / deafness Operative Notes,


1010 SL Mastoidectomy–Simple SL004A S 28,000 10 Y N Clinical notes Scar photo, Post procedure clinical photograph, Detailed Procedure / Operative Notes, Detailed discharge summary, Histopath

2 (Otorhinolaryngology confirming the

) indication for the procedure with imaging (X-

ray/ CT) Evidence, Audiometry

1011 SL Mastoidectomy–Radical SL004B S 28,000 10 Y N Clinical notes Scar photo, Post procedure clinical photograph, Detailed Procedure / Operative Notes, Detailed discharge summary, Histopath

2 (Otorhinolaryngology confirming the

) indication for the procedure with imaging (X-

ray/ CT) Evidence, Audiometry

1012 SL Myringotomy with or without Grommet–Unilateral

SL005A S 5,000 10 Y N Clinical notes Photograph of Daycare (Otorhinolaryngology and Audiogram patient while

) justifying undergoing the surgery. procedure, detailed Procedure / Operative Notes, detailed discharge summary

1013 SL Myringotomy with or without Grommet–Bilateral

SL005B S 5,000 10 Y N Clinical notes Photograph of Daycare (Otorhinolaryngology and Audiogram patient while

) justifying undergoing the surgery. procedure, detailed Procedure / Operative Notes, detailed discharge summary

1014 SL Endoscopic DCR–Endoscopic DCR SL006A S 19,300 10 Y N Clinical notes Endoscopic still Daycare (Otorhinolaryngology and endoscopy images, Detailed

) findings, discharge summary, Clinical Post procedure photograph clinical photograph of affected part,

detailed Procedure / Operative Notes.

1015 SL Epistaxis treatment - packing –Epistaxis treatment - packing

SL007A S 1,800 10 Y N Clinical notes Clinical photograph, NA (Otorhinolaryngology with planned Detailed Discharge

) line of Summary treatment

1016 SL Functional septo SL008A S 21,800 10 Y N Clinical notes Post procedure 2 (Otorhinolaryngology rhinoplasty–Functional septo Indication for clinical photograph

) rhinoplasty this surgery of affected part; with supporting Detailed Procedure medical / Operative Notes; records, X-ray, Detailed discharge MLC/FIR for summary traumatic injuries and circumstances of the incident

which led to disfigurement, Clinical picture

1017 SL Septoplasty–Septoplasty SL009A S 12,000 10 Y N Indication for Post procedure 1 (Otorhinolaryngology this surgery clinical photograph

) with supporting of affected part, medical Detailed Procedure records, / Operative Notes. MLC/FIR for Detailed discharge traumatic summary injuries, Endoscopic picture/ Clinical picture

1018 SL Fracture - setting nasal bone–Fracture - setting nasal bone

SL010A S 8,000 10 N N MLC/FIR for Post procedure X- ray, Post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary

2 (Otorhinolaryngology traumatic

) injuries and circumstances of the incident

which led to fracture, X Ray/CT

1019 SL Inferior turbinate reduction under GA–Inferior turbinate reduction under GA

SL011A S 5,700 10 Y N Clinical notes Intraoperative Stills, Daycare (Otorhinolaryngology and Post procedure

) EXAMINATION clinical photograph FINDINGS, of affected part, nasoendoscopy Detailed discharge findings summary Detailed

Procedure / Operative Notes

1020 SL Open sinus surgery–Open sinus surgery

SL012A S 15,000 10 Y N Clinical notes Post procedure 2 (Otorhinolaryngology detailing Imaging, Post

) chronicity of procedure clinical sinusitis . photograph of indications for affected part. surgery with Histopathology,, supporting detailed Procedure / CTpre- Operative Notes. procedure Intra procedure photograph clinical photograph

1021 SL Functional Endoscopic Sinus (FESS)–Functional Endoscopic Sinus (FESS)

SL013A S 11,000 5 Y N Clinical notes Stills of procedure being done, post procedure clinical photograph , Detailed Procedure / Operative Notes, detailed discharge summary

2 (Otorhinolaryngology and CT

) confirming the diagnosis

1022 SL Ant. Ethmoidal / sphenopalatine artery ligation–Ant. Ethmoidal artery ligation - Open

SL014A S 15,000 0 N N Indications of Intraoperative 2 (Otorhinolaryngology this surgery photograph, X-ray

) with clinical of clips used, post evidence (CT) procedure clinical

photograph of affected part. Detailed Procedure / Operative Notes and discharge summary.

1023 SL Ant. Ethmoidal / sphenopalatine artery ligation–Ant. Ethmoidal artery ligation - Endoscopic

SL014B S 15,000 0 N N Indications of Intraoperative 2 (Otorhinolaryngology this surgery photograph, X-ray



1024 SL Ant. Ethmoidal / sphenopalatine artery ligation–Sphenopalatine artery ligation - Open

SL014C S 15,000 0 N N Indications of Intraoperative 2 (Otorhinolaryngology this surgery photograph, X-ray



1025 SL Ant. Ethmoidal / sphenopalatine artery ligation–Sphenopalatine artery ligation - Endoscopic

SL014D S 15,000 0 N N Indications of Intraoperative 2 (Otorhinolaryngology this surgery photograph, X-ray



1026 SL Adenoidectomy–Adenoidectomy SL015A S 5,000 0 Y N Clinical notes Histopathology 1 (Otorhinolaryngology with supporting report, post

) investigation procedure clinical reports,X Ray photograph of Adenoids, affected part, Clinical detailed Procedure / Photograph Operative Notes.


1027 SL Tonsillectomy–Tonsillectomy - U/L SL016A S 7,500 0 Y N Indication for Histopathology 2 (Otorhinolaryngology surgery from report, post

) treating doctor procedure clinical with supporting photograph of case history, affected part, physical detailed Procedure / examination Operative Notes findings, supporting investigation reports, Clinical Photograph

1028 SL Tonsillectomy–Tonsillectomy - B/L SL016B S 7,500 0 Y N Indication for Histopathology 2 (Otorhinolaryngology surgery from report, post

) treating doctor procedure clinical with supporting photograph of case history, affected part, physical detailed Procedure / examination Operative Notes findings, supporting investigation reports, Clinical Photograph

1029 SL Peritonsillar abscess drainage / intraoral calculus removal–Peritonsillar abscess drainage

SL017A S 5,800 0 N N Doctor's notes C/S of pus, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary

Daycare (Otorhinolaryngology with presenting

) complaints, duration and physicial examination findings of oral

cavity and tonsils, clinical photograph if possible

1030 SL Peritonsillar abscess drainage / intraoral calculus removal–Intraoral calculus removal

SL017B S 5,800 0 N N Doctor's notes C/S of pus, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary

Daycare (Otorhinolaryngology with presenting

) complaints, duration and physicial examination findings of oral

cavity and tonsils, clinical photograph if possible

1031 SL Thyroglossal / Branchial cyst / sinus / fistula excision–Thyroglossal cyst excision

SL018A S 15,300 7 Y N Clinical notes Histopathology 2 (Otorhinolaryngology and pre- report, post

) operative procedure clinical clincial photograph of photograph affected part, detailed Procedure /

Operative Notes. Detailed discharge summary

1032 SL Thyroglossal / Branchial cyst / sinus / fistula excision–Thyroglossal sinus excision

SL018B S 15,300 0 Y N Clinical notes Histopathology 2 (Otorhinolaryngology and pre- report, post



1033 SL Thyroglossal / Branchial cyst / sinus / fistula excision–Thyroglossal fistula excision

SL018C S 15,300 10 Y N Clinical notes Histopathology 2 (Otorhinolaryngology and pre- report, post



1034 SL Thyroglossal / Branchial cyst / sinus / fistula excision–Branchial sinus excision

SL018D S 15,300 10 Y N Clinical notes Histopathology 2 (Otorhinolaryngology and pre- report, post



1035 SL Thyroglossal / Branchial cyst / sinus / fistula excision–Branchial fistula excision

SL018E S 15,300 10 Y N Clinical notes Histopathology 2 (Otorhinolaryngology and pre- report, post



1036 SL Uvulopalatopharyngoplasty SL019A S 18,600 10 Y N Clinical notes Post procedure 2 (Otorhinolaryngology (UPPP)–Uvulopalatopharyngoplasty and clinical photograph

) (UPPP) Polysomnograp of affected part, hy (Sleep detailed Procedure / Study) + Operative Notes; CT/MRI detailed discharge

summary 1037 SL Excision of tumour of oral cavity /

paranasal sinus / laryngopharynx with or without reconstruction–Excision of tumour of oral cavity / paranasal sinus / laryngopharynx without reconstruction

SL020A S 30,000 10 Y N CT Scan, Procedure / 5 (Otorhinolaryngology Biopsy, Clinical Operative

) notes with Notes,Post planned line of Procedure treatment, Pre Photograph of operative affected part, Clinical Histopathology Photograph of

affected part report

1038 SL Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction–Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with pedicled flap reconstruction

SL020B S 36,500 2 Y N CT Scan, Procedure / 6 (Otorhinolaryngology Biopsy, Clinical Operative

) Photograph of Notes,Post affected part Procedure Photograph of affected part, Histopathology report

1039 SL Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction–Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with free flap reconstruction

SL020C S 45,000 7 Y N CT Scan, Procedure / 7 (Otorhinolaryngology Biopsy, Clinical Operative

) Photograph of Notes,Post affected part Procedure Photograph of affected part, Histopathology report

1040 SL Parotidectomy–Total Parotidectomy SL021A S 28,200 7 Y N CT Scan and Histopathology 3 (Otorhinolaryngology FNAC, Clinical report, post

) Photograph of procedure clinical affected part photograph of affected part, detailed Procedure /

Operative Notes and detailed discharge summary.

1041 SL Parotidectomy–Superficial SL021B S 23,800 0 Y N CT Scan, Histopathology 3 (Otorhinolaryngology Parotidectomy FNAC, Clinical report, post

) Photograph of procedure clinical affected part photograph of affected part, detailed Procedure /

Operative Notes and detailed discharge summary.

1042 SL Removal of Submandibular Salivary gland–Removal of Submandibular Salivary gland

SL022A S 9,000 10 Y N Clinical notes to establigh indication; Biopsy if tumour, Clinical Photograph of affected part

Histopathology 2 (Otorhinolaryngology report, post

) procedure clinical photograph of affected part, detailed Procedure /

Operative Notes; detailed discharge summary

1043 SL Removal of Submandibular Salivary gland–Removal of Ranula

SL022B S 9,000 7 Y N Clinical notes Histopathology 2 (Otorhinolaryngology and Clinical report, post

) photograph, procedure clinical MLC/FIR for photograph of traumatic affected part, injuries and detailed Procedure / circumstances Operative Notes; of the incident

which led to rupture of salivary duct


1044 SL Removal of Submandibular Salivary gland–Removal of Submandibular Lymph node

SL022C S 9,000 0 Y N Clinical notes to establigh indication; Biopsy if tumour, Clinical Photograph of affected part

Histopathology 2 (Otorhinolaryngology report, post

) procedure clinical photograph of affected part, detailed operative notes; detailed discharge summary

1045 SL Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy–Rigid laryngoscopy - Diagnostic + / - biopsy

SL023A S 7,000 7 Y N Clinical notes Procedure / Daycare (Otorhinolaryngology with planned Operative

) line of Notes,Post treatment Procedure Photograph of affected part, Histopathology report

1046 SL Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy–Rigid bronchoscopy - Diagnostic + / - biopsy

SL023B S 7,000 7 Y N Clinical notes Procedure / Daycare (Otorhinolaryngology with planned Operative


1047 SL Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy–Rigid oesophagoscopy - Diagnostic + / - biopsy

SL023C S 7,000 7 Y N Clinical notes Procedure / Daycare (Otorhinolaryngology with planned Operative


1048 SL Microlaryngeal surgery with or without laser–Microlaryngeal surgery with or without laser

SL024A S 17,000 7 Y N Indication for Procedure / 2 (Otorhinolaryngology surgery with Operative

) supporting Notes,Post investigation Procedure reports, Photograph of laryngoscopy affected part, findings +/- Histopathology Laryngeal report electromyograp hy

1049 SL Open laryngeal framework surgery / Thyroplasty–Open laryngeal framework surgery / Thyroplasty

SL025A S 20,000 3 Y N Clinical notes to establish indication and justification of surgery; Evidence through CT/ MRI/ Biopsy, Clinical Photograph

Histopathology 1 (Otorhinolaryngology report in case of

) tumours, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; Detailed discharge summary

1050 SL Tracheostomy / SL026A S 6,000 10 Y N Clinical notes Procedure / NA (Otorhinolaryngology Tracheotomy–Tracheostomy with planned Operative

) line of Notes,Post treatment Procedure justifying Photograph of indication affected part, Histopathology report

1051 SL Tracheostomy / SL026B S 6,000 10 Y N Clinical notes Procedure / NA (Otorhinolaryngology Tracheotomy–Tracheotomy with planned Operative

) line of Notes,Post treatment Procedure justifying Photograph of indication affected part, Histopathology report

1052 SL Neck dissection–Selective Benign neck tumour excision

SL027A S 18,800 10 Y N Indication for Histopathology 3 (Otorhinolaryngology surgery with report, Post

) supporting procedure Imaging, investigation post procedure reports (X-ray/ clinical photograph CT/MRI), FNAC of affected part, / Biospy in case

of tumours, Clinical Photograph

detailed Procedure / Operative Notes; detailed discharge summary

1053 SL Neck dissection–Comprehensive SL027B S 18,800 0 Y N Indication for Histopathology 3 (Otorhinolaryngology Benign neck tumour excision surgery with report, Post




1054 SL Neck dissection–Selective Pharyngeal diverticulum excision

SL027C S 18,800 0 Y N Indication for Histopathology 3 (Otorhinolaryngology surgery with report, Post




1055 SL Neck dissection–Comprehensive SL027D S 18,800 0 Y N Indication for Histopathology 3 (Otorhinolaryngology Pharyngeal diverticulum excision surgery with report, Post




1056 SL Deep neck abscess drainage/ Post trauma neck exploration–Deep neck abscess drainage

SL028A S 16,800 7 N N Clinical notes C/S of pus, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary

2 (Otorhinolaryngology and clinical

) photgraph/ investigation supporting diagnosis, CT

1057 SL Deep neck abscess drainage/ Post trauma neck exploration–Post trauma neck exploration

SL028B S 16,800 7 N N Clinical notes C/S of pus, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary

2 (Otorhinolaryngology and clinical

) photgraph/ investigation supporting diagnosis, CT

1058 SL Anterior skull base surgery–Endoscopic CSF Rhinorrhea Repair

SL029A S 35,000 7 Y N Clinical notes Procedure / 6 (Otorhinolaryngology with planned Operative

) line of Notes,Post treatment Procedure detailing Photograph of aetiology; MLC/ affected part FIR if traumatic.

CT to confirm need of surgery

1059 SL Anterior skull base surgery–Optic nerve decompression

SL029B S 34,500 7 Y N Clinical notes Procedure / 6 (Otorhinolaryngology with planned Operative



1060 SL Anterior skull base surgery–Orbital decompression

SL029C S 34,500 5 Y N Clinical notes Procedure / 6 (Otorhinolaryngology with planned Operative



1061 SL Anterior skull base surgery–Craniofacial resection

SL029D S 34,500 7 Y N Clinical notes Procedure / 6 (Otorhinolaryngology with planned Operative

) line of Notes,Post treatment Procedure detailing Photograph of aetiology; MLC/ affected part, FIR if traumatic. Histopathology CT to confirm

need of surgery report

1062 SL Anterior skull base surgery–Maxillary swing

SL029E S 34,500 7 Y N Clinical notes Procedure / 6 (Otorhinolaryngology with planned Operative



1063 SL Advanced anterior skull base surgery–Endoscopic Hypophysectomy


) line of Notes,Post treatment and Procedure Coronal Photograph of CT/MRI affected part, establishing Histopathology diagnosis and report establishing need of surgery

1064 SL Advanced anterior skull base surgery–Clival tumour excision


) line of Notes,Post treatment and Procedure Coronal Photograph of CT/MRI affected part, establishing Histopathology diagnosis and report establishing need of surgery

1065 SL Lateral skull base procedures–Subtotal petrosectomy


) line of Notes,Post treatment and Procedure CT/MRI/ biopsy Photograph of to establish the affected part, indication and Histopathology justify the

surgery. report

1066 SL Lateral skull base procedures–Post- traumatic facial nerve decompression



surgery. report

1067 SL Lateral skull base procedures–CSF Otorrhoea repair



surgery. report

1068 SL Advanced lateral skull base surgery–Fisch approach


) line of Notes,Post treatment and Procedure Audiogram Photograph of report justfying affected part, surgery +/- CT- Histopathology TEMPORAL

BONE of affected side /X- RAY BOTH MASTOIDS

report

1069 SL Advanced lateral skull base surgery–Translabyrinthine approach




report

1070 SL Advanced lateral skull base surgery–Transcochlear approach




report

1071 SL Advanced lateral skull base surgery–Temporal Bone resection

SL032D S 48,900 0 Y N Clinical notes Procedure / 7 (Otorhinolaryngology with planned Operative



report

1072 SL Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma–Closed reduction for fracture of maxilla

SL033A S 9,200 0 N N MLC/FIR for Procedure / Daycare (Otorhinolaryngology traumatic Operative

) injuries and Notes,Post circumstances Procedure of the incident Photograph of which led to affected part, fracture, X Histopathology Ray/CT report

1073 SL Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma–Closed reduction for fracture of mandible

SL033B S 9,200 0 N N MLC/FIR for Procedure / Daycare (Otorhinolaryngology traumatic Operative


1074 SL Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma–Closed reduction for fracture of zygoma

SL033C S 9,200 0 N N MLC/FIR for Procedure / Daycare (Otorhinolaryngology traumatic Operative


1075 SL Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma–Closed reduction and Intermaxillary fixation for fracture of mandible

SL033D S 9,200 0 N N MLC/FIR for Procedure / Daycare (Otorhinolaryngology traumatic Operative


1076 SL Open reduction and internal fixation of maxilla / mandible / zygoma–Open reduction and internal fixation of maxilla

SL034A S 18,000 0 N N MLC/FIR for Procedure / Daycare (Otorhinolaryngology traumatic Operative


1077 SL Open reduction and internal fixation of maxilla / mandible / zygoma–Open reduction and internal fixation of mandible

SL034B S 18,000 0 N N MLC/FIR for Procedure / Daycare (Otorhinolaryngology traumatic Operative


1078 SL Open reduction and internal fixation of maxilla / mandible / zygoma–Open reduction and internal fixation of zygoma

SL034C S 18,000 0 N N MLC/FIR for Procedure / Daycare (Otorhinolaryngology traumatic Operative


1079 SL Clinic based therapeutic interventions of ENT–Turbinate reduction

SL035A S 1,200 0 Y N Clinical notes Procedure / NA (Otorhinolaryngology with planned Operative

) line of Notes,Post treatment and Procedure EXAMINATION Photograph of FINDINGS, affected part, nasoendoscopy Histopathology findings report

1080 SL Clinic based therapeutic interventions of ENT–Biopsy

SL035B S 1,200 0 Y N Clinical notes Procedure / NA (Otorhinolaryngology with planned Operative


