Package Rates

Package Rates OPD
Package Rates IPD
Diagnostic Master - OPD
SL.NoSpecialtyMedical or SurgicalPackage NameProcedure NameProcedure PriceALoSStratification OptionsStratification RateImplantsProcedure CodeMinimum Documents Required - Pre Authorization (/ = either)Minimum Documents Required - Claim Processing (/ = either)
1Burns ManagementSurgicalThermal burns% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing7,700.00DNot applicableNot applicableNot applicableBM001AClinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chartLab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.
2Burns ManagementSurgicalThermal 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.55,000.0012Not applicableNot applicableNot applicableBM001BClinical Notes/ MLC copy with number/ Extent of upto 40% burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
3Burns ManagementSurgicalThermal 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.88,400.0012Not applicableNot applicableNot applicableBM001CClinical Notes/ MLC copy with number/ Extent of upto 40% - 60% burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
4Burns ManagementSurgicalThermal 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.110,000.0012Not applicableNot applicableNot applicableBM001DClinical Notes/ MLC copy with number/ Extent > 60% burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
5Burns ManagementSurgicalThermal burnsCriteria 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.110,000.0012Not applicableNot applicableNot applicableBM001EClinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
6Burns ManagementSurgicalScald burns% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing7,700.00DNot applicableNot applicableNot applicableBM002AClinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chartLab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.
7Burns ManagementSurgicalScald 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.55,000.0012Not applicableNot applicableNot applicableBM002BClinical Notes/ MLC copy with number/ Extent of upto 40% burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
8Burns ManagementSurgicalScald 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.88,400.0012Not applicableNot applicableNot applicableBM002CClinical Notes/ MLC copy with number/ Extent of upto 40% - 60% burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
9Burns ManagementSurgicalScald 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.110,000.0012Not applicableNot applicableNot applicableBM002DClinical Notes/ MLC copy with number/ Extent > 60% burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
10Burns ManagementSurgicalScald burnsCriteria 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.110,000.0012Not applicableNot applicableNot applicableBM002EClinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chartLab tests or other diagnostic procedures done as a part of treatment. Detailed clinical notes.
11Burns ManagementSurgicalFlame burns% Total Body Surface Area Burns (TBSA) - any % (not requiring admission). Needs at least 5-6 dressing7,700.00DNot applicableNot applicableNot applicableBM003AClinical Notes/ MLC copy with number/ Extent of burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment.
12Burns ManagementSurgicalFlame 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.55,000.0012Not applicableNot applicableNot applicableBM003BClinical Notes/ MLC copy with number/ Extent of upto 40% burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
13Burns ManagementSurgicalFlame 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.88,400.0012Not applicableNot applicableNot applicableBM003CClinical Notes/ MLC copy with number/ Extent of upto 40% - 60% burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
14Burns ManagementSurgicalFlame 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.110,000.0012Not applicableNot applicableNot applicableBM003DClinical Notes/ MLC copy with number/ Extent > 60% burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary.
15Burns ManagementSurgicalElectrical contact burnsElectrical 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.41,300.0012Not applicableNot applicableNot applicableBM004AClinical note/ Circumstances that led to low voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
16Burns ManagementSurgicalElectrical contact burnsElectrical 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.55,000.0012Not applicableNot applicableNot applicableBM004BClinical note/ Circumstances that led to low voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
17Burns ManagementSurgicalElectrical contact burnsElectrical 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.82,500.0012Not applicableNot applicableNot applicableBM004CClinical note/ Circumstances that led to High voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
18Burns ManagementSurgicalElectrical contact burnsElectrical 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.68,800.0012Not applicableNot applicableNot applicableBM004DClinical note/ Circumstances that led to High voltage electrical contact burns / MLC copy with number/ % burns with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment. Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
19Burns ManagementSurgicalChemical burnsChemical 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.55,000.0012Not applicableNot applicableNot applicableBM005AClinical note/ Circumstances that led to chemical burns/ MLC copy with number/ % and area burnt with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment.Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
20Burns ManagementSurgicalChemical burnsChemical 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.82,500.0012Not applicableNot applicableNot applicableBM005BClinical note/ Circumstances that led to chemical burns / MLC copy with number/ % and area burnt with rule of 9 chartLab tests/ X-rays or other diagnostic procedures done as a part of treatment.Detailed discharge summary. Detailed Procedure / Operative Notes if surgery done.
