Specialty | Specialty Code HBP 2.0 | Package Code HBP 1.0 | Package Code HBP 2.0 | AB PM - JAY Package Name | Multiple Procedures | Procedure Code HBP 2.0 | AB PM - JAY Procedure Name | Package Price | Stratification Criteria ( Y/N) | No. of Stratification criteria which can be booked | Implants / High End Consumables (Y/N) | Can more than one type of implant be booked (Y/N) | Reservation Public Hospitals (Y/N) | Special Condition – Pop – Up (Y/N) | Special Conditions – Rule (Y/N) | Auto Approved (Y/N) | Mandatory Documents - Pre Authorization | Mandatory Documents - Claim Processing |
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Burns Management | BM | S1100001 | BM001 | Thermal burns | Y | BM001A | % Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing | 7000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent of burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes. |
Burns Management | BM | S1100002 | BM001 | Thermal burns | Y | BM001B | % 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. | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent of upto 40% burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100003 | BM001 | Thermal burns | Y | BM001C | % 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. | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent of upto 40% - 60% burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100004 | BM001 | Thermal burns | Y | BM001D | % 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. | 80000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent > 60% burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100001 | BM002 | Scald burns | Y | BM002A | % Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing |
7000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent of burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes. |
Burns Management | BM | S1100002 | BM002 | Scald burns | Y | BM002B | % 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. | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent of upto 40% burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100003 | BM002 | Scald burns | Y | BM002C | % 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. | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent of upto 40% - 60% burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100004 | BM002 | Scald burns | Y | BM002D | % 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. | 80000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent > 60% burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100001 | BM003 | Flame burns | Y | BM003A | % Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing |
7000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent of burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100002 | BM003 | Flame burns | Y | BM003B | % Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent of upto 40% burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100003 | BM003 | Flame burns | Y | BM003C | % Total Body Surface Area Burns (TBSA): 40 % - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent of upto 40% - 60% burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100004 | BM003 | Flame burns | Y | BM003D | % Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | 80000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes, MLC copy with number, Extent > 60% burns visible on photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. |
Burns Management | BM | S1100005 | BM004 | Electrical contact burns | Y | BM004A | Electrical contact burns: Low voltage - without part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | 30000 | No | 0.00 | No | No | No | No | No | No | Circumstances that led to low voltage electrical contact burns, MLC copy with number. % burns visible on clinical photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done. |
Burns Management | BM | S1100006 | BM004 | Electrical contact burns | Y | BM004B | 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. | 40000 | No | 0.00 | No | No | No | No | No | No | Circumstances that led to low voltage electrical contact burns, MLC copy with number. % burns visible on clinical photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done. |
Burns Management | BM | S1100006 | BM004 | Electrical contact burns | Y | BM004C | 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. | 60000 | No | 0.00 | No | No | No | No | No | No | Circumstances that led to High voltage electrical contact burns, MLC copy with number. % burns visible on clinical photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done. |
Burns Management | BM | S1100007 | BM004 | Electrical contact burns | Y | BM004D | 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. | 50000 | No | 0.00 | No | No | No | No | No | No | Circumstances that led to High voltage electrical contact burns, MLC copy with number. % burns visible on clinical photograph (with rule of 9 chart) | Post Treatment clinical photograph, lab tests, X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done. |
Burns Management | BM | S1100009 | BM005 | Chemical burns | Y | BM005A | Chemical burns: Without significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. | 40000 | No | 0.00 | No | No | No | No | No | No | Circumstances that led to chemical burns, MLC copy with number, % and area burnt visible on clinical photograph (with rule of 9 chart) |
Post Treatment clinical photograph showing treated 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. |
Burns Management | BM | S1100010 | BM005 | Chemical burns | Y | BM005B | 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. | 60000 | No | 0.00 | No | No | No | No | No | No | Circumstances that led to chemical burns, MLC copy with number, % and area burnt visible on clinical photograph (with rule of 9 chart) |
Post Treatment clinical photograph showing treated 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. |
Burns Management | BM | S1100011 | BM006 | Post Burn Contracture surgeries for Functional Improvement | Y | BM006A | Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone - gel sheet and physiotherapy): Excluding Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG) / Flap cover is done for each joint with post - operative regular dressings for STSG / FTSG / Flap cover. | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical history detailing the burns - etiology, treatment given and resultant contractures left. Functional disability to be detailed and expected functional improvement to be shared. Pre-op clinical photograph. | Post Treatment clinical photograph, Detailed discharge summary. Detailed Procedure / Operative Notes. |
Burns Management | BM | S1100012 | BM006 | Post Burn Contracture surgeries for Functional Improvement | Y | BM006B | 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. |
50000 | No | 0.00 | No | No | No | No | No | No | Clinical history detailing the burns - etiology, treatment given and resultant contractures left. Functional disability to be detailed and expected functional improvement to be shared. Pre-op clinical photograph. | Post Treatment clinical photograph, Detailed discharge summary. Detailed Procedure / Operative Notes. |
Emergency Room Packages | ER | New Package | ER001 | Laceration - Suturing / Dressing | N | ER001A | Laceration - Suturing / Dressing | 2000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment with pre-clinical photograph | Clinical notes / discharge summary with planned line of treatment & post clinical photograph |
Emergency Room Packages | ER | M700001 | ER002 | Cardiopulmonary emergency | Y | ER002A | Emergency with stable cardiopulmonary status | 2000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, ECG | Clinical notes / discharge summary with planned line of treatment |
Emergency Room Packages | ER | New Package | ER002 | Cardiopulmonary emergency | Y | ER002B | Emergency with unstable cardiopulmonary status with resuccitation | 10000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, ECG | Clinical notes / discharge summary with planned line of treatment |
Emergency Room Packages | ER | M700004 | ER003 | Animal bites (Excluding Snake Bite) | N | ER003A | Animal bites (Excluding Snake Bite) | 1700 | No | 0.00 | No | No | No | No | Yes | Yes | Classification of bites with pre-clinical photograph | Beneficiary signature / thumb impession; invoice / bar code sticker of the vaccine, Clinical Notes with complete treatment details given |
Interventional Neuroradiology | IN | S900003 | IN001 | Dural AVMs / AVFs | Y | IN001A | Dural AVMs (per sitting) with glue | 70000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Detailed Procedure / Operative Notes. Radiographic stills photograph/CT/MRI/Angio, Invoice / bar code of glue used, Detailed Discharge Summary |
Interventional Neuroradiology | IN | S900003 | IN001 | Dural AVMs / AVFs | Y | IN001B | Dural AVFs (per sitting) with glue | 70000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Detailed Procedure / Operative Notes. Radiographic stills photograph/CT/MRI/Angio, Invoice / bar code of glue used, Detailed Discharge Summary |
Interventional Neuroradiology | IN | S900004 | IN001 | Dural AVMs / AVFs | Y | IN001C | Dural AVMs (per sitting) with onyx | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Detailed Procedure / Operative Notes. Radiographic stills photograph/CT/MRI/Angio, Invoice / bar code of Onyx used, Detailed Discharge Summary |
Interventional Neuroradiology | IN | S900004 | IN001 | Dural AVMs / AVFs | Y | IN001D | Dural AVFs (per sitting) with onyx | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Detailed Procedure / Operative Notes. Radiographic stills photograph/CT/MRI/Angio, Invoice / bar code of Onyx used, Detailed Discharge Summary |
Interventional Neuroradiology | IN | S900007 | IN002 | Cerebral & Spinal AVM embolization - Using Histoacryl (per sitting) | Y | IN002A | Cerebral AVM embolization - Using Histoacryl (per sitting) |
100000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Detailed Procedure / Operative Notes. Radiographic stills photograph/CT/MRI/Angio, Invoice / bar code of histoacryl used, Detailed Discharge Summary |
Interventional Neuroradiology | IN | S900007 | IN002 | Cerebral & Spinal AVM embolization - Using Histoacryl (per sitting) | Y | IN002B | Spinal AVM embolization - Using Histoacryl (per sitting) |
100000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Detailed Procedure / Operative Notes. Radiographic stills photograph/CT/MRI/Angio, Invoice / bar code of histoacryl used, Detailed Discharge Summary |
Interventional Neuroradiology | IN | S900001 | IN003 | Coil embolization for aneurysms (includes cost of first 3 coils + balloon and / or stent if used) |
N | IN003A | Coil embolization for aneurysms (includes cost of first 3 coils + balloon and / or stent if used) |
100000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CT Angio/MRA/ DSA confirming the diagnosis for which the procedure is done | Post procedure x-ray showing coils; Detailed Procedure / Operative Notes. Invoice / bar code of used coil / balloon / stent, detailed discharge summary |
Interventional Neuroradiology | IN | S900005 | IN004 | Carotico-cavernous Fistula (CCF) embolization | Y | IN004A | Carotico-cavernous Fistula (CCF) embolization with coils. [includes 5 coils, guide catheter, micro-catheter, micro-guidewire, general items] |
30000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Post procedure x-ray showing coils; Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories, detailed discharge summary |
Interventional Neuroradiology | IN | S900005 | IN004 | Carotico-cavernous Fistula (CCF) embolization | Y | IN004B | Carotid-cavernous Fistula (CCF) embolization with balloon (includes one balloon, guide catheter, micro-catheter, micro-guidewire, general items) |
64000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Post procedure x-ray showing balloon; Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories, detailed discharge summary |
Interventional Neuroradiology | IN | S900014 | IN005 | Pre-operative tumour embolization (per session) |
N | IN005A | Pre-operative tumour embolization (per session) |
40000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Intra procedure clinical photograph, Detailed discharge summary, Detailed Procedure / Operative Notes. Invoices / bar code of embolic agent used. |
Interventional Neuroradiology | IN | S900012 | IN006 | Intracranial balloon angioplasty with stenting | N | IN006A | Intracranial balloon angioplasty with stenting | 160000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Intra procedure clinical photograph, Detailed discharge summary, Detailed Procedure / Operative Notes. Invoices / bar code of balloon and stent |
Interventional Neuroradiology | IN | S900013 | IN007 | Intracranial thrombolysis / clot retrieval | N | IN007A | Intracranial thrombolysis / clot retrieval | 160000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Intra procedure clinical photograph, Detailed discharge summary, Detailed Procedure / Operative Notes. Invoices / bar code of thrombolytic agentused. |
Interventional Neuroradiology | IN | S900011 | IN008 | Balloon test occlusion | N | IN008A | Balloon test occlusion | 70000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Intra procedure clinical photograph, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Interventional Neuroradiology | IN | S900008 | IN009 | Parent vessel occlusion - Basic | N | IN009A | Parent vessel occlusion - Basic | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI/ DSA confirming the diagnosis | Intra procedure still photograph showing coil, Detailed Procedure / Operative Notes with procedure deployed; detailed discharge summary; invoice / bar code of coil used |
Interventional Neuroradiology | IN | S900015 | IN010 | Vertebroplasty | N | IN010A | Vertebroplasty | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI confirming the diagnosis and need of procedure; MLC/ FIR if traumatic | Intra procedure clinical photograph, Detailed discharge summary, Detailed Procedure / Operative Notes. Invoices of cement used. |
Cardiology | MC | New Package | MC001 | Right / Left Heart Catheterization | Y | MC001A | Right Heart Catheterization | 5000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, ECG, ECHO | Discharge summary, Procedure / Operative Notes. Invoices of catherter and other accesories used. |
Cardiology | MC | New Package | MC001 | Right / Left Heart Catheterization | Y | MC001B | Left Heart Catheterization | 5000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, ECG, ECHO | Discharge summary, Procedure / Operative Notes. Invoices of catherter and other accesories used. |
Cardiology | MC | S1200039 | MC002 | Catheter directed Thrombolysis | Y | MC002A | For Deep vein thrombosis (DVT) | 30800 | No | 0.00 | No | No | No | No | No | No | Clinical notes and doppler establishing presence of DVT | Post procedure Colour Doppler of affected limb/part, invoice of catheter used, invoice of the thrombolytic drug (tPA) used, Detailed Discharge Summary. |
Cardiology | MC | S1200039 | MC002 | Catheter directed Thrombolysis | Y | MC002B | For Mesenteric Thrombosis | 30800 | No | 0.00 | No | No | No | No | No | No | Clinical notes and doppler establishing presence of mesentric thrombosis | Post procedure Colour Doppler of affected limb/part, invoice of catheter used, invoice of the thrombolytic drug (tPA) used, Detailed Discharge Summary. |
Cardiology | MC | S1200039 | MC002 | Catheter directed Thrombolysis | Y | MC002C | For Peripheral vessels | 30800 | No | 0.00 | No | No | No | No | No | No | Clinical notes and doppler establishing presence of peripheral vessel thrombosis | Post procedure Colour Doppler of affected limb/part, invoice of catheter used, invoice of the thrombolytic drug (tPA) used, Detailed Discharge Summary. |
Cardiology | MC | S1200012 | MC003 | Balloon Dilatation | Y | MC003A | Coartication of Aorta | 38600 | No | 0.00 | Yes | No | No | No | No | No | ECHO & CT angiogram report & stills | Procedure / Operative Notes with images, Post Procedure images / Angiogram, barcode of balloon used, Detailed Discharge Summary |
Cardiology | MC | None | MC003 | Balloon Dilatation | Y | MC003B | Pulmonary Artrey Stenosis | 38600 | No | 0.00 | Yes | No | No | No | No | No | ECHO & CT angiogram report & stills | Procedure / Operative Notes with images, Post Procedure images / Angiogram, barcode of balloon used, Detailed Discharge Summary |
Cardiology | MC | S1200004 | MC004 | Balloon Pulmonary / Aortic Valvotomy | Y | MC004A | Balloon Pulmonary Valvotomy | 23400 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and ECHO report with stills. | Procedure / Operative notes with still images, Post procedure stills of Echo with report; Invoice of blade / balloon used, Detailed Discharge Summary . |
Cardiology | MC | S1200002 | MC004 | Balloon Pulmonary / Aortic Valvotomy | Y | MC004B | Balloon Aortic Valvotomy | 23400 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and ECHO report with stills. | Procedure / Operative notes with still images, Post procedure stills of Echo with report; Invoice of blade / balloon used, Detailed Discharge Summary . |
Cardiology | MC | S1200003 | MC005 | Balloon Mitral Valvotomy | N | MC005A | Balloon Mitral Valvotomy | 35700 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and ECHO report with stills. | Procedure / Operative notes with still images, Post procedure stills of Echo with report; Invoice of blade / balloon used, Detailed Discharge Summary . |
Cardiology | MC | S1200001 | MC006 | Balloon Atrial Septostomy | N | MC006A | Balloon Atrial Septostomy | 24400 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO / and doppler stills + reports showing the transposition of the great arteries (TGA) & need of septostomy | Procedure / Operative notes with still images, Post procedure stills of ECHO with report; Invoice of blade / balloon used, Detailed Discharge Summary . |
Cardiology | MC | S1200014 | MC007 | ASD Device Closure | N | MC007A | ASD Device Closure | 36900 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report showing ASD | Procedure / Operative notes with still images, Post procedure stills of ECHO with report; Invoice of blade / device used, Detailed Discharge Summary . |
Cardiology | MC | S1200015 | MC008 | VSD Device Closure | N | MC008A | VSD Device Closure | 37900 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report showing VSD | Procedure / Operative notes with still images, Post procedure stills of ECHO with report; Invoice of blade / device used, Detailed Discharge Summary . |
Cardiology | MC | S1200016 | MC009 | PDA Device Closure | N | MC009A | PDA Device Closure | 25000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report showing PDA | Procedure / Operative notes with still images, Post procedure stills of ECHO with report; Invoice of blade / device used, Detailed Discharge Summary . |
Cardiology | MC | S1200019 | MC010 | PDA stenting | N | MC010A | PDA stenting | 40260 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report / Angio showing PDA | Procedure / Operative notes 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 . |
Cardiology | MC | S1200024 | MC011 | PTCA, inclusive of diagnostic angiogram | N | MC011A | PTCA, inclusive of diagnostic angiogram | 40600 | No | 0.00 | Yes | Yes | No | No | No | No | ECG, ECHO, CAG stills showing blocks & Reports | Procedure / Operative notes with still images, Angiogram report, showing stent & post Stent flow + barcode of the stents used, Detailed Discharge Summary |
Cardiology | MC | New Package | MC012 | Electrophysiological Study | Y | MC012A | Electrophysiological Study | 20000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment, ECG, ECHO, Serum Elctrolytes | Discharge summary, EP study report |
Cardiology | MC | New Package | MC012 | Electrophysiological Study | Y | MC012B | Electrophysiological Study with Radio Frequency Ablation |
20000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment, ECG, ECHO, Serum Elctrolytes | Discharge summary, EP study report, Procedure / Operative Notes |
Cardiology | MC | S1200027 | MC013 | Percutaneous Transluminal Septal Myocardial Ablation | N | MC013A | Percutaneous Transluminal Septal Myocardial Ablation | 34000 | No | 0.00 | No | No | No | No | No | No | 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 |
Cardiology | MC | S1200021 | MC014 | Temporary Pacemaker implantation | N | MC014A | Temporary Pacemaker implantation | 19200 | No | 0.00 | No | No | No | No | No | No | 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 |
Cardiology | MC | S1200023 | MC015 | Single Chamber Permanent Pacemaker Implantation | N | MC015A | Permanent Pacemaker Implantation - Single Chamber |
24500 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Cardiology | MC | S1200022 | MC016 | Double Chamber Permanent Pacemaker Implantation | N | MC016A | Permanent Pacemaker Implantation - Double Chamber |
33000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Cardiology | MC | S1200011 | MC017 | Peripheral Angioplasty | N | MC017A | Peripheral Angioplasty | 34500 | No | 0.00 | Yes | No | No | No | No | No | ECHO, Doppler, Angio stills showing blocks & Reports | Post op. Angiogram report/ stills, showing stent; Implant / barcode of stent used |
Cardiology | MC | S1200035 | MC018 | Bronchial artery Embolisation (for Haemoptysis) |
N | MC018A | Bronchial artery Embolisation (for Haemoptysis) |
32800 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Chest X-Ray / HRCT chest with CT Pulmonary Angiogram & other investigations | Check Angiography of same bronchial artery after the procedure. Detailed discharge summary; Detailed Procedure / Operative Notes, Hb, Serum Creatinine |
Cardiology | MC | S1200020 | MC019 | Pericardiocentesis | N | MC019A | Pericardiocentesis | 12100 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO report justifying need of procedure | Intra procedure clinical photograph, post procedure ECHO report; Analysis of fluid removed. |
Cardiology | MC | S1200013 | MC020 | Systemic Thrombolysis (for MI) | N | MC020A | Systemic Thrombolysis (for MI) | 17900 | No | 0.00 | No | No | No | No | No | No | Serial ECGs showing MI, Cardiac markers - CPK-MB, TROP I or TROP T | ECHO, ECG, Lab Investigation (TROP - T report); invoice / barcode of thrombolytic agent used |
General Medicine | MG | M100011 | MG001 | Acute febrile illness | N | MG001A | Acute febrile illness | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100055 | MG002 | Severe sepsis | Y | MG002A | Severe sepsis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100055 | MG002 | Severe sepsis | Y | MG002B | Septic shock | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100014 | MG003 | Malaria | Y | MG003A | Malaria | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100051 | MG003 | Malaria | Y | MG003B | Complicated malaria | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100015 | MG004 | Dengue fever | Y | MG004A | Dengue fever | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100050 | MG004 | Dengue fever | Y | MG004B | Dengue hemorrhagic fever | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100050 | MG004 | Dengue fever | Y | MG004C | Dengue shock syndrome | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100016 | MG005 | Chikungunya fever | N | MG005A | Chikungunya fever | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100018 | MG006 | Enteric fever | N | MG006A | Enteric fever | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100039 | MG007 | HIV with complications | N | MG007A | HIV with complications | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100017 | MG008 | Leptospirosis | N | MG008A | Leptospirosis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100001 | MG009 | Acute gastroenteritis with dehydration | Y | MG009A | Acute gastroenteritis with moderate dehydration | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100048 | MG009 | Acute gastroenteritis with dehydration | Y | MG009B | Acute gastroenteritis with severe dehydration | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100036 | MG010 | Diarrohea | Y | MG010A | Chronic diarrohea | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment | Detailed Discharge Summary, any other investigations done |
General Medicine | MG | M100036 | MG010 | Diarrohea | Y | MG010B | Persistent diarrohea | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment; stool examintaion | Detailed Discharge Summary summary, any other investigations done |
General Medicine | MG | M100003 | MG011 | Dysentery | N | MG011A | Dysentery | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100022 | MG012 | Acute viral hepatitis | N | MG012A | Acute viral hepatitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, LFT, USG - Whole Abdomen | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100022 | MG013 | Chronic Hepatitis | N | MG013A | Chronic Hepatitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, LFT, USG - Whole Abdomen | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100021 | MG014 | Liver abscess | N | MG014A | Liver abscess | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100038 | MG015 | Visceral leishmaniasis | N | MG015A | Visceral leishmaniasis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100019 | MG016 | Pneumonia | N | MG016A | Pneumonia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100047 | MG017 | Severe pneumonia | N | MG017A | Severe pneumonia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M200043 | MG018 | Empyema | N | MG018A | Empyema | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, CBC, X ray chest | Post Treatment X-ray chest, Detailed Discharge Summary |
General Medicine | MG | M100033 | MG019 | Lung abscess | N | MG019A | Lung abscess | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment , X-ray chest, CBC and any other investigations done, planned line of management | Post Treatment X-ray chest, CBC, Detailed Discharge summary. |
General Medicine | MG | M100027 | MG020 | Pericardial / Pleural tuberculosis | Y | MG020A | Pericardial tuberculosis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; investigations done | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100027 | MG020 | Pericardial / Pleural tuberculosis | Y | MG020B | Pleural tuberculosis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; investigations done | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100013 | MG021 | Urinary Tract Infection | N | MG021A | Urinary Tract Infection | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100035 | MG022 | Viral encephalitis | N | MG022A | Viral encephalitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | New Package | MG023 | Septic Arthritis | N | MG023A | Septic Arthritis | 1800 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, CBC, X-ray of the affected joint | Post treatment X-ray / Radiological evidence, CBC, Detailed Discharge Summary |
General Medicine | MG | New Package | MG024 | Skin and soft tissue infections | N | MG024A | Skin and soft tissue infections | 1800 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, CBC | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports including CBC |
General Medicine | MG | M100002 | MG025 | Recurrent vomiting with dehydration | N | MG025A | Recurrent vomiting with dehydration | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100026 | MG026 | Pyrexia of unknown origin | N | MG026A | Pyrexia of unknown origin | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | New Package | MG027 | Bronchiectasis | N | MG027A | Bronchiectasis | 1800 | Yes | 1.00 | No | No | No | No | No | No | X ray-Chest, Clinical notes with planned line of treatment | Post treatment X-ray / Radiological evidence, Detailed Discharge Summary, Detailed ICPs, Treatment details, All investigations reports. |
General Medicine | MG | M100005 | MG028 | Acute bronchitis | N | MG028A | Acute bronchitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100012 | MG029 | Acute excaberation of COPD | N | MG029A | Acute excaberation of COPD | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100020 | MG030 | Acute excaberation of Interstitial Lung Disease | N | MG030A | Acute excaberation of Interstitial Lung Disease | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100031 | MG031 | Endocarditis | Y | MG031A | Bacterial Endocarditis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, ECHO, CBC | Blood culture reports, Post treatment ECHO, Detailed Discharge Summary, Detailed ICPs, Treatment details, All investigations reports. |
General Medicine | MG | M100031 | MG031 | Endocarditis | Y | MG031B | Fungal Endocarditis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, ECHO, CBC | Blood culture reports, Post treatment ECHO, Detailed Discharge Summary, Detailed ICPs, Treatment details, All investigations reports. |
General Medicine | MG | M100029 | MG032 | Vasculitis | N | MG032A | Vasculitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100037 | MG033 | Pancreatitis | Y | MG033A | Acute pancreatitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Cliical notes, Sr Amylase, Lipase, LFT, CBC, USG- abdomen | Post treatment Sr Amylase, Lipase, LFT, USG- abdomen Detailed Discharge Summary |
General Medicine | MG | M100037 | MG033 | Pancreatitis | Y | MG033B | Chronic pancreatitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Cliical notes, Sr Amylase, Lipase, LFT, CBC, USG- abdomen | Post treatment Sr Amylase, Lipase, LFT, USG- abdomen Detailed Discharge Summary |
General Medicine | MG | New Package | MG034 | Ascites | N | MG034A | Ascites | 1800 | Yes | 1.00 | No | No | No | No | No | No | Clinial notes, LFT, CBC, USG- abdomen | Ascitic Fluid Analysis and Culture Report, Detailed Discharge Summary, |
General Medicine | MG | M100060 | MG035 | Acute transverse myelitis | N | MG035A | Acute transverse myelitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | New Package | MG036 | Atrial Fibrillation | N | MG036A | Atrial Fibrillation | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, ECG, Sr Electrolytes | Post treatment ECG, Detailed Discharge Summary, Detailed ICPs, Treatment details, All investigations reports. |
General Medicine | MG | New Package | MG037 | Cardiac Tamponade | N | MG037A | Cardiac Tamponade | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clincal notes, 2D echo | Post treatment 2D echo, Fluid Aspirated report, Procedure notes, Detailed Discharge Summary |
General Medicine | MG | M100008 | MG038 | Congestive heart failure | N | MG038A | Congestive heart failure | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100045 | MG039 | Asthma | Y | MG039A | Acute asthmatic attack | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100066 | MG039 | Asthma | Y | MG039B | Status asthmaticus | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100044 | MG040 | Respiratory failure | Y | MG040A | Type 1 respiratory failure | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100044 | MG040 | Respiratory failure | Y | MG040B | Type 2 respiratory failure | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100044 | MG040 | Respiratory failure | Y | MG040C | Due to any cause (pneumonia, asthma, COPD, ARDS, foreign body, poisoning, head injury etc.) | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management, Copy of MLC / FIR (if required) | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100056 | MG041 | Upper GI bleeding | Y | MG041A | Upper GI bleeding (conservative) | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100057 | MG041 | Upper GI bleeding | Y | MG041B | Upper GI bleeding (endoscopic) | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100058 | MG042 | Lower GI hemorrhage | N | MG042A | Lower GI hemorrhage | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | New Package | MG043 | Addison’s disease | N | MG043A | Addison’s disease | 1800 | Yes | 1.00 | No | No | No | No | No | No | Clincal notes, Sr. Cortisol levels, USG- abdomen | Post treatment cortisol levels, Detailed Discharge Summary |
General Medicine | MG | M100004 | MG044 | Renal colic | N | MG044A | Renal colic | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100064 | MG045 | AKI / Renal failure | N | MG045A | AKI / Renal failure | 1800 | Yes | 1.00 | No | No | No | Yes | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100030 | MG046 | Seizures | N | MG046A | Seizures | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100065 | MG047 | Status epilepticus | N | MG047A | Status epilepticus | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100054 | MG048 | Cerebrovascular accident | N | MG048A | Cerebrovascular accident | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100063 | MG049 | Cerebral sino-venous thrombosis / Stroke | Y | MG049A | Cerebral sino-venous thrombosis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100063 | MG049 | Cerebral sino-venous thrombosis / Stroke | Y | MG049B | Acute stroke | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100063 | MG049 | Cerebral sino-venous thrombosis / Stroke | Y | MG049C | Acute ischemic stroke | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100063 | MG049 | Cerebral sino-venous thrombosis / Stroke | Y | MG049D | Acute heamorrhagic stroke | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100059 | MG050 | Immune mediated CNS disorders | N | MG050A | Immune mediated CNS disorders | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100062 | MG051 | Hydrocephalus | N | MG051A | Hydrocephalus | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | New Package | MG052 | Myxedema coma | N | MG052A | Myxedema coma | 1800 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, Throid profile, USG- Thyroid Gland | Post treatment Thyroid Profile, Detailed Discharge Summary |
General Medicine | MG | New Package | MG053 | Thyrotoxic crisis | N | MG053A | Thyrotoxic crisis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, Throid profile, USG- Thyroid Gland | Radionuclide Iodine uptake study, Post treatment Thyroid Profile, Detailed Discharge Summary |
General Medicine | MG | New Package | MG054 | Gout | N | MG054A | Gout | 1800 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, Sr.Uric acid | Detailed Discharge Summary |
General Medicine | MG | M100006 | MG055 | Pneumothroax | N | MG055A | Pneumothroax | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100040 | MG056 | Neuromuscular disorders | N | MG056A | Neuromuscular disorders | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | New Package | MG057 | Hypoglycemia | N | MG057A | Hypoglycemia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clincal notes, Blood sugar level | Post treatment Blood sugar levels, Hba1C, Detailed Discharge Summary |
General Medicine | MG | New Package | MG058 | Diabetic Foot | N | MG058A | Diabetic Foot | 1800 | Yes | 1.00 | No | No | No | No | No | No | Clincal profile, Blood sugar level,CBC, Photograph of the affected foot | Post treatment Blood sugar levels, Hba1C, Photograph of the affected foot, Detailed Discharge Summary |
General Medicine | MG | M100010 | MG059 | Diabetic ketoacidosis | N | MG059A | Diabetic ketoacidosis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | New Package | MG060 | Electrolyte Imbalance | Y | MG060A | Hypercalcemia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, Serum Calcium | Post treatment Serum Calcium, Detailed Discharge Summary, Detailed ICPs, Treatment details, All investigations reports. |
General Medicine | MG | New Package | MG060 | Electrolyte Imbalance | Y | MG060B | Hypocalcemia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, Serum Calcium | Post treatment Serum Calcium, Detailed Discharge Summary, Detailed ICPs, Treatment details, All investigations reports. |
General Medicine | MG | New Package | MG060 | Electrolyte Imbalance | Y | MG060C | Hyponatremia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, Serum Electrolytes | Post treatment Serum Electrolytes, Detailed Discharge Summary, Detailed ICPs, Treatment details, All investigations reports. |
General Medicine | MG | New Package | MG060 | Electrolyte Imbalance | Y | MG060D | Hypernatremia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, Serum Electrolytes | Post treatment Serum Electrolytes, Detailed Discharge Summary, Detailed ICPs, Treatment details, All investigations reports. |
General Medicine | MG | M100053 | MG061 | Hyperosmolar Non-Ketotic coma | N | MG061A | Hyperosmolar Non-Ketotic coma | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100007 | MG062 | Accelerated hypertension | N | MG062A | Accelerated hypertension | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100049 | MG063 | Hypertensive emergencies | N | MG063A | Hypertensive emergencies | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100009 | MG064 | Severe anemia | N | MG064A | Severe anemia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100042 | MG065 | Sickle cell Anemia | N | MG065A | Sickle cell Anemia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | New Package | MG066 | Anaphylaxis | N | MG066A | Anaphylaxis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, CBC | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100052 | MG067 | Heat stroke | N | MG067A | Heat stroke | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history leading to this hospitalization and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100028 | MG068 | Systematic lupus erythematosus | N | MG068A | Systematic lupus erythematosus | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100061 | MG069 | Guillian Barre Syndrome | N | MG069A | Guillian Barre Syndrome | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes and Admission notes detailed the need for High end histopathology (Biopsies) and advanced serology investigations | Report of test blocked. |
General Medicine | MG | M100023 | MG070 | Snake bite | N | MG070A | Snake bite | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and neurological examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100024 | MG071 | Poisoning | Y | MG071A | Acute organophosphorus poisoning | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and neurological examination findings; any investigations done; planned line of management, Copy of MLC / FIR | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100043 | MG071 | Poisoning | Y | MG071B | Other poisonings | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and neurological examination findings; any investigations done; planned line of management, Copy of MLC / FIR | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100070 | MG072 | Haemodialysis / Peritoneal Dialysis | Y | MG072A | Haemodialysis Dialysis | 1500 | No | 0.00 | No | No | No | Yes | Yes | No | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100070 | MG072 | Haemodialysis / Peritoneal Dialysis | Y | MG072B | Peritoneal Dialysis | 1500 | No | 0.00 | No | No | No | Yes | Yes | No | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100069 | MG073 | Plasmapheresis | N | MG073A | Plasmapheresis | 2000 | No | 0.00 | No | No | No | No | Yes | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100068 | MG074 | Blood transfusion | Y | MG074A | Whole Blood transfusion | 2000 | No | 0.00 | No | No | No | No | Yes | Yes | Clinical notes with planned line of treatment, Complete Hemogram, Blood Group, Planned line of treatment | Detailed ICPs, Post treatment Complete hemogram, Detailed Discharge Summary |
General Medicine | MG | M100068 | MG074 | Blood transfusion | Y | MG074B | Blood component including platelet transfusion (RDP, PC, SDP) | 2000 | No | 0.00 | No | No | No | No | Yes | Yes | Clinical notes with planned line of treatment, Complete Hemogram, Blood Group, Planned line of treatment | Detailed ICPs, Post treatment Complete hemogram, Detailed Discharge Summary |
General Medicine | MG | M100071 | MG075 | High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) |
N | MG075A | High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) |
5000 | No | 0.00 | No | No | No | Yes | No | No | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
General Medicine | MG | M100072 | MG076 | High end histopathology (Biopsies) and advanced serology investigations | N | MG076A | High end histopathology (Biopsies) and advanced serology investigations | 5000 | No | 0.00 | No | No | No | Yes | No | No | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Mental Disorders | MM | M800007 | MM001 | Mental Retardation | N | MM001A | Mental Retardation | 1500 | Yes | 1.00 | No | No | Yes | No | No | No | Detailed history with chronicity; need for hospitalization. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Mental Disorders | MM | M800001 | MM002 | Mental disorders - Organic, including symptomatic | N | MM002A | Mental disorders - Organic, including symptomatic | 1500 | Yes | 1.00 | No | No | Yes | No | No | No | Detailed history with chronicity; need for hospitalization. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Mental Disorders | MM | M800003 | MM003 | Schizophrenia, schizotypal and delusional disorders | N | MM003A | Schizophrenia, schizotypal and delusional disorders | 1500 | Yes | 1.00 | No | No | Yes | No | No | No | Detailed history with chronicity; need for hospitalization. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Mental Disorders | MM | M800012 | MM004 | Neurotic, stress-related and somatoform disorders | N | MM004A | Neurotic, stress-related and somatoform disorders | 1500 | Yes | 1.00 | No | No | Yes | No | No | No | Detailed history with chronicity; need for hospitalization. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Mental Disorders | MM | M800011 | MM005 | Mood (affective) disorders | N | MM005A | Mood (affective) disorders | 1500 | Yes | 1.00 | No | No | Yes | No | No | No | Detailed history with chronicity; need for hospitalization. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Mental Disorders | MM | M800013 | MM006 | Behavioural syndromes associated with physiological disturbances and physical factors | N | MM006A | Behavioural syndromes associated with physiological disturbances and physical factors | 1500 | Yes | 1.00 | No | No | Yes | No | No | No | Detailed history with chronicity; need for hospitalization. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Mental Disorders | MM | M800009 | MM007 | Mental and Behavioural disorders due to psychoactive substance use | N | MM007A | Mental and Behavioural disorders due to psychoactive substance use | 1500 | Yes | 1.00 | No | No | Yes | No | No | No | Detailed history of psychoactive substanec with chronicity; need for hospitalization. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Mental Disorders | MM | M800015 | MM008 | 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) | N | MM008A | 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) | 10000 | No | 0.00 | No | No | Yes | No | No | No | Detailed history with chronicity; need for specific treatment and expected results. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Mental Disorders | MM | M800016 | MM009 | Electro Convulsive Therapy (ECT) - per session | N | MM009A | Electro Convulsive Therapy (ECT) - per session | 3000 | No | 0.00 | No | No | Yes | No | No | No | Detailed history with chronicity; need for specific treatment and expected results. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Mental Disorders | MM | M800017 | MM010 | Transcranial Magnetic Stimulation (TMS) - per session | N | MM010A | Transcranial Magnetic Stimulation (TMS) - per session | 1000 | No | 0.00 | No | No | Yes | No | No | No | Detailed history with chronicity; need for specific treatment and expected results. Admission under empanneled Psychiatrist is a must. | Detailed treatment notes; all investigations done; detailed discharge summary. |
Neo - natal Care | MN | M300001 | MN001 | 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) |
N | MN001A | 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) |
500 | Yes | 1.00 | No | No | No | No | No | No | 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. |
Neo - natal Care | MN | M300002 | MN002 | 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 |
N | MN002A | 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 |
3000 | Yes | 1.00 | No | No | No | No | No | No | 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. |
Neo - natal Care | MN | M300003 | MN003 | 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 |
N | MN003A | 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 |
5000 | Yes | 1.00 | No | No | No | No | No | No | 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. |
Neo - natal Care | MN | M300004 | MN004 | 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 |
N | MN004A | 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 |
6000 | Yes | 1.00 | No | No | No | No | No | Yes | 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. |
Neo - natal Care | MN | M300005 | MN005 | 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 |
N | MN005A | 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 |
7000 | Yes | 1.00 | No | No | No | No | No | Yes | 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. |
Neo - natal Care | MN | M300006 | MN006 | 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 | N | MN006A | 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 | 3000 | Yes | 1.00 | No | No | No | No | No | No | Claim number of having utilized Package no MN004A or MN005A and Notes mentioning need for stay beyond prescribed upper limit | Detailed ICPs (daily Treatment details), detailed discharge summary, All investigations reports. |
Neo - natal Care | MN | M300007 | MN007 | High Risk Newborn Post Discharge Care Package (Protocol Driven) | N | MN007A | High Risk Newborn Post Discharge Care Package (Protocol Driven) |
2400 | No | 0.00 | No | No | No | No | No | No | 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/operations required for any congenital heart conditions if any. |
Neo - natal Care | MN | M300008 | MN008 | Laser Therapy for Retinopathy of Prematurity (Irrespective of no. of eyes affected) - per session | N | MN008A | Laser Therapy for Retinopathy of Prematurity (Irrespective of no. of eyes affected) - per session |
1500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Fundoscope reports / stills showing extent of ROP and need for procedure. | Details of Laser therapy done. |
Neo - natal Care | MN | M300009 | MN009 | Advanced Surgery for Retinopathy of Prematurity | N | MN009A | Advanced Surgery for Retinopathy of Prematurity | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Fundoscope reports / stills showing extent of ROP and need for surgery. | Detailed discharge summary, Detailed Procedure / Operative Notes, Intra procedure clinical photograph |
