Package Rates

Package Rates OPD

Package Rates IPD

Diagnostic Master - OPD

Specialty:

Package Name:

Sl No.	Specialty	Medical or Surgical	Package Name	Procedure Name	Procedure Price	ALoS	Stratification Options	Stratification Rate	Implants/Diagnostics	Procedure Code	Minimum Documents Required - Pre Authorization	Minimum Documents Required - Claim Processing
1	Diagnostic Laboratory	Medical	High-end Diagnostics Public Hospital	High-end Diagnostics Public Hospital	-	NA	No	0	Yes	DL555MLA	Clinical Notes/ Doctors Prescription	Doctors Prescription and Investigation Report
2	Diagnostic Laboratory	Medical	High-end Diagnostics Private Hospital	High-end Diagnostics Private Hospital	-	NA	No	0	Yes	DL666MLA	Clinical Notes/ Doctors Prescription	Doctors Prescription and Investigation Report
3	Medical Follow-up	Medical	Follow-up - Acquired heart disease with congestive cardiac failure	Follow-up - Acquired heart disease with congestive cardiac failure	-	D	Yes	1	No	MF001MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
4	Medical Follow-up	Medical	Follow-up - Acute MI (conservative management without angiogram)	Follow-up - Acute MI (conservative management without angiogram)	-	D	Yes	1	No	MF002MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
5	Medical Follow-up	Medical	Follow-up - Acute MI requiring IABP	Follow-up - Acute MI requiring IABP	-	D	Yes	1	No	MF003MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
6	Medical Follow-up	Medical	Follow-up - Acute MI with cardiogenic shock	Follow-up - Acute MI with cardiogenic shock	-	D	Yes	1	No	MF004MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
7	Medical Follow-up	Medical	Follow-up - Acute severe asthma	Follow-up - Acute severe asthma	-	D	Yes	1	No	MF005MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
8	Medical Follow-up	Medical	Follow-up - Acute severe asthma with acute respiratory failure	Follow-up - Acute severe asthma with acute respiratory failure	-	D	Yes	1	No	MF007MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
9	Medical Follow-up	Medical	Follow-up - Acute severe asthma with ventilation	Follow-up - Acute severe asthma with ventilation	-	D	Yes	1	No	MF008MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
10	Medical Follow-up	Medical	Follow-up - ADEM or relapse in multiple sclerosis	Follow-up - ADEM or relapse in multiple sclerosis	-	D	Yes	1	No	MF009MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
11	Medical Follow-up	Medical	Follow-up - Anaemia of unknown cause	Follow-up - Anaemia of unknown cause	-	D	Yes	1	No	MF010MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
12	Medical Follow-up	Medical	Follow-up - Chronic pancreatitis with severe pain	Follow-up - Chronic pancreatitis with severe pain	-	D	Yes	1	No	MF011MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
13	Medical Follow-up	Medical	Follow-up - Cirrhosis with hepatic encephalopathy	Follow-up - Cirrhosis with hepatic encephalopathy	-	D	Yes	1	No	MF012MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
14	Medical Follow-up	Medical	Follow-up - Cirrhosis with hepato renal syndrome	Follow-up - Cirrhosis with hepato renal syndrome	-	D	Yes	1	No	MF013MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
15	Medical Follow-up	Medical	Follow-up - Complex arrhythmias	Follow-up - Complex arrhythmias	-	D	Yes	1	No	MF014MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
16	Medical Follow-up	Medical	Follow-up - Congenital heart disease with congestive cardiac failure	Follow-up - Congenital heart disease with congestive cardiac failure	-	D	Yes	1	No	MF015MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
17	Medical Follow-up	Medical	Follow-up - Convulsive disorders/ status epilepticus (fits)	Follow-up - Convulsive disorders/ status epilepticus (fits)	-	D	Yes	1	No	MF016MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
18	Medical Follow-up	Medical	Follow-up - COPD respiratory failure (infective exacerbation)	Follow-up - COPD respiratory failure (infective exacerbation)	-	D	Yes	1	No	MF017MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
19	Medical Follow-up	Medical	Follow-up - Delayed puberty hypogonadism	Follow-up - Delayed puberty hypogonadism	-	D	Yes	1	No	MF018MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
20	Medical Follow-up	Medical	Follow-up - Delayed puberty hypogonadism (ex. Turners syndrome, Kleinfelter Syndrome)	Follow-up - Delayed puberty hypogonadism (ex. Turners syndrome, Kleinfelter Syndrome)	-	D	Yes	1	No	MF019MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
21	Medical Follow-up	Medical	Follow-up - Encephalitis/ Encephalopathy	Follow-up - Encephalitis/ Encephalopathy	-	D	Yes	1	No	MF020MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
22	Medical Follow-up	Medical	Follow-up - Gastric varices	Follow-up - Gastric varices	-	D	Yes	1	No	MF021MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
23	Medical Follow-up	Medical	Follow-up - Hemorrhagic stroke/ Strokes	Follow-up - Hemorrhagic stroke/ Strokes	-	D	Yes	1	No	MF022MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
24	Medical Follow-up	Medical	Follow-up - Hypopitutarism	Follow-up - Hypopitutarism	-	D	Yes	1	No	MF023MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
25	Medical Follow-up	Medical	Follow-up - Infective endocarditis	Follow-up - Infective endocarditis	-	D	Yes	1	No	MF024MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
26	Medical Follow-up	Medical	Follow-up - Interstitial lung diseases	Follow-up - Interstitial lung diseases	-	D	Yes	1	No	MF025MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
27	Medical Follow-up	Medical	Follow-up - Intracranial bleed	Follow-up - Intracranial bleed	-	D	Yes	1	No	MF026MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
28	Medical Follow-up	Medical	Follow-up - Ischemic strokes	Follow-up - Ischemic strokes	-	D	Yes	1	No	MF027MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
29	Medical Follow-up	Medical	Follow-up - Meningo-encephalitis	Follow-up - Meningo-encephalitis	-	D	Yes	1	No	MF028MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
30	Medical Follow-up	Medical	Follow-up - Meningo-encephalitis with ventilation	Follow-up - Meningo-encephalitis with ventilation	-	D	Yes	1	No	MF029MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
31	Medical Follow-up	Medical	Follow-up - Mixed connective tissue disorder	Follow-up - Mixed connective tissue disorder	-	D	Yes	1	No	MF030MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
32	Medical Follow-up	Medical	Follow-up - Nephrotic syndrome	Follow-up - Nephrotic syndrome	-	D	Yes	1	No	MF031MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
33	Medical Follow-up	Medical	Follow-up - Neuro tuberculosis	Follow-up - Neuro tuberculosis	-	D	Yes	1	No	MF032MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
34	Medical Follow-up	Medical	Follow-up - Neuro tuberculosis with ventilation	Follow-up - Neuro tuberculosis with ventilation	-	D	Yes	1	No	MF033MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
35	Medical Follow-up	Medical	Follow-up - Neuroinfections - Fungal meningitis	Follow-up - Neuroinfections - Fungal meningitis	-	D	Yes	1	No	MF034MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
36	Medical Follow-up	Medical	Follow-up - Neuroinfections - Pyogenic meningitis	Follow-up - Neuroinfections - Pyogenic meningitis	-	D	Yes	1	No	MF035MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
37	Medical Follow-up	Medical	Follow-up - Neuroinfections - Viral Meningoencephalitis (including herpes encephalitis)	Follow-up - Neuroinfections - Viral Meningoencephalitis (including herpes encephalitis)	-	D	Yes	1	No	MF036MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
38	Medical Follow-up	Medical	Follow-up - Neuromuscular (myasthenia gravis)	Follow-up - Neuromuscular (myasthenia gravis)	-	D	Yes	1	No	MF037MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
39	Medical Follow-up	Medical	Follow-up - Pemphigus/ Pemphigoid	Follow-up - Pemphigus/ Pemphigoid	-	D	Yes	1	No	MF038MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
40	Medical Follow-up	Medical	Follow-up - Pituitary – acromegaly	Follow-up - Pituitary – acromegaly	-	D	Yes	1	No	MF039MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
41	Medical Follow-up	Medical	Follow-up - Refractory cardiac failure	Follow-up - Refractory cardiac failure	-	D	Yes	1	No	MF040MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
42	Medical Follow-up	Medical	Follow-up - Scleroderma	Follow-up - Scleroderma	-	D	Yes	1	No	MF041MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
43	Medical Follow-up	Medical	Follow-up - Status epilepticus	Follow-up - Status epilepticus	-	D	Yes	1	No	MF042MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
44	Medical Follow-up	Medical	Follow-up - Steroid resistant nephritic syndrome	Follow-up - Steroid resistant nephritic syndrome	-	D	Yes	1	No	MF043MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
45	Medical Follow-up	Medical	Follow-up - Steroid resistant nephritic syndrome with complicated or resistant	Follow-up - Steroid resistant nephritic syndrome with complicated or resistant	-	D	Yes	1	No	MF044MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
46	Medical Follow-up	Medical	Follow-up - Systemic lupus erythmatous (SLE)	Follow-up - Systemic lupus erythmatous (SLE)	-	D	Yes	1	No	MF045MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
47	Medical Follow-up	Medical	Follow-up - Term baby with persistent pulmonary hypertension ventilation-hfo hyperbilirubinemia clinical sepsis	Follow-up - Term baby with persistent pulmonary hypertension ventilation-hfo hyperbilirubinemia clinical sepsis	-	D	Yes	1	No	MF046MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
48	Medical Follow-up	Medical	Follow-up - Term baby with seizures ventilated	Follow-up - Term baby with seizures ventilated	-	D	Yes	1	No	MF047MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
49	Medical Follow-up	Medical	Follow-up - Vasculitis	Follow-up - Vasculitis	-	D	Yes	1	No	MF048MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
50	Medical Follow-up	Medical	Follow-up - Cirrhosis with portal hypertension	Follow-up - Cirrhosis with portal hypertension	-	D	Yes	1	No	MF049MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
51	Medical Follow-up	Medical	Follow-up - Chronic kidney disease not requring dialysis	Follow-up - Cirrhosis with portal hypertension	-	D	Yes	1	No	MF050MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
52	Medical Follow-up	Medical	Follow-up - Acute exacerbation of Inflammatory bowel disease	Follow-up - Cirrhosis with portal hypertension	-	D	Yes	1	No	MF051MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
53	Medical Follow-up	Medical	Follow-up - Peripheral neuropathy	Follow-up - Cirrhosis with portal hypertension	-	D	Yes	1	No	MF052MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
54	OPD Benefits	Medical	Cardiac and diabetes preventive care	Cardiac and diabetes preventive care	-	D	Yes	1	No	OD001MLA	Clinical Notes with vitals	Clinical notes with Treatment details/ BP/ Blood sugar level/CBC/ HbA1c
55	OPD Benefits	Medical	ANC Check-up	ANC Check-up	-	D	Yes	1	No	OD002MLA	Clinical note	Clinical notes with Treatment details/ Screening / Blood test
56	OPD Benefits	Medical	Postnatal OPD Package within 30 days of delivery	Postnatal OPD Package within 30 days of delivery	-	D	Yes	1	No	OD003MLA	Earlier discharged Summary / Clinical Notes	Clinical notes with Treatment details/ report of any investigations done
57	OPD Benefits	Medical	Infant Package	Infant Package - 1 (0 - 6 months)	-	D	Yes	1	No	OD004MLA	Clinical Notes	Clinical notes with Treatment details/ report of any investigations done
58	OPD Benefits	Medical	Infant Package	Infant Package - 2 (6 - 12 months)	1,700	D	No	0	No	OD004MLB	Clinical Notes	Clinical notes with Treatment details/ report of any investigations done
59	OPD Benefits	Medical	Toddler Package	Toddler Package	-	D	Yes	1	No	OD005MLA	Clinical Notes	Clinical notes with Treatment details/ report of any investigations done
60	Surgical Follow-up	Medical	Follow-up - Abscess Tapping	Follow-up - Abscess Tapping	-	D	Yes	1	No	SF001MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
61	Surgical Follow-up	Medical	Follow-up - Aneurysm Clipping	Follow-up - Aneurysm Clipping	-	D	Yes	1	No	SF002MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
62	Surgical Follow-up	Medical	Follow-up - Aortic Valve Replacement (With Valve)	Follow-up - Aortic Valve Replacement (With Valve)	-	D	Yes	1	No	SF003MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
63	Surgical Follow-up	Medical	Follow-up - Atrial Shunt	Follow-up - Atrial Shunt	-	D	Yes	1	No	SF004MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
64	Surgical Follow-up	Medical	Follow-up - CABG With Aneurismal Repair	Follow-up - CABG With Aneurismal Repair	-	D	Yes	1	No	SF005MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
65	Surgical Follow-up	Medical	Follow-up - CABG With IABP	Follow-up - CABG With IABP	-	D	Yes	1	No	SF006MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
66	Surgical Follow-up	Medical	Follow-up - With Prosthetic Ring	Follow-up - With Prosthetic Ring	-	D	Yes	1	No	SF007MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
67	Surgical Follow-up	Medical	Follow-up - Carotid Embolectomy	Follow-up - Carotid Embolectomy	-	D	Yes	1	No	SF008MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
68	Surgical Follow-up	Medical	Follow-up - Closed Mitral Valvotomy	Follow-up - Closed Mitral Valvotomy	-	D	Yes	1	No	SF009MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
69	Surgical Follow-up	Medical	Follow-up - Coronary Balloon Angioplasty	Follow-up - Coronary Balloon Angioplasty	-	D	Yes	1	No	SF010MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
70	Surgical Follow-up	Medical	Follow-up - Coronary Bypass Surgery	Follow-up - Coronary Bypass Surgery	-	D	Yes	1	No	SF011MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
71	Surgical Follow-up	Medical	Follow-up - Coronary Bypass Surgery-Post Angioplasty	Follow-up - Coronary Bypass Surgery-Post Angioplasty	-	D	Yes	1	No	SF012MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
72	Surgical Follow-up	Medical	Follow-up - Craniotomy and Evacuation of Haematoma (Extra Dural)	Follow-up - Craniotomy and Evacuation of Haematoma (Extra Dural)	-	D	Yes	1	No	SF013MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
73	Surgical Follow-up	Medical	Follow-up - Craniotomy and Evacuation of Haematoma (Subdural)	Follow-up - Craniotomy and Evacuation of Haematoma (Subdural)	-	D	Yes	1	No	SF014MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
74	Surgical Follow-up	Medical	Follow-up - Cystolithotripsy	Follow-up - Cystolithotripsy	-	D	Yes	1	No	SF015MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
75	Surgical Follow-up	Medical	Follow-up - Double Valve Replacement (With Valve)	Follow-up - Double Valve Replacement (With Valve)	-	D	Yes	1	No	SF016MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
76	Surgical Follow-up	Medical	Follow-up - Encephalocele	Follow-up - Encephalocele	-	D	Yes	1	No	SF017MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
77	Surgical Follow-up	Medical	Follow-up - Endoscope Removal of Stone in Bladder	Follow-up - Endoscope Removal of Stone in Bladder	-	D	Yes	1	No	SF018MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
78	Surgical Follow-up	Medical	Follow-up - Endoscopy Procedures	Follow-up - Endoscopy Procedures	-	D	Yes	1	No	SF019MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
79	Surgical Follow-up	Medical	Follow-up - ESWL	Follow-up - ESWL	-	D	Yes	1	No	SF020MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
80	Surgical Follow-up	Medical	Follow-up - Evacuation of Brain Abscess - Burr Hole	Follow-up - Evacuation of Brain Abscess - Burr Hole	-	D	Yes	1	No	SF021MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
81	Surgical Follow-up	Medical	Follow-up - Excision of Brain Abcess	Follow-up - Excision of Brain Abcess	-	D	Yes	1	No	SF022MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
82	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Basal	Follow-up - Excision of Brain Tumor - Basal	-	D	Yes	1	No	SF023MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
83	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Brain Stem	Follow-up - Excision of Brain Tumor - Brain Stem	-	D	Yes	1	No	SF024MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
84	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - C.P. Angle Tumor	Follow-up - Excision of Brain Tumor - C.P. Angle Tumor	-	D	Yes	1	No	SF025MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
85	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Other Tumors	Follow-up - Excision of Brain Tumor - Other Tumors	-	D	Yes	1	No	SF026MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
86	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Parasagital	Follow-up - Excision of Brain Tumor - Parasagital	-	D	Yes	1	No	SF027MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
87	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Subtentorial	Follow-up - Excision of Brain Tumor - Subtentorial	-	D	Yes	1	No	SF028MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
88	Surgical Follow-up	Medical	Follow-up - Excision of Brain Tumor - Supratentorial	Follow-up - Excision of Brain Tumor - Supratentorial	-	D	Yes	1	No	SF029MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
89	Surgical Follow-up	Medical	Follow-up - Excision of Lobe (Frontal,Temporal,Cerebellum etc)	Follow-up - Excision of Lobe (Frontal,Temporal,Cerebellum etc)	-	D	Yes	1	No	SF030MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
90	Surgical Follow-up	Medical	Follow-up - External Ventricular Drainage (EVD)	Follow-up - External Ventricular Drainage (EVD)	-	D	Yes	1	No	SF031MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
91	Surgical Follow-up	Medical	Follow-up - Intra-Cerebral Hematoma Evacuation	Follow-up - Intra-Cerebral Hematoma Evacuation	-	D	Yes	1	No	SF032MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
92	Surgical Follow-up	Medical	Follow-up - Laparoscopic Pyelolithotomy	Follow-up - Laparoscopic Pyelolithotomy	-	D	Yes	1	No	SF033MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
93	Surgical Follow-up	Medical	Follow-up - Lesionectomy Type 1	Follow-up - Lesionectomy Type 1	-	D	Yes	1	No	SF034MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
94	Surgical Follow-up	Medical	Follow-up - Lesionectomy Type 2	Follow-up - Lesionectomy Type 2	-	D	Yes	1	No	SF035MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
95	Surgical Follow-up	Medical	Follow-up - Meningo Encephalocele	Follow-up - Meningo Encephalocele	-	D	Yes	1	No	SF036MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
96	Surgical Follow-up	Medical	Follow-up - Meningomyelocele	Follow-up - Meningomyelocele	-	D	Yes	1	No	SF037MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
97	Surgical Follow-up	Medical	Follow-up - Mitral Valve Replacement (With Valve)	Follow-up - Mitral Valve Replacement (With Valve)	-	D	Yes	1	No	SF038MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
98	Surgical Follow-up	Medical	Follow-up - Mitral Valvotomy (Open)	Follow-up - Mitral Valvotomy (Open)	-	D	Yes	1	No	SF039MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
99	Surgical Follow-up	Medical	Follow-up - Open Cystolithotomy	Follow-up - Open Cystolithotomy	-	D	Yes	1	No	SF040MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
100	Surgical Follow-up	Medical	Follow-up - Open Nephrolithotomy	Follow-up - Open Nephrolithotomy	-	D	Yes	1	No	SF041MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
101	Surgical Follow-up	Medical	Follow-up - Open Prostatectomy	Follow-up - Open Prostatectomy	-	D	Yes	1	No	SF042MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
102	Surgical Follow-up	Medical	Follow-up - Open Pulmonary Valvotomy	Follow-up - Open Pulmonary Valvotomy	-	D	Yes	1	No	SF043MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
103	Surgical Follow-up	Medical	Follow-up - Open Pyelolithotomy	Follow-up - Open Pyelolithotomy	-	D	Yes	1	No	SF044MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
104	Surgical Follow-up	Medical	Follow-up - Operation of adernal glands	Follow-up - Operation of adernal glands	-	D	Yes	1	No	SF045MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
105	Surgical Follow-up	Medical	Follow-up - Pancreatic Necrosectomy (Lap)	Follow-up - Pancreatic Necrosectomy (Lap)	-	D	Yes	1	No	SF046MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
106	Surgical Follow-up	Medical	Follow-up - Pancreatic Necrosectomy (Open)	Follow-up - Pancreatic Necrosectomy (Open)	-	D	Yes	1	No	SF047MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
107	Surgical Follow-up	Medical	Follow-up - PCNL	Follow-up - PCNL	-	D	Yes	1	No	SF048MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
108	Surgical Follow-up	Medical	Follow-up - Peripheral Angioplasty	Follow-up - Peripheral Angioplasty	-	D	Yes	1	No	SF049MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
109	Surgical Follow-up	Medical	Follow-up - Peritoneal Shunt	Follow-up - Peritoneal Shunt	-	D	Yes	1	No	SF050MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
110	Surgical Follow-up	Medical	Follow-up - Portocaval Anastomosis	Follow-up - Portocaval Anastomosis	-	D	Yes	1	No	SF051MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
111	Surgical Follow-up	Medical	Follow-up - Renal Angioplasty	Follow-up - Renal Angioplasty	-	D	Yes	1	No	SF052MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
112	Surgical Follow-up	Medical	Follow-up - Spleenectomy with Devascularisation with Spleno Renal Shunt	Follow-up - Spleenectomy with Devascularisation with Spleno Renal Shunt	-	D	Yes	1	No	SF053MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
113	Surgical Follow-up	Medical	Follow-up - Splenorenal Anastomosis	Follow-up - Splenorenal Anastomosis	-	D	Yes	1	No	SF054MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
114	Surgical Follow-up	Medical	Follow-up - Subdural Tapping	Follow-up - Subdural Tapping	-	D	Yes	1	No	SF055MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
115	Surgical Follow-up	Medical	Follow-up - Surgeries on adrenal gland in children	Follow-up - Surgeries on adrenal gland in children	-	D	Yes	1	No	SF056MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
116	Surgical Follow-up	Medical	Follow-up - Temporal Lobectomy	Follow-up - Temporal Lobectomy	-	D	Yes	1	No	SF057MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
117	Surgical Follow-up	Medical	Follow-up - Temporal Lobectomy Plus Depth Electrodes	Follow-up - Temporal Lobectomy Plus Depth Electrodes	-	D	Yes	1	No	SF058MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
118	Surgical Follow-up	Medical	Follow-up - Total Thyroidectomy	Follow-up - Total Thyroidectomy	-	D	Yes	1	No	SF059MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
119	Surgical Follow-up	Medical	Follow-up - Trans-oral Surgery	Follow-up - Trans-oral Surgery	-	D	Yes	1	No	SF060MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
120	Surgical Follow-up	Medical	Follow-up - Trans-sphenoidal Surgery	Follow-up - Trans-sphenoidal Surgery	-	D	Yes	1	No	SF061MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
121	Surgical Follow-up	Medical	Follow-up - Transurethral Resection of Prostate (TURP)	Follow-up - Transurethral Resection of Prostate (TURP)	-	D	Yes	1	No	SF062MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
122	Surgical Follow-up	Medical	Follow-up - Tricuspid Valve Replacement	Follow-up - Tricuspid Valve Replacement	-	D	Yes	1	No	SF063MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
123	Surgical Follow-up	Medical	Follow-up - TURP Cyst Lithotripsy	Follow-up - TURP Cyst Lithotripsy	-	D	Yes	1	No	SF064MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
124	Surgical Follow-up	Medical	Follow-up - URSL	Follow-up - URSL	-	D	Yes	1	No	SF065MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
125	Surgical Follow-up	Medical	Follow-up - Vascular Malformations	Follow-up - Vascular Malformations	-	D	Yes	1	No	SF066MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
126	Surgical Follow-up	Medical	Follow-up - Ventricular Tapping	Follow-up - Ventricular Tapping	-	D	Yes	1	No	SF067MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
127	Surgical Follow-up	Medical	Follow-up - Ventriculo-Atrial Shunt	Follow-up - Ventriculo-Atrial Shunt	-	D	Yes	1	No	SF068MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
128	Surgical Follow-up	Medical	Follow-up - Ventriculoatrial/ Ventriculoperitoneal Shunt	Follow-up - Ventriculoatrial/ Ventriculoperitoneal Shunt	-	D	Yes	1	No	SF069MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
129	Surgical Follow-up	Medical	Follow-up - Vertebral Angioplasty	Follow-up - Vertebral Angioplasty	-	D	Yes	1	No	SF070MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
130	Surgical Follow-up	Medical	Follow-up - Warren's Shunt	Follow-up - Warren's Shunt	-	D	Yes	1	No	SF071MLA	Earlier Discharge summary / Clinical notes	Clinical note with Treatment details/ report of any investigations done.
	Specialty		Package Name

Package Rates IPD

Specialty:

Package Name:

SL.No	Specialty	Medical or Surgical	Package Name	Procedure Name	Procedure Price	ALoS	Stratification Options	Stratification Rate	Implants	Procedure Code	Minimum Documents Required - Pre Authorization (/ = either)	Minimum Documents Required - Claim Processing (/ = either)
1	Burns Management	Surgical	Thermal burns	% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing	7,700.00	D	Not applicable	Not applicable	Not applicable	BM001A	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.
2	Burns Management	Surgical	Thermal burns	% Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM001B	Clinical Notes/ MLC copy with number/ Extent of upto 40% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
3	Burns Management	Surgical	Thermal burns	% Total Body Surface Area Burns (TBSA): 40% - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	88,400.00	12	Not applicable	Not applicable	Not applicable	BM001C	Clinical Notes/ MLC copy with number/ Extent of upto 40% - 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
4	Burns Management	Surgical	Thermal burns	% Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM001D	Clinical Notes/ MLC copy with number/ Extent > 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
5	Burns Management	Surgical	Thermal burns	Criteria 5: % Total Body Surface Area Burns (TBSA):60-80 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM001E	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
6	Burns Management	Surgical	Scald burns	% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing	7,700.00	D	Not applicable	Not applicable	Not applicable	BM002A	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.
7	Burns Management	Surgical	Scald burns	% Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM002B	Clinical Notes/ MLC copy with number/ Extent of upto 40% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
8	Burns Management	Surgical	Scald burns	% Total Body Surface Area Burns (TBSA): 40% - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	88,400.00	12	Not applicable	Not applicable	Not applicable	BM002C	Clinical Notes/ MLC copy with number/ Extent of upto 40% - 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
9	Burns Management	Surgical	Scald burns	% Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM002D	Clinical Notes/ MLC copy with number/ Extent > 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
10	Burns Management	Surgical	Scald burns	Criteria 5: % Total Body Surface Area Burns (TBSA):60-80 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM002E	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.
11	Burns Management	Surgical	Flame burns	% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing	7,700.00	D	Not applicable	Not applicable	Not applicable	BM003A	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment.
12	Burns Management	Surgical	Flame burns	% Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM003B	Clinical Notes/ MLC copy with number/ Extent of upto 40% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
13	Burns Management	Surgical	Flame burns	% Total Body Surface Area Burns (TBSA): 40 % - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	88,400.00	12	Not applicable	Not applicable	Not applicable	BM003C	Clinical Notes/ MLC copy with number/ Extent of upto 40% - 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
14	Burns Management	Surgical	Flame burns	% Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM003D	Clinical Notes/ MLC copy with number/ Extent > 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
15	Burns Management	Surgical	Electrical contact burns	Electrical contact burns: Low voltage - without part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	41,300.00	12	Not applicable	Not applicable	Not applicable	BM004A	Clinical note/ Circumstances that led to low voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
16	Burns Management	Surgical	Electrical contact burns	Electrical contact burns: Low voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM004B	Clinical note/ Circumstances that led to low voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
17	Burns Management	Surgical	Electrical contact burns	Electrical contact burns: High voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	82,500.00	12	Not applicable	Not applicable	Not applicable	BM004C	Clinical note/ Circumstances that led to High voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
18	Burns Management	Surgical	Electrical contact burns	Electrical contact burns: High voltage - without part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	68,800.00	12	Not applicable	Not applicable	Not applicable	BM004D	Clinical note/ Circumstances that led to High voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
19	Burns Management	Surgical	Chemical burns	Chemical burns: Without significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM005A	Clinical note/ Circumstances that led to chemical burns/ MLC copy with number/ % and area burnt with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment.Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
20	Burns Management	Surgical	Chemical burns	Chemical burns: With significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	82,500.00	12	Not applicable	Not applicable	Not applicable	BM005B	Clinical note/ Circumstances that led to chemical burns / MLC copy with number/ % and area burnt with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment.Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
21	Burns Management	Surgical	Post Burn Contracture surgeries for Functional Improvement	Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone - gel sheet and physiotherapy): Excluding Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG) / Flap cover is done for each joint with post - operative regular dressings for STSG / FTSG / Flap cover.	68,800.00	8	Not applicable	Not applicable	Not applicable	BM006A	Clinical history detailing the burns - etiology/ treatment given and resultant contractures left. Functional disability to be detailed and expected functional improvement to be shared.	Detailed discharge summary. Detailed Procedure / Operative Notes.
22	Burns Management	Surgical	Post Burn Contracture surgeries for Functional Improvement	Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone - gel sheet and physiotherapy): Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG) / Flap cover is done for each joint with post-operative regular dressings for STSG / FTSG / Flap cover.	68,800.00	8	Not applicable	Not applicable	Not applicable	BM006B	Clinical history detailing the burns - etiology/ treatment given and resultant contractures left. Functional disability to be detailed and expected functional improvement to be shared.	Detailed discharge summary. Detailed Procedure / Operative Notes.
23	Cardiology	Medical	Right / Left Heart Catheterization	Right Heart Catheterization	13,800.00	1	Not applicable	Not applicable	Not applicable	MC001A	Clinical notes with planned line of treatment/ ECG/ ECHO	Discharge summary/ Procedure / Operative Notes. Invoices of catherter and other accesories used.
24	Cardiology	Medical	Right / Left Heart Catheterization	Left Heart Catheterization	13,800.00	1	Not applicable	Not applicable	Not applicable	MC001B	Clinical notes with planned line of treatment/ ECG/ ECHO	Discharge summary/ Procedure / Operative Notes. Invoices of catherter and other accesories used.
25	Cardiology	Medical	Catheter directed Thrombolysis	For Deep vein thrombosis (DVT)	57,500.00	2	Not applicable	Not applicable	Not applicable	MC002A	Clinical notes and doppler establishing presence of DVT	Post procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
26	Cardiology	Medical	Catheter directed Thrombolysis	For Mesenteric Thrombosis	57,500.00	2	Not applicable	Not applicable	Not applicable	MC002B	Clinical notes and doppler establishing presence of mesentric thrombosis	Post procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
27	Cardiology	Medical	Catheter directed Thrombolysis	For Peripheral vessels	57,500.00	2	Not applicable	Not applicable	Not applicable	MC002C	Clinical notes and doppler establishing presence of peripheral vessel thrombosis	Post procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
28	Cardiology	Medical	Balloon Dilatation	Coartication of Aorta	53,100.00	2	Not applicable	Not applicable	Cardiac Balloon - Adult - 15400 Cardiac Balloon - Pediatric - 36300	MC003A	Clinical note/ ECHO & CT angiogram report	Procedure / Operative Notes/ Post Procedure images / Angiogram/ barcode of balloon used/ Detailed Discharge Summary
29	Cardiology	Medical	Balloon Dilatation	Pulmonary Artrey Stenosis	53,100.00	2	Not applicable	Not applicable	Cardiac Balloon - Adult - 15400 Cardiac Balloon - Pediatric - 36300	MC003B	Clinical note/ ECHO & CT angiogram report	Procedure / Operative Notes/ Post Procedure images / Angiogram/ barcode of balloon used/ Detailed Discharge Summary
30	Cardiology	Medical	Valvotomy	Balloon Pulmonary Valvotomy	32,200.00	2	Not applicable	Not applicable	Cardiac Balloon - Adult - 15400 Cardiac Balloon - Pediatric - 36300	MC004A	Clinical notes with planned line of treatment and ECHO report.	Procedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
31	Cardiology	Medical	Valvotomy	Balloon Aortic Valvotomy	32,200.00	2	Not applicable	Not applicable	Cardiac Balloon - Adult - 15400 Cardiac Balloon - Pediatric - 36300	MC004B	Clinical notes with planned line of treatment and ECHO report.	Procedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
32	Cardiology	Medical	Valvotomy	Balloon Mitral Valvotomy	39,300.00	2	Not applicable	Not applicable	Not applicable	MC004C	Clinical notes with planned line of treatment and ECHO report.	Procedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
33	Cardiology	Medical	Balloon Atrial Septostomy	Balloon Atrial Septostomy	33,600.00	2	Not applicable	Not applicable	Not applicable	MC006A	Clinical notes and ECHO / doppler + reports showing the transposition of the great arteries (TGA) & need of septostomy	Procedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
34	Cardiology	Medical	ASD device closure	ASD device closure	50,800.00	2	Not applicable	Not applicable	ASD Device - 68200	MC007A	Clinical notes and ECHO report showing ASD	Procedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
35	Cardiology	Medical	VSD device closure	VSD device closure	52,100.00	2	Not applicable	Not applicable	VSD Device - 79200	MC008A	Clinical notes and ECHO report showing VSD	Procedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
36	Cardiology	Medical	PDA device closure	PDA device closure	44,900.00	2	Not applicable	Not applicable	PDA Device - 33000	MC009A	Clinical notes and ECHO report showing PDA	Procedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
37	Cardiology	Medical	PDA stenting	PDA stenting	54,800.00	2	Not applicable	Not applicable	Coronary Stent for PDA stenting - Bare Metal - 9600 Coronary Stent for PDA stenting - Drug Eluting - 34800	MC010A	Clinical notes and ECHO report / Angio showing PDA	Procedure / Operative notes/ Post procedure ECHO with report/ Invoice of blade / barcode of stent used/ barcode of the stent used/ Detailed Discharge Summary .
38	Cardiology	Medical	PTCA, inclusive of diagnostic angiogram	PTCA, inclusive of diagnostic angiogram	55,900.00	3	Not applicable	Not applicable	Coronary Stent for PTCA - Bare Metal - 9600 Coronary Stent for PTCA - Drug Eluting - 34800	MC011A	Clinical note/ ECG/ ECHO/ CAG showing blocks & Reports	Procedure / Operative notes/ Angiogram report/ showing stent & post Stent flow + barcode of the stents used/ Detailed Discharge Summary
39	Cardiology	Medical	Electrophysiological Study	Electrophysiological Study	38,200.00	2	Not applicable	Not applicable	Implant for "Electrophysiological Study" includes - Steerable decapolar catheter, Quadripolar Catheter - 50600 Implant for "Electrophysiological Study with Radio Frequency Ablation" includes includes - Steerable decapolar catheter, Quadripolar Catheter, Radio Frequency Catheter - 83600	MC012A	Clinical notes with planned line of treatment/ ECG/ ECHO/ Serum Elctrolytes	Discharge summary/ EP study report
40	Cardiology	Medical	Electrophysiological Study	Electrophysiological Study with Radio Frequency Ablation	38,200.00	2	Not applicable	Not applicable	Implant for "Electrophysiological Study" includes - Steerable decapolar catheter, Quadripolar Catheter - 50600 Implant for "Electrophysiological Study with Radio Frequency Ablation" includes includes - Steerable decapolar catheter, Quadripolar Catheter, Radio Frequency Catheter - 83600	MC012B	Clinical notes with planned line of treatment/ ECG/ ECHO/ Serum Elctrolytes	Discharge summary/ EP study report/ Procedure / Operative Notes
41	Cardiology	Medical	Percutaneous Transluminal Septal Myocardial Ablation	Percutaneous Transluminal Septal Myocardial Ablation	46,800.00	2	Not applicable	Not applicable	Not applicable	MC013A	Clinical notes and ECG/ ECHO/ CAG showing blaocks justifying the procedure	Angiogram report/ showing stent & post Stent flow + barcode / Invoice of the stent used
42	Cardiology	Medical	Pacemaker implantation	Temporary Pacemaker implantation	26,400.00	2	Not applicable	Not applicable	Not applicable	MC014A	Clinical notes and ECG + Report by cardiologist necessitating procedure	X Ray showing the pacemaker in situ/ detailed discharge summary/ Detailed Procedure / Operative Notes/ Invoice / barcode of pacemaker
43	Cardiology	Medical	Pacemaker implantation	Permanent Pacemaker Implantation - Single Chamber	27,000.00	2	Not applicable	Not applicable	Single Chamber Pacemaker - Rate Responsive - 49500	MC014B	Clinical notes and ECG + Report by cardiologist necessitating procedure/ Angiogram if done	X Ray showing the pacemaker in situ/ Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes/ detailed discharge summary
44	Cardiology	Medical	Pacemaker implantation	Permanent Pacemaker Implantation - Double Chamber	36,300.00	2	Not applicable	Not applicable	Double Chamber Pacemaker - Rate Responsive - 82500	MC014C	Clinical notes and ECG + Report by cardiologist necessitating procedure/ Angiogram if done	X Ray showing the pacemaker in situ/ Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes/ detailed discharge summary
45	Cardiology	Medical	Peripheral Angioplasty	Peripheral Angioplasty	47,500.00	2	Not applicable	Not applicable	Peripheral Stent - Bare Metal - 23100	MC017A	Clinical note with ECHO/ Doppler/ Angio showing blocks & Reports	Post op. Angiogram report/ showing stent/ Implant / barcode of stent used
46	Cardiology	Medical	Bronchial artery Embolisation (for Haemoptysis)	Bronchial artery Embolisation (for Haemoptysis)	45,100.00	3	Not applicable	Not applicable	Not applicable	MC018A	Clinical notes and Chest X-Ray / HRCT chest with CT Pulmonary Angiogram & other investigations	Check Angiography of same bronchial artery after the procedure. Detailed discharge summary/ Detailed Procedure / Operative Notes/ Hb/ Serum Creatinine
47	Cardiology	Medical	Pericardiocentesis	Pericardiocentesis	16,700.00	1	Not applicable	Not applicable	Not applicable	MC019A	Clinical notes and ECHO report justifying need of procedure	procedure note/ post procedure ECHO report/ Analysis of fluid removed/ Detailed discharge summary
48	Cardiology	Medical	Systemic Thrombolysis (for MI)	Systemic Thrombolysis (for MI)	24,600.00	3	Not applicable	Not applicable	Not applicable	MC020A	Serial ECGs showing MI/ Cardiac markers - CPK-MB/ TROP I or TROP T	ECHO/ ECG/ Lab Investigation (TROP - T report)/ invoice / barcode of thrombolytic agent used
49	Cardiology	Medical	Embolization	Arteriovenous Malformation (AVM) in the Limbs	55,900.00	2	Not applicable	Not applicable	Implant for "Embolization - Arteriovenous Malformation (AVM) in the Limbs" - Part of package cost	MC021A	Angio Report/ Clinical notes detailing history and Admission notes showing vitals and examination findings	Detailed Procedure / Operative Notes. Invoice / bar code of used coil/ detailed discharge summary
50	Cardiology	Medical	Follow up - Cardiology	First Follow-up- 2-4 weeks after discharge	0.00	D	Not applicable	Not applicable	Not applicable	MC022A	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ report of any investigations done.
51	Cardiology	Medical	Follow up - Cardiology	Second Follow-up- After 3 months	4,800.00	D	Not applicable	Not applicable	Not applicable	MC022B	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ report of any investigations done.
52	Cardiology	Medical	Follow up - Cardiology	Third Follow-up- After 3 months	2,400.00	D	Not applicable	Not applicable	Not applicable	MC022C	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ report of any investigations done.
53	Cardiology	Medical	Follow up - Cardiology	fourth Follow-up- After 3 months	2,400.00	D	Not applicable	Not applicable	Not applicable	MC022D	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ report of any investigations done.
54	Cardiology	Medical	Follow up - Cardiology	FifthFollow-up - After 3 months	2,400.00	D	Not applicable	Not applicable	Not applicable	MC022E	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ report of any investigations done.
55	Cardiology	Medical	Acute and subacute endocarditis	Acute and subacute endocarditis	55,000.00	4	Not applicable	Not applicable	Not applicable	MC022MLA	Clinical notes with planned line of treatment/ ECHO/ CBC	Blood culture reports/ Post treatment ECHO/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
56	Cardiology	Medical	Acute coronary syndrome	Acute coronary syndrome	55,000.00	NA	Not applicable	Not applicable	Not applicable	MC023MLA	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
57	Cardiology	Medical	Myocarditis	Myocarditis	55,000.00	4	Not applicable	Not applicable	Not applicable	MC024MLA	Clinical notes with planned line of treatment/ ECHO/ CBC	Blood culture reports/ Post treatment ECHO/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
58	Cardiology	Medical	Rotablation	Rotablation	71,500.00	4	Not applicable	Not applicable	Not applicable	MC025MLA	Clinical notes with planned line of treatment/ CAG	X-Ray/ Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
59	Cardiology	Surgical	Digital Substraction Angiography	Venogram	29,500.00	3	Not applicable	Not applicable	Not applicable	SN061A	Clinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ invoice of RF probe
60	Cardiology	Surgical	Digital Substraction Angiography	Peripheral Artery	16,100.00	3	Not applicable	Not applicable	Not applicable	SN061MLA	Clinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ invoice of RF probe
61	Cardiothoracic Vascular Surgery	Medical	Pacemaker implantation	Temporary Pacemaker implantation	26,400.00	2	Not applicable	Not applicable	Not applicable	MC014A	Clinical notes and ECG + Report by cardiologist necessitating procedure	X Ray showing the pacemaker in situ/ detailed discharge summary/ Detailed Procedure / Operative Notes/ Invoice / barcode of pacemaker
62	Cardiothoracic Vascular Surgery	Medical	Pacemaker implantation	Permanent Pacemaker Implantation - Single Chamber	27,000.00	2	Not applicable	Not applicable	Single Chamber Pacemaker - Rate Responsive - 49500	MC014B	Clinical notes and ECG + Report by cardiologist necessitating procedure/ Angiogram if done	X Ray showing the pacemaker in situ/ Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes/ detailed discharge summary
63	Cardiothoracic Vascular Surgery	Medical	Pacemaker implantation	Permanent Pacemaker Implantation - Double Chamber	36,300.00	2	Not applicable	Not applicable	Double Chamber Pacemaker - Rate Responsive - 82500	MC014C	Clinical notes and ECG + Report by cardiologist necessitating procedure/ Angiogram if done	X Ray showing the pacemaker in situ/ Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes/ detailed discharge summary
64	Cardiothoracic Vascular Surgery	Surgical	Vascular reconstruction	Vascular reconstruction	105,600.00	9	Not applicable	Not applicable	Not applicable	SC074A	Clinical notes/ history of surgeries/ detailing original pathology/ detailing need for vascular surgery/ planned line of treatment and advice for admission	Detailed ICPs/ discharge summary with planned line of treatment
65	Cardiothoracic Vascular Surgery	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
66	Cardiothoracic Vascular Surgery	Surgical	Carotid Body tumour - Excision	Carotid Body tumour - Excision	49,200.00	7	Not applicable	Not applicable	Not applicable	SG069A	Clinical notes and USG Neck/ Colour doppler confirming the diagnosis	Detailed Operative notes/ Histopathology/ Detailed discharge summary
67	Cardiothoracic Vascular Surgery	Surgical	Intercostal Drainage only	Intercostal Drainage only	6,200.00	1	Not applicable	Not applicable	Not applicable	SG077A	Clinical notes and detailing need of ICD/ Chest X-Ray PA	Analysis report of drained fluid/ Detailed Operative notes/ Detailed discharge summary
68	Cardiothoracic Vascular Surgery	Surgical	Repair of renal artery stenosis	Repair of renal artery stenosis	83,600.00	7	Not applicable	Not applicable	Not applicable	SG102A	Admission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)/ CT Angio	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ CT angio
69	Cardiothoracic Vascular Surgery	Surgical	Diaphragmatic Eventeration	Diaphragmatic Eventeration	50,700.00	3	Not applicable	Not applicable	Not applicable	SG134MLA	Chest X ray AP/ Lateral/ Barium Study/ CT SCAN/ Clinical notes including evaluation findings/ indication of implant requirement (if applicable)/ and planned line of management.	Detailed (ICPs)/ Detailed Operative notes/ Post-op Xray Chest/Abdomen report/ barcode of Implant/ if used. Detailed discharge summary/
70	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - I Congenital Heart Disease	Unifocalization of MAPCA	151,300.00	10	Not applicable	Not applicable	Not applicable	SV001A	Clinical notes and ECHO and / or doppler reports	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
71	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - I Congenital Heart Disease	Isolated Secundum Atrial Septal Defect (ASD) Repair	151,300.00	10	Not applicable	Not applicable	Not applicable	SV001B	Clinical notes and ECHO / doppler reports	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant (if used).
72	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - I Congenital Heart Disease	Glenn procedure	151,300.00	10	Not applicable	Not applicable	Not applicable	SV001C	Clinical notes and ECHO and / or doppler reports	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
73	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - I Congenital Heart Disease	Pulmonary Artery Banding	151,300.00	10	Not applicable	Not applicable	Not applicable	SV001D	Clinical notes and ECHO and / or doppler reports	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
74	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - I Congenital Heart Disease	Systemic - Pulmonary Artery shunt	151,300.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000	SV001E	Clinical notes and ECHO and / or doppler reports	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
75	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - I Congenital Heart Disease	Vascular Ring division	151,300.00	10	Not applicable	Not applicable	Not applicable	SV001F	Clinical notes and ECHO and / or doppler reports	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
76	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - I Congenital Heart Disease	Coarctation repair	151,300.00	10	Not applicable	Not applicable	Dacron Graft - Straight - 33000	SV001G	Clinical notes and ECHO and / or doppler reports	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
77	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - I Congenital Heart Disease	BT Shunt (inclusives of grafts)	110,000.00	10	Not applicable	Not applicable	Implant for "BT Shunt (inclusives of grafts)" - 55000	SV001H	Clinical notes and ECHO and / or doppler reports	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
78	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	ASD closure + Partial Anomalous Venous Drainage Repair	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002A	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
79	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	ASD Closure + Mitral procedure	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002B	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
80	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	ASD Closure + Tricuspid procedure	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002C	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
81	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	ASD Closure + Pulmonary procedure	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002D	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
82	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	ASD Closure + Infundibular procedure	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002E	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
83	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	VSD closure	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002F	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
84	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	Infundibular PS repair	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002G	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
85	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	Valvular PS / PR repair	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002H	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
86	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	Partial AV canal repair	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002I	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
87	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	Intermediate AV canal repair	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002J	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
88	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	Atrial septectomy + Glenn	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002K	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
89	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	Atrial septectomy + PA Band	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002L	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
90	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	Sinus of Valsalva aneurysm repair with aortic valve procedure	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002M	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
91	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	Sinus of Valsalva aneurysm repair without aortic valve procedure	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002N	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
92	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - II Congenital Heart Disease	Sub-aortic membrane resection	181,500.00	10	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV002O	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
93	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Ebstien repair	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003A	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
94	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Double switch operation	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003B	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
95	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Rastelli Procedure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003C	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
96	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Fontan procedure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003D	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
97	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	AP window repair	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003E	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
98	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Arch interruption Repair without VSD closure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003F	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
99	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Arch interruption Repair with VSD closure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003G	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
100	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	DORV Repair	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003H	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
101	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Supravalvular AS repair	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003I	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
102	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Konno procedure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003J	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
103	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Norwood procedure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003K	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
104	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	VSD closure + RV - PA conduit	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003L	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
105	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	VSD + Aortic procedure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003M	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
106	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	VSD + Mitral procedure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003N	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
107	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	VSD + Tricuspid procedure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003O	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
108	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	VSD + Pulmonary procedure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003P	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
109	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	VSD + Infundibular procedure	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003Q	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
110	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	VSD + Coarctation repair	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003R	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
111	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	TAPVC Repair	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003S	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
112	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Truncus arteriosus repair	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003T	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
113	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Tetralogy of Fallot Repair	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003U	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
114	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Complete AV canal repair	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003V	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
115	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Arterial switch operation	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003W	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
116	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Senning Operation	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003X	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
117	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	Mustard Operation	226,900.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003Y	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
118	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Category - III Congenital Heart Disease	ALCAPA	302,500.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 Tissue Valve -77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500 RV - PA Conduit - 132000	SV003Z	Clinical note with ECHO / Doppler Report	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
119	Cardiothoracic Vascular Surgery	Surgical	Coronary artery bypass grafting (CABG), including intra operative balloon pump (if required)	Coronary artery bypass grafting (CABG), including intra operative balloon pump (if required)	178,600.00	10	Not applicable	Not applicable	Not applicable	SV004A	Clinical note with ECHO + CAG report showing significant multiple blocks & LVEF	Detailed Operation notes/ detailed discharge summary
120	Cardiothoracic Vascular Surgery	Surgical	Single Valve Procedure	Aortic Valve	180,100.00	7	Not applicable	Not applicable	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 7700	SV005A	Clinical notes and ECHO / Doppler report	Post op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used.
121	Cardiothoracic Vascular Surgery	Surgical	Single Valve Procedure	Mitral Valve	180,100.00	7	Not applicable	Not applicable	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 7700 Valve Ring - Mitral - 38500	SV005B	Clinical notes and ECHO / Doppler report	Post op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used.
122	Cardiothoracic Vascular Surgery	Surgical	Single Valve Procedure	Tricuspid Valve	180,100.00	7	Not applicable	Not applicable	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 7700 Valve Ring - Tricuspid - 38500	SV005C	Clinical notes and ECHO / Doppler report	Post op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used.
123	Cardiothoracic Vascular Surgery	Surgical	Double Valve Procedure	Double Valve Procedure	214,800.00	10	Repair/ Replacement	None/ None	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV006A	Clinical notes and ECHO and doppler reports showing two cardiac valves diseased	Detailed discharge summary/ Detailed Operative notes/ barcode of valves/rings used
124	Cardiothoracic Vascular Surgery	Surgical	Triple valve procedure	Triple valve procedure	257,200.00	12	Repair/ Replacement	None/ None	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV007A	Clinical notes and ECHO and doppler reports showing three cardiac valves diseased	Detailed discharge summary/ Detailed Operative notes/ barcode of valves/rings used
125	Cardiothoracic Vascular Surgery	Surgical	Closed Mitral Valvotomy including thoracotomy	Closed Mitral Valvotomy including thoracotomy	86,200.00	7	Not applicable	Not applicable	Not applicable	SV008A	Clinical notes and ECHO and / or doppler reports	Detailed discharge summary/ Detailed Operative notes.
126	Cardiothoracic Vascular Surgery	Surgical	Ross Procedure	Ross Procedure	226,900.00	10	Not applicable	Not applicable	RV - PA Conduit - 132000	SV009A	Clinical notes and ECHO report	Detailed procedure notes/ detailed discharge summary/ Barcode of RV-PA conduit
127	Cardiothoracic Vascular Surgery	Surgical	Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM)	Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM)	168,000.00	10	Not applicable	Not applicable	Not applicable	SV010A	Clinical notes and ECHO report	Detailed discharge summary/ Detailed Operation notes/
128	Cardiothoracic Vascular Surgery	Surgical	Pericardial window (via thoracotomy)	Pericardial window (via thoracotomy)	45,400.00	7	Not applicable	Not applicable	Not applicable	SV011A	Clinical notes and CT Chest establishing the aetiology for which surgery is done	Detailed Operation notes/ detailed discharge summary.
129	Cardiothoracic Vascular Surgery	Surgical	Pericardiectomy	Pericardiectomy	101,400.00	10	Not applicable	Not applicable	Not applicable	SV012A	Clinical notes an ECHO report	Detailed Operation notes/ Discharge summary
130	Cardiothoracic Vascular Surgery	Surgical	Patent Ductus Arteriosus (PDA) Closure via thoracotomy	Patent Ductus Arteriosus (PDA) Closure via thoracotomy	86,200.00	7	Not applicable	Not applicable	Not applicable	SV013A	Clinical notes and ECHO report	Detailed Operation notes/ Discharge summary
131	Cardiothoracic Vascular Surgery	Surgical	Aortic Root Replacement Surgery	Bental Procedure	226,900.00	12	Not applicable	Not applicable	Composite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500	SV014A	Clinical notes and ECHO report/ CT angio / Angio / MRI report	Detailed discharge summary/ Detailed Operation notes.
132	Cardiothoracic Vascular Surgery	Surgical	Aortic Root Replacement Surgery	Aortic Dissection	226,900.00	12	Not applicable	Not applicable	Composite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500	SV014B	Clinical notes and ECHO report/ CT angio / Angio / MRI report	Detailed discharge summary/ Detailed Operation notes.
133	Cardiothoracic Vascular Surgery	Surgical	Aortic Root Replacement Surgery	Aortic Aneurysm	226,900.00	12	Not applicable	Not applicable	Composite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500	SV014C	Clinical notes and ECHO report/ CT angio / Angio / MRI report	Detailed discharge summary/ Detailed Operation notes.
134	Cardiothoracic Vascular Surgery	Surgical	Aortic Root Replacement Surgery	Valve sparing root replacement	226,900.00	12	Not applicable	Not applicable	Composite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500	SV014D	Clinical notes and ECHO report/ CT angio / Angio / MRI report	Detailed discharge summary/ Detailed Operation notes.
135	Cardiothoracic Vascular Surgery	Surgical	Aortic Root Replacement Surgery	AVR + Root enlargement	226,900.00	12	Not applicable	Not applicable	Composite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500	SV014E	Clinical notes and ECHO report/ CT angio / Angio / MRI report	Detailed discharge summary/ Detailed Operation notes.
136	Cardiothoracic Vascular Surgery	Surgical	Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass	Aortic Arch Replacement using bypass	226,900.00	12	Not applicable	Not applicable	Arch Graft - 93500 Coselli Graft - 93500 Complex grafts other than Arch Graft & Coseli Graft - 93500	SV015A	Clinical notes and angio / CT angio / MRI reports	Detailed procedure notes/ detailed discharge summary.
137	Cardiothoracic Vascular Surgery	Surgical	Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass	Thoracoabdominal aneurysm Repair using bypass	226,900.00	12	Not applicable	Not applicable	Arch Graft - 93500 Coselli Graft - 93500 Complex grafts other than Arch Graft & Coseli Graft - 93500	SV015B	Clinical notes and angio / CT angio / MRI reports	Detailed procedure notes/ detailed discharge summary.
138	Cardiothoracic Vascular Surgery	Surgical	Aortic Aneurysm Repair	Aortic Aneurysm Repair using Cardiopulmonary bypass (CPB)	165,000.00	10	Not applicable	Not applicable	Dacron Graft - Straight - 33000	SV016A	Clinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysm	Detailed procedure notes/ detailed discharge summary.
139	Cardiothoracic Vascular Surgery	Surgical	Aortic Aneurysm Repair	Aortic Aneurysm Repair using Left Heart Bypass	165,000.00	10	Not applicable	Not applicable	Dacron Graft - Straight - 33000	SV016B	Clinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysm	Detailed procedure notes/ detailed discharge summary.
140	Cardiothoracic Vascular Surgery	Surgical	Aortic Aneurysm Repair	Aortic Aneurysm Repair without using Cardiopulmonary bypass (CPB)	99,100.00	10	Not applicable	Not applicable	Dacron Graft - Straight - 33000	SV016C	Clinical notes angio / CT angio / MRI reports	Detailed procedure notes/ detailed discharge summary.
141	Cardiothoracic Vascular Surgery	Surgical	Aortic Aneurysm Repair	Aortic Aneurysm Repair without using Left Heart Bypass	99,100.00	10	Not applicable	Not applicable	Dacron Graft - Straight - 33000	SV016D	Clinical notes angio / CT angio / MRI reports	Detailed procedure notes/ detailed discharge summary.
142	Cardiothoracic Vascular Surgery	Surgical	Aorto Iliac / Aorto femoral bypass	Aorto Iliac bypass	97,600.00	7	Not applicable	Not applicable	Dacron Graft - Bifurcated - 38500	SV017A	Clinical notes and MRA / CT angio / Angio reports	Detailed discharge summary/ Detailed Operative notes/ barcode of synthetic graft
143	Cardiothoracic Vascular Surgery	Surgical	Aorto Iliac / Aorto femoral bypass	Aorto femoral bypass	97,600.00	7	Not applicable	Not applicable	Dacron Graft - Bifurcated - 38500	SV017B	Clinical notes and MRA / CT angio / Angio reports	Detailed discharge summary/ Detailed Operative notes/ barcode of synthetic graft
144	Cardiothoracic Vascular Surgery	Surgical	Aorto Iliac / Aorto femoral bypass (Uni and Bi)	Aorto Iliac bypass - B/L	97,600.00	7	Not applicable	Not applicable	Dacron Graft - Bifurcated - 38500 PTFE Graft - Straight - 55000	SV017C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
145	Cardiothoracic Vascular Surgery	Surgical	Aorto Iliac / Aorto femoral bypass (Uni and Bi)	Aorto femoral bypass - B/L	97,600.00	7	Not applicable	Not applicable	Dacron Graft - Bifurcated - 38500 PTFE Graft - Straight - 55000	SV017D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
146	Cardiothoracic Vascular Surgery	Surgical	Pulmonary Embolectomy / Thromboendarterectomy	Pulmonary Embolectomy	213,300.00	10	Not applicable	Not applicable	Not applicable	SV018A	Clinical notes and ECHO report + CT Chest report	Detailed Operation notes/ Discharge summary
147	Cardiothoracic Vascular Surgery	Surgical	Pulmonary Embolectomy / Thromboendarterectomy	Thromboendarterectomy	213,300.00	10	Not applicable	Not applicable	Not applicable	SV018B	Clinical notes and ECHO report + CT Chest report	Detailed Operation notes/ Discharge summary
148	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Femoro - Femoral Bypass	77,000.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019A	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
149	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Carotid - endearterectomy	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019B	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
150	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Carotid Body Tumor Excision	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019C	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
151	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Thoracic Outlet syndrome Repair	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019D	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
152	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Carotid aneurysm repair	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019E	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
153	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Subclavian aneurysm repair	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019F	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
154	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Axillary aneurysm repair	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019G	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
155	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Brachial aneurysm repair	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019H	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
156	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Femoral aneurysm repair	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019I	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
157	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Popliteal aneurysm repair	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019J	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
158	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Femoral - popliteal Bypass	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019K	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
159	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Axillo - Brachial Bypass	71,500.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019L	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
160	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Carotio - carotid Bypass	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019M	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
161	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Carotido - subclavian bypass	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019N	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
162	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Carotido - axillary bypass	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019O	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
163	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Axillo - femoral bypass	77,000.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019P	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
164	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Axillo - femoral bypass - B/L	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019Q	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
165	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Aorto - carotid bypass	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019R	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
166	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Aorto - subclavian bypass	75,700.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019S	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
167	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Patch Graft Angioplasty	105,900.00	7	Not applicable	Not applicable	Not applicable	SV019T	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
168	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Small Arterial Aneurysms – Repair	105,900.00	7	Not applicable	Not applicable	Not applicable	SV019U	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
169	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Medium size arterial aneurysms with synthetic graft	105,900.00	7	Not applicable	Not applicable	Dacron Graft - Straight - 33000 PTFE Graft - Straight - 55000	SV019V	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
170	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Surgery for Arterial Aneursysm –Vertebral	105,900.00	7	Not applicable	Not applicable	Not applicable	SV019W	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary
171	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Surgery for Arterial Aneurysm Renal Artery	105,900.00	7	Not applicable	Not applicable	Not applicable	SV019X	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary
172	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Operations for Acquired Arteriovenous Fistual	105,900.00	7	Not applicable	Not applicable	Not applicable	SV019Y	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary
173	Cardiothoracic Vascular Surgery	Surgical	Peripheral Arterial Surgeries	Congenital Arterio Venous Fistula	105,900.00	7	Not applicable	Not applicable	Not applicable	SV019Z	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary
174	Cardiothoracic Vascular Surgery	Surgical	Thromboembolectomy	Thromboembolectomy	42,400.00	4	Not applicable	Not applicable	Not applicable	SV020A	Soon as documents are uploaded/ confirm evidence of embolus/ Thrombus in duples USG/ Angio	Detailed discharge summary and operative notes
175	Cardiothoracic Vascular Surgery	Surgical	Peripheral arterial injury repair (without bypass)	Peripheral arterial injury repair (without bypass)	45,400.00	4	Not applicable	Not applicable	Not applicable	SV021A	Clinical notes with planned line of treatment/ Doppler	Detailed discharge summary and operative notes
176	Cardiothoracic Vascular Surgery	Surgical	Thoracotomy, Thoraco Abdominal Approach	Thoracotomy, Thoraco Abdominal Approach	45,400.00	10	Not applicable	Not applicable	Not applicable	SV022A	Clinical notes and CT Chest establishing the aetiology for which surgery is done	Detailed Operation notes/ detailed discharge summary.
177	Cardiothoracic Vascular Surgery	Surgical	Lung surgery including Thoracotomy	Lung cyst exision	68,100.00	10	Not applicable	Not applicable	Not applicable	SV023A	Clinical notes and CT Chest	Detailed Operation notes/ Discharge summary
178	Cardiothoracic Vascular Surgery	Surgical	Lung surgery including Thoracotomy	Decortication	68,100.00	10	Not applicable	Not applicable	Not applicable	SV023B	Clinical notes and CT Chest	Detailed Operation notes/ Discharge summary
179	Cardiothoracic Vascular Surgery	Surgical	Lung surgery including Thoracotomy	Hydatid cyst	68,100.00	10	Not applicable	Not applicable	Not applicable	SV023C	Clinical notes and CT Chest	Detailed Operation notes/ Discharge summary
180	Cardiothoracic Vascular Surgery	Surgical	Lung surgery including Thoracotomy	Other simple lung procedure excluding lung resection	68,100.00	10	Not applicable	Not applicable	Not applicable	SV023D	Clinical notes and CT Chest	Detailed Operation notes/ Discharge summary
181	Cardiothoracic Vascular Surgery	Surgical	Lung surgery including Thoracotomy	Bronchial Repair Surgery for Injuries due to FB	68,100.00	10	Not applicable	Not applicable	Not applicable	SV023E	Clinical notes and CT Chest	Detailed Operation notes/ Discharge summary
182	Cardiothoracic Vascular Surgery	Surgical	Pulmonary Resection	Non infective	105,900.00	10	Non - Infective/ Infective	None/ "+" 22000	Not applicable	SV024A	Clinical notes and Pre-Op X-ray / CT Scan	HPE of resected tissue detailed operation notes/ discharge summary.
183	Cardiothoracic Vascular Surgery	Surgical	Foreign Body Removal with scope	Foreign Body Removal with scope	30,300.00	2	Not applicable	Not applicable	Not applicable	SV025A	Clinical notes and Radiological evidence of foreign body	Detailed Operative notes/ Detailed discharge summary/ Photograph of Removed Foreign body
184	Cardiothoracic Vascular Surgery	Surgical	Surgical Correction of Bronchopleural Fistula	Surgical Correction of Bronchopleural Fistula	98,300.00	10	Not applicable	Not applicable	Not applicable	SV026A	Clinical notes and CT Chest	Detailed operative notes and discharge summary
185	Cardiothoracic Vascular Surgery	Surgical	Space - Occupying Lesion (SOL) mediastinum	Space - Occupying Lesion (SOL) mediastinum	99,100.00	10	Not applicable	Not applicable	Not applicable	SV027A	Clinical notes and CT Chest	Detailed discharge summary/ Detailed Operation notes/ HPE of SOL
186	Cardiothoracic Vascular Surgery	Surgical	Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy	Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy	15,200.00	4	Not applicable	Not applicable	Not applicable	SV028A	Clinical notes detailing need of ICD/ X-ray chest	Detailed procedure notes. Detailed discharge summary
187	Cardiothoracic Vascular Surgery	Surgical	Diaphragmatic Repair	Diaphragmatic Repair	45,400.00	10	Not applicable	Not applicable	Mesh - 6 X 3 - Polypropylene - 2200	SV029A	Clinical notes and Chest XRAY/ CT Chest	Detailed procedure notes/ detailed discharge summary.
188	Cardiothoracic Vascular Surgery	Surgical	Surgery for Cardiac Tumour	Surgery for Cardiac Tumour	143,800.00	10	Not applicable	Not applicable	Not applicable	SV030A	Clinical notes and ECHO report	Detailed Operation notes/ Discharge summary/ HPE report/receipt of tumor.
189	Cardiothoracic Vascular Surgery	Surgical	Immediate reoperation (within 5 days)	Tetralogy of Fallot Repair	113,500.00	12	Not applicable	Not applicable	PTFE Patch - Thin - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Pericardial Patch - 19800 RV - PA Conduit - 132000 Tissue Valve - 77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV031A	Clinical note with ECHO / Doppler Report/ Detailed Operative notes indicating need for Reoperation	Detailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used. Ascertain the need for reoperation.
190	Cardiothoracic Vascular Surgery	Surgical	Immediate reoperation (within 5 days)	Aortic Valve	215,700.00	7	Not applicable	Not applicable	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000	SV031B	Clinical notes and ECHO / Doppler report/ Detailed Operative notes indicating need for Reoperation	Post op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used. Ascertain the need for reoperation.
191	Cardiothoracic Vascular Surgery	Surgical	Immediate reoperation (within 5 days)	Mitral Valve	215,700.00	7	Not applicable	Not applicable	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500	SV031C	Clinical notes and ECHO / Doppler report/ Detailed Operative notes indicating need for Reoperation	Post op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used. Ascertain the need for reoperation.
192	Cardiothoracic Vascular Surgery	Surgical	Immediate reoperation (within 5 days)	Tricuspid Valve	215,700.00	7	Not applicable	Not applicable	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Tricuspid - 38500	SV031D	Clinical notes and ECHO / Doppler report/ Detailed Operative notes indicating need for Reoperation	Post op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used. Ascertain the need for reoperation.
193	Cardiothoracic Vascular Surgery	Surgical	Immediate reoperation (within 5 days)	Double Valve Procedure	107,500.00	10	Repair/ Replacement	None/ None	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV031E	Clinical notes and ECHO and doppler reports/ Detailed Operative notes indicating need for Reoperation	Detailed discharge summary/ Detailed Operative notes/ barcode of valves/rings used. Ascertain the need for reoperation.
194	Cardiothoracic Vascular Surgery	Surgical	Immediate reoperation (within 5 days)	Triple valve procedure	128,600.00	12	Repair/ Replacement	None/ None	Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500	SV031F	Clinical notes and ECHO and doppler reports/ Detailed Operative notes indicating need for Reoperation	Detailed discharge summary/ Detailed Operative notes/ barcode of valves/rings used. Ascertain the need for reoperation.
195	Cardiothoracic Vascular Surgery	Surgical	Low Cardiac Output syndrome requiring IABP insertion post - operatively	Low Cardiac Output syndrome requiring IABP insertion post - operatively	75,700.00	7	Not applicable	Not applicable	Not applicable	SV032A	Clinical notes with planned line of treatment (including indication for need of required Procedure )	Procedure / Operative Notes/ Detailed Discharge Summary
196	Cardiothoracic Vascular Surgery	Surgical	Re-do sternotomy	Re-do sternotomy	30,300.00	NA	Not applicable	Not applicable	Not applicable	SV033A	Clinical notes with planned line of treatment (including indication for need of required Procedure )	Procedure / Operative Notes/ Detailed Discharge Summary
197	Cardiothoracic Vascular Surgery	Surgical	Excessive bleeding requiring re-exploration	Excessive bleeding requiring re-exploration	15,200.00	NA	Not applicable	Not applicable	Not applicable	SV034A	Clinical notes with planned line of treatment (including indication for need of required Procedure )	Procedure / Operative Notes/ Detailed Discharge Summary
198	Cardiothoracic Vascular Surgery	Surgical	Mediastinotomy	Mediastinotomy	43,600.00	4	Not applicable	Not applicable	Not applicable	SV035A	Clinical notes and CT Chest establishing the aetiology for which surgery is done	Detailed Operation notes/ detailed discharge summary.
199	Cardiothoracic Vascular Surgery	Surgical	Pectus excavation	Pectus excavation	68,800.00	7	Not applicable	Not applicable	Not applicable	SV036A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
200	Cardiothoracic Vascular Surgery	Surgical	Left ventricular aneurysm repair	Left ventricular aneurysm repair	178,600.00	7	Not applicable	Not applicable	Not applicable	SV037A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
201	Cardiothoracic Vascular Surgery	Surgical	CABG + Left ventricular aneurysm repair	CABG + Left ventricular aneurysm repair	247,400.00	7	Not applicable	Not applicable	Not applicable	SV038A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
202	Cardiothoracic Vascular Surgery	Surgical	Tracheal repair	Tracheal repair	68,800.00	7	Not applicable	Not applicable	Not applicable	SV039A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
203	Cardiothoracic Vascular Surgery	Surgical	Aortic stenting	Aortic stenting	68,800.00	7	Not applicable	Not applicable	PTFE Graft - Straight - 55000 Aortic stent - 350000	SV040A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
204	Cardiothoracic Vascular Surgery	Surgical	follow up - Cardiothoracic Vascular Surgery	First Follow-up- 2-4 weeks after discharge	0.00	D	Not applicable	Not applicable	Not applicable	SV041A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
205	Cardiothoracic Vascular Surgery	Surgical	follow up - CTVS	Second Follow-up- After 3 months	4,800.00	7	Not applicable	Not applicable	Not applicable	SV041B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
206	Cardiothoracic Vascular Surgery	Surgical	follow up - CTVS	Third Follow-up- After 3 months	2,400.00	7	Not applicable	Not applicable	Not applicable	SV041C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
207	Cardiothoracic Vascular Surgery	Surgical	follow up - CTVS	fourth Follow-up- After 3 months	2,400.00	7	Not applicable	Not applicable	Not applicable	SV041D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
208	Cardiothoracic Vascular Surgery	Surgical	follow up - CTVS	FifthFollow-up - After 3 months	2,400.00	7	Not applicable	Not applicable	Not applicable	SV041E	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
209	Emergency Room Packages	Surgical	Laceration	Suturing/ Dressing	2,200.00	D	Not applicable	Not applicable	Not applicable	ER001A	Clinical notes with planned line of treatment	Clinical notes with treatment details/ reports of any investigation done
210	Emergency Room Packages	Surgical	Laceration	Dressing Under LA	1,200.00	D	Not applicable	Not applicable	Not applicable	ER001B	Clinical notes with planned line of treatment	Clinical notes with treatment details/ reports of any investigation done
211	Emergency Room Packages	Medical	Cardiopulmonary emergency	with stable cardiopulmonary status	2,200.00	D	Not applicable	Not applicable	Not applicable	ER002A	Clinical notes with planned line of treatment/ ECG	Clinical notes with treatment details/ reports of any investigation done
212	Emergency Room Packages	Medical	Cardiopulmonary emergency	with unstable cardiopulmonary status with resuccitation	11,000.00	NA	Not applicable	Not applicable	Not applicable	ER002B	Clinical notes with planned line of treatment/ ECG	Clinical notes / discharge summary with planned line of treatment
213	Emergency Room Packages	Medical	Animal bites	Dog/ Cat/ Rat Bites	500.00	D	Not applicable	Not applicable	Not applicable	ER003A	Clinical note	Beneficiary signature / thumb impession/ invoice / bar code sticker of the vaccine/ Clinical Notes with complete treatment details given
214	Emergency Room Packages	Medical	Animal bites	Insect Bite	18,500.00	7	Not applicable	Not applicable	Not applicable	ER003MLA	Clinical note	Beneficiary signature / thumb impession/ invoice / bar code sticker of the vaccine/ Clinical Notes with complete treatment details given
215	Emergency Room Packages	Medical	Animal bites	Other bites	2,300.00	D	Not applicable	Not applicable	Not applicable	ER003MLB	Clinical note	Beneficiary signature / thumb impession/ invoice / bar code sticker of the vaccine/ Clinical Notes with complete treatment details given
216	Emergency Room Packages	Surgical	Gunshot Injury	Gunshot Injury	45,700.00	3	Not applicable	Not applicable	Not applicable	SG154MLA	Clinical notes with planned line of treatment/ X-ray films with reports	X ray/ opertive notes/ Discharge summary
217	Emergency Room Packages	Medical	Emergency Management of Hematuria	Emergency Management of Hematuria	0.00	2	Routine Ward	2000	Not applicable	SU073A	Clinical notes detailing the hematuria with urine report showing frank or microscopic/ planned line of treatment	Detailed Indoor case papers/ investigations report/ treatment given/ detailed discharge summary
218	General Medicine	Medical	Acute febrile illness	Acute febrile illness	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG001A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
219	General Medicine	Medical	Severe sepsis	Severe sepsis	0.00	12	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG002A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
220	General Medicine	Medical	Severe sepsis	Septic shock	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG002B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
221	General Medicine	Medical	Malaria	Malaria	0.00	9	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG003A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
222	General Medicine	Medical	Malaria	Complicated Malaria	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG003B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
223	General Medicine	Medical	Malaria	Plasmodium Falciparum Malaria	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG003MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
224	General Medicine	Medical	Malaria	Plasmodium Malariae Malaria	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG003MLB	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
225	General Medicine	Medical	Malaria	Plasmodium Vivax Malaria	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG003MLC	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
226	General Medicine	Medical	Dengue fever	Dengue fever	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG004A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
227	General Medicine	Medical	Dengue fever	Dengue hemorrhagic fever	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG004B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
228	General Medicine	Medical	Dengue fever	Dengue shock syndrome	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG004C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
229	General Medicine	Medical	Chikungunya fever	Chikungunya fever	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG005A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
230	General Medicine	Medical	Enteric Fever	Enteric Fever	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG006A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
231	General Medicine	Medical	HIV with complications	HIV with complications	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG007A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
232	General Medicine	Medical	Leptospirosis	Leptospirosis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG008A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
233	General Medicine	Medical	Acute gastroenteritis	with moderate dehydration	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG009A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
234	General Medicine	Medical	Acute gastroenteritis	with severe dehydration	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG009B	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
235	General Medicine	Medical	Chronic PD catheter Insertion	Chronic PD catheter Insertion	4,500.00	4	Not applicable	Not applicable	Not applicable	MG0100A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
236	General Medicine	Medical	Acute severe ulcerative colitis	Acute severe ulcerative colitis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0101A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
237	General Medicine	Medical	Mesenteric Ischemia	Mesenteric Ischemia	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0102A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
238	General Medicine	Medical	Intestinal obstruction	Intestinal obstruction	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0103A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
239	General Medicine	Medical	Acute necrotizing severe pancreatitis	Acute necrotizing severe pancreatitis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0104A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
240	General Medicine	Medical	Pulmonary Thromboembolism	Pulmonary Thromboembolism	27,500.00	4	Not applicable	Not applicable	Not applicable	MG0105A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
241	General Medicine	Medical	Diffuse alveolar Hemorrhage Associated with SLE/Vasculitis/GP Syndrome	Diffuse alveolar Hemorrhage Associated with SLE/Vasculitis/GP Syndrome	149,600.00	4	Not applicable	Not applicable	Not applicable	MG0106A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
242	General Medicine	Medical	Severe/Refractory Vasculitis	Severe/Refractory Vasculitis	82,500.00	4	Not applicable	Not applicable	Not applicable	MG0107A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
243	General Medicine	Medical	Acute liver failure/Fulminant Hepatitis	Acute liver failure/Fulminant Hepatitis	55,000.00	4	Not applicable	Not applicable	Not applicable	MG0108A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
244	General Medicine	Medical	Pulmonary thromboembolism	Pulmonary thromboembolism	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0109A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
245	General Medicine	Medical	Diarrhoea	Diarrhoea	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG010A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
246	General Medicine	Medical	Diarrhoea	Persistent diarrohea	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG010B	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ stool examination and All investigations reports.
247	General Medicine	Medical	Acute liver failure	Acute liver failure	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0110A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
248	General Medicine	Medical	Pleural Effusion	Pleural Effusion	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0111A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
249	General Medicine	Medical	Hyberbilirubinemia	Hyberbilirubinemia	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0112A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
250	General Medicine	Medical	Polytrauma	Polytrauma	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0113A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
251	General Medicine	Medical	Trauma- FacioMaxillary	Trauma- FacioMaxillary	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0113B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
252	General Medicine	Medical	Trauma Hand injury	Trauma Hand injury	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0113C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
253	General Medicine	Medical	Trauma Rib fracture conservative	Trauma Rib fracture conservative	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0113D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
254	General Medicine	Medical	Trauma Blunt injury conservative	Trauma Blunt injury conservative	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0113E	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
255	General Medicine	Medical	Trauma Contusion chest injury	Trauma Contusion chest injury	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0113F	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
256	General Medicine	Medical	Oesophageal Varices Banding	Oesophageal Varices Banding	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG0114A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
257	General Medicine	Medical	Inflammatory Myopathy/ Myaesthenic Crisis	Inflammatory Myopathy/ Myaesthenic Crisis	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0115A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
258	General Medicine	Medical	Guillain Barre syndrome	Guillain Barre syndrome (Plasmapheresis)	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0116A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
259	General Medicine	Medical	Myasthenic crisis (Plasmapheresis)	Myasthenic crisis (Plasmapheresis)	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0116B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
260	General Medicine	Medical	Moyamoya revascularization	Moyamoya revascularization	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0117A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
261	General Medicine	Medical	Evaluation of drug resistant epilepsy-Phase-1	Evaluation of drug resistant epilepsy-Phase-1	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0118A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
262	General Medicine	Medical	Drug resistant epilepsy	Drug resistant epilepsy	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0119A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
263	General Medicine	Medical	Dysentery	Dysentery	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG011A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
264	General Medicine	Medical	Medical/ neuro rehablitation	Comprehensive medical rehabilitation for spinal injury/ traumatic brain injury, CVA, Cerebral palsy with or without orthosis	27,500.00	4	Not applicable	Not applicable	Not applicable	MG0120A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
265	General Medicine	Medical	Medical/ neuro rehablitation	Comprehensive medical rehabilitation for of complication secondary to specified disanility/multiple disability including procedures, chemodenevaration with or with out orthosis	38,500.00	4	Not applicable	Not applicable	Not applicable	MG0120B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
266	General Medicine	Medical	Medical/ neuro rehablitation	Single event multiple level surgery for spasticity management in cerebral palsy	16,500.00	4	Not applicable	Not applicable	Not applicable	MG0120C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
267	General Medicine	Medical	Medical/ neuro rehablitation	Medical rehabilitation of muscular dystrophy	7,700.00	4	Not applicable	Not applicable	Not applicable	MG0120D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
268	General Medicine	Medical	Medical/ neuro rehablitation	Medical Rehabilitation intellectual dissability	7,700.00	4	Not applicable	Not applicable	Not applicable	MG0120E	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
269	General Medicine	Medical	Medical/ neuro rehablitation	Medical Rehabilitation special learning disability	7,700.00	4	Not applicable	Not applicable	Not applicable	MG0120F	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
270	General Medicine	Medical	Medical/ neuro rehablitation	Medical Rehabilitation multiple disability	7,700.00	4	Not applicable	Not applicable	Not applicable	MG0120G	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
271	General Medicine	Medical	Hepatitis	Acute viral hepatitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG012A	Clinical notes with planned line of treatment/LFT/USG - Whole Abdomen	Detailed ICPs/ Treatment details/ detailed discharge summary/ LFT/ USG - Whole Abdomen and All investigations reports.
272	General Medicine	Medical	Hepatitis	Chronic Viral Hepatitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG012B	Clinical notes with planned line of treatment/LFT/USG - Whole Abdomen	Detailed ICPs/ Treatment details/ detailed discharge summary/ LFT/ USG - Whole Abdomen and All investigations reports.
273	General Medicine	Medical	Liver abscess	Liver abscess	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG014A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
274	General Medicine	Medical	Drainage of Abscess	Liver Abscess	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG014A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
275	General Medicine	Medical	Visceral leishmaniasis	Visceral leishmaniasis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG015A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
276	General Medicine	Medical	Pneumonia	Pneumonia	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG016A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
277	General Medicine	Medical	Pneumonia	Severe pneumonia	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG016B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
278	General Medicine	Medical	Pneumonia	Pneumonia due to Haemophilus Influenzae	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG016MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
279	General Medicine	Medical	Pneumonia	Pneumonia due to other Infectious organisms not elsewhere classified	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG016MLB	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
280	General Medicine	Medical	Pneumonia	Pneumonia due to Streptococcus Pneumoniae	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG016MLC	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
281	General Medicine	Medical	Pneumonia	Viral Pneumonia not elsewhere classified	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG016MLD	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
282	General Medicine	Medical	Pneumonia	Bacterial Pneumonia not elsewhere classified	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG016MLE	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
283	General Medicine	Medical	Empyema	Empyema	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG018A	Clinical notes with planned line of treatment/ CBC/ X ray chest	Post Treatment X-ray chest/ Detailed Discharge Summary
284	General Medicine	Medical	Lung abscess	Lung abscess	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG019A	Clinical notes with planned line of treatment / X-ray chest/ CBC and any other investigations done/ planned line of management	Post Treatment X-ray chest/ CBC/ Detailed Discharge summary.
285	General Medicine	Medical	Pericardial / Pleural tuberculosis	Pericardial tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG020A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
286	General Medicine	Medical	Pericardial / Pleural tuberculosis	Pleural tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG020B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
287	General Medicine	Medical	Urinary tract infection	Urinary tract infection	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG021A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
288	General Medicine	Medical	Viral encephalitis	Viral encephalitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG022A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
289	General Medicine	Medical	Septic arthritis	Septic arthritis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG023A	Clinical notes with planned line of treatment/ X-ray of the affected joint/ planned line of treatment	Post treatment X-ray / Radiological evidence/ CBC/ treatment details/ Detailed Discharge Summary
290	General Medicine	Medical	Skin and soft tissue infections	Skin and soft tissue infections	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG024A	Clinical notes with planned line of treatment / CBC	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports including CBC
291	General Medicine	Medical	Recurrent vomiting with dehydration	Recurrent vomiting with dehydration	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG025A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
292	General Medicine	Medical	Pyrexia of unknown origin	Pyrexia of unknown origin	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG026A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
293	General Medicine	Medical	Bronchiectasis	Bronchiectasis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG027A	X ray-Chest/ Clinical notes with planned line of treatment	Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
294	General Medicine	Medical	Acute bronchitis	Acute bronchitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG028A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
295	General Medicine	Medical	Acute excaberation of COPD	Acute excaberation of COPD	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG029A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
296	General Medicine	Medical	Acute excaberation of Interstitial Lung Disease	Acute excaberation of Interstitial Lung Disease	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG030A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
297	General Medicine	Medical	Endocarditis	Bacterial	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG031A	Clinical notes with planned line of treatment/ ECHO/ CBC	Blood culture reports/ Post treatment ECHO/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
298	General Medicine	Medical	Endocarditis	Fungal	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG031B	Clinical notes with planned line of treatment/ ECHO/ CBC	Blood culture reports/ Post treatment ECHO/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
299	General Medicine	Medical	Vasculitis	Vasculitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG032A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
300	General Medicine	Medical	Pancreatitis	Acute pancreatitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG033A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ Sr Amylase/ Lipase/ LFT/ USG- abdomen/ Detailed Discharge Summary
301	General Medicine	Medical	Pancreatitis	Chronic pancreatitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG033B	Clinical note with Sr Amylase/ Lipase/ LFT/ CBC/ USG- abdomen	Post treatment Sr Amylase/ Lipase/ LFT/ USG- abdomen Detailed Discharge Summary
302	General Medicine	Medical	Ascites	Ascites	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG034A	Clinical note with any investigations (LFT/CBC/USG- abdomen) done	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
303	General Medicine	Medical	Acute transverse myelitis	Acute transverse myelitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG035A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
304	General Medicine	Medical	Atrial Fibrillation	Atrial Fibrillation	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG036A	Clinical notes with planned line of treatment/ ECG/ Sr Electrolytes	Post treatment ECG/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
305	General Medicine	Medical	Cardiac Tamponade	Cardiac Tamponade	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG037A	Clinical note with 2D echo	Post treatment 2D echo/ Fluid Aspirated report/ Procedure notes/ Detailed Discharge Summary
306	General Medicine	Medical	Congestive heart failure	Congestive heart failure	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG038A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
307	General Medicine	Medical	Asthma	Acute asthmatic attack	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG039A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
308	General Medicine	Medical	Asthma	Status Asthmaticus	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG039B	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
309	General Medicine	Medical	Asthma	Exacerbation of asthma	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG039MLA	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
310	General Medicine	Medical	Respiratory failure	Type 1 Respiratory failure	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG040A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
311	General Medicine	Medical	Respiratory failure	Type 2 Respiratory failure	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG040B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
312	General Medicine	Medical	Respiratory failure	due to any cause	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG040C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management/ Copy of MLC / FIR (if required)	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
313	General Medicine	Medical	GI bleeding	Upper - Conservative management	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG041A	Clinical notes detailing history and Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
314	General Medicine	Medical	GI bleeding	Upper - Endoscopic management	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG041B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
315	General Medicine	Medical	GI bleeding	Lower - Conservative management	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG041C	Clinical notes detailing history and Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
316	General Medicine	Medical	Addison’s disease	Addison’s disease	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG043A	Clinical note with Sr. Cortisol levels/ USG- abdomen	Post treatment cortisol levels/ Detailed Discharge Summary
317	General Medicine	Medical	Renal colic	Renal colic	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG044A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
318	General Medicine	Medical	AKI / Renal failure	AKI / Renal failure	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG045A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
319	General Medicine	Medical	Seizures	Seizures	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG046A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
320	General Medicine	Medical	Status epilepticus	Convulsive	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG047A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
321	General Medicine	Medical	Status epilepticus	Non-convulsive	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG047MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
322	General Medicine	Medical	Cerebrovascular accident	Cerebrovascular accident	0.00	9	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG048A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
323	General Medicine	Medical	Cerebral sino-venous thrombosis / Stroke	Cerebral Sino-Venous Thrombosis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG049A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
324	General Medicine	Medical	Cerebral sino-venous thrombosis / Stroke	Acute Stroke	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG049B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
325	General Medicine	Medical	Cerebral sino-venous thrombosis / Stroke	Acute Ischemic Stroke	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG049C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
326	General Medicine	Medical	Cerebral sino-venous thrombosis / Stroke	Acute Heamorrhagic Stroke	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG049D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
327	General Medicine	Medical	Stroke	Stroke	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG049MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
328	General Medicine	Medical	Immune mediated CNS disorders	Immune mediated CNS disorders	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG050A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
329	General Medicine	Medical	Hydrocephalus	Hydrocephalus	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG051A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
330	General Medicine	Medical	Myxedema coma	Myxedema coma	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG052A	Clinical notes with planned line of treatment/ Throid profile/ USG- Thyroid Gland	Post treatment Thyroid Profile/ Detailed Discharge Summary
331	General Medicine	Medical	Thyrotoxic crisis	Thyrotoxic crisis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG053A	Clinical notes with planned line of treatment/ Throid profile/ USG- Thyroid Gland	Radionuclide Iodine uptake study/ Post treatment Thyroid Profile/ Detailed Discharge Summary
332	General Medicine	Medical	Gout	Gout	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG054A	Clinical notes with planned line of treatment/ Sr.Uric acid	Detailed Discharge Summary
333	General Medicine	Medical	Pneumothroax	Pneumothroax	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG055A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
334	General Medicine	Medical	Neuromuscular disorders	Neuromuscular disorders	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG056A	Clinical notes detailing history and Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
335	General Medicine	Medical	Hypoglycemia	Hypoglycemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG057A	Clinical note with Blood sugar level	Blood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
336	General Medicine	Medical	Diabetic Foot	Diabetic Foot	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG058A	Clinical note/ Blood sugar level	Blood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
337	General Medicine	Medical	Diabetic ketoacidosis	Diabetic ketoacidosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG059A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Blood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
338	General Medicine	Medical	Electrolyte Imbalance	Hypercalcemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060A	Clinical notes with planned line of treatment/ Serum Calcium	Post treatment Serum Calcium/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
339	General Medicine	Medical	Electrolyte Imbalance	Hypocalcemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060B	Clinical notes with planned line of treatment/Serum Calcium	Serum Calcium/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
340	General Medicine	Medical	Electrolyte Imbalance	Hyponatremia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060C	Clinical notes with planned line of treatment/ Serum Electrolytes	Post treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
341	General Medicine	Medical	Electrolyte Imbalance	Hypernatremia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060D	Clinical notes with planned line of treatment/ Serum Electrolytes	Post treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
342	General Medicine	Medical	Electrolyte Imbalance	Hyperkalaemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060E	Clinical notes with planned line of treatment/ Serum Electrolytes	Post treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
343	General Medicine	Medical	Electrolyte Imbalance	Hypokalaemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060F	Clinical notes with planned line of treatment/ Serum Electrolytes	Post treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
344	General Medicine	Medical	Hyperosmolar Non-Ketotic coma	Hyperosmolar Non-Ketotic coma	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG061A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
345	General Medicine	Medical	Accelerated hypertension	Accelerated hypertension	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG062A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
346	General Medicine	Medical	Hypertensive emergencies	Hypertensive emergencies	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG063A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
347	General Medicine	Medical	Severe anemia	Severe anemia	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG064A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
348	General Medicine	Medical	Sickle cell anemia	Sickle cell anemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG065A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
349	General Medicine	Medical	Anaphylaxis	Anaphylaxis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG066A	Clinical notes with planned line of treatment/ CBC	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
350	General Medicine	Medical	Heat stroke	Heat stroke	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG067A	Clinical notes detailing history leading to this hospitalization and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
351	General Medicine	Medical	Systematic lupus erythematosus	Systematic lupus erythematosus	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG068A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
352	General Medicine	Medical	Guillian Barre Syndrome	Guillian Barre Syndrome	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG069A	Clinical Notes including evaluation findings and planned line of treatment Cerebrospinal Fluid (CSF) analysis and Nerve Conduction study (NCS) report	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
353	General Medicine	Medical	Snake bite	Snake bite	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG070A	Clinical notes detailing history / Admission notes showing vitals and neurological examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
354	General Medicine	Medical	Poisoning	Acute organophosphorus poisoning	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG071A	Clinical notes detailing history and Admission notes showing vitals and neurological examination findings/ any investigations done/ planned line of management/ Copy of MLC / FIR	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
355	General Medicine	Medical	Poisoning	Other Poisoning	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG071B	Clinical notes detailing history and Admission notes showing vitals and neurological examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
356	General Medicine	Medical	Dialysis	Peritoneal dialysis	3,000.00	NA	Not applicable	Not applicable	Not applicable	MG072B	Clinical notes detailing history / Admission notes showing vitals and examination findings / any documents confirming the diagnosis/ planned line of management	Detailed discharge summary/ Dialysis record with post dialysis vitals and condition of the patient
357	General Medicine	Medical	Dialysis	Acute Haemodialysis	3,000.00	NA	Not applicable	Not applicable	Not applicable	MG072C	Clinical notes detailing history / Admission notes showing vitals and examination findings / any documents confirming the diagnosis/ planned line of management	Detailed discharge summary/ Dialysis record with post dialysis vitals and condition of the patient
358	General Medicine	Medical	Dialysis	Chronic Haemodialysis	3,000.00	NA	Not applicable	Not applicable	Not applicable	MG072D	Clinical notes detailing history / Admission notes showing vitals and examination findings / any documents confirming the diagnosis/ planned line of management	Detailed discharge summary/ Dialysis record with post dialysis vitals and condition of the patient
359	General Medicine	Medical	Plasmapheresis	Plasmapheresis	2,200.00	NA	Not applicable	Not applicable	Not applicable	MG073A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
360	General Medicine	Medical	Whole Blood	Whole Blood	2,400.00	NA	Not applicable	Not applicable	Not applicable	MG074A	Clinical notes with planned line of treatment/ Complete Hemogram	Blood Group/ Post treatment Complete hemogram/ Detailed Discharge Summary
361	General Medicine	Medical	Blood transfusion	Packed Cells	2,400.00	NA	Not applicable	Not applicable	Not applicable	MG074B	Clinical notes with planned line of treatment/ Complete Hemogram	Blood Group/ Post treatment Complete hemogram/ Detailed Discharge Summary
362	General Medicine	Medical	Blood transfusion	Plasmapheresis	2,400.00	NA	Not applicable	Not applicable	Not applicable	MG074B	Clinical notes with planned line of treatment/ Complete Hemogram	Blood Group/ Post treatment Complete hemogram/ Detailed Discharge Summary
363	General Medicine	Medical	Blood transfusion	Platelets	2,400.00	NA	Not applicable	Not applicable	Not applicable	MG074B	Clinical notes with planned line of treatment/ Complete Hemogram	Blood Group/ Post treatment Complete hemogram/ Detailed Discharge Summary
364	General Medicine	Medical	High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging)	High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging)	5,500.00	NA	Not applicable	Not applicable	Not applicable	MG075A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
365	General Medicine	Medical	High end histopathology (Biopsies) and advanced serology investigations	High end histopathology (Biopsies) and advanced serology investigations	5,500.00	NA	Not applicable	Not applicable	Not applicable	MG076A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
366	General Medicine	Medical	CRRT CVVHDF	Initiation cost for disposable	38,500.00	5	Not applicable	Not applicable	Not applicable	MG077A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done.	Detailed ICPs/ Treatment details/ detailed discharge summary/ eGFR/ RFT/ All investigations reports.
367	General Medicine	Medical	Alcoholic liver disease	Alcoholic liver disease	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG078A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
368	General Medicine	Medical	Peripheral Arterial Thrombosis	Peripheral Arterial Thrombosis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG079A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done.	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
369	General Medicine	Medical	IHD / CAD / Arrhythmia	Arrhythmia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG081A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done.	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
370	General Medicine	Medical	IHD / CAD / Arrhythmia	CAD	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG081B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done.	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
371	General Medicine	Medical	Bone marrow aspiration of biopsy	Bone marrow aspiration of biopsy	1,300.00	4	Not applicable	Not applicable	Not applicable	MG082A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
372	General Medicine	Medical	Lumbar puncture	Lumbar puncture	200.00	4	Not applicable	Not applicable	Not applicable	MG083A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
373	General Medicine	Medical	Acute inflammatory demyelinating polyneuropathy	Acute inflammatory demyelinating polyneuropathy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG083MLA	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
374	General Medicine	Medical	Joint Aspiration	Joint Aspiration	200.00	4	Not applicable	Not applicable	Not applicable	MG084A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
375	General Medicine	Medical	Acute tubulo-interstitial nephritis	Acute tubulo-interstitial nephritis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG084MLA	Clinical notes detailing history and Admission notes showing vitals/ planned line management/ investigations done	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
376	General Medicine	Medical	DVT Pneumatic Compression Stockings (Add on package in ICU)	DVT Pneumatic Compression Stockings (Add on package in ICU)	1,000.00	4	Not applicable	Not applicable	Not applicable	MG085A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
377	General Medicine	Medical	Anaemia	with fever	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG085MLA	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
378	General Medicine	Medical	Anaemia	Severe anaemia requiring blood transfusion	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG085MLB	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
379	General Medicine	Medical	Acute Ischemic Stoke	Acute Ischemic Stoke	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG086A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
380	General Medicine	Medical	Acute ischemic stroke- intravenous thrombolysis	Acute ischemic stroke- intravenous thrombolysis -Recombinant tissue plasminogen activator	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG086B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
381	General Medicine	Medical	Acute ischemic stroke- Intravenous thrombolysis	Acute ischemic stroke- Intravenous thrombolysis-Tenecteplase	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG086C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
382	General Medicine	Medical	ARDS (Acute Respiratory Distress Syndrome)	ARDS (Acute Respiratory Distress Syndrome)	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG086MLA	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
383	General Medicine	Medical	Venous sinus thrombosis	Venous sinus thrombosis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG087A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
384	General Medicine	Medical	Pyogenic Meningitis	Pyogenic Meningitis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG088A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
385	General Medicine	Medical	Chicken Pox	Chicken Pox	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG088MLA	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
386	General Medicine	Medical	Fungal Meningitis	Fungal Meningitis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG089A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
387	General Medicine	Medical	Chronic Kidney Disease	Chronic Kidney Disease	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG089MLA	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
388	General Medicine	Medical	Autoimmune encephalitis	Autoimmune encephalitis - Plasmapheresis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG090A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
389	General Medicine	Medical	Autoimmune encephalitis (IVIG)	Autoimmune encephalitis - Immunoglubulin (IVIG)	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG090B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
390	General Medicine	Medical	Acute transverse myelitis/ Acute demyelinating encephalitis	Acute transverse myelitis/ Acute demyelinating encephalitis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG090C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
391	General Medicine	Medical	Chronic Liver Disease	Chronic Liver Disease	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG090MLA	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
392	General Medicine	Medical	Acute hemorrhagic stroke- Hematoma evacuation	Acute hemorrhagic stroke- Hematoma evacuation	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG091A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
393	General Medicine	Medical	Acute hemorrhagic stroke- (Extra ventricular drainage)	Acute hemorrhagic stroke- Extra ventricular drainage	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG091B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
394	General Medicine	Medical	Chronic Osteomyelitis	Chronic Osteomyelitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG091MLA	Clinical notes detailing history and Admission notes showing vitals/ planned line management/ investigations done	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
395	General Medicine	Medical	Myasthenic crisis (IVIG)	Myasthenic crisis - Immunoglobulins (IVIG)	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG092A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
396	General Medicine	Medical	Myasthenic crisis (Plasmapheresis)	Myasthenic crisis - Plasmapheresis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG093A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
397	General Medicine	Medical	Cirrhosis of Liver with Ascites	Cirrhosis of Liver with Ascites	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG093MLA	Clinical note with LFT/ CBC/ USG- abdomen/CECT/ HRCT thorax/ Alfa fetoprotein	LFT/ CECT/ Alfa fetoprotein/ Ascitic Fluid Analysis and Culture Report/ Detailed Discharge Summary/
398	General Medicine	Medical	Tuberculous meningitis (Hydrocephalus – VP SHUNT/ EVD/Omaya)	Tuberculous meningitis (Hydrocephalus – VP SHUNT/ EVD/Omaya)	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG094A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
399	General Medicine	Medical	Complicated Measles	Complicated Measles	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG094MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
400	General Medicine	Medical	Cholangitis	Cholangitis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG095A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
401	General Medicine	Medical	Diabetes Mellitus	Insulin dependent	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG095MLA	Clinical note/ Blood sugar level	Blood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
402	General Medicine	Medical	Diabetes Mellitus	Non-insulin dependent	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG095MLB	Clinical note/ Blood sugar level	Blood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
403	General Medicine	Medical	Diabetes Mellitus	Other Specified Diabetes Mellitus	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG095MLC	Clinical note/ Blood sugar level	Blood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
404	General Medicine	Medical	Intercostal drainage	Intercostal drainage	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG096A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
405	General Medicine	Medical	Diphtheria	Diphtheria	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG096MLA	Clinical notes with planned line of treatment/ stool examintaion	Detailed Discharge Summary summary/ any other investigations done
406	General Medicine	Medical	Endobronchial Ultrasound (EBUS)	Endobronchial Ultrasound guided fine needle biopsy	17,300.00	4	Not applicable	Not applicable	Not applicable	MG097A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
407	General Medicine	Medical	Emphysema	Emphysema	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG097MLA	Clinical notes and X Ray/CT Scan stills confirming the diagnosis	Detailed Procedure / Operative Notes/ Post procedure X-ray stills/ detailed discharge summary
408	General Medicine	Medical	Gastritis	Acute gastritis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG098MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
409	General Medicine	Medical	Gastritis	Chronic gastritis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG098MLB	Clinical notes detailing history and Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
410	General Medicine	Medical	Platelet pheresis	Platelet pheresis	12,100.00	4	Not applicable	Not applicable	Not applicable	MG099A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
411	General Medicine	Medical	Helminthiasis	Helminthiasis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG099MLA	Clinical notes detailing history leading to this hospitalization and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
412	General Medicine	Medical	Intoxications not elsewhere classified	Intoxications not elsewhere classified	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG100MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
413	General Medicine	Medical	Intracerebral Haemorrhage	Intracerebral Haemorrhage	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG101MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination) /any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
414	General Medicine	Medical	Lower Respiratory Tract Infection	Lower Respiratory Tract Infection	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG102MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
415	General Medicine	Medical	Malnutrition Related Diabetes Mellitus	Malnutrition Related Diabetes Mellitus	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG103MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ planned line of management /Blood sugar level/ CBC	Detailed ICPs/ Treatment details/ detailed discharge summary/ Blood sugar levels/ Hba1C/ All investigation reports
416	General Medicine	Medical	Measles	Measles	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG104MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
417	General Medicine	Medical	Opportunistic Infections	Opportunistic Infections	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG105MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ Sr Amylase/ Lipase/ LFT/ USG- abdomen/ Detailed Discharge Summary
418	General Medicine	Medical	Pertussis	Pertussis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG106MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
419	General Medicine	Medical	Primary hypertension	Primary hypertension	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG107MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
420	General Medicine	Medical	Pulmonary Embolism	Pulmonary Embolism	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG108MLA	Clinical notes and ECHO report + CT Chest report	Detailed ICPs/ Detailed Operation notes/ Discharge summary
421	General Medicine	Medical	Radiofrequency Ablation for Trigeminal Neuralgia	Radiofrequency Ablation for Trigeminal Neuralgia	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG109MLA	Clinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ invoice of RF probe
422	General Medicine	Medical	Scrub Typhus	Scrub typhus complicated	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG110MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
423	General Medicine	Medical	Scrub Typhus	Scrub typhus	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG110MLB	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
424	General Medicine	Medical	Subarachnoid Haemorrhage	Subarachnoid Haemorrhage	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG111MLA	CT brain plain/ Clinical notes detailing history / Admission notes showing vitals and examination findings/ planned line of management	Repeat CT brain plain / CT angiography brain/ Detailed ICPs/ Treatment details/ detailed discharge summary
425	General Medicine	Medical	Typhoid fever	Typhoid fever	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG112MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
426	General Medicine	Medical	Typhoid fever	Typhoid fever with complications	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG112MLB	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
427	General Medicine	Medical	Unspecified Medical Management Package	Unspecified Medical Management Package	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG113MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
428	General Medicine	Medical	Unspecified Viral Hepatitis	Unspecified Viral Hepatitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG114MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	LFT/USG - Whole Abdomen/ Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
429	General Medicine	Medical	Upper respiratory tract infection	Upper respiratory tract infection	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG115MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
430	General Medicine	Medical	Viral and other specified intestinal infections	Viral and other specified intestinal infections	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG116MLA	Clinical notes and USG Abd/ CT/MRI /Endoscopic Ultrasound - any one test confirming the diagnosis.	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
431	General Medicine	Medical	Viral Fever	Viral Fever	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG117MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
432	General Medicine	Medical	Viral Meningitis	Viral Meningitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG118MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
433	General Medicine	Medical	Stroke Syndrome	Stroke Syndrome	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG119MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
434	General Medicine	Medical	Fibreoptic bronchoscopy (FOB)	Bronchoscopy	0.00	NA	Foreign body removal/ Video Bronchoscopy	2700/ 9400	Not applicable	MG121A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report (if done)
435	General Medicine	Medical	Febrile Seizures/ Other Seizures	Neurocysticercosis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP001C	Clinical notes detailing history and Admission notes showing vitals/ planned line management/ 1st seizure or past history	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
436	General Medicine	Medical	Epileptic Encephalopathy	Epileptic Encephalopathy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP002A	Clinical notes detailing history and Admission notes showing vitals/ planned line management/ past h/o epilpesy	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
437	General Medicine	Medical	Medical Management of Meningo Encephalitis	Medical Management of Meningo Encephalitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
438	General Medicine	Medical	Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abscess	Febrile encephalopathy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005C	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
439	General Medicine	Medical	Encephalopathy	Metabolic	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005E	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
440	General Medicine	Medical	Encephalopathy	Hepatic	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005F	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
441	General Medicine	Medical	Meningitis	Chronic meningitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006A	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
442	General Medicine	Medical	Meningitis	Partially treated pyogenic meningitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006B	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
443	General Medicine	Medical	Meningitis	Neuro tuberculosis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006C	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
444	General Medicine	Medical	Meningitis	Complicated bacterial meningitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006D	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
445	General Medicine	Medical	Meningitis	Acute meningitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006E	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
446	General Medicine	Medical	Optic Neuritis	Optic Neuritis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP007A	Clinical notes detailing history and Admission notes showing vitals and fundus findings & photograph/ planned line management/	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
447	General Medicine	Medical	Intracranial Space Occupying Lesion	Intracranial Space Occupying Lesion	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP010A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
448	General Medicine	Medical	Cerebral Herniation	Cerebral Herniation	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP012A	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
449	General Medicine	Medical	Acute demyelinating myelopathy	Acute demyelinating myelopathy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP014A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
450	General Medicine	Medical	Acute ischemic stroke	Acute ischemic stroke	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP017A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
451	General Medicine	Medical	Acute urticaria / Anaphylaxis acute asthma	Acute Urticaria	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP020A	Clinical notes detailing history / Admission notes showing vitals/ planned line management/ specify the trigger	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
452	General Medicine	Medical	Acute urticaria / Anaphylaxis acute asthma	Anaphylaxis acute asthma	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP020B	Clinical notes detailing history and Admission notes showing vitals/ planned line management/ specify the trigger	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
453	General Medicine	Medical	Celiac Disease	Celiac Disease	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP022A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
454	General Medicine	Medical	Unexplained Hepatosplenomegaly	Unexplained Hepatosplenomegaly	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP023A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
455	General Medicine	Medical	Acute Glomerulonephritis	Acute Glomerulonephritis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP025A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
456	General Medicine	Medical	Nephrotic Syndrome with Peritonitis	Nephrotic Syndrome with Peritonitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP026A	Clinical notes detailing history including past history/ examination findindgs/ investigations done and Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
457	General Medicine	Medical	NEPHROTIC SYNDROME	Steroid dependent or resistent	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP026B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
458	General Medicine	Medical	Haemolytic Uremic Syndrome	Haemolytic Uremic Syndrome	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP027A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
459	General Medicine	Medical	Rheumatoid Arthritis	Rheumatoid Arthritis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP038A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
460	General Medicine	Medical	Rheumatic Fever	Rheumatic Fever	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP039A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
461	General Medicine	Medical	Rheumatic fever	Rheumatic valvular heart disease	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP039B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
462	General Medicine	Medical	Idiopathic Thrombocytopenic Purpura	Idiopathic Thrombocytopenic Purpura	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP042A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
463	General Medicine	Medical	Ketogenic diet initiation in refractory epilepsy	Ketogenic diet initiation in refractory epilepsy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP046A	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
464	General Medicine	Medical	NEPHROTIC SYNDROME	Uncomplicated steroid sensitive	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP050A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
464	General Medicine	Medical	Diagnostics/Investigations	Diagnostics/Investigations - Public	0.00	NA	-	-	-	MG777MLA	Clinical Notes	Treatment details / detailed discharge summary/ Investigations reports.
