Aarogyasri Health Care Trust

23 Lakh Surgeries / Therapies till date

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Surgery/Therapy List (Consolidated)

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Code

SYSTEM

SPECIAL INVESTIGATION

TREATMENT PROTOCOL

POST OPERATIVE/
PACKAGES PROCEDURE
INVESTIGATION

S1

GENERAL SURGERY

S1.1

HEAD & NECK

S1.1.1.1

Excision of Branchial Cyst

Clinical Photograph

24000

Biopsy , Clinical
Photograph

S1.1.1.10

Excision of Cervical Rib

Color Doppler , X-RAY

26880

Color Doppler , X-RAY

S1.1.1.11

Removal Of Submandibular Salivary Gland

Clinical Photograph , FNAC

25080

Biopsy , Clinical
Photograph

S1.1.1.12

Parotid Duct Repair

Silography

26150

Silography

S1.1.1.2

Excision of Branchial Sinus

Clinical Photograph

24000

Biopsy , Clinical
Photograph

S1.1.1.3

Excision of Carotid Body Tumours

Clinical Photograph , U S
Neck

33930

Biopsy , Clinical
Photograph

S1.1.1.4

Excision of Cystic Hygroma -Extensive

Clinical Photograph

23240

Biopsy , Clinical
Photograph

S1.1.1.5

Excision of Cystic Hygroma -Major

Clinical Photograph

24000

Biopsy , Clinical
Photograph

S1.1.1.6

Cystic Hygroma Excision-Minor

Clinical Photograph

10000

Biopsy , Clinical
Photograph

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S1.1.1.7

Excision of Lingual Thyroid

Clinical Photograph , Isotope

Scan

30000

Biopsy , Clinical
Photograph

S1.1.1.8

Parathyroidectomy -Non Malignant

USG

30000

Biopsy , Clinical
Photograph

S1.1.1.9

Excision of Thyroglossal Cyst Fistula

Clinical Photograph ,
Radionucleide Scan

30000

Biopsy , Clinical
Photograph

S1.1.2.1

Hemimandibulectomy

X-RAY

42780

X-RAY

S1.1.2.2

Segmental Mandible Excision

X-RAY

34736

X-RAY

S1.1.3.1

Partial Glossectomy

Clinical Photograph

26646

Biopsy , Clinical
Photograph

S1.1.4.1

ABBE Operation

Clinical Photograph

20000

Clinical Photograph

S1.1.4.2

Vermilionectomy

Clinical Photograph

21170

Clinical Photograph

S1.1.4.3

Wedge Excision of Lip&Vermilionectomy

(27.43)

Clinical Photograph

17730

Biopsy , Clinical
Photograph

S1.1.4.4

Wedge Excision of Lip

Clinical Photograph

14730

Biopsy , Clinical
Photograph

S1.1.5.1

Hemithyroidectomy

FNAC , T F T , USG

25000

Biopsy , Clinical
Photograph

S1.1.5.2

Isthmectomy

FNAC , T F T , USG

24300

Biopsy , Clinical
Photograph

S1.1.5.3

Partial Thyroidectomy

FNAC , T F T , USG

24210

Biopsy , Clinical
Photograph

S1.1.5.4

Resection Enucleation - Thyroid

FNAC , T F T , USG

25000

Biopsy , Clinical
Photograph

S1.1.5.5

Subtotal Thyroidectomy

FNAC , T F T , USG

28000

Biopsy , Clinical
Photograph

S1.1.5.6

Total Thyroidectomy

FNAC , T F T , USG

30000

Biopsy , Clinical
Photograph

S1.2

BREAST

S1.2.1

Simple Mastectomy (Non Malignant)

Mammography

30000

Biopsy , Clinical
Photograph

S1.3

ABDOMEN

S1.3.1.1

Epigastric Hernia repair without Mesh

Clinical Photograph

25000

Clinical Photograph

S1.3.1.2

Epigastric Hernia repair with Mesh

Clinical Photograph

40000

Clinical Photograph

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S1.3.1.3

Unilateral Femoral Hernia repair

Clinical Photograph

25000

Clinical Photograph

S1.3.1.4

Hiatus Hernia Repair - Abdominal

U S Abdomen , UGI
Endoscopy

48000

Endoscopy picture

S1.3.1.5

Rare Hernias repair (Spigalion,Obuturator,

Sciatic)

Clinical Photograph , USG

20000

Clinical Photograph

S1.3.1.6

Umbilical Hernia repair without Mesh

Clinical Photograph

25000

Clinical Photograph

S1.3.1.7

Umbilical Hernia repair with Mesh

Clinical Photograph

30000

Clinical Photograph

S1.3.1.8

Ventral And Scar Hernia repair without

Mesh

Clinical Photograph , USG

30000

Clinical Photograph

S1.3.1.9

Ventral And Scar Hernia repair with Mesh

Clinical Photograph , USG

40000

Clinical Photograph

S1.3.2.1

Laproscopic Appendicectomy

USG

20910

Biopsy , Clinical
Photograph

S1.3.2.2

Surgical treatment for Appendicular

Perforation

USG

25870

Biopsy , Clinical
Photograph

S1.3.3.1

Highly Selective Vagotomy

Endoscopy

25000

Clinical Photograph

S1.3.3.10

Surgical management of Duodenal

perforation

CT-Abdomen , USG , X-RAY

48000

Clinical Photograph

S1.3.3.2

Selective Vagotomy drainage

Endoscopy

48000

Clinical Photograph

S1.3.3.3

Pyloroplasty & Vagotomy

Endoscopy

48000

Clinical Photograph

S1.3.3.4

Gastrojejunostomy & Vagotomy

Endoscopy-Video Photo

40000

Clinical Photograph

S1.3.3.5

Surgical Management for Bleeding Peptic

ulcer

Endoscopy

48000

Clinical Photograph

S1.3.3.6

Partial/Subtotal Gastrectomy with

anastomosis to Esophagus for ulcer

Endoscopy

40000

Clinical Photograph

S1.3.3.7

Pyloromyotomy

Endoscopy

30000

Clinical Photograph

S1.3.3.8

Gastrostomy

Biopsy , CT , Endoscopy ,
USG

20000

Clinical Photograph

S1.3.3.9

Gastrostomy Closure

Clinical Photograph

22000

Clinical Photograph

S1.3.4.1

Surgical treatment for Intususception

Endoscopy , USG , X-Ray

ABD

48000

Biopsy , Clinical
Photograph

S1.3.4.2

Surgical treatment for Acute Intestinal

obstrucion

Biopsy , Endoscopy , USG ,

X-Ray ABD

48000

Biopsy , Clinical
Photograph

S1.3.4.3

Surgical treatment for Acute Intestinal

perforation

Biopsy , CXR , Endoscopy ,

USG , X-Ray ABD

48000

Biopsy , Clinical
Photograph

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S1.3.4.4

Surgical management For Haemorrhage

Of The Small Intestine

CT With Contrast ,
Endoscopy

48000

Biopsy , Clinical
Photograph

S1.3.4.5

Surgical treatment For Recurrent Intestinal

obstruction (Noble Plication Other)

CT-Contrast

48000

Biopsy , Clinical
Photograph

S1.3.4.6

Resection & Anastomosis Of Small

Intestine(45.9)

CT , X-Ray ABD

65000

Biopsy , Clinical
Photograph

S1.3.4.7

Ileostomy

Biopsy , Endoscopy , USG

20000

Clinical Photograph

S1.3.4.8

Ileostomy Closure

Clinical Photograph

25000

Clinical Photograph

S1.3.5.1

Surgical treatment for Mal-Rotation &

Volvulus Of The Midgut

CT , X-Ray ABD

48000

Clinical Photograph , XRAY

S1.3.5.2

Surgical treatment for Volvulus of Large

bowel

CT-Contrast , X-Ray
Abdomen

48000

Clinical Photograph , XRay Abdomen

S1.3.5.3

Surgical treatment for Duplication Of

Intestines

CT-Contrast

48000

Clinical Photograph

S1.3.5.4

Left Hemi Colectomy

Barium , CT , Endoscopy ,
USG

40000

Biopsy , Clinical
Photograph

S1.3.5.5

Right Hemi Colectomy

Barium , CT , Endoscopy ,
USG

40000

Biopsy , Clinical
Photograph

S1.3.5.6

Total Colectomy

Barium , CT , Endoscopy ,
USG

60000

Biopsy , Clinical
Photograph

S1.3.5.7

Colostomy

Barium , CT , Endoscopy ,
USG

20000

Clinical Photograph

S1.3.5.8

Colostomy Closure

Clinical Photograph

25000

Clinical Photograph

S1.3.6.1

Pull Through Abdominal Resection

Clinical Photograph

50000

Clinical Photograph

S1.3.6.2

Anterior Resection of Rectum

Biopsy , Clinical
Photograph , Colonoscopy

50000

Biopsy , Clinical
Photograph

S1.4

Liver

S1.4.1

Surgical treatment For Hydatid cyst of

Liver

CT , USG

40000

USG

S1.4.2

Portocaval Anastomosis

MRI , UGI Endoscopy , USG

80000

Endoscopy , USG

S1.5

Gallbladder

S1.5.1

Cholecystectomy

CT , LFT , USG

25000

Clinical Photograph ,
USG

S1.5.2

Laproscopic Cholecystectomy

CT , LFT , USG

30000

Clinical Photograph ,
USG

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S1.5.3

Cholecystectomy With CBD Exploration

(51.41)

CT , LFT , USG

40000

Clinical Photograph ,
USG

S1.5.4

Cholecystostomy

CT , LFT , USG

29660

Clinical Photograph ,
USG

S1.5.5

Pancreaticocystojejunostomy

CT , LFT , USG

50000

Clinical Photograph ,
USG

S1.5.6

Pancreaticocystogastrostomy

CT , LFT , USG

41926

Clinical Photograph ,
USG

S1.5.7

Repair Of CBD

CT , LFT , USG

48000

Clinical Photograph ,
USG

S1.6

Adrenals

S1.6.1

Bilateral Adrenalectomy in nonmalignant

conditions

Biochemical Investigations ,
CT , USG

40000

USG

S1.6.2

Unilateral Adrenelectopmy in
nonmalignant conditions

Biochemical Investigations ,
CT , USG

35000

USG

S1.7

Spleen

S1.7.1

Splenectomy For Hypersplenism

CT , Peripheral Smear , USG

40000

USG

S1.7.2

Splenorenal Anastomosis

MRI , UGI Endoscopy , USG

70000

Endoscopy , USG

S1.7.3

Warren Shunt for Portal Hypertension

MRI , UGI Endoscopy , USG

70000

Endoscopy , USG

S2

ENT SURGERY

S2.1

EAR

S2.1.1

Labyrinthectomy

CT-Scan PTI , IA

20000

Clinical Photograph

S2.1.2

Facial Nerve Decompression

CT-Scan

20000

Clinical Photograph

S2.1.3

Temporal Bone Excision

CT-Scan MRI Scan

50000

Clinical Photograph

S2.2

THROAT

S2.2.1

Microlaryngeal Surgery

Nasal Endoscopy

18240

Clinical Photograph

S2.2.2

Phono Surgery For Vocal Cord Paralysis

CT-Scan MRI Scan

25000

Clinical Photograph

S2.2.3

Laryngo Fissurectomy

CT-Scan

24930

Clinical Photograph

S2.2.4

Exision of Tumors In Pharynx

FNAC

20000

Biopsy , Clinical
Photograph

S2.2.5

Exision of Parapharyngeal Tumour

CT-Scan MRI Scan , FNAC

20000

Biopsy , Clinical
Photograph

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S2.2.6

Adenoidectomy - Gromet Insertion

Impedance Audiometry , XRay Nasopharynx

10000

Clinical Photograph

S2.2.7

Uvulo Palato - Pharyngoplasty

Polysomnography

25000

Clinical Photograph

S2.3

NOSE

S2.3.1

Endoscopic Sinus Surgery

CT PNS , DNE Photo graph

16500

Endoscopy Photo

S2.3.2

Mastoidectomy

CT Temporal Bone , PTA

16500

X-Ray Mastoids

S2.3.3

Tympanoplasty

PTA , X-Ray Mastoids

16500

PTA , Per OP Photo

S2.3.4

Stapedectomy - Veingraft

CT Temporal Bone ,
Impedance Audiometry , PTA

18000

Clinical Photo With

Piston + Vein Graft

S2.3.5

Excision of Benign tumours of Nose

CT PNS , DNE

15000

Clinical Photograph

S2.3.6

Surgery for Angiofibroma

CT PNS , DNE

40000

Clinical Photograph

S2.3.7

Endoscopic Surgery for Dacrocystitis

Clinical Photograph

9910

Endoscopic Photo

S2.4

FOREIGN BODY REMOVAL

(BRONCHUS-OESOPHAGUS)

S2.4.1

Bronchoscopy Foreign Body Removal

from Oesophagus/Bronchous(98.15.2)

Relevant X-Ray

10000

Clinical Photograph

S3

OPHTHALMOLOGY SURGERY

S3.2

CORNEA and SCLERA

S3.2.1

Therapeutic Penetrating Keratoplasty

BSCAN

19500

Clinical Photograph

S3.2.2

Lamellar Keratoplasty

BSCAN

22486

Clinical Photograph

S3.2.3

Corneal Patch Graft

Clinical Photograph

17410

Clinical Photograph

S3.2.4

Scleral Patch Graft

Clinical Photograph

19130

Clinical Photograph

S3.2.5

Penetrating Keratoplasty

Clinical Photograph

17750

Clinical Photograph

S3.2.6

Double Z-Plasty

Clinical Photograph

4000

Clinical Photograph

S3.2.7

Amniotic Membrane Graft for Cornea/

Sclera (12.87.2)

Clinical Photograph

11000

Clinical Photograph

S3.3

VITREO-RETINA

S3.3.1.1

Vitrectomy

23020

Clinical Photograph

S3.3.1.2

Vitrectomy - Membrane Peeling Endolaser - Silicon oil or Gas - with or

without belt buckling

B.Scan , Fundus Photograph

30000

Fundus Photograph

S3.3.1.3

Vitrectomy - Membrane Peeling- Endolaser

B.Scan , Fundus Photograph

20180

Fundus Photograph

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S3.3.1.4

Vitrectomy Plus Silicon Oil Or Gas (14.75)

23320

S3.3.1.5

Removal Of Silicon Oil Or Gas post

Vitrectomy

BSCAN , FUNDUS
PHOTOGRAPH

9726

BSCAN , FUNDUS
PHOTOGRAPH

S3.3.1.6

Monthly Intravitreal Anti-Vegf For Macular

Degeneration - Per Injection (Maximum 6)

B.Scan , Fundus Photograph

14290

Fundus Photograph

S3.3.2.1

Scleral buckle procedure for Retinal

detachment

B.Scan , Fundus Photograph

28096

Fundus Photograph

S3.3.2.2

Photocoagulation for Retinopathy

B.Scan , Fundus Photograph

2000

Fundus Photograph

S3.4

ORBIT

S3.4.1

Socket Reconstruction

Clinical Photograph

25516

Clinical Photograph

S3.4.2

Dermis Fat Graft

Clinical Photograph

22890

Clinical Photograph

S3.4.3

Orbitotomy

27100

Clinical Photograph

S3.4.4

Evisceration /Enucleation with Orbital

implant

CT Skull , Clinical
Photograph , Orbit

15506

Clinical Photograph

S3.4.5

Decompression/Excision Of Optic Nerve

Lesions

MRI

78000

Photograph

S3.4.6

Surgical Management of Proptosis

CT , MRI

60000

Clinical Photograph

S3.5

SQUINT CORRECTION SURGERY

S3.5.1

Rectus Muscle Surgery(Single)

Clinical Photograph

7920

Clinical Photograph

S3.5.2

Rectus Muscle Surgery(TwoThree)

Clinical Photograph

10690

Clinical Photograph

S3.5.3

Oblique muscle surgery

Clinical Photograph

7720

Clinical Photograph

S3.6

LID SURGERY

S3.6.1

Lid Reconstruction surgery

Clinical Photograph

10050

Clinical Photograph

S3.6.2

Surgical correction of Ptosis

Clinical Photograph , ICE

pack test with Chin Elevation

30000

Clinical Photograph

S3.7

PEDIATRIC OPHTHALMIC SURGERY

S3.3.6

Photocoagulation For Retinopathy Of

Prematurity

Fundus Fluorescein
Angiography , Fundus
Photograph , Optical
Coherence Tomography

9726

Fundus Fluorescein
Angiography , Fundus
Photograph , Optical
Coherence Tomography

S3.3.7

Paediatric Cataract Surgery

(Phacoemulsification IOL)

B.Scan , Fundus Photograph

17340

Fundus Photograph

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Fundus Fluorescein
Angiography , Fundus
Photograph

9290

Fundus Photograph

Caesarean Hysterectomy with Bladder

Repair

USG

46780

Photograph , Post-op
USG

S4.1.2

Surgery for Rupture Uterus with

Tubectomy

USG

32500

USG

S4.1.3

Management of Eclampsia with

Complications Requiring Ventilatory
Support

ABG , APTT , CUE ,

Heamatocrit , LFT , PT ,
Platelet Count , RFT , S.
Fibrinogen Level

40000

Biochemical
Investigations , Clinical
Photograph

S4.1.4

Surgical Management of AbruptioPlacenta with Coagulation Defects(Dic)

APTT , Heamatocrit , PT ,
Platelet Count , S.Fibrinogen
Level , USG

26820

Clinical Photograph of
Retroplacental clots ,
USG

S4.2

Gynaecology

S4.2.1

Laproscopic Vaginal Hysterectomy

USG

30000

Post-op USG

S4.2.10

Vaginal Hysterectomy With Pelvic Floor

Repair(70.79)

Scan

30000

Biopsy , Post-op USG

S4.2.12

Repair of Cystocele ,Rectocele

&Perineorraphy(71.71)

USG

20000

Biopsy , Post-op USG

S4.2.14

Mc Indoe\'s operation For Vaginal Atresia

Clinical Photograph , Scan

39000

Biopsy , Post-op USG

S4.2.16

Abdominal Repair for Vault Prolapse

Clinical Photograph , USG

35000

USG

S4.2.17

Abdominal Repair With Mesh for Vault

Prolapse

Clinical Photograph , USG

40000

USG

S4.2.2

Laparoscopic Cystectomy

USG

24910

Biopsy , Post-op USG

S4.2.3

Laparoscopic Ectopic Resection

USG

22130

Biopsy , Post-op USG

S4.2.5

Laparoscopic Myomectomy

USG

30000

Biopsy , Post-op USG

S4.2.6

Laparoscopic Recanalisation

USG

32730

Biopsy , Post-op USG

S4.2.7

Laparoscopic Sling Operations

USG

32500

Biopsy , Post-op USG

S4.2.8

Laparoscopic Adhesiolysis

USG

30000

Biopsy , Post-op USG

S4.2.9

Vaginal Hysterectomy

Scan

25000

Biopsy , Post-op USG

S5

ORTHOPEDIC SURGERY AND PROCEDURES

S3.3.8

Glaucoma filtering surgery for paediatric

glaucoma

S4

GYNAECOLOGY AND OBSTETRICS SURGERY

S4.1

Obstetrics

S4.1.1

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S5.1

Fracture Correction Surgeries/Procedures

S5.1.1

Bone Grafting As Exclusive Procedure

X-RAY

20000

Post opX-RAY

S5.1.2

Excision Or Other Operations For

Scaphoid Fractures

X-RAY

15000

Post opX-RAY

S5.1.3

Open reduction & Internal Fixation Of

Fingers & Toes

X-RAY

15480

Post opX-RAY

S5.1.4

Reduction Of Compound Fractures &

External Fixation(78.10)

X-RAY

25000

Post opX-RAY

S5.1.5

Ilizarov Ring Fixator Application

X-RAY

44000

Clinical Photograph , XRAY

S5.1.6

Neglected CTEV. Jess Fixator

Clinical Photograph

36000

Clinical Photograph , XRAY

S5.2

Dislocations

S5.2.1

Open reduction of Deep dislocations

X-RAY

30000

Post opX-RAY

S5.3

Amputations (Non-Traumatic)

S5.3.1

Amputations - Forequarter

X-RAY

37070

Clinical Photograph , XRAY

S5.3.2

Amputations - Hind Quarter And

Hemipelvectomy

X-RAY

50000

Clinical Photograph , XRAY

S5.4

Bone and Joint Surgery/Procedures

S5.4.1

Arthrodesis Of - Major Joints

Fluid Analysis , X-RAY

30000

Post opX-RAY

S5.4.2

Diagnostic Arthroscopy

MRI

24000

Arthroscopy Picture

S5.4.3

Arthroscopy . Operative Meniscectomy

MRI

25000

Arthroscopy Picture

S5.4.4

Anterior cruciate ligamentl reconstruction

MRI

25000

Arthroscopy Picture

S5.4.5

Surgery for Avascular Necrosis Of

Femoral Head (Core Decompression)

MRI , X-RAY

29280

Post opX-RAY

S5.4.6

Soft Tissue Reconstruction Procedures

For Joints/Osteotomy

Clinical Photograph

30000

Clinical Photograph , XRAY

S5.5

Spine Surgery

S5.5.1

Anterolateral Clearance For Tuberculosis

MRI

60000

Post opX-RAY

S5.5.2

Costo Transversectomy(77.39)