21Burns ManagementSurgicalPost Burn Contracture surgeries for Functional ImprovementPost 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.68,800.008Not applicableNot applicableNot applicableBM006AClinical 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.
22Burns ManagementSurgicalPost Burn Contracture surgeries for Functional ImprovementPost 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.68,800.008Not applicableNot applicableNot applicableBM006BClinical 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.
23CardiologyMedicalRight / Left Heart CatheterizationRight Heart Catheterization13,800.001Not applicableNot applicableNot applicableMC001AClinical notes with planned line of treatment/ ECG/ ECHODischarge summary/ Procedure / Operative Notes. Invoices of catherter and other accesories used.
24CardiologyMedicalRight / Left Heart CatheterizationLeft Heart Catheterization13,800.001Not applicableNot applicableNot applicableMC001BClinical notes with planned line of treatment/ ECG/ ECHODischarge summary/ Procedure / Operative Notes. Invoices of catherter and other accesories used.
25CardiologyMedicalCatheter directed ThrombolysisFor Deep vein thrombosis (DVT)57,500.002Not applicableNot applicableNot applicableMC002AClinical notes and doppler establishing presence of DVTPost procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
26CardiologyMedicalCatheter directed ThrombolysisFor Mesenteric Thrombosis57,500.002Not applicableNot applicableNot applicableMC002BClinical notes and doppler establishing presence of mesentric thrombosisPost procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
27CardiologyMedicalCatheter directed ThrombolysisFor Peripheral vessels57,500.002Not applicableNot applicableNot applicableMC002CClinical notes and doppler establishing presence of peripheral vessel thrombosisPost procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
28CardiologyMedicalBalloon DilatationCoartication of Aorta53,100.002Not applicableNot applicableCardiac Balloon - Adult - 15400 Cardiac Balloon - Pediatric - 36300MC003AClinical note/ ECHO & CT angiogram reportProcedure / Operative Notes/ Post Procedure images / Angiogram/ barcode of balloon used/ Detailed Discharge Summary
29CardiologyMedicalBalloon DilatationPulmonary Artrey Stenosis53,100.002Not applicableNot applicableCardiac Balloon - Adult - 15400 Cardiac Balloon - Pediatric - 36300MC003BClinical note/ ECHO & CT angiogram reportProcedure / Operative Notes/ Post Procedure images / Angiogram/ barcode of balloon used/ Detailed Discharge Summary
30CardiologyMedicalValvotomyBalloon Pulmonary Valvotomy32,200.002Not applicableNot applicableCardiac Balloon - Adult - 15400 Cardiac Balloon - Pediatric - 36300MC004AClinical 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 .
31CardiologyMedicalValvotomyBalloon Aortic Valvotomy32,200.002Not applicableNot applicableCardiac Balloon - Adult - 15400 Cardiac Balloon - Pediatric - 36300MC004BClinical 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 .
32CardiologyMedicalValvotomyBalloon Mitral Valvotomy39,300.002Not applicableNot applicableNot applicableMC004CClinical 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 .
33CardiologyMedicalBalloon Atrial SeptostomyBalloon Atrial Septostomy33,600.002Not applicableNot applicableNot applicableMC006AClinical notes and ECHO / doppler + reports showing the transposition of the great arteries (TGA) & need of septostomyProcedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
34CardiologyMedicalASD device closureASD device closure50,800.002Not applicableNot applicableASD Device - 68200MC007AClinical notes and ECHO report showing ASDProcedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
35CardiologyMedicalVSD device closureVSD device closure52,100.002Not applicableNot applicableVSD Device - 79200MC008AClinical notes and ECHO report showing VSDProcedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
36CardiologyMedicalPDA device closurePDA device closure44,900.002Not applicableNot applicablePDA Device - 33000MC009AClinical notes and ECHO report showing PDAProcedure / Operative notes/ Post procedure Echo with report/ Invoice of blade / balloon used/ Detailed Discharge Summary .
37CardiologyMedicalPDA stentingPDA stenting54,800.002Not applicableNot applicableCoronary Stent for PDA stenting - Bare Metal - 9600 Coronary Stent for PDA stenting - Drug Eluting - 34800MC010AClinical notes and ECHO report / Angio showing PDAProcedure / Operative notes/ Post procedure ECHO with report/ Invoice of blade / barcode of stent used/ barcode of the stent used/ Detailed Discharge Summary .