465	General Medicine	Medical	Diagnostics/Investigations	Diagnostics/Investigations - Private	0.00	NA	-	-	-	MG888MLA	Clinical Notes	Treatment details / detailed discharge summary/ Investigations reports.
466	General Medicine	Medical	High-end Drugs	High-end Drugs	0.00	NA	-	-	-	MG999MLA	Clinical Notes	Treatment details / detailed discharge summary/ Investigations reports.
467	General Medicine	Medical	Paralysis	Paralysis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG120MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
468	General Medicine	Medical	Acute tonsilitis	Acute tonsilitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG121MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
469	General Medicine	Medical	Orchitis	Orchitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG122MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
470	General Medicine	Medical	Tuberculosis	MDR Tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG123MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
471	General Medicine	Medical	Tuberculosis	Pulmonary Tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG123MLB	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
472	General Medicine	Medical	Tuberculosis	Extrapulmonary Tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG123MLC	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
473	General Medicine	Medical	Bronchiolitis	Bronchiolitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG124MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
474	General Medicine	Medical	Cellulitis	Cellulitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG125MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
475	General Surgery	Surgical	Laceration	Dressing Under LA	1,200.00	D	Not applicable	Not applicable	Not applicable	ER001B	Clinical notes with planned line of treatment	Clinical notes with treatment details/ reports of any investigation done
476	General Surgery	Medical	Pericardiocentesis	Pericardiocentesis	16,700.00	1	Not applicable	Not applicable	Not applicable	MC019A	Clinical notes and ECHO report justifying need of procedure	procedure note/ post procedure ECHO report/ Analysis of fluid removed/ Detailed discharge summary
477	General Surgery	Medical	Intercostal drainage	Intercostal drainage	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG096A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
478	General Surgery	Surgical	Dupytrens contracture release	Dupytrens contracture release	16,200.00	3	Not applicable	Not applicable	Not applicable	SB051A	Clinical notes and clinical photograph of affected part confirming the diagnosis	Detailed discharge summary/ detailed Procedure / Operative Notes.
479	General Surgery	Surgical	Excision of Bursa	Excision of Bursa	8,800.00	D	Not applicable	Not applicable	Not applicable	SB065A	Clinical notes detailing findings confirming the diagnosis	Treatment details/ detailed Procedure / Operative Notes.
480	General Surgery	Surgical	Glossectomy	Hemi Glossectomy	77,700.00	6	Not applicable	Not applicable	Not applicable	SC001A	Clinical notes with planned line of treatment and FNAC/ BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
481	General Surgery	Surgical	Glossectomy	Total Glossectomy	88,000.00	11	Not applicable	Not applicable	Not applicable	SC001B	Clinical notes with planned line of treatment and FNAC/ BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
482	General Surgery	Surgical	Cholecystectomy	Radical	95,600.00	6	Not applicable	Not applicable	Not applicable	SC016A	Clinical notes and CECT/MRI reports	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
483	General Surgery	Surgical	Cholecystectomy	Revision	95,600.00	6	Not applicable	Not applicable	Not applicable	SC016B	Clinical notes and CECT/MRI reports	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
484	General Surgery	Surgical	Laryngectomy	Partial laryngectomy (voice preserving)	104,000.00	6	Not applicable	Not applicable	Not applicable	SC040A	Clinical notes and Biopsy/CECT film and report	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
485	General Surgery	Surgical	Laryngectomy	Total Laryngectomy	103,500.00	11	Not applicable	Not applicable	Not applicable	SC040B	Clinical notes and Biopsy/CECT film and report	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
486	General Surgery	Surgical	Comprehensive Neck Dissection	Comprehensive Neck Dissection	36,900.00	8	Not applicable	Not applicable	Not applicable	SC065A	Clinical notes/ USG/ CT neck and Biopsy/FNAC	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
487	General Surgery	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
488	General Surgery	Surgical	Oesophagectomy	Oesophagectomy	137,500.00	5	Not applicable	Not applicable	Not applicable	SG001A	Clinical notes and USG/CT/MRI/ Biopsy report confirming the diagnosis for which the surgery is done	Histopath report/ detailed discharge summary/ Detailed Operative notes
489	General Surgery	Surgical	Operations for Replacement of Oesophagus by Colon	Operations for Replacement of Oesophagus by Colon	67,300.00	10	Not applicable	Not applicable	Not applicable	SG002A	Clinical notes and X-ray/ CT/MRI/ UGIE findings confirming the diagnosis for which the surgery is done/ Biospy/	Picture of removed esophagus/ Detailed discharge summary/ Detailed Operative notes
490	General Surgery	Surgical	Gastrectomy	Bleeding Ulcer - Partial Gastrectomy without Vagotomy	70,500.00	5	Not applicable	Not applicable	Not applicable	SG003A	Clinical notes/ UGI Endoscopy confirming the diagnosis	Histopathology report/ Detailed Operative notes & detailed discharge summary.
491	General Surgery	Surgical	Gastrectomy	Bleeding Ulcer - Partial Gastrectomy with Vagotomy	70,500.00	5	Not applicable	Not applicable	Not applicable	SG003B	Clinical notes/ UGI Endoscopy confirming the diagnosis	Histopathology report/ Detailed Operative notes & detailed discharge summary.
492	General Surgery	Surgical	Gastrectomy	Partial Gastrectomy for carcinoma	70,500.00	5	Not applicable	Not applicable	Not applicable	SG003C	Clinical notes and Biopsy + Endoscopy/ CT Scan confirming the diagnosis	Histopathology report/ Detailed Operative notes & detailed discharge summary.
493	General Surgery	Surgical	Gastrectomy	Subtotal Gastrectomy for Carcinoma	89,400.00	3	Not applicable	Not applicable	Not applicable	SG003D	Clinical notes and Biopsy + Endoscopy/ CT Scan confirming the diagnosis	Histopathology report/receipt/ Detailed Operative notes & detailed discharge summary.
494	General Surgery	Surgical	Gastrectomy	Total Gastrectomy - Lap.	89,400.00	5	Not applicable	Not applicable	Not applicable	SG003E	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Histopathology report/ Detailed Operative notes & detailed discharge summary.
495	General Surgery	Surgical	Gastrectomy	Total Gastrectomy - Open	89,400.00	5	Not applicable	Not applicable	Not applicable	SG003F	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Histopathology report/ Detailed Operative notes & detailed discharge summary.
496	General Surgery	Surgical	Operative Gastrostomy	Operative Gastrostomy	27,100.00	5	Not applicable	Not applicable	Not applicable	SG004A	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Histopathology report/ Detailed Operative notes & detailed discharge summary.
497	General Surgery	Surgical	Vagotomy	G J Vagotomy	35,400.00	5	Not applicable	Not applicable	Not applicable	SG005A	Clinical notes and Endoscopy report with confirming the diagnosis for which this surgery is done	Endoscopic Photograph/ Histopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
498	General Surgery	Surgical	Vagotomy	Vagotomy + Pyloroplasty	35,400.00	5	Not applicable	Not applicable	Not applicable	SG005B	Clinical notes and Endoscopy report with confirming the diagnosis for which this surgery is done	Endoscopic Photograph/ Histopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
499	General Surgery	Surgical	Operation for Bleeding Peptic Ulcer	Operation for Bleeding Peptic Ulcer	29,900.00	5	Not applicable	Not applicable	Not applicable	SG006A	Clinical notes and Endoscopy confirming the diagnosis/	Endoscopic Photograph/ Histopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
500	General Surgery	Surgical	Operation for Gastric / Duodenal Perforation	Gastric Perforation	31,600.00	6	Not applicable	Not applicable	Not applicable	SG007A	Clinical notes and X Ray Erect/USG/ CT Abdomen confirming the diagnosis/ FIR/MLC in case of traumatic aetiology	Histopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
501	General Surgery	Surgical	Operation for Gastric / Duodenal Perforation	Duodenal Perforation	31,600.00	6	Not applicable	Not applicable	Not applicable	SG007B	Clinical notes and X Ray Erect/USG/ CT Abdomen confirming the diagnosis/ FIR/MLC in case of traumatic aetiology	Histopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
502	General Surgery	Surgical	Pyloroplasty	Pyloroplasty	35,200.00	5	Not applicable	Not applicable	Not applicable	SG008A	Clinical notes and Endoscopy confirming the diagnosis for which the surgery is done	Detailed discharge summary/ Detailed Operative notes
503	General Surgery	Surgical	Pyloromyotomy	Pyloromyotomy	41,300.00	5	Not applicable	Not applicable	Not applicable	SG009A	Clinical notes and Endoscopy report confirming the diagnosis of nfantile hypertrophic pyloric stenosis	Detailed discharge summary/ Detailed Operative notes
504	General Surgery	Surgical	Subtotal Colectomy	Open	38,400.00	4	Not applicable	Not applicable	Not applicable	SG0106A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
505	General Surgery	Surgical	Subtotal Colectomy	Lap	38,400.00	4	Not applicable	Not applicable	Not applicable	SG0106B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
506	General Surgery	Surgical	Operation for Hydrocele	Operation for Hydrocele	16,500.00	4	Not applicable	Not applicable	Not applicable	SG0107A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
507	General Surgery	Surgical	Gastrojejunostomy	Gastrojejunostomy	33,000.00	5	Not applicable	Not applicable	Not applicable	SG010A	Clinical notes and Endoscopy report OR Biopsy OR CT Scan confirming the diagnosis for which this surgery is done	Detailed Operative notes/ detailed discharge summary
508	General Surgery	Surgical	Neurofibroma Excision under LA	Neurofibroma Excision under LA	2,200.00	D	Not applicable	Not applicable	Not applicable	SG0114A	Clinical notes detailing history/ vitals and examination findings / any investigations done/ planned line of management	Treatment details/ All investigations reports.
509	General Surgery	Surgical	Ingrowing Toe Nail	Ingrowing Toe Nail	2,200.00	D	Not applicable	Not applicable	Not applicable	SG0115A	Clinical notes detailing history/ vitals and examination findings / any investigations done/ planned line of management	Treatment details/ All investigations reports.
510	General Surgery	Surgical	Replacement Surgery For Corrosive Injury Stomach	Replacement Surgery For Corrosive Injury Stomach	55,000.00	4	Not applicable	Not applicable	Not applicable	SG0117A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
511	General Surgery	Surgical	Choledochoduodenostomy Or Choledocho Jejunostomy	Choledochoduodenostomy Or Choledocho Jejunostomy	38,500.00	4	Not applicable	Not applicable	Not applicable	SG0118A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
512	General Surgery	Surgical	Hepatico Jejunostomy for biliary stricture	Hepatico Jejunostomy for biliary stricture	49,500.00	4	Not applicable	Not applicable	Not applicable	SG0119A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
513	General Surgery	Surgical	CystoJejunostomy / Cystogastrostomy	CystoJejunostomy - Open	32,200.00	6	Not applicable	Not applicable	Not applicable	SG011A	Clinical notes and USG / CT confirming the diagnosis for which procedure is needed	Detailed discharge summary/ Detailed Operative notes
514	General Surgery	Surgical	CystoJejunostomy / Cystogastrostomy	CystoJejunostomy - Lap.	32,200.00	6	Not applicable	Not applicable	Not applicable	SG011B	Clinical notes and USG / CT confirming the diagnosis for which procedure is needed	Detailed discharge summary/ Detailed Operative notes
515	General Surgery	Surgical	CystoJejunostomy / Cystogastrostomy	Cystogastrostomy - Open	32,200.00	6	Not applicable	Not applicable	Not applicable	SG011C	Clinical notes and USG / CT confirming the diagnosis for which procedure is needed	Detailed discharge summary/ Detailed Operative notes
516	General Surgery	Surgical	CystoJejunostomy / Cystogastrostomy	Cystogastrostomy - Lap.	32,200.00	6	Not applicable	Not applicable	Not applicable	SG011D	Clinical notes and USG / CT confirming the diagnosis for which procedure is needed	Detailed discharge summary/ Detailed Operative notes
517	General Surgery	Surgical	I Stage- Sub Total Colectomy + Ileostomy + J - Pouch	I Stage- Sub Total Colectomy + Ileostomy + J - Pouch	88,000.00	4	Not applicable	Not applicable	Not applicable	SG0120A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
518	General Surgery	Surgical	Distal Pancreatectomy + Splenectomy	Distal Pancreatectomy + Splenectomy	66,000.00	4	Not applicable	Not applicable	Not applicable	SG0122A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
519	General Surgery	Surgical	I Stage-Sub Total Colectomy + Ileostomy	I Stage-Sub Total Colectomy + Ileostomy	44,000.00	4	Not applicable	Not applicable	Not applicable	SG0124A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
520	General Surgery	Surgical	Feeding Jejunostomy	Feeding Jejunostomy	24,600.00	6	Not applicable	Not applicable	Not applicable	SG012A	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Detailed discharge summary/ Detailed Operative notes
521	General Surgery	Surgical	Ileostomy	Ileostomy	28,000.00	6	Not applicable	Not applicable	Not applicable	SG013A	Clinical notes and Endoscopy / Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Histopath report/ Detailed Operative notes/ detailed discharge summary
522	General Surgery	Surgical	Congenital atresia & stenosis of small intestine	Congenital atresia & stenosis of small intestine	41,300.00	6	Not applicable	Not applicable	Not applicable	SG014A	Clinical notes and X ray/ CT/MRI Abd confirming the diagnosis	Detailed Operative notes/ Detailed discharge summary
523	General Surgery	Surgical	Operation for Duplication of Intestine	Operation for Duplication of Intestine	28,300.00	7	Not applicable	Not applicable	Not applicable	SG015A	Clinical notes and USG Abd/ CT/MRI /Endoscopic Ultrasound - any one test confirming the diagnosis.	USG/ Detailed Operative notes/ Detailed discharge summary/ histopath report of removed part.
524	General Surgery	Surgical	Diverticulectomy	Excision Duodenal Diverticulum	25,200.00	5	Not applicable	Not applicable	Not applicable	SG016A	Clinical notes and CT Scan/Endoscopy/Double balloon enteroscopy confirming the diagnosis	Detailed Operative notes/ Detailed discharge summary
525	General Surgery	Surgical	Diverticulectomy	Excision Meckel's Diverticulum	25,200.00	3	Not applicable	Not applicable	Not applicable	SG016B	Clinical notes and USG/CT/MRI report confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
526	General Surgery	Surgical	Appendicectomy	Open	21,700.00	3	Not applicable	Not applicable	Not applicable	SG017A	Clinical notes and USG confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
527	General Surgery	Surgical	Appendicectomy	Laparoscopic	21,700.00	3	Not applicable	Not applicable	Not applicable	SG017B	Admission Notes comprising of history and examination findings with indications for the procedure / Investigations (establishing diagnosis)	Detailed Operative notes/ Investigation confirming the diagnosis (USG abd/ Barium follow through/CT-scan/Histopath)/ detailed discharge summary
528	General Surgery	Surgical	Appendicular Perforation	Appendicular Perforation	22,000.00	5	Not applicable	Not applicable	Not applicable	SG018A	Clinical notes and X Ray Abdomen Erect/USG confirming the diagnosis	Histopath report/ Detailed Operative notes/ detailed discharge summary
529	General Surgery	Surgical	Appendicular Abscess - Drainage	Appendicular Abscess - Drainage	16,500.00	3	Not applicable	Not applicable	Not applicable	SG019A	Clinical notes/ USG/ CT Scan confirming the diagnosis	Detailed Operative notes & discharge summary.
530	General Surgery	Surgical	Colectomy	Total Colectomy - Open	53,100.00	6	Not applicable	Not applicable	Not applicable	SG020A	Clinical notes and CT Scan/ Colonoscopy confirming the diagnosis and need of surgery/Biopsy of the lesion	Histopath report/ Detailed Operative notes/ detailed discharge summary
531	General Surgery	Surgical	Colectomy	Total Colectomy - Lap.	53,100.00	6	Not applicable	Not applicable	Not applicable	SG020B	Clinical notes and CT Scan/ Colonoscopy confirming the diagnosis and need of surgery/Biopsy of the lesion	Histopath report/ Detailed Operative notes/ detailed discharge summary
532	General Surgery	Surgical	Colectomy	Right hemicolectomy - Open	38,800.00	3	Not applicable	Not applicable	Not applicable	SG020C	Clinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done/Biopsy	Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
533	General Surgery	Surgical	Colectomy	Right hemicolectomy - Lap.	38,800.00	3	Not applicable	Not applicable	Not applicable	SG020D	Clinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done/Biopsy	Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
534	General Surgery	Surgical	Colectomy	Left hemicolectomy - Open	38,800.00	3	Not applicable	Not applicable	Not applicable	SG020E	Clinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done/Biopsy	Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
535	General Surgery	Surgical	Colectomy	Left hemicolectomy - Lap.	38,800.00	3	Not applicable	Not applicable	Not applicable	SG020F	Clinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done/Biopsy	Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
536	General Surgery	Surgical	Operative Management of Volvulus of Large Bowel	Operative Management of Volvulus of Large Bowel	48,300.00	6	Not applicable	Not applicable	Not applicable	SG022A	Clinical notes and X Ray Abdomen / CT Contrast confirming the diagnosis/	Detailed discharge summary/ X Ray Abdomen/ Detailed Operative notes.
537	General Surgery	Surgical	Closure of colostomy	Closure of colostomy	24,600.00	3	Not applicable	Not applicable	Not applicable	SG023A	Clinical notes and CT/ MRI/ Colonoscopy evidence of need of surgery.	Detailed Operative notes & detailed surgery notes.
538	General Surgery	Surgical	Closure of stoma	Closure of stoma	18,400.00	3	Not applicable	Not applicable	Not applicable	SG024A	Clinical notes detailing why colostomy was done	Detailed Operative notes & detailed surgery notes.
539	General Surgery	Surgical	Sigmoid Resection	Sigmoid Resection	23,700.00	4	Not applicable	Not applicable	Not applicable	SG025A	Clinical notes and Barium X-rays / CT scan/ sigmoidoscopy/ confirming the diagnosis	Histopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
540	General Surgery	Surgical	Procedure for rectal prolapse	Perineal - Open	22,400.00	4	Not applicable	Not applicable	Not applicable	SG026A	Clinical notes +/- Colonoscopy / CT confirming the diagnosis/	Detailed Operative notes/ detailed discharge summary
541	General Surgery	Surgical	Procedure for rectal prolapse	Abdominal - Open	22,400.00	4	Not applicable	Not applicable	Not applicable	SG026B	Clinical notes +/- Colonoscopy confirming the diagnosis of prolapse	Detailed Operative notes/ Detailed discharge summary
542	General Surgery	Surgical	Procedure for rectal prolapse	Abdominal - Lap.	22,400.00	4	Not applicable	Not applicable	Not applicable	SG026C	Clinical notes +/- Colonoscopy confirming the diagnosis of prolapse	Detailed Operative notes/ Detailed discharge summary
543	General Surgery	Surgical	Rectal Polyp Excision	Rectal Polyp Excision	10,500.00	1	Not applicable	Not applicable	Not applicable	SG028A	Clinical notes and Colonoscopy +/- Biopsy justifying surgery/	Histopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
544	General Surgery	Surgical	Anterior Resection of rectum	Open	55,000.00	3	Not applicable	Not applicable	Not applicable	SG029A	Clinical notes/ Biopsy/Colonoscopy	Histopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
545	General Surgery	Surgical	Anterior Resection of rectum	Lap.	55,000.00	3	Not applicable	Not applicable	Not applicable	SG029B	Clinical notes/ Biopsy/Colonoscopy	Histopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
546	General Surgery	Surgical	Resection Anastomosis	Open	36,400.00	7	Not applicable	Not applicable	Not applicable	SG030A	Clinical notes and X Ray Abdomen Erect/USG / CT confirming the diagnosis	Histopath report of resected part/detailed discharge summary and Detailed Operative notes
547	General Surgery	Surgical	Resection Anastomosis	Lap	36,400.00	7	Not applicable	Not applicable	Not applicable	SG030B	Clinical notes and X Ray Abdomen Erect/USG / CT confirming the diagnosis	Histopath report of resected part/detailed discharge summary and Detailed Operative notes
548	General Surgery	Surgical	Procedure for Fissure in Ano	Procedure for Fissure in Ano	13,800.00	1	Not applicable	Not applicable	Not applicable	SG031A	Clinical notes and proctoscopic findings confirming the diagnosis for which this surgery is done/	Detailed Operative notes/ detailed discharge summary
549	General Surgery	Surgical	Haemorroidectomy	without Stapler	18,800.00	1	Not applicable	Not applicable	Not applicable	SG032A	Clinical notes and proctoscopy notes confirming the diagnosis	Detailed Operative notes/ detailed discharge summary
550	General Surgery	Surgical	Haemorroidectomy	with Stapler	18,800.00	1	Not applicable	Not applicable	Haemorroid Stapler - 18700	SG032B	Clinical notes and proctoscopy notes confirming the diagnosis	Detailed Operative notes/ detailed discharge summary
551	General Surgery	Surgical	Excision of Pilonidal Sinus	Excision of Pilonidal Sinus	16,900.00	1	Local Anesthesia/ General Anesthesia	None/ "+" 9400	Not applicable	SG033A	Clinical notes and confirmation of Pilonidal sinus on examination	Histopath report/receipt of resected part/detailed discharge summary and Detailed Operative notes
552	General Surgery	Surgical	Excision of Siniuds and Curetage	Excision of Siniuds and Curetage	14,900.00	3	Not applicable	Not applicable	Not applicable	SG034A	Clinical notes and some imaging to show tract of sinus/ confirming the diagnosis	Detailed Operative notes/ detailed discharge summary. +/- Histopath of surreted material
553	General Surgery	Surgical	Exploratory Laparotomy	Exploratory Laparotomy	12,500.00	5	Not applicable	Not applicable	Not applicable	SG035A	Clinical notes detailing original pathology that led to peritonitis/ supported by X Ray/USG/CT Scan Abdomen	Analysis of fluid removed/ Indoor case papers (ICPs)/ Detailed discharge summary/ Detailed Operative notes
554	General Surgery	Surgical	Closure of Burst Abdomen	Closure of Burst Abdomen	27,100.00	6	Not applicable	Not applicable	Not applicable	SG036A	Clinical notes describing the original surgery that led to burst abdomen and X Ray/USG/ CT Abdomen confirming the diagnosis for which the surgery is done	Detailed Operative notes/ detailed discharge summary
555	General Surgery	Surgical	Hepatic Resection	Open	47,400.00	7	Not applicable	Not applicable	Not applicable	SG037A	Clinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery.	Histopath report/ detailed discharge summary and Detailed Operative notes
556	General Surgery	Surgical	Hepatic Resection	Lap.	47,400.00	7	Not applicable	Not applicable	Not applicable	SG037B	Clinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery.	Histopath report/ detailed discharge summary and Detailed Operative notes
557	General Surgery	Surgical	Abdominal Hydatid Cyst (Single Organ)	Abdominal Hydatid Cyst (Single Organ)	49,500.00	10	Not applicable	Not applicable	Not applicable	SG038A	Clinical notes and USG/CT/MRI report confirming the diagnosis.	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
558	General Surgery	Surgical	Cholecystectomy	Without Exploration of CBD - Open	36,800.00	4	Not applicable	Not applicable	Not applicable	SG039A	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
559	General Surgery	Surgical	Cholecystectomy	With Exploration of CBD - Open	36,800.00	6	Not applicable	Not applicable	Not applicable	SG039B	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
560	General Surgery	Surgical	Cholecystectomy	Without Exploration of CBD - Lap.	36,800.00	3	Not applicable	Not applicable	Not applicable	SG039C	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
561	General Surgery	Surgical	Cholecystectomy	With Exploration of CBD - Lap.	36,800.00	3	Not applicable	Not applicable	Not applicable	SG039D	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
562	General Surgery	Surgical	Operative Cholecystostomy	Chronic Cholecystitis With Cholelithiasis	14,900.00	3	Not applicable	Not applicable	Not applicable	SG040A	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
563	General Surgery	Surgical	Operative Cholecystostomy	Lap.	14,900.00	3	Not applicable	Not applicable	Not applicable	SG040B	Clinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done/	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
564	General Surgery	Surgical	Operation of Choledochal Cyst	Open	38,000.00	5	Not applicable	Not applicable	Not applicable	SG041A	Clinical notes/ USG/CT Abdomen/MRCP	Detailed ICPs with treatment details/ Detailed discharge summary/ Detailed Operative notes
565	General Surgery	Surgical	Operation of Choledochal Cyst	Laparoscopic	38,000.00	5	Not applicable	Not applicable	Not applicable	SG041MLA	Clinical notes/ USG/CT Abdomen/ MRCP	Detailed ICPs with treatment details/ Detailed discharge summary/ Detailed Operative notes
566	General Surgery	Surgical	Splenectomy	Open	49,500.00	7	Not applicable	Not applicable	Not applicable	SG042A	Clinical notes and USG/CT Scan and Lab investigations confirming the diagnosis and justifying the surgery.	Detailed Operative notes/ histopath/ detailed discharge summary/
567	General Surgery	Surgical	Splenectomy	Laparoscopic	49,500.00	3	Not applicable	Not applicable	Not applicable	SG042B	Clinical notes and USG/CT Scan and Lab investigations confirming the diagnosis and justifying the surgery.	Detailed Operative notes/ histopath report/receipt/ detailed discharge summary/
568	General Surgery	Surgical	Bypass surgery for inoperable CA head pancreas	Bypass surgery for inoperable CA head pancreas	68,800.00	7	Not applicable	Not applicable	Not applicable	SG043A	Clinical and radiological evidence of inoperability (ERCP/MRCP)	Histopathology report/ Detailed Operative notes and discharge summary.
569	General Surgery	Surgical	Distal Pancreatectomy with Pancreatico Jejunostomy	Distal Pancreatectomy with Pancreatico Jejunostomy	79,800.00	7	Not applicable	Not applicable	Not applicable	SG044A	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopathology report/ Detailed Operative notes and discharge summary.
570	General Surgery	Surgical	Pancreaticoduodenectomy (Whipple's)	Pancreaticoduodenectomy (Whipple's)	137,500.00	7	Not applicable	Not applicable	Not applicable	SG045A	Clinical notes and CT/ USG/ ERCP confirming the diagnosis/	Histopathology report/ Detailed Operative notes and discharge summary.
571	General Surgery	Surgical	Porto Caval Anastomosis	Porto Caval Anastomosis	55,000.00	7	Not applicable	Not applicable	Not applicable	SG046A	Clinical notes and USG-doppler /CT/MRI report confirming the diagnosis for which the surgery is done	Detailed discharge summary/ Detailed Operative notes
572	General Surgery	Surgical	Mesenteric Caval Anastomosis	Mesenteric Caval Anastomosis	53,500.00	6	Not applicable	Not applicable	Not applicable	SG047A	Clinical notes and USG/CT/MRI/ Endoscopy report confirming the diagnosis for which the anastomosis is done	Detailed discharge summary/ Detailed Operative notes
573	General Surgery	Surgical	Mesenteric Cyst - Excision	Mesenteric Cyst - Excision	22,000.00	5	Not applicable	Not applicable	Not applicable	SG048A	Clinical notes and USG/CT/MRI report confirming the diagnosis	Histopath/ detailed discharge summary and Detailed Operative notes
574	General Surgery	Surgical	Retroperitoneal Tumor - Excision	Retroperitoneal Tumor - Excision	43,100.00	5	Not applicable	Not applicable	Not applicable	SG049A	Clinical notes and X Ray/USG/CT Abdomen confirming the diagnosis	Histopath report/ detailed discharge summary/ Detailed Operative notes
575	General Surgery	Surgical	Hernia Repair	Inguinal	22,000.00	3	Not applicable	Not applicable	Mesh - 6 X 3 - Polypropylene - 2200	SG050A	Admission Notes comprising of history and examination findings with indications for the procedure / Investigations (establishing diagnosis)	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
576	General Surgery	Surgical	Hernia Repair	Femoral	22,000.00	3	Not applicable	Not applicable	Mesh - 6 X 3 - Polypropylene - 2200	SG050B	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
577	General Surgery	Surgical	Hernia Repair	Obturator	22,000.00	2	Not applicable	Not applicable	Tackers - 16500 Mesh - 15 X 15 - 5500	SG050C	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
578	General Surgery	Surgical	Hernia Repair	Epigastric	22,000.00	5	Not applicable	Not applicable	Mesh - 6 X 3 - Polypropylene - 2200 Mesh - 15 X 15 - 5500	SG050D	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
579	General Surgery	Surgical	Hernia Repair	Umbilical	27,500.00	5	Not applicable	Not applicable	Not applicable	SG050E	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
580	General Surgery	Surgical	Hernia Repair	Paraumbilical	27,500.00	4	Not applicable	Not applicable	Mesh - 15 X 15 - 5500	SG050F	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
581	General Surgery	Surgical	Hernia Repair	Spigelian	27,500.00	4	Not applicable	Not applicable	Mesh - 15 X 15 - 5500	SG050G	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
582	General Surgery	Surgical	Hernia Repair	Incisional	22,400.00	3	Not applicable	Not applicable	Mesh - 30 X 30 - 16500 Mesh - 15 X 15 - 5500	SG050H	Clinical notes including info about previous surgery in whose incision this hernia has occurred and USG (specifying size of defect)	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
583	General Surgery	Surgical	Hernia Repair	Omphalocele 1st Stage	79,800.00	3	Not applicable	Not applicable	Mesh - 30 X 30 - 16500 Mesh - 6 X 3 - Polypropylene - 2200	SG050I	Detailed Clinical notes	Indoor case papers (ICPs) / Detailed operative notes / Detailed discharge summary.
584	General Surgery	Surgical	Hernia Repair	Omphalocele 2nd Stage	71,300.00	3	Not applicable	Not applicable	Mesh - 30 X 30 - 16500 Mesh - 6 X 3 - Polypropylene - 2200	SG050J	Detailed Clinical notes	Indoor case papers (ICPs) / Detailed operative notes / Detailed discharge summary.
585	General Surgery	Surgical	Hiatus Hernia Repair / Fundoplication	Hiatus Hernia Repair - Open	33,700.00	5	Not applicable	Not applicable	Not applicable	SG053A	Clinical notes and X-ray/ USG + UGI Endoscopy	Indoor case papers (ICPs)/ Detailed Operative notes & discharge summary
586	General Surgery	Surgical	Hiatus Hernia Repair / Fundoplication	Hiatus Hernia Repair - Lap.	33,700.00	5	Not applicable	Not applicable	Not applicable	SG053B	Clinical notes and X-ray/ USG + UGI Endoscopy	Indoor case papers (ICPs)/ Detailed Operative notes & discharge summary
587	General Surgery	Surgical	Hiatus Hernia Repair / Fundoplication	Fundoplication - Open	33,700.00	5	Not applicable	Not applicable	Not applicable	SG053C	Clinical notes and X-ray/ USG + UGI Endoscopy	Indoor case papers (ICPs)/ Detailed Operative notes & discharge summary
588	General Surgery	Surgical	Hiatus Hernia Repair / Fundoplication	Fundoplication - Lap.	33,700.00	5	Not applicable	Not applicable	Not applicable	SG053D	Clinical notes and X-ray/ USG + UGI Endoscopy	Indoor case papers (ICPs)/ Detailed Operative notes & discharge summary
589	General Surgery	Surgical	Excision of cyst / Sebaceous Cysts over scrotum	Single Cyst	2,800.00	D	Not applicable	Not applicable	Not applicable	SG054A	Detailed Clinical notes with planned line of treatment	Detailed Operative notes/ Treatment details/ report of any investigations done
590	General Surgery	Surgical	Excision of cyst / Sebaceous Cysts over scrotum	Multiple Cysts	7,700.00	3	Not applicable	Not applicable	Not applicable	SG054B	Detailed Clinical notes	Indoor case papers (ICPs)/ Detailed Operative notes/ detailed discharge summary.
591	General Surgery	Surgical	Excision Filarial Scrotum	Excision Filarial Scrotum	14,900.00	3	Not applicable	Not applicable	Not applicable	SG055A	Clinical notes +/- USG report confirming the diagnosis	Detailed Operative notes/ Detailed discharge summary
592	General Surgery	Surgical	Hydrocele operation	Hydrocele operation	17,300.00	2	Not applicable	Not applicable	Not applicable	SG056A	Clinical notes and +/- Scrotal USG confirming the diagnosis	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
593	General Surgery	Surgical	Epididymal Cyst / Nodule Excision	Epididymal Cyst exision	5,800.00	D	Not applicable	Not applicable	Not applicable	SG057A	Clinical notes and USG report confirming the diagnosis	Treatment details/ detailed Procedure / Operative Notes.
594	General Surgery	Surgical	Epididymal Cyst / Nodule Excision	Epididymal Nodule excision	5,800.00	D	Not applicable	Not applicable	Not applicable	SG057B	Clinical notes and USG report confirming the diagnosis	Treatment details/ detailed Procedure / Operative Notes.
595	General Surgery	Surgical	Vasovasostomy	Vasovasostomy	13,200.00	2	Not applicable	Not applicable	Not applicable	SG058A	Clinical notes detailing need of surgery after vasectomy? Evidence of When and where was vasectomy done? Is the EHCP equipped for microsurgery?	Detailed discharge summary/ Detailed Operative notes. Since this is microsurgery evaluate time taken (2 hours+)
596	General Surgery	Surgical	Orchidectomy	Orchidectomy	12,900.00	2	Not applicable	Not applicable	Not applicable	SG059A	Clinical notes and describing Swelling in scrotum/ USG of scrotum +/- FNAC/ tumour markers (if cancer of prostate/testis/etc is the indication)/ justification of orchidectmy	Histopath (optional)/ Detailed Operative notes/ Detailed discharge summary
597	General Surgery	Surgical	Inguinal node dissection	Inguinal node dissection	24,600.00	3	Not applicable	Not applicable	Not applicable	SG060A	Clinical notes and USG/ Biopsy report confirming the diagnosis for which the surgery is done	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
598	General Surgery	Surgical	Estlander Operation	Estlander Operation	20,400.00	5	Not applicable	Not applicable	Not applicable	SG061A	Clinical notes detailing the original pathology thet has led to this surgery with suporting investigation reports. FIR/MLC in case of traumatic aetiology	Detailed Operative notes/ Detailed discharge summary
599	General Surgery	Surgical	Operation for Carcinoma Lip	Wedge Excision	27,600.00	6	Not applicable	Not applicable	Not applicable	SG062A	Clinical notes and Biopsy report	Histopath report/ Detailed Operative notes/ Detailed discharge summary
600	General Surgery	Surgical	Operation for Carcinoma Lip	Wedge Excision and Vermilionectomy	41,300.00	6	Not applicable	Not applicable	Not applicable	SG062B	Clinical notes and Biopsy report	Histopath report/ Detailed Operative notes/ Detailed discharge summary
601	General Surgery	Surgical	Operation for Carcinoma Lip	Cheek advancement	41,300.00	6	Not applicable	Not applicable	Not applicable	SG062C	Clinical notes and Biopsy report	Histopath report/ Detailed Operative notes/ Detailed discharge summary
602	General Surgery	Surgical	Excision of Growth from Tongue	Tongue only	26,300.00	1	Not applicable	Not applicable	Not applicable	SG063A	Clinical notes confirming the diagnosis/ FNAC if done	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
603	General Surgery	Surgical	Excision of Growth from Tongue	Tongue with Neck Node Dissection	43,100.00	3	Not applicable	Not applicable	Not applicable	SG064A	Clinical notes and USG/CT/MRI report confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
604	General Surgery	Surgical	Microlaryngoscopic Surgery	Microlaryngoscopic Surgery	31,200.00	3	Not applicable	Not applicable	Not applicable	SG065A	Clinical notes and Nasal Endoscopy confirming the diagnosis for which this surgery is done	Post procedure Nasal Endoscopy/ detailed discharge summary/ Detailed Operative notes
605	General Surgery	Surgical	Submandibular Mass - Excision	Submandibular Mass - Excision	27,500.00	5	Not applicable	Not applicable	Not applicable	SG066A	Clinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done +/- Biopsy/FNAC	Histopath report/ Detailed Operative notes/ Detailed discharge summary
606	General Surgery	Surgical	Radical Neck Dissection	Radical Neck Dissection	36,900.00	8	Not applicable	Not applicable	Not applicable	SG067A	Clinical notes and CT Scan/MRI Neck confirming the diagnosis/ Biopsy	Histopath report/ Detailed Operative notes/ Detailed discharge summary
607	General Surgery	Surgical	Radical Neck Dissection	Radical Neck Dissection - Excision	36,900.00	8	Not applicable	Not applicable	Not applicable	SG067B	Clinical notes and CT Scan/MRI Neck confirming the diagnosis/ Biopsy	Histopath report/ Detailed Operative notes/ Detailed discharge summary
608	General Surgery	Surgical	Surgical removal of Branchial Cyst	Surgical removal of Branchial Cyst	22,000.00	2	Not applicable	Not applicable	Not applicable	SG068A	Clinical notes with USG or CT Scan confirming diagnosis	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
609	General Surgery	Surgical	Carotid Body tumour - Excision	Carotid Body tumour - Excision	49,200.00	7	Not applicable	Not applicable	Not applicable	SG069A	Clinical notes and USG Neck/ Colour doppler confirming the diagnosis	Detailed Operative notes/ Histopathology/ Detailed discharge summary
610	General Surgery	Surgical	Thyroidectomy	Hemi thyroidectomy	30,300.00	2	Not applicable	Not applicable	Not applicable	SG070A	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
611	General Surgery	Surgical	Thyroidectomy	Total thyroidectomy	72,500.00	4	Not applicable	Not applicable	Not applicable	SG070B	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
612	General Surgery	Surgical	Thyroidectomy	Total Thyroidectomy with Block Dissection	80,500.00	5	Not applicable	Not applicable	Not applicable	SG070C	Clinical notes and FNAC/ Biopsy/ Thyroid Function Test/USG confirming the diagnosis and need for surgery	Histopath report/ Detailed Operative notes/ Detailed discharge summary
613	General Surgery	Surgical	Excision of Parathyroid Adenoma / Carcinoma	Excision of Parathyroid Adenoma	27,500.00	3	Not applicable	Not applicable	Not applicable	SG071A	Clinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
614	General Surgery	Surgical	Excision of Parathyroid Adenoma / Carcinoma	Excision of Parathyroid Carcinoma	22,400.00	3	Not applicable	Not applicable	Not applicable	SG071B	Clinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
615	General Surgery	Surgical	Thymectomy	Thymectomy	66,000.00	6	Not applicable	Not applicable	Not applicable	SG072A	Clinical notes and Investigation report confirming the need for surgery (CT/MRI)/ Single-fiber electromyography in case of myasthenia gravis	Histopath report/ Detailed Operative notes/ Detailed discharge summary
616	General Surgery	Surgical	Sympathectomy	Sympathectomy	38,500.00	5	Not applicable	Not applicable	Not applicable	SG073A	Clinical notes and supporting Evidence of need of surgery (EMG/Nerve conduction study/ CT/MRI)	Detailed Operative notes/ Detailed discharge summary
617	General Surgery	Surgical	Breast Lump Excision	Breast Lump Excision	16,000.00	1	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SG074A	Clinical notes/ Sono mammogram / Mamography showing breast lump / FNAC report	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
618	General Surgery	Surgical	Mastectomy	Simple	56,800.00	3	Not applicable	Not applicable	Not applicable	SG075A	Clinical notes and Mammography/ Biopsy confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
619	General Surgery	Surgical	Mastectomy	Radical / Modified Radical	56,800.00	4	Not applicable	Not applicable	Not applicable	SG075B	Clinical notes and Mammography/ sono mammograpgy /Biopsy justifying surgery	Histopath/ detailed discharge summary/ Detailed Operative notes
620	General Surgery	Surgical	Excision Mammary Fistula	Excision Mammary Fistula	16,000.00	1	Not applicable	Not applicable	Not applicable	SG076A	Clinical notes and sonomammogram report confirming the diagnosis/	Detailed Operative notes/ Detailed discharge summary
621	General Surgery	Surgical	Intercostal Drainage only	Intercostal Drainage only	6,200.00	1	Not applicable	Not applicable	Not applicable	SG077A	Clinical notes and detailing need of ICD/ Chest X-Ray PA	Analysis report of drained fluid/ Detailed Operative notes/ Detailed discharge summary
622	General Surgery	Surgical	Rib Resection & Drainage	Rib Resection & Drainage	22,000.00	3	Not applicable	Not applicable	Not applicable	SG078A	Clinical notes and X Ray/ CT/ MRI confirming the diagnosis for which the surgery is done	Pus C/S/ Post procedure X Ray/ Detailed Operative notes/ detailed discharge summary
623	General Surgery	Surgical	Thoracoplasty	Thoracoplasty	31,500.00	6	Not applicable	Not applicable	Not applicable	SG079A	Clinical notes and X Ray/ CT/MRI Chest confirming the indication for this surgery	Detailed Operative notes/ Detailed discharge summary
624	General Surgery	Surgical	Decortication	Open	37,000.00	10	Not applicable	Not applicable	Not applicable	SG080A	Clinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done/Biopsy	Histopathology/ Detailed discharge summary and Detailed Operative notes
625	General Surgery	Surgical	Decortication	VATS	37,000.00	10	Not applicable	Not applicable	Not applicable	SG080MLA	Clinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done/Biopsy	Histopathology/ Detailed discharge summary and Detailed Operative notes
626	General Surgery	Surgical	Lobectomy	Thoracoscopic	49,600.00	5	Not applicable	Not applicable	Not applicable	SG081A	Clinical notes and CT Thorax confirming the diagnosis/ Biopsy +/- Cytology	Detailed Operative notes/ histopath/ Detailed discharge summary
627	General Surgery	Surgical	Lobectomy	Open	49,600.00	5	Not applicable	Not applicable	Not applicable	SG081B	Clinical notes and CT Thorax confirming the diagnosis/ Biopsy +/- Cytology	Detailed Operative notes/ histopath/ Detailed discharge summary
628	General Surgery	Surgical	Thoracoscopic Segmental Resection	Thoracoscopic Segmental Resection	70,800.00	5	Not applicable	Not applicable	Not applicable	SG082A	Clinical notes and CT Thorax confirming the diagnosis/ +/- Biopsy report	Detailed Operative notes/ histopath/ Detailed discharge summary
629	General Surgery	Surgical	Lung Hydatid Cyst removal	Lung Hydatid Cyst removal	28,900.00	3	Not applicable	Not applicable	Not applicable	SG083A	Clinical notes and X Ray/ CT/MRI Chest confirming the diagnosis	Detailed Operative notes/ Detailed discharge summary/ Histopathology report/receipt
630	General Surgery	Surgical	Drainage of Abscess	Incision and drainage of abscess	5,500.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SG084A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations (establishing diagnosis)/ planned line of management	C/S report for large abscess/ Detailed Operative notes & Treatment details / detailed discharge summary.
631	General Surgery	Surgical	Lipoma / Cyst / other cutaneous swellings Excision	Lipoma Excision	5,600.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SG085A	Clinical notes comprising of history and examination findings with indications for the procedure/ any investigation (confirming diagnosis).	Histopath (if applicable)/ Detailed Operative notes / treatment details
632	General Surgery	Surgical	Lipoma / Cyst / other cutaneous swellings Excision	Cyst Excision	5,600.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SG085B	Clinical notes comprising of history and examination findings with indications for the procedure/ any investigation (confirming diagnosis).	Histopath (if applicable)/ Detailed Operative notes / treatment details
633	General Surgery	Surgical	Lipoma / Cyst / other cutaneous swellings Excision	Other cutaneous swellings Excision	5,600.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SG085C	Clinical notes comprising of history and examination findings with indications for the procedure/ any investigation (confirming diagnosis).	Histopath (if applicable)/ Detailed Operative notes / treatment details
634	General Surgery	Surgical	Debridement of Ulcer	Debridement of Ulcer	12,500.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SG086A	Clinical notes and planned line of treatment	Detailed Operative notes/ Detailed discharge summary / treatment details
635	General Surgery	Surgical	Flap Reconstructive Surgery	Flap Reconstructive Surgery	43,500.00	4	Not applicable	Not applicable	Not applicable	SG087A	Clinical notes detailing the original pathology that has led to this surgery with suporting investigation reports	Detailed Operative notes/ Detailed discharge summary
636	General Surgery	Surgical	Free Grafts - Wolfe Grafts	Free Grafts - Wolfe Grafts	34,400.00	1	Not applicable	Not applicable	Not applicable	SG088A	Clinical notes detailing original pathology/ with suporting reports	Detailed Operative notes/ Detailed discharge summary
637	General Surgery	Surgical	Tissue Reconstruction Flap	Tissue Reconstruction Flap	38,700.00	5	Not applicable	Not applicable	Not applicable	SG089A	Clinical notes and Clinical photograph of affected part justifying surgery.	Detailed Operative notes/ Detailed discharge summary
638	General Surgery	Surgical	Split thickness skin grafts	Split skin grafts <= 5%	20,700.00	1	Not applicable	Not applicable	Not applicable	SG090A	Clinical notes detailing time of Burns	Detailed Operative notes/ Detailed discharge summary
639	General Surgery	Surgical	Split thickness skin grafts	Split skin grafts 5 - 10%	19,900.00	1	Not applicable	Not applicable	Not applicable	SG090B	Clinical notes detailing time of Burns	Detailed Operative notes/ Detailed discharge summary
640	General Surgery	Surgical	Split thickness skin grafts	Spit skin graft small >= 10 %	22,400.00	1	Not applicable	Not applicable	Not applicable	SG090C	Clinical notes detailing time of Burns	Detailed Operative notes/ Detailed discharge summary
641	General Surgery	Surgical	Skin Flaps - Rotation Flaps	Skin Flaps - Rotation Flaps	31,700.00	2	Not applicable	Not applicable	Not applicable	SG091A	Clinical notes / medical records of previous surgeries and indication of this surgery	Detailed Operative notes/ Detailed discharge summary
642	General Surgery	Surgical	Tendon Transfer	Tendon Transfer	27,500.00	3	Not applicable	Not applicable	Not applicable	SG092A	Clinical notes	Detailed Operative notes/ Detailed discharge summary
643	General Surgery	Surgical	Lymphatics Excision of Subcutaneous Tissues in Lymphoedema	Lymphatics Excision of Subcutaneous Tissues in Lymphoedema	16,500.00	3	Not applicable	Not applicable	Not applicable	SG093A	Clinical notes and detailing history	Histopath (optional)/ Detailed Operative notes/ detailed discharge summary
644	General Surgery	Surgical	AV Fistula Creation	AV Fistula Creation	20,200.00	3	Not applicable	Not applicable	Not applicable	SG094A	Clinical notes detailing need for AV shunt with supporting Evidence of Creatinine/ RFT	Detailed Operative notes/ Detailed discharge summary
645	General Surgery	Surgical	Varicose Veins	Management of Varicose Veins	18,200.00	3	Not applicable	Not applicable	Not applicable	SG095A	Clinical notes and Duplex ultrasonography/ Colour Doppler confirming the diagnosis	Detailed discharge summary/ Detailed Operative notes
646	General Surgery	Surgical	Management of Varicose Veins	Minor sclerotherapy	5,500.00	D	Not applicable	Not applicable	Not applicable	SG095B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details / detailed discharge summary/ All investigations reports.
647	General Surgery	Surgical	Biopsy	Lymph Node	5,500.00	D	Not applicable	Not applicable	Not applicable	SG096A	Clinical notes +/- FNAC report	Histopathology report/ procedure note
648	General Surgery	Surgical	Biopsy	Endometrial Aspiration	3,000.00	D	Not applicable	Not applicable	Not applicable	SG096B	Clinical notes with planned line of treatment	Histopathology report/ procedure note
649	General Surgery	Surgical	Biopsy	Cervix Cancer screening (PAP + Colposcopy)	2,800.00	D	Not applicable	Not applicable	Not applicable	SG096C	Clinical notes with planned line of treatment	Histopathology report/ procedure note
650	General Surgery	Surgical	Biopsy	Cervical	1,700.00	D	Not applicable	Not applicable	Not applicable	SG096D	Clinical notes with planned line of treatment	Histopathology report/ procedure note
651	General Surgery	Surgical	Biopsy	Vulval	2,800.00	D	Not applicable	Not applicable	Not applicable	SG096E	Clinical notes with planned line of treatment	Histopathology report/ procedure note
652	General Surgery	Medical	Stoma Management	Stoma Management follow up of Ileostomy	6,100.00	NA	Not applicable	Not applicable	Not applicable	SG097A	Earlier discharge summary/ Clinical Notes	Invoice / Receipt of drugs and consumables
653	General Surgery	Medical	Stoma Management	Stoma Management follow up of Colostomy	6,100.00	NA	Not applicable	Not applicable	Not applicable	SG097B	Earlier discharge summary/ Clinical Notes	Invoice / Receipt of drugs and consumables
654	General Surgery	Surgical	Foreign body removal	Foreign body removal	10,200.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 3300	Not applicable	SG098A	Clinical notes and X-ray/ USG report of the affected part confirming the diagnosis	Detailed Operative notes/ detailed discharge summary / Treatment details and relevant imaging study for comparison
655	General Surgery	Surgical	Necrotising fasciitis / Fournier Gangrene	Necrotising fasciitis / Fournier Gangrene	15,500.00	3	Not applicable	Not applicable	Not applicable	SG099A	Clinical notes detailing findings confirming the diagnosis	Detailed discharge summary/ detailed Procedure / Operative Notes.
656	General Surgery	Surgical	Fournier Gangrene	Fournier Gangrene	11,000.00	1	Not applicable	Not applicable	Not applicable	SG099B	Clinical notes detailing findings confirming the diagnosis	Detailed discharge summary/ detailed Procedure / Operative Notes.
657	General Surgery	Surgical	Surgical management of Lower GI bleed (inclusive of sigmoidoscopy / colonoscopy) - excluding local perineal conditions	Surgical management of Lower GI bleed (inclusive of sigmoidoscopy / colonoscopy) - excluding local perineal conditions	27,500.00	7	Not applicable	Not applicable	Not applicable	SG100A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports & Colonoscopy report
658	General Surgery	Surgical	Caecopexy	Caecopexy	33,000.00	3	Not applicable	Not applicable	Not applicable	SG101A	Admission Notes comprising of history and examination with indications for the procedure/Relavant Investigations (establishing diagnosis)/ X-Ray Showing obstruction	Detailed Procedure / Operative Notes/ Barcode of mesh used/ progress notes/ Detailed discharge summary
659	General Surgery	Surgical	Repair of renal artery stenosis	Repair of renal artery stenosis	83,600.00	7	Not applicable	Not applicable	Not applicable	SG102A	Admission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)/ CT Angio	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ CT angio
660	General Surgery	Surgical	Endoscopic Retrograde Cholangiopancreatography (ERCP)	Endoscopic Retrograde Cholangiopancreatography (ERCP)	27,500.00	3	Not applicable	Not applicable	ERCP stent - Plastic - 8800 ERCP stent - Metal - 44000	SG103A	Admission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ ERCP photograph
661	General Surgery	Surgical	Endoscopic Retrograde Cholangiopancreatography (ERCP)	Basket Stoneworm Extraction	26,300.00	3	Not applicable	Not applicable	Not applicable	SG103MLA	Admission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ ERCP photograph
662	General Surgery	Surgical	Endoscopic Retrograde Cholangiopancreatography (ERCP)	Sphincterotomy	26,300.00	3	Not applicable	Not applicable	Not applicable	SG103MLB	Admission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ ERCP photograph
663	General Surgery	Surgical	Endoscopic Retrograde Cholangiopancreatography (ERCP)	Balloon Sweep	32,600.00	3	Not applicable	Not applicable	Not applicable	SG103MLC	Admission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ ERCP photograph
664	General Surgery	Surgical	Circumcision	Circumcision - Phimosis / Paraphimosis or any other clinical condition	22,000.00	D	Not applicable	Not applicable	Not applicable	SG104A	Clinical notes detailing history /Admission notes showing vitals/ examination and clinical findings/any investigations done	Operative note/ Treatment details/detailed discharge summary/ All investigations reports
665	General Surgery	Surgical	Percutaneous Transhepatic Biliary Drainage (PTBD)	Percutaneous Transhepatic Biliary Drainage (PTBD)	22,200.00	NA	Not applicable	Not applicable	For PTBD - 33000	SG105A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports
666	General Surgery	Surgical	Accidental injury with lacerated wound	Accidental injury with lacerated wound	6,900.00	D	Not applicable	Not applicable	Not applicable	SG106MLA	Clinical note/ Clinical Photograph/ Xray	Clinical Photograph / Xray / treatment details / Detailed discharge summary
667	General Surgery	Surgical	Achalasia Cardia Abdominal, Per Oral Endoscopic Myotomy (Poem)	Achalasia Cardia Abdominal, Per Oral Endoscopic Myotomy (Poem)	10,900.00	3	Not applicable	Not applicable	Not applicable	SG107MLA	Clinical note with Barium Study / CT SCAN	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports
668	General Surgery	Surgical	Amputation of Penis	Partial	18,000.00	3	Not applicable	Not applicable	Not applicable	SG108MLA	Clinical notes detailing findings confirming the diagnosis	Detailed ICPs/ Treatment details/ Detailed discharge summary/ detailed Procedure / Operative Notes.
669	General Surgery	Surgical	Amputation of Penis	Total	29,100.00	3	Not applicable	Not applicable	Not applicable	SG108MLB	Clinical notes detailing findings confirming the diagnosis	Detailed ICPs/ Treatment details/ Detailed discharge summary/ detailed Procedure / Operative Notes.
670	General Surgery	Surgical	Anal Dilatation	Anal Dilatation	10,000.00	3	Not applicable	Not applicable	Not applicable	SG109MLA	Admission Notes comprising of history and examination with indications for the procedure/Relavant Investigations (establishing diagnosis)/ (USG Abdomen)- optional	Detailed Procedure / Operative Notes/ Histopathology of curetted material (optional)/ Progress notes/ Detailed discharge summary
671	General Surgery	Surgical	Anorectoplasty	Anorectoplasty	28,000.00	3	Not applicable	Not applicable	Not applicable	SG110MLA	Clinical note with Invertogram or clinical photograph/	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
672	General Surgery	Surgical	Anterior Cervical Dissectomy	Anterior Cervical Dissectomy	31,300.00	3	Not applicable	Not applicable	Not applicable	SG111MLA	Clinical notes and MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
673	General Surgery	Surgical	Appendicitis for Conservative Treatment	Appendicitis for Conservative Treatment	14,900.00	3	Not applicable	Not applicable	Not applicable	SG112MLA	Clinical notes and USG confirming the diagnosis/ planned line of treatment.	Detailed ICPs/ progress note/ all investigation reports/ Detailed discharge summary
674	General Surgery	Surgical	Aspiration of Cold Abscess of Lymphnode	Aspiration of Cold Abscess of Lymphnode	3,300.00	D	Not applicable	Not applicable	Not applicable	SG113MLA	Clinical notes and clinical photgraph/ investigation supporting diagnosis	C/S of pus/ detailed Procedure / Operative Notes/ detailed discharge summary
675	General Surgery	Surgical	Aspiration of Empyema	Aspiration of Empyema	12,400.00	3	Not applicable	Not applicable	Not applicable	SG114MLA	Clinical notes with planned line of treatment/ CBC/ X ray chest	Post Treatment X-ray chest/ Detailed Discharge Summary
676	General Surgery	Surgical	Assisted Small Bowel Resection Lap.	Assisted Small Bowel Resection Lap.	37,900.00	3	Not applicable	Not applicable	Not applicable	SG115MLA	Clinical notes with planned line of treatment and FNAC/ BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
677	General Surgery	Surgical	Atresia of Oesophagus and Tracheo Oesophageal Fistula	Atresia of Oesophagus and Tracheo Oesophageal Fistula	17,700.00	3	Not applicable	Not applicable	Not applicable	SG116MLA	Clinical note with X-ray with infant feeding tube or Dye study / Ultrasound	Detailed ICPs/ detailed Discharge Summary
678	General Surgery	Surgical	AV Shunt For Dialysis	AV Shunt For Dialysis	20,200.00	1	Not applicable	Not applicable	Not applicable	SG117MLA	Clinical notes and CT/MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
679	General Surgery	Surgical	Axillary Lymphnode Excision	Axillary Lymphnode Excision	6,900.00	D	Not applicable	Not applicable	Not applicable	SG118MLA	Clinical notes and CT/biopsy	Detailed discharge summary / Treatment details/ Detailed Procedure / Operative Notes/ biopsy report/receipt
680	General Surgery	Surgical	Bakers Cyst Excision	Bakers Cyst Excision	9,100.00	3	Not applicable	Not applicable	Not applicable	SG119MLA	Clinical notes and USG/CT/MRI report confirming the diagnosis	Histopath if done/ detailed discharge summary and Detailed Operative notes
681	General Surgery	Surgical	Breast Abscess Drainage	Breast Abscess Drainage	5,700.00	3	Not applicable	Not applicable	Not applicable	SG120MLA	Clinical notes and investigation supporting diagnosis/ CT	C/S of pus/ detailed Procedure / Operative Notes/ detailed discharge summary
682	General Surgery	Surgical	Carbuncle Back	Carbuncle Back	5,800.00	D	Not applicable	Not applicable	Not applicable	SG121MLA	Clinical notes and confirmed diagnosis of carbuncle.	Detailed discharge summary / Treatment details/ detailed Procedure / Operative Notes
683	General Surgery	Surgical	Cavernostomy	Cavernostomy	16,200.00	3	Not applicable	Not applicable	Not applicable	SG122MLA	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Post procedure x-ray showing balloon/ Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories/ detailed discharge summary
684	General Surgery	Surgical	Cervical Lymphnodes Excision	Cervical Lymphnodes Excision	5,800.00	D	Not applicable	Not applicable	Not applicable	SG123MLA	Clinical notes to establish indication/ Biopsy if tumour	Histopathology report /receipt/ detailed operative notes/ detailed discharge summary / Treatment details
685	General Surgery	Surgical	Choledocho Duodenostomy	Choledocho Duodenostomy	16,500.00	3	Not applicable	Not applicable	Not applicable	SG124MLA	Clinical Notes with history and examination and planned line of treatment/ LFT with Bilirubin/ RFT/ Coagulation Profile and Serum Electrolytes/ CT Abdomen / ERCP / MRCP showing dilated (>1.3 cm) common bile duct	Detailed Indoor Case Papers (ICPs)/ Detailed Operative/Procedure Notes/ Post Procedure LFT/ Detailed Discharge Summary
686	General Surgery	Surgical	Choledocho Jejunostomy	Open	11,000.00	3	Not applicable	Not applicable	Not applicable	SG124MLB	Clinical Notes with history and examination and planned line of treatment/ LFT with Bilirubin/ RFT/ Coagulation Profile and Serum Electrolytes/ CT Abdomen / ERCP / MRCP showing dilated (>1.3 cm) common bile duct	Detailed Indoor Case Papers (ICPs)/ Detailed Operative/Procedure Notes/ Post Procedure LFT/ Detailed Discharge Summary
687	General Surgery	Surgical	Coccygeal Teratoma Excision	Coccygeal Teratoma Excision	21,300.00	3	Not applicable	Not applicable	Not applicable	SG125MLA	Clinical notes and CT/MRI confirming the diagnosis/ Biopsy	Histopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
688	General Surgery	Surgical	Colectomy	Sigmoid hemicolectomy	28,300.00	3	Not applicable	Not applicable	Not applicable	SG126MLA	Clinical notes / Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure / Operative Notes/ detailed discharge summary
689	General Surgery	Surgical	Colectomy	Transverse hemicolectomy	28,300.00	3	Not applicable	Not applicable	Not applicable	SG126MLB	Clinical notes / Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure / Operative Notes/ detailed discharge summary
690	General Surgery	Surgical	Colocystoplasty	Colocystoplasty	17,000.00	3	Not applicable	Not applicable	Not applicable	SG127MLA	Clinical notes / Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure / Operative Notes/ detailed discharge summary
691	General Surgery	Surgical	Colonoscopy	Colonoscopy	3,000.00	D	Not applicable	Not applicable	Not applicable	SG128MLA	Clinical notes/ Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure note/ colonoscopy report
692	General Surgery	Surgical	Colonoscopy	With Biopsy	4,100.00	D	Not applicable	Not applicable	Not applicable	SG128MLB	Clinical note with USG/CT Abd	Detailed Procedure note/ colonoscopy and biopsy report
693	General Surgery	Surgical	Colonoscopy	With Injection	4,100.00	D	Not applicable	Not applicable	Not applicable	SG128MLC	Clinical note with Invertogram or clinical photograph	colonoscopy report
694	General Surgery	Surgical	Colonoscopy	With Snaring	5,800.00	D	Not applicable	Not applicable	Not applicable	SG128MLD	Clinical note with Invertogram or clinical photograph	colonoscopy report
695	General Surgery	Surgical	Commando Operation	Commando Operation	24,100.00	3	Not applicable	Not applicable	Not applicable	SG129MLA	Clinical notes to establish indication/Biopsy of tumour	Histopathology report/ receipt/ detailed operative notes/ detailed discharge summary
696	General Surgery	Surgical	Corn Excision	Corn Excision	2,400.00	D	Not applicable	Not applicable	Not applicable	SG130MLA	Clinical notes detailing history and notes showing vitals/ planned line management	Treatment details / detailed discharge summary/ All investigations reports.
697	General Surgery	Surgical	Cut Injury	Cut Injury	4,800.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 2100	Not applicable	SG131MLA	Clinical notes detailing history and notes showing vitals/ planned line management	Treatment details / detailed discharge summary/ All investigations reports.
698	General Surgery	Surgical	Cystectomy Total	Cystectomy Total	12,600.00	3	Not applicable	Not applicable	Not applicable	SG132MLA	Admission Notes comprising of history and examination/ Relavant Investigations (establishing diagnosis)/ USG Abdomen Pelvis/ CT abdomen.	Detailed Procedure / Operative Notes together with indication of surgery/ HPE report/receipt/ Progress notes/detailed discharge summary.
699	General Surgery	Surgical	Cystoscopy	With Bladder Biopsy	4,900.00	D	Not applicable	Not applicable	Not applicable	SG133MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary / Treatment details/ detailed Procedure / Operative Notes/ Biopsy report / receipt
700	General Surgery	Surgical	Cystoscopy	With Retrograde Catheter Unilateral	7,000.00	D	Not applicable	Not applicable	Not applicable	SG133MLB	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary / Treatment details/ detailed Procedure / Operative Notes
701	General Surgery	Surgical	Diaphragmatic Eventeration	Diaphragmatic Eventeration	50,700.00	3	Not applicable	Not applicable	Not applicable	SG134MLA	Chest X ray AP/ Lateral/ Barium Study/ CT SCAN/ Clinical notes including evaluation findings/ indication of implant requirement (if applicable)/ and planned line of management.	Detailed (ICPs)/ Detailed Operative notes/ Post-op Xray Chest/Abdomen report/ barcode of Implant/ if used. Detailed discharge summary/
702	General Surgery	Surgical	Dorsal Slit and Reduction of Paraphimosis	Dorsal Slit and Reduction of Paraphimosis	2,400.00	D	Not applicable	Not applicable	Not applicable	SG135MLA	Clinical notes with planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Treatment details / Detailed Discharge Summary
703	General Surgery	Surgical	Drainage of Abscess	Ischio Rectal Abscess	6,900.00	3	Not applicable	Not applicable	Not applicable	SG136MLA	Clinical notes and CT scan confirming the diagnosis	Pus C/s/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes
704	General Surgery	Surgical	Drainage of Abscess	Psoas Abscess	5,500.00	3	Not applicable	Not applicable	Not applicable	SG136MLB	Clinical notes and CT scan confirming the diagnosis	Pus C/s/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes
705	General Surgery	Surgical	Duodenal Jejunostomy	Duodenal Jejunostomy	25,100.00	3	Not applicable	Not applicable	Not applicable	SG137MLA	Clinical notes and Endoscopy report OR Biopsy OR CT Scan confirming the diagnosis for which this surgery is done	Detailed Operative notes/ detailed discharge summary
706	General Surgery	Surgical	Endomyocardial Biopsy	Endomyocardial Biopsy	8,900.00	3	Not applicable	Not applicable	Not applicable	SG138MLA	Clinical notes with supporting investigations	Pic of specimen/ Histopathology report/receipt/ discharge summary
707	General Surgery	Surgical	Endoscopic Cyst Aspiration	Endoscopic Cyst Aspiration	24,400.00	3	Not applicable	Not applicable	Not applicable	SG139MLA	Clinical notes with supporting investigations	Pic of specimen/ Histopathology report/receipt/ discharge summary
708	General Surgery	Surgical	Endoscopic Esophageal Sclerotheraphy Varies	Subseqent Sitting	1,500.00	D	Not applicable	Not applicable	Not applicable	SG140MLA	Clinical notes with planned line of treatment	Endoscopic report/ Detailed discharge summary/ treatment details/ detailed Procedure / Operative Notes.
709	General Surgery	Surgical	Endoscopic Esophageal Sclerotheraphy Varies	First Sitting	1,700.00	D	Not applicable	Not applicable	Not applicable	SG140MLB	Clinical notes with planned line of treatment	Endoscopic report/ Detailed discharge summary/ treatment details/ detailed Procedure / Operative Notes.
710	General Surgery	Surgical	Endoscopic Repair of Ureterocele	Endoscopic Repair of Ureterocele	12,600.00	3	Not applicable	Not applicable	Not applicable	SG141MLA	Clinical notes and IVP/CT-IVP confirming the diagnosis for which the surgery is done/	Evidence of cystoscopy/ ureteric catheterization/ retrograde pyelogram/ Detailed discharge summary/ detailed Procedure / Operative Notes
711	General Surgery	Surgical	Excision of Lingual Thyroid	Excision of Lingual Thyroid	18,400.00	3	Not applicable	Not applicable	Not applicable	SG142MLA	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
712	General Surgery	Surgical	Excision of Moles	Excision of Moles	2,800.00	D	Not applicable	Not applicable	Not applicable	SG143MLA	Clinical notes with planned line of treatment	Procedure note/ Treatment details/ all investigations reports.
713	General Surgery	Surgical	Excision of Molluscumcontagiosum	Excision of Molluscumcontagiosum	1,800.00	D	Not applicable	Not applicable	Not applicable	SG144MLA	Clinical notes and biopsy findings	Detailed discharge summary/ treatment details/ detailed Procedure / Operative Notes.
714	General Surgery	Surgical	Exploratory Thorocotomy	Exploratory Thorocotomy	36,900.00	3	Not applicable	Not applicable	Not applicable	SG145MLA	Cinical notes/ radiological evidence for indication	Procedure / Operative Notes/ HPE report/receipt (optional)/ post operative chect/abdomen X-ray/ Detailed Discharge Summary
715	General Surgery	Surgical	Facial Decompression	Facial Decompression	36,200.00	3	Not applicable	Not applicable	Not applicable	SG146MLA	MRI BRAIN/CT BRAIN +FACE/ clinical note	CT BRAIN +FACE / Procedure / Operative Notes/ Detailed Discharge Summary
716	General Surgery	Surgical	Fibro Lipoma of Right Sided Spermatic with Lord Excision	Fibro Lipoma of Right Sided Spermatic with Lord Excision	3,100.00	D	Not applicable	Not applicable	Not applicable	SG147MLA	Clinical notes/ investigation to confirm diagnosis.	Histopath (optional)/ Detailed Operative notes/ detailed discharge summary/ treatment details
717	General Surgery	Surgical	Fibroma Excision	Fibroma Excision	14,900.00	3	Not applicable	Not applicable	Not applicable	SG148MLA	Admission Notes comprising of history and examination with indications for the procedure/Investigations (establishing diagnosis)	Investigations (establishing diagnosis)/ Detailed Operative notes/ detailed discharge summary
718	General Surgery	Surgical	Fistula Repair	Fistula Repair	12,400.00	3	Not applicable	Not applicable	Not applicable	SG149MLA	Clinical notes and confirmation of fistula and it's tract by Cystoscopy+Sigmoidoscopy+/-RGU+MCU	Detailed Procedure / Operative Notes/ Detailed discharge summary
719	General Surgery	Surgical	Fistulectomy	Fistulectomy	20,000.00	3	Not applicable	Not applicable	Not applicable	SG150MLA	Clinical notes/ UGI Endoscopy confirming the diagnosis	Histopathology report (if done)/ Detailed Operative notes & detailed discharge summary.
720	General Surgery	Surgical	Flap repair	Flap repair	12,500.00	1	Not applicable	Not applicable	Not applicable	SG151MLA	Clinical notes detailing the original pathology thet has led to this surgery with suporting investigation reports	Detailed Operative notes/ Detailed discharge summary
721	General Surgery	Surgical	Ganglion (Dorsum Of Both Wrist) Excision	Ganglion (Dorsum Of Both Wrist) Excision	9,100.00	3	Not applicable	Not applicable	Not applicable	SG152MLA	clinical notes/CT/MRI/USG	Clinical photograph/USG/ treatment detailed
722	General Surgery	Surgical	Gastrostomy Closure	Gastrostomy Closure	17,300.00	3	Not applicable	Not applicable	Not applicable	SG153MLA	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Detailed Indoor case papers (ICPs)/ Detailed Operative notes/ Detailed discharge summary
723	General Surgery	Surgical	Gunshot Injury	Gunshot Injury	45,700.00	3	Not applicable	Not applicable	Not applicable	SG154MLA	Clinical notes with planned line of treatment/ X-ray films with reports	X ray/ opertive notes/ Discharge summary
724	General Surgery	Surgical	Heller’S Operation	Heller’S Operation	33,000.00	3	Not applicable	Not applicable	Not applicable	SG155MLA	Clinical notes and X-ray/ CT/MRI/ UGIE findings / Barium Swallow Oesophagography / Contrast Oesophagography confirming the diagnosis	Detailed ICPs Detailed discharge summary/ Detailed Operative notes
725	General Surgery	Surgical	Hemi Mandibulectomy	Hemi Mandibulectomy	29,200.00	3	Not applicable	Not applicable	Not applicable	SG156MLA	Clinical note/ Biopsy /USG/X-RAY/CT Scan	Detailed ICPs Detailed discharge summary/ Detailed Operative notes
726	General Surgery	Surgical	Hemithyroplasty	Hemithyroplasty	24,600.00	3	Not applicable	Not applicable	Not applicable	SG157MLA	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
727	General Surgery	Surgical	Hernioplasty	Hernioplasty	14,900.00	3	Not applicable	Not applicable	Mesh - 30 X 30 - 16500 Mesh - 6 X 3 - Polypropylene - 2200 Mesh - 15 X 15 - 5500	SG159MLA	Admission Notes comprising of history and examination findings with indications for the procedure/ Investigations (establishing diagnosis)	Operative notes/ Invoice of the Mesh / tacker used/ Detailed Discharge Summary
728	General Surgery	Surgical	Hernioplasty	Hernioplasty - Inguinal	14,900.00	3	Not applicable	Not applicable	Mesh - 30 X 30 - 16500 Mesh - 6 X 3 - Polypropylene - 2200 Mesh - 15 X 15 - 5500	SG159MLB	Admission Notes comprising of history and examination findings with indications for the procedure/ Investigations (establishing diagnosis)	Operative notes/ Invoice of the Mesh / tacker used/ Detailed Discharge Summary/
729	General Surgery	Surgical	Infected Bunion Foot – Excision	Infected Bunion Foot – Excision	9,100.00	3	Not applicable	Not applicable	Not applicable	SG160MLA	Clinical note with Blood sugar level/ CBC	Post treatment Blood sugar levels/ HbA1c/ Detailed Discharge Summary/ Detailed Operative notes
730	General Surgery	Surgical	Injury of Soft Tissues	Injury of Soft Tissues	6,300.00	3	Not applicable	Not applicable	Not applicable	SG161MLA	Clinical Photograph/Xray / Clinical notes	Clinical Photograph/ Xray / Detailed ICPs/ detailed discharge summary
731	General Surgery	Surgical	Isthmectomy	Isthmectomy	8,100.00	3	Not applicable	Not applicable	Not applicable	SG162MLA	Clinical notes and FNAC/ Biopsy/ Thyroid Function Test/USG confirming the diagnosis	Histopath report/receipt/ Detailed discharge summary/ Detailed Operative notes
732	General Surgery	Surgical	Pancreatic Necrosectomy	Lap.	66,000.00	3	Not applicable	Not applicable	Not applicable	SG163MLA	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
733	General Surgery	Surgical	Laparoscopic varicocelectomy	Laparoscopic varicocelectomy	16,900.00	3	Not applicable	Not applicable	Not applicable	SG164MLA	Clinical notes X-ray abdomen erect/ CT abdomen/	Biopsy report/receipt/ USG/ detailed discharge summary/ Detailed Operative notes
734	General Surgery	Surgical	Laparotomy	Laparotomy, peritonial lavage & drainage	16,100.00	5	Not applicable	Not applicable	Not applicable	SG165MLA	Clinical notes X-ray abdomen erect/ CT abdomen/	Biopsy/ USG/ detailed discharge summary/ Detailed Operative notes
735	General Surgery	Surgical	Laparotomy	Laparotomy & reduction of Intussusception	24,600.00	3	Not applicable	Not applicable	Not applicable	SG165MLB	Clinical notes X-ray abdomen erect/ CT abdomen/	Biopsy report/receipt/ USG/ detailed discharge summary/ Detailed Operative notes
736	General Surgery	Surgical	Laryngopharyngectomy	Laryngopharyngectomy	25,000.00	3	Not applicable	Not applicable	Not applicable	SG166MLA	Clinical note/ Biopsy/USG / X-RAY/ CT Scan	Biopsy report/receipt/ USG/ detailed discharge summary/ Detailed Operative notes
737	General Surgery	Surgical	Lateral Pancreaticojejunostomy	Lateral Pancreatico jejunostomy	27,500.00	3	Not applicable	Not applicable	Not applicable	SG167MLA	Clinical notes and CT/ USG/ ERCP confirming the diagnosis/	Histopath report/receipt/ detailed discharge summary and Detailed Operative notes
738	General Surgery	Surgical	Malrotation of Intestines Operation	Malrotation of Intestines Operation	41,000.00	3	Not applicable	Not applicable	Not applicable	SG168MLA	Clinical note with Invertogram or clinical photograph	Detailed discharge summary/ Detailed Operative notes
739	General Surgery	Surgical	Oesophageal Intubation (Mausseau Barbin Tube)	Oesophageal Intubation (Mausseau Barbin Tube)	9,700.00	3	Not applicable	Not applicable	Not applicable	SG169MLA	Clinical note with CBC/LFT/ RFT/ RBS/ CECT Thorax/ abdomen/ Pelvis / Histopathology/UGI endoscospy	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
740	General Surgery	Surgical	Operations for Hydronephrosis Endoplyelotomy Retrograde	Operations for Hydronephrosis Endoplyelotomy Retrograde	31,300.00	3	Not applicable	Not applicable	Not applicable	SG169MLB	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ is the hospital equipped with Laser?	Detailed discharge summary/ detailed Procedure / Operative Notes. If bugbee electrode is billed/ insist on invoice/ barcode.
741	General Surgery	Surgical	Pancreatectomy	Pancreatectomy	91,800.00	3	Not applicable	Not applicable	Not applicable	SG170MLB	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
742	General Surgery	Surgical	Pancreatectomy	Pancreatectomy Central	71,300.00	3	Not applicable	Not applicable	Not applicable	SG170MLC	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
743	General Surgery	Surgical	Pancreatic Ring Operation	Pancreatic Ring Operation	64,000.00	3	Not applicable	Not applicable	Not applicable	SG171MLA	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
744	General Surgery	Surgical	Papilloma Rectum Excision	Papilloma Rectum Excision	10,600.00	D	Not applicable	Not applicable	Not applicable	SG172MLA	Clinical notes and Colonoscopy +/- Biopsy justifying surgery/	Histopath report/receipt/ detailed discharge summary / treatment details/ Detailed Operative notes
745	General Surgery	Surgical	Parathyroidectomy	Parathyroidectomy	35,600.00	4	Not applicable	Not applicable	Not applicable	SG173MLA	Clinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
746	General Surgery	Surgical	Parotid Tumour Excision	Parotid Tumour Excision	28,000.00	3	Not applicable	Not applicable	Not applicable	SG174MLA	Clinical notes and USG/ CT / biopsy	HPE report/receipt/ Detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes/ detailed discharge summary
747	General Surgery	Surgical	Phimosis Under LA	Phimosis Under LA	5,600.00	3	Not applicable	Not applicable	Not applicable	SG175MLA	Clinical Notes comprising of history and examination findings with indications for the procedure	Detailed Procedure / Operative Notes/ Detailed discharge summary / Treatment details
748	General Surgery	Surgical	Phytomatous Growth In The Scalp – Excision	Phytomatous Growth In The Scalp – Excision	37,800.00	3	Not applicable	Not applicable	Not applicable	SG176MLA	HPE/Clinical notes with planned line of treatment/	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
749	General Surgery	Surgical	Prolapse of Rectal Mass	Prolapse of Rectal Mass	17,100.00	2	Not applicable	Not applicable	Not applicable	SG177MLA	Clinical notes +/- Colonoscopy confirming the diagnosis of prolapse	Detailed discharge summary/ Detailed Operative notes
750	General Surgery	Surgical	Rectal biopsy	Rectal biopsy	17,300.00	3	Not applicable	Not applicable	Not applicable	SG178MLA	Clinical notes with supporting investigations	Pic of specimen/ Histopathology report/receipt/ discharge summary
751	General Surgery	Surgical	Rectopexy	Open	24,800.00	3	Not applicable	Not applicable	Not applicable	SG179MLA	Clinical notes with planned line of treatment and Biopsy/MRI	Procedure / Operative Notes/ HPE report if done/ Detailed Discharge Summary
752	General Surgery	Surgical	Rectopexy	Laparoscopic	24,800.00	3	Not applicable	Not applicable	Not applicable	SG179MLB	Clinical notes with planned line of treatment and Biopsy/MRI	Procedure / Operative Notes/ HPE report if done/ Detailed Discharge Summary
753	General Surgery	Surgical	Renal Calculi With UTI	Renal Calculi With UTI	25,200.00	3	Not applicable	Not applicable	Not applicable	SG180MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed reports of all investigations done and consultation paper of treating doctor/ culture & sensitivity report and Evidence of 3 weeks medicines
754	General Surgery	Surgical	Sarcoma excision	Sarcoma excision	14,200.00	3	Not applicable	Not applicable	Not applicable	SG181MLA	Clinical notes and USG/ CT / biopsy	HPE report/receipt/ detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes/ detailed discharge summary
755	General Surgery	Surgical	Scrotal abscess drainage	Scrotal abscess drainage	3,000.00	3	Not applicable	Not applicable	Not applicable	SG182MLA	Clinical notes and CT	Pus C/s/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes
756	General Surgery	Surgical	Sphineterotomy	Sphineterotomy	16,200.00	3	Not applicable	Not applicable	Not applicable	SG183MLA	Clinical notes with planned line of treatment and CECT	Procedure / Operative Notes/ HPE report if done/ Detailed Discharge Summary
757	General Surgery	Surgical	Spindle Cell Tumor – Excision	Spindle Cell Tumor – Excision	8,100.00	3	Not applicable	Not applicable	Not applicable	SG184MLA	Clinical notes and USG/ CT / biopsy	HPR/ detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes/ detailed discharge summary
758	General Surgery	Surgical	Splenorenal Shunt	Splenorenal Shunt	25,300.00	3	Not applicable	Not applicable	Not applicable	SG185MLA	Clinical notes and CT/MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
759	General Surgery	Surgical	Swelling Over Scapular Region	Swelling Over Scapular Region	13,900.00	3	Not applicable	Not applicable	Not applicable	SG186MLA	Clinical notes/ investigation to confirm diagnosis.	Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
760	General Surgery	Surgical	Syndactyly of Hand for Each Hand	Syndactyly of Hand for Each Hand	17,300.00	3	Not applicable	Not applicable	Not applicable	SG187MLA	Clinical notes and X Ray/clinical photograph justifying the indication	Detailed Procedure / Operative Notes. Detailed summary
761	General Surgery	Surgical	Thyroid Adenoma Resection	Thyroid Adenoma Resection	28,000.00	3	Not applicable	Not applicable	Not applicable	SG188MLA	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
762	General Surgery	Surgical	Thyroplasty	Thyroplasty	24,600.00	3	Not applicable	Not applicable	Not applicable	SG189MLA	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
763	General Surgery	Surgical	Tracheoplasty (Throat)	Tracheoplasty (Throat)	17,000.00	3	Not applicable	Not applicable	Not applicable	SG190MLA	Clinical notes with planned line of treatment justifying indication	Procedure / Operative Notes/Histopathology report/receipt/ detailed discharge
764	General Surgery	Surgical	Upper GI endoscopy	Upper GI endoscopy	1,700.00	D	Not applicable	Not applicable	Not applicable	SG191MLA	Clinical notes with planned line of treatment	Clinical note with endoscopic findings or report
765	General Surgery	Surgical	Upper GI endoscopy	With Biopsy	2,400.00	D	Not applicable	Not applicable	Not applicable	SG191MLB	Clinical note with USG/CT Abd/Endoscopy/Biopsy	clinical note with endoscopic findings/ biopsy report/receipt
766	General Surgery	Surgical	Upper GI endoscopy	With Injection	5,800.00	D	Not applicable	Not applicable	Not applicable	SG191MLC	Clinical note with USG/CT Abd/Endoscopy/Biopsy	Detailed Procedure / Operative Notes
767	General Surgery	Surgical	Upper GI endoscopy	With Sclerotherapy	7,600.00	3	Not applicable	Not applicable	Not applicable	SG191MLD	Clinical note with USG/CT Abd/Endoscopy/Biopsy	Detailed Procedure / Operative Notes
768	General Surgery	Surgical	Upper GI endoscopy	With Banding	8,000.00	3	Not applicable	Not applicable	Not applicable	SG191MLE	Clinical note with USG/CT Abd/Endoscopy/Biopsy	Detailed Procedure / Operative Notes
769	General Surgery	Surgical	Upper GI endoscopy	With Foreign Body Removal	12,400.00	3	Not applicable	Not applicable	Not applicable	SG191MLF	Clinical note with USG/CT Abd/Endoscopy/Biopsy	Detailed Procedure / Operative Notes
770	General Surgery	Surgical	Upper GI endoscopy	With NG Tube Placement	12,400.00	3	Not applicable	Not applicable	Not applicable	SG191MLG	Clinical note with USG/CT Abd/Endoscopy/Biopsy	Detailed Procedure / Operative Notes
771	General Surgery	Surgical	Upper GI endoscopy	With Oesophageal Dilatation (Savary)	12,400.00	3	Not applicable	Not applicable	Not applicable	SG191MLH	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
772	General Surgery	Surgical	Vasectomy	Vasectomy	2,800.00	D	Not applicable	Not applicable	Not applicable	SG192MLA	Clinical notes	Detailed Operative notes/ Detailed discharge summary/ Treatment details
773	General Surgery	Surgical	Warren's Shunt	Warren's Shunt	22,900.00	3	Not applicable	Not applicable	Not applicable	SG193MLA	Clinical note/ Color-flow Doppler imaging/ USG	Detailed discharge summary/ detailed Procedure / Operative Notes
774	General Surgery	Surgical	PVD With LF Lower Digital Gangrene	PVD With LF Lower Digital Gangrene	11,000.00	3	Not applicable	Not applicable	Not applicable	SG195MLA	Clinical notes with planned line of treatment detailing extent of damage.	Detailed Operative notes/ detailed discharge summary
775	General Surgery	Surgical	Septoplasty	Septoplasty	16,800.00	1	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL009A	Indication for this surgery with supporting medical records/ MLC/FIR for traumatic injuries/ Endoscopic picture	Detailed Procedure / Operative Notes. Detailed discharge summary
776	General Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Thryoglossal Cyst Excision	22,000.00	2	Not applicable	Not applicable	Not applicable	SL018A	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
777	General Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Thryoglossal Sinus Excision	22,000.00	2	Not applicable	Not applicable	Not applicable	SL018B	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
778	General Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Thryoglossal Fistula Excision	22,000.00	2	Not applicable	Not applicable	Not applicable	SL018C	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
779	General Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Branchial Sinus Excision	22,000.00	3	Not applicable	Not applicable	Not applicable	SL018D	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
780	General Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Branchial Fistula Excision	22,000.00	3	Not applicable	Not applicable	Not applicable	SL018E	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
781	General Surgery	Surgical	Parotidectomy	Total	35,700.00	2	Not applicable	Not applicable	Not applicable	SL021A	Clinical notes/ CT Scan/FNAC	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
782	General Surgery	Surgical	Parotidectomy	Superficial Parotidectomy	36,900.00	3	Not applicable	Not applicable	Not applicable	SL021B	Clinical notes/ CT Scan/FNAC	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
783	General Surgery	Surgical	Parotidectomy	Radical	36,900.00	5	Not applicable	Not applicable	Not applicable	SL021MLA	Clinical notes/ CT Scan/FNAC	Histopathology report/ detailed Procedure / Operative Notes. Detailed discharge summary
784	General Surgery	Surgical	Parotidectomy	Conservative	31,000.00	5	Not applicable	Not applicable	Not applicable	SL021MLB	Clinical notes/ CT Scan/FNAC	Histopathology report/ detailed Procedure / Operative Notes. Detailed discharge summary
785	General Surgery	Surgical	Removal of Submandibular Salivary Gland/ Lymph Node/ Ranula	Removal of Submandibular Salivary Gland	31,900.00	3	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL022A	Clinical notes to establish indication/ Biopsy of tumour	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
786	General Surgery	Surgical	Removal of Submandibular Salivary Gland/ Lymph Node/ Ranula	Removal of Ranula	31,900.00	3	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL022B	Clinical notes/ MLC/FIR for traumatic injuries and circumstances of the incident which led to rupture of salivary duct	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
787	General Surgery	Surgical	Removal of Submandibular Salivary Gland/ Lymph Node/ Ranula	Removal of Submandibular Lymph Node	23,800.00	3	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL022C	Clinical notes to establish indication/ Biopsy of tumour	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
788	General Surgery	Surgical	Neck dissection	Selective Benign neck tumour excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027A	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
789	General Surgery	Surgical	Neck dissection	Comprehensive Benign neck tumour excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027B	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
790	General Surgery	Surgical	Neck dissection	Selective Pharyngeal diverticulum excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027C	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
791	General Surgery	Surgical	Neck dissection	Comprehensive Pharyngeal diverticulum excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027D	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
792	General Surgery	Surgical	Deep neck abscess drainage/ Post trauma neck exploration	Deep neck abscess drainage	18,500.00	2	Not applicable	Not applicable	Not applicable	SL028A	Clinical notes and clinical photograph/investigation supporting diagnosis	C/S of pus/ post procedure/ detailed Procedure / Operative Notes/ detailed discharge summary
793	General Surgery	Surgical	Deep neck abscess drainage/ Post trauma neck exploration	Post trauma neck exploration	23,100.00	2	Not applicable	Not applicable	Not applicable	SL028B	Clinical notes and clinical photograph/investigation supporting diagnosis	Post procedure/ detailed Procedure / Operative Notes/ detailed discharge summary
794	General Surgery	Surgical	Abbe Operation	Abbe Operation	15,200.00	2	Not applicable	Not applicable	Not applicable	SL036MLA	Clinical notes and report	Histopath (if done)/ Detailed Operative notes/ Detailed discharge summary
795	General Surgery	Surgical	Nasal Packing	Nasal Packing with Catheter/ sponge	1,400.00	D	Not applicable	Not applicable	Not applicable	SL053MLA	Clinical notes with planned line of treatment	Clinical note/ Treatment details
796	General Surgery	Surgical	Nasal Packing	Nasal Packing	800.00	D	Not applicable	Not applicable	Not applicable	SL053MLB	Clinical notes with planned line of treatment	Clinical note/ Treatment details
797	General Surgery	Surgical	Diagnostic Laproscopy	Diagnostic / Staging laparoscopy	15,600.00	3	Not applicable	Not applicable	Not applicable	SO039A	Admission Notes comprising of history and examination/ Relavant Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes together with indication of surgery/ Progress notes/detailed discharge summary.
798	General Surgery	Surgical	Laparoscopic Cystectomy	Laparoscopic Cystectomy	27,100.00	3	Not applicable	Not applicable	Not applicable	SO041A	Admission Notes comprising of history and examination/ Relavant Investigations (establishing diagnosis)/ USG Abdomen Pelvis/ CT abdomen.	Detailed Procedure / Operative Notes together with indication of surgery/ Progress notes/detailed discharge summary.
799	General Surgery	Surgical	Hemangioma	Excision	55,400.00	3	Not applicable	Not applicable	Not applicable	SP007C	Clinical notes	Invoice of sclerosing agent used. Detailed discharge summary/ Detailed Procedure / Operative Notes.
800	General Surgery	Surgical	Surgery for Hirschsprung’s Disease	Myectomy	56,800.00	2	Not applicable	Not applicable	Not applicable	SS008A	Clinical notes and USG/ Dye test	Histopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
801	General Surgery	Surgical	Surgery for Hirschsprung’s Disease	Pull Through	42,200.00	5	Not applicable	Not applicable	Not applicable	SS008B	Clinical notes and USG/ Dye test	Histopathology if done/ detailed Procedure / Operative Notes/ detailed discharge summary
802	General Surgery	Surgical	Surgery for Hirschsprung’s Disease	Rectal Biopsy - Punch	56,800.00	1	Not applicable	Not applicable	Not applicable	SS008C	Clinical notes and USG/ Dye test	Histopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
803	General Surgery	Surgical	Surgery for Hirschsprung’s Disease	Rectal Biopsy - Open	56,800.00	2	Not applicable	Not applicable	Not applicable	SS008D	Clinical notes and USG/ Dye test	Histopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
804	General Surgery	Surgical	Surgery for Hirschsprung’s Disease	Sphinecterotomy	21,800.00	3	Not applicable	Not applicable	Not applicable	SS008E	Clinical notes and USG/ Dye test	Histopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
805	General Surgery	Medical	Conservative Management of Head Injury	Severe	0.00	5	Routine Ward	1000	Not applicable	ST001A	Clinical notes with planned line of treatment	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
806	General Surgery	Surgical	Conservative Management of Head Injury	Depressed Fracture	0.00	5	Routine Ward	5000	Not applicable	ST001B	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Detailed ICPs/ Discharge summary
807	General Surgery	Surgical	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	42,700.00	5	Not applicable	Not applicable	Not applicable	ST002A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/	Detailed discharge summary/ Detailed operatives notes
808	General Surgery	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Subdural Hematoma along with Fixation of Fracture of Single Long Bone	82,500.00	5	Not applicable	Not applicable	Not applicable	ST003A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
809	General Surgery	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Extradural Hematoma along with Fixation of Fracture of Single Long Bone	82,500.00	5	Not applicable	Not applicable	Not applicable	ST003B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
810	General Surgery	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Subdural Hematoma along with Fixation of Fracture of 2 or more Long Bones	103,200.00	5	Not applicable	Not applicable	Not applicable	ST003C	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
811	General Surgery	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Extradural Hematoma along with Fixation of Fracture of 2 or more Long Bones	103,200.00	5	Not applicable	Not applicable	Not applicable	ST003D	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
812	General Surgery	Surgical	Management of Chest Injury with Fracture of Long Bone	Management of Chest Injury with Fixation of Single Long Bone	38,500.00	5	Not applicable	Not applicable	Not applicable	ST004A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
813	General Surgery	Surgical	Management of Chest Injury with Fracture of Long Bone	Management of Chest Injury with Fixation of 2 or More Long Bones	49,500.00	5	Not applicable	Not applicable	Not applicable	ST004B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
814	General Surgery	Surgical	Management of Visceral Injury and Fracture Long Bone	Surgical Intervention for Visceral Injury and Fixation of Fracture of Single Long Bone	41,300.00	5	Not applicable	Not applicable	Not applicable	ST005A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
815	General Surgery	Surgical	Management of Visceral Injury and Fracture Long Bone	Surgical Intervention for Visceral Injury and Fixation of Fracture of 2 or More Long Bones	61,900.00	5	Not applicable	Not applicable	Not applicable	ST005B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
816	General Surgery	Surgical	Internal Fixation of Pelviacetabular Fracture	Internal Fixation of Pelviacetabular Fracture	44,000.00	5	Not applicable	Not applicable	Not applicable	ST006A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/	Post- op Clinical Photograph showing implant for fixation/ detailed discharge summary/ Detailed operatives notes
817	General Surgery	Surgical	Internal Fixation with Flap Cover Surgery for Wound in Compound Fracture	Internal Fixation with Flap Cover Surgery for Wound in Compound Fracture	44,000.00	5	Not applicable	Not applicable	Not applicable	ST007A	Clinical notes and PRE OP CLINICAL PICTURE/X-RAY/CT	Post- op Clinical Photograph showing implant for fixation and flap cover/ detailed discharge summary/ Detailed operatives notes
818	General Surgery	Medical	Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery	Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery	41,300.00	5	Not applicable	Not applicable	Not applicable	ST008A	Clinical notes with planned line of treatment detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	Detailed discharge summary/ Detailed operatives notes
819	General Surgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Nerve Plexus injury repair	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009A	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
820	General Surgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Nerve Plexus injury reconstruction	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009B	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
821	General Surgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon injury repair	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009C	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
822	General Surgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon injury reconstruction	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009D	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
823	General Surgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon transfer	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009E	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
824	General Surgery	Surgical	Plexus Injury along with Vascular Injury Repair/ Graft	Plexus Injury along With Vascular Injury Repair	66,000.00	5	Not applicable	Not applicable	Not applicable	ST010A	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)	Detailed discharge summary/ Detailed operatives notes
825	General Surgery	Surgical	Plexus Injury along with Vascular Injury Repair/ Graft	Plexus Injury along with Vascular Injury Graft	82,500.00	5	Not applicable	Not applicable	Not applicable	ST010B	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)	Detailed discharge summary/ Detailed operatives notes
826	General Surgery	Surgical	Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass	Aortic Arch Replacement using bypass	226,900.00	12	Not applicable	Not applicable	Arch Graft - 93500 Coselli Graft - 93500 Complex grafts other than Arch Graft & Coseli Graft - 93500	SV015A	Clinical notes and angio / CT angio / MRI reports	Detailed procedure notes/ detailed discharge summary.
827	General Surgery	Surgical	Aortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypass	Thoracoabdominal aneurysm Repair using bypass	226,900.00	12	Not applicable	Not applicable	Arch Graft - 93500 Coselli Graft - 93500 Complex grafts other than Arch Graft & Coseli Graft - 93500	SV015B	Clinical notes and angio / CT angio / MRI reports	Detailed procedure notes/ detailed discharge summary.
828	General Surgery	Surgical	Aortic Aneurysm Repair	Aortic Aneurysm Repair using Cardiopulmonary bypass (CPB)	165,000.00	10	Not applicable	Not applicable	Dacron Graft - Straight - 33000	SV016A	Clinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysm	Detailed procedure notes/ detailed discharge summary.
829	General Surgery	Surgical	Aortic Aneurysm Repair	Aortic Aneurysm Repair using Left Heart Bypass	165,000.00	10	Not applicable	Not applicable	Dacron Graft - Straight - 33000	SV016B	Clinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysm	Detailed procedure notes/ detailed discharge summary.
830	General Surgery	Surgical	Aortic Aneurysm Repair	Aortic Aneurysm Repair without using Cardiopulmonary bypass (CPB)	99,100.00	10	Not applicable	Not applicable	Dacron Graft - Straight - 33000	SV016C	Clinical notes angio / CT angio / MRI reports	Detailed procedure notes/ detailed discharge summary.
831	General Surgery	Surgical	Aortic Aneurysm Repair	Aortic Aneurysm Repair without using Left Heart Bypass	99,100.00	10	Not applicable	Not applicable	Dacron Graft - Straight - 33000	SV016D	Clinical notes angio / CT angio / MRI reports	Detailed procedure notes/ detailed discharge summary.
832	General Surgery	Surgical	Thromboembolectomy	Thromboembolectomy	42,400.00	4	Not applicable	Not applicable	Not applicable	SV020A	Soon as documents are uploaded/ confirm evidence of embolus/ Thrombus in duples USG/ Angio	Detailed discharge summary and operative notes
833	General Surgery	Surgical	Foreign Body Removal with scope	Foreign Body Removal with scope	30,300.00	2	Not applicable	Not applicable	Not applicable	SV025A	Clinical notes and Radiological evidence of foreign body	Detailed Operative notes/ Detailed discharge summary/ Photograph of Removed Foreign body
834	General Surgery	Surgical	Space - Occupying Lesion (SOL) mediastinum	Space - Occupying Lesion (SOL) mediastinum	99,100.00	10	Not applicable	Not applicable	Not applicable	SV027A	Clinical notes and CT Chest	Detailed discharge summary/ Detailed Operation notes/ HPE of SOL
835	General Surgery	Surgical	Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy	Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy	15,200.00	4	Not applicable	Not applicable	Not applicable	SV028A	Clinical notes detailing need of ICD/ X-ray chest	Detailed procedure notes. Detailed discharge summary
836	General Surgery	Surgical	Acute intestinal obstruction	Acute intestinal obstruction	31,600.00	5	Not applicable	Not applicable	Not applicable	SL054MLA	Clinical notes with planned line of treatment/ investigation confirming diagnosis	Detailed Operative notes/ Detailed discharge summary
837	General Surgery	Surgical	Hernia Repair	Inguinal	18,500.00	5	Not applicable	Not applicable	Not applicable	SS013MLA	Clinical notes and X-ray/ USG + UGI Endoscopy	Detailed Operative notes & discharge summary
838	General Surgery	Surgical	Hernia & Hydrocele	Hernia & Hydrocele	27,500.00	5	Not applicable	Not applicable	Not applicable	SS015A	Clinical notes and USG	detailed Procedure / Operative Notes/ detailed Procedure / Operative Notes/
839	General Surgery	Surgical	Laparotomy lavage & drainage	Laparotomy lavage & drainage	12,700.00	3	Not applicable	Not applicable	Not applicable	SS025MLA	Clinical notes detailing original pathology that led to peritonitis/ supported by X Ray/USG/CT Scan Abdomen	Analysis of fluid removed/ Detailed discharge summary/ Detailed Operative notes describing management done of pathology that led to peritonitis/ cautious about OT time/ this should take 2-3 hours.
840	General Surgery	Surgical	TONGUE LACERATION	Repair of tongue laceration	19,300.00	4	Not applicable	Not applicable	Not applicable	SS026A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
841	General surgery	Medical	DJ Stent Removal	DJ Stent Removal	5,000.00	D	Not applicable	Not applicable	Not applicable	SU034A	X-ray KUB films/ Earlier Discharge Summary of DJ Stenting	Clinical note with Treatment details/ report of any investigations done.
842	High-end Procedures	Surgical	USG guided percutaneous Radiofrequency Ablation (RFA)	USG guided percutaneous Radiofrequency Ablation (RFA)	29,300.00	NA	Not applicable	Not applicable	Not applicable	HEP001MLA	Clinical notes and CT/MRI confirming the diagnosis and need of procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
843	High-end Procedures	Surgical	USG guided percutaneous Microwave Ablation (MWA)	USG guided percutaneous Microwave Ablation (MWA)	33,700.00	NA	Not applicable	Not applicable	Not applicable	HEP002MLA	Clinical notes and CT/MRI confirming the diagnosis and need of procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
844	High-end Procedures	Surgical	CT guided percutaneous Radiofrequency Ablation (RFA)	CT guided percutaneous Radiofrequency Ablation (RFA)	31,900.00	NA	Not applicable	Not applicable	Not applicable	HEP003MLA	Clinical notes and CT/MRI confirming the diagnosis and need of procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
845	High-end Procedures	Surgical	CT guided percutaneous Microwave Ablation (MWA)	CT guided percutaneous Microwave Ablation (MWA)	36,300.00	NA	Not applicable	Not applicable	Not applicable	HEP004MLA	Clinical notes and CT/MRI confirming the diagnosis and need of procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
846	High-end Procedures	Surgical	USG guided percutaneous catheter drainage	USG guided percutaneous catheter drainage	6,400.00	NA	Not applicable	Not applicable	Not applicable	HEP005MLA	Clinical notes and CT/MRI confirming the diagnosis and need of procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
847	High-end Procedures	Surgical	Cerebral angiogram	Under LA	6,400.00	NA	Not applicable	Not applicable	Not applicable	HEP006MLA	Clinical notes and CT/MRI confirming the diagnosis and need of procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
848	High-end Procedures	Surgical	Cerebral angiogram	Under GA	20,800.00	NA	Not applicable	Not applicable	Not applicable	HEP006MLB	Clinical notes and CT/MRI confirming the diagnosis and need of procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
849	High-end Procedures	Surgical	Spinal Angiogram	Under GA	20,800.00	NA	Not applicable	Not applicable	Not applicable	HEP007MLA	Clinical notes and CT/MRI confirming the diagnosis and need of procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
850	High-end Procedures	Surgical	Plasmapheresis	Plasmapheresis	77,000.00	NA	Not applicable	Not applicable	Not applicable	HEP008MLA	Clinical notes and CT/MRI confirming the diagnosis and need of procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
851	Infectious Diseases	Medical	Treatment of COVID-19 Infection	Private hospitals	0.00	7	General ward without oxygen requirement/ General ward with oxygen requirement/ HDU/ ICU - without ventilator/ ICU - with non-inavise ventilator/ ICU - with invasive ventilator	7000/ 11500/ 14000/ 18000/ 20000	Not applicable	COVID19DMG	Clinical note/ Blood culture/ CBC/ XR Chest/ CT Chest	Blood culture/ CBC/ XR Chest/ CT Chest/ detailed discharge summary
852	Infectious Diseases	Medical	Treatment of COVID-19 Infection	Public hospitals	0.00	7	General ward without oxygen requirement/ General ward with oxygen requirement/ ICU - with non-inavise ventilator/ ICU - with invasive ventilator	1200/ 1500/ 2500/ 3000	Not applicable	COVID19EMG	Clinical note/ Blood culture/ CBC/ XR Chest/ CT Chest	Blood culture/ CBC/ XR Chest/ CT Chest/ detailed discharge summary
853	Infectious Diseases	Medical	Treatment of systemic fungal infections	Treatment of systemic fungal infections	0.00	7	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	ID004MLA	Clinical note with Blood culture/ CBC/ RFT/ LFT/ RBS/ XR Chest/ CT of organ of invasion (plain) / Urine Routine and culture/ Endoscopy for fluid and reports/ BAL charges	Blood culture/ CBC/ RFT/ RBS/ XR Chest/ CT Thorax/ detailed discharge summary
854	Interventional Neuroradiology	Medical	Dural AVMs/AVFs	Dural AVMs with glue	77,000.00	5	Not applicable	Not applicable	Not applicable	IN001A	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
855	Interventional Neuroradiology	Medical	Dural AVMs/AVFs	Dural AVFs with glue	77,000.00	5	Not applicable	Not applicable	Not applicable	IN001B	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
856	Interventional Neuroradiology	Medical	Dural AVMs/AVFs	Dural AVMs with onyx	165,000.00	5	Not applicable	Not applicable	Not applicable	IN001C	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
857	Interventional Neuroradiology	Medical	Dural AVMs/AVFs	Dural AVFs with onyx	165,000.00	5	Not applicable	Not applicable	Not applicable	IN001D	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
858	Interventional Neuroradiology	Medical	Cerebral & spinal AVM embolization	using histoacryl cerebral & spinal AVM embolization	110,000.00	5	Not applicable	Not applicable	Not applicable	IN002A	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
859	Interventional Neuroradiology	Medical	Cerebral & spinal AVM embolization	Using histoacryl	110,000.00	5	Not applicable	Not applicable	Not applicable	IN002B	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
860	Interventional Neuroradiology	Medical	Coil embolization for aneurysms	Coil embolization for aneurysms	110,000.00	5	Not applicable	Not applicable	Not applicable	IN003A	Clinical notes and CT Angio/MRA/ DSA confirming the diagnosis for which the procedure is done	Post procedure x-ray showing coils/ Detailed Procedure / Operative Notes. Invoice / bar code of used coil / balloon / stent/ detailed discharge summary
861	Interventional Neuroradiology	Medical	Carotico-cavernous fistula (CCF) embolization	With coil	206,300.00	5	Not applicable	Not applicable	Not applicable	IN004A	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Post procedure x-ray showing coils/ Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories/ detailed discharge summary
862	Interventional Neuroradiology	Medical	Carotico-cavernous fistula (CCF) embolization	With balloon	103,200.00	5	Not applicable	Not applicable	Not applicable	IN004B	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Post procedure x-ray showing balloon/ Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories/ detailed discharge summary
863	Interventional Neuroradiology	Medical	Preoperative tumour embolization	Preoperative tumour embolization	44,000.00	5	Not applicable	Not applicable	Not applicable	IN005A	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed discharge summary/ Detailed Procedure / Operative Notes. Invoices / bar code of embolic agent used.
864	Interventional Neuroradiology	Medical	Intracranial balloon angioplasty with stenting	Intracranial balloon angioplasty with stenting	220,000.00	5	Not applicable	Not applicable	Not applicable	IN006A	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed discharge summary/ Detailed Procedure / Operative Notes. Invoices / bar code of balloon and stent
865	Interventional Neuroradiology	Medical	Intracranial thrombolysis / clot retrieval	Intracranial thrombolysis / clot retrieval	220,000.00	5	Not applicable	Not applicable	Not applicable	IN007A	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed discharge summary/ Detailed Procedure / Operative Notes. Invoices / bar code of thrombolytic agentused.
866	Interventional Neuroradiology	Medical	Balloon test occlusion	Balloon test occlusion	96,300.00	5	Not applicable	Not applicable	Not applicable	IN008A	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed discharge summary/ Detailed Procedure / Operative Notes.