MRI

40120

Post opX-RAY

S5.5.3

Spinal Ostectomy And Internal Fixations

(78.59)

MRI

47616

Post opX-RAY

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S5.6

Soft Tissue Surgery

S5.6.1

Nerve Repair With Grafting

Clinical Photograph

41630

Clinical Photograph

S5.6.2

Neurolysis / Nerve Suture

Clinical Photograph

25000

Clinical Photograph

S5.6.3

Surgery for Brachial Plexus & Cervical Rib

MRI

44760

Clinical Photograph , XRAY

S5.7

TUMOR SURGERY

S5.7.1

Excision of deep Bone Tumours and ReConstruction With Conventional Prosthesis

MRI

48810

Clinical Photograph , XRAY

S6

SURGICAL GASTRO ENTEROLOGY

S6.1

Emergency

S6.1.1

Surgery For Bleeding Ulcers

Endoscopy

48000

Endoscopy Picture

S6.1.2

Surgery For Obscure Gi Bleed

Endoscopy

72000

Endoscopy Picture

S6.10

Hernia

S6.10.1

Diaphragmatic Hernia (Gortex Mesh

Repair)

Ba.Study , CXR ,
Endoscopy , USG

48000

Biopsy , Clinical
Photograph

S6.11

LIVER SURGERIES

S6.11.1

Rt.Hepatectomy

CT , ERClinical Photograph ,
USG

86580

Clinical Photograph

S6.11.2

Lt.Hepatectomy

CT , ERClinical Photograph ,
USG

90000

Clinical Photograph

S6.11.3

Segmentectomy

CT , ERClinical Photograph ,
USG

60000

Clinical Photograph

S6.12

PANCREATIC SURGERIES

S6.12.1

Distal Pancreatectomy

CT , ERCP

120000

Clinical Photograph

S6.12.2

Enucleation Of Cyst

CT

90000

Clinical Photograph

S6.12.3

Whipples Any Type

CT , ERCP

100000

Clinical Photograph

S6.12.4

Triple Bypass -Pancreas

CT

60000

Clinical Photograph

S6.12.5

Other Bypasses -Pancreas

CT

39250

Clinical Photograph

S6.2

Oesophagus

S6.2.1

Colonic Pull Up

Biopsy , CT-Scan ,
Endoscopy

60000

Biopsy , Clinical
Photograph

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S6.2.2

Oesophagectomy

Biopsy , CT-Scan ,
Endoscopy

90000

Biopsy , Endoscopy
Picture

S6.2.3

Oesophago-Gastrectomy

Biopsy , CT-Scan ,
Endoscopy

90000

Biopsy , Endoscopy
Picture

S6.2.4

Lap Heller.S Myotomy

Biopsy , CT-Scan ,
Endoscopy

28110

Biopsy , Endoscopy
Picture

S6.2.5

Lap Fundoplications

Biopsy , CT-Scan ,
Endoscopy

54000

Biopsy , Endoscopy
Picture

S6.3

Stomach

S6.3.1

Partial Gastrectomy with anastomosis to

esophagus/jejunum(43.6.2)

Biopsy , EUS , USG

40000

Biopsy , Clinical
Photograph

S6.3.2

Total Gastrectomy

Biopsy , CT-Scan ,
Endoscopy , USG

40000

Biopsy , Clinical
Photograph

S6.3.3

Truncal Vagotomy + Gastro Jejunostomy

(44.3)

Biopsy , CT-Scan ,
Endoscopy , USG

48000

Biopsy , Clinical
Photograph

S6.3.4

Distal Gastrectomy For Gastric Outlet

Obstruction

Biopsy , CT-Scan ,
Endoscopy , USG

40000

Biopsy , Clinical
Photograph

S6.3.5

Surgery for Corrosive Injury Stomach

Biopsy , CT-Scan ,
Endoscopy , USG

60000

Biopsy , Clinical
Photograph

S6.4

Small Intestine

S6.4.1

Surgical management of Volvulus

CT-Scan , X-Ray ABD

48000

Biopsy , Clinical
Photograph

S6.4.2

Surgical management of Malrotation

CT-Scan , X-Ray ABD

48000

Biopsy , Clinical
Photograph

S6.4.3

Lap Adhesiolysis

CT-Scan , X-Ray ABD

30000

Biopsy , Clinical
Photograph

S6.5

Large Intestine

S6.5.1

Right Hemicolectomy

Biopsy , CT-Scan ,
Colonoscopy , Endoscopy

40000

Biopsy , Clinical
Photograph

S6.5.2

Left Hemicolectomy

Biopsy , CT-Scan ,
Colonoscopy , Endoscopy

40000

Biopsy , Clinical
Photograph

S6.5.3

Extended Right Hemicolectomy

Biopsy , CT-Scan ,
Colonoscopy , Endoscopy

48000

Biopsy , Clinical
Photograph

S6.5.4

Anterior Resection of Large Intestine

Biopsy , CT-Scan ,
Colonoscopy , Endoscopy

40000

Biopsy , Clinical
Photograph

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S6.5.5

Anterior Resection With Ileostomy

Biopsy , CT-Scan ,
Colonoscopy , Endoscopy

60000

Biopsy , Clinical
Photograph

S6.5.6

Abdominoperinial Resection of rectum

Biopsy , CT-Scan ,
Colonoscopy , Endoscopy

50690

Biopsy , Clinical
Photograph

S6.5.7

Hartman.S Procedure With Colostomy

Biopsy , CT-Scan ,
Colonoscopy , Endoscopy

54000

Biopsy , Clinical
Photograph

S6.5.8.1.1

I Stage-Sub Total Colectomy + Ileostomy

(46.2)

CT-Scan with Contrast ,

Colonoscopy , Endoscopy

60000

Biopsy , Clinical
Photograph

S6.5.8.1.2

II Stage-J - Pouch

Colonoscopy

50000

Biopsy , Clinical
Photograph

S6.5.8.1.3

III Stage-Ileostomy Closure

Endoscopy

25000

Biopsy , Clinical
Photograph

S6.5.8.2.1

I Stage- Sub Total Colectomy + Ileostomy

+ J - Pouch

CT-Scan with Contrast ,

Colonoscopy , Endoscopy

96000

Biopsy , Clinical
Photograph

S6.5.8.2.2

II Stage- Ileostomy Closure

CT-Scan with Contrast ,

Colonoscopy , Endoscopy

25000

Biopsy , Clinical
Photograph

S6.6

Liver

S6.6.1

Hepato Cellular Carcinoma(Advanced)

Radio Frequency Ablation

Biopsy , CT-Scan ,
EUSDiagnostic Laparoscopy ,
Intra operative Ultrasound

72000

Clinical Photograph ,
USG

S6.6.2

Haemangioma Sol Liver Hepatectomy +

Wedge Resection

CT-Scan , Endoscopy , USG

90000

Biopsy , Clinical
Photograph , USG

S6.6.3

Hydatid Cyst-Marsupilisation

Biopsy , CT-Scan , USG

40000

Clinical Photograph ,
USG

S6.7

Gall Bladder

S6.7.1

Cyst Excision+Hepatic Jejunostomy(51.37)

CT , USG

54000

Biopsy , Clinical
Photograph

S6.7.2

Cholecystectomy

CT , USG

25000

Biopsy , Clinical
Photograph

S6.7.3

GB+ Calculi CBD Stones Or Dilated CBD

CBD , ERClinical
Photograph , USG

50000

Biopsy , Clinical
Photograph

S6.7.4

Lap.Cholecystectomy

CT , USG

30000

Biopsy , Clinical
Photograph

S6.7.5

Hepatico Jejunostomy

Biopsy , CT-Scan

66970

Biopsy , Clinical
Photograph

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S6.7.6

Choledochoduodenostomy Or
Choledocho Jejunostomy

CT , USG

40596

Biopsy , Clinical
Photograph

S6.8

Spleen

S6.8.1

Splenectomy

CT , USG

35000

Clinical Photograph ,
USG

S6.8.2

Splenectomy + Devascularisation +
Spleno Renal Shunt(39.1)

CT , USG

76560

Biopsy , Clinical
Photograph

S6.8.3

Spleenectomy For Space Occupying

Lesion

CT , USG

42000

Clinical Photograph ,
USG

S6.9

Pancreas

S6.9.1

Laproscopic Pancreatic Necrosectomy

CT-Scan , ERCP , ERClinical

Photograph , Endoscopy

112776

Biopsy , Clinical
Photograph

S6.9.2

Lateral Pancreaticojejunostomy(NonMalignant)

CT-Scan , ERCP , ERClinical

Photograph , Endoscopy

100000

Biopsy , Clinical
Photograph

S6.9.3

Open Pancreatic Necrosectomy

CT-Scan , ERCP , ERClinical

Photograph , Endoscopy

120060

Biopsy , Clinical
Photograph

S6.9.4

Distal Pancreatectomy + Splenectomy

(41.5)

CT-Scan , ERCP , ERClinical

Photograph , Endoscopy

120000

Biopsy , Clinical
Photograph

S6.9.5

Central Pancreatectomy

CT-Scan , ERCP , ERClinical

Photograph , Endoscopy

120000

Biopsy , Clinical
Photograph

S6.9.7

Cysto Jejunostomy

CT , USG

50000

Biopsy , Clinical
Photograph

S6.9.8

Cysto Gastrostomy

CT , USG

41926

Biopsy , Clinical
Photograph

S7

CARDIAC AND CARDIOTHORACIC SURGERY

S7.1

CARDIAC INTERVENTIONS /
PROCEDURES

S7.1.1.1

Coronary Balloon Angioplasty with stent

(00.45)

2 CAD

40000

X-RAY

S7.1.1.2

PTCA 1 Additional Stent (00.46)

CAG

9000

X-RAY

S7.1.2.1

ASD Device Closure

2D ECHO

80000

2D ECHO , X-RAY

S7.1.2.2

VSD Device Closure

2D ECHO

80000

2D ECHO , X-RAY

S7.1.3.1

Patent Ductus Arterious - Stenting

2D ECHO

75000

2D ECHO

S7.1.3.2

Patent Ductus Arterious - Device Closure

2D ECHO

72320

2D ECHO

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S7.1.3.3.1

Patent Ductus Arterious - Single Coil

Closure

25000

S7.1.3.3.2

Patent Ductus Arterious - Multiple Coils

Closrue

35000

S7.1.4.1

Balloon Valvotomy

2D ECHO

26000

2D ECHO

S7.1.4.2

Balloon Atrial Septostomy

2D ECHO

33380

2D ECHO

S7.1.5.1

Permanent Pacemaker Implantation

CAG , ECG

75000

ECHO , X-RAY

S7.1.5.2

Temporary Pacemaker Implantation

CAG , ECG

13000

ECHO , X-RAY

S7.1.6.1

Coaractation of Aorta Repair With Stent +

Aortoplasty(35.11)

2D ECHO , CAG

80000

DOPPLER

S7.1.6.2

Coaractation of Aorta Repair Without Stent

+ Aortoplasty(35.11)

Aortogram

30380

DOPPLER

S7.1.7.1

Renal Angioplasty

ANGIOGRAM

60000

DOPPLER , X-RAY

S7.1.7.2

Peripheral Angioplasty

2D ECHO , ANGIOGRAM

60000

DOPPLER

S7.1.7.3

Vertebral Angioplasty

ANGIOGRAM

75000

DOPPLER

S7.1.7.4

Perpheral Angioplasty - Additional Stent

(00.46)

ANGIOGRAM

9000

DOPPLER , X-RAY

S7.10

CARDIAC INJURES

S7.10.1

Surgery for Cardiac injuries Without CPB

2D ECHO

70000

2D ECHO

S7.10.2

Surgery for Cardiac injuries With CPB

2D ECHO

91960

2D ECHO

S7.11

VASCULAR SURGERIES

S7.11.1

Peripheral Embolectomy Without Graft

ANGIOGRAM , Spiral CT
Angiogram

30000

Color Doppler

S7.11.10

Excision Of Arterio Venous Malformation Large

MRI Angiogram , Spiral CT

Angiogram

90000

Color Doppler

S7.11.11

Excision Of Arterio Venous Malformation Small

MRI Angiogram , Spiral CT

Angiogram

44000

Color Doppler

S7.11.12

Arterial Embolectomy

ANGIOGRAM , Color Doppler

30000

ANGIOGRAM , PVR ,
SBP

S7.11.13

A V Fistula surgery (creation) at Wrist

Color Doppler

10000

Color Doppler

S7.11.14

A. V Fistula surgery (creation) At Elbow

Color Doppler

10000

Color Doppler

S7.11.15

DVT - Ivc Filter implantation

Color Doppler

100000

Plain X-Ray Abdomen

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S7.11.16

Surgical management of Vascular Tumors

ANGIOGRAM , Spiral CT
Angiogram

40000

Color Doppler

S7.11.17

Small Arterial Aneurysms - Repair

ANGIOGRAM , Spiral CT
Angiogram

20000

Color Doppler

S7.11.18

Medium Size Arterial Aneurysms - Repair

ANGIOGRAM , Spiral CT
Angiogram

25000

Color Doppler

S7.11.19

Medium Size Arterial Aneurysms - Repair

With Synthetic Graft

ANGIOGRAM , Spiral CT
Angiogram

95000

Color Doppler

S7.11.2

Aorto Billiac - Bifemoral Bypass With

Synthetic Graft

ANGIOGRAM , Spiral CT
Angiogram

125000

Color Doppler

S7.11.3

Axillo Bifemoral Bypass With Synthetic

Graft

ANGIOGRAM , Spiral CT
Angiogram

100000

Color Doppler

S7.11.4

Femoro Distal Bypass With Vein Graft

ANGIOGRAM , Spiral CT
Angiogram

60000

Color Doppler

S7.11.5

Femoro Distal Bypass With Synthetic Graft

ANGIOGRAM , Spiral CT
Angiogram

80000

Color Doppler

S7.11.6

Axillo Brachial Bypass Using With

Synthetic Graft

ANGIOGRAM , Spiral CT
Angiogram

70000

Color Doppler

S7.11.7

Brachio - Radial Bypass With Synthetic

Graft

ANGIOGRAM , Spiral CT
Angiogram

59000

Color Doppler

S7.11.8

Excicion Of Carotid Body Tumor With

Vascular Repair

ANGIOGRAM , Spiral CT
Angiogram

80000

Color Doppler

S7.11.9

Carotid Artery Bypass With Synthetic Graft

ANGIOGRAM , Spiral CT
Angiogram

124000

Color Doppler

S7.2

CARDIOTHORACIC AND VASCULAR

SURGERIES

S7.2.1.1

Coronary Bypass Surgery

CAG

115846

Clinical Photograph

S7.2.1.2

Coronary Bypass Surgery-Post

Angioplasty

POST PTCA-CAG

118720

Clinical Photograph

S7.2.1.3

Cabg With Iabp Pump

2D ECHO , CAG

139678

Clinical Photograph

S7.2.1.4

Cabg With Aneurismal Repair

CAG

154250

Clinical Photograph

S7.2.10.1

Mitral Valve Replacement (With Valve)

2D ECHO

145000

2D ECHO , X-RAY

S7.2.10.2

Aortic Valve Replacement (With Valve)

2D ECHO

145000

2D ECHO , X-RAY

S7.2.10.3

Replacement of Tricuspid valve

2D ECHO

144240

2D ECHO , X-RAY

S7.2.10.4

Double valve replacement (With Valve)

2D ECHO

178000

2D ECHO , X-RAY

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S7.2.11.1

Pericardiostomy

2D ECHO

25000

2D ECHO

S7.2.11.2

Pericardiectomy

2D ECHO

49450

2D ECHO

S7.2.11.3

Pericardiocentesis

2D ECHO

15000

2D ECHO

S7.2.12.1

Coarctation-Arota Repair With Graft

2D ECHO , CAG

100000

DOPPLER

S7.2.12.2

Coarctation-Arota Repair Without Graft

2D ECHO , CAG

70000

DOPPLER

S7.2.13.1

Aneurysm Resection & Grafting

2D ECHO , CAG

181470

DOPPLER

S7.2.13.2

Intrathoracic Aneurysm -Aneurysm Not

Requiring Bypass

CT-Angio , Cath

100000

DOPPLER

S7.2.13.3

Intrathoracic Aneurysm -Requiring Bypass

(With Graft)

CT-Angio , Cath

180540

DOPPLER

S7.2.13.4

Surgical management of Dissecting

Aneurysms

CT-Angio , Cath

180000

DOPPLER

S7.2.13.5

Surgical management of Annulus Aortic

Ectasia With Valved Conduits

angio

158200

DOPPLER , ECHO

S7.2.14.1

Aorto-Aorto Bypass With Graft

angio

100000

DOPPLER

S7.2.14.2

Aorto-Aorto Bypass Without Graft

angio

85000

DOPPLER

S7.2.15.1

Femoro- Poplitial Bypass With Graft

angio

65000

DOPPLER

S7.2.15.2

Femoro- Poplitial Bypass Without Graft

angio

45000

DOPPLER

S7.2.16.1

Femoro- Ileal Bypass With Graft

angio

65000

DOPPLER

S7.2.16.2

Femoro- Ileal Bypass Without Graft

angio

45000

DOPPLER

S7.2.17.1

Femoro-Femoral Bypass With Graft

angio

65000

DOPPLER

S7.2.17.2

Femoro-Femoral Bypass Without Graft

angio

45000

DOPPLER

S7.2.18.1

TGA - Arterial Switch

2D ECHO , angio

150000

2D ECHO

S7.2.18.2

TGA - Sennings Procedure

2D ECHO , angio

150000

2D ECHO

S7.2.19.1

TGA - Carotid Embolectomy

ANGIOGRAM

70000

DOPPLER , X-RAY

S7.2.2.1

Surgery For Intracardiac Tumors

2D ECHO , CAG

100000

Clinical Photograph ,
ECHO , HPE

S7.2.3.1

surgical management of Ruptured Sinus

Of Valsalva

CAG

130000

Clinical Photograph ,
ECHO

S7.2.4.1

surgical management (Correction) of

TAPVC

2D ECHO

119840

Clinical Photograph ,
ECHO

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S7.2.5.1.1

Systemic Pulmonary Shunts With Graft

TOF

2D ECHO

63600

2D ECHO

S7.2.5.1.2

Systemic Pulmonary Shunts Without Graft

TOF

2D ECHO

55400

2D ECHO

S7.2.5.2

Total Correction of Tetralogy of Fallot

2D ECHO

104270

Clinical Photograph ,
ECHO

S7.2.6.1

Intra Cardiac Repair Of ASD

2D ECHO

80000

2D ECHO

S7.2.6.2

Intracardiac Repair Of VSD

2D ECHO

85000

2D ECHO

S7.2.7.1

Surgery for-PDA

2D ECHO

40000

2D ECHO

S7.2.8.1

Ross procedure - Intracardiac repair of

complex congenital heart diseases with
Special Conduits

2D ECHO

150000

2D ECHO

S7.2.8.2

Ross procedure - Intracardiac repair of

complex congenitalheart diseases without
Special Conduits

2D ECHO

109510

2D ECHO

S7.2.9.1

Valve repair with Prosthetic Ring

2D ECHO

140000

ECHO

S7.2.9.2

Valve repair without Prosthetic Ring

2D ECHO

110000

ECHO , X-RAY

S7.2.9.3

Open Pulmonary Valvotomy

2D ECHO

77000

2D ECHO

S7.2.9.4

Closed Mitral Valvotomy

2D ECHO

40000

2D ECHO

S7.2.9.5

Mitral valvotomy (Open)