38CardiologyMedicalPTCA, inclusive of diagnostic angiogramPTCA, inclusive of diagnostic angiogram55,900.003Not applicableNot applicableCoronary Stent for PTCA - Bare Metal - 9600 Coronary Stent for PTCA - Drug Eluting - 34800MC011AClinical note/ ECG/ ECHO/ CAG showing blocks & ReportsProcedure / Operative notes/ Angiogram report/ showing stent & post Stent flow + barcode of the stents used/ Detailed Discharge Summary
39CardiologyMedicalElectrophysiological StudyElectrophysiological Study38,200.002Not applicableNot applicableImplant 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 - 83600MC012AClinical notes with planned line of treatment/ ECG/ ECHO/ Serum ElctrolytesDischarge summary/ EP study report
40CardiologyMedicalElectrophysiological StudyElectrophysiological Study with Radio Frequency Ablation38,200.002Not applicableNot applicableImplant 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 - 83600MC012BClinical notes with planned line of treatment/ ECG/ ECHO/ Serum ElctrolytesDischarge summary/ EP study report/ Procedure / Operative Notes
41CardiologyMedicalPercutaneous Transluminal Septal Myocardial AblationPercutaneous Transluminal Septal Myocardial Ablation46,800.002Not applicableNot applicableNot applicableMC013AClinical notes and ECG/ ECHO/ CAG showing blaocks justifying the procedureAngiogram report/ showing stent & post Stent flow + barcode / Invoice of the stent used
42CardiologyMedicalPacemaker implantationTemporary Pacemaker implantation26,400.002Not applicableNot applicableNot applicableMC014AClinical notes and ECG + Report by cardiologist necessitating procedureX Ray showing the pacemaker in situ/ detailed discharge summary/ Detailed Procedure / Operative Notes/ Invoice / barcode of pacemaker
43CardiologyMedicalPacemaker implantationPermanent Pacemaker Implantation - Single Chamber27,000.002Not applicableNot applicableSingle Chamber Pacemaker - Rate Responsive - 49500MC014BClinical notes and ECG + Report by cardiologist necessitating procedure/ Angiogram if doneX Ray showing the pacemaker in situ/ Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes/ detailed discharge summary
44CardiologyMedicalPacemaker implantationPermanent Pacemaker Implantation - Double Chamber36,300.002Not applicableNot applicableDouble Chamber Pacemaker - Rate Responsive - 82500MC014CClinical notes and ECG + Report by cardiologist necessitating procedure/ Angiogram if doneX Ray showing the pacemaker in situ/ Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes/ detailed discharge summary
45CardiologyMedicalPeripheral AngioplastyPeripheral Angioplasty47,500.002Not applicableNot applicablePeripheral Stent - Bare Metal - 23100MC017AClinical note with ECHO/ Doppler/ Angio showing blocks & ReportsPost op. Angiogram report/ showing stent/ Implant / barcode of stent used
46CardiologyMedicalBronchial artery Embolisation (for Haemoptysis)Bronchial artery Embolisation (for Haemoptysis)45,100.003Not applicableNot applicableNot applicableMC018AClinical notes and Chest X-Ray / HRCT chest with CT Pulmonary Angiogram & other investigationsCheck Angiography of same bronchial artery after the procedure. Detailed discharge summary/ Detailed Procedure / Operative Notes/ Hb/ Serum Creatinine
47CardiologyMedicalPericardiocentesisPericardiocentesis16,700.001Not applicableNot applicableNot applicableMC019AClinical notes and ECHO report justifying need of procedureprocedure note/ post procedure ECHO report/ Analysis of fluid removed/ Detailed discharge summary
48CardiologyMedicalSystemic Thrombolysis (for MI)Systemic Thrombolysis (for MI)24,600.003Not applicableNot applicableNot applicableMC020ASerial ECGs showing MI/ Cardiac markers - CPK-MB/ TROP I or TROP TECHO/ ECG/ Lab Investigation (TROP - T report)/ invoice / barcode of thrombolytic agent used
49CardiologyMedicalEmbolizationArteriovenous Malformation (AVM) in the Limbs55,900.002Not applicableNot applicableImplant for "Embolization - Arteriovenous Malformation (AVM) in the Limbs" - Part of package costMC021AAngio Report/ Clinical notes detailing history and Admission notes showing vitals and examination findingsDetailed Procedure / Operative Notes. Invoice / bar code of used coil/ detailed discharge summary
50CardiologyMedicalFollow up - CardiologyFirst Follow-up- 2-4 weeks after discharge0.00 DNot applicableNot applicableNot applicableMC022AEarlier discharge summary / Clinical notes detailing history and any investigations done.Clinical note with Treatment details/ report of any investigations done.