1081 SL Clinic based therapeutic interventions of ENT–Intratympanic injections

SL035C S 1,200 0 Y N Clinical notes Procedure / NA (Otorhinolaryngology with planned Operative


1082 SL Clinic based therapeutic interventions of ENT–Wide bore aspiration

SL035D S 1,200 0 Y N Clinical notes Procedure / NA (Otorhinolaryngology with planned Operative


1083 SM (Oral and Extraction of impacted tooth under LA –Extraction of impacted tooth under LA

SM001A S 500 0 Y N Dental X-ray / OPG (Orthopantomo gram) showing impacted tooth Clinical Photograph

Post procedure X- ray, extracted tooth, Detailed Procedure / Operative Notes,

NA Maxillofacial

Surgery)

1084 SM (Oral and Sequestrectomy –Sequestrectomy SM002A S 1,500 0 N N OPG showing Post procedure 7 Maxillofacial necrosed tissue clinical photograph;

Surgery) detailed discharge summary, Detailed Procedure / Operative Notes, HPE

1085 SM (Oral and TM joint ankylosis of both jaws - under GA –TM joint ankylosis of both jaws - under GA

SM003A S 15,000 0 Y N Clinical Post procedure 3 Maxillofacial Photograph, X- clinical photograph

Surgery) Ray of affected area, CT;

with mouth open, X Ray, detailed discharge summary Detailed Procedure / Operative Notes

1086 SM (Oral and Fixation of fracture of jaw–Closed reduction (1 jaw) using wires - under LA

SM004A S 5,000 0 Y N Circumstances Detailed Discharge Daycare Maxillofacial that led to Summary, detailed

Surgery) fracture, MLC Procedure / copy with Operative Notes, number, Post procedure X Clinical ray mandible Photograph, X showing wires used Ray Mandible,

1087 SM (Oral and Fixation of fracture of jaw–Open reduction (1 jaw) and fixing of plates / wire – under GA

SM004B S 12,000 0 Y N Circumstances Detailed Discharge 2 Maxillofacial that led to Summary, detailed

Surgery) fracture, MLC Procedure / copy with Operative Notes, number, Post procedure X Clinical ray mandible Photograph, X showing wires used Ray Mandible,

1088 SM (Oral and Surgery for Cyst & tumour of Maxilla / Mandible–Enucleation / excision / marsupialization for cyst & tumour of Maxilla under LA

SM005A S 2,500 0 Y N OPG/ CT Scan detailed discharge Daycare Maxillofacial confirming the summary, Detailed

Surgery) diagnosis; Procedure / Biopsy/FNAC if Operative Notes, tumour, Clinical Histopath, Post Photograph procedure clinical photograph; HPE

1089 SM (Oral and Surgery for Cyst & tumour of Maxilla / Mandible–Enucleation / excision / marsupialization for cyst & tumour of Mandible under LA

SM005B S 2,500 0 Y N OPG/ CT Scan detailed discharge Daycare Maxillofacial confirming the summary, Detailed


1090 SM (Oral and Mandible Tumour Resection and reconstruction / Cancer surgery–Mandible Tumour Resection and reconstruction / Cancer surgery

SM006A S 6,000 0 Y N OPG/ CT Scan detailed discharge 2 Maxillofacial confirming the summary, Detailed


1091 SM (Oral and Release of fibrous bands & grafting - in (OSMF) treatment under GA –Release of fibrous bands & grafting - in (OSMF) treatment under GA

SM007A S 3,000 0 Y N Clinical notes Detailed Procedure Daycare Maxillofacial and Oral Biopsy / Operative Notes

Surgery) confirming the diagnosis, Clinical Photograph

detailing grafting, detailed discharge summary, Post procedure clinical photograph

1092 SN (Neurosurgery) Depressed Fracture–Depressed SN001A S 40,000 0 N N Clinical notes Post procedure 7 Fracture and CT Imaging with film confirming (CT), Post diagnosis procedure Clinical

photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes.

1093 SN (Neurosurgery) CranioPlasty–CranioPlasty with SN002A S 20,000 0 Y N CT/MRI Post procedure 7 Endogenous graft Imaging wih film

(CT/Xray), Post procedure Clinical photgraph , Detailed Procedure / Operative Notes.

1094 SN (Neurosurgery) CranioPlasty–CranioPlasty with SN002B S 20,000 0 Y N CT/MRI Post procedure 7 Exogenous graft Imaging wih film

(CT/Xray), Post procedure Clinical photgraph , Detailed Procedure / Operative Notes.

1095 SN (Neurosurgery) Twist Drill Craniostomy–Twist Drill Craniostomy

SN003A S 15,000 0 N N Clinical notes Post procedure 2 and CT Imaging with film

(CT/MRI), Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. Discharge summary

1096 SN (Neurosurgery) Craniostenosis–Craniostenosis SN004A S 28,000 0 N N Clinical notes Post procedure 7 and CT/ MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical

photgraph showing Post procedure Clinical photgraph showing scar; detailed discharge summary, Detailed Procedure / Operative Notes.

1097 SN (Neurosurgery) Meningocele–Anterior SN005A S 36,000 0 N N Clinical notes Post procedure 10 and CT/MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical

photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes.

1098 SN (Neurosurgery) Meningocele–Lumbar SN005B S 36,000 0 N N Clinical notes Post procedure 10 and CT/MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical


1099 SN (Neurosurgery) Meningocele–Occipital SN005C S 50,000 0 N N Clinical notes Post procedure 10 and CT/MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical


1100 SN (Neurosurgery) Surgery for tumour meninges–Gocussa

SN006A S 50,000 0 Y N Clinical notes Histopathology, 7 and CT Post procedure supporting Imaging with film surgery (CT), Post

procedure Clinical photgraph showing scar , Detailed Procedure / Operative Notes. Detailed discharge summary

1101 SN (Neurosurgery) Surgery for tumour meninges–Posterior

SN006B S 50,000 0 Y N Clinical notes Histopathology, 7 and CT Post procedure supporting Imaging with film surgery (CT), Post

procedure Clinical photgraph showing scar , Detailed Procedure / Operative Notes. Detailed discharge summary

1102 SN (Neurosurgery) Duroplasty–Duroplasty with SN007A S 12,500 0 N N Clinical notes Post procedure 5 Endogenous graft and CT/ MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical


1103 SN (Neurosurgery) Duroplasty–Duroplasty with SN007B S 12,500 0 N N Clinical notes Post procedure 5 Exogenous graft and CT/ MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical


1104 SN (Neurosurgery) Burr hole surgery–Burr hole SN008A S 7,000 0 N N Clinical notes Post procedure 2 and CT/MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical

photgraph showing scar , Detailed discharge summary, Detailed Procedure / Operative Notes.

1105 SN (Neurosurgery) Burr hole surgery–Burr hole surgery with chronic Sub Dural Haematoma

SN008B S 20,000 0 N N Clinical notes Post procedure 2 and CT/MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical

photgraph showing scar , Detailed discharge summary, Detailed Procedure / Operative Notes.

1106 SN (Neurosurgery) Surgery for Haematoma - Intracranial–Head injuries

SN009A S 55,000 0 N N Clinical notes Post procedure 8 and CT/ MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical

photgraph showing scar , Detailed Procedure / Operative Notes. Detailed discharge summary

1107 SN (Neurosurgery) Surgery for Haematoma - Intracranial–Hypertensive

SN009B S 50,000 0 N N Clinical notes Post procedure 8 and CT/ MRI Imaging with film establishing (CT), Post need of surgery procedure Clinical

photgraph showing scar , Detailed Procedure / Operative Notes. Detailed discharge summary

1108 SN (Neurosurgery) Surgery for Haematoma - Intracranial–Child - subdural

SN009C S 50,000 0 N N Clinical notes and CT/ MRI establishing need of surgery

Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar , Detailed Procedure / Operative Notes. Detailed discharge summary

10

1109 SN (Neurosurgery) Excision of Brain Abscess–Excision of Brain Abscess

SN010A S 36,000 0 Y N Clinical notes and CT

Pus C/s, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes

7

1110 SN (Neurosurgery) Abscess Tapping–Abscess Tapping SN011A S 20,000 0 N N Clinical notes and CT

Pus C/s, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes

7

1111 SN (Neurosurgery) Epilepsy Surgery–Epilepsy Surgery SN012A S 50,000 0 Y N Clinical notes and EEG, Neurologist report, CT/MRI

Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes.

10

1112 SN (Neurosurgery) Brain Biopsy–Brain Biopsy SN013A S 15,000 0 N N Clinical notes Histopathology, 3 and CT/MRI, Post procedure suspected Clinical photgraph differential showing scar, diagnosis Detailed discharge summary, Detailed Procedure / Operative Notes.

1113 SN (Neurosurgery) Excision of Orbital Tumour –Excision of Orbital Tumour

SN014A S 40,000 0 Y N Clinical notes Post procedure 7 and CT/ MRI Imaging with film report (CT), Post

procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. HPE report

1114 SN (Neurosurgery) Excision of Brain Tumor Supratentorial–Parasagital

SN015A S 50,000 0 Y N Clinical notes Histopathology, 10 and CT/MRI Post procedure Imaging with film

(CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes.

1115 SN (Neurosurgery) Excision of Brain Tumor Supratentorial–Basal

SN015B S 50,000 0 Y N Clinical notes Histopathology, 10 and CT/MRI Post procedure Imaging with film


1116 SN (Neurosurgery) Excision of Brain Tumor Supratentorial–Brainstem

SN015C S 50,000 0 Y N Clinical notes Histopathology, 10 and CT/MRI Post procedure Imaging with film


1117 SN (Neurosurgery) Excision of Brain Tumor Supratentorial–C P Angle

SN015D S 50,000 0 Y N Clinical notes Histopathology, 10 and CT/MRI Post procedure Imaging with film


1118 SN (Neurosurgery) Excision of Brain Tumor Supratentorial–Supratentorial & others

SN015E S 55,000 0 Y N Clinical notes Histopathology, 10 and CT/MRI Post procedure Imaging with film


1119 SN (Neurosurgery) Stereotactic Lesioning–Stereotactic SN016A S 60,000 0 Y N Clinical notes Post procedure 10 Lesioning from Imaging with film neuorlogist/ (CT), Post psychiatriat / procedure Clinical MRI photgraph showing

scar, Detailed Procedure / Operative Notes. Detailed discharge summary

1120 SN (Neurosurgery) Trans Sphenoidal Surgery–Trans Sphenoidal Surgery

SN017A S 50,000 0 N N Clinical notes Histopathology, 7 and MRI Post procedure supporting Imaging with film surgery (MRI), Detailed

Procedure / Operative Notes. Detailed discharge summary.

1121 SN (Neurosurgery) Trans oral Surgery–Trans oral Surgery

SN018A S 40,000 0 N N X ray and MRI Post procedure 7 Spine Imaging with film (X-

ray), Detailed discharge summary, Detailed Procedure / Operative Notes. HPE report

1122 SN (Neurosurgery) Transoral surgery (Anterior) and CV Junction (Posterior Sterilisation)–Transoral surgery (Anterior) and CV Junction (Posterior Sterilisation)

SN019A S 55,000 0 Y N X ray and MRI Post procedure 12 Spine Imaging with film (X-

ray), Detailed discharge summary, Detailed Procedure / Operative Notes.

1123 SN (Neurosurgery) External Ventricular Drainage (EVD) including antibiotics–External Ventricular Drainage (EVD) including antibiotics

SN020A S 30,000 0 Y N Clinical noteand Analysis/ C/S of pus/ fluid removed, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar , Detailed discharge summary, Detailed Procedure / Operative Notes.

6 CT

1124 SN (Neurosurgery) Ventricular Puncture–Ventricular SN021A S 15,000 0 N N Clinical notes Post procedure 3 Puncture and CT Imaging with film justifying (CT), Post procedure procedure Clinical

photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes.

1125 SN (Neurosurgery) Shunt Surgery–Ventriculo - peritoneal SN022A S 30,000 0 N N Clinical notes Detailed discharge 7 and CT/MRI summary, Detailed Procedure / Operative Notes.Clinical Photograph

1126 SN (Neurosurgery) Shunt Surgery–Ventriculo - pleural SN022B S 30,000 0 N N Clinical notes Detailed discharge 7 and CT/MRI summary, Detailed Procedure / Operative Notes.Clinical Photograph

1127 SN (Neurosurgery) Shunt Surgery–Ventriculo - atrial SN022C S 30,000 0 N N Clinical notes Detailed discharge 7 and CT/MRI summary, Detailed Procedure / Operative Notes.Clinical Photograph

1128 SN (Neurosurgery) Shunt Surgery–Theco - peritoneal SN022D S 30,000 0 N N Clinical notes Detailed discharge 7 and CT/MRI summary, Detailed Procedure / Operative Notes.Clinical Photograph

1129 SN (Neurosurgery) Aneurysm Clipping including angiogram–Aneurysm Clipping including angiogram

SN023A S 65,000 0 Y N Clinical notes Post procedure 12 and CT- Imaging with film angio/MRA/DS (CT) showing clips, A Post procedure

Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes., invoice of all the clip(s) used

1130 SN (Neurosurgery) 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

SN024A S 60,000 0 Y N Clinical notes Post procedure 10 and MRA/ DSA Imaging with film report (CT), Post

procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes.

1131 SN (Neurosurgery) Arterio venous malformation (AVM) excision–Intracranial

SN025A S 50,000 0 Y N Clinical notes Post procedure 10 and MRA/ DSA Imaging with film report (CT), Post

procedure Clinical photgraph showing Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes.

1132 SN (Neurosurgery) Arterio venous malformation (AVM) excision–Intraspinal

SN025B S 50,000 0 Y N Clinical notes Post procedure 10 and MRA/ DSA Imaging with film report (CT), Post


1133 SN (Neurosurgery) Arterio venous malformation (AVM) excision–Scalp

SN025C S 25,000 0 Y N Clinical notes Post procedure 5 and MRA/ DSA Imaging with film report (CT), Post


1134 SN (Neurosurgery) Foramen Magnum SN026A S 45,000 0 N N Clinical notes Post procedure 10 Decompression–Foramen Magnum and CT/MRI Clinical photgraph Decompression showing scar, detailed discharge summary, Detailed Procedure / Operative Notes.

1135 SN (Neurosurgery) Skull Traction–Skull Traction SN027A S 8,000 0 N N Clinical notes Clinical photgraph 4 and Indication with traction for skull traction applied, Detailed supporting Procedure / radiological Operative Notes evdience detailing weights (CT/MRI). applied; Detailed discharge summary .

1136 SN (Neurosurgery) Posterior Cervical Discetomy without implant –Posterior Cervical Discetomy without implant

SN028A S 30,000 0 N N Clinical notes Post procedure 7 and MRI Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes.

1137 SN (Neurosurgery) Posterior Cervical Fusion with implant (Lateral mass fixation) –Posterior Cervical Fusion with implant (Lateral mass fixation)

SN029A S 50,000 0 Y N Clinical notes Post procedure 7 and MRI Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. Cervical spine X-ray

showing implant

1138 SN (Neurosurgery) Cervical Disc Multiple level without Fusion –Cervical Disc Multiple level without Fusion

SN030A S 40,000 0 Y N Clinical notes Post procedure 7 and MRI Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. Cervical spine X-ray

1139 SN (Neurosurgery) Excision of Cervical Ribs –Excision of Cervical Ribs

SN031A S 20,000 0 N N X-Ray Post procedure 7 chest/CT/MRI Imaging with film (X confirming Ray) Detailed Diagnosis. Procedure /

Operative Notes. Post procedure scar photo, Detailed discharge summary

1140 SN (Neurosurgery) Thoracic / Lumbar Corpectomy with fusion –Thoracic Corpectomy with fusion

SN032A S 60,000 0 Y N Clinical notes Post procedure 7 and MRI Imaging with film (X

ray) showing the implants, Post procedure Clinical photgraph showing scar, Detailed discharge summary , Detailed Procedure / Operative Notes

1141 SN (Neurosurgery) Thoracic / Lumbar Corpectomy with fusion –Lumbar Corpectomy with fusion

SN032B S 60,000 0 Y N Clinical notes Post procedure 7 and MRI Imaging with film (X

ray) showing the implants, Post procedure Clinical photgraph showing scar, Detailed discharge summary , Detailed Procedure / Operative Notes

1142 SN (Neurosurgery) Lumbar Discectomy –Lumbar Discectomy

SN033A S 30,000 0 N N Clinical notes and MRI establishing need of surgery

Post op MRI, Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes.

5

1143 SN (Neurosurgery) Laminectomy–Laminectomy with Fusion

SN034A S 40,000 0 N N Clinical notes and MRI establishing need of surgery

Post procedure X- ray showing fixation & fusion, Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes.

6

1144 SN (Neurosurgery) Laminectomy–Laminectomy with Fusion and fixation

SN034B S 50,000 0 N N Clinical notes and MRI establishing need of surgery

Post procedure X- ray showing fixation & fusion, Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes.

6

1145 SN (Neurosurgery) Neurectomy–Neurectomy SN035A S 16,000 0 N N Clinical notes justifying the surgery,

Post procedure Clinical photgraph showing scar, detailed discharge summary Detailed Procedure / Operative Notes.

5

1146 SN (Neurosurgery) Neurectomy–Neurectomy - Trigeminal SN035B S 16,500 0 N N Clinical notes justifying the surgery,

Post procedure Clinical photgraph showing scar, detailed discharge summary Detailed Procedure / Operative Notes.

5

1147 SN (Neurosurgery) Micro discectomy–Cervical SN036A S 40,000 0 N N Clinical notes and MRI

Intra procedure still photograph Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes.

10

1148 SN (Neurosurgery) Micro discectomy–Lumbar SN036B S 40,000 0 N N Clinical notes and MRI

Intra procedure still photograph Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes.

10

1149 SN (Neurosurgery) Surgery for Spinal Canal Stenosis–Surgery for Spinal Canal Stenosis

SN037A S 40,000 0 N N Clinical notes and MRI supporting surgery

Post op X-ray with film; Detailed discharge summary; Detailed Procedure / Operative Notes;

6

1150 SN (Neurosurgery) Spine - Decompression & Fusion–Spine - Decompression & Fusion


Post op X-ray with film showing fusion; Detailed discharge summary; Detailed Procedure / Operative Notes;

6

1151 SN (Neurosurgery) Spine - Decompression & Fusion–Spine - Decompression & Fusion with fixation

SN038B S 50,000 0 N N Clinical notes and MRI supporting surgery

Post op X-ray with film showing fusion; Detailed discharge summary; Detailed Procedure / Operative Notes;

6

1152 SN (Neurosurgery) Spine - Extradural Haematoma–Spine - Extradural Haematoma


Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes

7

1153 SN (Neurosurgery) Spine - Extradural Haematoma–Spine - Extradural Haematoma with fixation



7

1154 SN (Neurosurgery) Spine - Intradural Haematoma–Spine - Intradural Haematoma



7

1155 SN (Neurosurgery) Spine - Intradural Haematoma–Spine - Intradural Haematoma with fixation



7

1156 SN (Neurosurgery) Spine - Extradural Tumour–Spine - Extradural Tumour

SN041A S 30,000 0 N N Clinical notes Histopathology/ 7 and MRI Biopsy report, Post supporting procedure Clinical surgery photgraph showing

scar, Detailed discharge summary Detailed Procedure / Operative Notes.