867	Interventional Neuroradiology	Medical	Parent vessel occlusion - basic	Parent vessel occlusion - basic	41,300.00	5	Not applicable	Not applicable	Coil for Parent Vessel Occlusion - 26400 Balloon for Parent Vessel Occlusion - 12100 Additional coil for coil embolization for aneurysms - 26400	IN009A	Clinical notes and CT/MRI/ DSA confirming the diagnosis	Detailed Procedure / Operative Notes with procedure deployed/ detailed discharge summary/ invoice / bar code of coil used
868	Interventional Neuroradiology	Medical	Vertebroplasty	Vertebroplasty	55,800.00	5	Not applicable	Not applicable	Not applicable	IN010A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
869	Interventional Neuroradiology	Medical	Catheter directed Thrombolysis	For Deep vein thrombosis (DVT)	57,500.00	2	Not applicable	Not applicable	Not applicable	MC002A	Clinical notes and doppler establishing presence of DVT	Post procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
870	Interventional Neuroradiology	Medical	Catheter directed Thrombolysis	For Mesenteric Thrombosis	57,500.00	2	Not applicable	Not applicable	Not applicable	MC002B	Clinical notes and doppler establishing presence of mesentric thrombosis	Post procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
871	Interventional Neuroradiology	Medical	Catheter directed Thrombolysis	For Peripheral vessels	57,500.00	2	Not applicable	Not applicable	Not applicable	MC002C	Clinical notes and doppler establishing presence of peripheral vessel thrombosis	Post procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
872	Interventional Neuroradiology	Surgical	Nephrostomy	Percutaneous - Ultrasound Guided	40,000.00	1	Not applicable	Not applicable	Not applicable	SU008A	Clinical notes and USG confirming the indication and need of procedure.	Detailed discharge summary/ detailed Procedure / Operative Notes
873	Interventional Neuroradiology	Surgical	Nephrostomy	Open	22,000.00	3	Not applicable	Not applicable	Not applicable	SU008C	Clinical notes and USG confirming the indication and need of procedure.	Detailed discharge summary/ detailed Procedure / Operative Notes
874	Interventional Neuroradiology	Medical	Nephrostomy	Nephrostomy (PCN) - Follow Up	1,200.00	D	Not applicable	Not applicable	Not applicable	SU008B	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / X-RAY KUB
875	Interventional Radiology	Medical	Vertebroplasty	Percutaneous transhepatic biliary stenting (SEMS) after prior PTBD	39,100.00	7	Not applicable	Not applicable	Not applicable	IN010B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
876	Interventional Radiology	Medical	Percutaneous cholangioplasty	Percutaneous cholangioplasty	16,700.00	7	Not applicable	Not applicable	Not applicable	IN011A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
877	Interventional Radiology	Medical	Hepatic venous wedge pressure measurement (HVPG)	Hepatic venous wedge pressure measurement (HVPG)	19,100.00	7	Not applicable	Not applicable	LABS set - 0	IN012A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
878	Interventional Radiology	Medical	Plug-assisted retrograde transvenous obliteration (PARTO)	Plug-assisted retrograde transvenous obliteration (PARTO)	63,400.00	7	Not applicable	Not applicable	Lipoidol+coils(Vascular plug separate additional cost - 0	IN013A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
879	Interventional Radiology	Medical	Tunnelled long-term venous catheter	Tunnelled long-term venous catheter	16,100.00	7	Not applicable	Not applicable	Chemoport - 0	IN014A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
880	Interventional Radiology	Medical	Tunelled longterm indwelling catheter for refractory ascites/pleural effusion	Tunelled longterm indwelling catheter for refractory ascites/pleural effusion	18,400.00	7	Not applicable	Not applicable	Permcath - 0	IN014B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
881	Interventional Radiology	Medical	Peripherally inserted central catheter (PICC)	Peripherally inserted central catheter (PICC)	9,800.00	7	Not applicable	Not applicable	Not applicable	IN015A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
882	Interventional Radiology	Medical	Percutaneous antegrade uretric stenting after prior PCN	Percutaneous antegrade uretric stenting after prior PCN	18,300.00	7	Not applicable	Not applicable	RF Probe for Tumor ablation - 0	IN015B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
883	Interventional Radiology	Medical	Lymphatic occlusion of chylous leak	Lymphatic occlusion of chylous leak	23,400.00	7	Not applicable	Not applicable	Microwave antenna - 0	IN016A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
884	Interventional Radiology	Medical	PVA particle embolization (without microcatheter)	PVA particle embolization (without microcatheter)	17,400.00	7	Not applicable	Not applicable	Lipidol+Coils(2) - 0	IN017A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
885	Interventional Radiology	Medical	Glue embolization (without microcatheter)	Glue embolization (without microcatheter)	27,700.00	7	Not applicable	Not applicable	Coils(3 ) - 0	IN018A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
886	Interventional Radiology	Medical	Glue embolization (with microcatheter)	Glue embolization (with microcatheter)	44,600.00	7	Not applicable	Not applicable	Microcatheter+Coil (3) - 0	IN018B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
887	Interventional Radiology	Medical	Coil embolization	Coil embolization (without microcatheter)	22,000.00	7	Not applicable	Not applicable	Microcatheter - 0	IN019A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
888	Interventional Radiology	Medical	Alcohol embolisation	Alcohol embolisation	32,300.00	7	Not applicable	Not applicable	Balloon - 0	IN019B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
889	Interventional Radiology	Medical	PVA embolization (with microcatheter)	PVA embolization (with microcatheter)	41,800.00	7	Not applicable	Not applicable	Lipidol+Microcatheter+Coil - 0	IN020A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
890	Interventional Radiology	Medical	Coil embolization (with microcatheter)	Coil embolization (with microcatheter)	41,800.00	7	Not applicable	Not applicable	Vacsular Plug+Coils - 0	IN021A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
891	Interventional Radiology	Medical	Vascular plug assisted embolization	Vascular plug assisted embolization	54,000.00	7	Not applicable	Not applicable	Microcatheter - 0	IN022A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
892	Interventional Radiology	Medical	Angioplasty (arterial)	Angioplasty (arterial)	39,500.00	7	Not applicable	Not applicable	Balloon - 0	IN025A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
893	Interventional Radiology	Medical	Angioplasty (arterial)	Angioplasty (arterial) using microguidewire and guiding catheter	61,300.00	7	Not applicable	Not applicable	Balloon +metallic stent - 0	IN025B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
894	Interventional Radiology	Medical	Angioplasty (arterial)	Angioplasty and bare metal stenting (arterial) CTO lesion	83,700.00	7	Not applicable	Not applicable	Balloon + Covered stent - 0	IN025C	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
895	Interventional Radiology	Medical	Angioplasty (arterial)	Angioplasty and covered stent placement (arterial)	69,000.00	7	Not applicable	Not applicable	multiside hole thrombolysis catheter), r TPA , balloon - 0	IN025D	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
896	Interventional Radiology	Medical	Angioplasty (arterial)	Catheter directed thrombolysis (arterial/venous)	48,500.00	7	Not applicable	Not applicable	multiside hole thrombolysis catheter), r TPA , Thrombectomy Catheter - 0	IN025E	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
897	Interventional Radiology	Medical	Thrombectomy followed by thrombolysis (arterial/venous)	Thrombectomy followed by thrombolysis (arterial/venous)	60,100.00	7	Not applicable	Not applicable	Balloon - 0	IN026A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
898	Interventional Radiology	Medical	Angioplasty (venous)	Angioplasty (venous)	27,600.00	7	Not applicable	Not applicable	Balloon+Metallic stent - 0	IN027A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
899	Interventional Radiology	Medical	Angioplasty (venous)	Angioplasty and stenting hepatic vein	69,100.00	7	Not applicable	Not applicable	High Pressure large Ballon - 0	IN027B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
900	Interventional Radiology	Medical	Angioplasty (venous)	Angioplasty (IVC/central vein) with high pressure balloon	64,100.00	7	Not applicable	Not applicable	Ballon+High Pressure large Balloon+metallic stent - 0	IN027C	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
901	Interventional Radiology	Medical	Angioplasty (venous)	Angioplasty and covered stent placement (venous)	62,000.00	7	Not applicable	Not applicable	below knee Balloon - 0	IN027D	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
902	Interventional Radiology	Medical	Angioplasty Below knee angioplasty	Angioplasty Below knee angioplasty	73,300.00	7	Not applicable	Not applicable	Drug Coated balloon/Cutting Ballon - 0	IN028A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
903	Interventional Radiology	Medical	Angioplasty (complex): cutting balloon/drug coated balloon	Angioplasty (complex): cutting balloon/drug coated balloon	73,200.00	7	Not applicable	Not applicable	Graft - 0	IN029A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
904	Interventional Radiology	Medical	Fenestration of dissecting aneurysm	Fenestration of dissecting aneurysm	41,000.00	7	Not applicable	Not applicable	Not applicable	IN030A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
905	Interventional Radiology	Medical	Post EVAR endoleak management	Post EVAR endoleak management	30,000.00	7	Not applicable	Not applicable	Not applicable	IN031A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
906	Interventional Radiology	Medical	IVC filter placement	IVC filter placement	21,300.00	7	Not applicable	Not applicable	multiside hole thrombolysis catheter), r TPA , IVC filter - 0	IN032A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
907	Interventional Radiology	Medical	IVC filter Placeemnt with Catheter directed thrombolysis (arterial/venous)	IVC filter Placeemnt with Catheter directed thrombolysis (arterial/venous)	39,800.00	7	Not applicable	Not applicable	Retrieval kit - 0	IN032B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
908	Interventional Radiology	Medical	IVC filter retrival	IVC filter retrival	15,800.00	7	Not applicable	Not applicable	Not applicable	IN032C	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
909	Interventional Radiology	Medical	Miscellaneous vacular IR procedure	Miscellaneous vascular IR procedure	13,100.00	7	Not applicable	Not applicable	Snare - 0	IN033A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
910	Interventional Radiology	Medical	Retrival of intravascular foreign body	Retrival of intravascular foreign body	18,600.00	7	Not applicable	Not applicable	Not applicable	IN034A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
911	Interventional Radiology	Medical	Joint/bursa intervention	Joint/bursa intervention	7,600.00	7	Not applicable	Not applicable	Not applicable	IN035A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
912	Interventional Radiology	Medical	Sacroiliac joint denervation	Sacroiliac joint denervation	20,800.00	7	Not applicable	Not applicable	Not applicable	IN036C	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
913	Interventional Radiology	Medical	Facet joint intra-articular intervention- CS/Thoracic/LS	Facet joint intra-articular intervention- CS/Thoracic/LS	7,600.00	7	Not applicable	Not applicable	Not applicable	IN037A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
914	Interventional Radiology	Medical	median branch rhizotomy- CS/Thoracic/LS	median branch rhizotomy- CS/Thoracic/LS	20,800.00	7	Not applicable	Not applicable	Not applicable	IN037B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
915	Interventional Radiology	Medical	Radiofrequency ablation-Trigeminal nerve/genicular nerve /celiac plexus /stellate Ganglion/sympathetic nerve (any branch)	Radiofrequency ablation-Trigeminal nerve/genicular nerve /celiac plexus /stellate Ganglion/sympathetic nerve (any branch)	20,800.00	7	Not applicable	Not applicable	Not applicable	IN038A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
916	Interventional Radiology	Medical	PRP -suprascapular /tennis elbow/other tendon	PRP -suprascapular /tennis elbow/other tendon	7,600.00	7	Not applicable	Not applicable	Nucleotome set - 0	IN039A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
917	Interventional Radiology	Medical	Percutaneous Discotomy/nucleotomy using laser or nucleuotome	Percutaneous Discotomy/nucleotomy using laser or nucleuotome	18,600.00	7	Not applicable	Not applicable	Not applicable	IN040A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
918	Interventional Radiology	Medical	Neural foraminal block	Neural foraminal block	7,600.00	7	Not applicable	Not applicable	RF probe - 0	IN041A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
919	Interventional Radiology	Medical	Radiofrequency Ablation (RFA) of bone tumor /metastases/osteoid osteoma	Radiofrequency Ablation (RFA) of bone tumor /metastases/osteoid osteoma	35,000.00	7	Not applicable	Not applicable	Microwave probe - 0	IN041B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
920	Interventional Radiology	Medical	Microwave ablation of bone tumor /osteoid osteoma	Microwave ablation of bone tumor /osteoid osteoma	43,800.00	7	Not applicable	Not applicable	Not applicable	IN042A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
921	Interventional Radiology	Medical	Diskography	Diskography	7,600.00	7	Not applicable	Not applicable	Biopsy Gun - 0	IN043A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
922	Interventional Radiology	Medical	Angioplasty with medicated SFA stent /Specialised stent (arterial) CTO lesion	Angioplasty with medicated SFA stent /Specialised stent (arterial) CTO lesion	327,400.00	7	Not applicable	Not applicable	High Pressure large Ballon+ specialised venous stent - 0	IN044A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
923	Interventional Radiology	Medical	Angioplasty (central vein/ CIV ) with high pressure balloon Aand specilaised venous stent	Angioplasty (central vein/ CIV ) with high pressure balloon Aand specilaised venous stent	228,600.00	7	Not applicable	Not applicable	Not applicable	IN045A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
924	Interventional Radiology	Medical	Stent Retriever	Stroke-Stent Retreiver	320,100.00	7	Not applicable	Not applicable	Not applicable	IN046A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
925	Interventional Radiology	Medical	Aspiration	Stroke-Aspiration Catheter	341,300.00	7	Not applicable	Not applicable	Not applicable	IN047A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
926	Interventional Radiology	Medical	Intervention for Acute stroke (Aspiration & stent retrival)	Intervention for Acute stroke (Aspiration & stent retrival)	432,500.00	7	Not applicable	Not applicable	Not applicable	IN048A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
927	Interventional Radiology	Medical	Endovascular therapy for intracranial aneurysm	Aneurysm-5 Coil	297,400.00	7	Not applicable	Not applicable	Not applicable	IN049A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
928	Interventional Radiology	Medical	Endovascular therapy for intracranial aneurysm	Aneurysm-7 Coil	353,900.00	7	Not applicable	Not applicable	Not applicable	IN049B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
929	Interventional Radiology	Medical	Endovascular therapy for intracranial aneurysm	5 Coil + Balloon	379,900.00	7	Not applicable	Not applicable	Not applicable	IN049C	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
930	Interventional Radiology	Medical	Endovascular therapy for intracranial aneurysm	5 Coil + Balloon+Stent	475,500.00	7	Not applicable	Not applicable	Not applicable	IN049D	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
931	Interventional Radiology	Medical	Endovascular therapy for intracranial aneurysm	7 Coil + Balloon+Stent	521,700.00	7	Not applicable	Not applicable	Not applicable	IN049E	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
932	Interventional Radiology	Medical	Arteriovenous fistula (AVF)/Arteriovenous Malformation (AVM)	Pial AVF (Single hole)	132,400.00	7	Not applicable	Not applicable	Not applicable	IN050A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
933	Interventional Radiology	Medical	Arteriovenous fistula (AVF)/Arteriovenous Malformation (AVM)	AVF	143,400.00	7	Not applicable	Not applicable	Not applicable	IN050B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
934	Interventional Radiology	Medical	Arteriovenous fistula (AVF)/Arteriovenous Malformation (AVM)	AVM (nidus upto 3 cm)	172,400.00	7	Not applicable	Not applicable	Not applicable	IN050C	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
935	Interventional Radiology	Medical	Carotid angioplasty & stenting	Carotid stenting	137,500.00	7	Not applicable	Not applicable	Not applicable	IN051A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
936	Interventional Radiology	Medical	Carotid angioplasty & stenting	Carotid stenting-membrane layered	194,400.00	7	Not applicable	Not applicable	Not applicable	IN051B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
937	Interventional Radiology	Medical	Intracranial stenting for Intracranialatheroscelorosis disease (ICAD)	Intracranial stenting for Intracranialatheroscelorosis disease (ICAD)	400,700.00	7	Not applicable	Not applicable	Not applicable	IN052A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
938	Interventional Radiology	Medical	Dural sinus stenting	Dural sinus stenting	146,200.00	7	Not applicable	Not applicable	Not applicable	IN052B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
939	Interventional Radiology	Medical	Carotid stenting with protection device	Carotid stenting with protection device	228,700.00	7	Not applicable	Not applicable	Not applicable	IN052C	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
940	Interventional Radiology	Medical	Vasospasm management-post coiling/clipping *Cost per session	Vasospasm management-post coiling/clipping *Cost pe	89,000.00	7	Not applicable	Not applicable	Not applicable	IN052D	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
941	Interventional Radiology	Medical	Retinoblastoma package	Retinoblastoma under GA	99,200.00	7	Not applicable	Not applicable	Not applicable	IN053A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
942	Interventional Radiology	Medical	Percutaneous cholecystostomy	Percutaneous cholecystostomy	24,300.00	7	Not applicable	Not applicable	Balloon - 0	IN054A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
943	Interventional Radiology	Medical	PAIR / percutaneous sclerotherapy for Hydatid cyst	PAIR / percutaneous sclerotherapy for Hydatid cyst	10,100.00	7	Not applicable	Not applicable	Balloon+Metallic stent - 0	IN055A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
944	Interventional Radiology	Medical	Oesophageal /gastric / duodenal / colonic stenting/balloon dilatation	Oesophageal /gastric / duodenal / colonic stenting/balloon dilatation	26,300.00	7	Not applicable	Not applicable	Not applicable	IN056A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
945	Interventional Radiology	Medical	Transjugular Liver biopsy	Transjugular Liver biopsy	19,400.00	7	Not applicable	Not applicable	Gastrostomy set - 0	IN057A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
946	Interventional Radiology	Medical	Percutaneous gastrostomy	Percutaneous gastrostomy	8,700.00	7	Not applicable	Not applicable	lipoiodol+Microcather - 0	IN058A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
947	Interventional Radiology	Medical	Transarterial chemoembolization - conventional (cTACE)	Transarterial chemoembolization - conventional (cTACE)	66,000.00	7	Not applicable	Not applicable	DEB+Microcather - 0	IN059A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
948	Interventional Radiology	Medical	Transarterial chemoembolization - Drug eluting beads (DEB-TACE)	Transarterial chemoembolization - Drug eluting beads (DEB-TACE)	56,700.00	7	Not applicable	Not applicable	RUPS set,covered stent, uncovered stent,Balloon catheter - 0	IN060A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
949	Interventional Radiology	Medical	Transjugular intrahepatic portosystemic shunt creation (TIPSS) Direct transjugular Intrahepatic Portosystemic shunt(DIPSS)	Transjugular intrahepatic portosystemic shunt creation (TIPSS) Direct transjugular Intrahepatic Portosystemic shunt(DIPSS)	104,200.00	7	Not applicable	Not applicable	lipoiodol+Ballon+coils 2 - 0	IN061A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
950	Interventional Radiology	Medical	Balloon-occluded retrograde transvenous obliteration (BRTO)	Balloon-occluded retrograde transvenous obliteration (BRTO)	56,100.00	7	Not applicable	Not applicable	Vacsular Plu+coil+lipoidol - 0	IN062A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
951	Interventional Radiology	Medical	Pre-operative portal vein embolization	Pre-operative portal vein embolization	36,700.00	7	Not applicable	Not applicable	Pleurex kit - 0	IN063A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
952	Interventional Radiology	Medical	Chemoport/implantable lines	Chemoport/implantable lines	16,100.00	7	Not applicable	Not applicable	PICC line - 0	IN064A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
953	Interventional Radiology	Medical	Primary percutaneous antegrade uretric stenting	Primary percutaneous antegrade uretric stenting	26,600.00	7	Not applicable	Not applicable	Silicon Stent - 0	IN065A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
954	Interventional Radiology	Medical	USG guided percutaneous ganglion/plexus block (Neuronolysis)	USG guided percutaneous ganglion/plexus block (Neuronolysis)	12,500.00	7	Not applicable	Not applicable	Not applicable	IN066A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
955	Interventional Radiology	Medical	CT guided percutaneous ganglion/plexus block (Neuronolysis)	CT guided percutaneous ganglion/plexus block (Neuronolysis)	15,800.00	7	Not applicable	Not applicable	Vertebroplasty kit including cement - 0	IN067A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
956	Interventional Radiology	Medical	Vertebroplasty/Cementoplasty	Vertebroplasty/Cementoplasty	30,400.00	7	Not applicable	Not applicable	Kyphoplasty kit+Cement - 0	IN068A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
957	Interventional Radiology	Medical	Kyphoplasty	Kyphoplasty	43,700.00	7	Not applicable	Not applicable	VABB gun - 0	IN069A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
958	Interventional Radiology	Medical	Vaccum assisted breast biopsy	Vaccum assisted breast biopsy	11,800.00	7	Not applicable	Not applicable	Lipidol - 0	IN070A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
959	Interventional Radiology	Medical	USG guided percutaneous Microwave Ablation (MWA)- benign breast /thyroid tumor	USG guided percutaneous Microwave Ablation (MWA)- benign breast /thyroid tumor	40,500.00	7	Not applicable	Not applicable	Not applicable	IN071A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
960	Interventional Radiology	Medical	Diagnostic angiography (DSA)	Diagnostic angiography (DSA)	9,600.00	7	Not applicable	Not applicable	Not applicable	IN072A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
961	Interventional Radiology	Medical	Gelfoam embolization (without microcatheter)	Gelfoam embolization (without microcatheter)	16,100.00	7	Not applicable	Not applicable	2 PVA particle - 0	IN073A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
962	Interventional Radiology	Medical	Gelfoam embolization (with microcatheter)	Gelfoam embolization (with microcatheter)	32,300.00	7	Not applicable	Not applicable	PVA particle+Microcathetr - 0	IN073B	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
963	Interventional Radiology	Medical	Varicose vein: endovenous treatment (for one limb)	Varicose vein: endovenous treatment (for one limb)	16,900.00	7	Not applicable	Not applicable	Not applicable	IN074A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
964	Interventional Radiology	Medical	Percutaneous Injection sclerotherapy for low flow vascular malformation	Percutaneous Injection sclerotherapy for low flow vascular malformation	12,500.00	7	Not applicable	Not applicable	Coils(4 ), microcatheter - 0	IN075A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
965	Interventional Radiology	Medical	Varicocele embolization	Varicocele embolization	25,000.00	7	Not applicable	Not applicable	Balloon+Drug Coated ballon/Cutting Ballon - 0	IN076A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
966	Interventional Radiology	Medical	Fistuloplasty / Thrombectomy of dialysis fistula	Fistuloplasty / Thrombectomy of dialysis fistula	44,700.00	7	Not applicable	Not applicable	IVC filter - 0	IN077A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
967	Interventional Radiology	Medical	EVOH Package	AVM (1 vial)	147,600.00	7	Not applicable	Not applicable	Not applicable	IN078A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
968	Interventional Radiology	Medical	Tumor Embolization	Tumor Embolization	99,100.00	7	Not applicable	Not applicable	Not applicable	IN079A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
969	Interventional Radiology	Medical	3 Coil + Balloon+Stent Package	3 Coil + Balloon+Stent Package	243,500.00	7	Not applicable	Not applicable	Not applicable	IN080A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
970	Interventional Radiology	Medical	Percutaneous nephrostomy	Percutaneous nephrostomy	24,300.00	7	Not applicable	Not applicable	Silicon Stent - 0	IN081A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
971	Interventional Radiology	Medical	3 Coil + Balloon Package	3 Coil + Balloon Package	168,700.00	7	Not applicable	Not applicable	Not applicable	IN082A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
972	Interventional Radiology	Medical	Angioplasty and bare metal stenting (arterial)	Angioplasty and bare metal stenting (arterial)	53,000.00	7	Not applicable	Not applicable	Balloon +metallic stent - 0	IN083A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
973	Interventional Radiology	Medical	TEVAR for aortic aneurysm/ dissection	TEVAR for aortic aneurysm/ dissection	92,200.00	7	Not applicable	Not applicable	Balloon - 0	IN084A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Detailed discharge summary/ Detailed Procedure / Operative Notes
974	Interventional Radiology	Medical	Coil Package	Aneurysm-3 Coil	151,000.00	7	Not applicable	Not applicable	Not applicable	IN085A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Angiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
975	Interventional Radiology	Medical	Angioplasty and bare metal stenting (venous)	Angioplasty and bare metal stenting (venous)	48,700.00	7	Not applicable	Not applicable	High Pressure large Ballon+Covered stent - 0	IN086A	Clinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumatic	Post procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
976	Medical Oncology	Medical	CT for CA Breast	Cyclophosphamide + Epirubcin Cyclophosphamide - 830 mg /m2 D1 Epirubicin -100mg/m2 D1 every 21 days	8,900.00	D	Not applicable	Not applicable	Not applicable	MO001A	Clinical note with Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surger/ CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
977	Medical Oncology	Medical	CT for CA Breast	Weekly Paclitaxel for Adjuvant Therapy Paclitaxel 80mg/m2 every week	7,900.00	D	Not applicable	Not applicable	Not applicable	MO001B	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery / USG abdomen and pelvis/ CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
978	Medical Oncology	Medical	CT for CA Breast	Weekly Paclitaxel in metastatic setting Paclitaxel 80mg/m2 every week	7,900.00	D	Not applicable	Not applicable	Not applicable	MO001C	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery / USG abdomen and pelvis/ CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
979	Medical Oncology	Medical	CT for CA Breast	Cyclophosphamide + Methotrexate + 5 - FU Cyclophosphamide - 100mg/m2 orally D1-D14 Methotrexate 40mg/m2 IV D1 D8 5FU 600 mg/m2 D1, D8 every 28 days	7,900.00	D	Not applicable	Not applicable	Not applicable	MO001D	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery / USG abdomen and pelvis/ CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
980	Medical Oncology	Medical	CT for CA Breast	Docetaxel + Cyclophosphamide Docetaxel 75mg/m2 D1 Cyclophosphamide 600 mg/m2 D1 every 21 days	21,800.00	D	Not applicable	Not applicable	Not applicable	MO001E	Clinical note with Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surger/ CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
981	Medical Oncology	Medical	CT for CA Breast	Trastuzumab Trastuzumab 8 mg/Kg in Cycle 1 D1 Trastuzumab 6 mg/kg D1 from C2 every 21 days	25,700.00	D	Not applicable	Not applicable	Not applicable	MO001F	Clinical note with Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery/ Her-2 neu IHC - 3+ or Her 2-neu positive FISH/ CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
982	Medical Oncology	Medical	CT for CA Breast	Tamoxifen Tamoxifem 20 mg orally daily	7,900.00	D	Not applicable	Not applicable	Not applicable	MO001G	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery/ ER or PR positive / mammography/USG abdomen and pelvis/ CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
983	Medical Oncology	Medical	CT for CA Breast	Letrozole Letrozole 2.5 mg orally daily	7,900.00	D	Not applicable	Not applicable	Not applicable	MO001H	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery/ ER or PR positive / mammography/USG abdomen and pelvis/ CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
984	Medical Oncology	Medical	CT for CA Breast	Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	16,400.00	D	Not applicable	Not applicable	Not applicable	MO001I	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery/ mammography/USG abdomen and pelvis/ CXR PA view or CECThest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
985	Medical Oncology	Medical	CT for CA Breast	Capecitabine Capecitabine - 1000mg/m2 orally twice daily D1-D14 every 21 days	9,000.00	D	Not applicable	Not applicable	Not applicable	MO001J	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery/ mammography/USG abdomen and pelvis/ CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
986	Medical Oncology	Medical	CT for CA Breast	Carboplatin + Gemcitabine Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 2 D1 D8 Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 5-6 D1 only	15,300.00	D	Not applicable	Not applicable	Not applicable	MO001K	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery/ mammography/USG abdomen and pelvis/ CXR PA view or CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
987	Medical Oncology	Medical	CT for CA Breast	Cyclophosphamide + Adriamycin Cyclophosphamide - 600 mg /m2 D1 Adriamycin - 60mg/m2 D1 every 21 days	7,900.00	D	Not applicable	Not applicable	Not applicable	MO001L	Clinical note with Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surger/ CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
988	Medical Oncology	Medical	CT for CA Breast	Fulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days	12,100.00	D	Not applicable	Not applicable	Not applicable	MO001M	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery/ ER or PR positive / mammography/USG abdomen and pelvis/ CXR PA view or CECT chest abdomen and pelvis	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
989	Medical Oncology	Medical	CT for CA Breast	Paclitaxel Paclitaxel 175 mg/m2 D1 every 21 days	13,000.00	D	Not applicable	Not applicable	Not applicable	MO001N	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery/ mammography/USG abdomen and pelvis/ CXR PA view or CECT chest abdomen and pelvis	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
990	Medical Oncology	Medical	CT for CA Breast	Exemestane Exemestane 25 mg orally daily	11,400.00	D	Not applicable	Not applicable	Not applicable	MO001O	Clinical note with CBC/ LFT/RFT/ Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surgery/ ER or PR positive / mammography/USG abdomen and pelvis/ CXR PA view or CECT chest abdomen and pelvis	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
991	Medical Oncology	Medical	CT for CA Breast	Lapatinib Lapatinib 500 mg BD orally , daily	18,300.00	D	Not applicable	Not applicable	Not applicable	MO001P	Clinical note with Biopsy report or surgical pathology report of Modified radical mastectomy or breast conservation surger/ CECT chest+abdomen and pelvis in case of metastatic disease	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
992	Medical Oncology	Medical	CT for Metastatic bone malignancy and multiple myeloma	Zoledronic Acid Zoledronic acid 4 mg IV Monthly	5,000.00	D	Not applicable	Not applicable	Not applicable	MO002A	RFT/ skeletal survey/bone scan/PET-CT showing bone metastasis histopathology showing myeloma/ lung cancer/Breast cancer/ renal cancer or other cancer	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY/ETC.) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
993	Medical Oncology	Medical	CT for CA Ovary	Cisplatin + Irinotecan Cisplatin 60mg/m2 D1 Irinotecan 60 mg/m2 D1 D8 D15 every 28 days	15,800.00	D	Not applicable	Not applicable	Not applicable	MO003A	Clinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
994	Medical Oncology	Medical	CT for CA Ovary	Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5-6 D1 every 28 days	20,900.00	D	Not applicable	Not applicable	Not applicable	MO003B	Clinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
995	Medical Oncology	Medical	CT for CA Ovary	Etoposide Etoposide 50 mg/m2 OD D1-D14 every 21 days	11,200.00	D	Not applicable	Not applicable	Not applicable	MO003C	Clinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
996	Medical Oncology	Medical	CT for CA Ovary	Irinotecan Irinotecan 60 -90 mg/m2 D1 D8 every 21 days	13,300.00	D	Not applicable	Not applicable	Not applicable	MO003D	Clinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
997	Medical Oncology	Medical	CT for CA Ovary	Lipodox Lipodox 40 mg/m2 IV every 28 days	21,800.00	D	Not applicable	Not applicable	Not applicable	MO003E	Clinical note with CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
998	Medical Oncology	Medical	CT for CA Ovary	Carboplatin + Gemcitabine Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 2 D1 D8 Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 5-6 D1 only	15,300.00	D	Not applicable	Not applicable	Not applicable	MO003F	Clinical note with CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
999	Medical Oncology	Medical	CT for CA Ovary	Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	18,000.00	D	Not applicable	Not applicable	Not applicable	MO003G	Clinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,000	Medical Oncology	Medical	CT for CA Ovary	Cyclophosphamide 50 mg/m2 OD D1-D21 every 28 days	3,400.00	D	Not applicable	Not applicable	Not applicable	MO003H	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,001	Medical Oncology	Medical	CT for CA Ovary	Tamoxifen Tamoxifem 20 mg orally daily (3 months)	1,500.00	D	Not applicable	Not applicable	Not applicable	MO003I	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,002	Medical Oncology	Medical	CT for CA Ovary	Letrozole Letrozole 2.5 mg orally daily (3 months)	4,700.00	D	Not applicable	Not applicable	Not applicable	MO003J	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,003	Medical Oncology	Medical	CT for CA Ovary	Single agent Carboplatin Carboplatin AUC 5-6 D1 every 21 days ( maximum -6 cycle)	8,500.00	D	Not applicable	Not applicable	Not applicable	MO003K	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,004	Medical Oncology	Medical	CT for CA Ovary	Cisplatin Cisplatin 40 mg/m2 every week (maximum- 6 cycles)	5,100.00	D	Not applicable	Not applicable	Not applicable	MO003L	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,005	Medical Oncology	Medical	CT for Germ Cell Tumor	Carboplatin (AUC 7) Carboplatin AUC 7 every 21 days	8,900.00	D	Not applicable	Not applicable	Not applicable	MO004A	Clinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -testicular seminoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,006	Medical Oncology	Medical	CT for Germ Cell Tumor	Bleomycin + Etoposide + Cisplatin Bleomycin 30 units D1 D8 D15 Cisplatin 20 mg/m2 IV D1-D5 Etoposide 100mg/m2 D1-D5 every 21 days	15,000.00	D	Not applicable	Not applicable	Not applicable	MO004B	Clinical note with Beta- HCG/ AFP/LDH/CECT Thorax/ abdomen and Pelvis/Histopathology -Ovarian/ testicular/ mediastinal	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,007	Medical Oncology	Medical	CT for Germ Cell Tumor	Etoposide + Cisplatin Cisplatin 20 mg/m2 IV D1-D5 Etoposide 100mg/m2 D1-D5 every 21 days	13,200.00	D	Not applicable	Not applicable	Not applicable	MO004C	Clinical note with Beta- HCG/ AFP/LDH/CECT Thorax/ abdomen and Pelvis/Histopathology -Ovarian/ testicular/ mediastinal	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,008	Medical Oncology	Medical	CT for Germ Cell Tumor	Gemcitabine + Oxaliplatin Gemcitabine 1000mg/m2 D1 D8 Oxaiplatin 130mg/m2 D1 every 21 days	19,300.00	D	Not applicable	Not applicable	Not applicable	MO004D	Clinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -Ovarian/ testicular/ mediastinal	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,009	Medical Oncology	Medical	CT for Germ Cell Tumor	Gemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days	19,300.00	D	Not applicable	Not applicable	Not applicable	MO004E	Clinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -Ovarian/ testicular/ mediastinal	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,010	Medical Oncology	Medical	CT for Germ Cell Tumor	Paclitaxel + Ifosfamide + Cisplatin Paclitaxel 240 mg/m2 D1 Ifosfamide 1500mg/m2 D2-D5 Mesna 300 mg/m2 0h 4h 8h D2-D5 Cisplatin 25mg/m2 D2-D5 every 21 days	29,600.00	D	Not applicable	Not applicable	Not applicable	MO004F	Clinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -Ovarian/ testicular/ mediastinal	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,011	Medical Oncology	Medical	CT for Germ Cell Tumor	Vinblastin + Ifosfamide + Cisplatin Vinblastine 0.11 mg/kg IV D1-D2 Mesna 240mg/m2 0h 4h 8h D1-D5 Ifosfamide 1200mg/m2 D1-D5 Cisplatin 20 mg/m2 D1-D5 every 21 days	16,500.00	D	Not applicable	Not applicable	Not applicable	MO004G	Clinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -Ovarian/ testicular/ mediastinal	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,012	Medical Oncology	Medical	CT for Gestational Trophoblastic Neoplasia	Etoposide + Methotrexate + Dactinomycin- Cyclophosphamide + Vincristine Etoposide 100mg/m2 IV D1 D2 Dactinomycin 0.5 mg IV push D1 D2 Methotrexate 300 mg /m2 D1 Leucovorin 15 mg PO every 12 hrs for 4 doses Cyclophosphamide 600mg/m2 D8 Vincrstine 1 mg/m2 D8 every 2 weeks	14,600.00	D	Not applicable	Not applicable	Not applicable	MO005A	Clinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ CECT Thorax// abdomen and Pelvis	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,013	Medical Oncology	Medical	CT for Gestational Trophoblastic Neoplasia	Etoposide + Methotrexate + Dactinomycin + Cisplatin Etoposide 100mg/m2 IV D1 D2 D8 Dactinomycin 0.5 mg IV push D1 D2 Methotrexate 300 mg /m2 D1 Leucovorin 15 mg PO every 12 hrs for 4 doses Cisplatin 75mg/m2 D8 every 2 weeks	15,500.00	D	Not applicable	Not applicable	Not applicable	MO005B	Clinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ CECT Thorax// abdomen and Pelvis	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,014	Medical Oncology	Medical	CT for Gestational Trophoblastic Neoplasia	Methotrexate Methotrexate 1/mg/kg IM every other day x 4 days D1 3 D5 D7 Alternating every other day with Leucovorin 15 mg PO repeat every 14 days	12,500.00	D	Not applicable	Not applicable	Not applicable	MO005C	Clinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ CECT Thorax// abdomen and Pelvis	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,015	Medical Oncology	Medical	CT for Gestational Trophoblastic Neoplasia	Dactinomycin Inj Dactinomycin 0.5 mg D1- D5 every 14 days	8,500.00	D	Not applicable	Not applicable	Not applicable	MO005D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,016	Medical Oncology	Medical	CT for Cervical Cancer	Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	16,400.00	D	Not applicable	Not applicable	Not applicable	MO006A	Clinical note with CBC/ LFT/ RFT/ RBS/CECT Thorax/ abdomen and Pelvis / histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,017	Medical Oncology	Medical	CT for Cervical Cancer	Cisplatin Cisplatin 40 mg/m2 every week	16,400.00	D	Not applicable	Not applicable	Not applicable	MO006B	Clinical note with CECT Thorax/ abdomen and Pelvis / histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,018	Medical Oncology	Medical	CT for Endometrial Cancer	Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	16,400.00	D	Not applicable	Not applicable	Not applicable	MO007A	Clinical note with CBC/ LFT/ RFT/ RBS/CECT Thorax/ abdomen and Pelvis / histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,019	Medical Oncology	Medical	CT for Endometrial Cancer	Cisplatin + Doxorubicin Doxorubicin 60 mg/m2 D1 Cisplatin 50mg/m2 every 3 weeks	16,400.00	D	Not applicable	Not applicable	Not applicable	MO007B	Clinical note with CBC/ LFT/ RFT/ RBS/CECT Thorax/ abdomen and Pelvis / histopathology/ ECG/2D ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,020	Medical Oncology	Medical	CT for Endometrial Cancer	Lipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5 D1 every 28 days	20,900.00	D	Not applicable	Not applicable	Not applicable	MO007C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,021	Medical Oncology	Medical	CT for Endometrial Cancer	Carboplatin + Gemcitabine Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 2 D1 D8 Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 5-6 D1 only every 3 weeks	16,800.00	D	Not applicable	Not applicable	Not applicable	MO007D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,022	Medical Oncology	Medical	CT for Endometrial Cancer	Anastrozole 1 mg orally daily (for 3 months)	4,700.00	D	Not applicable	Not applicable	Not applicable	MO007E	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,023	Medical Oncology	Medical	CT for Vulvar Cancer	Cisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks	10,000.00	D	Not applicable	Not applicable	Not applicable	MO008A	Clinical note with CBC/ LFT/ RFT/ RBS/ MRI pelvis / histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,024	Medical Oncology	Medical	CT for Vulvar Cancer	Cisplatin Cisplatin 40 mg/m2 every week	8,400.00	D	Not applicable	Not applicable	Not applicable	MO008B	Clinical note with CBC/ LFT/ RFT/ RBS/ MRI pelvis / histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,025	Medical Oncology	Medical	CT for Vulvar Cancer	Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5 D1 every 21 days	17,600.00	D	Not applicable	Not applicable	Not applicable	MO008C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,026	Medical Oncology	Medical	CT for Ewing Sarcoma	Vincristine + Topotecan + Cyclophosphamide + Irinotecan + Temozolamide Vincristine 1.5mg/m2( day 1) Topotecan 1.5mg/m2 (day 1-5) Cyclophosphamide 250mg/m2 (days 1-5) Given every 3 weeks Irinotecan 10-50 mg/sqM days 1-5 and days 8-12 Temozolamide 100mg/m2 days 1-5 of each cycle every 3 weeks	28,100.00	D	Not applicable	Not applicable	Not applicable	MO009A	Clinical note with CBC/ Biochemistry/ PET CT or CT CHEST/BONE SCAN/ Bone marrow studies/ Biopsy/ ECG/ 2D-ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,027	Medical Oncology	Medical	CT for Ewing Sarcoma	Vincristine + Ifosfamide + Etoposide Vincristine + Doxorubicin + Cyclophosphamide Vincristine + Cyclophosphamide + Dactinomycin. 4 cycles VIE, 6 cycles VAC, 4 cycles VCD Vincristine 1.5mg/m2 (day 1, 8 and 15) Ifosfamide: 1800mg/m2 (days1-5) Etposide: 100mg/sq.m (days 1-5) Given every 3 weeks Vincristine 1.5mg/m2 (day 1 and 8) Adriamyicn: 60mg/m2 (day 1) Cyclophosphamide 600mg/m2 (day 1) Given 2-3 weekly Vincristine 1.5mg/m2 (day 1 and 8) Cyclophosphamide 600mg/m2 (day 1) Dactinomycin1mg/m2 (day1) Given 3 weekly	24,600.00	D	Not applicable	Not applicable	Not applicable	MO009B	Clinical note with CBC/ Biochemistry/ PET CT or CT CHEST/BONE SCAN/ Bone marrow studies/ Biopsy/ ECG/ 2D-ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,028	Medical Oncology	Medical	CT for Ewing Sarcoma	Vincristine + Adriamycin + Cyclophosphamide Ifosfamide + Etoposide Ifosfamide: 1800mg/m2 (days1-5) Etposide: 100mg/sq.m (days 1-5) Given every 2-3 weekly Vincristine 1.5mg/m2 (day 1 and 8) Adriamyicn: 75mg/m2 (day 1) Cyclophosphamide 1200mg/m2 (day 1) Given 2-3 weekly	24,600.00	D	Not applicable	Not applicable	Not applicable	MO009C	PET CT or CT CHEST/BONE SCAN/ Bone marrow studies/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY/ETC.) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,029	Medical Oncology	Medical	CT for Osteogenic Sarcoma	Doxorubicin + Cisplatin Cisplatin 100mg/m2 Doxorubicin 75mg/m2 given every 3 weeks	24,000.00	D	Not applicable	Not applicable	Not applicable	MO010A	Clinical note with CBC/ LFT/ RFT/ RBS/ DTPA GFR/ NCCT chest/ MRI of the involved site/ 2D ECHO/ Pure tone audiometry/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,030	Medical Oncology	Medical	CT for Osteogenic Sarcoma	Methotrexate + Doxorubicin + Cisplatin for Relapsed Osteogenic Sarcoma Cisplatin 120mg/sq.m Doxorubicin 75mg/m2 Methotrexate 8-12 gram/m2 Each cycle for 5 weeks	29,700.00	D	Not applicable	Not applicable	Not applicable	MO010B	Clinical note with CBC/ Biochemistry/ CT CHEST/ BONE SCAN/ Biopsy/ ECG/ 2D-ECHO/ AUDIOMETRY/ GFR	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,031	Medical Oncology	Medical	CT for Osteogenic Sarcoma	OGS - 12 Ifosfamide 1800 mg/m2 D1-D5 Mesna 600mg/m2 0h 3h 6h 9h D1-D5 Adriamycin 25mg/m2 D1- D3 Cisplatin 33 mg/m2 D1-D3 every 21 days	32,600.00	D	Not applicable	Not applicable	Not applicable	MO010C	Clinical note with CBC/ LFT/ RFT/ RBS/ DTPA GFR/ NCCT chest/ MRI of the involved site/ 2D ECHO/ Pure tone audiometry/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,032	Medical Oncology	Medical	CT for Osteogenic Sarcoma	OGS - 12 Ifosfamide 1800 mg/m2 D1-D5 Mesna 600mg/m2 0h 3h 6h 9h D1-D5 Cisplatin 33 mg/m2 D1-D3 every 21 days	39,800.00	D	Not applicable	Not applicable	Not applicable	MO010D	Clinical note with CBC/ LFT/ RFT/ RBS/ DTPA GFR/ 2D ECHO/ Pure tone/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,033	Medical Oncology	Medical	CT for Soft Tissue Sarcoma	Gemcitabine + Docetaxel Gemcitabine 900 mg/m2 D1 D8 Docetaxel 100 mg/m2 D8 every 21 days	34,000.00	D	Not applicable	Not applicable	Not applicable	MO011A	Clinical note with MRI of the involved part/CECT Thorax/ abdomen and Pelvis/histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,034	Medical Oncology	Medical	CT for Soft Tissue Sarcoma	Ifosfamide + Adriamycin Doxorubicin 30mg/m2 D1 D2 Ifosfamide 2000 to 3000mg/m2 Mesna 400 to 600 mg/m2 0h 4h 8h D1 - D3 Every 21 days	34,000.00	D	Not applicable	Not applicable	Not applicable	MO011B	Clinical note with CBC/ LFT/ ECHO/ MRI of the involved part/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,035	Medical Oncology	Medical	CT for Soft Tissue Sarcoma	Doxorubicin 60-75/m2, every 21 days	4,800.00	D	Not applicable	Not applicable	Not applicable	MO011C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,036	Medical Oncology	Medical	CT for Metastatic Melanoma	Dacarbazine + Cisplatin Dacarbazine 250mg/m2 D1-D5 Cisplatin 75 mg/m2 Every 21 days	8,700.00	D	Not applicable	Not applicable	Not applicable	MO012A	Clinical note with CBC/ RFT/ LFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,037	Medical Oncology	Medical	CT for Metastatic Melanoma	Temozolamide Temozolamide 200mg/m2 D1-D5 every 28 days	25,400.00	D	Not applicable	Not applicable	Not applicable	MO012B	Clinical note with CBC/ RFT/ LFT/ RBS/ CECT Thorax/ abdomen and Pelvis	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,038	Medical Oncology	Medical	CT for Metastatic Melanoma	Imatinib Tab Imatinib 400/800 mg daily	6,100.00	D	Not applicable	Not applicable	Not applicable	MO012C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,039	Medical Oncology	Medical	CT for Anal Cancer	5 FU + Mitomycin C 5 FU 1000mg/m2 D1-D4 D29-D32 Mitomycin 10mg/m2 D1	13,300.00	D	Not applicable	Not applicable	Not applicable	MO013A	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / MRI Pelvis/ CEA/ Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,040	Medical Oncology	Medical	CT for Anal Cancer	Capecitabine + Mitomycin C Capecitabine 825mg/m2 PO twice daily till completion of RT Mitomycin 10mg/2 D1	20,500.00	D	Not applicable	Not applicable	Not applicable	MO013B	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / MRI Pelvis/ CEA/ Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,041	Medical Oncology	Medical	CT for Anal Cancer	Cisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks	11,600.00	D	Not applicable	Not applicable	Not applicable	MO013C	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,042	Medical Oncology	Medical	CT for Anal Cancer	Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	16,400.00	D	Not applicable	Not applicable	Not applicable	MO013D	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,043	Medical Oncology	Medical	CT for Anal Cancer	Cisplatin + Paclitaxel Paclitaxel 175 mg/m2 D1 Cisplatin 75mg/m2 D1 every 21 days	16,200.00	D	Not applicable	Not applicable	Not applicable	MO013E	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,044	Medical Oncology	Medical	CT for Colorectal Cancer	5 FU + Leucovorin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 every 14 days	6,700.00	D	Not applicable	Not applicable	Not applicable	MO014A	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / Colonoscopy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,045	Medical Oncology	Medical	CT for Colorectal Cancer	Capecitabine + Irinotecan Capecitabine 1000mg/m2 D1-D14 Irinotecan 200 mg/m2 D1 every 21 days	13,800.00	D	Not applicable	Not applicable	Not applicable	MO014B	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,046	Medical Oncology	Medical	CT for Colorectal Cancer	5 FU + Leucovorin + Oxaliplatin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 every 14 days	16,600.00	D	Not applicable	Not applicable	Not applicable	MO014C	Clinical note with CECT Thorax / abdomen / Pelvis / CEA / Histopathology /Colonoscopy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,047	Medical Oncology	Medical	CT for Colorectal Cancer	5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days	11,700.00	D	Not applicable	Not applicable	Not applicable	MO014D	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,048	Medical Oncology	Medical	CT for Colorectal Cancer	Capecitabine + Oxaliplatin Capecitabine 1000mg/m2 D1-D14 Oxaliplatin 130 mg/m2 D1 every 21 days	18,200.00	D	Not applicable	Not applicable	Not applicable	MO014E	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / Colonoscopy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,049	Medical Oncology	Medical	CT for Colorectal Cancer	Capecitabine along with RT Capecitabine 825 mg/m2 twice daily	8,800.00	D	Not applicable	Not applicable	Not applicable	MO014F	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / Colonoscopy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,050	Medical Oncology	Medical	CT for Colorectal Cancer	Capecitabine Capecitabine 1000mg/m2 D1-D14 every 21 days	8,900.00	D	Not applicable	Not applicable	Not applicable	MO014G	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / Colonoscopy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,051	Medical Oncology	Medical	CT for Colorectal Cancer	5FU + Leucovorin + Oxaliplatin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Irinotecan 180mg/m2 every 14 days	22,800.00	D	Not applicable	Not applicable	Not applicable	MO014H	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / Colonoscopy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,052	Medical Oncology	Medical	CT for Esophageal Cancer	Carboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	16,400.00	D	Not applicable	Not applicable	Not applicable	MO015A	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,053	Medical Oncology	Medical	CT for Esophageal Cancer	Cisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks	16,400.00	D	Not applicable	Not applicable	Not applicable	MO015B	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,054	Medical Oncology	Medical	CT for Esophageal Cancer	Cisplatin + 5 FU Cisplatin 75mg/m2 D1 D29 5FU 100mg/m2 D1-D4 D29 D32 every 35 days	16,400.00	D	Not applicable	Not applicable	Not applicable	MO015C	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,055	Medical Oncology	Medical	CT for Esophageal Cancer	Paclitaxel + Carboplatin Paclitaxel 50mg/m2 D1 Carboplatin AUC 2 D1 every week	32,900.00	D	Not applicable	Not applicable	Not applicable	MO015D	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,056	Medical Oncology	Medical	CT for Esophageal Cancer	Paclitaxel + Carboplatin Paclitaxel 50mg/m2 D1 Carboplatin AUC 2 D1 every week	32,900.00	D	Not applicable	Not applicable	Not applicable	MO015E	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,057	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	Cisplatin + Docetaxel Docetaxel 40mg/m2 D1 Cisplatin 40 mg/m2 D1 Leucovorin 400mg/m2 D1 5FU 1000mg/m2 D1 D2 every 14 days	16,800.00	D	Not applicable	Not applicable	Not applicable	MO016A	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,058	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	Irinotecan Irinotecan 60- 90 mg/m2 D1 D8 every 21 days	13,300.00	D	Not applicable	Not applicable	Not applicable	MO016B	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,059	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	5 FU 5 FU 250 mg/m2 D1-D5 over 24 hrs every week	13,300.00	D	Not applicable	Not applicable	Not applicable	MO016C	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,060	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	Capecitabine Capecitabine 825 mg/m2 twice daily	13,300.00	D	Not applicable	Not applicable	Not applicable	MO016D	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,061	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	Capecitabine + Oxaliplatin Capecitabine 1000mg/m2 D1-D14 Oxaliplatin 130 mg/m2 D1 every 21 days	18,200.00	D	Not applicable	Not applicable	Not applicable	MO016E	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,062	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	Docetaxel + Cisplatin + 5 FU Docetaxel 40mg/m2 D1 Cisplatin 40 mg/m2 D1 Leucovorin 400mg/m2 D1 5FU 1000mg/m2 D1 D2 every 14 days	18,000.00	D	Not applicable	Not applicable	Not applicable	MO016F	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,063	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	Docetaxel + Cisplatin + Xeloda Docetaxel 40mg/m2 D1 Cisplatin 40 mg/m2 D1 Capecitabine 825mg/m2 twice daily every 14 days	21,700.00	D	Not applicable	Not applicable	Not applicable	MO016G	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,064	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	Docetaxel + Oxaliplatin + 5 FU Docetaxel 50mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Leucovorin 400mg/m2 D1 5FU 1200mg/m2 D1 D2 every 14 days	22,400.00	D	Not applicable	Not applicable	Not applicable	MO016H	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,065	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	Docetaxel + Oxaliplatin + Xeloda Docetaxel 50mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Capecitabine 825 mg/m2 Twice daily every 14 days	27,400.00	D	Not applicable	Not applicable	Not applicable	MO016I	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,066	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days	13,300.00	D	Not applicable	Not applicable	Not applicable	MO016J	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,067	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	5FU + Leucovorin + Oxaliplatin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 every 14 days	16,600.00	D	Not applicable	Not applicable	Not applicable	MO016K	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,068	Medical Oncology	Medical	CT for Esophageal / Stomach Cancer	Paclitaxel Paclitaxel 80mg/m2 every week	13,300.00	D	Not applicable	Not applicable	Not applicable	MO016L	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,069	Medical Oncology	Medical	CT for Hepatocellular Carcinoma	Doxorubicin Doxorubicin 30-75 mg/m2 one course	27,300.00	D	Not applicable	Not applicable	Not applicable	MO017A	Clinical note with CBC/ LFT/ RFT/ RBS/ Triphasic CECT Thorax / abdomen / Pelvis/ Histopathology / AFP/ MRI	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,070	Medical Oncology	Medical	CT for Hepatocellular Carcinoma	Sorafenib Sorafenib 400mg PO twice daily	11,000.00	D	Not applicable	Not applicable	Not applicable	MO017B	Clinical note with CBC/ LFT/ RFT/ RBS/ Triphasic CECT Thorax / abdomen / Pelvis/ Histopathology / AFP/ Lipid Profile/ Urine R/M/ 2D ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,071	Medical Oncology	Medical	CT for Hepatocellular Carcinoma	Lenvatinib 12 mg daily	20,600.00	D	Not applicable	Not applicable	Not applicable	MO017C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,072	Medical Oncology	Medical	CT for Panceratic Cancer	Gemcitabine + Nanopaclitaxel Gemcitabine 1000mg/m2 D1 D8 D16 Albumin bound Paclitaxel 125mg/m2 D1 D8 D15 every 28 days	34,400.00	D	Not applicable	Not applicable	Not applicable	MO018A	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ CA19.9/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,073	Medical Oncology	Medical	CT for Panceratic Cancer	Gemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days	25,900.00	D	Not applicable	Not applicable	Not applicable	MO018B	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ CA19.9/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,074	Medical Oncology	Medical	CT for Panceratic Cancer	Gemcitabine Gemcitabine 300mg/m2 weekly	25,900.00	D	Not applicable	Not applicable	Not applicable	MO018C	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,075	Medical Oncology	Medical	CT for Panceratic Cancer	5FU + Leucovorin + Oxaliplatin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Irinotecan 180mg/m2 every 14 days	25,900.00	D	Not applicable	Not applicable	Not applicable	MO018D	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ CA19.9/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,076	Medical Oncology	Medical	CT for Panceratic Cancer	Capecitabine Capecitabine 825 mg/m2 twice daily	25,900.00	D	Not applicable	Not applicable	Not applicable	MO018E	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ CA19.9/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,077	Medical Oncology	Medical	CT for Panceratic Cancer	Capecitabine + Gemcitabine Gemcitabine 1000mg/m2 D1 D8 D15 Capecitabine 830mg/m2 twice daily D1-D21 every 28 days	41,400.00	D	Not applicable	Not applicable	Not applicable	MO018F	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ CA19.9/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,078	Medical Oncology	Medical	CT for Gall Bladder Cancer / Cholangiocarcinoma	Capecitabine Capecitabine 1000 - 1250 mg/m2 twice daily D1 -D14 every 21 days	8,900.00	D	Not applicable	Not applicable	Not applicable	MO019A	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,079	Medical Oncology	Medical	CT for Gall Bladder Cancer / Cholangiocarcinoma	Cisplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 25 mg/m2 D1 D8 every 21 days	14,700.00	D	Not applicable	Not applicable	Not applicable	MO019B	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,080	Medical Oncology	Medical	CT for Gall Bladder Cancer / Cholangiocarcinoma	5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days	11,700.00	D	Not applicable	Not applicable	Not applicable	MO019C	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ CA19.9/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,081	Medical Oncology	Medical	CT for Gall Bladder Cancer / Cholangiocarcinoma	Gemcitabine Gemcitabine 300 mg/m2 D1 every week	9,900.00	D	Not applicable	Not applicable	Not applicable	MO019D	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ CA19.9/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,082	Medical Oncology	Medical	CT for Gall Bladder Cancer / Cholangiocarcinoma	Gemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days	10,900.00	D	Not applicable	Not applicable	Not applicable	MO019E	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,083	Medical Oncology	Medical	CT for Gall Bladder Cancer / Cholangiocarcinoma	Oxaliplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 Oxaliplatin 100 mg/m2 D1 every 14 days	21,100.00	D	Not applicable	Not applicable	Not applicable	MO019F	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ CA19.9/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,084	Medical Oncology	Medical	CT for Gall Bladder Cancer / Cholangiocarcinoma	Capecitabine + Irinotecan Capecitabine 1000mg/m2 D1-D14 Irinotecan 200 mg/m2 D1 every 21 days	13,900.00	D	Not applicable	Not applicable	Not applicable	MO019G	Clinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,085	Medical Oncology	Medical	CT for Gall Bladder Cancer / Cholangiocarcinoma	5FU + Leucovorin + Oxaliplatin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 every 14 days	16,600.00	D	Not applicable	Not applicable	Not applicable	MO019H	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ CA19.9/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,086	Medical Oncology	Medical	CT for Gastointestinal stromal tumor	Imatinib Imatinib 400 mg once daily	21,300.00	D	Not applicable	Not applicable	Not applicable	MO020A	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ Ckit-mutation (not mandatory)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,087	Medical Oncology	Medical	CT for Gastointestinal stromal tumor	Sunitinib Sunitinb 37.5 mg once daily	26,800.00	D	Not applicable	Not applicable	Not applicable	MO020B	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology/FNAC/ Ckit-mutation (not mandatory)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,088	Medical Oncology	Medical	CT for CA Brain	Temozolamide Temozolomide 150 - 200 mg/m2 D1-D5 every 28 days	14,300.00	D	Not applicable	Not applicable	Not applicable	MO021A	Clinical note with CBC/ LFT/ RFT/ RBS/ MRI brain/ Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,089	Medical Oncology	Medical	CT for CA Brain	Temozolamide Temozolomide 75mg/m2 once daily	74,400.00	D	Not applicable	Not applicable	Not applicable	MO021B	Clinical note with CBC/ LFT/ RFT/ RBS/ MRI brain/ Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,090	Medical Oncology	Medical	CT for Mesothelioma	Gemcitabine + Cisplatin Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 every 21 days	14,700.00	D	Not applicable	Not applicable	Not applicable	MO022A	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,091	Medical Oncology	Medical	CT for Mesothelioma	Pemetrexed + Cisplatin Pemetrexed 500mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days	12,200.00	D	Not applicable	Not applicable	Not applicable	MO022B	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,092	Medical Oncology	Medical	CT for Mesothelioma	Pemetrexed + Carboplatin Pemetrexed 500mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	12,200.00	D	Not applicable	Not applicable	Not applicable	MO022C	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,093	Medical Oncology	Medical	CT for Thymic Carcinoma	Cisplatin + Etoposide Etoposide 100mg/m2 D1 - D3 Cisplatin 75-100 mg/m2 D1 every 21 days	8,600.00	D	Not applicable	Not applicable	Not applicable	MO023A	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology / ECG / ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,094	Medical Oncology	Medical	CT for Thymic Carcinoma	Cisplatin + Adriamycin + Cyclophosphamide Cisplatin 50 mg/m2 D1 Doxorubicin 50 mg/m2 D1 Cyclophosphamide 500 mg/m2 D1 every 21 days	7,200.00	D	Not applicable	Not applicable	Not applicable	MO023B	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology / ECG / ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,095	Medical Oncology	Medical	CT for CA Head & Neck	Cisplatin + Docetaxel Docetaxel 75 mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days	15,100.00	D	Not applicable	Not applicable	Not applicable	MO024A	Clinical note with CECT/MR Face and neck/ histopathology -squamous carcinoma (Nasopharyngeal carcinoma/ etc)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,096	Medical Oncology	Medical	CT for CA Head & Neck	Cisplatin Cisplatin 100mg/m2 every 21 days	13,600.00	D	Not applicable	Not applicable	Not applicable	MO024B	Clinical note with CECT/MR Face and neck/ histopathology -squamous carcinoma (nasopharyngeal carcinoma/ etc)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,097	Medical Oncology	Medical	CT for CA Head & Neck	Carboplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Carboplatin AUC 5-6 D1 every 21 days	15,700.00	D	Not applicable	Not applicable	Not applicable	MO024C	Clinical note with CBC/ LFT/ RFT/ RBS/ histopathology-squamous carcinoma/ nasopharyngeal carcinoma/ salivary gland	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,098	Medical Oncology	Medical	CT for CA Head & Neck	Docetaxel + Cisplatin + 5 FU Docetaxel 75 mg/m2 D1 Cisplatin 75 mg/m2 D1 5 FU 750 mg/m2 D1- D5 every 21 days	18,200.00	D	Not applicable	Not applicable	Not applicable	MO024D	Clinical note with Histopathology-squamous carcinoma (nasopharyngeal carcinoma/ carcinoma salivary gland/ etc)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,099	Medical Oncology	Medical	CT for CA Head & Neck	Docetaxel Docetaxel 20mg/m2 every week	16,500.00	D	Not applicable	Not applicable	Not applicable	MO024E	Clinical note with CBC/ LFT/ RFT/ RBS/ histopathology-squamous carcinoma/ nasopharyngeal carcinoma/ salivary gland	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,100	Medical Oncology	Medical	CT for CA Head & Neck	Docetaxel Docetaxel 75 mg/m2 D1 every 21 days	15,800.00	D	Not applicable	Not applicable	Not applicable	MO024F	Clinical note with CECT/MR Face and neck / histopathology -squamous carcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,101	Medical Oncology	Medical	CT for CA Head & Neck	Etoposide + Carboplatin Etoposide 100mg/m2 D1 - D3 Carboplatin AUC 5-6 D1 every 21 days	13,600.00	D	Not applicable	Not applicable	Not applicable	MO024G	Clinical note with Histopathology -esthesioneuroblastoma/ Neuroendocrine	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,102	Medical Oncology	Medical	CT for CA Head & Neck	Etoposide + Cisplatin Etoposide 100mg/m2 D1 - D3 Cisplatin 75-100 mg/m2 D1 every 21 days	13,600.00	D	Not applicable	Not applicable	Not applicable	MO024H	Clinical note with CBC/ LFT/ RFT/ RBS/ histopathology -esthesioneuroblastoma/ Neuroendocrine	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,103	Medical Oncology	Medical	CT for CA Head & Neck	Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 every 21 days	13,600.00	D	Not applicable	Not applicable	Not applicable	MO024I	Clinical note with Histopathology-squamous carcinoma (nasopharyngeal carcinoma/ carcinoma salivary gland/ etc)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,104	Medical Oncology	Medical	CT for CA Head & Neck	Gemcitabine + Cisplatin Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 every 21 days	13,600.00	D	Not applicable	Not applicable	Not applicable	MO024J	Clinical note with Histopathology-squamous carcinoma (nasopharyngeal carcinoma/ carcinoma salivary gland/ etc)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,105	Medical Oncology	Medical	CT for CA Head & Neck	Paclitaxel + Carboplatin Paclitaxel 80mg/m2 D1 Carboplatin AUC 2 D1 every week	13,600.00	D	Not applicable	Not applicable	Not applicable	MO024K	Clinical note with CBC/ LFT/ RFT/ RBS/ histopathology-squamous carcinoma/ nasopharyngeal carcinoma/ salivary gland	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,106	Medical Oncology	Medical	CT for CA Head & Neck	Paclitaxel + Carboplatin Paclitaxel 175mg/m2 every 21 days	16,600.00	D	Not applicable	Not applicable	Not applicable	MO024L	Clinical note with Histopathology-squamous carcinoma (nasopharyngeal carcinoma/ carcinoma salivary gland/ etc)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,107	Medical Oncology	Medical	CT for CA Head & Neck	Paclitaxel Paclitaxel 80mg/m2 every week	13,600.00	D	Not applicable	Not applicable	Not applicable	MO024M	Clinical note with CBC/ LFT/ RFT/ RBS/ histopathology-squamous carcinoma/ salivary gland	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,108	Medical Oncology	Medical	CT for CA Head & Neck	Paclitaxel Paclitaxel 175mg/m2 every 21 days	13,400.00	D	Not applicable	Not applicable	Not applicable	MO024N	Clinical note with Histopathology-squamous carcinoma (nasopharyngeal carcinoma/ carcinoma salivary gland/ etc)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,109	Medical Oncology	Medical	CT for CA Head & Neck	Carboplatin Carboplatin AUC 2 every week	13,600.00	D	Not applicable	Not applicable	Not applicable	MO024O	Clinical note with CECT/MR Face and neck/ histopathology -squamous carcinoma (Nasopharyngeal carcinoma/ etc)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,110	Medical Oncology	Medical	CT for CA Head & Neck	Cisplatin Cisplatin 40mg/m2 every week	13,600.00	D	Not applicable	Not applicable	Not applicable	MO024P	Clinical note with CECT/MR Face and neck/histopathology -squamous carcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,111	Medical Oncology	Medical	CT for Renal Cell Cancer	Sunitinib 50 mg once daily 4 weeks on 2 weeks off	29,000.00	D	Not applicable	Not applicable	Not applicable	MO025A	Clinical note with CBC/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ lipid profile/ 2 D ECHO/ TFT/ 24 hour urine protein	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,112	Medical Oncology	Medical	CT for Renal Cell Cancer	Cabozantinib 60 mg od x 1 month every 4 weeks	15,700.00	D	Not applicable	Not applicable	Not applicable	MO025B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,113	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Cisplatin + Methotrexate + Vinblastin Methotrexate 30mg/m2 D1 D8 Vinblastine 4 mg/m2 D1 D8 Doxorubicin 30 mg/m2 D2 Cuisplatin 100 mg/m2 D2 Leucovorin 15 mg PO D2 D9 every 21 days	8,300.00	D	Not applicable	Not applicable	Not applicable	MO026A	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,114	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Carboplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Carboplatin AUC 5-6 D1 every 21 days	15,700.00	D	Not applicable	Not applicable	Not applicable	MO026B	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ MRI/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,115	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Cisplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 every 21 days	14,700.00	D	Not applicable	Not applicable	Not applicable	MO026C	Clinical note with CECT Thorax/ abdomen and Pelvis/MRI/Histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,116	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Cisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks	9,900.00	D	Not applicable	Not applicable	Not applicable	MO026D	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,117	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Cisplatin + Paclitaxel Paclitaxel 175 mg /m2 D1 Cisplatin 75 mg /m2 D1 every 21 days	14,900.00	D	Not applicable	Not applicable	Not applicable	MO026E	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,118	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Docetaxel Docetaxel 75 mg/m2 D1 every 21 days	15,800.00	D	Not applicable	Not applicable	Not applicable	MO026F	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,119	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Gemcitabine + Paclitaxel Gemcitabine 2500 mg/m2 D1 Paclitaxel 150 mg/m2 D1 every 14 days	19,300.00	D	Not applicable	Not applicable	Not applicable	MO026G	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,120	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Gemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days	10,100.00	D	Not applicable	Not applicable	Not applicable	MO026H	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,121	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Methotrexate + Vinblastin + Doxorubicin + Cisplatin Methotrexate 30mg/m2 D1 Vinblastine 3 mg/m2 D2 Doxorubicin 30 mg/m2 D2 Cuisplatin 70 mg/m2 D2 every 14 days	9,100.00	D	Not applicable	Not applicable	Not applicable	MO026I	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ MRI/ histopathology/ ECG / ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,122	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Paclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	16,600.00	D	Not applicable	Not applicable	Not applicable	MO026J	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,123	Medical Oncology	Medical	CT for Ureter / Bladder / Urethra	Paclitaxel Paclitaxel 80 mg/m2 D1 every week	7,800.00	D	Not applicable	Not applicable	Not applicable	MO026K	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,124	Medical Oncology	Medical	CT for CA Penis	Cisplatin + Paclitaxel Paclitaxel 175 mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days	14,900.00	D	Not applicable	Not applicable	Not applicable	MO027A	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,125	Medical Oncology	Medical	CT for CA Penis	5 FU + Cisplatin 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks	14,900.00	D	Not applicable	Not applicable	Not applicable	MO027B	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,126	Medical Oncology	Medical	CT for CA Penis	Capecitabine Capecitabine 1000-1250 mg/m2 PO twice daily D1 -D14 every 21 days	14,900.00	D	Not applicable	Not applicable	Not applicable	MO027C	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,127	Medical Oncology	Medical	CT for CA Penis	Paclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	16,600.00	D	Not applicable	Not applicable	Not applicable	MO027D	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,128	Medical Oncology	Medical	CT for CA Penis	Paclitaxel Paclitaxel 80 mg/m2 D1 every week	14,900.00	D	Not applicable	Not applicable	Not applicable	MO027E	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,129	Medical Oncology	Medical	CT for CA Penis	Paclitaxel Paclitaxel 175 mg/m2 D1 every 21 days	14,900.00	D	Not applicable	Not applicable	Not applicable	MO027F	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,130	Medical Oncology	Medical	CT for CA Penis	Paclitaxel + Carboplatin Paclitaxel 80 mg/m2 D1 Carboplatin AUC 2 D1 every week	14,900.00	D	Not applicable	Not applicable	Not applicable	MO027G	Clinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,131	Medical Oncology	Medical	CT for CA Prostate	Docetaxel Docetaxel 60 mg/m2 D1 every 14 days	12,900.00	D	Not applicable	Not applicable	Not applicable	MO028A	Clinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,132	Medical Oncology	Medical	CT for CA Prostate	Docetaxel Docetaxel 75 mg/m2 D1 every 21 days	15,500.00	D	Not applicable	Not applicable	Not applicable	MO028B	Clinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,133	Medical Oncology	Medical	CT for CA Prostate	Etoposide + Carboplatin Etoposide 100mg/m2 D1 - D3 Carboplatin AUC 5-6 D1 every 21 days	12,900.00	D	Not applicable	Not applicable	Not applicable	MO028C	Clinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,134	Medical Oncology	Medical	CT for CA Prostate	LHRH Agonist Leuprolide 22.5 ug every 3 months	18,600.00	D	Not applicable	Not applicable	Not applicable	MO028D	Clinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,135	Medical Oncology	Medical	CT for CA Prostate	Mitoxantrone + Prednisolone Mitoxantrone 12mg/m2 every 3 weeks Prednsiolone 10 mg daily	12,900.00	D	Not applicable	Not applicable	Not applicable	MO028E	Clinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,136	Medical Oncology	Medical	CT for CA Prostate	Paclitaxel + Carboplatin Paclitaxel 80mg/m2 D1 Carboplatin AUC 2 D1 every week	12,900.00	D	Not applicable	Not applicable	Not applicable	MO028F	PSA / CECTThorax/ abdomen and Pelvis/bone scan/histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY/ETC.) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,137	Medical Oncology	Medical	CT for CA Prostate	Paclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	16,600.00	D	Not applicable	Not applicable	Not applicable	MO028G	Clinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,138	Medical Oncology	Medical	CT for CA Prostate	Docetaxel Docetaxel 20mg/m2 D1 every week	16,200.00	D	Not applicable	Not applicable	Not applicable	MO028H	Clinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathology	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,139	Medical Oncology	Medical	CT for CA Prostate	Abiraterone 1000 mg + Prednisolone 10mg daily Once every month	15,700.00	D	Not applicable	Not applicable	Not applicable	MO028I	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,140	Medical Oncology	Medical	CT for B - Cell NHL - High Grade (Except Burkitt's & PCNSL)	Rituximab + Cyclophosphamide + Etoposide + Prednsiolone Rituximab 375mg/m2 Cyclophosphamide 750 mg/m2 Vincristine 1.4 mg/m2, on Day1 Etoposide 65mg/m2 Day 1 to 3 Prednisolone 100 mg Day 1-5 Total 6 cycles, repeat 21 days	31,800.00	D	Not applicable	Not applicable	Not applicable	MO029A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow/PB cytometry/ ECG/ 2D-ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,141	Medical Oncology	Medical	CT for B - Cell NHL - High Grade (Except Burkitt's & PCNSL)	Rituximab + Cyclophosphamide + Doxorubicin + Prednsiolone Rituximab 375mg/m2 Cyclophosphamide 750 mg/m2 Doxorubicin 50mg/m2 Vincristine 1.4 mg/m2 on Day1 Prednisolone 100 mg Day 1-5 Total 6 cycles, repeat 21 days	29,700.00	D	Not applicable	Not applicable	Not applicable	MO029B	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,142	Medical Oncology	Medical	CT for High - Grade NHL - B Cell	Rituxmab + Dexamethasone + High Dose Cytarabine + Cisplatin Rituximab 375mg/m2 Day 1 Cytarabine 2g/m2 BD on day 2 Dexamethasone 40 mg Day 1 - 4 Cisplatin 75mg/m2 or Carboplatin AUC-5 on day 1 Cycle to be repeated every 21days	38,400.00	D	Not applicable	Not applicable	Not applicable	MO030A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,143	Medical Oncology	Medical	CT for Relapsed B - Cell NHL - High Grade (Except Burkitt's & PCNSL)	GDP - R Rituximab 375mg/m2 Day 1 Gemcitabine 1000mg/m2 on day 1 and 8 Dexamethasone 40 mg Day 1 - 4 Cisplatin 75mg/m2 on day 1 Cycle to be repeated every 21days Total- 6 cycles	42,800.00	D	Not applicable	Not applicable	Not applicable	MO031A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,144	Medical Oncology	Medical	CT for Relapsed B - Cell NHL - High Grade (Except Burkitt's & PCNSL)	ICE - R Rituximab 375mg/m2 Ifosfamide 1.66g/m2 on day 1 - 3 Mesna 1.66g/m2 day 1 - 3 Carboplatin AUC 5 on day 1 Etoposide 100mg/m2 on day 1 - 3 Cycle every 21days for 6 cycles	38,800.00	D	Not applicable	Not applicable	Not applicable	MO031B	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,145	Medical Oncology	Medical	CT for PMBCL / Burkitt's Lymphoma / Seropositive B - Cell NHLR	Etoposide + Prednsiolone + Vincristine + Cyclophosphamide + Doxorubicin Rituximab 375mg/m2 Day 1 Etoposide 50mg/m2 VCR 0.4mg/m2 Doxorubicin 10mg/m2 Day1 - 4 Cyclophosphamide 750mg/m2 on day 5 Prednisolone 100 mg day 1-5 Every 21 days Dose adjustment each cycle depending on nadir counts Total- 6 cycles	34,900.00	D	Not applicable	Not applicable	Not applicable	MO032A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,146	Medical Oncology	Medical	CT for Burkitt's NHL	Codox - M - IVAC / GMALL / BFM / Hyper CVAD	38,000.00	D	Not applicable	Not applicable	Not applicable	MO033A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,147	Medical Oncology	Medical	CT for Low Grade B - Cell NHL	Bendamustine + Rituximab Bendamustine 90mg/m2 on day 1, 2 Rituximab 375mg/m2 on day 1 Repeat every 28 days, Total 6 cycles	33,800.00	D	Not applicable	Not applicable	Not applicable	MO034A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,148	Medical Oncology	Medical	CT for Low Grade B - Cell NHL	Lenalidomide + Rituximab Rituximab 375mg/m2 Day 1 Lenlidomide 25 mg D1-28, for 8 cycles	33,800.00	D	Not applicable	Not applicable	Not applicable	MO034B	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,149	Medical Oncology	Medical	CT for Low Grade NHL	Rituximab Rituximab 375mg/m2 per week for 6 weeks	27,300.00	D	Not applicable	Not applicable	Not applicable	MO035A	Clinical note with CBC/ Biochemistry/ CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,150	Medical Oncology	Medical	CT for Low Grade NHL	Rituximab + Cyclophosphamide + Vincristine + Prednisolone Rituximab 375 mg/m2 Cyclophosphamide 750mg/m2 Vincristine 1.4mg/m2 Day 1 Prednisolone 100 mg Day 1 - 5 Repeat every 21days. Total 6 cycles	28,400.00	D	Not applicable	Not applicable	Not applicable	MO035B	Clinical note with CBC/ Biochemistry/ USG abdmen and Pelvis CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,151	Medical Oncology	Medical	CT for Chronic Lymphocytic Leukemia	Fludarabine + Cyclophosphamide Fludarabine 25mg/m2 D1-3 Cyclophosphamide 250 mg/m2 D1-3 every 28 days for 6 cycles	22,000.00	D	Not applicable	Not applicable	Not applicable	MO036A	Clinical note with CBC/ Biochemistry/ Chest X ay and USG abdomen/pelvis or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,152	Medical Oncology	Medical	CT for Chronic Lymphocytic Leukemia	Rituxmab + Chlorambucil Rituximab 375mg/m2 Day 1 Chlorambucil 10 mg/m2 D1-7 Repeat every 28 days for 12 cycles	27,400.00	D	Not applicable	Not applicable	Not applicable	MO036B	Clinical note with CBC/ Biochemistry/ Chest X ay and USG abdomen/pelvis or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,153	Medical Oncology	Medical	CT for Chronic Lymphocytic Leukemia	Rituximab + Fludarabine + Cyclophosphamide Rituximab 375mg/m2 on day 1 Fludarabine 25mg/m2 D1 - 3 Cyclophosphamide 250 mg/m2 D1 - 3 Every 28 days for 6 cycles	44,800.00	D	Not applicable	Not applicable	Not applicable	MO036C	Clinical note with CBC/ Biochemistry/ Chest X ay and USG abdomen/pelvis or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,154	Medical Oncology	Medical	CT for Chronic Lymphocytic Leukemia	Lenalidomide lenalidomide-10-25 mg/day day 1 to 21 every 28 days	19,900.00	D	Not applicable	Not applicable	Not applicable	MO036D	Clinical note with CBC/ Biochemistry/ Chest X ay and USG abdomen/pelvis or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,155	Medical Oncology	Medical	CT for Peripheral T - Cell Lymphoma	CHOEP Cyclophosphamide 750mg/m2 D1 Vincristine 1.4mg/m2 D1 Adriamycin 50 mg/m2 D1 Etoposide 100mg/m2 D1-3 Prednisolone 100 mg D1-5 Every 21days. Total 6 cycles	6,400.00	D	Not applicable	Not applicable	Not applicable	MO037A	Clinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,156	Medical Oncology	Medical	CT for Peripheral T - Cell Lymphoma	CHOP Cyclophosphamide 750mg/m2 D1 Vincristine 1.4mg/m2 D1 Adriamycin 50 mg/m2 D1 Prednisolone 100 mg D1-5 Every 21days. Total 6 cycles	6,300.00	D	Not applicable	Not applicable	Not applicable	MO037B	Clinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,157	Medical Oncology	Medical	CT for Peripheral T - Cell Lymphoma	SMILE Methotrexate 2gm/m2 D1 Ifosfamide 1500mg/m2 D2-4 Etoposide 100mg/m2 D2-4 L-asparginase 6000U/m2 D8,10,12,14,16,18,20 Dexamethasone 40mg D1-4 every 28 days	23,900.00	D	Not applicable	Not applicable	Not applicable	MO037C	Clinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,158	Medical Oncology	Medical	CT for NK - T Cell Lymphoma	GELOX Gemcitabine 1000mg/m2 D1 and D8 Oxaliplatin 130mg/m2 D1 L- asparginase 6000 U/m2 D1-7 Repeat every 21 days	23,400.00	D	Not applicable	Not applicable	Not applicable	MO038A	Clinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,159	Medical Oncology	Medical	CT for NK - T Cell Lymphoma	LVP L-asparginase 6000U/m2 D1-5 Vincristine 1.4mg/m2 D1 Prednisolone 100mg D1-5 Repeat every 21 days	20,800.00	D	Not applicable	Not applicable	Not applicable	MO038B	Clinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,160	Medical Oncology	Medical	CT for Hodgkin's Lymphoma	COPP Cyclophosphamide 650mg/m2 D1, 8 Vincristine 1.4mg/m2 D1, 8 Procarbazine 100 mg/m2 D1-14 Prednisolone 40mg/m2 D1-14 Every 28days. Total 6 - 8 cycles	4,700.00	D	Not applicable	Not applicable	Not applicable	MO039A	Clinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,161	Medical Oncology	Medical	CT for Hodgkin's Lymphoma	ABVD Adriamycin 25mg/m2 Bleomycin 10unit/m2 Vinblastine 6mg/m2 Dacarbazine 375 mg/m2 Day 1,15 Every 28 days for 6 cycles	12,400.00	D	Not applicable	Not applicable	Not applicable	MO039B	PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/node Biopsy.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY/ETC.) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,162	Medical Oncology	Medical	CT for Hodgkin's Lymphoma	AEVD Adriamycin 25mg/m2 Vinblastine 6mg/m2 Dacarbazine 375 mg/m2 Day 1,15 Etoposide 65mg/m2 Day 1-3, 15-17 Every 28 days for 6 cycles	12,400.00	D	Not applicable	Not applicable	Not applicable	MO039C	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ node Biopsy.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,163	Medical Oncology	Medical	CT for Relapsed Hodgkin Lymphoma	ICE Ifosfamide 1.5 mg/m2 D1-3 Carboplatin AUC5 D2 Etoposide 100mg/m2 D1-3 Every 3 weeks	12,800.00	D	Not applicable	Not applicable	Not applicable	MO040A	Clinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,164	Medical Oncology	Medical	CT for Relapsed Hodgkin Lymphoma	MINE Ifosfamide 4 gm/m2 over 3days (D1-3) Mitoxantrone 8mg/m2 Etoposide 65mg/m2 D1-3 Every 3 weeks	12,800.00	D	Not applicable	Not applicable	Not applicable	MO040B	Clinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,165	Medical Oncology	Medical	CT for Relapsed Hodgkin Lymphoma	PTCL - GDP Gemcitabine 1000mg/m2 D1 and D8 Dexamethasone 40mg D1-4 Cisplatin 75mg/m2 D1 or Cacrboplatin AUC-5 Every 3 weeks	17,900.00	D	Not applicable	Not applicable	Not applicable	MO040C	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ node Biopsy.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,166	Medical Oncology	Medical	CT for Relapsed NHL & HL	DHAP Dexamethasone 40mg D1-4 Cisplatin 100mg/m2 or Carboplatin AUC-5D1 Cytarabine 2 gm/m2 BD D2 Repeat every 21 days	15,200.00	D	Not applicable	Not applicable	Not applicable	MO041A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ node Biopsy.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,167	Medical Oncology	Medical	CT for MM / Amyloidosis / POEMS	Lenalidomide + Dexamethasone Lenalidomide 25 mg daily Day1-21 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28days	6,600.00	D	Not applicable	Not applicable	Not applicable	MO042A	Clinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJP	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,168	Medical Oncology	Medical	CT for MM / Amyloidosis / POEMS	Pomalidomide + Dexamethasone Pomalidomide 4 mg daily Day 1-21 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28 days	8,700.00	D	Not applicable	Not applicable	Not applicable	MO042B	Clinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJP	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,169	Medical Oncology	Medical	CT for MM / Amyloidosis	Cyclophosphamide + Thalidomide + Dexamethasone Cyclophosphamide 100mg D1-D14 Thalidomide 100-200 mg daily Day 1-28 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28 days	5,000.00	D	Not applicable	Not applicable	Not applicable	MO043A	Clinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJP	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,170	Medical Oncology	Medical	CT for MM / Amyloidosis	Melphalan + Thalidomide + Prednisolone Melphalan 9mg/m2 D1-D4 Thalidomide 100mg D1-28 Prednisolone 100mg Day1-4 Every 28days	5,100.00	D	Not applicable	Not applicable	Not applicable	MO043B	Clinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJP	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,171	Medical Oncology	Medical	CT for MM / Amyloidosis	Bortezomib + Cyclophosphamide + Dexamethasone Cyclophosphamide - 300 mg/m2 day 1, 8, 15, 22 Dexamethasone 40mg Day 1, 8, 15, 22 Bortezomib 1.3 mg/m2 Day1, 8, 15, 22 Every 28 days	16,100.00	D	Not applicable	Not applicable	Not applicable	MO043C	Clinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Bone marrow studies/ skeletal survey/ Urine BJP.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,172	Medical Oncology	Medical	CT for MM / Amyloidosis	Bortezomib + Dexamethasone Bortezomib 1.3 mg/m2 Day1, 8, 15, 22 Dexamethasone 40mg Day1, 8, 15, 22 Every 28 day	16,200.00	D	Not applicable	Not applicable	Not applicable	MO043D	Clinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJP	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,173	Medical Oncology	Medical	CT for MM / Amyloidosis	Bortezomib + Melphalan + Prednsiolone Melphalan 9mg/m2 D1-D4 Prednisolone 100mg Day 1-4 Bortezomib 1.3 mg/m2 Day 1, 8, 15, 22 Every 28 days	13,900.00	D	Not applicable	Not applicable	Not applicable	MO043E	Clinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJP	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,174	Medical Oncology	Medical	CT for MM / Amyloidosis	Bortezomib + Lenalidomide + Dexamethasone Lenalidomide 25 mg daily Day 1 - 21 Dexamethasone 40mg Day 1, 8, 15, 22 Bortezomib 1.3 mg/m2 Day 1, 8, 15, 22 Every 28 days	19,600.00	D	Not applicable	Not applicable	Not applicable	MO043F	Clinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJP	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,175	Medical Oncology	Medical	CT for MM / Amyloidosis	Bortezomib + Thalidomide + Dexamethasone Thalidomide 100 mg daily Day 1 - 28 Dexamethasone 40 mg Day 1, 8, 15, 22 Bortezomib 1.3 mg/m2 Day 1, 8, 15, 22 Every 28 days	16,500.00	D	Not applicable	Not applicable	Not applicable	MO043G	Clinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJP	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,176	Medical Oncology	Medical	CT for Chronic Myeloid Leukemia	Imatinib Imatinib 400 mg, 600 mg, 800 mg (per month X 5 years)	21,300.00	D	Not applicable	Not applicable	Not applicable	MO044A	Clinical note with CBC/ RFT/ LFT/ MDC/ BONE MARROW/ BIOPSY/ CYTOGENETICS/ RQ PCR BCR ABL	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,177	Medical Oncology	Medical	CT for Chronic Myeloid Leukemia	Dasatinib 100 mg once a day	6,100.00	D	Not applicable	Not applicable	Not applicable	MO044B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,178	Medical Oncology	Medical	CT for Myeloproliferative Neoplasm	Hydroxurea Hydroxurea daily (Dose will be based on blood counts)	2,800.00	D	Not applicable	Not applicable	Not applicable	MO045A	Clinical note with CBC/ RFT/ LFT/ MDC/ BONE MARROW / CYTOGENETICS	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,179	Medical Oncology	Medical	CT for Acute Myeloid Leukemia	Cytarabine 2 gm / M2 BD for 3 days Every 21 days for 3 cycles	86,200.00	D	Not applicable	Not applicable	Not applicable	MO046A	Clinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ Molecular	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,180	Medical Oncology	Medical	CT for Acute Myeloid Leukemia	Cytarabine 100 mg / M2 7 days Daunomycin 60 mg / M2 3 days	127,800.00	D	Not applicable	Not applicable	Not applicable	MO046B	Clinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ Molecular	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,181	Medical Oncology	Medical	CT for Acute Lymphoblastic Leukemia	BFM-90 BFM-95 BFM-2000 HyperCVAD UKALL GMALL	176,000.00	D	Not applicable	Not applicable	Not applicable	MO047A	Clinical note with CBC/ BIOCHEM	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,182	Medical Oncology	Medical	CT for Acute Lymphoblastic Leukemia	BFM-90 BFM-95 BFM-2000 HyperCVAD UKALL GMALL	176,000.00	D	Not applicable	Not applicable	Not applicable	MO047B	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ 2D ECHO/ NCCT CHEST/ BONE MARROW or Peripheral bloodFLOW CYTOMETRY/ CYTOGENETICS/ Molecular/ BIOPSY/ PET-CT or CECT chest abdomen and Pelvis(if LBL)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,183	Medical Oncology	Medical	CT for Acute Lymphoblastic Leukemia	6 Mercaptopurine 50 mg / M2 daily Methotrexate 25 mg / M2 Weekly for 2 years	176,000.00	D	Not applicable	Not applicable	Not applicable	MO047C	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ CSF CYTOMORPHOLOGY/ FLOW CYTOMETRY/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ NGS/ BIOPSY	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,184	Medical Oncology	Medical	CT for Lymphoblastic Lymphoma	BFM-90 BFM-95 BFM-2000 HyperCVAD UKALL GMALL	176,000.00	D	Not applicable	Not applicable	Not applicable	MO048A	Clinical note with CBC/ BIOCHEM	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,185	Medical Oncology	Medical	CT for Lymphoblastic Lymphoma	BFM-90 BFM-95 BFM-2000 HyperCVAD UKALL GMALL	176,000.00	D	Not applicable	Not applicable	Not applicable	MO048B	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ 2D ECHO/ NCCT CHEST/ BONE MARROW or Peripheral bloodFLOW CYTOMETRY/ CYTOGENETICS/ Molecular/ BIOPSY/ PET-CT or CECT chest abdomen and Pelvis(if LBL)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,186	Medical Oncology	Medical	CT for Lymphoblastic Lymphoma	6 Mercaptopurine 50 mg/M2 daily and Methotrexate 25 mg/M2 Weekly for 2 Years	176,000.00	D	Not applicable	Not applicable	Not applicable	MO048C	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ CSF CYTOMORPHOLOGY/ FLOW CYTOMETRY/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ NGS/ BIOPSY	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,187	Medical Oncology	Medical	CT for Acute Promyelocytic Leukemia (High Risk)	Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary in each protocol	87,100.00	D	Not applicable	Not applicable	Not applicable	MO049A	Clinical note with CBC/ BIOCHEM/ ECG/ BONE MARROW / RQPCR PML RARA	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,188	Medical Oncology	Medical	CT for Acute Promyelocytic Leukemia (High Risk)	Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary on protocol	117,200.00	D	Not applicable	Not applicable	Not applicable	MO049B	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ PT/ APTT/ FIBRINOGEN/ 2D ECHO/ NCCT CHEST/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ RQPCR PML RARA/ BIOPSY	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,189	Medical Oncology	Medical	CT for Acute Promyelocytic Leukemia (High Risk)	6 MP 50 mg / day daily Methotrexate 15 mg Weekly ATRA 45 mg / M2 for 14 days Every three months for 18 Months	35,200.00	D	Not applicable	Not applicable	Not applicable	MO049C	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ PT/ APTT/ FIBRINOGEN/ 2D ECHO/ NCCT CHEST/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ RQPCR PML RARA/ BIOPSY	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,190	Medical Oncology	Medical	CT for Acute Promyelocytic Leukemia (Low Risk)	ATO 0.15 mg / kg Five days a week for 16 Weeks ATRA 45 mg / M2 Two Weeks a Month for 7 Months	13,200.00	D	Not applicable	Not applicable	Not applicable	MO050A	Clinical note with CBC LFT	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,191	Medical Oncology	Medical	CT for Acute Promyelocytic Leukemia (Low Risk)	ATO 0.15 mg / kg ATRA 45 mg / M2	98,000.00	D	Not applicable	Not applicable	Not applicable	MO050B	Clinical note with CBC/ BIOCHEM	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,192	Medical Oncology	Medical	Febrile Neutopenia	Cefoperazone + Sulbactum Piperalicillin + Tazobactum Cefoperazone Piperacillin Amikacin Gentamicin Cefipime Levofloxacin Amoxycillin and clavulanate Teicoplanin Vancomycin	40,300.00	D	Not applicable	Not applicable	Not applicable	MO051A	Clinical note with CBC/ BIOCHEM/ ECG/ BONE MARROW/ RQ PCR/ PML RARA	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,193	Medical Oncology	Medical	Febrile Neutopenia	Meropenem Imipenem Colistin Tigecyclin Linezolid Voriconazole Caspfungin Amphotericin - B	95,400.00	D	Not applicable	Not applicable	Not applicable	MO051B	Clinical note with CBC/ LFT/ RQ PCR/ PML RARA	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,194	Medical Oncology	Medical	Chemotherapy Complications - Tumor Lysis Syndrome	Rasburicase Febuxostat Allopurinol Sevelamer	26,400.00	D	Not applicable	Not applicable	Not applicable	MO052A	Clinical note with CBC/ LFT/ Serum Electrolytes/ Blood Phosphate levels/ Uric Acid/ BUN	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,195	Medical Oncology	Medical	Granulocyte Colony Stimulating Factor Use	5 microgram / kg / day (max 300 microgram per day) for 7 days or PEG - GCSF 6mg one single dose per chemotherapy cycle	14,100.00	D	Not applicable	Not applicable	Not applicable	MO053A	Clinical note with CBC/ Bone marrow/ RFT/ LFT	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,196	Medical Oncology	Medical	CT for Langerhans Cell Histiocytosis	Langerhans Cell Histiocytosis (Histiocytosis Protocol - Induction)	30,700.00	D	Not applicable	Not applicable	Not applicable	MO054A	Clinical note with CBC/ RFT/ LFT/ MDC/ BONE MARROW/ BIOPSY/ SKELETAL SURVEY OR PET CECT	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,197	Medical Oncology	Medical	CT for Langerhans Cell Histiocytosis	Langerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance)	35,000.00	D	Not applicable	Not applicable	Not applicable	MO054B	Clinical note with CBC/ RFT/ LFT/ MDC/ BONE MARROW/ SKELETAL SURVEY OR PET CECT	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,198	Medical Oncology	Medical	CT for Low Grade Glioma	Vincristine + Carboplatin Vincristine 1.5mg/m2 (day 1, 8 and 15 for first 4 cycles and then only day 1 from cycle 5 to 17) Carboplatin 550mg/m2 every 3 weeks (all cycles)	7,200.00	D	Not applicable	Not applicable	Not applicable	MO055A	Clinical note with CBC/ Biochemistry/ MRI/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,199	Medical Oncology	Medical	CT for Low Grade Glioma	Vinblastin Vinblastine 6 mg/m2 every week	6,200.00	D	Not applicable	Not applicable	Not applicable	MO055B	Clinical note with CBC/ Biochemistry/ MRI/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,200	Medical Oncology	Medical	CT for Medulloblastoma / Brain PNET	PACKER	7,700.00	D	Not applicable	Not applicable	Not applicable	MO056A	Clinical note with CBC/ Biochemistry/ MRI (BRAIN AND SPINE)/ Biopsy/ CSF CYTOLOGY/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,201	Medical Oncology	Medical	CT for Medulloblastoma / CNS PNET	Cisplatin + Cyclophosphamide + Vincristine Cyclophosphamide 1000mg/m2 (2 days every cycles) Vincristine 1.5mg/m2 (days 1 and 8) Cisplatin 100mg/m2 (1 day per cycle) Cycles given every 3 weekly	10,100.00	D	Not applicable	Not applicable	Not applicable	MO056B	Clinical note with CBC/ Biochemistry/ MRI (BRAIN AND SPINE)/ Biopsy/ CSF CYTOLOGY/	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,202	Medical Oncology	Medical	CT for Neuroblastoma	Cabroplatin + Etoposide + Cyclophosphamide + Doxorubicin Carboplatin 600mg/m2 Etoposide 100mg/m2 (days 1-5) Cyclophosphamide Doxorubicin	10,500.00	D	Not applicable	Not applicable	Not applicable	MO057A	Clinical note with CBC/ Biochemistry/ CECT/MRI/ BONE MARROW STUDIES/ MIBG OR BONE OR PET CT SCAN/ BIOPSY/ FISH	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,203	Medical Oncology	Medical	CT for Neuroblastoma	Carboplatin + Cisplatin + Cyclophosphamide + Vincristine + Etoposide	8,700.00	D	Not applicable	Not applicable	Not applicable	MO057B	Clinical note with CBC/ Biochemistry/ CECT/MRI/ BONE MARROW STUDIES/ MIBG OR BONE OR PET CT SCAN/ BIOPSY/ FISH	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,204	Medical Oncology	Medical	CT for Neuroblastoma	13-cis retinoic acid 160mg/m2 per day for 2 weeks Each cycle given 4 weekly	8,700.00	D	Not applicable	Not applicable	Not applicable	MO057C	Clinical note with CBC/ Biochemistry	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,205	Medical Oncology	Medical	CT for Retinoblastoma	Vincristine + Carboplatin + Etoposide Carboplatin 600mg/m2 day 1 Etoposide 150mg/m2 days 1-3 Vincristine1.5mg/m2 day 1	9,000.00	D	Not applicable	Not applicable	Not applicable	MO058A	Clinical note with CBC/ Biochemistry/ MRI/CT (BRAIN AND ORBITS)/ ULTRASONOGRAPHY/ BONE MARROW AND CSF STUDIES	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,206	Medical Oncology	Medical	CT for Rhabdomyosarcoma	Vincristine + Cyclophosphamide + Dactinomycin Vincristine 1.5mg/m2 (day 1, 8 and 15) Cyclophosphamie 1200 - 2200 mg/m2 (day 1) Dactinomycin 1.5mg / m2 (day 1) 3 weekly cycle	6,900.00	D	Not applicable	Not applicable	Not applicable	MO059A	Clinical note with CBC/ Biochemistry/ MRI OR CECT/ BONE MARROW STUDIES/ BONE SCAN OR PET CT/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,207	Medical Oncology	Medical	CT for Rhabdomyosarcoma	Vincristine + Ifosfamide + Etoposide Vincristine 1.5mg/m2 (days 1, 8 and 15) Ifosfamide 1.8gm/m2 (days 1-5) Etoposide 100mg/m2 (days 1-5) Each cycle every 3 weeks	19,700.00	D	Not applicable	Not applicable	Not applicable	MO059B	Clinical note with CBC/ Biochemistry/ MRI OR CECT/ BONE MARROW STUDIES/ BONE SCAN OR PET CT/ Biopsy	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,208	Medical Oncology	Medical	CT for Relapse Rhabdomyosarcoma	Vincristine + Topotecan + Cyclophosphamide and Vincristine + Adriamycin + Cyclophosphamide Vincristine 1.5mg/m2 (day 1) Topotecan 1.5mg/m2 (day 1-5) Cyclophosphamide 250mg/m2 (days 1-5) 3 - weekly Vincristine 1.5mg/m2 Adriamyicn 60mg/m2 Cyclophosphamide 600mg/m2 (all Day 1) Every 3 weeks. Cycles given in couplets	15,100.00	D	Not applicable	Not applicable	Not applicable	MO060A	Clinical note with CBC/ Biochemistry/ MRI OR CECT/ BONE MARROW STUDIES/ BONE SCAN OR PET CT/ Biopsy/ 2D ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,209	Medical Oncology	Medical	CT for Wilms Tumor	Vincristine + Actinomycin D Vincristine 1.5 mg/m2 weekly for 12 weeks and then 3 weekly Actinomycin D 45 microgram / kg 3 weekly for 24 weeks	4,600.00	D	Not applicable	Not applicable	Not applicable	MO061A	Clinical note with CBC/ Biochemistry/ CT CHEST ABDOMEN/ ULTRASONOGRAPHY/ BIOPSY	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,210	Medical Oncology	Medical	CT for Wilms Tumor	Vincristine + Actinomycin D + Doxorubicin Vincristine 1.5 mg/m2 weekly for 12 weeks and then 3 weekly Actinomycin D 45 microgram/kg 3 weekly Doxorubicin 60mg/m2 for 24 weeks	6,100.00	D	Not applicable	Not applicable	Not applicable	MO061B	Clinical note with CBC/ Biochemistry/ CT CHEST ABDOMEN/ ULTRASONOGRAPHY/ BIOPSY/ 2D ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,211	Medical Oncology	Medical	CT for Wilms Tumor	Cyclophosphamide + Doxorubicin + Etoposide + Vincristine + Dactinomycin Vincristine 1.5 mg/m2 Dactinomycin 45 microgram/kg Adriamyicn 60mg/m2 Cyclophosphamide Etoposide Weekly chemotherapy - varying hybrid regimen	18,500.00	D	Not applicable	Not applicable	Not applicable	MO061C	Clinical note with CBC/ Biochemistry/ CT CHEST ABDOMEN/ ULTRASONOGRAPHY/ BIOPSY/ 2D ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,212	Medical Oncology	Medical	CT for Pediatric Acute Lymphoblastic Leukemia	Consolidation (Phase II, CNS Therapy Reinduction)	290,100.00	D	Not applicable	Not applicable	Not applicable	MO062A	Clinical note with CBC/ BIOCHEM	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,213	Medical Oncology	Medical	CT for Pediatric Acute Lymphoblastic Leukemia	ICICLE BFM KLALL MCP:841	229,500.00	D	Not applicable	Not applicable	Not applicable	MO062B	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ 2D ECHO/ NCCT CHEST/ BONE MARROW or Peripheral bloodFLOW CYTOMETRY/ CYTOGENETICS/ Molecular/ BIOPSY/ PET-CT or CECT chest abdomen and Pelvis(if LBL)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,214	Medical Oncology	Medical	CT for Pediatric Acute Lymphoblastic Leukemia	6 - Mercaptopurine 75mg/m2 daily Methotrexate 20mg/m2 weekly Vincristine 1.5mg/m2 monthly Intrathecal methotrexate 12 mg 3 monthly	229,500.00	D	Not applicable	Not applicable	Not applicable	MO062C	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ CSF CYTOMORPHOLOGY/ FLOW CYTOMETRY/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ NGS/ BIOPSY	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,215	Medical Oncology	Medical	CT for Ph+ve Pediatric Acute Lymphoblastic Leukemia for adult and paediatric	Dasatinib + chemo (to be used only with ALL therapy)	6,100.00	D	Not applicable	Not applicable	Not applicable	MO062D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,216	Medical Oncology	Medical	CT for Ph+ve Pediatric Acute Lymphoblastic Leukemia for adult and paediatric	Imatinib + chemo ((to be used only with ALL therapy)	6,100.00	D	Not applicable	Not applicable	Not applicable	MO062E	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,217	Medical Oncology	Medical	CT for Pediatric Lymphoblastic Lymphoma	Consolidation (Phase II, CNS Therapy Reinduction)	290,100.00	D	Not applicable	Not applicable	Not applicable	MO063A	Clinical note with CBC/ BIOCHEM	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,218	Medical Oncology	Medical	CT for Pediatric Lymphoblastic Lymphoma	ICICLE BFM KLALL MCP:841	229,500.00	D	Not applicable	Not applicable	Not applicable	MO063B	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ 2D ECHO/ NCCT CHEST/ BONE MARROW or Peripheral bloodFLOW CYTOMETRY/ CYTOGENETICS/ Molecular/ BIOPSY/ PET-CT or CECT chest abdomen and Pelvis(if LBL)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,219	Medical Oncology	Medical	CT for Pediatric Lymphoblastic Lymphoma	6 - Mercaptopurine 75mg/m2 daily Methotrexate 20mg/m2 weekly Vincristine 1.5mg/m2 monthly Intrathecal methotrexate 12 mg 3 monthly	229,500.00	D	Not applicable	Not applicable	Not applicable	MO063C	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ CSF CYTOMORPHOLOGY/ FLOW CYTOMETRY/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ NGS/ BIOPSY	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,220	Medical Oncology	Medical	CT for Pediatric Acute Myeloid Leukemia	Cytrabine 3 gram/m2 twice a day Days 1, 3 and 5	63,400.00	D	Not applicable	Not applicable	Not applicable	MO064A	Clinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ Molecular	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,221	Medical Oncology	Medical	CT for Pediatric Acute Myeloid Leukemia	Cytrabine 200mg/m2/day days 1-10 and Daunorubicin 50mg/m2 days 1, 3 and 5 Etposide 100mg/m2 days 1-5	127,400.00	D	Not applicable	Not applicable	Not applicable	MO064B	Clinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ Molecular	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,222	Medical Oncology	Medical	CT for Pediatric Acute Myeloid Leukemia	Cytrabine 100-200mg/m2/day days 1-7 and Daunorubicin 50mg/m2 days 1, 3 and 5	126,900.00	D	Not applicable	Not applicable	Not applicable	MO064C	Clinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ Molecular	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,223	Medical Oncology	Medical	CT for Pediatric Acute Promyelocytic Leukemia	Consolidation	71,200.00	D	Not applicable	Not applicable	Not applicable	MO065A	Clinical note with CBC/ BIOCHEM ECG BONEMARROW RQPCR PML RARA	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,224	Medical Oncology	Medical	CT for Pediatric Acute Promyelocytic Leukemia	Induction	156,600.00	D	Not applicable	Not applicable	Not applicable	MO065B	Clinical note with CBC/ BIOCHEM	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,225	Medical Oncology	Medical	CT for Pediatric Acute Promyelocytic Leukemia	Maintenance	47,600.00	D	Not applicable	Not applicable	Not applicable	MO065C	Clinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ PT/ APTT/ FIBRINOGEN/ 2D ECHO/ NCCT CHEST/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ RQPCR PML RARA/ BIOPSY	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,226	Medical Oncology	Medical	CT for Pediatric Hodgkins Lymphoma	COPDAC	11,400.00	D	Not applicable	Not applicable	Not applicable	MO066A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ node Biopsy.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,227	Medical Oncology	Medical	CT for Pediatric Hodgkins Lymphoma	OPEA	14,300.00	D	Not applicable	Not applicable	Not applicable	MO066B	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ node Biopsy.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,228	Medical Oncology	Medical	CT for Pediatric Hodgkins Lymphoma Relapse	ICE	23,700.00	D	Not applicable	Not applicable	Not applicable	MO067A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ node Biopsy.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,229	Medical Oncology	Medical	CT for Pediatric Hodgkins Lymphoma Relapse	DECA	23,700.00	D	Not applicable	Not applicable	Not applicable	MO067B	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ node Biopsy.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,230	Medical Oncology	Medical	CT for Pediatric Hodgkins Lymphoma Relapse	IGVD	37,400.00	D	Not applicable	Not applicable	Not applicable	MO067C	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ node Biopsy.	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,231	Medical Oncology	Medical	CT for Pediatric Non Hodgkins Lymphoma	LMB 89 - 96 - Consolidation	51,600.00	D	Not applicable	Not applicable	Not applicable	MO068A	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,232	Medical Oncology	Medical	CT for Pediatric Non Hodgkins Lymphoma	LMB 89 - 96 - Induction - COPADAM	51,400.00	D	Not applicable	Not applicable	Not applicable	MO068B	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,233	Medical Oncology	Medical	CT for Pediatric Non Hodgkins Lymphoma	LMB 89 - 96 - Maintenance	79,600.00	D	Not applicable	Not applicable	Not applicable	MO068C	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,234	Medical Oncology	Medical	CT for Pediatric Non Hodgkins Lymphoma	MCP - 842	119,500.00	D	Not applicable	Not applicable	Not applicable	MO068D	Clinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHO	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,235	Medical Oncology	Medical	PEDIATRIC-GCT/JEB	Pediatric - Germ Cell Tumor / JEB	13,000.00	D	Not applicable	Not applicable	Not applicable	MO069A	Clinical note with CBC/ Biochemistry/ TUMOR MARKERS/ CECT CHEST AND ABDOMEN/ Biopsy/ AUDIOMETRY/ GFR	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,236	Medical Oncology	Medical	CT for Pediatric Hepatoblastoma	Carboplatin + Cisplatin + Doxorubicin	6,800.00	D	Not applicable	Not applicable	Not applicable	MO070A	Clinical note with CBC/ Biochemistry/ CECT CHEST AND ABDOMEN/ Biopsy/ ECG/ 2D-ECHO/ AUDIOMETRY/ GFR	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,237	Medical Oncology	Medical	CT for Pediatric Hepatoblastoma	Cisplatin	6,200.00	D	Not applicable	Not applicable	Not applicable	MO070B	Clinical note with CBC/ Biochemistry/ S.AFP/ CECT CHEST AND ABDOMEN/ Biopsy/ AUDIOMETRY/ GFR	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,238	Medical Oncology	Medical	CT for CA Lung	Docetaxel Docetaxel 75 mg/m2 D1 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071A	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,239	Medical Oncology	Medical	CT for CA Lung	Erlotinib Erlotinib 150 mg once daily	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071B	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ EGFR mutation positive	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,240	Medical Oncology	Medical	CT for CA Lung	Gefitnib Gefitinib 250 mg once daily	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071C	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ EGFR mutation positive	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,241	Medical Oncology	Medical	CT for CA Lung	Paclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071D	Clinical note with CECT Thorax/ abdomen and Pelvis/ histopathology (non small cell carcinoma)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,242	Medical Oncology	Medical	CT for CA Lung	Pemetrexed + Carboplatin Pemetrexed 500mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071E	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology (non small cell - adenocarcinoma or adenosquamous carcinoma)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,243	Medical Oncology	Medical	CT for CA Lung	Topotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days	27,100.00	D	Not applicable	Not applicable	Not applicable	MO071F	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology - Small Cell Lung Carcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,244	Medical Oncology	Medical	CT for CA Lung	Docetaxel Docetaxel 20 mg/m2 D1 every week	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071G	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancer	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,245	Medical Oncology	Medical	CT for CA Lung	Etoposide + Carboplatin Etoposide 100mg/m2 D1 - D3 Carboplatin AUC 5-6 D1 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071H	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology - Small Cell Lung Carcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,246	Medical Oncology	Medical	CT for CA Lung	Etoposide + Cisplatin Etoposide 100mg/m2 D1 - D3 Cisplatin 75-100 mg/m2 D1 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071I	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology - Small Cell Lung Carcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,247	Medical Oncology	Medical	CT for CA Lung	Gemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071J	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology (non small cell carcinoma)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,248	Medical Oncology	Medical	CT for CA Lung	Gemcitabine + Carboplatin Gemcitabine 1000 mg/m2 D1 D8 Carboplatin AUC 5-6 D1 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071K	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancer	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,249	Medical Oncology	Medical	CT for CA Lung	Gemcitabine + Cisplatin Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 D8 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071L	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancer	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,250	Medical Oncology	Medical	CT for CA Lung	Paclitaxel Paclitaxel 80mg/m2 every week	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071M	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancer	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,251	Medical Oncology	Medical	CT for CA Lung	Paclitaxel Paclitaxel 175mg/m2 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071N	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancer	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,252	Medical Oncology	Medical	CT for CA Lung	Paclitaxel + Carboplatin Paclitaxel 50mg/m2 D1 Carboplatin AUC 2 D1 every week	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071O	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology (non small cell carcinoma)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,253	Medical Oncology	Medical	CT for CA Lung	Paclitaxel + Cisplatin Paclitaxel 175 mg/m2 D1 Cisplatin 75mg/m2 D1 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071P	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancer	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,254	Medical Oncology	Medical	CT for CA Lung	Pemetrexed + Cisplatin Pemetrexed 500mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071Q	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology - adenocarcinoma and adenosquamous carcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,255	Medical Oncology	Medical	CT for CA Lung	Pemetrexed Pemetrexed 500mg/m2 D1 every 21 days	17,800.00	D	Not applicable	Not applicable	Not applicable	MO071R	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology (non small cell - adenocarcinoma or adenosquamous carcinoma)	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,256	Medical Oncology	Medical	CT for CA Lung	Vinorelbine + Carboplatin Vinorelbine 25mg/m2 D1 D8 CarboplatinAUC 5-6 D1 every 21 days	25,100.00	D	Not applicable	Not applicable	Not applicable	MO071S	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancer	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,257	Medical Oncology	Medical	CT for CA Lung	Vinorelbine + Cisplatin Vinorelbine 25mg/m2 D1 D8 Cisplatin 75mg/m2 D1 every 21 days	22,700.00	D	Not applicable	Not applicable	Not applicable	MO071T	Clinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancer	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,258	Medical Oncology	Medical	CT for CA Cervix	Carboplatin Carboplatin AUC 2 every week	3,300.00	D	Not applicable	Not applicable	Not applicable	MO072A	Clinical note with CBC/ LFT/RFT/RBS/ CECT/MR Face and neck/ histopathology -squamous carcinoma/ nasopharyngeal carcinoma	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,259	Medical Oncology	Medical	CT for primary CNS lymphoma	De-Angelis/MTR	43,600.00	D	Not applicable	Not applicable	Not applicable	MO073A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,260	Medical Oncology	Medical	Unspecified Chemotherapy regimen	Unspecified Chemotherapy regimen	0.00	1	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MO073MLA	Clinical note with CBC/ LFT/ Serum Electrolytes/ Blood Phosphate levels/ Uric Acid/ BUN	BAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT/ DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN/ TRANFUSION SLIPS (IF GIVEN)
1,261	Medical Oncology	Medical	GCT Testis	SA Carboplatin AUC 7 once every 3 weeks	7,300.00	D	Not applicable	Not applicable	Not applicable	MO074A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,262	Medical Oncology	Medical	CT for GCT of bone	Denosumab Denosumab 120 mg s/c D1, 8, 15 then every 28 days	21,800.00	D	Not applicable	Not applicable	Not applicable	MO075A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,263	Medical Oncology	Medical	GEP NET Neuroendocrine carcinoma	Temozolamide 150mg/m2 D9-14 + Capecitabine 1gm/me D1-14 every 28 days	9,700.00	D	Not applicable	Not applicable	Not applicable	MO076A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,264	Medical Oncology	Medical	GEP NET high grade Neuroendocrine carcinoma	Carboplatin AUC 5 + Etoposide 100mg/m2 D1-D3 every 21 days	16,300.00	D	Not applicable	Not applicable	Not applicable	MO076B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,265	Medical Oncology	Surgical	Intravesical BCG / Mitomycin	Intravesical BCG / Mitomycin	3,500.00	4	Not applicable	Not applicable	Not applicable	SU060A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/ detailed discharge summary/ All investigations reports.