2D ECHO

110000

2D ECHO

S7.3

LUNGS

S7.3.1

Pneumonectomy

CT-Chest , X-RAY

60000

Clinical Photograph , XRAY

S7.3.2

Lobectomy

CT-Chest , X-RAY

60000

Clinical Photograph , XRAY

S7.3.3

Decortication of lung

CT-Chest , X-RAY

60000

Clinical Photograph , XRAY

S7.3.4

Surgical management of lung cyst

CT-Chest , X-RAY

40000

Clinical Photograph , XRAY

S7.3.5

Surgical management of SolItary fibrous

tumor- Mediastinum

CT-Chest , X-RAY

60000

Clinical Photograph , XRAY

S7.3.6.1

Surgical management of Bronchopleural

fistula -Thorocoplasty

CT-Chest , X-RAY

67530

Clinical Photograph , XRAY

S7.3.6.2

Surgical management of Bronchopleural

Fistula - Myoplasty

CT-Chest , X-RAY

75150

Clinical Photograph , XRAY

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S7.3.6.3

Transpleural Bronchopleural Fistula

closure

CT-Chest , X-RAY

65000

Clinical Photograph , XRAY

S7.4

CHEST SURGERY

S7.4.1

Surgical management of Diaphragmatic

Eventeration

BARIUM STUDIES , CT-Scan

50000

USG

S7.4.2

Surgical Management of Diaphragmatic

Hernia

CT-Scan , USG

60000

USG

S7.4.3

Surgical Management of Oesophageal

Diverticula /Achalasia Cardia

BARIUM STUDIES , CT-Scan

50000

USG

S7.5

DIAPHRAGMATIC INJURIES

S7.5.1

Surgical management of Diaphragmatic

injuries, Thoraco Abdominal approach

CT-Scan

55000

Clinical photograph
with operative scars

S7.6

BRONCHIAL INJURIES/FB

S7.6.1

Bronchoscopic Foreign body removal

Bronchoscopy , CT-Scan

20000

Endoscopy picture

S7.6.2

Surgical management For Bronchial

Injuries due to foreign Body

Bronchoscopy , CT-Scan

60000

Endoscopy picture

S7.8

OESOPHAGEAL INJURY/FB

S7.8.1

Gastro Study Followed By Thoracotomy &

Repairs For Oesophageal Injury For
Corrosive Injuries/Fb

Gastroscopy

65000

Endoscopy picture

S7.9

VASCULAR INJURY

S7.9.1

Surgery for Arterial Injuries, Venous

Injuries Without Graft

ANGIOGRAM , DOPPLER

25000

Clinical photograph
with operative scars

S7.9.1.1

Surgical Management of Vascular Injury In

Upper Limbs - Axillary,Branchial,Radial
And Ulnar -With Vein Graft

20000

ANGIOGRAM , Color
Doppler

S7.9.1.2

Major Vascular Injury -In Lower LimbsRepair

30000

ANGIOGRAM , Color
Doppler

S7.9.1.3

Surgical Management of Minor Vascular

Injury - Tibial Vessels In Leg

20000

ANGIOGRAM , Color
Doppler

S7.9.1.4

Surgical Management of Minor Vascular

Injury -Vessels In Foot

20000

ANGIOGRAM , Color
Doppler

S7.9.2

Surgical Management of Vascular injuries

with vein graft

ANGIOGRAM , DOPPLER

30000

Clinical photograph
with operative scars

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S7.9.3

Surgical Management of Vascular Injury

With Prosthetic Graft

ANGIOGRAM , DOPPLER

40000

Clinical photograph
with operative scars

S7.9.4

Surgical Management of Neck Vascular

Injury - Carotid Vessels

ANGIOGRAM , Color Doppler

100000

S7.9.6

Surgical Management of Abdominal

Vascular Injuries - Aorta, Illac Arteries, Ivc,
Iliac Veins

ANGIOGRAM , Color Doppler

100000

Color Doppler

S7.9.7

Surgical Management of Thoracic

Vascular Injuries

ANGIOGRAM , Color Doppler

150000

Color Doppler

S8

PEDIATRIC SURGERIES

S8.1

PAEDIATRIC CONGENITAL
MALFORMATIONS

S8.1.1

Surgical management of Oesophageal

Atresia In Paediatric Patients

61890

S8.1.2

Open repair of diaphragmatic hernia in

paediatric patients

50000

S8.1.3

Surgical Management of Intestinal

Atresias & Obstructions In Paediatric
Patients

65000

S8.1.4

Surgical Management of Biliary Atresia &

Choledochal Cyst In Paediatric Patients

69450

S8.1.5

Stage 1 procedure for Anorectal

Malformations In Paediatric Patients

48000

S8.1.6

Stage 2 procedure for Anorectal

Malformations In Paediatric Patients

60000

S8.1.7

Stage 1 procedure for Hirschprungs

Disease In Paediatric Patients

48000

S8.1.8

Stage 2 procedure for Hirschprungs

Disease In Paediatric Patients

72000

S8.2.1

Surgical Management of Congenital

Hydronephrosis in Paediatric Patients

54710

S8.2.2

Surgical Management of Ureteric

Reimplantations

34770

S8.2.3.1

Stage 1 procedure for Exstrophy Bladder

in Paediatric Patients

73210

S8.2.3.2

Stage 2 procedure for Exstrophy Bladder

in Paediatric Patients

70230

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S8.2.4

Surgical Management of Posterior

Urethral Valves in Paediatric Patients

30000

S8.2.5

Single Stage procedure for Hypospadiasis

40000

S8.2.6.1

Stage 1 procedure for Hypospadiasis

Clinical Photograph

29360

Clinical Photograph

S8.2.6.2

Stage 2 procedure for Hypospadiasis

29860

S8.3.1

Surgical Management of Paediatric

Tumors

50000

S8.4.1

Surgical correction of Cleft Lip

25000

S8.4.2

Surgical correction of Cleft Palate in

pediatric patients

25000

S8.4.3

Surgical corection of Velo-Pharyngeal

Incompetence

35330

S8.4.4

Surgical correction of Syndactyly of Hand

For Each Hand in Paediatric Patient

25000

S8.4.5

Surgical correction of Microtia/Anotia In

Paediatric Patient

32840

S8.4.6

Surgical Management of Tempero

mandibular Joint Ankylosis

44540

S8.2

CONGENITAL MALFORMATIONS

S8.5.1

Surgical Management of Hamartoma

Excision

IVP , Renogram , USG

20000

Clinical Photograph ,
IVP

S8.5.2

Surgical Management of Hemangioma

Excision

Clinical Photograph , USG

18830

Clinical Photograph ,
IVP

S8.5.3

Surgical management of Lymphangioma

In Paediatric Patients

48000

S8.3

HEAD AND NECK

S8.3.1

Neuroblastoma

Biopsy , CT

50000

Clinical Photograph

S8.3.2

Surgical Management of Congenital

Dermal Sinus

30000

S8.3.3

Surgical Management of Cystic Lesions

Of The Neck

24000

S8.3.4

Surgical management of Encephalocele

42080

S8.3.5

Surgical management of Sinuses & Fistula

of the neck in Paediatric Patient

20870

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S8.4

CHEST

S8.7.1

Bronchoscopy for Foreign Body Removal

Clinical Photograph

20000

Clinical Photograph

S8.7.2

Surgical Correction of Esophageal

Obstructions In Paediatric Patients

Clinical Photograph

58500

Clinical Photograph

S8.7.3

Surgical Correction of Esophageal

Substitutions In Paediatric Patients

Endoscopy

73166

Clinical Photograph

S8.7.4

Excision of Thoracoscopic Cysts

Clinical Photograph

40000

Clinical Photograph

S8.7.5

Thoracoscopic Decortication In Paediatric

Patients

Clinical Photograph

48000

Clinical Photograph

S8.7.6

Surgical Correction of Thoracic

Duplications In Paediatric Patients

Clinical Photograph , X-RAY

44540

Clinical Photograph

S8.7.7

Surgical Correction of Thoracic Wall

Defects

65006

S8.5

ABDOMEN

S8.8.1

Surgical management of - Gastric Outlet

Obstructions In Paediatric Patients

CT , Clinical Photograph

30000

Clinical Photograph

S8.8.10

Laparoscopic Pull Through Surgeries For

Hirschprungs Disease In Paediatric
Patients

72000

S8.8.11

Paediatric Splenectomy (Non Traumatic)

42000

S8.8.12

Adrenal Gland Surgeries In Paediatric

patients(07.3&07.4)

47330

S8.8.2

Surgical management of Gastro

Esophageal Reflux In Paediatric Patients

CT , Neuro USG

36410

Clinical Photograph

S8.8.3

Surgical Correction of Hydatid Cysts In

Paediatric Patient

CT , Neuro USG

40000

Clinical Photograph

S8.8.4

Surgical management of Intestinal

Polyposis In Paediatric Patients

60000

S8.8.5

Surgical Correction of Intususception

48000

S8.8.6

Surgical mangement of Acute Intestinal

Obstruction In Paediatric Patients

48000

S8.8.7

Laparoscopic Appendicectomy

20910

S8.8.8

Laparoscopic Choleycystectomy

30000

S8.8.9

Laparoscopic Pull Through For Ano Rectal

Anomalies In Paediatric Patients

72000

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S8.6

GENITOURINARY SYSTEM

S8.6.4

Undescended testis

CT , Neuro USG

42080

Biopsy , Clinical
Photograph

S8.9.1

Simple Nephrectomy in pediatric patients

CT , FNAC , USG

40000

Biopsy , Clinical
Photograph

S8.9.2

Surgical Correction of Epispadiasis

CT , Neuro USG

41866

Biopsy , Clinical
Photograph

S8.9.3

Surgical Correction of Scrotal

Transposition In Paediatric Patients

CT- Clinical Photograph ,

MRI , USG

20000

Biopsy , Clinical
Photograph

S8.9.5

Surgical Management for Torsion of Testis

CT , Clinical Photograph

25190

Biopsy , Clinical
Photograph

S8.9.6

Laparoscopic Orchidopexy In Paediatric

Patients

25000

S8.9.7

Laparoscopic Varicocele Ligation

40000

S9

GENITO URINARY SURGERIES

S9.1

RENAL TRANSPLANTATION

S9.1.1

A.V. Fistula surgery (creation) [PreTransplant Procedure Only]

RenalFunction Test , S.
Electrolytes

10000

Clinical Photograph

S9.1.2

Renal Transplantation Surgery

RFT , USG

161100

Clinical Photograph

S9.1.3

Post Renal Transplant

Immunosuppressive Treatment From 1st
To 6th Months

RFT , USG

91670

Bills Copy

S9.10

TESTIS AND PENIS

S9.10.1

Orchidopexy Bilateral

USG

22866

Clinical Photograph

S9.10.2

Surgical management of Torsion of Testis

USG

25190

Clinical Photograph

S9.10.3

Surgical correction of Chordee

USG

32860

Clinical Photograph

S9.10.4

Partial Amputation Of Penis(NonMalignant)

Clinical Photograph

36670

Biopsy , Clinical
Photograph

S9.10.5

Total Penectomy

Clinical Photograph

36670

Biopsy , Clinical
Photograph

S9.2

SURGERY FOR RENAL CALCULI

S9.2.1

Open Pyelolithotomy

IVP , KUB , USG

21766

Clinical Photograph ,
USG , X-RAY

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S9.2.2

Open Nephrolithotomy

IVP , KUB , USG

24100

Clinical Photograph ,
USG , X-RAY

S9.2.3

Open Cystolithotomy

IVP , KUB , USG

19130

Clinical Photograph ,
USG , X-RAY

S9.2.4

Laparoscopic Pyelolithotomy

USG

41806

Clinical Photograph , XRAY

S9.3

LITHOTRIPSY PROCEDURES

S9.3.1

Cystolithotripsy

IVP , KUB , USG

13000

Clinical Photograph ,
USG , X-RAY

S9.3.2

PCNL

IVP , KUB , USG

34280

Clinical Photograph , XRAY

S9.3.3

Extracorporeal shockwave lithotripsy

(ESWL)

IVP , KUB , USG

20000

Clinical Photograph ,
IVP , X-RAY

S9.3.4

ursl

IVP , KUB , USG

25000

Clinical Photograph , XRAY

S9.3.5

Nephrostomy - Lithotropsy

IVP , USG

13000

Clinical Photograph

S9.3.6

Dj Stent (One Side)

IVP , USG

5000

X-RAY

S9.4

Other Corrective Surgeries/Procedures

S9.4.1.1

Single Stage Urethroplasty for stricture

Urethra

RUG

50000

Clinical Photograph

S9.4.1.2.1

Stage 1 Urethroplasty for stricture Double

Stage

RUG

38670

Clinical Photograph

S9.4.1.2.2

Stage 2 Urethroplasty for stricture Double

Stage

RUG

37500

Clinical Photograph

S9.4.2

Reconstruction procedure Urethroplasty

for stricture

Photo

37500

Photo

S9.4.3.1

Single Stage HYPOSPADIASIS (ADULT)

Clinical Photograph

40000

Clinical Photograph

S9.4.3.2.1

Stage-1 HYPOSPADIASIS (ADULT)

Clinical Photograph

29360

Clinical Photograph

S9.4.3.2.2

Stage-2 HYPOSPADIASIS (ADULT)

Clinical Photograph

29860

Clinical Photograph

S9.4.4

Transurethral resection of bladder tumour

(TURBT)

CT

39000

Clinical Photograph

S9.5

Renal Transplantation

S9.5.1

Post Renal Transplant

Immunosuppressive Treatment From 7th
To 12 Th Month.

RFT , USG

61210

Bills Copy

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Aarogyasri Health Care Trust

S9.6

RENAL

S9.6.1

Nephrostomy - Renal

IVP , USG

13000

USG

S9.6.2

Nephrectomy for Pyonephrosis/Xgp

IVP , USG

40000

USG

S9.6.3

Simple Nephrectomy

IVP , USG

40000

USG

S9.6.4

Laproscopic Simple Nephrectomy

IVP , USG

50000

USG

S9.6.5

Laproscopic Radical Nephrectomy

IVP , USG

61880

USG

S9.6.6

Lap. Partial Nephrectomy

IVP , USG

60000

USG

S9.6.7

Bilateral Nephroureterectomy

IVP , USG

80000

USG

S9.6.8

Renal Cyst Excision

IVP , USG

23220

USG

S9.7

RENAL STONE SURGERY/THERAPIES

S9.2.5

Anatrophic Peylolithotomy For Staghorn

Caliculus

IVP , KUB , USG

50000

Clinical Photograph ,
USG , X-Ray

S9.7.1

Endoscope Removal Of Stone In Bladder

IVP , Scopy , USG , X-Ray

KUB

14000

Endoscopy Picture

S9.8

CORRECTIVE SURGERIES

S9.8.1

Anderson Hynes Pyeloplasty

IVP , USG , X-RAY

48000

Clinical Photograph

S9.8.2

Surgical correction of Vesicovaginal Fistula

IVP , Scopy , rgp

44000

Clinical Photograph

S9.8.3

Epispadiasis - Correction

Clinical Photograph

41866

Clinical Photograph

S9.8.4

Closure Of Urethral Fistula

RGU

30000

Clinical Photograph

S9.8.5

Optical Urethrotomy

RGU , X-RAY

20930

Endoscopy Picture

S9.8.6

Perineal Urethrostomy

RGU , X-RAY

31650

Endoscopy Picture

S9.8.7

Ureteric Reimplantations

IVP , USG , X-RAY

34770

USG

S9.8.8

Surgical Procedure for Ileal Conduit

Formation

IVP , USG , X-RAY

40670

Clinical Photograph

S9.8.9

Surgical corrrection of Ureterocele

RGU , X-RAY

23660

Clinical Photograph

S9.9

BLADDER and PROSTATE

S9.9.1

Transurethral Resection of Prostate

(TURP)

U.scopy , USG

30000

USG

S9.9.2

Transurethral Resection of Prostate

(TURP) Cyst Lithotripsy

USG , X-RAY

30000

USG

S9.9.3

Open Prostatectomy

USG , X-RAY

33000

Clinical Photograph

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S9.9.4

Caecocystoplasty

U.scopy , USG

41840

USG

S9.9.5

Total Cystectomy

U.scopy , USG

45020

USG

S9.9.6

Bladder Diverticulectomy

U.scopy , USG

32200

USG

S9.9.7

Surgical Management of Incontinence

Urine (Female)

U.scopy , USG

22000

USG

S9.9.8

Surgical Management of Incontinence

Urine (Male)

U.scopy , USG

25600

USG

S10

NEUROSURGERY

S10.1

BRAIN

S10.1.1

Craniotomy And Evacuation of Subdural

Haematoma

CT

66000

Clinical Photograph

S10.1.11

Excision of Subtentorial Brain Tumours

CT

48250

Biopsy , Clinical
Photograph

S10.1.12

Ventriculoperitoneal Shunt

CT

30000

Clinical Photograph

S10.1.13

Twist Drill Craniostomy

CT

15000

Clinical Photograph

S10.1.14

Subdural Tapping

CT

19500

Clinical Photograph

S10.1.15

Ventricular Tapping

CT

15000

Clinical Photograph

S10.1.16

Tapping of Brain Abscess

CT

40000

Clinical Photograph

S10.1.17

Surgical Management of Vascular

Malformations

MRI Angio

60000

Clinical Photograph

S10.1.18

Ventriculo Peritoneal Shunt

CT

30000

Clinical Photograph

S10.1.19

Atrial Shunt

CT

20000

Clinical Photograph

S10.1.2

Craniotomy And Evacuation of Extradural

Haematoma

CT

60000

Clinical Photograph

S10.1.20

Surgical Management of Meningo

Encephalocele

MRI

40000

Clinical Photograph

S10.1.21

Surgical Management of
Meningomyelocele

MRI

40000

Clinical Photograph

S10.1.22

Surgical Management of C.S.F.

Rhinorrhoea

CT

40000

Clinical Photograph

S10.1.23

Cranioplasty

CT , Clinical Photograph

30000

Clinical Photograph

S10.1.24

Meningocele Excision

MRI

40000

Clinical Photograph

S10.1.25

Ventriculo Atrial Shunt

CT

20000

Clinical Photograph

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S10.1.26

Excision Of Brain Abcess

CT

70000

Clinical Photograph

S10.1.27

Aneurysm Clipping

MRI Angio

110000

Clinical Photograph , XRAY

S10.1.28

External Ventricular Drainage (EVD)

CT

40000

Clinical Photograph

S10.1.3

Burr Hole procedure for evacuation of

Brain Abscess

CT

32679

Clinical Photograph

S10.1.4

Excision Of Lobe (Frontal,Temporal,

Cerebe llum Etc.)

CT

40000

Biopsy , Clinical
Photograph

S10.1.5.1

Excision of Parasagital Brain tumour

CT

68890

Biopsy , Clinical
Photograph

S10.1.5.2

Excision of Basal Brain tumour

CT

70000

Biopsy , Clinical
Photograph

S10.1.5.3

Excision of Brain Stem Brain tumour

CT

70000

Biopsy , Clinical
Photograph

S10.1.5.4

Excision of C P Angle Brain tumour

CT

80000

Biopsy , Clinical
Photograph

S10.1.5.5

Excision of Other Brain tumours

CT

48250

Biopsy , Clinical
Photograph

S10.2

SPINAL SURGERIES

S10.2.1

Surgery for Cord Tumours

MRI

38000

Biopsy , Clinical
Photograph

S10.2.10

Surgical Management of Intra Medullary

Spinal Tumours

MRI

50000

Biopsy , Clinical
Photograph , X-RAY

S10.2.11

Surgical Management of Spina Bifida

Major

MRI

35000

Clinical Photograph , XRAY

S10.2.12

Surgical Management of Spina Bifida

Minor

MRI

30000

Clinical Photograph , XRAY

S10.2.2

Excision Of Cervical Inter-Vertebral Discs

MRI

30000

Clinical Photograph

S10.2.3

Posterior Cervical Discectomy

MRI

26650

Clinical Photograph

S10.2.4

Anterior Cervical Discectomy

MRI

26650

Clinical Photograph

S10.2.5

Anterior Cervical Spine Surgery With

Fusion

MRI , X-Ray Cerical Spine

45000

X-RAY

S10.2.6

Anterior Lateral Decompression

MRI

30000

Clinical Photograph , XRAY

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S10.2.7

Laminectomy

MRI

26650

Clinical Photograph , XRAY

S10.2.8

Discectomy

MRI

26650

Clinical Photograph , XRAY

S10.2.9

Spinal Fusion Procedure

MRI

50000

Clinical Photograph , XRAY

S10.3

OTHER SURGERIES/PROCEDURES

S10.3.1

Stereotactic Procedures

20000

Clinical Photograph

S10.3.2

Trans Sphenoidal Surgery

CT

40000

Biopsy , Clinical
Photograph

S10.3.3

Trans Oral Surgery

CT

40000

Biopsy , Clinical
Photograph

S10.3.4

Combined Trans-Oral Surgery & Cv

Junction Fusion

MRI , X-Ray Cerical Spine

51190

Clinical Photograph

S10.3.5

C.V. Junction Fusion

MRI , X-Ray Cerical Spine

40000

Clinical Photograph

S10.4

BRAIN

S10.4.1

Endoscopy Procedures -Brain

MRI

78000

Clinical Photograph

S10.4.1.1

De-Compressive Craniectomy (Non

Traumatic)

80000

Clinical Photograph

S10.4.2

Evacuation of Intra-Cerebral Hematoma

MRI

72000

Clinical Photograph

S10.4.3

Endoscopic Third Ventriculostomy

30000

Clinical Photograph

S10.5

SPINE

S10.5.1

Anterior Discectomy & Bone Grafting

MRI

40000

X-RAY

S10.5.2

Discectomy With Implants

MRI

65000

X-RAY

S10.5.3

Corpectomy For Spinal Fixation

MRI

75000

X-RAY

S10.5.4

Spinal Fixation Rods And Plates, Artificial

Discs

MRI

85000

X-RAY

S10.5.5

Surgical Management of Syringomyelia

MRI

60000

Clinical Photograph

S10.6

SOFT TISSUE and VASCULAR

SURGERIES

S10.6.1

Surgical treatment for brachial plexus

injuries

MRI

72000

Clinical Photograph

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S10.6.2

Cervical Sympathectomy

EMG , MRI , Nerve

conduction study

30000

Clinical Photograph

S10.6.3

Lumbar Sympathectomy

EMG , MRI , Nerve

conduction study

30000

Clinical Photograph

S10.6.4

Decompression/Excision Of Optic Nerve

Lesions

MRI

78000

Clinical Photograph

S10.6.5

Peripheral Nerve Injury Repair

EMG , Nerve conduction

study

40000

Clinical Photograph

S10.6.6

Proptosis

MRI

60000

Clinical Photograph

S10.7

EPILEPSY Surgery

S10.7.1

Temporal Lobectomy

MRI-Video EEG Psychologic

assesment

75000

Clinical Photograph

S10.7.2

Lesionectomy Type 1

MRI-Video EEG Psychologic

assesment

56859

Clinical Photograph

S10.7.3

Lesionectomy Type 2

MRI-Video EEG Psychologic

assesment

57040

Clinical Photograph

S10.7.4

Temporal Lobectomy Plus Depth

Electrodes

MRI-Video EEG Psychologic

assesment

140000

Clinical Photograph , XRAY

S10.8

MANAGEMENT OF TRIGEMINAL
NEURALGIA

S10.8.1

Radiofrequency Ablation For Trigeminal

Neuralgia

EMG , Nerve Conduction

30000

Clinical Photograph

S10.8.2

Microvascular Decompression For

Trigeminal Neuralgia

EMG , Nerve Conduction

60000

Clinical Photograph

S10.9

MANAGEMENT OF ANEYRISMS

S10.9.1

Embolization of Aneurysm

ANGIOGRAM , MRI Angio

75000

Clinical Photograph

S10.9.2

Coil Embolization of Aneurysm (each coil

cost)