1157 SN (Neurosurgery) Spine - Extradural Tumour–Spine - Extradural Tumour with fixation

SN041B S 40,000 0 N N Clinical notes Histopathology/ 7 and MRI Biopsy report, Post supporting procedure Clinical surgery photgraph showing

scar, Detailed discharge summary Detailed Procedure / Operative Notes.

1158 SN (Neurosurgery) Spine - Intradural Tumour–Spine - Intradural Tumour

SN042A S 40,000 0 N N Clinical notes Biopsy & HPE 7 and MRI report; Post supporting procedure Clinical surgery photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes

1159 SN (Neurosurgery) Spine - Intradural Tumour–Spine - Intradural Tumour with fixation

SN042B S 50,000 0 N N Clinical notes Biopsy & HPE 7 and MRI report; Post supporting procedure Clinical surgery photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes

1160 SN (Neurosurgery) Spine - Intramedullar Tumour–Spine - Intramedullar Tumour

SN043A S 50,000 0 N N Clinical notes Histopathology, 7 and MRI Post procedure supporting Imaging with film (X- surgery ray/ CT), Post

procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. Detailed discharge summary

1161 SN (Neurosurgery) Spine - Intramedullar Tumour–Spine - Intramedullar Tumour with fixation

SN043B S 60,000 0 N N Clinical notes Histopathology, 7 and MRI Post procedure supporting Imaging with film (X- surgery ray/ CT), Post

procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. Detailed discharge summary

1162 SN (Neurosurgery) R. F. Lesioning for Trigeminal Neuralgia –R. F. Lesioning for Trigeminal Neuralgia

SN044A S 16,500 0 N N Clinical notes Intra procedure 3 establishing clinical CD/ series of diagnosis of still photographs; Trigeminal Detailed Procedure neuralgia and / Operative Notes, justification of detailed discharge local summary; invoice of neurectomy RF probe with MRI / CT

1163 SN (Neurosurgery) Brachial Plexus – Repair–Brachial Plexus – Repair

SN045A S 27,000 0 N N Clinical notes Detailed discharge 7 and MRI report summary, Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes.

1164 SN (Neurosurgery) Carpal Tunnel Release–Carpal Tunnel Release

SN046A S 10,000 0 N N Clinical history, Post procedure 3 MRI, NCV Clinical photgraph showing scar, Detailed discharge summary , Detailed

Procedure / Operative Notes & MRI Report

1165 SN (Neurosurgery) Nerve Decompression–Nerve SN047A S 16,000 0 N N Clinical notes Detailed discharge 4 Decompression and NCV summary, Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes.

1166 SN (Neurosurgery) Cranial Nerve Anastomosis–Cranial Nerve Anastomosis

SN048A S 32,000 0 N N Clinical notes Post procedure 5 and MRI Imaging with film justifying (CT), Post surgery procedure Clinical

photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes.

1167 SN (Neurosurgery) Peripheral Nerve Surgery–Minor SN049A S 15,000 0 Y N Clinical notes Detailed discharge 3 and Nerve summary, Post Conduction procedure Clinical Velocity (NCV) photgraph showing and scar, Detailed Electromyograp Procedure / hy (EMG) Operative Notes. reports

1168 SN (Neurosurgery) Peripheral Nerve Surgery–Major SN049B S 30,000 0 Y N Clinical notes Detailed discharge 5 and Nerve summary, Post Conduction procedure Clinical Velocity (NCV) photgraph showing and scar, Detailed Electromyograp Procedure / hy (EMG) Operative Notes. reports

1169 SN (Neurosurgery) Nerve Biopsy excluding Hensens–Nerve Biopsy excluding Hensens

SN050A S 7,000 0 N N Clinical notes HPE Report of Nerve Biopsy: Detailed Proedure notes; detailed discharge summary

2 and Reports of previous investigations and treatment taken ruling out Hensen's, differentials suspected, need for Nerve Biopsy

1170 SN (Neurosurgery) Muscle Biopsy with report–Muscle Biopsy with report

SN051A S 7,000 0 N N Clinical notes Histopathology, Daycare and Post procedure Electromyograp Clinical photgraph hy (EMG) showing scar reports Detailed discharge summary,, Detailed Procedure / Operative Notes.

1171 SN (Neurosurgery) Anterior Encephalocele–Anterior SN052A S 50,000 0 N N Clinical notes Post procedure 8 Encephalocele and CT/MRI as

Evidence Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes.

1172 SN (Neurosurgery) Spina Bifida Surgery–Spina Bifida Surgery

SN053A S 36,000 0 N N Clinical notes Post procedure 10 and CT Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes.

1173 SN (Neurosurgery) Gamma Knife radiosurgery (GKRS) / SRS for tumours / Arteriovenous malformation (AVM)–Gamma Knife radiosurgery (GKRS) / SRS for tumours / Arteriovenous malformation (AVM)

SN054A S 75,000 0 Y N Clinical notes Intra procedure 10 and CT/ MRI clinical photograph, report; Is the treating doctor's EHCP equipped consultation paper with Gamma showing planning Knife? for RT treatment

and the RT chart, detailed discharge summary

1174 SO (Obstetrics & Gynaecology)

Lap. Salpingo-oophrectomy–Lap. SO001A S 14,000 0 Y N Clinical notes Detailed Operative 3 Salpingo-oophrectomy establishing notes,HPE Pic of indication, USG specimen. Intraop Abdomen stills with date & Pelvis/ CT/ MRI

abdomen Pelvis patient ID, Detailed discharge summary


Laparotomy and proceed for Ovarian Cancers. Omentomy with Bilateral Salpingo-oophorectomy–Laparotomy and proceed for Ovarian Cancers. Omentomy with Bilateral Salpingo- oophorectomy

SO002A S 38,000 0 Y N Clinical notes Histopathology, 5 and USG Detailed Operative Abdomen + notes, per op pic of Pelvis/ CT specimen removed, abdomen+ Detailed Discharge Pelvis Summary. establishing indication


Laparoscopic tubal surgeries (for any indication including ectopic pregnancy)–Laparoscopic tubal surgeries (for any indication including ectopic pregnancy)

SO003A S 13,900 0 N N Clinical notes Detailed Operative 3 establishing notes, HPE if indication for ectopic pregnancy the procedure, or salpingectomy for USG uterus & any other indication, adnexa, Beta Detailed discharge HCG summary


Procedure on Fallopian Tube for establishing Tubal Patency–Procedure on Fallopian Tube for establishing Tubal Patency

SO004A S 11,600 0 Y N Indication of the procedure preferably with record of previous sterilization/ reason for non- availability

Detailed discharge 5 summary; Detailed Operative notes. Intra procedure clinical photograph


Laparotomy for broad ligament haematoma–Laparotomy for broad ligament haematoma

SO005A S 16,000 0 Y N Clinical notes Detailed discharge 3 with physical summary; Detailed examination Operative notes. findings Intra procedure supported by clinical photograph evidence of hematoma (USG)


Abdominal Myomectomy–Abdominal SO006A S 20,000 0 Y N Clinical notes Detailed Operative 5 Myomectomy establishing notes,HPE, Pic of indication, USG specimen removed- Abdomen Gross and Pelvis/ MRI Histopathology, abdomen. Pap Detailed discharge smear summary


Hysteroscopic SO007A S 9,900 0 Y N physical Detailed Operative 1 myomectomies–Hysteroscopic examination notes, HPE, Intraop myomectomies findings with stills with date & indications for patient ID, Detailed the procedure. discharge summary USG pelvis / MRI Pelvis


Polypectomy–Polypectomy SO008A S 1,500 0 Y N Clinical notes Procedure / 1 with planned Operative Notes, line of Intraop. Stills,Pic of treatment specimen, (including Histopathology System report, Detailed Examination) Discharge and Relavant Summary Investigations (USG Abdomen + Pelvis/ CT abdomen+ Pelvis),


Hysteroscopic SO009A S 7,200 0 Y N Admission Detailed Procedure 2 polypectomy–Hysteroscopic Notes / Operative Notes polypectomy comprising of together with history and indication of examination surgery, Intraop. with indications stills with date & for the patient ID, pic off procedure, gross specimen Relavant removed , Investigations HPE,Progress (establishing notes,detailed diagnosis),USG discharge summary. showing polyp


Hysterectomy–Abdominal SO010A S 20,000 0 Y N Clinical notes Histopathology, 5 Hysterectomy with planned Detailed Discharge line of Summary with treatment Procedure / (including Operative Notes System Examination) and Relavant Investigations (USG Abdomen + Pelvis/ CT abdomen+ Pelvis) confirming the indication


Hysterectomy–Abdominal SO010B S 20,000 0 Y N Admission Detailed Procedure 5 Hysterectomy + Salpingo- Notes / Operative Notes oophorectomy comprising of together with history and indication of examination surgery, Intraop. with indications stills with date & for the patient ID, pic off procedure,Clini gross specimen cal notes with

planned line of treatment (clearly indicating medical management tried and failed or not indicated. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle) and USG

removed , HPE,Progress notes,detailed discharge summary.


Hysterectomy–Non descent vaginal hysterectomy

SO010C S 20,000 0 Y N Clinical notes Detailed Procedure 4 with planned / Operative Notes line of together with treatment indication of (clearly surgery, Intraop. indicating stills with date & medical patient ID, pic off management gross specimen tried and failed or not indicated. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle), USG Abdomen + Pelvis, Pap smear, EB/EAC

removed , HPE, Progress notes,detailed discharge summary.


Hysterectomy–Vaginal hysterectomy SO010D S 20,000 0 Y N Clinical notes Detailed Procedure 5 with anterior and posterior with planned / Operative Notes colpoperineorrhaphy line of together with treatment indication of (clearly surgery, Intraop. indicating stills with date & medical patient ID, pic off management gross specimen tried and failed

or not indicated with reason. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle), Photographic documentation with patient’s consent, Pap smear ( EB/EAC is optional )



Hysterectomy–Laparoscopic SO010E S 20,000 0 Y N Clinical notes Histopathology, 5 hysterectomy (TLH) with planned Detailed Discharge line of Summary with treatment and Detailed operative USG Abdomen notes + Pelvis/ CT abdomen+ Pelvis confirming the indication


Hysterectomy–Laparoscopically SO010F S 20,000 0 Y N Admission Detailed Procedure 5 assisted vaginal hysterectomy (LAVH) Notes / Operative Notes comprising of together with history and indication of examination(cle surgery, Intraop. arly indicating stills with date & medical patient ID, pic off management gross specimen tried and failed

or not indicated, with reason. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle) , USG Abdomen + Pelvis/ MRI abdomen+ Pelvis confirming the indication, Pap



Caesarean hysterectomy–Caesarean SO011A S 20,000 2 N N Admission Detailed Procedure 5 hysterectomy Notes / Operative Notes. comprising of Histopath of uterus history and removed, per op pic examination of specimen (clearly removed; status of indicating the child at the time medical of delivery and at management the time of tried and failed

or not indicated with reason. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle), detailed Ante natal care records/ reasons for non-availability of ANC records.

discharge; progress notes,Detailed discharge summary


Manchester Repair–Manchester SO012A S 15,000 1 Y N Admission Detailed Procedure 5 Repair Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis),


Surgeries for Prolapse - Sling Surgeries–Surgeries for Prolapse - Sling Surgeries

SO013A S 33,900 0 Y N Admission Detailed Procedure 5 Notes / Operative Notes, comprising of Intraop. stills history and ,Barcode of sling examination used; progress with indications notes,Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis) ; Photographic documentation of degree/severity of prolapse with patient’s consent,Pap smear.


Hysterotomy–Hysterotomy SO014A S 5,000 1 Y N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Intraop. stills with history and date & patient ID, examination HPE of with indications specimen,Progress for the notes, Detailed procedure,Rela discharge summary vant Investigations (establishing diagnosis), USG - Obstetric confirming the above package. Has medicolegal compliance been done?


Lap. Surgery for Endometriosis (Other than Hysterectomy)–Lap. Surgery for Endometriosis (Other than Hysterectomy)

SO015A S 11,200 0 Y N Admission Detailed Procedure 2 Notes / Operative Notes comprising of together with history and indication of examination, surgery, Intraop. Relavant stills with date & Investigations patient ID, pic off (establishing gross specimen diagnosis) removed , HPE, USG/ CT/ MRI/ laparoscopy findings

Progress notes,detailed discharge summary.


Diagnostic hysteroscopy–With biopsy SO016A S 6,000 0 Y N Admission Detailed Procedure 1 Notes / Operative Notes comprising of together with history and indication of examination surgery, Intraop. with indications stills with date & for the patient ID, pic off procedure, gross specimen Relavant removed , HPE of Investigations biopsy (establishing specimen,Progress diagnosis),USG notes, Detailed uterus & discharge summary adnexa


Diagnostic hysteroscopy–Without SO016B S 6,000 0 Y N Admission Detailed Procedure 1 biopsy Notes / Operative Notes comprising of together with history and indication of examination surgery, Intraop. with indications stills with date & for the patient ID, pic off procedure, gross specimen Relavant removed , HPE of Investigations biopsy (establishing specimen,Progress diagnosis),USG notes, Detailed uterus & discharge summary adnexa


Hysteroscopic IUCD SO017A S 4,700 0 Y N Clinical notes Detailed Procedure 1 removal–Hysteroscopic IUCD removal

with details of IUCD insertion (reason for non availability of details), indication for removing IUCD, USG showing misplaced IUD

/ Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE,Progress notes,detailed discharge summary.


D&C (Dilatation&curretage)–D&C SO018A S 3,000 0 N N Admission Detailed Procedure Daycare (Dilatation&curretage) Notes / Operative Notes, comprising of Intraop. Stills, history and Histopathology of examination curetted material, with indications Progress notes, for the Detailed discharge procedure,Rela summary vant Investigations (establishing diagnosis), (USG Abdomen + Pelvis)- optional


Dilation and Evacuation (D&E)–Dilation and Evacuation (D&E)

SO019A S 5,000 0 N N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Intraop. history and Stills,Histopathology examination of evacuated with indications material, Progress for the notes, Detailed procedure,Rela discharge summary vant Investigations (establishing diagnosis),USG abdomen and pelvis)


Pyometra drainage–Pyometra SO020A S 5,000 0 Y N Admission Detailed Procedure 3 drainage Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis)


Intrauterine transfusions–Intrauterine SO021A S 11,000 0 Y N Admission Detailed Procedure Daycare transfusions Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis)


Hysteroscopic SO022A S 6,900 0 Y N Admission Detailed Procedure 1 adhesiolysis–Hysteroscopic Notes / Operative Notes adhesiolysis comprising of together with history and indication of examination surgery, Intraop. with indications stills with date & for the patient ID, pic off procedure, gross specimen Relavant removed , Investigations HPE,Progress (establishing notes,detailed diagnosis),USG discharge summary. Abdomen Pelvis / CT/MRI

Abdomen Pelvis


Laparoscopic SO023A S 6,000 0 Y N Admission Detailed Procedure 1 adhesiolysis–Laparoscopic Notes / Operative Notes adhesiolysis comprising of together with history and indication of examination, surgery, Intraop. Relavant stills with date & Investigations patient ID, pic off (establishing gross specimen diagnosis), removed , HPE, USG Abdomen/ Progress Pelvis (CT notes,detailed abdomen- discharge summary. Optional)


Trans - vaginal tape / Trans-obturator tape–Trans-vaginal tape

SO024A S 15,200 0 Y N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Barcode of history and TVT/TOT tape examination used; progress with indications notes,Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis)


Trans - vaginal tape / Trans-obturator tape–Trans-obturator tape

SO024B S 15,200 0 Y N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Barcode of history and TVT/TOT tape examination used; progress with indications notes,Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis)


Sacrocolpopexy (Abdominal)–Open SO025A S 28,900 0 Y N Admission Detailed Procedure 7 Notes / Operative Notes, comprising of Intraop. stills with history and date & patient ID, examination Barcode of mesh with indications used; progress for the notes,Detailed procedure,Rela discharge summary vant summary Investigations (establishing diagnosis) , Photographic documentation with patient’s consent.


Sacrocolpopexy (Abdominal)–Lap. SO025B S 28,900 0 Y N Admission Detailed Procedure 7 Notes / Operative Notes, comprising of Intraop. stills with history and date & patient ID, examination Barcode of mesh with indications used; progress for the notes,Detailed procedure,Rela discharge summary vant summary Investigations (establishing diagnosis) , Photographic documentation with patient’s consent.


LLETZ (including PAP smear and colposcopy)–LLETZ (including PAP smear and colposcopy)

SO026A S 9,900 0 N N Admission Detailed Procedure 3 Notes / Operative Notes, comprising of Intraop. stills with history and date & patient ID, examination HPE of with indications specimen,Progress for the notes, Detailed procedure,Rela discharge summary vant Investigations (establishing diagnosis) , Evidence of cervical pre- cancer (PAP smear) Colposcopiy. Cervical Biopsy is optional


Vaginal Sacrospinus fixation with repair–Vaginal Sacrospinus fixation with repair

SO027A S 15,000 0 Y N Admission Detailed Procedure 5 Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis),


Excision of Vaginal Septum (vaginal route)–Excision of Vaginal Septum (vaginal route)

SO028A S 14,500 0 Y N Admission Detailed Procedure 1 Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis), need of procedure (USG Abdomen + Pelvis)


Hymenectomy for imperforate hymen–Hymenectomy for imperforate hymen

SO029A S 3,000 0 Y N Admission Detailed Procedure 1 Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure and need of procedure


Anterior & Posterior Colpoperineorrhapy–Anterior & Posterior Colpoperineorrhapy

SO030A S 8,000 0 Y N Admission Detailed Procedure 5 Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis), clinical pic if feasible


Vaginoplasty (McIndoe SO031A S 11,000 0 Y N Admission Detailed Procedure 3 procedure)–Vaginoplasty (McIndoe Notes / Operative Notes, procedure) comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis), need of procedure (USG Abdomen + Pelvis)


Vaginal repair for vesico-vaginal fistula–Vaginal repair for vesico- vaginal fistula

SO032A S 34,000 0 Y N Admission Detailed Procedure 5 Notes / Operative Notes, comprising of Intraop. stills with history and date & patient ID, examination Progress with indications notes,detailed for the discharge procedure,Rela summary.detailed vant discharge summary. Investigations (establishing diagnosis) and Cystoscopy/ Cystourethrosc opy. Voiding Cystourethrogra m is optional.