Neo - natal Care | MN | M300010 | MN010 | Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus | N | MN010A | Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus | 5000 | No | 0.00 | No | No | No | No | No | No | Clinical history and CT/ MRI; pre-op clinical photograph | Detailed discharge summary, Detailed Procedure / Operative Notes, Intra procedure clinical photograph |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001A | Cyclophosphamide + Epirubcin | 7200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001B | Weekly Paclitaxel for Adjuvant Therapy | 5800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001C | Weekly Paclitaxel in metastatic setting | 5800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001D | Cyclophosphamide + Methotrexate + 5 - FU | 3200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001E | Docetaxel + Cyclophosphamide | 19800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001F | Trastuzumab | 21200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001G | Tamoxifen | 1200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001H | Letrozole | 3900 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001I | Carboplatin + Paclitaxel | 14900 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery, , mammography,USG abdomen and pelvis, CXR PA view or CECThest+abdomen and pelvis in case of metastatic disease | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001J | Capecitabine | 7400 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001K | Carboplatin + Gemcitabine | 13900 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001L | Cyclophosphamide + Adriamycin | 4500 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001M | Fulvestrant | 11000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001N | Paclitaxel | 11800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO001 | CT for CA Breast | Y | MO001O | Exemestane | 10400 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, Biopsy report or 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 | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO002 | CT for Metastatic bone malignancy and multiple myeloma | N | MO002A | Zoledronic Acid | 4500 | No | 0.00 | No | No | No | No | Yes | No | RFT, skeletal survey/bone scan/PET-CT showing bone metastasis histopathology showing myeloma, lung cancer,Breast cancer, renal cancer or other cancer | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO003 | CT for CA Ovary | Y | MO003A | Cisplatin + Irinotecan | 10200 | No | 0.00 | No | No | No | No | Yes | No | CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO003 | CT for CA Ovary | Y | MO003B | Lipodox + Carboplatin | 17200 | No | 0.00 | No | No | No | No | Yes | No | CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO003 | CT for CA Ovary | Y | MO003C | Etoposide | 3400 | No | 0.00 | No | No | No | No | Yes | No | CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO003 | CT for CA Ovary | Y | MO003D | Irinotecan | 8400 | No | 0.00 | No | No | No | No | Yes | No | CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO003 | CT for CA Ovary | Y | MO003E | Lipodox | 14800 | No | 0.00 | No | No | No | No | Yes | No | CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO003 | CT for CA Ovary | Y | MO003F | Carboplatin + Gemcitabine | 13900 | No | 0.00 | No | No | No | No | Yes | No | CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO003 | CT for CA Ovary | Y | MO003G | Carboplatin + Paclitaxel | 14700 | No | 0.00 | No | No | No | No | Yes | No | CBc, LFT, RFT, RBS, CA-125, CECT Thorax, abdomen and Pelvis, HPR or cytology suggestive of ovarian adenocarcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO004 | CT for Germ Cell Tumor | Y | MO004A | Carboplatin (AUC 7) | 5800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta- HCG, AFP, LDH,CECT Thorax, abdomen and Pelvis, ECG, Histopathology -testicular seminoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO004 | CT for Germ Cell Tumor | Y | MO004B | Bleomycin + Etoposide + Cisplatin | 11600 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta-HCG, AFP, LDH,CECT Thorax, abdomen and Pelvis, ECG,PFT DLCo, Histopathology -Ovarian, testicular, mediastinal | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO004 | CT for Germ Cell Tumor | Y | MO004C | Etoposide + Cisplatin | 10000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta- HCG, AFP, LDH,CECT Thorax, abdomen and Pelvis, ECG, Histopathology -Ovarian, testicular, mediastinal | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO004 | CT for Germ Cell Tumor | Y | MO004D | Gemcitabine + Oxaliplatin | 17500 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta- HCG, AFP, LDH,CECT Thorax, abdomen and Pelvis, ECG, Histopathology -Ovarian, testicular, mediastinal | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO004 | CT for Germ Cell Tumor | Y | MO004E | Gemcitabine + Paclitaxel | 17500 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta- HCG, AFP, LDH,CECT Thorax, abdomen and Pelvis, ECG, Histopathology -Ovarian, testicular, mediastinal | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO004 | CT for Germ Cell Tumor | Y | MO004F | Paclitaxel + Ifosfamide + Cisplatin | 24400 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta- HCG, AFP, LDH,CECT Thorax, abdomen and Pelvis, ECG, Histopathology -Ovarian, testicular, mediastinal | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO004 | CT for Germ Cell Tumor | Y | MO004G | Vinblastin + Ifosfamide + Cisplatin | 12600 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta- HCG, AFP, LDH,CECT Thorax, abdomen and Pelvis, ECG, Histopathology -Ovarian, testicular, mediastinal | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO005 | CT for Gestational Trophoblastic Neoplasia | Y | MO005A | EMA - CO | 11400 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta- HCG, CECT Thorax, abdomen and Pelvis | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO005 | CT for Gestational Trophoblastic Neoplasia | Y | MO005B | EMA - EP | 12200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta- HCG, CECT Thorax, abdomen and Pelvis | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO005 | CT for Gestational Trophoblastic Neoplasia | Y | MO005C | Methotrexate | 1100 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, Beta- HCG, CECT Thorax, abdomen and Pelvis | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO006 | CT for Cervical Cancer | Y | MO006A | Carboplatin + Paclitaxel | 14900 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS,CECT Thorax, abdomen and Pelvis,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO006 | CT for Cervical Cancer | Y | MO006B | Cisplatin | 2200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS,CECT Thorax, abdomen and Pelvis,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO007 | CT for Endometrial Cancer | Y | MO007A | Carboplatin + Paclitaxel | 14900 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS,CECT Thorax, abdomen and Pelvis,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO007 | CT for Endometrial Cancer | Y | MO007B | Cisplatin + Doxorubicin | 4200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS,CECT Thorax, abdomen and Pelvis,histopathology , ECG,2D ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO008 | CT for Vulvar Cancer | Y | MO008A | Cisplatin + 5 FU | 7600 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, MRI pelvis,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO008 | CT for Vulvar Cancer | Y | MO008B | Cisplatin | 2200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, MRI pelvis,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO009 | CT for Ewing Sarcoma | Y | MO009A | VTC + ITMZ for Relapsed Ewing Sarcoma | 22400 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, PET CT or CT CHEST/BONE SCAN, Bone marrow studies, Biopsy, ECG, 2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO009 | CT for Ewing Sarcoma | Y | MO009B | EFT 2001 | 9700 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, PET CT or CT CHEST/BONE SCAN, Bone marrow studies, Biopsy, ECG, 2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO009 | CT for Ewing Sarcoma | Y | MO009C | VAC + IE | 12500 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, PET CT or CT CHEST/BONE SCAN, Bone marrow studies, Biopsy, ECG, 2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO010 | CT for Osteogenic Sarcoma | Y | MO010A | Methotrexate + Doxorubicin + Cisplatin | 21800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, DTPA GFR, NCCT chest, MRI of the involved site,2D ECHO, Pure tone audiometry,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO010 | CT for Osteogenic Sarcoma | Y | MO010B | Methotrexate + Doxorubicin + Cisplatin for Relapsed Osteogenic Sarcoma | 27000 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, CT CHEST, BONE SCAN, Biopsy, ECG, 2D-ECHO, AUDIOMETRY, GFR | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO010 | CT for Osteogenic Sarcoma | Y | MO010C | OGS - 12 | 29600 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, DTPA GFR, NCCT chest, MRI of the involved site,2D ECHO, Pure tone audiometry,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO010 | CT for Osteogenic Sarcoma | Y | MO010D | OGS - 12 | 36200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, DTPA GFR,2D ECHO, Pure tone,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO011 | CT for Soft Tissue Sarcoma | Y | MO011A | Gemcitabine + Docetaxel | 30900 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, ECHO, MRI of the involved part, CECT Thorax, abdomen and Pelvis,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO011 | CT for Soft Tissue Sarcoma | Y | MO011B | Ifosfamide+ Adriamycin | 13700 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, ECHO, MRI of the involved part, CECT Thorax, abdomen and Pelvis,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO012 | CT for Metastatic Melanoma | Y | MO012A | Dacarbazine + Cisplatin | 7100 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, RBS, CECT Thorax, abdomen and Pelvis,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO012 | CT for Metastatic Melanoma | Y | MO012B | Temozolamide | 23100 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, RBS, CECT Thorax, abdomen and Pelvis | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO013 | CT for Anal Cancer | Y | MO013A | 5 FU + Mitomycin C | 10500 | No | 0.00 | No | No | No | Yes | No | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen , MRI Pelvis, CEA, Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO013 | CT for Anal Cancer | Y | MO013B | Capecitabine + Mitomycin C | 13800 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen , MRI Pelvis, CEA, Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO013 | CT for Anal Cancer | Y | MO013C | Cisplatin + 5 FU | 7600 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO013 | CT for Anal Cancer | Y | MO013D | Carboplatin + Paclitaxel | 14900 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO013 | CT for Anal Cancer | Y | MO013E | Cisplatin + Paclitaxel | 13300 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO014 | CT for Colorectal Cancer | Y | MO014A | 5 FU + Leucovorin | 4700 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology ,Colonoscopy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO014 | CT for Colorectal Cancer | Y | MO014B | Capecitabine + Irinotecan | 12500 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO014 | CT for Colorectal Cancer | Y | MO014C | Folfox | 11100 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology ,Colonoscopy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO014 | CT for Colorectal Cancer | Y | MO014D | Folfiri | 8700 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO014 | CT for Colorectal Cancer | Y | MO014E | Capecitabine + Oxaliplatin | 16500 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology ,Colonoscopy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO014 | CT for Colorectal Cancer | Y | MO014F | Capecitabine | 7200 | No | 0.00 | No | No | No | Yes | No | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology ,Colonoscopy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO014 | CT for Colorectal Cancer | Y | MO014G | Capecitabine | 7300 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology ,Colonoscopy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO014 | CT for Colorectal Cancer | Y | MO014H | Folfirinox | 15100 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, CEA, Histopathology ,Colonoscopy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO015 | CT for Esophageal Cancer | Y | MO015A | Carboplatin + Paclitaxel | 14900 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO015 | CT for Esophageal Cancer | Y | MO015B | Cisplatin + 5 FU | 9600 | No | 0.00 | No | No | No | Yes | No | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO015 | CT for Esophageal Cancer | Y | MO015C | Cisplatin + 5 FU | 9600 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO015 | CT for Esophageal Cancer | Y | MO015D | Paclitaxel + Carboplatin for definitive Non - metastatic (With RT) |
25100 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO015 | CT for Esophageal Cancer | Y | MO015E | Paclitaxel + Carboplatin for metastatic (Without RT) |
25100 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016A | Cisplatin + Docetaxel | 12100 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016B | Irinotecan | 8300 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016C | 5 FU | 8000 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016D | Capecitabine | 7200 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016E | CAPOX | 16500 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016F | Docetaxel + Cisplatin + 5 FU | 16400 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016G | Docetaxel + Cisplatin + Xeloda | 19700 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016H | Docetaxel + Oxaliplatin + 5 FU | 20400 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016I | Docetaxel + Oxaliplatin + Xeloda | 24900 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016J | Folfiri | 8700 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016K | Folfox | 11100 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO016 | CT for Esophageal / Stomach Cancer | Y | MO016L | Paclitaxel | 5800 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology ,UGI endoscospy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO017 | CT for Hepatocellular Carcinoma | Y | MO017A | Doxorubicin | 10000 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, Triphasic CECT Thorax , abdomen ,Pelvis, Histopathology , AFP,MRI | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO017 | CT for Hepatocellular Carcinoma | Y | MO017B | Sorafenib | 7400 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, Triphasic CECT Thorax , abdomen ,Pelvis, Histopathology , AFP, Lipid Profile, Urine R/M, 2D ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO018 | CT for Panceratic Cancer | Y | MO018A | Gemcitabine + Nanopaclitaxel | 23500 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO018 | CT for Panceratic Cancer | Y | MO018B | Gemcitabine | 9000 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO018 | CT for Panceratic Cancer | Y | MO018C | Gemcitabine | 9000 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO018 | CT for Panceratic Cancer | Y | MO018D | Folfirinox | 15500 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO018 | CT for Panceratic Cancer | Y | MO018E | Capecitabine | 7400 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO018 | CT for Panceratic Cancer | Y | MO018F | Capecitabine + Gemcitabine | 31500 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO019 | CT for Gall Bladder Cancer / Cholangiocarcinoma | Y | MO019A | Capecitabine | 7300 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO019 | CT for Gall Bladder Cancer / Cholangiocarcinoma | Y | MO019B | Cisplatin + Gemcitabine | 10900 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO019 | CT for Gall Bladder Cancer / Cholangiocarcinoma | Y | MO019C | Folfiri | 8900 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO019 | CT for Gall Bladder Cancer / Cholangiocarcinoma | Y | MO019D | Gemcitabine | 9000 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO019 | CT for Gall Bladder Cancer / Cholangiocarcinoma | Y | MO019E | Gemcitabine | 8900 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO019 | CT for Gall Bladder Cancer / Cholangiocarcinoma | Y | MO019F | Oxaliplatin + Gemcitabine | 17100 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO019 | CT for Gall Bladder Cancer / Cholangiocarcinoma | Y | MO019G | CAPIRI | 12600 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO019 | CT for Gall Bladder Cancer / Cholangiocarcinoma | Y | MO019H | Folfox | 11300 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, CA19.9, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO020 | CT for Gastointestinal stromal tumor | Y | MO020A | Imatinib | 19400 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, Ckit-mutation (not mandatory) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO020 | CT for Gastointestinal stromal tumor | Y | MO020B | Sunitinib | 24400 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, CECT Thorax , abdomen ,Pelvis, Histopathology/FNAC, Ckit-mutation (not mandatory) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO021 | CT for CA Brain | Y | MO021A | Temozolamide | 13000 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, MRI brain, Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO021 | CT for CA Brain | Y | MO021B | Temozolamide | 67600 | No | 0.00 | No | No | No | No | Yes | No | CBC,LFT, RFT, RBS, MRI brain, Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO022 | CT for Mesothelioma | Y | MO022A | Gemcitabine + Cisplatin | 11100 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO022 | CT for Mesothelioma | Y | MO022B | Pemetrexed + Cisplatin | 9200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO022 | CT for Mesothelioma | Y | MO022C | Pemetrexed + Carboplatin | 10000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO023 | CT for Thymic Carcinoma | Y | MO023A | Cisplatin + Etoposide | 5300 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology , ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO023 | CT for Thymic Carcinoma | Y | MO023B | Cisplatin + Adriamycin | 5000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology , ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024A | Cisplatin + Docetaxel | 12400 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS,CECT/MR Face and neck, histopathology -squamous carcinoma, Nasopharyngeal carcinoma Pure tone audiometry | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024B | Cisplatin | 9800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS,CECT/MR Face and neck, histopathology -squamous carcinoma, nasopharyngeal carcinoma,Pure tone audiometry | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024C | Carboplatin + Gemcitabine | 14300 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS, histopathology-squamous carcinoma,nasopharyngeal carcinoma, salivary gland | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024D | Docetaxel + Cisplatin + 5 FU | 16500 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS, histopathology-squamous carcinoma,nasopharyngeal carcinoma, salivary gland | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024E | Docetaxel | 15000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS, histopathology-squamous carcinoma,nasopharyngeal carcinoma, salivary gland | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024F | Docetaxel | 14400 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS,CECT/MR Face and neck, histopathology -squamous carcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024G | Etoposide + Carboplatin | 7100 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS,histopathology -esthesioneuroblastoma, Neuroendocrine, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024H | Etoposide + Cisplatin | 9200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS,histopathology -esthesioneuroblastoma, Neuroendocrine, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024I | Gemcitabine | 9200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS, histopathology-squamous carcinoma,nasopharyngeal carcinoma, salivary gland | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024J | Gemcitabine + Cisplatin | 11100 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS, histopathology-squamous carcinoma,nasopharyngeal carcinoma, salivary gland | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024K | Paclitaxel + Carboplatin | 7700 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS, histopathology-squamous carcinoma,nasopharyngeal carcinoma, salivary gland | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024L | Paclitaxel + Carboplatin | 15100 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS, histopathology-squamous carcinoma,nasopharyngeal carcinoma, salivary gland | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024M | Paclitaxel | 5700 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS, histopathology-squamous carcinoma, salivary gland | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024N | Paclitaxel | 12200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS, histopathology-squamous carcinoma,nasopharyngeal carcinoma, salivary gland | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024O | Carboplatin | 2400 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS,CECT/MR Face and neck, histopathology -squamous carcinoma, nasopharyngeal carcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO024 | CT for CA Head & Neck | Y | MO024P | Cisplatin | 2200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT,RBS,CECT/MR Face and neck, histopathology -squamous carcinoma, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO025 | CT for Renal Cell Cancer | N | MO025A | Sunitinib | 26400 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, RBS, CECT Thorax, abdomen and Pelvis,lipid profile, 2 D ECHO, TFT, 24 hour urine protein | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026A | Cisplatin + Methotrexate + Vinblastin | 6000 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026B | Carboplatin + Gemcitabine | 14300 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, MRI,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026C | Cisplatin + Gemcitabine | 11100 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, MRI, ECG, 2D-ECHO,Histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026D | Cisplatin + 5 FU | 7800 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026E | Cisplatin + Paclitaxel | 13500 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026F | Docetaxel | 14400 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026G | Gemcitabine + Paclitaxel | 17500 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026H | Gemcitabine | 9200 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026I | Methotrexate + Vinblastin + Doxorubicin + Cisplatin | 6600 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, MRI, histopathology,ECG, ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026J | Paclitaxel + Carboplatin | 15100 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO026 | CT for Ureter / Bladder / Urethra | Y | MO026K | Paclitaxel | 5700 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO027 | CT for CA Penis | Y | MO027A | Cisplatin + Paclitaxel | 13500 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO027 | CT for CA Penis | Y | MO027B | 5 FU + Cisplatin | 7800 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO027 | CT for CA Penis | Y | MO027C | Capecitabine | 7400 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO027 | CT for CA Penis | Y | MO027D | Paclitaxel + Carboplatin | 15100 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO027 | CT for CA Penis | Y | MO027E | Paclitaxel | 5700 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO027 | CT for CA Penis | Y | MO027F | Paclitaxel | 12200 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO027 | CT for CA Penis | Y | MO027G | Paclitaxel + Carboplatin | 7900 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, CECT Thorax, abdomen and Pelvis, histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO028 | CT for CA Prostate | Y | MO028A | Docetaxel | 11700 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, PSA, ECG, CECTThorax, abdomen and Pelvis,bone scan,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO028 | CT for CA Prostate | Y | MO028B | Docetaxel | 14100 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, PSA, ECG, CECTThorax, abdomen and Pelvis,bone scan,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO028 | CT for CA Prostate | Y | MO028C | Etoposide + Carboplatin | 7100 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, PSA, ECG, CECTThorax, abdomen and Pelvis,bone scan,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO028 | CT for CA Prostate | Y | MO028D | LHRH Agonist | 15300 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, PSA, ECG, CECTThorax, abdomen and Pelvis,bone scan,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO028 | CT for CA Prostate | Y | MO028E | Mitoxantrone + Prednisolone | 4200 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, PSA, ECG, CECTThorax, abdomen and Pelvis,bone scan,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO028 | CT for CA Prostate | Y | MO028F | Paclitaxel + Carboplatin | 7700 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, PSA, ECG, CECTThorax, abdomen and Pelvis,bone scan,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO028 | CT for CA Prostate | Y | MO028G | Paclitaxel + Carboplatin | 15100 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, PSA, ECG, CECTThorax, abdomen and Pelvis,bone scan,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO028 | CT for CA Prostate | Y | MO028H | Docetaxel | 14700 | No | 0.00 | No | No | No | No | Yes | No | CBC, RFT, LFT, PSA, ECG, CECTThorax, abdomen and Pelvis,bone scan,histopathology | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO029 | CT for B - Cell NHL - High Grade (Except Burkitt's & PCNSL) |
Y | MO029A | R - CEOP | 26200 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow/PB cytometry,ECG,2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO029 | CT for B - Cell NHL - High Grade (Except Burkitt's & PCNSL) |
Y | MO029B | R - CHOP | 27000 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry,ECG,2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO030 | CT for High - Grade NHL - B Cell | N | MO030A | Rituxmab + Dexamethasone + High Dose Cytarabine + Cisplatin |
34900 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO031 | CT for Relapsed B - Cell NHL - High Grade (Except Burkitt's & PCNSL) |
Y | MO031A | GDP - R | 35300 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO031 | CT for Relapsed B - Cell NHL - High Grade (Except Burkitt's & PCNSL) |
Y | MO031B | ICE - R | 31900 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO032 | CT for PMBCL / Burkitt's Lymphoma / Seropositive B - Cell NHLR |
N | MO032A | EPOCH | 31700 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry,ECG,2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO033 | CT for Burkitt's NHL | N | MO033A | Codox - M - IVAC / GMALL / BFM / Hyper CVAD | 34500 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry,ECG,2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO034 | CT for Low Grade B - Cell NHL | Y | MO034A | Bendamustine + Rituximab | 30700 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO034 | CT for Low Grade B - Cell NHL | Y | MO034B | Lenalidomide + Rituximab | 27500 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO035 | CT for Low Grade NHL | Y | MO035A | Rituximab | 24800 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO035 | CT for Low Grade NHL | Y | MO035B | Rituximab + Cyclophosphamide + Vincristine + Prednisolone | 25800 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,USG abdmen and Pelvis CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO036 | CT for Chronic Lymphocytic Leukemia | Y | MO036A | Fludarabine + Cyclophosphamide | 18100 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,Chest X ay and USG abdomen/pelvis or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO036 | CT for Chronic Lymphocytic Leukemia | Y | MO036B | Rituxmab + Chlorambucil | 24900 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,Chest X ay and USG abdomen/pelvis or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO036 | CT for Chronic Lymphocytic Leukemia | Y | MO036C | Rituximab + Fludarabine + Cyclophosphamide | 40700 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,Chest X ay and USG abdomen/pelvis or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO036 | CT for Chronic Lymphocytic Leukemia | Y | MO036D | Lenalidomide | 4800 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,Chest X ay and USG abdomen/pelvis or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO037 | CT for Peripheral T - Cell Lymphoma | Y | MO037A | CHOEP | 5000 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,LDH,PET CECT or CECT chest abdomen and pelvis, Bone marrow studies, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO037 | CT for Peripheral T - Cell Lymphoma | Y | MO037B | CHOP | 4000 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,LDH,PET CECT or CECT chest abdomen and pelvis, Bone marrow studies, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO037 | CT for Peripheral T - Cell Lymphoma | Y | MO037C | SMILE | 19300 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,LDH,PET CECT or CECT chest abdomen and pelvis, Bone marrow studies, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO038 | CT for NK - T Cell Lymphoma | Y | MO038A | GELOX | 18900 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,LDH,PET CECT or CECT chest abdomen and pelvis, Bone marrow studies, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO038 | CT for NK - T Cell Lymphoma | Y | MO038B | LVP | 7600 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,LDH,PET CECT or CECT chest abdomen and pelvis, Bone marrow studies, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO039 | CT for Hodgkin's Lymphoma | Y | MO039A | COPP | 3600 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO039 | CT for Hodgkin's Lymphoma | Y | MO039B | ABVD | 10200 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO039 | CT for Hodgkin's Lymphoma | Y | MO039C | AEVD | 10200 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO040 | CT for Relapsed Hodgkin Lymphoma | Y | MO040A | ICE | 9700 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,LDH,PET CECT or CECT chest abdomen and pelvis, Bone marrow studies, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO040 | CT for Relapsed Hodgkin Lymphoma | Y | MO040B | MINE | 9700 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,LDH,PET CECT or CECT chest abdomen and pelvis, Bone marrow studies, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO040 | CT for Relapsed Hodgkin Lymphoma | Y | MO040C | PTCL - GDP | 12500 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO041 | CT for Relapsed NHL & HL | N | MO041A | DHAP | 11500 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO042 | CT for MM / Amyloidosis / POEMS | Y | MO042A | LD | 6000 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, Serum protein electrophoresis, Immunofixation, Serum free light chain assay, Bone marrow studies, Skeletal survey, Urine BJP | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO042 | CT for MM / Amyloidosis / POEMS | Y | MO042B | POM DEX | 6800 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, Serum protein electrophoresis, Immunofixation, Serum free light chain assay, Bone marrow studies, Skeletal survey, Urine BJP | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO043 | CT for MM / Amyloidosis | Y | MO043A | CTD | 4000 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, Serum protein electrophoresis, Immunofixation, Serum free light chain assay, Bone marrow studies, Skeletal survey, Urine BJP | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO043 | CT for MM / Amyloidosis | Y | MO043B | MPT | 4100 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, Serum protein electrophoresis, Immunofixation, Serum free light chain assay, Bone marrow studies, Skeletal survey, Urine BJP | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO043 | CT for MM / Amyloidosis | Y | MO043C | VCD | 14600 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, Serum protein electrophoresis, Bone marrow studies, skeletal survey, Urine BJP. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO043 | CT for MM / Amyloidosis | Y | MO043D | VD | 13300 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, Serum protein electrophoresis, Immunofixation, Serum free light chain assay, Bone marrow studies, Skeletal survey, Urine BJP | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO043 | CT for MM / Amyloidosis | Y | MO043E | VMP | 12600 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, Serum protein electrophoresis, Immunofixation, Serum free light chain assay, Bone marrow studies, Skeletal survey, Urine BJP | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO043 | CT for MM / Amyloidosis | Y | MO043F | VRD | 17800 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, Serum protein electrophoresis, Immunofixation, Serum free light chain assay, Bone marrow studies, Skeletal survey, Urine BJP | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO043 | CT for MM / Amyloidosis | Y | MO043G | VTD | 15000 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, Serum protein electrophoresis, Immunofixation, Serum free light chain assay, Bone marrow studies, Skeletal survey, Urine BJP | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO044 | CT for Chronic Myeloid Leukemia | N | MO044A | Imatinib | 19400 | No | 0.00 | No | No | No | No | Yes | No | CBC,RFT,LFT,MDC,BONE MARROW, BIOPSY,CYTOGENETICS, RQ PCR BCR ABL | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO045 | CT for Myeloproliferative Neoplasm | N | MO045A | Hydroxurea | 2200 | No | 0.00 | No | No | No | No | Yes | No | CBC,RFT,LFT,MDC,BONE MARROW ,CYTOGENETICS | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO046 | CT for Acute Myeloid Leukemia | Y | MO046A | Consolidation | 60000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, RBS, Bone marrow aspiration, flow cytometry or Peripheral blood flow cytometry, cytogenetics, Molecular | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO046 | CT for Acute Myeloid Leukemia | Y | MO046B | Induction | 96000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, RBS, Bone marrow aspiration, flow cytometry or Peripheral blood flow cytometry, cytogenetics, Molecular | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO047 | CT for Acute Lymphoblastic Leukemia | Y | MO047A | Consolidation (Phase II, CNS Therapy Reinduction) |
160000 | No | 0.00 | No | No | No | No | No | No | CBC BIOCHEM | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO047 | CT for Acute Lymphoblastic Leukemia | Y | MO047B | Induction | 80000 | No | 0.00 | No | No | No | No | No | No | CBC,MDC,HIV,HBSAG,HCV,2D ECHO,NCCT CHEST,BONE MARROW or Peripheral bloodFLOW CYTOMETRY,CYTOGENETICS,Molecular,BIOPSY, PET-CT or CECT chest abdomen and Pelvis(if LBL) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO047 | CT for Acute Lymphoblastic Leukemia | Y | MO047C | Maintenance | 4000 | No | 0.00 | No | No | No | No | Yes | No | CBC,MDC,HIV,HBSAG,HCV,BIOCHEM,CSF CYTOMORPHOLOGY,FLOW CYTOMETRY,BONE MARROW FLOW CYTOMETRY,CYTOGENETICS,NGS,BIOPSY | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO048 | CT for Lymphoblastic Lymphoma | Y | MO048A | Consolidation (Phase II, CNS Therapy Reinduction) |
160000 | No | 0.00 | No | No | No | No | No | No | CBC BIOCHEM | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO048 | CT for Lymphoblastic Lymphoma | Y | MO048B | Induction | 80000 | No | 0.00 | No | No | No | No | No | No | CBC,MDC,HIV,HBSAG,HCV,2D ECHO,NCCT CHEST,BONE MARROW or Peripheral bloodFLOW CYTOMETRY,CYTOGENETICS,Molecular,BIOPSY, PET-CT or CECT chest abdomen and Pelvis(if LBL) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO048 | CT for Lymphoblastic Lymphoma | Y | MO048C | Maintenance | 4000 | No | 0.00 | No | No | No | No | Yes | No | CBC,MDC,HIV,HBSAG,HCV,BIOCHEM,CSF CYTOMORPHOLOGY,FLOW CYTOMETRY,BONE MARROW FLOW CYTOMETRY,CYTOGENETICS,NGS,BIOPSY | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO049 | CT for Acute Promyelocytic Leukemia (High Risk) |
Y | MO049A | High Risk Consolidation | 32000 | No | 0.00 | No | No | No | No | Yes | No | CBC BIOCHEM ECG BONEMARROW RQPCR PML RARA | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO049 | CT for Acute Promyelocytic Leukemia (High Risk) |
Y | MO049B | High Risk Induction | 96000 | No | 0.00 | No | No | No | No | Yes | No | CBC,MDC,HIV,HBSAG,HCV,BIOCHEM,PT,APTT,FIBRINOGEN,2D ECHO,NCCT CHEST,BONE MARROW FLOW CYTOMETRY,CYTOGENETICS,RQPCR PML RARA,BIOPSY | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO049 | CT for Acute Promyelocytic Leukemia (High Risk) |
Y | MO049C | High Risk Maintenance | 8000 | No | 0.00 | No | No | No | No | Yes | No | CBC,MDC,HIV,HBSAG,HCV,BIOCHEM,PT,APTT,FIBRINOGEN,2D ECHO,NCCT CHEST,BONE MARROW FLOW CYTOMETRY,CYTOGENETICS,RQPCR PML RARA,BIOPSY | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO050 | CT for Acute Promyelocytic Leukemia (Low Risk) |
Y | MO050A | Low Risk Consolidation | 12000 | No | 0.00 | No | No | No | No | Yes | No | CBC LFT | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO050 | CT for Acute Promyelocytic Leukemia (Low Risk) |
Y | MO050B | Low Risk Induction | 80000 | No | 0.00 | No | No | No | No | Yes | No | CBC BIOCHEM | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO051 | Febrile Neutopenia | Y | MO051A | First Line Antibiotics | 28000 | No | 0.00 | No | No | No | No | No | No | CBC, BIOCHEM, ECG, BONE MARROW, RQ PCR, PML RARA | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO051 | Febrile Neutopenia | Y | MO051B | Second Line Antibiotics and Antifungals | 60000 | No | 0.00 | No | No | No | No | No | No | CBC, LFT, RQ PCR, PML RARA | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO052 | Chemotherapy Complications - Tumor Lysis Syndrome | N | MO052A | Chemotherapy Complications - Tumor Lysis Syndrome | 24000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, Serum Electrolytes, Blood Phosphate levels, Uric Acid, BUN | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO053 | Granulocyte Colony Stimulating Factor Use | N | MO053A | Granulocyte Colony Stimulating Factor Use | 12800 | No | 0.00 | No | No | No | No | Yes | No | CBC, Bone marrow, RFT, LFT | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO054 | CT for Langerhans Cell Histiocytosis | Y | MO054A | Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction) |
22400 | No | 0.00 | No | No | No | No | Yes | No | CBC,RFT,LFT,MDC,BONE MARROW, BIOPSY, SKELETAL SURVEY OR PET CECT | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO054 | CT for Langerhans Cell Histiocytosis | Y | MO054B | Langerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance) |
17000 | No | 0.00 | No | No | No | No | Yes | No | CBC,RFT,LFT,MDC,BONE MARROW, SKELETAL SURVEY OR PET CECT | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO055 | CT for Low Grade Glioma | Y | MO055A | Vincristine + Carboplatin | 5600 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, MRI, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO055 | CT for Low Grade Glioma | Y | MO055B | Vinblastin | 1900 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, MRI, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO056 | CT for Medulloblastoma / Brain PNET | Y | MO056A | PACKER | 4900 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, MRI (BRAIN AND SPINE), Biopsy, CSF CYTOLOGY, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO056 | CT for Medulloblastoma / CNS PNET | Y | MO056B | CET | 8300 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, MRI (BRAIN AND SPINE), Biopsy, CSF CYTOLOGY, | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO057 | CT for Neuroblastoma | Y | MO057A | Cabroplatin + Etoposide + Cyclophosphamide + Doxorubicin | 7900 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, CECT/MRI, BONE MARROW STUDIES, MIBG OR BONE OR PET CT SCAN, BIOPSY, FISH | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO057 | CT for Neuroblastoma | Y | MO057B | RAPID COJEC | 6800 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, CECT/MRI, BONE MARROW STUDIES, MIBG OR BONE OR PET CT SCAN, BIOPSY, FISH | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO057 | CT for Neuroblastoma | Y | MO057C | RETINOID | 2000 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO058 | CT for Retinoblastoma | N | MO058A | JOE / COPE | 7100 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, MRI/CT (BRAIN AND ORBITS), ULTRASONOGRAPHY, BONE MARROW AND CSF STUDIES | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO059 | CT for Rhabdomyosarcoma | Y | MO059A | VCD | 4800 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, MRI OR CECT, BONE MARROW STUDIES, BONE SCAN OR PET CT, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO059 | CT for Rhabdomyosarcoma | Y | MO059B | VIE | 16200 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, MRI OR CECT, BONE MARROW STUDIES, BONE SCAN OR PET CT, Biopsy | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO060 | CT for Relapse Rhabdomyosarcoma | N | MO060A | VTC + VAC | 12200 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, MRI OR CECT, BONE MARROW STUDIES, BONE SCAN OR PET CT, Biopsy, 2D ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO061 | CT for Wilms Tumor | Y | MO061A | VINC + ACTIN. D | 3000 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, CT CHEST ABDOMEN, ULTRASONOGRAPHY, BIOPSY | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO061 | CT for Wilms Tumor | Y | MO061B | VINC + ACTIN. D + DOX | 4200 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, CT CHEST ABDOMEN, ULTRASONOGRAPHY, BIOPSY, 2D ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO061 | CT for Wilms Tumor | Y | MO061C | Cyclo + Dox + Etop + Vinc + Actino . D | 12300 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, CT CHEST ABDOMEN, ULTRASONOGRAPHY, BIOPSY, 2D ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO062 | CT for Pediatric Acute Lymphoblastic Leukemia | Y | MO062A | Consolidation (Phase II, CNS Therapy Reinduction) |
208600 | No | 0.00 | No | No | No | Yes | No | No | CBC BIOCHEM | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO062 | CT for Pediatric Acute Lymphoblastic Leukemia | Y | MO062B | Induction | 72000 | No | 0.00 | No | No | No | Yes | No | No | CBC,MDC,HIV,HBSAG,HCV,2D ECHO,NCCT CHEST,BONE MARROW or Peripheral bloodFLOW CYTOMETRY,CYTOGENETICS,Molecular,BIOPSY, PET-CT or CECT chest abdomen and Pelvis(if LBL) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO062 | CT for Pediatric Acute Lymphoblastic Leukemia | Y | MO062C | Maintenance | 2500 | No | 0.00 | No | No | No | Yes | No | No | CBC,MDC,HIV,HBSAG,HCV,BIOCHEM,CSF CYTOMORPHOLOGY,FLOW CYTOMETRY,BONE MARROW FLOW CYTOMETRY,CYTOGENETICS,NGS,BIOPSY | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO063 | CT for Pediatric Lymphoblastic Lymphoma | Y | MO063A | Consolidation (Phase II, CNS Therapy Reinduction) |
208600 | No | 0.00 | No | No | No | No | No | No | CBC BIOCHEM | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO063 | CT for Pediatric Lymphoblastic Lymphoma | Y | MO063B | Induction | 72000 | No | 0.00 | No | No | No | No | No | No | CBC,MDC,HIV,HBSAG,HCV,2D ECHO,NCCT CHEST,BONE MARROW or Peripheral bloodFLOW CYTOMETRY,CYTOGENETICS,Molecular,BIOPSY, PET-CT or CECT chest abdomen and Pelvis(if LBL) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO063 | CT for Pediatric Lymphoblastic Lymphoma | Y | MO063C | Maintenance | 2500 | No | 0.00 | No | No | No | No | No | No | CBC,MDC,HIV,HBSAG,HCV,BIOCHEM,CSF CYTOMORPHOLOGY,FLOW CYTOMETRY,BONE MARROW FLOW CYTOMETRY,CYTOGENETICS,NGS,BIOPSY | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO064 | CT for Pediatric Acute Myeloid Leukemia | Y | MO064A | Consolidation - High Dose Cytarabine | 57600 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, RBS, Bone marrow aspiration, flow cytometry or Peripheral blood flow cytometry, cytogenetics, Molecular | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO064 | CT for Pediatric Acute Myeloid Leukemia | Y | MO064B | Induction | 94400 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, RBS, Bone marrow aspiration, flow cytometry or Peripheral blood flow cytometry, cytogenetics, Molecular | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO064 | CT for Pediatric Acute Myeloid Leukemia | Y | MO064C | Induction | 92800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT,RFT, RBS, Bone marrow aspiration, flow cytometry or Peripheral blood flow cytometry, cytogenetics, Molecular | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO065 | CT for Pediatric Acute Promyelocytic Leukemia | Y | MO065A | Consolidation | 36800 | No | 0.00 | No | No | No | No | Yes | No | CBC BIOCHEM ECG BONEMARROW RQPCR PML RARA | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO065 | CT for Pediatric Acute Promyelocytic Leukemia | Y | MO065B | Induction | 97600 | No | 0.00 | No | No | No | No | Yes | No | CBC BIOCHEM | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO065 | CT for Pediatric Acute Promyelocytic Leukemia | Y | MO065C | Maintenance | 39300 | No | 0.00 | No | No | No | No | Yes | No | CBC,MDC,HIV,HBSAG,HCV,BIOCHEM,PT,APTT,FIBRINOGEN,2D ECHO,NCCT CHEST,BONE MARROW FLOW CYTOMETRY,CYTOGENETICS,RQPCR PML RARA,BIOPSY | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO066 | CT for Pediatric Hodgkins Lymphoma | Y | MO066A | COPDAC | 7800 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO066 | CT for Pediatric Hodgkins Lymphoma | Y | MO066B | OPEA | 13000 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO067 | CT for Pediatric Hodgkins Lymphoma Relapse | Y | MO067A | ICE | 21500 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO067 | CT for Pediatric Hodgkins Lymphoma Relapse | Y | MO067B | DECA | 17800 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO067 | CT for Pediatric Hodgkins Lymphoma Relapse | Y | MO067C | IGVD | 34000 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, node Biopsy. | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO068 | CT for Pediatric Non Hodgkins Lymphoma | Y | MO068A | LMB 89 - 96 - Consolidation | 33500 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry,ECG,2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO068 | CT for Pediatric Non Hodgkins Lymphoma | Y | MO068B | LMB 89 - 96 - Induction - COPADAM | 33100 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry,ECG,2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO068 | CT for Pediatric Non Hodgkins Lymphoma | Y | MO068C | LMB 89 - 96 - Maintenance | 15400 | No | 0.00 | No | No | No | Yes | No | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry,ECG,2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO068 | CT for Pediatric Non Hodgkins Lymphoma | Y | MO068D | MCP - 842 | 13200 | No | 0.00 | No | No | No | No | Yes | No | CBC,Biochemistry,PET CT or CECT Chest abdomen and pelvis, Bone marrow studies, Biopsy or fluid flow cytometry,ECG,2D-ECHO | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN |
Medical Oncology | MO | New Package | MO069 | PEDIATRIC-GCT/JEB | N | MO069A | PEDIATRIC-GCT/JEB | 10000 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, TUMOR MARKERS, CECT CHEST AND ABDOMEN, Biopsy, AUDIOMETRY, GFR | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO070 | CT for Pediatric Hepatoblastoma | Y | MO070A | Carboplatin + Cisplatin + Doxorubicin | 4900 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, CECT CHEST AND ABDOMEN, Biopsy, ECG, 2D-ECHO, AUDIOMETRY, GFR | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO070 | CT for Pediatric Hepatoblastoma | Y | MO070B | Cisplatin | 5600 | No | 0.00 | No | No | No | No | Yes | No | CBC, Biochemistry, S.AFP, CECT CHEST AND ABDOMEN, Biopsy, AUDIOMETRY, GFR | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071A | Docetaxel | 16200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071B | Erlotinib | 13000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, EGFR mutation positive | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071C | Gefitnib | 11000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, EGFR mutation positive | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071D | Paclitaxel + Carboplatin | 15100 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology (non small cell carcinoma) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071E | Pemetrexed + Carboplatin | 10000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology (non small cell - adenocarcinoma or adenosquamous carcinoma) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071F | Topotecan | 24600 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology - Small Cell Lung Carcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071G | Docetaxel | 14600 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology- Non Small cell Lung cancer | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071H | Etoposide + Carboplatin | 7100 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology - Small Cell Lung Carcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071I | Etoposide + Cisplatin | 5500 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology - Small Cell Lung Carcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071J | Gemcitabine | 8900 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology (non small cell carcinoma) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071K | Gemcitabine + Carboplatin | 14300 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology- Non Small cell Lung cancer | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071L | Gemcitabine + Cisplatin | 11100 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology- Non Small cell Lung cancer | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071M | Paclitaxel | 5800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology- Non Small cell Lung cancer | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071N | Paclitaxel | 12000 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology- Non Small cell Lung cancer | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071O | Paclitaxel + Carboplatin | 7900 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology (non small cell carcinoma) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071P | Paclitaxel + Cisplatin | 13500 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology- Non Small cell Lung cancer | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071Q | Pemetrexed + Cisplatin | 9200 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology - adenocarcinoma and adenosquamous carcinoma | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071R | Pemetrexed | 7600 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology (non small cell - adenocarcinoma or adenosquamous carcinoma) | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071S | Vinorelbine + Carboplatin | 22800 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology- Non Small cell Lung cancer | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Medical Oncology | MO | New Package | MO071 | CT for CA Lung | Y | MO071T | Vinorelbine + Cisplatin | 20600 | No | 0.00 | No | No | No | No | Yes | No | CBC, LFT, RFT, RBS, CECT Thorax, abdomen and Pelvis, histopathology- Non Small cell Lung cancer | BAR CODE OF THE DRUGS, REPORTS OF THE TESTS (PATHOLOGY, RADIOLOGY, MICROBIOLOGY, HEMATOLOGY, BIOCHEMISTRY,ETC.) DISCHARGE SUMMARY OF INPATIENT DEPARTMENT, DISCHARGE SUMMARY OF DAY CARE DEPARTMENT, CHARTS OF CHEMOTHERAPY REGIMEN, TRANFUSION SLIPS |