ANGIOGRAM , MRI Angio

30000

Clinical Photograph

S11

SURGICAL ONCOLOGY

S11.1

HEAD & NECK

S11.1.1

Composite Resection & Reconstruction Head & Neck in malignant conditions

Biopsy , Clinical
Photograph , USG , X-RAY

65060

Biopsy , Clinical
Photograph

S11.1.10

Head and Neck - Wide Excision

Biopsy , Clinical
Photograph , USG , X-RAY

39570

Biopsy , Clinical
Photograph

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S11.1.2

Neck Dissection Any Type in malignant

conditions

Biopsy , Clinical
Photograph , USG , X-RAY

32500

Biopsy , Clinical
Photograph

S11.1.3

Hemiglossectomy in malignant conditions

Biopsy , Clinical
Photograph , USG , X-RAY

41260

Biopsy , Clinical
Photograph

S11.1.4

Maxillectomy Any Type in malignant

conditions

Biopsy , Clinical
Photograph , USG , X-RAY

30770

Biopsy , Clinical
Photograph

S11.1.5

Thyroidectomy any type in malignant

conditions

Biopsy , Clinical
Photograph , USG , X-RAY

30000

Biopsy , Clinical
Photograph

S11.1.6

Parotidectomy any type in malignant

conditions

Biopsy , Clinical
Photograph , USG , X-RAY

25000

Biopsy , Clinical
Photograph

S11.1.7

Laryngectomy Any Type in malignant

conditions

Biopsy , Clinical
Photograph , USG , X-RAY

68180

Biopsy , Clinical
Photograph

S11.1.8

Laryngopharyngo Oesophagectomy in
malignant conditions

Biopsy , Clinical
Photograph , USG , X-RAY

97000

Biopsy , Clinical
Photograph

S11.1.9

Hemimandibulectomy in malignant
conditions

Biopsy , Clinical
Photograph , USG , X-RAY

37760

Biopsy , Clinical
Photograph

S11.10

Ca.Eye/ Maxilla /Para Nasal Sinus

S11.10.1

Orbital Exenteration in malignant

conditions

CT

42090

Clinical Photograph

S11.10.2

Maxillectomy + Orbital Exenteration in

malignant conditions

CT

53860

Clinical Photograph

S11.10.3

Maxillectomy + Infratemporal Fossa

Clearance in malignant conditions

CT

65680

Clinical Photograph

S11.10.4

Cranio Facial Resection in malignant

conditions

CT , MRI

91000

Clinical Photograph

S11.11

Ca. Nasopharynx

S11.11.1

Resection of Nasopharyngeal Tumor in

malignant conditions

CT , MRI

76600

Biopsy , Clinical
Photograph

S11.12

Ca.Soft Palate

S11.12.1

Palatectomy any type in malignant

conditions

CT

39786

Clinical Photograph

S11.13

Ca. Ear

S11.13.1

Sleeve Resection of Ear in malignant

conditions

CT

44310

Clinical Photograph

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S11.13.2

Resection of Lateral Temporal Bone in

malignant conditions

CT , MRI

68120

Clinical Photograph

S11.13.3

Subtotal Resection of Temporal Bone in

malignant conditions

CT , MRI

71970

Clinical Photograph

S11.13.4

Total Resection of Temporal Bone in

malignant conditions

CT , MRI

78000

Clinical Photograph

S11.14

Ca. Salivary Gland

S11.14.1

Excision of Submandibular gland in

malignant conditions

Clinical Photograph

26000

Biopsy , Clinical
Photograph

S11.15

Ca. Thyroid

S11.15.1

Tracheal Resection in malignant conditions

(CA. THYROID)

Bronchoscopy , CT

65000

Biopsy , Clinical
Photograph

S11.16

Ca. Trachea

S11.16.1

Superior Mediastinal Dissection

+Sternotomy in malignant conditions
(77.31)

CT

60750

Clinical Photograph

S11.16.2

Tracheal Resection in malignant conditions

Bronchoscopy , CT

65000

Biopsy , Clinical
Photograph

S11.17

Ca. Parathyroid

S11.17.1

Parathyroidectomy in malignant conditions

CT , Nuclear scan , S.PTH

35000

Biopsy , Clinical
Photograph

S11.18

Ca. Gastro Intestinal Tract

S11.18.1

Small Bowel Resection in malignant

conditions

Barium Meal Follow

Through , CT

48000

Biopsy , Clinical
Photograph

S11.18.2

Ileostomy Closure in malignant conditions

Colonoscopy

25000

Clinical Photograph

S11.18.3

Colostomy Closure in malignant conditions

Colonoscopy

25000

Clinical Photograph

S11.19

Ca.Rectum

S11.19.1

Abdomino Perineal Resection (Apr) +

Sacrectomy in malignant conditions(77.99)

BMFT , CT

60000

Biopsy , Clinical
Photograph

S11.19.2

Posterior Exenteration for Carcinoma

Rectum

BMFT , CT

60000

Biopsy , Clinical
Photograph

S11.19.3

Total Exenteration for Carcinoma Rectum

BMFT , CT

98000

Biopsy , Clinical
Photograph

S11.2

GASTROINTESTINAL TRACT

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S11.2.1

Oesophagectomy Any Type in malignant

conditions

Biopsy , CT , Endoscopy ,
USG

78000

Biopsy , Clinical
Photograph , USG

S11.2.2

Gastrectomy Any Type in malignant

conditions

Biopsy , CT , Endoscopy ,
USG

50000

Biopsy , Clinical
Photograph , USG

S11.2.3

Colectomy Any Type in malignant

conditions

Biopsy , CT , Endoscopy ,
USG

52000

Biopsy , Clinical
Photograph , USG

S11.2.4

Anterior Resection of rectum in malignant

conditions

Biopsy , CT , Endoscopy ,
USG

50000

Biopsy , Clinical
Photograph , USG

S11.2.5

Abdominoperinial Resection in malignant

conditions

Biopsy , CT , Endoscopy ,
USG

50690

Biopsy , Clinical
Photograph , USG

S11.2.6

Whipples Any Type In malignant conditions

Biopsy , CT , Endoscopy ,
USG

100000

Biopsy , Clinical
Photograph , USG

S11.2.7

Triple Bypass -Pancreas in malignant

conditions

Biopsy , CT , Endoscopy ,
USG

60000

Biopsy , Clinical
Photograph , USG

S11.2.8

Other Bypasses-Pancreas in malignant

conditions

Biopsy , CT , Endoscopy ,
USG

50516

Biopsy , Clinical
Photograph , USG

S11.20

Ca. Gall Bladder

S11.20.1

Radical Cholecystectomy in malignant

conditions

CT

78000

Biopsy , Clinical
Photograph

S11.21

Spleen

S11.21.1

Splenectomy in malignant conditions

CT

42800

Biopsy , Clinical
Photograph

S11.22

Retroperitoneal Tumor

S11.22.1

Resection Of Retroperitoneal Tumors in

malignant conditions

CT

60000

Biopsy , Clinical
Photograph

S11.23

Abdominal wall tumor

S11.23.1

Abdominal Wall Tumor Resection in

malignant conditions

CT

52480

Biopsy , Clinical
Photograph

S11.23.2

Resection With Reconstruction of

Abdominal wall Tumors in malignant
conditions

CT

59000

Biopsy , Clinical
Photograph

S11.24

Gynaec Cancers

S11.24.1

Bilateral Pelvic Lymph Node Dissection

(BPLND)- Gynaec cancers

CT

51700

Biopsy , Clinical
Photograph

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S11.24.2

Radical Trachelectomy in malignant

conditions

CT

50570

Biopsy , Clinical
Photograph

S11.24.3

Radical Vaginectomy in malignant

conditions

CT

53120

Biopsy , Clinical
Photograph

S11.24.4

Radical Vaginectomy + Reconstruction

(70.62)

CT

60550

Biopsy , Clinical
Photograph

S11.25

Ca. Cervix

S11.25.1

Radical Hysterectomy +Bilateral Pelvic

Lymph Node Dissection (Bplnd) + Bilateral
Salpingo Ophorectomy (Bso) / Ovarian
Transposition in malignant conditions

CT

50010

Biopsy , Clinical
Photograph

S11.25.2

Anterior Exenteration - Carcinoma Cervix

CT

84750

Biopsy , Clinical
Photograph

S11.25.3

Posterior Exenteration - Carcinoma Cervix

CT

65000

Biopsy , Clinical
Photograph

S11.25.4

Total Pelvic Exenteration - Carcinoma

Cervix

CT

98000

Biopsy , Clinical
Photograph

S11.25.5

Supra Levator Exenteration - Carcinoma

Cervix

CT

90000

Biopsy , Clinical
Photograph

S11.26

Ca. Endometrium

S11.26.1

Total Abdominal Hysterectomy(Tah) +

Bilateral Salpingo Ophorectomy (Bso) +
Bilateral Pelvic Lymph Node Dissection
(Bplnd) + Omentectomy in malignant
conditions

CT

62140

Biopsy , Clinical
Photograph

S11.27

Soft tissue /Bone tumors . Chest wall

S11.27.1

Surgical Resection of Soft tissue /Bone

tumors of Chest wall

Bone Scan , CT-Chest

30000

Clinical Photograph

S11.27.2

Surgical Resection and Reconstruction of

Soft tissue /Bone tumors of Chest wall in
malignant conditions

Bone Scan , CT-Chest

70000

Clinical Photograph

S11.28

Bone / Soft tissue tumors

S11.28.1.1

Surgery (removal) for Bone/Soft tissue

tumors-Without Prosthesis in malignant
conditions(83.49)

Bone Scan , CT-Chest , CTLocal Part , MRI

49170

Clinical Photograph

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S11.28.1.2

Surgery (removal) for Bone / Soft tissue

tumors-With Custom Made Prosthesis in
malignant conditions(83.49+84.40)

Bone Scan , CT-Chest , CTLocal Part , MRI

85510

Clinical Photograph

S11.28.1.3

Surgery (removal) for Bone / Soft tissue

tumors-With Modular Prosthesis in
malignant conditions(83.49+84.40)

Bone Scan , CT-Chest , CTLocal Part , MRI

98000

Clinical Photograph

S11.28.2

Forequarter Amputation in malignant

conditions

CT-Chest

78230

Clinical Photograph , XRAY

S11.28.3

Hemipelvectomy in malignant conditions

CT , CT-Chest , MRI-Pelvis

78886

Clinical Photograph , XRAY

S11.28.4

Internal Hemipelvectomy in malignant

conditions

CT , CT-Chest , MRI-Pelvis

79640

Clinical Photograph , XRAY

S11.28.5

Curettage & Bone Cement in malignant

conditions

CT , MRI

51130

Clinical Photograph , XRAY

S11.28.6

Bone Resection in malignant conditions

CT , MRI

42970

Clinical Photograph , XRAY

S11.28.7

Shoulder Girdle Resection in malignant

conditions

Bone Scan , CT , MRI

55090

Clinical Photograph , XRAY

S11.28.8

Sacral Resection in malignant conditions

CT , MRI

60000

Clinical Photograph , XRAY

S11.29

Genito urinary Cancer

S11.29.1

Open Partial Nephrectomy

CT , Isotope renogram

40000

Biopsy , Clinical
Photograph

S11.29.2

Nephroureterectomy For Transitional Cell

Carcinoma Of Renal Pelvis in malignant
conditions

CT

65000

Biopsy , Clinical
Photograph

S11.3

GENITO URINARY SYSTEM

S11.3.1

Radical Nephrectomy

Biopsy , CT , IVP , KUB ,

USG

50000

Biopsy , Clinical
Photograph , USG

S11.3.10

Emasculation in malignant conditions

Biopsy , USG

40560

Biopsy , Clinical
Photograph , USG

S11.3.2

Open radical cystectomy with Ilealconduit

diversion

Biopsy , CT , IVP , KUB ,

USG

100000

Biopsy , Clinical
Photograph , USG

S11.3.3

Other Cystectomies in malignant

conditions

Biopsy , CT , IVP , KUB ,

USG

87640

Biopsy , Clinical
Photograph , USG

S11.3.4

Total Penectomy

Clinical Photograph

36670

Biopsy , Clinical
Photograph , USG

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S11.3.5

Partial Penectomy

Clinical Photograph

36670

Biopsy , Clinical
Photograph , USG

S11.3.6

Inguinal Block Dissection One Side in

malignant conditions

Biopsy , Clinical Photograph

29780

Biopsy , Clinical
Photograph , USG

S11.3.7

Radical Prostatectomy in malignant

conditions

CT , KUB , USG

86646

Biopsy , Clinical
Photograph , USG

S11.3.8

High Orchidectomy

Biopsy , USG

22000

Biopsy , Clinical
Photograph , USG

S11.3.9

Bilateral Orchidectomy

Biopsy , USG

23340

Biopsy , Clinical
Photograph , USG

S11.30

Testes cancer

S11.30.1

Retro Peritoneal Lymph Node Dissection

(Rplnd) (For Residual Disease) in
malignant conditions

CT-Abdomen + Pelvis , CTChest , Tumor Markers

78000

Biopsy , Clinical
Photograph

S11.30.2

Unilateral Adrenalectomy in malignant

conditions

CT , MRI , UrinaryHormones

65636

Biopsy , Clinical
Photograph

S11.30.3

Urinary Diversion in malignant conditions

(56.6/56.7)

63250

Biopsy , Clinical
Photograph

S11.30.4

Retro Peritoneal Lymph Node Dissection

Rplnd As Part Of Staging in malignant
conditions

CT

40000

Biopsy , Clinical
Photograph

S11.31

Ca. Urinary Bladder

S11.31.1

Anterior Exenteration (CA. URINARY

BLADDER)

CT

60000

Biopsy , Clinical
Photograph

S11.31.2

Total Exenteration (CA. URINARY

BLADDER)

CT

75000

Biopsy , Clinical
Photograph

S11.31.3

Bilateral Pelvic Lymph Node Dissection

(Bplnd) (CA. URINARY BLADDER)

CT

40000

Biopsy , Clinical
Photograph

S11.32

Thoracic and Mediastinum

S11.32.1

Resection of mediastinal tumors in

malignant conditions

CT

63760

Biopsy , Clinical
Photograph

S11.33

Lung

S11.33.1

Solitary Lung Metastatectomy in malignant

conditions

CT

69060

Biopsy , X-RAY

S11.33.2

Lung Metastatectomy multiple in

malignant conditions

CT

78000

Biopsy , X-RAY

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S11.33.3

Sleeve Resection of Lung Cancer

Bronchoscopy , CT

108000

Biopsy , X-RAY

S11.34

Esophagus

S11.34.1

Oesophagectomy With Two Field

Lymphadenectomy in malignant conditions
(40.59)

CT

117000

Biopsy , Clinical
Photograph

S11.34.2

Oesophagectomy With Three Field

Lymphadenectomy in malignant conditions
(40.59)

120000

Biopsy , Clinical
Photograph

S11.35

Palliative Surgeries

S11.35.1

Tracheostomy in malignant conditions

Clinical Photograph

6230

Clinical Photograph

S11.35.10

Substernal Gastric Bypass in malignant

conditions

Clinical Photograph

49770

Biopsy , Clinical
Photograph

S11.35.2

Gastrostomy in malignant conditions

Clinical Photograph

20000

Clinical Photograph

S11.35.3

Jejunostomy in malignant conditions

Clinical Photograph

31850

Clinical Photograph

S11.35.4

Ileostomy in malignant conditions

Clinical Photograph

32600

Clinical Photograph

S11.35.5

Colostomy in malignant conditions

Clinical Photograph

20000

Clinical Photograph

S11.35.6

Suprapubic cystostomy

Clinical Photograph

16990

Clinical Photograph

S11.35.7

Intercostal Drainage(Icd) in malignant

conditions

Clinical Photograph

3000

Clinical Photograph

S11.35.8

Gastro Jejunostomy in malignant

conditions

Clinical Photograph

50000

Biopsy , Clinical
Photograph

S11.35.9

Ileotransverse Colostomy in malignant

conditions

Clinical Photograph

60000

Biopsy , Clinical
Photograph

S11.36

Reconstruction

S11.36.1

Reconstructon with Myocutaneous /

Cutaneous Flap in malignant conditions

Clinical Photograph

35670

Clinical Photograph

S11.36.2

Micro Vascular Reconstruction in

malignant conditions

Clinical Photograph

45480

Clinical Photograph

S11.4

GYNAECOLOGICAL ONCOLOGY

S11.4.1

Hysterectomy in malignant conditions

Biopsy , CT , USG

32500

Biopsy , Clinical
Photograph , USG

S11.4.2

Radical Hysterectomy in malignant

conditions

Biopsy , CT , USG

55660

Biopsy , Clinical
Photograph , USG

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S11.4.3

Surgery For Carcinoma Ovary Early Stage

Biopsy , CT , USG

31760

Biopsy , Clinical
Photograph , USG

S11.4.4

Surgery For Carcinoma Ovary Advance

Stage

Biopsy , CT , USG

52000

Biopsy , Clinical
Photograph , USG

S11.4.5

Vulvectomy in malignant conditions

Biopsy , Clinical Photograph

45860

Biopsy , Clinical
Photograph , USG

S11.4.6

Unilateral /BilateralSalpingo
Oophorectomy in malignant conditions
(65.6.1)

Biopsy , CT , USG

30000

Biopsy , Clinical
Photograph , USG

S11.5

TUMORS OF THE FEMALE BREAST

S11.5.1

Mastectomy Any Type in malignant

conditions

Biopsy , Clinical
Photograph , Mammography

30000

Biopsy , Clinical
Photograph

S11.5.2

Axillary Dissection in malignant conditions

Biopsy , Clinical Photograph

39226

Biopsy , Clinical
Photograph

S11.5.3

Wide Excision - Breast in malignant

conditions

Biopsy , Clinical Photograph

5150

Biopsy , Clinical
Photograph

S11.5.4

Lumpectomy

Biopsy , Clinical Photograph

3090

Biopsy , Clinical
Photograph

S11.5.5

Breast Reconstruction Surgery

Biopsy , Clinical Photograph

41830

Biopsy , Clinical
Photograph

S11.5.6

Surgical Resection of Soft tissue /Bone

tumors of Chest wall

Biopsy , Clinical Photograph

30000

Biopsy , Clinical
Photograph

S11.6

SKIN TUMORS

S11.6.1

Skin Tumors Wide Excision in malignant

conditions

Biopsy , Clinical Photograph

34450

Biopsy , Clinical
Photograph

S11.6.2

Skin Tumors wide Excision +

Reconstruction in malignant conditions
(86.6/86.7)

Biopsy , Clinical Photograph

40000

Biopsy , Clinical
Photograph

S11.6.3

Skin Tumors amputation in malignant

conditions

Biopsy , Clinical Photograph

24380

Biopsy , Clinical
Photograph

S11.7

SOFT TISSUE AND BONE TUMORS

S11.7.1

Soft Tissue And Bone Tumors Wide

Excision

Biopsy , Clinical Photograph

15000

Biopsy , Clinical
Photograph

S11.7.2

Soft Tissue And Bone Tumors Wide

Excision + Reconstruction

Biopsy , Clinical Photograph

25000

Biopsy , Clinical
Photograph

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S11.7.3

Bone and Soft TissueTumors Amputation

in malignant conditions(83.49)

Biopsy , Clinical Photograph

24420

Biopsy , Clinical
Photograph

S11.8

LUNG CANCER

S11.8.1

Pneumonectomy for Carcinoma Lung

Biopsy , CT , X-RAY

80286

Biopsy , Clinical
Photograph , X-RAY

S11.8.2

Lobectomy for Carcinoma Lung

Biopsy , CT , X-RAY

77000

Biopsy , Clinical
Photograph , X-RAY

S11.8.3

Decortication

Biopsy , CT , X-RAY

60000

Biopsy , Clinical
Photograph , X-RAY

S11.8.4.1

Surgical Correction Of Bronchopleural

Fistula. Thoracoplasty

Biopsy , CT , X-RAY

67530

Biopsy , Clinical
Photograph , X-RAY

S11.8.4.2

Surgical Correction Of Bronchopleural

Fistula. Myoplasty

Biopsy , CT , X-RAY

75150

Biopsy , Clinical
Photograph , X-RAY

S11.8.4.3

Surgical Correction of Bronchopleural

Fistula - Transpleural BPF Closure in
malignant conditions

Biopsy , CT , X-RAY

75040

Biopsy , Clinical
Photograph , X-RAY

S11.9

Ca.Oral cavity

S11.9.1

Marginal Mandibulectomy in malignant

conditions

Orthopantomogram

44120

Clinical Photograph

S11.9.2

Segmental Mandibulectomy

CT , Orthopantomogram

34736

Clinical Photograph

S11.9.3

Total Glossectomy + Reconstruction in

malignant conditions(25.59)

CT

57850

Clinical Photograph

S11.9.4

Full Thickness Buccal Mucosal Resection

& Reconstruction in malignant conditions
(27.59)

Biopsy

63310

Clinical Photograph

S12

MEDICAL ONCOLOGY

S12.1

BREAST CANCER

S12.1.1

Chemotherapy for Breast Cancer with

Adriamycin / Cyclophosphamide (Ac)

Biopsy , Clinical
Photograph , Mammography

3600

Clinical Photograph

S12.1.2

Chemotherapy for Breast Cancer with 5Fluorouracil A-C (Fac)

Biopsy , Clinical
Photograph , Mammography

3600

Clinical Photograph

S12.1.3

Chemotherapy for Breast Cancer with Ac

(Ac Then T)

Biopsy , Clinical
Photograph , Mammography

3600

Clinical Photograph

S12.1.4

Chemotherapy for Breast Cancer with

Paclitaxel

Biopsy , Clinical
Photograph , Mammography

7000

Clinical Photograph

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S12.1.5

Chemotherapy for Breast Cancer with

Cyclophosphamide/ Methotrexate /
5fluorouracil (Cmf)

Biopsy , Clinical
Photograph , Mammography

2000

Clinical Photograph

S12.1.6

Chemotherapy for Breast Cancer with

Tamoxifen Tabs

Biopsy , Clinical
Photograph , Mammography

500

Clinical Photograph

S12.1.7

Chemotherapy for Breast Cancer with

Aromatase Inhibitors

Biopsy , Clinical
Photograph , Mammography

1200

Clinical Photograph

S12.10

BLADDER CANCER

S12.10.1

Chemotherapy for Bladder Cancer with

Weekly Cisplatin.