Rectovaginal fistula SO033A S 24,000 0 Y N Admission Detailed Procedure 3 repair–Rectovaginal fistula repair Notes / Operative Notes, comprising of Intraop. stills with history and date & patient ID, examination Progress with indications notes,detailed for the discharge summary. procedure,Rela vant Investigations (establishing diagnosis)


Vulval Hamatoma drainage–Vulval Hamatoma drainage

SO034A S 3,000 0 N N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis),


Vulvectomy simple–Vulvectomy SO035A S 15,000 0 Y N Admission Detailed Procedure 3 simple Notes / Operative Notes, comprising of Intra procedure history and clinical photograph/ examination stills, with indications histopathology; for the progress procedure,Rela notes,Detailed vant discharge summary Investigations (establishing diagnosis) with Evidence (biopsy). Clinical pic if

patient permits


Radical Vulvectomy with Inguinal and Pelvic lymph node disection–Radical Vulvectomy with Inguinal and Pelvic lymph node disection

SO036A S 38,500 0 Y N Admission Detailed Procedure 3 Notes / Operative Notes comprising of together with history and indication of examination surgery, Intraop. with indications stills with date & for the patient ID, pic off procedure, gross specimen Relavant removed , HPE, Investigations Progress (establishing notes,detailed diagnosis),vulva discharge summary. l biopsy, CT/MRI for staging


Abdomino Perineal repair for Mullerian Anomaly–Abdomino Perineal repair for Mullerian Anomaly

SO037A S 20,000 0 Y N Admission Detailed Procedure 5 Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis), (USG/ CT/ MRI)


Pelvic Abscess Management including Colpotomy–Pelvic Abscess Management including Colpotomy

SO038A S 1,200 0 N N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Intra procedure history and clinical photograph/ examination stills; progress with indications notes,Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis) , USG Abdomen & Pelvis


Diagnostic / Staging laparoscopy–Diagnostic / Staging laparoscopy

SO039A S 9,700 0 Y N Admission Detailed Procedure 3 Notes / Operative Notes comprising of together with history and indication of examination, surgery, Intraop. Relavant stills with date & Investigations patient ID, pic off (establishing gross specimen diagnosis) removed , HPE,

Progress notes,detailed discharge summary.


Laparotomy for benign disorders–Ectopic

SO040A S 14,000 0 Y N Admission Detailed Procedure 5 Notes / Operative Notes comprising of together with history and indication of examination surgery, Intraop. with indications stills with date & for the patient ID, pic off procedure,Clini gross specimen cal notes removed , establishing HPE,detailed ruptured discharge summary. ectopic with Evidence of beta hCG & USG


Laparotomy for benign disorders–PID SO040B S 14,000 0 Y N Admission Detailed Procedure 5 Notes / Operative Notes comprising of together with history and indication of examination surgery, Intraop. with indications stills with date & for the patient ID, pic off procedure,Clini gross specimen cal notes removed , establishing HPE,detailed ruptured discharge summary. ectopic with Evidence of beta hCG & USG


Laparoscopic SO041A S 15,000 0 Y N Admission Detailed Procedure 5 cystectomy–Laparoscopic cystectomy Notes / Operative Notes comprising of together with history and indication of examination, surgery, Intraop. Relavant stills with date & Investigations patient ID, pic off (establishing gross specimen diagnosis), removed , HPE, USG Abdomen Progress Pelvis/ CT notes,detailed abdomen. discharge summary.


Cystocele - Anterior repair–Cystocele - Anterior repair

SO042A S 6,000 0 Y N Admission Detailed Procedure 3 Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with findings summary establishing Cystocoele . Clinical pic if feasible


Burch–Abdominal SO043A S 30,000 0 Y N Admission Detailed Procedure 5 Notes / Operative Notes; comprising of Intraop. stills history and ,progress examination notes,Detailed with indications discharge summary for the procedure,Rela vant Investigations (establishing diagnosis) ; Urodynamic studies are optional.


Burch–Laparoscopic SO043B S 30,000 0 Y N Admission Detailed Procedure 5 Notes / Operative Notes; comprising of Intraop. stills history and ,progress examination notes,Detailed with indications discharge summary for the procedure,Rela vant Investigations (establishing diagnosis) ; Urodynamic studies are optional.


Electro Cauterisation / Cryo Surgery–Electro Cauterisation / Cryo Surgery

SO044A S 4,000 0 Y N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis), pap smear- optional


EUA for (minor girls / unmarried sexually inactive / victims of sexual abuse) –EUA for (minor girls / unmarried sexually inactive / victims of sexual abuse)

SO045A S 2,000 0 Y N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis), and parental consent (incase of minor girls)


Hospitalisation for Antenatal Complications–Hospitalisation for Antenatal Complications

SO046A S 1,800 0 N N Admission Detailed Procedure NA Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis),


Amniocentesis–Amniocentesis SO047A S 14,500 0 Y N Consulting Detailed Procedure Daycare notes giving the indication for amniocentesis; does the hospital have fetal medicine expert?

/ Operative Notes, Intraop. Stills, ; Amniotic fluid analysis report; Progress notes, Detailed discharge summary


Chorionic villus sampling–Chorionic villus sampling

SO048A S 14,500 0 Y N Admission Procedure / Daycare Notes Operative Notes comprising of with report of history and chorionic villi examination sampling; Progress with indications notes, Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis),


Cordocentesis–Cordocentesis SO049A S 14,500 0 Y N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Intraop. Stills, report history and of cordocentesis; examination Progress notes, with indications Detailed discharge for the summary procedure,Rela vant Investigations (establishing diagnosis),


McDonald's stitch–McDonald's stitch SO050A S 4,000 0 N N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, ANC findings Detailed discharge justifying summary cervical incompetence and the procedure.


Shirodkar's stitch–Shirodkar's stitch SO051A S 4,000 0 N N Admission Detailed Procedure Daycare Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, ANC findings Detailed discharge justifying summary cervical incomptenecs and the procedure.


Medical management of ectopic pregnancy–Medical management of ectopic pregnancy

SO052A S 1,800 0 N N Admission Detailed Procedure 5 Notes / Operative Notes, comprising of Intraop. Stills, history and Progress notes, examination Detailed discharge with indications summary for the procedure,Rela vant Investigations (establishing diagnosis),


Medical Termination of Pregnancy–MTP upto 8 weeks

SO053A S 3,500 0 Y N Admission Detailed Procedure 1 Notes / Operative Notes, comprising of Intraop. stills , HPE history and of examination specimen,Progress with indications notes, Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis), USG - Obstetric confirming the above package. Has medicolegal compliance been done?


Medical Termination of Pregnancy–MTP 8 to 12 weeks

SO053B S 5,000 0 Y N Admission Detailed Procedure 1 Notes / Operative Notes, comprising of Intraop. stills , HPE history and of examination specimen,Progress with indications notes, Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis), USG - Obstetric confirming the above package. Has medicolegal compliance been done?


Medical Termination of Pregnancy–MTP > 12 weeks

SO053C S 6,500 0 Y N Admission Detailed Procedure 1 Notes / Operative Notes, comprising of Intraop. stills , HPE history and of examination specimen,Progress with indications notes, Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis), USG - Obstetric confirming the above package. Has medicolegal compliance been done?


High risk delivery–Pre-mature delivery

SO054A S 11,500 0 N N Admission Detailed delivery 3 Notes notes, PNC notes comprising of along with relevant history and investigation details; detailed Ante status of the child at natal care the time of delivery records/ and at the time of reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required.

discharge; progress notes, Detailed discharge summary.


High risk delivery–Mothers with eclampsia / imminent eclampsia / severe pre-eclampsia

SO054B S 11,500 0 N N Admission Detailed delivery 3 Notes notes, PNC notes comprising of along with relevant history and investigation details; detailed Ante status of the child at natal care the time of delivery records/ and at the time of reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required.



High risk delivery–Major Fetal malformation requiring intervention immediately after birth

SO054C S 11,500 0 N N Admission Detailed delivery 3 Notes notes, PNC notes comprising of along with relevant history and investigation details; detailed Ante status of the child at natal care the time of delivery records/ and at the time of reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required.



High risk delivery–Mothers with severe anaemia (<7 g/dL)

SO054D S 11,500 0 N N Admission Detailed delivery 3 Notes notes, PNC notes comprising of along with relevant history and investigation details; detailed Ante status of the child at natal care the time of delivery records/ and at the time of reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required.



High risk delivery–Other maternal and fetal conditions as per guidelines-eg previous caesarean section, diabetes, severe growth retardation, etc that qualify for high risk delivery.

SO054E S 11,500 0 N N Admission Detailed delivery 3 Notes notes, PNC notes comprising of along with relevant history and investigation details; detailed Ante status of the child at natal care the time of delivery records with and at the time of special discharge; progress reference to notes, Detailed investigations discharge summary. supporting the diagnosis/ reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required.


Manual removal of placenta–Manual removal of placenta

SO055A S 8,500 0 N N Clinical notes Detailed Procedure 2 documenting / Operative need of manual Notes,stills of removal of placenta, progress placenta/ use of note Detailed Active discharge summary; Management of Third Stage of Labor (AMTSL)

Post natal course


Secondary suturing of episiotomy–Secondary suturing of episiotomy

SO056A S 2,500 0 Y N Admission Detailed Procedure 2 Notes / Operative Notes, comprising of Intraop. Stills, history Progress notes, detailing when Detailed discharge was first summary surgery done? and examination with indications for the procedure, Physical examination findings with indications for the procedure.


Caesarean Delivery–Caesarean SO057A S 11,500 0 N N Admission Detailed Procedure 5 Delivery Notes / Operative Notes, comprising of status of the child at history and the time of delivery examination and at the time of with detailed discharge; progress Ante natal care

records/ reasons for non-availability of ANC records. Indications for the procedure. USG Obstetrics with Doppler is case specific & optional. Labor charting, CTG if available.

notes,Detailed discharge summary


Re exploration after laparotomy / Caesarean Section–Re exploration after Caesarean Section

SO058A S 14,000 0 N N Admission Detailed Procedure 5 Notes / Operative Notes, comprising of Intra procedure history and clinical photograph/ examination stills; progress with indications notes,Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis) , USG


Re exploration after laparotomy / Caesarean Section–Re exploration after laparotomy

SO058B S 14,000 0 N N Admission Detailed Procedure 5 Notes / Operative Notes, comprising of Intra procedure history and clinical photograph/ examination stills; progress with indications notes,Detailed for the discharge summary procedure,Rela vant Investigations (establishing diagnosis) , USG


Vulvo vaginal cyst enucleation / drainage–Vulvo vaginal cyst enucleation

SO059A S 4,700 0 Y N Admission Detailed operative Daycare Notes notes, discharge comprising of summary, history and histopathology examination report of tissue with indications removed for the procedure, Relavant Investigations (establishing diagnosis)


Vulvo vaginal cyst enucleation / drainage–Vulvo vaginal cyst drainage

SO059B S 4,700 0 Y N Admission Detailed operative Daycare Notes notes, discharge comprising of summary history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis)

1251 SP (Plastic & reconstructive

Surgery)

Pressure Sore – Surgery–Pressure Sore – Surgery

SP001A S 30,000 0 Y N Clinical notes Post procedure 3 detailing events clinical photograph; that led to Detailed Procedure pressure sores; / Operative Notes, clinical detailed discharge photograph summary


Surgery)

Diabetic Foot – Surgery–Diabetic Foot – Surgery

SP002A S 30,000 0 Y N Clinical notes Post procedure 3 with planned clinical photograph; line of Detailed Operative treatment notes, detailed detailing discharge summary diabetic foot extent of damage; clinical photograph


Surgery)

Revascularization of limb / digit–Revascularization of limb / digit

SP003A S 25,000 0 Y N Clinical notes Intra procedure 5 and Clinical clinical photograph, photograph, Detailed discharge Doppler; If summary, Detailed traumatic then Procedure / MLC/FIR Operative Notes, report.


Surgery)

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)

SP004A S 30,000 0 Y N Clinical notes Clinical photograph 5 and Clinical of donor and photograph in recipient sites, Intra case of injury, If traumatic then MLC/FIR report. Documents supporting if indication is non traumatic.

operative clinical photograph Invoice of Prosthesis/ Implant used. Detailed discharge summary


Surgery)

Scalp avulsion reconstruction–Scalp avulsion reconstruction

SP005A S 50,000 0 Y N Clinical notes Intra procedure 5 detailing how clinical photograph avulsion and Post procedure occurred; clinical photograph, Clinical Detailed Procedure Photograph, / Operative Notes, MLC copy with number since traumatic



Surgery)

Tissue Expander for disfigurement following burns / trauma / congenital deformity (including cost of expander / implant)–Tissue Expander for disfigurement following burns

SP006A S 50,000 0 Y N Detailed Clinical Detailed discharge 5 notes of original summary, Detailed clinical event Procedure / having led to Operative Notes, disfigurement Post procedure or confirming clinical photograph, details / Invoice of invetsigations of expander/Implant congenital event; Clinical Photograph,

used


Surgery)

Tissue Expander for disfigurement following burns / trauma / congenital deformity (including cost of expander / implant)–Tissue Expander for disfigurement following trauma

SP006B S 50,000 0 Y N Detailed Clinical Detailed discharge 5 notes of original summary, Detailed clinical event Procedure / having led to Operative Notes, disfigurement Post procedure or confirming clinical photograph, details / Invoice of invetsigations of expander/Implant congenital event; Clinical Photograph,

used


Surgery)

Tissue Expander for disfigurement following burns / trauma / congenital deformity (including cost of expander / implant)–Tissue Expander for disfigurement following congenital deformity

SP006C S 50,000 0 Y N Detailed Clinical Detailed discharge 5 notes of original summary, Detailed clinical event Procedure / having led to Operative Notes, disfigurement Post procedure or confirming clinical photograph, details / Invoice of invetsigations of expander/Implant congenital event; Clinical Photograph,

used


Surgery)

Hemangioma–Sclerotherapy under SP007A S 35,000 0 Y N Clinical notes Post procedure 3 GA and Clinical clinical photograph, Photograph Invoice of sclerosing

agent used. Detailed discharge summary, Detailed Procedure / Operative Notes.


Surgery)

Hemangioma–Debulking SP007B S 35,000 0 Y N Clinical notes Post procedure 4 and Clinical clinical photograph, Photograph Invoice of sclerosing



Surgery)

Hemangioma–Excision SP007C S 35,000 0 Y N Clinical notes Post procedure 4 and Clinical clinical photograph, Photograph Invoice of sclerosing



Surgery)

NPWT–NPWT SP008A M 2,000 0 Y N Clinical notes Post procedure 3 detailing events clinical photograph that led to with tube and pump; chronic/ non detailed discharge healing woulds; summary, Detailed clinical Procedure / photograph Operative Notes,

1263 SS (Paediatric Cleft Lip and Palate Surgery (per stage)–Cleft Lip and Palate Surgery (per stage)

SS001A S 15,000 0 Y N Clinical notes Detailed discharge 3 Surgery) and Clinical summary, detailed

Photograph Procedure / Operative Notes, Post procedure clinical photograph

1264 SS (Paediatric Ankyloglossia–Ankyloglossia Minor SS002A S 5,000 0 N N Clinical notes Detailed discharge Daycare Surgery) and pre-op summary, detailed

photograph Procedure / Operative Notes, post procedure clinical photograph

1265 SS (Paediatric Ankyloglossia–Ankyloglossia Major SS002B S 15,000 0 N N Clinical notes Detailed discharge 3 Surgery) and pre-op summary, detailed

photograph Procedure / Operative Notes, post procedure clinical photograph

1266 SS (Paediatric Anti GERD Surgery–Anti GERD Surgery

SS003A S 10,000 0 N N Clinical notes Intra procedure 2 Surgery) and UGI clinical photograph,

Endoscopy detailed Procedure / report Operative Notes,


1267 SS (Paediatric Gastrostomy + Esophagoscopy + Threading–Gastrostomy + Esophagoscopy + Threading

SS004A S 20,000 0 N N USG/CT Abd, detailed Procedure / Operative Notes, Post procedure clinical photograph

5 Surgery) Endoscopy,

Biopsy

1268 SS (Paediatric Ladds Procedure–Ladds Procedure SS005A S 30,000 0 N N X Ray/ CT Scan Abdomen/ UGI contrast study confirming the malrotation

Histopathology, 7 Surgery) detailed Procedure /

Operative Notes, Post procedure clinical photograph of the operated region

1269 SS (Paediatric Duplication Cyst Excision–Duplication Cyst Excision

SS006A S 20,000 0 N N Clinical notes Histopathology, 5 Surgery) and USG/CT detailed Procedure /

Abd, +/- Operative Notes, Endoscopic Intra procedure USG clinical photograph,


1270 SS (Paediatric Intussusception–Non – Operative Reduction in infants

SS007A S 20,000 0 N N Clinical notes Detailed Procedure 3 Surgery) and stills of: X-

ray Abdomen/USG Abdomen

/ Operative Notes,, Detailed discharge summary , Post procedure X Ray Abdomen.

1271 SS (Paediatric Intussusception–Operative in infants SS007B S 25,000 0 N N Clinical notes Detailed Procedure 5 Surgery) and stills of: X-

ray Abdomen/USG Abdomen

/ Operative Notes,, Detailed discharge summary , Post procedure X Ray Abdomen.