Pediatric Medical Management | MP | M200009 | MP001 | Febrile seizures / other seizures | Y | MP001A | Febrile seizures | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals; planned line management; 1st seizure or past history | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | New Package | MP001 | Febrile seizures / other seizures | Y | MP001B | Flury of seizures | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals; planned line management; 1st seizure or past history | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200050 | MP001 | Febrile seizures / other seizures | Y | MP001C | Neurocysticercosis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals; planned line management; 1st seizure or past history | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | New Package | MP001 | Febrile seizures / other seizures | Y | MP001D | Epilepsy | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals; planned line management; 1st seizure or past history | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200010 | MP002 | Epileptic encephalopathy | N | MP002A | Epileptic encephalopathy | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals; planned line management; past h/o epilpesy | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200090 | MP003 | Acute encephalitis | Y | MP003A | Infectious - uncomplicated | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200090 | MP003 | Acute encephalitis | Y | MP003B | Immune-mediated - uncomplicated | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200078 | MP004 | Acute encephalitis syndrome | N | MP004A | Acute encephalitis syndrome | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200048 | MP005 | Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess | Y | MP005A | Acute meningo encephalitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200012 | MP005 | Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess | Y | MP005B | Aseptic meningitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200027 | MP005 | Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess | Y | MP005C | Febrile encephalopathy | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200097 | MP005 | Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess | Y | MP005D | Hypertensive encehalopathy | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200058 | MP005 | Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess | Y | MP005E | Metabolic encephalopathy | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200094 | MP005 | Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess | Y | MP005F | Hepatic encephalopathy | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | New Package | MP005 | Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abcess | Y | MP005G | Brain abcess | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200049 | MP006 | Meningitis | Y | MP006A | Chronic meningitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200027 | MP006 | Meningitis | Y | MP006B | Partially treated pyogenic meningitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200035 | MP006 | Meningitis | Y | MP006C | Neuro tuberculosis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200095 | MP006 | Meningitis | Y | MP006D | Complicated bacterial meningitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200012 | MP006 | Meningitis | Y | MP006E | Acute meningitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200011 | MP007 | Optic neuritis | N | MP007A | Optic neuritis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and fundus findings & photograph; planned line management; | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | New Package | MP008 | Medical Management for Raised intracranial pressure | N | MP008A | After Decompressive craniotomy / After Shunt procedure / After other emergency neuro surgical procedures / For ICP monitoring |
1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200093 | MP009 | Intracranial hemorrhage | N | MP009A | Intracranial hemorrhage | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200084 | MP010 | Intracranial space occupying lesion | N | MP010A | Intracranial space occupying lesion | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200050 | MP011 | Intracranial ring enhancing lesion with complication (tuberculoma) | N | MP011A | Intracranial ring enhancing lesion with complication (tuberculoma) | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200092 | MP012 | Cerebral herniation | N | MP012A | Cerebral herniation | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200053 | MP013 | Acute neuroregression / Acute worsening in neuro metabolic and neurodegenerative conditions | N | MP013A | Acute neuroregression / Acute worsening in neuro metabolic and neurodegenerative conditions | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment (incl birth & past history), Investigation Reports supporting diagnosis (including CT head), Planned line of treatment | Detailed ICPs (daily Treatment details), Procedure / Operative Notes (if applicable), Detailed Discharge Summary, All investigations reports. |
Pediatric Medical Management | MP | M200079 | MP014 | Acute demyelinating myelopathy | N | MP014A | Acute demyelinating myelopathy | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200040 | MP015 | Juvenile myasthenia | N | MP015A | Juvenile myasthenia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200056 | MP016 | Acute ataxia | N | MP016A | Acute ataxia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M100063 | MP017 | Acute ischemic stroke | N | MP017A | Acute ischemic stroke | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200016 | MP018 | Wheezing | N | MP018A | Wheezing | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals; planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200015 | MP019 | Chronic cough | N | MP019A | Chronic cough | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and earlier Treatment done and Admission notes showing vitals; planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200007 | MP020 | Acute urticaria / Anaphylaxis acute asthma | Y | MP020A | Acute urticaria | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals; planned line management; specify the trigger | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200007 | MP020 | Acute urticaria / Anaphylaxis acute asthma | Y | MP020B | Anaphylaxis acute asthma | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals; planned line management; specify the trigger | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200072 | MP021 | Acute abdomen | N | MP021A | Acute abdomen | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200062 | MP022 | Celiac disease | N | MP022A | Celiac disease | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200064 | MP023 | Unexplained hepatosplenomegaly | N | MP023A | Unexplained hepatosplenomegaly | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200037 | MP024 | Infantile cholestasis | N | MP024A | Infantile cholestasis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200006 | MP025 | Acute glomerulonephritis | N | MP025A | Acute glomerulonephritis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals; planned line management; investigations done | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200026 | MP026 | Nephrotic syndrome with peritonitis | N | MP026A | Nephrotic syndrome with peritonitis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history including past history, examination findindgs, investigations done and Admission notes showing vitals; planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200038 | MP027 | Haemolytic uremic syndrome | N | MP027A | Haemolytic uremic syndrome | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200098 | MP028 | CRRT | N | MP028A | CRRT | 8000 | No | 0.00 | No | No | No | No | Yes | No | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200018 | MP029 | Global developmental delay / Intellectual disability of unknown etiology | Y | MP029A | Global developmental delay | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing birth and subsequent history and Admission notes showing vitals; planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200018 | MP029 | Global developmental delay / Intellectual disability of unknown etiology | Y | MP029B | Intellectual disability of unknown etiology | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing birth and subsequent history and Admission notes showing vitals; planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200020 | MP030 | Rickets - requiring admission for Work Up | N | MP030A | Rickets - requiring admission for Work Up | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history, investigations done and Admission notes showing vitals; planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200029 | MP031 | Acute severe malnutrition | N | MP031A | Acute severe malnutrition | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200024 | MP032 | Developmental and behavioral disorders | N | MP032A | Developmental and behavioral disorders | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and examination findings. Admission notes showing neurological examination; any investigations done, planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200022 | MP033 | Short stature | N | MP033A | Short stature | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing histor, parent's height and Admission notes showing vitals; planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200019 | MP034 | Dysmorphic children | N | MP034A | Dysmorphic children | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history, investigations done and Admission notes showing vitals; planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200052 | MP035 | Floppy infant | N | MP035A | Floppy infant | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200060 | MP036 | Inborn errors of metabolism | N | MP036A | Inborn errors of metabolism | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200061 | MP037 | Wilson’s disease | N | MP037A | Wilson’s disease | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200047 | MP038 | Rheumatoid arthritis | N | MP038A | Rheumatoid arthritis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200046 | MP039 | Rheumatic fever | N | MP039A | Rheumatic fever | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200045 | MP040 | Cyanotic spells | Y | MP040A | Cyanotic spells | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment (incl birth & past history), Investigation Reports supporting diagnosis (including ABG), Planned line of treatment | Detailed ICPs (daily Treatment details), Detailed Discharge Summary, All investigations reports. |
Pediatric Medical Management | MP | M200045 | MP040 | Cyanotic spells | Y | MP040B | Cyanotic spells with CHD | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment (incl birth & past history), Investigation Reports supporting diagnosis (including ECHO, ABG), Planned line of treatment | Detailed ICPs (daily Treatment details), Detailed Discharge Summary, All investigations reports (including 2D echo). |
Pediatric Medical Management | MP | M200045 | MP040 | Cyanotic spells | Y | MP040C | Cyanotic spells with Chest infection | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment (incl birth & past history) Investigation Reports supporting diagnosis (including CBC, X-ray chest), Planned line of treatment | Detailed ICPs (daily Treatment details), Post treatment CBC and X-ray chest, Detailed Discharge summary |
Pediatric Medical Management | MP | M200045 | MP040 | Cyanotic spells | Y | MP040D | Cyanotic spells with Sepsis | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment (incl birth & past history), Investigation Reports supporting diagnosis (including CBC, ABG, Radiological investigations), Planned line of treatment | Detailed ICPs (daily Treatment details), Post treatment CBC, and Radiological investigations, Detailed Discharge summary |
Pediatric Medical Management | MP | M200044 | MP041 | Immune haemolytic anemia | N | MP041A | Immune haemolytic anemia | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200039 | MP042 | Idiopathic Thrombocytopenic Purpura | N | MP042A | Idiopathic Thrombocytopenic Purpura | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200041 | MP043 | Kawasaki Disease | N | MP043A | Kawasaki Disease | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200057 | MP044 | Steven Johnson syndrome | N | MP044A | Steven Johnson syndrome | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history (incl drug intake history) and Admission notes showing vitals and examination findings; any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200013 | MP045 | Trauma | N | MP045A | Trauma | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history / examination findings describing trauma; MLC/ FIR; and Admission notes showing vitals; planned line management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Pediatric Medical Management | MP | M200059 | MP046 | Ketogenic diet initiation in refractory epilepsy | N | MP046A | Ketogenic diet initiation in refractory epilepsy | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination); any investigations done; planned line of management | Detailed ICPs, Treatment details, detailed discharge summary, All investigations reports. |
Radiation Oncology | MR | M600004 | MR001 | 2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost) | Y | MR001A | Radical | 11000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600004 | MR001 | 2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost) | Y | MR001B | Adjuvant | 11000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600004 | MR001 | 2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost) | Y | MR001C | Neoadjuvant | 11000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR002 | 2D External Beam Radiotherapy - Palliative (Upto 10 Fractions) (Inclusive of Simulation & Planning Cost) |
N | MR002A | Palliative | 10000 | No | 0.00 | No | No | No | No | Yes | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR003 | 2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost) | Y | MR003A | Radical | 20000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR003 | 2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost) | Y | MR003B | Adjuvant | 20000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR003 | 2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost) | Y | MR003C | Neoadjuvant | 20000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600004 | MR004 | Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR004A | Radical | 21000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600004 | MR004 | Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR004B | Adjuvant | 21000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600004 | MR004 | Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR004C | Neoadjuvant | 21000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR005 | Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR005A | Radical | 40000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR005 | Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR005B | Adjuvant | 40000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR005 | Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR005C | Neoadjuvant | 40000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600005 | MR006 | Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR006A | Radical | 70000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600005 | MR006 | Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR006B | Adjuvant | 70000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600005 | MR006 | Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR006C | Neoadjuvant | 70000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR007 | Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR007A | Radical | 42000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR007 | Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR007B | Adjuvant | 42000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR007 | Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR007C | Neoadjuvant | 42000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600006 | MR008 | Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR008A | Radical | 90000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600006 | MR008 | Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR008B | Adjuvant | 90000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600006 | MR008 | Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR008C | Neoadjuvant | 90000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR009 | Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR009A | Radical | 55000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR009 | Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR009B | Adjuvant | 55000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | New Package | MR009 | Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost) |
Y | MR009C | Neoadjuvant | 55000 | No | 0.00 | Yes | No | No | Yes | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600007 | MR010 | SRT / SBRT with IGRT (Stereotacatic radiotherapy) (4 Fractions) (Inclusive of Simulation & Planning Cost) |
N | MR010A | SRT / SBRT with IGRT (Stereotacatic radiotherapy) |
82000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600008 | MR011 | SRS with IGRT (Stereotacatic radiotherapy) (Inclusive of Simulation & Planning Cost) |
N | MR011A | SRS with IGRT (Stereotacatic radiotherapy) | 70000 | No | 0.00 | No | No | No | No | No | No | Biopsy/ HPE report of malignancy; justification of SRS? | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600009 | MR012 | Respiratory Gating along with Linear Accelerator planning (5 Fractions) (Inclusive of Simulation & Planning Cost) |
N | MR012A | Respiratory Gating along with Linear Accelerator planning | 65000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Documentary evidence confirming the need of Respiratory-gated radiotherapy (tumours that move with respiration during radiotherapy (lung, breast and upper abdominal tumpurs) | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600012 | MR013 | Brachytherapy High Dose Radiation | Y | MR013A | Intracavitory | 3500 | No | 0.00 | No | No | No | No | Yes | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600012 | MR013 | Brachytherapy High Dose Radiation | Y | MR013B | Intraluminal | 3500 | No | 0.00 | No | No | No | No | Yes | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600012 | MR013 | Brachytherapy High Dose Radiation | Y | MR013C | Endobiliary | 3500 | No | 0.00 | No | No | No | No | Yes | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600012 | MR013 | Brachytherapy High Dose Radiation | Y | MR013D | Endobronchial | 3500 | No | 0.00 | No | No | No | No | Yes | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600012 | MR013 | Brachytherapy High Dose Radiation | Y | MR013E | CVS | 3500 | No | 0.00 | No | No | No | No | Yes | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600012 | MR014 | Brachytherapy High Dose Radiation (5 doses) (Inclusive of Simulation, Planning Cost, OT & other charges ) |
Y | MR014A | Interstitial | 42000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Radiation Oncology | MR | M600012 | MR014 | Brachytherapy High Dose Radiation (5 doses) (Inclusive of Simulation, Planning Cost, OT & other charges ) |
Y | MR014B | Surface Mould | 42000 | No | 0.00 | Yes | No | No | No | No | No | HPE report, Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan). | Detailed Discahrge Summary (with RT treatment and doses given) |
Orthopedics | SB | New Package | SB001 | Fracture - Conservative Management - Without plaster |
N | SB001A | Fracture - Conservative Management - Without plaster |
2000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Orthopedics | SB | S500084 | SB002 | Application of Traction | Y | SB002A | Skeletal Tractions with pin | 2000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray showing the need of procedure, clinical photograph of affected part | Post Procedure clinical photgraph with pins, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500085 | SB002 | Application of Traction | Y | SB002B | Skin Traction | 700 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray showing the need of procedure, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500082 | SB003 | Application of P.O.P. casts | Y | SB003A | Upper Limbs | 3000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray showing the need of procedure, clinical photograph of affected part | Post Procedure clinical photgraph with POP cast, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500082 | SB003 | Application of P.O.P. casts | Y | SB003B | Lower Limbs | 3000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray showing the need of procedure, clinical photograph of affected part | Post Procedure clinical photgraph with POP cast, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500083 | SB004 | Application of P.O.P. Spikas & Jackets | Y | SB004A | Spikas | 3500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray showing the need of procedure, clinical photograph of affected part | Post Procedure clinical photgraph with POP spika, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500083 | SB004 | Application of P.O.P. Spikas & Jackets | Y | SB004B | Jackets | 3500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray showing the need of procedure, clinical photograph of affected part | Post Procedure clinical photgraph with POP Jacket, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500070 | SB005 | External fixation of Fracture | Y | SB005A | Long bone | 14000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant |
Orthopedics | SB | S500069 | SB005 | External fixation of Fracture | Y | SB005B | Small bone | 9500 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant |
Orthopedics | SB | S500043 | SB005 | External fixation of Fracture | Y | SB005C | Pelvis | 14000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant |
Orthopedics | SB | S500087 | SB005 | External fixation of Fracture | Y | SB005D | Both bones - forearms | 15000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant |
Orthopedics | SB | S500073 | SB006 | Percutaneous - Fixation of Fracture | N | SB006A | Percutaneous - Fixation of Fracture | 3000 | Yes | 1.00 | Yes | No | No | No | No | Yes | 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, Stickers of implants used, Detailed Discharge Summary |
Orthopedics | SB | New Package | SB007 | Elastic nailing for fracture fixation | Y | SB007A | Femur | 11000 | No | 0.00 | Yes | No | No | No | No | Yes | 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, Stickers of implants used, Detailed Discharge Summary |
Orthopedics | SB | New Package | SB007 | Elastic nailing for fracture fixation | Y | SB007B | Humerus | 11000 | No | 0.00 | Yes | No | No | No | No | Yes | 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, Stickers of implants used, Detailed Discharge Summary |
Orthopedics | SB | New Package | SB007 | Elastic nailing for fracture fixation | Y | SB007C | Forearm | 11000 | No | 0.00 | Yes | No | No | No | No | Yes | 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, Stickers of implants used, Detailed Discharge Summary |
Orthopedics | SB | S500058 | SB008 | Internal Fixation of Small Bones | N | SB008A | Internal Fixation of Small Bones | 8500 | No | 0.00 | Yes | No | No | No | No | Yes | 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. |
Orthopedics | SB | S500052 | SB009 | Fracture - Long Bones - Metaphyseal - ORIF | N | SB009A | Fracture - Long Bones - Metaphyseal - ORIF | 12700 | No | 0.00 | Yes | No | No | No | No | Yes | 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, Stickers of implants used, Detailed Discharge Summary |
Orthopedics | SB | New Package | SB010 | Fixation of Diaphyseal Fracture - Long Bone | Y | SB010A | Open Reduction Internal Fixation | 14900 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and radiological investigations confirming the diagnosis (X-ray), clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photograph, detailed Procedure / Operative Notes. invoice and barcode of implant |
Orthopedics | SB | New Package | SB010 | Fixation of Diaphyseal Fracture - Long Bone | Y | SB010B | Closed Reduction & Fixation | 18000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and radiological investigations confirming the diagnosis (X-ray), clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photograph, detailed Procedure / Operative Notes. invoice and barcode of implant |
Orthopedics | SB | New Package | SB011 | Surgery for Comminuted Fracture - Olecranon of Ulna | N | SB011A | Plating | 11800 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post Procedure clinical photgraph, Post procedure X-ray; detailed Procedure / Operative Notes. Detailed discharge summary, Invoice and barcode of implant |
Orthopedics | SB | S500086 | SB012 | Fracture Head radius | Y | SB012A | Fixation | 10000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, Invoice and barcode of implant |
Orthopedics | SB | S1000003 | SB012 | Fracture Head radius | Y | SB012B | Excision | 9200 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | New Package | SB013 | Fracture - Single Bone - Forearm - ORIF - Plating / Nailing | N | SB013A | Fracture - Single Bone - Forearm - ORIF - Plating / Nailing | 8900 | No | 0.00 | Yes | No | No | No | No | Yes | 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. |
Orthopedics | SB | New Package | SB014 | Fracture - Both Bones - Forearm - ORIF - Plating / Nailing | N | SB014A | Fracture - Both Bones - Forearm - ORIF - Plating / Nailing | 12700 | No | 0.00 | Yes | No | No | No | No | Yes | 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. |
Orthopedics | SB | New Package | SB015 | Fracture Condyle - Humerus - ORIF | Y | SB015A | Lateral Condyle | 8500 | No | 0.00 | Yes | No | No | No | No | Yes | 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. |
Orthopedics | SB | New Package | SB015 | Fracture Condyle - Humerus - ORIF | Y | SB015B | Medial Condyle | 8500 | No | 0.00 | Yes | No | No | No | No | Yes | 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. |
Orthopedics | SB | S500088 | SB016 | Fracture intercondylar Humerus + olecranon osteotomy | N | SB016A | Fracture intercondylar Humerus + olecranon osteotomy | 15100 | No | 0.00 | Yes | No | No | No | No | Yes | 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 |
Orthopedics | SB | S500023 | SB017 | Displaced Clavicle Fracture | N | SB017A | Open Reduction Internal Fixation | 20000 | No | 0.00 | Yes | No | No | No | No | Yes | 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, Stickers of implants used, Detailed Discharge Summary |
Orthopedics | SB | S500046 | SB018 | Fracture - Acetabulum | Y | SB018A | Single Approach | 28000 | No | 0.00 | Yes | No | No | No | No | Yes | 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 |
Orthopedics | SB | S500046 | SB018 | Fracture - Acetabulum | Y | SB018B | Combined Approach | 33500 | No | 0.00 | Yes | No | No | No | No | Yes | 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 |
Orthopedics | SB | S500031 | SB019 | Fracture - Neck Femur | Y | SB019A | Closed Reduction and Percutaneous Screw Fixation | 10000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Invoice and barcode of implant |
Orthopedics | SB | S500031 | SB019 | Fracture - Neck Femur | Y | SB019B | Intertrochanteric Fracture with Dynamic Hip Screw | 15800 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Invoice and barcode of implant |
Orthopedics | SB | S500031 | SB019 | Fracture - Neck Femur | Y | SB019C | Intertrochanteric Fracture with Proximal Femoral Nail | 16100 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Invoice and barcode of implant |
Orthopedics | SB | New Package | SB020 | Ankle Fractures | N | SB020A | Open Reduction Internal Fixation | 14000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and X-ray of ankle joint, clinical photograph of affected part | Detailed discharge summary Post Procedure clinical photgraph, detailed Procedure / Operative Notes, Invoice and barcode of implant |
Orthopedics | SB | New Package | SB021 | Cervical spine fixation including odontoid | N | SB021A | Cervical spine fixation including odontoid | 20000 | No | 0.00 | Yes | Yes | No | No | No | Yes | 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 |
Orthopedics | SB | New Package | SB022 | Dorsal and lumber spine fixation | Y | SB022A | Anterior | 40000 | No | 0.00 | Yes | No | No | No | No | Yes | 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 |
Orthopedics | SB | New Package | SB022 | Dorsal and lumber spine fixation | Y | SB022B | Posterior | 30000 | No | 0.00 | Yes | No | No | No | No | Yes | 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 |
Orthopedics | SB | S500068 | SB023 | Bone grafting for Non union | N | SB023A | Bone grafting for Non union | 10000 | No | 0.00 | No | No | No | No | No | No | 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 |
Orthopedics | SB | S500016 | SB024 | Arthorotomy of any joint | N | SB024A | Arthorotomy of any joint | 14000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post op clinical photgraph, detailed Procedure / Operative Notes. Detailed Discharge summary |
Orthopedics | SB | S500015 | SB025 | Arthrolysis of joint | Y | SB025A | Elbow | 15000 | No | 0.00 | No | No | No | No | No | No | 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) |
Orthopedics | SB | S500099 | SB025 | Arthrolysis of joint | Y | SB025B | Knee | 15000 | No | 0.00 | No | No | No | No | No | No | 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) |
Orthopedics | SB | S500015 | SB025 | Arthrolysis of joint | Y | SB025C | Ankle | 15000 | No | 0.00 | No | No | No | No | No | No | 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) |
Orthopedics | SB | S500101 | SB026 | Arthrodesis | Y | SB026A | Ankle / Triple with implant | 15000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | S500098 | SB026 | Arthrodesis | Y | SB026B | Shoulder | 15000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | S500100 | SB026 | Arthrodesis | Y | SB026C | Wrist | 15000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | S500099 | SB026 | Arthrodesis | Y | SB026D | Knee | 15000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | S500004 | SB026 | Arthrodesis | Y | SB026E | Hand | 27000 | No | 0.00 | No | No | No | No | No | No | 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. |
Orthopedics | SB | New Package | SB026 | Arthrodesis | Y | SB026F | Foot | 27000 | No | 0.00 | No | No | No | No | No | No | 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. |
Orthopedics | SB | New Package | SB026 | Arthrodesis | Y | SB026G | Ankle / Triple without implant | 15000 | No | 0.00 | No | No | No | No | No | No | 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. |
Orthopedics | SB | S500011 | SB027 | Disarticulation | Y | SB027A | Hind quarter | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes justifying surgery with X Ray of affected limb, clinical photograph of affected part showing the gangrene/ injury/ severe anatomical deformity | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed Discharge summary |
Orthopedics | SB | S500011 | SB027 | Disarticulation | Y | SB027B | Fore quarter | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes justifying surgery with X Ray of affected limb, clinical photograph of affected part showing the gangrene/ injury/ severe anatomical deformity | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed Discharge summary |
Orthopedics | SB | S500037 | SB028 | Closed reduction of joint dislocation | Y | SB028A | Hip | 7400 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, |
Orthopedics | SB | S500098 | SB028 | Closed reduction of joint dislocation | Y | SB028B | Shoulder | 5500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, |
Orthopedics | SB | S500015 | SB028 | Closed reduction of joint dislocation | Y | SB028C | Elbow | 5500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, |
Orthopedics | SB | S500099 | SB028 | Closed reduction of joint dislocation | Y | SB028D | Knee | 5500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, |
Orthopedics | SB | S500067 | SB029 | Open Reduction of Small Joint | N | SB029A | Open Reduction of Small Joint | 8500 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical and radiological investigations confirming the diagnosis (X-ray of affected joint), clinical photograph of child | Post procedure imaging study (X Ray), Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, Invoice and barcode of implant |
Orthopedics | SB | New Package | SB030 | Tension Band Wiring | N | SB030A | Tension Band Wiring | 13000 | No | 0.00 | Yes | No | No | Yes | Yes | Yes | 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 |
Orthopedics | SB | S500095 | SB031 | Hemiarthroplasty | Y | SB031A | Unipolar | 15000 | No | 0.00 | Yes | No | No | No | No | No | 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. |
Orthopedics | SB | S500094 | SB031 | Hemiarthroplasty | Y | SB031B | Bipolar (Non - Modular) | 15000 | No | 0.00 | Yes | No | No | No | No | No | 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. |
Orthopedics | SB | S500094 | SB031 | Hemiarthroplasty | Y | SB031C | Bipolar (Modular) | 15000 | No | 0.00 | Yes | No | No | No | No | No | 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. |
Orthopedics | SB | S500001 | SB032 | AC Joint reconstruction / Stabilization | Y | SB032A | Rockwood Type - I | 20500 | No | 0.00 | Yes | No | No | Yes | No | No | 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 |
Orthopedics | SB | S500001 | SB032 | AC Joint reconstruction / Stabilization | Y | SB032B | Rockwood Type - II | 20500 | No | 0.00 | Yes | No | No | Yes | No | No | 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 |
Orthopedics | SB | S500001 | SB032 | AC Joint reconstruction / Stabilization | Y | SB032C | Rockwood Type - III | 20500 | No | 0.00 | Yes | No | No | Yes | No | No | 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 |
Orthopedics | SB | S500001 | SB032 | AC Joint reconstruction / Stabilization | Y | SB032D | Rockwood Type - IV | 20500 | No | 0.00 | Yes | No | No | Yes | No | No | 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 |
Orthopedics | SB | S500001 | SB032 | AC Joint reconstruction / Stabilization | Y | SB032E | Rockwood Type - V | 20500 | No | 0.00 | Yes | No | No | Yes | No | No | 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 |
Orthopedics | SB | S500001 | SB032 | AC Joint reconstruction / Stabilization | Y | SB032F | Rockwood Type - VI | 20500 | No | 0.00 | Yes | No | No | Yes | No | No | 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 |
Orthopedics | SB | S500018 | SB033 | Excision Arthoplasty of Femur head | N | SB033A | Excision Arthoplasty of Femur head | 17500 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing indication and X-ray, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500066 | SB034 | Open Reduction of CDH | N | SB034A | Open Reduction of CDH | 20000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Orthopedics | SB | S500071 | SB035 | Patellectomy | N | SB035A | Patellectomy | 11000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Orthopedics | SB | S500090 | SB036 | Arthroscopic Meniscus Repair / Meniscectomy | N | SB036A | Arthroscopic Meniscus Repair / Meniscectomy | 12000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and MRI justifying procedure | Intra operative still image, post procedure clinical photgraph, detailed Procedure / Operative Notes, Detailed Discharge summary. |
Orthopedics | SB | S500097 | SB037 | Elbow replacement | N | SB037A | Elbow replacement | 14100 | No | 0.00 | Yes | No | No | No | No | No | 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. |
Orthopedics | SB | S500091 | SB038 | Total Hip Replacement | Y | SB038A | Cemented | 35000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | S500092 | SB038 | Total Hip Replacement | Y | SB038B | Cementless | 37000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | S500093 | SB038 | Total Hip Replacement | Y | SB038C | Hybrid | 32000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | New Package | SB038 | Total Hip Replacement | Y | SB038D | Revision - Total Hip Replacement | 140000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | S500096 | SB039 | Total Knee Replacement | Y | SB039A | Primary - Total Knee Replacement | 80000 | No | 0.00 | Yes | No | No | No | No | No | 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. |
Orthopedics | SB | New Package | SB039 | Total Knee Replacement | Y | SB039B | Revision - Total Knee Replacement | 130000 | No | 0.00 | Yes | No | No | No | No | No | 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. |
Orthopedics | SB | S500022 | SB040 | Bone Tumour Excision (malignant) including GCT + Joint replacement (depending upon type of joint and implant) |
N | SB040A | Bone Tumour Excision (malignant) including GCT + Joint replacement (depending upon type of joint and implant) |
57000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes justifying need of this surgery and X-ray/ MRI of affected part, Biopsy, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure with implant; invoice and barcode of implant. detailed Procedure / Operative Notes. Histopathology of excised tissue, Detailed Discharge summary |
Orthopedics | SB | S500020 | SB041 | Bone Tumour Excision + reconstruction | N | SB041A | Bone Tumour Excision + reconstruction | 30000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes justifying need of this surgery and X-ray/ MRI of affected part, Biopsy, clinical photograph of affected part | Post procedure imaging study (X Ray), Post procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, invoice and barcode of implant |
Orthopedics | SB | New Package | SB042 | Bone Tumour (benign) curettage / Excision and bone grafting |
N | SB042A | Bone Tumour (benign) curettage / Excision and bone grafting | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes justifying need of this surgery and X-ray/ MRI of affected part, Biopsy, clinical photograph of affected part | Post procedure imaging study (X Ray), Post Procedure clinical photgraph of both donor and recipient sites, detailed Procedure / Operative Notes. Histopathology of curreted tissue, Detailed Discharge summary |
Orthopedics | SB | S500004 | SB043 | Single Stage Amputation | Y | SB043A | Above Elbow | 15000 | No | 0.00 | No | No | No | No | No | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500003 | SB043 | Single Stage Amputation | Y | SB043B | Below Elbow | 15000 | No | 0.00 | No | No | No | No | No | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500009 | SB043 | Single Stage Amputation | Y | SB043C | Above Knee | 15000 | No | 0.00 | No | No | No | No | No | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500004 | SB043 | Single Stage Amputation | Y | SB043D | Below Knee | 15000 | No | 0.00 | No | No | No | No | No | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | New Package | SB043 | Single Stage Amputation | Y | SB043E | Foot | 15000 | No | 0.00 | No | No | No | No | No | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500004 | SB043 | Single Stage Amputation | Y | SB043F | Hand | 15000 | No | 0.00 | No | No | No | No | No | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500100 | SB043 | Single Stage Amputation | Y | SB043G | Wrist | 15000 | No | 0.00 | No | No | No | No | No | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500004 | SB044 | Two Stage Amputation | Y | SB044A | Above Elbow | 23200 | No | 0.00 | No | No | No | No | Yes | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500003 | SB044 | Two Stage Amputation | Y | SB044B | Below Elbow | 23200 | No | 0.00 | No | No | No | No | Yes | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500009 | SB044 | Two Stage Amputation | Y | SB044C | Above Knee | 23200 | No | 0.00 | No | No | No | No | Yes | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500004 | SB044 | Two Stage Amputation | Y | SB044D | Below Knee | 23200 | No | 0.00 | No | No | No | No | Yes | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | New Package | SB044 | Two Stage Amputation | Y | SB044E | Foot | 23200 | No | 0.00 | No | No | No | No | Yes | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500004 | SB044 | Two Stage Amputation | Y | SB044F | Hand | 23200 | No | 0.00 | No | No | No | No | Yes | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500100 | SB044 | Two Stage Amputation | Y | SB044G | Wrist | 23200 | No | 0.00 | No | No | No | No | Yes | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500005 | SB045 | Amputation - Fingers / Toes | Y | SB045A | Finger(s) | 10400 | No | 0.00 | No | No | No | No | No | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500007 | SB045 | Amputation - Fingers / Toes | Y | SB045B | Toe(s) | 10400 | No | 0.00 | No | No | No | No | No | Yes | X Ray of affected limb, clinical notes and clinical photograph of affected part justifying the indication; MLC/ FIR if traumatic | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500078 | SB046 | Tendon Grafting / Repair | Y | SB046A | Tendon Grafting | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing jusification of surgery, clinical photograph of affected part | Post Procedure clinical photgraph of donor and receipent sites; detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500061 | SB046 | Tendon Grafting / Repair | Y | SB046B | Tendon Repair | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing jusification of surgery, clinical photograph of affected part | Post Procedure clinical photgraph; detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500079 | SB047 | Tendon Release / Tenotomy | N | SB047A | Tendon Release / Tenotomy | 5000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and justifying need of surgery, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary |
Orthopedics | SB | S500080 | SB048 | Tenolysis | N | SB048A | Tenolysis | 5000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and justifying need of surgery, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes including agent used for lysis of tendon. Detailed discharge summary |
Orthopedics | SB | New Package | SB049 | Reconstruction of Cruciate Ligament with implant and brace | Y | SB049A | Anterior | 25700 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and MRI scan of affected knee, Clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Post proedure X-ray showing implant; ensure brace is provided in package cost, Detailed Discharge summary |
Orthopedics | SB | New Package | SB049 | Reconstruction of Cruciate Ligament with implant and brace | Y | SB049B | Posterior | 25700 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and MRI scan of affected knee, Clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Post proedure X-ray showing implant; ensure brace is provided in package cost, Detailed Discharge summary |
Orthopedics | SB | S500044 | SB050 | Fasciotomy | N | SB050A | Fasciotomy | 10500 | No | 0.00 | No | No | No | No | No | No | Clinical documents justifying surgery with USG Evidence, clinical photograph of affected part | Detailed discharge summary, Post Procedure clinical photgraph, detailed Procedure / Operative Notes. |
Orthopedics | SB | S500039 | SB051 | Duputryen’s Contracture release + rehabilitation | N | SB051A | Duputryen’s Contracture release + rehabilitation | 8500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and clinical photograph of affected part confirming the diagnosis | Detailed discharge summary Post Procedure clinical photgraph, detailed Procedure / Operative Notes. |
Orthopedics | SB | New Package | SB052 | Debridement & Closure of injuries - contused lacerated wounds | Y | SB052A | Anti-biotic + dressing - minimum of 5 sessions | 10900 | No | 0.00 | No | No | No | No | Yes | Yes | 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 |
Orthopedics | SB | New Package | SB052 | Debridement & Closure of injuries - contused lacerated wounds | Y | SB052B | Anti-biotic + dressing - minimum of 2 sessions | 3000 | No | 0.00 | No | No | No | No | Yes | Yes | 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 |
Orthopedics | SB | New Package | SB053 | Sequestectomy / Curettage | N | SB053A | Sequestectomy / Curettage | 10000 | No | 0.00 | No | No | No | No | No | No | 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 |
Orthopedics | SB | New Package | SB054 | Spine deformity correction | N | SB054A | Spine deformity correction | 30000 | No | 0.00 | Yes | Yes | No | No | No | No | 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 |
Orthopedics | SB | S500070 | SB055 | Osteotomy | Y | SB055A | Long Bone | 18000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and X-ray of the affected bone 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, invoice and barcode of implant |
Orthopedics | SB | S500069 | SB055 | Osteotomy | Y | SB055B | Small Bone | 10000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and X-ray of the affected bone 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 |
Orthopedics | SB | S500072 | SB056 | Pelvic Osteotomy and fixation | N | SB056A | Pelvic Osteotomy and fixation | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and X-ray of the patella justifying the procedure, clinical photograph of affected part | Post procedure imaging study (X Ray) showing the implant, Post Procedure clinical photgraph, detailed Procedure / Operative Notes. Invoice and barcode of implant used. Detailed discharge summary |
Orthopedics | SB | S500055 | SB057 | High Tibial Osteotomy | N | SB057A | High Tibial Osteotomy | 16000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post procedure imaging study (X Ray), Post procedure clinical photgraph, detailed Procedure / Operative Notes. Detailed discharge summary, invoice and barcode of implant |
Orthopedics | SB | S500060 | SB058 | Ilizarov Fixation | N | SB058A | Ilizarov Fixation | 15000 | No | 0.00 | Yes | No | No | No | No | No | Clinical and radiological investigations confirming the indication, clinical photograph of affected part | Post Procedure clinical photgraph / Post procedure X-ray showing implant; detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant. |
Orthopedics | SB | S500059 | SB059 | Limb Lengthening / Bone Transport by Ilizarov | N | SB059A | Limb Lengthening / Bone Transport by Ilizarov | 23700 | No | 0.00 | Yes | No | No | No | No | No | Clinical and radiological investigations confirming the diagnosis, clinical photograph of affected part showing short limb as compared to other limb | Post procedure clinical photograph; Intra procedure still pictures; Detailed discharge summary Detailed Procedure / Operative Notes, Invoice and barcode of implant |
Orthopedics | SB | New Package | SB060 | Growth Modulation and fixation | N | SB060A | Growth Modulation and fixation | 5000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | New Package | SB061 | Corrective Surgery for foot deformities | Y | SB061A | Vertical Talus | 15000 | No | 0.00 | No | No | No | No | No | No | 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 |
Orthopedics | SB | New Package | SB061 | Corrective Surgery for foot deformities | Y | SB061B | Other foot deformities | 15000 | No | 0.00 | No | No | No | No | No | No | 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 |
Orthopedics | SB | S500089 | SB062 | Correction of club foot per cast | N | SB062A | Correction of club foot per cast | 3000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and X-ray confirming the diagnosis, clinical photograph of affected part | Post Procedure clinical photgraph with cast, detailed Procedure / Operative Notes, Detailed Discharge summary. |