Biopsy , USG

2000

Clinical Photograph

S12.10.2

Chemotherapy for Bladder Cancer with

Methotrexate Vinblastine Adriamycin
Cyclophosphamide (Mvac)

Biopsy , CT , USG

6000

Clinical Photograph

S12.11

LUNG CANCER

S12.11.1

Chemotherapy for Non SMAL cell Lung

Cancer with Cisplatin/Etoposide (Iiib)

Biopsy , CT-Scan , X-RAY

7000

Clinical Photograph

S12.12

OESOPHAGEAL CANCER

S12.12.1

Chemotherapy for Oesophageal Cancer

with Cisplatin/5fu

Biopsy , CT-Scan ,
Endoscopy

6500

Clinical Photograph

S12.13

GASTRIC CANCER

S12.13.1

Chemotherapy for Gastric Cancer with 5Fu Leucovorin (Mcdonald Regimen)

Biopsy , CT-Scan ,
Endoscopy

5000

Clinical Photograph

S12.14

COLORECTAL CANCER

S12.14.1

Chemotherapy for Colorectal Cancer with

Monthly 5-Fu

Biopsy , CT-Scan ,
Endoscopy

5200

Clinical Photograph

S12.14.2

Chemotherapy for Colorectal Cancer with

5-Fluorouracil-Oxaliplatin Leucovorin
(Folfox) (Stage III) Only

Biopsy , CT-Scan ,
Endoscopy

11500

Clinical Photograph

S12.15

OSTEOSARCOMA/ BONE TUMORS

S12.15.1

Chemotherapy for Bone Tumors with

Cisplatin/Adriamycin

Biopsy , CT-Scan , X-RAY

7000

Clinical Photograph

S12.16.1

Lymphoma i) Hodgkin Disease

S12.16.1.1

Chemotherapy for Bone Tumors - Hodgkin

Lymphoma disease with Adriamycin
Bleomycin Vinblastine Dacarbazine (Abvd)

Biopsy

5000

Clinical Photograph

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S12.16.2

Lymphoma ii) NHL

S12.16.2.1

Chemotherapy for Non Hodgkin

Lymphoma with Cyclophosphamide
Adriamycin Vincristine Prednisone (Chop)

S12.17

MULTIPLE MYELOMA

S12.17.1

Biopsy

4500

Clinical Photograph

Chemotherapy for Multiple Myeloma with

Vincristine, Adriamycin,Dexamethasone
(Vad)

Heamatology

4000

Clinical Photograph

S12.17.2

Chemotherapy for Multiple Myeloma with

Thalidomide+Dexamethasone(Oral)

Heamatology

5000

Clinical Photograph

S12.17.3

Chemotherapy for Multiple Myeloma with

Melphalan Prednisone (Oral)

Heamatology

4500

Clinical Photograph

S12.18

WILMS TUMOR

S12.18.1

Chemotherapy for Wilms Tumor with

Siopwts Regimen(Stages I-III)

Biopsy , CT , USG

7000

Clinical Photograph

S12.19

HEPATOBLASTOMA- OPERABLE

S12.19.1

Chemotherapy for Hepatoblastoma

operable with Cisplatin -Adriamycin

Biopsy , CT , USG

5000

Clinical Photograph

S12.2

CERVICAL CANCER

S12.2.1

Chemotherapy for Cervical Cancer with

Weekly Cisplatin

Biopsy , USG

2000

Clinical Photograph

S12.20

CHILDHOOD B CELL LYMPHOMAS

S12.20.1

Chemotherapy for Childhood B cell

Lymphoma with variable regimen

Heamatology

20000

Clinical Photograph

S12.21

NEUROBLASTOMA ( STAGES I-III )

S12.21.1

Chemotherapy for Neuroblastoma (Stages

I-III ) with Variable Regimen

Biopsy , CT

10000

Clinical Photograph

S12.22

RETINOBLASTOMA

S12.22.1

Chemotherapy for Retinoblastoma with

Carbo/Etoposide/Vincristine

Biopsy

5000

Clinical Photograph

S12.23

HISTIOCYTOSIS

S12.23.1

Chemotherapy for Histiocytosis with

Variable Regimen

Biopsy , Heamatology

5000

Clinical Photograph

S12.24

RHABDOMYOSARCOMA

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S12.24.1

Chemotherapy for Rhabdomyosarcoma

with Vincristine-ActinomycinCyclophosphamide(Vactc) Based Chemo

S12.25

EWINGS SARCOMA

S12.25.1

Chemotherapy for Ewings Sarcoma with

Variable Regimen

S12.26

ACUTE MYELOID LEUKEMIA

S12.26.1

Biopsy

9000

Clinical Photograph

Biopsy , CT-Scan , X-RAY

5000

Clinical Photograph

Chemotherapy for Acute Myeloid

Leukemia with Induction Phase

Heamatology

60000

Clinical Photograph

S12.26.2

Chemotherapy for Acute Myeloid

Leukemia with Consolidation Phase

60000

Clinical Photograph

S12.26.3

Chemotherapy for Acute Myeloid

Leukemia with Maintenance phase

3000

Clinical Photograph

S12.27

ACUTE LYMPHOBLASTIC LEUKEMIA

S12.27.1.1

Chemotherapy for Acute Lymphoblastic

Leukemia with Induction 1st And 2nd
Months

Heamatology

100000

Clinical Photograph

S12.27.1.2

Chemotherapy for Acute Lymphoblastic

Leukemia with Induction 3rd, 4th, 5th

Heamatology

10000

Clinical Photograph

S12.27.1.3

Chemotherapy for Acute Lymphoblastic

Leukemia with Induction Maintenance

Heamatology

12000

Clinical Photograph

S12.28

FOR UNLISTED REGIMEN

S12.28.1

Palliative Chemotherapy for unlisted

Regimen

Biopsy , CT , USG

5000

Clinical Photograph

S12.29

Acute Lymphoblastic Leukemia - For

Terminally ill Cancer Patient

S12.29.1

Palliative And Supportive Therapy for

terminally ill cancer patient

Biopsy , CT , USG

3000

Clinical Photograph

S12.3

VULVAL CANCER

S12.3.1

Chemotherapy for Vulval Cancer with

Cisplatin/5-Fu

Biopsy , Clinical Photograph

5000

Clinical Photograph

S12.30

Colo Rectal Cancer Stage 2 and 3

S12.30.1

Chemotherapy for Acute Myeloid

Leukemia with Xelox Along With Adjuvant
Chemotherapy Of As-I

CT-Abdomen + Pelvis ,
Photograph , Tissue Biospy

12000

Biochemical
Investigations , Biopsy ,
CT , USG

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S12.31

MULTIPLE MYELOMA

S12.31.1

Chemotherapy for Multiple myeloma with

Zoledronic Acid Along With Adjuvant
Chemotherapy Of As-I

S12.32

FEBRILE NEUTROPENIA

2D ECHO , Biopsy , Bone

marrow aspiration , S.
Electrolytes , SIEP , Skeltal
survey , Urine for Bence
Jones protein

3000

Biochemical
Investigations , Biopsy ,
CT , USG

S12.32.1

Chemotherapy for Febrile Neutropenia

with 1st Line Iv Antibiotics And Other
Supportive Therapy ( Third Generation
Cephalosporin, Aminoglycoside Etc.,)

Blood CandS , Tissue

Biospy , X-Ray Chest

5000

Biochemical
Investigations , Biopsy ,
CT , USG

S12.32.2

Chemotherapy for Febrile Neutropenia

with 2nd Line Iv Antibiotics And Other
Supportive Therapy(Carbapenems, Fourth
Generation Cephalosporins, Piperacillin,
Anti-Fungal . Azoles Etc.,)

Blood CandS , Tissue

Biospy , X-Ray Chest

40000

Biochemical
Investigations , Biopsy ,
CT , USG

S12.4

VAGINAL CANCER

S12.4.1

Chemotherapy for Vaginal Cancer with

Cisplatin/5-Fu

Biopsy , Clinical Photograph

6000

Clinical Photograph

S12.5

OVARIAN CANCER

S12.5.1

Chemotherapy for Ovarian cancer with

Carboplatin / Paclitaxel

Biopsy , CT , USG

11000

Clinical Photograph

S12.6

OVARY- GERM CELL TUMOR

S12.6.1

Chemotherapy for Ovarian cancer with

Germ Cell Tumor Bleomycin-EtoposideCisplatin (Bep)

Biopsy , CT , USG

8000

Clinical Photograph

S12.7.1

Gestational Trophoblast Ds.

S12.7.1.1

Chemotherapy for low risk Gestational

trophoblast DS with Weekly Methotrexate

Biopsy , CT , USG

2000

Clinical Photograph

S12.7.1.2

Chemotherapy for low risk Gestational

trophoblast DS with Actinomycin

Biopsy , CT , USG

5000

Clinical Photograph

S12.7.2

High risk

S12.7.2.1

Chemotherapy for high risk Gestational

trophoblast DS with EtoposideMethotrexate -Actinomycin /
Cyclophosphamide Vincristine (Ema-Co)

Biopsy , CT , USG

7000

Clinical Photograph

S12.8

TESTICULAR CANCER

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S12.8.1

Chemotherapy for Testicular Cancer with

Bleomycin with Etoposide-Cisplatin (Bep)

S12.9

PROSTATE CANCER

S12.9.1

Prostate Cancer with Hormonal Therapy

S13

RADIATION ONCOLOGY

S13.1

COBALT 60 EXTERNAL BEAM

RADIOTHERAPY

S13.1.1

Biopsy , USG

8000

Clinical Photograph

Biopsy , USG

3710

Clinical Photograph

Radical Treatment with Cobalt 60 External

Beam Radiotherapy

Biopsy , CT , USG , X-RAY

26000

RT Treatment Charts ,
Clinical Photograph

S13.1.2

Palliative Treatment with Cobalt 60

External Beam Radiotherapy

Biopsy , CT , USG , X-RAY

13000

RT Treatment Charts ,
Clinical Photograph

S13.1.3

Adjuvant Treatment with Cobalt 60

External Beam Radiotherapy

Biopsy , CT , USG , X-RAY

15000

RT Treatment Charts ,
Clinical Photograph

S13.2

EXTERNAL BEAM RADIOTHERAPY (ON

LINEAR ACCELERATOR)

S13.2.1

Radical Treatment With Photons External

Beam Radiotherapy (on Linear
Accelerator)

Biopsy , CT , USG , X-RAY

65000

RT Treatment Charts ,
Clinical Photograph

S13.2.2

Palliative Treatment With Photons

External Beam Radiotherapy (on Linear
Accelerator)

Biopsy , CT , USG , X-RAY

26000

RT Treatment Charts ,
Clinical Photograph

S13.2.3

Adjuvant Treatment With Photons/

Electrons / (92.25)External Beam
Radiotherapy (on Linear Accelerator)

Biopsy , CT , USG , X-RAY

45000

RT Treatment Charts ,
Clinical Photograph

S13.3.1

Brachytherapy A) Intracavitary

S13.3.1.1

Brachytherapy Intracavitary I. Ldr Per

Application

Biopsy , CT , USG , X-RAY

5850

RT Treatment Charts ,
Clinical Photograph

S13.3.1.2

Brachytherapy Intracavitary II. Hdr Per

Application

Biopsy , CT , USG , X-RAY

3250

RT Treatment Charts ,
Clinical Photograph

S13.3.2

Brachytherapy B) Interstitial

S13.3.2.1

Brachytherapy Interstitial I. Ldr Per

Application

Biopsy , CT , USG , X-RAY

16330

RT Treatment Charts ,
Clinical Photograph

S13.3.2.2

Brachytherapy Interstitial II. Hdr One

Application And Multiple Dose Fractions

Biopsy , CT , USG , X-RAY

25000

RT Treatment Charts ,
Clinical Photograph

S13.4.1

SPECIALIZED RADIATION THERAPY IMRT (Intensity modulated radiotherapy)

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S13.4.1.1

Specialized Radiation therapy- IMRT

(Intensity modulated radiotherapy) Upto
40 Fractions IMRT In 8 Weeks

Biopsy , CT-Scan with

Contrast

115700

RT Treatment Charts ,
CT , Tumor Markers ,
USG

S14.4.2

SPECIALIZED RADIATION THERAPY 3DCRT(3-D conformational radiotherapy)

S13.4.2.1

Specialized Radiation therapy - 3DCRT(3D conformational radiotherapy)Upto 30

Fractions 3DCRT In 6 Weeks

Biopsy , CT-Scan with

Contrast

95000

CT , USG

S14.4.3

SPECIALIZED RADIATION THERAPY SRS/SRT

S13.4.3.1

Specialized Radiation therapy - SRS/SRT

Upto 30 Fractions In SRS/SRT 6 Weeks

Biopsy , CT-Scan with

Contrast

95000

RT Treatment Charts ,
Tumor Markers

S14

PLASTIC SURGERY

S14.1

PLASTIC REPAIR

S14.1.1

Surgical Management Of Cleft Lip

Clinical Photograph

20000

Clinical Photograph

S14.1.2

Surgical correction of Cleft Palate

Clinical Photograph

25000

Clinical Photograph

S14.1.3

Surgical corection of Velo-Pharyngeal

Incompetence

Endoscopy

35330

Clinical Photograph

S14.1.4

Surgical Management of Syndactyly of

Hand For Each Hand

Clinical Photograph

32746

Clinical Photograph

S14.1.5

Reconstruction or prosthetic appliance for

absent ear

Clinical Photograph

30000

Clinical Photograph

S14.1.6

Surgery for Tm Joint Ankylosis

Clinical Photograph , X-RAY

44540

Clinical Photograph

S14.2

BURNS

S14.2.1.1

Conservative management of 40% burns

Clinical Photograph

60000

Clinical Photograph

S14.2.1.2

Surgical Management of 40% mixed burns

Clinical Photograph

65000

Clinical Photograph

S14.2.1.3

Conservative management of 50% burns

Clinical Photograph

120000

Clinical Photograph

S14.2.1.4

Surgical Management of 50% mixed burns

Clinical Photograph

115260

Clinical Photograph

S14.2.2.1

Conservative management of 60% burns

Clinical Photograph

90525

Clinical Photograph

S14.2.2.2

Surgical Management of 60% mixed burns

Clinical Photograph

133540

Clinical Photograph

S14.2.2.3

Surgical Management of above 60%

mixed burns

Clinical Photograph

131580

Clinical Photograph

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S14.3

POST BURN CONTRACTURE

SURGERIES FOR FUNCTIONAL
IMPROVEMENT(PACKAGE INCLUDING
SPLINTS, PRESSURE GARMENTS AND
PHYSIOTHERAPY)

S14.3.1

Post Burn Contracture Surgeries - Mild

Clinical Photograph

38570

Clinical Photograph

S14.3.2

Post Burn Contracture Surgeries Moderate

Clinical Photograph

40596

Clinical Photograph

S14.3.3

Post Burn Contracture Surgeries - Severe

Clinical Photograph

48000

Clinical Photograph

S14.4

PLASTIC SURGERY

S14.10

Surgical Correction of hemifacial

microsomia

3D CT , MRI

81010

Clinical Photograph

S14.11

Surgical Correction of Leprosy

Reconstructive Surgery

Nerve conduction study

21400

Clinical Photograph

S14.12

Surgical Correction of Nerve and Tendon

Repair + Vascular Repair (82.4+39.3)

CT-Scan , Nerve conduction

study

46790

Clinical Photograph

S14.13

Correction of lid retraction

Clinical Photograph , ICE

pack test with Chin Elevation

25000

Clinical Photograph

S14.14

Surgical Correction of lid retraction with

Tumour of Mandible And Maxilla

Biopsy , CT , HPE , MRI

58850

Clinical Photograph

S14.15

Reconstructive procedures for vaginal

atresia

Ultra sound of abdomin

37450

Clinical Photograph

S14.16

Surgical correction for Vascular

malformations

ANGIOGRAM

32950

Clinical Photograph

S14.4

Surgical correction for Congenital

Deformity of Hand (Per Hand)

CT-Scan , X-RAY

23510

Clinical Photograph

S14.5

Surgical correction for Craniosynostosis

3D CT , MRI

87870

Clinical Photograph

S14.6

Surgical Correction of anamolies of Ear

(cup & bat ears)

Clinical Photograph

25000

Clinical Photograph

S14.7

Management of electrical burns with vitals

exposed with flap cover

Clinical Photograph

50000

Clinical Photograph

S14.8

Reduction Surgery For Filarial

Lymphoedema

Clinical Photograph

39610

Clinical Photograph

S14.9

Surgical Correction of Hemifacial Atrophy

3D CT , MRI

88330

Clinical Photograph

S15

POLY TRAUMA

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S15.1

ORTHOPEDIC TRAUMA

S15.1.1

Surgical Correction Of Longbone Fracture

X-RAY

30000

X-RAY

S15.1.2

Amputation Surgery

X-RAY

10000

Clinical Photograph

S15.1.3

Management of Soft Tissue Injury

Clinical Photograph

6500

Clinical Photograph

S15.2

NEURO-SURGICAL TRAUMA

S15.2.1.1

Medical Management in General Ward @

Rs.900/-Neuro surgical trauma

CT , X-RAY

10800

Clinical Photograph

S15.2.1.2

Intesive care managementof Neuro

Surgical Trauma in Neuro Icu @Rs.4000/
Day

CT , X-RAY

48000

Clinical Photograph

S15.2.2

Surgical Treatment (Up To) for Neuro

Surgical Trauma

CT , X-RAY

150000

Clinical Photograph

S15.3

CHEST INJURIES

S15.3.1.1

Conservative management for Chest

Injuries In General [email protected]/Day

CT , X-RAY

5400

Clinical Photograph

S15.3.1.2

Intesive care management for Chest

injuries in RICU Rs. 4000/- per day

CT , X-RAY

35000

Clinical Photograph

S15.3.2

Surgical Treatment for Chest injuries

CT , X-RAY

28810

X-RAY

S15.4

ABDOMINAL INJURIES

S15.4.1.1

Conservative management for Abdominal

Injuries In General [email protected]/Day

CT , USG , X-RAY

5400

USG

S15.4.1.2

Intensive care management for abdominal

injuries in surgical ICU @ Rs.4000/-

CT , USG , X-RAY

28000

USG

S15.4.2

Surgical Management for Abdominal

Injuries

CT , USG , X-RAY

75000

Clinical Photograph ,
USG

S15.5

EMERGENCY ROOM PROCEDURES

S15.5.1

Tracheostomy

Clinical Photograph

6230

Clinical Photograph

S15.5.2

Thoracostomy

Clinical Photograph

10520

Clinical Photograph

S15.6

WOUND MANAGEMENT FOR

COMPOUND FRACTURES

S15.6.1

Surgical Management of Grade I&II

Compound Fractures

Clinical Photograph , X-Ray

15000

Clinical Photograph

S15.6.2

Surgical Management of Grade III

Compound Fractures

Clinical Photograph , X-Ray

26000

Clinical Photograph

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S15.6.3

Surgical Management of wound In

Compound Fracture with Flap cover(86.7)

S15.7

OTHER SMALL BONE FRACTURES-KWIRING (TO BE COVERED ALONG

WITH OTHER INJURIES ONLY AND
NOT AS EXCLUSIVE PROCEDURE)

S15.7.1

Clinical Photograph , X-Ray

26000

Clinical Photograph

Surgical Management of Patella Fracture

(To Be Covered Along With Other Injuries
Only And Not As Exclusive Procedure)

X-Ray

5000

X-Ray

S15.7.2

Surgical management with K-Wiring for

Small bone fractures (To Be Covered
Along With Other Injuries Only And Not As
Exclusive Procedure)

X-Ray

5000

X-Ray

S15.8

FACIAL INJURIES

S15.8.1

Surgical Management with Facial Bone

Fractures (Facio- Maxillary Injuries)

Clinical Photograph , X-Ray

15000

Clinical Photograph , XRay

S15.9

PELVIC BONE FRACTURE

S15.9.1

Surgical Correction Of Pelvic Bone

Fractures.