1272 SS (Paediatric Surgery for Hirschsprung’s Disease–Myectomy

SS008A S 25,000 0 N N Clinical notes Histopathology, 5 Surgery) and USG/ Dye detailed Procedure /

test Operative Notes, detailed discharge summary

1273 SS (Paediatric Surgery for Hirschsprung’s Disease–Pull Through

SS008B S 20,000 0 N N Clinical notes Histopathology, 5 Surgery) and USG/ Dye detailed Procedure /


1274 SS (Paediatric Surgery for Hirschsprung’s Disease–Rectal Biopsy - Punch

SS008C S 10,000 0 N N Clinical notes Histopathology, Daycare Surgery) and USG/ Dye detailed Procedure /


1275 SS (Paediatric Surgery for Hirschsprung’s Disease–Rectal Biopsy – Open

SS008D S 10,000 0 N N Clinical notes Histopathology, 2 Surgery) and USG/ Dye detailed Procedure /


1276 SS (Paediatric Surgery for Hirschsprung’s Disease–Sphinecterotomy

SS008E S 15,000 0 N N Clinical notes Histopathology, 3 Surgery) and USG/ Dye detailed Procedure /


1277 SS (Paediatric Rectal Polypectomy - Sigmoiescopic Under GA–Rectal Polypectomy - Sigmoiescopic Under GA

SS009A S 8,000 0 N N Clinical notes Histopathology, 2 Surgery) and detailed Procedure /

sigmoidoscopy Operative Notes, confirming Intra procedure polyp clinical photograph

1278 SS (Paediatric Ano Rectal Malformation–Abd - Perineal PSARP

SS010A S 20,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary

5 Surgery) and Clinical

Photograph, Distal Cologram/ CT, USG Abdomen, Xray Lumbosacral spine (inverted position)

1279 SS (Paediatric Ano Rectal Malformation–Anoplasty SS010B S 20,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary



1280 SS (Paediatric Ano Rectal Malformation–Cutback SS010C S 20,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary



1281 SS (Paediatric Ano Rectal Malformation–PSARP SS010D S 20,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary



1282 SS (Paediatric Ano Rectal Malformation–Redo - Pullthrough

SS010E S 15,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary



1283 SS (Paediatric Ano Rectal SS010F S 15,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary

5 Surgery) Malformation–Transposition and Clinical


1284 SS (Paediatric Fecal Fistula Closure–Fecal Fistula Closure

SS011A S 25,000 0 N N Clinical notes Intra procedure 3 Surgery) and USG / CT clinical photograph,

abdomen and detailed Procedure / pelvis Operative Notes, delineating Detailed discharge fistula tract. summary

1285 SS (Paediatric GI Tumor Excision–GI Tumor Excision

SS012A S 30,000 0 N N Clinical notes HPR, detailed 7 Surgery) and USG/ CT / Procedure /

biopsy Operative Notes, Intra procedure clinical photograph, Detailed Procedure / Operative Notes,


1286 SS (Paediatric Congenital Diaphragmatic SS013A S 25,000 0 N N Clinical notes Detailed Procedure 5 Surgery) Hernia–Congenital Diaphragmatic and Chest X- / Operative Notes,

Hernia ray AP/Lat, detailed discharge USG/CT scan summary, Foetal stills Cardiogram, Xray

Chest AP/Lat stills 1287 SS (Paediatric Exomphalos / SS014A S 25,000 0 N N Clinical notes Detailed discharge 5

Surgery) Gastroschisis–Exomphalos and Clinical summary, detailed Photograph Procedure / Operative Notes, Post procedure clinical photograph

1288 SS (Paediatric Exomphalos / SS014B S 25,000 0 N N Clinical notes Detailed discharge 5 Surgery) Gastroschisis–Gastroschisis and Clinical summary, detailed

Photograph Procedure / Operative Notes, Post procedure clinical photograph

1289 SS (Paediatric Hernia & Hydrocele–Hernia & Hydrocele

SS015A S 20,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes,

5 Surgery) and USG,

Clinical Photograph

1290 SS (Paediatric Retro - Peritoneal Lymphangioma Excision–Retro - Peritoneal Lymphangioma Excision

SS016A S 25,000 0 N N Clinical notes Histopathology, 5 Surgery) and USG/MRI detailed Procedure /

Abd Operative Notes, Intra procedure clinical photograph, Detailed discharge summary

1291 SS (Paediatric Surgery for Sacrococcygeal Teratoma–Surgery for Sacrococcygeal Teratoma

SS017A S 20,000 0 N N Clinical notes Histopathology, 5 Surgery) and CT/MRI detailed Procedure /

confirming the Operative Notes, diagnosis, Post procedure Biopsy clinical photograph

showing scar 1292 SS (Paediatric Surgery for Congenital Lobar

Emphysema–Surgery for Congenital Lobar Emphysema

SS018A S 25,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure X- ray stills, detailed discharge summary

7 Surgery) and X Ray/CT

Scan stills confirming the diagnosis

1293 SS (Paediatric Undescended Testis–Bilateral - Palpable + Nonpalpable

SS019A S 15,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes,

4 Surgery) and USG,

Clinical Photograph

1294 SS (Paediatric Undescended Testis–Bilateral SS019B S 15,000 0 N N Clinical notes detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes, Detailed Discharge summary

4 Surgery) Palpable and USG,

Clinical Photograph

1295 SS (Paediatric Surgery)

Undescended Testis–Bilateral Non - Palpable

SS019C S 20,000 0 N N Clinical notes and USG, Clinical Photograph

detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes, Detailed Discharge summary

4


Undescended Testis–Unilateral - Palpable

SS019D S 15,000 0 N N Clinical notes and USG, Clinical Photograph

detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes, Detailed Discharge summary

4


Undescended Testis–Reexploration / Second Stage

SS019E S 20,000 0 N N Clinical notes and USG, Clinical Photograph

detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes,

4

1298 ST (Polytrauma) Conservative Management of Head Injury–Severe

ST001A S 1,000 0 Y N Clinical notes with planned line of treatment

Discharge summary 10

1299 ST (Polytrauma) Conservative Management of Head Injury–Depressed Fracture

ST001B S 5,000 0 N N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports

Discharge summary 10

1300 ST (Polytrauma) Head injury with repair of Facio- Maxillary Injury & fixations (including implants)–Head injury with repair of Facio-Maxillary Injury & fixations (including implants)

ST002A S 35,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT; pre- op clinical photograph

Post- op Clinical Photograph showing implant for fixation and repairs; detailed discharge summary, Detailed operatives notes

10

1301 ST (Polytrauma) Craniotomy and evacuation of Haematoma with fixation of fracture of long bone–Subdural hematoma along with fixation of fracture of single long bone

ST003A S 60,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)

Post- op Clinical Photograph & X- rays showing craniotomy evidence and implant for fixation; detailed discharge summary, Detailed operatives notes

10

1302 ST (Polytrauma) Craniotomy and evacuation of Haematoma with fixation of fracture of long bone–Extradural hematoma along with fixation of fracture of single long bone

ST003B S 60,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)


10

1303 ST (Polytrauma) Craniotomy and evacuation of Haematoma with fixation of fracture of long bone–Subdural hematoma along with fixation of fracture of 2 or more long bone.

ST003C S 75,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)


10

1304 ST (Polytrauma) Craniotomy and evacuation of Haematoma with fixation of fracture of long bone–Extradural hematoma along with fixation of fracture of 2 or more long bone.

ST003D S 75,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)


10

1305 ST (Polytrauma) Management of Chest injury with fracture of Long bone–Management of Chest injury with fixation of Single Long bone

ST004A S 35,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)

Intra- op Clinical Photograph & X- rays showing chest injury repair and implant for fixation; detailed discharge summary, Detailed operatives notes

5

1306 ST (Polytrauma) Management of Chest injury with fracture of Long bone–Management of Chest injury with fixation of 2 or more Long bones

ST004B S 45,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)

Intra- op Clinical Photograph & X- rays showing chest injury repair and implant for fixation; detailed discharge summary, Detailed operatives notes

5

1307 ST (Polytrauma) Management of Visceral injury and fracture long bone–Surgical intervention for Visceral injury and fixation of fracture of single long bone

ST005A S 30,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)

Intra- op Clinical Photograph & X- rays showing visceral injury repair and implant for fixation; detailed discharge summary, Detailed operatives notes

10

1308 ST (Polytrauma) Management of Visceral injury and fracture long bone–Surgical intervention for Visceral injury and fixation of fracture of 2 or more long bones

ST005B S 45,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)

Intra- op Clinical Photograph & X- rays showing visceral injury repair and implant for fixation; detailed discharge summary, Detailed operatives notes

10

1309 ST (Polytrauma) Internal fixation of Pelviacetabular fracture–Internal fixation of Pelviacetabular fracture

ST006A S 40,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT;

Post- op Clinical Photograph showing implant for fixation; detailed discharge summary, Detailed operatives notes

10

1310 ST (Polytrauma) Internal fixation with Flap cover Surgery for wound in compound fracture–Internal fixation with Flap cover Surgery for wound in compound fracture

ST007A S 40,000 0 N N Clinical notes and PRE OP CLINICAL PICTURE +/- X-RAY/CT

Post- op Clinical Photograph showing implant for fixation and flap cover; detailed discharge summary, Detailed operatives notes

10

1311 ST (Polytrauma) Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery–Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery

ST008A S 30,000 0 N N Clinical notes with planned line of treatment detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)

Intra- op Clinical Photograph showing tendon/ nerve injury repair and reconstruction; detailed discharge summary, Detailed operatives notes

10

1312 ST (Polytrauma) Management of Nerve Plexus / Tendon injuries–Nerve Plexus injury repair

ST009A S 50,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromy ography)

Intra operative still photograph, detailed discharge summary, Detailed operatives notes

10

1313 ST (Polytrauma) Management of Nerve Plexus / Tendon injuries–Nerve Plexus injury reconstruction

ST009B S 50,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromy ography)


10

1314 ST (Polytrauma) Management of Nerve Plexus / Tendon injuries–Tendon injury repair

ST009C S 50,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromy ography)


10

1315 ST (Polytrauma) Management of Nerve Plexus / Tendon injuries–Tendon injury reconstruction

ST009D S 50,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromy ography)


10

1316 ST (Polytrauma) Management of Nerve Plexus / Tendon injuries–Tendon Transfer

ST009E S 50,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromy ography)


10

1317 ST (Polytrauma) Plexus injury along with Vascular injury repair / graft–Plexus injury along with Vascular injury repair

ST010A S 60,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyogra phy)


10

1318 ST (Polytrauma) Plexus injury along with Vascular injury repair / graft–Plexus injury along with Vascular injury graft

ST010B S 60,000 0 N N Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyogra phy)


10

1319 SU (Urology) Adrenalectomy–Open SU001A S 27,500 0 N N Clinical notes Histopathology, 5 confirming Detailed discharge diagnosis with summary detailed Evidence of Procedure / /CT/MRI +/- Operative Notes FNAC/Biopsy, Sr. Cortisol, Sr. electrolytes, 24 hr urinary catacholamine level / sr. or urinary metanephrine normetanephrin e, MIBG Scan/ DOTONOC scan

1320 SU (Urology) Adrenalectomy–Lap. SU001B S 27,500 0 N N Clinical notes Histopathology, 4 confirming Detailed discharge diagnosis with summary detailed Evidence of Procedure / /CT/MRI +/- Operative Notes FNAC/Biopsy, Sr. Cortisol, Sr. electrolytes, 24 hr urinary catacholamine level / sr. or urinary metanephrine normetanephrin e, MIBG Scan/ DOTONOC scan

1321 SU (Urology) Renal Cyst deroofing or Marsupialization–Open

SU002A S 25,000 0 Y N Clinical notes and USG/CT scan confirming the renal cyst and justification of the surgery

Intra procedure still photograph; detailed discharge summary; detailed Procedure / Operative Notes

2

1322 SU (Urology) Renal Cyst deroofing or Marsupialization–Lap.

SU002B S 25,000 0 Y N Clinical notes and USG/CT scan confirming the renal cyst and justification of the surgery


2

1323 SU (Urology) Nephrectomy–For Benign pathology - Open

SU003A S 27,500 0 N N Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy,

Histopathology, Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes

4

1324 SU (Urology) Nephrectomy–For Benign pathology - Lap.

SU003B S 27,500 0 N N Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy,


3

1325 SU (Urology) Nephrectomy–Radical (Renal tumor) - Open

SU003C S 27,500 0 N N Clinical notes and CT/MRI confirming the need for surgery +/- FNAC/Biopsy,

Histopathology, Intra operative photograph/ Post procedure X-ray. Detailed discharge summary, detailed Procedure / Operative Notes

4

1326 SU (Urology) Nephrectomy–Radical (Renal tumor) - Lap.

SU003D S 27,500 0 N N Clinical notes Histopathology, 3 and CT/MRI Intra operative confirming the photograph/ Post need for procedure X-ray. surgery +/- Detailed discharge FNAC/Biopsy, summary, detailed Procedure / Operative Notes

1327 SU (Urology) Nephrectomy - Partial or Hemi–Open SU004A S 42,000 0 N N Clinical notes Histopathology, 4 and CT/MRI Intra operative confirming the photograph. need for Detailed discharge surgery, summary, detailed Procedure / Operative Notes

1328 SU (Urology) Nephrectomy - Partial or Hemi–Lap. SU004B S 42,000 0 N N Clinical notes Histopathology, 3 and CT/MRI Intra operative confirming the photograph. need for Detailed discharge surgery summary, detailed Procedure / Operative Notes

1329 SU (Urology) Nephrolithotomy–Open SU005A S 30,000 0 Y N Clinical notes Post procedure 4 and IVP / Imaging (X NCCT+ CT-IVP Ray/USG), showing confirming the stone removed; indication Detailed discharge summary, detailed Procedure / Operative Notes

1330 SU (Urology) Nephrolithotomy–Anatrophic SU005B S 30,000 0 Y N Clinical notes Post procedure 4 and IVP / Imaging (X NCCT+ CT-IVP Ray/USG), showing confirming the stone removed; indication Detailed discharge summary, detailed Procedure / Operative Notes

1331 SU (Urology) Open Nephrolithotomy - Follow Up–Open Nephrolithotomy - Follow Up

SU006A S 1,000 0 Y N Earlier USG / Urine NA Discharge Routine, Drugs Summary

1332 SU (Urology) PCNL (Percutaneous SU007A S 35,000 0 Y N Clinical notes Intra operative 2 Nephrolithotomy)–PCNL and IVP / photograph. (Percutaneous Nephrolithotomy) NCCT+ CT-IVP Detailed discharge confirming the summary, detailed indication and Procedure / need for PCNL Operative Notes; Post procedure Imaging (X Ray/USG),

1333 SU (Urology) Nephrostomy - Percutaneous ultrasound guided–Nephrostomy - Percutaneous ultrasound guided

SU008A S 14,000 0 Y N Clinical notes Intra procedure Daycare and USG clinical photograph, confirming the detailed discharge indication and summary, detailed need of Procedure / procedure. Operative Notes

1334 SU (Urology) Nephrostomy (PCN) - Follow Up–Nephrostomy (PCN) - Follow Up

SU009A S 1,200 0 Y N Earlier USG / X-RAY KUB NA Discharge Summary

1335 SU (Urology) Nephro ureterectomy (Benign)–Open SU010A S 27,500 0 N N Clinical notes Histopathology, 4 and CT/ CT- Intra operative IVP/MRI photograph. confirming the Detailed discharge need for summary, detailed surgery, Procedure / Operative Notes

1336 SU (Urology) Nephro ureterectomy (Benign)–Lap. SU010B S 27,500 0 N N Clinical notes Histopathology, 3 and /CT/ CT- Intra operative IVP/MRI photograph. confirming the Detailed discharge need for summary, detailed surgery, Procedure / Operative Notes

1337 SU (Urology) Nephro ureterectomy with cuff of bladder–Open

SU011A S 27,500 0 Y N Clinical notes and CT/ CT- IVP/MRI/MRI Urogram confirming the need for surgery,


4

1338 SU (Urology) Nephro ureterectomy with cuff of bladder–Lap.

SU011B S 27,500 0 Y N Clinical notes and CT/ CT- IVP/MRI/MRI Urogram confirming the need for surgery,


3

1339 SU (Urology) Perinephric Abscess drainage–Open SU013A S 14,000 0 Y N Clinical notes and USG/CT confirming the diagnosis of perinephric abscess.


2

1340 SU (Urology) Perinephric Abscess drainage–Percutaneous

SU013B S 14,000 0 Y N Clinical notes and USG/CT confirming the diagnosis of perinephric abscess.


2

1341 SU (Urology) Ureteroscopy + Stone removal with lithotripsy–Lower Ureter

SU014A S 28,000 0 Y N Clinical notes and IVP / NCCT+ CT-IVP confirming the indication

Detailed discharge summary, Post procedure Imaging (X Ray/USG), showing stone removed detailed Procedure / Operative Notes

Daycare

1342 SU (Urology) Ureteroscopy + Stone removal with lithotripsy–Upper Ureter

SU014B S 28,000 0 Y N Clinical notes and IVP / NCCT+ CT-IVP confirming the indication

Detailed discharge summary, Post procedure Imaging (X Ray/USG), showing stone removed detailed Procedure / Operative Notes

Daycare

1343 SU (Urology) URSL / URSL - Laser - Follow Up–URSL / URSL - Laser - Follow Up

SU015A S 1,000 0 Y N Earlier Discharge Summary

USG / Urine Routine, Drugs

NA

1344 SU (Urology) Extracoporeal shock - wave Lithotripsy (ESWL)–Extracoporeal shock - wave Lithotripsy (ESWL) stone, with or without stent (one side)

SU016A S 18,700 0 Y N Clinical notes and IVP / NCCT+ CT-IVP confirming the indication and need for ESWL, Is EHCP registered for ESWL?

Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes;

Daycare

1345 SU (Urology) ESWL - Follow Up–ESWL - Follow Up SU017A S 1,000 0 Y N Earlier Discharge Summary

USG / X-RAY KUB NA

1346 SU (Urology) Ureterolithotomy–Open SU018A S 20,000 0 Y N Clinical notes and IVP / NCCT+ CT-IVP confirming the indication

Detailed discharge summary, detailed Procedure / Operative Notes,Post procedure Imaging (X Ray/USG), showing stone removed

3

1347 SU (Urology) Ureterolithotomy–Lap. SU018B S 20,000 0 Y N Clinical notes Detailed discharge 2 and IVP / summary, Post NCCT+ CT-IVP procedure Imaging confirming the (X Ray/USG), indication showing stone removed detailed Procedure / Operative Notes

1348 SU (Urology) Lap Ureterolithotomy - Follow Up–Lap Ureterolithotomy - Follow Up


1349 SU (Urology) Open Ureterolithotomy - Follow Up–Open Ureterolithotomy - Follow Up


1350 SU (Urology) Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy–Pyeloplasty - Open

SU021A S 27,500 0 Y N Clinical notes Intra operative 3 and IVP/CT/ CT-photograph. IVP,+/-DTPA Detailed discharge renal scan, summary, detailed confirming Procedure / indication and the need for surgery

Operative Notes

1351 SU (Urology) Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy–Pyeloplasty - Laparoscopic

SU021B S 27,500 0 Y N Clinical notes Intra operative 2 and IVP/CT/ CT-photograph. IVP,+/-DTPA Detailed discharge renal scan, summary, detailed confirming Procedure / indication and the need for surgery

Operative Notes

1352 SU (Urology) Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy–Pyeloureterostomy - Open

SU021C S 27,500 0 Y N Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan, confirming indication and the need for surgery

Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes

3

1353 SU (Urology) Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy–Pyeloureterostomy - Laparoscopic

SU021D S 27,500 0 Y N Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan, confirming indication and the need for surgery


2

1354 SU (Urology) Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy–Pyelopyelostomy - Open

SU021E S 27,500 0 Y N Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan, confirming indication and the need for surgery


3

1355 SU (Urology) Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy–Pyelopyelostomy - Laparoscopic

SU021F S 27,500 0 Y N Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan, confirming indication and the need for surgery


2

1356 SU (Urology) Pyeloplasty–Pyeloplasty - Follow Up SU022A S 1,500 0 Y N Earlier Discharge Summary

USG / UFM / Urine Routine

NA

1357 SU (Urology) Ureterocalycostomy–Ureterocalycosto SU023A S 25,000 0 Y N Clinical notes Intra operative 4 my - Open and IVP/CT/ CT-photograph. IVP,+/-DTPA Detailed discharge renal scan summary, detailed Procedure / Operative Notes

1358 SU (Urology) Ureterocalycostomy–Ureterocalycosto SU023B S 25,000 0 Y N Clinical notes Intra operative 3 my - Laparoscopic and IVP/CT/ CT-photograph. IVP,+/-DTPA Detailed discharge renal scan summary, detailed Procedure / Operative Notes

1359 SU (Urology) Pyelolithotomy–Open SU024A S 28,000 0 Y N Clinical notes Post procedure 3 and IVP / Imaging (X NCCT+ CT-IVP Ray/USG), showing confirming the stone removed; indication Detailed discharge summary, detailed Procedure / Operative Notes

1360 SU (Urology) Pyelolithotomy–Lap. SU024B S 28,000 0 Y N Clinical notes Post procedure 2 and IVP / Imaging (X NCCT+ CT-IVP Ray/USG), showing confirming the stone removed; indication Detailed discharge summary, detailed Procedure / Operative Notes

1361 SU (Urology) Internal Ureterotomy including cystoscopy as an independent procedure–Internal Ureterotomy including cystoscopy as an independent procedure

SU025A S 10,000 0 Y N Clinical notes Endoscopic Intra Daycare and procedure still Investigation photograph, reports detailed discharge confirming summary, Detailed urethral Procedure / stricture Operative Notes (RGU+/- MCU)

1362 SU (Urology) Ureterolysis for retroperitoneal fibrosis (with or without omental wrapping)–Open

SU026A S 28,000 0 Y N Clinical notes and CT-IVP/ MRI Urogram confirming the diagnosis for which the surgery is done,

Intra procedure still photograph,Detailed discharge summary, detailed Procedure / Operative Notes including details of omental wrapping if done

3

1363 SU (Urology) Ureterolysis for retroperitoneal fibrosis (with or without omental wrapping)–Lap.

SU026B S 28,000 0 Y N Clinical notes and CT-IVP/ MRI Urogram confirming the diagnosis for which the surgery is done,


2

1364 SU (Urology) Ureterostomy–Ureterostomy (Cutaneous)

SU027A S 20,000 0 Y N Clinical notes and CT/MRI confirming the diagnosis for ureterostomy and need for creating a stoma for ureter

Post Procedure Clinical Photograph stoma, Detailed discharge summary, detailed Procedure / Operative Notes

2

1365 SU (Urology) Uretero-ureterostomy–Open SU028A S 25,000 0 Y N Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan


3

1366 SU (Urology) Uretero-ureterostomy–Lap. SU028B S 25,000 0 Y N Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan


3

1367 SU (Urology) Uretero-vaginal / Uterine fistula repair–Uretero - vaginal fistula repair - Open

SU029A S 25,000 0 Y N Clinical notes and IVP/ CT- IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done,

Intra procedure still photograph,Detailed discharge summary, detailed Procedure / Operative Notes

3

1368 SU (Urology) Uretero-vaginal / Uterine fistula repair–Uretero - Uterine fistula repair - Open

SU029B S 25,000 0 Y N Clinical notes and IVP/ CT- IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done,


3

1369 SU (Urology) Uretero-vaginal / Uterine fistula repair–Uretero - vaginal fistula repair - Laparoscopic

SU029C S 25,000 0 Y N Clinical notes and IVP/ CT- IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done,


2

1370 SU (Urology) Uretero-vaginal / Uterine fistula repair–Uretero - Uterine fistula repair - Laparoscopic

SU029D S 25,000 0 Y N Clinical notes and IVP/ CT- IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done,


2

1371 SU (Urology) Ureteric reimplantation–Open SU030A S 23,000 0 Y N Clinical notes and and CT- IVP/MRI Urogram + MCU confirming reflux and need of surgery.