Orthopedics | SB | S500089 | SB063 | Corrective Surgery in Club Foot / JESS Fixator | N | SB063A | Corrective Surgery in Club Foot / JESS Fixator | 20000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Orthopedics | SB | S500014 | SB064 | Excision of Osteochondroma / Exostosis | Y | SB064A | Osteochondroma | 10000 | No | 0.00 | No | No | No | No | No | No | Clinical notes justifying surgery with evidence from X-ray / MRI scan of affected part, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes.Detailed Discharge summary Histopath of removed tissue |
Orthopedics | SB | S500014 | SB064 | Excision of Osteochondroma / Exostosis | Y | SB064B | Exostosis | 10000 | No | 0.00 | No | No | No | No | No | No | Clinical notes justifying surgery with evidence from X-ray / MRI scan of affected part, clinical photograph of affected part | Post Procedure clinical photgraph, detailed Procedure / Operative Notes.Detailed Discharge summary Histopath of removed tissue |
Orthopedics | SB | S500074 | SB065 | Excision of Bursa | N | SB065A | Excision of Bursa | 3000 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing findings confirming the diagnosis, clinical photograph of affected part | Detailed discharge summary, Post Procedure clinical photgraph, detailed Procedure / Operative Notes. |
Orthopedics | SB | S500063 | SB066 | Nerve Transposition / Release / Neurolysis | Y | SB066A | Nerve Transposition | 13000 | No | 0.00 | No | No | No | No | No | No | Clinical notes justifying surgery with evidence of MRI / EMG/ NCV | Intra Procedure still images, detailed Procedure / Operative Notes. Detailed Discharge summary |
Orthopedics | SB | S500063 | SB066 | Nerve Transposition / Release / Neurolysis | Y | SB066B | Nerve Release | 13000 | No | 0.00 | No | No | No | No | No | No | Clinical notes justifying surgery with evidence of MRI / EMG/ NCV | Intra Procedure still images, detailed Procedure / Operative Notes. Detailed Discharge summary |
Orthopedics | SB | S500063 | SB066 | Nerve Transposition / Release / Neurolysis | Y | SB066C | Nerve Neurolysis | 13000 | No | 0.00 | No | No | No | No | No | No | Clinical notes justifying surgery with evidence of MRI / EMG/ NCV | Intra Procedure still images, detailed Procedure / Operative Notes. Detailed Discharge summary |
Orthopedics | SB | S500062 | SB067 | Nerve Repair Surgery | N | SB067A | Nerve Repair Surgery | 13800 | No | 0.00 | No | No | No | No | No | No | 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 |
Orthopedics | SB | New Package | SB068 | Nerve root block | N | SB068A | Nerve root block | 3000 | No | 0.00 | No | No | No | No | No | No | 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 |
Orthopedics | SB | S500040 | SB069 | Exploration and Ulnar nerve Repair | N | SB069A | Exploration and Ulnar nerve Repair | 9800 | No | 0.00 | No | No | No | No | No | No | Clinical +/- and radiological investigations confirming the need of surgery; +/- NCV report | Detailed discharge summary, Post Procedure clinical photgraph, detailed Procedure / Operative Notes. |
Orthopedics | SB | New Package | SB070 | Implant Removal under LA | Y | SB070A | K - Wire | 5000 | No | 0.00 | No | No | No | Yes | No | No | 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 |
Orthopedics | SB | New Package | SB070 | Implant Removal under LA | Y | SB070B | Screw | 5000 | No | 0.00 | No | No | No | No | No | No | 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 |
Orthopedics | SB | New Package | SB071 | Implant Removal under RA / GA | Y | SB071A | Nail | 15000 | No | 0.00 | No | No | No | No | No | No | 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 |
Orthopedics | SB | New Package | SB071 | Implant Removal under RA / GA | Y | SB071B | Plate | 15000 | No | 0.00 | No | No | No | No | No | No | 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 |
Surgical Oncology | SC | New Package | SC001 | Glossectomy | Y | SC001A | Hemiglossectomy | 24000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and FNAC/ BIOPSY, CECT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC001 | Glossectomy | Y | SC001B | Total Glossectomy | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and FNAC/ BIOPSY, CECT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC002 | Palatectomy | Y | SC002A | Soft palate | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes, Biopsy and clinical photograph +/- CT/ MRI | detailed Procedure / Operative Notes, Clinical photgraph showing scar, detailed discharge summary, HPE |
Surgical Oncology | SC | New Package | SC002 | Palatectomy | Y | SC002B | Hard palate | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes, Biopsy and clinical photograph +/- CT/ MRI | detailed Procedure / Operative Notes, Clinical photgraph showing scar, detailed discharge summary, HPE |
Surgical Oncology | SC | New Package | SC003 | Maxillectomy | Y | SC003A | Partial | 27000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy, CECT | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed discharge summary |
Surgical Oncology | SC | New Package | SC003 | Maxillectomy | Y | SC003B | Radical | 33000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy, CECT | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed Discharge summary |
Surgical Oncology | SC | New Package | SC003 | Maxillectomy | Y | SC003C | Total | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy, CECT | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed Discharge summary |
Surgical Oncology | SC | New Package | SC004 | Composite resection (Oral Cavity) | N | SC004A | Composite resection (Oral Cavity) | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical notes, Biopsy, CT reports and clinical photograph | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary |
Surgical Oncology | SC | New Package | SC005 | Oesophageal / Tracheal stenting | Y | SC005A | Oesophageal stenting | 45000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CECT, OGD Scopy | Barcode of Stent; Detailed Procedure / Operative Notes, Detailed Discharge summary. |
Surgical Oncology | SC | New Package | SC005 | Oesophageal / Tracheal stenting | Y | SC005B | Tracheal stenting | 45000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CECT, OGD Scopy | Barcode of Stent; Detailed Procedure / Operative Notes,Detailed Discharge summary |
Surgical Oncology | SC | New Package | SC006 | Transthoracic esophagectomy: 2F / 3F | Y | SC006A | Open | 60000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and FNAC/ BIOPSY, CECT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC006 | Transthoracic esophagectomy: 2F / 3F | Y | SC006B | MIS | 60000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and FNAC/ BIOPSY, CECT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC007 | Gastric pull-up / Jejunal Graft | N | SC007A | Gastric pull-up / Jejunal Graft | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and FNAC/ BIOPSY, CECT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC008 | Radical Small Bowel Resection | Y | SC008A | Open | 33000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and FNAC/ BIOPSY, CECT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC008 | Radical Small Bowel Resection | Y | SC008B | Lap. | 33000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and FNAC/ BIOPSY, CECT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC009 | Intersphincteric resection | Y | SC009A | Open | 40200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and FNAC/ BIOPSY, CECT | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC009 | Intersphincteric resection | Y | SC009B | Lap. | 40200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and FNAC/ BIOPSY, CECT | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC010 | Surgery for Abdominal wall tumour | Y | SC010A | Abdominal wall tumour resection | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT abdomen reports; biopsy | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary |
Surgical Oncology | SC | New Package | SC010 | Surgery for Abdominal wall tumour | Y | SC010B | Abdominal wall tumour resection with reconstruction | 39000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT abdomen reports; biopsy | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary |
Surgical Oncology | SC | New Package | SC011 | Exploratory laparotomy f / b diversion stoma / bypass | Y | SC011A | Exploratory laparotomy f / b diversion stoma | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, CECT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC011 | Exploratory laparotomy f / b diversion stoma / bypass | Y | SC011B | Exploratory laparotomy f / b diversion bypass | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, CECT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC012 | Abdominoperineal resection | Y | SC012A | Open | 39600 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC012 | Abdominoperineal resection | Y | SC012B | Lap. | 39600 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC013 | Omentectomy | N | SC013A | Omentectomy | 21000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC014 | Procedures Requiring Bypass Techniques | N | SC014A | Procedures Requiring Bypass Techniques | 35000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC015 | Segmentectomy - hepatobiliary system | N | SC015A | Segmentectomy - hepatobiliary system | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy, CECT/ MRI | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary |
Surgical Oncology | SC | New Package | SC016 | Radical / Revision Cholecystectomy | Y | SC016A | Radical | 39600 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CECT/MRI reports; biopsy | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary |
Surgical Oncology | SC | New Package | SC016 | Radical / Revision Cholecystectomy | Y | SC016B | Revision | 39600 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CECT/MRI reports; biopsy | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary |
Surgical Oncology | SC | New Package | SC017 | Enucleation of pancreatic neoplasm | N | SC017A | Enucleation of pancreatic neoplasm | 39600 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CECT/ MRI & biopsy and IHC report | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary |
Surgical Oncology | SC | New Package | SC018 | Hepatoblastoma Excision | N | SC018A | Hepatoblastoma Excision | 52200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC019 | Hemipelvectomy - Internal | N | SC019A | Hemipelvectomy - Internal | 54000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC020 | Pelvic Exenteration | Y | SC020A | Anterior - Open | 58800 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC020 | Pelvic Exenteration | Y | SC020B | Anterior - Lap. | 58800 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC020 | Pelvic Exenteration | Y | SC020C | Total - Open | 58800 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC020 | Pelvic Exenteration | Y | SC020D | Total - Lap. | 58800 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC021 | Wilms tumors: surgery | N | SC021A | Wilms tumors: surgery | 33000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, Biopsy/HPE, CT abdomen | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC022 | Ureteric end to end anastomosis | N | SC022A | Ureteric end to end anastomosis | 24000 | No | 0.00 | No | No | No | No | No | No | CT KUB, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC023 | Distal ureterectomy with reimplantation | N | SC023A | Distal ureterectomy with reimplantation | 30000 | No | 0.00 | No | No | No | No | No | No | CT KUB, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC024 | Radical cystectomy | Y | SC024A | With continent diversion - Open | 98000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC024 | Radical cystectomy | Y | SC024B | With Ileal Conduit - Open | 88000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC024 | Radical cystectomy | Y | SC024C | With Ileal Conduit - Lap. | 88000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC024 | Radical cystectomy | Y | SC024D | With neobladder - Open | 98000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC024 | Radical cystectomy | Y | SC024E | With neobladder - Lap | 98000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC024 | Radical cystectomy | Y | SC024F | With ureterosigmoidostomy - Open | 75000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC024 | Radical cystectomy | Y | SC024G | With ureterosigmoidostomy - Lap | 75000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC024 | Radical cystectomy | Y | SC024H | With ureterostomy -Open | 70000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC024 | Radical cystectomy | Y | SC024I | With ureterostomy -Lap. | 70000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC025 | Channel TURP | N | SC025A | Channel TURP | 22800 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, PSA, USG- prostate | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC026 | Radical Urethrectomy | N | SC026A | Radical Urethrectomy | 30000 | No | 0.00 | No | No | No | No | No | No | CT KUB, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC027 | Penile preserving surgery (WLE, Glansectomy, Laser) |
N | SC027A | Penile preserving surgery (WLE, Glansectomy, Laser) |
25000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC028 | Excision of undescended testicular mass | N | SC028A | Excision of undescended testicular mass | 24000 | No | 0.00 | No | No | No | No | No | No | CT, Clinical notes with planned line of treatment | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC029 | Germ Cell Tumour Excision | N | SC029A | Germ Cell Tumour Excision | 30000 | No | 0.00 | No | No | No | No | No | No | Beta HCG, AFP, USG, CT, Clinical notes with planned line of treatment | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC030 | Bilateral salpingoophorectomy | Y | SC030A | Open | 21000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC030 | Bilateral salpingoophorectomy | Y | SC030B | Lap. | 21000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC031 | Leiomyoma excision | Y | SC031A | Open | 42000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, USG | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC031 | Leiomyoma excision | Y | SC031B | MIS | 42000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, USG | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC032 | Radical Hysterectomy | Y | SC032A | Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Lap. | 27000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and Biopsy, CECT/ MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC032 | Radical Hysterectomy | Y | SC032B | Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Open | 27000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and Biopsy, CECT/ MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC032 | Radical Hysterectomy | Y | SC032C | Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Lap. | 27000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and Biopsy, CECT/ MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC032 | Radical Hysterectomy | Y | SC032D | Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Open | 27000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and Biopsy, CECT/ MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC032 | Radical Hysterectomy | Y | SC032E | Class II radical hysterctomy + BPLND | 27000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and Biopsy, CECT/ MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC032 | Radical Hysterectomy | Y | SC032F | Class III radical hysterctomy + BPLND | 27000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and Biopsy, CECT/ MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC032 | Radical Hysterectomy | Y | SC032G | Hysterectomy + bilateral salpingoophorectomy + omentectomy + peritonectomy and organ resections | 34000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and Biopsy, CECT/ MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC033 | Radical vaginectomy | N | SC033A | Radical vaginectomy | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CECT, biopsy | HPE report, detailed Procedure / Operative Notes. Detailed discharge summary |
Surgical Oncology | SC | New Package | SC034 | Vulvectomy + reconstruction procedures | N | SC034A | Vulvectomy + reconstruction procedures | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, Biopsy/HPE | Procedure / Operative Notes, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC035 | Radical Trachelectomy | N | SC035A | Radical Trachelectomy | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CECT, biopsy | HPE report, detailed Procedure / Operative Notes. Detailed discharge summary , Post procedure Clinical photgraph showing scar |
Surgical Oncology | SC | New Package | SC036 | Sacral Tumour Excision | Y | SC036A | Anterior + Posterior approach | 60000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC036 | Sacral Tumour Excision | Y | SC036B | Posterior approach | 54000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC037 | Resection of nasopharyngeal tumour | N | SC037A | Resection of nasopharyngeal tumour | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy of primary, CECT/MRI | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary |
Surgical Oncology | SC | New Package | SC038 | Total Pharyngectomy | N | SC038A | Total Pharyngectomy | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT / MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC039 | Parapharyngeal Tumour Excision | N | SC039A | Parapharyngeal Tumour Excision | 31200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT / MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC040 | Laryngectomy | Y | SC040A | Partial laryngectomy (voice preserving) | 39000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Biopsy, CECT film and report | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed Discharge summary |
Surgical Oncology | SC | New Package | SC040 | Laryngectomy | Y | SC040B | Total Laryngectomy | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy, CECT film and report | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report |
Surgical Oncology | SC | New Package | SC041 | Tracheal resection | N | SC041A | Tracheal resection | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CECT/ Biopsy confirming diagnosis | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, Detailed discharge summary |
Surgical Oncology | SC | New Package | SC042 | Tracheal / Carinal resection | N | SC042A | Tracheal / Carinal resection | 58800 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT / MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC043 | Tracheal Stenosis (End to end Anastamosis) (Throat) | N | SC043A | Tracheal Stenosis (End to end Anastamosis) (Throat) | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT / MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC044 | Central airway tumour debulking | N | SC044A | Central airway tumour debulking | 22800 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT / MRI | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC045 | Diagnostic thoracoscopy | N | SC045A | Diagnostic thoracoscopy | 15000 | No | 0.00 | No | No | No | No | No | No | Cinical notes, radiological evidence for indication | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC046 | Sleeve resection of lung cancer | N | SC046A | Sleeve resection of lung cancer | 70000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and FNAC/ BIOPSY, CECT | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary |
Surgical Oncology | SC | New Package | SC047 | Mediastinoscopy | Y | SC047A | Diagnostic | 22200 | No | 0.00 | No | No | No | No | No | No | Cinical notes, radiological evidence for indication | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC047 | Mediastinoscopy | Y | SC047B | Staging | 22200 | No | 0.00 | No | No | No | No | No | No | Cinical notes, radiological evidence for indication | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC048 | Removal of Chest Wall Tumour | Y | SC048A | Chest Wall Tumour Excision | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and HPE, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC048 | Removal of Chest Wall Tumour | Y | SC048B | Removal of chest wall tumour with reconstruction | 51000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and HPE, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC049 | Pleurectomy Decortication | N | SC049A | Pleurectomy Decortication | 39000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and HPE, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC050 | Chamberlain procedure | N | SC050A | Chamberlain procedure | 22200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and CT Thorax | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC051 | Extrapleural pneumonectomy | N | SC051A | Extrapleural pneumonectomy | 66000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, HPE, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC052 | Pneumonectomy | N | SC052A | Pneumonectomy | 54000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and CT Thorax, biopsy | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC053 | Lung metastectomy | Y | SC053A | Open | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and FNAC/ BIOPSY, CECT | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary |
Surgical Oncology | SC | New Package | SC053 | Lung metastectomy | Y | SC053B | VATS | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and FNAC/ BIOPSY, CECT | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary |
Surgical Oncology | SC | New Package | SC054 | Thoracostomy | N | SC054A | Thoracostomy | 19800 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, clinical photograph | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC055 | Mediastinal lymphadenectomy | Y | SC055A | Open | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC055 | Mediastinal lymphadenectomy | Y | SC055B | Video - assisted | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, CT | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC056 | Mediastinal mass excision with lung resection | N | SC056A | Mediastinal mass excision with lung resection | 60000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and CT Thorax, biopsy | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC057 | Segmental resection of lung | Y | SC057A | Open | 42000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and CT Thorax, biopsy | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC057 | Segmental resection of lung | Y | SC057B | Thoracoscopic | 42000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and CT Thorax, biopsy | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC058 | Wedge resection lung | Y | SC058A | Open | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and CT Thorax, biopsy | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC058 | Wedge resection lung | Y | SC058B | Thoracoscopic | 36000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and CT Thorax, biopsy | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC059 | Breast conserving surgery | Y | SC059A | Breast conserving surgery (lumpectomy + axillary surgery) |
22800 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Mammography, FNAC/ BIOPSY; CT/ MRI | detailed Procedure / Operative Notes, HPE report; detailed discharge summary |
Surgical Oncology | SC | New Package | SC059 | Breast conserving surgery | Y | SC059B | Breast conserving surgery with Oncoplasty | 24600 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Mammography, FNAC/ BIOPSY; CT/ MRI | detailed Procedure / Operative Notes, HPE report; detailed discharge summary |
Surgical Oncology | SC | New Package | SC060 | Axillary Sampling / Sentinel Node Biopsy | N | SC060A | Axillary Sampling / Sentinel Node Biopsy | 16200 | No | 0.00 | No | No | No | No | No | No | FNAC, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC061 | Axillary dissection | N | SC061A | Axillary dissection | 19800 | No | 0.00 | No | No | No | No | No | No | Clinical notes and FNAC/ BIOPSY, CECT/ Chest X-ray | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report; detailed discharge summary |
Surgical Oncology | SC | New Package | SC062 | Scalp tumour excision with skull bone excision | N | SC062A | Scalp tumour excision with skull bone excision | 30000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment, | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC063 | Neuroblastoma Excision | N | SC063A | Neuroblastoma Excision | 60000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC064 | Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus | Y | SC064A | Growth - Squamous | 21600 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC064 | Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus | Y | SC064B | Growth - Basal | 21600 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC064 | Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus | Y | SC064C | Injury | 21600 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, Clinical photograph | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC065 | Neck dissection - comprehensive | N | SC065A | Neck dissection - comprehensive | 16000 | No | 0.00 | No | No | No | No | No | No | Clinical notes, USG/ CT neck and Biopsy/FNAC | detailed Procedure / Operative Notes, Clinical Photograph showing scar, HPE report, detailed discharge summary |
Surgical Oncology | SC | New Package | SC066 | Benign Soft Tissue Tumour - Excision | N | SC066A | Benign Soft Tissue Tumour - Excision | 12000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC067 | Malignant Soft Tissue Tumour - Excision | N | SC067A | Malignant Soft Tissue Tumour - Excision | 24000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC068 | Regional flap | Y | SC068A | Myocutaneous flap | 30600 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy of primary | detailed Procedure / Operative Notes, Clinical photgraph showing scar, detailed discharge summary |
Surgical Oncology | SC | New Package | SC068 | Regional flap | Y | SC068B | Fasciocutaneous flap | 30600 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy of primary | detailed Procedure / Operative Notes, Clinical photgraph showing scar, detailed discharge summary |
Surgical Oncology | SC | New Package | SC069 | Rotationplasty | N | SC069A | Rotationplasty | 45000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC070 | Bone tumors / soft tissue sarcomas: surgery | N | SC070A | Bone tumors / soft tissue sarcomas: surgery | 30000 | No | 0.00 | No | No | No | No | No | No | HPE, Clinical notes with planned line of treatment | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC071 | Endoprosthesis Revision | Y | SC071A | Complete | 39000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, radiological evidence for indication | Procedure / Operative Notes, Post Procedure Photographs of surgical site, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC071 | Endoprosthesis Revision | Y | SC071B | Partial | 24000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, radiological evidence for indication | Procedure / Operative Notes, Post Procedure Photographs of surgical site, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC072 | Vertebral Tumour Excision and Reconstruction | N | SC072A | Vertebral Tumour Excision and Reconstruction | 54000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment, radiological evidence for indication | Procedure / Operative Notes, Post Procedure Photographs of surgical site, HPE report, Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC073 | Microvascular reconstruction (free flaps) | N | SC073A | Microvascular reconstruction (free flaps) | 45000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Biopsy of primary with details of earlier surgery done and establishing need of microvascular reconstruction | detailed discharge summary, detailed Procedure / Operative Notes, Clinical Photograph showing scar |
Surgical Oncology | SC | New Package | SC074 | Vascular reconstruction | N | SC074A | Vascular reconstruction | 57600 | No | 0.00 | No | No | No | No | No | No | Clincal notes | Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC075 | Curopsy / Sclerotherapy | N | SC075A | Curopsy / Sclerotherapy | 19200 | No | 0.00 | No | No | No | No | No | No | Clincal notes | Detailed Discharge Summary |
Surgical Oncology | SC | New Package | SC076 | Chemo Port Insertion | N | SC076A | Chemo Port Insertion | 18000 | No | 0.00 | Yes | No | No | Yes | No | No | Clinical notes with planned line of treatment | Procedure / Operative Notes, discharge summary, Invoice of Chemo port used |
Ophthalmology | SE | S300019 | SE001 | Ptosis Surgery | N | SE001A | Ptosis Surgery | 8000 | No | 0.00 | No | No | No | No | No | No | Clinical 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) | Still image of the the procedure with pt. ID and date, Detailed discharge summary, detailed operative notes. |
Ophthalmology | SE | S300034 | SE002 | Entropion correction | N | SE002A | Entropion correction | 6600 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical Photograph | Detailed discharge summary, Still image of the the procedure with pt. ID and date,operative notes. |
Ophthalmology | SE | S300035 | SE003 | Ectropion correction | N | SE003A | Ectropion correction | 6500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical Photograph | Detailed discharge summary, Still image of the the procedure with pt. ID and date,operative notes. |
Ophthalmology | SE | S300038 | SE004 | Lid Tear Repair | N | SE004A | Lid Tear Repair | 5000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Ophthalmology | SE | New Package | SE005 | Lid Abscess Drainage | N | SE005A | Lid Abscess Drainage | 3000 | No | 0.00 | No | No | No | No | No | Yes | Patient details, diagnosis, doctors notes, photo | Discharge notes, microbiology report,Still image of the patient undergoing the procedure with date stamp |
Ophthalmology | SE | S300022 | SE006 | Lid Tumor excision + Lid Reconstruction | N | SE006A | Lid Tumor excision + Lid Reconstruction | 10000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical Photograph of affected part, stated plan for lab investigation of host tissue (HP/ Microbiology/other) | Still image of the the procedure with pt. ID and date, HP report, Procedure / Operative Notes. Detailed discharge summary |
Ophthalmology | SE | New Package | SE007 | Chalazion Removal | N | SE007A | Chalazion Removal | 2000 | No | 0.00 | No | No | No | No | No | No | Patient details, diagnosis, doctors notes, photo | Discharge notes, pathology report, Still image of the patient undergoing the procedure with date stamp |
Ophthalmology | SE | S300040 | SE008 | Squint correction | Y | SE008A | Minor - upto 2 muscles | 4000 | No | 0.00 | No | No | No | No | No | No | 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 |
Ophthalmology | SE | S300040 | SE008 | Squint correction | Y | SE008B | Major - 3 or more muscles (complex surgery involving four muscles or oblique muscles) | 14000 | No | 0.00 | No | No | No | No | No | No | 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 |
Ophthalmology | SE | S300033 | SE009 | Conjunctival tumour excision including Amniotic Membrane Graft | N | SE009A | Conjunctival tumour excision including Amniotic Membrane Graft | 7000 | No | 0.00 | Yes | No | No | No | No | No | 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. |
Ophthalmology | SE | S300008 | SE010 | Dacryocystorhinostomy | Y | SE010A | Canaliculo Dacryocystorhinostomy with Silicon Tube / Stent | 8000 | No | 0.00 | Yes | No | No | No | No | No | Dye disappearance test , Tear meniscus height measurement, Probing and irrigation | Still image of the the procedure with pt. ID and date, operative notes |
Ophthalmology | SE | S300002 | SE010 | Dacryocystorhinostomy | Y | SE010B | Canaliculo Dacryocystorhinostomy without Silicon Tube / Stent | 8000 | No | 0.00 | No | No | No | No | No | No | Dye disappearance test , Tear meniscus height measurement, Probing and irrigation | Still image of the the procedure with pt. ID and date, operative notes |
Ophthalmology | SE | S300002 | SE010 | Dacryocystorhinostomy | Y | SE010C | Dacryocystorhinostomy with Silicon Tube / Stent | 8000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Ophthalmology | SE | New Package | SE010 | Dacryocystorhinostomy | Y | SE010D | Dacryocystorhinostomy without Silicon Tube / Stent | 8000 | No | 0.00 | No | No | No | No | No | No | 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 |
Ophthalmology | SE | New Package | SE011 | Corneal Ulcer Management | N | SE011A | Corneal Ulcer Management | 4000 | No | 0.00 | No | No | No | No | No | Yes | clinical presentation photo | Still image of the patient undergoing the procedure with date stamp |
Ophthalmology | SE | S300004 | SE012 | Corneal Grafting | Y | SE012A | Corneal Grafting | 8500 | No | 0.00 | No | No | No | Yes | No | No | 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/other) | Still image of the the procedure with pt. ID and date,operative notes. Detailed discharge summary |
Ophthalmology | SE | New Package | SE012 | Corneal Grafting | Y | SE012B | Corneal Graft - Follow Up | 2000 | No | 0.00 | No | No | No | Yes | No | Yes | clinical notes | Still image of the patient undergoing the procedure with date stamp |
Ophthalmology | SE | New Package | SE013 | Corneal Collagen Crosslinking | N | SE013A | Corneal Collagen Crosslinking | 9000 | No | 0.00 | No | No | No | No | No | No | PENTACAM PROGRESSION MAPS 3 to 6 months apart | Still image of the patient undergoing the procedure with date stamp |
Ophthalmology | SE | S300007 | SE014 | Pterygium + Conjunctival Autograft | N | SE014A | Pterygium + Conjunctival Autograft | 5000 | No | 0.00 | No | No | No | No | No | No | 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. |
Ophthalmology | SE | New Package | SE015 | Corneo / Scleral / Corneo scleral tear repair | N | SE015A | Corneo / Scleral / Corneo scleral tear repair | 11500 | No | 0.00 | No | No | No | No | No | No | 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. |
Ophthalmology | SE | New Package | SE016 | Corneal / Scleral Patch Graft | N | SE016A | Corneal / Scleral Patch Graft | 3000 | No | 0.00 | No | No | No | No | No | Yes | preoperative clinical photo | operative notes, Still image of the patient undergoing the procedure with date stamp |
Ophthalmology | SE | S300021 | SE017 | Scleral buckling surgery | N | SE017A | Scleral buckling surgery | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes | operative notes. Detailed discharge summary,Still image of the the procedure with pt. ID and date |
Ophthalmology | SE | S300001 | SE018 | Scleral Buckle Removal | N | SE018A | Scleral Buckle Removal | 5500 | No | 0.00 | No | No | No | Yes | Yes | Yes | 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 |
Ophthalmology | SE | S300016 | SE019 | Limbal Dermoid Removal | N | SE019A | Limbal Dermoid Removal | 1000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Indication for Limbal Dermoid Removal like increase in dermoid size/ increasing astigmatism/visual deterioration/central opacification of the cornea) Clinical Photograph | Still image of the the procedure with pt. ID and date, Detailed discharge summary, detailed operative notes. |
Ophthalmology | SE | S300031 | SE020 | Cataract surgery | Y | SE020A | Phaco emulsification with foldable hydrophobic acrylic IOL | 4500 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Ophthalmology | SE | S300030 | SE020 | Cataract surgery | Y | SE020B | SICS with non-foldable IOL | 4000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Ophthalmology | SE | S300015 | SE021 | Surgery for Pediatric Cataract | Y | SE021A | Paediatric lensectomy | 9200 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes detailing Indication for Lensectomy /pediatric lens aspiration/ membranectomy 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 |
Ophthalmology | SE | S300015 | SE021 | Surgery for Pediatric Cataract | Y | SE021B | Pediatric lens aspiration with posterior capsulotomy & anterior vitrectomy | 9200 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes detailing Indication for Lensectomy /pediatric lens aspiration/ membranectomy 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 |
Ophthalmology | SE | New Package | SE021 | Surgery for Pediatric Cataract | Y | SE021C | Paediatric Membranectomy & anterior vitrectomy | 9200 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes detailing Indication for Lensectomy /pediatric lens aspiration/ membranectomy 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 |
Ophthalmology | SE | S300003 | SE022 | Capsulotomy (YAG) | N | SE022A | Capsulotomy (YAG) | 1500 | No | 0.00 | No | No | No | Yes | Yes | No | 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 |
Ophthalmology | SE | New Package | SE023 | SFIOL (inclusive of Vitrectomy) | N | SE023A | SFIOL (inclusive of Vitrectomy) | 15000 | No | 0.00 | Yes | No | No | No | No | No | 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. |
Ophthalmology | SE | New Package | SE024 | Secondary IOL / IOL Exchange / Explant | N | SE024A | Secondary IOL / IOL Exchange / Explant | 2000 | No | 0.00 | Yes | No | No | No | No | No | 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 |
Ophthalmology | SE | S300020 | SE025 | IRIS Prolapse – Repair | N | SE025A | IRIS Prolapse – Repair | 4000 | No | 0.00 | No | No | No | Yes | Yes | Yes | 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 |
Ophthalmology | SE | S300024 | SE026 | Iridectomy | N | SE026A | Iridectomy | 2000 | No | 0.00 | No | No | No | No | No | No | Clinical notes showing Indication for Iridectomy(Laser), Tonometry, Gonioscopy,and clinical photo | Still image of the the procedure with pt. ID and date, procedure notes. Detailed discharge summary |
Ophthalmology | SE | S300006 | SE027 | Glaucoma Surgery | Y | SE027A | Cyclocryotherapy / Cyclophotocoagulation | 3700 | No | 0.00 | No | No | No | No | No | No | 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. |
Ophthalmology | SE | New Package | SE027 | Glaucoma Surgery | Y | SE027B | Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including postoperative medications for 12 weeks (and wherever surgical or laser procedures required for bleb augmentation and anterior chamber maintenance) |
11000 | No | 0.00 | No | No | No | No | No | No | 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 |
Ophthalmology | SE | S300006 | SE027 | Glaucoma Surgery | Y | SE027C | Glaucoma Shunt Surgery | 13000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and IOP measurement, documentary evidence supporting chronicity/ Failed Trabeculectomy | Still image of the patient undergoing the procedure with date stamp, operative notes. Detailed discharge summary |
Ophthalmology | SE | S300006 | SE027 | Glaucoma Surgery | Y | SE027D | Pediatric Glaucoma Surgery | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IOP measurement, documentary evidence of paediatric glaucoma with confirmation of diagnosis under GA/Examination under anaesthesia (EUA) | Still image of the patient undergoing the procedure with date stamp, operative notes. Detailed discharge summary |
Ophthalmology | SE | New Package | SE028 | EUA for Confirmation of Pediatric Glaucoma | N | SE028A | EUA for Confirmation of Pediatric Glaucoma | 3000 | No | 0.00 | No | No | No | No | No | No | 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,Corneal diameter |
Ophthalmology | SE | New Package | SE029 | Retinal Laser Photocoagulation | Y | SE029A | For retinal tear repair Per Eye Per Sitting | 1500 | No | 0.00 | No | No | No | Yes | Yes | No | clinical notes and or supportive documents | discharge summary, clinical notes, Still image of the the procedure with pt. ID and date |
Ophthalmology | SE | New Package | SE029 | Retinal Laser Photocoagulation | Y | SE029B | Pan Retinal Photocoagulation (PRP) - Retinal Laser including 3 sittings / package of retino laser photocoagulation (3 sittings per eye for both eyes) |
8500 | No | 0.00 | No | No | No | Yes | No | No | clinical notes and or supportive documents | Still image of the the procedure with pt. ID and date; discharge summary, clinical notes |
Ophthalmology | SE | New Package | SE030 | ROP Laser - Per Eye | N | SE030A | ROP Laser - Per Eye | 5000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes | Discharge summary, Still image of the patient undergoing the procedure with date stamp |
Ophthalmology | SE | S300005 | SE031 | Retinal Cryopexy | N | SE031A | Retinal Cryopexy | 3800 | No | 0.00 | No | No | No | No | No | No | Clinical notes with Indication for procedure | Detailed Procedure notes and discharge summary,Still image of the the procedure with pt. ID and date |
Ophthalmology | SE | S300028 | SE032 | Vitreoretinal Surgery (with Silicon Oil Insertion) | N | SE032A | Vitreoretinal Surgery (with Silicon Oil Insertion) | 17900 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and or Clinical documents, B Scan (optional) | Detailed discharge summary, operative notes, IOL sticker, Still image of the the procedure with pt. ID and date |
Ophthalmology | SE | S300027 | SE033 | SOR (Silicon Oil Removal) | N | SE033A | SOR (Silicon Oil Removal) | 9300 | No | 0.00 | No | No | No | Yes | Yes | No | Clinical notes and or Clinical documents, B Scan | Detailed discharge summary, operative notes., sticker of IOL,Still image of the the procedure with pt. ID and date |
Ophthalmology | SE | New Package | SE034 | Endophthalmitis (excluding Vitrectomy) | N | SE034A | Endophthalmitis (excluding Vitrectomy) | 8000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Ophthalmology | SE | S300009 | SE035 | Enucleation | Y | SE035A | Without implant | 8400 | No | 0.00 | No | No | No | No | No | No | Clinical notes establishing Indication and justifying enucleation and supporting investigation, Clinical Photograph; Recommendation/opinion of 2 ophthalmologists for the procedure | Intra procedure clinical photograph, detailed discharge summary, ,operative notes, confirmation that specimen was sent for histopathology. |
Ophthalmology | SE | S300010 | SE035 | Enucleation | Y | SE035B | With implant | 8000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes establishing Indication and justifying enucleation and supporting investigation, Clinical Photograph, Recommendation/opinion of 2 ophthalmologists 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 |
Ophthalmology | SE | S300036 | SE036 | Evisceration | N | SE036A | Evisceration | 3800 | No | 0.00 | Yes | No | No | No | No | No | Indication for Evisceration and supporting investigation report, Clinical Photograph, Recommendation/opinion of 2 ophthalmologists for the procedure, stated plan for lab investigation of host tissue (HP/ Microbiology/other) | Detailed discharge summary, Still image of the the procedure with pt. ID and date,operative notes, Confirmation/declaration that specimen sent for lab investigationmicrobio/path and report will be submitted |
Ophthalmology | SE | S300011 | SE037 | Exenteration | N | SE037A | Exenteration | 15000 | No | 0.00 | No | No | No | No | No | No | Indication for Exenteration and supporting investigation, (Biopsy / CT / MRI establishing indication for Exenteration) Clinical Photograph, Recommendation/opinion of 2 ophthalmologists 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 |
Ophthalmology | SE | S300023 | SE038 | Socket Reconstruction including Amniotic Membrane Graft | N | SE038A | Socket Reconstruction including Amniotic Membrane Graft | 11200 | No | 0.00 | No | No | No | No | No | No | Clinical notes and showing Indication for socket reconstruction, Clinical Photograph of affected part | Still image of the the procedure with pt. ID and date,operative notes. Detailed discharge summary |
Ophthalmology | SE | S300039 | SE039 | Orbitotomy | N | SE039A | Orbitotomy | 14000 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing indication and CT Scan, Clinical Photograph, stated plan for lab investigation of host tissue (HP/ Microbiology/other) | Still image of the the procedure with pt. ID and date, HP Report of actual surgery, operative notes, Lab (Histopath) report |
Ophthalmology | SE | New Package | SE040 | GA / EUA separate add on package | N | SE040A | GA / EUA separate add on package | 3000 | No | 0.00 | No | No | No | No | No | No | Clinical Notes justifying the need for GA in the associated surgery | Clinical Notes for the associated surgery / disease along with Pre OP, Operative and Anesthesia, Post OP notes |
General Surgery | SG | S100103 | SG001 | Oesophagectomy | N | SG001A | Oesophagectomy | 28300 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT/MRI/ Biopsy report confirming the diagnosis for which the surgery is done | Histopath, Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100213 | SG002 | Operations for Replacement of Oesophagus by Colon | N | SG002A | Operations for Replacement of Oesophagus by Colon | 30500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray, CT/MRI/ UGIE findings confirming the diagnosis for which the surgery is done, Biospy, | 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 |
General Surgery | SG | S100009 | SG003 | Gastrectomy | Y | SG003A | Bleeding Ulcer - Partial Gastrectomy without Vagotomy | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes, UGI Endoscopy confirming the diagnosis | Intra Operative Photograph, Histopathology report, Detailed Operative notes & detailed discharge summary. |
General Surgery | SG | S100008 | SG003 | Gastrectomy | Y | SG003B | Bleeding Ulcer - Partial Gastrectomy with Vagotomy | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes, UGI Endoscopy confirming the diagnosis | Intra Operative Photograph, Histopathology report, Detailed Operative notes & detailed discharge summary. |
General Surgery | SG | S100009 | SG003 | Gastrectomy | Y | SG003C | Partial Gastrectomy for Carcinoma | 27800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and mandatory Biopsy + Endoscopy/ CT Scan confirming the diagnosis, Clinical photograph | Intra procedure clinical photograph, Histopathology report, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100009 | SG003 | Gastrectomy | Y | SG003D | Subtotal Gastrectomy for Carcinoma | 27800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and mandatory Biopsy + Endoscopy/ CT Scan confirming the diagnosis, Clinical photograph | Intra procedure clinical photograph, Histopathology report, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | New Package | SG003 | Gastrectomy | Y | SG003E | Total Gastrectomy - Lap. | 51600 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done | Intra procedure clinical photograph, Histopathology report, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100009 | SG003 | Gastrectomy | Y | SG003F | Total Gastrectomy - Open | 51600 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done | Intra procedure clinical photograph, Histopathology report, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100064 | SG004 | Operative Gastrostomy | N | SG004A | Operative Gastrostomy | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done | Intra procedure clinical photograph, Histopathology report, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100060 | SG005 | Vagotomy | Y | SG005A | G J Vagotomy | 23500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy report with confirming the diagnosis for which this surgery is done | Endoscopic intra operative Photograph,Histopathology report, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100060 | SG005 | Vagotomy | Y | SG005B | Vagotomy + Pyloroplasty | 23500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy report with confirming the diagnosis for which this surgery is done | Endoscopic intra operative Photograph,Histopathology report, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100196 | SG006 | Operation for Bleeding Peptic Ulcer | N | SG006A | Operation for Bleeding Peptic Ulcer | 22500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy confirming the diagnosis, | Intra procedure clinical Photograph, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100089 | SG007 | Operation for Gastric / Duodenal Perforation | Y | SG007A | Gastric Perforation | 18500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray Erect/USG/ CT Abdomen confirming the diagnosis, FIR/MLC in case of traumatic aetiology | Intra procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100065 | SG007 | Operation for Gastric / Duodenal Perforation | Y | SG007B | Duodenal Perforation | 18500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray Erect/USG/ CT Abdomen confirming the diagnosis, FIR/MLC in case of traumatic aetiology | Intra procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100112 | SG008 | Pyloroplasty | N | SG008A | Pyloroplasty | 14000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy confirming the diagnosis for which the surgery is done | Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100185 | SG009 | Pyloromyotomy | N | SG009A | Pyloromyotomy | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy report confirming the diagnosis of nfantile hypertrophic pyloric stenosis | Endoscopic still Photograph, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100063 | SG010 | Gastrojejunostomy | N | SG010A | Gastrojejunostomy | 18500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy report OR Biopsy OR CT Scan confirming the diagnosis for which this surgery is done | intra operative photograph Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100205 | SG011 | CystoJejunostomy / Cystogastrostomy | Y | SG011A | CystoJejunostomy - Open | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG / CT confirming the diagnosis for which procedure is needed | Detailed discharge summary, post procedure clinical photograph, Detailed Operative notes, scar photo |