X-Ray

34900

X-Ray

S16

COCHLEAR IMPLANT SURGERY

S16.1

COCHLEAR IMPLANT SURGERY FOR

CHILDREN BELOW 2 YEARS

S16.1

Cochlear Implant Surgery

520000

S16.2

AUDITORY-VERBAL THERAPY

S16.2.1

Initial Mapping/Switch On for Auditory Verbal Therapy

Progress Reports , Mapping

Charts

50000

Progress Reports ,
Mapping Charts

S16.2.2

Post Switch On Mapping/Initiation Of AVT

And Training Of Child And Mother - First
Installment

Progress Reports , Mapping

Charts

20000

Progress Reports ,
Mapping Charts

S16.2.3

Post Switch On Mapping/Initiation Of AVT

And Training Of Child And Mother Second Installment

Progress Reports , Mapping

Charts

20000

Progress Reports ,
Mapping Charts

S16.2.4

Post Switch On Mapping/Initiation Of AVT

And Training Of Child And Mother - Third
Installment

Progress Reports , Mapping

Charts

20000

Progress Reports ,
Mapping Charts

S16.2.5

Post Switch On Mapping/Initiation Of AVT

And Training Of Child And Mother - Fourth
Installment

Progress Reports , Mapping

Charts

20000

Progress Reports ,
Mapping Charts

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S16.3

HEARING IMPAIRED

S16.3.1

Behind Ear Analogue Hearing Aid for

Hearing impaired

S17

PROSTHESES

S17.1.1

Symes Prostheses

S17.1.1.1

Audiometry

10000

Clinical Photograph

SYMES Prostheses - High Density

Ppolyethylene (HDP) / Polypropylene (PP)

Clinical Photograph

1000

Clinical Photograph

S17.1.1.2

SYMES Prostheses - Fibre

Clinical Photograph

1200

Clinical Photograph

S17.1.1.3

SYMES Prostheses - Modular

Clinical Photograph

1500

Clinical Photograph

S17.1.2

Below Knee(BK/PTB) Prostheses

S17.1.2.1

Below Knee/ Petellar Tendon Bearing High Density Ppolyethylene (HDP) /

Polypropylene (PP)

Clinical Photograph

1200

Clinical Photograph

S17.1.2.2

Below Knee/Petellar Tendon Bearing Fibre

Clinical Photograph

1500

Clinical Photograph

S17.1.2.3

Below Knee/Petellar Tendon Bearing Modular

Clinical Photograph

3000

Clinical Photograph

S17.1.3

Through Knee Prostheses

S17.1.3.1

Through Knee - High Density

Ppolyethylene (HDP) / Polypropylene (PP)

Clinical Photograph

1500

Clinical Photograph

S17.1.3.2

Through Knee - Fibre

Clinical Photograph

1800

Clinical Photograph

S17.1.3.3

Through Knee - Modular

Clinical Photograph

3500

Clinical Photograph

S17.1.4

Above Knee(AK) Prostheses

S17.1.4.1

Above Knee - High Density Ppolyethylene

(HDP) / Polypropylene (PP)

Clinical Photograph

1500

Clinical Photograph

S17.1.4.2

Above Knee - Fibre

Clinical Photograph

1800

Clinical Photograph

S17.1.4.3

Above Knee - Modular

Clinical Photograph

3500

Clinical Photograph

S17.1.5.1

Hip disarticulation prostheses - Hdp/Pp

Clinical Photograph

2500

Clinical Photograph

S17.1.5.2

Hip disarticulation prostheses - Fibre

Clinical Photograph

3000

Clinical Photograph

S17.1.5.3

Hip disarticulation prostheses - Modular

Clinical Photograph

6000

Clinical Photograph

S17.1.5.4

Hip disarticulation prostheses - Partial

Foot Prostheses

Clinical Photograph

500

Clinical Photograph

S17.2

UPPERLIMB

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S17.2.1.1

Upper Limb - High Density Ppolyethylene

(HDP) / Polypropylene (PP)

Clinical Photograph

1500

Clinical Photograph

S17.2.1.2

Upper Limb - Fibre

Clinical Photograph

1800

Clinical Photograph

S17.2.1.3

Upper Limb - Modular

Clinical Photograph

3500

Clinical Photograph

S17.2.2.1

Above Elbow - High Density

Ppolyethylene (HDP) / Polypropylene (PP)

Clinical Photograph

1500

Clinical Photograph

S17.2.2.2

Above Elbow - Fibre

Clinical Photograph

2000

Clinical Photograph

S17.2.2.3

Above Elbow - Modular

Clinical Photograph

4000

Clinical Photograph

S17.2.3.1

Whole Upper Limb - High Density

Ppolyethylene (HDP) / Polypropylene (PP)

Clinical Photograph

1000

Clinical Photograph

S17.2.3.2

Whole Upper Limb - Fibre

Clinical Photograph

1200

Clinical Photograph

S17.2.3.3

Whole Upper Limb - Modular

Clinical Photograph

1500

Clinical Photograph

M1

CRITICAL CARE

M1

CRITICAL CARE

M1.1

Medical Management of Acute Severe

Asthma With Acute Respiratory Failure

ABG , Serum IgE ,

Spirometry , clinical photo
intubated with ventilator

Asthma Guide lines - GINA /

India, Ventilatory Care

50000

ABG , other lab

investigation

M1.2

Medical Management of COPD with

Respiratory Failure (Infective
Exacerbation)

Blood gases , HRCT Chest ,

ventilator when necessary

According to International Guide

lines, Ventilatory Care

80000

ABG , other lab

investigation

M1.3

Medical Management of Acute Bronchitis

with Pneumonia and Respiratory Failure

Clinical photoHRCT Scan ,

FOB , SputumC/S , Ventilator

IP 10 days, Inhalers, LABA,

Ventilatory Care

60000

ABG , other lab

investigation

M1.4

Medical Management of ARDS

Clinical photoHRCT Scan ,

FOB , SputumC/S , Ventilator

Antimicrobials, MICU, O2,

Ventilatory Care

100000

ABG , other lab

investigation

M1.5

Medical Management of ARDS with Multi

Organ failure (R65.1)

ABGS , Clinical photoHRCT

Scan , FOB , SputumC/S, ,
Ventilator

Antimicrobials, MICU, O2,

Ventilatory Care

115000

ABG , other lab

investigation

M1.6

Medical Management of ARDS with DIC

(Blood and Blood Products) (D65)

ABGS , Clinical photoHRCT

Scan , FOB , SputumC/S ,
Ventilator

Cryo precipitate, FFP,

Ventilatory Care

140000

ABG , other lab

investigation

Medical Management of Poisioning

Requiring Ventilatory Assistance

Clinical photo Renal

chemistry Drug/Poison level
in blood,Blood gases ,
Intubation , Ventilatory
assistance

MICU, O2, Ventilatory Care,

atropine

50000

ABG , other lab

investigation

M1.7

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Blood Culture , Blood gases ,

Clinical phot Renal
Chemistry , Intubation , USG ,
Urine Culture , Ventilatory
assistance

Antimicrobials, MICU, O2,

Ventilatory Care and other
supportive measures

60000

ABG and other Lab

Investigations

M2.1

Aspiration / BiopsyReport ,
Bone Marrow , Leptospira ,
Medical Management of
PT APTT , Parasite F / V ,
Thrombocytopenia With Bleeding Diathesis
Platelet count , Report and
video clip "online"

Factor -VIII, IV fluids, PRP,

SDPIV - IgIV antimicrobials

30000

Lab Investigations

M2.2.1

Medical Management of Hemophilia (D67/

D68.0)

Factor VIII / IX , PT APTT ,

Report and video clip "online"

Factor -VIII, IV-FPP

60000

Lab Investigations

M2.2.2

Medical Management of Other

Coagulation Disorders

Von willi brands factor

Factor - VIII - Cryoprecipitate, IV

FFP

44000

Lab Investigations

M2.3

Medical Management of Chelation

Therapy For Thalassemia Major

Ferritin , Heamatocrit ,
Heamogram , Peripheral
Smear , S.Iron , Serum

Chelation Theraphy

15000

Lab Investigations

CSF Analysis , Parasite F

Test and QBC

Blood and Platelet Transfusion,

IV antibiotics, IV fluids,
Mefloquine, Oral Chloroquine or
IV quinine or IV artesunate,
Paracetamol, Ventilatiory Support

25000

Clinical and Lab

Investigations

ABG , CT Scan Brain CSF

ADA Analysis

Anticonvulsants (Midazolam or
Lorazepam, Phenobarbitone or
Phenytoin), Antitubercular
theraphy, IV Mannitol, IV
antibiotics, IV dexamethasone
and oral steroids, IV fluids,
Mechanical Ventilatory support,
Naso gastric feeds, Paracetamol

30000

Lab Investigations

ABG 8 hrly (3-day X 7days) , Blood Sugar 4 hrly ,

CT Scan Brain , EEG

Anticonvulsants (Inj.Lorazepam,
Inj.Phenobarbitone, Inj.
Phenytoin), Antisnake Venom, IV
fluids, Inj.Meropenem, Inj.
Midazolam infusion, Inj.
Vancomycin, Inotropes
(Dobutamine, Dopamine,
Adrenaline, Noradrenaline),
Mechanical Ventilation, Oxygen

60000

Lab Investigations

M1.8

Intensive care management of Septic

Shock

M2

GENERAL MEDICINE

M2

GENERAL MEDICINE

M2.4

M2.5

M2.6

Medical Management of Cerebral Malaria

Medical Management of TB Meningitis

Medical Management of Snake Bite

Requiring Ventilator Support

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Medical Management of Scorpion Sting

Requiring Ventilator Support

ABG 8 hrly (3-day X 7days) , Arterial Blood

Pressure , Blood Sugar 8
hrly , CVP monitoring , ECG ,
Echo

Antiscorption Venom, IV fluids,

Inj.Meropenem, Inj.Midazolam
infusion, Inj.Vancomycin,
Inotropes(Dobutamine,
Dopamine, Adrenaline,
Noradrenaline), Mechanical
Ventilation, Oxygen

25000

Lab Investigations

M2.8

Medical Management of Metabolic Coma

Requiring Ventilatory Support

ABG , Arterial Blood

Pressure , Blood Sugar ,
Blood Urea , CVP
monitoring , ECG , Echo , S.
Creatininine , Thyroid Profile

Adrenaline, Antiscorption
Venom, Dobutamine, Dopamine,
IV antibiotics, IV fluids, Inj.
Midazolam infusion, Mechanical
Ventilation, Noradrenaline,
Oxygen, Sodium Nitroprusside

35000

Lab Investigations

M3

INFECTIOUS DISEASES

M3

INFECTIOUS DISEASES

M3.1

Medical Management of Severe Tetanus

ABG Ventilator , Clinical

MEDICAL, Tracheostomy,
Photo intubation , Swab for c/s ventilator

27970

Clinical Photograph

M3.2

Medical Management of Complicated

Diphtheria

ECG-5 times , Throat swab

for c/s-3 times , Urine for
ketone bodies

MEDICAL, Tracheostomy,
ventilator

26800

Lab Investigations

M3.3

Medical Management of Cryptococcal

Meningitis

Cryptococcal antigen ,
Lumbar Puncture CSF
analysis

Amphoterecin B, Fluconazole

29800

Lab Investigations

M4

PEDIATRICS

M4.1

NEONATAL INTENSIVE CARE

M4.1.1

Medical management of term Baby With

Septicemia Culture Positive,Hyperbili
rubinemia Not requiring Ventilatory
support.

Lumbar Puncture CSF

analysis , Neurosonogram

25 % dextrose, Calcium
gluconate, Fluconazole, IV
antibiotics -Meropenem - 500mg,
Maintenance IV Fluids - Isolyte P,
Nasogastric tube feeds,
Phototherapy, Tobramycin -80mg

35000

Evidence for Clinical

Improvement with lab
investigations

60000

Evidence for Clinical

Improvement with lab
investigations

M2.7

M4.1.10

Medical management of pre-term Baby of

30 To 32 Weeks Septi cemia Ductus
Arteriosus -requiring Mechanical
Ventilation.

2D ECHO -TWICE ,
Neurosonogram on day 2 and
5

25 % dextrose, Aminoven,
Calcium gluconate, Dobutamine,
Dopamine, FFP, Frusemide,
Heparin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -80mgFluconazole),
Maintenance IV Fluids - Isolyte P,
Mechanical ventilation,
Midazolam, Nasogastric tube
feeds, PRBC, PRP,
Phototherapy-Umbilical venous

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and arterial lines, Supplemental

Oxygen, Surfactant therapy Neosurf, Vecuronium

M4.1.11

M4.1.12

M4.1.13

2D ECHO -TWICE ,
Neurosonogram on day 2 and
5

25 % dextrose, Aminoven,
Calcium gluconate, Dobutamine,
Dopamine, FFP, Frusemide,
Heparin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -80mgFluconazole),
Maintenance IV Fluids - Isolyte P,
Mechanical ventilation,
Midazolam, Nasogastric tube
feeds, Normal saline, PRBC,
PRP, Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen,
Surfactant therapy - Neosurf,
Vecuronium

90000

Evidence for Clinical

Improvement with lab
investigations

Medical Management of Term Baby With

Persistent Pulmonary Hypertension
Ventilation-Hfo Hyperbilirubinem ia
Clinically evident septicemia.

2D ECHO - 4 ,
Neurosonogram 2

25 % dextrose, Aminoven,
Calcium gluconate, Dobutamine,
Dopamine, FFP, Frusemide,
Heparin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -80mgFluconazole),
Maintenance IV Fluids - Isolyte P,
Mechanical ventilation,
Midazolam, Nasogastric tube
feeds, Normal saline, PRBC,
PRP, Phototherapy-Umbilical
venous and arterial lines, Sodium
bicarbonate, Supplemental
Oxygen, Surfactant therapy Neosurf, Vecuronium

50000

Evidence for Clinical

Improvement with lab
investigations

Medical Management of Term Baby With

Severe Perinatal Asphyxia Clinically
evident septicemia, Hyperbilirubinem ia Not requiring Ventilatory support.

25 % dextrose, Calcium
gluconate, IV Phenobarbitone, IV
Phenytoin, IV antibiotics
(Piperacillin Tazobactum,
BERA CSF analysis(LP) , CT- Tobramycin - 80 mg ),
Scan , Neurosonogram 2
Maintenance IV Fluids - Isolyte P,
Midazolam, Nasogastric tube
feeds, Normal saline,
Phisiotherapy, Supplemental
Oxygen

35000

Evidence for Clinical

Improvement with lab
investigations

Medical management of pre-term Baby of

<30 Weeks Severe Hyaline Membrane
Disease Septi cemia Culture Positive,
Hyperbili rubinemia Patent Ductus
Arteriosus -requiring Mechanical
Ventilation.

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Aarogyasri Health Care Trust

M4.1.14

M4.1.15

M4.1.16

M4.1.17

Medical Management of Term Baby With

Severe Perinatal Asphyxia Clinically
evident septicemia, Hyperbilirubinemia requiring Ventilatory support.

Medical Management of Term Baby

Severe Hyperbilirubinemia Clinically
evident Septicemia.

Medical management of Seizures in term

baby requiring ventilatory support.

Medical Management of Necrotising

Enterocolitis, Clinically evident
Septicemia, Hyperbilirubinem ia not
requiring ventilatory support.

25 % dextrose, Aminoven,
Calcium gluconate, Dobutamine,
Dopamine, FFP, Heparin, IV
Phenobarbitone, IV Phenytoin, IV
antibiotics (Meropenem - 500mg ,
Tobramycin -80mgFluconazole),
BERA CSF analysis(LP) , CTMaintenance IV Fluids - Isolyte P,
Scan , Neurosonogram 3
Midazolam, Nasogastric tube
feeds, Normal saline, PRBC,
PRP, Phisiotherapy,
Phototherapy-Umbilical venous
and arterial lines, Supplemental
Oxygen, Vecuronium

50000

Evidence for Clinical

Improvement with lab
investigations

Neurosonogram

Whole blood, 25 % dextrose,

Calcium gluconate, Double
surface Phototherapy, Double
volume exchange transfusion, IV
antibiotics (Piperacillin
Tazobactum, Tobramycin - 80
mg ), Maintenance IV Fluids Isolyte P, Nasogastric tube feeds

35000

Evidence for Clinical

Improvement with lab
investigations

Blood ammonia , CT-Scan ,

Lumbar Puncture CSF
analysis , Metabolilc
screening-blood and urine
ABG , Neurosonogram , Ultra
sound of abdomin , lactate

25 % dextrose, Aminoven,
Calcium gluconate, Dobutamine,
Dopamine, FFP, Heparin, IV
Phenobarbitone, IV Phenytoin, IV
antibiotics (Meropenem - 500mg ,
Tobramycin -80mgFluconazole),
Maintenance IV Fluids - Isolyte P,
Mechanical ventilation,
Midazolam, Nasogastric tube
feeds, PRBC, PRP,
Phisiotherapy, PhototherapyUmbilical venous and arterial
lines, Supplemental Oxygen

50000

Evidence for Clinical

Improvement with lab
investigations

Abdomen radiograph, , LFT ,

Neurosonogram , Stool for
occult blood , Ultra sound of
abdomin

Metronidazole, 25 % dextrose,
Albumin, Aminoven, Calcium
gluconate, Central line, Heparin,
IV antibiotics (Meropenem 500mg , Tobramycin 80mgFluconazole), Maintenance
IV Fluids - Isolyte P, Nasogastric
tube feeds, Normal saline,
Phototherapy, Total parenteral
nutrition

35000

Evidence for Clinical

Improvement with lab
investigations

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Aarogyasri Health Care Trust

M4.1.18

M4.1.2

Medical Management of Term Baby,

Fulminant septicemia Culture Positive with
Septic Shock, Hyperbilirubinem ia Renal
Failure requiring ventilatory support.

Medical Management of Preterm Baby 33

To 34 Weeks with Severe Hyaline
Membrane Disease Clinically evident
septicemia Hyperbilirubinemia requiring
Bubble Cpap.

M4.1.3

Medical Management of pre term baby of

33 To 34 Weeks with Severe Hyaline
Membrane Disease Clinically evident
septicemia Hyperbilirubinemia requiring
ventilatory support.

M4.1.4

Medicalmanagement of Preterm baby of

35 To 36 Weeks with Mild Hyaline
Membrane Disease septicemia Culture
Positive Hyperbilirubinem ia not requiring
ventilatory support.

2D ECHO , Abdomen
radiograph, , BERA CSF
analysis(LP) , LFT ,
Neurosonogram , Stool for
occult blood , Ultra sound of
abdomin

25 % dextrose, Adrenaline,
Albumin, Aminoven, Calcium
gluconate, Dobutamine,
Dopamine, FFP, Frusemide,
Heparin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -80mgFluconazole),
Maintenance IV Fluids - Isolyte P,
Midazolam, Nasogastric tube
feeds, Nonadrenaline, Normal
saline, PRBC, PRP, Peritoneal
dialysis, Phototherapy-Umbilical
venous and arterial lines, Sodium
bicarbonate, Supplemental
Oxygen, Total parenteral
nutrition, Vecuronium

50000

Evidence for Clinical

Improvement with lab
investigations

2D ECHO , Neurosonogram

25 % dextrose, Aminoven,
Calcium gluconate, Heparin, IV
antibiotics (Piperacillin
Tazobactum-1, Tobramycin - 80
mg), Midazolam, Nasogastric
tube feeds, PhototherapyUmbilical venous and arterial
lines, Supplemental Oxygen

60000

Evidence for Clinical

Improvement with lab
investigations

2D ECHO , Neurosonogram

25 % dextrose, Aminoven,
Calcium gluconate, FFP,
Heparin, IV antibiotics
(Piperacillin Tazobactum-1,
Tobramycin - 80 mg),
Maintenance IV Fluids - Isolyte P,
Mechanical ventilation,
Midazolam, Nasogastric tube
feeds, PRBC, PRP,
Phototherapy-Umbilical venous
and arterial lines, Supplemental
Oxygen

60000

Evidence for Clinical

Improvement with lab
investigations

2D ECHO , Lumbar Puncture

CSF analysis ,
Neurosonogram 3

25 % dextrose, Calcium
gluconate, Fluconazole, IV
antibiotics -Meropenem - 500mg,
Maintenance IV Fluids - Isolyte P,
Nasogastric tube feeds,
Phototherapy, Supplemental
Oxygen, Tobramycin -80mg

35000

Evidence for Clinical

Improvement with lab
investigations

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Aarogyasri Health Care Trust

M4.1.5

M4.1.6

M4.1.7

M4.1.8

Medicalmanagement of Preterm baby of

33 To 34 Weeks with Mild Hyaline
Membrane Disease septicemia Culture
Positive Hyperbilirubinem ia not requiring
ventilatory support.

Medical management of Preterm baby of

33 To 34 Weeks with severe Hyaline
Membrane Disease septicemia Culture
Positive Hyperbilirubinem requiring
ventilatory support/ bubble Cpap.