Intra procedure clinical photograph,Detailed discharge summary, detailed Procedure / Operative Notes

3

1372 SU (Urology) Ureteric reimplantation–Lap. SU030B S 23,000 0 Y N Clinical notes and and CT- IVP/MRI Urogram + MCU confirming reflux and need of surgery.


2

1373 SU (Urology) Boari flap for ureteric stricture–Open SU031A S 30,000 0 Y N Clinical notes and IVP/CT- IVP+/-MCU confirming the stricture longer than 5 cms for which the surgery is done


3

1374 SU (Urology) Boari flap for ureteric stricture–Lap. SU031B S 30,000 0 Y N Clinical notes and IVP/CT- IVP+/-MCU confirming the stricture longer than 5 cms for which the surgery is done


2

1375 SU (Urology) Ileal replacement for ureteric stricture–Ileal replacement for ureteric stricture

SU032A S 46,000 0 Y N Clinical notes and IVP/CT- IVP+/-MCU confirming the stricture longer than 5 cms for which the surgery is done


4

1376 SU (Urology) DJ stenting including cystoscopy, ureteric catheterization, retrograde pyelogram–DJ stenting including cystoscopy, ureteric catheterization, retrograde pyelogram

SU033A S 10,000 0 Y N Clinical notes and CT-IVP/ IVP confirming the diagnosis and the need of this surgery is done

Post Procedure x- ray showing stent; detailed Procedure / Operative Notes detailing findings of cystoscopy/ Retrogradepyelogra m and ureteric catheterization; detailed discharge summary.

Daycare

1377 SU (Urology) DJ Stent Removal–DJ Stent Removal SU034A S 5,000 0 Y N Clinical notes with planned line of treatment including planned line of treatment, X- ray films with reports, Discharge Summary of DJ Stenting

discharge summary Daycare

1378 SU (Urology) Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram–Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram

SU035A S 15,000 0 Y N Clinical notes and IVP/CT-IVP confirming the diagnosis for which the surgery is done,

Evidence of cystoscopy, ureteric catheterization, retrograde pyelogram; Detailed discharge summary, detailed Procedure / Operative Notes

Daycare

1379 SU (Urology) Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram–Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram

SU036A S 11,000 0 Y N Clinical notes and Reports of all previous work up done (Xray/USG/CT Scan), clinical diagnosis suspected for this procedure.

Evidence of cystoscopy, ureteric catheterization, retrograde pyelogram and the diagnosis arrived at; Detailed discharge summary, detailed Procedure / Operative Notes

Daycare

1380 SU (Urology) Acute management of upper urinary tract trauma – conservative–Acute management of upper urinary tract trauma – conservative

SU037A S 2,000 0 Y N Clinical notes detailing the case history, circumstances that led to trauma, presenting complaints, local examination findings, injuries sustained as result of trauma, USG/CT Abdomen

Reports of all investigations done and consultation paper of treating doctor mentioning the final diagnosis and line of treatment, Detailed discharge summary;

5

1381 SU (Urology) Endopyelotomy–Retrograde with laser / bugbee

SU038A S 25,000 0 Y N Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan, is the hospital equipped with Laser?

Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes. If bugbee electrode is billed, insist on invoice/ barcode.

Daycare

1382 SU (Urology) Endopyelotomy–Antegrade with laser / bugbee

SU038B S 25,000 0 Y N Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan, is the hospital equipped with Laser?

Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes. If bugbee electrode is billed, insist on invoice/ barcode.

2

1383 SU (Urology) Open Pyelolithotomy - Follow Up–Open Pyelolithotomy - Follow Up


USG / Urine Routine, Drugs

NA

1384 SU (Urology) Cystolithotomy - Open, including cystoscopy–Open - including cystoscopy

SU040A S 18,500 0 Y N Clinical notes Detailed discharge 2 and X ray summary , detailed KUB/USG/IVP/ Procedure / NCCT Operative Notes confirming the diagnosis of large bladder stone

1385 SU (Urology) Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy–Cystolithotripsy endoscopic, including cystoscopy

SU041A S 18,500 0 Y N Clinical notes Detailed discharge Daycare and X ray summary, detailed KUB/USG/IVP/ Procedure / NCCT Operative Notes confirming the diagnosis of large bladder stone

1386 SU (Urology) Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy–Urethral Stone removal endoscopic, including cystoscopy

SU041B S 18,500 0 Y N Clinical notes Detailed discharge Daycare and X ray summary, detailed KUB/USG/IVP/ Procedure / NCCT Operative Notes confirming the diagnosis of large bladder stone

1387 SU (Urology) Diagnostic Cystoscopy–Diagnostic SU042A S 6,500 0 Y N Clinical notes Intra procedure still photograph; Detailed discharge summary Detailed Procedure / Operative Notes

Daycare Cystoscopy and Reports of

all work up done ( Xray/USG/CT Scan/MRI), suspected differential diagnosis

1388 SU (Urology) Partial Cystectomy–Open SU043A S 23,000 0 Y N Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy)

Histopathology,Deta iled discharge summary; detailed Procedure / Operative Notes

3

1389 SU (Urology) Partial Cystectomy–Lap. SU043B S 23,000 0 Y N Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy)

Histopathology,Deta iled discharge summary; detailed Procedure / Operative Notes

2

1390 SU (Urology) Partial Cystectomy - Follow Up–Partial Cystectomy - Follow Up


USG NA

1391 SU (Urology) Augmentation cystoplasty–Open SU045A S 30,000 0 Y N Clinical notes and IVP/CT IVP/MRI +Cystogram+/- Cystoscopy/, confirming the indication for which the surgery is done,

Intraoperative still images, Post procedure Imaging, Detailed discharge summary, detailed Procedure / Operative Notes

4

1392 SU (Urology) Augmentation cystoplasty–Lap. SU045B S 30,000 0 Y N Clinical notes and IVP/CT IVP/MRI +Cystogram+/- Cystoscopy/, confirming the indication for which the surgery is done,

Intraoperative still images, Post procedure Imaging, Detailed discharge summary, detailed Procedure / Operative Notes

4

1393 SU (Urology) Deflux for VUR–Deflux for VUR SU046A S 1,200 0 Y N Clinical notes with planned line of treatment

IVU NA

1394 SU (Urology) Bladder Diverticulectomy–Bladder Diverticulectomy - Follow Up


USG NA

1395 SU (Urology) Open bladder diverticulectomy with / without ureteric re-implantation–Open bladder diverticulectomy with / without ureteric re-implantation

SU048A S 25,000 0 Y N Clinical notes and USG/CT/MRI+/- Cystoscopy confirming bladder diverticulum and need for surgery

Intra procedure clinical photograph, Detailed discharge summary, detailed Procedure / Operative Notes

3

1396 SU (Urology) Bladder injury repair (with or without urethral injury)–Bladder injury repair (with or without urethral injury)

SU049A S 23,000 0 N N Clinical notes and USG/CT/MRI+/- cystogram confirming the diagnosis of bladder injury; MLC/ FIR if traumatic.

Detailed discharge summary; detailed Procedure / Operative Notes

3

1397 SU (Urology) Bladder injury repair with colostomy (with or without urethral injury)–Bladder injury repair with colostomy (with or without urethral injury)

SU050A S 27,500 0 N N Clinical notes and USG/CT/MRI+/- cystogram confirming the diagnosis of bladder injury; MLC/ FIR if traumatic.

Detailed discharge summary of both surgeries; detailed Procedure / Operative Notes; Post procedue pic of Colostomy

4

1398 SU (Urology) Extrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric reimplant–Extrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric reimplant

SU051A S 65,000 0 Y N Clinical notes and USG/CT/MRI confirming the diagnosis of extrophy of bladder/ epispadias. Clinical Photograph of affected part

Post Procedure Clinical Photograph of affected part, detailed Procedure / Operative Notes

4

1399 SU (Urology) 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)

SU052A S 14,300 0 Y N Clinical notes detailing the case history with previous work up / initial diagnosis

Evidence of all investigations done and still images of RGU/ MCU done with patient name & date

Daycare

1400 SU (Urology) Y V Plasty of Bladder Neck / Bladder Neck Reconstruction–Y V Plasty of Bladder Neck / Bladder Neck Reconstruction

SU053A S 23,000 0 Y N Clinical notes and urethro Cystoscopy +USG confirming the diagnosis

Detailed Procedure / Operative Notes, detailed discharge summary.

4

1401 SU (Urology) Bladder Neck incision - Endoscopic–Bladder Neck incision - Endoscopic

SU054A S 15,000 0 Y N USG-KUB/PVR, Uroflometry

Endoscopic picture Daycare

1402 SU (Urology) TURBT (Transurethral Resection of the Bladder Tumor)–TURBT (Transurethral Resection of the Bladder Tumor)

SU055A S 27,500 5 Y N Clinical notes and USG/CT/ MRI confirming the diagnosis bladder tumour

Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes

2

1403 SU (Urology) TURBT - Restage–TURBT - Restage SU056A S 18,000 0 Y N Clinical notes and USG/CT/ MRI confirming the diagnosis bladder tumour

Intra procedure still photograph Histopathology, Detailed discharge summary , detailed Procedure / Operative Notes

2

1404 SU (Urology) Post TURBT - Check Cystoscopy (Per sitting) with cold-cup biopsy–Post TURBT - Check Cystoscopy (Per sitting) with cold-cup biopsy

SU057A S 10,000 0 Y N Clinical notes and Histopathology/ biopsy confirming the diagnosis of bladder cancer


Daycare

1405 SU (Urology) Urachal Cyst excision–Urachal Cyst excision - Open

SU058A S 18,500 0 Y N Clinical notes and USG/CT/MRI confirming the diagnosis of Urachus

Histopathology, Detailed discharge summary , detailed Procedure / Operative Notes

2

1406 SU (Urology) Urachal Cyst excision–Urachal Cyst excision - Laparoscopic

SU058B S 18,500 0 Y N Clinical notes and USG/CT/MRI confirming the diagnosis of Urachus

Histopathology, Detailed discharge summary , detailed Procedure / Operative Notes

2

1407 SU (Urology) VVF Repair - Follow Up–VVF Repair - Follow Up



NA

1408 SU (Urology) Intravesical BCG / Mitomycin–Induction cycles

SU060A S 15,000 0 Y N Clinical notes and Histopathology/ biopsy confirming the diagnosis of bladder cancer

Detailed discharge summary, Detailed Procedure / Operative Notes, original bills of medicines administered

Daycare

1409 SU (Urology) Intravesical BCG / Mitomycin–Maintenance

SU060B S 30,000 0 Y N Clinical notes and Histopathology/ biopsy confirming the diagnosis of bladder cancer

Detailed discharge summary, Detailed Procedure / Operative Notes, original bills of medicines administered

Daycare

1410 SU (Urology) Suprapubic Drainage - Closed / Trocar–Suprapubic Drainage - Closed / Trocar

SU061A S 5,000 0 Y N Clinical notes and USG/CT confirming the diagnosis for which the surgery is done

Detailed Procedure / Operative Notes detailing how mcuh urine was drained, detailed discharge summary

Daycare

1411 SU (Urology) Stress incontinence surgery–Stress incontinence surgery - Open

SU062A S 28,000 0 Y N Clinical notes and Cystoscopy/ USG/ Uro Dynamic study to confirm the dignosis.

Detailed Procedure / Operative Notes; detailed discharge summary

3

1412 SU (Urology) Repair of stress incontinence - Follow Up–Repair of stress incontinence - Follow Up


Clinical notes with planned line of treatment

NA

1413 SU (Urology) Emergency management of Acute retention of Urine–Emergency management of Acute retention of Urine

SU064A S 2,000 0 N N Clinical notes Evidence of simple catheterization and details of how much urine drained. Detailed discharge summary giving aetiology of retention

2 detailing chroniciy and and USG proving retention of urine

1414 SU (Urology) Meatotomy / Meatoplasty–Meatotomy SU065A S 3,500 0 Y N Clinical notes Detailed discharge Daycare and confirmed summary, detailed diagnosis of Procedure / meatal stenosis Operative Notes

1415 SU (Urology) Meatotomy / SU065B S 3,500 0 Y N Clinical notes Detailed discharge Daycare Meatoplasty–Meatoplasty and confirmed summary, detailed diagnosis of Procedure / meatal stenosis Operative Notes

1416 SU (Urology) Urethroplasty–Urethroplasty - End to end

SU066A S 28,000 0 Y N Clinical notes Intra procedure 2 and ACU clinical photograph, (Anterograde Detailed discharge urethrography)/ summary, detailed micturating Procedure / cysto- Operative Notes urethrogram (MCU) + Retrograde urethrography justifying the surgery.

1417 SU (Urology) Urethroplasty–Urethroplasty - SU066B S 28,000 0 Y N Clinical notes Intra procedure 4 Substitution - single stage and ACU clinical photograph, (Anterograde Detailed discharge urethrography)/ summary, detailed micturating Procedure / cysto- Operative Notes urethrogram (MCU) + Retrograde urethrography justifying the surgery.

1418 SU (Urology) Urethroplasty–Urethroplasty - SU066C S 41,500 0 Y N Clinical notes Intra procedure 4 Substitution - two stage and ACU clinical photograph, (Anterograde Detailed discharge urethrography)/ summary, detailed micturating Procedure / cysto- Operative Notes urethrogram (MCU) + Retrograde urethrography justifying the surgery.

1419 SU (Urology) Urethroplasty–Urethroplasty - SU066D S 32,000 0 Y N Clinical notes Intra procedure 4 Transpubic and ACU clinical photograph, (Anterograde Detailed discharge urethrography)/ summary, detailed micturating Procedure / cysto- Operative Notes urethrogram (MCU) + Retrograde urethrography justifying the surgery.

1420 SU (Urology) Urethroplasty Follow SU067A S 1,000 0 Y N Earlier USG / UFM / Urine Routine

NA Up–Urethroplasty Follow Up Discharge Summary

1421 SU (Urology) Urethral Dilatation–Non endocopic as an independent procedure

SU068A S 2,000 0 Y N Clinical notes Detailed discharge Daycare and summary, Detailed Investigation Procedure / reports Operative Notes confirming detailing size of urethral dilators used stricture (RGU+/- MCU)

1422 SU (Urology) Urethral Dilatation–Endocopic as an independent procedure

SU068B S 5,000 0 Y N Clinical notes Endoscopic Intra Daycare and procedure still Investigation photograph, reports detailed discharge confirming summary, Detailed urethral Procedure / stricture Operative Notes (RGU+/- MCU)

1423 SU (Urology) Perineal Urethrostomy without closure–Perineal Urethrostomy without closure

SU069A S 20,000 0 Y N Clinical notes Intra procedure 2 detailing the clinical photograph, pathology for Detailed discharge which summary, detailed performed with Procedure / supporting Operative Notes Evidence of RGU (Retrograde urethrography) + MCU

1424 SU (Urology) Post. Urethral Valve fulguration–Post. Urethral Valve fulguration

SU070A S 14,000 0 Y N Clinical notes Intra procedure Daycare and clinical photograph, confirmation of Post procedure stenosis of Imaging (USG), posterir urethral Detailed discharge valve by summary, detailed Voiding Procedure / cystourethrogra Operative Notes m (preferred) + USG +/- uroflowmetry.

1425 SU (Urology) Hypospadias repair–Single stage SU071A S 28,000 0 Y N Clinical notes and Clinical Photograph

Post Procedure Clinical Photograph of affected part, detailed Procedure / Operative Notes; Detailed Procedure / Operative Notes

3

1426 SU (Urology) Hypospadias repair–Two or more stage (First Stage)

SU071B S 12,000 0 Y N Clinical notes and Clinical Photograph


3

1427 SU (Urology) Hypospadias repair–Two or more stage (Intermediate Stage)

SU071C S 20000 0 Y N Clinical notes and Clinical Photograph; evidence of stage 1 (Discharge Summary)


3

1428 SU (Urology) Hypospadias repair–Two or more stage (Final Stage)

SU071D S 30,000 0 Y N Clinical notes and Clinical Photograph; evidence of stage 1 / 2 (Discharge Summary)


3

1429 SU (Urology) Hypospadias Repair - Follow Up–Hypospadias Repair - Follow Up

SU072A S 1,000 0 Y N Discharge Summary


NA

1430 SU (Urology) Emergency management of Hematuria–Emergency management of Hematuria

SU073A S 2,000 0 Y N Clinical notes detailing the hematuria with urine report showing frank or microscopic?