General Surgery | SG | S100205 | SG011 | CystoJejunostomy / Cystogastrostomy | Y | SG011B | CystoJejunostomy - Lap. | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG / CT confirming the diagnosis for which procedure is needed | Detailed discharge summary, post procedure clinical photograph, Detailed Operative notes, scar photo |
General Surgery | SG | S100205 | SG011 | CystoJejunostomy / Cystogastrostomy | Y | SG011C | Cystogastrostomy - Open | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG / CT confirming the diagnosis for which procedure is needed | Detailed discharge summary, post procedure clinical photograph, Detailed Operative notes, scar photo |
General Surgery | SG | S100182 | SG011 | CystoJejunostomy / Cystogastrostomy | Y | SG011D | Cystogastrostomy - Lap. | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG / CT confirming the diagnosis for which procedure is needed | Detailed discharge summary, post procedure clinical photograph, Detailed Operative notes, scar photo |
General Surgery | SG | S100088 | SG012 | Feeding Jejunostomy | N | SG012A | Feeding Jejunostomy | 10000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done | Intra procedure clinical photograph detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100095 | SG013 | Ileostomy | N | SG013A | Ileostomy | 14000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Endoscopy / Biopsy/ CT Scan confirming the diagnosis for which this surgery is done | Histopath, Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100204 | SG014 | Congenital Atresia & Stenosis of Small Intestine | N | SG014A | Congenital Atresia & Stenosis of Small Intestine | 23000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X ray, CT/MRI Abd confirming the diagnosis | Intra procedure clinical stills, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100030 | SG015 | Operation for Duplication of Intestine | N | SG015A | Operation for Duplication of Intestine | 18000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG Abd/ CT/MRI /Endoscopic Ultrasound - any one test confirming the diagnosis. | USG, Intra operative clinical photograph, Detailed Operative notes, Detailed discharge summary, histopath of removed part. |
General Surgery | SG | S100028 | SG016 | Diverticulectomy | Y | SG016A | Excision Duodenal Diverticulum | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Scan/Endoscopy/Double balloon enteroscopy confirming the diagnosis | Intra operative clinical photograph, Detailed Operative notes, scar photo Detailed discharge summary |
General Surgery | SG | S100028 | SG016 | Diverticulectomy | Y | SG016B | Excision Meckel's Diverticulum | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT/MRI report confirming the diagnosis | Histopath, Intra operative clinical photograph, Detailed Operative notes; detailed discharge summary |
General Surgery | SG | S100003 | SG017 | Appendicectomy | Y | SG017A | Open | 11000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG confirming the diagnosis | Histopathology report, Intra procedure clinical photograph of removed appendix, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100180 | SG017 | Appendicectomy | Y | SG017B | Lap. | 11000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG confirming the diagnosis | Histopathology report, Intra procedure clinical photograph of removed appendix, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100091 | SG018 | Appendicular Perforation | N | SG018A | Appendicular Perforation | 17500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray Abdomen Erect/USG confirming the diagnosis | Histopath, Intra procedure clinical photograph, detailed discharge summary and Detailed Operative notes |
General Surgery | SG | S100004 | SG019 | Operative drainage of Appendicular Abscess | N | SG019A | Operative drainage of Appendicular Abscess | 12000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes, USG | Intra Operative clinical photograph, Detailed Operative notes & discharge summary. |
General Surgery | SG | New Package | SG020 | Total Colectomy | Y | SG020A | Open | 23000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Scan/ Colonoscopy confirming the diagnosis and need of surgery; Biopsy of the lsoion | Histopathology, Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100174 | SG020 | Total Colectomy | Y | SG020B | Lap. | 23000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Scan/ Colonoscopy confirming the diagnosis and need of surgery; Biopsy of the lsoion | Histopathology, Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | New Package | SG021 | Hemi colectomy | Y | SG021A | Right - Open | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done, Biopsy | Histopathology report and Intra procedure Clinical photograp of removed colon, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100172 | SG021 | Hemi colectomy | Y | SG021B | Right - Lap. | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done, Biopsy | Histopathology report and Intra procedure Clinical photograp of removed colon, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | New Package | SG021 | Hemi colectomy | Y | SG021C | Left - Open | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done, Biopsy | Histopathology report and Intra procedure Clinical photograp of removed colon, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100171 | SG021 | Hemi colectomy | Y | SG021D | Left - Lap. | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done, Biopsy | Histopathology report and Intra procedure Clinical photograp of removed colon, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100144 | SG022 | Operative Management of Volvulus of Large Bowel | N | SG022A | Operative Management of Volvulus of Large Bowel | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray Abdomen / CT Contrast confirming the diagnosis, | Detailed discharge summary, X Ray Abdomen, Detailed Operative notes. |
General Surgery | SG | S100018 | SG023 | Colostomy | N | SG023A | Colostomy | 14000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/ MRI/ Colonoscopy evidence of need of surgery. | Post procedure clinical photograph, Detailed Operative notes & detailed surgery notes. |
General Surgery | SG | S100202 | SG024 | Closure of stoma | N | SG024A | Closure of stoma | 14500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing why colostomy was done? Clinical photograph | Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100127 | SG025 | Sigmoid Resection | N | SG025A | Sigmoid Resection | 21500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Barium X-rays / CT scan/ sigmoidoscopy, confirming the diagnosis | Histopathology, Intra procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100117 | SG026 | Perineal Procedure for Rectal Prolapse | N | SG026A | Perineal Procedure for Rectal Prolapse | 14000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes +/- Colonoscopy / CT confirming the diagnosis, | Histopath, Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | New Package | SG027 | Abdominal Procedure for Rectal Prolapse | Y | SG027A | Open | 19000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes +/- Colonoscopy confirming the diagnosis of prolapse | Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes, |
General Surgery | SG | New Package | SG027 | Abdominal Procedure for Rectal Prolapse | Y | SG027B | Lap. | 19000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes +/- Colonoscopy confirming the diagnosis of prolapse | Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes, |
General Surgery | SG | S100108 | SG028 | Rectal Polyp Excision | N | SG028A | Rectal Polyp Excision | 9600 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Colonoscopy +/- Biopsy justifying surgery, | Histopath, Intra procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | New Package | SG029 | Anterior Resection of rectum | Y | SG029A | Open | 28500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes, Biopsy, Colonoscopy | Histopathology report, post procedure clinical photograph, Detailed Operative notes & detailed discharge summary |
General Surgery | SG | New Package | SG029 | Anterior Resection of rectum | Y | SG029B | Lap. | 28500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes, Biopsy, Colonoscopy | Histopathology report, post procedure clinical photograph, Detailed Operative notes & detailed discharge summary |
General Surgery | SG | S100090 | SG030 | Resection Anastomosis | Y | SG030A | Open | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray Abdomen Erect/USG / CT confirming the diagnosis | Histopath of resected part, Intra procedure clinical photograph, detailed discharge summary and Detailed Operative notes |
General Surgery | SG | S100090 | SG030 | Resection Anastomosis | Y | SG030B | Lap. | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray Abdomen Erect/USG / CT confirming the diagnosis | Histopath of resected part, Intra procedure clinical photograph, detailed discharge summary and Detailed Operative notes |
General Surgery | SG | S100053 | SG031 | Procedure for Fissure in Ano | N | SG031A | Procedure for Fissure in Ano | 8000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and proctoscpic findings confirming the diagnosis for which this surgery is done, | Detailed Operative notes; detailed discharge summary |
General Surgery | SG | S100123 | SG032 | Haemorroidectomy | Y | SG032A | without Stapler | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and proctoscopy notes confirming the diagnosis | Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100123 | SG032 | Haemorroidectomy | Y | SG032B | with Stapler | 32000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and proctoscopy notes confirming the diagnosis | Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100042 | SG033 | Management of Pilonidal Sinus | N | SG033A | Management of Pilonidal Sinus | 5000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes and confirmation of Pilonidal sinus on examination | Histopath, Intra-operative clinical photograph, Detailed Operative notes |
General Surgery | SG | S100050 | SG034 | Exicision of Sinus and Curettage | N | SG034A | Exicision of Sinus and Curettage | 5000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and some imaging to show tract of sinus, confirming the diagnosis, Clinical Photograph | post procedure clinical photograph, Detailed Operative notes; detailed discharge summary. +/- Histopath of surreted material |
General Surgery | SG | S100190 | SG035 | Exploratory Laparotomy | N | SG035A | Exploratory Laparotomy | 10000 | No | 0.00 | No | No | No | No | Yes | Yes | Clinical notes detailing original pathology that led to peritonitis; supported by X Ray/USG/CT Scan Abdomen | Intra procedure clinical photograph, Analysis of fluid removed, Detailed discharge summary, Detailed Operative notes describing management done of pathology that led to peritonitis; cautious about OT time; this should take 2-3 hours. |
General Surgery | SG | S100092 | SG036 | Closure of Burst Abdomen | N | SG036A | Closure of Burst Abdomen | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes describing the original surgery that led to burst abdomen and X Ray/USG/ CT Abdomen confirming the diagnosis for which the surgery is done | Intra procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100070 | SG037 | Hepatic Resection | Y | SG037A | Open | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery. | Histopath, Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100177 | SG037 | Hepatic Resection | Y | SG037B | Lap. | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery. | Histopath, Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100079 | SG038 | Abdominal Hydatid Cyst (Single Organ) | N | SG038A | Abdominal Hydatid Cyst (Single Organ) | 15800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT/MRI report confirming the diagnosis. | Histopath, Intra procedure clinical photograph, Detailed Operative notes and detailed discharge summary |
General Surgery | SG | New Package | SG039 | Cholecystectomy | Y | SG039A | Without Exploration of CBD - Open | 22800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG confirming the diagnosis | Intra procedure clinical photograph, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100153 | SG039 | Cholecystectomy | Y | SG039B | With Exploration of CBD - Open | 22800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG confirming the diagnosis | Intra procedure clinical photograph, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | New Package | SG039 | Cholecystectomy | Y | SG039C | Without Exploration of CBD - Lap. | 22800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG confirming the diagnosis | Intra procedure clinical photograph, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | New Package | SG039 | Cholecystectomy | Y | SG039D | With Exploration of CBD - Lap. | 22800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG confirming the diagnosis | Intra procedure clinical photograph, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100154 | SG040 | Operative Cholecystostomy | Y | SG040A | Open | 10000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done, | Intra procedure clinical photograph, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100154 | SG040 | Operative Cholecystostomy | Y | SG040B | Lap. | 10000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done, | Intra procedure clinical photograph, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100211 | SG041 | Operation of Choledochal Cyst | N | SG041A | Operation of Choledochal Cyst | 24500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Abdomen | Histopath, Detailed discharge summary, Scar photo, Detailed Operative notes |
General Surgery | SG | S100132 | SG042 | Splenectomy | Y | SG042A | Open | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Scan and Lab investigations confirming the diagnosis and justifying the surgery. | Detailed Operative notes, histopath, detailed discharge summary, |
General Surgery | SG | S100132 | SG042 | Splenectomy | Y | SG042B | Lap. | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Scan and Lab investigations confirming the diagnosis and justifying the surgery. | Detailed Operative notes, histopath, detailed discharge summary, |
General Surgery | SG | S100016 | SG043 | Bypass - Inoperable Pancreas | N | SG043A | Bypass - Inoperable Pancreas | 23500 | No | 0.00 | No | No | No | No | No | Yes | Clinical and radiological evidence of inoperability (biopsy, ERCP, MRCP) | Histopathology report, Intra operative clinical photograph, Detailed Operative notes and discharge summary. |
General Surgery | SG | S100107 | SG044 | Distal Pancreatectomy with Pancreatico Jejunostomy |
N | SG044A | Distal Pancreatectomy with Pancreatico Jejunostomy |
25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Sr Amylase, CT/ USG, ERCP justifying the surgery, | Histopath, Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100106 | SG045 | PancreaticoDuodenectomy (Whipple's) | N | SG045A | PancreaticoDuodenectomy (Whipple's) | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/ USG, ERCP confirming the diagnosis, | Histopath, Intra procedure clinical photograph, detailed discharge summary and Detailed Operative notes |
General Surgery | SG | S100111 | SG046 | Porto Caval Anastomosis | N | SG046A | Porto Caval Anastomosis | 31500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG-doppler /CT/MRI report confirming the diagnosis for which the surgery is done | Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100100 | SG047 | Mesenteric Caval Anastomosis | N | SG047A | Mesenteric Caval Anastomosis | 28500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT/MRI/ Endoscopy report confirming the diagnosis for which the anastomosis is done | Intra procedure clinical photograph, detailed discharge summary and Detailed Operative notes |
General Surgery | SG | S100099 | SG048 | Mesenteric Cyst – Excision | N | SG048A | Mesenteric Cyst – Excision | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT/MRI report confirming the diagnosis | Histopath, Intra procedure clinical photograph, detailed discharge summary and Detailed Operative notes |
General Surgery | SG | S100122 | SG049 | Retroperitoneal Tumor – Excision | N | SG049A | Retroperitoneal Tumor – Excision | 23000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray/USG/CT Abdomen confirming the diagnosis | Histopath, Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | New Package | SG050 | Groin Hernia Repair | Y | SG050A | Inguinal - Open | 14200 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes, Invoice of Mesh used |
General Surgery | SG | New Package | SG050 | Groin Hernia Repair | Y | SG050B | Inguinal - Lap. | 14200 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes, Invoice of Mesh used |
General Surgery | SG | New Package | SG050 | Groin Hernia Repair | Y | SG050C | Femoral - Open | 14200 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes, Invoice of Mesh used |
General Surgery | SG | New Package | SG050 | Groin Hernia Repair | Y | SG050D | Femoral - Lap | 14200 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes, Invoice of Mesh used |
General Surgery | SG | New Package | SG050 | Groin Hernia Repair | Y | SG050E | Obturator - Lap. | 20000 | No | 0.00 | Yes | Yes | No | No | No | Yes | Clinical notes and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes, Invoice of Mesh used |
General Surgery | SG | S100074 | SG051 | Hernia - Ventral | Y | SG051A | Epigastric | 17400 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes +/- Invoice of Mesh used |
General Surgery | SG | S100074 | SG051 | Hernia - Ventral | Y | SG051B | Umbilical | 17400 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes +/- Invoice of Mesh used |
General Surgery | SG | New Package | SG051 | Hernia - Ventral | Y | SG051C | Paraumbilical | 17400 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes +/- Invoice of Mesh used |
General Surgery | SG | S100115 | SG051 | Hernia - Ventral | Y | SG051D | Spigelian | 17400 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes +/- Invoice of Mesh used |
General Surgery | SG | S100072 | SG052 | Repair of Incisional Hernia | N | SG052A | Repair of Incisional Hernia | 20000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes including info about previous surgery in whose incision this hernia has occurred and USG (specifying size of defect), Clinical photograph | Post procedure clinical photograph, detailed discharge summary Detailed Operative notes +/- Invoice of Mesh used |
General Surgery | SG | S100078 | SG053 | Hiatus Hernia Repair / Fundoplication | Y | SG053A | Hiatus Hernia Repair - Open | 23500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray/ USG + UGI Endoscopy | Intra procedure clinical photograph, Detailed Operative notes & discharge summary |
General Surgery | SG | S100184 | SG053 | Hiatus Hernia Repair / Fundoplication | Y | SG053B | Hiatus Hernia Repair - Lap. | 23500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray/ USG + UGI Endoscopy | Intra procedure clinical photograph, Detailed Operative notes & discharge summary |
General Surgery | SG | S100059 | SG053 | Hiatus Hernia Repair / Fundoplication | Y | SG053C | Fundoplication - Open | 23500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray/ USG + UGI Endoscopy | Intra procedure clinical photograph, Detailed Operative notes & discharge summary |
General Surgery | SG | S100059 | SG053 | Hiatus Hernia Repair / Fundoplication | Y | SG053D | Fundoplication - Lap. | 23500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X-ray/ USG + UGI Endoscopy | Intra procedure clinical photograph, Detailed Operative notes & discharge summary |
General Surgery | SG | New Package | SG054 | Excision of cyst / Sebaceous Cysts over scrotum | Y | SG054A | Single Cyst | 2000 | No | 0.00 | No | No | No | No | No | Yes | Deailed Clinical notes | Intra operative clinical photograph, Detailed Operative notes; detailed discharge summary. |
General Surgery | SG | New Package | SG054 | Excision of cyst / Sebaceous Cysts over scrotum | Y | SG054B | Multiple Cysts | 7000 | No | 0.00 | No | No | No | No | No | Yes | Deailed Clinical notes | Intra operative clinical photograph, Detailed Operative notes; detailed discharge summary. |
General Surgery | SG | S100039 | SG055 | Excision Filarial Scrotum | N | SG055A | Excision Filarial Scrotum | 6500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes +/- USG report confirming the diagnosis | Histopath, detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100080 | SG056 | Operation for Hydrocele (U/L) | N | SG056A | Operation for Hydrocele (U/L) | 5000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and +/- Scrotal USG confirming the diagnosis | Histopath, Intra procedure clinical photograph, Detailed Operative notes and detailed discharge summary |
General Surgery | SG | S100033 | SG057 | Epididymal Cyst / Nodule Excision | Y | SG057A | Epididymal Cyst exision | 4600 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG report confirming the diagnosis | Histopath, Intra operative clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100033 | SG057 | Epididymal Cyst / Nodule Excision | Y | SG057B | Epididymal Nodule excision | 4600 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG report confirming the diagnosis | Histopath, Intra operative clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100143 | SG058 | Vasovasostomy | N | SG058A | Vasovasostomy | 12000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing need of surgery after vasectomy? Evidence of When and where was vasectomy done? Is the EHCP equipped for microsurgery? | Detailed discharge summary, Detailed Operative notes. Since this is microsurgery evaluate time taken (2 hours+) |
General Surgery | SG | S100031 | SG059 | Orchidectomy | N | SG059A | Orchidectomy | 11200 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and describing Swelling in scrotum, USG of scrotum, FNAC, tumour markers (if cancer of prostate/testis,etc is the indication); justification of orchidectmy | Histopath, Intra operative clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100084 | SG060 | Inguinal Node (dissection) - U/L | N | SG060A | Inguinal Node (dissection) - U/L | 16000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/ Biopsy report confirming the diagnosis for which the surgery is done | Histopath, Intra procedure clinical photograph detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100160 | SG061 | Estlander Operation (lip) | N | SG061A | Estlander Operation (lip) | 9300 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing the original pathology thet has led to this surgery with suporting investigation reports. FIR/MLC in case of traumatic aetiology, Clinical Photograph | Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100198 | SG062 | Operation for Carcinoma Lip | Y | SG062A | Wedge Excision | 19000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Biopsy report, Clinical Photograph | Histopath, Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | New Package | SG062 | Operation for Carcinoma Lip | Y | SG062B | Wedge Excision and Vermilionectomy | 23800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Biopsy report, Clinical Photograph | Histopath, Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100209 | SG062 | Operation for Carcinoma Lip | Y | SG062C | Cheek advancement | 26800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Biopsy report, Clinical Photograph | Histopath, Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100044 | SG063 | Complete Excision of Growth from Tongue only (inclusive of Histopathology) | N | SG063A | Complete Excision of Growth from Tongue only (inclusive of Histopathology) |
9400 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes confirming the diagnosis, Clinical Photograph; FNAC if done | Histopath, Post procedure clinical photograph, Detailed Operative notes; detailed discharge summary |
General Surgery | SG | S100045 | SG064 | Excision of Growth from Tongue with neck node dissection | N | SG064A | Excision of Growth from Tongue with neck node dissection | 23500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT/MRI report confirming the diagnosis, Clinical Photograph | Histopath, Post procedure clinical photograph, Detailed Operative notes; detailed discharge summary |
General Surgery | SG | S100101 | SG065 | Microlaryngoscopic Surgery | N | SG065A | Microlaryngoscopic Surgery | 18500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Nasal Endoscopy confirming the diagnosis for which this surgery is done | Post procedure Nasal Endoscopy and post procedure clinical photograph OR Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100134 | SG066 | Submandibular Mass Excision | N | SG066A | Submandibular Mass Excision | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done +/- Biopsy/FNAC, Clinical Photograph | Histopath, Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100114 | SG067 | Radical Neck Dissection | N | SG067A | Radical Neck Dissection | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Scan/MRI Neck confirming the diagnosis, Biopsy, Clinical Photograph | Histopath, Intra procedure clinical photograph OR Post procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100014 | SG068 | Surgical removal of Branchial Cyst | N | SG068A | Surgical removal of Branchial Cyst | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes with USG or CT Scan confirming diagnosis; Pre-op Clinical Photograph | Histopathology report, post procedure clinical photograph, Detailed Operative notes & detailed discharge summary. |
General Surgery | SG | S100152 | SG069 | Carotid Body tumour - Excision | N | SG069A | Carotid Body tumour - Excision | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG Neck/ Colour doppler confirming the diagnosis | Intra procedure clinical photograph, Detailed Operative notes, Histopathology, Detailed discharge summary |
General Surgery | SG | S100168 | SG070 | Thyroidectomy | Y | SG070A | Hemi thyroidectomy | 17000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Thyroid Function Test, FNAC/USG confirming the diagnosis and justifying the surgery. | Histopath report, Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100169 | SG070 | Thyroidectomy | Y | SG070B | Total thyroidectomy | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Thyroid Function Test, FNAC/USG confirming the diagnosis and justifying the surgery. | Histopath report, Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100242 | SG070 | Thyroidectomy | Y | SG070C | Total Thyroidectomy with Block Dissection | 28000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and FNAC/ Biopsy/ Thyroid Function Test/USG confirming the diagnosis and need for surgery | Histopath report, Post procedure clinical photograph, Scar Photo, Detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100162 | SG071 | Excision of Parathyroid Adenoma / Carcinoma | Y | SG071A | Excision of Parathyroid Adenoma | 20400 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis. | Histopathology, Intra procedure clinical photograph, Detailed discharge summary,, Detailed Operative notes |
General Surgery | SG | S100162 | SG071 | Excision of Parathyroid Adenoma / Carcinoma | Y | SG071B | Excision of Parathyroid Carcinoma | 20400 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis. | Histopathology, Intra procedure clinical photograph, Detailed discharge summary,, Detailed Operative notes |
General Surgery | SG | S100210 | SG072 | Thymectomy | N | SG072A | Thymectomy | 28000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Investigation report confirming the need for surgery (CT/MRI), Single-fiber electromyography in case of myasthenia gravis, Clinical photograph | Histopath, Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100239 | SG073 | Sympathectomy | N | SG073A | Sympathectomy | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and supporting Evidence of need of surgery (EMG,Nerve conduction study, CT/MRI) Clinical Photograph | Intra procedure clinical photograph, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100012 | SG074 | Breast Lump Excision (Benign) | N | SG074A | Breast Lump Excision (Benign) | 6000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes, Sono mammogram OR Mamography showing breast lump +/- FNAC report | Histopathology report, intra operative clinical photograph, Detailed Operative notes & detailed discharge summary. |
General Surgery | SG | S100098 | SG075 | Mastectomy | Y | SG075A | Simple Mastectomy | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Mammography, Biopsy confirming the diagnosis, Clinical Photograph | Histopath, Post procedure clinical photograph, Detailed Operative notes; detailed discharge summary |
General Surgery | SG | S100113 | SG075 | Mastectomy | Y | SG075B | Radical / Modified Radical Mastectomy | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Mammography and Biopsy justifying surgery | Histopath, detailed discharge summary, Detailed Operative notes |
General Surgery | SG | S100040 | SG076 | Excision Mammary Fistula | N | SG076A | Excision Mammary Fistula | 14500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and sonomammogram report confirming the diagnosis, | Histopath, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100208 | SG077 | Intercostal drainage Only | N | SG077A | Intercostal drainage Only | 4800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and detailing need of ICD; Clinical photograph, Chest X-Ray PA | Analysis report of drained fluid; post procedure clinical photograph, Detailed Operative notes; Detailed discharge summary |
General Surgery | SG | S100224 | SG078 | Rib Resection & Drainage | N | SG078A | Rib Resection & Drainage | 14000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray, CT/ MRI confirming the diagnosis for which the surgery is done, Clinical photograph | Pus C/S, Post procedure X Ray, Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100233 | SG079 | Thoracoplasty | N | SG079A | Thoracoplasty | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray, CT/MRI Chest confirming the indication for this surgery, Clinical Photograph | Post procedure clinical photograph, Detailed Operative notes, Intra procedure clinical photograph, Detailed discharge summary |
General Surgery | SG | S100157 | SG080 | Decortication (Pleurectomy) | N | SG080A | Decortication (Pleurectomy) | 28000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done, Biopsy | Histopathology, Detailed discharge summary and Detailed Operative notes |
General Surgery | SG | S100236 | SG081 | Lobectomy | Y | SG081A | Thoracoscopic | 27500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Thorax confirming the diagnosis, Biopsy +/- Cytology | Intra procedure clinical photograph, Detailed Operative notes, histopath, Detailed discharge summary, Scar Photo |
General Surgery | SG | S100236 | SG081 | Lobectomy | Y | SG081B | Open | 27500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Thorax confirming the diagnosis, Biopsy +/- Cytology | Intra procedure clinical photograph, Detailed Operative notes, histopath, Detailed discharge summary, Scar Photo |
General Surgery | SG | S100238 | SG082 | Thoracoscopic Segmental Resection | N | SG082A | Thoracoscopic Segmental Resection | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Thorax confirming the diagnosis, +/- Biopsy report | Intra procedure clinical photograph, Detailed Operative notes, histopath, Detailed discharge summary, Scar Photo |
General Surgery | SG | S100235 | SG083 | Lung Hydatid Cyst removal | N | SG083A | Lung Hydatid Cyst removal | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray, CT/MRI Chest confirming the diagnosis, Clinical Photograph | Post procedure clinical photograph, Detailed Operative notes, Intra procedure clinical photograph, Detailed discharge summary, Histopathology |
General Surgery | SG | S100024 | SG084 | Incision & Drainage of Abscess | N | SG084A | Incision & Drainage of Abscess | 5000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes and USG report confirming large abscess. | C/S report of Wound or Pus, Intra operative clinical photograph, Detailed Operative notes & detailed discharge summary. |
General Surgery | SG | S100096 | SG085 | Lipoma / Cyst / other cutaneous swellings Excision | Y | SG085A | Lipoma Excision | 5000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes and clinical photograph to confirm diagnosis. | Histopath, Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | New Package | SG085 | Lipoma / Cyst / other cutaneous swellings Excision | Y | SG085B | Cyst Excision | 5000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes and clinical photograph to confirm diagnosis. | Histopath, Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | New Package | SG085 | Lipoma / Cyst / other cutaneous swellings Excision | Y | SG085C | Other cutaneous swellings Excision | 5000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes and clinical photograph to confirm diagnosis. | Histopath, Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100244 | SG086 | Debridement of Ulcer | N | SG086A | Debridement of Ulcer | 5000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes and Clinical photograph of affected part, Evidence of confirmed diagnosis of Leprosy | Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100163 | SG087 | Flap Reconstructive Surgery | N | SG087A | Flap Reconstructive Surgery | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing the original pathology thet has led to this surgery with suporting investigation reports. Clinical Photograph | Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100167 | SG088 | Free Grafts - Wolfe Grafts | N | SG088A | Free Grafts - Wolfe Grafts | 14000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing original pathology, with suporting reports, Clinical Photograph | Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100245 | SG089 | Tissue Reconstruction Flap | N | SG089A | Tissue Reconstruction Flap | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical photograph of affected part justifying surgery. Evidence of confirmed diagnosis of Leprosy | Intra procedure clinical photograph, Post procedure clinical photograph (if flap taken from other site; even of donor site), Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100164 | SG090 | Split thickness skin grafts | Y | SG090A | Small (< 4% TBSA) | 13500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing time of Burns,, Clinical Photograph | Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100165 | SG090 | Split thickness skin grafts | Y | SG090B | Medium (4 - 8% TBSA) | 13500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing time of Burns,, Clinical Photograph | Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100166 | SG090 | Split thickness skin grafts | Y | SG090C | Large (> 8% TBSA) | 13500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing time of Burns,, Clinical Photograph | Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100225 | SG091 | Skin Flaps - Rotation Flaps | N | SG091A | Skin Flaps - Rotation Flaps | 11400 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph, medical records of previous surgeries and indication of this surgery | Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary |
General Surgery | SG | S100246 | SG092 | Tendon Transfer | N | SG092A | Tendon Transfer | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical photograph of affected part, Evidence of confirmed diagnosis of Leprosy | Intra procedure clinical photograph, Post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100192 | SG093 | Lymphatics Excision of Subcutaneous Tissues In Lymphoedema | N | SG093A | Lymphatics Excision of Subcutaneous Tissues In Lymphoedema | 10000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and detailing history, Clinical Photograph | Histopathology report, post procedure clinical photograph, Detailed Operative notes, Detailed discharge summary. |
General Surgery | SG | S100251 | SG094 | AV Fistula without prosthesis | N | SG094A | AV Fistula without prosthesis | 6000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing need for AV shunt with supporting Evidence of Creatinine/ RFT | Post Procedure clinical photograph, Detailed Operative notes, Detailed discharge summary |
General Surgery | SG | S100142 | SG095 | Management of Varicose Veins | N | SG095A | Management of Varicose Veins | 14000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Duplex ultrasonography/ Colour Doppler confirming the diagnosis, pre-op clinical photograph | Detailed discharge summary, Post procedure clinical photograph, Detailed Operative notes |
General Surgery | SG | New Package | SG096 | Biopsy | Y | SG096A | Lymph Node | 5000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph of Enlarged lymph nodes +/- FNAC report | Histopathology report, post procedure clinical photograph, Detailed Operative notes |
General Surgery | SG | New Package | SG096 | Biopsy | Y | SG096B | Endometrial Aspiration | 2000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes with supporting investigations | Pic of specimen, Histopathology report, discharge summary |
General Surgery | SG | New Package | SG096 | Biopsy | Y | SG096C | Cervix Cancer screening (PAP + Colposcopy) | 1000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes with supporting investigations | Pic of specimen, Histopathology report, discharge summary |
General Surgery | SG | New Package | SG096 | Biopsy | Y | SG096D | Cervical (Neck) | 1500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes with supporting investigations | Pic of specimen, Histopathology report, discharge summary |
General Surgery | SG | New Package | SG096 | Biopsy | Y | SG096E | Vulval | 1500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes with supporting investigations | Pic of specimen, Histopathology report, discharge summary |
General Surgery | SG | New Package | SG097 | Stoma Management | Y | SG097A | Stoma Management follow up of Ileostomy | 4500 | No | 0.00 | No | No | No | Yes | Yes | No | Earlier discharge summary, Clinical Notes | Invoice / Receipt of drugs and consumables |
General Surgery | SG | New Package | SG097 | Stoma Management | Y | SG097B | Stoma Management follow up of Colostomy | 4500 | No | 0.00 | No | No | No | Yes | Yes | No | Earlier discharge summary, Clinical Notes | Invoice / Receipt of drugs and consumables |
General Surgery | SG | S100058 | SG098 | Foreign Body Removal | N | SG098A | Foreign Body Removal | 5000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes and X-ray/ USG report of the affected part confirming the diagnosis, Still Photograph of the imaging | Post procedure clinical photograph, Detailed Operative notes, detailed discharge summary and relevant imaging study for comparison |
ENT | SL | S200020 | SL001 | Pinna surgery for tumour / trauma | Y | SL001A | Pinna surgery for tumour | 8600 | No | 0.00 | No | No | No | No | No | No | History, Pre-op Clinical photograph and Biopsy | Histopath report, Post procedure clinical photograph of affected part, detailed Procedure / Operative Notes, detailed discharge summary |
ENT | SL | S200020 | SL001 | Pinna surgery for tumour / trauma | Y | SL001B | Pinna surgery for trauma | 8600 | No | 0.00 | No | No | No | No | No | Yes | History, Pre-op Clinical photograph | Post procedure clinical photograph of affected part, detailed Procedure / Operative Notes, detailed discharge summary |
ENT | SL | S200017 | SL002 | Tympanoplasty | N | SL002A | Tympanoplasty | 12900 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Audiogram/ Tympanometry (or impedence audiometry) as justification of surgery | Intra procedure clinical photograph, Post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary Invoice of graft used |
ENT | SL | S200025 | SL003 | Stapedectomy / tympanotomy | Y | SL003A | Stapedectomy | 13000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and audiometry confirming conductive deafness | Intra procedure microscope clinical photograph; detailed Procedure / Operative Notes, detailed discharge summary |
ENT | SL | S200016 | SL003 | Stapedectomy / tympanotomy | Y | SL003B | Tympanotomy | 13000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and audiometry confirming conductive deafness | Intra procedure microscope clinical photograph; detailed Procedure / Operative Notes, detailed discharge summary |
ENT | SL | S200003 | SL004 | Mastoidectomy | Y | SL004A | Simple | 28000 | No | 0.00 | No | No | No | No | No | No | Clinical notes confirming the indication for the procedure with imaging (X-ray/ CT) Evidence, Audiometry | Scar photo, Post procedure clinical photograph, Detailed Procedure / Operative Notes, Detailed discharge summary, Histopath |
ENT | SL | S200004 | SL004 | Mastoidectomy | Y | SL004B | Radical | 28000 | No | 0.00 | No | No | No | No | No | No | Clinical notes confirming the indication for the procedure with imaging (X-ray/ CT) Evidence, Audiometry | Scar photo, Post procedure clinical photograph, Detailed Procedure / Operative Notes, Detailed discharge summary, Histopath |
ENT | SL | S200009 | SL005 | Myringotomy with or without Grommet | Y | SL005A | Unilateral | 5000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and Audiogram justifying surgery. | Photograph of patient while undergoing the procedure, detailed Procedure / Operative Notes, detailed discharge summary |
ENT | SL | S200008 | SL005 | Myringotomy with or without Grommet | Y | SL005B | Bilateral | 5000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and Audiogram justifying surgery. | Photograph of patient while undergoing the procedure, detailed Procedure / Operative Notes, detailed discharge summary |
ENT | SL | S200051 | SL006 | Endoscopic DCR | N | SL006A | Endoscopic DCR | 19300 | No | 0.00 | No | No | No | No | No | No | Clinical notes and endoscopy findings, Clinical photograph | Endoscopic still images, Detailed discharge summary, Post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. |
ENT | SL | New Package | SL007 | Epistaxis treatment - packing | N | SL007A | Epistaxis treatment - packing | 1800 | Yes | 1.00 | No | No | No | No | Yes | No | Clinical notes with planned line of treatment | Clinical photograph, Detailed Discharge Summary |
ENT | SL | S200055 | SL008 | Functional septo rhinoplasty | N | SL008A | Functional septo rhinoplasty | 21800 | No | 0.00 | No | No | No | No | No | No | Clinical notes Indication for this surgery with supporting medical records, X-ray, MLC/FIR for traumatic injuries and circumstances of the incident which led to disfigurement, Clinical picture | Post procedure clinical photograph of affected part; Detailed Procedure / Operative Notes; Detailed discharge summary |
ENT | SL | S200047 | SL009 | Septoplasty | N | SL009A | Septoplasty | 12000 | Yes | 1.00 | No | No | No | No | No | No | Indication for this surgery with supporting medical records, MLC/FIR for traumatic injuries, Endoscopic picture/ Clinical picture | Post procedure clinical photograph of affected part, Detailed Procedure / Operative Notes. Detailed discharge summary |
ENT | SL | S200037 | SL010 | Fracture - setting nasal bone | N | SL010A | Fracture - setting nasal bone | 8000 | Yes | 1.00 | No | No | No | No | No | Yes | MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture, X Ray/CT | Post procedure X-ray, Post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary |
ENT | SL | S200043 | SL011 | Inferior turbinate reduction under GA | N | SL011A | Inferior turbinate reduction under GA | 5700 | No | 0.00 | No | No | No | No | No | No | Clinical notes and EXAMINATION FINDINGS, nasoendoscopy findings | Intraoperative Stills, Post procedure clinical photograph of affected part, Detailed discharge summary Detailed Procedure / Operative Notes |
ENT | SL | S200040 | SL012 | Open sinus surgery | N | SL012A | Open sinus surgery | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing chronicity of sinusitis . indications for surgery with supporting CTpre-procedure photograph | Post procedure Imaging, Post procedure clinical photograph of affected part. Histopathology,, detailed Procedure / Operative Notes. Intra procedure clinical photograph |
ENT | SL | S200038 | SL013 | Functional Endoscopic Sinus (FESS) | N | SL013A | Functional Endoscopic Sinus (FESS) | 11000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT confirming the diagnosis | Stills of procedure being done, post procedure clinical photograph , Detailed Procedure / Operative Notes, detailed discharge summary |
ENT | SL | S200028 | SL014 | Ant. Ethmoidal / sphenopalatine artery ligation | Y | SL014A | Ant. Ethmoidal artery ligation - Open | 15000 | No | 0.00 | No | No | No | No | No | Yes | Indications of this surgery with clinical evidence (CT) | Intraoperative photograph, X-ray of clips used, post procedure clinical photograph of affected part. Detailed Procedure / Operative Notes and discharge summary. |
ENT | SL | S200028 | SL014 | Ant. Ethmoidal / sphenopalatine artery ligation | Y | SL014B | Ant. Ethmoidal artery ligation - Endoscopic | 15000 | No | 0.00 | No | No | No | No | No | Yes | Indications of this surgery with clinical evidence (CT) | Intraoperative photograph, X-ray of clips used, post procedure clinical photograph of affected part. Detailed Procedure / Operative Notes and discharge summary. |
ENT | SL | S200028 | SL014 | Ant. Ethmoidal / sphenopalatine artery ligation | Y | SL014C | Sphenopalatine artery ligation - Open | 15000 | No | 0.00 | No | No | No | No | No | Yes | Indications of this surgery with clinical evidence (CT) | Intraoperative photograph, X-ray of clips used, post procedure clinical photograph of affected part. Detailed Procedure / Operative Notes and discharge summary. |
ENT | SL | S200028 | SL014 | Ant. Ethmoidal / sphenopalatine artery ligation | Y | SL014D | Sphenopalatine artery ligation - Endoscopic | 15000 | No | 0.00 | No | No | No | No | No | Yes | Indications of this surgery with clinical evidence (CT) | Intraoperative photograph, X-ray of clips used, post procedure clinical photograph of affected part. Detailed Procedure / Operative Notes and discharge summary. |
ENT | SL | S200057 | SL015 | Adenoidectomy | N | SL015A | Adenoidectomy | 5000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with supporting investigation reports,X Ray Adenoids, Clinical Photograph | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary |
ENT | SL | S200074 | SL016 | Tonsillectomy | Y | SL016A | Tonsillectomy - U/L | 7500 | No | 0.00 | No | No | No | No | No | No | Indication for surgery from treating doctor with supporting case history, physical examination findings, supporting investigation reports, Clinical Photograph | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes |
ENT | SL | S200074 | SL016 | Tonsillectomy | Y | SL016B | Tonsillectomy - B/L | 7500 | No | 0.00 | No | No | No | No | No | No | Indication for surgery from treating doctor with supporting case history, physical examination findings, supporting investigation reports, Clinical Photograph | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes |
ENT | SL | S200069 | SL017 | Peritonsillar abscess drainage / intraoral calculus removal | Y | SL017A | Peritonsillar abscess drainage | 5800 | No | 0.00 | No | No | No | No | No | Yes | Doctor's notes with presenting complaints, duration and physicial examination findings of oral cavity and tonsils, clinical photograph if possible | C/S of pus, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | S200069 | SL017 | Peritonsillar abscess drainage / intraoral calculus removal | Y | SL017B | Intraoral calculus removal | 5800 | No | 0.00 | No | No | No | No | No | Yes | Doctor's notes with presenting complaints, duration and physicial examination findings of oral cavity and tonsils, clinical photograph if possible | C/S of pus, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | S200073 | SL018 | Thyroglossal / Branchial cyst / sinus / fistula excision | Y | SL018A | Thyroglossal cyst excision | 15300 | No | 0.00 | No | No | No | No | No | No | Clinical notes and pre-operative clincial photograph | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary |
ENT | SL | S200073 | SL018 | Thyroglossal / Branchial cyst / sinus / fistula excision | Y | SL018B | Thyroglossal sinus excision | 15300 | No | 0.00 | No | No | No | No | No | No | Clinical notes and pre-operative clincial photograph | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary |
ENT | SL | S200073 | SL018 | Thyroglossal / Branchial cyst / sinus / fistula excision | Y | SL018C | Thyroglossal fistula excision | 15300 | No | 0.00 | No | No | No | No | No | No | Clinical notes and pre-operative clincial photograph | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary |
ENT | SL | S200079 | SL018 | Thyroglossal / Branchial cyst / sinus / fistula excision | Y | SL018D | Branchial sinus excision | 15300 | No | 0.00 | No | No | No | No | No | No | Clinical notes and pre-operative clincial photograph | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary |
ENT | SL | S200079 | SL018 | Thyroglossal / Branchial cyst / sinus / fistula excision | Y | SL018E | Branchial fistula excision | 15300 | No | 0.00 | No | No | No | No | No | No | Clinical notes and pre-operative clincial photograph | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes. Detailed discharge summary |
ENT | SL | S200077 | SL019 | Uvulopalatopharyngoplasty (UPPP) | N | SL019A | Uvulopalatopharyngoplasty (UPPP) | 18600 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Polysomnography (Sleep Study) + CT/MRI | Post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | New Package | SL020 | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction | Y | SL020A | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx without reconstruction | 10000 | No | 0.00 | Yes | No | No | No | No | No | CT Scan, Biopsy, Clinical notes with planned line of treatment, Pre operative Clinical Photograph of affected part | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL020 | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction | Y | SL020B | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with pedicled flap reconstruction | 36500 | No | 0.00 | No | No | No | No | No | No | CT Scan, Biopsy, Clinical Photograph of affected part | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL020 | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction | Y | SL020C | Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with free flap reconstruction | 25000 | No | 0.00 | Yes | No | No | No | No | No | CT Scan, Biopsy, Clinical Photograph of affected part | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200075 | SL021 | Parotidectomy | Y | SL021A | Total Parotidectomy | 28200 | No | 0.00 | No | No | No | No | No | No | CT Scan and FNAC, Clinical Photograph of affected part | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes and detailed discharge summary. |
ENT | SL | S200076 | SL021 | Parotidectomy | Y | SL021B | Superficial Parotidectomy | 23800 | No | 0.00 | No | No | No | No | No | No | CT Scan, FNAC, Clinical Photograph of affected part | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes and detailed discharge summary. |
ENT | SL | S200089 | SL022 | Removal of Submandibular Salivary gland | Y | SL022A | Removal of Submandibular Salivary gland | 9000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes to establigh indication; Biopsy if tumour, Clinical Photograph of affected part | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | S200089 | SL022 | Removal of Submandibular Salivary gland | Y | SL022B | Removal of Ranula | 9000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and Clinical photograph, MLC/FIR for traumatic injuries and circumstances of the incident which led to rupture of salivary duct | Histopathology report, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | S100133 | SL022 | Removal of Submandibular Salivary gland | Y | SL022C | Removal of Submandibular Lymph node | 9000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes to establigh indication; Biopsy if tumour, Clinical Photograph of affected part | Histopathology report, post procedure clinical photograph of affected part, detailed operative notes; detailed discharge summary |
ENT | SL | New Package | SL023 | Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy | Y | SL023A | Rigid laryngoscopy - Diagnostic + / - biopsy | 7000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL023 | Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy | Y | SL023B | Rigid bronchoscopy - Diagnostic + / - biopsy | 7000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL023 | Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy | Y | SL023C | Rigid oesophagoscopy - Diagnostic + / - biopsy | 7000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200058 | SL024 | Microlaryngeal surgery with or without laser | N | SL024A | Microlaryngeal surgery with or without laser | 17000 | No | 0.00 | No | No | No | No | No | No | Indication for surgery with supporting investigation reports, laryngoscopy findings +/- Laryngeal electromyography | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL025 | Open laryngeal framework surgery / Thyroplasty | N | SL025A | Open laryngeal framework surgery / Thyroplasty | 5000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes to establish indication and justification of surgery; Evidence through CT/ MRI/ Biopsy, Clinical Photograph | Histopathology report in case of tumours, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; Detailed discharge summary |
ENT | SL | S1500021 | SL026 | Tracheostomy / Tracheotomy | Y | SL026A | Tracheostomy | 6000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment justifying indication | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL026 | Tracheostomy / Tracheotomy | Y | SL026B | Tracheotomy | 6000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment justifying indication | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200067 | SL027 | Neck dissection | Y | SL027A | Selective Benign neck tumour excision | 18800 | No | 0.00 | No | No | No | No | No | No | Indication for surgery with supporting investigation reports (X-ray/ CT/MRI), FNAC / Biospy in case of tumours, Clinical Photograph | Histopathology report, Post procedure Imaging, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | S200067 | SL027 | Neck dissection | Y | SL027B | Comprehensive Benign neck tumour excision | 18800 | No | 0.00 | No | No | No | No | No | No | Indication for surgery with supporting investigation reports (X-ray/ CT/MRI), FNAC / Biospy in case of tumours, Clinical Photograph | Histopathology report, Post procedure Imaging, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | S200067 | SL027 | Neck dissection | Y | SL027C | Selective Pharyngeal diverticulum excision | 18800 | No | 0.00 | No | No | No | No | No | No | Indication for surgery with supporting investigation reports (X-ray/ CT/MRI), FNAC / Biospy in case of tumours, Clinical Photograph | Histopathology report, Post procedure Imaging, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | S200067 | SL027 | Neck dissection | Y | SL027D | Comprehensive Pharyngeal diverticulum excision | 18800 | No | 0.00 | No | No | No | No | No | No | Indication for surgery with supporting investigation reports (X-ray/ CT/MRI), FNAC / Biospy in case of tumours, Clinical Photograph | Histopathology report, Post procedure Imaging, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | S200068 | SL028 | Deep neck abscess drainage/ Post trauma neck exploration | Y | SL028A | Deep neck abscess drainage | 16800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and clinical photgraph/ investigation supporting diagnosis, CT | C/S of pus, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | New Package | SL028 | Deep neck abscess drainage/ Post trauma neck exploration | Y | SL028B | Post trauma neck exploration | 16800 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and clinical photgraph/ investigation supporting diagnosis, CT | C/S of pus, post procedure clinical photograph of affected part, detailed Procedure / Operative Notes; detailed discharge summary |
ENT | SL | S800073 | SL029 | Anterior skull base surgery | Y | SL029A | Endoscopic CSF Rhinorrhea Repair | 26000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment detailing aetiology; MLC/ FIR if traumatic. CT to confirm need of surgery | Procedure / Operative Notes,Post Procedure Photograph of affected part |
ENT | SL | S200032 | SL029 | Anterior skull base surgery | Y | SL029B | Optic nerve decompression | 25500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment detailing aetiology; MLC/ FIR if traumatic. CT to confirm need of surgery | Procedure / Operative Notes,Post Procedure Photograph of affected part |
ENT | SL | S200032 | SL029 | Anterior skull base surgery | Y | SL029C | Orbital decompression | 25500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment detailing aetiology; MLC/ FIR if traumatic. CT to confirm need of surgery | Procedure / Operative Notes,Post Procedure Photograph of affected part |
ENT | SL | S200050 | SL029 | Anterior skull base surgery | Y | SL029D | Craniofacial resection | 25500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment detailing aetiology; MLC/ FIR if traumatic. CT to confirm need of surgery | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL029 | Anterior skull base surgery | Y | SL029E | Maxillary swing | 25500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment detailing aetiology; MLC/ FIR if traumatic. CT to confirm need of surgery | Procedure / Operative Notes,Post Procedure Photograph of affected part |
ENT | SL | S200052 | SL030 | Advanced anterior skull base surgery | Y | SL030A | Endoscopic Hypophysectomy | 39800 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and Coronal CT/MRI establishing diagnosis and establishing need of surgery | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL030 | Advanced anterior skull base surgery | Y | SL030B | Clival tumour excision | 39800 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and Coronal CT/MRI establishing diagnosis and establishing need of surgery | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200050 | SL031 | Lateral skull base procedures | Y | SL031A | Subtotal petrosectomy | 24700 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and CT/MRI/ biopsy to establish the indication and justify the surgery. | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200050 | SL031 | Lateral skull base procedures | Y | SL031B | Post-traumatic facial nerve decompression | 24700 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and CT/MRI/ biopsy to establish the indication and justify the surgery. | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200050 | SL031 | Lateral skull base procedures | Y | SL031C | CSF Otorrhoea repair | 24700 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and CT/MRI/ biopsy to establish the indication and justify the surgery. | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200002 | SL032 | Advanced lateral skull base surgery | Y | SL032A | Fisch approach | 39900 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200002 | SL032 | Advanced lateral skull base surgery | Y | SL032B | Translabyrinthine approach | 39900 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200002 | SL032 | Advanced lateral skull base surgery | Y | SL032C | Transcochlear approach | 39900 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200002 | SL032 | Advanced lateral skull base surgery | Y | SL032D | Temporal Bone resection | 39900 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200036 | SL033 | Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma | Y | SL033A | Closed reduction for fracture of maxilla | 9200 | No | 0.00 | No | No | No | No | No | Yes | MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture, X Ray/CT | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200036 | SL033 | Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma | Y | SL033B | Closed reduction for fracture of mandible | 9200 | No | 0.00 | No | No | No | No | No | Yes | MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture, X Ray/CT | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200036 | SL033 | Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma | Y | SL033C | Closed reduction for fracture of zygoma | 9200 | No | 0.00 | No | No | No | No | No | Yes | MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture, X Ray/CT | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200036 | SL033 | Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma | Y | SL033D | Closed reduction and Intermaxillary fixation for fracture of mandible | 9200 | No | 0.00 | No | No | No | No | No | Yes | MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture, X Ray/CT | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200036 | SL034 | Open reduction and internal fixation of maxilla / mandible / zygoma | Y | SL034A | Open reduction and internal fixation of maxilla | 18000 | Yes | 1.00 | Yes | No | No | No | No | Yes | MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture, X Ray/CT | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200036 | SL034 | Open reduction and internal fixation of maxilla / mandible / zygoma | Y | SL034B | Open reduction and internal fixation of mandible | 18000 | Yes | 1.00 | Yes | No | No | No | No | Yes | MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture, X Ray/CT | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | S200036 | SL034 | Open reduction and internal fixation of maxilla / mandible / zygoma | Y | SL034C | Open reduction and internal fixation of zygoma | 18000 | Yes | 1.00 | Yes | No | No | No | No | Yes | MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture, X Ray/CT | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL035 | Clinic based therapeutic interventions of ENT | Y | SL035A | Turbinate reduction | 1200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and EXAMINATION FINDINGS, nasoendoscopy findings | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL035 | Clinic based therapeutic interventions of ENT | Y | SL035B | Biopsy | 1200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and EXAMINATION FINDINGS, nasoendoscopy findings | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL035 | Clinic based therapeutic interventions of ENT | Y | SL035C | Intratympanic injections | 1200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and EXAMINATION FINDINGS, nasoendoscopy findings | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
ENT | SL | New Package | SL035 | Clinic based therapeutic interventions of ENT | Y | SL035D | Wide bore aspiration | 1200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and EXAMINATION FINDINGS, nasoendoscopy findings | Procedure / Operative Notes,Post Procedure Photograph of affected part, Histopathology report |
Oral & Maxillofacial Surgery | SM | New Package | SM001 | Extraction of impacted tooth under LA | N | SM001A | Extraction of impacted tooth under LA | 500 | No | 0.00 | No | No | No | No | No | No | Dental X-ray / OPG (Orthopantomogram) showing impacted tooth Clinical Photograph | Post procedure X-ray, extracted tooth, Detailed Procedure / Operative Notes, |
Oral & Maxillofacial Surgery | SM | S500076 | SM002 | Sequestrectomy | N | SM002A | Sequestrectomy | 1500 | No | 0.00 | No | No | No | No | No | Yes | OPG showing necrosed tissue | Post procedure clinical photograph; detailed discharge summary, Detailed Procedure / Operative Notes, HPE |
Oral & Maxillofacial Surgery | SM | S1600004 | SM003 | TM joint ankylosis of both jaws - under GA | N | SM003A | TM joint ankylosis of both jaws - under GA | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical Photograph, X-Ray of affected area, CT; | Post procedure clinical photograph with mouth open, X Ray, detailed discharge summary Detailed Procedure / Operative Notes |
Oral & Maxillofacial Surgery | SM | S1600001 | SM004 | Fixation of fracture of jaw | Y | SM004A | Closed reduction (1 jaw) using wires - under LA | 5000 | No | 0.00 | No | No | No | No | No | No | Circumstances that led to fracture, MLC copy with number, Clinical Photograph, X Ray Mandible, | Detailed Discharge Summary, detailed Procedure / Operative Notes, Post procedure X ray mandible showing wires used |
Oral & Maxillofacial Surgery | SM | S1600002 | SM004 | Fixation of fracture of jaw | Y | SM004B | Open reduction (1 jaw) and fixing of plates / wire – under GA | 12000 | No | 0.00 | No | No | No | No | No | No | Circumstances that led to fracture, MLC copy with number, Clinical Photograph, X Ray Mandible, | Detailed Discharge Summary, detailed Procedure / Operative Notes, Post procedure X ray mandible showing wires used |
Oral & Maxillofacial Surgery | SM | S1600007 | SM005 | Surgery for Cyst & tumour of Maxilla / Mandible | Y | SM005A | Enucleation / excision / marsupialization for cyst & tumour of Maxilla under LA | 2500 | No | 0.00 | No | No | No | No | No | No | OPG/ CT Scan confirming the diagnosis; Biopsy/FNAC if tumour, Clinical Photograph | detailed discharge summary, Detailed Procedure / Operative Notes, Histopath, Post procedure clinical photograph; HPE |
Oral & Maxillofacial Surgery | SM | S1600007 | SM005 | Surgery for Cyst & tumour of Maxilla / Mandible | Y | SM005B | Enucleation / excision / marsupialization for cyst & tumour of Mandible under LA | 2500 | No | 0.00 | No | No | No | No | No | No | OPG/ CT Scan confirming the diagnosis; Biopsy/FNAC if tumour, Clinical Photograph | detailed discharge summary, Detailed Procedure / Operative Notes, Histopath, Post procedure clinical photograph; HPE |
Oral & Maxillofacial Surgery | SM | S1600008 | SM006 | Mandible Tumour Resection and reconstruction / Cancer surgery | N | SM006A | Mandible Tumour Resection and reconstruction / Cancer surgery | 6000 | No | 0.00 | No | No | No | No | No | No | OPG/ CT Scan confirming the diagnosis; Biopsy/FNAC if tumour, Clinical Photograph | detailed discharge summary, Detailed Procedure / Operative Notes, Histopath, Post procedure clinical photograph; HPE |
Oral & Maxillofacial Surgery | SM | S1600005 | SM007 | Release of fibrous bands & grafting - in (OSMF) treatment under GA | N | SM007A | Release of fibrous bands & grafting - in (OSMF) treatment under GA | 3000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Oral Biopsy confirming the diagnosis, Clinical Photograph | Detailed Procedure / Operative Notes detailing grafting, detailed discharge summary, Post procedure clinical photograph |
Neurosurgery | SN | S800047 | SN001 | Depressed Fracture | N | SN001A | Depressed Fracture | 40000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT confirming diagnosis | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800007 | SN002 | CranioPlasty | Y | SN002A | CranioPlasty with Endogenous graft | 20000 | No | 0.00 | No | No | No | No | No | No | CT/MRI | Post procedure Imaging wih film (CT/Xray), Post procedure Clinical photgraph , Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800008 | SN002 | CranioPlasty | Y | SN002B | CranioPlasty with Exogenous graft | 20000 | No | 0.00 | Yes | No | No | No | No | No | CT/MRI | Post procedure Imaging wih film (CT/Xray), Post procedure Clinical photgraph , Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800051 | SN003 | Twist Drill Craniostomy | N | SN003A | Twist Drill Craniostomy | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT | Post procedure Imaging with film (CT/MRI), Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. Discharge summary |
Neurosurgery | SN | S800009 | SN004 | Craniostenosis | N | SN004A | Craniostenosis | 28000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/ MRI establishing need of surgery | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing Post procedure Clinical photgraph showing scar; detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800019 | SN005 | Meningocele | Y | SN005A | Anterior | 36000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI establishing need of surgery | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800020 | SN005 | Meningocele | Y | SN005B | Lumbar | 36000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI establishing need of surgery | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes. |
Neurosurgery | SN | New Package | SN005 | Meningocele | Y | SN005C | Occipital | 50000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI establishing need of surgery | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800042 | SN006 | Surgery for tumour meninges | Y | SN006A | Gocussa | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT supporting surgery | Histopathology, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar , Detailed Procedure / Operative Notes. Detailed discharge summary |
Neurosurgery | SN | S800043 | SN006 | Surgery for tumour meninges | Y | SN006B | Posterior | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT supporting surgery | Histopathology, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar , Detailed Procedure / Operative Notes. Detailed discharge summary |
Neurosurgery | SN | S800011 | SN007 | Duroplasty | Y | SN007A | Duroplasty with Endogenous graft | 12500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/ MRI establishing need of surgery | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing Post procedure Clinical photgraph showing scar; detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800010 | SN007 | Duroplasty | Y | SN007B | Duroplasty with Exogenous graft | 12500 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and CT/ MRI establishing need of surgery | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing Post procedure Clinical photgraph showing scar; detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800002 | SN008 | Burr hole surgery | Y | SN008A | Burr hole | 7000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI establishing need of surgery | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar , Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800003 | SN008 | Burr hole surgery | Y | SN008B | Burr hole surgery with chronic Sub Dural Haematoma | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI establishing need of surgery | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar , Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800012 | SN009 | Surgery for Haematoma - Intracranial | Y | SN009A | Head injuries | 55000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Neurosurgery | SN | S800013 | SN009 | Surgery for Haematoma - Intracranial | Y | SN009B | Hypertensive | 50000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Neurosurgery | SN | S800014 | SN009 | Surgery for Haematoma - Intracranial | Y | SN009C | Child - subdural | 50000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Neurosurgery | SN | S800059 | SN010 | Excision of Brain Abscess | N | SN010A | Excision of Brain Abscess | 36000 | No | 0.00 | No | No | No | No | No | No | 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 |
Neurosurgery | SN | S800058 | SN011 | Abscess Tapping | N | SN011A | Abscess Tapping | 20000 | Yes | 1.00 | No | No | No | No | No | Yes | 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 |
Neurosurgery | SN | S800078 | SN012 | Epilepsy Surgery | N | SN012A | Epilepsy Surgery | 50000 | No | 0.00 | No | No | No | No | No | No | 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. |
Neurosurgery | SN | S800045 | SN013 | Brain Biopsy | N | SN013A | Brain Biopsy | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI, suspected differential diagnosis | Histopathology, Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800082 | SN014 | Excision of Orbital Tumour | N | SN014A | Excision of Orbital Tumour | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/ MRI report | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. HPE report |
Neurosurgery | SN | S800052 | SN015 | Excision of Brain Tumor Supratentorial | Y | SN015A | Parasagital | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI | Histopathology, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800053 | SN015 | Excision of Brain Tumor Supratentorial | Y | SN015B | Basal | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI | Histopathology, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800054 | SN015 | Excision of Brain Tumor Supratentorial | Y | SN015C | Brainstem | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI | Histopathology, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800055 | SN015 | Excision of Brain Tumor Supratentorial | Y | SN015D | C P Angle | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI | Histopathology, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800056 | SN015 | Excision of Brain Tumor Supratentorial | Y | SN015E | Supratentorial & others | 55000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI | Histopathology, Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800065 | SN016 | Stereotactic Lesioning | N | SN016A | Stereotactic Lesioning | 60000 | No | 0.00 | No | No | No | No | No | No | Clinical notes from neuorlogist/ psychiatriat / MRI | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. Detailed discharge summary |
Neurosurgery | SN | S800040 | SN017 | Trans Sphenoidal Surgery | N | SN017A | Trans Sphenoidal Surgery | 50000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Histopathology, Post procedure Imaging with film (MRI), Detailed Procedure / Operative Notes. Detailed discharge summary. |
Neurosurgery | SN | S800071 | SN018 | Trans oral Surgery | N | SN018A | Trans oral Surgery | 40000 | No | 0.00 | No | No | No | No | No | Yes | X ray and MRI Spine | Post procedure Imaging with film (X-ray), Detailed discharge summary, Detailed Procedure / Operative Notes. HPE report |
Neurosurgery | SN | S800070 | SN019 | Transoral surgery (Anterior) and CV Junction (Posterior Sterilisation) | N | SN019A | Transoral surgery (Anterior) and CV Junction (Posterior Sterilisation) | 55000 | No | 0.00 | Yes | No | No | No | No | No | X ray and MRI Spine | Post procedure Imaging with film (X-ray), Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800062 | SN020 | External Ventricular Drainage (EVD) including antibiotics |
N | SN020A | External Ventricular Drainage (EVD) including antibiotics |
30000 | No | 0.00 | No | No | No | No | No | No | Clinical noteand CT | 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. |
Neurosurgery | SN | S800044 | SN021 | Ventricular Puncture | N | SN021A | Ventricular Puncture | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT justifying procedure | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800025 | SN022 | Shunt Surgery | Y | SN022A | Ventriculo - peritoneal | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI | Detailed discharge summary, Detailed Procedure / Operative Notes.Clinical Photograph |
Neurosurgery | SN | New Package | SN022 | Shunt Surgery | Y | SN022B | Ventriculo - pleural | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI | Detailed discharge summary, Detailed Procedure / Operative Notes.Clinical Photograph |
Neurosurgery | SN | S800025 | SN022 | Shunt Surgery | Y | SN022C | Ventriculo - atrial | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI | Detailed discharge summary, Detailed Procedure / Operative Notes.Clinical Photograph |
Neurosurgery | SN | S800025 | SN022 | Shunt Surgery | Y | SN022D | Theco - peritoneal | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI | Detailed discharge summary, Detailed Procedure / Operative Notes.Clinical Photograph |
Neurosurgery | SN | S800060 | SN023 | Aneurysm Clipping including angiogram | N | SN023A | Aneurysm Clipping including angiogram | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and CT-angio/MRA/DSA | Post procedure Imaging with film (CT) showing clips, Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes., invoice of all the clip(s) used |
Neurosurgery | SN | S800081 | SN024 | Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure | N | SN024A | Superficial Temporal Artery (STA): middle cerebral artery (MCA) or (other EC - IC) Bypass procedure | 60000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and MRA/ DSA report | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | New Package | SN025 | Arterio venous malformation (AVM) excision | Y | SN025A | Intracranial | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and MRA/ DSA report | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | New Package | SN025 | Arterio venous malformation (AVM) excision | Y | SN025B | Intraspinal | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and MRA/ DSA report | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800080 | SN025 | Arterio venous malformation (AVM) excision | Y | SN025C | Scalp | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and MRA/ DSA report | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800072 | SN026 | Foramen Magnum Decompression | N | SN026A | Foramen Magnum Decompression | 45000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI | Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800026 | SN027 | Skull Traction | N | SN027A | Skull Traction | 8000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Indication for skull traction supporting radiological evdience (CT/MRI). | Clinical photgraph with traction applied, Detailed Procedure / Operative Notes detailing weights applied; Detailed discharge summary . |
Neurosurgery | SN | S800066 | SN028 | Posterior Cervical Discetomy without implant | N | SN028A | Posterior Cervical Discetomy without implant | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI | Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800067 | SN029 | Posterior Cervical Fusion with implant (Lateral mass fixation) |
N | SN029A | Posterior Cervical Fusion with implant (Lateral mass fixation) |
50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and MRI | Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. Cervical spine X-ray showing implant |
Neurosurgery | SN | S800068 | SN030 | Cervical Disc Multiple level without Fusion | N | SN030A | Cervical Disc Multiple level without Fusion | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and MRI | Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. Cervical spine X-ray |
Neurosurgery | SN | S800006 | SN031 | Excision of Cervical Ribs | N | SN031A | Excision of Cervical Ribs | 20000 | Yes | 1.00 | No | No | No | No | No | Yes | X-Ray chest/CT/MRI confirming Diagnosis. | Post procedure Imaging with film (X Ray) Detailed Procedure / Operative Notes. Post procedure scar photo, Detailed discharge summary |
Neurosurgery | SN | New Package | SN032 | Thoracic / Lumbar Corpectomy with fusion | Y | SN032A | Thoracic Corpectomy with fusion | 60000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and MRI | Post procedure Imaging with film (X ray) showing the implants, Post procedure Clinical photgraph showing scar, Detailed discharge summary , Detailed Procedure / Operative Notes |
Neurosurgery | SN | S800069 | SN032 | Thoracic / Lumbar Corpectomy with fusion | Y | SN032B | Lumbar Corpectomy with fusion | 60000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and MRI | Post procedure Imaging with film (X ray) showing the implants, Post procedure Clinical photgraph showing scar, Detailed discharge summary , Detailed Procedure / Operative Notes |
Neurosurgery | SN | New Package | SN033 | Lumbar Discectomy | N | SN033A | Lumbar Discectomy | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI establishing need of surgery | Post op MRI, Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800016 | SN034 | Laminectomy | Y | SN034A | Laminectomy with Fusion | 40000 | No | 0.00 | No | No | No | No | No | Yes | 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. |
Neurosurgery | SN | S800015 | SN034 | Laminectomy | Y | SN034B | Laminectomy with Fusion and fixation | 40000 | No | 0.00 | Yes | No | No | No | No | Yes | 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. |
Neurosurgery | SN | S800017 | SN035 | Neurectomy | Y | SN035A | Neurectomy | 16000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes justifying the surgery, | Post procedure Clinical photgraph showing scar, detailed discharge summary Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800049 | SN035 | Neurectomy | Y | SN035B | Neurectomy - Trigeminal | 16500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes justifying the surgery, | Post procedure Clinical photgraph showing scar, detailed discharge summary Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800022 | SN036 | Micro discectomy | Y | SN036A | Cervical | 40000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI | Intra procedure still photograph Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800023 | SN036 | Micro discectomy | Y | SN036B | Lumbar | 40000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI | Intra procedure still photograph Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | New Package | SN037 | Surgery for Spinal Canal Stenosis | N | SN037A | Surgery for Spinal Canal Stenosis | 40000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Post op X-ray with film; Detailed discharge summary; Detailed Procedure / Operative Notes; |
Neurosurgery | SN | S800028 | SN038 | Spine - Decompression & Fusion | Y | SN038A | Spine - Decompression & Fusion | 40000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Post op X-ray with film showing fusion; Detailed discharge summary; Detailed Procedure / Operative Notes; |
Neurosurgery | SN | S800029 | SN038 | Spine - Decompression & Fusion | Y | SN038B | Spine - Decompression & Fusion with fixation | 40000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Post op X-ray with film showing fusion; Detailed discharge summary; Detailed Procedure / Operative Notes; |
Neurosurgery | SN | S800032 | SN039 | Spine - Extradural Haematoma | Y | SN039A | Spine - Extradural Haematoma | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes |
Neurosurgery | SN | S800033 | SN039 | Spine - Extradural Haematoma | Y | SN039B | Spine - Extradural Haematoma with fixation | 30000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes |
Neurosurgery | SN | S800036 | SN040 | Spine - Intradural Haematoma | Y | SN040A | Spine - Intradural Haematoma | 40000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes |
Neurosurgery | SN | S800037 | SN040 | Spine - Intradural Haematoma | Y | SN040B | Spine - Intradural Haematoma with fixation | 40000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes |
Neurosurgery | SN | S800030 | SN041 | Spine - Extradural Tumour | Y | SN041A | Spine - Extradural Tumour | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Histopathology/ Biopsy report, Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800031 | SN041 | Spine - Extradural Tumour | Y | SN041B | Spine - Extradural Tumour with fixation | 30000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Histopathology/ Biopsy report, Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800034 | SN042 | Spine - Intradural Tumour | Y | SN042A | Spine - Intradural Tumour | 40000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Biopsy & HPE report; Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes |
Neurosurgery | SN | S800035 | SN042 | Spine - Intradural Tumour | Y | SN042B | Spine - Intradural Tumour with fixation | 40000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Biopsy & HPE report; Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes |
Neurosurgery | SN | S800038 | SN043 | Spine - Intramedullar Tumour | Y | SN043A | Spine - Intramedullar Tumour | 50000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Histopathology, Post procedure Imaging with film (X-ray/ CT), Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. Detailed discharge summary |
Neurosurgery | SN | S800039 | SN043 | Spine - Intramedullar Tumour | Y | SN043B | Spine - Intramedullar Tumour with fixation | 50000 | No | 0.00 | Yes | No | No | No | No | Yes | Clinical notes and MRI supporting surgery | Histopathology, Post procedure Imaging with film (X-ray/ CT), Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. Detailed discharge summary |
Neurosurgery | SN | S800050 | SN044 | R. F. Lesioning for Trigeminal Neuralgia | N | SN044A | R. F. Lesioning for Trigeminal Neuralgia | 16500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CT | Intra procedure clinical CD/ series of still photographs; Detailed Procedure / Operative Notes, detailed discharge summary; invoice of RF probe |
Neurosurgery | SN | S800024 | SN045 | Brachial Plexus – Repair | N | SN045A | Brachial Plexus – Repair | 27000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI report | Detailed discharge summary, Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800004 | SN046 | Carpal Tunnel Release | N | SN046A | Carpal Tunnel Release | 10000 | No | 0.00 | No | No | No | No | No | Yes | Clinical history, MRI, NCV | Post procedure Clinical photgraph showing scar, Detailed discharge summary , Detailed Procedure / Operative Notes & MRI Report |
Neurosurgery | SN | S800075 | SN047 | Nerve Decompression | N | SN047A | Nerve Decompression | 16000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and NCV | Detailed discharge summary, Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800046 | SN048 | Cranial Nerve Anastomosis | N | SN048A | Cranial Nerve Anastomosis | 32000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and MRI justifying surgery | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800077 | SN049 | Peripheral Nerve Surgery | Y | SN049A | Minor | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Nerve Conduction Velocity (NCV) and Electromyography (EMG) reports | Detailed discharge summary, Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800076 | SN049 | Peripheral Nerve Surgery | Y | SN049B | Major | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Nerve Conduction Velocity (NCV) and Electromyography (EMG) reports | Detailed discharge summary, Post procedure Clinical photgraph showing scar, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800048 | SN050 | Nerve Biopsy excluding Hensens | N | SN050A | Nerve Biopsy excluding Hensens | 7000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Reports of previous investigations and treatment taken ruling out Hensen's, differentials suspected, need for Nerve Biopsy | HPE Report of Nerve Biopsy: Detailed Proedure notes; detailed discharge summary |
Neurosurgery | SN | S800074 | SN051 | Muscle Biopsy with report | N | SN051A | Muscle Biopsy with report | 7000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Electromyography (EMG) reports | Histopathology, Post procedure Clinical photgraph showing scar Detailed discharge summary,, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800001 | SN052 | Anterior Encephalocele | N | SN052A | Anterior Encephalocele | 50000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI as Evidence | Post procedure Imaging with film (CT), Post procedure Clinical photgraph showing scar, Detailed discharge summary Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800064 | SN053 | Spina Bifida Surgery | N | SN053A | Spina Bifida Surgery | 36000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT | Post procedure Clinical photgraph showing scar, Detailed discharge summary, Detailed Procedure / Operative Notes. |
Neurosurgery | SN | S800083 | SN054 | Gamma Knife radiosurgery (GKRS) / SRS for tumours / Arteriovenous malformation (AVM) | N | SN054A | Gamma Knife radiosurgery (GKRS) / SRS for tumours / Arteriovenous malformation (AVM) | 75000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/ MRI report; Is the EHCP equipped with Gamma Knife? | Intra procedure clinical photograph, treating doctor's consultation paper showing planning for RT treatment and the RT chart, detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO001 | Lap. Salpingo-oophrectomy | N | SO001A | Lap. Salpingo-oophrectomy | 14000 | No | 0.00 | No | No | No | No | No | No | Clinical notes establishing indication, USG Abdomen Pelvis/ CT/ MRI abdomen Pelvis | Detailed Operative notes,HPE Pic of specimen. Intraop stills with date & patient ID, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400008 | SO002 | Laparotomy and proceed for Ovarian Cancers. Omentomy with Bilateral Salpingo-oophorectomy | N | SO002A | Laparotomy and proceed for Ovarian Cancers. Omentomy with Bilateral Salpingo-oophorectomy | 38000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG Abdomen + Pelvis/ CT abdomen+ Pelvis establishing indication | Histopathology, Detailed Operative notes, per op pic of specimen removed, Detailed Discharge Summary. |
Obstetrics & Gynecology | SO | S400028 | SO003 | Laparoscopic tubal surgeries (for any indication including ectopic pregnancy) |
N | SO003A | Laparoscopic tubal surgeries (for any indication including ectopic pregnancy) |
13900 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes establishing indication for the procedure, USG uterus & adnexa, Beta HCG | Detailed Operative notes, HPE if ectopic pregnancy or salpingectomy for any other indication, Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO004 | Procedure on Fallopian Tube for establishing Tubal Patency | N | SO004A | Procedure on Fallopian Tube for establishing Tubal Patency | 11600 | No | 0.00 | No | No | No | No | No | No | Indication of the procedure preferably with record of previous sterilization/ reason for non-availability | Detailed discharge summary; Detailed Operative notes. Intra procedure clinical photograph |
Obstetrics & Gynecology | SO | S400051 | SO005 | Laparotomy for broad ligament haematoma | N | SO005A | Laparotomy for broad ligament haematoma | 16000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with physical examination findings supported by evidence of hematoma (USG) | Detailed discharge summary; Detailed Operative notes. Intra procedure clinical photograph |
Obstetrics & Gynecology | SO | S400002 | SO006 | Abdominal Myomectomy | N | SO006A | Abdominal Myomectomy | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes establishing indication, USG Abdomen Pelvis/ MRI abdomen. Pap smear | Detailed Operative notes,HPE, Pic of specimen removed- Gross and Histopathology, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400030 | SO007 | Hysteroscopic myomectomies | N | SO007A | Hysteroscopic myomectomies | 9900 | No | 0.00 | No | No | No | No | No | No | physical examination findings with indications for the procedure. USG pelvis / MRI Pelvis | Detailed Operative notes, HPE, Intraop stills with date & patient ID, Detailed discharge summary |
Obstetrics & Gynecology | SO | S200001 | SO008 | Polypectomy | N | SO008A | Polypectomy | 1500 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment (including System Examination) and Relavant Investigations (USG Abdomen + Pelvis/ CT abdomen+ Pelvis), | Procedure / Operative Notes, Intraop. Stills,Pic of specimen, Histopathology report, Detailed Discharge Summary |
Obstetrics & Gynecology | SO | S400032 | SO009 | Hysteroscopic polypectomy | N | SO009A | Hysteroscopic polypectomy | 7200 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis),USG showing polyp | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE,Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | New Package | SO010 | Hysterectomy | Y | SO010A | Abdominal Hysterectomy | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment (including System Examination) and Relavant Investigations (USG Abdomen + Pelvis/ CT abdomen+ Pelvis) confirming the indication | Histopathology, Detailed Discharge Summary with Procedure / Operative Notes |
Obstetrics & Gynecology | SO | S400001 | SO010 | Hysterectomy | Y | SO010B | Abdominal Hysterectomy + Salpingo-oophorectomy | 20000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Clinical 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 Abdomen + Pelvis/ CT/ MRI abdomen+ Pelvis confirming the indication, Pap smear, EB/EAC | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE,Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | S400009 | SO010 | Hysterectomy | Y | SO010C | Non descent vaginal hysterectomy | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical 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), USG Abdomen + Pelvis, Pap smear, EB/EAC | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE, Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | S400010 | SO010 | Hysterectomy | Y | SO010D | Vaginal hysterectomy with anterior and posterior colpoperineorrhaphy | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment (clearly indicating medical management 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 ) | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE, Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | S400023 | SO010 | Hysterectomy | Y | SO010E | Laparoscopic hysterectomy (TLH) | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment and USG Abdomen + Pelvis/ CT abdomen+ Pelvis confirming the indication | Histopathology, Detailed Discharge Summary with Detailed operative notes |
Obstetrics & Gynecology | SO | New Package | SO010 | Hysterectomy | Y | SO010F | Laparoscopically assisted vaginal hysterectomy (LAVH) | 20000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination(clearly indicating medical management 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 smear, EB/EAC | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE, Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | S400035 | SO011 | Caesarean hysterectomy | N | SO011A | Caesarean hysterectomy | 20000 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and examination (clearly indicating medical management 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. Per op clinical pic is optional | Detailed Procedure / Operative Notes. Histopath of uterus removed, per op pic of specimen removed; status of the child at the time of delivery and at the time of discharge; progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO012 | Manchester Repair | N | SO012A | Manchester Repair | 15000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400003 | SO013 | Surgeries for Prolapse - Sling Surgeries | N | SO013A | Surgeries for Prolapse - Sling Surgeries | 28900 | No | 0.00 | Yes | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) ; Photographic documentation of degree/severity of prolapse with patient’s consent,Pap smear. | Detailed Procedure / Operative Notes, Intraop. stills ,Barcode of sling used; progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO014 | Hysterotomy | N | SO014A | Hysterotomy | 5000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), USG - Obstetric confirming the above package. Has medicolegal compliance been done? | Detailed Procedure / Operative Notes, Intraop. stills with date & patient ID, HPE of specimen,Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO015 | Lap. Surgery for Endometriosis (Other than Hysterectomy) |
N | SO015A | Lap. Surgery for Endometriosis (Other than Hysterectomy) |