1,266	Medical Oncology	Medical	CT for CA Cervix	Paclitaxel 160mg + Cisplatin 50mg	7,300.00	D	Not applicable	Not applicable	Not applicable	MO074MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
1,267	Mental Disorders	Medical	Mental Retardation	Mental Retardation	0.00	10	Routine Ward/ HDU	2300/ 3600	Not applicable	MM001A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,268	Mental Disorders	Medical	Mental disorders - Organic, including symptomatic	Mental disorders - Organic, including symptomatic	0.00	10	Routine Ward/ HDU	2300/ 3600	Not applicable	MM002A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,269	Mental Disorders	Medical	Schizophrenia, schizotypal and delusional disorders	Schizophrenia, schizotypal and delusional disorders	0.00	10	Routine Ward/ HDU	2300/ 3600	Not applicable	MM003A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,270	Mental Disorders	Medical	Neurotic, stress-related and somatoform disorders	Neurotic, stress-related and somatoform disorders	0.00	10	Routine Ward/ HDU	2300/ 3600	Not applicable	MM004A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,271	Mental Disorders	Medical	Mood (affective) disorders	Mood (affective) disorders	0.00	10	Routine Ward/ HDU	2300/ 3600	Not applicable	MM005A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,272	Mental Disorders	Medical	Behavioural syndromes associated with physiological disturbances and physical factors	Behavioural syndromes associated with physiological disturbances and physical factors	0.00	10	Routine Ward/ HDU	2300/ 3600	Not applicable	MM006A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,273	Mental Disorders	Medical	Mental and Behavioural disorders due to psychoactive substance use	Mental and Behavioural disorders due to psychoactive substance use	0.00	10	Routine Ward/ HDU	2300/ 3600	Not applicable	MM007A	Detailed history of psychoactive substance with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,274	Mental Disorders	Medical	Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT / MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels, Folate levels, Lipid Profile, Homocysteine levels), serum Lithium level	Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT / MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels, Folate levels, Lipid Profile, Homocysteine levels), serum Lithium level	7,300.00	4	Not applicable	Not applicable	Not applicable	MM008A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,275	Mental Disorders	Medical	Electro Convulsive Therapy (ECT) - per session	Electro Convulsive Therapy (ECT) - per session	3,300.00	1	Not applicable	Not applicable	Not applicable	MM009A	Detailed history with chronicity/ need for specific treatment and expected results. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,276	Mental Disorders	Medical	Transcranial Magnetic Stimulation (TMS)	Transcranial Magnetic Stimulation (TMS)	1,100.00	1	Not applicable	Not applicable	Not applicable	MM010A	Detailed history with chronicity/ need for specific treatment and expected results. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,277	Mental Disorders	Medical	NeuroDevelopmental Disorders (NDD) Other than Intellectual Disability	Mixed Developmental Disorder	0.00	4	Routine Ward/ HDU	2300/ 3600	Not applicable	MM010B	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,278	Mental Disorders	Medical	NeuroDevelopmental Disorders (NDD) Other than Intellectual Disability	Tourette Syndrome / Chronic Tic Disorder	0.00	4	Routine Ward/ HDU	2300/ 3600	Not applicable	MM010C	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,279	Mental Disorders	Medical	NeuroDevelopmental Disorders (NDD) Other than Intellectual Disability	Attention Deficit Hyperactivity Disorder (ADHD)	0.00	4	Routine Ward/ HDU	2300/ 3600	Not applicable	MM010D	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,280	Mental Disorders	Medical	NeuroDevelopmental Disorders (NDD) Other than Intellectual Disability	Specific Developmental Disorders	0.00	4	Routine Ward/ HDU	2300/ 3600	Not applicable	MM010E	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,281	Mental Disorders	Medical	Behavioral and motional Disorders of Childhood and Adolescence	Oppositional Defiant Disorder	0.00	4	Routine Ward/ HDU	2300/ 3600	Not applicable	MM011A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,282	Mental Disorders	Medical	Behavioral and motional Disorders of Childhood and Adolescence	Conduct Disorder	0.00	4	Routine Ward/ HDU	2300/ 3600	Not applicable	MM011B	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,283	Mental Disorders	Medical	Behavioral and motional Disorders of Childhood and Adolescence	Mixed Disorder of Conduct and Emotions	0.00	4	Routine Ward/ HDU	2300/ 3600	Not applicable	MM011C	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,284	Mental Disorders	Medical	Behavioral and motional Disorders of Childhood and Adolescence	Anxiety and Depressive Disorders	0.00	4	Routine Ward/ HDU	2300/ 3600	Not applicable	MM011D	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,285	Mental Disorders	Medical	Behavioral and motional Disorders of Childhood and Adolescence	Other Internalizing and Externalizing Disorders of Childhood and Adolescence	0.00	4	Routine Ward/ HDU	2300/ 3600	Not applicable	MM011E	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,286	Mental Disorders	Medical	Non-Pharmacological Interventions	Psychological, Behavioural and Developmental and Educational Interventions (Typically Includes Child Counselling / Psychotherapy, Family Counselling / Psychotherapy / Training Such As Parent Management Training, Behavioral / Cognitive-Behavioral Interventions, Developmental Interventions Such As Early Intervention, Speech / Language Therapy, Occupational Therapy, Physiotherapy, Remediation For Specific Learning Disability and Other Rehabilitative / Psychosocial Interventions)	3,600.00	4	Not applicable	Not applicable	Not applicable	MM012A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,287	Mental Disorders	Medical	Pharmacological Interventions	Common Medications Used in Management of Child & Adult Psycholoigical DisordersiIncluding Anti-ADHD Medication	2,400.00	4	Not applicable	Not applicable	Not applicable	MM013A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,288	Mental Disorders	Medical	Psychological / Psychosocial Assessment Package for All Child And Adolescent Psychiatric Disorders	Psychological Assessments (Includes IQ Testing, Specific Learning Disability Assessments, Assessments For Autism Spectrum Disorder, Developmental Assessments, Projective Tests and Other Tests Of Psychopathology), Other Psychosocial Assessments (Family, Schooling)	3,100.00	4	Not applicable	Not applicable	Not applicable	MM014A	Detailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.	Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,289	Neo-natal Care	Medical	Basic neonatal care (Level IA)	Neonates > 2.5 kg nursed with mother : Includes clinical monitoring, breastfeeding support, birth vaccination, thyroid screening, universal hearing screening and pre-discharge counselling	900.00	4	Not applicable	Not applicable	Not applicable	MN011A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,290	Neo-natal Care	Medical	ROP screening	ROP screening	600.00	4	Not applicable	Not applicable	Not applicable	MN012A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,291	Neo-natal Care	Medical	BERA	BERA	1,800.00	4	Not applicable	Not applicable	Not applicable	MN013A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,292	Neo-natal Care	Medical	Basic neonatal care package: Babies that can be managed by side of mother in postnatal ward without requiring admission in SNCU/NICU: • Any newborn needing feeding support • Babies requiring closer monitoring or short-term care for conditions like: o Birth asphyxia (need for positive pressure ventilation; no HIE) o Moderate jaundice requiring phototherapy o Large for dates (>97 percentile) Babies o Small for gestational age (less than 3rd centile)	Basic neonatal care package: Babies that can be managed by side of mother in postnatal ward without requiring admission in SNCU/NICU: • Any newborn needing feeding support • Babies requiring closer monitoring or short-term care for conditions like: o Birth asphyxia (need for positive pressure ventilation; no HIE) o Moderate jaundice requiring phototherapy o Large for dates (>97 percentile) Babies o Small for gestational age (less than 3rd centile)	0.00	4	Routine Ward	2100	Not applicable	MN001A	Detailed clinical notes (incl trigger for hospitalization and examiantion findings)/ supporting investigations.	Detailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,293	Neo-natal Care	Medical	Special Neonatal Care Package: Babies that required admission to SNCU or NICU: Babies admitted for short term care for conditions like: • Mild Respiratory Distress/tachypnea • Mild encephalopathy • Severe jaundice requiring intensive phototherapy • Haemorrhagic disease of newborn • Unwell baby requiring monitoring • Some dehydration • Hypoglycaemia Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate	Special Neonatal Care Package: Babies that required admission to SNCU or NICU: Babies admitted for short term care for conditions like: • Mild Respiratory Distress/tachypnea • Mild encephalopathy • Severe jaundice requiring intensive phototherapy • Haemorrhagic disease of newborn • Unwell baby requiring monitoring • Some dehydration • Hypoglycaemia Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate	0.00	6	SNCU / NICU	3300	Not applicable	MN002A	Clinical notes with planned line of treatment (incl birth & past history)/ Investigation Reports supporting diagnosis/ Planned line of treatment/ admission in NICU or SICU	Detailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,294	Neo-natal Care	Medical	Intensive Neonatal Care Package Babies with birthweight 1500-1799 g or Babies of any birthweight and at least one of the following conditions: • Need for mechanical ventilation for less than 24 hours or non-invasive respiratory support (CPAP, HFFNC) • Sepsis / pneumonia without complications • Hyperbilirubinemia requiring exchange transfusion • Seizures • Major congenital malformations (pre-surgical stabilization, not requiring ventilation) • Cholestasis significant enough requiring work up and in-hospital management • Congestive heart failure or shock Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate	Intensive Neonatal Care Package Babies with birthweight 1500-1799 g or Babies of any birthweight and at least one of the following conditions: • Need for mechanical ventilation for less than 24 hours or non-invasive respiratory support (CPAP, HFFNC) • Sepsis / pneumonia without complications • Hyperbilirubinemia requiring exchange transfusion • Seizures • Major congenital malformations (pre-surgical stabilization, not requiring ventilation) • Cholestasis significant enough requiring work up and in-hospital management • Congestive heart failure or shock Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate	0.00	7	SNCU / NICU	5500	Not applicable	MN003A	Detailed clinical notes (incl trigger for hospitalization and examiantion findings)/ planned line of treatment/ Admission in NICU or SICU	Detailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,295	Neo-natal Care	Medical	Advanced Neonatal Care Package: Babies with birthweight of 1200-1499 g or Babies of any birthweight with at least one of the following conditions: • Any condition requiring invasive ventilation longer than 24 hours • Hypoxic Ischemic encephalopathy requiring Therapeutic Hypothermia • Cardiac rhythm disorders needing intervention (the cost of cardiac surgery or implant will be covered under cardiac surgery packages) • Sepsis with complications such as meningitis or bone and joint infection, DIC or shock • Renal failure requiring dialysis • Inborn errors of metabolism Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate	Advanced Neonatal Care Package: Babies with birthweight of 1200-1499 g or Babies of any birthweight with at least one of the following conditions: • Any condition requiring invasive ventilation longer than 24 hours • Hypoxic Ischemic encephalopathy requiring Therapeutic Hypothermia • Cardiac rhythm disorders needing intervention (the cost of cardiac surgery or implant will be covered under cardiac surgery packages) • Sepsis with complications such as meningitis or bone and joint infection, DIC or shock • Renal failure requiring dialysis • Inborn errors of metabolism Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate	0.00	7	SNCU / NICU	6600	Not applicable	MN004A	Detailed clinical notes (incl trigger for hospitalization and examiantion findings)/ planned line of treatment/ Admission in NICU or SICU	Detailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,296	Neo-natal Care	Medical	Critical Care Neonatal Package: Babies with birthweight of <1200 g or Babies of any birthweight with at least one of the following conditions: • Severe Respiratory Failure requiring High Frequency Ventilation or inhaled Nitric Oxide (iNO) • Multisystem failure requiring multiple organ support including mechanical ventilation and multiple inotropes • Critical congenital heart disease Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate	Critical Care Neonatal Package: Babies with birthweight of <1200 g or Babies of any birthweight with at least one of the following conditions: • Severe Respiratory Failure requiring High Frequency Ventilation or inhaled Nitric Oxide (iNO) • Multisystem failure requiring multiple organ support including mechanical ventilation and multiple inotropes • Critical congenital heart disease Mother's stay and food in the hospital for breastfeeding, family centred care and (Kangaroo Mother Care) KMC is mandatory and included in the package rate	0.00	21	SNCU / NICU	7700	Not applicable	MN005A	Detailed clinical notes (incl trigger for hospitalization and examiantion findings)/ planned line of treatment/ Admission in NICU or SICU	Detailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,297	Neo-natal Care	Medical	Chronic Care Package: If the baby requires stay beyond the upper limit of usual stay in Package no MN004A or MN005A for conditions like severe BPD requiring respiratory support, severe NEC requiring prolonged TPN support	Chronic Care Package: If the baby requires stay beyond the upper limit of usual stay in Package no MN004A or MN005A for conditions like severe BPD requiring respiratory support, severe NEC requiring prolonged TPN support	0.00	7	SNCU / NICU	3300	Not applicable	MN006A	Claim number of having utilized Package no MN004A or MN005A and Notes mentioning need for stay beyond prescribed upper limit	Detailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,298	Neo-natal Care	Medical	High Risk Newborn Post Discharge Care Package (Protocol Driven)	High Risk Newborn Post Discharge Care Package (Protocol Driven)	2,600.00	NA	Not applicable	Not applicable	Not applicable	MN007A	Need of planned care and details of planned post discharge care	Detailed ICP with daily notes/ vitals/ drugs given/ investigation reports Card with pre and post admission general conditions and vital parameters. Details of procedures/operations required for any congenital heart conditions if any.
1,299	Neo-natal Care	Medical	Laser Therapy for Retinopathy of Prematurity	Laser Therapy for Retinopathy of Prematurity	2,100.00	D	Not applicable	Not applicable	Not applicable	MN008A	Clinical notes and Fundoscope reports / stills showing extent of ROP and need for procedure.	Details of Laser therapy done.
1,300	Neo-natal Care	Surgical	Advanced Surgery for Retinopathy of Prematurity	Advanced Surgery for Retinopathy of Prematurity	20,700.00	5	Not applicable	Not applicable	Not applicable	MN009A	Clinical notes and Fundoscope reports / stills showing extent of ROP and need for surgery.	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,301	Neo-natal Care	Surgical	Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus	Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus	13,000.00	2	Not applicable	Not applicable	Not applicable	MN010A	Clinical history and CT/ MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,302	Neo-natal Care	Medical	Meconium Aspiration Syndrome	Meconium Aspiration Syndrome	12,000.00	3	Not applicable	Not applicable	Not applicable	MN011MLA	Clinical notes showing vitals and examination findings	Detailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,303	Neurosurgery	Surgical	Nerve root block	Nerve root block	3,300.00	D	Not applicable	Not applicable	Not applicable	SB068A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray/ Treatment details / Detailed Discharge Summary
1,304	Neurosurgery	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
1,305	Neurosurgery	Surgical	Anterior skull base surgery	Endoscopic CSF Rhinorrhea Repair	52,300.00	6	Not applicable	Not applicable	Fibrin Glue - 9900	SL029A	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes/ detailed discharge summary
1,306	Neurosurgery	Surgical	Depressed Fracture	Depressed Fracture	112,500.00	10	Not applicable	Not applicable	Not applicable	SN001A	Clinical notes and CT confirming diagnosis	Detailed discharge summary/ Detailed Procedure / Operative Notes/ detailed ICPs.
1,307	Neurosurgery	Surgical	Cranioplasty	Endogenous Graft	37,800.00	7	Not applicable	Not applicable	Not applicable	SN002A	CT/MRI/ clinical note	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,308	Neurosurgery	Surgical	Cranioplasty	Exogenous Graft	54,300.00	10	Not applicable	Not applicable	Not applicable	SN002B	CT/MRI/ clinical note	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,309	Neurosurgery	Surgical	Twist Drill Craniostomy	Twist Drill Craniostomy	48,900.00	2	Not applicable	Not applicable	Not applicable	SN003A	Clinical notes and CT	Post procedure Imaging with film (CT/MRI)/ Detailed Procedure / Operative Notes. Discharge summary
1,310	Neurosurgery	Surgical	Craniostenosis	Craniostenosis	112,500.00	7	Not applicable	Not applicable	Not applicable	SN004A	Clinical notes and CT/ MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,311	Neurosurgery	Surgical	Meningocele	Anterior	161,400.00	10	Not applicable	Not applicable	Not applicable	SN005A	Clinical notes and CT/MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,312	Neurosurgery	Surgical	Meningocele	Lumbar	128,800.00	10	Not applicable	Not applicable	Not applicable	SN005B	Clinical notes and CT/MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,313	Neurosurgery	Surgical	Meningocele	Occipital	160,200.00	10	Not applicable	Not applicable	Not applicable	SN005C	Clinical notes and CT/MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,314	Neurosurgery	Surgical	Surgery for Tumour Meninges	Gocussa	112,500.00	7	Not applicable	Not applicable	Not applicable	SN006A	Clinical notes and CT supporting surgery	Histopathology/ Post procedure Imaging with film (CT)/ Detailed Procedure / Operative Notes. Detailed discharge summary
1,315	Neurosurgery	Surgical	Surgery for Tumour Meninges	Posterior	112,500.00	7	Not applicable	Not applicable	Not applicable	SN006B	Clinical notes and CT supporting surgery	Histopathology/ Post procedure Imaging with film (CT)/ Detailed Procedure / Operative Notes. Detailed discharge summary
1,316	Neurosurgery	Surgical	Duroplasty	Endogenous graft	81,000.00	5	Not applicable	Not applicable	Not applicable	SN007A	Clinical notes and CT/ MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,317	Neurosurgery	Surgical	Duroplasty	Exogenous graft	81,000.00	5	Not applicable	Not applicable	Not applicable	SN007B	Clinical notes and CT/ MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,318	Neurosurgery	Surgical	Burr Hole	Burr Hole	128,800.00	2	Not applicable	Not applicable	Not applicable	SN008A	Clinical notes and CT/MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,319	Neurosurgery	Surgical	Burr Hole	Burr hole surgery with chronic Sub Dural Haematoma	143,100.00	2	Not applicable	Not applicable	Not applicable	SN008B	Clinical notes and CT/MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,320	Neurosurgery	Surgical	Surgery for Haematoma - Intracranial	Head Injuries	77,400.00	8	Not applicable	Not applicable	Not applicable	SN009A	Clinical notes and CT/ MRI establishing need of surgery	Post procedure Imaging with film (CT)/ Detailed Procedure / Operative Notes. Detailed discharge summary
1,321	Neurosurgery	Surgical	Surgery for Haematoma - Intracranial	Hypertensive	71,000.00	8	Not applicable	Not applicable	Not applicable	SN009B	Clinical notes and CT/ MRI establishing need of surgery	Post procedure Imaging with film (CT)/ Detailed Procedure / Operative Notes. Detailed discharge summary
1,322	Neurosurgery	Surgical	Surgery for Haematoma - Intracranial	Child - subdural	71,000.00	10	Not applicable	Not applicable	Not applicable	SN009C	Clinical notes and CT/ MRI establishing need of surgery	Post procedure Imaging with film (CT)/ Detailed Procedure / Operative Notes. Detailed discharge summary
1,323	Neurosurgery	Surgical	Excision of Brain Abscess	Excision of Brain Abscess	68,600.00	7	Not applicable	Not applicable	Not applicable	SN010A	Clinical notes and CT	Pus C/s/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes
1,324	Neurosurgery	Surgical	Abscess Tapping	Abscess Tapping	34,400.00	6	Single/ Multiple	None/ "+" 11000	Not applicable	SN011A	Clinical notes and CT	Pus C/s/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes
1,325	Neurosurgery	Surgical	Epilepsy Surgery	Epilepsy Surgery	94,600.00	10	Not applicable	Not applicable	Not applicable	SN012A	Clinical notes and EEG/ Neurologist report/ CT/MRI	Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,326	Neurosurgery	Surgical	Brain Biopsy	Brain Biopsy	81,000.00	3	Not applicable	Not applicable	Not applicable	SN013A	Clinical notes and CT/MRI/ suspected differential diagnosis	Histopathology report/receipt/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,327	Neurosurgery	Surgical	Excision of Orbital Tumour	Excision of Orbital Tumour	68,800.00	7	Not applicable	Not applicable	Not applicable	SN014A	Clinical notes and CT/ MRI report	Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes. HPE report/receipt
1,328	Neurosurgery	Surgical	Excision of Brain Tumor	Parasagital	87,000.00	10	Not applicable	Not applicable	Not applicable	SN015A	Clinical notes and CT/MRI	Histopathology/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,329	Neurosurgery	Surgical	Excision of Brain Tumor	Basal	87,000.00	10	Not applicable	Not applicable	Not applicable	SN015B	Clinical notes and CT/MRI	Histopathology/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,330	Neurosurgery	Surgical	Excision of Brain Tumor	Brainstem	87,000.00	10	Not applicable	Not applicable	Not applicable	SN015C	Clinical notes and CT/MRI	Histopathology/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,331	Neurosurgery	Surgical	Excision of Brain Tumor	C P Angle	87,000.00	10	Not applicable	Not applicable	Not applicable	SN015D	Clinical notes and CT/MRI	Histopathology/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,332	Neurosurgery	Surgical	Excision of Brain Tumor	Supratentorial others	87,000.00	10	Not applicable	Not applicable	Not applicable	SN015E	Clinical notes and CT/MRI	Histopathology/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,333	Neurosurgery	Surgical	Excision of Brain Tumor	Tumours Supratentorial	50,900.00	7	Not applicable	Not applicable	Not applicable	SN015F	Clinical notes and CT/MRI	Histopathology/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,334	Neurosurgery	Surgical	Stereotactic Lesioning	Stereotactic Lesioning	103,200.00	10	Not applicable	Not applicable	Not applicable	SN016A	Clinical notes from neuorlogist/ psychiatriat / MRI	Post procedure Imaging with film (CT)/ Detailed Procedure / Operative Notes. Detailed discharge summary
1,335	Neurosurgery	Surgical	Trans Sphenoidal Surgery	Trans Sphenoidal Surgery	96,700.00	7	Not applicable	Not applicable	Not applicable	SN017A	Clinical notes and MRI supporting surgery	Histopathology/ Post procedure Imaging with film (MRI)/ Detailed Procedure / Operative Notes. Detailed discharge summary.
1,336	Neurosurgery	Surgical	Trans Oral Surgery	Trans Oral Surgery	74,800.00	7	Not applicable	Not applicable	Not applicable	SN018A	Clinical note with X ray and MRI Spine	Post procedure Imaging with film (X-ray)/ Detailed discharge summary/ Detailed Procedure / Operative Notes. HPE report/receipt
1,337	Neurosurgery	Surgical	External Ventricular Drainage	External Ventricular Drainage	50,700.00	6	Not applicable	Not applicable	Not applicable	SN020A	Clinical note and CT	Analysis/ C/S of pus/ fluid removed/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,338	Neurosurgery	Surgical	Ventricular Puncture	Ventricular Puncture	20,700.00	3	Not applicable	Not applicable	Not applicable	SN021A	Clinical notes and CT justifying procedure	Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,339	Neurosurgery	Surgical	Shunt Surgery	Ventriculo - peritoneal	112,500.00	7	Not applicable	Not applicable	Not applicable	SN022A	Clinical notes and CT/MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,340	Neurosurgery	Surgical	Shunt Surgery	Ventriculo - pleural	112,500.00	7	Not applicable	Not applicable	Not applicable	SN022B	Clinical notes and CT/MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,341	Neurosurgery	Surgical	Shunt Surgery	Ventriculo - atrial	112,500.00	7	Not applicable	Not applicable	Not applicable	SN022C	Clinical notes and CT/MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,342	Neurosurgery	Surgical	Shunt Surgery	Theco - peritoneal	112,500.00	7	Not applicable	Not applicable	Not applicable	SN022D	Clinical notes and CT/MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,343	Neurosurgery	Surgical	Aneurysm Clipping including angiogram	Aneurysm Clipping including angiogram	94,600.00	12	Not applicable	Not applicable	Not applicable	SN023A	Clinical notes and CT-angio/MRA/DSA	Post procedure Imaging with film (CT) showing clips/ Detailed discharge summary/ Detailed Procedure / Operative Notes./ invoice of all the clip(s) used
1,344	Neurosurgery	Surgical	Superficial Temporal Artery (STA): Middle Cerebral Artery (MCA) or (Other EC - IC) Bypass Procedure	Superficial Temporal Artery (STA): Middle Cerebral Artery (MCA) or (Other EC - IC) Bypass Procedure	92,800.00	10	Not applicable	Not applicable	Not applicable	SN024A	Clinical notes and MRA/ DSA report	Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,345	Neurosurgery	Surgical	Arterio venous malformation (AVM) excision	Intracranial	94,600.00	5	Not applicable	Not applicable	Not applicable	SN025A	Clinical notes and MRA/ DSA report	Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,346	Neurosurgery	Surgical	Arterio venous malformation (AVM) excision	Intraspinal	94,600.00	5	Not applicable	Not applicable	Not applicable	SN025B	Clinical notes and MRA/ DSA report	Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,347	Neurosurgery	Surgical	Arterio venous malformation (AVM) excision	Scalp	47,300.00	5	Not applicable	Not applicable	Not applicable	SN025C	Clinical notes and MRA/ DSA report	Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,348	Neurosurgery	Surgical	Foramen Magnum Decompression	Foramen Magnum Decompression	103,200.00	10	Not applicable	Not applicable	Not applicable	SN026A	Clinical notes and CT/MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,349	Neurosurgery	Surgical	Skull Traction	Skull Traction	13,800.00	4	Not applicable	Not applicable	Not applicable	SN027A	Clinical notes and Indication for skull traction supporting radiological evdience (CT/MRI).	Detailed Procedure / Operative Notes detailing weights applied/ Detailed discharge summary .
1,350	Neurosurgery	Surgical	Posterior Cervical Discetomy Without Implant	Posterior Cervical Discetomy Without Implant	46,400.00	7	Not applicable	Not applicable	Not applicable	SN028A	Clinical notes and MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,351	Neurosurgery	Surgical	Posterior Cervical Fusion with implant (Lateral mass fixation)	Posterior Cervical Fusion with Implant (Lateral Mass Fixation)	72,300.00	7	Not applicable	Not applicable	Not applicable	SN029A	Clinical notes and MRI	Post procedure/ Detailed discharge summary/ Detailed Procedure / Operative Notes. Cervical spine X-ray showing implant
1,352	Neurosurgery	Surgical	Cervical disc - multiple level without fusion	Cervical disc - multiple level without fusion	68,800.00	7	Not applicable	Not applicable	Not applicable	SN030A	Clinical notes and MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes. Cervical spine X-ray
1,353	Neurosurgery	Surgical	Excision of Cervical Ribs	Excision of Cervical Ribs	62,800.00	7	Unilateral/ Bilateral	None/ "+" 16500	Not applicable	SN031A	Clinical note with X-Ray chest/CT/MRI confirming Diagnosis.	Post procedure Imaging with film (X Ray) Detailed Procedure / Operative Notes/ Detailed discharge summary
1,354	Neurosurgery	Surgical	Thoracic/ Lumbar Corpectomy with Fusion	Thoracic Corpectomy with fusion	103,200.00	7	Not applicable	Not applicable	Not applicable	SN032A	Clinical notes and MRI	Post procedure Imaging with film (X ray) showing the implants/ Detailed discharge summary / Detailed Procedure / Operative Notes
1,355	Neurosurgery	Surgical	Thoracic/ Lumbar Corpectomy with Fusion	Lumbar Corpectomy with fusion	66,000.00	7	Not applicable	Not applicable	Not applicable	SN032B	Clinical notes and MRI	Post procedure Imaging with film (X ray) showing the implants/ Detailed discharge summary / Detailed Procedure / Operative Notes
1,356	Neurosurgery	Surgical	Lumbar Discectomy	Lumbar Discectomy	46,400.00	5	Not applicable	Not applicable	Not applicable	SN033A	Clinical notes and MRI establishing need of surgery	Post op MRI/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,357	Neurosurgery	Surgical	Laminectomy	with Fusion and Fixation	111,800.00	6	Not applicable	Not applicable	Not applicable	SN034A	Clinical notes and MRI establishing need of surgery	Post procedure X-ray showing fixation & fusion/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,358	Neurosurgery	Surgical	Laminectomy	with Fusion	96,700.00	6	Not applicable	Not applicable	Not applicable	SN034B	Clinical notes and MRI establishing need of surgery	Post procedure X-ray showing fixation & fusion/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,359	Neurosurgery	Surgical	Neurectomy	Neurectomy	81,000.00	5	Not applicable	Not applicable	Not applicable	SN035A	Clinical notes justifying the surgery	Detailed discharge summary Detailed Procedure / Operative Notes.
1,360	Neurosurgery	Surgical	Neurectomy	Neurectomy - Trigeminal	81,000.00	5	Not applicable	Not applicable	Not applicable	SN035B	Clinical notes justifying the surgery	Detailed discharge summary Detailed Procedure / Operative Notes.
1,361	Neurosurgery	Surgical	Micro Discectomy	Cervical	68,800.00	10	Not applicable	Not applicable	Not applicable	SN036A	Clinical notes and MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,362	Neurosurgery	Surgical	Micro Discectomy	Lumbar	49,500.00	10	Not applicable	Not applicable	Not applicable	SN036B	Clinical notes and MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,363	Neurosurgery	Surgical	Spine Canal Stenosis	Surgery for Spinal Canal Stenosis	96,700.00	6	Not applicable	Not applicable	Not applicable	SN037A	Clinical notes and MRI supporting surgery	Post op X-ray with film/ Detailed discharge summary/ Detailed Procedure / Operative Notes/
1,364	Neurosurgery	Surgical	Spine Decompression	Fusion	96,700.00	6	Not applicable	Not applicable	Not applicable	SN038A	Clinical notes and MRI supporting surgery	Post op X-ray with film showing fusion/ Detailed discharge summary/ Detailed Procedure / Operative Notes/
1,365	Neurosurgery	Surgical	Spine Decompression	Fusion with Fixation	107,700.00	6	Not applicable	Not applicable	Not applicable	SN038B	Clinical notes and MRI supporting surgery	Post op X-ray with film showing fusion/ Detailed discharge summary/ Detailed Procedure / Operative Notes/
1,366	Neurosurgery	Surgical	Spine - Extradural Haematoma	with Fixation	44,000.00	7	Not applicable	Not applicable	Not applicable	SN039A	Clinical notes and MRI supporting surgery	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,367	Neurosurgery	Surgical	Spine - Extradural Haematoma	without fixation	44,000.00	7	Not applicable	Not applicable	Not applicable	SN039B	Clinical notes and MRI supporting surgery	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,368	Neurosurgery	Surgical	Spine - Intradural Haematoma	without fixation	55,000.00	7	Not applicable	Not applicable	Not applicable	SN040A	Clinical notes and MRI supporting surgery	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,369	Neurosurgery	Surgical	Spine - Intradural Haematoma	with Fixation	55,000.00	7	Not applicable	Not applicable	Not applicable	SN040B	Clinical notes and MRI supporting surgery	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,370	Neurosurgery	Surgical	Spine - Extradural Tumour	without fixation	112,500.00	7	Not applicable	Not applicable	Not applicable	SN041A	Clinical notes and MRI supporting surgery	Histopathology/ Biopsy report/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,371	Neurosurgery	Surgical	Spine - Extradural Tumour	with Fixation	112,500.00	7	Not applicable	Not applicable	Not applicable	SN041B	Clinical notes and MRI supporting surgery	Histopathology/ Biopsy report/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,372	Neurosurgery	Surgical	Spine - Intradural Tumour	without fixation	112,500.00	7	Not applicable	Not applicable	Not applicable	SN042A	Clinical notes and MRI supporting surgery	Histopathology/ Biopsy report/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,373	Neurosurgery	Surgical	Spine - Intradural Tumour	with Fixation	112,500.00	7	Not applicable	Not applicable	Not applicable	SN042B	Clinical notes and MRI supporting surgery	Histopathology/ Biopsy report/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,374	Neurosurgery	Surgical	Spine - Intramedullar Tumour	without fixation	112,500.00	7	Not applicable	Not applicable	Not applicable	SN043A	Clinical notes and MRI supporting surgery	Histopathology/ Post procedure Imaging with film (X-ray/ CT)/ Detailed Procedure / Operative Notes. Detailed discharge summary
1,375	Neurosurgery	Surgical	Spine - Intramedullar Tumour	with Fixation	112,500.00	7	Not applicable	Not applicable	Not applicable	SN043B	Clinical notes and MRI supporting surgery	Histopathology/ Post procedure Imaging with film (X-ray/ CT)/ Detailed Procedure / Operative Notes. Detailed discharge summary
1,376	Neurosurgery	Surgical	R. F. Lesioning For Trigeminal Neuralgia	R. F. Lesioning For Trigeminal Neuralgia	27,500.00	3	Not applicable	Not applicable	Not applicable	SN044A	Clinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ invoice of RF probe
1,377	Neurosurgery	Surgical	Brachial Plexus – Repair	Brachial Plexus – Repair	112,500.00	7	Not applicable	Not applicable	Not applicable	SN045A	Clinical notes and MRI report	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,378	Neurosurgery	Surgical	Carpal Tunnel Release	Carpal Tunnel Release	62,800.00	3	Not applicable	Not applicable	Not applicable	SN046A	Clinical history/ MRI/ NCV	Detailed discharge summary / Detailed Procedure / Operative Notes & MRI Report
1,379	Neurosurgery	Surgical	Median Nerve Decompression	Nerve Decompression	28,000.00	4	Not applicable	Not applicable	Not applicable	SN047A	Clinical notes and NCV	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,380	Neurosurgery	Surgical	Cranial Nerve Anastomosis	Cranial Nerve Anastomosis	81,000.00	5	Not applicable	Not applicable	Not applicable	SN048A	Clinical notes and MRI justifying surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,381	Neurosurgery	Surgical	Peripheral Nerve Surgery	Minor	112,500.00	5	Not applicable	Not applicable	Not applicable	SN049A	Clinical notes and Nerve Conduction Velocity (NCV) and Electromyography (EMG) reports	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,382	Neurosurgery	Surgical	Peripheral Nerve Surgery	Major	112,500.00	5	Not applicable	Not applicable	Not applicable	SN049B	Clinical notes and Nerve Conduction Velocity (NCV) and Electromyography (EMG) reports	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,383	Neurosurgery	Surgical	Nerve Biopsy Excluding Hensens	Nerve Biopsy Excluding Hensens	32,600.00	2	Not applicable	Not applicable	Not applicable	SN050A	Clinical notes and Reports of previous investigations and treatment taken ruling out Hensen's	HPE report/receipt of Nerve Biopsy: Detailed Proedure notes/ detailed discharge summary
1,384	Neurosurgery	Surgical	Muscle Biopsy	Muscle Biopsy	10,300.00	1	Not applicable	Not applicable	Not applicable	SN051A	Clinical notes and Electromyography (EMG) reports	Histopathology report/receipt/ Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,385	Neurosurgery	Surgical	Anterior Encephalocele	Anterior Encephalocele	160,200.00	8	Not applicable	Not applicable	Not applicable	SN052A	Clinical notes and CT/MRI as Evidence	Post procedure Imaging with film (CT)/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,386	Neurosurgery	Surgical	Spina Bifida Surgery	Spina Bifida Surgery	160,200.00	10	Not applicable	Not applicable	Not applicable	SN053A	Clinical notes and CT	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,387	Neurosurgery	Surgical	Gamma Knife Radiosurgery (GKRS) / SRS for Tumours / Arteriovenous Malformation (AVM)	Gamma Knife Radiosurgery (GKRS) / SRS for Tumours / Arteriovenous Malformation (AVM)	103,200.00	10	Not applicable	Not applicable	Not applicable	SN054A	Clinical notes and CT/ MRI report/ Is the EHCP equipped with Gamma Knife?	Treating doctor's consultation paper showing planning for RT treatment and the RT chart/ detailed discharge summary
1,388	Neurosurgery	Surgical	Chronic SDH/ EDH	Craniotomy	88,000.00	2	Not applicable	Not applicable	Not applicable	SN056A	Clinical notes and CT	Post procedure Imaging with film (CT/MRI)/ Detailed Procedure / Operative Notes. Discharge summary
1,389	Neurosurgery	Surgical	Endoscopic Third Ventriculostomy	Endoscopic Third Ventriculostomy	50,400.00	3	Not applicable	Not applicable	Not applicable	SN057A	Clinical notes and CT/MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,390	Neurosurgery	Surgical	R. F. Lesioning	For Sacrolitis	11,200.00	3	Not applicable	Not applicable	Not applicable	SN059A	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,391	Neurosurgery	Surgical	R. F. Lesioning	For Spine spondolosis	11,200.00	3	Not applicable	Not applicable	Not applicable	SN059B	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,392	Neurosurgery	Surgical	R. F. Lesioning	For Tendinitis	5,500.00	3	Not applicable	Not applicable	Not applicable	SN059C	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,393	Neurosurgery	Surgical	R. F. Lesioning	For Degeneration of joints on arthritis	5,500.00	3	Not applicable	Not applicable	Not applicable	SN059D	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,394	Neurosurgery	Surgical	Discectomy - Dorsal	Discectomy - Dorsal	46,400.00	NA	Not applicable	Not applicable	Not applicable	SN060A	Clinical notes and MRI establishing need of surgery	Post op MRI/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,395	Neurosurgery	Surgical	Digital Substraction Angiography	Venogram	29,500.00	3	Not applicable	Not applicable	Not applicable	SN061A	Clinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ invoice of RF probe
1,396	Neurosurgery	Surgical	Digital Substraction Angiography	Peripheral Artery	16,100.00	3	Not applicable	Not applicable	Not applicable	SN061MLA	Clinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ invoice of RF probe
1,397	Neurosurgery	Surgical	Reexploration for Cranial / Spinal surgeries	Reexploration for Cranial / Spinal surgeries	34,400.00	3	Not applicable	Not applicable	Not applicable	SN062A	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,398	Neurosurgery	Medical	Conservative management of high cervical injury	Complex spine injury	0.00	30	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063A	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,399	Neurosurgery	Medical	Conservative management of high cervical injury	Moderate head injury	0.00	14	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063B	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,400	Neurosurgery	Medical	Conservative management of high cervical injury	Severe head injury	0.00	14	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063C	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,401	Neurosurgery	Medical	Conservative management of high cervical injury	Simple head injury	0.00	14	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063D	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,402	Neurosurgery	Medical	Conservative management of high cervical injury	Simple spine injury	0.00	14	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063E	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
1,403	Neurosurgery	Surgical	AVM EMBOLISATION	AVM EMBOLISATION/THROMBECTOMY	240,700.00	9	Not applicable	Not applicable	Not applicable	SN064A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,404	Neurosurgery	Surgical	Carotid Endartrectomy	Carotid Endartrectomy	162,000.00	10	Not applicable	Not applicable	Not applicable	SN064MLA	Clinical notes and Angiogram / CT Angiogram / MRI reports	Detailed operative notes/ Discharge summary/ barcode of graft used.
1,405	Neurosurgery	Surgical	Ventricular tap	Ventricular tapping with Omayya reservoir/external ventricular drain	27,500.00	9	Not applicable	Not applicable	Not applicable	SN065A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,406	Neurosurgery	Surgical	Cervical Sympathectomy	Cervical Sympathectomy	38,600.00	10	Not applicable	Not applicable	Not applicable	SN065MLA	Clinical notes and supporting Evidence of need of surgery (EMG/Nerve conduction study/ CT/MRI)	Detailed discharge summary/ Detailed Operative notes
1,407	Neurosurgery	Surgical	Decompressive Caniectomy	Craniectomy/ DECRA for head injury/acute stroke/cerebral venous thrombosis	103,200.00	9	Not applicable	Not applicable	Not applicable	SN066A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,408	Neurosurgery	Surgical	Corrective Surgery for Craniosynostosis	Corrective Surgery for Craniosynostosis	62,800.00	10	Not applicable	Not applicable	Not applicable	SN066MLA	Clinical notes and CT/ MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
1,409	Neurosurgery	Surgical	Cranio Ventrical surgery	Cranio Ventrical surgery	144,500.00	10	Not applicable	Not applicable	Not applicable	SN067MLA	Clinical note with CT brain/ MRI Brain/ Fundus examination	CSF report/ detailed procedure/operative note/ detailed discharge summary
1,410	Neurosurgery	Surgical	Craniotomy	with Evacuation of Haematoma - Subdural	78,500.00	10	Not applicable	Not applicable	Not applicable	SN068MLA	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,411	Neurosurgery	Surgical	Craniotomy	with Excision of Brain Tumour	50,700.00	10	Not applicable	Not applicable	Not applicable	SN068MLB	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,412	Neurosurgery	Surgical	Craniotomy	with Evacuation of Haematoma - Extradural	49,200.00	7	Not applicable	Not applicable	Not applicable	SN068MLC	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,413	Neurosurgery	Surgical	Decompressive Cranectomy	For Trauma	50,700.00	10	Not applicable	Not applicable	Not applicable	SN069MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,414	Neurosurgery	Surgical	Decompressive Cranectomy	Non Traumatic	70,100.00	8	Not applicable	Not applicable	Not applicable	SN069MLB	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,415	Neurosurgery	Surgical	DVT – IVC Filter	DVT – IVC Filter	116,100.00	10	Not applicable	Not applicable	Not applicable	SN070MLA	Clinical notes and doppler establishing presence of DVT	Post procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
1,416	Neurosurgery	Surgical	Encephalocele Repair	Encephalocele Repair	50,700.00	10	Not applicable	Not applicable	Not applicable	SN071MLA	Clinical notes and CT/MRI as Evidence	Post procedure Imaging with film (CT)/ Detailed discharge summary Detailed Procedure / Operative Notes.
1,417	Neurosurgery	Surgical	Lobectomy	Frontal	78,500.00	10	Not applicable	Not applicable	Not applicable	SN072MLA	CT-Chest / X-RAY/ clinical note	Clinical Photograph / X-RAY/ detailed preocedure/operative note/ detailed discharge summary
1,418	Neurosurgery	Surgical	Lobectomy	Temporal	78,500.00	10	Not applicable	Not applicable	Not applicable	SN072MLB	CT-Chest / X-RAY/ clinical note	Clinical Photograph / X-RAY/ detailed preocedure/operative note/ detailed discharge summary
1,419	Neurosurgery	Surgical	Lobectomy	Cerebellum	78,500.00	10	Not applicable	Not applicable	Not applicable	SN072MLC	CT-Chest / X-RAY/ clinical note	Clinical Photograph / X-RAY/ detailed preocedure/operative note/ detailed discharge summary
1,420	Neurosurgery	Surgical	Microsurgical Excision of Acoustic Tumour	Microsurgical Excision of Acoustic Tumour	43,500.00	10	Not applicable	Not applicable	Not applicable	SN073MLA	Clinical notes and MRI/ clinical note	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,421	Neurosurgery	Surgical	Neuro Vascular Repair with Crush Injury	Neuro Vascular Repair with Crush Injury	36,900.00	10	Not applicable	Not applicable	Not applicable	SN075MLA	Clinical notes justifying surgery with evidence of MRI / EMG/ NCV	Detailed Procedure / Operative Notes. Detailed discharge summary
1,422	Neurosurgery	Surgical	Neurolysis	Neurolysis	112,500.00	10	Not applicable	Not applicable	Not applicable	SN076MLA	Clinical notes justifying surgery with evidence of MRI / EMG/ NCV	Detailed Procedure / Operative Notes. Detailed Discharge summary
1,423	Neurosurgery	Surgical	Optic Nerve Lesions - Decompression	Optic Nerve Lesions - Decompression	56,800.00	10	Not applicable	Not applicable	Not applicable	SN078MLA	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes/ detailed discharge summary
1,424	Neurosurgery	Surgical	Other Neuropathy (GB Syndrome, Mononeuritis, Other Cranial Nerve Disorders Etc.)	Other Neuropathy (GB Syndrome, Mononeuritis, Other Cranial Nerve Disorders Etc.)	51,900.00	10	Not applicable	Not applicable	Not applicable	SN079MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,425	Neurosurgery	Surgical	Posterior Fossa Decompression	Posterior Fossa Decompression	128,800.00	10	Not applicable	Not applicable	Not applicable	SN080MLA	Clinical notes and CT/MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes.
1,426	Neurosurgery	Surgical	Repair & Transposition Nerve	Repair & Transposition Nerve	48,900.00	10	Not applicable	Not applicable	Not applicable	SN081MLA	Clinical notes justifying surgery with evidence of MRI / EMG/ NCV	Detailed Procedure / Operative Notes. Detailed Discharge summary
1,427	Neurosurgery	Surgical	Spinal Fusion Procedure with Implant	Spinal Fusion Procedure with Implant	44,000.00	6	Not applicable	Not applicable	Not applicable	SN082MLA	Clinical notes and MRI supporting surgery	Post op X-ray with film showing fusion/ Detailed discharge summary/ Detailed Procedure / Operative Notes/
1,428	Neurosurgery	Surgical	Spine Anterior Decompression	Spine Anterior Decompression	128,800.00	10	Not applicable	Not applicable	Not applicable	SN083MLA	Clinical notes and MRI supporting surgery	Post op X-ray with film showing fusion/ Detailed discharge summary/ Detailed Procedure / Operative Notes/
1,429	Neurosurgery	Surgical	Spine Disc Cervicallumber	Spine Disc Cervicallumber	96,700.00	10	Not applicable	Not applicable	Not applicable	SN084MLA	MRI SPINE/ clinical note with planned line of treatment	X RAY SPINE/ detailed ICPs/ detailed procedure/operative note/ detailed discharge summary.
1,430	Neurosurgery	Surgical	Subdural Aspiration	Subdural Aspiration	48,900.00	10	Not applicable	Not applicable	Not applicable	SN085MLA	CT/ clinical note.	Detailed procedure/operative note/ detailed discharge summary
1,431	Neurosurgery	Surgical	Subdural Tapping	Subdural Tapping	3,900.00	3	Not applicable	Not applicable	Not applicable	SN086MLA	CT/ clinical note.	Detailed procedure/operative note/ detailed discharge summary
1,432	Neurosurgery	Surgical	Subtotal Temporal Bone Resection	Subtotal Temporal Bone Resection	62,800.00	10	Not applicable	Not applicable	Not applicable	SN087MLA	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ Histopathology report
1,433	Neurosurgery	Surgical	Syringomyelia Decompression Surgery	Syringomyelia Decompression Surgery	56,800.00	10	Not applicable	Not applicable	Not applicable	SN088MLA	Clinical notes and MRI supporting surgery	Post op X-ray Spine/ Detailed discharge summary/ Detailed Procedure / Operative Notes/
1,434	Neurosurgery	Surgical	Temporal Lobectomy Plus Depth Electrodes	Temporal Lobectomy Plus Depth Electrodes	97,900.00	10	Not applicable	Not applicable	Not applicable	SN089MLA	MRI SPINE/ clinical note with planned line of treatment	X RAY SPINE/ detailed ICPs/ detailed procedure/operative note/ detailed discharge summary.
1,435	Neurosurgery	Surgical	Temporal Rhizotomy	Temporal Rhizotomy	81,000.00	10	Not applicable	Not applicable	Not applicable	SN090MLA	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ Histopathology report
1,436	Neurosurgery	Surgical	Total Temporal Bone Resection	Total Temporal Bone Resection	74,900.00	10	Not applicable	Not applicable	Not applicable	SN091MLA	CT/MRI/Biopsy/ clinical note	Clinical Photograph/X-ray/ detailed procedure/operative note/ detailed discharge summary
1,437	Neurosurgery	Surgical	Trans Oral Surgery	Transoral Surgery (Anterior) + CV Junction (Posterior Sabilization)	102,300.00	12	Not applicable	Not applicable	Not applicable	SN092MLA	Clinical note with X ray and MRI Spine	Post procedure Imaging with film (X-ray)/ Detailed discharge summary/ Detailed Procedure / Operative Notes. HPE report/receipt
1,438	Neurosurgery	Medical	Conservative Management of Head Injury	Severe	0.00	5	Routine Ward	1000	Not applicable	ST001A	Clinical notes with planned line of treatment	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,439	Neurosurgery	Surgical	Conservative Management of Head Injury	Depressed Fracture	0.00	5	Routine Ward	5000	Not applicable	ST001B	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Detailed ICPs/ Discharge summary
1,440	Neurosurgery	Surgical	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	42,700.00	5	Not applicable	Not applicable	Not applicable	ST002A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/	Detailed discharge summary/ Detailed operatives notes
1,441	Neurosurgery	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Subdural Hematoma along with Fixation of Fracture of Single Long Bone	82,500.00	5	Not applicable	Not applicable	Not applicable	ST003A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,442	Neurosurgery	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Extradural Hematoma along with Fixation of Fracture of Single Long Bone	82,500.00	5	Not applicable	Not applicable	Not applicable	ST003B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,443	Neurosurgery	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Subdural Hematoma along with Fixation of Fracture of 2 or more Long Bones	103,200.00	5	Not applicable	Not applicable	Not applicable	ST003C	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,444	Neurosurgery	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Extradural Hematoma along with Fixation of Fracture of 2 or more Long Bones	103,200.00	5	Not applicable	Not applicable	Not applicable	ST003D	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,445	Neurosurgery	Surgical	Management of Chest Injury with Fracture of Long Bone	Management of Chest Injury with Fixation of Single Long Bone	38,500.00	5	Not applicable	Not applicable	Not applicable	ST004A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,446	Neurosurgery	Surgical	Management of Chest Injury with Fracture of Long Bone	Management of Chest Injury with Fixation of 2 or More Long Bones	49,500.00	5	Not applicable	Not applicable	Not applicable	ST004B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,447	Neurosurgery	Surgical	Management of Visceral Injury and Fracture Long Bone	Surgical Intervention for Visceral Injury and Fixation of Fracture of Single Long Bone	41,300.00	5	Not applicable	Not applicable	Not applicable	ST005A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,448	Neurosurgery	Surgical	Management of Visceral Injury and Fracture Long Bone	Surgical Intervention for Visceral Injury and Fixation of Fracture of 2 or More Long Bones	61,900.00	5	Not applicable	Not applicable	Not applicable	ST005B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,449	Neurosurgery	Surgical	Internal Fixation of Pelviacetabular Fracture	Internal Fixation of Pelviacetabular Fracture	44,000.00	5	Not applicable	Not applicable	Not applicable	ST006A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/	Post- op Clinical Photograph showing implant for fixation/ detailed discharge summary/ Detailed operatives notes
1,450	Neurosurgery	Surgical	Internal Fixation with Flap Cover Surgery for Wound in Compound Fracture	Internal Fixation with Flap Cover Surgery for Wound in Compound Fracture	44,000.00	5	Not applicable	Not applicable	Not applicable	ST007A	Clinical notes and PRE OP CLINICAL PICTURE/X-RAY/CT	Post- op Clinical Photograph showing implant for fixation and flap cover/ detailed discharge summary/ Detailed operatives notes
1,451	Neurosurgery	Medical	Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery	Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery	41,300.00	5	Not applicable	Not applicable	Not applicable	ST008A	Clinical notes with planned line of treatment detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	Detailed discharge summary/ Detailed operatives notes
1,452	Neurosurgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Nerve Plexus injury repair	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009A	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
1,453	Neurosurgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Nerve Plexus injury reconstruction	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009B	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
1,454	Neurosurgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon injury repair	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009C	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
1,455	Neurosurgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon injury reconstruction	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009D	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
1,456	Neurosurgery	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon transfer	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009E	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
1,457	Neurosurgery	Surgical	Plexus Injury along with Vascular Injury Repair/ Graft	Plexus Injury along With Vascular Injury Repair	66,000.00	5	Not applicable	Not applicable	Not applicable	ST010A	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)	Detailed discharge summary/ Detailed operatives notes
1,458	Neurosurgery	Surgical	Plexus Injury along with Vascular Injury Repair/ Graft	Plexus Injury along with Vascular Injury Graft	82,500.00	5	Not applicable	Not applicable	Not applicable	ST010B	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)	Detailed discharge summary/ Detailed operatives notes
1,459	Neurosurgery	Surgical	Meningomyelocele	Meningomyelocele	95,000.00	7	Not applicable	Not applicable	Not applicable	SN093MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations if done	Detailed Operation notes/ progress note/ detailed Discharge summary.
1,460	Obstetrics & Gynecology	Surgical	Radical Hysterectomy	Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Lap.	66,000.00	11	Not applicable	Not applicable	Not applicable	SC032A	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,461	Obstetrics & Gynecology	Surgical	Radical Hysterectomy	Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Open	66,000.00	11	Not applicable	Not applicable	Not applicable	SC032B	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,462	Obstetrics & Gynecology	Surgical	Radical Hysterectomy	Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Lap.	49,500.00	6	Not applicable	Not applicable	Not applicable	SC032C	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,463	Obstetrics & Gynecology	Surgical	Radical Hysterectomy	Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Open	49,500.00	6	Not applicable	Not applicable	Not applicable	SC032D	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,464	Obstetrics & Gynecology	Surgical	Radical Hysterectomy	Class II radical hysterctomy + BPLND	70,400.00	11	Not applicable	Not applicable	Not applicable	SC032E	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,465	Obstetrics & Gynecology	Surgical	Radical Hysterectomy	Class III radical hysterctomy + BPLND	70,400.00	11	Not applicable	Not applicable	Not applicable	SC032F	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,466	Obstetrics & Gynecology	Surgical	Radical Hysterectomy	Hysterectomy + bilateral salpingoophorectomy + omentectomy + peritonectomy and organ resections	99,000.00	13	Not applicable	Not applicable	Not applicable	SC032G	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,467	Obstetrics & Gynecology	Surgical	Vulvectomy + reconstruction procedures	Vulvectomy + reconstruction procedures	79,800.00	11	Not applicable	Not applicable	Not applicable	SC034A	Clinical notes with planned line of treatment/ Biopsy/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,468	Obstetrics & Gynecology	Surgical	Radical Trachelectomy	Radical Trachelectomy	66,000.00	11	Not applicable	Not applicable	Not applicable	SC035A	Clinical notes and CECT/biopsy	HPE report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
1,469	Obstetrics & Gynecology	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
1,470	Obstetrics & Gynecology	Surgical	Closure of Burst Abdomen	Closure of Burst Abdomen	27,100.00	6	Not applicable	Not applicable	Not applicable	SG036A	Clinical notes describing the original surgery that led to burst abdomen and X Ray/USG/ CT Abdomen confirming the diagnosis for which the surgery is done	Detailed Operative notes/ detailed discharge summary
1,471	Obstetrics & Gynecology	Surgical	Hepatic Resection	Open	47,400.00	7	Not applicable	Not applicable	Not applicable	SG037A	Clinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery.	Histopath report/ detailed discharge summary and Detailed Operative notes
1,472	Obstetrics & Gynecology	Surgical	Hepatic Resection	Lap.	47,400.00	7	Not applicable	Not applicable	Not applicable	SG037B	Clinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery.	Histopath report/ detailed discharge summary and Detailed Operative notes
1,473	Obstetrics & Gynecology	Surgical	Biopsy	Lymph Node	5,500.00	D	Not applicable	Not applicable	Not applicable	SG096A	Clinical notes +/- FNAC report	Histopathology report/ procedure note
1,474	Obstetrics & Gynecology	Surgical	Biopsy	Endometrial Aspiration	3,000.00	D	Not applicable	Not applicable	Not applicable	SG096B	Clinical notes with planned line of treatment	Histopathology report/ procedure note
1,475	Obstetrics & Gynecology	Surgical	Biopsy	Cervix Cancer screening (PAP + Colposcopy)	2,800.00	D	Not applicable	Not applicable	Not applicable	SG096C	Clinical notes with planned line of treatment	Histopathology report/ procedure note
1,476	Obstetrics & Gynecology	Surgical	Biopsy	Cervical	1,700.00	D	Not applicable	Not applicable	Not applicable	SG096D	Clinical notes with planned line of treatment	Histopathology report/ procedure note
1,477	Obstetrics & Gynecology	Surgical	Biopsy	Vulval	2,800.00	D	Not applicable	Not applicable	Not applicable	SG096E	Clinical notes with planned line of treatment	Histopathology report/ procedure note
1,478	Obstetrics & Gynecology	Surgical	Salpingoophorectomy	Lap	27,500.00	1	Not applicable	Not applicable	Not applicable	SO001A	Clinical notes establishing indication/ USG Abdomen Pelvis/ CT/ MRI abdomen Pelvis	Detailed Operative notes/HPE report/receipt of specimen/ Detailed discharge summary
1,479	Obstetrics & Gynecology	Surgical	Laparotomy and Proceed for Ovarian Cancers - Omentomy with Bilateral Salpingooopherectomy	Laparotomy and Proceed for Ovarian Cancers - Omentomy with Bilateral Salpingooopherectomy	41,800.00	5	Not applicable	Not applicable	Not applicable	SO002A	Clinical notes and USG Abdomen + Pelvis/ CT abdomen+ Pelvis establishing indication	Histopathology report/receipt/ Detailed Operative notes/ post op pic of specimen removed/ Detailed Discharge Summary.
1,480	Obstetrics & Gynecology	Surgical	Laparoscopic Tubal Surgeries	Laparoscopic tubal surgeries (for any indication including ectopic pregnancy)	16,600.00	3	Not applicable	Not applicable	Not applicable	SO003A	Clinical notes establishing indication for the procedure/ USG uterus & adnexa/ Beta HCG	Detailed Operative notes/ HPE report/receipt if ectopic pregnancy or salpingectomy for any other indication/ Detailed discharge summary
1,481	Obstetrics & Gynecology	Surgical	Procedure on Fallopian Tube for establishing Tubal Patency	Procedure on Fallopian Tube for establishing Tubal Patency	12,800.00	5	Not applicable	Not applicable	Not applicable	SO004A	Indication of the procedure preferably with record of previous sterilization/ reason for non-availability	Detailed discharge summary/ Detailed Operative notes.
1,482	Obstetrics & Gynecology	Surgical	Laparotomy for Broad Ligament Haematoma	Laparotomy for Broad Ligament Haematoma	17,600.00	3	Not applicable	Not applicable	Not applicable	SO005A	Clinical notes with physical examination findings supported by evidence of hematoma (USG)	Detailed discharge summary/ Detailed Operative notes.
1,483	Obstetrics & Gynecology	Surgical	Myomectomy	Abdominal	30,700.00	5	Not applicable	Not applicable	Not applicable	SO006A	Clinical notes establishing indication/ USG/CT/MRI Abdomen Pelvis	Detailed Operative notes/ Histopathology report/receipt/ Detailed discharge summary
1,484	Obstetrics & Gynecology	Surgical	Myomectomy	Laparoscopic	30,700.00	3	Not applicable	Not applicable	Not applicable	SO006B	physical examination findings with indications for the procedure. USG pelvis / MRI Pelvis	Detailed Operative notes/ HPE report/receipt/ Detailed discharge summary
1,485	Obstetrics & Gynecology	Surgical	Myomectomy	Hysteroscopic	13,200.00	1	Not applicable	Not applicable	Not applicable	SO006C	physical examination findings with indications for the procedure. USG pelvis / MRI Pelvis	Detailed Operative notes/ HPE report/receipt/ Detailed discharge summary
1,486	Obstetrics & Gynecology	Surgical	Polypectomy	Polypectomy	1,700.00	D	Not applicable	Not applicable	Not applicable	SO008A	Clinical notes with planned line of treatment (including System Examination) and Investigations (USG Abdomen + Pelvis/ CT abdomen+ Pelvis)/	Procedure / Operative Notes/ Histopathology report/receipt/ Detailed Discharge Summary / treatment details
1,487	Obstetrics & Gynecology	Surgical	Hysteroscopic Polypectomy	Hysteroscopic Polypectomy	12,200.00	2	Not applicable	Not applicable	Not applicable	SO009A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/USG showing polyp	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,488	Obstetrics & Gynecology	Surgical	Hysterectomy	Abdominal Hysterectomy	25,700.00	3	Not applicable	Not applicable	Not applicable	SO010A	Clinical notes with planned line of treatment (including System Examination) and Investigations (USG Abdomen + Pelvis/ CT abdomen+ Pelvis) confirming the indication	Histopathology report/receipt/ Detailed Discharge Summary with Procedure / Operative Notes
1,489	Obstetrics & Gynecology	Surgical	Hysterectomy	Abdominal Hysterectomy + Salpingooophorectomy	36,900.00	5	Not applicable	Not applicable	Not applicable	SO010B	Admission Notes comprising of history and examination with indications for the procedure/Clinical notes with planned line of treatment and USG Abdomen + Pelvis/ CT/ MRI abdomen+ Pelvis confirming the indication/ Pap smear	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,490	Obstetrics & Gynecology	Surgical	Hysterectomy	Non Descent Vaginal Hysterectomy	25,700.00	4	Not applicable	Not applicable	Not applicable	SO010C	Clinical notes with planned line of treatment (clearly indicating medical management tried and failed or not indicated. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle)/ USG Abdomen + Pelvis/ Pap smear/ EB/EAC	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,491	Obstetrics & Gynecology	Surgical	Hysterectomy	Vaginal Hysterectomy with Anterior & Posterior Colpoperineorrhaphy	25,700.00	5	Not applicable	Not applicable	Not applicable	SO010D	Clinical notes with planned line of treatment (clearly indicating medical management tried and failed or not indicated. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle)/ USG Abdomen + Pelvis/ Pap smear/ EB/EAC	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,492	Obstetrics & Gynecology	Surgical	Hysterectomy	Laparoscopic Hysterectomy (TLH)	25,700.00	5	Not applicable	Not applicable	Not applicable	SO010E	Clinical notes with planned line of treatment and USG Abdomen + Pelvis/ CT abdomen+ Pelvis confirming the indication	Histopathology report/receipt/ Detailed Discharge Summary with Detailed operative notes
1,493	Obstetrics & Gynecology	Surgical	Hysterectomy	Laparoscopic Assisted Vaginal Hysterectomy (LAVH)	25,700.00	5	Not applicable	Not applicable	Not applicable	SO010F	Admission Notes comprising of history and examination(clearly indicating medical management tried and failed or not indicated/ with reason. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle) / USG Abdomen + Pelvis/ MRI abdomen+ Pelvis confirming the indication/ Pap smear/ EB/EAC	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,494	Obstetrics & Gynecology	Surgical	Hysterectomy	Caesarian Hysterectomy	30,700.00	5	Not applicable	Not applicable	Not applicable	SO010G	Admission Notes comprising of history and examination findings with indications for the procedure/ detailed Ante natal care records/ reasons for non-availability of ANC records.	Detailed Procedure / Operative Notes/ pic of specimen removed/ status of the child at the time of delivery and at the time of discharge/ progress notes/Detailed discharge summary
1,495	Obstetrics & Gynecology	Surgical	Hysterectomy	Hysterectomy Vaginal	25,700.00	3	Not applicable	Not applicable	Not applicable	SO010H	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ USG - Obstetric confirming the above package. Has medicolegal compliance been done?	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,496	Obstetrics & Gynecology	Surgical	Hysterectomy	Lap. Hysterectomy + Bilateral Salpingoopherectomy	30,700.00	5	Not applicable	Not applicable	Not applicable	SO010MLA	Admission Notes comprising of history and examination with indications for the procedure/Clinical notes with planned line of treatment (clearly indicating medical management tried and failed or not indicated. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle) and USG Abdomen + Pelvis/ CT/ MRI abdomen+ Pelvis confirming the indication/ Pap smear/ EB/EAC	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,497	Obstetrics & Gynecology	Surgical	Hysterectomy	Ovarian Cystectomy + Abdominal Hysterectomy	30,700.00	5	Not applicable	Not applicable	Not applicable	SO010MLB	Admission Notes comprising of history and examination(clearly indicating medical management tried and failed or not indicated/ with reason. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle) / USG Abdomen + Pelvis/ MRI abdomen+ Pelvis confirming the indication/ Pap smear/ EB/EAC	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,498	Obstetrics & Gynecology	Surgical	Hysterectomy	Radical Hysterectomy for Cancer endometrium extending to cervix with pelvic and para aortic lymphadenectomy	25,700.00	7	Not applicable	Not applicable	Not applicable	SO010MLC	Admission Notes comprising of history and examination with indications for the procedure/Clinical notes with planned line of treatment (clearly indicating medical management tried and failed or not indicated. If failed documents proving duration of treatment and failure. The medical management should have been tried for atleast 4-6 months covering 1 course of hormone cycle) and USG Abdomen + Pelvis/ CT/ MRI abdomen+ Pelvis confirming the indication/ Pap smear/ EB/EAC	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,499	Obstetrics & Gynecology	Surgical	Manchester Repair	Manchester Repair	22,000.00	5	Not applicable	Not applicable	Not applicable	SO012A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,500	Obstetrics & Gynecology	Surgical	Surgeries For Prolapse - Sling Surgeries	Surgeries For Prolapse - Sling Surgeries	31,800.00	5	Not applicable	Not applicable	Sling - 5500	SO013A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / Pap smear.	Detailed Procedure / Operative Notes/ Barcode of sling used/ progress notes/Detailed discharge summary
1,501	Obstetrics & Gynecology	Surgical	Hysterotomy	Hysterotomy	28,000.00	5	Not applicable	Not applicable	Not applicable	SO014A	Admission Notes comprising of history and examination with indications for the procedure / Investigations (establishing diagnosis)/USG - Obstetric confirming the above package	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,502	Obstetrics & Gynecology	Surgical	Lap. Surgery for Endometriosis (Other than Hysterectomy)	Lap. Surgery for Endometriosis (Other than Hysterectomy)	19,100.00	2	Not applicable	Not applicable	Not applicable	SO015A	Admission Notes comprising of history and examination/ Investigations (establishing diagnosis)/ USG Abdomen Pelvis/ CT abdomen.	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed / HPE report/receipt/ Progress notes/detailed discharge summary.
1,503	Obstetrics & Gynecology	Surgical	Diagnostic Hysteroscopy	With biopsy	8,800.00	D	Not applicable	Not applicable	Not applicable	SO016A	Clinical Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ HPE report/receipt of biopsy specimen/ Treatment details / Detailed discharge summary
1,504	Obstetrics & Gynecology	Surgical	Diagnostic Hysteroscopy	Without biopsy	8,800.00	D	Not applicable	Not applicable	Not applicable	SO016B	Clinical Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Treatment details / Detailed discharge summary
1,505	Obstetrics & Gynecology	Surgical	Hysteroscopic IUCD Removal	Hysteroscopic IUCD Removal	7,000.00	D	Not applicable	Not applicable	Not applicable	SO017A	Clinical notes with details of IUCD insertion (reason for non availability of details)/ indication for removing IUCD/ USG showing misplaced IUD	Detailed Procedure / Operative Notes together/ Treatment details / detailed discharge summary.
1,506	Obstetrics & Gynecology	Surgical	DC (Dilatation curretage)	DC (Dilatation curretage)	20,700.00	1	Not applicable	Not applicable	Not applicable	SO018A	Admission Notes comprising of history and examination with indications for the procedure/Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Histopathology report/receipt (not applicable for 1st trimester abortion)/ Detailed discharge summary
1,507	Obstetrics & Gynecology	Surgical	Dilation and Evacuation (DE)	Dilation and Evacuation (DE)	6,000.00	1	Not applicable	Not applicable	Not applicable	SO019A	Admission Notes comprising of history and examination with indications for the procedure/Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,508	Obstetrics & Gynecology	Surgical	Pyometra drainage	Pyometra drainage	5,500.00	3	Not applicable	Not applicable	Not applicable	SO020A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,509	Obstetrics & Gynecology	Surgical	Intrauterine Transfusions	Intrauterine Transfusions	15,600.00	1	Not applicable	Not applicable	Not applicable	SO021A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,510	Obstetrics & Gynecology	Surgical	Adhesiolysis	Hysteroscopic Adhesiolysis	8,800.00	1	Not applicable	Not applicable	Not applicable	SO022A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/USG Abdomen Pelvis / CT/MRI Abdomen Pelvis	Detailed Procedure / Operative Notes together with indication of surgery/ HPEreport if done/ Progress notes/detailed discharge summary.
1,511	Obstetrics & Gynecology	Surgical	Adhesiolysis	Laparoscopic Adhesiolysis	16,900.00	1	Not applicable	Not applicable	Not applicable	SO022B	Admission Notes comprising of history and examination/ Investigations (establishing diagnosis)/ USG Abdomen/ Pelvis (CT abdomen- Optional)	Detailed Procedure / Operative Notes together with indication of surgery/ HPEreport if done/ Progress notes/detailed discharge summary.
1,512	Obstetrics & Gynecology	Surgical	Trans - Vaginal Tape/ Trans-Obturator	Trans - Vaginal Tape	16,700.00	1	Not applicable	Not applicable	Not applicable	SO024A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Barcode of TVT/TOT tape used/ progress notes/Detailed discharge summary
1,513	Obstetrics & Gynecology	Surgical	Trans - Vaginal Tape/ Trans-Obturator	Trans-Obturator Tape	16,700.00	1	Not applicable	Not applicable	Not applicable	SO024B	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Barcode of TVT/TOT tape used/ progress notes/Detailed discharge summary
1,514	Obstetrics & Gynecology	Surgical	Sacrocolpopexy (Abdominal)	Open	40,000.00	7	Not applicable	Not applicable	Mesh - 15 X 15 - 5500	SO025A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Barcode of sling used/ progress notes/Detailed discharge summary
1,515	Obstetrics & Gynecology	Surgical	Sacrocolpopexy (Abdominal)	Lap.	40,000.00	7	Not applicable	Not applicable	Mesh - 15 X 15 - 5500	SO025B	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Barcode of sling used/ progress notes/Detailed discharge summary
1,516	Obstetrics & Gynecology	Surgical	LLETZ	LLETZ	16,500.00	3	Not applicable	Not applicable	Not applicable	SO026A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / Evidence of cervical pre-cancer (PAP smear) Colposcopiy. Cervical Biopsy is optional	Detailed Procedure / Operative Notes/ HPE report/receipt of specimen/Progress notes/ Detailed discharge summary
1,517	Obstetrics & Gynecology	Surgical	Vaginal Sacrospinus fixation with repair	Vaginal Sacrospinus fixation with repair	18,600.00	5	Not applicable	Not applicable	Not applicable	SO027A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,518	Obstetrics & Gynecology	Surgical	Excision of Vaginal Septum (vaginal route)	Excision of Vaginal Septum (vaginal route)	27,200.00	1	Not applicable	Not applicable	Not applicable	SO028A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ need of procedure (USG Abdomen + Pelvis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,519	Obstetrics & Gynecology	Surgical	Hymenectomy for imperforate hymen	Hymenectomy for imperforate hymen	12,200.00	1	Not applicable	Not applicable	Not applicable	SO029A	Admission Notes comprising of history and examination with indications for the procedure and need of procedure	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,520	Obstetrics & Gynecology	Surgical	Anterior & Posterior Colpoperineorrhapy	Anterior & Posterior Colpoperineorrhapy	12,400.00	5	Not applicable	Not applicable	Not applicable	SO030A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,521	Obstetrics & Gynecology	Surgical	Vaginoplasty (McIndoe procedure)	Vaginoplasty (McIndoe procedure)	21,300.00	3	Not applicable	Not applicable	Not applicable	SO031A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ need of procedure (USG Abdomen + Pelvis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,522	Obstetrics & Gynecology	Surgical	Vaginal Surgical Repair for Vesicovaginal Fistula	Vaginal Surgical Repair for Vesicovaginal Fistula	44,000.00	5	Not applicable	Not applicable	Not applicable	SO032A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) and Cystoscopy/ Cystourethroscopy. Voiding Cystourethrogram is optional.	Detailed Procedure / Operative Notes/ Progress notes/detailed discharge summary.detailed discharge summary.
1,523	Obstetrics & Gynecology	Surgical	Repair for Rectovaginal Fistula	Repair for Rectovaginal Fistula	30,800.00	3	Not applicable	Not applicable	Not applicable	SO033A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/detailed discharge summary.
1,524	Obstetrics & Gynecology	Surgical	Vulval Hamatoma drainage	Vulval Hamatoma drainage	3,700.00	1	Not applicable	Not applicable	Not applicable	SO034A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/	Detailed Procedure / Operative Notes/ Progress notes/detailed discharge summary.
1,525	Obstetrics & Gynecology	Surgical	Vulvectomy Simple	Vulvectomy Simple	22,000.00	3	Not applicable	Not applicable	Not applicable	SO035A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) with Evidence (biopsy).	Detailed Procedure / Operative Notes/ histopathology report/receipt/ progress notes/Detailed discharge summary
1,526	Obstetrics & Gynecology	Surgical	Radical Vulvectomy	Radical Vulvectomy with Inguinal and Pelvic lymph node disection	55,000.00	3	Not applicable	Not applicable	Not applicable	SO036A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/vulval biopsy/ CT/MRI for staging	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed / HPE report/receipt/ Progress notes/detailed discharge summary.
1,527	Obstetrics & Gynecology	Surgical	Abdomino Perineal repair for Mullerian Anomaly	Abdomino Perineal repair for Mullerian Anomaly	38,200.00	5	Not applicable	Not applicable	Not applicable	SO037A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ (USG/ CT/ MRI)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,528	Obstetrics & Gynecology	Surgical	Pelvic Abscess Open Drainage	Pelvic Abscess Management including Colpotomy	14,900.00	1	Not applicable	Not applicable	Not applicable	SO038A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / USG Abdomen & Pelvis	Detailed Procedure / Operative Notes/ progress notes/Detailed discharge summary
1,529	Obstetrics & Gynecology	Surgical	Diagnostic Laproscopy	Diagnostic / Staging laparoscopy	15,600.00	3	Not applicable	Not applicable	Not applicable	SO039A	Admission Notes comprising of history and examination/ Relavant Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes together with indication of surgery/ Progress notes/detailed discharge summary.
1,530	Obstetrics & Gynecology	Surgical	Laparotomy for benign disorders	Ectopic	22,000.00	5	Not applicable	Not applicable	Not applicable	SO040A	Admission Notes comprising of history and examination with indications for the procedure/Clinical notes establishing ruptured ectopic with Evidence of beta hCG & USG	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed / HPE report/receipt/ detailed discharge summary.
1,531	Obstetrics & Gynecology	Surgical	Laparotomy for benign disorders	PID	22,000.00	5	Not applicable	Not applicable	Not applicable	SO040B	Admission Notes comprising of history and examination with indications for the procedure/Clinical notes establishing ruptured ectopic with Evidence of beta hCG & USG	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed / HPE report/receipt/ detailed discharge summary.
1,532	Obstetrics & Gynecology	Surgical	Laparoscopic Cystectomy	Laparoscopic Cystectomy	27,100.00	3	Not applicable	Not applicable	Not applicable	SO041A	Admission Notes comprising of history and examination/ Relavant Investigations (establishing diagnosis)/ USG Abdomen Pelvis/ CT abdomen.	Detailed Procedure / Operative Notes together with indication of surgery/ Progress notes/detailed discharge summary.
1,533	Obstetrics & Gynecology	Surgical	Cystocele Repair	Cystocele Anterior Repair - Perineal Tear Repair	36,900.00	5	Not applicable	Not applicable	Not applicable	SO042A	Admission Notes comprising of history and examination with findings establishing Cystocoele.	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,534	Obstetrics & Gynecology	Surgical	Burch	Abdominal	38,500.00	5	Not applicable	Not applicable	Not applicable	SO043A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / Urodynamic studies are optional.	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,535	Obstetrics & Gynecology	Surgical	Burch	Lap.	38,500.00	5	Not applicable	Not applicable	Not applicable	SO043B	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / Urodynamic studies are optional.	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,536	Obstetrics & Gynecology	Surgical	Electro Cauterisation / Cryo Surgery	Electro Cauterisation / Cryo Surgery	6,300.00	1	Not applicable	Not applicable	Not applicable	SO044A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ pap smear- optional	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,537	Obstetrics & Gynecology	Medical	EUA for (minor girls / unmarried sexually inactive / victims of sexual abuse)	EUA for (minor girls / unmarried sexually inactive / victims of sexual abuse)	3,000.00	1	Not applicable	Not applicable	Not applicable	SO045A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ and parental consent (incase of minor girls)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,538	Obstetrics & Gynecology	Medical	Hospitalisation for Antenatal Complications	Hospitalisation for Antenatal Complications	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SO046A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,539	Obstetrics & Gynecology	Surgical	Amniocentesis	Amniocentesis	16,000.00	1	Not applicable	Not applicable	Not applicable	SO047A	Clinical note with Consulting notes giving the indication for amniocentesis	Detailed Procedure / Operative Notes/ Amniotic fluid analysis report/ Progress notes/ Detailed discharge summary
1,540	Obstetrics & Gynecology	Surgical	Chorionic Villus Sampling	Chorionic Villus Sampling	16,000.00	1	Not applicable	Not applicable	Not applicable	SO048A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Procedure / Operative Notes with report of chorionic villi sampling/ Progress notes/ Detailed discharge summary
1,541	Obstetrics & Gynecology	Surgical	Cordocentesis	Cordocentesis	16,000.00	1	Not applicable	Not applicable	Not applicable	SO049A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ report of cordocentesis/ Progress notes/ Detailed discharge summary
1,542	Obstetrics & Gynecology	Surgical	Mcdonalds Stitch	Mcdonalds Stitch	9,700.00	1	Not applicable	Not applicable	Not applicable	SO050A	Admission Notes comprising of history and ANC findings justifying cervical incompetence and the procedure.	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,543	Obstetrics & Gynecology	Surgical	Shirodkars Stitch	Shirodkars Stitch	5,100.00	1	Not applicable	Not applicable	Not applicable	SO051A	Admission Notes comprising of history and ANC findings justifying cervical incompetences and the procedure.	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,544	Obstetrics & Gynecology	Medical	Medical management of ectopic pregnancy	Medical management of ectopic pregnancy	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SO052A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,545	Obstetrics & Gynecology	Surgical	MTP	Upto 8 weeks	5,000.00	D	Not applicable	Not applicable	Not applicable	SO053A	Clinical Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ USG - Obstetric confirming the above package.	MTP form/ Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,546	Obstetrics & Gynecology	Surgical	MTP	12 weeks	7,200.00	1	Not applicable	Not applicable	Not applicable	SO053B	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ USG - Obstetric confirming the above package. Has medicolegal compliance been done?	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,547	Obstetrics & Gynecology	Surgical	MTP	Upto 12 weeks	7,700.00	1	Not applicable	Not applicable	Not applicable	SO053C	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ USG - Obstetric confirming the above package. Has medicolegal compliance been done?	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,548	Obstetrics & Gynecology	Surgical	Delivery	High risk delivery - Premature Delivery	12,700.00	3	Not applicable	Not applicable	Not applicable	SO054A	Admission Notes comprising of history and BP charting/ detailed Ante natal care records/ reasons for non-availability of ANC records/ Obstetric USG.	Detailed delivery notes/ PNC notes along with relevant investigation details/ status of the child at the time of delivery and at the time of discharge/ progress notes/ Detailed discharge summary.
1,549	Obstetrics & Gynecology	Surgical	Delivery	High risk delivery - Mothers with Eclampsia or Imminent Eclampsia	25,300.00	3	Not applicable	Not applicable	Not applicable	SO054B	Admission Notes comprising of history and BP charting/ detailed Ante natal care records/ reasons for non-availability of ANC records/ Obstetric USG.	Detailed delivery notes/ PNC notes along with relevant investigation details/ status of the child at the time of delivery and at the time of discharge/ progress notes/ Detailed discharge summary.
1,550	Obstetrics & Gynecology	Surgical	Delivery	High risk delivery - Major Fetal Malformation Requiring Intervention Immediately After Birth	16,500.00	3	Not applicable	Not applicable	Not applicable	SO054C	Admission Notes comprising of history and detailed Ante natal care records/ reasons for non-availability of ANC records. Obstetric USG. All high risk deliveries are to be clubbed & case specific documents required.	Detailed delivery notes/ PNC notes along with relevant investigation details/ status of the child at the time of delivery and at the time of discharge/ progress notes/ Detailed discharge summary.
1,551	Obstetrics & Gynecology	Surgical	Delivery	High risk delivery - Mothers with Severe Anaemia (<7 g/DL)	12,700.00	3	Not applicable	Not applicable	Not applicable	SO054D	Admission Notes comprising of history and BP charting/ detailed Ante natal care records/ reasons for non-availability of ANC records/ Obstetric USG.	Detailed delivery notes/ PNC notes along with relevant investigation details/ status of the child at the time of delivery and at the time of discharge/ progress notes/ Detailed discharge summary.
1,552	Obstetrics & Gynecology	Surgical	Delivery	High risk delivery - Other maternal and fetal conditions as per guidelines such as Rh Haemolytic Disease, Uncontrolled Diabetes, Severe Growth Retardation, etc, that qualify for High Risk Delivery	12,700.00	3	Not applicable	Not applicable	Not applicable	SO054E	Admission Notes comprising of history and BP charting/ detailed Ante natal care records/ reasons for non-availability of ANC records/ Obstetric USG.	Detailed delivery notes/ Labor charting/ PNC notes along with ANC investigation/ status of the child at the time of delivery and at the time of discharge/ progress notes/ Detailed discharge summary.
1,553	Obstetrics & Gynecology	Surgical	Delivery	Caesarian Delivery	22,200.00	5	Not applicable	Not applicable	Not applicable	SO054F	Admission Notes comprising of history and examination/ Indications for the procedure/USG Obstetrics/Labor charting/ CTG if available.	Detailed Procedure/Operative Notes/ status of the child at the time of delivery and at the time of discharge/ progress notes/Detailed discharge summary
1,554	Obstetrics & Gynecology	Surgical	Delivery	High risk delivery - Expected Gestation at Delivery < 35 Weeks	17,900.00	3	Not applicable	Not applicable	Not applicable	SO054MLB	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed delivery notes/ PNC notes along with relevant investigation details/ status of the child at the time of delivery and at the time of discharge/ progress notes/ Detailed discharge summary.
1,555	Obstetrics & Gynecology	Surgical	Delivery	Normal Delivery	10,600.00	3	Not applicable	Not applicable	Not applicable	SO054MLC	Clinical notes detailing history / Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed delivery notes/ PNC notes along with relevant investigation details/ status of the child at the time of delivery and at the time of discharge/ progress notes/ Detailed discharge summary.
1,556	Obstetrics & Gynecology	Surgical	Delivery	Normal Delivery with Episiotomy and P Repair	11,400.00	3	Not applicable	Not applicable	Not applicable	SO054MLD	Clinical notes detailing history / Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed delivery notes/ PNC notes along with relevant investigation details/ status of the child at the time of delivery and at the time of discharge/ progress notes/ Detailed discharge summary.
1,557	Obstetrics & Gynecology	Surgical	Manual Removal of Placenta	Manual Removal of Placenta	9,400.00	2	Not applicable	Not applicable	Not applicable	SO055A	Clinical notes documenting need of manual removal of placenta/ use of Active Management of Third Stage of Labor (AMTSL)	Detailed Procedure / Operative Notes/ stills of placenta/ progress note/ Detailed discharge summary/ Post natal course
1,558	Obstetrics & Gynecology	Surgical	Secondary suturing of episiotomy	Secondary suturing of episiotomy	3,800.00	2	Not applicable	Not applicable	Not applicable	SO056A	Admission Notes comprising of history detailing when was first surgery done? and examination with indications for the procedure	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,559	Obstetrics & Gynecology	Surgical	Re exploration after laparotomy / Caesarean Section	Re exploration after Caesarean Section	15,400.00	5	Not applicable	Not applicable	Not applicable	SO058A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / USG	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary
1,560	Obstetrics & Gynecology	Surgical	Re exploration after laparotomy / Caesarean Section	Re exploration after laparotomy	15,400.00	5	Not applicable	Not applicable	Not applicable	SO058B	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / USG	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary
1,561	Obstetrics & Gynecology	Surgical	Vulvo vaginal cyst enucleation / drainage	Vulvo vaginal cyst enucleation	7,700.00	1	Not applicable	Not applicable	Not applicable	SO059A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary
1,562	Obstetrics & Gynecology	Surgical	Vulvo vaginal cyst enucleation / drainage	Vulvo vaginal cyst drainage	7,700.00	1	Not applicable	Not applicable	Not applicable	SO059B	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed operative notes/ discharge summary
1,563	Obstetrics & Gynecology	Surgical	Ovariotomy	Open	55,000.00	4	Not applicable	Not applicable	Not applicable	SO060A	Admission Notes comprising of history and examination/ Investigations (establishing diagnosis)/ USG Abdomen Pelvis/ CT abdomen.	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed/ Progress notes/detailed discharge summary.
1,564	Obstetrics & Gynecology	Surgical	Ovariotomy	Laparoscopic	11,000.00	4	Not applicable	Not applicable	Not applicable	SO060B	Admission Notes comprising of history and examination/ Investigations (establishing diagnosis)/ USG Abdomen Pelvis/ CT abdomen.	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed/ Progress notes/detailed discharge summary.
1,565	Obstetrics & Gynecology	Surgical	Vaginal Myomectomy	Vaginal Myomectomy	16,500.00	4	Not applicable	Not applicable	Not applicable	SO061A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,566	Obstetrics & Gynecology	Surgical	Ablation of Endometrium	Ablation of Endometrium	24,400.00	3	Not applicable	Not applicable	Not applicable	SO061MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / USG Abdomen & Pelvis	Detailed Procedure / Operative Notes/ histopathology report/receipt/ progress notes/Detailed discharge summary
1,567	Obstetrics & Gynecology	Surgical	Ablation of Endometrium	Ablation of Endometrium with Abdominal Hysterectomy	28,000.00	5	Not applicable	Not applicable	Not applicable	SO061MLB	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / USG Abdomen & Pelvis	Detailed Procedure / Operative Notes/ histopathology report/receipt/ progress notes/Detailed discharge summary
1,568	Obstetrics & Gynecology	Surgical	Adhenolysis + Ovarian Cystectomy	Adhenolysis + Ovarian Cystectomy	11,000.00	3	Not applicable	Not applicable	Not applicable	SO062MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) / USG Abdomen or Pelvis	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary
1,569	Obstetrics & Gynecology	Surgical	Laparoscopy for Ectopic/ other benign disorders	lap	22,000.00	4	Not applicable	Not applicable	Not applicable	SO063A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,570	Obstetrics & Gynecology	Surgical	Bartholins Cyst Enucleation Incision Drainage	Bartholins Cyst Enucleation Incision Drainage	7,700.00	1	Not applicable	Not applicable	Not applicable	SO063MLA	Admission Notes comprising of history and examination findings with indications for the procedure / Investigations (establishing diagnosis)	Detailed Operative notes & detailed discharge summary.
1,571	Obstetrics & Gynecology	Surgical	Sterilisation	Sterilisation- Open	7,700.00	4	Not applicable	Not applicable	Not applicable	SO064A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed Procedure / Operative Notes/ progress notes/Detailed discharge summary
1,572	Obstetrics & Gynecology	Surgical	Sterilisation	Sterilisation- Lap	11,000.00	4	Not applicable	Not applicable	Not applicable	SO064B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,573	Obstetrics & Gynecology	Surgical	Reversal of Sterilisation/ Tuboplasty (lap/ open)	Reversal of Sterilisation/ Tuboplasty (lap/ open)	27,500.00	4	Not applicable	Not applicable	Not applicable	SO065A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,574	Obstetrics & Gynecology	Surgical	Cauterization of vaginal warts	Cauterization of vaginal warts	5,000.00	D	Not applicable	Not applicable	Not applicable	SO065MLA	Clinical Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Treatment details / Detailed discharge summary
1,575	Obstetrics & Gynecology	Surgical	Diagnostic Hystero - Laparoscopy with/ without Chromopertubation	Diagnostic Hystero - Laparoscopy with/ without Chromopertubation	16,500.00	4	Not applicable	Not applicable	Not applicable	SO066A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,576	Obstetrics & Gynecology	Surgical	Colpotomy	Colpotomy	2,300.00	D	Not applicable	Not applicable	Not applicable	SO066MLA	Clinical Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Treatment details / Detailed discharge summary
1,577	Obstetrics & Gynecology	Surgical	Laparotomy for Broad Ligament Hematoma	Laparotomy for Broad Ligament Hematoma (with internal iliac ligation)	38,500.00	4	Not applicable	Not applicable	Not applicable	SO067A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,578	Obstetrics & Gynecology	Surgical	Conventional Tubectomy	Conventional Tubectomy	6,100.00	1	Not applicable	Not applicable	Not applicable	SO067MLA	Admission Notes comprising of history and examination with indications for the procedure	Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,579	Obstetrics & Gynecology	Surgical	Complete Perineal Tear	Complete Perineal Tear	27,500.00	4	Not applicable	Not applicable	Not applicable	SO068A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,580	Obstetrics & Gynecology	Surgical	Destructive Operation	Destructive Operation	9,100.00	1	Not applicable	Not applicable	Not applicable	SO068MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/	Procedure / Operative Notes with report of chorionic villi sampling/ Progress notes/ Detailed discharge summary
1,581	Obstetrics & Gynecology	Surgical	Molar follow up for chemotherapy	Molar follow up for chemotherapy	6,600.00	4	Not applicable	Not applicable	Not applicable	SO069A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,582	Obstetrics & Gynecology	Surgical	Diagnostic Curettage	Diagnostic Curettage	2,700.00	D	Not applicable	Not applicable	Not applicable	SO069MLA	Clinical Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Treatment details / Detailed discharge summary/ HPE report/receipt
1,583	Obstetrics & Gynecology	Surgical	Resuturing of wounds	Resuturing of wounds	5,500.00	4	Not applicable	Not applicable	Not applicable	SO070A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,584	Obstetrics & Gynecology	Surgical	Endoscopic procedures	Endoscopic Endometria to Endometria Anastomosis	36,900.00	5	Not applicable	Not applicable	Not applicable	SO070MLA	Clinical notes and endoscopy findings	Endoscopic report/ Detailed discharge summary/ detailed Procedure / Operative Notes.
1,585	Obstetrics & Gynecology	Surgical	Endoscopic procedures	Endoscopic Fimbriolysis	5,900.00	1	Not applicable	Not applicable	Not applicable	SO070MLB	Clinical notes and endoscopy findings	Endoscopic report/ Detailed discharge summary/ detailed Procedure / Operative Notes.
1,586	Obstetrics & Gynecology	Surgical	Endoscopic procedures	Endoscopic Oophrectomy	16,900.00	1	Not applicable	Not applicable	Not applicable	SO070MLC	Clinical notes and endoscopy findings	Endoscopic report/ Detailed discharge summary/ detailed Procedure / Operative Notes.
1,587	Obstetrics & Gynecology	Surgical	Endoscopic procedures	Endoscopic Ovarian Cystectomy	16,700.00	3	Not applicable	Not applicable	Not applicable	SO070MLD	Clinical notes and endoscopy findings	Endoscopic report/ Detailed discharge summary/ detailed Procedure / Operative Notes.
1,588	Obstetrics & Gynecology	Surgical	Endoscopic procedures	Endoscopic Uterine Septum	2,400.00	D	Not applicable	Not applicable	Not applicable	SO070MLE	Clinical notes and planned line of treatment	Endoscopic report/ Treatment details/ detailed Procedure / Operative Notes.
1,589	Obstetrics & Gynecology	Surgical	Post coital / Injury Repair	Post coital / Injury Repair	7,700.00	4	Not applicable	Not applicable	Not applicable	SO071A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,590	Obstetrics & Gynecology	Surgical	Exploration of Haematoma	Exploration of Abdominal Haematoma	25,500.00	3	Not applicable	Not applicable	Not applicable	SO071MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ need of procedure (USG Abdomen + Pelvis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,591	Obstetrics & Gynecology	Surgical	Exploration of Haematoma	Exploration of perineal Haematoma & Repair	8,800.00	7	Not applicable	Not applicable	Not applicable	SO071MLB	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ need of procedure (USG Abdomen + Pelvis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,592	Obstetrics & Gynecology	Surgical	Exploration of Haematoma	Exploration of PPH-tear repair	3,900.00	7	Not applicable	Not applicable	Not applicable	SO071MLC	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ need of procedure (USG Abdomen + Pelvis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,593	Obstetrics & Gynecology	Surgical	Cone biopsy	Cone biopsy	7,700.00	4	Not applicable	Not applicable	Not applicable	SO072A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ HPE report/receipt/ All investigations reports.
1,594	Obstetrics & Gynecology	Surgical	Gilliams Operation	Gilliams Operation	14,900.00	3	Not applicable	Not applicable	Not applicable	SO072MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/ need of procedure (USG Abdomen + Pelvis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,595	Obstetrics & Gynecology	Surgical	Biopsy- Cervical, Endometrial EA/ ECC; Vulvar; Polypectomy	Biopsy- Cervical, Endometrial EA/ ECC; Vulvar; Polypectomy	5,500.00	4	Not applicable	Not applicable	Not applicable	SO073A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,596	Obstetrics & Gynecology	Surgical	Normal vaginal delivery	Normal vaginal delivery	10,600.00	4	Not applicable	Not applicable	Not applicable	SO074A	Clinical notes detailing history and Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,597	Obstetrics & Gynecology	Surgical	Hysteroscopic Tubal Cannulation	Hysteroscopic Tubal Cannulation	27,800.00	5	Not applicable	Not applicable	Not applicable	SO074MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/USG showing polyp	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed / HPE report/receipt if done/ Progress notes/detailed discharge summary.
1,598	Obstetrics & Gynecology	Surgical	Hysterotomy 2nd Trimester Abortions	Hysterotomy 2nd Trimester Abortions	5,500.00	2	Not applicable	Not applicable	Not applicable	SO074MLB	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/USG showing polyp	Detailed Procedure / Operative Notes together with indication of surgery/ Progress notes/detailed discharge summary.
1,599	Obstetrics & Gynecology	Surgical	Operative vaginal delivery (Vacuum/ forceps)	Operative vaginal delivery (Vacuum/ forceps)	11,000.00	4	Not applicable	Not applicable	Not applicable	SO075A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed Procedure/Operative Notes/ status of the child at the time of delivery and at the time of discharge/ progress notes/Detailed discharge summary
1,600	Obstetrics & Gynecology	Surgical	Insertion of IUCD Device	Insertion of IUCD Device	2,400.00	D	Not applicable	Not applicable	Not applicable	SO075MLA	Clinical notes and planned line of treatment	Detailed Procedure / Operative Notes/ Invoice/ Barcode of IUCD inserted
1,601	Obstetrics & Gynecology	Surgical	Surgical management of PPH after vaginal delivery	Surgical management of PPH after vaginal delivery	16,500.00	4	Not applicable	Not applicable	Not applicable	SO076A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,602	Obstetrics & Gynecology	Surgical	Internal Iliac ligation	Internal Iliac ligation	3,700.00	7	Not applicable	Not applicable	Not applicable	SO076MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,603	Obstetrics & Gynecology	Surgical	Inversion of Uterus	Abdominal Reposition	2,800.00	7	Not applicable	Not applicable	Not applicable	SO077MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,604	Obstetrics & Gynecology	Surgical	Lap Ovariotomyovarian Cystectomy	Lap Ovariotomyovarian Cystectomy	20,200.00	4	Not applicable	Not applicable	Not applicable	SO078MLA	Admission Notes comprising of history and examination/ Investigations (establishing diagnosis)/ USG Abdomen Pelvis/ CT abdomen.	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed / HPE report/receipt if done/ Progress notes/detailed discharge summary.
1,605	Obstetrics & Gynecology	Surgical	Laparoscopic Ovarotomy	Laparoscopic Ovarotomy	11,000.00	3	Not applicable	Not applicable	Not applicable	SO080MLA	Admission Notes comprising of history and examination/ Investigations (establishing diagnosis)/ USG Abdomen Pelvis/ CT abdomen.	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed / HPE report/receipt if done/ Progress notes/detailed discharge summary.
1,606	Obstetrics & Gynecology	Surgical	Laproscopy Salpingoplasty Ligation	Laproscopy Salpingoplasty Ligation	8,900.00	1	Not applicable	Not applicable	Not applicable	SO081MLA	Admission Notes comprising of history and examination/ Investigations (establishing diagnosis)/ USG Abdomen Pelvis/ CT abdomen.	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed / HPE report/receipt/ Progress notes/detailed discharge summary.
1,607	Obstetrics & Gynecology	Surgical	Laprotomy for Ectopic Repture	Laprotomy for Ectopic Repture	29,400.00	5	Not applicable	Not applicable	Not applicable	SO082MLA	Admission Notes comprising of history and examination/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes together with indication of surgery/ Progress notes/detailed discharge summary.
1,608	Obstetrics & Gynecology	Surgical	Low Midcavity Forceps	Low Midcavity Forceps	9,700.00	1	Not applicable	Not applicable	Not applicable	SO083MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/detailed discharge summary.
1,609	Obstetrics & Gynecology	Surgical	Ovarectomyoophrectomy	Ovarectomyoophrectomy	16,900.00	1	Not applicable	Not applicable	Not applicable	SO084MLA	Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,610	Obstetrics & Gynecology	Medical	PAP Smear	PAP Smear	5,000.00	D	Not applicable	Not applicable	Not applicable	SO085MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed Procedure / Operative Notes/ Treatment details / Detailed discharge summary
1,611	Obstetrics & Gynecology	Surgical	Perforamtion of Uterus After De Laprotomy and Closure	Perforamtion of Uterus After De Laprotomy and Closure	24,600.00	3	Not applicable	Not applicable	Not applicable	SO086MLA	Clinical notes and USG Abdomen + Pelvis/ CT abdomen+ Pelvis establishing indication	Histopathology report/receipt/ Detailed Operative notes/ post op pic of specimen removed/ Detailed Discharge Summary.
1,612	Obstetrics & Gynecology	Surgical	Perineal Tear Repair	Perineal Tear Repair	9,400.00	1	Not applicable	Not applicable	Not applicable	SO087MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,613	Obstetrics & Gynecology	Surgical	Repair of Post Coital Tear Perineal Injury	Repair of Post Coital Tear Perineal Injury	5,100.00	2	Not applicable	Not applicable	Not applicable	SO088MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/detailed discharge summary.
1,614	Obstetrics & Gynecology	Surgical	Rupture Uterus closure & repair with Tubal Ligation	Rupture Uterus closure & repair with Tubal Ligation	19,000.00	7	Not applicable	Not applicable	Not applicable	SO089MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
1,615	Obstetrics & Gynecology	Surgical	Salpingostomy	Adhenolysis Salpingostomy	16,900.00	3	Not applicable	Not applicable	Not applicable	SO090MLA	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ Detailed Discharge Summary
1,616	Obstetrics & Gynecology	Surgical	Salpingostomy	Lap	16,900.00	1	Not applicable	Not applicable	Not applicable	SO090MLB	Clinical notes establishing indication/ USG Abdomen Pelvis/ CT/ MRI abdomen Pelvis	Detailed Operative notes/ Detailed discharge summary
1,617	Obstetrics & Gynecology	Surgical	Staging laparotomy surgery for Carcinoma Ovary	Staging laparotomy surgery for Carcinoma Ovary	7,000.00	7	Not applicable	Not applicable	Not applicable	SO091MLA	Clinical notes and USG Abdomen + Pelvis/ CT abdomen+ Pelvis establishing indication	Histopathology/ Detailed Operative notes/ per op pic of specimen removed/ Detailed Discharge Summary.