Medical management of Preterm baby of

30 To 32 Weeks with severe Hyaline
Membrane Disease septicemia Culture
Positive Hyperbilirubinem ia requiring
Mechanical ventilatory support.

Medical management of Preterm baby

of<30 Weeks with severe Hyaline
Membrane Disease septicemia Culture
PositiveHyperbilirubinem ia requiring
Mechanical ventilatory support.

2D ECHO , Lumbar Puncture

CSF analysis ,
Neurosonogram 3

25 % dextrose, Calcium
gluconate, FFP, Fluconazole, IV
antibiotics -Meropenem - 500mg,
Maintenance IV Fluids - Isolyte P,
Nasogastric tube feeds, PRBC,
PRP, Phototherapy,
Supplemental Oxygen,
Tobramycin -80mg

35000

Evidence for Clinical

Improvement with lab
investigations

2D ECHO , Lumbar Puncture

CSF analysis ,
Neurosonogram 4

25 % dextrose, Aminoven,
Calcium gluconate, Dobutamine,
Dopamine, FFP, Fluconazole,
Heparin, IV antibiotics Meropenem - 500mg,
Maintenance IV Fluids - Isolyte P,
Mechanical ventilation,
Nasogastric tube feeds, Normal
saline, PRBC, PRP,
Phototherapy, Supplemental
Oxygen, Surfactant therapy Neosurf, Tobramycin -80mg,
Vecuronium

60000

Evidence for Clinical

Improvement with lab
investigations

2D ECHO , Lumbar Puncture

CSF analysis ,
Neurosonogram 3

25 % dextrose, Aminoven,
Calcium gluconate, Dobutamine,
Dopamine, FFP, Heparin, IV
antibiotics (Meropenem - 500mg ,
Tobramycin -80mgFluconazole),
Maintenance IV Fluids - Isolyte P,
Mechanical ventilation,
Midazolam, Nasogastric tube
feeds, PRBC, PRP,
Phototherapy-Umbilical venous
and arterial lines, Supplemental
Oxygen, Surfactant therapy Neosurf, Vecuronium

60000

Evidence for Clinical

Improvement with lab
investigations

90000

Evidence for Clinical

Improvement with lab
investigations

2D ECHO , Lumbar Puncture

CSF analysis ,
Neurosonogram 4

25 % dextrose, Aminoven,
Calcium gluconate, Dobutamine,
Dopamine, FFP, Heparin, IV
antibiotics (Meropenem - 500mg ,
Tobramycin -80mgFluconazole),
Maintenance IV Fluids - Isolyte P,
Mechanical ventilation,
Midazolam, Nasogastric tube
feeds, Normal saline, PRBC,
PRP, Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen,
Surfactant therapy - Neosurf,

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Aarogyasri Health Care Trust

Vecuronium

M4.1.9

Medical management of Preterm baby of

33 To 34 Weeks with severe Hyaline
Membrane Disease septicemia Culture
Positive Hyperbilirubinem ia Patent
Ductus Arteriosus- requiring Mechanical
ventilatory support.

M4.2

PEDIATRIC INTENSIVE CARE

M4.2.1.1

Medical management of Severe

Bronchiolitis(Non Ventilated)

2D ECHO -TWICE ,
Neurosonogram 4

25 % dextrose, Aminoven,
Calcium gluconate, Dobutamine,
Dopamine, FFP, Frusemide,
Heparin, IV antibiotics
(Meropenem - 500mg ,
Tobramycin -80mgFluconazole),
Maintenance IV Fluids - Isolyte P,
Mechanical ventilation,
Midazolam, Nasogastric tube
feeds, Normal saline, PRBC,
PRP, Phototherapy-Umbilical
venous and arterial lines,
Supplemental Oxygen,
Surfactant therapy - Neosurf,
Vecuronium

60000

Evidence for Clinical

Improvement with lab
investigations

ABG OD (ABG -5) , CP

Budesonide, IV fluids, Inj.

Ceftriaxone, Inj. Hydrocortisone,
Oxygen, Salbutamol

15000

ABG , X-RAY , pulse

oxymetry

20000

ABG , X-RAY , pulse

oxymetry

15000

ABG , X-RAY , pulse

oxymetry

M4.2.1.2

Medical Management of Severe

Bronchiolitis(Ventilated)

ABG 8th hrly (3/day X 7

days) , CP

Budesonide, IV fluids, Inj.

Amikacin, Inj. Methyl
prednisolone, Inj. Midazolam
Infusion ., Inj. Pipracillin
Tazobactum, Oxygen,
Salbutamol, nebulisations

M4.2.1.3

Medical Management of Severe

Bronchopneumon ia(Non Ventilated)

ABG OD (ABG -5) , CP

Oxygen

Medical Management of Severe

Bronchopneumon ia(Ventilated)

Budesonide, IV fluids, Inj.

Amikacin, Inj. Midazolam
Infusion ., Inj. Pipracillin
ABG 8th hrly (3/day X 7 days)
Tazobactum, Mechanical
ventilation, Oxygen, Salbutamol,
nebulisations

20000

ABG , X-RAY , pulse

oxymetry

M4.2.1.5

Medical Management of Acute Severe

Asthma (Ventilated)

Budesonide, IV fluids, Inj.

Amikacin, Inj. Midazolam
Infusion ., Inj. Pipracillin
ABG 8th hrly (3/day X 7 days)
Tazobactum, Mechanical
ventilation, Oxygen, Salbutamol,
nebulisations

20000

ABG , X-RAY , pulse

oxymetry

M4.2.1.6

Medical Management of Severe Aspiration

Pneumonia (Non Ventilated)

ABG OD (ABG -3)

IV fluids, Inj. Amikacin, Inj.

Pipracillin Tazobactum, Oxygen,
Salbutamol, nebulisations

15000

ABG , X-RAY , pulse

oxymetry

M4.2.1.4

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Aarogyasri Health Care Trust

M4.2.1.7

Medical Management of Severe Aspiration

Pneumonia ( Ventilated)

IV fluids, Inj. Amikacin, Inj.

Midazolam Infusion ., Inj.
ABG 8th hrly (3/day X 7 days) Pipracillin Tazobactum,
Mechanical ventilation, Oxygen,
Salbutamol, nebulisations

M4.2.1.8

Medical Management of ARDS With MultiOrgan Failure

ABGS , Clinical Photo ,

FOB , HRCT Scan , Sputum
C-S , Ventilator

Antimicrobials, MICU, O2,

Ventilatiory Care

115000

ABG and other Lab

Investigations

M4.2.1.9

Medical Management of ARDS Plus DIC

(Blood & Blood Products)

ABGS , Clinical Photo ,

FOB , HRCT Scan , Sputum
C-S , Ventilator

Cryp Precipitate, FFP,

Ventilatiory Care

140000

ABG and other Lab

Investigations

40000

ABG , X-RAY , pulse

oxymetry

25000

ABG , X-RAY , pulse

oxymetry

20000

ABG , X-RAY , pulse

oxymetry

M4.2.2.1

Medical Management of Severe

Myocarditis in Paediatric patient

arterial blood pressure , ABG

12 hrly , ECG , ECHO

IV fluids, Inj. Adrenaline, Inj.

Amikacin, Inj. Lasix, Inj.
Midazolam Infusion ., Inj.
Pipracillin Tazobactum,
Mechanical ventilation, Oxygen,
Syp. Digoxin, T. Captopril, T.
lasilactone, inj. Milrinone, inj.
Dobutamine, inj.Dopamine,
inotropes

M4.2.2.2

Medical Management of Congenital Heart

Disease With Infection (Non Ventilated) in
Paediatric patient

ECHO , pulse oxymetry

IV fluids, Inj. Ceftriaxone,

Oxygen, inj.Dobutamine, inj.
Dopamine, inj.Tobramycin

M4.2.2.3

Medical Management of Congenital Heart

Disease With Infection And Cardiogenic
Shock (Ventilated) in Paediatric patients

Adrenaline, Dobutamine,
Dopamine, IV fluids, Inj.
Midazolam, Inj. Vancomycin,
ABG 8th hrly (3/day X 7 days)
Mechanical ventilation X,
Nonadrenaline, Oxygen, inj.
Meropenem, inotropes, milirinone

50000

ABG , X-RAY , pulse

oxymetry

M4.2.2.4

Medical Management of Cardiogenic

Shock in Paediatric patients

Adrenaline, Dobutamine,
Dopamine, IV fluids,
ABG 8th hrly (3/day X 7 days)
Nonadrenaline, Oxygen, inj.
Meropenem, inotropes, milirinone

50000

ABG , X-RAY , pulse

oxymetry

Medical Management of Infective

Endocarditis

Adrenaline, Dobutamine,
Dopamine, IV fluids, Inj.
Midazolam, Low molecular
ABG 8th hrly (3/day X 7 days) weight Heparin, Mechanical
ventilation, Nonadrenaline,
Oxygen, inj. Meropenem, inj.
Heparin, inotropes, milirinone

25000

ABG , X-RAY , pulse

oxymetry

M4.2.2.5

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Aarogyasri Health Care Trust

M4.2.3.1

M4.2.3.2

M4.2.3.3

M4.2.3.4

M4.2.3.5

M4.2.4.1

Medical Management of MeningoEncephalitis (Non Ventilated)

CSF analysis , CT-Scan ,

EEG

Anticonvulsants, IV fluids, Inj.

Midazolam Infusion ., Inj.
Vancomycin, Oxygen, inj.
Acyclovir, inj.Lorazapem, inj.
Phenibarbitone, inj.Phenytoin, inj.
cefepime

Medical Management of MeningoEncephalitis in Paediatric patients

(Ventilated)

ABG 8th hrly (3/day X 7

days) , CSF analysis , CTScan , EEG , arterial
monitoring

Anticonvulsants, IV fluids, Inj.

Midazolam Infusion ., Inj.
Vancomycin, Oxygen, inj.
Acyclovir, inj.Lorazapem, inj.
Phenibarbitone, inj.Phenytoin, inj.
cefepime

60000

Evidence for Clinical

Improvement with lab
investigations

ABG 8th hrly (3/day X 7

days) , CSF analysis , EEG

Anticonvulsants, IV fluids, Inj.

Midazolam Infusion ., Inj.
Vancomycin, Mechanical
ventilation, Oxygen, inj.Acyclovir,
inj.Lorazapem, inj.
Phenibarbitone, inj.Phenytoin, inj.
cefepime

21510

Evidence for Clinical

Improvement with lab
investigations

ABG 8th hrly (3/day X 7

days) , CSF analysis , EEG

Anticonvulsants, IV fluids, Inj.

Amikacin, Inj. Midazolam
Infusion ., Mechanical ventilation,
Oxygen, inj.Lorazapem, inj.
Phenibarbitone, inj.Phenytoin, inj.
cefepime

25000

Evidence for Clinical

Improvement with lab
investigations

ABG 8th hrly (3/day X 7

days) , Blood sugar 4 hrly ,
CT Brain , carotied doppler

Adrenaline, Anticonvulsants, IV
fluids, Inj. Midazolam Infusion .,
Mechanical ventilation,
Nonadrenaline, Oxygen, inj.
Meropenem, inj.Calcium, inj.
Dobutamine, inj.Dopamine, inj.
Lorazapem, inj.Phenibarbitone,
inj.Phenytoin, inj.Tobramycin,
inotropes, milirinone

50000

Evidence for Clinical

Improvement with lab
investigations

ABG OD/Upper GI
Endoscopy , USG abdomen

Antibiotics (Inj. Ceftriaxone , Inj.

Ofloxacin, Inj. Amikacin),
Dobutamine, Dopamine, IV fluids,
Inj. Midazolam Infusion .,
Mechanical ventilation, Oxygen,
endoscopic sclerotherapy,
inotropes

25000

Evidence for Clinical

Improvement with lab
investigations

Medical Management of Status Epilepticus

Medical Management of Febrile Seizures

(Atypical- Mechanical Ventilated) in
Paediatric patients

Medical Management of Intra Cranial

Bleed in Paediatric patient

Medical Management of Acute Gastro

Intestinal Bleed in Paediatric patients

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40000

Evidence for Clinical

Improvement with lab
investigations

Aarogyasri Health Care Trust

M4.2.4.2

M4.2.4.3

M4.2.5.1

M4.2.6.1

M4.2.7.1

CT-Scan , USG abdomen

Adrenaline, Antibiotics ( Inj.

Meropenem , Inj. Vancomycin),
Dobutamine, Dopamine, IV fluids,
Inj. Midazolam Infusion ., Insulin,
Mechanical ventilation,
Nonadrenaline, Oxygen, TPN, inj.
Calcium, inotropes, milirinone

50000

Evidence for Clinical

Improvement with lab
investigations

Medical Management of Acute Hepatitis

With Hepatic Encephalopathy in
Paediatric patient

ABG 8th hrly (3/day X 7

days) , Blood sugar 4 hrly ,
CT-Scan , Hepatic viral
studies ( Hepatitis B,
Hepatitis C, Hepatitis A) ,
USG abdomen

Inj. N- Acetyl Cystein,

Adrenaline, Antibiotic(inj.
Meropenem), Anticonvulsants, IV
fluids, Inj. L-ornathine, Inj.
Midazolam Infusion ., LCarnitine, Mechanical ventilation,
Nonadrenaline, Oxygen, inj.
Calcium, inj.Dobutamine, inj.
Dopamine, inj.Lorazapem, inj.
Phenibarbitone, inj.Phenytoin,
inotropes, milirinone

50000

Evidence for Clinical

Improvement with lab
investigations

Medical Management of Acute Renal

Failure

ABG 8th hrly (3/day X 7

days) , Blood Urea cum
Serum Creatinine 4 hrly ,
USG abdomen

Antibiotics(inj.Meropenem,inj.
ofloxacin), Dobutamine,
Dopamine, IV fluids, Inj.
Midazolam Infusion ., Mechanical
ventilation, Oxygen, Peritoneal
dialysis, inj.Calcium, inotropes

20000

Evidence for Clinical

Improvement with lab
investigations

Medical Management of Diabetic

Ketoacidosis in Paediatric patient

ABG 8 hrly (3/day X 5

days), , Blood sugar 4 hrly ,
Serum Electrolytes CVP
monitoring

Calcium, Dobutamine,
Dopamine, IV antibiotics
(Piperacillin Tazobactum,
Tobramycin - 80 mg ), IV fluids,
Oxygen, inotropes, insulin
infusion

30000

Evidence for Clinical

Improvement with
biochemical parameters

Medical management of Septic shock

Adrenaline, Anticonvulsants,
Dobutamine, Dopamine, IV fluids,
Inj. Midazolam Infusion ., Inj.
Vancomycin, Mechanical
ECHO , EEG , USG abdomen ventilation, Nonadrenaline,
Oxygen, TPN, inj. Meropenem,
inj.Lorazapem, inj.
Phenibarbitone, inj.Phenytoin,
inotropes, milirinone

60000

Evidence for Clinical

Improvement with lab
investigations

Medical management of Acute

Pancreatitis (Mild) in pediatric patients

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ABG 4 hrly (3/day X 4 days) ,

ABG 8 hrly (3/day X 4 days) ,
CT Brain , ECHO , EEG

Adrenaline, Anticonvulsants,
Dobutamine, Dopamine, IV fluids,
Inj. Midazolam Infusion ., Inj.
Vancomycin, Mechanical
ventilation, Nonadrenaline,
Oxygen, antisnake Venom, inj.
Meropenem, inj.Phenibarbitone,
inj.Phenytoin, inotropes

60000

Evidence for Clinical

Improvement with
biochemical parameters

M4.2.8.2

Medical Management of Scorpion Sting

With Myocarditis And Cardiogenic Shock
Requiring Ventilatory Assistance in
Paediatric patients

arterial blood pressure , ABG

8 hrly (3/day X 4 days) ,
Blood sugar 8 hrly , CVP
monitoring , ECG , ECHO

Adrenaline, Antiscorpion Venom,

Dobutamine, Dopamine, IV fluids,
Inj. Midazolam Infusion ., Inj.
Vancomycin, Mechanical
ventilation, Nonadrenaline,
Oxygen, Sodium nitroprusside,
inj. Meropenem, inotropes

40000

Evidence for Clinical

Improvement with lab
investigations

M4.2.8.3

Medical Management of Poison Ingestion/

Aspiration Requiring Ventilatory
Assistance in Paediatric patients

Blood sugar 8 hrly , CVP

monitoring , ABG 8 hrly (3/
day X 4 days) , ECG ,
ECHO , arterial blood
pressure

Dobutamine, Dopamine, IV
fluids, Inj. Midazolam Infusion .,
Mechanical ventilation, Oxygen,
Specific antidote, inotropes

40000

Evidence for Clinical

Improvement with
biochemical parameters

M4.3

GENERAL PEDIATRICS

Pus culture , X-RAY

IV Antibiotics (Amoxycillin
clavulanate or ceftriaxone ,
Amikacin ,vancomycin),
Mechanical ventilation if required
and oral antibiotics, Anti
tubercular drugs after discharge,
IV fluids, Oxygen, chest
physiotherapy

25000

X-Ray Chest

Medical Management of Acute Broncho

Lobar pneumonia With Pyo Pneumothorax
in Paediatric patient(J18.1/J86/J93)

Pus culture , X-RAY

Mechanical ventilation if required

and oral antibiotics, Anti
tubercular drugs after discharge,
ICD chest drain, IV antibiotics, IV
fluids, Oxygen, chest
physiotherapy, nebulisations

20000

X-Ray Chest

Medical Management of Urinary Tract

Infection With Complications Like
Pyelonephritis And Renal Failure in
Paediatric patient(N13.617.9)

MCUG ( Micturating cysto

urethrogram), Urine for
Culture and Sensitivity,
Ultrasound , Ultrasound ,
Urine for Culture and
Sensitivity

Amikacin and ofloxacin

paracetamol, Dialysis, IV
Antibiotics (Amoxycillin
clavulanate or ceftriaxone ,
Amikacin ,vancomycin), IV fluids,
oral antibiotics (Amoxycillin
clavulanate or Cefixime)

14160

urine culture

M4.2.8.1

M4.3.1

M4.3.2

M4.3.3.2

Medical Management of Snake Bite

Requiring Ventilatory Assistance

Medical Management of Acute Broncho

Lobar pneumonia With Empyema/ Pleural
Effusion in Paediatric patients(J18.1/J43/
J90)

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Medical Management of Congenital Heart

Disease With Congestive Cardiac Failure
in Paediatric patients

Digoxin, IV Antibiotics
(Ceftriaxone , Amikacin or
2D ECHO , ECG , Pus culture ofloxacin), IV fluids, Mechanical
ventilation, Oxygen, diuretics,
nebulisations

15000

2D ECHO , ECG , XRay Chest

M4.4.2

Medical Management of Acquired Heart

Disease With Congestive Cardiac Failure

Ace inihibitors, Digoxin, IV

Antibiotics (Ceftriaxone ,
2D ECHO , ECG , Pus culture Amikacin or ofloxacin), IV fluids,
Mechanical ventilation, Oxygen,
diuretics, nebulisations

15000

2D ECHO , ECG , XRay Chest

M4.4.3

Medical Management of Viral Myocarditis

in Paediatric patient

IV Antibiotics (Ceftriaxone ,
Amikacin or ofloxacin), IV fluids,
2D ECHO , ECG , Pus culture
Oxygen, diuretics, inotropes,
steroids

20000

2D ECHO , ECG , XRay Chest

M4.5.1

Medical Management of Steroid Resistant

Nephrotic Syndrome Complicated Or
Resistant in Paediatric patients

Renal biopsy

Antihypertensives, IV Antibiotics
(Ceftriaxone , Amikacin or
ofloxacin),
Immunosuppressives ., ascitic
tap, diuretics, pleural tap

25000

RFT

M4.5.3

Medical Management of Acute Renal

Failure in Paediatric patient

collagen vascular profile ,

Complement levels, , RFT ,
Serum Electrolytes , c1 , c3

Antibiotics, Antihypertensives,
Haemo dialysis, Peritoneal
dialysis, Supportive
management, diuretics

20000

RFT

M4.5.4

Medical Management of Acute Renal

Failure With Dialysis in Paediatric patients

Complement levels, , RFT ,

Serum Electrolytes , c1 , c3 ,
collagen vascular profile

Antibiotics, Antihypertensives,
Haemo dialysis, Peritoneal
dialysis, Supportive
management, diuretics

20000

RFT

M4.6.1

Medical Management of Thalassemia

Major Requiring Chelation Therapy

Hb electrophoresis , Osmotic
fragility test , Serum Ferritin

Blood transfusion., Chelating

Agents, IV fluids

15000

Clinical and
Haematological
Improvements

M4.6.2

Medical Management of Haemophillia

Including Von Willibrands disease in
Paediatric patients

Coagulation studies and

Factor analysis

Blood and Blood products,

Factor concentrate

20000

Clinical and
Haematological
Improvements

M4.6.3

Medical Management of Anemia Of

Unknown Cause

Hb electrophoresis

Bloods transfusion, Hemantinics

etc, IV fluids

10000

Clinical and
Haematological
Improvements

M4.4.1

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M4.7.1

M4.7.2

Medical Management of Pyogenic

Meningitis

Medical Management of Neuro

Tuberculosis in Paediatric patient

M4.7.3

Medical Management of Neuro

Tuberculosis With Ventilation in Paediatric
patient

M4.7.4

Medical Management of Enteric Fever

Complicated in Paediatric patient

CT-Scan , Lumbar Puncture

CSF analysis

IV dexamethasone for below 5 yr

old children, Anticonvulsants
(midazolam or lorazepam,
Phenobarbitone or Phenytoin), IV
antibiotics (Amoxycillin
clavulanate ,ceftriaxone ,
Amikacin or ofloxacin,
vancomycin), IV fluids,
Paracetamol, Ventilatory Support