11200 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination, Relavant Investigations (establishing diagnosis) USG/ CT/ MRI/ laparoscopy findings | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE, Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | New Package | SO016 | Diagnostic hysteroscopy | Y | SO016A | With biopsy | 6000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis),USG uterus & adnexa | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE of biopsy specimen,Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO016 | Diagnostic hysteroscopy | Y | SO016B | Without biopsy | 6000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis),USG uterus & adnexa | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE of biopsy specimen,Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400033 | SO017 | Hysteroscopic IUCD removal | N | SO017A | Hysteroscopic IUCD removal | 4700 | No | 0.00 | No | No | Yes | No | No | No | Clinical notes with details of IUCD insertion (reason for non availability of details), indication for removing IUCD, USG showing misplaced IUD | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE,Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | S400068 | SO018 | D&C (Dilatation&curretage) | N | SO018A | D&C (Dilatation&curretage) | 3000 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), (USG Abdomen + Pelvis)- optional | Detailed Procedure / Operative Notes, Intraop. Stills, Histopathology of curetted material, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400017 | SO019 | Dilation and Evacuation (D&E) | N | SO019A | Dilation and Evacuation (D&E) | 5000 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis),USG abdomen and pelvis) | Detailed Procedure / Operative Notes, Intraop. Stills,Histopathology of evacuated material, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO020 | Pyometra drainage | N | SO020A | Pyometra drainage | 5000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400079 | SO021 | Intrauterine transfusions | N | SO021A | Intrauterine transfusions | 11000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400031 | SO022 | Hysteroscopic adhesiolysis | N | SO022A | Hysteroscopic adhesiolysis | 6900 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis),USG Abdomen Pelvis / CT/MRI Abdomen Pelvis | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE,Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | S400027 | SO023 | Laparoscopic adhesiolysis | N | SO023A | Laparoscopic adhesiolysis | 6000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination, Relavant Investigations (establishing diagnosis), USG Abdomen/ Pelvis (CT abdomen- Optional) | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE, Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | S400052 | SO024 | Trans - vaginal tape / Trans-obturator tape | Y | SO024A | Trans-vaginal tape | 15200 | No | 0.00 | Yes | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) | Detailed Procedure / Operative Notes, Barcode of TVT/TOT tape used; progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | S400052 | SO024 | Trans - vaginal tape / Trans-obturator tape | Y | SO024B | Trans-obturator tape | 15200 | No | 0.00 | Yes | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) | Detailed Procedure / Operative Notes, Barcode of TVT/TOT tape used; progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | S400012 | SO025 | Sacrocolpopexy (Abdominal) | Y | SO025A | Open | 23900 | No | 0.00 | Yes | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) , Photographic documentation with patient’s consent. | Detailed Procedure / Operative Notes, Intraop. stills with date & patient ID, Barcode of mesh used; progress notes,Detailed discharge summary summary |
Obstetrics & Gynecology | SO | S400012 | SO025 | Sacrocolpopexy (Abdominal) | Y | SO025B | Lap. | 23900 | No | 0.00 | Yes | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) , Photographic documentation with patient’s consent. | Detailed Procedure / Operative Notes, Intraop. stills with date & patient ID, Barcode of mesh used; progress notes,Detailed discharge summary summary |
Obstetrics & Gynecology | SO | S400015 | SO026 | LLETZ (including PAP smear and colposcopy) | N | SO026A | LLETZ (including PAP smear and colposcopy) | 9900 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) , Evidence of cervical pre-cancer (PAP smear) Colposcopiy. Cervical Biopsy is optional | Detailed Procedure / Operative Notes, Intraop. stills with date & patient ID, HPE of specimen,Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO027 | Vaginal Sacrospinus fixation with repair | N | SO027A | Vaginal Sacrospinus fixation with repair | 15000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400074 | SO028 | Excision of Vaginal Septum (vaginal route) | N | SO028A | Excision of Vaginal Septum (vaginal route) | 14500 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), need of procedure (USG Abdomen + Pelvis) | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400075 | SO029 | Hymenectomy for imperforate hymen | N | SO029A | Hymenectomy for imperforate hymen | 3000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure and need of procedure | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO030 | Anterior & Posterior Colpoperineorrhapy | N | SO030A | Anterior & Posterior Colpoperineorrhapy | 8000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), clinical pic if feasible | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400014 | SO031 | Vaginoplasty (McIndoe procedure) | N | SO031A | Vaginoplasty (McIndoe procedure) | 11000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), need of procedure (USG Abdomen + Pelvis) | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400011 | SO032 | Vaginal repair for vesico-vaginal fistula | N | SO032A | Vaginal repair for vesico-vaginal fistula | 34000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) and Cystoscopy/ Cystourethroscopy. Voiding Cystourethrogram is optional. | Detailed Procedure / Operative Notes, Intraop. stills with date & patient ID, Progress notes,detailed discharge summary.detailed discharge summary. |
Obstetrics & Gynecology | SO | S400013 | SO033 | Rectovaginal fistula repair | N | SO033A | Rectovaginal fistula repair | 24000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) | Detailed Procedure / Operative Notes, Intraop. stills with date & patient ID, Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | New Package | SO034 | Vulval Hamatoma drainage | N | SO034A | Vulval Hamatoma drainage | 3000 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400020 | SO035 | Vulvectomy simple | N | SO035A | Vulvectomy simple | 15000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) with Evidence (biopsy). Clinical pic if patient permits | Detailed Procedure / Operative Notes, Intra procedure clinical photograph/ stills, histopathology; progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | S1500044 | SO036 | Radical Vulvectomy with Inguinal and Pelvic lymph node disection | N | SO036A | Radical Vulvectomy with Inguinal and Pelvic lymph node disection | 38500 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis),vulval biopsy, CT/MRI for staging | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE, Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | New Package | SO037 | Abdomino Perineal repair for Mullerian Anomaly | N | SO037A | Abdomino Perineal repair for Mullerian Anomaly | 20000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), (USG/ CT/ MRI) | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S100105 | SO038 | Pelvic Abscess Management including Colpotomy | N | SO038A | Pelvic Abscess Management including Colpotomy | 1200 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) , USG Abdomen & Pelvis | Detailed Procedure / Operative Notes, Intra procedure clinical photograph/ stills; progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO039 | Diagnostic / Staging laparoscopy | N | SO039A | Diagnostic / Staging laparoscopy | 9700 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination, Relavant Investigations (establishing diagnosis) |
Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE, Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | New Package | SO040 | Laparotomy for benign disorders | Y | SO040A | Ectopic | 14000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Clinical notes establishing ruptured ectopic with Evidence of beta hCG & USG | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE,detailed discharge summary. |
Obstetrics & Gynecology | SO | New Package | SO040 | Laparotomy for benign disorders | Y | SO040B | PID | 14000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Clinical notes establishing ruptured ectopic with Evidence of beta hCG & USG | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE,detailed discharge summary. |
Obstetrics & Gynecology | SO | S400025 | SO041 | Laparoscopic cystectomy | N | SO041A | Laparoscopic cystectomy | 15000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination, Relavant Investigations (establishing diagnosis), USG Abdomen Pelvis/ CT abdomen. | Detailed Procedure / Operative Notes together with indication of surgery, Intraop. stills with date & patient ID, pic off gross specimen removed , HPE, Progress notes,detailed discharge summary. |
Obstetrics & Gynecology | SO | S400065 | SO042 | Cystocele - Anterior repair | N | SO042A | Cystocele - Anterior repair | 6000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with findings establishing Cystocoele . Clinical pic if feasible | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400004 | SO043 | Burch | Y | SO043A | Abdominal | 30000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) ; Urodynamic studies are optional. | Detailed Procedure / Operative Notes; Intraop. stills ,progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | S400004 | SO043 | Burch | Y | SO043B | Laparoscopic | 30000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) ; Urodynamic studies are optional. | Detailed Procedure / Operative Notes; Intraop. stills ,progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | S400070 | SO044 | Electro Cauterisation / Cryo Surgery | N | SO044A | Electro Cauterisation / Cryo Surgery | 4000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), pap smear- optional | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO045 | EUA for (minor girls / unmarried sexually inactive / victims of sexual abuse) | N | SO045A | EUA for (minor girls / unmarried sexually inactive / victims of sexual abuse) | 2000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), and parental consent (incase of minor girls) | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO046 | Hospitalisation for Antenatal Complications | N | SO046A | Hospitalisation for Antenatal Complications | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400076 | SO047 | Amniocentesis | N | SO047A | Amniocentesis | 14500 | No | 0.00 | No | No | No | No | No | No | Consulting notes giving the indication for amniocentesis; does the hospital have fetal medicine expert? | Detailed Procedure / Operative Notes, Intraop. Stills, ; Amniotic fluid analysis report; Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400077 | SO048 | Chorionic villus sampling | N | SO048A | Chorionic villus sampling | 14500 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), | Procedure / Operative Notes with report of chorionic villi sampling; Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400078 | SO049 | Cordocentesis | N | SO049A | Cordocentesis | 14500 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), | Detailed Procedure / Operative Notes, Intraop. Stills, report of cordocentesis; Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400048 | SO050 | McDonald's stitch | N | SO050A | McDonald's stitch | 4000 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and ANC findings justifying cervical incompetence and the procedure. | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400049 | SO051 | Shirodkar's stitch | N | SO051A | Shirodkar's stitch | 4000 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and ANC findings justifying cervical incomptenecs and the procedure. | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO052 | Medical management of ectopic pregnancy | N | SO052A | Medical management of ectopic pregnancy | 1800 | Yes | 1.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400047 | SO053 | Medical Termination of Pregnancy | Y | SO053A | MTP upto 8 weeks | 3500 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), USG - Obstetric confirming the above package. Has medicolegal compliance been done? | Detailed Procedure / Operative Notes, Intraop. stills , HPE of specimen,Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400046 | SO053 | Medical Termination of Pregnancy | Y | SO053B | MTP 8 to 12 weeks | 5000 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), USG - Obstetric confirming the above package. Has medicolegal compliance been done? | Detailed Procedure / Operative Notes, Intraop. stills , HPE of specimen,Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400045 | SO053 | Medical Termination of Pregnancy | Y | SO053C | MTP > 12 weeks | 6500 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis), USG - Obstetric confirming the above package. Has medicolegal compliance been done? | Detailed Procedure / Operative Notes, Intraop. stills , HPE of specimen,Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400036 | SO054 | High risk delivery | Y | SO054A | Pre-mature delivery | 11500 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and detailed Ante natal care records/ reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required. | Detailed delivery notes, PNC notes along with relevant investigation details; status of the child at the time of delivery and at the time of discharge; progress notes, Detailed discharge summary. |
Obstetrics & Gynecology | SO | S400038 | SO054 | High risk delivery | Y | SO054B | Mothers with eclampsia / imminent eclampsia / severe pre-eclampsia | 11500 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and detailed Ante natal care records/ reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required. | Detailed delivery notes, PNC notes along with relevant investigation details; status of the child at the time of delivery and at the time of discharge; progress notes, Detailed discharge summary. |
Obstetrics & Gynecology | SO | S400040 | SO054 | High risk delivery | Y | SO054C | Major Fetal malformation requiring intervention immediately after birth | 11500 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and detailed Ante natal care records/ reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required. | Detailed delivery notes, PNC notes along with relevant investigation details; status of the child at the time of delivery and at the time of discharge; progress notes, Detailed discharge summary. |
Obstetrics & Gynecology | SO | S400041 | SO054 | High risk delivery | Y | SO054D | Mothers with severe anaemia (<7 g/dL) | 11500 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and detailed Ante natal care records/ reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required. | Detailed delivery notes, PNC notes along with relevant investigation details; status of the child at the time of delivery and at the time of discharge; progress notes, Detailed discharge summary. |
Obstetrics & Gynecology | SO | S400042 | SO054 | High risk delivery | Y | SO054E | Other maternal and fetal conditions as per guidelines-eg previous caesarean section, diabetes, severe growth retardation, etc that qualify for high risk delivery. | 11500 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and detailed Ante natal care records with special reference to investigations supporting the diagnosis/ reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required. | Detailed delivery notes, PNC notes along with relevant investigation details; status of the child at the time of delivery and at the time of discharge; progress notes, Detailed discharge summary. |
Obstetrics & Gynecology | SO | S400043 | SO055 | Manual removal of placenta | N | SO055A | Manual removal of placenta | 8500 | No | 0.00 | No | No | No | No | Yes | Yes | Clinical notes documenting need of manual removal of placenta/ use of Active Management of Third Stage of Labor (AMTSL) | Detailed Procedure / Operative Notes,stills of placenta, progress note Detailed discharge summary; Post natal course |
Obstetrics & Gynecology | SO | S400073 | SO056 | Secondary suturing of episiotomy | N | SO056A | Secondary suturing of episiotomy | 2500 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history detailing when was first surgery done? and examination with indications for the procedure, Physical examination findings with indications for the procedure. | Detailed Procedure / Operative Notes, Intraop. Stills, Progress notes, Detailed discharge summary |
Obstetrics & Gynecology | SO | S400034 | SO057 | Caesarean Delivery | N | SO057A | Caesarean Delivery | 11500 | No | 0.00 | No | No | No | No | No | Yes | Admission Notes comprising of history and examination with detailed 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. | Detailed Procedure / Operative Notes, status of the child at the time of delivery and at the time of discharge; progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO058 | Re exploration after laparotomy / Caesarean Section | Y | SO058A | Re exploration after Caesarean Section | 14000 | No | 0.00 | No | No | No | No | Yes | Yes | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) , USG | Detailed Procedure / Operative Notes, Intra procedure clinical photograph/ stills; progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | New Package | SO058 | Re exploration after laparotomy / Caesarean Section | Y | SO058B | Re exploration after laparotomy | 14000 | No | 0.00 | No | No | No | No | Yes | Yes | Admission Notes comprising of history and examination with indications for the procedure,Relavant Investigations (establishing diagnosis) , USG | Detailed Procedure / Operative Notes, Intra procedure clinical photograph/ stills; progress notes,Detailed discharge summary |
Obstetrics & Gynecology | SO | S400063 | SO059 | Vulvo vaginal cyst enucleation / drainage | Y | SO059A | Vulvo vaginal cyst enucleation | 4700 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis) | Detailed operative notes, discharge summary, histopathology report of tissue removed |
Obstetrics & Gynecology | SO | New Package | SO059 | Vulvo vaginal cyst enucleation / drainage | Y | SO059B | Vulvo vaginal cyst drainage | 4700 | No | 0.00 | No | No | No | No | No | No | Admission Notes comprising of history and examination with indications for the procedure, Relavant Investigations (establishing diagnosis) | Detailed operative notes, discharge summary |
Plastic & Reconstructive Surgery | SP | S1000008 | SP001 | Pressure Sore – Surgery | N | SP001A | Pressure Sore – Surgery | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing events that led to pressure sores; clinical photograph | Post procedure clinical photograph; Detailed Procedure / Operative Notes, detailed discharge summary |
Plastic & Reconstructive Surgery | SP | S1000009 | SP002 | Diabetic Foot – Surgery | N | SP002A | Diabetic Foot – Surgery | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment detailing diabetic foot extent of damage; clinical photograph | Post procedure clinical photograph; Detailed Operative notes, detailed discharge summary |
Plastic & Reconstructive Surgery | SP | S1000002 | SP003 | Revascularization of limb / digit | N | SP003A | Revascularization of limb / digit | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical photograph, Doppler; If traumatic then MLC/FIR report. | Intra procedure clinical photograph, Detailed discharge summary, Detailed Procedure / Operative Notes, |
Plastic & Reconstructive Surgery | SP | S1000001 | SP004 | Ear Pinna Reconstruction with costal cartilage / Prosthesis (including the cost of prosthesis / implants) |
N | SP004A | Ear Pinna Reconstruction with costal cartilage / Prosthesis (including the cost of prosthesis / implants) |
30000 | No | 0.00 | Yes | No | No | No | Yes | No | Clinical notes and Clinical photograph in case of injury, If traumatic then MLC/FIR report. Documents supporting if indication is non-traumatic. | Clinical photograph of donor and recipient sites, Intra operative clinical photograph Invoice of Prosthesis/ Implant used. Detailed discharge summary |
Plastic & Reconstructive Surgery | SP | S1000006 | SP005 | Scalp avulsion reconstruction | N | SP005A | Scalp avulsion reconstruction | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing how avulsion occurred; Clinical Photograph, MLC copy with number since traumatic | Intra procedure clinical photograph and Post procedure clinical photograph, Detailed Procedure / Operative Notes, detailed discharge summary |
Plastic & Reconstructive Surgery | SP | S1000005 | SP006 | Tissue Expander for disfigurement following burns / trauma / congenital deformity (including cost of expander / implant) |
Y | SP006A | Tissue Expander for disfigurement following burns | 50000 | No | 0.00 | Yes | No | No | No | No | No | Detailed Clinical notes of original clinical event having led to disfigurement or confirming details / invetsigations of congenital event; Clinical Photograph, | Detailed discharge summary, Detailed Procedure / Operative Notes, Post procedure clinical photograph, Invoice of expander/Implant used |
Plastic & Reconstructive Surgery | SP | S1000005 | SP006 | Tissue Expander for disfigurement following burns / trauma / congenital deformity (including cost of expander / implant) |
Y | SP006B | Tissue Expander for disfigurement following trauma | 50000 | No | 0.00 | Yes | No | No | No | No | No | Detailed Clinical notes of original clinical event having led to disfigurement or confirming details / invetsigations of congenital event; Clinical Photograph, | Detailed discharge summary, Detailed Procedure / Operative Notes, Post procedure clinical photograph, Invoice of expander/Implant used |
Plastic & Reconstructive Surgery | SP | S1000005 | SP006 | Tissue Expander for disfigurement following burns / trauma / congenital deformity (including cost of expander / implant) |
Y | SP006C | Tissue Expander for disfigurement following congenital deformity | 50000 | No | 0.00 | Yes | No | No | No | No | No | Detailed Clinical notes of original clinical event having led to disfigurement or confirming details / invetsigations of congenital event; Clinical Photograph, | Detailed discharge summary, Detailed Procedure / Operative Notes, Post procedure clinical photograph, Invoice of expander/Implant used |
Plastic & Reconstructive Surgery | SP | S1000003 | SP007 | Hemangioma | Y | SP007A | Sclerotherapy under GA | 35000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical Photograph | Post procedure clinical photograph, Invoice of sclerosing agent used. Detailed discharge summary, Detailed Procedure / Operative Notes. |
Plastic & Reconstructive Surgery | SP | S1000004 | SP007 | Hemangioma | Y | SP007B | Debulking | 35000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical Photograph | Post procedure clinical photograph, Invoice of sclerosing agent used. Detailed discharge summary, Detailed Procedure / Operative Notes. |
Plastic & Reconstructive Surgery | SP | S1000004 | SP007 | Hemangioma | Y | SP007C | Excision | 35000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical Photograph | Post procedure clinical photograph, Invoice of sclerosing agent used. Detailed discharge summary, Detailed Procedure / Operative Notes. |
Plastic & Reconstructive Surgery | SP | S1000007 | SP008 | NPWT | N | SP008A | NPWT | 2000 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing events that led to chronic/ non healing woulds; clinical photograph | Post procedure clinical photograph with tube and pump; detailed discharge summary, Detailed Procedure / Operative Notes, |
Pediatric Surgery | SS | S1400034 | SS001 | Cleft Lip and Palate Surgery (per stage) | N | SS001A | Cleft Lip and Palate Surgery (per stage) | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical Photograph | Detailed discharge summary, detailed Procedure / Operative Notes, Post procedure clinical photograph |
Pediatric Surgery | SS | S1400002 | SS002 | Ankyloglossia | Y | SS002A | Ankyloglossia Minor | 5000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and pre-op photograph | Detailed discharge summary, detailed Procedure / Operative Notes, post procedure clinical photograph |
Pediatric Surgery | SS | S1400001 | SS002 | Ankyloglossia | Y | SS002B | Ankyloglossia Major | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and pre-op photograph | Detailed discharge summary, detailed Procedure / Operative Notes, post procedure clinical photograph |
Pediatric Surgery | SS | S1400016 | SS003 | Anti GERD Surgery | N | SS003A | Anti GERD Surgery | 10000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and UGI Endoscopy report | Intra procedure clinical photograph, detailed Procedure / Operative Notes, detailed discharge summary |
Pediatric Surgery | SS | S1400019 | SS004 | Gastrostomy + Esophagoscopy + Threading | N | SS004A | Gastrostomy + Esophagoscopy + Threading | 20000 | No | 0.00 | No | No | No | No | No | Yes | USG/CT Abd, Endoscopy, Biopsy | detailed Procedure / Operative Notes, Post procedure clinical photograph |
Pediatric Surgery | SS | S1400028 | SS005 | Ladds Procedure | N | SS005A | Ladds Procedure | 30000 | No | 0.00 | No | No | No | No | No | Yes | X Ray/ CT Scan Abdomen/ UGI contrast study confirming the malrotation | Histopathology, detailed Procedure / Operative Notes, Post procedure clinical photograph of the operated region |
Pediatric Surgery | SS | S1400017 | SS006 | Duplication Cyst Excision | N | SS006A | Duplication Cyst Excision | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT Abd, +/- Endoscopic USG | Histopathology, detailed Procedure / Operative Notes, Intra procedure clinical photograph, detailed discharge summary |
Pediatric Surgery | SS | S1400026 | SS007 | Intussusception | Y | SS007A | Non – Operative Reduction in infants | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and stills of: X-ray Abdomen/USG Abdomen | Detailed Procedure / Operative Notes,, Detailed discharge summary , Post procedure X Ray Abdomen. |
Pediatric Surgery | SS | S1400027 | SS007 | Intussusception | Y | SS007B | Operative in infants | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and stills of: X-ray Abdomen/USG Abdomen | Detailed Procedure / Operative Notes,, Detailed discharge summary , Post procedure X Ray Abdomen. |
Pediatric Surgery | SS | S1400021 | SS008 | Surgery for Hirschsprung’s Disease | Y | SS008A | Myectomy | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/ Dye test | Histopathology, detailed Procedure / Operative Notes, detailed discharge summary |
Pediatric Surgery | SS | S1400022 | SS008 | Surgery for Hirschsprung’s Disease | Y | SS008B | Pull Through | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/ Dye test | Histopathology, detailed Procedure / Operative Notes, detailed discharge summary |
Pediatric Surgery | SS | S1400023 | SS008 | Surgery for Hirschsprung’s Disease | Y | SS008C | Rectal Biopsy - Punch | 10000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/ Dye test | Histopathology, detailed Procedure / Operative Notes, detailed discharge summary |
Pediatric Surgery | SS | S1400024 | SS008 | Surgery for Hirschsprung’s Disease | Y | SS008D | Rectal Biopsy – Open | 10000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/ Dye test | Histopathology, detailed Procedure / Operative Notes, detailed discharge summary |
Pediatric Surgery | SS | S1400025 | SS008 | Surgery for Hirschsprung’s Disease | Y | SS008E | Sphinecterotomy | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/ Dye test | Histopathology, detailed Procedure / Operative Notes, detailed discharge summary |
Pediatric Surgery | SS | S1400029 | SS009 | Rectal Polypectomy - Sigmoiescopic Under GA | N | SS009A | Rectal Polypectomy - Sigmoiescopic Under GA | 8000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and sigmoidoscopy confirming polyp | Histopathology, detailed Procedure / Operative Notes, Intra procedure clinical photograph |
Pediatric Surgery | SS | S1400010 | SS010 | Ano Rectal Malformation | Y | SS010A | Abd - Perineal PSARP | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph, Distal Cologram/ CT, USG Abdomen, Xray Lumbosacral spine (inverted position) | detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary |
Pediatric Surgery | SS | S1400011 | SS010 | Ano Rectal Malformation | Y | SS010B | Anoplasty | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph, Distal Cologram/ CT, USG Abdomen, Xray Lumbosacral spine (inverted position) | detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary |
Pediatric Surgery | SS | S1400012 | SS010 | Ano Rectal Malformation | Y | SS010C | Cutback | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph, Distal Cologram/ CT, USG Abdomen, Xray Lumbosacral spine (inverted position) | detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary |
Pediatric Surgery | SS | S1400013 | SS010 | Ano Rectal Malformation | Y | SS010D | PSARP | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph, Distal Cologram/ CT, USG Abdomen, Xray Lumbosacral spine (inverted position) | detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary |
Pediatric Surgery | SS | S1400014 | SS010 | Ano Rectal Malformation | Y | SS010E | Redo - Pullthrough | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph, Distal Cologram/ CT, USG Abdomen, Xray Lumbosacral spine (inverted position) | detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary |
Pediatric Surgery | SS | S500063 | SS010 | Ano Rectal Malformation | Y | SS010F | Transposition | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph, Distal Cologram/ CT, USG Abdomen, Xray Lumbosacral spine (inverted position) | detailed Procedure / Operative Notes, Post procedure clinical photograph, detailed discharge summary |
Pediatric Surgery | SS | S1400018 | SS011 | Fecal Fistula Closure | N | SS011A | Fecal Fistula Closure | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG / CT abdomen and pelvis delineating fistula tract. | Intra procedure clinical photograph, detailed Procedure / Operative Notes, Detailed discharge summary |
Pediatric Surgery | SS | S1400020 | SS012 | GI Tumor Excision | N | SS012A | GI Tumor Excision | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/ CT / biopsy | HPR, detailed Procedure / Operative Notes, Intra procedure clinical photograph, Detailed Procedure / Operative Notes, detailed discharge summary |
Pediatric Surgery | SS | S1400031 | SS013 | Congenital Diaphragmatic Hernia | N | SS013A | Congenital Diaphragmatic Hernia | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Chest X-ray AP/Lat, USG/CT scan stills | Detailed Procedure / Operative Notes, detailed discharge summary, Foetal Cardiogram, Xray Chest AP/Lat stills |
Pediatric Surgery | SS | S1400033 | SS014 | Exomphalos / Gastroschisis | Y | SS014A | Exomphalos | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph | Detailed discharge summary, detailed Procedure / Operative Notes, Post procedure clinical photograph |
Pediatric Surgery | SS | S1400033 | SS014 | Exomphalos / Gastroschisis | Y | SS014B | Gastroschisis | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and Clinical Photograph | Detailed discharge summary, detailed Procedure / Operative Notes, Post procedure clinical photograph |
Pediatric Surgery | SS | S1400003 | SS015 | Hernia & Hydrocele | N | SS015A | Hernia & Hydrocele | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG, Clinical Photograph | detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes, |
Pediatric Surgery | SS | S1400030 | SS016 | Retro - Peritoneal Lymphangioma Excision | N | SS016A | Retro - Peritoneal Lymphangioma Excision | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/MRI Abd | Histopathology, detailed Procedure / Operative Notes, Intra procedure clinical photograph, Detailed discharge summary |
Pediatric Surgery | SS | S1400004 | SS017 | Surgery for Sacrococcygeal Teratoma | N | SS017A | Surgery for Sacrococcygeal Teratoma | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI confirming the diagnosis, Biopsy | Histopathology, detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar |
Pediatric Surgery | SS | S1400032 | SS018 | Surgery for Congenital Lobar Emphysema | N | SS018A | Surgery for Congenital Lobar Emphysema | 25000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and X Ray/CT Scan stills confirming the diagnosis | detailed Procedure / Operative Notes, Post procedure X-ray stills, detailed discharge summary |
Pediatric Surgery | SS | S1400005 | SS019 | Undescended Testis | Y | SS019A | Bilateral - Palpable + Nonpalpable | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG, Clinical Photograph | detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes, |
Pediatric Surgery | SS | S1400006 | SS019 | Undescended Testis | Y | SS019B | Bilateral Palpable | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG, Clinical Photograph | detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes, Detailed Discharge summary |
Pediatric Surgery | SS | S1400007 | SS019 | Undescended Testis | Y | SS019C | Bilateral Non - Palpable | 20000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG, Clinical Photograph | detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes, Detailed Discharge summary |
Pediatric Surgery | SS | S1400009 | SS019 | Undescended Testis | Y | SS019D | Unilateral - Palpable | 15000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG, Clinical Photograph | detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes, Detailed Discharge summary |
Pediatric Surgery | SS | S1400008 | SS019 | Undescended Testis | Y | SS019E | Reexploration / Second Stage | 20000 | No | 0.00 | No | No | No | No | Yes | Yes | Clinical notes and USG, Clinical Photograph | detailed Procedure / Operative Notes, Post procedure clinical photograph showing scar, detailed Procedure / Operative Notes, |
Polytrauma | ST | New Package | ST001 | Conservative Management of Head Injury | Y | ST001A | Severe | 1000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment | Discharge summary |
Polytrauma | ST | S800047 | ST001 | Conservative Management of Head Injury | Y | ST001B | Depressed Fracture | 5000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment including planned line of treatment, X-ray films with reports | Discharge summary |
Polytrauma | ST | S600004 | ST002 | Head injury with repair of Facio-Maxillary Injury & fixations (including implants) | N | ST002A | Head injury with repair of Facio-Maxillary Injury & fixations (including implants) | 35000 | No | 0.00 | Yes | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600006 | ST003 | Craniotomy and evacuation of Haematoma with fixation of fracture of long bone | Y | ST003A | Subdural hematoma along with fixation of fracture of single long bone | 60000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600006 | ST003 | Craniotomy and evacuation of Haematoma with fixation of fracture of long bone | Y | ST003B | Extradural hematoma along with fixation of fracture of single long bone | 60000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600007 | ST003 | Craniotomy and evacuation of Haematoma with fixation of fracture of long bone | Y | ST003C | Subdural hematoma along with fixation of fracture of 2 or more long bone. | 75000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600007 | ST003 | Craniotomy and evacuation of Haematoma with fixation of fracture of long bone | Y | ST003D | Extradural hematoma along with fixation of fracture of 2 or more long bone. | 75000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | New Package | ST004 | Management of Chest injury with fracture of Long bone | Y | ST004A | Management of Chest injury with fixation of Single Long bone | 35000 | No | 0.00 | Yes | No | No | No | No | Yes | 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 |
Polytrauma | ST | New Package | ST004 | Management of Chest injury with fracture of Long bone | Y | ST004B | Management of Chest injury with fixation of 2 or more Long bones | 45000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600010 | ST005 | Management of Visceral injury and fracture long bone | Y | ST005A | Surgical intervention for Visceral injury and fixation of fracture of single long bone | 30000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600011 | ST005 | Management of Visceral injury and fracture long bone | Y | ST005B | Surgical intervention for Visceral injury and fixation of fracture of 2 or more long bones | 45000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600005 | ST006 | Internal fixation of Pelviacetabular fracture | N | ST006A | Internal fixation of Pelviacetabular fracture | 40000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600003 | ST007 | Internal fixation with Flap cover Surgery for wound in compound fracture | N | ST007A | Internal fixation with Flap cover Surgery for wound in compound fracture | 40000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600012 | ST008 | Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery | N | ST008A | Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery | 30000 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Polytrauma | ST | S600001 | ST009 | Management of Nerve Plexus / Tendon injuries | Y | ST009A | Nerve Plexus injury repair | 50000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography) | Intra operative still photograph, detailed discharge summary, Detailed operatives notes |
Polytrauma | ST | S600001 | ST009 | Management of Nerve Plexus / Tendon injuries | Y | ST009B | Nerve Plexus injury reconstruction | 50000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography) | Intra operative still photograph, detailed discharge summary, Detailed operatives notes |
Polytrauma | ST | S600001 | ST009 | Management of Nerve Plexus / Tendon injuries | Y | ST009C | Tendon injury repair | 50000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography) | Intra operative still photograph, detailed discharge summary, Detailed operatives notes |
Polytrauma | ST | S600001 | ST009 | Management of Nerve Plexus / Tendon injuries | Y | ST009D | Tendon injury reconstruction | 50000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography) | Intra operative still photograph, detailed discharge summary, Detailed operatives notes |
Polytrauma | ST | S600001 | ST009 | Management of Nerve Plexus / Tendon injuries | Y | ST009E | Tendon Transfer | 50000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography) | Intra operative still photograph, detailed discharge summary, Detailed operatives notes |
Polytrauma | ST | S600002 | ST010 | Plexus injury along with Vascular injury repair / graft | Y | ST010A | Plexus injury along with Vascular injury repair | 60000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography) | Intra operative still photograph, detailed discharge summary, Detailed operatives notes |
Polytrauma | ST | S600002 | ST010 | Plexus injury along with Vascular injury repair / graft | Y | ST010B | Plexus injury along with Vascular injury graft | 60000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography) | Intra operative still photograph, detailed discharge summary, Detailed operatives notes |
Urology | SU | S700003 | SU001 | Adrenalectomy | Y | SU001A | Open | 27500 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes confirming diagnosis with Evidence of /CT/MRI +/- FNAC/Biopsy, Sr. Cortisol, Sr. electrolytes, 24 hr urinary catacholamine level / sr. or urinary metanephrine normetanephrine, MIBG Scan/ DOTONOC scan | Histopathology, Detailed discharge summary detailed Procedure / Operative Notes |
Urology | SU | S700004 | SU001 | Adrenalectomy | Y | SU001B | Lap. | 27500 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes confirming diagnosis with Evidence of /CT/MRI +/- FNAC/Biopsy, Sr. Cortisol, Sr. electrolytes, 24 hr urinary catacholamine level / sr. or urinary metanephrine normetanephrine, MIBG Scan/ DOTONOC scan | Histopathology, Detailed discharge summary detailed Procedure / Operative Notes |
Urology | SU | S700034 | SU002 | Renal Cyst deroofing or Marsupialization | Y | SU002A | Open | 25000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700035 | SU002 | Renal Cyst deroofing or Marsupialization | Y | SU002B | Lap. | 25000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | New Package | SU003 | Nephrectomy | Y | SU003A | For Benign pathology - Open | 27500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy, | Histopathology, Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | New Package | SU003 | Nephrectomy | Y | SU003B | For Benign pathology - Lap. | 27500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy, | Histopathology, Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700008 | SU003 | Nephrectomy | Y | SU003C | Radical (Renal tumor) - Open | 27500 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Urology | SU | S700009 | SU003 | Nephrectomy | Y | SU003D | Radical (Renal tumor) - Lap. | 27500 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Urology | SU | S700010 | SU004 | Nephrectomy - Partial or Hemi | Y | SU004A | Open | 42000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI confirming the need for surgery, | Histopathology, Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700011 | SU004 | Nephrectomy - Partial or Hemi | Y | SU004B | Lap. | 42000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/MRI confirming the need for surgery | Histopathology, Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700030 | SU005 | Nephrolithotomy | Y | SU005A | Open | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP / NCCT+ CT-IVP confirming the indication | Post procedure Imaging (X Ray/USG), showing stone removed; Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700031 | SU005 | Nephrolithotomy | Y | SU005B | Anatrophic | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP / NCCT+ CT-IVP confirming the indication | Post procedure Imaging (X Ray/USG), showing stone removed; Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | New Package | SU006 | Open Nephrolithotomy - Follow Up | N | SU006A | Open Nephrolithotomy - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / Urine Routine, Drugs |
Urology | SU | S700025 | SU007 | PCNL (Percutaneous Nephrolithotomy) | N | SU007A | PCNL (Percutaneous Nephrolithotomy) | 35000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and IVP / NCCT+ CT-IVP confirming the indication and need for PCNL | Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes; Post procedure Imaging (X Ray/USG), |
Urology | SU | S700036 | SU008 | Nephrostomy - Percutaneous ultrasound guided | N | SU008A | Nephrostomy - Percutaneous ultrasound guided | 14000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG confirming the indication and need of procedure. | Intra procedure clinical photograph, detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | New Package | SU009 | Nephrostomy (PCN) - Follow Up | N | SU009A | Nephrostomy (PCN) - Follow Up | 1200 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / X-RAY KUB |
Urology | SU | S700012 | SU010 | Nephro ureterectomy (Benign) | Y | SU010A | Open | 27500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT/ CT-IVP/MRI confirming the need for surgery, | Histopathology, Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700013 | SU010 | Nephro ureterectomy (Benign) | Y | SU010B | Lap. | 27500 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and /CT/ CT-IVP/MRI confirming the need for surgery, | Histopathology, Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700014 | SU011 | Nephro ureterectomy with cuff of bladder | Y | SU011A | Open | 27500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/ CT-IVP/MRI/MRI Urogram confirming the need for surgery, | Histopathology, Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700015 | SU011 | Nephro ureterectomy with cuff of bladder | Y | SU011B | Lap. | 27500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/ CT-IVP/MRI/MRI Urogram confirming the need for surgery, | Histopathology, Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700033 | SU013 | Perinephric Abscess drainage | Y | SU013A | Open | 14000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT confirming the diagnosis of perinephric abscess. | Intra procedure still photograph; detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | S700032 | SU013 | Perinephric Abscess drainage | Y | SU013B | Percutaneous | 14000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT confirming the diagnosis of perinephric abscess. | Intra procedure still photograph; detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | S700039 | SU014 | Ureteroscopy + Stone removal with lithotripsy | Y | SU014A | Lower Ureter | 28000 | Yes | 1.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700040 | SU014 | Ureteroscopy + Stone removal with lithotripsy | Y | SU014B | Upper Ureter | 28000 | Yes | 1.00 | No | No | No | No | No | No | 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 |
Urology | SU | New Package | SU015 | URSL / URSL - Laser - Follow Up | N | SU015A | URSL / URSL - Laser - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / Urine Routine, Drugs |
Urology | SU | S700027 | SU016 | Extracoporeal shock - wave Lithotripsy (ESWL) | N | SU016A | Extracoporeal shock - wave Lithotripsy (ESWL) stone, with or without stent (one side) | 18500 | No | 0.00 | Yes | No | No | No | No | No | 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; |
Urology | SU | New Package | SU017 | ESWL - Follow Up | N | SU017A | ESWL - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / X-RAY KUB |
Urology | SU | S700037 | SU018 | Ureterolithotomy | Y | SU018A | Open | 20000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700038 | SU018 | Ureterolithotomy | Y | SU018B | Lap. | 20000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | New Package | SU019 | Lap Ureterolithotomy - Follow Up | N | SU019A | Lap Ureterolithotomy - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / Urine Routine, Drugs |
Urology | SU | New Package | SU020 | Open Ureterolithotomy - Follow Up | N | SU020A | Open Ureterolithotomy - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / Urine Routine, Drugs |
Urology | SU | S700016 | SU021 | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy | Y | SU021A | Pyeloplasty - Open | 27500 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700017 | SU021 | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy | Y | SU021B | Pyeloplasty - Laparoscopic | 27500 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700016 | SU021 | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy | Y | SU021C | Pyeloureterostomy - Open | 27500 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700017 | SU021 | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy | Y | SU021D | Pyeloureterostomy - Laparoscopic | 27500 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700016 | SU021 | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy | Y | SU021E | Pyelopyelostomy - Open | 27500 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700017 | SU021 | Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy | Y | SU021F | Pyelopyelostomy - Laparoscopic | 27500 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | New Package | SU022 | Pyeloplasty | N | SU022A | Pyeloplasty - Follow Up | 1500 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / UFM / Urine Routine |
Urology | SU | S700020 | SU023 | Ureterocalycostomy | Y | SU023A | Ureterocalycostomy - Open | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan | Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700021 | SU023 | Ureterocalycostomy | Y | SU023B | Ureterocalycostomy - Laparoscopic | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan | Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700028 | SU024 | Pyelolithotomy | Y | SU024A | Open | 28000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP / NCCT+ CT-IVP confirming the indication | Post procedure Imaging (X Ray/USG), showing stone removed; Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700029 | SU024 | Pyelolithotomy | Y | SU024B | Lap. | 28000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP / NCCT+ CT-IVP confirming the indication | Post procedure Imaging (X Ray/USG), showing stone removed; Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700123 | SU025 | Internal Ureterotomy including cystoscopy as an independent procedure | N | SU025A | Internal Ureterotomy including cystoscopy as an independent procedure | 10000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Investigation reports confirming urethral stricture (RGU+/- MCU) | Endoscopic Intra procedure still photograph, detailed discharge summary, Detailed Procedure / Operative Notes |
Urology | SU | S700050 | SU026 | Ureterolysis for retroperitoneal fibrosis (with or without omental wrapping) |
Y | SU026A | Open | 28000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700051 | SU026 | Ureterolysis for retroperitoneal fibrosis (with or without omental wrapping) |