1,618	Obstetrics & Gynecology	Surgical	Sterilization	Interval (Minilap)	4,100.00	7	Not applicable	Not applicable	Not applicable	SO092MLA	Clinical notes and USG Abdomen + Pelvis/ CT abdomen+ Pelvis establishing indication	Detailed Procedure / Operative Notes/ progress notes/Detailed discharge summary
1,619	Obstetrics & Gynecology	Surgical	Sterilization	Post partum (Minilap)	4,100.00	7	Not applicable	Not applicable	Not applicable	SO092MLB	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed Procedure / Operative Notes/ progress notes/Detailed discharge summary
1,620	Obstetrics & Gynecology	Surgical	Threatened Preterm Labour	Threatened Preterm Labour	4,100.00	2	Not applicable	Not applicable	Not applicable	SO093MLA	Admission Notes comprising of history and detailed Ante natal care records/ reasons for non-availability of ANC records. Obstetric USG.	Detailed ICPs/ Treatment details/ progress notes/ all investigations report/ Detailed discharge summary.
1,621	Obstetrics & Gynecology	Surgical	Transvaginal sonography (TVS for follicular monitioring/ aspiration)	Transvaginal sonography (TVS for follicular monitioring/ aspiration)	500.00	D	Not applicable	Not applicable	Not applicable	SO094MLA	Clinical Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Barcode of TVT/TOT tape used
1,622	Obstetrics & Gynecology	Surgical	Tuboplasty	Tuboplasty	28,000.00	5	Not applicable	Not applicable	Not applicable	SO095MLA	Clinical notes establishing indication for the procedure/ USG uterus & adnexa/ Beta HCG	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed/ Progress notes/detailed discharge summary.
1,623	Obstetrics & Gynecology	Surgical	Uterine Synechia – Cutting	Uterine Synechia – Cutting	24,400.00	3	Not applicable	Not applicable	Not applicable	SO096MLA	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes
1,624	Obstetrics & Gynecology	Medical	UTI With Pregnancy	UTI With Pregnancy	9,800.00	1	Not applicable	Not applicable	Not applicable	SO097MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ USG obstertric/Beta HCG/UPT/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,625	Obstetrics & Gynecology	Surgical	Uretero-Vaginal / Uterine Fistula Repair	Uretero - vaginal fistula repair - Open	40,700.00	3	Not applicable	Not applicable	Not applicable	SU029A	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes
1,626	Obstetrics & Gynecology	Surgical	Uretero-Vaginal / Uterine Fistula Repair	Uretero - Uterine fistula repair - Open	40,700.00	2	Not applicable	Not applicable	Not applicable	SU029B	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes
1,627	Obstetrics & Gynecology	Surgical	Uretero-Vaginal / Uterine Fistula Repair	Uretero - vaginal fistula repair - Laparoscopic	40,700.00	3	Not applicable	Not applicable	Not applicable	SU029C	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes
1,628	Obstetrics & Gynecology	Surgical	Uretero-Vaginal / Uterine Fistula Repair	Uretero - Uterine fistula repair - Laparoscopic	40,700.00	2	Not applicable	Not applicable	Not applicable	SU029D	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes
1,629	Obstetrics & Gynecology	Surgical	Urethrovaginal Fistula Repair	Urethrovaginal Fistula Repair	55,000.00	2	Not applicable	Not applicable	Not applicable	SU075A	Clinical notes and urethro Cystoscopy +vaginoscopy +USG confirming the diagnosis	Detailed Procedure / Operative Notes/ detailed discharge summary.
1,630	Obstetrics & Gynecology	Surgical	Radical Retroperitoneal lymph node dissection	Open	54,800.00	3	Not applicable	Not applicable	Not applicable	SU090A	Clinical notes and USG/CT / Biopsy confirming diagnsosis	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
1,631	Obstetrics & Gynecology	Surgical	Radical Retroperitoneal lymph node dissection	Lap	55,800.00	3	Not applicable	Not applicable	Not applicable	SU090B	Clinical notes and USG/CT / Biopsy confirming diagnsosis	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
1,632	Obstetrics & Gynecology	Surgical	VVF uterovaginal Repair	Open	37,400.00	3	Not applicable	Not applicable	Not applicable	SU096A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) and Cystoscopy/ Cystourethroscopy. Voiding Cystourethrogram is optional.	Detailed Procedure / Operative Notes/ Progress notes/detailed discharge summary.
1,633	Obstetrics & Gynecology	Surgical	VVF uterovaginal Repair	Lap.	41,300.00	4	Not applicable	Not applicable	Not applicable	SU096B	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) and Cystoscopy/ Cystourethroscopy. Voiding Cystourethrogram is optional.	Detailed Procedure / Operative Notes/ Progress notes/detailed discharge summary.
1,634	Obstetrics & Gynecology	Medical	Threatened Abortion (Bleeding PV)	Threatened Abortion (Bleeding PV)	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SO099MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,635	Ophthalmology	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
1,636	Ophthalmology	Surgical	Ptosis Surgery	Ptosis Surgery	22,500.00	NA	Not applicable	Not applicable	Not applicable	SE001A	Clinical notes	Detailed discharge summary/ detailed operative notes.
1,637	Ophthalmology	Surgical	Entropion Correction	Entropion Correction	12,000.00	NA	Not applicable	Not applicable	Not applicable	SE002A	Clinical notes	Detailed discharge summary/ detailed operative notes.
1,638	Ophthalmology	Surgical	Ectropion Correction	Ectropion Correction	12,000.00	NA	Not applicable	Not applicable	Not applicable	SE003A	Clinical notes	Detailed discharge summary/ detailed operative notes.
1,639	Ophthalmology	Surgical	Lid Tear Repair	Lid Tear Repair	15,200.00	NA	Not applicable	Not applicable	Not applicable	SE004A	Clinical notes/ FIR/MLC in case of accident	Detailed discharge summary/ detailed operative notes.
1,640	Ophthalmology	Surgical	Lid Abscess Drainage	Lid Abscess Drainage	6,300.00	NA	Not applicable	Not applicable	Not applicable	SE005A	Clinical notes and Fundoscope reports / stills showing extent of ROP and need for procedure.	Details of Laser therapy done.
1,641	Ophthalmology	Surgical	Lid Tumor excision + Lid Reconstruction	Lid Tumor excision + Lid Reconstruction	15,400.00	NA	Not applicable	Not applicable	Not applicable	SE006A	Clinical notes/ lab investigation of host tissue (HPE/ Microbiology/other)	HPE report/receipt/ Procedure / Operative Notes. Detailed discharge summary
1,642	Ophthalmology	Surgical	Chalazion removal	One eye	2,200.00	NA	Not applicable	Not applicable	Not applicable	SE007A	Patient details/ diagnosis/ doctors notes	Discharge notes/ pathology report/ operative note
1,643	Ophthalmology	Surgical	Squint Correction	Squint Correction	13,000.00	NA	Upto 2 muscles/ More than 3 muscles	None/ "+" 2400	Not applicable	SE008A	Clinical notes detailing which muscles affected/ indication justifying the need for GA (if required)	Procedure / Operative Notes. Detailed discharge summary
1,644	Ophthalmology	Surgical	Conjunctival Tumour Excision including Amniotic membrane graft	Conjunctival Tumour Excision including Amniotic membrane graft	7,900.00	NA	Not applicable	Not applicable	Not applicable	SE009A	Clinical notes and or supportive documents	HPE report/receipt/ detailed discharge summary/ detailed Procedure / Operative Notes.
1,645	Ophthalmology	Surgical	Dacryocystorhinostomy	Canaliculo Dacryocystorhinostomy with Silicon Tube / Stent	15,100.00	1	Not applicable	Not applicable	Not applicable	SE010A	Dye disappearance test / Tear meniscus height measurement/ Probing and irrigation	Operative notes/ detailed dischare summary
1,646	Ophthalmology	Surgical	Dacryocystorhinostomy	Canaliculo Dacryocystorhinostomy without Silicon Tube / Stent	15,100.00	1	Not applicable	Not applicable	Not applicable	SE010B	Dye disappearance test / Tear meniscus height measurement/ Probing and irrigation	Operative notes/ detailed dischare summary
1,647	Ophthalmology	Surgical	Dacryocystorhinostomy	Dacryocystorhinostomy with Silicon Tube / Stent	15,100.00	NA	Not applicable	Not applicable	Not applicable	SE010C	Clinical notes and establishing lacrimal cancer with Evidence of biopsy.	Operative notes. Detailed discharge summary Invoice of implants
1,648	Ophthalmology	Surgical	Dacryocystorhinostomy	Dacryocystorhinostomy without Silicon Tube / Stent	15,100.00	1	Not applicable	Not applicable	Not applicable	SE010D	Clinical notes and establishing lacrimal cancer with Evidence of biopsy.	Operative notes. Detailed discharge summary
1,649	Ophthalmology	Surgical	Corneal Ulcer Management	Corneal Ulcer Management	5,500.00	5	Not applicable	Not applicable	Not applicable	SE011A	clinical note	Operative notes. Detailed discharge summary
1,650	Ophthalmology	Surgical	Corneal Grafting	Corneal Grafting	15,100.00	NA	Not applicable	Not applicable	Not applicable	SE012A	Clinical notes detailing Indication for corneal grafting and supporting investigation/ details of donor cornea/ stated plan for lab investigation of host tissue	Operative notes. Detailed discharge summary
1,651	Ophthalmology	Surgical	Corneal Grafting	Corneal Graft - Follow Up	2,200.00	1	Not applicable	Not applicable	Not applicable	SE012B	clinical notes	Earlier discharge summary/ Treatment details
1,652	Ophthalmology	Surgical	Corneal Grafting	Lamellar Keratoplasty	15,100.00	1	Not applicable	Not applicable	Not applicable	SE012MLA	Clinical notes detailing Indication for corneal grafting and supporting investigation/ details of donor cornea/ stated plan for lab investigation of host tissue	Operative notes. Detailed discharge summary
1,653	Ophthalmology	Surgical	Corneal Collagen Crosslinking	Corneal Collagen Crosslinking	19,300.00	1	Not applicable	Not applicable	Not applicable	SE013A	PENTACAM PROGRESSION MAPS 3 to 6 months apart	Operative notes. Detailed discharge summary
1,654	Ophthalmology	Surgical	Pterygium + Conjunctival Autograft	Pterygium + Conjunctival Autograft	13,600.00	NA	Not applicable	Not applicable	Not applicable	SE014A	Clinical notes and Fundoscope reports / stills showing extent of ROP and need for procedure.	Details of Laser therapy done.
1,655	Ophthalmology	Surgical	Corneo / Scleral / Corneo scleral tear repair	Corneo / Scleral / Corneo scleral tear repair	12,700.00	2	Not applicable	Not applicable	Not applicable	SE015A	Clinical notes and FIR/MLC (since injury)/ USG B scan	Detailed discharge summary/ barcode of Intraocular Lens if used/operative notes.
1,656	Ophthalmology	Surgical	Corneal / Scleral Patch Graft	Corneal / Scleral Patch Graft	8,000.00	3	Not applicable	Not applicable	Not applicable	SE016A	Clinical notes	operative notes/ Detailed discharge summary/
1,657	Ophthalmology	Surgical	Scleral buckling surgery	Scleral buckling surgery	27,200.00	1	Not applicable	Not applicable	Not applicable	SE017A	Clinical notes	operative notes/ Detailed discharge summary/
1,658	Ophthalmology	Surgical	Scleral Buckle Removal	Scleral Buckle Removal	7,600.00	1	Not applicable	Not applicable	Not applicable	SE018A	Clinical notes with/ Indication for removal/ stated plan for lab investigation of host tissue (Microbiology)	Operative notes. Detailed discharge summary/ microbiological report
1,659	Ophthalmology	Surgical	Limbal Dermoid Removal	Limbal Dermoid Removal	6,000.00	NA	Not applicable	Not applicable	Not applicable	SE019A	Clinical notes and Indication for Limbal Dermoid Removal like increase in dermoid size/ increasing astigmatism/visual deterioration/central opacification of the cornea	Detailed discharge summary/ detailed operative notes.
1,660	Ophthalmology	Surgical	Cataract surgery	Cataract with Foldable Hydrophobic Acrylic IOL by Phaco Emulsification Tech	18,300.00	NA	Not applicable	Not applicable	Foldable Hydrophobic intraocular lens - 3300	SE020A	Clinical notes detailing visual impairment (Best corrected visual acquity- BCVA) of cataract / Ocular Biometry (A scan and ketometry)	Detailed discharge summary/ operative notes. Barcode of IOL used.
1,661	Ophthalmology	Surgical	Cataract surgery	Cataract with Nonfoldable IOL Using SICS Technique	7,600.00	NA	Not applicable	Not applicable	Non foldable IOL - 1100	SE020B	Clinical notes detailing visual impairment (Best corrected visual acquity- BCVA) of cataract / Ocular Biometry (A scan and ketometry)	Detailed discharge summary/ operative notes. Barcode of IOL used.
1,662	Ophthalmology	Surgical	Surgery for Pediatric Cataract	Pediatric Lensectomy	26,100.00	NA	Not applicable	Not applicable	Foldable Hydrophobic intraocular lens - 3300	SE021A	Clinical notes detailing Indication for Lensectomy /pediatric lens aspiration/ membranectomy and supporting investigation	Detailed discharge summary/ detailed operative notes with visual outcomes. Barcode of IOL used
1,663	Ophthalmology	Surgical	Surgery for Pediatric Cataract	Pediatric Lens anspiration with posterior Capsulotomy & anterior viterectomy	26,100.00	NA	Not applicable	Not applicable	Foldable Hydrophobic intraocular lens - 3300	SE021b	Clinical notes detailing Indication for Lensectomy /pediatric lens aspiration/ membranectomy and supporting investigation	Detailed discharge summary/ detailed operative notes with visual outcomes. Barcode of IOL used
1,664	Ophthalmology	Surgical	Surgery for Pediatric Cataract	Paediatric Membranectomy & anterior vitrectomy	34,700.00	NA	Not applicable	Not applicable	Foldable Hydrophobic intraocular lens - 3300	SE021C	Clinical notes detailing Indication for Lensectomy /pediatric lens aspiration/ membranectomy and supporting investigation	Detailed discharge summary/ detailed operative notes with visual outcomes. Barcode of IOL used
1,665	Ophthalmology	Surgical	Capsulotomy YAG	Capsulotomy YAG	2,800.00	NA	Not applicable	Not applicable	Not applicable	SE022A	Clinical notes detailing when was cataract surgery was done and notes mentioning indication for this procedure with vision and fundus.	Procedure notes/ Detailed discharge summary
1,666	Ophthalmology	Surgical	SFIOL (inclusive of Vitrectomy)	SFIOL (inclusive of Vitrectomy)	20,700.00	1	Not applicable	Not applicable	Glue for Scleral fixated IOL - 3300	SE023A	Clinical notes with planned line of treatment	Date stamp operative notes. Detailed discharge summary/ Barcode of SFIOL.
1,667	Ophthalmology	Surgical	Secondary IOL / IOL Exchange / Explant	Secondary IOL / IOL Exchange / Explant	6,800.00	1	Not applicable	Not applicable	IOL - 3300	SE024A	Clinical notes/ pre operative documentation of indication for intervention	operative notes. Detailed discharge summary/ Barcode of IOL
1,668	Ophthalmology	Surgical	IRIS Prolapse – Repair	IRIS Prolapse – Repair	5,000.00	1	Not applicable	Not applicable	Not applicable	SE025A	Clinical notes/ pre operative documentation of indication for intervention	operative notes. Detailed discharge summary/ Barcode of IOL
1,669	Ophthalmology	Surgical	Iridectomy	Laser	4,900.00	NA	Not applicable	Not applicable	Not applicable	SE026A	Clinical notes showing Indication for Iridectomy(Laser)/ Tonometry/ Gonioscopy	Procedure notes. Detailed discharge summary
1,670	Ophthalmology	Surgical	Iridectomy	Surgical	4,900.00	NA	Not applicable	Not applicable	Not applicable	SE026B	Clinical notes showing Indication for Iridectomy(Laser)/ Tonometry/ Gonioscopy	Procedure notes. Detailed discharge summary
1,671	Ophthalmology	Surgical	Glaucoma Surgery	Cyclocryotherapy / Cyclophotocoagulation	7,500.00	NA	Not applicable	Not applicable	Not applicable	SE027A	Clinical notes establishing long standing history of Glaucoma with recent documentation of vision and reports of field of vision.	Detailed Procedure / Operative Notes and discharge summary.
1,672	Ophthalmology	Surgical	Glaucoma Surgery	Trabeculectomy only - with or without Mitomycin C Including Postoperative Medications for 12 Weeks and Wherever Surgical or Laser Procedures Required for BLEB Augmentation And Anterior Chamber Maintenance	18,100.00	NA	Not applicable	Not applicable	Not applicable	SE027B	Clinical notes and IOP measurement/ documentary evidence supporting chronicity	Operative notes. Detailed discharge summary/ ensure that post op medicine for 12 weeks is given
1,673	Ophthalmology	Surgical	Glaucoma Surgery	Glaucoma Shunt Surgery	17,900.00	NA	Not applicable	Not applicable	Not applicable	SE027C	Clinical notes and IOP measurement/ documentary evidence supporting chronicity/ Failed Trabeculectomy	Operative notes. Detailed discharge summary
1,674	Ophthalmology	Surgical	Glaucoma Surgery	Pediatric Glaucoma Surgery	20,700.00	NA	Not applicable	Not applicable	Not applicable	SE027D	Clinical notes and IOP measurement/ documentary evidence of paediatric glaucoma with confirmation of diagnosis under GA/Examination under anaesthesia (EUA)	Operative notes. Detailed discharge summary
1,675	Ophthalmology	Surgical	EUA for Confirmation of Pediatric Glaucoma	EUA for Confirmation of Pediatric Glaucoma	3,300.00	1	Not applicable	Not applicable	Not applicable	SE028A	Clinical notes and/or documentary evidence	Operative notes. Detailed discharge summary with IOP/Fundus/Corneal diameter
1,676	Ophthalmology	Surgical	Retinal Laser Photocoagulation	For retinal tear repair Per Eye Per Sitting	1,700.00	1	Not applicable	Not applicable	Not applicable	SE029A	clinical notes and or supportive documents	discharge summary/ clinical notes
1,677	Ophthalmology	Surgical	Retinal Laser Photocoagulation	Pan Retinal Photocoagulation (PRP) - Retinal Laser including 3 sittings / package of retino laser photocoagulation (3 sittings per eye for both eyes)	9,400.00	1	Not applicable	Not applicable	Not applicable	SE029B	clinical notes and or supportive documents	discharge summary/ clinical notes
1,678	Ophthalmology	Surgical	ROP Laser	ROP Laser	5,500.00	1	Not applicable	Not applicable	Not applicable	SE030A	clinical notes and or supportive documents	Discharge summary/ procedure note.
1,679	Ophthalmology	Surgical	Retinal Cryopexy	Retinal Cryopexy	6,200.00	1	Not applicable	Not applicable	Not applicable	SE031A	Clinical notes with Indication for procedure	Detailed Procedure notes and discharge summary
1,680	Ophthalmology	Surgical	Vitreoretinal Surgery (with Silicon Oil Insertion)	Vitreoretinal Surgery (with Silicon Oil Insertion)	27,800.00	1	Not applicable	Not applicable	Implant for "Vitreoretinal Surgery" (IOL & Per flouro carbon liquid) - 6600	SE032A	Clinical notes and or Clinical documents/ B Scan (optional)	Detailed discharge summary/ operative notes/ IOL sticker
1,681	Ophthalmology	Surgical	SOR (Silicon Oil Removal)	SOR (Silicon Oil Removal)	10,200.00	1	Not applicable	Not applicable	Not applicable	SE033A	Clinical notes and or Clinical documents/ B Scan	Detailed discharge summary/ operative notes./ sticker of IOL
1,682	Ophthalmology	Surgical	Endophthalmitis (excluding Vitrectomy)	Endophthalmitis (excluding Vitrectomy)	8,800.00	5	Not applicable	Not applicable	Not applicable	SE034A	Clinical notes with planned line of treatment	Operative notes. Detailed discharge summary
1,683	Ophthalmology	Surgical	Enucleation	without implant	13,100.00	1	Not applicable	Not applicable	Not applicable	SE035A	Clinical notes establishing Indication and justifying enucleation and supporting investigation/ Recommendation/opinion of 2 ophthalmologists for the procedure	Detailed discharge summary/ /operative notes/ confirmation that specimen was sent for histopathology.
1,684	Ophthalmology	Surgical	Enucleation	with implant	13,900.00	1	Not applicable	Not applicable	Not applicable	SE035B	Clinical notes establishing Indication and justifying enucleation and supporting investigation/ Recommendation/opinion of 2 ophthalmologists for the procedure	detailed discharge summary/ /operative notes. Invoice of implant/ confirmation/ declaration that the specimen has been sent for histopathology and report will be sent for filing later
1,685	Ophthalmology	Surgical	Evisceration	Evisceration	14,600.00	NA	Not applicable	Not applicable	Implant for "Evisceration" (Conformers + Plastic / silicon ball type implant) - 1100	SE036A	Indication for Evisceration and supporting investigation report/ Recommendation/opinion of 2 ophthalmologists for the procedure/ stated plan for lab investigation of host tissue	Detailed discharge summary/ operative notes/ Confirmation/declaration that specimen sent for lab investigation/microbio/path and report will be submitted
1,686	Ophthalmology	Surgical	Exenteration	Exenteration	28,000.00	NA	Not applicable	Not applicable	Not applicable	SE037A	Indication for Exenteration and supporting investigation/ (Biopsy / CT / MRI establishing indication for Exenteration)/ Recommendation/opinion of 2 ophthalmologists for the procedure	Operative notes. Detailed discharge summary/ confirmation/ declaration that the specimen has been sent for histopathology and report will be sent for filing later
1,687	Ophthalmology	Surgical	Socket reconstruction including amniotic membrane graft	Socket reconstruction including amniotic membrane graft	30,900.00	1	Not applicable	Not applicable	Not applicable	SE038A	Clinical notes and showing Indication for socket reconstruction	Operative notes. Detailed discharge summary
1,688	Ophthalmology	Surgical	Orbitotomy	Orbitotomy	22,700.00	NA	Not applicable	Not applicable	Not applicable	SE039A	Clinical notes detailing indication and CT Scan/ stated plan for lab investigation of host tissue (HP/ Microbiology/other)	Operative notes/ Lab (Histopath) report/ receipt
1,689	Ophthalmology	Surgical	GA / EUA separate add on package	GA / EUA separate add on package	3,300.00	1	Not applicable	Not applicable	Not applicable	SE040A	Clinical Notes justifying the need for GA in the associated surgery	Clinical Notes for the associated surgery / disease along with Pre OP/ Operative and Anesthesia/ Post OP notes
1,690	Ophthalmology	Surgical	Orbital fracture repair	Orbital fracture repair under GA	11,600.00	3	Not applicable	Not applicable	Not applicable	SE041A	Clinical notes with indication/ Admission Notes/ X-ray / CT / MRI	Detailed Discharge summary/ Procedure/ operative notes
1,691	Ophthalmology	Surgical	Optic neuritis	Optic neuritis	2,300.00	NA	Not applicable	Not applicable	Not applicable	SE042A	Clinical notes detailing history/ vitals and examination findings / any investigations done/ planned line of management	Treatment details/ All investigations reports.
1,692	Ophthalmology	Medical	Acid and Alkali Burns	Acid and Alkali Burns	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	Not applicable	Not applicable	SE042MLA	Clinical note with Circumstances that led to chemical burns/ MLC copy with number	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment.Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
1,693	Ophthalmology	Surgical	Glaucoma Screening	Vision Refraction-IOP & Fundus	900.00	NA	Not applicable	Not applicable	Not applicable	SE043A	Clinical notes detailing history/ vitals and examination findings / any investigations done/ planned line of management	Treatment details/ All investigations reports.
1,694	Ophthalmology	Surgical	Glaucoma Screening	Vision Refraction-IOP & Fundus OCT & Visual Fields	1,700.00	NA	Not applicable	Not applicable	Not applicable	SE043B	Clinical notes detailing history/ vitals and examination findings / any investigations done/ planned line of management	Treatment details/ All investigations reports.
1,695	Ophthalmology	Surgical	Anterior Chamber Reconstruction	Anterior Chamber Reconstruction	23,700.00	3	Not applicable	Not applicable	Not applicable	SE043MLA	Clinical notes and showing Indication for socket reconstruction	Operative notes. Detailed discharge summary
1,696	Ophthalmology	Surgical	Anterior Chamber Reconstruction	Anterior Chamber Reconstruction Perforating Corneo - Scleral Injury with IOL	28,700.00	2	Not applicable	Not applicable	Not applicable	SE043MLB	Clinical notes and showing Indication for socket reconstruction	operative notes. Detailed discharge summary
1,697	Ophthalmology	Surgical	Diabetic Retinopathy Screening	Vision refraction,fundus photo and OCT	1,100.00	NA	Not applicable	Not applicable	Not applicable	SE044A	Clinical notes detailing history/ vitals and examination findings / any investigations done/ planned line of management	Treatment details/ All investigations reports.
1,698	Ophthalmology	Surgical	Cryoretinopexy	Closed	6,400.00	1	Not applicable	Not applicable	Not applicable	SE045MLA	Clinical notes with Indication for procedure	Detailed Procedure notes and discharge summary
1,699	Ophthalmology	Surgical	Cryoretinopexy	Open	7,200.00	1	Not applicable	Not applicable	Not applicable	SE045MLB	Clinical notes with Indication for procedure	Detailed Procedure notes and discharge summary
1,700	Ophthalmology	Surgical	Cyst - Excision	Cyst - Excision	3,600.00	D	Not applicable	Not applicable	Not applicable	SE046MLA	Clinical Notes comprising of history and examination findings with indications for the procedure / Investigations (establishing diagnosis)	Detailed Operative notes/ Treatment details
1,701	Ophthalmology	Surgical	Decompression of Optic Nerve	Decompression of Optic Nerve	29,900.00	1	Not applicable	Not applicable	Not applicable	SE047MLA	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Detailed Operative notes/ detailed discharge summary
1,702	Ophthalmology	Surgical	Endoscopic Optic Nerve Decompression	Endoscopic Optic Nerve Decompression	17,800.00	NA	Not applicable	Not applicable	Not applicable	SE048MLA	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Detailed Operative notes/ detailed discharge summary
1,703	Ophthalmology	Surgical	EOG (Electrooculogram) & ECG/EKG (Electrocardiogram)	EOG (Electrooculogram) & ECG/EKG (Electrocardiogram)	1,600.00	D	Not applicable	Not applicable	Not applicable	SE049MLA	clinical notes and or supportive documents	Investigation report
1,704	Ophthalmology	Surgical	Epicantuhus Correction	Epicantuhus Correction	9,200.00	NA	Not applicable	Not applicable	Not applicable	SE050MLA	Clinical notes and FIR/MLC (since injury)/ USG B scan	Detailed discharge summary/ barcode of Intraocular Lens used/operative notes.
1,705	Ophthalmology	Surgical	Epiliation	Epiliation	600.00	D	Not applicable	Not applicable	Not applicable	SE051MLA	clinical notes and or supportive documents	Clinical notes with treatment details
1,706	Ophthalmology	Surgical	ERG (Electroretinogram)	ERG (Electroretinogram)	2,500.00	D	Not applicable	Not applicable	Not applicable	SE052MLA	clinical notes and or supportive documents	Investigation report
1,707	Ophthalmology	Surgical	Keratoplasty	Keratoplasty	25,900.00	1	Not applicable	Not applicable	Not applicable	SE053MLA	Clinical notes and or Clinical documents/ B Scan	Detailed discharge summary/ operative notes./ sticker of IOL
1,708	Ophthalmology	Surgical	Laser for Retinopathy (per sitting)	Laser for Retinopathy (per sitting)	3,100.00	D	Not applicable	Not applicable	Not applicable	SE054MLA	Clinical notes and Fundoscope reports / stills showing extent of ROP and need for procedure.	Details of Laser therapy done.
1,709	Ophthalmology	Surgical	Laser Interferometry	Laser Interferometry	2,400.00	D	Not applicable	Not applicable	Not applicable	SE055MLA	Clinical notes with Indication for procedure	Treatment details/ Procedure / Operative Notes
1,710	Ophthalmology	Surgical	PRP - Retinal Laser Including 3 Sittings	PRP - Retinal Laser Including 3 Sittings	9,400.00	D	Not applicable	Not applicable	Not applicable	SE056MLA	Clinical notes and Fundoscope reports / stills showing extent of ROP and need for procedure.	Details of Laser therapy done.
1,711	Ophthalmology	Surgical	Retinal Detachment Surgery	Retinal Detachment Surgery	35,200.00	2	Not applicable	Not applicable	Not applicable	SE057MLA	Clinical notes and Fundoscope reports / stills showing extent of ROP and need for surgery.	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,712	Ophthalmology	Surgical	Vitrectomy	Vitrectomy	23,800.00	1	Not applicable	Not applicable	Not applicable	SE058MLA	Clinical notes with planned line of treatment	operative notes. Detailed discharge summary/ Barcode of SFIOL.
1,713	Ophthalmology	Surgical	Vitrectomy + Retinal Detachment Surgery	Vitrectomy + Retinal Detachment Surgery	37,300.00	D	Not applicable	Not applicable	Not applicable	SE059MLA	Clinical notes and Fundoscope reports / stills showing extent of ROP and need for surgery.	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,714	Ophthalmology	Surgical	Glaucoma	Medical management	3,000.00	D	Not applicable	Not applicable	Not applicable	SE060MLA	Clinical notes with planned line of treatment	Treatment details/ All investigations report
1,715	Ophthalmology	Surgical	Globe Injury	Closed Globe injury- Medical/Surgical management	10,000.00	D	Not applicable	Not applicable	Not applicable	SE061MLA	Clinical notes with planned line of treatment	Detailed discharge summary with detailed treatment/ Detailed Procedure note
1,716	Ophthalmology	Surgical	Globe Injury	Open Globe injury- Exploration and Repair	28,700.00	2	Not applicable	Not applicable	Not applicable	SE062MLA	Clinical notes with Indication for procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,717	Ophthalmology	Surgical	Hyphema/high IOP	Paracentesis + AC Wash	5,000.00	D	Not applicable	Not applicable	Not applicable	SE063MLA	Clinical notes with Indication for procedure	Treatment details/ Procedure / Operative Notes
1,718	Ophthalmology	Surgical	Dacryocystectomy ( DCT)	Dacryocystectomy (DCT)	12,000.00	D	Not applicable	Not applicable	Not applicable	SE064MLA	Clinical notes with Indication for procedure	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,719	Oral & Maxillofacial Surgery	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
1,720	Oral & Maxillofacial Surgery	Surgical	Orbital fracture repair	Orbital fracture repair under GA	11,600.00	3	Not applicable	Not applicable	Not applicable	SE041A	Clinical notes with indication/ Admission Notes/ X-ray / CT / MRI	Detailed Discharge summary/ Procedure/ operative notes
1,721	Oral & Maxillofacial Surgery	Surgical	Open reduction and internal fixation of maxilla / mandible / zygoma	Open reduction and internal fixation of maxilla	15,400.00	2	Single/ Multiple	None/ "+" 7700	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SL034A	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
1,722	Oral & Maxillofacial Surgery	Surgical	Open reduction and internal fixation of maxilla / mandible / zygoma	Open reduction and internal fixation of mandible	15,400.00	2	Single/ Multiple	None/ "+" 7700	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SL034B	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
1,723	Oral & Maxillofacial Surgery	Surgical	Open reduction and internal fixation of maxilla / mandible / zygoma	Open reduction and internal fixation of zygoma	15,400.00	2	Single/ Multiple	None/ "+" 7700	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SL034C	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
1,724	Oral & Maxillofacial Surgery	Surgical	Extraction of impacted tooth	Extraction of impacted tooth - Under LA	2,700.00	D	Not applicable	Not applicable	Not applicable	SM001A	Dental X-ray / OPG (Orthopantomogram) showing impacted tooth.	Post procedure X-ray/ extracted tooth/ Procedure / Operative Notes
1,725	Oral & Maxillofacial Surgery	Surgical	Extraction of impacted tooth	Extraction of impacted molar - Under LA	3,400.00	D	Not applicable	Not applicable	Not applicable	SM001MLA	Dental X-ray / OPG (Orthopantomogram) showing impacted tooth.	Post procedure X-ray/ extracted tooth/ Procedure / Operative Notes
1,726	Oral & Maxillofacial Surgery	Surgical	Sequestrectomy	Sequestrectomy	2,200.00	D	Not applicable	Not applicable	Not applicable	SM002A	OPG showing necrosed tissue	Detailed discharge summary / Treatment details/ Detailed Procedure / Operative Notes/ HPE report/receipt
1,727	Oral & Maxillofacial Surgery	Surgical	Sequestrectomy Debridement	Osteomyelitis-Chronic	4,200.00	4	Not applicable	Not applicable	Not applicable	SM002B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,728	Oral & Maxillofacial Surgery	Surgical	TM Joint ankylosis of both jaws	TM Joint ankylosis of both jaws - Under GA	25,000.00	2	Not applicable	Not applicable	Not applicable	SM003A	X-Ray of affected area/ CT/ clinical note.	X Ray/ detailed discharge summary Detailed Procedure / Operative Notes/ detailed discharge summary
1,729	Oral & Maxillofacial Surgery	Surgical	TM joint ankylosis of both jaws - under GA	TM joint ankylosis of both jaws - under GA (Bilateral) - (Covering Reconstruction)	34,400.00	4	Not applicable	Not applicable	Not applicable	SM003B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,730	Oral & Maxillofacial Surgery	Surgical	Fixation of Fracture of Jaw	Closed reduction of 1 jaw under LA	18,500.00	D	Not applicable	Not applicable	Not applicable	SM004A	Clinical note with Circumstances that led to fracture/ X Ray Mandible	Detailed Discharge Summary / Treatment details/ detailed Procedure / Operative Notes/ Post procedure X ray mandible showing wires used
1,731	Oral & Maxillofacial Surgery	Surgical	Fixation of Fracture of Jaw	Open reduction of 1 jaw and fixing of plates / wire under GA	18,500.00	2	Not applicable	Not applicable	Not applicable	SM004B	Clinical note with Circumstances that led to fracture/ X Ray Mandible	Detailed Discharge Summary/ detailed Procedure / Operative Notes/ Post procedure X ray mandible showing wires used
1,732	Oral & Maxillofacial Surgery	Surgical	Surgery for Cyst & Tumour	Enucleation / Excision / Marsupialization for Cyst & Tumour of Maxilla - Under LA	11,600.00	D	Not applicable	Not applicable	Not applicable	SM005A	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	Detailed discharge summary / treatment details/ Detailed Procedure / Operative Notes
1,733	Oral & Maxillofacial Surgery	Surgical	Surgery for Cyst & Tumour	Enucleation / Excision / Marsupialization for Cyst & Tumour of Mandible - Under LA	11,600.00	D	Not applicable	Not applicable	Not applicable	SM005B	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	Detailed discharge summary / treatment details/ Detailed Procedure / Operative Notes
1,734	Oral & Maxillofacial Surgery	Surgical	Mandible tumour resection and reconstruction / Cancer surgery	Mandible tumour resection and reconstruction / Cancer surgery	15,600.00	2	Not applicable	Not applicable	Not applicable	SM006A	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	Detailed discharge summary/ Detailed Procedure / Operative Notes/ Histopath report/receipt if done
1,735	Oral & Maxillofacial Surgery	Surgical	Release of fibrous bands	Grafting in OSMF treatment - Under GA	8,000.00	D	Not applicable	Not applicable	Not applicable	SM007A	Clinical notes and Oral Biopsy confirming the diagnosis	Detailed discharge summary / treatment details/ Detailed Procedure / Operative Notes
1,736	Oral & Maxillofacial Surgery	Surgical	Release of fibrous bands & grafting - in (OSMF) treatment under GA	Release of fibrous release bands & coronoidectomy with grafting - in (OSMF) treatment under GA	20,700.00	4	Not applicable	Not applicable	Not applicable	SM007B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,737	Oral & Maxillofacial Surgery	Surgical	Apicoectomy (A) Tooth	Apicoectomy (A) Tooth	1,700.00	D	Not applicable	Not applicable	Not applicable	SM008A	Dental IOPA-Xray / OPG (Orthopantomogram) Xray/CBCT/CT showing impacted tooth	Detailed discharge summary / treatment details/ Detailed Procedure / Operative Notes
1,738	Oral & Maxillofacial Surgery	Surgical	Correction of oro-antral communication	Correction of oro-antral communication	7,700.00	NA	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SM009A	Dental IOPA-Xray / OPG (Orthopantomogram) Xray/CBCT/CT showing impacted tooth	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,739	Oral & Maxillofacial Surgery	Surgical	Submandibular sialolithotomy	Intraoral submandibular sialolithotomy soft tissue	7,700.00	NA	Local Anesthesia/ General Anesthesia	None/ "+" 3300	Not applicable	SM010A	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	detailed discharge summary/ Detailed Procedure / Operative Notes
1,740	Oral & Maxillofacial Surgery	Surgical	Submandibular sialolithotomy	Intraoral submandibular sialolithotomy hard tissue	6,600.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 3300	Not applicable	SM010B	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	Detailed discharge summary / treatment details/ Detailed Procedure / Operative Notes
1,741	Oral & Maxillofacial Surgery	Surgical	Submandibular sialolithotomy	Extra oral submandibular sialolithotomy	9,900.00	NA	Local Anesthesia/ General Anesthesia	None/ "+" 3300	Not applicable	SM010C	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	detailed discharge summary/ Detailed Procedure / Operative Notes
1,742	Oral & Maxillofacial Surgery	Surgical	Dentoalveolar trauma - wiring	Dentoalveolar trauma - wiring	3,300.00	D	Not applicable	Not applicable	Not applicable	SM011A	Dental IOPA-Xray / OPG (Orthopantomogram) Xray/CBCT/CT showing impacted tooth	Detailed discharge summary / treatment details/ Detailed Procedure / Operative Notes
1,743	Oral & Maxillofacial Surgery	Surgical	Parotid sialolithotomy	Extraoral parotid sialolithotomy	12,100.00	2	Local Anesthesia/ General Anesthesia	None/ "+" 3300	Not applicable	SM012A	Dental IOPA-Xray / OPG (Orthopantomogram) Xray/CBCT/CT showing impacted tooth	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,744	Oral & Maxillofacial Surgery	Surgical	Parotid sialolithotomy	Intraoral parotid sialolithotomy	12,100.00	2	Local Anesthesia/ General Anesthesia	None/ "+" 3300	Not applicable	SM012B	Dental IOPA-Xray / OPG (Orthopantomogram) Xray/CBCT/CT showing impacted tooth	Detailed discharge summary/ Detailed Procedure / Operative Notes
1,745	Oral & Maxillofacial Surgery	Surgical	Re-implantation of avulsed tooth with wiring	Re-implantation of avulsed tooth with wiring	1,700.00	D	Not applicable	Not applicable	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SM013A	Dental X-ray / OPG (Orthopantomogram) showing impacted tooth	Post procedure X-ray/ extracted tooth/ Detailed Procedure / Operative Notes/
1,746	Oral & Maxillofacial Surgery	Surgical	Osteoradionecrosis management by excision	Osteoradionecrosis management by excision	6,900.00	1	Local Anesthesia/ General Anesthesia	None/ "+" 4400	Not applicable	SM014A	Clinical notes justifying need of this surgery and X-ray/ MRI of affected part/ Biopsy	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Histopathology report/receipt of curreted tissue/ Detailed Discharge summary
1,747	Oral & Maxillofacial Surgery	Surgical	Osteoradionecrosis management by excision	Osteoradionecrosis of Jaws management by excision and / or reconstruction under GA + Implant : 12000 +Implant	16,500.00	4	Not applicable	Not applicable	Not applicable	SM014B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,748	Oral & Maxillofacial Surgery	Surgical	Apisectomy - Under LA	Apisectomy - Under LA	2,000.00	D	Not applicable	Not applicable	Not applicable	SM015MLA	Clinical note/ Dental X-ray	Post procedure X-ray/ Detailed Procedure / Operative Notes/ Treatment details
1,749	Oral & Maxillofacial Surgery	Surgical	Complicated extraction - Under LA	Complicated extraction - Under LA	1,800.00	D	Not applicable	Not applicable	Not applicable	SM016MLA	Clinical note/ Dental X-ray / OPG (Orthopantogram)	Post procedure X-ray/ Detailed Procedure / Operative Notes/ Treatment details
1,750	Oral & Maxillofacial Surgery	Surgical	Cyst excision - Under LA	Cyst excision - Under LA	2,500.00	D	Not applicable	Not applicable	Not applicable	SM017MLA	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	Treatment details / detailed discharge summary/ Detailed Procedure / Operative Notes
1,751	Oral & Maxillofacial Surgery	Surgical	Dental apical abcess	Dental apical abcess	1,000.00	D	Not applicable	Not applicable	Not applicable	SM018MLA	Clinical note/ Dental X-ray	Post procedure X-ray/ Detailed Procedure / Operative Notes
1,752	Oral & Maxillofacial Surgery	Surgical	Flap Operation	Per Tooth	800.00	D	Not applicable	Not applicable	Not applicable	SM020MLA	Clinical note/ Dental X-ray / OPG (Orthopantogram)	Post procedure X-ray/ Detailed Procedure / Operative Notes/
1,753	Oral & Maxillofacial Surgery	Surgical	Fracture Wiring - Under LA	Fracture Wiring - Under LA	10,000.00	D	Not applicable	Not applicable	Not applicable	SM021MLA	Clinical note with Circumstances that led to fracture/ X Ray Mandible	Detailed Discharge Summary / Treatment details/ detailed Procedure / Operative Notes/ Post procedure X ray mandible showing wires used
1,754	Oral & Maxillofacial Surgery	Surgical	Gingivectomy	Per Tooth	500.00	D	Not applicable	Not applicable	Not applicable	SM022MLA	Clinical note/ Dental X-ray / OPG (Orthopantogram)	Post procedure X-ray/ Detailed Procedure / Operative Notes/
1,755	Oral & Maxillofacial Surgery	Surgical	Leiomyosarcoma right maxilla	Leiomyosarcoma right maxilla	52,500.00	D	Not applicable	Not applicable	Not applicable	SM023MLA	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	Treatment details/ Detailed Procedure / Operative Notes/ Histopath report/receipt
1,756	Oral & Maxillofacial Surgery	Surgical	Metal Capping	Subsequent to acrylic facing for anterior root canal	2,000.00	D	Not applicable	Not applicable	Not applicable	SM024MLA	Clinical note/ Dental X-ray	Post procedure X-ray/ Detailed Procedure / Operative Notes
1,757	Oral & Maxillofacial Surgery	Surgical	Metal Capping	Subsequent to ceramic facing for anterior root canal	3,000.00	D	Not applicable	Not applicable	Not applicable	SM024MLB	Clinical note/ Dental X-ray	Post procedure X-ray/ Detailed Procedure / Operative Notes
1,758	Oral & Maxillofacial Surgery	Surgical	Metal Capping	Subsequent to posterior root canal	1,500.00	D	Not applicable	Not applicable	Not applicable	SM024MLC	Clinical note/ Dental X-ray	Post procedure X-ray/ Detailed Procedure / Operative Notes
1,759	Oral & Maxillofacial Surgery	Surgical	Root canal treatment	Anterior	500.00	D	Not applicable	Not applicable	Not applicable	SM025MLA	Clinical note/ Dental X-ray	Post procedure X-ray/ Detailed Procedure / Operative Notes
1,760	Oral & Maxillofacial Surgery	Surgical	Root canal treatment	Posterior	900.00	D	Not applicable	Not applicable	Not applicable	SM025MLB	Clinical note/ Dental X-ray	Post procedure X-ray/ Detailed Procedure / Operative Notes
1,761	Oral & Maxillofacial Surgery	Surgical	Splinting of tooth	Splinting of tooth	900.00	D	Not applicable	Not applicable	Not applicable	SM026MLA	Clinical note/ Dental X-ray / OPG (Orthopantogram)	Post procedure X-ray/ Detailed Procedure / Operative Notes/
1,762	Oral & Maxillofacial Surgery	Surgical	Tumour excision	Tumour excision	20,000.00	2	Not applicable	Not applicable	Not applicable	SM027MLA	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	detailed discharge summary/ Detailed Procedure / Operative Notes/ Histopath report/receipt
1,763	Oral & Maxillofacial Surgery	Surgical	Vestibuloplasty – Maxilla - Under GA	Vestibuloplasty – Maxilla - Under GA	30,000.00	3	Not applicable	Not applicable	Not applicable	SM028MLA	OPG/ CT Scan confirming the diagnosis/ Biopsy/FNAC if tumour	detailed discharge summary/ Detailed Procedure / Operative Notes
1,764	Oral & Maxillofacial Surgery	Surgical	Cleft Lip and Palate Surgery	Cleft Lip and Palate Surgery	25,000.00	5	Not applicable	Not applicable	Not applicable	SS001A	Clinical notes with plan line of treatment	Detailed discharge summary/ Detailed operatives notes
1,765	Oral & Maxillofacial Surgery	Surgical	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	42,700.00	5	Not applicable	Not applicable	Not applicable	ST002A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/	Detailed discharge summary/ Detailed operatives notes
1,766	Organ and Tissue Transplant	Surgical	Renal Transplant	Transplant surgery, including donor nephrectomy	309,400.00	14	Not applicable	Not applicable	Not applicable	OT001A	NOTTO ID of the recipient and / donor Donor work-up summary sheet Recipient work-up summary sheet Cross-match report with donor and recipient photo-ID proof Admission notes Undertaking signed by donor (in living donor transplant) Hospital authorization letter on recipient and donor with details of the surgery	Clinical notes/ Operative notes/ post-operative notes/ detailed discharge summary All investigation reports Hospital authorization letter on recipient and donor with details of the surgery
1,767	Organ and Tissue Transplant	Medical	Renal Transplant	Induction	43,500.00	2	Not applicable	Not applicable	Not applicable	OT001B	Clinical notes with indication for induction Hospital authorization letter on recipient and donor with details of the surgery	Details of the drug and dosage used for induction/ Detailed discharge summary
1,768	Organ and Tissue Transplant	Medical	Renal Transplant	Intervention for acute rejection	137,500.00	7	Not applicable	Not applicable	Not applicable	OT001C	Clinical notes with planned line of management Admission notes if required Any investigations done	Details of the drug and dosage used for treatment rejection/ Detailed discharge summary All investigation reports
1,769	Organ and Tissue Transplant	Medical	Renal Transplant	Post-Transplant Medication – Month 1-3	55,000.00	NA	Not applicable	Not applicable	Not applicable	OT001D	Clinical notes with planned line of management Reports of the transplant surgery Any investigations done	Details of the drug and dosage used for treatment rejection/ Clinical notes/ All investigation reports
1,770	Organ and Tissue Transplant	Medical	Renal Transplant	Post-Transplant Medication – Month 3-6	55,000.00	NA	Not applicable	Not applicable	Not applicable	OT001E	Clinical notes with planned line of management Reports of the transplant surgery Any investigations done	Details of the drug and dosage used for treatment rejection/ Clinical notes/ All investigation reports
1,771	Organ and Tissue Transplant	Medical	Renal Transplant	Post-Transplant Medication – Month 6-12	44,000.00	NA	Not applicable	Not applicable	Not applicable	OT001F	Clinical notes with planned line of management Reports of the transplant surgery Any investigations done	Details of the drug and dosage used for treatment rejection/ Clinical notes/ All investigation reports
1,772	Organ and Tissue Transplant	Medical	Bone Marrow Transplant (Autologous)	Pre Transplant Evaluation and Stem Cell Collection and Cryopreservation	137,500.00	15	Not applicable	Not applicable	Not applicable	OT002A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,773	Organ and Tissue Transplant	Medical	Bone Marrow Transplant (Autologous)	Transplant (includes conditioning)	343,800.00	15	Not applicable	Not applicable	Not applicable	OT002B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,774	Organ and Tissue Transplant	Medical	Bone Marrow Transplant (Autologous)	Post Transplant Care for 3 months (includes supportive care and investigations)	68,800.00	15	Not applicable	Not applicable	Not applicable	OT002C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,775	Orthopedics	Surgical	Fracture - Conservative Management - Without plaster	Fracture - Conservative Management - Without plaster	2,500.00	D	Not applicable	Not applicable	Not applicable	SB001A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray	Treatment details / detailed discharge summary/ All investigations reports.
1,776	Orthopedics	Surgical	Application of Traction	Skeletal Tractions with pin	3,900.00	D	Not applicable	Not applicable	Not applicable	SB002A	Clinical notes and X-ray showing the need of procedure	Post Procedure clinical photograph/ x-ray with pins/ Procedure / Operative Notes. Treatment details / Detailed discharge summary
1,777	Orthopedics	Surgical	Application of Traction	Skin Traction	1,100.00	D	Not applicable	Not applicable	Not applicable	SB002B	Clinical notes and X-ray showing the need of procedure	Post Procedure clinical photograph/ x-ray with pins/ detailed Procedure / Operative Notes. Detailed discharge summary
1,778	Orthopedics	Surgical	Application of P.O.P. casts	Upper Limbs	3,300.00	D	Not applicable	Not applicable	Not applicable	SB003A	Clinical notes and X-ray showing the need of procedure	Post Procedure clinical photograph/ x-ray with pins/ detailed Procedure / Operative Notes. Detailed discharge summary
1,779	Orthopedics	Surgical	Application of P.O.P. casts	Lower Limbs	3,300.00	D	Not applicable	Not applicable	Not applicable	SB003B	Clinical notes and X-ray showing the need of procedure	Post Procedure clinical photograph/ x-ray with pins/ detailed Procedure / Operative Notes. Detailed discharge summary
1,780	Orthopedics	Surgical	Application of P.O.P. Spikas/ Jackets	Spikas	4,300.00	D	Not applicable	Not applicable	Not applicable	SB004A	Clinical notes and X-ray showing the need of procedure	Post Procedure clinical photograph/ x-ray with pins/ detailed Procedure / Operative Notes. Detailed discharge summary
1,781	Orthopedics	Surgical	Application of P.O.P. Spikas/ Jackets	Jackets	4,300.00	D	Not applicable	Not applicable	Not applicable	SB004B	Clinical notes and X-ray showing the need of procedure	Post Procedure clinical photograph/ x-ray with pins/ detailed Procedure / Operative Notes. Detailed discharge summary
1,782	Orthopedics	Surgical	External fixation of Fracture	Long Bone	24,600.00	4	Not applicable	Not applicable	Not applicable	SB005A	Clinical notes and X-ray confirming the diagnosis	Post Procedure clinical photograph/ x-ray/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,783	Orthopedics	Surgical	External fixation of Fracture	Small Bone	18,500.00	4	Not applicable	Not applicable	Not applicable	SB005B	Clinical notes and X-ray confirming the diagnosis	Post Procedure clinical photograph/ x-ray/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,784	Orthopedics	Surgical	External fixation of Fracture	Pelvis	21,100.00	5	Not applicable	Not applicable	Not applicable	SB005C	Clinical notes and X-ray confirming the diagnosis	Post Procedure clinical photograph/ x-ray/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,785	Orthopedics	Surgical	External fixation of Fracture	Both Bones of Forearms	27,500.00	4	Not applicable	Not applicable	Not applicable	SB005D	Clinical notes and X-ray confirming the diagnosis	Post Procedure clinical photograph/ x-ray/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,786	Orthopedics	Surgical	Percutaneous - Fixation of Fracture	Percutaneous - Fixation of Fracture under LA	16,100.00	4	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SB006A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,787	Orthopedics	Surgical	Elastic nailing for fracture fixation	Femur	12,100.00	4	Not applicable	Not applicable	Not applicable	SB007A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,788	Orthopedics	Surgical	Elastic nailing for fracture fixation	Humerus	21,000.00	4	Not applicable	Not applicable	Not applicable	SB007B	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,789	Orthopedics	Surgical	Elastic nailing for fracture fixation	Forearm	19,000.00	4	Not applicable	Not applicable	Not applicable	SB007C	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,790	Orthopedics	Surgical	Internal Fixation of Small Bones	Internal Fixation of Small Bones	14,900.00	3	Not applicable	Not applicable	Not applicable	SB008A	Clinical notes and X-ray confirming the diagnosis	Post procedure X-rayshowing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,791	Orthopedics	Surgical	Fracture - Long Bones - Metaphyseal - ORIF	Fracture - Long Bones - Metaphyseal - ORIF	21,900.00	4	Not applicable	Not applicable	Not applicable	SB009A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,792	Orthopedics	Surgical	Fixation of Diaphyseal Fracture - Long Bone	Open Reduction Internal Fixation	21,000.00	4	Not applicable	Not applicable	Not applicable	SB010A	Clinical notes and radiological investigations confirming the diagnosis (X-ray)	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. invoice and barcode of implant
1,793	Orthopedics	Surgical	Fixation of Diaphyseal Fracture - Long Bone	Closed Reduction & Fixation	22,900.00	4	Not applicable	Not applicable	Not applicable	SB010B	Clinical notes and radiological investigations confirming the diagnosis (X-ray)	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. invoice and barcode of implant
1,794	Orthopedics	Surgical	Surgery for Comminuted Fracture - Olecranon of Ulna	Plating	13,000.00	3	Not applicable	Not applicable	Not applicable	SB011A	Clinical notes and X-ray confirming the diagnosis	Post procedure X-ray/ detailed Procedure / Operative Notes. Detailed discharge summary/ Invoice and barcode of implant
1,795	Orthopedics	Surgical	Fracture Head radius	Fixation	24,600.00	4	Not applicable	Not applicable	Not applicable	SB012A	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/ Invoice and barcode of implant
1,796	Orthopedics	Surgical	Fracture Head radius	Excision	24,600.00	4	Not applicable	Not applicable	Not applicable	SB012B	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,797	Orthopedics	Surgical	Fracture - Single Bone - Forearm - ORIF - Plating / Nailing	Fracture - Single Bone - Forearm - ORIF - Plating / Nailing	9,800.00	4	Not applicable	Not applicable	Not applicable	SB013A	Clinical notes and X-ray confirming the diagnosis	Post procedure X-rayshowing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,798	Orthopedics	Surgical	Fracture - Both Bones - Forearm - ORIF - Plating / Nailing	Fracture - Both Bones - Forearm - ORIF - Plating / Nailing	17,700.00	4	Not applicable	Not applicable	Not applicable	SB014A	Clinical notes and X-ray confirming the diagnosis	Post procedure X-rayshowing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,799	Orthopedics	Surgical	Fracture Condyle - Humerus - ORIF	Lateral Condyle	9,400.00	3	Not applicable	Not applicable	Not applicable	SB015A	Clinical notes and X-ray confirming the diagnosis	Post procedure X-rayshowing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,800	Orthopedics	Surgical	Fracture Condyle - Humerus - ORIF	Medial Condyle	9,400.00	3	Not applicable	Not applicable	Not applicable	SB015B	Clinical notes and X-ray confirming the diagnosis	Post procedure X-rayshowing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,801	Orthopedics	Surgical	Fracture	Intercondylar humerus - Olecranon Osteotomy	23,300.00	5	Not applicable	Not applicable	Not applicable	SB016A	Clinical notes and X-ray confirming the diagnosis	Post Procedure X-ray showing osteotomy as well as frature maneged/ detailed Procedure / Operative Notes. Detailed discharge summary/ Invoice and barcode of implant
1,802	Orthopedics	Surgical	Displaced Clavicle Fracture	Open Reduction Internal Fixation	18,700.00	3	Not applicable	Not applicable	Not applicable	SB017A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,803	Orthopedics	Surgical	Fracture - Acetabulum	Single Approach	30,800.00	7	Not applicable	Not applicable	Not applicable	SB018A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,804	Orthopedics	Surgical	Fracture - Acetabulum	Combined Approach	36,900.00	7	Not applicable	Not applicable	Not applicable	SB018B	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,805	Orthopedics	Surgical	Fracture - Neck Femur	Closed Reduction and Percutaneous Screw Fixation	24,600.00	2	Not applicable	Not applicable	Not applicable	SB019A	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Invoice and barcode of implant
1,806	Orthopedics	Surgical	Fracture - Neck Femur	Intertrochanteric Fracture with Dynamic Hip Screw	20,200.00	2	Not applicable	Not applicable	Not applicable	SB019B	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Invoice and barcode of implant
1,807	Orthopedics	Surgical	Fracture - Neck Femur	Intertrochanteric Fracture with Proximal Femoral Nail	17,700.00	2	Not applicable	Not applicable	Not applicable	SB019C	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Invoice and barcode of implant
1,808	Orthopedics	Surgical	Ankle Fractures	Open Reduction Internal Fixation	17,200.00	5	Not applicable	Not applicable	Not applicable	SB020A	Clinical notes and X-ray of ankle joint	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Invoice and barcode of implant
1,809	Orthopedics	Surgical	Cervical spine fixation including odontoid	Cervical spine fixation including odontoid	29,400.00	7	Not applicable	Not applicable	Implant for Cervical spine fixation including odontoid (Screw) - 5500 Implant for Cervical spine fixation including odontoid (Odontoid Screw) - 22000 Implant for Cervical spine fixation including odontoid (Cage) - 11000	SB021A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,810	Orthopedics	Surgical	Dorsal and lumber spine fixation	Anterior	55,000.00	7	Not applicable	Not applicable	Implant for Dorsal and lumber spine fixation (Plate including screw) - 5500 Implant for Dorsal and lumber spine fixation (Cage) - 11000	SB022A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,811	Orthopedics	Surgical	Dorsal and lumber spine fixation	Posterior	41,300.00	7	Not applicable	Not applicable	Implant for Dorsal and lumber spine fixation (Plate including screw) - 5500 Implant for Dorsal and lumber spine fixation (Cage) - 11000	SB022B	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,812	Orthopedics	Surgical	Bone grafting for Non union	Bone grafting for Non union	20,500.00	2	Not applicable	Not applicable	Not applicable	SB023A	Clinical notes detailing earlier surgery that resulted in non-union and radiological investigations confirming the diagnosis (X-ray of affected joint)	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,813	Orthopedics	Surgical	Arthorotomy of any Joint	Arthorotomy of any Joint	18,500.00	7	Not applicable	Not applicable	Not applicable	SB024A	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed Discharge summary
1,814	Orthopedics	Surgical	Arthrolysis of joint	Elbow	16,500.00	2	Not applicable	Not applicable	Not applicable	SB025A	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes./ Post procedure imaging study (X Ray)
1,815	Orthopedics	Surgical	Arthrolysis of joint	Knee	16,500.00	2	Not applicable	Not applicable	Not applicable	SB025B	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes./ Post procedure imaging study (X Ray)
1,816	Orthopedics	Surgical	Arthrolysis of joint	Ankle	16,500.00	2	Not applicable	Not applicable	Not applicable	SB025C	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes./ Post procedure imaging study (X Ray)
1,817	Orthopedics	Surgical	Arthrodesis	Ankle/ Triple	18,300.00	5	Not applicable	Not applicable	Not applicable	SB026A	Clinical notes detailing indication and X-ray of ankle and foot	Post procedure X-ray/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,818	Orthopedics	Surgical	Arthrodesis	Shoulder	44,000.00	3	Not applicable	Not applicable	Not applicable	SB026B	Clinical notes and X-ray confirming the diagnosis	Post procedure X-ray/ detailed Procedure / Operative Notes/ Invoice and barcode of implant
1,819	Orthopedics	Surgical	Arthrodesis	Wrist	33,000.00	3	Not applicable	Not applicable	Not applicable	SB026C	Clinical notes and X-ray confirming the diagnosis	Post procedure X-ray/ detailed Procedure / Operative Notes/ Invoice and barcode of implant
1,820	Orthopedics	Surgical	Arthrodesis	Knee	44,000.00	4	Not applicable	Not applicable	Not applicable	SB026D	Clinical notes detailing indication and X-ray of ankle and foot	Post procedure X-ray/ detailed Procedure / Operative Notes/ Invoice and barcode of implant
1,821	Orthopedics	Surgical	Arthrodesis	Hand	29,700.00	4	Not applicable	Not applicable	Not applicable	SB026E	Clinical notes and X-ray confirming the diagnosis	Post procedure X-ray/ detailed Procedure / Operative Notes.
1,822	Orthopedics	Surgical	Arthrodesis	Foot	29,700.00	4	Not applicable	Not applicable	Not applicable	SB026F	Clinical notes detailing indication and X-ray of ankle and foot	Post procedure X-ray/ detailed Procedure / Operative Notes/ Detailed Discharge summary.
1,823	Orthopedics	Surgical	Arthrodesis	Ankle / Triple without implant	19,100.00	4	Not applicable	Not applicable	Not applicable	SB026G	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,824	Orthopedics	Surgical	Disarticulation	Hind quarter	34,400.00	10	Not applicable	Not applicable	Not applicable	SB027A	Clinical notes justifying surgery with X Ray of affected limb	Detailed Procedure / Operative Notes. Detailed Discharge summary
1,825	Orthopedics	Surgical	Disarticulation	Fore quarter	34,400.00	10	Not applicable	Not applicable	Not applicable	SB027B	Clinical notes justifying surgery with X Ray of affected limb	Detailed Procedure / Operative Notes. Detailed Discharge summary
1,826	Orthopedics	Surgical	Closed reduction of joint dislocation	Hip	15,700.00	D	Not applicable	Not applicable	Not applicable	SB028A	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/
1,827	Orthopedics	Surgical	Closed reduction of joint dislocation	Shoulder	6,100.00	2	Not applicable	Not applicable	Not applicable	SB028B	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/
1,828	Orthopedics	Surgical	Closed reduction of joint dislocation	Elbow	14,500.00	D	Not applicable	Not applicable	Not applicable	SB028C	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/
1,829	Orthopedics	Surgical	Closed reduction of joint dislocation	Knee	12,500.00	D	Not applicable	Not applicable	Not applicable	SB028D	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/
1,830	Orthopedics	Surgical	Open Reduction Internal Fixation	Small Joint	18,500.00	2	Not applicable	Not applicable	Not applicable	SB029A	Clinical and radiological investigations confirming the diagnosis (X-ray of affected joint)	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/ Invoice and barcode of implant
1,831	Orthopedics	Surgical	Tension Band Wiring	Tension Band Wiring	24,600.00	1	Not applicable	Not applicable	Not applicable	SB030A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,832	Orthopedics	Surgical	Hemiarthroplasty	Unipolar	33,000.00	5	Not applicable	Not applicable	Not applicable	SB031A	Clinical notes and X-ray/ CT justifying the surgery/	Detailed discharge summary/ detailed Procedure / Operative Notes. Post op X-ray showing the implant & invoice / bar code of implant.
1,833	Orthopedics	Surgical	Hemiarthroplasty	Bipolar - Shoulder	44,000.00	7	Not applicable	Not applicable	Non - Modular - Non - Cemented - 7700 Non - Modular - Cemented - 11000	SB031B	Clinical notes and X-ray/ CT justifying the surgery/	Detailed discharge summary/ detailed Procedure / Operative Notes. Post op X-ray showing the implant & invoice / bar code of implant.
1,834	Orthopedics	Surgical	Hemiarthroplasty	Bipolar - Hip - without cement	48,300.00	7	Not applicable	Not applicable	Not applicable	SB031C	Clinical notes and X-ray/ CT justifying the surgery	Detailed discharge summary/ detailed Procedure / Operative Notes. Post op X-ray showing the implant & invoice / bar code of implant.
1,835	Orthopedics	Surgical	AC Joint reconstruction / Stabilization	Rockwood Type - I	30,000.00	4	Not applicable	Not applicable	Not applicable	SB032A	Clinical notes detailing Rockwood type of fracture/ X-ray/ MRI and justification of surgery done	Post-op X-ray of operated limb/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,836	Orthopedics	Surgical	AC Joint reconstruction / Stabilization	Rockwood Type - II	30,000.00	4	Not applicable	Not applicable	Not applicable	SB032B	Clinical notes detailing Rockwood type of fracture/ X-ray/ MRI and justification of surgery done	Post-op X-ray of operated limb/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,837	Orthopedics	Surgical	AC Joint reconstruction / Stabilization	Rockwood Type - III	30,000.00	4	Not applicable	Not applicable	Not applicable	SB032C	Clinical notes detailing Rockwood type of fracture/ X-ray/ MRI and justification of surgery done	Post-op X-ray of operated limb/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,838	Orthopedics	Surgical	AC Joint reconstruction / Stabilization	Rockwood Type - IV	30,000.00	4	Not applicable	Not applicable	Not applicable	SB032D	Clinical notes detailing Rockwood type of fracture/ X-ray/ MRI and justification of surgery done	Post-op X-ray of operated limb/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,839	Orthopedics	Surgical	AC Joint reconstruction / Stabilization	Rockwood Type - V	30,000.00	4	Not applicable	Not applicable	Not applicable	SB032E	Clinical notes detailing Rockwood type of fracture/ X-ray/ MRI and justification of surgery done	Post-op X-ray of operated limb/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,840	Orthopedics	Surgical	AC Joint reconstruction / Stabilization	Rockwood Type - VI	30,000.00	4	Not applicable	Not applicable	Not applicable	SB032F	Clinical notes detailing Rockwood type of fracture/ X-ray/ MRI and justification of surgery done	Post-op X-ray of operated limb/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,841	Orthopedics	Surgical	Arthroplasty of Femur Head – Excision	Arthroplasty of Femur Head – Excision	22,300.00	3	Not applicable	Not applicable	Not applicable	SB033A	Clinical notes detailing indication and X-ray	Detailed Procedure / Operative Notes. Detailed discharge summary
1,842	Orthopedics	Surgical	Open Reduction Internal Fixation	Open Reduction of CDH	33,000.00	5	Not applicable	Not applicable	Not applicable	SB034A	Clinical and radiological investigations confirming the diagnosis (X-ray of both hips)	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,843	Orthopedics	Surgical	Patellectomy	Patellectomy	18,700.00	5	Not applicable	Not applicable	Not applicable	SB035A	Clinical notes and X-ray of the patella justifying the procedure	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,844	Orthopedics	Surgical	Arthroscopic Meniscus Repair / Meniscectomy	Arthroscopic Meniscus Repair / Meniscectomy	30,700.00	2	Not applicable	Not applicable	Not applicable	SB036A	Clinical notes and MRI justifying procedure	Detailed Procedure / Operative Notes/ Detailed Discharge summary.
1,845	Orthopedics	Surgical	Joint replacement	Elbow	66,000.00	5	Not applicable	Not applicable	Not applicable	SB037A	Clinical notes and X-ray/ CT justifying the surgery	Detailed discharge summary/ detailed Procedure / Operative Notes. Post op X-ray showing the implant & invoice / bar code of implant.
1,846	Orthopedics	Surgical	Joint replacement	Total Hip Replacement (Cemented)	93,100.00	5	Not applicable	Not applicable	Not applicable	SB038A	Clinical notes and X-ray/ CT justifying the surgery	Post Procedure X-ray showing implant/ detailed Procedure / Operative Notes. Bar code of implant & cement used/ Detailed discharge summary
1,847	Orthopedics	Surgical	Joint replacement	Total Hip Replacement (Cementless)	99,000.00	5	Not applicable	Not applicable	Not applicable	SB038B	Clinical notes and X-ray/ CT justifying the surgery	Post Procedure X-ray showing implant/ detailed Procedure / Operative Notes. Bar code of implant used/ Detailed discharge summary
1,848	Orthopedics	Surgical	Joint replacement	Total Hip Replacement (Hybrid)	82,500.00	5	Not applicable	Not applicable	Not applicable	SB038C	Clinical notes and X-ray/ CT justifying the surgery	Post Procedure X-ray showing implant/ detailed Procedure / Operative Notes. Bar code of implant / cement used/ Detailed discharge summary
1,849	Orthopedics	Surgical	Joint replacement	Revision - Total Hip Replacement	148,500.00	7	Not applicable	Not applicable	Not applicable	SB038D	Clinical notes and X-ray/ CT justifying the surgery	Post Procedure X-ray showing implant/ detailed Procedure / Operative Notes. Bar code of implant / cement used/ Detailed discharge summary
1,850	Orthopedics	Surgical	Joint replacement	Total Knee Replacement	95,000.00	5	Not applicable	Not applicable	Not applicable	SB039A	Clinical notes and X-ray/ CT justifying the surgery	Detailed discharge summary/ detailed Procedure / Operative Notes. Post op X-ray showing the implant & invoice / bar code of implant.
1,851	Orthopedics	Surgical	Joint replacement	Revision - Total Knee Replacement	142,500.00	5	Not applicable	Not applicable	Not applicable	SB039B	Clinical notes and X-ray/ CT justifying the surgery	Detailed discharge summary/ detailed Procedure / Operative Notes. Post op X-ray showing the implant & invoice / bar code of implant.
1,852	Orthopedics	Surgical	Bone Tumour Excision (Malignant/ Benign) & Joint Replacement	Bone Tumour Excision (Malignant/ Benign) & Joint Replacement	165,000.00	7	Not applicable	Not applicable	Not applicable	SB040A	Clinical notes justifying need of this surgery and X-ray/ MRI of affected part/ Biopsy	Post procedure imaging study (X Ray)/ Post Procedure with implant/ invoice and barcode of implant. detailed Procedure / Operative Notes. Histopathology of excised tissue/ Detailed Discharge summary
1,853	Orthopedics	Surgical	Bone tumour excision and Reconstruction	Bone tumour excision and Reconstruction	41,300.00	4	Not applicable	Not applicable	Not applicable	SB041A	Clinical notes justifying need of this surgery and X-ray/ MRI of affected part/ Biopsy	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/ invoice and barcode of implant
1,854	Orthopedics	Surgical	Bone Tumour curettage / Excision and bone grafting	Benign	30,500.00	4	Not applicable	Not applicable	Not applicable	SB042A	Clinical notes justifying need of this surgery and X-ray/ MRI of affected part/ Biopsy	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Histopathology report/receipt of curreted tissue/ Detailed Discharge summary
1,855	Orthopedics	Surgical	Bone Tumour curettage / Excision and bone grafting	Malignant	24,300.00	4	Local Anesthesia/ General Anesthesia	None/ "+" 4400	Not applicable	SB042MLA	Clinical notes justifying need of this surgery and X-ray/ MRI of affected part/Biopsy	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Histopathology report/receipt of curreted tissue/ Detailed Discharge summary
1,856	Orthopedics	Surgical	Amputation	Above Elbow - Single Stage	29,700.00	3	Not applicable	Not applicable	Not applicable	SB043A	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,857	Orthopedics	Surgical	Amputation	Below Elbow - Single Stage	25,500.00	5	Not applicable	Not applicable	Not applicable	SB043B	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,858	Orthopedics	Surgical	Amputation	Above Knee - Single Stage	30,700.00	5	Not applicable	Not applicable	Not applicable	SB043C	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,859	Orthopedics	Surgical	Amputation	Below Knee - Single Stage	20,500.00	5	Not applicable	Not applicable	Not applicable	SB043D	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,860	Orthopedics	Surgical	Amputation	Foot - Single Stage	20,500.00	5	Not applicable	Not applicable	Not applicable	SB043E	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,861	Orthopedics	Surgical	Amputation	Hand - Single Stage	20,500.00	2	Not applicable	Not applicable	Not applicable	SB043F	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,862	Orthopedics	Surgical	Amputation	Wrist - Single Stage	20,500.00	5	Not applicable	Not applicable	Not applicable	SB043G	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,863	Orthopedics	Surgical	Amputation	Above Elbow - Two Stage	25,500.00	5	Not applicable	Not applicable	Not applicable	SB044A	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,864	Orthopedics	Surgical	Amputation	Below Elbow - Two Stage	25,500.00	5	Not applicable	Not applicable	Not applicable	SB044B	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,865	Orthopedics	Surgical	Amputation	Above Knee - Two Stage	30,700.00	5	Not applicable	Not applicable	Not applicable	SB044C	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,866	Orthopedics	Surgical	Amputation	Below Knee - Two Stage	30,700.00	5	Not applicable	Not applicable	Not applicable	SB044D	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,867	Orthopedics	Surgical	Amputation	Foot - Two Stage	25,500.00	5	Not applicable	Not applicable	Not applicable	SB044E	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,868	Orthopedics	Surgical	Amputation	Hand - Two Stage	25,500.00	5	Not applicable	Not applicable	Not applicable	SB044F	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,869	Orthopedics	Surgical	Amputation	Wrist - Two Stage	25,500.00	5	Not applicable	Not applicable	Not applicable	SB044G	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,870	Orthopedics	Surgical	Amputation	Finger(s)	14,900.00	2	Not applicable	Not applicable	Not applicable	SB045A	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,871	Orthopedics	Surgical	Amputation	Toe(s)	14,900.00	2	Not applicable	Not applicable	Not applicable	SB045B	X Ray of affected limb/ clinical notes justifying the indication/ MLC/ FIR if traumatic	Detailed Procedure / Operative Notes. Detailed discharge summary
1,872	Orthopedics	Surgical	Tendon Grafting / Repair	Tendon Grafting	30,700.00	3	Not applicable	Not applicable	Not applicable	SB046A	Clinical notes detailing jusification of surgery	Detailed Procedure / Operative Notes. Detailed discharge summary
1,873	Orthopedics	Surgical	Tendon Grafting / Repair	Tendon Repair	30,700.00	3	Not applicable	Not applicable	Not applicable	SB046B	Clinical notes detailing jusification of surgery	Detailed Procedure / Operative Notes. Detailed discharge summary
1,874	Orthopedics	Surgical	Tendon Release / Tenotomy	Tendon Release / Tenotomy	12,400.00	D	Not applicable	Not applicable	Not applicable	SB047A	Clinical notes detailing jusification of surgery	Detailed Procedure / Operative Notes. Treatment deatails / Detailed discharge summary
1,875	Orthopedics	Surgical	Tenolysis	Tenolysis	10,100.00	D	Not applicable	Not applicable	Not applicable	SB048A	Clinical notes detailing jusification of surgery	Detailed Procedure / Operative Notes including agent used for lysis of tendon. Treatment details / Detailed discharge summary
1,876	Orthopedics	Surgical	Reconstruction of cruciate ligament	ACL	33,000.00	4	Not applicable	Not applicable	Not applicable	SB049A	Clinical notes and MRI scan of affected knee	Detailed Procedure / Operative Notes. Post proedure X-ray showing implant/ ensure brace is provided in package cost/ Detailed Discharge summary
1,877	Orthopedics	Surgical	Reconstruction of cruciate ligament	PCL	33,000.00	4	Not applicable	Not applicable	Not applicable	SB049B	Clinical notes and MRI scan of affected knee	Detailed Procedure / Operative Notes. Post proedure X-ray showing implant/ ensure brace is provided in package cost/ Detailed Discharge summary
1,878	Orthopedics	Surgical	Fasciotomy	Fasciotomy	15,000.00	2	Not applicable	Not applicable	Not applicable	SB050A	Clinical documents justifying surgery with USG Evidence	Detailed discharge summary/ detailed Procedure / Operative Notes.
1,879	Orthopedics	Surgical	Dupytrens contracture release	Dupytrens contracture release	16,200.00	3	Not applicable	Not applicable	Not applicable	SB051A	Clinical notes and clinical photograph of affected part confirming the diagnosis	Detailed discharge summary/ detailed Procedure / Operative Notes.
1,880	Orthopedics	Surgical	Debridement & Closure of injuries - contused lacerated wounds	Anti-biotic + dressing - minimum of 5 sessions	18,500.00	6	Not applicable	Not applicable	Not applicable	SB052A	Clinical notes +/- X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary/ Evidence of 5 sessions dressing
1,881	Orthopedics	Surgical	Debridement & Closure of injuries - contused lacerated wounds	Anti-biotic + dressing - minimum of 2 sessions	5,400.00	D	Not applicable	Not applicable	Not applicable	SB052B	Clinical notes +/- X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Treatment details / Detailed discharge summary Evidence of 5 sessions dressing
1,882	Orthopedics	Surgical	Sequestectomy / Curettage	Sequestectomy / Curettage	11,000.00	4	Not applicable	Not applicable	Not applicable	SB053A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary
1,883	Orthopedics	Surgical	Sequestrectomy of Long Bones	Sequestrectomy of Long Bones	27,500.00	7	Not applicable	Not applicable	Not applicable	SB053B	Clinical notes with planned line of treatment including planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary
1,884	Orthopedics	Surgical	Spine deformity correction	Spine deformity correction	44,000.00	7	Not applicable	Not applicable	Implant for Spine deformity correction (Plate including screw) - 5500 Implant for Spine deformity correction (Cage) - 11000	SB054A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,885	Orthopedics	Surgical	Osteotomy	Long Bone	33,000.00	4	Not applicable	Not applicable	Not applicable	SB055A	Clinical notes and X-ray of the affected bone justifying the procedure	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/ invoice and barcode of implant
1,886	Orthopedics	Surgical	Osteotomy	Small Bone	22,300.00	3	Not applicable	Not applicable	Not applicable	SB055B	Clinical notes and X-ray of the affected bone justifying the procedure	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,887	Orthopedics	Surgical	Pelvic Osteotomy and fixation	Pelvic Osteotomy and fixation	33,000.00	7	Not applicable	Not applicable	Not applicable	SB056A	Clinical notes and X-ray of the patella justifying the procedure	Post procedure imaging study (X Ray) showing the implant/ detailed Procedure / Operative Notes. Invoice and barcode of implant used. Detailed discharge summary
1,888	Orthopedics	Surgical	High Tibial Osteotomy	High Tibial Osteotomy	23,100.00	5	Not applicable	Not applicable	Not applicable	SB057A	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/ invoice and barcode of implant
1,889	Orthopedics	Surgical	Ilizarov Fixation	Ilizarov Fixation	20,300.00	6	Not applicable	Not applicable	Not applicable	SB058A	Clinical and radiological investigations confirming the indication	Post procedure X-ray showing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,890	Orthopedics	Surgical	Limb Lengthening/ Bone Transport by Ilizarov	Limb Lengthening/ Bone Transport by Ilizarov	34,500.00	8	Not applicable	Not applicable	Not applicable	SB059A	Clinical and radiological investigations confirming the diagnosis	Detailed discharge summary Detailed Procedure / Operative Notes/ Invoice and barcode of implant
1,891	Orthopedics	Surgical	Growth modulation and fixation	Growth modulation and fixation	6,300.00	6	Not applicable	Not applicable	Not applicable	SB060A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,892	Orthopedics	Surgical	Corrective Surgery for foot deformities	Vertical Talus	16,500.00	5	Not applicable	Not applicable	Not applicable	SB061A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary
1,893	Orthopedics	Surgical	Corrective Surgery for foot deformities	Other foot deformities	16,500.00	5	Not applicable	Not applicable	Not applicable	SB061B	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary
1,894	Orthopedics	Surgical	Correction of Club Foot Per Cast	Correction of Club Foot Per Cast	50,700.00	D	Not applicable	Not applicable	Not applicable	SB062A	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes/ Treatment details / Detailed Discharge summary.
1,895	Orthopedics	Surgical	Corrective Surgery in Club Foot / JESS Fixator	Corrective Surgery in Club Foot / JESS Fixator	13,200.00	D	Not applicable	Not applicable	Not applicable	SB063A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray/ Treatment details / Detailed Discharge summary/ Invoice and barcode of implant
1,896	Orthopedics	Surgical	Exostosis	Osteochondroma Excision	29,400.00	3	Not applicable	Not applicable	Not applicable	SB064A	Clinical notes justifying surgery with evidence from X-ray / MRI scan of affected part	Detailed Procedure / Operative Notes.Detailed Discharge summary Histopath report/receipt of removed tissue
1,897	Orthopedics	Surgical	Excision of Osteochondroma / Exostosis	Exostosis	11,000.00	4	Not applicable	Not applicable	Not applicable	SB064B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,898	Orthopedics	Surgical	Excision of Bursa	Excision of Bursa	8,800.00	D	Not applicable	Not applicable	Not applicable	SB065A	Clinical notes detailing findings confirming the diagnosis	Treatment details/ detailed Procedure / Operative Notes.
1,899	Orthopedics	Surgical	Nerve Transposition/ Release/ Neurolysis	Nerve Transposition	112,500.00	3	Not applicable	Not applicable	Not applicable	SB066A	Clinical notes justifying surgery with evidence of MRI / EMG/ NCV	Detailed Procedure / Operative Notes. Detailed Discharge summary
1,900	Orthopedics	Surgical	Nerve Transposition/ Release/ Neurolysis	Nerve Release	112,500.00	3	Not applicable	Not applicable	Not applicable	SB066B	Clinical notes justifying surgery with evidence of MRI / EMG/ NCV	Detailed Procedure / Operative Notes. Detailed Discharge summary
1,901	Orthopedics	Surgical	Nerve Transposition/ Release/ Neurolysis	Nerve Neurolysis	112,500.00	3	Not applicable	Not applicable	Not applicable	SB066C	Clinical notes justifying surgery with evidence of MRI / EMG/ NCV	Detailed Procedure / Operative Notes. Detailed Discharge summary
1,902	Orthopedics	Surgical	Nerve Repair Surgery	Nerve Repair Surgery	23,300.00	4	Not applicable	Not applicable	Not applicable	SB067A	Clinical notes justifying surgery with evidence of MRI / EMG/ NCV	Detailed Procedure / Operative Notes. Detailed discharge summary
1,903	Orthopedics	Surgical	Nerve root block	Nerve root block	3,300.00	D	Not applicable	Not applicable	Not applicable	SB068A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray/ Treatment details / Detailed Discharge Summary
1,904	Orthopedics	Surgical	Exploration and Ulnar Nerve Repair	Exploration and Ulnar Nerve Repair	20,800.00	4	Not applicable	Not applicable	Not applicable	SB069A	Clinical +/- and radiological investigations confirming the need of surgery/ +/- NCV report	Detailed discharge summary/ detailed Procedure / Operative Notes.
1,905	Orthopedics	Surgical	Implant Removal	K - Wire	5,500.00	D	Not applicable	Not applicable	Not applicable	SB070A	Clinical notes with planned line of treatment including planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray/ Treatment details / Detailed Discharge Summary
1,906	Orthopedics	Surgical	Implant Removal	Screw	5,500.00	D	Not applicable	Not applicable	Not applicable	SB070B	Clinical notes with planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray/ Treatment details / Detailed Discharge Summary
1,907	Orthopedics	Surgical	Implant Removal	Nail	16,500.00	2	Not applicable	Not applicable	Not applicable	SB071A	Clinical notes with planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray/ Detailed Discharge Summary
1,908	Orthopedics	Surgical	Implant Removal	Plate	16,500.00	2	Not applicable	Not applicable	Not applicable	SB071B	Clinical notes with planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray/ Detailed Discharge Summary
1,909	Orthopedics	Surgical	Core Decompression	Core Decompression	15,500.00	6	Not applicable	Not applicable	Not applicable	SB072A	Clinical notes and MRI supporting surgery	Post op X-ray with film showing fusion/ Detailed discharge summary/ Detailed Procedure / Operative Notes/
1,910	Orthopedics	Surgical	Synovectomy	Arthrotomy Synovectomy	18,700.00	2	Not applicable	Not applicable	Not applicable	SB074A	Clinical notes and MRI justifying procedure	Detailed Procedure / Operative Notes/ Detailed Discharge summary.
1,911	Orthopedics	Surgical	Synovectomy	Synovectomy	26,300.00	2	Not applicable	Not applicable	Not applicable	SB074B	Clinical notes and MRI justifying procedure	Detailed Procedure / Operative Notes/ Detailed Discharge summary.
1,912	Orthopedics	Surgical	Application of Traction	crutchfiled tong cervical spine traction	5,500.00	2	Not applicable	Not applicable	Not applicable	SB075A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,913	Orthopedics	Surgical	Acromion Reconstruction	Acromion Reconstruction	24,800.00	4	Not applicable	Not applicable	Not applicable	SB075MLA	Clinical notes detailing type of fracture/ X-ray/ MRI and justification of surgery done	Post-op X-ray of operated limb/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,914	Orthopedics	Surgical	Application of Traction	POP slab	2,200.00	D	Not applicable	Not applicable	Not applicable	SB076A	Clinical notes and X-ray showing the need of procedure	Post Procedure clinical photograph/ x-ray/ detailed Procedure / Operative Notes. Detailed discharge summary /Treatment details
1,915	Orthopedics	Surgical	Application of P.O.P. casts	POP slab	2,400.00	D	Not applicable	Not applicable	Not applicable	SB076B	Clinical notes and X-ray showing the need of procedure	Post Procedure clinical photograph/ x-ray/ detailed Procedure / Operative Notes. Detailed discharge summary /Treatment details
1,916	Orthopedics	Surgical	Application of Functional Cast Brace	Application of Functional Cast Brace	1,600.00	D	Not applicable	Not applicable	Not applicable	SB076MLA	Clinical notes and X-ray showing the need of procedure	Detailed Procedure / Operative Notes. Detailed discharge summary / Treatment details
1,917	Orthopedics	Surgical	Fracture Head radius	Replacement with Head Radius Prosthesis	11,000.00	4	Not applicable	Not applicable	Implant for "Replacement with Head Radius Prosthesis" - 10000	SB077A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,918	Orthopedics	Surgical	Arthroscopy	Diagnostic	11,200.00	2	Not applicable	Not applicable	Not applicable	SB077MLA	Clinical notes and MRI justifying procedure	Detailed Procedure / Operative Notes/ Detailed Discharge summary.
1,919	Orthopedics	Surgical	Arthroscopy	Anterior Cruciate Ligament (ACL) Repair	30,700.00	2	Not applicable	Not applicable	Not applicable	SB077MLB	Clinical notes and MRI justifying procedure	Detailed Procedure / Operative Notes/ Detailed Discharge summary.
1,920	Orthopedics	Surgical	Fracture Condyle - Humerus - ORIF	ORIF with screw of proximal humerus	9,400.00	4	Not applicable	Not applicable	Implant for Fracture - Humerus - ORIF - plate - 12000	SB078A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,921	Orthopedics	Surgical	Aspiration intra articular injections	Aspiration intra articular injections	700.00	D	Not applicable	Not applicable	Not applicable	SB078MLA	Clinical notes with supporting investigations	Clinical notes with supporting investigations
1,922	Orthopedics	Surgical	Total Hip Replacement	Revision of failed hemi Arthroplasty in to THR	72,300.00	4	Not applicable	Not applicable	Implant for Total Hip Replacement - 40250	SB079A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,923	Orthopedics	Surgical	Bimalleolar Fracture Fixation	Bimalleolar Fracture Fixation	30,700.00	2	Not applicable	Not applicable	Not applicable	SB079MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,924	Orthopedics	Surgical	Spine deformity correction	Combined spinal segment - front and back (anterior/posterior/ combined anterior and posterior)	0.00	4	For 8 to 10 screws/ More than 10 screws	45000/ 55000	Implant for Spine deformity correction (Plates) - 4000 Implant for Spine deformity correction (Cage) - 10000	SB080A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,925	Orthopedics	Surgical	Calcaneal Spur – Excision Of Both	Calcaneal Spur – Excision Of Both	14,900.00	6	Not applicable	Not applicable	Not applicable	SB080MLA	Clinical notes justifying need of this surgery and X-ray/ MRI of affected part/Biopsy	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/ invoice and barcode of implant
1,926	Orthopedics	Surgical	Cancellous Screw/ pins fixations for fracture neck of femur	Cancellous Screw/ pins fixations for fracture neck of femur	45,900.00	6	Not applicable	Not applicable	Not applicable	SB081MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,927	Orthopedics	Medical	Clavicle Fracture Management - Conservative	Clavicle Fracture Management - Conservative	18,700.00	4	Not applicable	Not applicable	Not applicable	SB082MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,928	Orthopedics	Surgical	Clavicle Surgery - Closed Reduction and Internal Fixation with K Wire	Clavicle Surgery - Closed Reduction and Internal Fixation with K Wire	26,000.00	4	Not applicable	Not applicable	Not applicable	SB083MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,929	Orthopedics	Surgical	Close Fixations	Hand Bones	8,900.00	D	Not applicable	Not applicable	Not applicable	SB084MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray/ Treatment details / Detailed Discharge Summary
1,930	Orthopedics	Surgical	Close Fixations	Foot Bones	7,800.00	D	Not applicable	Not applicable	Not applicable	SB084MLB	Clinical notes with planned line of treatment including planned line of treatment/ X-ray	Procedure / Operation notes/ Post procedure X-ray/ Treatment details / Detailed Discharge Summary
1,931	Orthopedics	Surgical	Close Reductions	Small Joints	4,500.00	D	Not applicable	Not applicable	Not applicable	SB085MLA	Clinical notes and X-ray confirming the diagnosis	Procedure / Operation notes/ Post procedure X-ray/ Treatment details / Detailed Discharge Summary
1,932	Orthopedics	Surgical	Close Reductions	Closed Reduction and Internal Fixation	24,600.00	1	Not applicable	Not applicable	Not applicable	SB085MLB	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/
1,933	Orthopedics	Surgical	Close Reductions	with K Wire	18,500.00	1	Not applicable	Not applicable	Not applicable	SB085MLC	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/
1,934	Orthopedics	Surgical	Close Reductions	Closed Reduction and Percutaneous Nailing	22,000.00	1	Not applicable	Not applicable	Not applicable	SB085MLD	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/
1,935	Orthopedics	Surgical	Close Reductions	Proceed to Posterior Stabilization	19,900.00	2	Not applicable	Not applicable	Not applicable	SB085MLE	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/
1,936	Orthopedics	Surgical	Close Reductions	Fractures of Limb	12,200.00	4	Not applicable	Not applicable	Not applicable	SB085MLF	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/
1,937	Orthopedics	Surgical	Closed interlocking	Closed Interlocking Intermedullary	19,300.00	2	Not applicable	Not applicable	Not applicable	SB086MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,938	Orthopedics	Surgical	Closed interlocking	Closed Interlocking Tibia + ORIF of Fracture Fixation	27,500.00	2	Not applicable	Not applicable	Not applicable	SB086MLB	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Stickers of implants used/ Detailed Discharge Summary
1,939	Orthopedics	Surgical	Accessory Bone – Excision with Acromion Reconstruction	Accessory Bone – Excision with Acromion Reconstruction	27,200.00	4	Not applicable	Not applicable	Not applicable	SB087MLA	Clinical notes detailing type of fracture/ X-ray/ MRI and justification of surgery done	Post-op X-ray of operated limb/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,940	Orthopedics	Surgical	Curettage & Bone Cement in malignant conditions	Curettage & Bone Cement in malignant conditions	41,000.00	1	Not applicable	Not applicable	Not applicable	SB088MLA	Clinical notes justifying need treatment and X-ray/ MRI of affected part	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Histopathology report/receipt of excised tissue/ Detailed Discharge summary
1,941	Orthopedics	Surgical	Decompression and Spinal Fixation	Decompression and Spinal Fixation	24,800.00	1	Not applicable	Not applicable	Not applicable	SB089MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,942	Orthopedics	Surgical	Decompression and Stabilization with Steffiplate	Decompression and Stabilization with Steffiplate	24,800.00	1	Not applicable	Not applicable	Not applicable	SB089MLB	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary.
1,943	Orthopedics	Surgical	Decompression L5 S1 Fusion with Posterior Stabilization	Decompression L5 S1 Fusion with Posterior Stabilization	24,800.00	1	Not applicable	Not applicable	Not applicable	SB089MLC	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary.
1,944	Orthopedics	Surgical	Decompression of Carpal Tunnel Syndrome	Decompression of Carpal Tunnel Syndrome	13,700.00	1	Not applicable	Not applicable	Not applicable	SB089MLD	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary.
1,945	Orthopedics	Surgical	Decompression Posterior D12 with L1	Decompression Posterior D12 with L1	22,300.00	1	Not applicable	Not applicable	Not applicable	SB089MLE	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary.
1,946	Orthopedics	Surgical	Decompression Stabilization and Laminectomy	Decompression Stabilization and Laminectomy	116,600.00	1	Not applicable	Not applicable	Not applicable	SB090MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary.
1,947	Orthopedics	Surgical	Drainage of Abscess	Drainage of Abscess Cold	6,100.00	D	Not applicable	Not applicable	Not applicable	SB091MLA	Clinical notes and USG report confirming abscess.	C/S report of Wound or Pus/ Detailed Operative notes & detailed discharge summary/ Treatment details.
1,948	Orthopedics	Surgical	Epiphyseal Stimulation	Epiphyseal Stimulation	12,600.00	4	Not applicable	Not applicable	Not applicable	SB092MLA	Clinical notes detailing history and notes showing vitals and examination findings/ any investigations done/ planned line of management	Procedure / Operation notes/ Post procedure X-ray films with reports/ All investigations reports.
1,949	Orthopedics	Surgical	Excision Arthoplasty	Excision Arthoplasty	18,500.00	4	Not applicable	Not applicable	Not applicable	SB093MLA	Clinical notes / CT	Detailed Procedure / Operative Notes/ detailed discharge summary
1,950	Orthopedics	Surgical	Excision Arthoplasty	Excision Arthoplasty of Femur Head	25,000.00	5	Not applicable	Not applicable	Not applicable	SB093MLB	Clinical notes / CT	Detailed Procedure / Operative Notes/ detailed discharge summary
1,951	Orthopedics	Surgical	Exostosis	Small Bones Excision	27,600.00	1	Not applicable	Not applicable	Not applicable	SB094MLA	Clinical notes justifying need of this surgery and X-ray/ MRI of affected part/Biopsy	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/ invoice and barcode of implant
1,952	Orthopedics	Surgical	Exostosis	Fibula Excision	31,200.00	3	Not applicable	Not applicable	Not applicable	SB094MLB	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,953	Orthopedics	Surgical	Exostosis	Patella Excision	31,200.00	3	Not applicable	Not applicable	Not applicable	SB094MLC	MRI/ X-RAY/ clinical note	X-RAY/ Detailed Procedure / Operative Notes/ detailed discharge summary
1,954	Orthopedics	Surgical	Exostosis	Radius Excision	31,200.00	3	Not applicable	Not applicable	Not applicable	SB094MLD	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,955	Orthopedics	Surgical	Exostosis	Tibia Excision	31,200.00	3	Not applicable	Not applicable	Not applicable	SB094MLE	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,956	Orthopedics	Surgical	Exostosis	Ulna Excision	31,200.00	3	Not applicable	Not applicable	Not applicable	SB094MLF	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,957	Orthopedics	Surgical	Exostosis	Femur Excision	32,900.00	3	Not applicable	Not applicable	Not applicable	SB094MLG	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,958	Orthopedics	Surgical	Exostosis	Humerus Excision	32,900.00	3	Not applicable	Not applicable	Not applicable	SB094MLH	Clinical notes and X-ray confirming the diagnosis	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,959	Orthopedics	Surgical	Fracture	Humerus - Internal Fixation	36,900.00	2	Not applicable	Not applicable	Not applicable	SB095MLA	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,960	Orthopedics	Surgical	Fracture	Femoral Neck - Internal Fixation	36,900.00	7	Not applicable	Not applicable	Not applicable	SB095MLB	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,961	Orthopedics	Surgical	Fracture	Fibula - Internal Fixation	30,700.00	7	Not applicable	Not applicable	Not applicable	SB095MLC	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,962	Orthopedics	Surgical	Fracture	Hip - Internal Fixation (Intertrochanteric Fracture)	36,900.00	7	Not applicable	Not applicable	Not applicable	SB095MLD	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,963	Orthopedics	Surgical	Fracture	Olecranon Of Ulna	18,500.00	5	Not applicable	Not applicable	Not applicable	SB095MLE	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,964	Orthopedics	Surgical	Fracture	Tibia - Internal Fixation Plating	30,700.00	4	Not applicable	Not applicable	Not applicable	SB095MLF	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,965	Orthopedics	Surgical	Fracture	Ulna - Internal Fixation	24,600.00	4	Not applicable	Not applicable	Not applicable	SB095MLG	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,966	Orthopedics	Surgical	Fracture	Fragment Excision	18,500.00	4	Not applicable	Not applicable	Not applicable	SB095MLH	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,967	Orthopedics	Surgical	Girdle Stone Arthroplasty	Girdle Stone Arthroplasty	18,700.00	4	Not applicable	Not applicable	Not applicable	SB096MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,968	Orthopedics	Surgical	Harrington Instrumentation	Harrington Instrumentation	20,500.00	4	Not applicable	Not applicable	Not applicable	SB097MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary/ Invoice and barcode of implant
1,969	Orthopedics	Surgical	Hip Spica	Hip Spica	6,100.00	5	Not applicable	Not applicable	Not applicable	SB098MLA	Clinical notes and X-ray confirming the diagnosis	Detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant
1,970	Orthopedics	Surgical	Internal Fixation Lateral Epicondyle	Internal Fixation Lateral Epicondyle	24,600.00	6	Not applicable	Not applicable	Not applicable	SB099MLA	Clinical and radiological investigations confirming the indication	Post procedure X-ray showing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,971	Orthopedics	Surgical	Internal wire fixation of Mandible/ Maxilla	Internal Wire Fixation of Mandible	11,300.00	3	Not applicable	Not applicable	Not applicable	SB100MLA	Clinical and radiological investigations confirming the indication	Post procedure X-ray showing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,972	Orthopedics	Surgical	Internal wire fixation of Mandible/ Maxilla	Internal Wire Fixation of Maxilla	11,300.00	3	Not applicable	Not applicable	Not applicable	SB100MLB	Clinical and radiological investigations confirming the indication	Post procedure X-ray showing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,973	Orthopedics	Surgical	Joint Reconstruction	Joint Reconstruction	24,900.00	7	Not applicable	Not applicable	Not applicable	SB101MLA	Clinical notes detailing Rockwood type of fracture/ X-ray/ MRI and justification of surgery done	Post-op X-ray of operated limb/ detailed Procedure / Operative Notes/ Detailed Discharge summary/ Invoice and barcode of implant
1,974	Orthopedics	Surgical	Nerve Transplant/ release	Nerve Transplant/ release	16,800.00	4	Not applicable	Not applicable	Not applicable	SB102MLA	Clinical notes justifying surgery with evidence of MRI / EMG/ NCV	Detailed Procedure / Operative Notes. Detailed Discharge summary
1,975	Orthopedics	Surgical	Open Reduction Internal Fixation	with Bone Grafting of Nonunion	20,500.00	3	Not applicable	Not applicable	Not applicable	SB103MLA	Clinical and radiological investigations confirming the diagnosis (X-ray of affected joint)	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary.
1,976	Orthopedics	Surgical	Open Reduction Internal Fixation	2 Small Bones	24,600.00	3	Not applicable	Not applicable	Not applicable	SB103MLB	Clinical and radiological investigations confirming the diagnosis (X-ray)	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,977	Orthopedics	Surgical	Open Reduction Internal Fixation	Large Bone	28,300.00	3	Not applicable	Not applicable	Not applicable	SB103MLC	Clinical and radiological investigations confirming the indication	Post procedure X-ray showing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,978	Orthopedics	Surgical	Open Reduction Internal Fixation	with Phemister Grafting	12,600.00	2	Not applicable	Not applicable	Not applicable	SB103MLD	Clinical and radiological investigations confirming the diagnosis (X-ray)	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,979	Orthopedics	Surgical	Patelloplasty	Patelloplasty	12,100.00	5	Not applicable	Not applicable	Not applicable	SB104MLA	Clinical notes and X-ray of the patella justifying the procedure	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary
1,980	Orthopedics	Surgical	Pelvic Fracture – Fixation	Pelvic Fracture – Fixation	21,100.00	5	Not applicable	Not applicable	Not applicable	SB105MLA	Clinical and radiological investigations confirming the indication	Post procedure X-ray showing implant/ detailed Procedure / Operative Notes. Detailed discharge summary Invoice and barcode of implant.
1,981	Orthopedics	Surgical	Prepatellar Bursa and Repair of MCL of Knee	Prepatellar Bursa and Repair of MCL of Knee	19,300.00	4	Not applicable	Not applicable	Not applicable	SB106MLA	Clinical notes and MRI scan of affected knee	Detailed Procedure / Operative Notes. Post proedure X-ray/ Detailed Discharge summary
1,982	Orthopedics	Surgical	Reduction of Compound Fractures	Reduction of Compound Fractures	3,900.00	4	Not applicable	Not applicable	Not applicable	SB107MLA	Clinical and radiological investigations confirming the diagnosis (X-ray of affected joint)	Post procedure imaging study (X Ray)/ detailed Procedure / Operative Notes. Detailed discharge summary/ Invoice and barcode of implant
1,983	Orthopedics	Surgical	Reduction of Facial Fractures of Maxilla	Reduction of Facial Fractures of Maxilla	10,700.00	4	Not applicable	Not applicable	Not applicable	SB108MLA	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
1,984	Orthopedics	Surgical	Reduction of Fractures of Mandible & Maxilla	Cast Netal Splints	6,700.00	4	Not applicable	Not applicable	Not applicable	SB109MLA	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT	Detailed discharge summary/ Detailed operatives notes
1,985	Orthopedics	Surgical	Reduction of Fractures of Mandible & Maxilla	Eye Let Splinting	6,900.00	4	Not applicable	Not applicable	Not applicable	SB109MLB	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT	Detailed discharge summary/ Detailed operatives notes
1,986	Orthopedics	Surgical	Reduction of Fractures of Mandible & Maxilla	Gumming Splints	7,000.00	4	Not applicable	Not applicable	Not applicable	SB109MLC	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT	Detailed discharge summary/ Detailed operatives notes
1,987	Orthopedics	Surgical	Retrocalcaneal Bursa – Excision	Retrocalcaneal Bursa – Excision	12,600.00	4	Not applicable	Not applicable	Not applicable	SB110MLA	Clinical notes detailing findings confirming the diagnosis	Detailed discharge summary/ detailed Procedure / Operative Notes.
1,988	Orthopedics	Surgical	Shoulder Jacket	Shoulder Jacket	8,500.00	7	Not applicable	Not applicable	Not applicable	SB111MLA	X-RAY/ Clinical notes	X-RAY/ detailed discharge summary/ Detailed operatives notes
1,989	Orthopedics	Surgical	Sinus over sacrum excision	Sinus over sacrum excision	10,100.00	7	Not applicable	Not applicable	Not applicable	SB112MLA	Clinical notes	Histopathology report/ detailed Procedure / Operative Notes. Detailed discharge summary
1,990	Orthopedics	Surgical	Skin Grafting	Skin Grafting	18,500.00	7	Not applicable	Not applicable	Not applicable	SB113MLA	Clinical history detailing etiology/ treatment given and resultant contractures left. Functional disability to be detailed and expected functional improvement to be shared/ Clinical Notes.	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
1,991	Orthopedics	Surgical	Spinal Fusion	Spinal Fusion	34,900.00	7	Not applicable	Not applicable	Not applicable	SB114MLA	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Procedure / Operation notes/ Post procedure X-ray films with reports/ Detailed Discharge Summary
1,992	Orthopedics	Surgical	Synovial Cyst Excision	Synovial Cyst Excision	12,400.00	7	Not applicable	Not applicable	Not applicable	SB115MLA	Clinical notes and MRI justifying procedure	Detailed Procedure / Operative Notes/ Detailed Discharge summary.
1,993	Orthopedics	Surgical	Tendon Nerve Surgery of Foot	Tendon Nerve Surgery of Foot	10,000.00	3	Not applicable	Not applicable	Not applicable	SB116MLA	Clinical notes detailing jusification of surgery	Detailed Procedure / Operative Notes/ Detailed Discharge summary.
1,994	Orthopedics	Surgical	Trigger Thumb	Trigger Thumb	3,200.00	1	Not applicable	Not applicable	Not applicable	SB117MLA	Clinical notes and justifying need of surgery	Detailed Procedure / Operative Notes.