Evidence of investigations done treatment given; detailed discharge summary

2

1431 SU (Urology) Excision of Urethral Caruncle–Excision of Urethral Caruncle

SU074A S 5,000 0 Y N Clinical notes Histopathology, Daycare and confirmed Detailed discharge diagnosis of summary, detailed urethral Procedure / carunclule. Operative Notes

1432 SU (Urology) Urethrovaginal fistula SU075A S 30,000 0 Y N Clinical notes Detailed Procedure 2 repair–Urethrovaginal fistula repair and urethro / Operative Notes, Cystoscopy detailed discharge +vaginoscopy summary. +USG confirming the diagnosis

1433 SU (Urology) Urethrorectal fistula SU076A S 40,000 0 Y N Clinical notes detailed Procedure 4 repair–Urethrorectal fistula repair and / Operative Notes, confirmation of Detailed discharge fistula and it's

tract by Cystoscopy+Sig moidoscopy+/- RGU+MCU

summary

1434 SU (Urology) Open simple prostatetctomy for BPH–Open simple prostatetctomy for BPH

SU077A S 27,500 0 Y N Clinical notes Histopathology, 3 and USG with Detailed discharge prostate size summary, detailed and Post Void Procedure / Volume +/- PSA, +/- uroflometry

Operative Notes

1435 SU (Urology) Radical prostatectomy–Open SU078A S 50,000 0 Y N Clinical notes Histopathology of 4 and MRI /CT prostate, Detailed prostrate + discharge summary, PSA+Biopsy; detailed Procedure /

Operative Notes with details of nodes removed.

1436 SU (Urology) Radical prostatectomy–Lap. SU078B S 50,000 0 Y N Clinical notes Histopathology of 4 and MRI /CT prostate, Detailed prostrate + discharge summary, PSA+Biopsy; detailed Procedure /

Operative Notes with details of nodes removed.

1437 SU (Urology) Holmium Laser SU079A S 40,000 0 Y N Clinical notes Histopathology, 2 Prostatectomy–Holmium Laser and USG with Detailed discharge Prostatectomy prostate size summary, detailed and Post Void Procedure / Volume +/-

PSA, +/- uroflometry Is the hospital registered for holmium laser?

Operative Notes

1438 SU (Urology) TURP-Transurethral Resection of the Prostate, BPH–Monopolar

SU080A S 27,500 0 Y N Clinical notes Histopathology, 2 and USG with Detailed discharge prostate size summary, detailed and Post Void Procedure / Volume +/- PSA, +/- uroflometry

Operative Notes

1439 SU (Urology) TURP-Transurethral Resection of the Prostate, BPH–Bipolar

SU080B S 27,500 0 Y N Clinical notes Histopathology, 2 and USG with Detailed discharge prostate size summary, detailed and Post Void Procedure / Volume +/- PSA, +/- uroflometry

Operative Notes

1440 SU (Urology) Transrectal Ultrasound guided prostate biopsy (minimum 12 core)–Transrectal Ultrasound guided prostate biopsy (minimum 12 core)

SU081A S 10,000 0 Y N Clinical notes and USG with prostate size and Post Void Volume establishing suspicion of malignancy, +/- PSA

Histopathology showing reporting of minimum 12 core samples of prostate, Detailed discharge summary, detailed Procedure / Operative Notes.

Daycare

1441 SU (Urology) Penectomy–Partial Penectomy SU082A S 15,000 0 Y N Clinical notes and Biopsy findings

Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes

2

1442 SU (Urology) Penectomy–Total Penectomy + Perineal Urethrostomy

SU082B S 25,000 0 Y N Clinical notes and Biopsy findings

Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes detailing urethrostomy

2

1443 SU (Urology) Surgery for Priapism–Aspiration SU083A S 15,000 0 N N Color-flow penile Doppler imaging/ USG (patients with high-flow priapism)


2

1444 SU (Urology) Surgery for Priapism–Shunt SU083B S 15,000 0 N N Color-flow penile Doppler imaging/ USG (patients with high-flow priapism)


2

1445 SU (Urology) Surgery for Priaprism - Follow Up–Surgery for Priaprism - Follow Up


Clinical notes with planned line of treatment

NA

1446 SU (Urology) Penile prosthesis insertion–Penile prosthesis insertion

SU085A S 35,000 0 Y N Clinical notes Detailed discharge 2 with Previous summary, detailed medical reports Procedure / showing the Operative Notes, panectomy and Bar code of implant its indication used

1447 SU (Urology) Orchiectomy–High inguinal SU086A S 13,800 0 Y N Clinical notes Histopathology, 2 and USG/CT / Detailed discharge Biopsy summary, detailed confirming Procedure / testicular Operative Notes cancer

1448 SU (Urology) Orchiectomy–Simple SU086B S 10,000 0 Y N Clinical notes Histopathology, Daycare and USG/CT / Detailed discharge Biopsy summary, detailed confirming Procedure / testicular Operative Notes cancer

1449 SU (Urology) Bilateral Orchidectomy for hormone ablation–Bilateral Orchidectomy for hormone ablation

SU087A S 10,000 0 Y N Clinical notes Histopathology, Daycare and USG/CT / Detailed discharge Biopsy summary, detailed confirming Procedure / bilateral Operative Notes testicular cancer

1450 SU (Urology) Orchiopexy–Orchiopexy with SU088A S 30,000 0 Y N Clinical notes Post Procedure 2 laparoscopy and USG Clinical Photograph confirming that of affected part, laparoscopy is detailed Procedure / needed for Operative Notes; locating the Detailed discharge testes. Clinical summary Photograph of affected part

1451 SU (Urology) Orchiopexy–Orchiopexy without SU088B S 15,000 0 Y N Clinical notes Post Procedure 2 laparoscopy - U/L and USG Clinical Photograph confirming of affected part, location of detailed Procedure / undescended Operative Notes; testis, Clinical Detailed discharge Photograph of summary affected part

1452 SU (Urology) Orchiopexy–Orchiopexy without SU088C S 15,000 0 Y N Clinical notes Post Procedure 2 laparoscopy - B/L and USG Clinical Photograph confirming of affected part, location of detailed Procedure / undescended Operative Notes; testis, Clinical Detailed discharge Photograph of summary affected part

1453 SU (Urology) Surgical Correction of Varicocele–Non Microsurgical

SU089A S 10,000 0 Y N Clinical notes Detailed discharge Daycare and USG summary; detailed Scrotum Procedure / Operative Notes

1454 SU (Urology) Surgical Correction of Varicocele–Microsurgical

SU089B S 15,000 0 Y N Clinical notes Detailed discharge Daycare and USG summary; detailed Scrotum; is the Procedure / EHCP registred for microsurgery?

Operative Notes

1455 SU (Urology) Radical Retroperitoneal lymph node dissection–Open

SU090A S 36,500 0 Y N Clinical notes Histopathology, 3 and USG/CT / Detailed discharge Biopsy summary, detailed confirming Procedure / bilateral Operative Notes testicular cancer

1456 SU (Urology) Radical Retroperitoneal lymph node dissection–Lap.

SU090B S 36,500 0 Y N Clinical notes Histopathology, 3 and USG/CT / Detailed discharge Biopsy summary, detailed confirming Procedure / bilateral Operative Notes testicular cancer

1457 SU (Urology) Ilio-Inguinal lymphadenectomy–Ilio- SU091A S 18,500 0 Y N Clinical notes Histopathology, 2 Inguinal lymphadenectomy and Detailed discharge USG/CT/MRI / summary, detailed Biopsy Procedure / confirming the Operative Notes diagnosis for which the surgery is done.

1458 SU (Urology) Hysterectomy as part of VVF / uterovaginal fistula repair–Hysterectomy as part of VVF / uterovaginal fistula repair

SU092A S 5,000 0 Y N Clinical notes Histopathology, NA and Detailed Procedure Cystoscopy+va / Operative Notes, ginoscopy+CT - detailed discharge IVP/IVP +/- summary. cystogram confirming the diagnosis

1459 SU (Urology) PCNL - Follow Up–PCNL - Follow Up SU093A S 1,200 0 Y N Earlier USG / Urine NA Discharge Routine, Drugs Summary

1460 SU (Urology) 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).

SU094A S 3,500 0 Y N Clinical notes Detailed reports of all investigations done and consultation paper of treating doctor; culture & ABS report and Evidence of 3 weeks medicines

Daycare detailing the case history with previous work up / initial diagnosis with stills of ureteric stone and treatment done so far

1461 SV (Cardio-thoracic Surgical Correction of Category - I Congenital Heart Disease –Unifocalization of MAPCA

SV001A S 100,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO and summary, Detailed

/ or doppler Operative notes, reports barcode of Implant,

if used. 1462 SV (Cardio-thoracic Surgical Correction of Category - I

Congenital Heart Disease –Isolated Secundum Atrial Septal Defect (ASD) Repair

SV001B S 100,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO and summary, Detailed


if used.

1463 SV (Cardio-thoracic Surgical Correction of Category - I Congenital Heart Disease –Glenn procedure

SV001C S 100,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO and summary, Detailed



Congenital Heart Disease –Pulmonary Artery Banding

SV001D S 100,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO and summary, Detailed



Congenital Heart Disease –Systemic - Pulmonary shunt

SV001E S 130,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO and summary, Detailed



Congenital Heart Disease –Vascular Ring division

SV001F S 100,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO and summary, Detailed



Congenital Heart Disease –Coarctation repair

SV001G S 130,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO and summary, Detailed


if used. 1468 SV (Cardio-thoracic Surgical Correction of Category - II

Congenital Heart Disease–ASD closure + Partial Anomalous Venous Drainage Repair

SV002A S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed

report Operative notes, barcode of Implant,


Congenital Heart Disease–ASD Closure + Mitral procedure

SV002B S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–ASD Closure + Tricuspid procedure

SV002C S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed


if used.

1471 SV (Cardio-thoracic Surgical Correction of Category - II Congenital Heart Disease–ASD Closure + Pulmonary procedure

SV002D S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–ASD Closure + Infundibular procedure

SV002E S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–VSD closure

SV002F S 120,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–Infundibular PS repair

SV002G S 120,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–Valvular PS repair

SV002H S 120,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–Partial AV canal repair

SV002I S 120,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–Intermediate AV canal repair

SV002J S 120,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–Atrial septectomy + Glenn

SV002K S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed


if used.

1479 SV (Cardio-thoracic Surgical Correction of Category - II Congenital Heart Disease–Atrial septectomy + PA Band

SV002L S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–Sinus of Valsalva aneurysm repair with aortic valve procedure

SV002M S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–Sinus of Valsalva aneurysm repair without aortic valve procedure

SV002N S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed



Congenital Heart Disease–Sub-aortic membrane resection

SV002O S 160,000 0 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO summary, Detailed


if used. 1483 SV (Cardio-thoracic Surgical Correction of Category - III

Congenital Heart Disease –Ebstien repair

SV003A S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed

Operative notes, barcode of Implant,


Congenital Heart Disease –Double switch operation

SV003B S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Rastelli Procedure

SV003C S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Fontan procedure

SV003D S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed


if used.

1487 SV (Cardio-thoracic Surgical Correction of Category - III Congenital Heart Disease –AP window repair

SV003E S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Arch interruption Repair without VSD closure

SV003F S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Arch interruption Repair with VSD closure

SV003G S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –DORV Repair

SV003H S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Supravalvular AS repair

SV003I S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Konno procedure

SV003J S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Norwood procedure

SV003K S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –VSD closure + RV - PA conduit

SV003L S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed


if used.

1495 SV (Cardio-thoracic Surgical Correction of Category - III Congenital Heart Disease –VSD + Aortic procedure

SV003M S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –VSD + Mitral procedure

SV003N S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –VSD + Tricuspid procedure

SV003O S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –VSD + Pulmonary procedure

SV003P S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –VSD + Infundibular procedure

SV003Q S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –VSD + Coarctation repair

SV003R S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –TAPVC Repair

SV003S S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Truncus arteriosus repair

SV003T S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed


if used.

1503 SV (Cardio-thoracic Surgical Correction of Category - III Congenital Heart Disease –Tetralogy of Fallot Repair

SV003U S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Complete AV canal repair

SV003V S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Arterial switch operation

SV003W S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Senning Operation

SV003X S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed



Congenital Heart Disease –Mustard Operation

SV003Y S 190,000 0 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report summary, Detailed


if used. 1508 SV (Cardio-thoracic Coronary artery bypass grafting

(CABG), including intra operative balloon pump (if required)–Coronary artery bypass grafting (CABG), including intra operative balloon pump (if required)

SV004A S 118,100 0 Y N ECHO + CAG Detailed Operation 10 & Vascular surgery) report stills notes, detailed

showing discharge summary significant multiple blocks & LVEF

1509 SV (Cardio-thoracic Single Valve Procedure–Aortic Valve SV005A S 159,000 0 Y N Clinical notes Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used.

7 & Vascular surgery) and ECHO /

Doppler report

1510 SV (Cardio-thoracic Single Valve Procedure–Mitral Valve SV005B S 159,000 0 Y N Clinical notes Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used.


Doppler report

1511 SV (Cardio-thoracic Single Valve Procedure–Tricuspid Valve

SV005C S 159,000 0 Y N Clinical notes Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used.


Doppler report

1512 SV (Cardio-thoracic Double Valve Procedure–Double Valve Procedure


doppler reports Operative notes, showing two barcode of cardiac valves valves/rings used diseased

1513 SV (Cardio-thoracic Triple valve procedure –Triple valve procedure


doppler reports Operative notes, showing three barcode of cardiac valves valves/rings used diseased

1514 SV (Cardio-thoracic Closed Mitral Valvotomy including thoracotomy–Closed Mitral Valvotomy including thoracotomy


/ or doppler Operative notes. reports

1515 SV (Cardio-thoracic Ross Procedure–Ross Procedure SV009A S 270,000 0 Y N Clinical notes Detailed procedure 10 & Vascular surgery) and ECHO notes, detailed

report discharge summary, Barcode of RV-PA

conduit 1516 SV (Cardio-thoracic Surgery for Hypertrophic Obstructive

Cardiomyopathy (HOCM)–Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM)


report Operation notes,

1517 SV (Cardio-thoracic Pericardial window (via thoracotomy)–Pericardial window (via thoracotomy)

SV011A S 30,000 0 N N Clinical notes Detailed Operation 7 & Vascular surgery) and CT Chest notes, detailed

establishing the discharge summary. aetiology for which surgery is

done

1518 SV (Cardio-thoracic Pericardiectomy–Pericardiectomy SV012A S 67,000 0 Y N Clinical notes Detailed Operation 10 & Vascular surgery) an ECHO notes, Discharge

report summary 1519 SV (Cardio-thoracic Patent Ductus Arteriosus (PDA)

Closure via thoracotomy–Patent Ductus Arteriosus (PDA) Closure via thoracotomy

SV013A S 57,000 0 Y N Clinical notes Detailed Operation 7 & Vascular surgery) and ECHO notes, Discharge

report summary

1520 SV (Cardio-thoracic Aortic Root Replacement Surgery–Bental Procedure


report, CT Operation notes. angio / Angio /

MRI report

1521 SV (Cardio-thoracic Aortic Root Replacement Surgery–Aortic Dissection

SV014B S 250,000 0 Y N Clinical notes Detailed discharge 12 & Vascular surgery) and ECHO summary, Detailed


MRI report

1522 SV (Cardio-thoracic Aortic Root Replacement Surgery–Aortic Aneurysm

SV014C S 250,000 0 Y N Clinical notes Detailed discharge 12 & Vascular surgery) and ECHO summary, Detailed


MRI report

1523 SV (Cardio-thoracic Aortic Root Replacement Surgery–Valve sparing root replacement

SV014D S 250,000 0 Y N Clinical notes Detailed discharge 12 & Vascular surgery) and ECHO summary, Detailed


MRI report

1524 SV (Cardio-thoracic Aortic Root Replacement Surgery–AVR + Root enlargement

SV014E S 250,000 0 Y N Clinical notes Detailed discharge 12 & Vascular surgery) and ECHO summary, Detailed


MRI report

1525 SV (Cardio-thoracic Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass–Aortic Arch Replacement using bypass

SV015A S 235,000 0 Y N Clinical notes Detailed procedure 12 & Vascular surgery) and angio / CT notes, detailed

angio / MRI reports

discharge summary.

1526 SV (Cardio-thoracic Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass–Thoracoabdominal aneurysm Repair using bypass

SV015B S 235,000 0 Y N Clinical notes Detailed procedure 12 & Vascular surgery) and angio / CT notes, detailed

angio / MRI reports

discharge summary.

1527 SV (Cardio-thoracic Aortic Aneurysm Repair–Aortic Aneurysm Repair using Cardiopulmonary bypass (CPB)

SV016A S 150,000 0 Y N Clinical notes Detailed procedure 10 & Vascular surgery) and ECHO / notes, detailed

Angio / CT discharge summary. angio / MRI reports showing aneurysm

1528 SV (Cardio-thoracic Aortic Aneurysm Repair–Aortic Aneurysm Repair using Left Heart Bypass

SV016B S 150,000 0 Y N Clinical notes Detailed procedure 10 & Vascular surgery) and ECHO / notes, detailed

Angio / CT discharge summary. angio / MRI reports showing aneurysm

1529 SV (Cardio-thoracic Aortic Aneurysm Repair–Aortic Aneurysm Repair without using Cardiopulmonary bypass (CPB)

SV016C S 95,500 0 Y N Clinical notes Detailed procedure 10 & Vascular surgery) angio / CT notes, detailed

angio / MRI discharge summary. reports

1530 SV (Cardio-thoracic Aortic Aneurysm Repair–Aortic Aneurysm Repair without using Left Heart Bypass

SV016D S 95,500 0 Y N Clinical notes Detailed procedure 10 & Vascular surgery) angio / CT notes, detailed

angio / MRI discharge summary. reports

1531 SV (Cardio-thoracic Aorto Iliac / Aorto femoral bypass (Uni and Bi)–Aorto Iliac bypass - U/L

SV017A S 99,500 0 Y N Clinical notes Detailed discharge 7 & Vascular surgery) and MRA / CT summary, Detailed

angio / Angio Operative notes,, reports barcode of synthetic

graft 1532 SV (Cardio-thoracic Aorto Iliac / Aorto femoral bypass (Uni

and Bi)–Aorto femoral bypass - U/L SV017B S 99,500 0 Y N Clinical notes Detailed discharge 7

& Vascular surgery) and MRA / CT summary, Detailed angio / Angio Operative notes,, reports barcode of synthetic

graft

1533 SV (Cardio-thoracic Aorto Iliac / Aorto femoral bypass (Uni and Bi)–Aorto Iliac bypass - B/L

SV017C S 99,500 0 Y N Clinical notes Detailed discharge 7 & Vascular surgery) and MRA / CT summary, Detailed

angio / Angio Operative notes,, reports barcode of synthetic

graft 1534 SV (Cardio-thoracic Aorto Iliac / Aorto femoral bypass (Uni

and Bi)–Aorto femoral bypass - B/L SV017D S 99,500 Y N Clinical notes Detailed discharge 7

& Vascular surgery) and MRA / CT summary, Detailed angio / Angio Operative notes,, reports barcode of synthetic

graft 1535 SV (Cardio-thoracic Pulmonary Embolectomy /

Thromboendarterectomy–Pulmonary Embolectomy

SV018A S 141,000 N N Clinical notes Detailed Operation 10 & Vascular surgery) and ECHO notes, Discharge

report + CT summary Chest report

1536 SV (Cardio-thoracic Pulmonary Embolectomy / Thromboendarterectomy–Thromboen darterectomy

SV018B S 141,000 N N Clinical notes Detailed Operation 10 & Vascular surgery) and ECHO notes, Discharge

report + CT summary Chest report

1537 SV (Cardio-thoracic Peripheral Arterial Surgeries–Femoro -Femoral Bypass

SV019A S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge

/ CT Angiogram summary; barcode / MRI reports of graft used.