Y | SU026B | Lap. | 28000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700042 | SU027 | Ureterostomy | N | SU027A | Ureterostomy (Cutaneous) | 20000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700022 | SU028 | Uretero-ureterostomy | Y | SU028A | Open | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan | Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700023 | SU028 | Uretero-ureterostomy | Y | SU028B | Lap. | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP/CT/ CT-IVP,+/-DTPA renal scan | Intra operative photograph. Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700048 | SU029 | Uretero-vaginal / Uterine fistula repair | Y | SU029A | Uretero - vaginal fistula repair - Open | 25000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700048 | SU029 | Uretero-vaginal / Uterine fistula repair | Y | SU029B | Uretero - Uterine fistula repair - Open | 25000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700049 | SU029 | Uretero-vaginal / Uterine fistula repair | Y | SU029C | Uretero - vaginal fistula repair - Laparoscopic | 25000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700049 | SU029 | Uretero-vaginal / Uterine fistula repair | Y | SU029D | Uretero - Uterine fistula repair - Laparoscopic | 25000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700044 | SU030 | Ureteric reimplantation | Y | SU030A | Open | 23000 | Yes | 1.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700045 | SU030 | Ureteric reimplantation | Y | SU030B | Lap. | 23000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and and CT-IVP/MRI Urogram + MCU confirming reflux and need of surgery. | Intra procedure still photograph,Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700052 | SU031 | Boari flap for ureteric stricture | Y | SU031A | Open | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP/CT-IVP+/-MCU confirming the stricture longer than 5 cms for which the surgery is done | Intra procedure still photograph,Detailed discharge summary, detailed Procedure / Operative Notes including details of omental wrapping if done |
Urology | SU | S700053 | SU031 | Boari flap for ureteric stricture | Y | SU031B | Lap. | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP/CT-IVP+/-MCU confirming the stricture longer than 5 cms for which the surgery is done | Intra procedure still photograph,Detailed discharge summary, detailed Procedure / Operative Notes including details of omental wrapping if done |
Urology | SU | S700054 | SU032 | Ileal replacement for ureteric stricture | N | SU032A | Ileal replacement for ureteric stricture | 46000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and IVP/CT-IVP+/-MCU confirming the stricture longer than 5 cms for which the surgery is done | Intra procedure still photograph,Detailed discharge summary, detailed Procedure / Operative Notes including details of omental wrapping if done |
Urology | SU | S700055 | SU033 | DJ stenting including cystoscopy, ureteric catheterization, retrograde pyelogram | N | SU033A | DJ stenting including cystoscopy, ureteric catheterization, retrograde pyelogram | 9800 | No | 0.00 | Yes | No | No | No | No | No | 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/ Retrogradepyelogram and ureteric catheterization; detailed discharge summary. |
Urology | SU | New Package | SU034 | DJ Stent Removal | N | SU034A | DJ Stent Removal | 5000 | No | 0.00 | No | No | No | No | Yes | No | Clinical notes with planned line of treatment including planned line of treatment, X-ray films with reports, Discharge Summary of DJ Stenting | discharge summary |
Urology | SU | S700057 | SU035 | Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram | N | SU035A | Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram | 15000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700057 | SU036 | Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram | N | SU036A | Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram | 11000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700159 | SU037 | Acute management of upper urinary tract trauma – conservative |
N | SU037A | Acute management of upper urinary tract trauma – conservative |
2000 | Yes | 1.00 | No | No | No | No | No | No | 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; |
Urology | SU | S700018 | SU038 | Endopyelotomy | Y | SU038A | Retrograde with laser / bugbee | 25000 | No | 0.00 | No | No | No | No | No | No | 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. |
Urology | SU | S700019 | SU038 | Endopyelotomy | Y | SU038B | Antegrade with laser / bugbee | 25000 | No | 0.00 | No | No | No | No | No | No | 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. |
Urology | SU | New Package | SU039 | Open Pyelolithotomy - Follow Up | N | SU039A | Open Pyelolithotomy - Follow Up | 1200 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / Urine Routine, Drugs |
Urology | SU | S700060 | SU040 | Cystolithotomy - Open, including cystoscopy | N | SU040A | Open - including cystoscopy | 18500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone | Detailed discharge summary , detailed Procedure / Operative Notes |
Urology | SU | S700061 | SU041 | Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy | Y | SU041A | Cystolithotripsy endoscopic, including cystoscopy | 18500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone | Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700061 | SU041 | Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy | Y | SU041B | Urethral Stone removal endoscopic, including cystoscopy | 18500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone | Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700067 | SU042 | Diagnostic Cystoscopy | N | SU042A | Diagnostic Cystoscopy | 6500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Reports of all work up done ( Xray/USG/CT Scan/MRI), suspected differential diagnosis | Intra procedure still photograph; Detailed discharge summary Detailed Procedure / Operative Notes |
Urology | SU | S700073 | SU043 | Partial Cystectomy | Y | SU043A | Open | 23000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy) | Histopathology,Detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | S700074 | SU043 | Partial Cystectomy | Y | SU043B | Lap. | 23000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy) | Histopathology,Detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | New Package | SU044 | Partial Cystectomy - Follow Up | N | SU044A | Partial Cystectomy - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG |
Urology | SU | S700089 | SU045 | Augmentation cystoplasty | Y | SU045A | Open | 30000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700090 | SU045 | Augmentation cystoplasty | Y | SU045B | Lap. | 30000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | New Package | SU046 | Deflux for VUR | N | SU046A | Deflux for VUR | 1200 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment | IVU |
Urology | SU | New Package | SU047 | Bladder Diverticulectomy | N | SU047A | Bladder Diverticulectomy - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG |
Urology | SU | S700091 | SU048 | Open bladder diverticulectomy with / without ureteric re-implantation | N | SU048A | Open bladder diverticulectomy with / without ureteric re-implantation | 25000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700070 | SU049 | Bladder injury repair (with or without urethral injury) |
N | SU049A | Bladder injury repair (with or without urethral injury) |
23000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and USG/CT/MRI+/- cystogram confirming the diagnosis of bladder injury; MLC/ FIR if traumatic. | Detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | S700072 | SU050 | Bladder injury repair with colostomy (with or without urethral injury) |
N | SU050A | Bladder injury repair with colostomy (with or without urethral injury) |
27500 | No | 0.00 | No | No | No | No | No | Yes | 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 |
Urology | SU | S700069 | SU051 | Extrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric reimplant | N | SU051A | Extrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric reimplant | 65000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700154 | SU052 | Neurogenic bladder - Package for evaluation / investigation (catheter + ultrasound + culture + RGU/ MCU) for 1 month (medicines - antibiotics) | N | SU052A | Neurogenic bladder - Package for evaluation / investigation (catheter + ultrasound + culture + RGU/ MCU) for 1 month (medicines - antibiotics) | 14300 | No | 0.00 | No | No | No | Yes | Yes | No | 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 |
Urology | SU | S700088 | SU053 | Y V Plasty of Bladder Neck / Bladder Neck Reconstruction | N | SU053A | Y V Plasty of Bladder Neck / Bladder Neck Reconstruction | 23000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and urethro Cystoscopy +USG confirming the diagnosis | Detailed Procedure / Operative Notes, detailed discharge summary. |
Urology | SU | S700068 | SU054 | Bladder Neck incision - Endoscopic | N | SU054A | Bladder Neck incision - Endoscopic | 15000 | No | 0.00 | No | No | No | No | No | No | USG-KUB/PVR, Uroflometry | Endoscopic picture |
Urology | SU | S700062 | SU055 | TURBT (Transurethral Resection of the Bladder Tumor) |
N | SU055A | TURBT (Transurethral Resection of the Bladder Tumor) |
27500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT/ MRI confirming the diagnosis bladder tumour | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | New Package | SU056 | TURBT - Restage | N | SU056A | TURBT - Restage | 18000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT/ MRI confirming the diagnosis bladder tumour | Intra procedure still photograph Histopathology, Detailed discharge summary , detailed Procedure / Operative Notes |
Urology | SU | New Package | SU057 | Post TURBT - Check Cystoscopy (Per sitting) with cold-cup biopsy | N | SU057A | Post TURBT - Check Cystoscopy (Per sitting) with cold-cup biopsy | 10000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Histopathology/ biopsy confirming the diagnosis of bladder cancer | Intra procedure still photograph; detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | S700059 | SU058 | Urachal Cyst excision | Y | SU058A | Urachal Cyst excision - Open | 18500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT/MRI confirming the diagnosis of Urachus | Histopathology, Detailed discharge summary , detailed Procedure / Operative Notes |
Urology | SU | New Package | SU058 | Urachal Cyst excision | Y | SU058B | Urachal Cyst excision - Laparoscopic | 18500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT/MRI confirming the diagnosis of Urachus | Histopathology, Detailed discharge summary , detailed Procedure / Operative Notes |
Urology | SU | New Package | SU059 | VVF Repair - Follow Up | N | SU059A | VVF Repair - Follow Up | 1500 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / UFM / Urine Routine |
Urology | SU | S700064 | SU060 | Intravesical BCG / Mitomycin | Y | SU060A | Induction cycles | 15000 | No | 0.00 | No | No | No | Yes | Yes | No | Clinical notes and Histopathology/ biopsy confirming the diagnosis of bladder cancer | Detailed discharge summary, Detailed Procedure / Operative Notes, original bills of medicines administered |
Urology | SU | S700065 | SU060 | Intravesical BCG / Mitomycin | Y | SU060B | Maintenance | 30000 | No | 0.00 | No | No | No | Yes | Yes | No | Clinical notes and Histopathology/ biopsy confirming the diagnosis of bladder cancer | Detailed discharge summary, Detailed Procedure / Operative Notes, original bills of medicines administered |
Urology | SU | S700082 | SU061 | Suprapubic Drainage - Closed / Trocar | N | SU061A | Suprapubic Drainage - Closed / Trocar | 5000 | No | 0.00 | No | No | No | No | No | No | 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 |
Urology | SU | S700130 | SU062 | Stress incontinence surgery | N | SU062A | Stress incontinence surgery - Open | 23000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Cystoscopy/ USG/ Uro Dynamic study to confirm the dignosis. |
Detailed Procedure / Operative Notes; detailed discharge summary |
Urology | SU | New Package | SU063 | Repair of stress incontinence - Follow Up | N | SU063A | Repair of stress incontinence - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | Clinical notes with planned line of treatment |
Urology | SU | S700158 | SU064 | Emergency management of Acute retention of Urine | N | SU064A | Emergency management of Acute retention of Urine | 2000 | Yes | 1.00 | No | No | No | No | No | Yes | Clinical notes detailing chroniciy and and USG proving retention of urine | Evidence of simple catheterization and details of how much urine drained. Detailed discharge summary giving aetiology of retention |
Urology | SU | S700112 | SU065 | Meatotomy / Meatoplasty | Y | SU065A | Meatotomy | 3500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and confirmed diagnosis of meatal stenosis | Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700111 | SU065 | Meatotomy / Meatoplasty | Y | SU065B | Meatoplasty | 3500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and confirmed diagnosis of meatal stenosis | Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700114 | SU066 | Urethroplasty | Y | SU066A | Urethroplasty - End to end | 28000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery. | Intra procedure clinical photograph, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700115 | SU066 | Urethroplasty | Y | SU066B | Urethroplasty - Substitution - single stage | 28000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery. | Intra procedure clinical photograph, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700116 | SU066 | Urethroplasty | Y | SU066C | Urethroplasty - Substitution - two stage | 41500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery. | Intra procedure clinical photograph, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700117 | SU066 | Urethroplasty | Y | SU066D | Urethroplasty - Transpubic | 32000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery. | Intra procedure clinical photograph, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | New Package | SU067 | Urethroplasty Follow Up | N | SU067A | Urethroplasty Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / UFM / Urine Routine |
Urology | SU | S700121 | SU068 | Urethral Dilatation | Y | SU068A | Non endocopic as an independent procedure | 2000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Investigation reports confirming urethral stricture (RGU+/- MCU) | Detailed discharge summary, Detailed Procedure / Operative Notes detailing size of dilators used |
Urology | SU | New Package | SU068 | Urethral Dilatation | Y | SU068B | Endocopic as an independent procedure | 5000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Investigation reports confirming urethral stricture (RGU+/- MCU) | Endoscopic Intra procedure still photograph, detailed discharge summary, Detailed Procedure / Operative Notes |
Urology | SU | S700119 | SU069 | Perineal Urethrostomy without closure | N | SU069A | Perineal Urethrostomy without closure | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing the pathology for which performed with supporting Evidence of RGU (Retrograde urethrography) + MCU | Intra procedure clinical photograph, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700113 | SU070 | Post. Urethral Valve fulguration | N | SU070A | Post. Urethral Valve fulguration | 14000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and confirmation of stenosis of posterir urethral valve by Voiding cystourethrogram (preferred) + USG +/- uroflowmetry. | Intra procedure clinical photograph, Post procedure Imaging (USG), Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700124 | SU071 | Hypospadias repair | Y | SU071A | Single stage | 28000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical Photograph | Post Procedure Clinical Photograph of affected part, detailed Procedure / Operative Notes; Detailed Procedure / Operative Notes |
Urology | SU | S700125 | SU071 | Hypospadias repair | Y | SU071B | Two or more stage (First Stage) | 12000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Clinical Photograph | Post Procedure Clinical Photograph of affected part, detailed Procedure / Operative Notes |
Urology | SU | S700125 | SU071 | Hypospadias repair | Y | SU071C | Two or more stage (Intermediate Stage) | 2 | No | 0.00 | No | No | No | Yes | Yes | No | Clinical notes and Clinical Photograph; evidence of stage 1 (Discharge Summary) | Post Procedure Clinical Photograph of affected part, detailed Procedure / Operative Notes |
Urology | SU | S700125 | SU071 | Hypospadias repair | Y | SU071D | Two or more stage (Final Stage) | 30000 | No | 0.00 | No | No | No | Yes | Yes | No | Clinical notes and Clinical Photograph; evidence of stage 1 / 2 (Discharge Summary) | Post Procedure Clinical Photograph of affected part, detailed Procedure / Operative Notes |
Urology | SU | New Package | SU072 | Hypospadias Repair - Follow Up | N | SU072A | Hypospadias Repair - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Discharge Summary | USG / UFM / Urine Routine |
Urology | SU | S700157 | SU073 | Emergency management of Hematuria | N | SU073A | Emergency management of Hematuria | 2000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes detailing the hematuria with urine report showing frank or microscopic? | Evidence of investigations done treatment given; detailed discharge summary |
Urology | SU | S700110 | SU074 | Excision of Urethral Caruncle | N | SU074A | Excision of Urethral Caruncle | 5000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and confirmed diagnosis of urethral carunclule. | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700087 | SU075 | Urethrovaginal fistula repair | N | SU075A | Urethrovaginal fistula repair | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and urethro Cystoscopy +vaginoscopy +USG confirming the diagnosis | Detailed Procedure / Operative Notes, detailed discharge summary. |
Urology | SU | S700120 | SU076 | Urethrorectal fistula repair | N | SU076A | Urethrorectal fistula repair | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and confirmation of fistula and it's tract by Cystoscopy+Sigmoidoscopy+/-RGU+MCU | detailed Procedure / Operative Notes, Detailed discharge summary |
Urology | SU | S700092 | SU077 | Open simple prostatetctomy for BPH | N | SU077A | Open simple prostatetctomy for BPH | 27500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG with prostate size and Post Void Volume +/- PSA, +/- uroflometry | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700106 | SU078 | Radical prostatectomy | Y | SU078A | Open | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and MRI /CT prostrate + PSA+Biopsy; | Histopathology of prostate, Detailed discharge summary, detailed Procedure / Operative Notes with details of nodes removed. |
Urology | SU | S700107 | SU078 | Radical prostatectomy | Y | SU078B | Lap. | 50000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and MRI /CT prostrate + PSA+Biopsy; | Histopathology of prostate, Detailed discharge summary, detailed Procedure / Operative Notes with details of nodes removed. |
Urology | SU | S700094 | SU079 | Holmium Laser Prostatectomy | N | SU079A | Holmium Laser Prostatectomy | 40000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG with prostate size and Post Void Volume +/- PSA, +/- uroflometry Is the hospital registered for holmium laser? | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700093 | SU080 | TURP-Transurethral Resection of the Prostate, BPH | Y | SU080A | Monopolar | 27500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG with prostate size and Post Void Volume +/- PSA, +/- uroflometry | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700093 | SU080 | TURP-Transurethral Resection of the Prostate, BPH | Y | SU080B | Bipolar | 27500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG with prostate size and Post Void Volume +/- PSA, +/- uroflometry | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700108 | SU081 | Transrectal Ultrasound guided prostate biopsy (minimum 12 core) | N | SU081A | Transrectal Ultrasound guided prostate biopsy (minimum 12 core) | 10000 | No | 0.00 | No | No | No | No | No | No | 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. |
Urology | SU | S700133 | SU082 | Penectomy | Y | SU082A | Partial Penectomy | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy findings | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700134 | SU082 | Penectomy | Y | SU082B | Total Penectomy + Perineal Urethrostomy | 25000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Biopsy findings | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes detailing urethrostomy |
Urology | SU | S700153 | SU083 | Surgery for Priapism | Y | SU083A | Aspiration | 15000 | No | 0.00 | No | No | No | No | No | Yes | Color-flow penile Doppler imaging/ USG (patients with high-flow priapism) | Detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | S700153 | SU083 | Surgery for Priapism | Y | SU083B | Shunt | 15000 | No | 0.00 | No | No | No | No | No | Yes | Color-flow penile Doppler imaging/ USG (patients with high-flow priapism) | Detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | New Package | SU084 | Surgery for Priaprism - Follow Up | N | SU084A | Surgery for Priaprism - Follow Up | 1000 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | Clinical notes with planned line of treatment |
Urology | SU | S700152 | SU085 | Penile prosthesis insertion | N | SU085A | Penile prosthesis insertion | 35000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes with Previous medical reports showing the panectomy and its indication | Detailed discharge summary, detailed Procedure / Operative Notes, Bar code of implant used |
Urology | SU | S700139 | SU086 | Orchiectomy | Y | SU086A | High inguinal | 13800 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT / Biopsy confirming testicular cancer | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700140 | SU086 | Orchiectomy | Y | SU086B | Simple | 10000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT / Biopsy confirming testicular cancer | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | New Package | SU087 | Bilateral Orchidectomy for hormone ablation | N | SU087A | Bilateral Orchidectomy for hormone ablation | 10000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT / Biopsy confirming bilateral testicular cancer | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700129 | SU088 | Orchiopexy | Y | SU088A | Orchiopexy with laparoscopy | 30000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and USG confirming that laparoscopy is needed for locating the testes. Clinical Photograph of affected part | Post Procedure Clinical Photograph of affected part, detailed Procedure / Operative Notes; Detailed discharge summary |
Urology | SU | S700126 | SU088 | Orchiopexy | Y | SU088B | Orchiopexy without laparoscopy - U/L | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG confirming location of undescended testis, Clinical Photograph of affected part | Post Procedure Clinical Photograph of affected part, detailed Procedure / Operative Notes; Detailed discharge summary |
Urology | SU | S700127 | SU088 | Orchiopexy | Y | SU088C | Orchiopexy without laparoscopy - B/L | 15000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG confirming location of undescended testis, Clinical Photograph of affected part | Post Procedure Clinical Photograph of affected part, detailed Procedure / Operative Notes; Detailed discharge summary |
Urology | SU | S700150 | SU089 | Surgical Correction of Varicocele | Y | SU089A | Non Microsurgical | 10000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and USG Scrotum | Detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | S700151 | SU089 | Surgical Correction of Varicocele | Y | SU089B | Microsurgical | 15000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and USG Scrotum; is the EHCP registred for microsurgery? | Detailed discharge summary; detailed Procedure / Operative Notes |
Urology | SU | S700142 | SU090 | Radical Retroperitoneal lymph node dissection | Y | SU090A | Open | 36500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT / Biopsy confirming bilateral testicular cancer | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700143 | SU090 | Radical Retroperitoneal lymph node dissection | Y | SU090B | Lap. | 36500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and USG/CT / Biopsy confirming bilateral testicular cancer | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | S700136 | SU091 | Ilio-Inguinal lymphadenectomy | N | SU091A | Ilio-Inguinal lymphadenectomy | 18500 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and USG/CT/MRI / Biopsy confirming the diagnosis for which the surgery is done. | Histopathology, Detailed discharge summary, detailed Procedure / Operative Notes |
Urology | SU | New Package | SU092 | Hysterectomy as part of VVF / uterovaginal fistula repair | N | SU092A | Hysterectomy as part of VVF / uterovaginal fistula repair | 5000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Cystoscopy+vaginoscopy+CT - IVP/IVP +/- cystogram confirming the diagnosis | Histopathology, Detailed Procedure / Operative Notes, detailed discharge summary. |
Urology | SU | New Package | SU093 | PCNL - Follow Up | N | SU093A | PCNL - Follow Up | 1200 | No | 0.00 | No | No | No | No | No | No | Earlier Discharge Summary | USG / Urine Routine, Drugs |
Urology | SU | S700156 | SU094 | Emergency management of Ureteric stone - Package for evaluation / investigation (ultrasound + culture) for 3 weeks (medicines). | N | SU094A | Emergency management of Ureteric stone - Package for evaluation / investigation (ultrasound + culture) for 3 weeks (medicines). | 3500 | No | 0.00 | No | No | No | No | No | No | Clinical notes detailing the case history with previous work up / initial diagnosis with stills of ureteric stone and treatment done so far | Detailed reports of all investigations done and consultation paper of treating doctor; culture & ABS report and Evidence of 3 weeks medicines |
CTVS | SV | New Package | SV001 | Surgical Correction of Category - I Congenital Heart Disease | Y | SV001A | Unifocalization of MAPCA | 100000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO and / or doppler reports | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV001 | Surgical Correction of Category - I Congenital Heart Disease | Y | SV001B | Isolated Secundum Atrial Septal Defect (ASD) Repair | 100000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO and / or doppler reports | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300050 | SV001 | Surgical Correction of Category - I Congenital Heart Disease | Y | SV001C | Glenn procedure | 100000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO and / or doppler reports | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV001 | Surgical Correction of Category - I Congenital Heart Disease | Y | SV001D | Pulmonary Artery Banding | 100000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO and / or doppler reports | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV001 | Surgical Correction of Category - I Congenital Heart Disease | Y | SV001E | Systemic - Pulmonary shunt | 100000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO and / or doppler reports | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV001 | Surgical Correction of Category - I Congenital Heart Disease | Y | SV001F | Vascular Ring division | 100000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO and / or doppler reports | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300047 | SV001 | Surgical Correction of Category - I Congenital Heart Disease | Y | SV001G | Coarctation repair | 100000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO and / or doppler reports | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002A | ASD closure + Partial Anomalous Venous Drainage Repair | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002B | ASD Closure + Mitral procedure | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002C | ASD Closure + Tricuspid procedure | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002D | ASD Closure + Pulmonary procedure | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002E | ASD Closure + Infundibular procedure | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1200015 | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002F | VSD closure | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002G | Infundibular PS repair | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002H | Valvular PS repair | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300026 | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002I | Partial AV canal repair | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300026 | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002J | Intermediate AV canal repair | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002K | Atrial septectomy + Glenn | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002L | Atrial septectomy + PA Band | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002M | Sinus of Valsalva aneurysm repair with aortic valve procedure | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002N | Sinus of Valsalva aneurysm repair without aortic valve procedure | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV002 | Surgical Correction of Category - II Congenital Heart Disease | Y | SV002O | Sub-aortic membrane resection | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300031 | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003A | Ebstien repair | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300036 | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003B | Double switch operation | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003C | Rastelli Procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300032 | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003D | Fontan procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300029 | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003E | AP window repair | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003F | Arch interruption Repair without VSD closure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003G | Arch interruption Repair with VSD closure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003H | DORV Repair | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003I | Supravalvular AS repair | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003J | Konno procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003K | Norwood procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003L | VSD closure + RV - PA conduit | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003M | VSD + Aortic procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003N | VSD + Mitral procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003O | VSD + Tricuspid procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003P | VSD + Pulmonary procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003Q | VSD + Infundibular procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003R | VSD + Coarctation repair | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003S | TAPVC Repair | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003T | Truncus arteriosus repair | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | New Package | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003U | Tetralogy of Fallot Repair | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300026 | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003V | Complete AV canal repair | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300035 | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003W | Arterial switch operation | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300037 | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003X | Senning Operation | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300038 | SV003 | Surgical Correction of Category - III Congenital Heart Disease | Y | SV003Y | Mustard Operation | 150000 | No | 0.00 | Yes | No | No | No | No | No | ECHO / Doppler Report | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. |
CTVS | SV | S1300001 | SV004 | Coronary artery bypass grafting (CABG), including intra operative balloon pump (if required) |
N | SV004A | Coronary artery bypass grafting (CABG), including intra operative balloon pump (if required) |
118100 | No | 0.00 | No | No | No | No | No | No | ECHO + CAG report stills showing significant multiple blocks & LVEF | Detailed Operation notes, detailed discharge summary |
CTVS | SV | S1300013 | SV005 | Single Valve Procedure | Y | SV005A | Aortic Valve | 119000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO / Doppler report | Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used. |
CTVS | SV | S1300011 | SV005 | Single Valve Procedure | Y | SV005B | Mitral Valve | 119000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO / Doppler report | Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used. |
CTVS | SV | S1300012 | SV005 | Single Valve Procedure | Y | SV005C | Tricuspid Valve | 119000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO / Doppler report | Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used. |
CTVS | SV | New Package | SV006 | Double Valve Procedure | N | SV006A | Double Valve Procedure | 142000 | Yes | 2.00 | Yes | Yes | No | No | No | No | Clinical notes and ECHO and doppler reports showing two cardiac valves diseased | Detailed discharge summary, Detailed Operative notes, barcode of valves/rings used |
CTVS | SV | New Package | SV007 | Triple valve procedure | N | SV007A | Triple valve procedure | 170000 | Yes | 3.00 | Yes | Yes | No | No | No | No | Clinical notes and ECHO and doppler reports showing three cardiac valves diseased | Detailed discharge summary, Detailed Operative notes, barcode of valves/rings used |
CTVS | SV | S1300009 | SV008 | Closed Mitral Valvotomy including thoracotomy | N | SV008A | Closed Mitral Valvotomy including thoracotomy | 57000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO and / or doppler reports | Detailed discharge summary, Detailed Operative notes. |
CTVS | SV | S1300023 | SV009 | Ross Procedure | N | SV009A | Ross Procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report | Detailed procedure notes, detailed discharge summary, Barcode of RV-PA conduit |
CTVS | SV | S1300030 | SV010 | Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM) | N | SV010A | Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM) | 111000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO report | Detailed discharge summary, Detailed Operation notes, |
CTVS | SV | New Package | SV011 | Pericardial window (via thoracotomy) | N | SV011A | Pericardial window (via thoracotomy) | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and CT Chest establishing the aetiology for which surgery is done | Detailed Operation notes, detailed discharge summary. |
CTVS | SV | S1300052 | SV012 | Pericardiectomy | N | SV012A | Pericardiectomy | 67000 | No | 0.00 | No | No | No | No | No | No | Clinical notes an ECHO report | Detailed Operation notes, Discharge summary |
CTVS | SV | S1300046 | SV013 | Patent Ductus Arteriosus (PDA) Closure via thoracotomy | N | SV013A | Patent Ductus Arteriosus (PDA) Closure via thoracotomy | 57000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO report | Detailed Operation notes, Discharge summary |
CTVS | SV | S1300040 | SV014 | Aortic Root Replacement Surgery | Y | SV014A | Bental Procedure | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report, CT angio / Angio / MRI report | Detailed discharge summary, Detailed Operation notes. |
CTVS | SV | New Package | SV014 | Aortic Root Replacement Surgery | Y | SV014B | Aortic Dissection | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report, CT angio / Angio / MRI report | Detailed discharge summary, Detailed Operation notes. |
CTVS | SV | New Package | SV014 | Aortic Root Replacement Surgery | Y | SV014C | Aortic Aneurysm | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report, CT angio / Angio / MRI report | Detailed discharge summary, Detailed Operation notes. |
CTVS | SV | New Package | SV014 | Aortic Root Replacement Surgery | Y | SV014D | Valve sparing root replacement | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report, CT angio / Angio / MRI report | Detailed discharge summary, Detailed Operation notes. |
CTVS | SV | New Package | SV014 | Aortic Root Replacement Surgery | Y | SV014E | AVR + Root enlargement | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO report, CT angio / Angio / MRI report | Detailed discharge summary, Detailed Operation notes. |
CTVS | SV | New Package | SV015 | Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass | Y | SV015A | Aortic Arch Replacement using bypass | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and angio / CT angio / MRI reports | Detailed procedure notes, detailed discharge summary. |
CTVS | SV | New Package | SV015 | Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass | Y | SV015B | Thoracoabdominal aneurysm Repair using bypass | 150000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and angio / CT angio / MRI reports | Detailed procedure notes, detailed discharge summary. |
CTVS | SV | S1300042 | SV016 | Aortic Aneurysm Repair | Y | SV016A | Aortic Aneurysm Repair using Cardiopulmonary bypass (CPB) | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysm | Detailed procedure notes, detailed discharge summary. |
CTVS | SV | New Package | SV016 | Aortic Aneurysm Repair | Y | SV016B | Aortic Aneurysm Repair using Left Heart Bypass | 120000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysm | Detailed procedure notes, detailed discharge summary. |
CTVS | SV | S1300043 | SV016 | Aortic Aneurysm Repair | Y | SV016C | Aortic Aneurysm Repair without using Cardiopulmonary bypass (CPB) | 65500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes angio / CT angio / MRI reports | Detailed procedure notes, detailed discharge summary. |
CTVS | SV | New Package | SV016 | Aortic Aneurysm Repair | Y | SV016D | Aortic Aneurysm Repair without using Left Heart Bypass | 65500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes angio / CT angio / MRI reports | Detailed procedure notes, detailed discharge summary. |
CTVS | SV | S1300092 | SV017 | Aorto Iliac / Aorto femoral bypass (Uni and Bi) | Y | SV017A | Aorto Iliac bypass - U/L | 64500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and MRA / CT angio / Angio reports | Detailed discharge summary, Detailed Operative notes,, barcode of synthetic graft |
CTVS | SV | S1300092 | SV017 | Aorto Iliac / Aorto femoral bypass (Uni and Bi) | Y | SV017B | Aorto femoral bypass - U/L | 64500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and MRA / CT angio / Angio reports | Detailed discharge summary, Detailed Operative notes,, barcode of synthetic graft |
CTVS | SV | S1300079 | SV017 | Aorto Iliac / Aorto femoral bypass (Uni and Bi) | Y | SV017C | Aorto Iliac bypass - B/L | 64500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and MRA / CT angio / Angio reports | Detailed discharge summary, Detailed Operative notes,, barcode of synthetic graft |
CTVS | SV | S1300079 | SV017 | Aorto Iliac / Aorto femoral bypass (Uni and Bi) | Y | SV017D | Aorto femoral bypass - B/L | 64500 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and MRA / CT angio / Angio reports | Detailed discharge summary, Detailed Operative notes,, barcode of synthetic graft |
CTVS | SV | S1300044 | SV018 | Pulmonary Embolectomy / Thromboendarterectomy | Y | SV018A | Pulmonary Embolectomy | 141000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and ECHO report + CT Chest report | Detailed Operation notes, Discharge summary |
CTVS | SV | New Package | SV018 | Pulmonary Embolectomy / Thromboendarterectomy | Y | SV018B | Thromboendarterectomy | 141000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes and ECHO report + CT Chest report | Detailed Operation notes, Discharge summary |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019A | Femoro - Femoral Bypass | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019B | Carotid - endearterectomy | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | S100152 | SV019 | Peripheral Arterial Surgeries | Y | SV019C | Carotid Body Tumor Excision | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019D | Thoracic Outlet syndrome Repair | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | S100151 | SV019 | Peripheral Arterial Surgeries | Y | SV019E | Carotid aneurysm repair | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019F | Subclavian aneurysm repair | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019G | Axillary aneurysm repair | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019H | Brachial aneurysm repair | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019I | Femoral aneurysm repair | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019J | Popliteal aneurysm repair | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | S1300081 | SV019 | Peripheral Arterial Surgeries | Y | SV019K | Femoral - popliteal Bypass | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | S1300082 | SV019 | Peripheral Arterial Surgeries | Y | SV019L | Axillo - Brachial Bypass | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019M | Carotio - carotid Bypass | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019N | Carotido - subclavian bypass | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019O | Carotido - axillary bypass | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | S1300092 | SV019 | Peripheral Arterial Surgeries | Y | SV019P | Axillo - femoral bypass - U/L | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | S1300079 | SV019 | Peripheral Arterial Surgeries | Y | SV019Q | Axillo - femoral bypass - B/L | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | S1300085 | SV019 | Peripheral Arterial Surgeries | Y | SV019R | Aorto - carotid bypass | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | New Package | SV019 | Peripheral Arterial Surgeries | Y | SV019S | Aorto - subclavian bypass | 50000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Angiogram / CT Angiogram / MRI reports | Detailed operative notes, Discharge summary; barcode of graft used. |
CTVS | SV | S1300072 | SV020 | Thromboembolectomy | N | SV020A | Thromboembolectomy | 28000 | No | 0.00 | No | No | No | No | No | Yes | Soon as documents are uploaded, confirm evidence of embolus/ Thrombus in duples USG/ Angio | Detailed discharge summary and operative notes |
CTVS | SV | New Package | SV021 | Peripheral arterial injury repair (without bypass) | N | SV021A | Peripheral arterial injury repair (without bypass) | 30000 | No | 0.00 | No | No | No | No | No | Yes | Clinical notes with planned line of treatment, Doppler | Detailed discharge summary and operative notes |
CTVS | SV | S1300060 | SV022 | Thoracotomy, Thoraco Abdominal Approach | N | SV022A | Thoracotomy, Thoraco Abdominal Approach | 30000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT Chest establishing the aetiology for which surgery is done | Detailed Operation notes, detailed discharge summary. |
CTVS | SV | S1300054 | SV023 | Lung surgery including Thoracotomy | Y | SV023A | Lung cyst exision | 45000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT Chest | Detailed Operation notes, Discharge summary |
CTVS | SV | S100157 | SV023 | Lung surgery including Thoracotomy | Y | SV023B | Decortication | 45000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT Chest | Detailed Operation notes, Discharge summary |
CTVS | SV | S100079 | SV023 | Lung surgery including Thoracotomy | Y | SV023C | Hydatid cyst | 45000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT Chest | Detailed Operation notes, Discharge summary |
CTVS | SV | New Package | SV023 | Lung surgery including Thoracotomy | Y | SV023D | Other simple lung procedure excluding lung resection | 45000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT Chest | Detailed Operation notes, Discharge summary |
CTVS | SV | New Package | SV024 | Pulmonary Resection | N | SV024A | Pulmonary Resection | 70000 | Yes | 1.00 | No | No | No | No | No | No | Clinical notes and Pre-Op X-ray / CT Scan | HPE of resected tissue detailed operation notes, discharge summary. |
CTVS | SV | S1300061 | SV025 | Foreign Body Removal with scope | N | SV025A | Foreign Body Removal with scope | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and Radiological evidence of foreign body | Detailed Operative notes, Detailed discharge summary, Photograph of Removed Foreign body |
CTVS | SV | S1300056 | SV026 | Surgical Correction of Bronchopleural Fistula | N | SV026A | Surgical Correction of Bronchopleural Fistula | 65000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT Chest | Detailed operative notes and discharge summary |
CTVS | SV | S1300055 | SV027 | Space - Occupying Lesion (SOL) mediastinum | N | SV027A | Space - Occupying Lesion (SOL) mediastinum | 65500 | No | 0.00 | No | No | No | No | No | No | Clinical notes and CT Chest | Detailed discharge summary, Detailed Operation notes, HPE of SOL |
CTVS | SV | S1300066 | SV028 | Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy | N | SV028A | Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy | 10000 | No | 0.00 | No | No | No | No | No | No | Cl notes detailing need of ICD; X-ray chest | Detailed procedure notes. Detailed discharge summary |
CTVS | SV | S1300059 | SV029 | Diaphragmatic Repair | N | SV029A | Diaphragmatic Repair | 30000 | No | 0.00 | Yes | No | No | No | No | No | Clinical notes and Chest XRAY, CT Chest | Detailed procedure notes, detailed discharge summary. |
CTVS | SV | S1300045 | SV030 | Surgery for Cardiac Tumour | N | SV030A | Surgery for Cardiac Tumour | 95000 | No | 0.00 | No | No | No | No | No | No | Clinical notes and ECHO report | Detailed Operation notes, Discharge summary, HPE report of tumor. |
CTVS | SV | New Package | SV031 | Immediate reoperation (within 5 days) | Y | SV031A | Tetralogy of Fallot Repair | 75000 | No | 0.00 | Yes | No | No | No | Yes | No | ECHO / Doppler Report, Detailed Operative notes indicating need for Reoperation | Detailed discharge summary, Detailed Operative notes, barcode of Implant, if used. Ascertain the need for reoperation. |
CTVS | SV | New Package | SV031 | Immediate reoperation (within 5 days) | Y | SV031B | Aortic Valve | 59500 | No | 0.00 | Yes | No | No | No | Yes | No | Clinical notes and ECHO / Doppler report, Detailed Operative notes indicating need for Reoperation | Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used. Ascertain the need for reoperation. |
CTVS | SV | New Package | SV031 | Immediate reoperation (within 5 days) | Y | SV031C | Mitral Valve | 59500 | No | 0.00 | Yes | No | No | No | Yes | No | Clinical notes and ECHO / Doppler report, Detailed Operative notes indicating need for Reoperation | Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used. Ascertain the need for reoperation. |
CTVS | SV | New Package | SV031 | Immediate reoperation (within 5 days) | Y | SV031D | Tricuspid Valve | 59500 | No | 0.00 | Yes | No | No | No | Yes | No | Clinical notes and ECHO / Doppler report, Detailed Operative notes indicating need for Reoperation | Post op ECHO , Detailed procedure notes, detailed discharge summary, Barcode of implant, if used. Ascertain the need for reoperation. |
CTVS | SV | New Package | SV031 | Immediate reoperation (within 5 days) | Y | SV031E | Double Valve Procedure | 71000 | Yes | 2.00 | Yes | Yes | No | No | Yes | No | Clinical notes and ECHO and doppler reports, Detailed Operative notes indicating need for Reoperation | Detailed discharge summary, Detailed Operative notes, barcode of valves/rings used. Ascertain the need for reoperation. |
CTVS | SV | New Package | SV031 | Immediate reoperation (within 5 days) | Y | SV031F | Triple valve procedure | 85000 | Yes | 3.00 | Yes | Yes | No | No | Yes | No | Clinical notes and ECHO and doppler reports, Detailed Operative notes indicating need for Reoperation | Detailed discharge summary, Detailed Operative notes, barcode of valves/rings used. Ascertain the need for reoperation. |
CTVS | SV | New Package | SV032 | Low Cardiac Output syndrome requiring IABP insertion post - operatively | N | SV032A | Low Cardiac Output syndrome requiring IABP insertion post - operatively | 50000 | No | 0.00 | No | No | No | Yes | No | No | Clinical notes with planned line of treatment (including indication for need of required Procedure ) |
Procedure / Operative Notes, Detailed Discharge Summary |
CTVS | SV | New Package | SV033 | Re-do sternotomy | N | SV033A | Re-do sternotomy | 20000 | No | 0.00 | No | No | No | No | No | No | Clinical notes with planned line of treatment (including indication for need of required Procedure ) |
Procedure / Operative Notes, Detailed Discharge Summary |
CTVS | SV | New Package | SV034 | Excessive bleeding requiring re-exploration | N | SV034A | Excessive bleeding requiring re-exploration | 10000 | No | 0.00 | No | No | No | No | Yes | No | Clinical notes with planned line of treatment (including indication for need of required Procedure ) |
Procedure / Operative Notes, Detailed Discharge Summary |
Unspecified Surgical Package | US | U100 | US001 | Unspecified Surgical Package | N | US001A | Unspecified Surgical Package | Upto 1 lakh | No | 0.00 | No | No | No | No | Yes | No | Clinical notes with planned line of treatment (including indication for need of required Procedure ) | Procedure / Operative Notes, Detailed Discharge Summary |