1,995	Orthopedics	Surgical	Wound Debridiment	Wound Debridiment	12,200.00	1	Not applicable	Not applicable	Not applicable	SB118MLA	Clinical notes with planned line of treatment justifying indication	Detailed Procedure / Operative Notes. Detailed discharge summary/ Evidence of 5 sessions dressing
1,996	Orthopedics	Surgical	Bone tumors / soft tissue sarcomas: surgery	Bone tumors / soft tissue sarcomas: surgery	55,000.00	6	Not applicable	Not applicable	Not applicable	SC070A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
1,997	Orthopedics	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
1,998	Orthopedics	Surgical	Tendon Transfer	Tendon Transfer	27,500.00	3	Not applicable	Not applicable	Not applicable	SG092A	Clinical notes	Detailed Operative notes/ Detailed discharge summary
1,999	Orthopedics	Surgical	Thoracic/ Lumbar Corpectomy with Fusion	Thoracic Corpectomy with fusion	103,200.00	7	Not applicable	Not applicable	Not applicable	SN032A	Clinical notes and MRI	Post procedure Imaging with film (X ray) showing the implants/ Detailed discharge summary / Detailed Procedure / Operative Notes
2,000	Orthopedics	Surgical	Thoracic/ Lumbar Corpectomy with Fusion	Lumbar Corpectomy with fusion	66,000.00	7	Not applicable	Not applicable	Not applicable	SN032B	Clinical notes and MRI	Post procedure Imaging with film (X ray) showing the implants/ Detailed discharge summary / Detailed Procedure / Operative Notes
2,001	Orthopedics	Surgical	Carpal Tunnel Release	Carpal Tunnel Release	62,800.00	3	Not applicable	Not applicable	Not applicable	SN046A	Clinical history/ MRI/ NCV	Detailed discharge summary / Detailed Procedure / Operative Notes & MRI Report
2,002	Orthopedics	Medical	Conservative Management of Head Injury	Severe	0.00	5	Routine Ward	1000	Not applicable	ST001A	Clinical notes with planned line of treatment	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,003	Orthopedics	Surgical	Conservative Management of Head Injury	Depressed Fracture	0.00	5	Routine Ward	5000	Not applicable	ST001B	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Detailed ICPs/ Discharge summary
2,004	Orthopedics	Surgical	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	42,700.00	5	Not applicable	Not applicable	Not applicable	ST002A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/	Detailed discharge summary/ Detailed operatives notes
2,005	Orthopedics	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Subdural Hematoma along with Fixation of Fracture of Single Long Bone	82,500.00	5	Not applicable	Not applicable	Not applicable	ST003A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,006	Orthopedics	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Extradural Hematoma along with Fixation of Fracture of Single Long Bone	82,500.00	5	Not applicable	Not applicable	Not applicable	ST003B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,007	Orthopedics	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Subdural Hematoma along with Fixation of Fracture of 2 or more Long Bones	103,200.00	5	Not applicable	Not applicable	Not applicable	ST003C	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,008	Orthopedics	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Extradural Hematoma along with Fixation of Fracture of 2 or more Long Bones	103,200.00	5	Not applicable	Not applicable	Not applicable	ST003D	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,009	Orthopedics	Surgical	Management of Chest Injury with Fracture of Long Bone	Management of Chest Injury with Fixation of Single Long Bone	38,500.00	5	Not applicable	Not applicable	Not applicable	ST004A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,010	Orthopedics	Surgical	Management of Chest Injury with Fracture of Long Bone	Management of Chest Injury with Fixation of 2 or More Long Bones	49,500.00	5	Not applicable	Not applicable	Not applicable	ST004B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,011	Orthopedics	Surgical	Management of Visceral Injury and Fracture Long Bone	Surgical Intervention for Visceral Injury and Fixation of Fracture of Single Long Bone	41,300.00	5	Not applicable	Not applicable	Not applicable	ST005A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,012	Orthopedics	Surgical	Management of Visceral Injury and Fracture Long Bone	Surgical Intervention for Visceral Injury and Fixation of Fracture of 2 or More Long Bones	61,900.00	5	Not applicable	Not applicable	Not applicable	ST005B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,013	Orthopedics	Surgical	Internal Fixation of Pelviacetabular Fracture	Internal Fixation of Pelviacetabular Fracture	44,000.00	5	Not applicable	Not applicable	Not applicable	ST006A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/	Post- op Clinical Photograph showing implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,014	Orthopedics	Surgical	Internal Fixation with Flap Cover Surgery for Wound in Compound Fracture	Internal Fixation with Flap Cover Surgery for Wound in Compound Fracture	44,000.00	5	Not applicable	Not applicable	Not applicable	ST007A	Clinical notes and PRE OP CLINICAL PICTURE/X-RAY/CT	Post- op Clinical Photograph showing implant for fixation and flap cover/ detailed discharge summary/ Detailed operatives notes
2,015	Orthopedics	Medical	Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery	Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery	41,300.00	5	Not applicable	Not applicable	Not applicable	ST008A	Clinical notes with planned line of treatment detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	Detailed discharge summary/ Detailed operatives notes
2,016	Orthopedics	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Nerve Plexus injury repair	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009A	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,017	Orthopedics	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Nerve Plexus injury reconstruction	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009B	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,018	Orthopedics	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon injury repair	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009C	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,019	Orthopedics	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon injury reconstruction	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009D	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,020	Orthopedics	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon transfer	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009E	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,021	Orthopedics	Surgical	Plexus Injury along with Vascular Injury Repair/ Graft	Plexus Injury along With Vascular Injury Repair	66,000.00	5	Not applicable	Not applicable	Not applicable	ST010A	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,022	Orthopedics	Surgical	Plexus Injury along with Vascular Injury Repair/ Graft	Plexus Injury along with Vascular Injury Graft	82,500.00	5	Not applicable	Not applicable	Not applicable	ST010B	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,023	Otorhinolaryngology	Surgical	Palatectomy	Soft palate	49,600.00	4	Not applicable	Not applicable	Not applicable	SC002A	Clinical notes/ Biopsy +/- CT/ MRI	detailed Procedure / Operative Notes/ detailed discharge summary/ HPE report/receipt
2,024	Otorhinolaryngology	Surgical	Palatectomy	Hard palate	56,000.00	6	Not applicable	Not applicable	Not applicable	SC002B	Clinical notes/ Biopsy +/- CT/ MRI	detailed Procedure / Operative Notes/ detailed discharge summary/ HPE
2,025	Otorhinolaryngology	Surgical	Parapharyngeal Tumour Excision	Parapharyngeal Tumour Excision	52,600.00	3	Not applicable	Not applicable	Not applicable	SC039A	Clinical notes with planned line of treatment/ HPE/CT/MRI	Procedure / Operative Notes/ HPE report/receipt Detailed Discharge Summary
2,026	Otorhinolaryngology	Surgical	Laryngectomy	Partial laryngectomy (voice preserving)	104,000.00	6	Not applicable	Not applicable	Not applicable	SC040A	Clinical notes and Biopsy/CECT film and report	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,027	Otorhinolaryngology	Surgical	Laryngectomy	Total Laryngectomy	103,500.00	11	Not applicable	Not applicable	Not applicable	SC040B	Clinical notes and Biopsy/CECT film and report	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,028	Otorhinolaryngology	Surgical	Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus	Growth - Squamous	61,900.00	2	Not applicable	Not applicable	Not applicable	SC064A	HPE/Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,029	Otorhinolaryngology	Surgical	Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus	Growth - Basal	61,900.00	2	Not applicable	Not applicable	Not applicable	SC064B	HPE/Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,030	Otorhinolaryngology	Surgical	Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus	Injury	61,900.00	2	Not applicable	Not applicable	Not applicable	SC064C	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Detailed Discharge Summary
2,031	Otorhinolaryngology	Surgical	Comprehensive Neck Dissection	Comprehensive Neck Dissection	36,900.00	8	Not applicable	Not applicable	Not applicable	SC065A	Clinical notes/ USG/ CT neck and Biopsy/FNAC	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,032	Otorhinolaryngology	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
2,033	Otorhinolaryngology	Surgical	Estlander Operation	Estlander Operation	20,400.00	5	Not applicable	Not applicable	Not applicable	SG061A	Clinical notes detailing the original pathology thet has led to this surgery with suporting investigation reports. FIR/MLC in case of traumatic aetiology	Detailed Operative notes/ Detailed discharge summary
2,034	Otorhinolaryngology	Surgical	Radical Neck Dissection	Radical Neck Dissection	36,900.00	8	Not applicable	Not applicable	Not applicable	SG067A	Clinical notes and CT Scan/MRI Neck confirming the diagnosis/ Biopsy	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,035	Otorhinolaryngology	Surgical	Radical Neck Dissection	Radical Neck Dissection - Excision	36,900.00	8	Not applicable	Not applicable	Not applicable	SG067B	Clinical notes and CT Scan/MRI Neck confirming the diagnosis/ Biopsy	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,036	Otorhinolaryngology	Surgical	Surgical removal of Branchial Cyst	Surgical removal of Branchial Cyst	22,000.00	2	Not applicable	Not applicable	Not applicable	SG068A	Clinical notes with USG or CT Scan confirming diagnosis	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,037	Otorhinolaryngology	Surgical	Thyroidectomy	Hemi thyroidectomy	30,300.00	2	Not applicable	Not applicable	Not applicable	SG070A	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,038	Otorhinolaryngology	Surgical	Thyroidectomy	Total thyroidectomy	72,500.00	4	Not applicable	Not applicable	Not applicable	SG070B	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,039	Otorhinolaryngology	Surgical	Thyroidectomy	Total Thyroidectomy with Block Dissection	80,500.00	5	Not applicable	Not applicable	Not applicable	SG070C	Clinical notes and FNAC/ Biopsy/ Thyroid Function Test/USG confirming the diagnosis and need for surgery	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,040	Otorhinolaryngology	Surgical	Foreign body removal	Foreign body removal	10,200.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 3300	Not applicable	SG098A	Clinical notes and X-ray/ USG report of the affected part confirming the diagnosis	Detailed Operative notes/ detailed discharge summary / Treatment details and relevant imaging study for comparison
2,041	Otorhinolaryngology	Surgical	Pinna surgery for tumour / trauma	Pinna surgery for tumour	9,500.00	2	Not applicable	Not applicable	Not applicable	SL001A	History/ clinical note	Histopath report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,042	Otorhinolaryngology	Surgical	Pinna surgery for tumour / trauma	Pinna surgery for trauma	9,500.00	2	Not applicable	Not applicable	Not applicable	SL001B	History/ clinical note	detailed Procedure / Operative Notes/ detailed discharge summary
2,043	Otorhinolaryngology	Surgical	Tympanoplasty	Tympanoplasty	18,600.00	3	Not applicable	Not applicable	Partial Ossicular Replacement Prosthesis - Indian Titanium - 7700 Total Ossicular Replacement Prosthesis - Indian Titanium - 7700	SL002A	Clinical notes and Audiogram/ Tympanometry (or impedence audiometry)	Detailed Procedure / Operative Notes/ Detailed discharge summary
2,044	Otorhinolaryngology	Surgical	Stapedectomy / Tympanotomy	Stapedectomy	19,800.00	3	Not applicable	Not applicable	Piston for Stapedectomy / Tympanotomy - 5500	SL003A	Clinical notes and audiometry confirming conductive deafness	detailed Procedure / Operative Notes/ detailed discharge summary
2,045	Otorhinolaryngology	Surgical	Stapedectomy / Tympanotomy	Tympanotomy	19,800.00	3	Not applicable	Not applicable	Piston for Stapedectomy / Tympanotomy - 5500	SL003B	Clinical notes and audiometry confirming conductive deafness	detailed Procedure / Operative Notes/ detailed discharge summary
2,046	Otorhinolaryngology	Surgical	Mastoidectomy	Simple	30,800.00	2	Not applicable	Not applicable	Not applicable	SL004A	Clinical notes confirming the indication for the procedure with imaging (X-ray/ CT) Evidence/ Audiometry	Detailed Procedure / Operative Notes/ Detailed discharge summary
2,047	Otorhinolaryngology	Surgical	Mastoidectomy	Radical	30,800.00	2	Not applicable	Not applicable	Not applicable	SL004B	Clinical notes confirming the indication for the procedure with imaging (X-ray/ CT) Evidence/ Audiometry	Detailed Procedure / Operative Notes/ Detailed discharge summary
2,048	Otorhinolaryngology	Surgical	Myringotomy with or without Grommet	Myringotomy with or without Grommet	8,400.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SL005A	Clinical notes and Audiogram justifying surgery.	Treatment details/ detailed Procedure / Operative Notes.
2,049	Otorhinolaryngology	Surgical	Myringotomy with or without Grommet	Bilateral	8,400.00	D	Local Anesthesia/ General Anesthesia	5500/ 11000	Not applicable	SL005B	Clinical notes detailing history/ vitals and examination findings / any investigations done/ planned line of management	Treatment details/ All investigations reports/ procedure note
2,050	Otorhinolaryngology	Surgical	Endoscopic DCR	Endoscopic DCR	22,000.00	1	Not applicable	Not applicable	Not applicable	SL006A	Clinical notes and endoscopy findings	Detailed discharge summary/ detailed Procedure / Operative Notes.
2,051	Otorhinolaryngology	Surgical	Epistaxis treatment - packing	Epistaxis treatment - packing	0.00	NA	Routine Ward	1800	Not applicable	SL007A	Clinical notes with planned line of treatment	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,052	Otorhinolaryngology	Surgical	Functional septo rhinoplasty	Functional septo rhinoplasty	24,000.00	2	Not applicable	Not applicable	Not applicable	SL008A	Clinical notes Indication for this surgery with supporting medical records/ X-ray/ MLC/FIR for traumatic injuries and circumstances of the incident which led to disfigurement	Detailed Procedure / Operative Notes/ Detailed discharge summary
2,053	Otorhinolaryngology	Surgical	Septoplasty	Septoplasty	16,800.00	1	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL009A	Indication for this surgery with supporting medical records/ MLC/FIR for traumatic injuries/ Endoscopic picture	Detailed Procedure / Operative Notes. Detailed discharge summary
2,054	Otorhinolaryngology	Surgical	Fracture - Setting Nasal Bone	Fracture - Setting Nasal Bone	10,000.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 4400	Not applicable	SL010A	Clinical note/ MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Post procedure X-ray/ detailed Procedure / Operative Notes/ Detailed discharge summary / Treatment details
2,055	Otorhinolaryngology	Surgical	Inferior turbinate reduction under GA	Inferior turbinate reduction under GA	6,300.00	1	Not applicable	Not applicable	Not applicable	SL011A	Clinical notes and EXAMINATION FINDINGS/ nasoendoscopy findings	Detailed discharge summary Detailed Procedure / Operative Notes
2,056	Otorhinolaryngology	Surgical	Open sinus surgery	Open sinus surgery	16,500.00	2	Not applicable	Not applicable	Not applicable	SL012A	Clinical notes detailing chronicity of sinusitis . indications for surgery with supporting CT	Histopathology report/receipt if done / detailed Procedure / Operative Notes.
2,057	Otorhinolaryngology	Surgical	Functional Endoscopic Sinus (FESS)	Functional Endoscopic Sinus (FESS)	26,300.00	1	Not applicable	Not applicable	Not applicable	SL013A	Clinical notes and CT confirming the diagnosis	Detailed Procedure / Operative Notes/ detailed discharge summary
2,058	Otorhinolaryngology	Surgical	Ant. Ethmoidal / sphenopalatine artery ligation	Anterior Ethmoidal Artery Ligation - Open	28,100.00	3	Not applicable	Not applicable	Not applicable	SL014A	Indications of this surgery with clinical evidence (CT)	X-ray of clips used/ detailed Procedure / Operative Notes and discharge summary.
2,059	Otorhinolaryngology	Surgical	Ant. Ethmoidal / sphenopalatine artery ligation	Anterior Ethmoidal Artery Ligation - Endoscopic	28,100.00	3	Not applicable	Not applicable	Not applicable	SL014B	Indications of this surgery with clinical evidence (CT)	X-ray of clips used/ detailed Procedure / Operative Notes and discharge summary.
2,060	Otorhinolaryngology	Surgical	Ant. Ethmoidal / sphenopalatine artery ligation	Sphenopalatine artery ligation - Open	28,100.00	3	Not applicable	Not applicable	Not applicable	SL014C	Indications of this surgery with clinical evidence (CT)	X-ray of clips used/ Detailed Procedure / Operative Notes and discharge summary.
2,061	Otorhinolaryngology	Surgical	Ant. Ethmoidal / sphenopalatine artery ligation	Sphenopalatine artery ligation - Endoscopic	28,100.00	3	Not applicable	Not applicable	Not applicable	SL014D	Indications of this surgery with clinical evidence (CT)	X-ray of clips used/ Detailed Procedure / Operative Notes and discharge summary.
2,062	Otorhinolaryngology	Surgical	Adenoidectomy	Adenoidectomy	11,900.00	1	Not applicable	Not applicable	Not applicable	SL015A	Clinical notes with supporting investigation reports/X Ray Adenoids	Histopathology report/ receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,063	Otorhinolaryngology	Surgical	Tonsillectomy	Tonsillectomy	13,100.00	1	Not applicable	Not applicable	Not applicable	SL016A	Indication for surgery from treating doctor with supporting case history/ physical examination findings/ supporting investigation reports	Histopathology report/ receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,064	Otorhinolaryngology	Surgical	Tonsillectomy	Tonsillectomy - B/L adenotonsillectomy	13,400.00	4	Not applicable	Not applicable	Not applicable	SL016B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,065	Otorhinolaryngology	Surgical	Peritonsillar abscess drainage / intraoral calculus removal	Peritonsillor abscess drainage under LA	8,200.00	NA	Not applicable	Not applicable	Not applicable	SL017A	Doctor's notes with presenting complaints/ duration and physicial examination findings of oral cavity and tonsils	C/S of pus/ detailed Procedure / Operative Notes/ detailed discharge summary
2,066	Otorhinolaryngology	Surgical	Peritonsillar abscess drainage / intraoral calculus removal	Intraoral calculus removal	8,200.00	NA	Not applicable	Not applicable	Not applicable	SL017B	Doctor's notes with presenting complaints/ duration and physicial examination findings of oral cavity and tonsils	C/S of pus/ detailed Procedure / Operative Notes/ detailed discharge summary
2,067	Otorhinolaryngology	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Thryoglossal Cyst Excision	22,000.00	2	Not applicable	Not applicable	Not applicable	SL018A	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,068	Otorhinolaryngology	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Thryoglossal Sinus Excision	22,000.00	2	Not applicable	Not applicable	Not applicable	SL018B	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,069	Otorhinolaryngology	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Thryoglossal Fistula Excision	22,000.00	2	Not applicable	Not applicable	Not applicable	SL018C	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,070	Otorhinolaryngology	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Branchial Sinus Excision	22,000.00	3	Not applicable	Not applicable	Not applicable	SL018D	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,071	Otorhinolaryngology	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Branchial Fistula Excision	22,000.00	3	Not applicable	Not applicable	Not applicable	SL018E	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,072	Otorhinolaryngology	Surgical	Uvulopalatopharyngoplasty (UPPP)	Uvulopalatopharyngoplasty (UPPP)	33,200.00	2	Not applicable	Not applicable	Not applicable	SL019A	Clinical notes and Polysomnography (Sleep Study) + CT/MRI	Detailed Procedure / Operative Notes/ detailed discharge summary
2,073	Otorhinolaryngology	Surgical	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx without reconstruction	13,800.00	5	Not applicable	Not applicable	Not applicable	SL020A	CT Scan/ Biopsy/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report
2,074	Otorhinolaryngology	Surgical	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with pedicled flap reconstruction	50,300.00	6	Not applicable	Not applicable	Not applicable	SL020B	CT Scan/Biopsy/ Clinical notes	Procedure / Operative Notes/ Histopathology report
2,075	Otorhinolaryngology	Surgical	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with free flap reconstruction	34,400.00	7	Not applicable	Not applicable	Not applicable	SL020C	CT Scan/Biopsy/ Clinical notes	Procedure / Operative Notes/ Histopathology report
2,076	Otorhinolaryngology	Surgical	Parotidectomy	Total	35,700.00	2	Not applicable	Not applicable	Not applicable	SL021A	Clinical notes/ CT Scan/FNAC	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,077	Otorhinolaryngology	Surgical	Parotidectomy	Superficial Parotidectomy	36,900.00	3	Not applicable	Not applicable	Not applicable	SL021B	Clinical notes/ CT Scan/FNAC	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,078	Otorhinolaryngology	Surgical	Parotidectomy	Radical	36,900.00	5	Not applicable	Not applicable	Not applicable	SL021MLA	Clinical notes/ CT Scan/FNAC	Histopathology report/ detailed Procedure / Operative Notes. Detailed discharge summary
2,079	Otorhinolaryngology	Surgical	Parotidectomy	Conservative	31,000.00	5	Not applicable	Not applicable	Not applicable	SL021MLB	Clinical notes/ CT Scan/FNAC	Histopathology report/ detailed Procedure / Operative Notes. Detailed discharge summary
2,080	Otorhinolaryngology	Surgical	Removal of Submandibular Salivary Gland/ Lymph Node/ Ranula	Removal of Submandibular Salivary Gland	31,900.00	3	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL022A	Clinical notes to establish indication/ Biopsy of tumour	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,081	Otorhinolaryngology	Surgical	Removal of Submandibular Salivary Gland/ Lymph Node/ Ranula	Removal of Ranula	31,900.00	3	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL022B	Clinical notes/ MLC/FIR for traumatic injuries and circumstances of the incident which led to rupture of salivary duct	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,082	Otorhinolaryngology	Surgical	Removal of Submandibular Salivary Gland/ Lymph Node/ Ranula	Removal of Submandibular Lymph Node	23,800.00	3	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL022C	Clinical notes to establish indication/ Biopsy of tumour	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,083	Otorhinolaryngology	Surgical	Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy	Rigid laryngoscopy - Diagnostic + / - biopsy	7,700.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SL023A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report
2,084	Otorhinolaryngology	Surgical	Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy	Rigid bronchoscopy - Diagnostic + / - biopsy	7,700.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SL023B	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report
2,085	Otorhinolaryngology	Surgical	Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy	Rigid oesophagoscopy - Diagnostic + / - biopsy	7,700.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SL023C	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report
2,086	Otorhinolaryngology	Surgical	Microlaryngeal surgery with or without laser	Microlaryngeal surgery with or without laser	18,700.00	2	Not applicable	Not applicable	Not applicable	SL024A	Indication for surgery with supporting investigation reports/ laryngoscopy findings +/- Laryngeal electromyography	Procedure / Operative Notes/ Histopathology report/receipt
2,087	Otorhinolaryngology	Surgical	Open laryngeal framework surgery / Thyroplasty	Open laryngeal framework surgery / Thyroplasty	5,500.00	1	Not applicable	Not applicable	Implant for Open laryngeal framework surgery / Thyroplasty (Keel / Stent) - 16500	SL025A	Clinical notes to establish indication and justification of surgery/ Evidence through CT/ MRI/ Biopsy	Histopathology report/receipt in case of tumours/ detailed Procedure / Operative Notes/ Detailed discharge summary
2,088	Otorhinolaryngology	Surgical	Tracheostomy / Tracheotomy	Tracheostomy	30,800.00	NA	Local Anesthesia/ General Anesthesia	None/ "+" 4400	Not applicable	SL026A	Clinical notes with planned line of treatment justifying indication	Procedure / Operative Notes/ Histopathology report if done
2,089	Otorhinolaryngology	Surgical	Tracheostomy / Tracheotomy	Tracheotomy	30,800.00	NA	Local Anesthesia/ General Anesthesia	None/ "+" 4400	Not applicable	SL026B	Clinical notes with planned line of treatment justifying indication	Procedure / Operative Notes/ Histopathology report if done
2,090	Otorhinolaryngology	Surgical	Neck dissection	Selective Benign neck tumour excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027A	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,091	Otorhinolaryngology	Surgical	Neck dissection	Comprehensive Benign neck tumour excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027B	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,092	Otorhinolaryngology	Surgical	Neck dissection	Selective Pharyngeal diverticulum excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027C	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,093	Otorhinolaryngology	Surgical	Neck dissection	Comprehensive Pharyngeal diverticulum excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027D	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,094	Otorhinolaryngology	Surgical	Deep neck abscess drainage/ Post trauma neck exploration	Deep neck abscess drainage	18,500.00	2	Not applicable	Not applicable	Not applicable	SL028A	Clinical notes and clinical photograph/investigation supporting diagnosis	C/S of pus/ post procedure/ detailed Procedure / Operative Notes/ detailed discharge summary
2,095	Otorhinolaryngology	Surgical	Deep neck abscess drainage/ Post trauma neck exploration	Post trauma neck exploration	23,100.00	2	Not applicable	Not applicable	Not applicable	SL028B	Clinical notes and clinical photograph/investigation supporting diagnosis	Post procedure/ detailed Procedure / Operative Notes/ detailed discharge summary
2,096	Otorhinolaryngology	Surgical	Anterior skull base surgery	Endoscopic CSF Rhinorrhea Repair	52,300.00	6	Not applicable	Not applicable	Fibrin Glue - 9900	SL029A	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes/ detailed discharge summary
2,097	Otorhinolaryngology	Surgical	Anterior skull base surgery	Optic nerve decompression	40,500.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL029B	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes
2,098	Otorhinolaryngology	Surgical	Anterior skull base surgery	Orbital decompression	40,500.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL029C	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes
2,099	Otorhinolaryngology	Surgical	Anterior skull base surgery	Craniofacial Resection	40,500.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL029D	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes/ Histopathology report/receipt
2,100	Otorhinolaryngology	Surgical	Anterior skull base surgery	Maxillary swing	35,100.00	6	Not applicable	Not applicable	Fibrin Glue - 9900	SL029E	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes
2,101	Otorhinolaryngology	Surgical	Advanced anterior skull base surgery	Endoscopic Hypophysectomy	54,800.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL030A	Clinical notes with planned line of treatment and Coronal CT/MRI establishing diagnosis and establishing need of surgery	Procedure / Operative Notes/ Histopathology report/receipt
2,102	Otorhinolaryngology	Surgical	Advanced anterior skull base surgery	Clival tumour excision	54,800.00	7	Not applicable	Not applicable	Fibrin Glue - 9900	SL030B	Clinical notes with planned line of treatment and Coronal CT/MRI establishing diagnosis and establishing need of surgery	Procedure / Operative Notes/ Histopathology report/receipt/ detailed discharge summary
2,103	Otorhinolaryngology	Surgical	Lateral skull base procedures	Subtotal petrosectomy	34,000.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL031A	Clinical notes with planned line of treatment and CT/MRI/ biopsy to establish the indication and justify the surgery.	Procedure / Operative Notes/ Histopathology report/receipt/ detailed discharge summary
2,104	Otorhinolaryngology	Surgical	Lateral skull base procedures	Post-traumatic facial nerve decompression	34,000.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL031B	Clinical notes with planned line of treatment and CT/MRI/ biopsy to establish the indication and justify the surgery.	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,105	Otorhinolaryngology	Surgical	Lateral skull base procedures	CSF Otorrhoea repair	34,000.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL031C	Clinical notes with planned line of treatment and CT/MRI/ biopsy to establish the indication and justify the surgery.	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,106	Otorhinolaryngology	Surgical	Advanced lateral skull base surgery	Fisch approach	54,900.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL032A	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,107	Otorhinolaryngology	Surgical	Advanced lateral skull base surgery	Translabyrinthine approach	54,900.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL032B	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,108	Otorhinolaryngology	Surgical	Advanced lateral skull base surgery	Transcochlear approach	54,900.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL032C	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,109	Otorhinolaryngology	Surgical	Advanced lateral skull base surgery	Temporal Bone resection	54,900.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL032D	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,110	Otorhinolaryngology	Surgical	Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma	Closed reduction for fracture of maxilla	12,400.00	2	Not applicable	Not applicable	Not applicable	SL033A	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,111	Otorhinolaryngology	Surgical	Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma	Closed reduction for fracture of mandible	20,400.00	2	Not applicable	Not applicable	Not applicable	SL033B	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,112	Otorhinolaryngology	Surgical	Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma	Closed reduction for fracture of zygoma	20,400.00	2	Not applicable	Not applicable	Not applicable	SL033C	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,113	Otorhinolaryngology	Surgical	Closed reduction / intermaxillary fixation for fracture of maxilla / mandible / zygoma	Closed reduction and Intermaxillary fixation for fracture of mandible	20,400.00	2	Not applicable	Not applicable	Not applicable	SL033D	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,114	Otorhinolaryngology	Surgical	Open reduction and internal fixation of maxilla / mandible / zygoma	Open reduction and internal fixation of maxilla	15,400.00	2	Single/ Multiple	None/ "+" 7700	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SL034A	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
2,115	Otorhinolaryngology	Surgical	Open reduction and internal fixation of maxilla / mandible / zygoma	Open reduction and internal fixation of mandible	15,400.00	2	Single/ Multiple	None/ "+" 7700	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SL034B	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
2,116	Otorhinolaryngology	Surgical	Open reduction and internal fixation of maxilla / mandible / zygoma	Open reduction and internal fixation of zygoma	15,400.00	2	Single/ Multiple	None/ "+" 7700	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SL034C	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
2,117	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Turbinate reduction	1,300.00	D	Not applicable	Not applicable	Not applicable	SL035A	Clinical notes with planned line of treatment and EXAMINATION FINDINGS/ nasoendoscopy findings	Procedure / Operative Notes/ Treatment details
2,118	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Biopsy	1,300.00	D	Not applicable	Not applicable	Not applicable	SL035B	Clinical notes with planned line of treatment and EXAMINATION FINDINGS/ nasoendoscopy findings	Procedure / Operative Notes/ Histopathology report
2,119	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Intratympanic injections	1,300.00	D	Not applicable	Not applicable	Not applicable	SL035C	Clinical notes with planned line of treatment and EXAMINATION FINDINGS/ nasoendoscopy findings	Procedure / Operative Notes/ Treatment details
2,120	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Wide bore aspiration	1,300.00	D	Not applicable	Not applicable	Not applicable	SL035D	Clinical notes with planned line of treatment and EXAMINATION FINDINGS/ nasoendoscopy findings	Procedure / Operative Notes/ Treatment details
2,121	Otorhinolaryngology	Surgical	Clinic based therapeutic interventions of ENT	Biopsy	2,200.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SL035E	Clinical notes with planned line of treatment and EXAMINATION FINDINGS/ nasoendoscopy findings	Procedure / Operative Notes/ Treatment details/ Histopathology report/receipt
2,122	Otorhinolaryngology	Surgical	Cochlear Implant Surgery	Cochlear Implant Surgery	178,800.00	4	Not applicable	Not applicable	Not applicable	SL036A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,123	Otorhinolaryngology	Surgical	Abbe Operation	Abbe Operation	15,200.00	2	Not applicable	Not applicable	Not applicable	SL036MLA	Clinical notes and report	Histopath (if done)/ Detailed Operative notes/ Detailed discharge summary
2,124	Otorhinolaryngology	Surgical	Adeno Tonsillectomy	Adeno Tonsillectomy	21,700.00	1	Not applicable	Not applicable	Not applicable	SL037MLA	Indication for surgery from treating doctor with supporting case history/ physical examination findings/ supporting investigation reports/ X Ray Adenoids	Histopathology report/receipt/ detailed Procedure / Operative Notes
2,125	Otorhinolaryngology	Surgical	Adeno Tonsillectomy	Adeno Tonsillectomy with Aural Polypectomy	27,800.00	1	Not applicable	Not applicable	Not applicable	SL037MLB	Indication for surgery from treating doctor with supporting case history/ physical examination findings/ supporting investigation reports	Histopathology report/receipt/ detailed Procedure / Operative Notes
2,126	Otorhinolaryngology	Surgical	Arytenoidectomy	Arytenoidectomy	17,000.00	2	Not applicable	Not applicable	Not applicable	SL038MLA	Indications of this surgery with clinical evidence (CT)	X-ray of clips used/ Detailed Procedure / Operative Notes and discharge summary.
2,127	Otorhinolaryngology	Surgical	Bronchoscopy	Flexible	4,300.00	D	Not applicable	Not applicable	Not applicable	SL039MLA	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report/receipt if done
2,128	Otorhinolaryngology	Surgical	Caldwell-Luc Surgery	Caldwell-Luc Surgery	20,300.00	2	Not applicable	Not applicable	Not applicable	SL040MLA	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes/
2,129	Otorhinolaryngology	Surgical	Decompression Sac	Decompression Sac	30,100.00	2	Not applicable	Not applicable	Not applicable	SL041MLA	Clinical notes and X ray supporting surgery	Post op X-ray/ Detailed discharge summary/ Detailed Procedure / Operative Notes/
2,130	Otorhinolaryngology	Surgical	Diagnostic Nasal Endoscopy	Diagnostic Nasal Endoscopy	2,700.00	D	Not applicable	Not applicable	Not applicable	SL042MLA	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic.	Procedure / Operative Notes/ Nasal Endoscopy report
2,131	Otorhinolaryngology	Surgical	Excision of CA Cheek Oral Cavity - Radial forearm Flap	Excision of CA Cheek Oral Cavity - Radial forearm Flap	140,000.00	4	Not applicable	Not applicable	Not applicable	SL043MLA	CT Scan/ Biopsy/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report/receipt
2,132	Otorhinolaryngology	Surgical	Excision of Growth Jaw (Free/ Fibular) - Flap Reconstruction	Excision of Growth Jaw (Free/ Fibular) - Flap Reconstruction	140,000.00	4	Not applicable	Not applicable	Not applicable	SL044MLA	Clinical notes with planned line of treatment/ X-Ray of affected area/ CT/	X Ray/ detailed discharge summary Detailed Procedure / Operative Notes
2,133	Otorhinolaryngology	Surgical	Fenestration	Fenestration	8,100.00	2	Not applicable	Not applicable	Not applicable	SL046MLA	Clinical notes with planned line of treatment	Detailed discharge summary/ Detailed Operative notes
2,134	Otorhinolaryngology	Surgical	Fibre Optic Laryngoscopy	Fibre Optic Laryngoscopy	5,500.00	D	Not applicable	Not applicable	Not applicable	SL047MLA	Clinical notes and Nasal Endoscopy confirming the diagnosis for which this surgery is done	Procedure / Operative Notes/ Laryngoscopy report
2,135	Otorhinolaryngology	Surgical	Fracture Reduction Nose with Septal Correction	Fracture Reduction Nose with Septal Correction	10,000.00	D	Not applicable	Not applicable	Not applicable	SL048MLA	Indication for this surgery with supporting medical records/ MLC/FIR for traumatic injuries/ Endoscopic picture	Detailed Procedure / Operative Notes. Detailed discharge summary / Treatment details
2,136	Otorhinolaryngology	Surgical	Fracture Setting Maxilla	Fracture Setting Maxilla	18,700.00	2	Not applicable	Not applicable	Not applicable	SL049MLA	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT	Detailed discharge summary/ Detailed operatives notes
2,137	Otorhinolaryngology	Surgical	Hemi Mandibulectomy	Hemi Mandibulectomy with Graft	51,300.00	3	Not applicable	Not applicable	Not applicable	SL050MLA	Biopsy / USG / X-RAY / CT Scan/ Clinical notes with planned line of treatment	Detailed Proedure notes/ detailed discharge summary
2,138	Otorhinolaryngology	Surgical	Labyrinthectomy	Labyrinthectomy	43,900.00	2	Not applicable	Not applicable	Not applicable	SL051MLA	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ Histopathology report/receipt
2,139	Otorhinolaryngology	Surgical	Laryngofissure	Laryngofissure	30,600.00	2	Not applicable	Not applicable	Not applicable	SL052MLA	Clinical notes and Nasal Endoscopy confirming the diagnosis for which this surgery is done	Post procedure Nasal Endoscopy/ detailed discharge summary/ Detailed Operative notes
2,140	Otorhinolaryngology	Surgical	Nasal Packing	Nasal Packing with Catheter/ sponge	1,400.00	D	Not applicable	Not applicable	Not applicable	SL053MLA	Clinical notes with planned line of treatment	Clinical note/ Treatment details
2,141	Otorhinolaryngology	Surgical	Nasal Packing	Nasal Packing	800.00	D	Not applicable	Not applicable	Not applicable	SL053MLB	Clinical notes with planned line of treatment	Clinical note/ Treatment details
2,142	Otorhinolaryngology	Surgical	Otomastoiditis	Otomastoiditis	34,000.00	D	Not applicable	Not applicable	Not applicable	SL054MLA	Clinical notes with planned line of treatment/ investigation confirming diagnosis	Detailed Operative notes/ Detailed discharge summary
2,143	Otorhinolaryngology	Surgical	Packing/ Dressing of Ear	Packing/ Dressing of Ear	300.00	D	Not applicable	Not applicable	Not applicable	SL055MLA	Clinical notes and investigation supporting diagnosis	Procedure / Operative Notes/ Treatment details
2,144	Otorhinolaryngology	Surgical	Parapharyngeal - Exploration	Parapharyngeal - Exploration	30,000.00	2	Not applicable	Not applicable	Not applicable	SL056MLA	Clinical notes and investigation supporting diagnosis/ CT	C/S of pus if applicable/ detailed Procedure / Operative Notes/ detailed discharge summary
2,145	Otorhinolaryngology	Surgical	Parapharyngeal Abscess - Drainage	Parapharyngeal Abscess - Drainage	17,000.00	2	Not applicable	Not applicable	Not applicable	SL057MLA	Doctor's notes with presenting complaints/ duration and physicial examination findings of oral cavity and tonsils	C/S of pus/ detailed Procedure / Operative Notes/ detailed discharge summary
2,146	Otorhinolaryngology	Surgical	Phono Surgery for Vocal Cord Paralysis	Phono Surgery for Vocal Cord Paralysis	32,000.00	5	Not applicable	Not applicable	Not applicable	SL058MLA	Indications of this surgery with clinical evidence (CT)	X-ray of clips used/ Detailed Procedure / Operative Notes and discharge summary.
2,147	Otorhinolaryngology	Surgical	Preauricular Sinus	Preauricular Sinus	9,100.00	D	Not applicable	Not applicable	Not applicable	SL059MLA	Clinical notes detailing chronicity of sinusitis indications for surgery with supporting CT	Detailed Procedure / Operative Notes/ treatment details/ discharge summary/ Post procedure Imaging
2,148	Otorhinolaryngology	Surgical	Release of Tongue Tie	Release of Tongue Tie	5,900.00	D	Not applicable	Not applicable	Not applicable	SL060MLA	Indications of this surgery with clinical evidence	Detailed Procedure / Operative Notes and discharge summary/ Treatment details.
2,149	Otorhinolaryngology	Surgical	Release of Tongue Tie	Release of Tongue Tie Complicated	6,200.00	D	Not applicable	Not applicable	Not applicable	SL060MLB	Indications of this surgery with clinical evidence (CT)	Detailed Procedure / Operative Notes and discharge summary/ Treatment details.
2,150	Otorhinolaryngology	Surgical	Repair of Parotid Duct	Repair of Parotid Duct	10,100.00	5	Not applicable	Not applicable	Not applicable	SL061MLA	CT Scan and FNAC/ clinical note	Histopathology report/ detailed Procedure / Operative Notes and detailed discharge summary.
2,151	Otorhinolaryngology	Surgical	Rigid Direct Laryngoscopy	Rigid Direct Laryngoscopy	6,400.00	D	Not applicable	Not applicable	Not applicable	SL062MLA	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Laryngoscopy report
2,152	Otorhinolaryngology	Surgical	Septorhinoplasty	Septorhinoplasty	27,200.00	2	Not applicable	Not applicable	Not applicable	SL063MLA	Clinical notes Indication for this surgery with supporting medical records/ X-ray/ MLC/FIR for traumatic injuries and circumstances of the incident which led to disfigurement	Detailed Procedure / Operative Notes/ Detailed discharge summary
2,153	Otorhinolaryngology	Surgical	Sinus Antroscopy	Sinus Antroscopy	5,800.00	D	Not applicable	Not applicable	Not applicable	SL064MLA	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Laryngoscopy report
2,154	Otorhinolaryngology	Surgical	Styloidectomy	Styloidectomy	9,200.00	3	Not applicable	Not applicable	Not applicable	SL065MLA	Clinical notes justifying the surgery	Detailed discharge summary Detailed Procedure / Operative Notes.
2,155	Otorhinolaryngology	Surgical	Submucos Resection	Submucos Resection	12,400.00	1	Not applicable	Not applicable	Not applicable	SL066MLA	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes/ Histopathology report/receipt
2,156	Otorhinolaryngology	Surgical	Syringing of Ear	Syringing of Ear	400.00	D	Not applicable	Not applicable	Not applicable	SL067MLA	Clinical notes with planned line of treatment	Procedure / Operative Notes
2,157	Otorhinolaryngology	Surgical	Turbinectomy - Partial	Turbinectomy - Partial	7,500.00	1	Not applicable	Not applicable	Not applicable	SL068MLA	Clinical notes with planned line of treatment justifying indication	Procedure / Operative Notes/ Histopathology report/receipt
2,158	Otorhinolaryngology	Surgical	Neurectomy	Neurectomy - Trigeminal	81,000.00	5	Not applicable	Not applicable	Not applicable	SN035B	Clinical notes justifying the surgery	Detailed discharge summary Detailed Procedure / Operative Notes.
2,159	Palliative Medicine	Medical	Palliative Care Approach to managing Haematuria in advanced cancer patients- Endoscopic/Surgical/Radiological, Radiotherpay interventions	Hematuria Palliative Interventions	48,400.00	4	Not applicable	Not applicable	Not applicable	PM001A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,160	Palliative Medicine	Medical	Management of bleeding malignant head and neck / inguinal lesions	Haemostatic Surgery in advance cancer patient/Haemostatic Radiotherapy	48,400.00	4	Not applicable	Not applicable	Not applicable	PM002A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,161	Palliative Medicine	Medical	Management of bleeding in malignant head and neck / inguinal malignancies	Trans arterial Embolization	72,600.00	4	Not applicable	Not applicable	Not applicable	PM003A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,162	Palliative Medicine	Medical	Palliative Care Management of Osteoradionecrosis -Surgical intervention	Osteoradionecrosis -Surgical intervention	48,400.00	4	Not applicable	Not applicable	Not applicable	PM004A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,163	Palliative Medicine	Medical	Palliative Care approach to managing Pressure sore in advanced chronic diseases who are bed ridden-Surgical	Pressure sore-Interventions	48,400.00	4	Not applicable	Not applicable	Not applicable	PM005A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,164	Palliative Medicine	Medical	Palliative surgical interventions like-Colostomy, Tracheostomy, Feeding Jejunostomy/Gastrostomy, Bowel bypas, Fistulas, Urinary diversions etc.in advanced cancer patients	Palliative surgical interventions	48,400.00	4	Not applicable	Not applicable	Not applicable	PM006A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,165	Palliative Medicine	Medical	Malignant Spinal Cord compression with Diagnostics, palliative radiotherapy, Brace in advanced cancer patients	Malignant Spinal cord compression	18,200.00	4	Not applicable	Not applicable	Not applicable	PM007A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,166	Palliative Medicine	Medical	Palliative nerurosurgical interventions for secondary vertebral and brain metastasis	Palliative neurological interventions	72,600.00	4	Not applicable	Not applicable	Not applicable	PM008A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,167	Palliative Medicine	Medical	Palliative Care Management of Osteoradionecrosis -Conservative management	Osteoradionecrosis -Conservative	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM009A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,168	Palliative Medicine	Medical	Communications in Adavnced chronic diseases/ terminal stage of illness, for patient and family members with discussions on Goals of care and facilitated shared decision making	Communications terminal stage/ end of life care Conservative	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM010A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,169	Palliative Medicine	Medical	Palliative care management of Breathlessness in advanced cancers and chronic respiratory diseases -Conservative management	Palliative Management of Breathlessnes	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM011A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,170	Palliative Medicine	Medical	Palliative Care Management of Pain for treating Pain crisis, analgesic titration	Cancer Pain Management	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM012A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,171	Palliative Medicine	Medical	Palliative Care approach to managing Pressure sore -Conservative management	Pressure sore-in palliative care	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM013A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,172	Palliative Medicine	Medical	Palliative Care Package for Hiccups	Hiccups in Palliative care	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM014A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,173	Palliative Medicine	Medical	Conservative management of post procedural or teratment related complications in palliative medicine including electrolyte disorders (including hypercalcemia and ketoacidosis).	Complications in palliative care patients	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM015A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,174	Palliative Medicine	Medical	Malignant Ascites drainage with long term catheter insertion in advanced cancer patients	Ascitis tapping with long term indwelling catheter	48,400.00	4	Not applicable	Not applicable	Not applicable	PM016A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,175	Palliative Medicine	Medical	Palliative Care Approach to managing Haematuria in advanced cancer patients -Conservative management	Hematuria in advance cancer patient	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM017A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,176	Palliative Medicine	Medical	Central lines in cancer patients for drug therapy -Silicon catheters in advanced cancer patients- Long term central lines	Long term indwelling venous catheter	12,100.00	4	Not applicable	Not applicable	Not applicable	PM018A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,177	Palliative Medicine	Medical	Symptom Management of Cough in advanced cancer patients -Conservative management	Intractable Cough in cancer patients - Conservative management	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM019A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,178	Palliative Medicine	Medical	Palliative Care Management of Trismus, mucositis in advanced cancer patient	Palliative care in Trismus mucositis	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM020A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,179	Palliative Medicine	Medical	Management of terminal /fatal bleeding malignant head and neck / inguinal lesions	Conservative management of fatal bleeding in cancer patients	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM021A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,180	Palliative Medicine	Medical	Palliative Care Management of Symptom Cluster – Fatigue in advanced cancer patients	Fatigue in Palliative care	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM022A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,181	Palliative Medicine	Medical	Malignant Pleural Effusion for Pleural tap with Pig tail catheter/chest tube insertion with Pleurodesis in advanced cancer patients	Pleural effusion & Pleurodesis	9,100.00	4	Not applicable	Not applicable	Not applicable	PM023A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,182	Palliative Medicine	Medical	Malignant Ascites drainage with catheter insertion in advanced cancer patients	Management of malignant Ascitis,Tapping & conservative management	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM024A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,183	Palliative Medicine	Medical	Symptom Management of Cough in advanced cancer patients- endoscopic/Surgical/Radiological/Radiotherpay interventions	Malignant Cough- Invasive intervantions	48,400.00	4	Not applicable	Not applicable	Not applicable	PM025A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,184	Palliative Medicine	Medical	Palliative care management of Breathlessness in advanced cancers and chronic respiraroty diseases- endoscopic/Surgical/Radiological, Radiotherpay interventions	Palliative Breathlessness Intervntions	48,400.00	4	Not applicable	Not applicable	Not applicable	PM026A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,185	Palliative Medicine	Medical	Symptom Management of Delirium in advanced chronic diseases -Conservative management	Palliative Delirium in advance chronic disease	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM027A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,186	Palliative Medicine	Medical	Palliative Care approach for malignant wound -Conservative management using drugs and dressings including special dressings.	Palliative Wound Conservative management	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM028A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,187	Palliative Medicine	Medical	Palliative Care Management of Constipation in advanced cancer patients - endoscopic/Surgical/Radiological interventions	Constipation - Palliative Invasive interventions	36,300.00	4	Not applicable	Not applicable	Not applicable	PM029A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,188	Palliative Medicine	Medical	Palliative care management of Nausea &Vomiting in advanced cancer patients- Endoscopic/Surgical/Radiological, Radiotherapy interventions.	Pallitive Nausea and vomiting interventions	36,300.00	4	Not applicable	Not applicable	Not applicable	PM030A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,189	Palliative Medicine	Medical	Palliative Care Management of Lymphadema in cancer patients including (Information, Education, Communication (IEC), and pneumatic compression therapy	Conservative management of Lymphedema	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM031A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,190	Palliative Medicine	Medical	Palliative Radiological and endoscopical Interventions	Palliative Radiological Interventions. Like-PTBD/ERCP/PCN//Pericardiostomy, DJ Stenting, etc	24,200.00	4	Not applicable	Not applicable	Not applicable	PM032A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,191	Palliative Medicine	Medical	Vertebroplasty/Kyphoplasty	Vertebroplasty/Kyphoplasty	48,400.00	4	Not applicable	Not applicable	Not applicable	PM033A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,192	Palliative Medicine	Medical	Palliative Care Management of Constipation in advanced cancer patients - Conservative menagament	Palliative care in Constipation	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM034A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,193	Palliative Medicine	Medical	Palliative Care management of Malignant bowel obstruction -Conservative management	Palliative care in Bowel Obstruction Conservative management	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM035A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,194	Palliative Medicine	Medical	Palliative Care management of Malignant bowel obstruction- endoscopic/Surgical/Radiological interventions	Palliative Bowel Obstruction interventions	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM036A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,195	Palliative Medicine	Medical	Palliative management of thrombosis and embolism like DVT, Pulmonary embolism in advanced chronic diseases, TED stockings	Thrombosis and Embolism in chronic disease	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM036A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,196	Palliative Medicine	Medical	Palliative care management of Nausea & Vomiting in cancer patients-Conservative management	Pallitive care in Nausea and vomiting.	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM037A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,197	Palliative Medicine	Medical	Management of Diarrhea in cancer patients -Conservative management	Palliative care in Diarrhoea	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM038A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,198	Palliative Medicine	Medical	Palliative and supportive care for non-malignant disease at advanced or end stage	Palliative care end stage disease	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	PM039A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,199	Palliative Medicine	Medical	Spinal/Epidural/Regional Nerve block, Radiofrequency ablation (RFA) for analgesia	Cancer pain interventions	9,100.00	4	Not applicable	Not applicable	Not applicable	PM040A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,200	Palliative Medicine	Medical	Celiac Plexus Block/Hypogastric plexus block/ganglion impar block and Neurolysis in advanced cancer patients	Cancer pain plexus interventions	12,100.00	4	Not applicable	Not applicable	Not applicable	PM041A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,201	Pediatric Medical Management	Medical	Acute febrile illness	Acute febrile illness	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG001A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,202	Pediatric Medical Management	Medical	Severe sepsis	Severe sepsis	0.00	12	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG002A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,203	Pediatric Medical Management	Medical	Severe sepsis	Septic shock	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG002B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,204	Pediatric Medical Management	Medical	Malaria	Malaria	0.00	9	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG003A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,205	Pediatric Medical Management	Medical	Malaria	Complicated Malaria	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG003B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,206	Pediatric Medical Management	Medical	Dengue fever	Dengue fever	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG004A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,207	Pediatric Medical Management	Medical	Dengue fever	Dengue hemorrhagic fever	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG004B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,208	Pediatric Medical Management	Medical	Dengue fever	Dengue shock syndrome	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG004C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,209	Pediatric Medical Management	Medical	Chikungunya fever	Chikungunya fever	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG005A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,210	Pediatric Medical Management	Medical	Enteric Fever	Enteric Fever	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG006A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,211	Pediatric Medical Management	Medical	HIV with complications	HIV with complications	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG007A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,212	Pediatric Medical Management	Medical	Inflammatory Myopathy/ Myaesthenic Crisis	Inflammatory Myopathy/ Myaesthenic Crisis	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0115A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,213	Pediatric Medical Management	Medical	Guillain Barre syndrome	Guillain Barre syndrome (Plasmapheresis)	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0116A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,214	Pediatric Medical Management	Medical	Myasthenic crisis (Plasmapheresis)	Myasthenic crisis (Plasmapheresis)	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0116B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,215	Pediatric Medical Management	Medical	Moyamoya revascularization	Moyamoya revascularization	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0117A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,216	Pediatric Medical Management	Medical	Evaluation of drug resistant epilepsy-Phase-1	Evaluation of drug resistant epilepsy-Phase-1	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0118A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,217	Pediatric Medical Management	Medical	Drug resistant epilepsy	Drug resistant epilepsy	2,300.00	4	Not applicable	Not applicable	Not applicable	MG0119A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,218	Pediatric Medical Management	Medical	Dysentery	Dysentery	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG011A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,219	Pediatric Medical Management	Medical	Medical/ neuro rehablitation	Comprehensive medical rehabilitation for spinal injury/ traumatic brain injury, CVA, Cerebral palsy with or without orthosis	27,500.00	4	Not applicable	Not applicable	Not applicable	MG0120A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,220	Pediatric Medical Management	Medical	Medical/ neuro rehablitation	Comprehensive medical rehabilitation for of complication secondary to specified disanility/multiple disability including procedures, chemodenevaration with or with out orthosis	38,500.00	4	Not applicable	Not applicable	Not applicable	MG0120B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,221	Pediatric Medical Management	Medical	Medical/ neuro rehablitation	Single event multiple level surgery for spasticity management in cerebral palsy	16,500.00	4	Not applicable	Not applicable	Not applicable	MG0120C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,222	Pediatric Medical Management	Medical	Medical/ neuro rehablitation	Medical rehabilitation of muscular dystrophy	7,700.00	4	Not applicable	Not applicable	Not applicable	MG0120D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,223	Pediatric Medical Management	Medical	Medical/ neuro rehablitation	Medical Rehabilitation intellectual dissability	7,700.00	4	Not applicable	Not applicable	Not applicable	MG0120E	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,224	Pediatric Medical Management	Medical	Medical/ neuro rehablitation	Medical Rehabilitation special learning disability	7,700.00	4	Not applicable	Not applicable	Not applicable	MG0120F	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,225	Pediatric Medical Management	Medical	Medical/ neuro rehablitation	Medical Rehabilitation multiple disability	7,700.00	4	Not applicable	Not applicable	Not applicable	MG0120G	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,226	Pediatric Medical Management	Medical	Hepatitis	Acute viral hepatitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG012A	Clinical notes with planned line of treatment/LFT/USG - Whole Abdomen	Detailed ICPs/ Treatment details/ detailed discharge summary/ LFT/ USG - Whole Abdomen and All investigations reports.
2,227	Pediatric Medical Management	Medical	Liver abscess	Liver abscess	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG014A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,228	Pediatric Medical Management	Medical	Visceral leishmaniasis	Visceral leishmaniasis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG015A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,229	Pediatric Medical Management	Medical	Pneumonia	Pneumonia	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG016A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
2,230	Pediatric Medical Management	Medical	Pneumonia	Severe pneumonia	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG016B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
2,231	Pediatric Medical Management	Medical	Empyema	Empyema	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG018A	Clinical notes with planned line of treatment/ CBC/ X ray chest	Post Treatment X-ray chest/ Detailed Discharge Summary
2,232	Pediatric Medical Management	Medical	Lung abscess	Lung abscess	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG019A	Clinical notes with planned line of treatment / X-ray chest/ CBC and any other investigations done/ planned line of management	Post Treatment X-ray chest/ CBC/ Detailed Discharge summary.
2,233	Pediatric Medical Management	Medical	Pericardial / Pleural tuberculosis	Pericardial tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG020A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,234	Pediatric Medical Management	Medical	Pericardial / Pleural tuberculosis	Pleural tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG020B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,235	Pediatric Medical Management	Medical	Urinary tract infection	Urinary tract infection	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG021A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,236	Pediatric Medical Management	Medical	Viral encephalitis	Viral encephalitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG022A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,237	Pediatric Medical Management	Medical	Skin and soft tissue infections	Skin and soft tissue infections	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG024A	Clinical notes with planned line of treatment / CBC	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports including CBC
2,238	Pediatric Medical Management	Medical	Recurrent vomiting with dehydration	Recurrent vomiting with dehydration	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG025A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,239	Pediatric Medical Management	Medical	Pyrexia of unknown origin	Pyrexia of unknown origin	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG026A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,240	Pediatric Medical Management	Medical	Acute bronchitis	Acute bronchitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG028A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,241	Pediatric Medical Management	Medical	Acute excaberation of Interstitial Lung Disease	Acute excaberation of Interstitial Lung Disease	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG030A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,242	Pediatric Medical Management	Medical	Vasculitis	Vasculitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG032A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,243	Pediatric Medical Management	Medical	Pancreatitis	Acute pancreatitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG033A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ Sr Amylase/ Lipase/ LFT/ USG- abdomen/ Detailed Discharge Summary
2,244	Pediatric Medical Management	Medical	Pancreatitis	Chronic pancreatitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG033B	Clinical note with Sr Amylase/ Lipase/ LFT/ CBC/ USG- abdomen	Post treatment Sr Amylase/ Lipase/ LFT/ USG- abdomen Detailed Discharge Summary
2,245	Pediatric Medical Management	Medical	Ascites	Ascites	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG034A	Clinical note with any investigations (LFT/CBC/USG- abdomen) done	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,246	Pediatric Medical Management	Medical	Acute transverse myelitis	Acute transverse myelitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG035A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,247	Pediatric Medical Management	Medical	Atrial Fibrillation	Atrial Fibrillation	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG036A	Clinical notes with planned line of treatment/ ECG/ Sr Electrolytes	Post treatment ECG/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
2,248	Pediatric Medical Management	Medical	Congestive heart failure	Congestive heart failure	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG038A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,249	Pediatric Medical Management	Medical	Asthma	Acute asthmatic attack	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG039A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,250	Pediatric Medical Management	Medical	Asthma	Status Asthmaticus	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG039B	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,251	Pediatric Medical Management	Medical	Respiratory failure	Type 1 Respiratory failure	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG040A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,252	Pediatric Medical Management	Medical	Respiratory failure	Type 2 Respiratory failure	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG040B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,253	Pediatric Medical Management	Medical	Addison’s disease	Addison’s disease	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG043A	Clinical note with Sr. Cortisol levels/ USG- abdomen	Post treatment cortisol levels/ Detailed Discharge Summary
2,254	Pediatric Medical Management	Medical	AKI / Renal failure	AKI / Renal failure	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG045A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,255	Pediatric Medical Management	Medical	Seizures	Seizures	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG046A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,256	Pediatric Medical Management	Medical	Cerebral sino-venous thrombosis / Stroke	Cerebral Sino-Venous Thrombosis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG049A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,257	Pediatric Medical Management	Medical	Cerebral sino-venous thrombosis / Stroke	Acute Stroke	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG049B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,258	Pediatric Medical Management	Medical	Cerebral sino-venous thrombosis / Stroke	Acute Ischemic Stroke	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG049C	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,259	Pediatric Medical Management	Medical	Cerebral sino-venous thrombosis / Stroke	Acute Heamorrhagic Stroke	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG049D	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,260	Pediatric Medical Management	Medical	Immune mediated CNS disorders	Immune mediated CNS disorders	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG050A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,261	Pediatric Medical Management	Medical	Hydrocephalus	Hydrocephalus	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG051A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,262	Pediatric Medical Management	Medical	Myxedema coma	Myxedema coma	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG052A	Clinical notes with planned line of treatment/ Throid profile/ USG- Thyroid Gland	Post treatment Thyroid Profile/ Detailed Discharge Summary
2,263	Pediatric Medical Management	Medical	Thyrotoxic crisis	Thyrotoxic crisis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG053A	Clinical notes with planned line of treatment/ Throid profile/ USG- Thyroid Gland	Radionuclide Iodine uptake study/ Post treatment Thyroid Profile/ Detailed Discharge Summary
2,264	Pediatric Medical Management	Medical	Pneumothroax	Pneumothroax	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG055A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
2,265	Pediatric Medical Management	Medical	Neuromuscular disorders	Neuromuscular disorders	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG056A	Clinical notes detailing history and Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,266	Pediatric Medical Management	Medical	Hypoglycemia	Hypoglycemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG057A	Clinical note with Blood sugar level	Blood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
2,267	Pediatric Medical Management	Medical	Diabetic ketoacidosis	Diabetic ketoacidosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG059A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Blood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
2,268	Pediatric Medical Management	Medical	Electrolyte Imbalance	Hypercalcemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060A	Clinical notes with planned line of treatment/ Serum Calcium	Post treatment Serum Calcium/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
2,269	Pediatric Medical Management	Medical	Electrolyte Imbalance	Hypocalcemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060B	Clinical notes with planned line of treatment/Serum Calcium	Serum Calcium/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
2,270	Pediatric Medical Management	Medical	Electrolyte Imbalance	Hyponatremia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060C	Clinical notes with planned line of treatment/ Serum Electrolytes	Post treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
2,271	Pediatric Medical Management	Medical	Electrolyte Imbalance	Hypernatremia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG060D	Clinical notes with planned line of treatment/ Serum Electrolytes	Post treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
2,272	Pediatric Medical Management	Medical	Hyperosmolar Non-Ketotic coma	Hyperosmolar Non-Ketotic coma	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG061A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,273	Pediatric Medical Management	Medical	Accelerated hypertension	Accelerated hypertension	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG062A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,274	Pediatric Medical Management	Medical	Hypertensive emergencies	Hypertensive emergencies	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG063A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,275	Pediatric Medical Management	Medical	Severe anemia	Severe anemia	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG064A	Clinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,276	Pediatric Medical Management	Medical	Sickle cell anemia	Sickle cell anemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG065A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,277	Pediatric Medical Management	Medical	Anaphylaxis	Anaphylaxis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG066A	Clinical notes with planned line of treatment/ CBC	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,278	Pediatric Medical Management	Medical	Heat stroke	Heat stroke	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG067A	Clinical notes detailing history leading to this hospitalization and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,279	Pediatric Medical Management	Medical	Systematic lupus erythematosus	Systematic lupus erythematosus	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG068A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,280	Pediatric Medical Management	Medical	Guillian Barre Syndrome	Guillian Barre Syndrome	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG069A	Clinical Notes including evaluation findings and planned line of treatment Cerebrospinal Fluid (CSF) analysis and Nerve Conduction study (NCS) report	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,281	Pediatric Medical Management	Medical	Snake bite	Snake bite	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG070A	Clinical notes detailing history / Admission notes showing vitals and neurological examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,282	Pediatric Medical Management	Medical	Poisoning	Acute organophosphorus poisoning	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG071A	Clinical notes detailing history and Admission notes showing vitals and neurological examination findings/ any investigations done/ planned line of management/ Copy of MLC / FIR	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,283	Pediatric Medical Management	Medical	Plasmapheresis	Plasmapheresis	2,200.00	NA	Not applicable	Not applicable	Not applicable	MG073A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
2,284	Pediatric Medical Management	Medical	Blood transfusion	Plasmapheresis	2,400.00	NA	Not applicable	Not applicable	Not applicable	MG074B	Clinical notes with planned line of treatment/ Complete Hemogram	Blood Group/ Post treatment Complete hemogram/ Detailed Discharge Summary
2,285	Pediatric Medical Management	Medical	High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging)	High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging)	5,500.00	NA	Not applicable	Not applicable	Not applicable	MG075A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,286	Pediatric Medical Management	Medical	High end histopathology (Biopsies) and advanced serology investigations	High end histopathology (Biopsies) and advanced serology investigations	5,500.00	NA	Not applicable	Not applicable	Not applicable	MG076A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,287	Pediatric Medical Management	Medical	Platelet pheresis	Platelet pheresis	12,100.00	4	Not applicable	Not applicable	Not applicable	MG099A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,288	Pediatric Medical Management	Medical	Febrile Seizures/ Other Seizures	Febrile seizures	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP001A	Clinical notes detailing history / Admission notes showing vitals/ planned line management/ 1st seizure or past history	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,289	Pediatric Medical Management	Medical	Febrile Seizures/ Other Seizures	Flurry of seizures	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP001B	Clinical notes detailing history / Admission notes showing vitals/ planned line management/ 1st seizure or past history	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,290	Pediatric Medical Management	Medical	Febrile Seizures/ Other Seizures	Neurocysticercosis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP001C	Clinical notes detailing history and Admission notes showing vitals/ planned line management/ 1st seizure or past history	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,291	Pediatric Medical Management	Medical	Febrile Seizures/ Other Seizures	Epilepsy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP001D	Clinical notes detailing history / Admission notes showing vitals/ planned line management/ 1st seizure or past history	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,292	Pediatric Medical Management	Medical	Epileptic Encephalopathy	Epileptic Encephalopathy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP002A	Clinical notes detailing history and Admission notes showing vitals/ planned line management/ past h/o epilpesy	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,293	Pediatric Medical Management	Medical	Acute Encephalitis	Infectious - uncomplicated	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP003A	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,294	Pediatric Medical Management	Medical	Acute Encephalitis	Immune meditated	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP003B	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,295	Pediatric Medical Management	Medical	Acute encephalitic syndrome	Acute encephalitic syndrome	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP004A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,296	Pediatric Medical Management	Medical	Medical Management of Meningo Encephalitis	Medical Management of Meningo Encephalitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,297	Pediatric Medical Management	Medical	Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abscess	Aseptic meningitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,298	Pediatric Medical Management	Medical	Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abscess	Febrile encephalopathy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005C	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,299	Pediatric Medical Management	Medical	Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abscess	Hypertensive encehalopathy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005D	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,300	Pediatric Medical Management	Medical	Encephalopathy	Metabolic	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005E	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,301	Pediatric Medical Management	Medical	Encephalopathy	Hepatic	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005F	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,302	Pediatric Medical Management	Medical	Acute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abscess	Brain abscess	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP005G	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,303	Pediatric Medical Management	Medical	Meningitis	Chronic meningitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006A	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,304	Pediatric Medical Management	Medical	Meningitis	Partially treated pyogenic meningitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006B	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,305	Pediatric Medical Management	Medical	Meningitis	Neuro tuberculosis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006C	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,306	Pediatric Medical Management	Medical	Meningitis	Complicated bacterial meningitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006D	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,307	Pediatric Medical Management	Medical	Meningitis	Acute meningitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP006E	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,308	Pediatric Medical Management	Medical	Optic Neuritis	Optic Neuritis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP007A	Clinical notes detailing history and Admission notes showing vitals and fundus findings & photograph/ planned line management/	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,309	Pediatric Medical Management	Medical	Medical Management for Raised intracranial pressure	After Decompressive craniotomy / After Shunt procedure / After other emergency neuro surgical procedures / For ICP monitoring	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP008A	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,310	Pediatric Medical Management	Medical	Intracranial Hemorrhage	Intracranial Hemorrhage	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP009A	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,311	Pediatric Medical Management	Medical	Intracranial Space Occupying Lesion	Intracranial Space Occupying Lesion	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP010A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,312	Pediatric Medical Management	Medical	Intracranial ring enhancing lesion with complications (Neurocysticercosis/ Tuberculoma)	Tuberculoma	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP011A	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,313	Pediatric Medical Management	Medical	Cerebral Herniation	Cerebral Herniation	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP012A	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,314	Pediatric Medical Management	Medical	Acute neuroregression/ Acute worsening in neuro metabolic and neurodegenerative conditions	Acute neuroregression/ Acute worsening in neuro metabolic and neurodegenerative conditions	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP013A	Clinical notes with planned line of treatment (incl birth & past history)/ Investigation Reports supporting diagnosis (including CT head)/ Planned line of treatment	Detailed ICPs (daily Treatment details)/ Procedure / Operative Notes (if applicable)/ Detailed Discharge Summary/ All investigations reports.
2,315	Pediatric Medical Management	Medical	Acute demyelinating myelopathy	Acute demyelinating myelopathy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP014A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,316	Pediatric Medical Management	Medical	Juvenile Myasthenia	Juvenile Myasthenia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP015A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,317	Pediatric Medical Management	Medical	Acute Ataxia	Acute Ataxia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP016A	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,318	Pediatric Medical Management	Medical	Acute ischemic stroke	Acute ischemic stroke	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP017A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,319	Pediatric Medical Management	Medical	Wheezing	Wheezing	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP018A	Clinical notes detailing history / Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,320	Pediatric Medical Management	Medical	Chronic Cough	Chronic Cough	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP019A	Clinical notes detailing history / earlier Treatment done and Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,321	Pediatric Medical Management	Medical	Acute urticaria / Anaphylaxis acute asthma	Acute Urticaria	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP020A	Clinical notes detailing history / Admission notes showing vitals/ planned line management/ specify the trigger	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,322	Pediatric Medical Management	Medical	Acute urticaria / Anaphylaxis acute asthma	Anaphylaxis acute asthma	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP020B	Clinical notes detailing history and Admission notes showing vitals/ planned line management/ specify the trigger	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,323	Pediatric Medical Management	Medical	Acute abdomen	Acute abdomen	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP021A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,324	Pediatric Medical Management	Medical	Celiac Disease	Celiac Disease	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP022A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,325	Pediatric Medical Management	Medical	Unexplained Hepatosplenomegaly	Unexplained Hepatosplenomegaly	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP023A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,326	Pediatric Medical Management	Medical	Infantile Cholestasis	Infantile Cholestasis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP024A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,327	Pediatric Medical Management	Medical	Acute Glomerulonephritis	Acute Glomerulonephritis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP025A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,328	Pediatric Medical Management	Medical	Nephrotic Syndrome with Peritonitis	Nephrotic Syndrome with Peritonitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP026A	Clinical notes detailing history including past history/ examination findindgs/ investigations done and Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,329	Pediatric Medical Management	Medical	NEPHROTIC SYNDROME	Steroid dependent or resistent	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP026B	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,330	Pediatric Medical Management	Medical	Haemolytic Uremic Syndrome	Haemolytic Uremic Syndrome	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP027A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,331	Pediatric Medical Management	Medical	Continuous Renal Replacement Therapy (CRRT)	Continuous Renal Replacement Therapy (CRRT)	8,800.00	NA	Not applicable	Not applicable	Not applicable	MP028A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/detailed discharge summary/ All investigations reports.
2,332	Pediatric Medical Management	Medical	Global Developmental Delay/ Intellectual Disability of Unknown Etiology	Global developmental delay	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP029A	Clinical notes detailing birth and subsequent history / Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,333	Pediatric Medical Management	Medical	Global Developmental Delay/ Intellectual Disability of Unknown Etiology	Intellectual Disability of Unknown Etiology	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP029B	Clinical notes detailing birth and subsequent history / Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,334	Pediatric Medical Management	Medical	Rickets	Rickets - Requiring Admission for Work Up	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP030A	Clinical notes detailing history/ investigations done and Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,335	Pediatric Medical Management	Medical	Acute Severe Malnutrition	Acute Severe Malnutrition	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP031A	Clinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,336	Pediatric Medical Management	Medical	Developmental and behavioral disorders	Developmental and behavioral disorders	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP032A	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,337	Pediatric Medical Management	Medical	Short Stature	Short Stature	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP033A	Clinical notes detailing history/ parent's height and Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,338	Pediatric Medical Management	Medical	Dysmorphic Children	Dysmorphic Children	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP034A	Clinical notes detailing history/ investigations done and Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,339	Pediatric Medical Management	Medical	Floppy Infant	Floppy Infant	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP035A	Clinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,340	Pediatric Medical Management	Medical	Inborn errors of metabolism	Inborn errors of metabolism	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP036A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,341	Pediatric Medical Management	Medical	Wilson’s Disease	Wilson’s Disease	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP037A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,342	Pediatric Medical Management	Medical	Rheumatoid Arthritis	Rheumatoid Arthritis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP038A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,343	Pediatric Medical Management	Medical	Rheumatic Fever	Rheumatic Fever	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP039A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,344	Pediatric Medical Management	Medical	Rheumatic fever	Rheumatic valvular heart disease	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP039B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,345	Pediatric Medical Management	Medical	Cyanotic Spells	Cyanotic Spells	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP040A	Clinical notes with planned line of treatment (incl birth & past history)/ Investigation Reports supporting diagnosis (including ABG)/ Planned line of treatment	Detailed ICPs (daily Treatment details)/ Detailed Discharge Summary/ All investigations reports.
2,346	Pediatric Medical Management	Medical	Cyanotic spells	Cyanotic spells with CHD	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP040B	Clinical notes with planned line of treatment (incl birth & past history)/ Investigation Reports supporting diagnosis (including ECHO/ ABG)/ Planned line of treatment	Clinical notes with planned line of treatment (incl birth & past history)/ Investigation Reports supporting diagnosis (including ECHO/ ABG)/ Planned line of treatment
2,347	Pediatric Medical Management	Medical	Cyanotic spells	Cyanotic spells with Chest infection	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP040C	Clinical notes with planned line of treatment (incl birth & past history) Investigation Reports supporting diagnosis (including CBC/ X-ray chest)/ Planned line of treatment	Clinical notes with planned line of treatment (incl birth & past history) Investigation Reports supporting diagnosis (including CBC/ X-ray chest)/ Planned line of treatment
2,348	Pediatric Medical Management	Medical	Cyanotic spells	Cyanotic spells with Sepsis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP040D	Clinical notes with planned line of treatment (incl birth & past history)/ Investigation Reports supporting diagnosis (including CBC/ ABG/ Radiological investigations)/ Planned line of treatment	Clinical notes with planned line of treatment (incl birth & past history)/ Investigation Reports supporting diagnosis (including CBC/ ABG/ Radiological investigations)/ Planned line of treatment
2,349	Pediatric Medical Management	Medical	Immune Haemolytic Anemia	Immune Haemolytic Anemia	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP041A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,350	Pediatric Medical Management	Medical	SEVERE ANEMIA IN CHILDREN	Thalessmia	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP041B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,351	Pediatric Medical Management	Medical	SEVERE ANEMIA IN CHILDREN	Other anemias	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP041D	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,352	Pediatric Medical Management	Medical	Idiopathic Thrombocytopenic Purpura	Idiopathic Thrombocytopenic Purpura	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP042A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,353	Pediatric Medical Management	Medical	Kawasaki Disease	Kawasaki Disease	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP043A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,354	Pediatric Medical Management	Medical	Steven Johnson Syndrome	Steven Johnson Syndrome	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP044A	Clinical notes detailing history (incl drug intake history) and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,355	Pediatric Medical Management	Medical	Trauma	Trauma	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP045A	Clinical notes detailing history / examination findings describing trauma/ MLC/ FIR/ and Admission notes showing vitals/ planned line management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,356	Pediatric Medical Management	Medical	Ketogenic diet initiation in refractory epilepsy	Ketogenic diet initiation in refractory epilepsy	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP046A	Clinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,357	Pediatric Medical Management	Medical	Acute Laryngitis	Severe Acute Laryngitis requiring hospitalization	0.00	7	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP047A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,358	Pediatric Medical Management	Medical	Hemostatic Disorders	Platelet function disorders	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP048A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,359	Pediatric Medical Management	Medical	Hemostatic Disorders	Platelet disorders	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP048B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,360	Pediatric Medical Management	Medical	Acute Hepatitis	Acute Hepatitis	0.00	NA	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP049MLA	Clinical notes with planned line of treatment/ LFT/ USG - Whole Abdomen	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,361	Pediatric Medical Management	Medical	NEPHROTIC SYNDROME	Uncomplicated steroid sensitive	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP050A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,362	Pediatric Medical Management	Medical	Preterm Baby Hyaline Membrane Disease Clinicalculture Positive Sepsishyperbilirubinemia Mechanical Ventilation	Preterm Baby Hyaline Membrane Disease Clinicalculture Positive Sepsishyperbilirubinemia Mechanical Ventilation	0.00	9	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP050MLA	Clinical notes with planned line of treatment (incl birth & past history)/ Investigation Reports supporting diagnosis/ Planned line of treatment	Detailed ICPs (daily Treatment details)/ Procedure / Operative Notes (if applicable)/ Detailed Discharge Summary/ All investigations reports.
2,363	Pediatric Medical Management	Medical	Preterm baby/ Clinical Sepsis/ Hyperbilirubinemia	Preterm baby/ Clinical Sepsis/ Hyperbilirubinemia	0.00	9	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP050MLB	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,364	Pediatric Medical Management	Medical	Staphylococcal scalded skin syndrome	Staphylococcal scalded skin syndrome	0.00	4	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP051A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,365	Pediatric Medical Management	Medical	Term Baby Septic Shock Ventilated Hyperbilirubinemiawith or without Renal Failure	Term Baby Septic Shock Ventilated Hyperbilirubinemiawith or without Renal Failure	0.00	8	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP051MLA	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,366	Pediatric Medical Management	Medical	Term Baby with Persistent Pulmonary Hypertensionmeconium aspiration Syndromemechanical Ventilationwith or without Clinical Sepsiswith or withouthyperbilirubinemia	Term Baby with Persistent Pulmonary Hypertensionmeconium aspiration Syndromemechanical Ventilationwith or without Clinical Sepsiswith or withouthyperbilirubinemia	0.00	8	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP051MLB	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,367	Pediatric Medical Management	Medical	Term Baby with Seizures Ventilated	Term Baby with Seizures Ventilated	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP051MLC	Clinical notes detailing history / Admission notes showing vitals/ planned line management/ 1st seizure or past history	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,368	Pediatric Medical Management	Medical	Term Baby with Severe Perinatal asphyxia Nonventilated Clinical Sepsis with or without Hyperbilirubinemia	Term Baby with Severe Perinatal asphyxia Nonventilated Clinical Sepsis with or without Hyperbilirubinemia	0.00	9	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MP051MLD	Clinical notes detailing history / Admission notes showing vitals/ planned line management/ 1st seizure or past history	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,369	Pediatric Medical Management	Medical	Paralysis	Paralysis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG120MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,370	Pediatric Medical Management	Medical	Acute tonsilitis	Acute tonsilitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG121MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,371	Pediatric Medical Management	Medical	Orchitis	Orchitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG122MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,372	Pediatric Medical Management	Medical	Tuberculosis	MDR Tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG123MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,373	Pediatric Medical Management	Medical	Tuberculosis	Pulmonary Tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG123MLB	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,374	Pediatric Medical Management	Medical	Tuberculosis	Extrapulmonary Tuberculosis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG123MLC	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,375	Pediatric Medical Management	Medical	Bronchiolitis	Bronchiolitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG124MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,376	Pediatric Medical Management	Medical	Cellulitis	Cellulitis	0.00	5	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	MG125MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,377	Pediatric Surgery	Surgical	Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus	Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus	13,000.00	2	Not applicable	Not applicable	Not applicable	MN010A	Clinical history and CT/ MRI	Detailed discharge summary/ Detailed Procedure / Operative Notes
2,378	Pediatric Surgery	Surgical	Hepatoblastoma Excision	Hepatoblastoma Excision	95,700.00	8	Not applicable	Not applicable	Not applicable	SC018A	Clinical notes with planned line of treatment/ HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,379	Pediatric Surgery	Surgical	Wilms tumors: surgery	Wilms tumors: surgery	60,500.00	8	Not applicable	Not applicable	Not applicable	SC021A	Clinical notes with planned line of treatment/ Biopsy/HPE/CT abdomen	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,380	Pediatric Surgery	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
2,381	Pediatric Surgery	Surgical	Operations for Replacement of Oesophagus by Colon	Operations for Replacement of Oesophagus by Colon	67,300.00	10	Not applicable	Not applicable	Not applicable	SG002A	Clinical notes and X-ray/ CT/MRI/ UGIE findings confirming the diagnosis for which the surgery is done/ Biospy/	Picture of removed esophagus/ Detailed discharge summary/ Detailed Operative notes
2,382	Pediatric Surgery	Surgical	Operative Gastrostomy	Operative Gastrostomy	27,100.00	5	Not applicable	Not applicable	Not applicable	SG004A	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Histopathology report/ Detailed Operative notes & detailed discharge summary.
2,383	Pediatric Surgery	Surgical	Pyloroplasty	Pyloroplasty	35,200.00	5	Not applicable	Not applicable	Not applicable	SG008A	Clinical notes and Endoscopy confirming the diagnosis for which the surgery is done	Detailed discharge summary/ Detailed Operative notes
2,384	Pediatric Surgery	Surgical	Pyloromyotomy	Pyloromyotomy	41,300.00	5	Not applicable	Not applicable	Not applicable	SG009A	Clinical notes and Endoscopy report confirming the diagnosis of nfantile hypertrophic pyloric stenosis	Detailed discharge summary/ Detailed Operative notes
2,385	Pediatric Surgery	Surgical	CystoJejunostomy / Cystogastrostomy	CystoJejunostomy - Open	32,200.00	6	Not applicable	Not applicable	Not applicable	SG011A	Clinical notes and USG / CT confirming the diagnosis for which procedure is needed	Detailed discharge summary/ Detailed Operative notes
2,386	Pediatric Surgery	Surgical	CystoJejunostomy / Cystogastrostomy	CystoJejunostomy - Lap.	32,200.00	6	Not applicable	Not applicable	Not applicable	SG011B	Clinical notes and USG / CT confirming the diagnosis for which procedure is needed	Detailed discharge summary/ Detailed Operative notes
2,387	Pediatric Surgery	Surgical	CystoJejunostomy / Cystogastrostomy	Cystogastrostomy - Open	32,200.00	6	Not applicable	Not applicable	Not applicable	SG011C	Clinical notes and USG / CT confirming the diagnosis for which procedure is needed	Detailed discharge summary/ Detailed Operative notes
2,388	Pediatric Surgery	Surgical	CystoJejunostomy / Cystogastrostomy	Cystogastrostomy - Lap.	32,200.00	6	Not applicable	Not applicable	Not applicable	SG011D	Clinical notes and USG / CT confirming the diagnosis for which procedure is needed	Detailed discharge summary/ Detailed Operative notes
2,389	Pediatric Surgery	Surgical	Feeding Jejunostomy	Feeding Jejunostomy	24,600.00	6	Not applicable	Not applicable	Not applicable	SG012A	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Detailed discharge summary/ Detailed Operative notes
2,390	Pediatric Surgery	Surgical	Ileostomy	Ileostomy	28,000.00	6	Not applicable	Not applicable	Not applicable	SG013A	Clinical notes and Endoscopy / Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Histopath report/ Detailed Operative notes/ detailed discharge summary
2,391	Pediatric Surgery	Surgical	Congenital atresia & stenosis of small intestine	Congenital atresia & stenosis of small intestine	41,300.00	6	Not applicable	Not applicable	Not applicable	SG014A	Clinical notes and X ray/ CT/MRI Abd confirming the diagnosis	Detailed Operative notes/ Detailed discharge summary
2,392	Pediatric Surgery	Surgical	Operation for Duplication of Intestine	Operation for Duplication of Intestine	28,300.00	7	Not applicable	Not applicable	Not applicable	SG015A	Clinical notes and USG Abd/ CT/MRI /Endoscopic Ultrasound - any one test confirming the diagnosis.	USG/ Detailed Operative notes/ Detailed discharge summary/ histopath report of removed part.
2,393	Pediatric Surgery	Surgical	Diverticulectomy	Excision Meckel's Diverticulum	25,200.00	3	Not applicable	Not applicable	Not applicable	SG016B	Clinical notes and USG/CT/MRI report confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
2,394	Pediatric Surgery	Surgical	Appendicectomy	Open	21,700.00	3	Not applicable	Not applicable	Not applicable	SG017A	Clinical notes and USG confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
2,395	Pediatric Surgery	Surgical	Appendicectomy	Laparoscopic	21,700.00	3	Not applicable	Not applicable	Not applicable	SG017B	Admission Notes comprising of history and examination findings with indications for the procedure / Investigations (establishing diagnosis)	Detailed Operative notes/ Investigation confirming the diagnosis (USG abd/ Barium follow through/CT-scan/Histopath)/ detailed discharge summary
2,396	Pediatric Surgery	Surgical	Appendicular Perforation	Appendicular Perforation	22,000.00	5	Not applicable	Not applicable	Not applicable	SG018A	Clinical notes and X Ray Abdomen Erect/USG confirming the diagnosis	Histopath report/ Detailed Operative notes/ detailed discharge summary
2,397	Pediatric Surgery	Surgical	Operative Management of Volvulus of Large Bowel	Operative Management of Volvulus of Large Bowel	48,300.00	6	Not applicable	Not applicable	Not applicable	SG022A	Clinical notes and X Ray Abdomen / CT Contrast confirming the diagnosis/	Detailed discharge summary/ X Ray Abdomen/ Detailed Operative notes.
2,398	Pediatric Surgery	Surgical	Closure of colostomy	Closure of colostomy	24,600.00	3	Not applicable	Not applicable	Not applicable	SG023A	Clinical notes and CT/ MRI/ Colonoscopy evidence of need of surgery.	Detailed Operative notes & detailed surgery notes.
2,399	Pediatric Surgery	Surgical	Closure of stoma	Closure of stoma	18,400.00	3	Not applicable	Not applicable	Not applicable	SG024A	Clinical notes detailing why colostomy was done	Detailed Operative notes & detailed surgery notes.
2,400	Pediatric Surgery	Surgical	Resection Anastomosis	Open	36,400.00	7	Not applicable	Not applicable	Not applicable	SG030A	Clinical notes and X Ray Abdomen Erect/USG / CT confirming the diagnosis	Histopath report of resected part/detailed discharge summary and Detailed Operative notes
2,401	Pediatric Surgery	Surgical	Resection Anastomosis	Lap	36,400.00	7	Not applicable	Not applicable	Not applicable	SG030B	Clinical notes and X Ray Abdomen Erect/USG / CT confirming the diagnosis	Histopath report of resected part/detailed discharge summary and Detailed Operative notes
2,402	Pediatric Surgery	Surgical	Exploratory Laparotomy	Exploratory Laparotomy	12,500.00	5	Not applicable	Not applicable	Not applicable	SG035A	Clinical notes detailing original pathology that led to peritonitis/ supported by X Ray/USG/CT Scan Abdomen	Analysis of fluid removed/ Indoor case papers (ICPs)/ Detailed discharge summary/ Detailed Operative notes
2,403	Pediatric Surgery	Surgical	Closure of Burst Abdomen	Closure of Burst Abdomen	27,100.00	6	Not applicable	Not applicable	Not applicable	SG036A	Clinical notes describing the original surgery that led to burst abdomen and X Ray/USG/ CT Abdomen confirming the diagnosis for which the surgery is done	Detailed Operative notes/ detailed discharge summary
2,404	Pediatric Surgery	Surgical	Hepatic Resection	Open	47,400.00	7	Not applicable	Not applicable	Not applicable	SG037A	Clinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery.	Histopath report/ detailed discharge summary and Detailed Operative notes
2,405	Pediatric Surgery	Surgical	Hepatic Resection	Lap.	47,400.00	7	Not applicable	Not applicable	Not applicable	SG037B	Clinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery.	Histopath report/ detailed discharge summary and Detailed Operative notes
2,406	Pediatric Surgery	Surgical	Abdominal Hydatid Cyst (Single Organ)	Abdominal Hydatid Cyst (Single Organ)	49,500.00	10	Not applicable	Not applicable	Not applicable	SG038A	Clinical notes and USG/CT/MRI report confirming the diagnosis.	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
2,407	Pediatric Surgery	Surgical	Cholecystectomy	Without Exploration of CBD - Open	36,800.00	4	Not applicable	Not applicable	Not applicable	SG039A	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
2,408	Pediatric Surgery	Surgical	Cholecystectomy	With Exploration of CBD - Open	36,800.00	6	Not applicable	Not applicable	Not applicable	SG039B	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
2,409	Pediatric Surgery	Surgical	Cholecystectomy	Without Exploration of CBD - Lap.	36,800.00	3	Not applicable	Not applicable	Not applicable	SG039C	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
2,410	Pediatric Surgery	Surgical	Cholecystectomy	With Exploration of CBD - Lap.	36,800.00	3	Not applicable	Not applicable	Not applicable	SG039D	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
2,411	Pediatric Surgery	Surgical	Operative Cholecystostomy	Chronic Cholecystitis With Cholelithiasis	14,900.00	3	Not applicable	Not applicable	Not applicable	SG040A	Clinical notes and investigation confirming the diagnosis	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
2,412	Pediatric Surgery	Surgical	Operative Cholecystostomy	Lap.	14,900.00	3	Not applicable	Not applicable	Not applicable	SG040B	Clinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done/	Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
2,413	Pediatric Surgery	Surgical	Splenectomy	Open	49,500.00	7	Not applicable	Not applicable	Not applicable	SG042A	Clinical notes and USG/CT Scan and Lab investigations confirming the diagnosis and justifying the surgery.	Detailed Operative notes/ histopath/ detailed discharge summary/
2,414	Pediatric Surgery	Surgical	Splenectomy	Laparoscopic	49,500.00	3	Not applicable	Not applicable	Not applicable	SG042B	Clinical notes and USG/CT Scan and Lab investigations confirming the diagnosis and justifying the surgery.	Detailed Operative notes/ histopath report/receipt/ detailed discharge summary/
2,415	Pediatric Surgery	Surgical	Distal Pancreatectomy with Pancreatico Jejunostomy	Distal Pancreatectomy with Pancreatico Jejunostomy	79,800.00	7	Not applicable	Not applicable	Not applicable	SG044A	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopathology report/ Detailed Operative notes and discharge summary.
2,416	Pediatric Surgery	Surgical	Retroperitoneal Tumor - Excision	Retroperitoneal Tumor - Excision	43,100.00	5	Not applicable	Not applicable	Not applicable	SG049A	Clinical notes and X Ray/USG/CT Abdomen confirming the diagnosis	Histopath report/ detailed discharge summary/ Detailed Operative notes
2,417	Pediatric Surgery	Surgical	Hernia Repair	Epigastric	22,000.00	5	Not applicable	Not applicable	Mesh - 6 X 3 - Polypropylene - 2200 Mesh - 15 X 15 - 5500	SG050D	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
2,418	Pediatric Surgery	Surgical	Hernia Repair	Umbilical	27,500.00	5	Not applicable	Not applicable	Not applicable	SG050E	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
2,419	Pediatric Surgery	Surgical	Hernia Repair	Paraumbilical	27,500.00	4	Not applicable	Not applicable	Mesh - 15 X 15 - 5500	SG050F	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
2,420	Pediatric Surgery	Surgical	Hernia Repair	Spigelian	27,500.00	4	Not applicable	Not applicable	Mesh - 15 X 15 - 5500	SG050G	Clinical notes and USG (specifying size of defect).	Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
2,421	Pediatric Surgery	Surgical	Hiatus Hernia Repair / Fundoplication	Hiatus Hernia Repair - Open	33,700.00	5	Not applicable	Not applicable	Not applicable	SG053A	Clinical notes and X-ray/ USG + UGI Endoscopy	Indoor case papers (ICPs)/ Detailed Operative notes & discharge summary
2,422	Pediatric Surgery	Surgical	Hiatus Hernia Repair / Fundoplication	Hiatus Hernia Repair - Lap.	33,700.00	5	Not applicable	Not applicable	Not applicable	SG053B	Clinical notes and X-ray/ USG + UGI Endoscopy	Indoor case papers (ICPs)/ Detailed Operative notes & discharge summary
2,423	Pediatric Surgery	Surgical	Hiatus Hernia Repair / Fundoplication	Fundoplication - Open	33,700.00	5	Not applicable	Not applicable	Not applicable	SG053C	Clinical notes and X-ray/ USG + UGI Endoscopy	Indoor case papers (ICPs)/ Detailed Operative notes & discharge summary
2,424	Pediatric Surgery	Surgical	Hiatus Hernia Repair / Fundoplication	Fundoplication - Lap.	33,700.00	5	Not applicable	Not applicable	Not applicable	SG053D	Clinical notes and X-ray/ USG + UGI Endoscopy	Indoor case papers (ICPs)/ Detailed Operative notes & discharge summary
2,425	Pediatric Surgery	Surgical	Epididymal Cyst / Nodule Excision	Epididymal Cyst exision	5,800.00	D	Not applicable	Not applicable	Not applicable	SG057A	Clinical notes and USG report confirming the diagnosis	Treatment details/ detailed Procedure / Operative Notes.
2,426	Pediatric Surgery	Surgical	Epididymal Cyst / Nodule Excision	Epididymal Nodule excision	5,800.00	D	Not applicable	Not applicable	Not applicable	SG057B	Clinical notes and USG report confirming the diagnosis	Treatment details/ detailed Procedure / Operative Notes.
2,427	Pediatric Surgery	Surgical	Orchidectomy	Orchidectomy	12,900.00	2	Not applicable	Not applicable	Not applicable	SG059A	Clinical notes and describing Swelling in scrotum/ USG of scrotum +/- FNAC/ tumour markers (if cancer of prostate/testis/etc is the indication)/ justification of orchidectmy	Histopath (optional)/ Detailed Operative notes/ Detailed discharge summary
2,428	Pediatric Surgery	Surgical	Excision of Growth from Tongue	Tongue only	26,300.00	1	Not applicable	Not applicable	Not applicable	SG063A	Clinical notes confirming the diagnosis/ FNAC if done	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,429	Pediatric Surgery	Surgical	Thyroidectomy	Hemi thyroidectomy	30,300.00	2	Not applicable	Not applicable	Not applicable	SG070A	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,430	Pediatric Surgery	Surgical	Thyroidectomy	Total thyroidectomy	72,500.00	4	Not applicable	Not applicable	Not applicable	SG070B	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,431	Pediatric Surgery	Surgical	Thyroidectomy	Total Thyroidectomy with Block Dissection	80,500.00	5	Not applicable	Not applicable	Not applicable	SG070C	Clinical notes and FNAC/ Biopsy/ Thyroid Function Test/USG confirming the diagnosis and need for surgery	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,432	Pediatric Surgery	Surgical	Excision of Parathyroid Adenoma / Carcinoma	Excision of Parathyroid Adenoma	27,500.00	3	Not applicable	Not applicable	Not applicable	SG071A	Clinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,433	Pediatric Surgery	Surgical	Excision of Parathyroid Adenoma / Carcinoma	Excision of Parathyroid Carcinoma	22,400.00	3	Not applicable	Not applicable	Not applicable	SG071B	Clinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,434	Pediatric Surgery	Surgical	Thymectomy	Thymectomy	66,000.00	6	Not applicable	Not applicable	Not applicable	SG072A	Clinical notes and Investigation report confirming the need for surgery (CT/MRI)/ Single-fiber electromyography in case of myasthenia gravis	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,435	Pediatric Surgery	Surgical	Sympathectomy	Sympathectomy	38,500.00	5	Not applicable	Not applicable	Not applicable	SG073A	Clinical notes and supporting Evidence of need of surgery (EMG/Nerve conduction study/ CT/MRI)	Detailed Operative notes/ Detailed discharge summary
2,436	Pediatric Surgery	Surgical	Intercostal Drainage only	Intercostal Drainage only	6,200.00	1	Not applicable	Not applicable	Not applicable	SG077A	Clinical notes and detailing need of ICD/ Chest X-Ray PA	Analysis report of drained fluid/ Detailed Operative notes/ Detailed discharge summary
2,437	Pediatric Surgery	Surgical	Rib Resection & Drainage	Rib Resection & Drainage	22,000.00	3	Not applicable	Not applicable	Not applicable	SG078A	Clinical notes and X Ray/ CT/ MRI confirming the diagnosis for which the surgery is done	Pus C/S/ Post procedure X Ray/ Detailed Operative notes/ detailed discharge summary
2,438	Pediatric Surgery	Surgical	Thoracoplasty	Thoracoplasty	31,500.00	6	Not applicable	Not applicable	Not applicable	SG079A	Clinical notes and X Ray/ CT/MRI Chest confirming the indication for this surgery	Detailed Operative notes/ Detailed discharge summary
2,439	Pediatric Surgery	Surgical	Lobectomy	Thoracoscopic	49,600.00	5	Not applicable	Not applicable	Not applicable	SG081A	Clinical notes and CT Thorax confirming the diagnosis/ Biopsy +/- Cytology	Detailed Operative notes/ histopath/ Detailed discharge summary
2,440	Pediatric Surgery	Surgical	Lobectomy	Open	49,600.00	5	Not applicable	Not applicable	Not applicable	SG081B	Clinical notes and CT Thorax confirming the diagnosis/ Biopsy +/- Cytology	Detailed Operative notes/ histopath/ Detailed discharge summary
2,441	Pediatric Surgery	Surgical	Thoracoscopic Segmental Resection	Thoracoscopic Segmental Resection	70,800.00	5	Not applicable	Not applicable	Not applicable	SG082A	Clinical notes and CT Thorax confirming the diagnosis/ +/- Biopsy report	Detailed Operative notes/ histopath/ Detailed discharge summary
2,442	Pediatric Surgery	Surgical	Lung Hydatid Cyst removal	Lung Hydatid Cyst removal	28,900.00	3	Not applicable	Not applicable	Not applicable	SG083A	Clinical notes and X Ray/ CT/MRI Chest confirming the diagnosis	Detailed Operative notes/ Detailed discharge summary/ Histopathology report/receipt
2,443	Pediatric Surgery	Surgical	Split thickness skin grafts	Split skin grafts <= 5%	20,700.00	1	Not applicable	Not applicable	Not applicable	SG090A	Clinical notes detailing time of Burns	Detailed Operative notes/ Detailed discharge summary
2,444	Pediatric Surgery	Surgical	Split thickness skin grafts	Split skin grafts 5 - 10%	19,900.00	1	Not applicable	Not applicable	Not applicable	SG090B	Clinical notes detailing time of Burns	Detailed Operative notes/ Detailed discharge summary
2,445	Pediatric Surgery	Surgical	Split thickness skin grafts	Spit skin graft small >= 10 %	22,400.00	1	Not applicable	Not applicable	Not applicable	SG090C	Clinical notes detailing time of Burns	Detailed Operative notes/ Detailed discharge summary
2,446	Pediatric Surgery	Surgical	Skin Flaps - Rotation Flaps	Skin Flaps - Rotation Flaps	31,700.00	2	Not applicable	Not applicable	Not applicable	SG091A	Clinical notes / medical records of previous surgeries and indication of this surgery	Detailed Operative notes/ Detailed discharge summary
2,447	Pediatric Surgery	Surgical	Biopsy	Lymph Node	5,500.00	D	Not applicable	Not applicable	Not applicable	SG096A	Clinical notes +/- FNAC report	Histopathology report/ procedure note
2,448	Pediatric Surgery	Surgical	Biopsy	Endometrial Aspiration	3,000.00	D	Not applicable	Not applicable	Not applicable	SG096B	Clinical notes with planned line of treatment	Histopathology report/ procedure note
2,449	Pediatric Surgery	Surgical	Biopsy	Cervix Cancer screening (PAP + Colposcopy)	2,800.00	D	Not applicable	Not applicable	Not applicable	SG096C	Clinical notes with planned line of treatment	Histopathology report/ procedure note
2,450	Pediatric Surgery	Surgical	Biopsy	Cervical	1,700.00	D	Not applicable	Not applicable	Not applicable	SG096D	Clinical notes with planned line of treatment	Histopathology report/ procedure note
2,451	Pediatric Surgery	Surgical	Biopsy	Vulval	2,800.00	D	Not applicable	Not applicable	Not applicable	SG096E	Clinical notes with planned line of treatment	Histopathology report/ procedure note
2,452	Pediatric Surgery	Surgical	Foreign body removal	Foreign body removal	10,200.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 3300	Not applicable	SG098A	Clinical notes and X-ray/ USG report of the affected part confirming the diagnosis	Detailed Operative notes/ detailed discharge summary / Treatment details and relevant imaging study for comparison
2,453	Pediatric Surgery	Surgical	Repair of renal artery stenosis	Repair of renal artery stenosis	83,600.00	7	Not applicable	Not applicable	Not applicable	SG102A	Admission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)/ CT Angio	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ CT angio
2,454	Pediatric Surgery	Surgical	Circumcision	Circumcision - Phimosis / Paraphimosis or any other clinical condition	22,000.00	D	Not applicable	Not applicable	Not applicable	SG104A	Clinical notes detailing history /Admission notes showing vitals/ examination and clinical findings/any investigations done	Operative note/ Treatment details/detailed discharge summary/ All investigations reports
2,455	Pediatric Surgery	Surgical	Pancreatectomy	Pancreatectomy	91,800.00	3	Not applicable	Not applicable	Not applicable	SG170MLB	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
2,456	Pediatric Surgery	Surgical	Pancreatectomy	Pancreatectomy Central	71,300.00	3	Not applicable	Not applicable	Not applicable	SG170MLC	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
2,457	Pediatric Surgery	Surgical	Peritonsillar abscess drainage / intraoral calculus removal	Intraoral calculus removal	8,200.00	NA	Not applicable	Not applicable	Not applicable	SL017B	Doctor's notes with presenting complaints/ duration and physicial examination findings of oral cavity and tonsils	C/S of pus/ detailed Procedure / Operative Notes/ detailed discharge summary
2,458	Pediatric Surgery	Surgical	Uvulopalatopharyngoplasty (UPPP)	Uvulopalatopharyngoplasty (UPPP)	33,200.00	2	Not applicable	Not applicable	Not applicable	SL019A	Clinical notes and Polysomnography (Sleep Study) + CT/MRI	Detailed Procedure / Operative Notes/ detailed discharge summary
2,459	Pediatric Surgery	Surgical	Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy	Rigid laryngoscopy - Diagnostic + / - biopsy	7,700.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SL023A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report
2,460	Pediatric Surgery	Surgical	Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy	Rigid bronchoscopy - Diagnostic + / - biopsy	7,700.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SL023B	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report
2,461	Pediatric Surgery	Surgical	Rigid laryngoscopy / bronchoscopy / oesophagoscopy - Diagnostic + / - biopsy	Rigid oesophagoscopy - Diagnostic + / - biopsy	7,700.00	D	Local Anesthesia/ General Anesthesia	None/ "+" 5500	Not applicable	SL023C	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report
2,462	Pediatric Surgery	Surgical	Deep neck abscess drainage/ Post trauma neck exploration	Deep neck abscess drainage	18,500.00	2	Not applicable	Not applicable	Not applicable	SL028A	Clinical notes and clinical photograph/investigation supporting diagnosis	C/S of pus/ post procedure/ detailed Procedure / Operative Notes/ detailed discharge summary
2,463	Pediatric Surgery	Surgical	Deep neck abscess drainage/ Post trauma neck exploration	Post trauma neck exploration	23,100.00	2	Not applicable	Not applicable	Not applicable	SL028B	Clinical notes and clinical photograph/investigation supporting diagnosis	Post procedure/ detailed Procedure / Operative Notes/ detailed discharge summary
2,464	Pediatric Surgery	Surgical	Laparotomy and Proceed for Ovarian Cancers - Omentomy with Bilateral Salpingooopherectomy	Laparotomy and Proceed for Ovarian Cancers - Omentomy with Bilateral Salpingooopherectomy	41,800.00	5	Not applicable	Not applicable	Not applicable	SO002A	Clinical notes and USG Abdomen + Pelvis/ CT abdomen+ Pelvis establishing indication	Histopathology report/receipt/ Detailed Operative notes/ post op pic of specimen removed/ Detailed Discharge Summary.
2,465	Pediatric Surgery	Surgical	Cleft Lip and Palate Surgery	Cleft Lip and Palate Surgery	25,000.00	5	Not applicable	Not applicable	Not applicable	SS001A	Clinical notes with plan line of treatment	Detailed discharge summary/ Detailed operatives notes
2,466	Pediatric Surgery	Surgical	Ankyloglossia	Minor	9,900.00	D	Not applicable	Not applicable	Not applicable	SS002A	Clinical notes with plan line of treatment	Detailed discharge summary / Treatment details/ detailed Procedure / Operative Notes
2,467	Pediatric Surgery	Surgical	Ankyloglossia	Major	20,700.00	3	Not applicable	Not applicable	Not applicable	SS002B	Clinical notes/ with plan line of treatment	Detailed discharge summary/ detailed Procedure / Operative Notes
2,468	Pediatric Surgery	Surgical	Anti GERD Surgery	Anti GERD Surgery	29,500.00	2	Not applicable	Not applicable	Not applicable	SS003A	Clinical notes and UGI Endoscopy report	Detailed Procedure / Operative Notes/ detailed discharge summary
2,469	Pediatric Surgery	Surgical	Gastrostomy	Gastrostomy + Esophagoscopy + Threading	30,500.00	5	Not applicable	Not applicable	Not applicable	SS004A	Clinical note with USG/CT Abd/ Endoscopy/Biopsy	Detailed Procedure / Operative Notes/ detailed discharge summary
2,470	Pediatric Surgery	Surgical	Ladds Procedure	Ladds Procedure	53,700.00	3	Not applicable	Not applicable	Not applicable	SS005A	Clinical note with X Ray / CT Scan Abdomen / UGI contrast study confirming the malrotation	Histopathology report/ receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,471	Pediatric Surgery	Surgical	Duplication Cyst Excision	Duplication Cyst Excision	33,900.00	5	Not applicable	Not applicable	Not applicable	SS006A	Clinical notes and USG/CT Abd/ +/- Endoscopic USG	Histopathology/ detailed Procedure / Operative Notes/ detailed discharge summary
2,472	Pediatric Surgery	Surgical	Intussusception	Non Operative reduction in Infants	31,200.00	5	Not applicable	Not applicable	Not applicable	SS007A	Clinical notes and X-ray/ Abdomen/USG Abdomen	Detailed Procedure / Operative Notes// Detailed discharge summary / Post procedure X Ray Abdomen.
2,473	Pediatric Surgery	Surgical	Intussusception	Operative in infants	34,000.00	3	Not applicable	Not applicable	Not applicable	SS007B	Clinical notes and X-ray/ Abdomen/USG Abdomen	Detailed Procedure / Operative Notes// Detailed discharge summary / Post procedure X Ray Abdomen.