1538 SV (Cardio-thoracic Peripheral Arterial Surgeries–Carotid - endearterectomy

SV019B S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1539 SV (Cardio-thoracic Peripheral Arterial Surgeries–Carotid Body Tumor Excision

SV019C S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1540 SV (Cardio-thoracic Peripheral Arterial Surgeries–Thoracic Outlet syndrome Repair

SV019D S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1541 SV (Cardio-thoracic Peripheral Arterial Surgeries–Carotid aneurysm repair

SV019E S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1542 SV (Cardio-thoracic Peripheral Arterial SV019F S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) Surgeries–Subclavian aneurysm and Angiogram notes, Discharge

repair / CT Angiogram summary; barcode / MRI reports of graft used.

1543 SV (Cardio-thoracic Peripheral Arterial Surgeries–Axillary aneurysm repair

SV019G S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1544 SV (Cardio-thoracic Peripheral Arterial Surgeries–Brachial aneurysm repair

SV019H S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1545 SV (Cardio-thoracic Peripheral Arterial Surgeries–Femoral aneurysm repair

SV019I S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1546 SV (Cardio-thoracic Peripheral Arterial Surgeries–Popliteal aneurysm repair

SV019J S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1547 SV (Cardio-thoracic Peripheral Arterial Surgeries–Femoral - popliteal Bypass

SV019K S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1548 SV (Cardio-thoracic Peripheral Arterial Surgeries–Axillo - Brachial Bypass

SV019L S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1549 SV (Cardio-thoracic Peripheral Arterial Surgeries–Carotio - carotid Bypass

SV019M S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1550 SV (Cardio-thoracic Peripheral Arterial Surgeries–Carotido - subclavian bypass

SV019N S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1551 SV (Cardio-thoracic Peripheral Arterial Surgeries–Carotido - axillary bypass

SV019O S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1552 SV (Cardio-thoracic Peripheral Arterial Surgeries–Axillo - femoral bypass - U/L

SV019P S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1553 SV (Cardio-thoracic Peripheral Arterial Surgeries–Axillo - femoral bypass - B/L

SV019Q S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1554 SV (Cardio-thoracic Peripheral Arterial Surgeries–Aorto - carotid bypass

SV019R S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1555 SV (Cardio-thoracic Peripheral Arterial Surgeries–Aorto - subclavian bypass

SV019S S 80,000 Y N Clinical notes Detailed operative 7 & Vascular surgery) and Angiogram notes, Discharge


1556 SV (Cardio-thoracic Thromboembolectomy SV020A S 28,000 N N Soon as Detailed discharge 4 & Vascular surgery) –Thromboembolectomy documents are summary and

uploaded, operative notes confirm evidence of embolus/ Thrombus in duples USG/ Angio

1557 SV (Cardio-thoracic Peripheral arterial injury repair (without bypass)–Peripheral arterial injury repair (without bypass)

SV021A S 30,000 N N Clinical notes Detailed discharge 4 & Vascular surgery) with planned summary and

line of operative notes treatment, Doppler

1558 SV (Cardio-thoracic Thoracotomy, Thoraco Abdominal Approach–Thoracotomy, Thoraco Abdominal Approach

SV022A S 30,000 Y N Clinical notes Detailed Operation 10 & Vascular surgery) and CT Chest notes, detailed

establishing the discharge summary. aetiology for which surgery is

done

1559 SV (Cardio-thoracic Lung surgery including Thoracotomy–Lung cyst exision

SV023A S 45,000 Y N Clinical notes Detailed Operation 10 & Vascular surgery) and CT Chest notes, Discharge

summary 1560 SV (Cardio-thoracic Lung surgery including

Thoracotomy–Decortication SV023B S 45,000 Y N Clinical notes Detailed Operation 10

& Vascular surgery) and CT Chest notes, Discharge summary

1561 SV (Cardio-thoracic Lung surgery including Thoracotomy–Hydatid cyst

SV023C S 45,000 Y N Clinical notes Detailed Operation 10 & Vascular surgery) and CT Chest notes, Discharge

summary 1562 SV (Cardio-thoracic Lung surgery including

Thoracotomy–Other simple lung procedure excluding lung resection

SV023D S 45,000 Y N Clinical notes Detailed Operation 10 & Vascular surgery) and CT Chest notes, Discharge

summary 1563 SV (Cardio-thoracic Pulmonary Resection–Pulmonary SV024A S 70,000 Y N Clinical notes HPE of resected

tissue detailed operation notes, discharge summary.

10 & Vascular surgery) Resection and Pre-Op X-

ray / CT Scan

1564 SV (Cardio-thoracic Foreign Body Removal with scope–Foreign Body Removal with scope

SV025A S 20,000 Y N Clinical notes Detailed Operative 2 & Vascular surgery) and notes, Detailed

Radiological discharge summary, evidence of Photograph of foreign body Removed Foreign body

1565 SV (Cardio-thoracic Surgical Correction of Bronchopleural Fistula–Surgical Correction of Bronchopleural Fistula

SV026A S 65,000 Y N Clinical notes Detailed operative 10 & Vascular surgery) and CT Chest notes and discharge

summary

1566 SV (Cardio-thoracic Space - Occupying Lesion (SOL) mediastinum–Space - Occupying Lesion (SOL) mediastinum

SV027A S 65,500 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and CT Chest summary, Detailed

Operation notes, HPE of SOL

1567 SV (Cardio-thoracic Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy–Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy

SV028A S 10,000 Y N Cl notes Detailed procedure 4 & Vascular surgery) detailing need notes. Detailed

of ICD; X-ray chest

discharge summary

1568 SV (Cardio-thoracic Diaphragmatic Repair–Diaphragmatic SV029A S 32,000 Y N Clinical notes Detailed procedure 10 & Vascular surgery) Repair and Chest notes, detailed

XRAY, CT discharge summary. Chest

1569 SV (Cardio-thoracic Surgery for Cardiac Tumour–Surgery for Cardiac Tumour

SV030A S 95,000 Y N Clinical notes Detailed Operation 10 & Vascular surgery) and ECHO notes, Discharge

report summary, HPE report of tumor.

1570 SV (Cardio-thoracic Immediate reoperation (within 5 days)–Tetralogy of Fallot Repair

SV031A S 115,000 Y N ECHO / Detailed discharge 12 & Vascular surgery) Doppler Report, summary, Detailed

Detailed Operative notes, Operative notes barcode of Implant, indicating need if used. Ascertain for Reoperation the need for

reoperation.

1571 SV (Cardio-thoracic Immediate reoperation (within 5 days)–Aortic Valve

SV031B S 99,500 Y N Clinical notes Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used. Ascertain the need for reoperation.


Doppler report, Detailed Operative notes indicating need for Reoperation

1572 SV (Cardio-thoracic Immediate reoperation (within 5 days)–Mitral Valve

SV031C S 99,500 1 Y N Clinical notes Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used. Ascertain the need for reoperation.



1573 SV (Cardio-thoracic Immediate reoperation (within 5 days)–Tricuspid Valve

SV031D S 99,500 1 Y N Clinical notes Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used. Ascertain the need for reoperation.



1574 SV (Cardio-thoracic Immediate reoperation (within 5 days)–Double Valve Procedure

SV031E S 111,000 1 Y N Clinical notes Detailed discharge 10 & Vascular surgery) and ECHO and summary, Detailed

doppler reports, Operative notes, Detailed barcode of Operative notes valves/rings used. indicating need Ascertain the need for Reoperation for reoperation.

1575 SV (Cardio-thoracic Immediate reoperation (within 5 days)–Triple valve procedure

SV031F S 125,000 1 Y N Clinical notes Detailed discharge 12 & Vascular surgery) and ECHO and summary, Detailed

doppler reports, Operative notes, Detailed barcode of Operative notes valves/rings used. indicating need Ascertain the need for Reoperation for reoperation.

1576 SV (Cardio-thoracic Low Cardiac Output syndrome requiring IABP insertion post - operatively–Low Cardiac Output syndrome requiring IABP insertion post - operatively

SV032A S 50,000 1 Y N Clinical notes Procedure / 7 & Vascular surgery) with planned Operative Notes,

line of Detailed Discharge treatment Summary (including indication for need of required Procedure )

1577 SV (Cardio-thoracic Re-do sternotomy–Re-do sternotomy SV033A S 20,000 1 Y N Clinical notes Procedure / NA & Vascular surgery) with planned Operative Notes,


1578 SV (Cardio-thoracic Excessive bleeding requiring reexploration–Excessive bleeding requiring re-exploration

SV034A S 10,000 1 Y N Clinical notes Procedure / NA & Vascular surgery) with planned Operative Notes,


1579 US (Unspecified Unspecified Surgical US001A S to be 1 Y N Clinical notes Procedure / NA Surgical Package) Package–Unspecified Surgical negotiated with planned Operative Notes,

Package line of Detailed Discharge treatment Summary (including indication for need of required Procedure )

1580 DP (Diagnostic MRI Head - Without Contrast DP001A M 2500 1 N Y Daycare Procedures)

1581 DP (Diagnostic MRI Head - with Contrast DP002A M 3500 1 N Y Daycare Procedures)

1582 DP (Diagnostic MRI Orbits - without Contrast DP003A M 1700 1 N Y Daycare Procedures)

1583 DP (Diagnostic MRI Orbits - with Contrast DP004A M 5000 1 N Y Daycare Procedures)

1584 DP (Diagnostic MRI Nasopharynx and PNS - Without Contrast

DP005A M 2500 1 N Y Daycare Procedures)

1585 DP (Diagnostic MRI Nasopharynx and PNS - with Constrast


1586 DP (Diagnostic MRI Neck - Without Contrast DP007A M 2500 1 N Y Daycare Procedures)

1587 DP (Diagnostic MRI Neck - with Contrast DP008A M 5000 1 N Y Daycare Procedures)

1588 DP (Diagnostic MRI Shoulder - Without Contrast DP009A M 2500 1 N Y Daycare Procedures)

1589 DP (Diagnostic MRI Shoulder - with Contrast DP010A M 5000 1 N Y Daycare Procedures)

1590 DP (Diagnostic MRI Shoulder both Joint - Without Contrast


1591 DP (Diagnostic MRI Shoulder both Joint - with Contrast


1592 DP (Diagnostic MRI Wrist Single Joint - Without Contrast


1593 DP (Diagnostic MRI Wrist Single Joint - with Contrast DP014A M 5000 1 N Y Daycare Procedures)

1594 DP (Diagnostic MRI Wrist both Joint - Without Contrast


1595 DP (Diagnostic MRI Wrist both Joint - with Contrast DP016A M 5000 1 N Y Daycare Procedures)

1596 DP (Diagnostic MRI Knee Single Joint - Without Contrast


1597 DP (Diagnostic MRI Knee Single Joint - with Contrast DP018A M 5000 1 N Y Daycare Procedures)

1598 DP (Diagnostic MRI Knee both Joint - Without Contrast


1599 DP (Diagnostic MRI Knee both Joint - with Contrast DP020A M 5000 1 N Y Daycare Procedures)

1600 DP (Diagnostic MRI Ankle Single - Without Contrast DP021A M 2500 1 N Y Daycare Procedures)

1601 DP (Diagnostic MRI Ankle Single - with Contrast DP022A M 5000 1 N Y Daycare Procedures)

1602 DP (Diagnostic MRI Ankle Both - Without Contrast DP023A M 2500 1 N Y Daycare Procedures)

1603 DP (Diagnostic MRI Ankle Both - with Contrast DP024A M 5000 1 N Y Daycare Procedures)

1604 DP (Diagnostic MRI Hip - Without Contrast DP025A M 2500 1 N Y Daycare Procedures)

1605 DP (Diagnostic MRI Hip - with Contrast DP026A M 5000 1 N Y Daycare Procedures)

1606 DP (Diagnostic MRI Pelvis - Without Contrast DP027A M 2500 1 N Y Daycare Procedures)

1607 DP (Diagnostic MRI Pelvis - with Contrast DP028A M 5000 1 N Y Daycare Procedures)

1608 DP (Diagnostic MRI Extremities - Without Contrast DP029A M 2500 1 N Y Daycare Procedures)

1609 DP (Diagnostic MRI Extremities - with Contrast DP030A M 5000 1 N Y Daycare Procedures)

1610 DP (Diagnostic MRI Temporomandibular Single Joint - Without Contrast


1611 DP (Diagnostic MRI Temporomandibular Single Joint - with Contrast


1612 DP (Diagnostic MRI Temporomandibular Double Joints - Without Contrast


1613 DP (Diagnostic MRI Temporomandibular Double Joints - with contrast


1614 DP (Diagnostic MRI Abdomen - Without Contrast DP035A M 2500 1 N Y Daycare Procedures)

1615 DP (Diagnostic MRI Abdomen - with Contrast DP036A M 5000 1 N Y Daycare Procedures)

1616 DP (Diagnostic MRI Breast - Without Contrast DP037A M 2500 1 N Y Daycare Procedures)

1617 DP (Diagnostic MRI Breast - with Contrast DP038A M 5000 1 N Y Daycare Procedures)

1618 DP (Diagnostic MRI Spine Screening - Without Contrast


1619 DP (Diagnostic MRI Spine Screening - with Contrast DP040A M 4000 1 N Y Daycare Procedures)

1620 DP (Diagnostic MRI Chest - Without Contrast DP041A M 2500 1 N Y Daycare Procedures)

1621 DP (Diagnostic MRI Chest - with Contrast DP042A M 5000 1 N Y Daycare Procedures)

1622 DP (Diagnostic MRI Cervical Spine - Without Contrast DP043A M 1000 1 N Y Daycare Procedures)

1623 DP (Diagnostic MRI Cervical Spine - with Contrast DP044A M 5000 1 N Y Daycare Procedures)

1624 DP (Diagnostic MRI Lumber Spine - Without Contrast DP045A M 2500 1 N Y Daycare Procedures)

1625 DP (Diagnostic MRI Lumber Spine - with Contrast DP046A M 5000 1 N Y Daycare Procedures)

1626 DP (Diagnostic MRI Screening - Without Contrast DP047A M 1000 1 N Y Daycare Procedures)

1627 DP (Diagnostic MRI Screening - with Contrast DP048A M 4000 1 N Y Daycare Procedures)

1628 DP (Diagnostic MRI Angiography - Without Contrast DP049A M 1200 1 N Y Daycare Procedures)

1629 DP (Diagnostic MRI Angiography - with Contrast DP050A M 5000 1 N Y Daycare Procedures)

1630 DP (Diagnostic Mammography (Single side) DP051A M 450 1 N Y Daycare Procedures)

1631 DP (Diagnostic Mammography (Both sides) DP052A M 540 1 N Y Daycare Procedures)

1632 DP (Diagnostic Pulmonary function test DP053A M 430 1 N Y Daycare Procedures)

1633 DP (Diagnostic Fibroptic Bronchoscopy with Washing/Biopsy


1634 DP (Diagnostic Uroflow Study (Micturometry) DP055A M 330 1 N Y Daycare Procedures)

1635 DP (Diagnostic Urodynamic Study (Cystometry) DP056A M 400 1 N Y Daycare Procedures)

1636 DP (Diagnostic Cystoscopy with Retrograde Catheter -Unilateral


1637 DP (Diagnostic Cystoscopy with Retrograde Catheter -Bilateral


1638 DP (Diagnostic Cystoscopy Diagnostic DP059A M 1570 1 N Y Daycare Procedures)

1639 DP (Diagnostic Cystoscopy with Bladder Biopsy DP060A M 2000 1 N Y Daycare Procedures)

1640 DP (Diagnostic Cat Scan (C.T.) Head/ Brain - Without Contrast


1641 DP (Diagnostic Cat Scan (C.T.) Head / Brain - with Contrast


1642 DP (Diagnostic C.T. Head Scan Involv. Spl. Investigation - Without Contrast


1643 DP (Diagnostic C.T. Head Involv. Spl. Investigation - with Contrast


1644 DP (Diagnostic C.T. Chest (HRCT) - Without Contrast DP065A M 1700 1 N Y Daycare Procedures)

1645 DP (Diagnostic C.T. Chest (HRCT) - with Contrast DP066A M 2140 1 N Y Daycare Procedures)

1646 DP (Diagnostic C.T. Spine DP067A M 1440 1 N Y Daycare Procedures) (Cervical,Dorsal,Lumbar,Sacral) -

Without Contrast 1647 DP (Diagnostic C.T. Spine DP068A M 2300 1 N Y Daycare

Procedures) (Cervical,Dorsal,Lumbar,Sacral) - with Contrast

1648 DP (Diagnostic C.T. Cervical C.T. 3D Reconstruction only


1649 DP (Diagnostic C.T. Guided Biopsy DP070A M 1000 1 N Y Daycare Procedures)

1650 DP (Diagnostic C.T. Guided percutaneous cath drainage


1651 DP (Diagnostic C.T. Myelogram (Cervical Spine) - Without Contrast


1652 DP (Diagnostic C.T. Myelogram (Cervical Spine) - with Contrast


1653 DP (Diagnostic C.T. Myelogram (Lumbar Spine or D/S) - Without Contrast


1654 DP (Diagnostic C.T. Myelogram (Lumbar Spine or D/S)- with Contrast


1655 DP (Diagnostic C.T. Scan Chest - Without Contrast DP076A M 1400 1 N Y Daycare Procedures)

1656 DP (Diagnostic C.T. Scan Chest - with Contrast DP077A M 2325 1 N Y Daycare Procedures)

1657 DP (Diagnostic C.T. Scan Upper Abdomen - Without Contrast


1658 DP (Diagnostic C.T. Scan Upper Abdomen - with Contrast


1659 DP (Diagnostic C.T. Scan Lower Abdomen - Without Contrast


1660 DP (Diagnostic C.T. Scan Lower Abdomen - with Contrast


1661 DP (Diagnostic C.T. Scan Whole Abdomen - Without Contrast


1662 DP (Diagnostic C.T. Scan Whole Abdomen - with Contrast


1663 DP (Diagnostic C.T. Scan Neck (Thyroid Soft Tissue) -Without Contrast


1664 DP (Diagnostic C.T. Scan Neck (Thyroid Soft Tissue) -with Contrast


1665 DP (Diagnostic C.T. Scan Orbits - Without Contrast DP086A M 1200 1 N Y Daycare Procedures)

1666 DP (Diagnostic C.T. Scan Orbits - with contract DP087A M 1750 1 N Y Daycare Procedures)

1667 DP (Diagnostic C.T. Scan Limbs - Without Contrast DP088A M 1700 1 N Y Daycare Procedures)

1668 DP (Diagnostic C.T. Scan Limbs - with Contrast DP089A M 2300 1 N Y Daycare Procedures)

1669 DP (Diagnostic C.T. Scan Whole Body - Without Contrast


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Date post:	27-Nov-2023
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