27980

Repeat CSF

Brain CSF ADA analysis ,

CT-Scan

IVMannitol, Anticonvulsants
(midazolam or lorazepam,
Phenobarbitone or Phenytoin), IV
antibiotics, IV dexamethasone
and oral steroids, IV fluids,
Nasogastric tube feeds,
Paracetamol, anti tubercular
therapy, ventilatory support

15000

clinical and lab

investigation

ABG , Brain CSF ADA

analysis , CT-Scan

IVMannitol, Anticonvulsants
(midazolam or lorazepam,
Phenobarbitone or Phenytoin), IV
antibiotics, IV dexamethasone
and oral steroids, IV fluids,
Nasogastric tube feeds,
Paracetamol, anti tubercular
therapy, mechanical ventilation
SUPPORT

25000

clinical and lab

investigation

ABD , Blood culture , USG

Paracetamol, followed by oral

antibiotics ( Cefixime, Ofloxacin),
IV antibiotics ceftriaxone,
Amikacin , ofloxacin, IV fluids

10733

clinical and lab

investigation

25000

clinical and lab

investigation

M4.7.5

Medical Management of Cerebral Malaria

(Falciparum)

Lumbar Puncture CSF

analysis , Parasite F Test and
QBC

IV antibiotics ceftriaxone,
Amikacin , ofloxacin, IV
artesunate, IV artesunate, IV
fluids, IV quinine, Mechanical
ventilation, Oral chloroquine,
blood and platelet transfusion,
mefloquine

M4.8.1

Medical Management of Convulsive

Disorders/Status Epilepticus (Fits)in
Paediatric patient

CT , EEG

Anticonvulsants, IV fluids,
Oxygen, ventilator

10000

clinical and lab

investigation

M4.8.2

Medical Management of Stroke Syndrome

in Paediatric patient

2D ECHO , ANGIOGRAM ,
CT , EEG

Anti Epieptics, IV fluids, Low

molecular weight Heparin,
Oxygen

20000

clinical and lab

investigation

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Aarogyasri Health Care Trust

M4.8.3

Medical Management of Encephalitis /

Encephalopathy in Paediatric patient

CT , Lumbar Puncture CSF

analysis

Anticonvulsants, IV fluids,
Mannitol, inj.Acyclovir

25000

clinical and lab

investigation

M4.8.4

Medical Management of Guillian-Barre

Syndrome

ABG , ENMG , Lumbar

Puncture CSF analysis ,
Nerve Conduction studies

IV fluids, immunoglobin,
physiotherapy, ventilary and
supportive care

80000

clinical and lab

investigation

M5

CARDIOLOGY

M5

CARDIOLOGY

M5.1.1

Medical Management of Acute Mi

(Conservative Management Without
Angiogram)

2DEcho , CPKMB , ECG ,

Troponin

Medical

10000

2DEcho , ECG , Lab

Investigations

M5.1.2

Management Of Acute MI With Angiogram

2DEcho , CPKMB , Coronary

Angiodraphy , ECG , Troponin

Medical

30000

2DEcho , ECG , Lab

Investigations

M5.1.3

Medical Management of Acute MI With

Cardiogenic Shock

2DEcho , CPKMB , Coronary

Angiodraphy , ECG , Troponin

Medical

30000

2DEcho , ECG , Lab

Investigations

M5.1.4

Medical Management of Acute MI

Requiring IABP Pump

2DEcho , CPKMB , Coronary

Angiodraphy , ECG , Troponin

Medical

55000

2DEcho , ECG , Lab

Investigations

M5.1.5

Medical Management of Refractory

Cardiac Failure

2DEcho , CPKMB , Coronary

Angiodraphy , ECG , Troponin

Medical

40000

2DEcho , ECG , Lab

Investigations

M5.2

Medical Management of Infective

Endocarditis

2D ECHO , Blood c/s , ECG

MEDICAL

25000

2D ECHO , ECG , Lab

Investigations

M5.3

Medical Management of Pulmonary

Embolism

MRI doppler

MEDICAL

35000

DOPPLER , Lab
Investigations

M5.4

Medical Management of Complex

Arrhythmias

ECG doppler

Cartoguided

140000

2D ECHO , ECG , Lab

Investigations

M5.5

Ablation Therapy for Simple Arrythmias

Color Doppler , ECG

Focus Ablation

91000

2D ECHO , ECG , Lab

Investigations

M5.6

Medical Management of Pericardial

Effusion, Tamponade withAspiration

DOPPLER

Aspiration

16000

2D ECHO , ECG , Lab

Investigations

M6

NEPHROLOGY

M6

NEPHROLOGY

Dialysis and supportive therapy

19710

RFT , other lab

investigation

Immunosuppressive RX

16890

RFT , other lab

investigation

M6.1

Medical Management of AKI

2D ECHO , Calicum , ECG ,

Electolytes , HBSAG , HCD ,
HIV , Phosphate , RFT , S.
Protein , USG , Urine protein ,
uric acid

M6.2

Medical Management of Nephrotic

Syndrome

HIV , RFT , S.Protein

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Aarogyasri Health Care Trust

Medical Management of Rapidly

Progressive Renal Failure

RFT

Medicines, Steroids parenteral

30766

RFT , other lab

investigation

Medical Management of Chronic Renal

Failure 1 (Crf )

24 hrs urine , HCV , Alb/

Globulin ratio , HB Sag ,
RFT , S.Calcium , S.Protein ,
S.Uric acid , S.electrolytes ,
Spot Urine/Creatinine ratio ,
X-Ray Chest

Dialysis and supportive therapy,

Initial treatment

30870

RFT , other lab

investigation

M6.5

Maintenance Hemodialysis For Crf

24 hrs urine , Spot Urine/

Creatinine ratio , 2D ECHO ,
Alb/Globulin ratio , HB Sag ,
HCV , RFT , S.Calcium , S.
Po4 , S.Protein , S.Uric acid ,
S.electrolytes , X-Ray Chest

Dialysis and supportive therapy

(Minimum of 10 dialysis)

12500

RFT , other lab

investigation

M7

NEUROLOGY

M7

NEUROLOGY
antacids, Dialysis and supportive
therapy (Minimum of 8 dialysis),
Inj. Methylprednisolone, Oral
steroids for 4 weeks, Ventilatory
Support, physiotherapy,
supportive care, vitamin
supplementaion

20000

clinical and lab

investigation

M6.3

M6.4

M7.1

Medical Management of ADEM

Evoked Potentials , CSF

Monoclonal Bands, , CSF
analysis , HIV profile , MRI
Brain

M7.10

Medical Management of Guillian-Barre

Syndrome

Nerve Biopsy (2000), , CSF

analysis , NCS / EMG(1000)

antacids, Inj. Methyl

prednisolone, Ventilatory Care,
physiotherapy, supportive care,
vitamin supplementation

80000

clinical and lab

investigation

M7.11

Medical Management of Optic Neuritis

Lumbar Puncture CSF

analysis , MRI Brain and
Optic nerves , VEPs

antacids, Inj. Methyl

prednisolone, oral steroids for 2
weeks, vitamin supplementation

10890

clinical and lab

investigation

M7.12

Management with Immunoglobulin

Therapy - Iv

Investigations indicative of
diseases

100000

clinical and lab

investigation

Medical Management of Chronic

Inflammatory Demyelinating
Polyneuropathy(CIDP)

Carotid and vertebral

Doppler etc. special tests for
Evaluation of cause ,
Echocardiography , Nerve
Biopsy . , CSF analysis , CT
Brain , ECG , EMG , Lipid
profile , MRI Brain , MRV /
MRA , NCS , Serum Protein
electropheresis , repeated
blood tests for electrolytes
and glucose

Ajathioprine, Oral steroids,

physiotherapy, vitamin
supplementaion

14340

clinical and lab

investigation

M7.2

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Medical Management of Hemorrhagic

Stroke/Strokes(I61/I62/I63/I64)

4-Vessel Cerebral Angio if

necessary (DSA) , CT
BRAIN , Carotid and
Vertebral Doppler etc. , ECG ,
Enchocardiography , Lipid
profile , MRA , MRI BRAIN ,
MRV , Special tests for
Evaluation of Cause

Antidiabetics, IVMannitol,
Surgery if necessary, antacids,
Antihypertensives, IV fluids

31030

clinical and lab

investigation

Medical Management of Ischemic Strokes

Carotid and vertebral

Doppler etc. special tests for
Evaluation of cause ,
Echocardiography , CT
Brain , ECG , Lipid profile ,
MRI Brain , MRV /MRA ,
repeated blood tests for
electrolytes and glucose

Antidiabetics, IVMannitol,
antacids, Antihypertensives,
Heparanoids for 5 days, IV fluids,
surgery in some cases

20000

clinical and lab

investigation

Medical Management of Acquired

Myopathies

Serum calcium , Muscle

Biopsy , NCS, /EMG ,
Phosphate and alkaline
phophatase , Serum CPK ,
endocrine evaluation

Azathiaprine, Calcium
supplementation, Prednisolone,
endocrine therapy, vitamin
supplementation

19460

clinical and lab

investigation

M7.6

Medical Management of Neuroinfections Fungal Meningitis

CSF serology for tuberculous

antigens , ADA , CSF
analysis , CT Brain , Cell
count , Fungal studies , MRI
Brain scan , culture

IVMannitol, antacids, Antifungal

drugs, IV fluids, steroids

54330

clinical and lab

investigation

M7.7

Medical Management of Neuroinfections Pyogenic Meningitis(Bacterial)

ADA , CSF analysis , CT

Brain , Cell count , MRI Brain
scan , culture

IVMannitol, Surgery if
necessary, Higher antibiotics, IV
fluids, antacids, steroids

27980

clinical and lab

investigation

M7.8

Medical Management of Neuroinfections Viral Meningoencephalitis (Including

Herpes Encephalitis)

ADA , CSF analysis , CSF

antibodies for HSV , CT
Brain , Cell count , MRI Brain
scan , culture

IVMannitol, Methyl prednisolone,

antacids, IV fluids, acyclovir

37520

clinical and lab

investigation

M7.9

Medical Management of Neuromuscular

disorders (Myasthenia Gravis)

CT-Abdomen , CT-Chest ,
Neostgmine test , RNS ,
Thyroid profile

Azathiaprine, Calcium
supplementation, Prednisolone,
Ventilatory Care, neostignime

21350

clinical and lab

investigation

M8

PULMONOLOGY

M8

PULMONOLOGY

M8.1

Medical Management of Bronchiectasis

with Repeated Hospitalisation>6per Year

FOB , HRCT Chest ,

Spirometry , Sputum culture ,
drug susceptability

According to International Guide

lines

30000

clinical and lab

investigation

M7.3

M7.4

M7.5

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Aarogyasri Health Care Trust

M8.2

Medical Management of Lung Abscess ,

Non Resolving

CT-Chest , FOB , PUS c/s

Antibiotics, Bronchial toilet

35000

clinical and lab

investigation

M8.3

Medical Management of Pneumothorax

(Large/Recurrent)

HRCT Chest , VATS

Antimicrobials, MICU, Oxygen,

Pleuredesis, Thoracostomy

30000

clinical and lab

investigation

M8.4

Medical Management of Interstitial Lung

Diseases

2D ECHO , Bronchoscopy ,
HRCT Chest , Spirometry ,
collagen profile

Antimicrobials, MICU, steroids

30000

clinical and lab

investigation

M8.5

Medical Management of Pneumoconiosis

2D ECHO , Bronchoscopy ,
HRCT Chest , Spirometry ,
collagen profile

MICU, Medical management

35000

clinical and lab

investigation

Medical Management of Acute

Respiratory Failure (Without Ventilator)

2D ECHO , ABG , Bronchial

washing , Bronchoscopy ,
ECG , ET suction for
analysis , Serum
Electrolytes , sputum

Antimicrobials, Oxygen,
Supportive therapy in MICU

25000

clinical and lab

investigation

M8.7

Medical Management of Acute

Respiratory Failure (With Ventilator)

2D ECHO , ABG , Bronchial

washing , Bronchoscopy ,
ECG , ET suction for
analysis , Serum
Electrolytes , sputum

Antimicrobials, Oxygen,
Supportive therapy in RICU

50000

clinical and lab

investigation

M9

DERMATOLOGY

M9

DERMATOLOGY

M9.1

Medical management of Pemphigus

DIF , Skin biopsy - HPE ,

Tzanck Smear

IV antibiotics, IV fluids, IV
steroids, Pulse therapy

27770

clinical and lab

investigation

M9.2

Medical management of Toxic Epidermal

Necrolysis

Blood culture , EchoCardiogram , LFT , Skin

biopsy - HPE, , Skin swab, ,
USG abdomen , urine culture

IV antibiotics, IV fluids, IV
steroids

37800

clinical and lab

investigation

M9.3

Medical management of StevensJohnson Syndrome

Blood culture , EchoCardiogram , LFT , Skin

biopsy - HPE , Skin swab, ,
USG abdomen , urine culture

IV antibiotics, IV fluids, IV
steroids

21656

clinical and lab

investigation

M10

RHEUMATOLOGY

M10

RHEUMATOLOGY
24 Hrs URINARY PROTEIN ,
ACL ANTIBODIES , ANA
PROFILE , EN ANTIGEN ,
HR CT , KIDNEYBIOPSY ,
dSDNA

As per American College of

Rheumatology Guidelines.

25651

clinical and lab

investigation

M8.6

M10.1.1

Medical management of SLE (Systemic

Lupus Erythematosis)

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Aarogyasri Health Care Trust

M10.1.2

Medical management of Sle (Systemic

Lupus Erythematosis) with sepsis

71250

M10.2

Medical management of Scleroderma

2D ECHO , ANA PROFILE ,

RENAL DOPPLER , SKIN
BIOPSY WITH HPE REPORT

As per American College of

Rheumatology Guidelines.

30000

clinical and lab

investigation

Medical management of Mctd Mixed

Connective Tissue Disorder

24 Hrs URINARY PROTEIN ,

CPK , ENMG ,
KIDNEYBIOPSY , LDH , MRI
OF HANDS , MRI OF
MUSCLES

As per American College of

Rheumatology Guidelines.

25000

clinical and lab

investigation

M10.4

Medical management of Primary Sjogren

\'S Syndrome

24 Hrs URINARY PROTEIN ,

ANA PROFILE , CANCA ,
CPK , ENMG ,
KIDNEYBIOPSY , LDH , MRI
OF HANDS , MRI OF
MUSCLES , pANCA

As per American College of

Rheumatology Guidelines.

20000

clinical and lab

investigation

M10.5

Medical management of Vasculitis

As per American College of

Rheumatology Guidelines.

30000

clinical and lab

investigation

M11

ENDOCRINOLOGY

M11.1

Uncontrolled Diabetes mellitus with

infectious emergencies

M11.1.1

Medical management of Pyelonephritis in

uncontrolled Diabetes melitus

USG , Urine C and S

Antibiotics, IV fluids, other

therapy with treatment of
Diabetics

21510

clinical and lab

investigation

M11.1.2

Medical management of Lower Respiratoy

Tract Infection

CXR , Sputum C/S

Antibiotics, IV fluids, other

therapy with treatment of
Diabetics

23000

clinical and lab

investigation

M11.1.3

Medical management of Fungal Sinusitis

CT PNS

Anti-fingal agents, Antibiotics, IV

fluids, other therapy with
treatment of Diabetics

40940

clinical and lab

investigation

M11.1.4

Medical management of Cholecystitis

CT-Abdomen , USG

Antibiotics, IV fluids, other

therapy with treatment of
Diabetics

29700

clinical and lab

investigation

M11.1.5

Medical management of Cavernous Sinus

Thrombosis in uncontrolled Diabetes
melitus

MRI , Venogram

Antibiotics, IV fluids, other

therapy with treatment of
Diabetics

41010

clinical and lab

investigation

M11.1.6

Medical management of Rhinocerebral

Mucormycosis

CT-Scan

Anti-fingal agents, Antibiotics, IV

fluids, other therapy with
treatment of Diabetics

51620

clinical and lab

investigation

M11.2

OTHER ENDOCRINAL DISORDERS

M10.3

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Aarogyasri Health Care Trust

Initial evaluation and management of

Hypopituitarism with growth harmone

FSH , LH , estradiol , t3
t4TSH , testosterone

Hormone Therapy for three

months

26000

clinical and lab

investigation

Hormonal therapy for Pituitary Acromegaly

t3 t4TSH , 2D ECHO , Basal

cortisal cost ACTH , FSH ,
LH , MRI colonoscopy if
needed, , Post glucose on
assay , Visual field ,
estradiol , prolactin ,
testosterone , water
deprivation test(if needed),

Hormone Therapy for three

months

18440

clinical and lab

investigation

M11.2.3

Medical Management of Cushings

Syndrome

ACTH assay , CT Chest ,

Cortisol assay after
dexamethasone , DHEAS ,
Dexa of Hip spine , MRI
pituitary CT ABD

Diabetis mellitus drugs,

Hypertension, Osteoporesis,
infection with antibiotics, surgery

30000

clinical and lab

investigation

M11.2.4

Hormonal therapy for Delayed Puberty

Hypogonadism-Turners Syndrome/
Kleinfelter Syndrome(Q98.4)

testosterone , 2D ECHO ,
FSH , LH , MRI brain DEXA ,
T4 TSH X-ray bone age ,
USG pelvis karyotyping , Xray skull , estradiol

Inj Testosterone250mg/ 3 wks,

oc pills

14500

clinical and lab

investigation

M12

GASTROENTEROLOGY

M12

GASTROENTEROLOGY

M12.1

Medical management of Corrosive

Oesophageal Injury

Endoscopic dilatation-video/
photo

MICU stay, Medical treatment

21310

Barium swallow

M12.10

Medical management of Acute

Pancreatitis (Mild)

CT-Abdomen + Pelvis ,
EUS , MRCP

MICU

50000

Lab Investigations ,
USG

M12.11

Medical management of Acute

Pancreatitis (Severe)

CT-Abdomen + Pelvis

MICU

150000

Lab Investigations ,
USG

M12.12

Conservative management of Acute

Pancreatitis With Pseudocyst (Infected)

CT-Abdomen + Pelvis ,
EUS , Post procedure USG

Endoscopy drainage, MICU,

Percutaneous drainage, surgical
drainage

30000

Lab Investigations ,
USG

M12.13

Conservative management of Chronic

Pancreatitis with Severe Pain

CT-Abdomen + Pelvis , EUS

Celiac ganglion block,

Conservative, ERCP, ERCP
+Stenting, EUS guided, MICU

30000

Lab Investigations

M12.14

Conservative management of Obscure GI

Bleed

BMFT , Capsule Endoscopy ,

Enteroscopy biopsy

Argon Laser Rx

50000

Endoscopic photograph

M12.15

Conservative management of Cirrhosis

with Hepatic Encephalopathy

Ascitic fluid analysis , UGI

Endoscopy

EVL-EST, MICU 10 days

40000

Lab Investigations

M12.16

Medical management of Cirrhosis with

Hepato Renal Syndrome

Reports of Serum Chemistry

EVL-EST, MEDICAL, MICU 10

days

40000

Lab Investigations

M11.2.1

M11.2.2

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Aarogyasri Health Care Trust

M12.17.1

Medical management of Post op stent

ERCP , EUS , MRCP , PTBD

Biliary stent, MEDICAL

46830

Radiological and
endoscopic image

M12.17.2

Medical management of Post op leaks

ERCP , EUS , MRCP , PTBD

Biliary stent, MEDICAL

47300

Radiological and
endoscopic image

M12.17.3

Medical management of Sclerosing

Cholangitis

ERCP , EUS , MRCP , PTBD

Biliary stent, MEDICAL

75000

Radiological and
endoscopic image

M12.2

Conservative management of
Oesophageal Foreign Body

Foreign body removal photo of the procedure

Conservative

7930

Endoscopic photograph

M12.3

Conservative management of
Oesophageal Perforation

CT scan thorax,and
abdomen,

Conservative, MICU stay

50000

M12.4

Medical management of Achalasia Cardia

UGI Endoscopy

Botulinum, Dilatation, Taxim inj.

13290

Endoscopic photograph

M12.5

Medical Management of Oesophageal

Varices using Variceal Banding

UGI Endoscopy

Endoscopic variceal banding

12190

Endoscopic photograph

M12.6

Medical Management of Oesophageal

Varices with Sclerotherapy

UGI Endoscopy

Endoscopic sclerotherapy
injection

10100

Endoscopic photograph

M12.7

Medical management of Oesophageal

Fistula

CT Thorax Gastrograffin
contrast picture

Covered esophageal stent -MICU

30000

Photograph of stent in
position

M12.8

Medical management of GAVE(Gastric

Antral Vascular Ectasia)

Argon laser coagulation ,

UGI Endoscopyphoto

Argon laser, MEDICAL

20000

Endoscopic photograph

M12.9

Medical management of Gastric Varices

Endoscopic Glue injection ,

UGI Endoscopy

MICU

14900

Endoscopic photograph

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