2,474	Pediatric Surgery	Surgical	Surgery for Hirschsprung’s Disease	Myectomy	56,800.00	2	Not applicable	Not applicable	Not applicable	SS008A	Clinical notes and USG/ Dye test	Histopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,475	Pediatric Surgery	Surgical	Surgery for Hirschsprung’s Disease	Pull Through	42,200.00	5	Not applicable	Not applicable	Not applicable	SS008B	Clinical notes and USG/ Dye test	Histopathology if done/ detailed Procedure / Operative Notes/ detailed discharge summary
2,476	Pediatric Surgery	Surgical	Surgery for Hirschsprung’s Disease	Rectal Biopsy - Punch	56,800.00	1	Not applicable	Not applicable	Not applicable	SS008C	Clinical notes and USG/ Dye test	Histopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,477	Pediatric Surgery	Surgical	Surgery for Hirschsprung’s Disease	Rectal Biopsy - Open	56,800.00	2	Not applicable	Not applicable	Not applicable	SS008D	Clinical notes and USG/ Dye test	Histopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,478	Pediatric Surgery	Surgical	Surgery for Hirschsprung’s Disease	Sphinecterotomy	21,800.00	3	Not applicable	Not applicable	Not applicable	SS008E	Clinical notes and USG/ Dye test	Histopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,479	Pediatric Surgery	Surgical	Rectal Polypectomy	Sigmoidoscopic under GA	25,300.00	2	Not applicable	Not applicable	Not applicable	SS009A	Clinical notes and sigmoidoscopy confirming polyp	Histopathology report/ receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,480	Pediatric Surgery	Surgical	Rectal Polypectomy	Rectal Polypectomy	25,300.00	2	Not applicable	Not applicable	Not applicable	SS009MLA	Clinical notes and sigmoidoscopy confirming polyp	Histopathology report/ receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,481	Pediatric Surgery	Surgical	Ano Rectal Malformation	Abd perineal PSARP	46,000.00	5	Not applicable	Not applicable	Not applicable	SS010A	Clinical notes/ Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure / Operative Notes/ detailed discharge summary
2,482	Pediatric Surgery	Surgical	Ano Rectal Malformation	Anoplasty	38,600.00	5	Not applicable	Not applicable	Not applicable	SS010B	Clinical notes/ Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure / Operative Notes/ detailed discharge summary
2,483	Pediatric Surgery	Surgical	Ano Rectal Malformation	Cutback	34,000.00	5	Not applicable	Not applicable	Not applicable	SS010C	Clinical notes/ Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure / Operative Notes/ detailed discharge summary
2,484	Pediatric Surgery	Surgical	Ano Rectal Malformation	PSARP	34,000.00	5	Not applicable	Not applicable	Not applicable	SS010D	Clinical notes/ Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure / Operative Notes/ detailed discharge summary
2,485	Pediatric Surgery	Surgical	Ano Rectal Malformation	Redo - Pullthrough	37,500.00	5	Not applicable	Not applicable	Not applicable	SS010E	Clinical notes/ Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure / Operative Notes/ detailed discharge summary
2,486	Pediatric Surgery	Surgical	Ano Rectal Malformation	Transposition	31,500.00	3	Not applicable	Not applicable	Not applicable	SS010F	Clinical notes/ Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)	Detailed Procedure / Operative Notes/ detailed discharge summary
2,487	Pediatric Surgery	Surgical	Fecal Fistula Closure	Fecal Fistula Closure	38,900.00	3	Not applicable	Not applicable	Not applicable	SS011A	Clinical notes and USG / CT abdomen and pelvis delineating fistula tract.	Detailed Procedure / Operative Notes/ detailed discharge summary
2,488	Pediatric Surgery	Surgical	GI Tumor Excision	GI Tumor Excision	45,900.00	7	Not applicable	Not applicable	Not applicable	SS012A	Clinical notes and USG/ CT / biopsy	HPE report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,489	Pediatric Surgery	Surgical	Congenital Diaphragmatic Hernia	Congenital Diaphragmatic Hernia	55,400.00	5	Not applicable	Not applicable	Not applicable	SS013A	Clinical notes and Chest X-ray AP/Lat/ USG/CT scan stills	Detailed Procedure / Operative Notes/ detailed discharge summary/ Foetal Cardiogram/ Xray Chest AP/Lat stills
2,490	Pediatric Surgery	Surgical	Hernia Repair	Inguinal	18,500.00	5	Not applicable	Not applicable	Not applicable	SS013MLA	Clinical notes and X-ray/ USG + UGI Endoscopy	Detailed Operative notes & discharge summary
2,491	Pediatric Surgery	Surgical	Hernia Repair	Diaphragmatic	27,900.00	5	Not applicable	Not applicable	Not applicable	SS013MLB	Clinical note with BArium Study / X-RAY / ENDOSCOPY/ USG	Detailed Operative notes & discharge summary
2,492	Pediatric Surgery	Surgical	Exomphalos/ Gastroschisis	Exomphalos	42,400.00	5	Not applicable	Not applicable	Not applicable	SS014A	Clinical notes	Detailed discharge summary/ detailed Procedure / Operative Notes
2,493	Pediatric Surgery	Surgical	Exomphalos/ Gastroschisis	Gastroschisis	42,400.00	5	Not applicable	Not applicable	Not applicable	SS014B	Clinical notes	Detailed discharge summary/ detailed Procedure / Operative Notes
2,494	Pediatric Surgery	Surgical	Hernia & Hydrocele	Hernia & Hydrocele	27,500.00	5	Not applicable	Not applicable	Not applicable	SS015A	Clinical notes and USG	detailed Procedure / Operative Notes/ detailed Procedure / Operative Notes/
2,495	Pediatric Surgery	Surgical	Retro - Peritoneal Lymphangioma Excision	Retro - Peritoneal Lymphangioma Excision	36,200.00	5	Not applicable	Not applicable	Not applicable	SS016A	Clinical notes and USG/MRI Abd	Histopathology/ detailed Procedure / Operative Notes/ Detailed discharge summary
2,496	Pediatric Surgery	Surgical	Sacrococcygeal Teratoma	Sacrococcygeal Teratoma	33,600.00	5	Not applicable	Not applicable	Not applicable	SS017A	Clinical notes and CT/MRI confirming the diagnosis/ Biopsy	Histopathology/ detailed Procedure / Operative Notes/ Detailed discharge summary
2,497	Pediatric Surgery	Surgical	Surgery for Congenital Lobar Emphysema	Surgery for Congenital Lobar Emphysema	44,600.00	5	Not applicable	Not applicable	Not applicable	SS018A	Clinical notes and X Ray/CT Scan confirming the diagnosis	detailed Procedure / Operative Notes/ Post procedure X-ray stills/ detailed discharge summary
2,498	Pediatric Surgery	Surgical	Undescended Testis	Palpable + Nonpalpable	24,000.00	4	Not applicable	Not applicable	Not applicable	SS019A	Clinical notes / USG	Detailed Procedure / Operative Notes/ Detailed discharge summary
2,499	Pediatric Surgery	Surgical	Undescended Testis	Palpable	24,000.00	4	Not applicable	Not applicable	Not applicable	SS019B	Clinical notes / USG	Detailed Procedure / Operative Notes/ Detailed Discharge summary
2,500	Pediatric Surgery	Surgical	Undescended Testis	Non - Palpable	27,400.00	4	Not applicable	Not applicable	Not applicable	SS019C	Clinical notes / USG	Detailed Procedure / Operative Notes/ Detailed Discharge summary
2,501	Pediatric Surgery	Surgical	Undescended Testis	Reexploration / Second Stage	27,400.00	4	Not applicable	Not applicable	Not applicable	SS019E	Clinical notes / USG	Detailed Procedure / Operative Notes/ Detailed Discharge summary
2,502	Pediatric Surgery	Surgical	Excision of accessory auricle	Excision of accessory auricle	26,200.00	4	Not applicable	Not applicable	Not applicable	SS020A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,503	Pediatric Surgery	Surgical	Anal transposition for ectopic anus	Anal transposition for ectopic anus	33,200.00	1	Not applicable	Not applicable	Not applicable	SS020MLA	Clinical note with Invertogram or clinical photograph/	Detailed Procedure / Operative Notes/ Detailed Discharge summary
2,504	Pediatric Surgery	Surgical	MACROSTOMIA REPAIR	Repair of macrostomia	53,700.00	4	Not applicable	Not applicable	Not applicable	SS021A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,505	Pediatric Surgery	Surgical	Chordee Correction	Chordee Correction	19,600.00	5	Not applicable	Not applicable	Not applicable	SS021MLA	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,506	Pediatric Surgery	Surgical	PARATHYROIDECTOMY	Parathyroidectomy	53,700.00	4	Not applicable	Not applicable	Not applicable	SS022A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,507	Pediatric Surgery	Surgical	Colon Transplant	Colon Transplant	22,300.00	5	Not applicable	Not applicable	Not applicable	SS022MLA	Clinical notes and X-ray/ CT/MRI/ UGIE findings confirming the diagnosis for which the surgery is done/ Biospy/	Detailed Procedure / Operative Notes/ Detailed Discharge summary
2,508	Pediatric Surgery	Surgical	STENSON'S DUCT DILATATION	Dilatation of Stenson's duct	15,200.00	4	Not applicable	Not applicable	Not applicable	SS023A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,509	Pediatric Surgery	Surgical	Congenital Pyloric Stenosis	Congenital Pyloric Stenosis	15,300.00	5	Not applicable	Not applicable	Not applicable	SS023MLA	Clinical note with USG abdomen / dye study	Detailed Procedure / Operative Notes/ Detailed Discharge summary
2,510	Pediatric Surgery	Surgical	SUPERNUMMERY DIGIT EXISION	Excision of supernumerary digit	19,300.00	4	Not applicable	Not applicable	Not applicable	SS024A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,511	Pediatric Surgery	Surgical	SYNDACTYLY	Syndactyly repair	48,200.00	4	Not applicable	Not applicable	Not applicable	SS025A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,512	Pediatric Surgery	Surgical	Laparotomy lavage & drainage	Laparotomy lavage & drainage	12,700.00	3	Not applicable	Not applicable	Not applicable	SS025MLA	Clinical notes detailing original pathology that led to peritonitis/ supported by X Ray/USG/CT Scan Abdomen	Analysis of fluid removed/ Detailed discharge summary/ Detailed Operative notes describing management done of pathology that led to peritonitis/ cautious about OT time/ this should take 2-3 hours.
2,513	Pediatric Surgery	Surgical	TONGUE LACERATION	Repair of tongue laceration	19,300.00	4	Not applicable	Not applicable	Not applicable	SS026A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,514	Pediatric Surgery	Surgical	TORTICOLLIS	Sternomastoid division	20,700.00	4	Not applicable	Not applicable	Not applicable	SS027A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,515	Pediatric Surgery	Surgical	Pyloric Stenosis (Ramsted Op)	Pyloric Stenosis (Ramsted Op)	18,500.00	3	Not applicable	Not applicable	Not applicable	SS027MLA	Clinical note with USG abdomen / dye study	Detailed Procedure / Operative Notes/ Detailed Discharge summary
2,516	Pediatric Surgery	Surgical	LIVER TRAUMA NON-OP	Non-operative management of liver trauma	55,000.00	4	Not applicable	Not applicable	Not applicable	SS028A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,517	Pediatric Surgery	Surgical	Resection anastamosis of Intestine	Resection anastamosis of Intestine	27,100.00	2	Not applicable	Not applicable	Not applicable	SS028MLA	Clinical notes and USG Abd/ CT/MRI /Endoscopic Ultrasound - any one test confirming the diagnosis.	Detailed Operative notes/ Detailed discharge summary/ histopath report/receipt of removed part.
2,518	Pediatric Surgery	Surgical	PORTAL HYPERTENSION	NON-SHUNTS	61,900.00	4	Not applicable	Not applicable	Not applicable	SS029A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,519	Pediatric Surgery	Surgical	CONJOINED TWINS	Separation of twins	130,700.00	4	Not applicable	Not applicable	Not applicable	SS030A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,520	Pediatric Surgery	Surgical	ESOPHAGEAL ATRESIA/TEF	PRIMARY REPAIR	89,400.00	4	Not applicable	Not applicable	Not applicable	SS031A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,521	Pediatric Surgery	Surgical	MALROTATION	Ladd's procedure	53,700.00	4	Not applicable	Not applicable	Not applicable	SS032A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,522	Pediatric Surgery	Surgical	POSTERIOR URETHERAL VALVES	VESICOSTOMY	56,400.00	4	Not applicable	Not applicable	Not applicable	SS033A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,523	Pediatric Surgery	Surgical	SPLENORRHAPHY	Splenorapphy	42,700.00	4	Not applicable	Not applicable	Not applicable	SS034A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,524	Pediatric Surgery	Surgical	ESOPHAGEAL DILATATION	Esophageal dilatation	41,300.00	4	Not applicable	Not applicable	Not applicable	SS035A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,525	Pediatric Surgery	Surgical	OPEN KIDNEY BIOPSY	Kiidney biopsy	45,400.00	4	Not applicable	Not applicable	Not applicable	SS036A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,526	Pediatric Surgery	Surgical	APPENDICO-VESICOSTOMY/Mitraffanof	Appendicovesicostomy or Monti procedure	59,200.00	4	Not applicable	Not applicable	Not applicable	SS037A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,527	Pediatric Surgery	Surgical	VESICOSTOMY	Vesicostomy	38,500.00	4	Not applicable	Not applicable	Not applicable	SS038A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,528	Pediatric Surgery	Surgical	SUPRAGLOTTOPLASTY	Supra-glotoplasty	37,200.00	4	Not applicable	Not applicable	Not applicable	SS039A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,529	Pediatric Surgery	Surgical	SINGLE STAGE AIRWAY RECONSTRUCTION	Airway reconstruction	75,700.00	4	Not applicable	Not applicable	Not applicable	SS040A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,530	Pediatric Surgery	Surgical	STAGED AIRWAY RECONSTRUCTION	Staged airway reconstruction	68,800.00	4	Not applicable	Not applicable	Not applicable	SS041A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,531	Pediatric Surgery	Surgical	SLIDE TRACHEOPLASTY	Slide tracheoplasty	82,500.00	4	Not applicable	Not applicable	Not applicable	SS042A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,532	Pediatric Surgery	Surgical	Adrenalectomy	Open	30,300.00	2	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU001A	Clinical notes confirming diagnosis with Evidence of /CT/MRI +/- FNAC/Biopsy/ Sr. Cortisol/ Sr. electrolytes/ 24 hr urinary catacholamine level / sr. or urinary metanephrine normetanephrine/ MIBG Scan/ DOTONOC scan	Histopathology report/ receipt/ Detailed discharge summary detailed Procedure / Operative Notes
2,533	Pediatric Surgery	Surgical	Adrenalectomy	Lap	30,300.00	2	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU001B	Clinical notes confirming diagnosis with Evidence of /CT/MRI +/- FNAC/Biopsy/ Sr. Cortisol/ Sr. electrolytes/ 24 hr urinary catacholamine level / sr. or urinary metanephrine normetanephrine/ MIBG Scan/ DOTONOC scan	Histopathology report/ receipt/ Detailed discharge summary detailed Procedure / Operative Notes
2,534	Pediatric Surgery	Surgical	Renal Cyst Deroofing or Marsupialization	Open	33,000.00	2	Not applicable	Not applicable	Not applicable	SU002A	Clinical notes and USG/CT scan confirming the renal cyst and justification of the surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
2,535	Pediatric Surgery	Surgical	Renal Cyst Deroofing or Marsupialization	Lap.	33,000.00	2	Not applicable	Not applicable	Not applicable	SU002B	Clinical notes and USG/CT scan confirming the renal cyst and justification of the surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
2,536	Pediatric Surgery	Surgical	Nephrectomy	For Benign pathology - Open	45,200.00	2	Not applicable	Not applicable	Not applicable	SU003A	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,537	Pediatric Surgery	Surgical	Nephrectomy	For Benign pathology - Lap.	50,400.00	2	Not applicable	Not applicable	Not applicable	SU003B	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,538	Pediatric Surgery	Surgical	Nephrectomy	Radical (Renal tumor) - Open	45,200.00	4	Not applicable	Not applicable	Not applicable	SU003C	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,539	Pediatric Surgery	Surgical	Nephrectomy	Radical (Renal tumor) - Lap.	50,400.00	3	Not applicable	Not applicable	Not applicable	SU003D	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology report/receipt/ Post procedure X-ray. Detailed discharge summary/ detailed Procedure / Operative Notes
2,540	Pediatric Surgery	Surgical	Nephrectomy	Partial or Hemi - Open	60,000.00	4	Not applicable	Not applicable	Not applicable	SU003E	Clinical notes and CT/MRI confirming the need for surgery	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,541	Pediatric Surgery	Surgical	Nephrectomy	Partial or Hemi - Lap	60,000.00	3	Not applicable	Not applicable	Not applicable	SU003F	Clinical notes and CT/MRI confirming the need for surgery	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,542	Pediatric Surgery	Surgical	Nephrostomy	Percutaneous - Ultrasound Guided	40,000.00	1	Not applicable	Not applicable	Not applicable	SU008A	Clinical notes and USG confirming the indication and need of procedure.	Detailed discharge summary/ detailed Procedure / Operative Notes
2,543	Pediatric Surgery	Surgical	Nephrostomy	Open	22,000.00	3	Not applicable	Not applicable	Not applicable	SU008C	Clinical notes and USG confirming the indication and need of procedure.	Detailed discharge summary/ detailed Procedure / Operative Notes
2,544	Pediatric Surgery	Surgical	Nephro Ureterectomy	Benign - Open	42,000.00	4	Not applicable	Not applicable	Not applicable	SU010A	Clinical notes and CT/ CT-IVP/MRI confirming the need for surgery	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,545	Pediatric Surgery	Surgical	Nephro Ureterectomy	Benign - Lap.	50,400.00	3	Not applicable	Not applicable	Not applicable	SU010B	Clinical notes and CT/ CT-IVP/MRI confirming the need for surgery	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,546	Pediatric Surgery	Surgical	Nephro Ureterectomy	With Cuff of Bladder - Open	57,500.00	4	Not applicable	Not applicable	Not applicable	SU010C	Clinical notes and CT/ CT-IVP/MRI/MRI Urogram confirming the need for surgery	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,547	Pediatric Surgery	Surgical	Nephro Ureterectomy	With Cuff of Bladder - Lap.	57,500.00	3	Not applicable	Not applicable	Not applicable	SU010D	Clinical notes and CT/ CT-IVP/MRI/MRI Urogram confirming the need for surgery	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,548	Pediatric Surgery	Surgical	Ureterolithotomy	Open	33,000.00	3	Not applicable	Not applicable	Not applicable	SU018A	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ detailed Procedure / Operative Notes/Post procedure Imaging (X Ray/USG)/ showing stone removed
2,549	Pediatric Surgery	Surgical	Ureterolithotomy	Lap.	33,000.00	2	Not applicable	Not applicable	Not applicable	SU018B	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG) showing stone has been removed/ detailed Procedure / Operative Notes
2,550	Pediatric Surgery	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyeloplasty - Open	42,600.00	3	Not applicable	Not applicable	Not applicable	SU021A	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
2,551	Pediatric Surgery	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyeloplasty - Laparoscopic	47,700.00	2	Not applicable	Not applicable	Not applicable	SU021B	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
2,552	Pediatric Surgery	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyeloureterostomy - Open	42,600.00	3	Not applicable	Not applicable	Not applicable	SU021C	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
2,553	Pediatric Surgery	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyeloureterostomy - Laparoscopic	47,700.00	2	Not applicable	Not applicable	Not applicable	SU021D	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
2,554	Pediatric Surgery	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyelopyelostomy - Open	42,600.00	3	Not applicable	Not applicable	Not applicable	SU021E	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
2,555	Pediatric Surgery	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyelopyelostomy - Laparoscopic	47,700.00	2	Not applicable	Not applicable	Not applicable	SU021F	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
2,556	Pediatric Surgery	Surgical	Pyelolithotomy	Open	41,300.00	3	Not applicable	Not applicable	Not applicable	SU024A	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Post procedure Imaging (X Ray/USG)/ showing stone removed/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,557	Pediatric Surgery	Surgical	Pyelolithotomy	Lap.	41,300.00	2	Not applicable	Not applicable	Not applicable	SU024B	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Post procedure Imaging (X Ray/USG)/ showing stone removed/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,558	Pediatric Surgery	Surgical	Ureterostomy (Cutaneous)	Ureterostomy (Cutaneous)	27,700.00	2	Not applicable	Not applicable	Not applicable	SU027A	Clinical notes and CT/MRI confirming the diagnosis for ureterostomy and need for creating a stoma for ureter	Detailed discharge summary/ detailed Procedure / Operative Notes
2,559	Pediatric Surgery	Surgical	Uretero-ureterostomy	Open	38,500.00	3	Not applicable	Not applicable	Not applicable	SU028A	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan	Detailed discharge summary/ detailed Procedure / Operative Notes
2,560	Pediatric Surgery	Surgical	Uretero-ureterostomy	Lap.	46,400.00	3	Not applicable	Not applicable	Not applicable	SU028B	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan	Detailed discharge summary/ detailed Procedure / Operative Notes
2,561	Pediatric Surgery	Surgical	Ureteric Reimplantation	Open	33,000.00	3	Unilateral/ Bilateral	None/ "+" 11000	Not applicable	SU030A	Clinical notes and and CT-IVP/MRI Urogram + MCU confirming reflux and need of surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
2,562	Pediatric Surgery	Surgical	Ureteric Reimplantation	Lap.	33,000.00	3	Unilateral/ Bilateral	None/ "+" 11000	Not applicable	SU030B	Clinical notes and and CT-IVP/MRI Urogram + MCU confirming reflux and need of surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
2,563	Pediatric Surgery	Surgical	Diagnostic Cystoscopy	Diagnostic Cystoscopy	35,000.00	1	Not applicable	Not applicable	Not applicable	SU042A	Clinical notes and Reports of all work up done ( Xray/USG/CT Scan/MRI)/ suspected differential diagnosis	Detailed discharge summary/ detailed Procedure / Operative Notes
2,564	Pediatric Surgery	Surgical	Partial Cystectomy	Open	33,000.00	3	Not applicable	Not applicable	Not applicable	SU043A	Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy)	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,565	Pediatric Surgery	Surgical	Partial Cystectomy	Lap.	33,000.00	2	Not applicable	Not applicable	Not applicable	SU043B	Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy)	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,566	Pediatric Surgery	Surgical	Augmentation Cystoplasty	Open	44,000.00	4	Not applicable	Not applicable	Not applicable	SU045A	Clinical notes and IVP/CT IVP/MRI +Cystogram+/- Cystoscopy// confirming the indication for which the surgery is done	Post procedure Imaging/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,567	Pediatric Surgery	Surgical	Augmentation Cystoplasty	Lap.	49,100.00	4	Not applicable	Not applicable	Not applicable	SU045B	Clinical notes and IVP/CT IVP/MRI +Cystogram+/- Cystoscopy// confirming the indication for which the surgery is done	Post procedure Imaging/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,568	Pediatric Surgery	Surgical	Bladder Injury Repair (With or Without Urethral Injury)	Bladder Injury Repair (With or Without Urethral Injury)	35,100.00	3	Not applicable	Not applicable	Not applicable	SU049A	Clinical notes and USG/CT/MRI+/- cystogram confirming the diagnosis of bladder injury/ MLC/ FIR if traumatic.	Detailed discharge summary/ detailed Procedure / Operative Notes
2,569	Pediatric Surgery	Surgical	Y V Plasty Of Bladder Neck / Bladder Neck Reconstruction	Y V Plasty Of Bladder Neck / Bladder Neck Reconstruction	46,500.00	4	Not applicable	Not applicable	Not applicable	SU053A	Clinical notes and urethro Cystoscopy +USG confirming the diagnosis	Detailed Procedure / Operative Notes/ detailed discharge summary.
2,570	Pediatric Surgery	Surgical	Supra Pubic Drainage	Open	12,400.00	5	Not applicable	Not applicable	Not applicable	SU061A	Clinical notes and USG/CT confirming the diagnosis for which the surgery is done	Detailed Procedure / Operative Notes detailing how mcuh urine was drained/ detailed discharge summary
2,571	Pediatric Surgery	Medical	Emergency Management of Acute Retention of Urine	Emergency Management of Acute Retention of Urine	0.00	2	Routine Ward	2000	Not applicable	SU064A	Clinical notes detailing chronicity / USG proving retention of urine	Evidence of simple catheterization and details of how much urine drained. Detailed discharge summary giving aetiology of retention
2,572	Pediatric Surgery	Surgical	Meatotomy / Meatoplasty	Meatotomy	5,700.00	D	Not applicable	Not applicable	Not applicable	SU065A	Clinical notes and confirmed diagnosis of meatal stenosis	Detailed discharge summary / Treatment details/ detailed Procedure / Operative Notes
2,573	Pediatric Surgery	Surgical	Meatotomy / Meatoplasty	Meatoplasty	6,500.00	D	Not applicable	Not applicable	Not applicable	SU065B	Clinical notes and confirmed diagnosis of meatal stenosis	Detailed discharge summary / Treatment details/ detailed Procedure / Operative Notes
2,574	Pediatric Surgery	Surgical	Perineal Urethrostomy Without Closure	Perineal Urethrostomy Without Closure	27,900.00	2	Not applicable	Not applicable	Not applicable	SU069A	Clinical notes detailing the pathology for which performed with supporting Evidence of RGU (Retrograde urethrography) + MCU	Detailed discharge summary/ detailed Procedure / Operative Notes
2,575	Pediatric Surgery	Surgical	Hypospadias repair	Single Stage	55,000.00	3	Not applicable	Not applicable	Not applicable	SU071A	Clinical notes	Detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes
2,576	Pediatric Surgery	Surgical	Hypospadias repair	Two or more stage (First Stage)	33,000.00	3	Not applicable	Not applicable	Not applicable	SU071B	Clinical notes	Detailed Procedure / Operative Notes
2,577	Pediatric Surgery	Surgical	Hypospadias repair	Two or more stage (Intermediate Stage)	33,000.00	5	Not applicable	Not applicable	Not applicable	SU071C	Clinical notes/ evidence of stage 1 (Discharge Summary)	Detailed Procedure / Operative Notes
2,578	Pediatric Surgery	Surgical	Hypospadias repair	Two or more stage (Final Stage)	33,000.00	3	Not applicable	Not applicable	Not applicable	SU071D	Clinical notes/ evidence of stage 1 / 2 (Discharge Summary)	Detailed Procedure / Operative Notes
2,579	Pediatric Surgery	Surgical	Hypospadias repair	with Orchiopexy	46,500.00	3	Not applicable	Not applicable	Not applicable	SU071MLA	Clinical notes	Detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes
2,580	Pediatric Surgery	Medical	Emergency Management of Hematuria	Emergency Management of Hematuria	0.00	2	Routine Ward	2000	Not applicable	SU073A	Clinical notes detailing the hematuria with urine report showing frank or microscopic/ planned line of treatment	Detailed Indoor case papers/ investigations report/ treatment given/ detailed discharge summary
2,581	Pediatric Surgery	Surgical	Urethrovaginal Fistula Repair	Urethrovaginal Fistula Repair	55,000.00	2	Not applicable	Not applicable	Not applicable	SU075A	Clinical notes and urethro Cystoscopy +vaginoscopy +USG confirming the diagnosis	Detailed Procedure / Operative Notes/ detailed discharge summary.
2,582	Pediatric Surgery	Surgical	Urethrorectal Fistula Repair	Urethrorectal Fistula Repair	68,800.00	4	Not applicable	Not applicable	Not applicable	SU076A	Clinical notes and confirmation of fistula and its tract by Cystoscopy+Sigmoidoscopy+/-RGU+MCU	detailed Procedure / Operative Notes/ Detailed discharge summary
2,583	Pediatric Surgery	Surgical	Orchiectomy	Inguinal	51,500.00	2	Not applicable	Not applicable	Not applicable	SU086A	Clinical notes and USG/CT/Biopsy confirming testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,584	Pediatric Surgery	Surgical	Orchiectomy	Simple	45,700.00	1	Not applicable	Not applicable	Not applicable	SU086B	Clinical notes and USG/CT/Biopsy confirming testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,585	Pediatric Surgery	Surgical	Bilateral Orchidectomy for Hormone Ablation	Bilateral Orchidectomy for Hormone Ablation	42,000.00	1	Not applicable	Not applicable	Not applicable	SU087A	Clinical notes and USG/CT/Biopsy confirming bilateral testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,586	Pediatric Surgery	Surgical	Torsion Testis	Torsion Testis	46,500.00	1	Not applicable	Not applicable	Not applicable	SU122MLA	Clinical notes and USG	Detailed discharge summary/ detailed Procedure / Operative Notes
2,587	Pediatric Surgery	Surgical	Thromboembolectomy	Thromboembolectomy	42,400.00	4	Not applicable	Not applicable	Not applicable	SV020A	Soon as documents are uploaded/ confirm evidence of embolus/ Thrombus in duples USG/ Angio	Detailed discharge summary and operative notes
2,588	Pediatric Surgery	Surgical	Thoracotomy, Thoraco Abdominal Approach	Thoracotomy, Thoraco Abdominal Approach	45,400.00	10	Not applicable	Not applicable	Not applicable	SV022A	Clinical notes and CT Chest establishing the aetiology for which surgery is done	Detailed Operation notes/ detailed discharge summary.
2,589	Pediatric Surgery	Surgical	Lung surgery including Thoracotomy	Lung cyst exision	68,100.00	10	Not applicable	Not applicable	Not applicable	SV023A	Clinical notes and CT Chest	Detailed Operation notes/ Discharge summary
2,590	Pediatric Surgery	Surgical	Lung surgery including Thoracotomy	Decortication	68,100.00	10	Not applicable	Not applicable	Not applicable	SV023B	Clinical notes and CT Chest	Detailed Operation notes/ Discharge summary
2,591	Pediatric Surgery	Surgical	Lung surgery including Thoracotomy	Hydatid cyst	68,100.00	10	Not applicable	Not applicable	Not applicable	SV023C	Clinical notes and CT Chest	Detailed Operation notes/ Discharge summary
2,592	Pediatric Surgery	Surgical	Lung surgery including Thoracotomy	Other simple lung procedure excluding lung resection	68,100.00	10	Not applicable	Not applicable	Not applicable	SV023D	Clinical notes and CT Chest	Detailed Operation notes/ Discharge summary
2,593	Pediatric Surgery	Surgical	Foreign Body Removal with scope	Foreign Body Removal with scope	30,300.00	2	Not applicable	Not applicable	Not applicable	SV025A	Clinical notes and Radiological evidence of foreign body	Detailed Operative notes/ Detailed discharge summary/ Photograph of Removed Foreign body
2,594	Pediatric Surgery	Surgical	Surgical Correction of Bronchopleural Fistula	Surgical Correction of Bronchopleural Fistula	98,300.00	10	Not applicable	Not applicable	Not applicable	SV026A	Clinical notes and CT Chest	Detailed operative notes and discharge summary
2,595	Pediatric Surgery	Surgical	Space - Occupying Lesion (SOL) mediastinum	Space - Occupying Lesion (SOL) mediastinum	99,100.00	10	Not applicable	Not applicable	Not applicable	SV027A	Clinical notes and CT Chest	Detailed discharge summary/ Detailed Operation notes/ HPE of SOL
2,596	Pediatric Surgery	Surgical	Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy	Isolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy	15,200.00	4	Not applicable	Not applicable	Not applicable	SV028A	Clinical notes detailing need of ICD/ X-ray chest	Detailed procedure notes. Detailed discharge summary
2,597	Pediatric Surgery	Surgical	Diaphragmatic Repair	Diaphragmatic Repair	45,400.00	10	Not applicable	Not applicable	Mesh - 6 X 3 - Polypropylene - 2200	SV029A	Clinical notes and Chest XRAY/ CT Chest	Detailed procedure notes/ detailed discharge summary.
2,598	Pediatric Surgery	Surgical	Acute intestinal obstruction	Acute intestinal obstruction	31,600.00	5	Not applicable	Not applicable	Not applicable	SL054MLA	Clinical notes with planned line of treatment/ investigation confirming diagnosis	Detailed Operative notes/ Detailed discharge summary
2,599	Pediatric Surgery	Surgical	Operation for Gastric / Duodenal Perforation	Gastric Perforation	31,600.00	6	Not applicable	Not applicable	Not applicable	SG007A	Clinical notes and X Ray Erect/USG/ CT Abdomen confirming the diagnosis/ FIR/MLC in case of traumatic aetiology	Histopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
2,600	Pediatric Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Branchial Fistula Excision	22,000.00	3	Not applicable	Not applicable	Not applicable	SL018E	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,601	Pediatric Surgery	Surgical	Surgical removal of Branchial Cyst	Surgical removal of Branchial Cyst	22,000.00	2	Not applicable	Not applicable	Not applicable	SG068A	Clinical notes with USG or CT Scan confirming diagnosis	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,602	Pediatric Surgery	Surgical	Meningocele	Meningocele Anterior	161,400.00	10	Not applicable	Not applicable	Not applicable	SN005A	Clinical notes and CT/MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
2,603	Pediatric Surgery	Surgical	Meningocele	Meningocele Lumbar	128,800.00	10	Not applicable	Not applicable	Not applicable	SN005B	Clinical notes and CT/MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
2,604	Pediatric Surgery	Surgical	Meningocele	Meningocele Occipital	160,200.00	10	Not applicable	Not applicable	Not applicable	SN005C	Clinical notes and CT/MRI establishing need of surgery	Post procedure Imaging with film (CT)/ detailed discharge summary/ Detailed Procedure / Operative Notes.
2,605	Pediatric Surgery	Surgical	Anterior Encephalocele	Anterior Encephalocele	160,200.00	8	Not applicable	Not applicable	Not applicable	SN052A	Clinical notes and CT/MRI as Evidence	Post procedure Imaging with film (CT)/ Detailed discharge summary Detailed Procedure / Operative Notes.
2,606	Pediatric Surgery	Surgical	Encephalocele Repair	Encephalocele Repair	50,700.00	10	Not applicable	Not applicable	Not applicable	SN071MLA	Clinical notes and CT/MRI as Evidence	Post procedure Imaging with film (CT)/ Detailed discharge summary Detailed Procedure / Operative Notes.
2,607	Pediatric Surgery	Surgical	Preauricular Sinus	Preauricular Sinus	9,100.00	D	Not applicable	Not applicable	Not applicable	SL059MLA	Clinical notes detailing chronicity of sinusitis indications for surgery with supporting CT	Detailed Procedure / Operative Notes/ treatment details/ discharge summary/ Post procedure Imaging
2,608	Pediatric Surgery	Surgical	Parotidectomy	Parotidectomy Total	35,700.00	2	Not applicable	Not applicable	Not applicable	SL021A	Clinical notes/ CT Scan/FNAC	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,609	Pediatric Surgery	Surgical	Parotidectomy	Parotidectomy Superficial	36,900.00	3	Not applicable	Not applicable	Not applicable	SL021B	Clinical notes/ CT Scan/FNAC	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,610	Pediatric Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Thryoglossal Cyst Excision	22,000.00	2	Not applicable	Not applicable	Not applicable	SL018A	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,611	Pediatric Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Thryoglossal Sinus Excision	22,000.00	2	Not applicable	Not applicable	Not applicable	SL018B	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,612	Pediatric Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Thryoglossal Fistula Excision	22,000.00	2	Not applicable	Not applicable	Not applicable	SL018C	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,613	Pediatric Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Branchial Sinus Excision	22,000.00	3	Not applicable	Not applicable	Not applicable	SL018D	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,614	Pediatric Surgery	Surgical	Thyroglossal or Branchial Cyst/ Sinus/ Fistula - Excision	Branchial Fistula Excision	22,000.00	3	Not applicable	Not applicable	Not applicable	SL018E	Clinical notes	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,615	Pediatric Surgery	Surgical	Achalasia Cardia Abdominal, Per Oral Endoscopic Myotomy (Poem)	Achalasia Cardia Abdominal, Per Oral Endoscopic Myotomy (Poem)	10,900.00	3	Not applicable	Not applicable	Not applicable	SG107MLA	Clinical note with Barium Study / CT SCAN	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports
2,616	Pediatric Surgery	Surgical	Removal of Submandibular Salivary Gland/ Lymph Node/ Ranula	Removal of Ranula	31,900.00	3	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL022B	Clinical notes/ MLC/FIR for traumatic injuries and circumstances of the incident which led to rupture of salivary duct	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,617	Pediatric Surgery	Surgical	Removal of Submandibular Salivary Gland/ Lymph Node/ Ranula	Removal of Ranula	31,900.00	3	Local Anesthesia/ General Anesthesia	None/ "+" 6600	Not applicable	SL022B	Clinical notes/ MLC/FIR for traumatic injuries and circumstances of the incident which led to rupture of salivary duct	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,618	Pediatric Surgery	Medical	Nephrostomy	Nephrostomy (PCN) - Follow Up	1,200.00	D	Not applicable	Not applicable	Not applicable	SU008B	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / X-RAY KUB
2,619	Pediatric Surgery	Medical	Ureterolithotomy	Lap Ureterolithotomy - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU018C	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / Urine Routine
2,620	Pediatric Surgery	Medical	Ureterolithotomy	Open Ureterolithotomy - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU018D	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / Urine Routine
2,621	Pediatric Surgery	Surgical	Ureterocalycostomy	Open	43,900.00	4	Not applicable	Not applicable	Not applicable	SU023A	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan	Detailed discharge summary/ detailed Procedure / Operative Notes
2,622	Pediatric Surgery	Surgical	Ureterocalycostomy	Lap.	49,100.00	3	Not applicable	Not applicable	Not applicable	SU023B	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan	Detailed discharge summary/ detailed Procedure / Operative Notes
2,623	Pediatric Surgery	Medical	DJ Stent Removal	DJ Stent Removal	5,000.00	D	Not applicable	Not applicable	Not applicable	SU034A	X-ray KUB films/ Earlier Discharge Summary of DJ Stenting	Clinical note with Treatment details/ report of any investigations done.
2,624	Pediatric Surgery	Surgical	Acute management of Upper Urinary Tract Trauma – Conservative	Acute management of Upper Urinary Tract Trauma – Conservative	0.00	5	Routine Ward	2000	Not applicable	SU037A	Clinical notes detailing the case history/ circumstances that led to trauma/ USG/CT Abdomen	Reports of all investigations done and consultation paper of treating doctor mentioning the final diagnosis and line of treatment/ Detailed discharge summary/
2,625	Pediatric Surgery	Surgical	Cystolithotomy - Open including Cystoscopy	Cystolithotomy - Open including Cystoscopy	36,900.00	2	Not applicable	Not applicable	Not applicable	SU040A	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary / detailed Procedure / Operative Notes
2,626	Pediatric Surgery	Surgical	Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy	Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy	27,700.00	1	Not applicable	Not applicable	Not applicable	SU041A	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary/ detailed Procedure / Operative Notes
2,627	Pediatric Surgery	Surgical	Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy	Urethral Stone removal endoscopic, including cystoscopy	27,400.00	4	Not applicable	Not applicable	Not applicable	SU041B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,628	Pediatric Surgery	Medical	Partial Cystectomy - Follow Up	Partial Cystectomy - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU043C	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG
2,629	Pediatric Surgery	Surgical	Extrophy Bladder Repair +/- Osteotomy with Epispadias Repair and Ureteric Reimplant	Extrophy Bladder Repair +/- Osteotomy with Epispadias Repair and Ureteric Reimplant	123,800.00	4	Not applicable	Not applicable	Not applicable	SU051A	Clinical notes and USG/CT/MRI confirming the diagnosis of extrophy of bladder/ epispadias	Detailed Procedure / Operative Notes and detailed discharge summary.
2,630	Pediatric Surgery	Surgical	Neurogenic Bladder - Package For Evaluation / Investigation (Catheter With Ultrasound With Culture With Rgu/ Mcu) For 1 Month (Medicines - Antibiotics)	Neurogenic Bladder - Package For Evaluation / Investigation (Catheter With Ultrasound With Culture With Rgu/ Mcu) For 1 Month (Medicines - Antibiotics)	54,900.00	1	Not applicable	Not applicable	Not applicable	SU052A	Clinical notes detailing the case history with previous work up / initial diagnosis	Evidence of all investigations done and still images of RGU/ MCU done with patient name & date
2,631	Pediatric Surgery	Surgical	Urethroplasty	End to End	41,300.00	2	Not applicable	Not applicable	Not applicable	SU066A	Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
2,632	Pediatric Surgery	Surgical	Urethroplasty	Substitution - Single Stage	41,300.00	4	Not applicable	Not applicable	Not applicable	SU066B	Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
2,633	Pediatric Surgery	Surgical	Urethroplasty	Substitution - Two Stage	82,500.00	4	Not applicable	Not applicable	Not applicable	SU066C	Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
2,634	Pediatric Surgery	Surgical	Urethroplasty	Transpubic	47,500.00	4	Not applicable	Not applicable	Not applicable	SU066D	Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
2,635	Pediatric Surgery	Medical	Urethroplasty Follow Up	Urethroplasty Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU066E	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / UFM / Urine Routine
2,636	Pediatric Surgery	Surgical	Urethral Dilatation	Non endoscopic	5,500.00	1	Not applicable	Not applicable	Not applicable	SU068A	Clinical notes and Investigation reports confirming urethral stricture (RGU+/- MCU)	Detailed discharge summary/ Detailed Procedure / Operative Notes detailing size of dilators used
2,637	Pediatric Surgery	Medical	Urethral Dilatation	Endoscopic	37,000.00	1	Not applicable	Not applicable	Not applicable	SU068B	Clinical notes and Investigation reports confirming urethral stricture (RGU+/- MCU)	Endoscopic report/ detailed discharge summary/ Detailed Procedure / Operative Notes
2,638	Pediatric Surgery	Medical	Hypospadias Repair - Follow Up	Hypospadias Repair - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU071E	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / UFM / Urine Routine
2,639	Pediatric Surgery	Surgical	Orchiopexy	Lap.	41,300.00	3	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU088A	Clinical notes and USG confirming that laparoscopy is needed for locating the testes	Detailed Procedure / Operative Notes and detailed discharge summary.
2,640	Pediatric Surgery	Surgical	Orchiopexy	Open	33,000.00	2	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU088B	Clinical notes and USG confirming location of undescended testis	Detailed Procedure / Operative Notes and detailed discharge summary.
2,641	Pediatric Surgery	Surgical	Bladder Calculi Removal	Bladder Calculi Removal	25,300.00	1	Not applicable	Not applicable	Not applicable	SU099MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of stone	Detailed discharge summary/ detailed Procedure / Operative Notes
2,642	Pediatric Surgery	Surgical	Ultra Sound Guided Biopsy	Ultra Sound Guided Biopsy	2,700.00	D	Not applicable	Not applicable	Not applicable	SU125MLA	Clinical notes with planned line of treatment	Histopathology report/ receipt/ detailed Procedure / Operative Notes
2,643	Pediatric Surgery	Surgical	Vesicolithotomy	Vesicolithotomy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU137MLA	Clinical note with MCU / USG KUB/ urine analysis/ Bl urea/ ser creatinine & S electrolyte	USG KUB/ Detailed discharge summary/ Detailed Operative notes
2,644	Pediatric Surgery	Surgical	Meningomyelocele	Meningomyelocele	95,000.00	7	Not applicable	Not applicable	Not applicable	SN093MLA	Admission Notes comprising of history and examination with indications for the procedure/ Investigations if done	Detailed Operation notes/ progress note/ detailed Discharge summary.
2,645	Plastic & Reconstructive Surgery	Surgical	Thermal burns	% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing	7,700.00	D	Not applicable	Not applicable	Not applicable	BM001A	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.
2,646	Plastic & Reconstructive Surgery	Surgical	Thermal burns	% Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM001B	Clinical Notes/ MLC copy with number/ Extent of upto 40% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,647	Plastic & Reconstructive Surgery	Surgical	Thermal burns	% Total Body Surface Area Burns (TBSA): 40% - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	88,400.00	12	Not applicable	Not applicable	Not applicable	BM001C	Clinical Notes/ MLC copy with number/ Extent of upto 40% - 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,648	Plastic & Reconstructive Surgery	Surgical	Thermal burns	% Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM001D	Clinical Notes/ MLC copy with number/ Extent > 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,649	Plastic & Reconstructive Surgery	Surgical	Thermal burns	Criteria 5: % Total Body Surface Area Burns (TBSA):60-80 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM001E	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,650	Plastic & Reconstructive Surgery	Surgical	Scald burns	% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing	7,700.00	D	Not applicable	Not applicable	Not applicable	BM002A	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.
2,651	Plastic & Reconstructive Surgery	Surgical	Scald burns	% Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM002B	Clinical Notes/ MLC copy with number/ Extent of upto 40% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,652	Plastic & Reconstructive Surgery	Surgical	Scald burns	% Total Body Surface Area Burns (TBSA): 40% - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	88,400.00	12	Not applicable	Not applicable	Not applicable	BM002C	Clinical Notes/ MLC copy with number/ Extent of upto 40% - 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,653	Plastic & Reconstructive Surgery	Surgical	Scald burns	% Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM002D	Clinical Notes/ MLC copy with number/ Extent > 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,654	Plastic & Reconstructive Surgery	Surgical	Scald burns	Criteria 5: % Total Body Surface Area Burns (TBSA):60-80 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM002E	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.
2,655	Plastic & Reconstructive Surgery	Surgical	Flame burns	% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing	7,700.00	D	Not applicable	Not applicable	Not applicable	BM003A	Clinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment.
2,656	Plastic & Reconstructive Surgery	Surgical	Flame burns	% Total Body Surface Area Burns (TBSA): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM003B	Clinical Notes/ MLC copy with number/ Extent of upto 40% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,657	Plastic & Reconstructive Surgery	Surgical	Flame burns	% Total Body Surface Area Burns (TBSA): 40 % - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	88,400.00	12	Not applicable	Not applicable	Not applicable	BM003C	Clinical Notes/ MLC copy with number/ Extent of upto 40% - 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,658	Plastic & Reconstructive Surgery	Surgical	Flame burns	% Total Body Surface Area Burns (TBSA): > 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	110,000.00	12	Not applicable	Not applicable	Not applicable	BM003D	Clinical Notes/ MLC copy with number/ Extent > 60% burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
2,659	Plastic & Reconstructive Surgery	Surgical	Electrical contact burns	Electrical contact burns: Low voltage - without part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	41,300.00	12	Not applicable	Not applicable	Not applicable	BM004A	Clinical note/ Circumstances that led to low voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
2,660	Plastic & Reconstructive Surgery	Surgical	Electrical contact burns	Electrical contact burns: Low voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM004B	Clinical note/ Circumstances that led to low voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
2,661	Plastic & Reconstructive Surgery	Surgical	Electrical contact burns	Electrical contact burns: High voltage - with part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	82,500.00	12	Not applicable	Not applicable	Not applicable	BM004C	Clinical note/ Circumstances that led to High voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
2,662	Plastic & Reconstructive Surgery	Surgical	Electrical contact burns	Electrical contact burns: High voltage - without part of limb / limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	68,800.00	12	Not applicable	Not applicable	Not applicable	BM004D	Clinical note/ Circumstances that led to High voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
2,663	Plastic & Reconstructive Surgery	Surgical	Chemical burns	Chemical burns: Without significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	55,000.00	12	Not applicable	Not applicable	Not applicable	BM005A	Clinical note/ Circumstances that led to chemical burns/ MLC copy with number/ % and area burnt with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment.Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
2,664	Plastic & Reconstructive Surgery	Surgical	Chemical burns	Chemical burns: With significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone.	82,500.00	12	Not applicable	Not applicable	Not applicable	BM005B	Clinical note/ Circumstances that led to chemical burns / MLC copy with number/ % and area burnt with rule of 9 chart	Lab tests/ X-rays or other diagnostic procedures done as a part of treatment.Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
2,665	Plastic & Reconstructive Surgery	Surgical	Post Burn Contracture surgeries for Functional Improvement	Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone - gel sheet and physiotherapy): Excluding Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG) / Flap cover is done for each joint with post - operative regular dressings for STSG / FTSG / Flap cover.	68,800.00	8	Not applicable	Not applicable	Not applicable	BM006A	Clinical history detailing the burns - etiology/ treatment given and resultant contractures left. Functional disability to be detailed and expected functional improvement to be shared.	Detailed discharge summary. Detailed Procedure / Operative Notes.
2,666	Plastic & Reconstructive Surgery	Surgical	Post Burn Contracture surgeries for Functional Improvement	Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone - gel sheet and physiotherapy): Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG) / Flap cover is done for each joint with post-operative regular dressings for STSG / FTSG / Flap cover.	68,800.00	8	Not applicable	Not applicable	Not applicable	BM006B	Clinical history detailing the burns - etiology/ treatment given and resultant contractures left. Functional disability to be detailed and expected functional improvement to be shared.	Detailed discharge summary. Detailed Procedure / Operative Notes.
2,667	Plastic & Reconstructive Surgery	Surgical	Regional flap	Myocutaneous flap	71,800.00	5	Not applicable	Not applicable	Not applicable	SC068A	Clinical notes	detailed Procedure / Operative Notes/ detailed discharge summary
2,668	Plastic & Reconstructive Surgery	Surgical	Regional flap	Fasciocutaneous flap	71,800.00	5	Not applicable	Not applicable	Not applicable	SC068B	Clinical notes	detailed Procedure / Operative Notes/ detailed discharge summary
2,669	Plastic & Reconstructive Surgery	Surgical	Microvascular reconstruction (free flaps)	Microvascular reconstruction (free flaps)	74,800.00	7	Not applicable	Not applicable	Not applicable	SC073A	Clinical notes and Biopsy of primary with details of earlier surgery done and establishing need of microvascular reconstruction	detailed discharge summary/ detailed Procedure / Operative Notes
2,670	Plastic & Reconstructive Surgery	Surgical	Vascular reconstruction	Vascular reconstruction	105,600.00	9	Not applicable	Not applicable	Not applicable	SC074A	Clinical notes/ history of surgeries/ detailing original pathology/ detailing need for vascular surgery/ planned line of treatment and advice for admission	Detailed ICPs/ discharge summary with planned line of treatment
2,671	Plastic & Reconstructive Surgery	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
2,672	Plastic & Reconstructive Surgery	Surgical	Free Grafts - Wolfe Grafts	Free Grafts - Wolfe Grafts	34,400.00	1	Not applicable	Not applicable	Not applicable	SG088A	Clinical notes detailing original pathology/ with suporting reports	Detailed Operative notes/ Detailed discharge summary
2,673	Plastic & Reconstructive Surgery	Surgical	Split thickness skin grafts	Split skin grafts <= 5%	20,700.00	1	Not applicable	Not applicable	Not applicable	SG090A	Clinical notes detailing time of Burns	Detailed Operative notes/ Detailed discharge summary
2,674	Plastic & Reconstructive Surgery	Surgical	Split thickness skin grafts	Split skin grafts 5 - 10%	19,900.00	1	Not applicable	Not applicable	Not applicable	SG090B	Clinical notes detailing time of Burns	Detailed Operative notes/ Detailed discharge summary
2,675	Plastic & Reconstructive Surgery	Surgical	Split thickness skin grafts	Spit skin graft small >= 10 %	22,400.00	1	Not applicable	Not applicable	Not applicable	SG090C	Clinical notes detailing time of Burns	Detailed Operative notes/ Detailed discharge summary
2,676	Plastic & Reconstructive Surgery	Surgical	Skin Flaps - Rotation Flaps	Skin Flaps - Rotation Flaps	31,700.00	2	Not applicable	Not applicable	Not applicable	SG091A	Clinical notes / medical records of previous surgeries and indication of this surgery	Detailed Operative notes/ Detailed discharge summary
2,677	Plastic & Reconstructive Surgery	Surgical	Fournier Gangrene	Fournier Gangrene	11,000.00	1	Not applicable	Not applicable	Not applicable	SG099B	Clinical notes detailing findings confirming the diagnosis	Detailed discharge summary/ detailed Procedure / Operative Notes.
2,678	Plastic & Reconstructive Surgery	Surgical	Open reduction and internal fixation of maxilla / mandible / zygoma	Open reduction and internal fixation of maxilla	15,400.00	2	Single/ Multiple	None/ "+" 7700	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SL034A	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
2,679	Plastic & Reconstructive Surgery	Surgical	Open reduction and internal fixation of maxilla / mandible / zygoma	Open reduction and internal fixation of mandible	15,400.00	2	Single/ Multiple	None/ "+" 7700	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SL034B	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
2,680	Plastic & Reconstructive Surgery	Surgical	Open reduction and internal fixation of maxilla / mandible / zygoma	Open reduction and internal fixation of zygoma	15,400.00	2	Single/ Multiple	None/ "+" 7700	Implant for Open reduction and internal fixation of maxilla / mandible / zygoma/Orbital fracture (Plates / Screws) - 4400	SL034C	MLC/FIR for traumatic injuries and circumstances of the incident which led to fracture/ X Ray/CT	Procedure / Operative Notes/ detailed discharge summary
2,681	Plastic & Reconstructive Surgery	Surgical	Pressure Sore – Surgery	Pressure Sore – Surgery	46,400.00	3	Not applicable	Not applicable	Not applicable	SP001A	Clinical notes detailing events that led to pressure sores	Detailed Procedure / Operative Notes/ detailed discharge summary
2,682	Plastic & Reconstructive Surgery	Surgical	Diabetic Foot – Surgery	Diabetic Foot – Surgery	62,000.00	3	Not applicable	Not applicable	Not applicable	SP002A	Clinical notes with planned line of treatment detailing diabetic foot extent of damage	Detailed Procedure / Operative Notes/ detailed discharge summary
2,683	Plastic & Reconstructive Surgery	Surgical	Revascularization of Limb/ Digit	Revascularization of Limb/ Digit	123,800.00	5	One digit/ More than 1 digit	None/ "+" 90000	Not applicable	SP003A	Clinical notes and Doppler/ If traumatic then MLC/FIR report.	Detailed discharge summary/ Detailed Procedure / Operative Notes/
2,684	Plastic & Reconstructive Surgery	Surgical	Ear Pinna Reconstruction With Costal Cartilage / Prosthesis (Including The Cost of Prosthesis / Implants)	Ear Pinna Reconstruction With Costal Cartilage / Prosthesis (Including The Cost of Prosthesis / Implants)	110,000.00	5	Not applicable	Not applicable	Not applicable	SP004A	Clinical notes/ If traumatic then MLC/FIR report. Documents supporting if indication is non-traumatic.	Invoice of Prosthesis/ Implant used. Detailed discharge summary
2,685	Plastic & Reconstructive Surgery	Surgical	Scalp Avulsion Reconstruction	Scalp Avulsion Reconstruction	82,500.00	5	Not applicable	Not applicable	Not applicable	SP005A	Clinical notes detailing how avulsion occurred/ MLC copy with number since traumatic	Detailed Procedure / Operative Notes/ detailed discharge summary
2,686	Plastic & Reconstructive Surgery	Surgical	Tissue Expander For Disfigurement Following Burns / Trauma / Congenital Deformity (Including Cost of Expander / Implant)	Tissue Expander for disfigurement following Burns	68,800.00	5	Not applicable	Not applicable	Not applicable	SP006A	Detailed Clinical notes of original clinical event having led to disfigurement or confirming details / investigations of congenital event.	Detailed discharge summary/ Detailed Procedure / Operative Notes/ Invoice of expander/Implant used
2,687	Plastic & Reconstructive Surgery	Surgical	Tissue Expander For Disfigurement Following Burns / Trauma / Congenital Deformity (Including Cost of Expander / Implant)	Tissue Expander for disfigurement following Trauma	68,800.00	5	Not applicable	Not applicable	Not applicable	SP006B	Detailed Clinical notes of original clinical event having led to disfigurement or confirming details / investigations of congenital event.	Detailed discharge summary/ Detailed Procedure / Operative Notes/ Invoice of expander/Implant used
2,688	Plastic & Reconstructive Surgery	Surgical	Tissue Expander For Disfigurement Following Burns / Trauma / Congenital Deformity (Including Cost of Expander / Implant)	Tissue Expander for disfigurement following Congenital Deformity	68,800.00	5	Not applicable	Not applicable	Not applicable	SP006C	Detailed Clinical notes of original clinical event having led to disfigurement or confirming details / investigations of congenital event.	Detailed discharge summary/ Detailed Procedure / Operative Notes/ Invoice of expander/Implant used
2,689	Plastic & Reconstructive Surgery	Surgical	Hemangioma	Sclerotherapy (Under GA)	38,500.00	3	Not applicable	Not applicable	Not applicable	SP007A	Clinical notes	Invoice of sclerosing agent used. Detailed discharge summary/ Detailed Procedure / Operative Notes.
2,690	Plastic & Reconstructive Surgery	Surgical	Hemangioma	Debulking	55,000.00	4	Not applicable	Not applicable	Not applicable	SP007B	Clinical notes	Invoice of sclerosing agent used. Detailed discharge summary/ Detailed Procedure / Operative Notes.
2,691	Plastic & Reconstructive Surgery	Surgical	Hemangioma	Excision	55,400.00	3	Not applicable	Not applicable	Not applicable	SP007C	Clinical notes	Invoice of sclerosing agent used. Detailed discharge summary/ Detailed Procedure / Operative Notes.
2,692	Plastic & Reconstructive Surgery	Surgical	NPWT	NPWT	25,000.00	3	Not applicable	Not applicable	Not applicable	SP008A	Clinical notes detailing events that led to chronic/ non healing woulds	Detailed discharge summary/ Detailed Procedure / Operative Notes/
2,693	Plastic & Reconstructive Surgery	Surgical	Cleft Lip and Palate Surgery	Cleft Lip and Palate Surgery	25,000.00	5	Not applicable	Not applicable	Not applicable	SS001A	Clinical notes with plan line of treatment	Detailed discharge summary/ Detailed operatives notes
2,694	Plastic & Reconstructive Surgery	Surgical	Hypospadias repair	Single Stage	55,000.00	3	Not applicable	Not applicable	Not applicable	SU071A	Clinical notes	Detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes
2,695	Plastic & Reconstructive Surgery	Surgical	Hypospadias repair	Two or more stage (First Stage)	33,000.00	3	Not applicable	Not applicable	Not applicable	SU071B	Clinical notes	Detailed Procedure / Operative Notes
2,696	Plastic & Reconstructive Surgery	Surgical	Hypospadias repair	Two or more stage (Intermediate Stage)	33,000.00	5	Not applicable	Not applicable	Not applicable	SU071C	Clinical notes/ evidence of stage 1 (Discharge Summary)	Detailed Procedure / Operative Notes
2,697	Plastic & Reconstructive Surgery	Surgical	Hypospadias repair	Two or more stage (Final Stage)	33,000.00	3	Not applicable	Not applicable	Not applicable	SU071D	Clinical notes/ evidence of stage 1 / 2 (Discharge Summary)	Detailed Procedure / Operative Notes
2,698	Plastic & Reconstructive Surgery	Surgical	Hypospadias repair	with Orchiopexy	46,500.00	3	Not applicable	Not applicable	Not applicable	SU071MLA	Clinical notes	Detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes
2,699	Plastic & Reconstructive surgery	Medical	Hypospadias Repair - Follow Up	Hypospadias Repair - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU071E	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / UFM / Urine Routine
2,700	Polytrauma	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
2,701	Polytrauma	Medical	Conservative management of high cervical injury	Complex spine injury	0.00	30	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063A	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
2,702	Polytrauma	Medical	Conservative management of high cervical injury	Moderate head injury	0.00	14	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063B	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
2,703	Polytrauma	Medical	Conservative management of high cervical injury	Severe head injury	0.00	14	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063C	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
2,704	Polytrauma	Medical	Conservative management of high cervical injury	Simple head injury	0.00	14	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063D	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
2,705	Polytrauma	Medical	Conservative management of high cervical injury	Simple spine injury	0.00	14	Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator	2100/ 3300/ 8500/ 9000	Not applicable	SN063E	Clinical notes/ MRI / CT	Detailed Procedure / Operative Notes/ detailed discharge summary/ Barcode of RF probe
2,706	Polytrauma	Medical	Conservative Management of Head Injury	Severe	0.00	5	Routine Ward	1000	Not applicable	ST001A	Clinical notes with planned line of treatment	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,707	Polytrauma	Surgical	Conservative Management of Head Injury	Depressed Fracture	0.00	5	Routine Ward	5000	Not applicable	ST001B	Clinical notes with planned line of treatment including planned line of treatment/ X-ray films with reports	Detailed ICPs/ Discharge summary
2,708	Polytrauma	Surgical	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)	42,700.00	5	Not applicable	Not applicable	Not applicable	ST002A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/	Detailed discharge summary/ Detailed operatives notes
2,709	Polytrauma	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Subdural Hematoma along with Fixation of Fracture of Single Long Bone	82,500.00	5	Not applicable	Not applicable	Not applicable	ST003A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,710	Polytrauma	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Extradural Hematoma along with Fixation of Fracture of Single Long Bone	82,500.00	5	Not applicable	Not applicable	Not applicable	ST003B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,711	Polytrauma	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Subdural Hematoma along with Fixation of Fracture of 2 or more Long Bones	103,200.00	5	Not applicable	Not applicable	Not applicable	ST003C	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,712	Polytrauma	Surgical	Craniotomy and Evacuation of Haematoma with Fixation of Fracture of Long Bone	Extradural Hematoma along with Fixation of Fracture of 2 or more Long Bones	103,200.00	5	Not applicable	Not applicable	Not applicable	ST003D	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both head & affected long bone)	Post- op Clinical Photograph/X-rays showing craniotomy evidence and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,713	Polytrauma	Surgical	Management of Chest Injury with Fracture of Long Bone	Management of Chest Injury with Fixation of Single Long Bone	38,500.00	5	Not applicable	Not applicable	Not applicable	ST004A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,714	Polytrauma	Surgical	Management of Chest Injury with Fracture of Long Bone	Management of Chest Injury with Fixation of 2 or More Long Bones	49,500.00	5	Not applicable	Not applicable	Not applicable	ST004B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,715	Polytrauma	Surgical	Management of Visceral Injury and Fracture Long Bone	Surgical Intervention for Visceral Injury and Fixation of Fracture of Single Long Bone	41,300.00	5	Not applicable	Not applicable	Not applicable	ST005A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,716	Polytrauma	Surgical	Management of Visceral Injury and Fracture Long Bone	Surgical Intervention for Visceral Injury and Fixation of Fracture of 2 or More Long Bones	61,900.00	5	Not applicable	Not applicable	Not applicable	ST005B	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both affected viscera & affected long bone)	X-rays showing chest injury repair and implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,717	Polytrauma	Surgical	Internal Fixation of Pelviacetabular Fracture	Internal Fixation of Pelviacetabular Fracture	44,000.00	5	Not applicable	Not applicable	Not applicable	ST006A	Clinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/	Post- op Clinical Photograph showing implant for fixation/ detailed discharge summary/ Detailed operatives notes
2,718	Polytrauma	Surgical	Internal Fixation with Flap Cover Surgery for Wound in Compound Fracture	Internal Fixation with Flap Cover Surgery for Wound in Compound Fracture	44,000.00	5	Not applicable	Not applicable	Not applicable	ST007A	Clinical notes and PRE OP CLINICAL PICTURE/X-RAY/CT	Post- op Clinical Photograph showing implant for fixation and flap cover/ detailed discharge summary/ Detailed operatives notes
2,719	Polytrauma	Medical	Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery	Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery	41,300.00	5	Not applicable	Not applicable	Not applicable	ST008A	Clinical notes with planned line of treatment detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/ MRI (of both chest & affected long bone)	Detailed discharge summary/ Detailed operatives notes
2,720	Polytrauma	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Nerve Plexus injury repair	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009A	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,721	Polytrauma	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Nerve Plexus injury reconstruction	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009B	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,722	Polytrauma	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon injury repair	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009C	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,723	Polytrauma	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon injury reconstruction	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009D	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,724	Polytrauma	Surgical	Management of Nerve Plexus / Tendon Injuries Repair	Tendon transfer	55,000.00	5	Not applicable	Not applicable	Not applicable	ST009E	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,725	Polytrauma	Surgical	Plexus Injury along with Vascular Injury Repair/ Graft	Plexus Injury along With Vascular Injury Repair	66,000.00	5	Not applicable	Not applicable	Not applicable	ST010A	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,726	Polytrauma	Surgical	Plexus Injury along with Vascular Injury Repair/ Graft	Plexus Injury along with Vascular Injury Graft	82,500.00	5	Not applicable	Not applicable	Not applicable	ST010B	Clinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)	Detailed discharge summary/ Detailed operatives notes
2,727	Radiation Oncology	Medical	2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost)	Radical	25,400.00	D	Not applicable	Not applicable	Not applicable	MR001A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,728	Radiation Oncology	Medical	2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost)	Adjuvant	12,100.00	D	Not applicable	Not applicable	Not applicable	MR001B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,729	Radiation Oncology	Medical	2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost)	Neoadjuvant	12,100.00	D	Not applicable	Not applicable	Not applicable	MR001C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,730	Radiation Oncology	Medical	2D External Beam Radiotherapy (6 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 1	10,900.00	D	Not applicable	Not applicable	Additional fraction for 2D External Beam Radiotherapy - 550	MR001D	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,731	Radiation Oncology	Medical	2D External Beam Radiotherapy - Palliative (Upto 10 Fractions) (Inclusive of Simulation & Planning Cost)	Palliative	11,000.00	D	Not applicable	Not applicable	Not applicable	MR002A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,732	Radiation Oncology	Medical	2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost)	Radical	22,000.00	D	Not applicable	Not applicable	Not applicable	MR003A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,733	Radiation Oncology	Medical	2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost)	Adjuvant	22,000.00	D	Not applicable	Not applicable	Not applicable	MR003B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,734	Radiation Oncology	Medical	2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost)	Neoadjuvant	22,000.00	D	Not applicable	Not applicable	Not applicable	MR003C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,735	Radiation Oncology	Medical	2D External Beam Radiotherapy (25 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 2	6,100.00	D	Not applicable	Not applicable	Additional fraction for 2D External Beam Radiotherapy - 550	MR003D	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,736	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost)	Radical	23,100.00	D	Not applicable	Not applicable	Not applicable	MR004A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,737	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost)	Adjuvant	23,100.00	D	Not applicable	Not applicable	Not applicable	MR004B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,738	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost)	Neoadjuvant	23,100.00	D	Not applicable	Not applicable	Not applicable	MR004C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,739	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy 3D CRT (6 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 3	21,800.00	D	Not applicable	Not applicable	Additional Fraction for Linear Accelerator, External Beam Radiotherapy 3D CRT - 1100	MR004D	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,740	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost)	Radical	44,000.00	D	Not applicable	Not applicable	Not applicable	MR005A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,741	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost)	Adjuvant	44,000.00	D	Not applicable	Not applicable	Not applicable	MR005B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,742	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost)	Neoadjuvant	44,000.00	D	Not applicable	Not applicable	Not applicable	MR005C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,743	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy 3D CRT (25 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 4	12,100.00	D	Not applicable	Not applicable	Additional Fraction for Linear Accelerator, External Beam Radiotherapy 3D CRT - 1100	MR005D	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,744	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost)	Radical	77,000.00	D	Not applicable	Not applicable	Not applicable	MR006A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,745	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost)	Adjuvant	77,000.00	D	Not applicable	Not applicable	Not applicable	MR006B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,746	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost)	Neoadjuvant	77,000.00	D	Not applicable	Not applicable	Not applicable	MR006C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,747	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (20 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 5	36,300.00	D	Not applicable	Not applicable	Additional Fraction for Linear Accelerator, External Beam Radiotherapy IMRT - 2200	MR006D	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,748	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost)	Radical	46,200.00	D	Not applicable	Not applicable	Not applicable	MR007A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,749	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost)	Adjuvant	46,200.00	D	Not applicable	Not applicable	Not applicable	MR007B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,750	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost)	Neoadjuvant	46,200.00	D	Not applicable	Not applicable	Not applicable	MR007C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,751	Radiation Oncology	Medical	Linear Accelerator, External Beam Radiotherapy IMRT (Intensity Modulated Radiotherapy) (6 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 6	43,600.00	D	Not applicable	Not applicable	Additional Fraction for Linear Accelerator, External Beam Radiotherapy IMRT - 2200	MR007D	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,752	Radiation Oncology	Medical	Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost)	Radical	99,000.00	D	Not applicable	Not applicable	Not applicable	MR008A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,753	Radiation Oncology	Medical	Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost)	Adjuvant	99,000.00	D	Not applicable	Not applicable	Not applicable	MR008B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,754	Radiation Oncology	Medical	Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost)	Neoadjuvant	99,000.00	D	Not applicable	Not applicable	Not applicable	MR008C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,755	Radiation Oncology	Medical	Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (20 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 7	45,400.00	D	Not applicable	Not applicable	Additional Fraction for Linear Accelerator External Beam Radiotherapy IGRT with 3D CRT or IMRT - 2750	MR008D	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,756	Radiation Oncology	Medical	Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost)	Radical	60,500.00	D	Not applicable	Not applicable	Not applicable	MR009A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,757	Radiation Oncology	Medical	Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost)	Adjuvant	60,500.00	D	Not applicable	Not applicable	Not applicable	MR009B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,758	Radiation Oncology	Medical	Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost)	Neoadjuvant	60,500.00	D	Not applicable	Not applicable	Not applicable	MR009C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,759	Radiation Oncology	Medical	Linear Accelerator External Beam Radiotherapy IGRT (Image Guided radiotherapy) with 3D CRT or IMRT (6 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 8	54,500.00	D	Not applicable	Not applicable	Additional Fraction for Linear Accelerator External Beam Radiotherapy IGRT with 3D CRT or IMRT - 2750	MR009D	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,760	Radiation Oncology	Medical	SRT / SBRT with IGRT (Stereotacatic radiotherapy) (4 Fractions) (Inclusive of Simulation & Planning Cost)	SRT / SBRT with IGRT (Stereotacatic radiotherapy)	97,900.00	D	Not applicable	Not applicable	Not applicable	MR010A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,761	Radiation Oncology	Medical	SRT / SBRT with IGRT (Stereotacatic radiotherapy) (4 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 9	53,200.00	D	Not applicable	Not applicable	Additional Fraction for SRT/ SBRT with IGRT - 12100	MR010B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,762	Radiation Oncology	Medical	SRS with IGRT (Stereotacatic radiotherapy) (Inclusive of Simulation & Planning Cost)	SRS with IGRT (Stereotacatic radiotherapy)	77,000.00	D	Not applicable	Not applicable	Not applicable	MR011A	Clinical note with Biopsy/ HPE report of malignancy	Detailed Discharge Summary (with RT treatment and doses given)
2,763	Radiation Oncology	Medical	Respiratory Gating along with Linear Accelerator planning (5 Fractions) (Inclusive of Simulation & Planning Cost)	Respiratory Gating along with Linear Accelerator planning	71,500.00	D	Not applicable	Not applicable	Not applicable	MR012A	Clinical notes and Documentary evidence confirming the need of Respiratory-gated radiotherapy (tumours that move with respiration during radiotherapy (lung/ breast and upper abdominal tumpurs)	Detailed Discharge Summary (with RT treatment and doses given)
2,764	Radiation Oncology	Medical	Respiratory Gating along with Linear Accelerator planning (5 Fractions) (Inclusive of Simulation & Planning Cost)	Additional fractions - 10	42,400.00	D	Not applicable	Not applicable	Additional Fraction for Respiratory Gating along with Linear Accelerator planning - 3850	MR012B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,765	Radiation Oncology	Medical	Brachytherapy High Dose Radiation	Intracavitory	3,900.00	D	Not applicable	Not applicable	Not applicable	MR013A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,766	Radiation Oncology	Medical	Brachytherapy High Dose Radiation	Intraluminal	3,900.00	D	Not applicable	Not applicable	Not applicable	MR013B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,767	Radiation Oncology	Medical	Brachytherapy High Dose Radiation	Endobiliary	3,900.00	D	Not applicable	Not applicable	Not applicable	MR013C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,768	Radiation Oncology	Medical	Brachytherapy High Dose Radiation	Endobronchial	3,900.00	D	Not applicable	Not applicable	Not applicable	MR013D	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,769	Radiation Oncology	Medical	Brachytherapy High Dose Radiation	CVS	3,900.00	D	Not applicable	Not applicable	Not applicable	MR013E	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,770	Radiation Oncology	Medical	Brachytherapy High Dose Radiation	Interstitial	49,500.00	D	Not applicable	Not applicable	Not applicable	MR014A	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,771	Radiation Oncology	Medical	Brachytherapy High Dose Radiation	Surface Mould	49,500.00	D	Not applicable	Not applicable	Not applicable	MR014B	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,772	Radiation Oncology	Medical	Brachytherapy High Dose Radiation	Additional fractions - 11	22,800.00	D	Not applicable	Not applicable	Additional Fraction for Brachytherapy High Dose Radiation - 1400	MR014C	HPE report/ Clinical notes with planned line of treatment (documents confirming the Procedure indicated and details of RT treatment plan).	Detailed Discharge Summary (with RT treatment and doses given)
2,773	Radiation Oncology	Medical	iodine treatment 30 mCi	large Dose scan/ Pre Ablation - calculation of treatment	12,500.00	3	Not applicable	Not applicable	Not applicable	MR015A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,774	Radiation Oncology	Medical	iodine treatment 30 mCi	Ablation residual disease any risk	18,600.00	3	Not applicable	Not applicable	Not applicable	MR015B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,775	Radiation Oncology	Medical	Iodine treatment 50 mCi	Ablation of residual neck disease low/intermediate	19,800.00	3	Not applicable	Not applicable	Not applicable	MR016A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,776	Radiation Oncology	Medical	Iodine treatment 100 mCi	Ablation for metastatic disease, High risk	24,600.00	3	Not applicable	Not applicable	Not applicable	MR017A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,777	Radiation Oncology	Medical	Iodine treatment 150 mCi	Ablation for metastatic disease, High risk	33,100.00	3	Not applicable	Not applicable	Not applicable	MR018A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,778	Radiation Oncology	Medical	Iodine treatment 200 mCi	Ablation for metastatic disease, High risk	38,000.00	3	Not applicable	Not applicable	Not applicable	MR019A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,779	Radiation Oncology	Medical	Iodine treatment 250 mCi	Ablation for metastatic disease, High risk	44,000.00	3	Not applicable	Not applicable	Not applicable	MR020A	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,780	Surgical Oncology	Surgical	Arthrodesis	Hand	29,700.00	4	Not applicable	Not applicable	Not applicable	SB026E	Clinical notes and X-ray confirming the diagnosis	Post procedure X-ray/ detailed Procedure / Operative Notes.
2,781	Surgical Oncology	Surgical	Arthrodesis	Foot	29,700.00	4	Not applicable	Not applicable	Not applicable	SB026F	Clinical notes detailing indication and X-ray of ankle and foot	Post procedure X-ray/ detailed Procedure / Operative Notes/ Detailed Discharge summary.
2,782	Surgical Oncology	Surgical	Glossectomy	Hemi Glossectomy	77,700.00	6	Not applicable	Not applicable	Not applicable	SC001A	Clinical notes with planned line of treatment and FNAC/ BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,783	Surgical Oncology	Surgical	Glossectomy	Total Glossectomy	88,000.00	11	Not applicable	Not applicable	Not applicable	SC001B	Clinical notes with planned line of treatment and FNAC/ BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,784	Surgical Oncology	Surgical	Palatectomy	Soft palate	49,600.00	4	Not applicable	Not applicable	Not applicable	SC002A	Clinical notes/ Biopsy +/- CT/ MRI	detailed Procedure / Operative Notes/ detailed discharge summary/ HPE report/receipt
2,785	Surgical Oncology	Surgical	Palatectomy	Hard palate	56,000.00	6	Not applicable	Not applicable	Not applicable	SC002B	Clinical notes/ Biopsy +/- CT/ MRI	detailed Procedure / Operative Notes/ detailed discharge summary/ HPE
2,786	Surgical Oncology	Surgical	Maxillectomy	Partial	66,900.00	6	Not applicable	Not applicable	Not applicable	SC003A	Clinical notes and Biopsy/CECT	detailed Procedure / Operative Notes/ HPE report/receipt/ Detailed discharge summary
2,787	Surgical Oncology	Surgical	Maxillectomy	Radical	70,700.00	8	Not applicable	Not applicable	Not applicable	SC003B	Clinical notes and Biopsy/CECT	detailed Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge summary
2,788	Surgical Oncology	Surgical	Maxillectomy	Total	70,700.00	8	Not applicable	Not applicable	Not applicable	SC003C	Clinical notes and Biopsy/CECT	detailed Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge summary
2,789	Surgical Oncology	Surgical	Composite resection (Oral Cavity)	Composite resection (Oral Cavity)	55,000.00	8	Not applicable	Not applicable	Not applicable	SC004A	Clinical notes/ Biopsy/CT reports	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,790	Surgical Oncology	Surgical	Oesophageal / Tracheal stenting	Oesophageal stenting	91,000.00	4	Not applicable	Not applicable	Not applicable	SC005A	Clinical notes and CECT/OGD Scopy	Barcode of Stent/ Detailed Procedure / Operative Notes/ Detailed Discharge summary.
2,791	Surgical Oncology	Surgical	Oesophageal / Tracheal stenting	Tracheal stenting	91,000.00	4	Not applicable	Not applicable	Not applicable	SC005B	Clinical notes and CECT/OGD Scopy	Barcode of Stent/ Detailed Procedure / Operative Notes/ Detailed Discharge summary.
2,792	Surgical Oncology	Surgical	Transthoracic esophagectomy: 2F / 3F	Open	141,800.00	7	Not applicable	Not applicable	Not applicable	SC006A	Clinical notes with planned line of treatment and FNAC/BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,793	Surgical Oncology	Surgical	Transthoracic esophagectomy: 2F / 3F	MIS	141,800.00	7	Not applicable	Not applicable	Not applicable	SC006B	Clinical notes with planned line of treatment and FNAC/BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,794	Surgical Oncology	Surgical	Gastric pull-up / Jejunal Graft	Gastric pull-up / Jejunal Graft	112,200.00	11	Not applicable	Not applicable	Not applicable	SC007A	Clinical notes with planned line of treatment and FNAC/BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,795	Surgical Oncology	Surgical	Radical Small Bowel Resection	Open	106,800.00	7	Not applicable	Not applicable	Not applicable	SC008A	Clinical notes with planned line of treatment and FNAC/BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,796	Surgical Oncology	Surgical	Radical Small Bowel Resection	Lap.	142,500.00	7	Not applicable	Not applicable	Not applicable	SC008B	Clinical notes with planned line of treatment and FNAC/BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,797	Surgical Oncology	Surgical	Intersphincteric resection	Open	96,600.00	6	Not applicable	Not applicable	Not applicable	SC009A	Clinical notes with planned line of treatment and FNAC/BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,798	Surgical Oncology	Surgical	Intersphincteric resection	Lap.	96,600.00	6	Not applicable	Not applicable	Not applicable	SC009B	Clinical notes with planned line of treatment and FNAC/BIOPSY/CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,799	Surgical Oncology	Surgical	Surgery for Abdominal wall tumour	Abdominal wall tumour resection	63,500.00	3	Not applicable	Not applicable	Not applicable	SC010A	Clinical notes and CT abdomen reports/biopsy	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,800	Surgical Oncology	Surgical	Surgery for Abdominal wall tumour	Abdominal wall tumour resection with reconstruction	93,500.00	6	Not applicable	Not applicable	Not applicable	SC010B	Clinical notes and CT abdomen reports/biopsy	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,801	Surgical Oncology	Surgical	Exploratory laparotomy f / b diversion stoma / bypass	Exploratory laparotomy f / b diversion stoma	83,700.00	8	Not applicable	Not applicable	Not applicable	SC011A	Clinical notes with planned line of treatment/ CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,802	Surgical Oncology	Surgical	Exploratory laparotomy f / b diversion stoma / bypass	Exploratory laparotomy f / b diversion bypass	83,700.00	8	Not applicable	Not applicable	Not applicable	SC011B	Clinical notes with planned line of treatment/ CECT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,803	Surgical Oncology	Surgical	Abdominoperineal resection	Open	95,600.00	6	Not applicable	Not applicable	Not applicable	SC012A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,804	Surgical Oncology	Surgical	Abdominoperineal resection	Lap.	95,600.00	6	Not applicable	Not applicable	Not applicable	SC012B	Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,805	Surgical Oncology	Surgical	Omentectomy	Omentectomy	38,500.00	6	Not applicable	Not applicable	Not applicable	SC013A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,806	Surgical Oncology	Surgical	Procedures Requiring Bypass Techniques	Procedures Requiring Bypass Techniques	67,500.00	4	Not applicable	Not applicable	Not applicable	SC014A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,807	Surgical Oncology	Surgical	Segmentectomy - hepatobiliary system	Segmentectomy - hepatobiliary system	77,000.00	5	Not applicable	Not applicable	Not applicable	SC015A	Clinical notes and Biopsy/CECT/ MRI	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,808	Surgical Oncology	Surgical	Cholecystectomy	Radical	95,600.00	6	Not applicable	Not applicable	Not applicable	SC016A	Clinical notes and CECT/MRI reports	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,809	Surgical Oncology	Surgical	Cholecystectomy	Revision	95,600.00	6	Not applicable	Not applicable	Not applicable	SC016B	Clinical notes and CECT/MRI reports	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,810	Surgical Oncology	Surgical	Enucleation of pancreatic neoplasm	Enucleation of pancreatic neoplasm	72,600.00	6	Not applicable	Not applicable	Not applicable	SC017A	Clinical notes and CECT/ MRI/biopsy and IHC report	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,811	Surgical Oncology	Surgical	Hepatoblastoma Excision	Hepatoblastoma Excision	95,700.00	8	Not applicable	Not applicable	Not applicable	SC018A	Clinical notes with planned line of treatment/ HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,812	Surgical Oncology	Surgical	Hemipelvectomy - Internal	Hemipelvectomy - Internal	99,000.00	11	Not applicable	Not applicable	Not applicable	SC019A	Clinical notes with planned line of treatment/ HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,813	Surgical Oncology	Surgical	Pelvic Exenteration	Anterior - Open	142,600.00	5	Not applicable	Not applicable	Not applicable	SC020A	Clinical notes with planned line of treatment/ HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,814	Surgical Oncology	Surgical	Pelvic Exenteration	Anterior - Lap.	142,600.00	5	Not applicable	Not applicable	Not applicable	SC020B	Clinical notes with planned line of treatment/ HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,815	Surgical Oncology	Surgical	Pelvic Exenteration	Total - Open	142,600.00	5	Not applicable	Not applicable	Not applicable	SC020C	Clinical notes with planned line of treatment/ HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,816	Surgical Oncology	Surgical	Pelvic Exenteration	Total - Lap.	142,600.00	5	Not applicable	Not applicable	Not applicable	SC020D	Clinical notes with planned line of treatment/ HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,817	Surgical Oncology	Surgical	Wilms tumors: surgery	Wilms tumors: surgery	60,500.00	8	Not applicable	Not applicable	Not applicable	SC021A	Clinical notes with planned line of treatment/ Biopsy/HPE/CT abdomen	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,818	Surgical Oncology	Surgical	Ureteric end to end anastomosis	Ureteric end to end anastomosis	44,000.00	6	Not applicable	Not applicable	Not applicable	SC022A	CT KUB/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,819	Surgical Oncology	Surgical	Distal ureterectomy with reimplantation	Distal ureterectomy with reimplantation	55,000.00	6	Not applicable	Not applicable	Not applicable	SC023A	CT KUB/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,820	Surgical Oncology	Surgical	Radical cystectomy	With continent diversion - Open	137,600.00	8	Not applicable	Not applicable	Not applicable	SC024A	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,821	Surgical Oncology	Surgical	Radical cystectomy	With Ileal Conduit - Open	178,400.00	8	Not applicable	Not applicable	Not applicable	SC024B	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,822	Surgical Oncology	Surgical	Radical cystectomy	With Ileal Conduit - Lap.	178,400.00	8	Not applicable	Not applicable	Not applicable	SC024C	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,823	Surgical Oncology	Surgical	Radical cystectomy	With neobladder - Open	204,300.00	11	Not applicable	Not applicable	Not applicable	SC024D	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,824	Surgical Oncology	Surgical	Radical cystectomy	With neobladder - Lap	204,300.00	11	Not applicable	Not applicable	Not applicable	SC024E	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,825	Surgical Oncology	Surgical	Radical cystectomy	With ureterosigmoidostomy - Open	159,200.00	8	Not applicable	Not applicable	Not applicable	SC024F	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,826	Surgical Oncology	Surgical	Radical cystectomy	With ureterosigmoidostomy - Lap	107,800.00	8	Not applicable	Not applicable	Not applicable	SC024G	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,827	Surgical Oncology	Surgical	Radical cystectomy	With ureterostomy - Open	107,800.00	8	Not applicable	Not applicable	Not applicable	SC024H	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,828	Surgical Oncology	Surgical	Radical cystectomy	With ureterostomy - Lap.	107,800.00	8	Not applicable	Not applicable	Not applicable	SC024I	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,829	Surgical Oncology	Surgical	Channel TURP	Channel TURP	41,800.00	4	Not applicable	Not applicable	Not applicable	SC025A	Clinical notes with planned line of treatment/ PSA/ USG- prostate	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,830	Surgical Oncology	Surgical	Radical Urethrectomy	Radical Urethrectomy	55,000.00	5	Not applicable	Not applicable	Not applicable	SC026A	CT KUB/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,831	Surgical Oncology	Surgical	Penile preserving surgery (WLE, Glansectomy, Laser)	Penile preserving surgery (WLE, Glansectomy, Laser)	41,800.00	5	Not applicable	Not applicable	Not applicable	SC027A	HPE/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,832	Surgical Oncology	Surgical	Excision of undescended testicular mass	Excision of undescended testicular mass	44,000.00	5	Not applicable	Not applicable	Not applicable	SC028A	CT/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,833	Surgical Oncology	Surgical	Germ Cell Tumour Excision	Germ Cell Tumour Excision	55,000.00	6	Not applicable	Not applicable	Not applicable	SC029A	Beta HCG / AFP/ USG / CT/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,834	Surgical Oncology	Surgical	Leiomyoma excision	Open	108,100.00	6	Not applicable	Not applicable	Not applicable	SC031A	Clinical notes with planned line of treatment/ USG	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,835	Surgical Oncology	Surgical	Leiomyoma excision	MIS	108,100.00	6	Not applicable	Not applicable	Not applicable	SC031B	Clinical notes with planned line of treatment/ USG	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,836	Surgical Oncology	Surgical	Radical Hysterectomy	Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Lap.	66,000.00	11	Not applicable	Not applicable	Not applicable	SC032A	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,837	Surgical Oncology	Surgical	Radical Hysterectomy	Class I radical hysterectomy + bilateral salpingoophorectomy + BPLND - Open	66,000.00	11	Not applicable	Not applicable	Not applicable	SC032B	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,838	Surgical Oncology	Surgical	Radical Hysterectomy	Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Lap.	49,500.00	6	Not applicable	Not applicable	Not applicable	SC032C	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,839	Surgical Oncology	Surgical	Radical Hysterectomy	Class I radical Hysterectomy +/- bilateral salpingoophorectomy - Open	49,500.00	6	Not applicable	Not applicable	Not applicable	SC032D	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,840	Surgical Oncology	Surgical	Radical Hysterectomy	Class II radical hysterctomy + BPLND	70,400.00	11	Not applicable	Not applicable	Not applicable	SC032E	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,841	Surgical Oncology	Surgical	Radical Hysterectomy	Class III radical hysterctomy + BPLND	70,400.00	11	Not applicable	Not applicable	Not applicable	SC032F	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,842	Surgical Oncology	Surgical	Radical Hysterectomy	Hysterectomy + bilateral salpingoophorectomy + omentectomy + peritonectomy and organ resections	99,000.00	13	Not applicable	Not applicable	Not applicable	SC032G	Clinical notes with planned line of treatment and Biopsy/CECT/ MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,843	Surgical Oncology	Surgical	Radical vaginectomy	Radical vaginectomy	55,000.00	6	Not applicable	Not applicable	Not applicable	SC033A	Clinical notes and CECT/biopsy	HPE report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,844	Surgical Oncology	Surgical	Vulvectomy + reconstruction procedures	Vulvectomy + reconstruction procedures	79,800.00	11	Not applicable	Not applicable	Not applicable	SC034A	Clinical notes with planned line of treatment/ Biopsy/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,845	Surgical Oncology	Surgical	Radical Trachelectomy	Radical Trachelectomy	66,000.00	11	Not applicable	Not applicable	Not applicable	SC035A	Clinical notes and CECT/biopsy	HPE report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,846	Surgical Oncology	Surgical	Sacral Tumour Excision	Anterior + Posterior approach	157,300.00	13	Not applicable	Not applicable	Not applicable	SC036A	Clinical notes with planned line of treatment/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,847	Surgical Oncology	Surgical	Sacral Tumour Excision	Posterior approach	134,600.00	11	Not applicable	Not applicable	Not applicable	SC036B	Clinical notes with planned line of treatment/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,848	Surgical Oncology	Surgical	Resection of nasopharyngeal tumour	Resection of nasopharyngeal tumour	77,100.00	8	Not applicable	Not applicable	Not applicable	SC037A	Clinical notes and Biopsy of primary/CECT/MRI	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,849	Surgical Oncology	Surgical	Total Pharyngectomy	Total Pharyngectomy	74,100.00	8	Not applicable	Not applicable	Not applicable	SC038A	Clinical notes with planned line of treatment/ HPE/CT/MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,850	Surgical Oncology	Surgical	Parapharyngeal Tumour Excision	Parapharyngeal Tumour Excision	52,600.00	3	Not applicable	Not applicable	Not applicable	SC039A	Clinical notes with planned line of treatment/ HPE/CT/MRI	Procedure / Operative Notes/ HPE report/receipt Detailed Discharge Summary
2,851	Surgical Oncology	Surgical	Laryngectomy	Partial laryngectomy (voice preserving)	104,000.00	6	Not applicable	Not applicable	Not applicable	SC040A	Clinical notes and Biopsy/CECT film and report	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,852	Surgical Oncology	Surgical	Laryngectomy	Total Laryngectomy	103,500.00	11	Not applicable	Not applicable	Not applicable	SC040B	Clinical notes and Biopsy/CECT film and report	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,853	Surgical Oncology	Surgical	Tracheal resection	Tracheal resection	66,000.00	8	Not applicable	Not applicable	Not applicable	SC041A	Clinical notes and CECT/ Biopsy confirming diagnosis	detailed Procedure / Operative Notes/ HPE report/receipt/ Detailed discharge summary
2,854	Surgical Oncology	Surgical	Tracheal / Carinal resection	Tracheal / Carinal resection	107,800.00	8	Not applicable	Not applicable	Not applicable	SC042A	Clinical notes with planned line of treatment/ HPE/CT / MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,855	Surgical Oncology	Surgical	Tracheal Stenosis (End to end Anastamosis) (Throat)	Tracheal Stenosis (End to end Anastamosis) (Throat)	66,000.00	6	Not applicable	Not applicable	Not applicable	SC043A	Clinical notes with planned line of treatment/ HPE/CT / MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,856	Surgical Oncology	Surgical	Central airway tumour debulking	Central airway tumour debulking	41,800.00	5	Not applicable	Not applicable	Not applicable	SC044A	Clinical notes with planned line of treatment/ HPE/CT / MRI	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,857	Surgical Oncology	Surgical	Diagnostic thoracoscopy	Diagnostic thoracoscopy	27,500.00	3	Not applicable	Not applicable	Not applicable	SC045A	Cinical notes/ radiological evidence for indication	Procedure / Operative Notes/ HPE /receipt if done/ Detailed Discharge Summary
2,858	Surgical Oncology	Surgical	Sleeve resection of lung cancer	Sleeve resection of lung cancer	121,000.00	7	Not applicable	Not applicable	Not applicable	SC046A	Clinical notes and FNAC/BIOPSY/CECT	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,859	Surgical Oncology	Surgical	Mediastinoscopy	Diagnostic	47,500.00	2	Not applicable	Not applicable	Not applicable	SC047A	Cinical notes/ radiological evidence for indication	Procedure / Operative Notes/ HPE /receipt if done/ Detailed Discharge Summary
2,860	Surgical Oncology	Surgical	Mediastinoscopy	Staging	47,500.00	2	Not applicable	Not applicable	Not applicable	SC047B	Cinical notes/ radiological evidence for indication	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,861	Surgical Oncology	Surgical	Removal of Chest Wall Tumour	Chest Wall Tumour Excision	120,800.00	6	Not applicable	Not applicable	Not applicable	SC048A	Clinical notes with planned line of treatment and HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,862	Surgical Oncology	Surgical	Removal of Chest Wall Tumour	Removal of chest wall tumour with reconstruction	136,600.00	6	Not applicable	Not applicable	Not applicable	SC048B	Clinical notes with planned line of treatment and HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,863	Surgical Oncology	Surgical	Pleurectomy Decortication	Pleurectomy Decortication	71,500.00	5	Not applicable	Not applicable	Not applicable	SC049A	Clinical notes with planned line of treatment and HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,864	Surgical Oncology	Surgical	Chamberlain procedure	Chamberlain procedure	40,700.00	2	Not applicable	Not applicable	Not applicable	SC050A	Clinical notes with planned line of treatment and CT Thorax	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,865	Surgical Oncology	Surgical	Extrapleural pneumonectomy	Extrapleural pneumonectomy	121,000.00	7	Not applicable	Not applicable	Not applicable	SC051A	Clinical notes with planned line of treatment/ HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,866	Surgical Oncology	Surgical	Pneumonectomy	Pneumonectomy	99,000.00	6	Not applicable	Not applicable	Not applicable	SC052A	Clinical notes with planned line of treatment and CT Thorax/biopsy	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,867	Surgical Oncology	Surgical	Lung metastectomy	Open	81,300.00	4	Not applicable	Not applicable	Not applicable	SC053A	Clinical notes and FNAC/BIOPSY/CECT	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,868	Surgical Oncology	Surgical	Lung metastectomy	VATS	81,300.00	4	Not applicable	Not applicable	Not applicable	SC053B	Clinical notes and FNAC/BIOPSY/CECT	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,869	Surgical Oncology	Surgical	Thoracostomy	Thoracostomy	36,300.00	2	Not applicable	Not applicable	Not applicable	SC054A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,870	Surgical Oncology	Surgical	Mediastinal lymphadenectomy	Open	108,200.00	4	Not applicable	Not applicable	Not applicable	SC055A	Clinical notes with planned line of treatment/ CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,871	Surgical Oncology	Surgical	Mediastinal lymphadenectomy	Video - assisted	108,200.00	4	Not applicable	Not applicable	Not applicable	SC055B	Clinical notes with planned line of treatment/ CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,872	Surgical Oncology	Surgical	Mediastinal mass excision with lung resection	Mediastinal mass excision with lung resection	110,000.00	6	Not applicable	Not applicable	Not applicable	SC056A	Clinical notes with planned line of treatment and CT Thorax/biopsy	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,873	Surgical Oncology	Surgical	Segmental resection of lung	Open	95,700.00	6	Not applicable	Not applicable	Not applicable	SC057A	Clinical notes with planned line of treatment and CT Thorax/biopsy	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,874	Surgical Oncology	Surgical	Segmental resection of lung	Thoracoscopic	95,700.00	6	Not applicable	Not applicable	Not applicable	SC057B	Clinical notes with planned line of treatment and CT Thorax/biopsy	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,875	Surgical Oncology	Surgical	Wedge resection lung	Open	110,000.00	6	Not applicable	Not applicable	Not applicable	SC058A	Clinical notes with planned line of treatment and CT Thorax/biopsy	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,876	Surgical Oncology	Surgical	Wedge resection lung	Thoracoscopic	110,000.00	6	Not applicable	Not applicable	Not applicable	SC058B	Clinical notes with planned line of treatment and CT Thorax/biopsy	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,877	Surgical Oncology	Surgical	Breast conserving surgery	Breast conserving surgery (lumpectomy + axillary surgery)	54,100.00	3	Not applicable	Not applicable	Not applicable	SC059A	Clinical notes and Mammography/ FNAC/BIOPSY/CT/MRI	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,878	Surgical Oncology	Surgical	Breast conserving surgery	Breast conserving surgery with Oncoplasty	49,400.00	4	Not applicable	Not applicable	Not applicable	SC059B	Clinical notes and Mammography/ FNAC/BIOPSY/CT/MRI	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,879	Surgical Oncology	Surgical	Axillary Sampling / Sentinel Node Biopsy	Axillary Sampling / Sentinel Node Biopsy	29,700.00	3	Not applicable	Not applicable	Not applicable	SC060A	FNAC/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,880	Surgical Oncology	Surgical	Axillary dissection	Axillary dissection	36,300.00	3	Not applicable	Not applicable	Not applicable	SC061A	Clinical notes and FNAC/BIOPSY/CECT/Chest X-ray	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,881	Surgical Oncology	Surgical	Scalp tumour excision with skull bone excision	Scalp tumour excision with skull bone excision	55,000.00	6	Not applicable	Not applicable	Not applicable	SC062A	HPE/Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,882	Surgical Oncology	Surgical	Neuroblastoma Excision	Neuroblastoma Excision	110,000.00	8	Not applicable	Not applicable	Not applicable	SC063A	HPE/Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,883	Surgical Oncology	Surgical	Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus	Growth - Squamous	61,900.00	2	Not applicable	Not applicable	Not applicable	SC064A	HPE/Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,884	Surgical Oncology	Surgical	Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus	Growth - Basal	61,900.00	2	Not applicable	Not applicable	Not applicable	SC064B	HPE/Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,885	Surgical Oncology	Surgical	Excision of Pinna for Growths / Injuries - Total Amputation & Excision of External Auditory Meatus	Injury	61,900.00	2	Not applicable	Not applicable	Not applicable	SC064C	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Detailed Discharge Summary
2,886	Surgical Oncology	Surgical	Comprehensive Neck Dissection	Comprehensive Neck Dissection	36,900.00	8	Not applicable	Not applicable	Not applicable	SC065A	Clinical notes/ USG/ CT neck and Biopsy/FNAC	detailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
2,887	Surgical Oncology	Surgical	Benign Soft Tissue Tumour - Excision	Benign Soft Tissue Tumour - Excision	27,500.00	3	Not applicable	Not applicable	Not applicable	SC066A	HPE/Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,888	Surgical Oncology	Surgical	Malignant Soft Tissue Tumour - Excision	Malignant Soft Tissue Tumour - Excision	66,000.00	5	Not applicable	Not applicable	Not applicable	SC067A	HPE/Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,889	Surgical Oncology	Surgical	Regional flap	Myocutaneous flap	71,800.00	5	Not applicable	Not applicable	Not applicable	SC068A	Clinical notes	detailed Procedure / Operative Notes/ detailed discharge summary
2,890	Surgical Oncology	Surgical	Regional flap	Fasciocutaneous flap	71,800.00	5	Not applicable	Not applicable	Not applicable	SC068B	Clinical notes	detailed Procedure / Operative Notes/ detailed discharge summary
2,891	Surgical Oncology	Surgical	Rotationplasty	Rotationplasty	82,500.00	7	Not applicable	Not applicable	Not applicable	SC069A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ Detailed Discharge Summary
2,892	Surgical Oncology	Surgical	Bone tumors / soft tissue sarcomas: surgery	Bone tumors / soft tissue sarcomas: surgery	55,000.00	6	Not applicable	Not applicable	Not applicable	SC070A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,893	Surgical Oncology	Surgical	Endoprosthesis Revision	Complete	106,800.00	7	Not applicable	Not applicable	Not applicable	SC071A	Clinical notes with planned line of treatment/ radiological evidence for indication	Procedure / Operative Notes/ Detailed Discharge Summary
2,894	Surgical Oncology	Surgical	Endoprosthesis Revision	Partial	74,400.00	4	Not applicable	Not applicable	Not applicable	SC071B	Clinical notes with planned line of treatment/ radiological evidence for indication	Procedure / Operative Notes/ Detailed Discharge Summary
2,895	Surgical Oncology	Surgical	Vertebral Tumour Excision and Reconstruction	Vertebral Tumour Excision and Reconstruction	110,000.00	11	Not applicable	Not applicable	Not applicable	SC072A	Clinical notes with planned line of treatment/ radiological evidence for indication	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,896	Surgical Oncology	Surgical	Microvascular reconstruction (free flaps)	Microvascular reconstruction (free flaps)	74,800.00	7	Not applicable	Not applicable	Not applicable	SC073A	Clinical notes and Biopsy of primary with details of earlier surgery done and establishing need of microvascular reconstruction	detailed discharge summary/ detailed Procedure / Operative Notes
2,897	Surgical Oncology	Surgical	Vascular reconstruction	Vascular reconstruction	105,600.00	9	Not applicable	Not applicable	Not applicable	SC074A	Clinical notes/ history of surgeries/ detailing original pathology/ detailing need for vascular surgery/ planned line of treatment and advice for admission	Detailed ICPs/ discharge summary with planned line of treatment
2,898	Surgical Oncology	Surgical	Curopsy / Sclerotherapy	Curopsy / Sclerotherapy	35,200.00	3	Not applicable	Not applicable	Not applicable	SC075A	Clinical notes	Detailed Discharge Summary/ detailed procedure note
2,899	Surgical Oncology	Surgical	Chemo Port Insertion	Chemo Port Insertion	33,000.00	2	Not applicable	Not applicable	Chemo Port - Adult - 16500 Chemo Port - Pediatric - 27500	SC076A	Clinical notes with planned line of treatment	Procedure / Operative Notes/ discharge summary/ Invoice of Chemo port used
2,900	Surgical Oncology	Surgical	Posterior Exenteration	Posterior Exenteration	111,200.00	5	Not applicable	Not applicable	Not applicable	SC077A	Clinical notes with planned line of treatment/ HPE/CT	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
2,901	Surgical Oncology	Surgical	Bilateral Pelvic Lymph Node Dissection (BPLND)	Bilateral Pelvic Lymph Node Dissection (BPLND)	49,400.00	3	Not applicable	Not applicable	Not applicable	SC078A	Admission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)/ CT/MRI for staging	Detailed Procedure / Operative Notes together with indication of surgery/ HPE /receipt/ Progress notes/detailed discharge summary.
2,902	Surgical Oncology	Surgical	Plastic surgery flap division	Head & Neck Flap Cutting any type	26,400.00	4	Not applicable	Not applicable	Not applicable	SC079A	Clinical notes detailing the original pathology thet has led to this surgery with suporting investigation reports.	Detailed Operative notes/ Detailed discharge summary
2,903	Surgical Oncology	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
2,904	Surgical Oncology	Surgical	Cytoreductive surgery for ovarian cancer	Cytoreductive surgery for ovarian cancer	79,900.00	5	Not applicable	Not applicable	Not applicable	SC081A	Clinical notes and USG Abdomen + Pelvis/ CT abdomen+ Pelvis establishing indication	Histopathology/ Detailed Operative notes/ pic of specimen removed/ Detailed Discharge Summary.
2,905	Surgical Oncology	Surgical	Wide Excision- Oral Cavity Malignancy	Wide Excision- Oral Cavity Malignancy	53,900.00	5	Not applicable	Not applicable	Not applicable	SC082A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
2,906	Surgical Oncology	Surgical	Exenteration	Exenteration	28,000.00	NA	Not applicable	Not applicable	Not applicable	SE037A	Indication for Exenteration and supporting investigation/ (Biopsy / CT / MRI establishing indication for Exenteration)/ Recommendation/opinion of 2 ophthalmologists for the procedure	Operative notes. Detailed discharge summary/ confirmation/ declaration that the specimen has been sent for histopathology and report will be sent for filing later
2,907	Surgical Oncology	Surgical	Oesophagectomy	Oesophagectomy	137,500.00	5	Not applicable	Not applicable	Not applicable	SG001A	Clinical notes and USG/CT/MRI/ Biopsy report confirming the diagnosis for which the surgery is done	Histopath report/ detailed discharge summary/ Detailed Operative notes
2,908	Surgical Oncology	Surgical	Gastrectomy	Partial Gastrectomy for carcinoma	70,500.00	5	Not applicable	Not applicable	Not applicable	SG003C	Clinical notes and Biopsy + Endoscopy/ CT Scan confirming the diagnosis	Histopathology report/ Detailed Operative notes & detailed discharge summary.
2,909	Surgical Oncology	Surgical	Gastrectomy	Subtotal Gastrectomy for Carcinoma	89,400.00	3	Not applicable	Not applicable	Not applicable	SG003D	Clinical notes and Biopsy + Endoscopy/ CT Scan confirming the diagnosis	Histopathology report/receipt/ Detailed Operative notes & detailed discharge summary.
2,910	Surgical Oncology	Surgical	Gastrectomy	Total Gastrectomy - Lap.	89,400.00	5	Not applicable	Not applicable	Not applicable	SG003E	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Histopathology report/ Detailed Operative notes & detailed discharge summary.
2,911	Surgical Oncology	Surgical	Gastrectomy	Total Gastrectomy - Open	89,400.00	5	Not applicable	Not applicable	Not applicable	SG003F	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Histopathology report/ Detailed Operative notes & detailed discharge summary.
2,912	Surgical Oncology	Surgical	Gastrojejunostomy	Gastrojejunostomy	33,000.00	5	Not applicable	Not applicable	Not applicable	SG010A	Clinical notes and Endoscopy report OR Biopsy OR CT Scan confirming the diagnosis for which this surgery is done	Detailed Operative notes/ detailed discharge summary
2,913	Surgical Oncology	Surgical	Feeding Jejunostomy	Feeding Jejunostomy	24,600.00	6	Not applicable	Not applicable	Not applicable	SG012A	Clinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is done	Detailed discharge summary/ Detailed Operative notes
2,914	Surgical Oncology	Surgical	Colectomy	Total Colectomy - Open	53,100.00	6	Not applicable	Not applicable	Not applicable	SG020A	Clinical notes and CT Scan/ Colonoscopy confirming the diagnosis and need of surgery/Biopsy of the lesion	Histopath report/ Detailed Operative notes/ detailed discharge summary
2,915	Surgical Oncology	Surgical	Colectomy	Total Colectomy - Lap.	53,100.00	6	Not applicable	Not applicable	Not applicable	SG020B	Clinical notes and CT Scan/ Colonoscopy confirming the diagnosis and need of surgery/Biopsy of the lesion	Histopath report/ Detailed Operative notes/ detailed discharge summary
2,916	Surgical Oncology	Surgical	Closure of colostomy	Closure of colostomy	24,600.00	3	Not applicable	Not applicable	Not applicable	SG023A	Clinical notes and CT/ MRI/ Colonoscopy evidence of need of surgery.	Detailed Operative notes & detailed surgery notes.
2,917	Surgical Oncology	Surgical	Closure of stoma	Closure of stoma	18,400.00	3	Not applicable	Not applicable	Not applicable	SG024A	Clinical notes detailing why colostomy was done	Detailed Operative notes & detailed surgery notes.
2,918	Surgical Oncology	Surgical	Anterior Resection of rectum	Open	55,000.00	3	Not applicable	Not applicable	Not applicable	SG029A	Clinical notes/ Biopsy/Colonoscopy	Histopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
2,919	Surgical Oncology	Surgical	Anterior Resection of rectum	Lap.	55,000.00	3	Not applicable	Not applicable	Not applicable	SG029B	Clinical notes/ Biopsy/Colonoscopy	Histopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
2,920	Surgical Oncology	Surgical	Distal Pancreatectomy with Pancreatico Jejunostomy	Distal Pancreatectomy with Pancreatico Jejunostomy	79,800.00	7	Not applicable	Not applicable	Not applicable	SG044A	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopathology report/ Detailed Operative notes and discharge summary.
2,921	Surgical Oncology	Surgical	Pancreaticoduodenectomy (Whipple's)	Pancreaticoduodenectomy (Whipple's)	137,500.00	7	Not applicable	Not applicable	Not applicable	SG045A	Clinical notes and CT/ USG/ ERCP confirming the diagnosis/	Histopathology report/ Detailed Operative notes and discharge summary.
2,922	Surgical Oncology	Surgical	Retroperitoneal Tumor - Excision	Retroperitoneal Tumor - Excision	43,100.00	5	Not applicable	Not applicable	Not applicable	SG049A	Clinical notes and X Ray/USG/CT Abdomen confirming the diagnosis	Histopath report/ detailed discharge summary/ Detailed Operative notes
2,923	Surgical Oncology	Surgical	Orchidectomy	Orchidectomy	12,900.00	2	Not applicable	Not applicable	Not applicable	SG059A	Clinical notes and describing Swelling in scrotum/ USG of scrotum +/- FNAC/ tumour markers (if cancer of prostate/testis/etc is the indication)/ justification of orchidectmy	Histopath (optional)/ Detailed Operative notes/ Detailed discharge summary
2,924	Surgical Oncology	Surgical	Operation for Carcinoma Lip	Wedge Excision	27,600.00	6	Not applicable	Not applicable	Not applicable	SG062A	Clinical notes and Biopsy report	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,925	Surgical Oncology	Surgical	Operation for Carcinoma Lip	Wedge Excision and Vermilionectomy	41,300.00	6	Not applicable	Not applicable	Not applicable	SG062B	Clinical notes and Biopsy report	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,926	Surgical Oncology	Surgical	Operation for Carcinoma Lip	Cheek advancement	41,300.00	6	Not applicable	Not applicable	Not applicable	SG062C	Clinical notes and Biopsy report	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,927	Surgical Oncology	Surgical	Excision of Growth from Tongue	Tongue only	26,300.00	1	Not applicable	Not applicable	Not applicable	SG063A	Clinical notes confirming the diagnosis/ FNAC if done	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,928	Surgical Oncology	Surgical	Radical Neck Dissection	Radical Neck Dissection	36,900.00	8	Not applicable	Not applicable	Not applicable	SG067A	Clinical notes and CT Scan/MRI Neck confirming the diagnosis/ Biopsy	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,929	Surgical Oncology	Surgical	Radical Neck Dissection	Radical Neck Dissection - Excision	36,900.00	8	Not applicable	Not applicable	Not applicable	SG067B	Clinical notes and CT Scan/MRI Neck confirming the diagnosis/ Biopsy	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,930	Surgical Oncology	Surgical	Carotid Body tumour - Excision	Carotid Body tumour - Excision	49,200.00	7	Not applicable	Not applicable	Not applicable	SG069A	Clinical notes and USG Neck/ Colour doppler confirming the diagnosis	Detailed Operative notes/ Histopathology/ Detailed discharge summary
2,931	Surgical Oncology	Surgical	Thyroidectomy	Hemi thyroidectomy	30,300.00	2	Not applicable	Not applicable	Not applicable	SG070A	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,932	Surgical Oncology	Surgical	Thyroidectomy	Total thyroidectomy	72,500.00	4	Not applicable	Not applicable	Not applicable	SG070B	Clinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,933	Surgical Oncology	Surgical	Thyroidectomy	Total Thyroidectomy with Block Dissection	80,500.00	5	Not applicable	Not applicable	Not applicable	SG070C	Clinical notes and FNAC/ Biopsy/ Thyroid Function Test/USG confirming the diagnosis and need for surgery	Histopath report/ Detailed Operative notes/ Detailed discharge summary
2,934	Surgical Oncology	Surgical	Excision of Parathyroid Adenoma / Carcinoma	Excision of Parathyroid Adenoma	27,500.00	3	Not applicable	Not applicable	Not applicable	SG071A	Clinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,935	Surgical Oncology	Surgical	Excision of Parathyroid Adenoma / Carcinoma	Excision of Parathyroid Carcinoma	22,400.00	3	Not applicable	Not applicable	Not applicable	SG071B	Clinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
2,936	Surgical Oncology	Surgical	Lobectomy	Thoracoscopic	49,600.00	5	Not applicable	Not applicable	Not applicable	SG081A	Clinical notes and CT Thorax confirming the diagnosis/ Biopsy +/- Cytology	Detailed Operative notes/ histopath/ Detailed discharge summary
2,937	Surgical Oncology	Surgical	Lobectomy	Open	49,600.00	5	Not applicable	Not applicable	Not applicable	SG081B	Clinical notes and CT Thorax confirming the diagnosis/ Biopsy +/- Cytology	Detailed Operative notes/ histopath/ Detailed discharge summary
2,938	Surgical Oncology	Surgical	Flap Reconstructive Surgery	Flap Reconstructive Surgery	43,500.00	4	Not applicable	Not applicable	Not applicable	SG087A	Clinical notes detailing the original pathology that has led to this surgery with suporting investigation reports	Detailed Operative notes/ Detailed discharge summary
2,939	Surgical Oncology	Surgical	Percutaneous Transhepatic Biliary Drainage (PTBD)	Percutaneous Transhepatic Biliary Drainage (PTBD)	22,200.00	NA	Not applicable	Not applicable	For PTBD - 33000	SG105A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports
2,940	Surgical Oncology	Surgical	Pancreatectomy	Pancreatectomy	91,800.00	3	Not applicable	Not applicable	Not applicable	SG170MLB	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
2,941	Surgical Oncology	Surgical	Pancreatectomy	Pancreatectomy Central	71,300.00	3	Not applicable	Not applicable	Not applicable	SG170MLC	Clinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
2,942	Surgical Oncology	Surgical	Pinna surgery for tumour / trauma	Pinna surgery for tumour	9,500.00	2	Not applicable	Not applicable	Not applicable	SL001A	History/ clinical note	Histopath report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
2,943	Surgical Oncology	Surgical	Mastoidectomy	Simple	30,800.00	2	Not applicable	Not applicable	Not applicable	SL004A	Clinical notes confirming the indication for the procedure with imaging (X-ray/ CT) Evidence/ Audiometry	Detailed Procedure / Operative Notes/ Detailed discharge summary
2,944	Surgical Oncology	Surgical	Mastoidectomy	Radical	30,800.00	2	Not applicable	Not applicable	Not applicable	SL004B	Clinical notes confirming the indication for the procedure with imaging (X-ray/ CT) Evidence/ Audiometry	Detailed Procedure / Operative Notes/ Detailed discharge summary
2,945	Surgical Oncology	Surgical	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx without reconstruction	13,800.00	5	Not applicable	Not applicable	Not applicable	SL020A	CT Scan/ Biopsy/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ Histopathology report
2,946	Surgical Oncology	Surgical	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with pedicled flap reconstruction	50,300.00	6	Not applicable	Not applicable	Not applicable	SL020B	CT Scan/Biopsy/ Clinical notes	Procedure / Operative Notes/ Histopathology report
2,947	Surgical Oncology	Surgical	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with or without reconstruction	Excision of tumour of oral cavity / paranasal sinus / laryngopharynx with free flap reconstruction	34,400.00	7	Not applicable	Not applicable	Not applicable	SL020C	CT Scan/Biopsy/ Clinical notes	Procedure / Operative Notes/ Histopathology report
2,948	Surgical Oncology	Surgical	Parotidectomy	Total	35,700.00	2	Not applicable	Not applicable	Not applicable	SL021A	Clinical notes/ CT Scan/FNAC	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,949	Surgical Oncology	Surgical	Parotidectomy	Radical	36,900.00	5	Not applicable	Not applicable	Not applicable	SL021MLA	Clinical notes/ CT Scan/FNAC	Histopathology report/ detailed Procedure / Operative Notes. Detailed discharge summary
2,950	Surgical Oncology	Surgical	Parotidectomy	Conservative	31,000.00	5	Not applicable	Not applicable	Not applicable	SL021MLB	Clinical notes/ CT Scan/FNAC	Histopathology report/ detailed Procedure / Operative Notes. Detailed discharge summary
2,951	Surgical Oncology	Surgical	Open laryngeal framework surgery / Thyroplasty	Open laryngeal framework surgery / Thyroplasty	5,500.00	1	Not applicable	Not applicable	Implant for Open laryngeal framework surgery / Thyroplasty (Keel / Stent) - 16500	SL025A	Clinical notes to establish indication and justification of surgery/ Evidence through CT/ MRI/ Biopsy	Histopathology report/receipt in case of tumours/ detailed Procedure / Operative Notes/ Detailed discharge summary
2,952	Surgical Oncology	Surgical	Neck dissection	Selective Benign neck tumour excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027A	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,953	Surgical Oncology	Surgical	Neck dissection	Comprehensive Benign neck tumour excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027B	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,954	Surgical Oncology	Surgical	Neck dissection	Selective Pharyngeal diverticulum excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027C	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,955	Surgical Oncology	Surgical	Neck dissection	Comprehensive Pharyngeal diverticulum excision	25,900.00	3	Not applicable	Not applicable	Not applicable	SL027D	Indication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumours	Histopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
2,956	Surgical Oncology	Surgical	Anterior skull base surgery	Endoscopic CSF Rhinorrhea Repair	52,300.00	6	Not applicable	Not applicable	Fibrin Glue - 9900	SL029A	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes/ detailed discharge summary
2,957	Surgical Oncology	Surgical	Anterior skull base surgery	Optic nerve decompression	40,500.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL029B	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes
2,958	Surgical Oncology	Surgical	Anterior skull base surgery	Orbital decompression	40,500.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL029C	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes
2,959	Surgical Oncology	Surgical	Anterior skull base surgery	Craniofacial Resection	40,500.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL029D	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes/ Histopathology report/receipt
2,960	Surgical Oncology	Surgical	Anterior skull base surgery	Maxillary swing	35,100.00	6	Not applicable	Not applicable	Fibrin Glue - 9900	SL029E	Clinical notes with planned line of treatment detailing aetiology/ MLC/ FIR if traumatic. CT to confirm need of surgery	Procedure / Operative Notes
2,961	Surgical Oncology	Surgical	Advanced anterior skull base surgery	Endoscopic Hypophysectomy	54,800.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL030A	Clinical notes with planned line of treatment and Coronal CT/MRI establishing diagnosis and establishing need of surgery	Procedure / Operative Notes/ Histopathology report/receipt
2,962	Surgical Oncology	Surgical	Advanced anterior skull base surgery	Clival tumour excision	54,800.00	7	Not applicable	Not applicable	Fibrin Glue - 9900	SL030B	Clinical notes with planned line of treatment and Coronal CT/MRI establishing diagnosis and establishing need of surgery	Procedure / Operative Notes/ Histopathology report/receipt/ detailed discharge summary
2,963	Surgical Oncology	Surgical	Lateral skull base procedures	Subtotal petrosectomy	34,000.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL031A	Clinical notes with planned line of treatment and CT/MRI/ biopsy to establish the indication and justify the surgery.	Procedure / Operative Notes/ Histopathology report/receipt/ detailed discharge summary
2,964	Surgical Oncology	Surgical	Lateral skull base procedures	Post-traumatic facial nerve decompression	34,000.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL031B	Clinical notes with planned line of treatment and CT/MRI/ biopsy to establish the indication and justify the surgery.	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,965	Surgical Oncology	Surgical	Lateral skull base procedures	CSF Otorrhoea repair	34,000.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL031C	Clinical notes with planned line of treatment and CT/MRI/ biopsy to establish the indication and justify the surgery.	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,966	Surgical Oncology	Surgical	Advanced lateral skull base surgery	Fisch approach	54,900.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL032A	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,967	Surgical Oncology	Surgical	Advanced lateral skull base surgery	Translabyrinthine approach	54,900.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL032B	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,968	Surgical Oncology	Surgical	Advanced lateral skull base surgery	Transcochlear approach	54,900.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL032C	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,969	Surgical Oncology	Surgical	Advanced lateral skull base surgery	Temporal Bone resection	54,900.00	2	Not applicable	Not applicable	Fibrin Glue - 9900	SL032D	Clinical notes with planned line of treatment and Audiogram report justfying surgery +/- CT- TEMPORAL BONE of affected side /X-RAY BOTH MASTOIDS	Procedure / Operative Notes/ progress note/ detailed discharge summary
2,970	Surgical Oncology	Surgical	Salpingoophorectomy	Open	27,500.00	3	Not applicable	Not applicable	Not applicable	SO001MLA	Clinical notes establishing indication/ USG Abdomen Pelvis/ CT/ MRI abdomen Pelvis	Detailed Operative notes/HPE report/receipt of specimen/ Detailed discharge summary
2,971	Surgical Oncology	Surgical	Laparotomy and Proceed for Ovarian Cancers - Omentomy with Bilateral Salpingooopherectomy	Laparotomy and Proceed for Ovarian Cancers - Omentomy with Bilateral Salpingooopherectomy	41,800.00	5	Not applicable	Not applicable	Not applicable	SO002A	Clinical notes and USG Abdomen + Pelvis/ CT abdomen+ Pelvis establishing indication	Histopathology report/receipt/ Detailed Operative notes/ post op pic of specimen removed/ Detailed Discharge Summary.
2,972	Surgical Oncology	Surgical	Hysterectomy	Abdominal Hysterectomy	25,700.00	3	Not applicable	Not applicable	Not applicable	SO010A	Clinical notes with planned line of treatment (including System Examination) and Investigations (USG Abdomen + Pelvis/ CT abdomen+ Pelvis) confirming the indication	Histopathology report/receipt/ Detailed Discharge Summary with Procedure / Operative Notes
2,973	Surgical Oncology	Surgical	Vulvectomy Simple	Vulvectomy Simple	22,000.00	3	Not applicable	Not applicable	Not applicable	SO035A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) with Evidence (biopsy).	Detailed Procedure / Operative Notes/ histopathology report/receipt/ progress notes/Detailed discharge summary
2,974	Surgical Oncology	Surgical	Radical Vulvectomy	Radical Vulvectomy with Inguinal and Pelvic lymph node disection	55,000.00	3	Not applicable	Not applicable	Not applicable	SO036A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)/vulval biopsy/ CT/MRI for staging	Detailed Procedure / Operative Notes together with indication of surgery/ pic of gross specimen removed / HPE report/receipt/ Progress notes/detailed discharge summary.
2,975	Surgical Oncology	Surgical	Nephrectomy	For Benign pathology - Open	45,200.00	2	Not applicable	Not applicable	Not applicable	SU003A	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,976	Surgical Oncology	Surgical	Nephrectomy	For Benign pathology - Lap.	50,400.00	2	Not applicable	Not applicable	Not applicable	SU003B	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,977	Surgical Oncology	Surgical	Nephrectomy	Radical (Renal tumor) - Open	45,200.00	4	Not applicable	Not applicable	Not applicable	SU003C	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,978	Surgical Oncology	Surgical	Nephrectomy	Radical (Renal tumor) - Lap.	50,400.00	3	Not applicable	Not applicable	Not applicable	SU003D	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology report/receipt/ Post procedure X-ray. Detailed discharge summary/ detailed Procedure / Operative Notes
2,979	Surgical Oncology	Surgical	Nephrectomy	Partial or Hemi - Open	60,000.00	4	Not applicable	Not applicable	Not applicable	SU003E	Clinical notes and CT/MRI confirming the need for surgery	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,980	Surgical Oncology	Surgical	Nephrectomy	Partial or Hemi - Lap	60,000.00	3	Not applicable	Not applicable	Not applicable	SU003F	Clinical notes and CT/MRI confirming the need for surgery	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,981	Surgical Oncology	Surgical	Nephro Ureterectomy	Benign - Open	42,000.00	4	Not applicable	Not applicable	Not applicable	SU010A	Clinical notes and CT/ CT-IVP/MRI confirming the need for surgery	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,982	Surgical Oncology	Surgical	Nephro Ureterectomy	Benign - Lap.	50,400.00	3	Not applicable	Not applicable	Not applicable	SU010B	Clinical notes and CT/ CT-IVP/MRI confirming the need for surgery	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,983	Surgical Oncology	Surgical	Nephro Ureterectomy	With Cuff of Bladder - Open	57,500.00	4	Not applicable	Not applicable	Not applicable	SU010C	Clinical notes and CT/ CT-IVP/MRI/MRI Urogram confirming the need for surgery	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,984	Surgical Oncology	Surgical	Nephro Ureterectomy	With Cuff of Bladder - Lap.	57,500.00	3	Not applicable	Not applicable	Not applicable	SU010D	Clinical notes and CT/ CT-IVP/MRI/MRI Urogram confirming the need for surgery	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,985	Surgical Oncology	Surgical	Partial Cystectomy	Open	33,000.00	3	Not applicable	Not applicable	Not applicable	SU043A	Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy)	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,986	Surgical Oncology	Surgical	Partial Cystectomy	Lap.	33,000.00	2	Not applicable	Not applicable	Not applicable	SU043B	Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy)	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,987	Surgical Oncology	Surgical	TURBT - Restage	TURBT - Restage	27,300.00	2	Not applicable	Not applicable	Not applicable	SU056A	Clinical notes and USG/CT/ MRI confirming the diagnosis bladder tumour	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,988	Surgical Oncology	Surgical	Stress Incontinence Surgery	Stress Incontinence Surgery - Open	32,500.00	3	Not applicable	Not applicable	Not applicable	SU062A	Clinical notes and Cystoscopy/ USG/ Uro Dynamic study to confirm the dignosis.	Detailed Procedure / Operative Notes/ detailed discharge summary
2,989	Surgical Oncology	Surgical	Penectomy	Partial Penectomy	27,500.00	2	Not applicable	Not applicable	Not applicable	SU082A	Clinical notes and Biopsy findings	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,990	Surgical Oncology	Surgical	Orchiectomy	Inguinal	51,500.00	2	Not applicable	Not applicable	Not applicable	SU086A	Clinical notes and USG/CT/Biopsy confirming testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,991	Surgical Oncology	Surgical	Orchiectomy	Simple	45,700.00	1	Not applicable	Not applicable	Not applicable	SU086B	Clinical notes and USG/CT/Biopsy confirming testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,992	Surgical Oncology	Surgical	Bilateral Orchidectomy for Hormone Ablation	Bilateral Orchidectomy for Hormone Ablation	42,000.00	1	Not applicable	Not applicable	Not applicable	SU087A	Clinical notes and USG/CT/Biopsy confirming bilateral testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,993	Surgical Oncology	Surgical	Radical Retroperitoneal lymph node dissection	Open	54,800.00	3	Not applicable	Not applicable	Not applicable	SU090A	Clinical notes and USG/CT / Biopsy confirming diagnsosis	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,994	Surgical Oncology	Surgical	Radical Retroperitoneal lymph node dissection	Lap	55,800.00	3	Not applicable	Not applicable	Not applicable	SU090B	Clinical notes and USG/CT / Biopsy confirming diagnsosis	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,995	Surgical Oncology	Surgical	Pelvic lymphadenectomy, after prior cancer surgery	Open	41,300.00	3	Not applicable	Not applicable	Not applicable	SU098A	Clinical notes and USG/CT/Biopsy confirming bilateral testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,996	Surgical Oncology	Surgical	Pelvic lymphadenectomy, after prior cancer surgery	Laparoscopic	41,800.00	3	Not applicable	Not applicable	Not applicable	SU098B	Clinical notes and USG/CT/Biopsy confirming bilateral testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
2,997	Surgical Oncology	Surgical	Surgical Correction of Bronchopleural Fistula	Surgical Correction of Bronchopleural Fistula	98,300.00	10	Not applicable	Not applicable	Not applicable	SV026A	Clinical notes and CT Chest	Detailed operative notes and discharge summary
2,998	Surgical Oncology	Surgical	Surgery for Cardiac Tumour	Surgery for Cardiac Tumour	143,800.00	10	Not applicable	Not applicable	Not applicable	SV030A	Clinical notes and ECHO report	Detailed Operation notes/ Discharge summary/ HPE report/receipt of tumor.
2,999	Unspecified Surgical Package	Surgical	Unspecified Surgical Package	Unspecified Surgical Package	0.00	NA	Not applicable	Not applicable	Not applicable	US001A	Clinical notes with planned line of treatment (including indication for need of required Procedure )	Procedure / Operative Notes/ Detailed Discharge Summary
3,000	Unspecified Surgical Package	Surgical	Unspecified Surgical Package	Unspecified Surgical Package	0.00	NA	Not applicable	Not applicable	Not applicable	US001B	Clinical notes with planned line of treatment (including indication for need of required Procedure )	Procedure / Operative Notes/ Detailed Discharge Summary
3,001	Urology	Surgical	Distal ureterectomy with reimplantation	Distal ureterectomy with reimplantation	55,000.00	6	Not applicable	Not applicable	Not applicable	SC023A	CT KUB/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,002	Urology	Surgical	Radical cystectomy	With continent diversion - Open	137,600.00	8	Not applicable	Not applicable	Not applicable	SC024A	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,003	Urology	Surgical	Radical cystectomy	With Ileal Conduit - Open	178,400.00	8	Not applicable	Not applicable	Not applicable	SC024B	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,004	Urology	Surgical	Radical cystectomy	With Ileal Conduit - Lap.	178,400.00	8	Not applicable	Not applicable	Not applicable	SC024C	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,005	Urology	Surgical	Radical cystectomy	With neobladder - Open	204,300.00	11	Not applicable	Not applicable	Not applicable	SC024D	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,006	Urology	Surgical	Radical cystectomy	With neobladder - Lap	204,300.00	11	Not applicable	Not applicable	Not applicable	SC024E	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,007	Urology	Surgical	Radical cystectomy	With ureterosigmoidostomy - Open	159,200.00	8	Not applicable	Not applicable	Not applicable	SC024F	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,008	Urology	Surgical	Radical cystectomy	With ureterosigmoidostomy - Lap	107,800.00	8	Not applicable	Not applicable	Not applicable	SC024G	Clinical notes with planned line of treatment/ CT/HPE	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,009	Urology	Surgical	Radical Urethrectomy	Radical Urethrectomy	55,000.00	5	Not applicable	Not applicable	Not applicable	SC026A	CT KUB/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,010	Urology	Surgical	Penile preserving surgery (WLE, Glansectomy, Laser)	Penile preserving surgery (WLE, Glansectomy, Laser)	41,800.00	5	Not applicable	Not applicable	Not applicable	SC027A	HPE/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
3,011	Urology	Surgical	Resuturing of Any Wound gap Surgeries	Resuturing of Any Wound gap Surgeries	4,200.00	NA	Not applicable	Not applicable	Not applicable	SC080A	Clinical notes with planned line of treatment	Clinical notes / discharge summary with planned line of treatment
3,012	Urology	Surgical	Vasovasostomy	Vasovasostomy	13,200.00	2	Not applicable	Not applicable	Not applicable	SG058A	Clinical notes detailing need of surgery after vasectomy? Evidence of When and where was vasectomy done? Is the EHCP equipped for microsurgery?	Detailed discharge summary/ Detailed Operative notes. Since this is microsurgery evaluate time taken (2 hours+)
3,013	Urology	Surgical	Repair of renal artery stenosis	Repair of renal artery stenosis	83,600.00	7	Not applicable	Not applicable	Not applicable	SG102A	Admission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)/ CT Angio	Detailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ CT angio
3,014	Urology	Surgical	Circumcision	Circumcision - Phimosis / Paraphimosis or any other clinical condition	22,000.00	D	Not applicable	Not applicable	Not applicable	SG104A	Clinical notes detailing history /Admission notes showing vitals/ examination and clinical findings/any investigations done	Operative note/ Treatment details/detailed discharge summary/ All investigations reports
3,015	Urology	Surgical	Sacrocolpopexy (Abdominal)	Open	40,000.00	7	Not applicable	Not applicable	Mesh - 15 X 15 - 5500	SO025A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Barcode of sling used/ progress notes/Detailed discharge summary
3,016	Urology	Surgical	Sacrocolpopexy (Abdominal)	Lap.	40,000.00	7	Not applicable	Not applicable	Mesh - 15 X 15 - 5500	SO025B	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis)	Detailed Procedure / Operative Notes/ Barcode of sling used/ progress notes/Detailed discharge summary
3,017	Urology	Surgical	Adrenalectomy	Open	30,300.00	2	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU001A	Clinical notes confirming diagnosis with Evidence of /CT/MRI +/- FNAC/Biopsy/ Sr. Cortisol/ Sr. electrolytes/ 24 hr urinary catacholamine level / sr. or urinary metanephrine normetanephrine/ MIBG Scan/ DOTONOC scan	Histopathology report/ receipt/ Detailed discharge summary detailed Procedure / Operative Notes
3,018	Urology	Surgical	Adrenalectomy	Lap	30,300.00	2	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU001B	Clinical notes confirming diagnosis with Evidence of /CT/MRI +/- FNAC/Biopsy/ Sr. Cortisol/ Sr. electrolytes/ 24 hr urinary catacholamine level / sr. or urinary metanephrine normetanephrine/ MIBG Scan/ DOTONOC scan	Histopathology report/ receipt/ Detailed discharge summary detailed Procedure / Operative Notes
3,019	Urology	Surgical	Renal Cyst Deroofing or Marsupialization	Open	33,000.00	2	Not applicable	Not applicable	Not applicable	SU002A	Clinical notes and USG/CT scan confirming the renal cyst and justification of the surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
3,020	Urology	Surgical	Renal Cyst Deroofing or Marsupialization	Lap.	33,000.00	2	Not applicable	Not applicable	Not applicable	SU002B	Clinical notes and USG/CT scan confirming the renal cyst and justification of the surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
3,021	Urology	Surgical	Nephrectomy	For Benign pathology - Open	45,200.00	2	Not applicable	Not applicable	Not applicable	SU003A	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,022	Urology	Surgical	Nephrectomy	For Benign pathology - Lap.	50,400.00	2	Not applicable	Not applicable	Not applicable	SU003B	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,023	Urology	Surgical	Nephrectomy	Radical (Renal tumor) - Open	45,200.00	4	Not applicable	Not applicable	Not applicable	SU003C	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,024	Urology	Surgical	Nephrectomy	Radical (Renal tumor) - Lap.	50,400.00	3	Not applicable	Not applicable	Not applicable	SU003D	Clinical notes and USG/CT confirming the need for surgery +/- FNAC/Biopsy	Histopathology report/receipt/ Post procedure X-ray. Detailed discharge summary/ detailed Procedure / Operative Notes
3,025	Urology	Surgical	Nephrectomy	Partial or Hemi - Open	60,000.00	4	Not applicable	Not applicable	Not applicable	SU003E	Clinical notes and CT/MRI confirming the need for surgery	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,026	Urology	Surgical	Nephrectomy	Partial or Hemi - Lap	60,000.00	3	Not applicable	Not applicable	Not applicable	SU003F	Clinical notes and CT/MRI confirming the need for surgery	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,027	Urology	Surgical	Nephrolithotomy	Open	41,800.00	4	Not applicable	Not applicable	Not applicable	SU005A	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Post procedure Imaging (X Ray/USG)/ showing stone removed/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,028	Urology	Surgical	Nephrolithotomy	Anatrophic	41,800.00	4	Not applicable	Not applicable	Not applicable	SU005B	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Post procedure Imaging (X Ray/USG)/ showing stone removed/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,029	Urology	Surgical	PCNL (Percutaneous Nephrolithotomy)	PCNL (Percutaneous Nephrolithotomy)	49,500.00	2	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU007A	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication and need for PCNL	Detailed discharge summary/ detailed Procedure / Operative Notes/ Post procedure Imaging (X Ray/USG)
3,030	Urology	Surgical	Nephrostomy	Percutaneous - Ultrasound Guided	40,000.00	1	Not applicable	Not applicable	Not applicable	SU008A	Clinical notes and USG confirming the indication and need of procedure.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,031	Urology	Medical	Nephrostomy	Nephrostomy (PCN) - Follow Up	1,200.00	D	Not applicable	Not applicable	Not applicable	SU008B	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / X-RAY KUB
3,032	Urology	Surgical	Nephrostomy	Open	22,000.00	3	Not applicable	Not applicable	Not applicable	SU008C	Clinical notes and USG confirming the indication and need of procedure.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,033	Urology	Surgical	Follow up for urological procedures	Follow up for urological procedures	2,100.00	4	Not applicable	Not applicable	Not applicable	SU0101A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
3,034	Urology	Surgical	Nephro Ureterectomy	Benign - Open	42,000.00	4	Not applicable	Not applicable	Not applicable	SU010A	Clinical notes and CT/ CT-IVP/MRI confirming the need for surgery	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,035	Urology	Surgical	Nephro Ureterectomy	Benign - Lap.	50,400.00	3	Not applicable	Not applicable	Not applicable	SU010B	Clinical notes and CT/ CT-IVP/MRI confirming the need for surgery	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,036	Urology	Surgical	Nephro Ureterectomy	With Cuff of Bladder - Open	57,500.00	4	Not applicable	Not applicable	Not applicable	SU010C	Clinical notes and CT/ CT-IVP/MRI/MRI Urogram confirming the need for surgery	Histopathology/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,037	Urology	Surgical	Nephro Ureterectomy	With Cuff of Bladder - Lap.	57,500.00	3	Not applicable	Not applicable	Not applicable	SU010D	Clinical notes and CT/ CT-IVP/MRI/MRI Urogram confirming the need for surgery	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,038	Urology	Surgical	Perinephric Abscess drainage	Open	51,500.00	2	Not applicable	Not applicable	Not applicable	SU013A	Clinical notes and USG/CT confirming the diagnosis of perinephric abscess.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,039	Urology	Surgical	Perinephric Abscess drainage	Percutaneous	51,500.00	2	Not applicable	Not applicable	Not applicable	SU013B	Clinical notes and USG/CT confirming the diagnosis of perinephric abscess.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,040	Urology	Surgical	Ureteroscopy	Stone removal with lithotripsy - Lower Ureter	41,300.00	1	Unilateral/ Bilateral	None/ "+" 16500	Not applicable	SU014A	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG)/ showing stone removed detailed Procedure / Operative Notes
3,041	Urology	Surgical	Ureteroscopy	Stone removal with lithotripsy - Upper Ureter	41,300.00	1	Unilateral/ Bilateral	None/ "+" 16500	Not applicable	SU014B	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG)/ showing stone removed detailed Procedure / Operative Notes
3,042	Urology	Surgical	Ureteroscopy	With Endolitholopexy	18,500.00	1	Not applicable	Not applicable	Not applicable	SU014MLA	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG)/ showing stone removed detailed Procedure / Operative Notes
3,043	Urology	Surgical	Ureteroscopy	Ureteroscopy Urethroplasty	25,200.00	3	Not applicable	Not applicable	Not applicable	SU014MLB	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG)/ showing stone removed detailed Procedure / Operative Notes
3,044	Urology	Surgical	Ureteroscopy	With Percutaneous Nephrolithotomy (PCNL)	25,200.00	3	Not applicable	Not applicable	Not applicable	SU014MLC	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG)/ showing stone removed detailed Procedure / Operative Notes
3,045	Urology	Surgical	Extracoporeal shock - wave Lithotripsy (ESWL)	Extracoporeal shock - wave Lithotripsy (ESWL) stone, with or without stent (one side)	27,700.00	2	Not applicable	Not applicable	Not applicable	SU016A	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication and need for ESWL	Detailed discharge summary/ detailed Procedure / Operative Notes
3,046	Urology	Surgical	Ureterolithotomy	Open	33,000.00	3	Not applicable	Not applicable	Not applicable	SU018A	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ detailed Procedure / Operative Notes/Post procedure Imaging (X Ray/USG)/ showing stone removed
3,047	Urology	Surgical	Ureterolithotomy	Lap.	33,000.00	2	Not applicable	Not applicable	Not applicable	SU018B	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG) showing stone has been removed/ detailed Procedure / Operative Notes
3,048	Urology	Medical	Ureterolithotomy	Lap Ureterolithotomy - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU018C	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / Urine Routine
3,049	Urology	Medical	Ureterolithotomy	Open Ureterolithotomy - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU018D	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / Urine Routine
3,050	Urology	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyeloplasty - Open	42,600.00	3	Not applicable	Not applicable	Not applicable	SU021A	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
3,051	Urology	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyeloplasty - Laparoscopic	47,700.00	2	Not applicable	Not applicable	Not applicable	SU021B	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
3,052	Urology	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyeloureterostomy - Open	42,600.00	3	Not applicable	Not applicable	Not applicable	SU021C	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
3,053	Urology	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyeloureterostomy - Laparoscopic	47,700.00	2	Not applicable	Not applicable	Not applicable	SU021D	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
3,054	Urology	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyelopyelostomy - Open	42,600.00	3	Not applicable	Not applicable	Not applicable	SU021E	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
3,055	Urology	Surgical	Pyeloplasty / Pyeloureterostomy / Pyelopyelostomy	Pyelopyelostomy - Laparoscopic	47,700.00	2	Not applicable	Not applicable	Not applicable	SU021F	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ confirming indication and the need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
3,056	Urology	Surgical	Ureterocalycostomy	Open	43,900.00	4	Not applicable	Not applicable	Not applicable	SU023A	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan	Detailed discharge summary/ detailed Procedure / Operative Notes
3,057	Urology	Surgical	Ureterocalycostomy	Lap.	49,100.00	3	Not applicable	Not applicable	Not applicable	SU023B	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan	Detailed discharge summary/ detailed Procedure / Operative Notes
3,058	Urology	Surgical	Pyelolithotomy	Open	41,300.00	3	Not applicable	Not applicable	Not applicable	SU024A	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Post procedure Imaging (X Ray/USG)/ showing stone removed/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,059	Urology	Surgical	Pyelolithotomy	Lap.	41,300.00	2	Not applicable	Not applicable	Not applicable	SU024B	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Post procedure Imaging (X Ray/USG)/ showing stone removed/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,060	Urology	Surgical	Internal Ureterotomy including cystoscopy as an independent procedure	Internal Ureterotomy including cystoscopy as an independent procedure	14,000.00	2	Not applicable	Not applicable	Not applicable	SU025A	Clinical notes and Investigation reports confirming urethral stricture (RGU+/- MCU)	Endoscopic detailed discharge summary/ Detailed Procedure / Operative Notes
3,061	Urology	Surgical	Ureterolysis for Retroperitoneal Fibrosis +/- Omental Wrapping	Open	43,500.00	3	Not applicable	Not applicable	Not applicable	SU026A	Clinical notes and CT-IVP/ MRI Urogram confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes including details of omental wrapping if done
3,062	Urology	Surgical	Ureterolysis for Retroperitoneal Fibrosis +/- Omental Wrapping	Lap.	43,500.00	2	Not applicable	Not applicable	Not applicable	SU026B	Clinical notes and CT-IVP/ MRI Urogram confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes including details of omental wrapping if done
3,063	Urology	Surgical	Ureterostomy (Cutaneous)	Ureterostomy (Cutaneous)	27,700.00	2	Not applicable	Not applicable	Not applicable	SU027A	Clinical notes and CT/MRI confirming the diagnosis for ureterostomy and need for creating a stoma for ureter	Detailed discharge summary/ detailed Procedure / Operative Notes
3,064	Urology	Surgical	Uretero-ureterostomy	Open	38,500.00	3	Not applicable	Not applicable	Not applicable	SU028A	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan	Detailed discharge summary/ detailed Procedure / Operative Notes
3,065	Urology	Surgical	Uretero-ureterostomy	Lap.	46,400.00	3	Not applicable	Not applicable	Not applicable	SU028B	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan	Detailed discharge summary/ detailed Procedure / Operative Notes
3,066	Urology	Surgical	Uretero-Vaginal / Uterine Fistula Repair	Uretero - vaginal fistula repair - Open	40,700.00	3	Not applicable	Not applicable	Not applicable	SU029A	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes
3,067	Urology	Surgical	Uretero-Vaginal / Uterine Fistula Repair	Uretero - Uterine fistula repair - Open	40,700.00	2	Not applicable	Not applicable	Not applicable	SU029B	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes
3,068	Urology	Surgical	Uretero-Vaginal / Uterine Fistula Repair	Uretero - vaginal fistula repair - Laparoscopic	40,700.00	3	Not applicable	Not applicable	Not applicable	SU029C	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes
3,069	Urology	Surgical	Uretero-Vaginal / Uterine Fistula Repair	Uretero - Uterine fistula repair - Laparoscopic	40,700.00	2	Not applicable	Not applicable	Not applicable	SU029D	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy Scopy confirming the diagnosis for which the surgery is done/	Detailed discharge summary/ detailed Procedure / Operative Notes
3,070	Urology	Surgical	Ureteric Reimplantation	Open	33,000.00	3	Unilateral/ Bilateral	None/ "+" 11000	Not applicable	SU030A	Clinical notes and and CT-IVP/MRI Urogram + MCU confirming reflux and need of surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,071	Urology	Surgical	Ureteric Reimplantation	Lap.	33,000.00	3	Unilateral/ Bilateral	None/ "+" 11000	Not applicable	SU030B	Clinical notes and and CT-IVP/MRI Urogram + MCU confirming reflux and need of surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,072	Urology	Surgical	Boari Flap for Ureteric Stricture	Open	40,300.00	3	Not applicable	Not applicable	Not applicable	SU031A	Clinical notes and IVP/CT-IVP+/-MCU confirming the stricture longer than 5 cms for which the surgery is done	Detailed discharge summary/ detailed Procedure / Operative Notes including details of omental wrapping if done
3,073	Urology	Surgical	Boari Flap for Ureteric Stricture	Lap.	46,400.00	2	Not applicable	Not applicable	Not applicable	SU031B	Clinical notes and IVP/CT-IVP+/-MCU confirming the stricture longer than 5 cms for which the surgery is done	Detailed discharge summary/ detailed Procedure / Operative Notes including details of omental wrapping if done
3,074	Urology	Surgical	Ileal Replacement for Ureteric Stricture	Ileal Replacement for Ureteric Stricture	89,400.00	4	Not applicable	Not applicable	Not applicable	SU032A	Clinical notes and IVP/CT-IVP+/-MCU confirming the stricture longer than 5 cms for which the surgery is done	Detailed discharge summary/ detailed Procedure / Operative Notes including details of omental wrapping if done
3,075	Urology	Surgical	DJ Stent including Cystoscopy Ureteric Catheterization Retrograde Pyelogram	DJ Stent including Cystoscopy Ureteric Catheterization Retrograde Pyelogram	40,200.00	1	Not applicable	Not applicable	Not applicable	SU033A	Clinical notes and CT-IVP/ IVP confirming the diagnosis and the need of this surgery is done	Post Procedure x-ray showing stent/ detailed Procedure / Operative Notes detailing findings of cystoscopy/ Retrogradepyelogram and ureteric catheterization/ detailed discharge summary.
3,076	Urology	Medical	DJ Stent Removal	DJ Stent Removal	5,000.00	D	Not applicable	Not applicable	Not applicable	SU034A	X-ray KUB films/ Earlier Discharge Summary of DJ Stenting	Clinical note with Treatment details/ report of any investigations done.
3,077	Urology	Surgical	Ureterocele incision including Cystoscopy Ureteric Catheterization Retrograde Pyelogram	Ureterocele incision including Cystoscopy Ureteric Catheterization Retrograde Pyelogram	71,500.00	1	Not applicable	Not applicable	Not applicable	SU035A	Clinical notes and IVP/CT-IVP confirming the diagnosis for which the surgery is done	Evidence of cystoscopy/ ureteric catheterization/ retrograde pyelogram/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,078	Urology	Surgical	Ureteric Sampling including Cystoscopy Ureteric Catheterization Retrograde Pyelogram	Ureteric Sampling including Cystoscopy Ureteric Catheterization Retrograde Pyelogram	57,500.00	1	Not applicable	Not applicable	Not applicable	SU036A	Clinical notes and Reports of all previous work up done (Xray/USG/CT Scan)/ clinical diagnosis suspected for this procedure.	Evidence of cystoscopy/ ureteric catheterization/ retrograde pyelogram and the diagnosis arrived at/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,079	Urology	Surgical	Acute management of Upper Urinary Tract Trauma – Conservative	Acute management of Upper Urinary Tract Trauma – Conservative	0.00	5	Routine Ward	2000	Not applicable	SU037A	Clinical notes detailing the case history/ circumstances that led to trauma/ USG/CT Abdomen	Reports of all investigations done and consultation paper of treating doctor mentioning the final diagnosis and line of treatment/ Detailed discharge summary/
3,080	Urology	Surgical	Endopyelotomy	Retrograde with Laserbugbee	41,300.00	1	Not applicable	Not applicable	Not applicable	SU038A	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ is the hospital equipped with Laser?	Detailed discharge summary/ detailed Procedure / Operative Notes. If bugbee electrode is billed/ insist on invoice/ barcode.
3,081	Urology	Surgical	Endopyelotomy	Antegrade with Laserbugbee	41,300.00	2	Not applicable	Not applicable	Not applicable	SU038B	Clinical notes and IVP/CT/ CT-IVP/+/-DTPA renal scan/ is the hospital equipped with Laser?	Detailed discharge summary/ detailed Procedure / Operative Notes. If bugbee electrode is billed/ insist on invoice/ barcode.
3,082	Urology	Surgical	Cystolithotomy - Open including Cystoscopy	Cystolithotomy - Open including Cystoscopy	36,900.00	2	Not applicable	Not applicable	Not applicable	SU040A	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary / detailed Procedure / Operative Notes
3,083	Urology	Surgical	Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy	Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy	27,700.00	1	Not applicable	Not applicable	Not applicable	SU041A	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary/ detailed Procedure / Operative Notes
3,084	Urology	Surgical	Cystolithotripsy / Urethral Stone endoscopic, including cystoscopy	Urethral Stone removal endoscopic, including cystoscopy	27,400.00	4	Not applicable	Not applicable	Not applicable	SU041B	Clinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
3,085	Urology	Surgical	Diagnostic Cystoscopy	Diagnostic Cystoscopy	35,000.00	1	Not applicable	Not applicable	Not applicable	SU042A	Clinical notes and Reports of all work up done ( Xray/USG/CT Scan/MRI)/ suspected differential diagnosis	Detailed discharge summary/ detailed Procedure / Operative Notes
3,086	Urology	Surgical	Partial Cystectomy	Open	33,000.00	3	Not applicable	Not applicable	Not applicable	SU043A	Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy)	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,087	Urology	Surgical	Partial Cystectomy	Lap.	33,000.00	2	Not applicable	Not applicable	Not applicable	SU043B	Clinical notes and CT/MRI confirming the indication and need of this surgery with supporting Evidence of the same (FNAC/Biopsy)	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,088	Urology	Medical	Partial Cystectomy - Follow Up	Partial Cystectomy - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU043C	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG
3,089	Urology	Surgical	Augmentation Cystoplasty	Open	44,000.00	4	Not applicable	Not applicable	Not applicable	SU045A	Clinical notes and IVP/CT IVP/MRI +Cystogram+/- Cystoscopy// confirming the indication for which the surgery is done	Post procedure Imaging/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,090	Urology	Surgical	Augmentation Cystoplasty	Lap.	49,100.00	4	Not applicable	Not applicable	Not applicable	SU045B	Clinical notes and IVP/CT IVP/MRI +Cystogram+/- Cystoscopy// confirming the indication for which the surgery is done	Post procedure Imaging/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,091	Urology	Surgical	Deflux for VUR	Deflux for VUR	5,800.00	D	Not applicable	Not applicable	Not applicable	SU046A	Clinical notes with planned line of treatment	IVU
3,092	Urology	Medical	Bladder Diverticulectomy	Bladder Diverticulectomy - Follow Up	1,100.00	D	Not applicable	Not applicable	Not applicable	SU047A	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG
3,093	Urology	Surgical	Open Bladder Diverticulectomy +/- Ureteric Re-Implantation	Open Bladder Diverticulectomy +/- Ureteric Re-Implantation	36,200.00	3	Not applicable	Not applicable	Not applicable	SU048A	Clinical notes and USG/CT/MRI+/-Cystoscopy confirming bladder diverticulum and need for surgery	Detailed discharge summary/ detailed Procedure / Operative Notes
3,094	Urology	Surgical	Bladder Injury Repair (With or Without Urethral Injury)	Bladder Injury Repair (With or Without Urethral Injury)	35,100.00	3	Not applicable	Not applicable	Not applicable	SU049A	Clinical notes and USG/CT/MRI+/- cystogram confirming the diagnosis of bladder injury/ MLC/ FIR if traumatic.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,095	Urology	Surgical	Bladder Injury Repair (With or Without Urethral Injury)	with Colostomy (With or Without Urethral Injury)	40,000.00	4	Not applicable	Not applicable	Not applicable	SU050A	Clinical notes and USG/CT/MRI+/- cystogram confirming the diagnosis of bladder injury/ MLC/ FIR if traumatic.	Detailed discharge summary of both surgeries/ detailed Procedure / Operative Notes/ Post procedue pic of Colostomy
3,096	Urology	Surgical	Extrophy Bladder Repair +/- Osteotomy with Epispadias Repair and Ureteric Reimplant	Extrophy Bladder Repair +/- Osteotomy with Epispadias Repair and Ureteric Reimplant	123,800.00	4	Not applicable	Not applicable	Not applicable	SU051A	Clinical notes and USG/CT/MRI confirming the diagnosis of extrophy of bladder/ epispadias	Detailed Procedure / Operative Notes and detailed discharge summary.
3,097	Urology	Surgical	Neurogenic Bladder - Package For Evaluation / Investigation (Catheter With Ultrasound With Culture With Rgu/ Mcu) For 1 Month (Medicines - Antibiotics)	Neurogenic Bladder - Package For Evaluation / Investigation (Catheter With Ultrasound With Culture With Rgu/ Mcu) For 1 Month (Medicines - Antibiotics)	54,900.00	1	Not applicable	Not applicable	Not applicable	SU052A	Clinical notes detailing the case history with previous work up / initial diagnosis	Evidence of all investigations done and still images of RGU/ MCU done with patient name & date
3,098	Urology	Surgical	Y V Plasty Of Bladder Neck / Bladder Neck Reconstruction	Y V Plasty Of Bladder Neck / Bladder Neck Reconstruction	46,500.00	4	Not applicable	Not applicable	Not applicable	SU053A	Clinical notes and urethro Cystoscopy +USG confirming the diagnosis	Detailed Procedure / Operative Notes/ detailed discharge summary.
3,099	Urology	Medical	Bladder Neck Incision	Endoscopic	22,800.00	1	Not applicable	Not applicable	Not applicable	SU054A	USG-KUB/PVR/ Uroflometry	Endoscopic picture
3,100	Urology	Surgical	Bladder Neck Incision	Open	18,500.00	3	Not applicable	Not applicable	Not applicable	SU054B	USG-KUB/PVR/ Uroflometry	Endoscopic picture
3,101	Urology	Surgical	TURBT (Transurethral Resection of Bladder Tumor)	TURBT (Transurethral Resection of Bladder Tumor)	40,000.00	2	Not applicable	Not applicable	Not applicable	SU055A	Clinical notes and USG/CT/ MRI confirming the diagnosis bladder tumour	Histopathology report/receipt/Detailed discharge summary/ detailed Procedure / Operative Notes
3,102	Urology	Surgical	TURBT - Restage	TURBT - Restage	27,300.00	2	Not applicable	Not applicable	Not applicable	SU056A	Clinical notes and USG/CT/ MRI confirming the diagnosis bladder tumour	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,103	Urology	Surgical	Post TURBT - Check Cystoscopy +/- Coldcup Biopsy	Post TURBT - Check Cystoscopy +/- Coldcup Biopsy	13,800.00	1	Not applicable	Not applicable	Not applicable	SU057A	Clinical notes and Histopathology/ biopsy confirming the diagnosis of bladder cancer	Detailed discharge summary/ detailed Procedure / Operative Notes
3,104	Urology	Surgical	Urachal Cyst excision	Open	47,500.00	2	Not applicable	Not applicable	Not applicable	SU058A	Clinical notes and USG/CT/MRI confirming the diagnosis of Urachus	Histopathology report/receipt/Detailed discharge summary/ detailed Procedure / Operative Notes
3,105	Urology	Surgical	Urachal Cyst excision	Lap	47,500.00	2	Not applicable	Not applicable	Not applicable	SU058B	Clinical notes and USG/CT/MRI confirming the diagnosis of Urachus	Histopathology report/receipt/Detailed discharge summary/ detailed Procedure / Operative Notes
3,106	Urology	Medical	VVF Repair - Follow Up	VVF Repair - Follow Up	1,500.00	D	Not applicable	Not applicable	Not applicable	SU059A	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / UFM / Urine Routine
3,107	Urology	Surgical	Intravesical BCG / Mitomycin	Intravesical BCG / Mitomycin	3,500.00	4	Not applicable	Not applicable	Not applicable	SU060A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Treatment details/ detailed discharge summary/ All investigations reports.
3,108	Urology	Surgical	Supra Pubic Drainage	Open	12,400.00	5	Not applicable	Not applicable	Not applicable	SU061A	Clinical notes and USG/CT confirming the diagnosis for which the surgery is done	Detailed Procedure / Operative Notes detailing how mcuh urine was drained/ detailed discharge summary
3,109	Urology	Surgical	Supra Pubic Drainage	Closed / Trocar	40,400.00	1	Not applicable	Not applicable	Not applicable	SU061B	Clinical notes and USG/CT confirming the diagnosis for which the surgery is done	Detailed Procedure / Operative Notes detailing how mcuh urine was drained/ detailed discharge summary
3,110	Urology	Surgical	Stress Incontinence Surgery	Stress Incontinence Surgery - Open	32,500.00	3	Not applicable	Not applicable	Not applicable	SU062A	Clinical notes and Cystoscopy/ USG/ Uro Dynamic study to confirm the dignosis.	Detailed Procedure / Operative Notes/ detailed discharge summary
3,111	Urology	Medical	Repair of stress incontinence - Follow Up	Repair of stress incontinence - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU063A	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ report of any investigations done.
3,112	Urology	Medical	Emergency Management of Acute Retention of Urine	Emergency Management of Acute Retention of Urine	0.00	2	Routine Ward	2000	Not applicable	SU064A	Clinical notes detailing chronicity / USG proving retention of urine	Evidence of simple catheterization and details of how much urine drained. Detailed discharge summary giving aetiology of retention
3,113	Urology	Surgical	Meatotomy / Meatoplasty	Meatotomy	5,700.00	D	Not applicable	Not applicable	Not applicable	SU065A	Clinical notes and confirmed diagnosis of meatal stenosis	Detailed discharge summary / Treatment details/ detailed Procedure / Operative Notes
3,114	Urology	Surgical	Meatotomy / Meatoplasty	Meatoplasty	6,500.00	D	Not applicable	Not applicable	Not applicable	SU065B	Clinical notes and confirmed diagnosis of meatal stenosis	Detailed discharge summary / Treatment details/ detailed Procedure / Operative Notes
3,115	Urology	Surgical	Urethroplasty	End to End	41,300.00	2	Not applicable	Not applicable	Not applicable	SU066A	Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,116	Urology	Surgical	Urethroplasty	Substitution - Single Stage	41,300.00	4	Not applicable	Not applicable	Not applicable	SU066B	Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,117	Urology	Surgical	Urethroplasty	Substitution - Two Stage	82,500.00	4	Not applicable	Not applicable	Not applicable	SU066C	Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,118	Urology	Surgical	Urethroplasty	Transpubic	47,500.00	4	Not applicable	Not applicable	Not applicable	SU066D	Clinical notes and ACU (Anterograde urethrography)/micturating cysto-urethrogram (MCU) + Retrograde urethrography justifying the surgery.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,119	Urology	Medical	Urethroplasty Follow Up	Urethroplasty Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU066E	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / UFM / Urine Routine
3,120	Urology	Surgical	Urethral Dilatation	Non endoscopic	5,500.00	1	Not applicable	Not applicable	Not applicable	SU068A	Clinical notes and Investigation reports confirming urethral stricture (RGU+/- MCU)	Detailed discharge summary/ Detailed Procedure / Operative Notes detailing size of dilators used
3,121	Urology	Medical	Urethral Dilatation	Endoscopic	37,000.00	1	Not applicable	Not applicable	Not applicable	SU068B	Clinical notes and Investigation reports confirming urethral stricture (RGU+/- MCU)	Endoscopic report/ detailed discharge summary/ Detailed Procedure / Operative Notes
3,122	Urology	Surgical	Perineal Urethrostomy Without Closure	Perineal Urethrostomy Without Closure	27,900.00	2	Not applicable	Not applicable	Not applicable	SU069A	Clinical notes detailing the pathology for which performed with supporting Evidence of RGU (Retrograde urethrography) + MCU	Detailed discharge summary/ detailed Procedure / Operative Notes
3,123	Urology	Surgical	Post Urethral Valve Fulguration	Post Urethral Valve Fulguration	27,500.00	1	Not applicable	Not applicable	Not applicable	SU070A	Clinical notes and confirmation of stenosis of posterir urethral valve by Voiding cystourethrogram (preferred) + USG +/- uroflowmetry.	Post procedure Imaging (USG)/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,124	Urology	Surgical	Hypospadias repair	Single Stage	55,000.00	3	Not applicable	Not applicable	Not applicable	SU071A	Clinical notes	Detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes
3,125	Urology	Surgical	Hypospadias repair	Two or more stage (First Stage)	33,000.00	3	Not applicable	Not applicable	Not applicable	SU071B	Clinical notes	Detailed Procedure / Operative Notes
3,126	Urology	Surgical	Hypospadias repair	Two or more stage (Intermediate Stage)	33,000.00	5	Not applicable	Not applicable	Not applicable	SU071C	Clinical notes/ evidence of stage 1 (Discharge Summary)	Detailed Procedure / Operative Notes
3,127	Urology	Surgical	Hypospadias repair	Two or more stage (Final Stage)	33,000.00	3	Not applicable	Not applicable	Not applicable	SU071D	Clinical notes/ evidence of stage 1 / 2 (Discharge Summary)	Detailed Procedure / Operative Notes
3,128	Urology	Medical	Hypospadias Repair - Follow Up	Hypospadias Repair - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU071E	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ USG / UFM / Urine Routine
3,129	Urology	Surgical	Hypospadias repair	with Orchiopexy	46,500.00	3	Not applicable	Not applicable	Not applicable	SU071MLA	Clinical notes	Detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes
3,130	Urology	Medical	Emergency Management of Hematuria	Emergency Management of Hematuria	0.00	2	Routine Ward	2000	Not applicable	SU073A	Clinical notes detailing the hematuria with urine report showing frank or microscopic/ planned line of treatment	Detailed Indoor case papers/ investigations report/ treatment given/ detailed discharge summary
3,131	Urology	Surgical	Excision of Urethral Caruncle	Excision of Urethral Caruncle	9,400.00	1	Not applicable	Not applicable	Not applicable	SU074A	Clinical notes and confirmed diagnosis of urethral carunclule.	Histopathology report/receipt/Detailed discharge summary/ detailed Procedure / Operative Notes
3,132	Urology	Surgical	Urethrovaginal Fistula Repair	Urethrovaginal Fistula Repair	55,000.00	2	Not applicable	Not applicable	Not applicable	SU075A	Clinical notes and urethro Cystoscopy +vaginoscopy +USG confirming the diagnosis	Detailed Procedure / Operative Notes/ detailed discharge summary.
3,133	Urology	Surgical	Urethrorectal Fistula Repair	Urethrorectal Fistula Repair	68,800.00	4	Not applicable	Not applicable	Not applicable	SU076A	Clinical notes and confirmation of fistula and its tract by Cystoscopy+Sigmoidoscopy+/-RGU+MCU	detailed Procedure / Operative Notes/ Detailed discharge summary
3,134	Urology	Surgical	Open Simple Prostatetctomy for BPH	Open Simple Prostatetctomy for BPH	41,000.00	3	Not applicable	Not applicable	Not applicable	SU077A	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Histopathology report/receipt/Detailed discharge summary/ detailed Procedure / Operative Notes
3,135	Urology	Surgical	Radical Prostatectomy	Open	77,000.00	4	Not applicable	Not applicable	Not applicable	SU078A	Clinical notes and MRI /CT prostrate + PSA/Biopsy	Histopathology report/receipt of prostate/ Detailed discharge summary/ detailed Procedure / Operative Notes with details of nodes removed.
3,136	Urology	Surgical	Radical Prostatectomy	Lap.	77,000.00	4	Not applicable	Not applicable	Not applicable	SU078B	Clinical notes and MRI /CT prostrate + PSA/Biopsy	Histopathology report/receipt of prostate/ Detailed discharge summary/ detailed Procedure / Operative Notes with details of nodes removed.
3,137	Urology	Surgical	Holmium Laser Prostatectomy	Holmium Laser Prostatectomy	44,000.00	2	Not applicable	Not applicable	Not applicable	SU079A	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry Is the hospital registered for holmium laser?	Histopathology report/receipt/Detailed discharge summary/ detailed Procedure / Operative Notes
3,138	Urology	Surgical	TURP	Monopolar	42,600.00	2	Not applicable	Not applicable	Not applicable	SU080A	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Histopathology report/receipt/Detailed discharge summary/ detailed Procedure / Operative Notes
3,139	Urology	Surgical	TURP	Bipolar	42,600.00	2	Not applicable	Not applicable	Not applicable	SU080B	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Histopathology report/receipt/Detailed discharge summary/ detailed Procedure / Operative Notes
3,140	Urology	Surgical	TURP	With Vesicolithotripsy	27,700.00	3	Not applicable	Not applicable	Not applicable	SU080MLA	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,141	Urology	Surgical	TURP	With Nephrectomy	42,300.00	1	Not applicable	Not applicable	Not applicable	SU080MLB	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,142	Urology	Surgical	TURP	With Removal of Verical Calculi	42,300.00	1	Not applicable	Not applicable	Not applicable	SU080MLC	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,143	Urology	Surgical	TURP	With Closure Of Urinary Fistula	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLD	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,144	Urology	Surgical	TURP	With Cystolithopexy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLE	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,145	Urology	Surgical	TURP	With Cystoscopic Removal of Stone	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLF	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,146	Urology	Surgical	TURP	With Fissurectomy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLG	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,147	Urology	Surgical	TURP	With Haemorrhoidectomy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLH	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,148	Urology	Surgical	TURP	With Herniorraphy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLI	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,149	Urology	Surgical	TURP	With Repair of Urethra	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLJ	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,150	Urology	Surgical	TURP	With Suprapubic Cystolithotomy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLK	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,151	Urology	Surgical	TURP	With Urethrolithotomy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLL	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,152	Urology	Surgical	TURP	With URS	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLM	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,153	Urology	Surgical	TURP	With Vesicolithotomy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU080MLN	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,154	Urology	Surgical	TURP	With Fistulectomy	36,900.00	4	Not applicable	Not applicable	Not applicable	SU080MLO	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,155	Urology	Surgical	Transrectal Ultrasound Guided Prostate Biopsy (Minimum 12 Core)	Transrectal Ultrasound Guided Prostate Biopsy (Minimum 12 Core)	40,000.00	1	Not applicable	Not applicable	Not applicable	SU081A	Clinical notes and USG with prostate size and Post Void Volume establishing suspicion of malignancy/ +/- PSA	Histopathology report/receipt showing reporting of minimum 12 core samples of prostate/ Detailed discharge summary/ detailed Procedure / Operative Notes.
3,156	Urology	Surgical	Penectomy	Partial Penectomy	27,500.00	2	Not applicable	Not applicable	Not applicable	SU082A	Clinical notes and Biopsy findings	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,157	Urology	Surgical	Penectomy	Total Penectomy with Perineal Urethrostomy	41,300.00	2	Not applicable	Not applicable	Not applicable	SU082B	Clinical notes and Biopsy findings	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes detailing urethrostomy
3,158	Urology	Surgical	Surgery for Priapism	Aspiration	47,500.00	2	Not applicable	Not applicable	Not applicable	SU083A	Clinical note with Color-flow penile Doppler imaging/ USG (patients with high-flow priapism)	Detailed discharge summary/ detailed Procedure / Operative Notes
3,159	Urology	Surgical	Surgery for Priapism	Shunt	47,500.00	2	Not applicable	Not applicable	Not applicable	SU083B	Clinical note with Color-flow penile Doppler imaging/ USG (patients with high-flow priapism)	Detailed discharge summary/ detailed Procedure / Operative Notes
3,160	Urology	Medical	Surgery for Priaprism - Follow Up	Surgery for Priaprism - Follow Up	1,000.00	D	Not applicable	Not applicable	Not applicable	SU083C	Earlier discharge summary / Clinical notes detailing history and any investigations done.	Clinical note with Treatment details/ report of any investigations done.
3,161	Urology	Surgical	Penile Prosthesis Insertion	Penile Prosthesis Insertion	48,200.00	2	Not applicable	Not applicable	Penile Prosthesis - Malleable - Indian Implant - Part of package cost	SU085A	Clinical notes with Previous medical reports showing the panectomy and its indication	Detailed discharge summary/ detailed Procedure / Operative Notes/ Bar code of implant used
3,162	Urology	Surgical	Orchiectomy	Inguinal	51,500.00	2	Not applicable	Not applicable	Not applicable	SU086A	Clinical notes and USG/CT/Biopsy confirming testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,163	Urology	Surgical	Orchiectomy	Simple	45,700.00	1	Not applicable	Not applicable	Not applicable	SU086B	Clinical notes and USG/CT/Biopsy confirming testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,164	Urology	Surgical	Bilateral Orchidectomy for Hormone Ablation	Bilateral Orchidectomy for Hormone Ablation	42,000.00	1	Not applicable	Not applicable	Not applicable	SU087A	Clinical notes and USG/CT/Biopsy confirming bilateral testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,165	Urology	Surgical	Orchiopexy	Lap.	41,300.00	3	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU088A	Clinical notes and USG confirming that laparoscopy is needed for locating the testes	Detailed Procedure / Operative Notes and detailed discharge summary.
3,166	Urology	Surgical	Orchiopexy	Open	33,000.00	2	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU088B	Clinical notes and USG confirming location of undescended testis	Detailed Procedure / Operative Notes and detailed discharge summary.
3,167	Urology	Surgical	Surgical Correction of Varicocele	Non Microsurgical	40,000.00	1	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU089A	Clinical notes and USG Scrotum	Detailed discharge summary/ detailed Procedure / Operative Notes
3,168	Urology	Surgical	Surgical Correction of Varicocele	Microsurgical	40,000.00	1	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU089B	Clinical notes and USG Scrotum/ is the EHCP registred for microsurgery?	Detailed discharge summary/ detailed Procedure / Operative Notes
3,169	Urology	Surgical	Radical Retroperitoneal lymph node dissection	Open	54,800.00	3	Not applicable	Not applicable	Not applicable	SU090A	Clinical notes and USG/CT / Biopsy confirming diagnsosis	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,170	Urology	Surgical	Radical Retroperitoneal lymph node dissection	Lap	55,800.00	3	Not applicable	Not applicable	Not applicable	SU090B	Clinical notes and USG/CT / Biopsy confirming diagnsosis	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,171	Urology	Surgical	Ilioinguinal Lymphadenectomy	Ilioinguinal Lymphadenectomy - Single	32,800.00	2	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU091A	Clinical notes and USG/CT/MRI / Biopsy confirming the diagnosis for which the surgery is done.	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,172	Urology	Surgical	Ilioinguinal Lymphadenectomy	Ilioinguinal Lymphadenectomy - Multiple	44,900.00	2	Unilateral/ Bilateral	None/ "+" 5500	Not applicable	SU091B	Clinical notes and USG/CT/MRI / Biopsy confirming the diagnosis for which the surgery is done.	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,173	Urology	Surgical	Hysterectomy as part of VVF/ Uterovaginal Fistula Repair	Hysterectomy as part of VVF/ Uterovaginal Fistula Repair	61,300.00	1	Not applicable	Not applicable	Not applicable	SU092A	Clinical notes and Cystoscopy+vaginoscopy+CT - IVP/IVP +/- cystogram confirming the diagnosis	Histopathology report/receipt/ Detailed Procedure / Operative Notes/ detailed discharge summary.
3,174	Urology	Medical	Emergency Management of Ureteric Stone - Package For Evaluation / Investigation (Ultrasound With Culture) For 3 Weeks (Medicines)	Emergency Management of Ureteric Stone - Package For Evaluation / Investigation (Ultrasound With Culture) For 3 Weeks (Medicines)	3,900.00	1	Not applicable	Not applicable	Not applicable	SU094A	Clinical notes detailing the case history with previous work up / initial diagnosis with stills of ureteric stone and treatment done so far	Detailed reports of all investigations done and consultation paper of treating doctor/ culture & ABS report and Evidence of 3 weeks medicines
3,175	Urology	Surgical	Retrograde Intrarenal Surgery with Laser Lithotripsy	Retrograde Intrarenal Surgery with Laser Lithotripsy	41,800.00	1	Not applicable	Not applicable	Not applicable	SU095A	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG)/ showing stone removed detailed Procedure / Operative Notes
3,176	Urology	Surgical	VVF uterovaginal Repair	Open	37,400.00	3	Not applicable	Not applicable	Not applicable	SU096A	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) and Cystoscopy/ Cystourethroscopy. Voiding Cystourethrogram is optional.	Detailed Procedure / Operative Notes/ Progress notes/detailed discharge summary.
3,177	Urology	Surgical	VVF uterovaginal Repair	Lap.	41,300.00	4	Not applicable	Not applicable	Not applicable	SU096B	Admission Notes comprising of history and examination with indications for the procedure/ Investigations (establishing diagnosis) and Cystoscopy/ Cystourethroscopy. Voiding Cystourethrogram is optional.	Detailed Procedure / Operative Notes/ Progress notes/detailed discharge summary.
3,178	Urology	Surgical	Permanent tunnelled catheter placement as substitute for AV fistula in long term dialysis	Permanent tunnelled catheter placement as substitute for AV fistula in long term dialysis	33,000.00	2	Not applicable	Not applicable	Not applicable	SU097A	Clinical notes detailing need for AV shunt with supporting Evidence of Creatinine/ RFT	Detailed Operative notes/ Detailed discharge summary
3,179	Urology	Surgical	Pelvic lymphadenectomy, after prior cancer surgery	Open	41,300.00	3	Not applicable	Not applicable	Not applicable	SU098A	Clinical notes and USG/CT/Biopsy confirming bilateral testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,180	Urology	Surgical	Pelvic lymphadenectomy, after prior cancer surgery	Laparoscopic	41,800.00	3	Not applicable	Not applicable	Not applicable	SU098B	Clinical notes and USG/CT/Biopsy confirming bilateral testicular cancer	Histopathology report/receipt/ Detailed discharge summary/ detailed Procedure / Operative Notes
3,181	Urology	Surgical	Botulinum toxin injection for Neuropathic bladder	Botulinum toxin injection for Neuropathic bladder	13,800.00	4	Not applicable	Not applicable	Not applicable	SU099A	Clinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of management	Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
3,182	Urology	Surgical	Bladder Calculi Removal	Bladder Calculi Removal	25,300.00	1	Not applicable	Not applicable	Not applicable	SU099MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of stone	Detailed discharge summary/ detailed Procedure / Operative Notes
3,183	Urology	Surgical	Chronic Prostatitis – Package for Evaluation/ Investigation (Ultrasound with Culture with Prostate Massage) for 1 Month (Medicines). Follow Up Visit Once in 3 Months	Chronic Prostatitis – Package for Evaluation/ Investigation (Ultrasound with Culture with Prostate Massage) for 1 Month (Medicines). Follow Up Visit Once in 3 Months	34,300.00	5	Not applicable	Not applicable	Not applicable	SU100MLA	Clinical assessment and investigations	Clinical notes / discharge summary with planned line of treatment
3,184	Urology	Surgical	Correction of Extrophy of Bladder	Correction of Extrophy of Bladder	107,800.00	1	Not applicable	Not applicable	Not applicable	SU101MLA	Clinical note with USG-KUB/PVR/ Uroflometry	Endoscopic report
3,185	Urology	Surgical	Cystolithopexy	Cystolithopexy	18,500.00	3	Not applicable	Not applicable	Not applicable	SU102MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary / detailed Procedure / Operative Notes
3,186	Urology	Surgical	Dormia Extraction of Calculus	Dormia Extraction of Calculus	35,000.00	1	Not applicable	Not applicable	Not applicable	SU103MLA	Doctor's notes with presenting complaints/ duration and physicial examination findings	Detailed Procedure / Operative Notes/ detailed discharge summary
3,187	Urology	Surgical	Drainage of Abscess	Psoas Abscess	37,500.00	1	Not applicable	Not applicable	Not applicable	SU104MLB	Clinical notes and USG/CT confirming the diagnosis.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,188	Urology	Surgical	Exploration of Epididymus	Exploration of Epididymus	18,500.00	3	Not applicable	Not applicable	Not applicable	SU105MLA	Clinical notes confirming the diagnosis/ radiological investigations.	Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
3,189	Urology	Surgical	Internal Urethrotomy	Internal Urethrotomy	27,700.00	3	Not applicable	Not applicable	Not applicable	SU106MLA	CT KUB/ Clinical notes detailing the pathology for which performed with supporting Evidence of RGU (Retrograde urethrography) + MCU	Detailed discharge summary/ detailed Procedure / Operative Notes
3,190	Urology	Surgical	Internal Urethrotomy	Internal Urethrotomy with Cystoscopy	38,100.00	1	Not applicable	Not applicable	Not applicable	SU106MLB	CT KUB/ Clinical notes detailing the pathology for which performed with supporting Evidence of RGU (Retrograde urethrography) + MCU	Detailed discharge summary/ detailed Procedure / Operative Notes
3,191	Urology	Surgical	Visual Internal Urethrotomy with TURP	Visual Internal Urethrotomy with TURP	25,300.00	1	Not applicable	Not applicable	Not applicable	SU107MLA	CT KUB/ Clinical notes detailing the pathology for which performed with supporting Evidence of RGU (Retrograde urethrography) + MCU	Detailed discharge summary/ detailed Procedure / Operative Notes
3,192	Urology	Surgical	Litholapexy	Litholapexy	18,500.00	1	Not applicable	Not applicable	Not applicable	SU108MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of stone	Detailed discharge summary/ detailed Procedure / Operative Notes
3,193	Urology	Surgical	Lithotripsy	Lithotripsy	30,800.00	1	Not applicable	Not applicable	Not applicable	SU109MLA	Clinical notes and CBC/ S. CREATININE/ URINE R/M/ URINE C/S/ PT/ APTT/ X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary/ detailed Procedure / Operative Notes/ X RAY KUB/ USG KUB
3,194	Urology	Surgical	Neoblastoma	Neoblastoma	34,300.00	4	Not applicable	Not applicable	Not applicable	SU110MLA	CT/Biopsy-With Immunohistochemistry/Blood investigations/ MIBG scan/Bone marrow examination.	Blood investigations & imaging- USG/CT scan/ MIBG scan/ detailed discharge summary
3,195	Urology	Surgical	Nephropexy	Nephropexy	18,500.00	1	Not applicable	Not applicable	Not applicable	SU111MLA	Clinical notes and USG confirming the indication and need of procedure.	Detailed discharge summary/ detailed Procedure / Operative Notes
3,196	Urology	Surgical	Operation for Double Ureter	Operation for Double Ureter	27,700.00	3	Not applicable	Not applicable	Not applicable	SU113MLA	Clinical note with USG / X Ray/ IVP/CT	Detailed discharge summary / detailed Procedure / Operative Notes
3,197	Urology	Surgical	Operation for Ectopic Ureter	Operation for Ectopic Ureter	25,200.00	3	Not applicable	Not applicable	Not applicable	SU113MLB	USG/ clinical note	Detailed discharge summary / detailed Procedure / Operative Notes
3,198	Urology	Surgical	Operations for Cyst of Kidney	Open	43,500.00	3	Not applicable	Not applicable	Not applicable	SU114MLA	Clinical notes and USG/CT/MRI confirming the diagnosis of Urachus	Detailed discharge summary / detailed Procedure / Operative Notes
3,199	Urology	Surgical	Operations for Cyst of Kidney	Lap.	43,500.00	3	Not applicable	Not applicable	Not applicable	SU114MLB	Clinical notes and USG/CT/MRI confirming the diagnosis of Urachus	Detailed discharge summary / detailed Procedure / Operative Notes
3,200	Urology	Surgical	Prostatic Biopsy	Prostatic Biopsy	33,000.00	2	Not applicable	Not applicable	Not applicable	SU115MLA	Clinical notes and USG with prostate size and Post Void Volume establishing suspicion of malignancy/ +/- PSA	Histopathology report/receipt showing reporting of minimum 12 core samples of prostate/ Detailed discharge summary/ detailed Procedure / Operative Notes.
3,201	Urology	Surgical	Reimplantation of Bladder	Reimplantation of Bladder	42,300.00	3	Not applicable	Not applicable	Not applicable	SU116MLA	Clinical notes and USG/CT/MRI+/- cystogram confirming the diagnosis of bladder injury/ MLC/ FIR if traumatic.	Detailed discharge summary of both surgeries/ detailed Procedure / Operative Notes
3,202	Urology	Surgical	Repair of Ureterocele	Open	40,300.00	1	Not applicable	Not applicable	Not applicable	SU117MLA	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy	Detailed discharge summary/ detailed Procedure / Operative Notes
3,203	Urology	Surgical	Repair of Ureterocele	Lap.	40,300.00	1	Not applicable	Not applicable	Not applicable	SU117MLB	Clinical notes and IVP/ CT-IVP + cystoscopy and vaginoscopy	Detailed Procedure / Operative Notes/Progress notes/detailed discharge summary.detailed discharge summary.
3,204	Urology	Surgical	Retroperitoneal Fibrosis – Renal	Retroperitoneal Fibrosis – Renal	42,300.00	3	Not applicable	Not applicable	Not applicable	SU118MLA	Clinical notes and X Ray/USG/CT Abdomen confirming the diagnosis	Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
3,205	Urology	Surgical	Retropubic Prostatectomy	Retropubic Prostatectomy	36,900.00	3	Not applicable	Not applicable	Not applicable	SU119MLA	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,206	Urology	Surgical	Splenorenal Anastomosis	Splenorenal Anastomosis	77,000.00	2	Not applicable	Not applicable	Not applicable	SU120MLA	CT KUB/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ Detailed Discharge Summary
3,207	Urology	Surgical	Stricture Urethra	Stricture Urethra	35,300.00	1	Not applicable	Not applicable	Not applicable	SU121MLA	RGU & MCU/ Uroflometry	RGU & MCU/ Uroflometry/ detailed discharge summary
3,208	Urology	Surgical	Torsion Testis	Torsion Testis	46,500.00	1	Not applicable	Not applicable	Not applicable	SU122MLA	Clinical notes and USG	Detailed discharge summary/ detailed Procedure / Operative Notes
3,209	Urology	Surgical	Trans Vesical Prostatectomy	Trans Vesical Prostatectomy	18,500.00	1	Not applicable	Not applicable	Not applicable	SU123MLA	Clinical notes and USG with prostate size and Post Void Volume +/- PSA/ +/- uroflometry	Detailed discharge summary/ detailed Procedure / Operative Notes
3,210	Urology	Surgical	Transurethral Fulguration	Transurethral Fulguration	33,000.00	1	Not applicable	Not applicable	Not applicable	SU124MLA	USG/CT/ clinical note	Procedure / Operative Notes/ Detailed Discharge Summary
3,211	Urology	Surgical	TUR Fulgration (Transurethral Fulgration of Bladder Tumor)	TUR Fulgration (Transurethral Fulgration of Bladder Tumor)	27,700.00	1	Not applicable	Not applicable	Not applicable	SU124MLB	Clinical notes and USG/CT/ MRI confirming the diagnosis bladder tumour	Detailed discharge summary/ detailed Procedure / Operative Notes
3,212	Urology	Surgical	Ultra Sound Guided Biopsy	Ultra Sound Guided Biopsy	2,700.00	D	Not applicable	Not applicable	Not applicable	SU125MLA	Clinical notes with planned line of treatment	Histopathology report/ receipt/ detailed Procedure / Operative Notes
3,213	Urology	Surgical	Ureteric Catheterization - Cystoscopy	Ureteric Catheterization - Cystoscopy	9,400.00	D	Not applicable	Not applicable	Not applicable	SU126MLA	Clinical notes and IVP/CT-IVP confirming the diagnosis for which the surgery is done	Evidence of cystoscopy/ ureteric catheterization/ retrograde pyelogram/ Detailed discharge summary/ Treatment details/ detailed Procedure / Operative Notes
3,214	Urology	Surgical	Ureteroscopic Removal of Ureteric Calculi	Ureteroscopic Removal of Ureteric Calculi	18,500.00	1	Not applicable	Not applicable	Not applicable	SU127MLA	Clinical notes detailing the case history with previous work up / initial diagnosis with stills of ureteric stone and treatment done so far	Detailed reports of all investigations done and consultation paper of treating doctor/ culture & ABS report and Evidence of 3 weeks medicines
3,215	Urology	Surgical	Ureteroscopic Stone Removal and DJ Stenting	Ureteroscopic Stone Removal and DJ Stenting	25,200.00	3	Not applicable	Not applicable	Not applicable	SU127MLB	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG)/ showing stone removed detailed Procedure / Operative Notes
3,216	Urology	Surgical	Urethral Injury	Urethral Injury	42,300.00	1	Not applicable	Not applicable	Not applicable	SU128MLA	Clinical notes and USG/CT/ MRI confirming the diagnosis bladder tumour	Detailed discharge summary/ detailed Procedure / Operative Notes
3,217	Urology	Surgical	Urethral Reconstuction	Urethral Reconstuction	27,700.00	3	Not applicable	Not applicable	Not applicable	SU129MLA	Clinical notes and IVP / NCCT+ CT-IVP confirming the indication	Detailed discharge summary/ Post procedure Imaging (X Ray/USG)/ showing stone removed detailed Procedure / Operative Notes
3,218	Urology	Surgical	URS	Stone Removal	20,400.00	1	Not applicable	Not applicable	Not applicable	SU130MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary/ detailed Procedure / Operative Notes
3,219	Urology	Surgical	URS	With DJ Stenting With ESWL	25,200.00	3	Not applicable	Not applicable	Not applicable	SU131MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary/ detailed Procedure / Operative Notes
3,220	Urology	Surgical	URS	With Lithotripsy With DJ Stenting	25,200.00	3	Not applicable	Not applicable	Not applicable	SU132MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary/ detailed Procedure / Operative Notes/ all investigaions reports
3,221	Urology	Surgical	URS	Cystolithotomy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU133MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary/ detailed Procedure / Operative Notes
3,222	Urology	Surgical	URS	With Lithotripsy	27,600.00	2	Not applicable	Not applicable	Not applicable	SU134MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary/ detailed Procedure / Operative Notes/ all investigaions reports
3,223	Urology	Surgical	URS	Extraction of Stone Ureter	30,800.00	3	Not applicable	Not applicable	Not applicable	SU135MLA	Clinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stone	Detailed discharge summary/ detailed Procedure / Operative Notes
3,224	Urology	Surgical	Vesico Uretero Reflux	Vesico Uretero Reflux	1,300.00	D	Not applicable	Not applicable	Not applicable	SU136MLA	Clinical note with MCU / USG KUB/ Renal scan	Investigation report
3,225	Urology	Surgical	Vesicolithotomy	Vesicolithotomy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU137MLA	Clinical note with MCU / USG KUB/ urine analysis/ Bl urea/ ser creatinine & S electrolyte	USG KUB/ Detailed discharge summary/ Detailed Operative notes
3,226	Urology	Surgical	Visual Internal Urethrotomy	Hydrocelectomy	18,500.00	1	Not applicable	Not applicable	Not applicable	SU138MLA	Clinical notes with planned line of treatment/ investigation report	Procedure / Operative Notes/ Detailed Discharge Summary
3,227	Urology	Surgical	Visual Internal Urethrotomy	with Meatoplasty	18,500.00	1	Not applicable	Not applicable	Not applicable	SU138MLB	Clinical notes with planned line of treatment/ investigation report	Procedure / Operative Notes/ Detailed Discharge Summary
3,228	Urology	Surgical	Visual Internal Urethrotomy	For Stricture Urethra	18,500.00	1	Not applicable	Not applicable	Not applicable	SU138MLC	Clinical notes with planned line of treatment/ investigation report	Procedure / Operative Notes/ Detailed Discharge Summary
3,229	Urology	Surgical	Visual Internal Urethrotomy	Visual Internal Urethrotomy	27,700.00	3	Not applicable	Not applicable	Not applicable	SU138MLD	CT KUB/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ Detailed Discharge Summary
3,230	Urology	Surgical	Visual Internal Urethrotomy	With Cystoscopy	38,100.00	1	Not applicable	Not applicable	Not applicable	SU138MLE	CT KUB/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ Detailed Discharge Summary
3,231	Urology	Surgical	Visual Internal Urethrotomy	With Cystolithopexy	25,200.00	3	Not applicable	Not applicable	Not applicable	SU138MLF	CT KUB/ Clinical notes with planned line of treatment	Procedure / Operative Notes/ Detailed Discharge Summary
	Specialty		Package Name

Diagnostic Master - OPD

Diagnostic Code	Diagnostic	Maximum permissible multiplier per hospitalization/ regime	Price
DL551ML	C.T. guided percutaneous biopsy	1	4,100
DL552ML	C.T. guided percutaneous FNAC	1	3,400
DL553ML	C.T. guided percutaneous needle aspiration	1	3,400
DL020ML	C.T. Scan - Angiography - Abdomen/ Chest	1	4,500
DL021ML	C.T. Scan - Angiography - Coronary	1	6,000
DL022ML	C.T. Scan - Angiography - Neck vessels	1	5,100
DL023ML	C.T. Scan - Cardiac	1	2,300
DL024ML	C.T. Scan - CECT Chest (Including CD)	1	2,500
DL025ML	C.T. Scan - Cervical C.T. 3D reconstruction only	1	3,700
DL026ML	C.T. Scan - Chest - with contrast	1	3,700
DL027ML	C.T. Scan - Chest - without contrast	1	3,100
DL028ML	C.T. Scan - Chest HRCT - with contrast	1	2,400
DL029ML	C.T. Scan - Chest HRCT - without contrast	1	2,400
DL030ML	C.T. Scan - Dental	1	1,300
DL031ML	C.T. Scan - Enteroclysis	1	6,000
DL032ML	C.T. Scan - Guided biopsy	1	1,000
DL033ML	C.T. Scan - Guided intervention - FNAC	1	1,200
DL034ML	C.T. Scan - Guided percutaneous catheter drainage	1	1,000
DL035ML	C.T. Scan - Head - Brain - with contrast	1	2,400
DL036ML	C.T. Scan - Head - Brain - without contrast	1	1,500
DL037ML	C.T. Scan - Head scan involving special investigation - with contrast	1	2,400
DL038ML	C.T. Scan - Head scan involving special investigation - without contrast	1	2,400
DL039ML	C.T. Scan - Limbs - with contrast	1	4,700
DL040ML	C.T. Scan - Limbs - without contrast	1	3,500
DL041ML	C.T. Scan - Lower abdomen - with contrast	1	4,000
DL042ML	C.T. Scan - Lower abdomen - without contrast	1	3,100
DL043ML	C.T. Scan - Myelogram (Cervical spine) - with contrast	1	1,000
DL044ML	C.T. Scan - Myelogram (Cervical spine) - without contrast	1	1,000
DL045ML	C.T. Scan - Myelogram (Lumbar spine or D/S) - with contrast	1	1,000
DL046ML	C.T. Scan - Myelogram (Lumbar spine or D/S) - without contrast	1	1,000
DL047ML	C.T. Scan - Neck - Thyroid soft tissue - with contrast	1	4,300
DL048ML	C.T. Scan - Neck - Thyroid soft tissue - without contrast	1	2,800
DL049ML	C.T. Scan - Orbits - with contrast	1	3,100
DL050ML	C.T. Scan - Orbits - without contrast	1	3,100
DL051ML	C.T. Scan - Paranasal sinus - with contrast	1	4,300
DL052ML	C.T. Scan - Paranasal sinus - without contrast	1	3,100
DL053ML	C.T. Scan - Spine (Cervical, dorsal, lumbar, sacral) - with contrast	1	4,000
DL054ML	C.T. Scan - Spine (Cervical, dorsal, lumbar, sacral) - without contrast	1	3,900
DL055ML	C.T. Scan - Temporal Bone - without contrast	1	900
DL056ML	C.T. Scan - Trucut biopsy	1	1,200
DL057ML	C.T. Scan - Upper abdomen - with contrast	1	4,300
DL058ML	C.T. Scan - Upper abdomen - without contrast	1	3,100
DL059ML	C.T. Scan - Urography	1	3,800
DL060ML	C.T. Scan - Whole abdomen - with contrast	1	6,700
DL061ML	C.T. Scan - Whole abdomen - without contrast	1	4,300
DL062ML	C.T. Scan - Whole body - with contrast	1	4,300
DL063ML	C.T. Scan - Whole body - without contrast	1	4,400
DL004MGA	COVID-19 testing - CB - NAT	1	3,000
DL001MGA	COVID-19 testing - Rapid Antigen Test	1	250
DL002MGA	COVID-19 testing - RT - PCR	1	500
DL003MGA	COVID-19 testing - TRU - NAT	1	1,500
DL548ML	Diskography	1	6,000
DL065ML	Endoscopic biopsy	1	300
DL069ML	MRI - Abdomen - with contrast	1	5,600
DL070ML	MRI - Abdomen - without contrast	1	4,000
DL071ML	MRI - Angiography - with contrast	1	5,900
DL072ML	MRI - Angiography - without contrast	1	4,300
DL073ML	MRI - Ankle (both) - with contrast	1	5,800
DL074ML	MRI - Ankle (both) - without contrast	1	4,300
DL075ML	MRI - Ankle (single) - with contrast	1	6,100
DL076ML	MRI - Ankle (single) - without contrast	1	4,300
DL077ML	MRI - Breast - with contrast	1	5,500
DL078ML	MRI - Breast - without contrast	1	4,100
DL079ML	MRI - Cardiac	1	2,400
DL080ML	MRI - Cervical spine - with contrast	1	5,600
DL081ML	MRI - Cervical spine - without contrast	1	3,900
DL082ML	MRI - Chest - with contrast	1	4,700
DL083ML	MRI - Chest - without contrast	1	3,700
DL084ML	MRI - Extremities - with contrast	1	5,900
DL085ML	MRI - Extremities - without contrast	1	3,900
DL086ML	MRI - Head - with contrast	1	5,900
DL087ML	MRI - Head - without contrast	1	4,700
DL088ML	MRI - Hip - with contrast	1	6,400
DL089ML	MRI - Hip - without contrast	1	4,000
DL090ML	MRI - Knee (both joints) - with contrast	1	6,000
DL091ML	MRI - Knee (both joints) - without contrast	1	4,400
DL092ML	MRI - Knee (single joint) - with contrast	1	6,100
DL093ML	MRI - Knee (single joint) - without contrast	1	4,700
DL094ML	MRI - Lumber spine - with contrast	1	6,100
DL095ML	MRI - Lumber spine - without contrast	1	4,300
DL096ML	MRI - Mammography	1	2,600
DL097ML	MRI - MR angiography	1	5,600
DL098ML	MRI - MR cholecysto-pancreatography (MRCP)	1	5,500
DL099ML	MRI - MR Enteroclysis	1	2,100
DL100ML	MRI - MR for Salivary Glands with Sialography	1	3,000
DL101ML	MRI - MR Temporal Bone/ Inner ear with contrast	1	4,000
DL102ML	MRI - MR Temporal Bone/ Inner ear without contrast	1	2,500
DL103ML	MRI - Nasopharynx and PNS - with contrast	1	5,900
DL104ML	MRI - Nasopharynx and PNS - without contrast	1	4,300
DL105ML	MRI - Neck - with contrast	1	5,100
DL106ML	MRI - Neck - without contrast	1	4,000
DL107ML	MRI - Orbits - with contrast	1	5,200
DL108ML	MRI - Orbits - without contrast	1	5,500
DL109ML	MRI - Pelvis - with contrast	1	5,500
DL110ML	MRI - Pelvis - without contrast	1	4,300
DL111ML	MRI - Prostate (Multi-parametric) including CD	1	6,000
DL112ML	MRI - Screening - with contrast	1	5,900
DL113ML	MRI - Screening - without contrast	1	4,000
DL114ML	MRI - Shoulder - with contrast	1	5,900
DL115ML	MRI - Shoulder - without contrast	1	4,300
DL116ML	MRI - Shoulder (both joints) - with contrast	1	5,500
DL117ML	MRI - Shoulder (both joints) - without contrast	1	4,400
DL118ML	MRI - Spine screening - with contrast	1	5,200
DL119ML	MRI - Spine screening - without contrast	1	3,700
DL120ML	MRI - Stress Cardiac	1	3,000
DL121ML	MRI - Temporomadibular (double joints) - with contrast	1	6,100
DL122ML	MRI - Temporomadibular (double joints) - without contrast	1	4,400
DL123ML	MRI - Temporomadibular (single joint) - with contrast	1	5,900
DL124ML	MRI - Temporomadibular (single joint) - without contrast	1	4,300
DL125ML	MRI - Wrist (both joints) - with contrast	1	6,200
DL126ML	MRI - Wrist (both joints) - without contrast	1	4,300
DL127ML	MRI - Wrist (single joint) - with contrast	1	6,100
DL128ML	MRI - Wrist (single joint) - without contrast	1	4,900
DL541ML	PET scan - Brain	1	14,663
DL543ML	PET scan - Cardiac	1	1,500
DL542ML	PET scan - Gallium peptide	1	15,000
DL540ML	PET scan - Whole body	1	20,528
DL549ML	USG guided percutaneous biopsy	1	2,800
DL130ML	Whole body MRI (For oncological workup) - Whole body (For oncological workup)	1	5,100
DL503ML	Electrocardiogram (ECG)	1	100
DL505ML	Sleep deprived EEG	1	300
DL506ML	Ultra Sonography test - Breast	1	300
DL507ML	Ultra Sonography test - Guided FNAC thyroid gland	1	400
DL508ML	Ultra Sonography test - Guided intervention - biopsy	1	700
DL510ML	Ultra Sonography test - Hysterosalpingography (HSG)	1	300
DL511ML	Ultra Sonography test - KUB abdomen	1	800
DL512ML	Ultra Sonography test - Lower abdomen	1	800
DL513ML	Ultra Sonography test - Obstetrics	1	800
DL514ML	Ultra Sonography test - Pelvic	1	300
DL515ML	Ultra Sonography test - Small Parts	1	300
DL516ML	Ultra Sonography test - Upper abdomen	1	800
DL517ML	Ultra Sonography test - Whole abdomen	1	1,100
DL518ML	Ultrasonography Level II scan/Anomaly Scan	1	500
DL519ML	Ultrasound - A- Scan	1	900
DL520ML	Ultrasound - B- Scan	1	200
DL521ML	Ultrasound - Guided FNAC	1	600
DL522ML	Urodynamic Study (Cystometry)	1	1,000
DL523ML	Uroflow Study (Micrometry)	1	1,200
DL525ML	X-ray - 90 D lens examination	1	200
DL526ML	X-ray - Abdomen AP Supine or Erect (One film)	1	200
DL527ML	X-ray - Abdomen Lateral view (one film)	1	200
DL528ML	X-ray - Arthrography	1	700
DL529ML	X-ray - Chest lateral (one film)	1	200
DL530ML	X-ray - Chest PA view (one film)	1	200
DL531ML	X-ray - Mammography	1	300
DL532ML	X-ray - Occlusal	1	200
DL533ML	X-ray - OPG	1	200
DL534ML	X-ray - Orbits	1	200
DL535ML	X-ray - Pelvis AP (one film)	1	200
DL536ML	X-ray - PNS view (1 film)	1	200
DL537ML	X-ray - Skull AP & Lateral (2 films)	1	300
DL538ML	X-ray - Spine AP & Lateral (2 films)	1	300
DL539ML	X-ray - Temporomandibular (TM) Joints (one film)	1	200
DL131ML	11 cells panel for antibody identification	1	200
DL137ML	17 Hydroxyprogesterone (17 OH Progesterone)	1	400
DL138ML	24 hour urinary - Aldostrone	1	900
DL139ML	24 hour urinary - Free cortisol	1	200
DL140ML	24 hour urinary - Proteins, sodium, creatinine	1	100
DL141ML	3 cell panel - antibody screening for pregnant female	1	200
DL142ML	Abdominal Aspiration - Diagnostic	1	300
DL143ML	Acetylcholine receptor (AChR) antibody titre	1	1,800
DL144ML	Acid Phosphatase	1	100
DL146ML	Adrenocorticotropic Hormone (ACTH)	1	500
DL147ML	Alkaline Phosphatase	1	100
DL148ML	Alpha Fetoprotein (AFP)	1	300
DL149ML	Androstenedione	1	600
DL150ML	Angiotensin converting enzyme (ACE)	1	900
DL152ML	Anti HAV IgM	1	600
DL153ML	Anti Hbs	1	600
DL154ML	Anti HEV IgM	1	900
DL155ML	Anti-Cyclic Citrullinated Peptide (Anti CCP)	1	500
DL156ML	Anti-double stranded DNA (anti-dsDNA)	1	400
DL157ML	Antinuclear antibody (ANA)	1	200
DL158ML	Anti-tissue Transglutaminase antibody (Anti TTG Antibody)	1	400
DL159ML	Apolipoprotein - A1 (ApoA1)	1	200
DL160ML	Apolipoprotein - B (Apo B)	1	200
DL162ML	Aspiration Pleural Effusion - Diagnostic	1	100
DL163ML	Bacterial culture and sensitivity	1	200
DL168ML	Basic studies including cell count, protein, sugar, gram stain,India Ink preparation and smear for AFP	1	200
DL169ML	Beta 2 microglobulin (B2M) /β2 microglobulin	1	100
DL170ML	Biophysical score	1	600
DL173ML	Bleeding Disorder panel- PT, APTT, Thrombin Time, Fibrinogen, D-Dimer/ Fibrinogen Degradation Products (FDP)	1	400
DL175ML	Blood gas analysis - Arterial Blood Gas (ABG) with electrolytes	1	500
DL176ML	Body fluid (CSF/Ascitic Fluid etc) Sugar, Protein etc.	1	100
DL177ML	Body fluid for Malignant cells	1	200
DL178ML	Bone Marrow Smear Examination - Smear Examinantion	1	100
DL180ML	Bone Marrow Smear Examination - Smear Examinantion with iron stain	1	300
DL181ML	Brachial plexus study	1	600
DL182ML	Breath tests	1	300
DL183ML	Brucella serology	1	200
DL184ML	C ANCA-IFA	1	1,300
DL185ML	C3-Complement	1	600
DL186ML	C4-Complement	1	600
DL187ML	Calcidiol / 25-hydroxycholecalciferol / Vitamin D3 assay (Vit D3)	1	600
DL188ML	Calcitonin	1	500
DL189ML	Cancer Antigen - 125 (CA 125)	1	400
DL190ML	Cancer Antigen - 15.3 (CA 15.3)	1	600
DL191ML	Cancer Antigen - 19.9 (CA 19.9)	1	600
DL192ML	Carbamazepine	1	400
DL193ML	Carcinoembryonic Antigen (CEA)	1	300
DL195ML	Catecholamines - Catecholamines.	1	1,100
DL197ML	Chlamydae - Antibody	1	200
DL198ML	Chlamydae - Antigen	1	900
DL199ML	Chloride	1	100
DL200ML	Chromogranin A	1	4,300
DL201ML	CK MB Mass/CPK MB Mass	1	100
DL202ML	Coagulation profile	1	600
DL203ML	Cold Calorie Test for Vestibular function	1	200
DL206ML	Coomb’s Test - Direct	1	100
DL207ML	Coomb’s Test - Indirect	1	100
DL208ML	Corneal endothelial cell count with specular microscopy	1	200
DL211ML	Cortisol	1	300
DL212ML	C-Peptide (C Peptide / Connecting Peptide)	1	300
DL213ML	CPK MB/CK MB	1	200
DL214ML	C-reactive Protein (CRP)	1	100
DL215ML	C-reactive Protein (CRP) Quantitative	1	200
DL216ML	Creatinine clearance	1	100
DL217ML	Cross match	1	100
DL218ML	Cryptococcal antigen	1	1,100
DL220ML	Dehydroepiandrosterone sulfate (DHEAS)	1	400
DL221ML	Dengue Serology	1	500
DL227ML	Dilantin (phenytoin).	1	400
DL228ML	Double balloon enteroscopy	1	3,500
DL229ML	D-xylase test	1	900
DL240ML	Erythropoietin Level	1	400
DL241ML	Estradiol (E2)	1	200
DL242ML	Extended Lipid Profile. (Total cholesterol, LDL, HDL, Triglycerides Apo A1,Apo B,Lp (a) )	1	600
DL243ML	External Loop/event recording	1	2,800
DL244ML	Extractable Nuclear Antigens (ENA) - Quantitative	1	3,900
DL246ML	Factor Assays - Factor IX	1	700
DL247ML	Factor Assays - Factor VII	1	700
DL248ML	Faecal / Fecal fat test/ fecal chymotrypsin/ fecal elastase	1	400
DL249ML	Faecal calprotectin (fecal calprotectin)	1	2,300
DL253ML	Fibrinogen.	1	200
DL255ML	Fine Needle Aspiration Cytology (FNAC)	1	200
DL257ML	Fluorescent in situ hybridization (FISH)	1	500
DL258ML	Foetal Haemoglobin (HbF)	1	100
DL259ML	Folic Acid assay.	1	300
DL260ML	Follicle stimulating hormone (FSH)	1	200
DL261ML	Free Thyroxine (FT4)	1	100
DL262ML	Free Triiodothyronine (FT3)	1	100
DL263ML	Frozen section	1	800
DL264ML	Fructosamine.	1	200
DL265ML	Fundus Photo Test	1	200
DL266ML	Fungal culture	1	100
DL267ML	Gamma-Glutamyl Transpeptidase (GGTP)	1	100
DL269ML	Gastric emptying	1	1,300
DL273ML	GDx Nerve fibre layer analysis	1	100
DL554ML	Genetic workup	1	22,000
DL274ML	Genexpert Test	1	900
DL275ML	Glucose Tolerance Test (GTT)	1	100
DL276ML	Glucose-6-Phosphate Dehydrogenase (G6PD)	1	100
DL277ML	Glutamic Acid Decarboxylase Autoantibodies test (GAD antibodies)	1	1,300
DL278ML	Glycosylated Haemoglobin (HbA1c)	1	100
DL280ML	Growth Hormone	1	300
DL281ML	H pylori serology for Coeliac disease /Celiac disease	1	500
DL282ML	H1N1 (RT-PCR)	1	900
DL283ML	Haemoglobin Electrophoresis/ Hb HPLC	1	100
DL284ML	HBV genotyping	1	2,500
DL285ML	HCV genotyping	1	4,900
DL286ML	HCV RNA Quantitative	1	1,500
DL287ML	Head -up tilt test (HUTT)	1	2,200
DL288ML	Hepatitis B Core Antibody (HBcAb) Level (Hepatitis B Core IgM Antibody)	1	400
DL289ML	Hepatitis B Virus (HBV) DNA Quantitative.	1	1,500
DL290ML	Hepatitis C virus (HCV)	1	100
DL291ML	Hepatitis C Virus (HCV) RNA Qualitative.	1	1,700
DL294ML	HLA B27 (PCR)	1	500
DL297ML	Human chorionic gonadotropin (HCG)	1	300
DL298ML	Human papillomaviruse (HPV) Serology	1	200
DL299ML	Hydatic Serology	1	300
DL300ML	Immunofluorescence	1	200
DL301ML	Immunoglobulin A (IgA)	1	300
DL302ML	Immunoglobulin G (IgG)	1	300
DL303ML	Immunoglobulin M (IgM)	1	300
DL304ML	Immunohistochemistry (IHC)	1	800
DL305ML	Impedence with stepedeal reflex	1	200
DL306ML	Imprint Smear From Endoscopy	1	200
DL307ML	Indirect (antids DNA Anti Smith ANCA)	1	400
DL311ML	Influenza A serology	1	900
DL312ML	Insulin	1	200
DL313ML	Insulin associated antibody	1	400
DL314ML	Insulin-like growth factor binding protein 3 (IGF-BP3)	1	1,700
DL315ML	Insulin-like growth factor-1 (IGF-1)	1	1,500
DL316ML	Interleukin 6 (IL 6)	1	1,400
DL320ML	Islet cell antibody	1	800
DL321ML	Joints Aspiration	1	300
DL323ML	Kappa Lambda Light Chains, Free, Serum/ Serum free light chains (SFLC)	1	3,500
DL324ML	Karyotyping	1	800
DL325ML	Kidney Function Test (KFT)	1	200
DL326ML	Lactate	1	100
DL327ML	Lactate dehydrogenase (LDH)	1	100
DL330ML	Leukemia panel /Lymphoma panel	1	1,500
DL331ML	Lipoprotein A / Lp A	1	400
DL332ML	Lithium	1	100
DL334ML	Low density lipoprotein (LDL)	1	100
DL335ML	Lumbar puncture	1	200
DL338ML	Luteinizing hormone (LH)	1	200
DL340ML	Malignant cells	1	100
DL341ML	Manometry and PH metry	1	1,600
DL342ML	Mantoux Test	1	200
DL348ML	Mycobacterial culture and sensitivity	1	200
DL349ML	Myelin Basic protein	1	1,900
DL351ML	Neonatal head (Tranfontanellar)	1	400
DL355ML	NT-Pro BNP	1	1,800
DL358ML	Oesophageal PH metry	1	5,000
DL359ML	Oligoclonal band	1	1,200
DL361ML	Osmolality serum	1	100
DL362ML	Osmolality urine	1	100
DL363ML	Osmotic fragility Test	1	100
DL364ML	P ANCA-IFA	1	1,300
DL365ML	Paraffin section	1	300
DL367ML	Paroxysmal Nocturnal Hemoglobinuria (PNH) Panel-CD55,CD59	1	1,000
DL368ML	PCR - for Herpes simplex	1	1,200
DL369ML	PCR - for Human immunodeficiency virus (HIV)	1	600
DL370ML	PCR - for Tuberculosis (TB)	1	900
DL372ML	Pericardial Aspiration	1	400
DL375ML	Phosphorus-32 therapy for metastatic bone pain palliation	1	5,000
DL376ML	Plasma renin activity	1	1,000
DL377ML	Platelet Concentrate	1	100
DL378ML	Platelet Function test	1	100
DL380ML	Portal haemodymic studies	1	1,900
DL382ML	Procalcitonin	1	1,800
DL383ML	Progesterone	1	200
DL384ML	Prolactin	1	200
DL385ML	Prostate Specific antigen (PSA) - Free	1	400
DL386ML	Prostate Specific antigen (PSA) - Total	1	300
DL387ML	Protein Creatinine Ratio (PCR), Urine / Albumen Creatinine Ratio (ACR), Urine	1	100
DL389ML	PTH(Parathormone)	1	500
DL390ML	Pulmonary Function Test	1	300
DL392ML	Quadruple test	1	2,000
DL395ML	Random Donor Platelet(RDP)	1	400
DL401ML	RH Antibody titer	1	100
DL402ML	Rheumatoid Factor / Rh Factor test	1	100
DL403ML	Rota Virus serology	1	100
DL404ML	Routine - H&E	1	100
DL407ML	Serum - Aldostrone	1	1,100
DL408ML	Serum - Aldostrone/ Renin ratio	1	1,200
DL409ML	Serum - Ammonia	1	100
DL410ML	Serum - amylase	1	100
DL411ML	Serum - Calcium –Total	1	100
DL412ML	Serum - Ceruloplasmin	1	500
DL413ML	Serum - Cholesterol	1	100
DL414ML	Serum - Copper	1	500
DL415ML	Serum - Electrophoresis	1	200
DL416ML	Serum - Ferritin	1	100
DL417ML	Serum - Glutamic oxaloacetic transaminase (SGOT) / Aspartate Aminotransferase (AST)	1	100
DL418ML	Serum - Iron	1	100
DL419ML	Serum - Lactate	1	100
DL420ML	Serum - Lipase	1	100
DL421ML	Serum - Magnesium	1	100
DL422ML	Serum - Phenobrbito Serum phenobarbitone level	1	400
DL423ML	Serum - Phosphorus	1	100
DL424ML	Serum - Potassium	1	100
DL425ML	Serum - Sodium	1	100
DL426ML	Serum - Testosterone	1	200
DL427ML	Serum - Uric Acid	1	100
DL428ML	Serum - Valprote level	1	300
DL429ML	Sex hormone binding globulin	1	1,300
DL430ML	Short Increment Sensitivity Index (SISI) Tone Decay	1	100
DL431ML	Single balloon enteroscopy	1	4,000
DL432ML	Single Donor Platelet (SDP- Apheresis)	1	11,000
DL434ML	special stain	1	100
DL438ML	Stress Echo - Pharmacological	1	2,500
DL442ML	Tacrolimus	1	2,300
DL444ML	Tests for Antiphospholipid antibodies syndrome.	1	300
DL445ML	Tests for Antiphospholipid antibody IgG, IgM (for cardiolipin and B2 Glycoprotein 1)	1	500
DL446ML	Tests for hypercoagulable states- Protein C, Protein S, Antithrombin	1	400
DL447ML	Tests for lupus anticoagulant	1	200
DL448ML	Tests for Sickling / Hb HPLC)	1	100
DL450ML	Thalassemia studies (Red Cell indices and Hb HPLC)	1	600
DL453ML	Thyroglobulin antibody	1	600
DL454ML	Thyroid binding globulin	1	500
DL455ML	Thyroid peroxidase antibody (TPO)	1	300
DL457ML	Thyroid stimulating hormone (TSH)	1	100
DL459ML	TORCH Test	1	1,100
DL460ML	Total Iron Binding Capacity (TIBC)	1	100
DL461ML	Total Protein Alb/Glo Ratio	1	100
DL465ML	Triglycerides	1	100
DL467ML	Triple Marker.	1	800
DL468ML	Troponin I	1	100
DL469ML	Troponin T	1	600
DL470ML	Typhidot IgM	1	300
DL472ML	Urinary calcium	1	100
DL473ML	Urinary copper	1	500
DL474ML	Urinary free catecholamine	1	1,700
DL475ML	Urinary metanephrine/Normetanephrine	1	1,100
DL476ML	Urinary potassium	1	100
DL477ML	Urinary sodium	1	100
DL478ML	Urinary vanillylmandelic acid (VMA)	1	1,500
DL479ML	Urine Microalbumin	1	100
DL480ML	Valproic acid	1	300
DL484ML	Video Laryngoscopy	1	5,100
DL485ML	Viral culture	1	300
DL486ML	Vitamin B12 assay	1	300
DL487ML	WBC cytochemistry for leukemia -Complete panel	1	100
DL496ML	Hepatitis B surface antigen (HBsAg)	1	100
DL546ML	Anti HCV IgG	1	350
DL493ML	Blood Urea Nitrogen	1	100
DL491ML	CD4 (T-Cell Lymphocyte) count	1	500
DL494ML	Complete Haemogram/CBC, Hb,RBC count and indices,TLC, DLC, Platelet, ESR, Peripheral smear examination	1	100
DL064ML	Cystoscopy Diagnostic	1	5,500
DL066ML	ERCP (Endoscopic Retrograde Cholangio – Pancreatography)	1	2,500
DL545ML	Fasting Blood Sugar	1	70
DL068ML	Fiberoptic Bronchoscopy with Washing biopsy	1	2,700
DL495ML	HBsAg Quantitative	1	600
DL497ML	Human immunodeficiency virus- HIV I and II	1	200
DL544ML	IgG/ IgM test (After scrub typhus recovery)	1	500
DL129ML	Pap Smear	1	200
DL492ML	rk39 strip test	1	700
DL500ML	Serum - Bilirubin total & direct	1	100
DL502ML	Serum - glutamic pyruvic transaminase (SGPT) / Alanine Aminotransferase (ALT)	1	100
DL550ML	USG guided percutaneous needle aspiration	1	800
DL490ML	VRDL (Venereal Disease Research Laboratory) Test	1	400
DL504ML	Electroencephalogram (EEG)/ Video EEG	1	3,600
DL524ML	Widal Test	1	100
Diagnostic Code	Diagnostic	Maximum permissible multiplier per hospitalization/ regime	Price