51CardiologyMedicalFollow up - CardiologySecond Follow-up- After 3 months4,800.00 DNot applicableNot applicableNot applicableMC022BEarlier discharge summary / Clinical notes detailing history and any investigations done.Clinical note with Treatment details/ report of any investigations done.
52CardiologyMedicalFollow up - CardiologyThird Follow-up- After 3 months2,400.00 DNot applicableNot applicableNot applicableMC022CEarlier discharge summary / Clinical notes detailing history and any investigations done.Clinical note with Treatment details/ report of any investigations done.
53CardiologyMedicalFollow up - Cardiologyfourth Follow-up- After 3 months2,400.00 DNot applicableNot applicableNot applicableMC022DEarlier discharge summary / Clinical notes detailing history and any investigations done.Clinical note with Treatment details/ report of any investigations done.
54CardiologyMedicalFollow up - CardiologyFifthFollow-up - After 3 months2,400.00 DNot applicableNot applicableNot applicableMC022EEarlier discharge summary / Clinical notes detailing history and any investigations done.Clinical note with Treatment details/ report of any investigations done.
55CardiologyMedicalAcute and subacute endocarditisAcute and subacute endocarditis55,000.004Not applicableNot applicableNot applicableMC022MLAClinical notes with planned line of treatment/ ECHO/ CBCBlood culture reports/ Post treatment ECHO/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
56CardiologyMedicalAcute coronary syndromeAcute coronary syndrome55,000.00NANot applicableNot applicableNot applicableMC023MLAClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
57CardiologyMedicalMyocarditisMyocarditis55,000.004Not applicableNot applicableNot applicableMC024MLAClinical notes with planned line of treatment/ ECHO/ CBCBlood culture reports/ Post treatment ECHO/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
58CardiologyMedicalRotablationRotablation71,500.004Not applicableNot applicableNot applicableMC025MLAClinical notes with planned line of treatment/ CAGX-Ray/ Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
59CardiologySurgicalDigital Substraction AngiographyVenogram29,500.003Not applicableNot applicableNot applicableSN061AClinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CTDetailed Procedure / Operative Notes/ detailed discharge summary/ invoice of RF probe
60CardiologySurgicalDigital Substraction AngiographyPeripheral Artery16,100.003Not applicableNot applicableNot applicableSN061MLAClinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CTDetailed Procedure / Operative Notes/ detailed discharge summary/ invoice of RF probe
61Cardiothoracic Vascular SurgeryMedicalPacemaker implantationTemporary Pacemaker implantation26,400.002Not applicableNot applicableNot applicableMC014AClinical notes and ECG + Report by cardiologist necessitating procedureX Ray showing the pacemaker in situ/ detailed discharge summary/ Detailed Procedure / Operative Notes/ Invoice / barcode of pacemaker
62Cardiothoracic Vascular SurgeryMedicalPacemaker implantationPermanent Pacemaker Implantation - Single Chamber27,000.002Not applicableNot applicableSingle Chamber Pacemaker - Rate Responsive - 49500MC014BClinical notes and ECG + Report by cardiologist necessitating procedure/ Angiogram if doneX Ray showing the pacemaker in situ/ Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes/ detailed discharge summary
63Cardiothoracic Vascular SurgeryMedicalPacemaker implantationPermanent Pacemaker Implantation - Double Chamber36,300.002Not applicableNot applicableDouble Chamber Pacemaker - Rate Responsive - 82500MC014CClinical notes and ECG + Report by cardiologist necessitating procedure/ Angiogram if doneX Ray showing the pacemaker in situ/ Invoice / Barcode of designated pacemaker. Detailed Procedure / Operative Notes/ detailed discharge summary
64Cardiothoracic Vascular SurgerySurgicalVascular reconstructionVascular reconstruction105,600.009Not applicableNot applicableNot applicableSC074AClinical notes/ history of surgeries/ detailing original pathology/ detailing need for vascular surgery/ planned line of treatment and advice for admissionDetailed ICPs/ discharge summary with planned line of treatment
65Cardiothoracic Vascular SurgerySurgicalResuturing of Any Wound gap SurgeriesResuturing of Any Wound gap Surgeries4,200.00NANot applicableNot applicableNot applicableSC080AClinical notes with planned line of treatmentClinical notes / discharge summary with planned line of treatment
66Cardiothoracic Vascular SurgerySurgicalCarotid Body tumour - ExcisionCarotid Body tumour - Excision49,200.007Not applicableNot applicableNot applicableSG069AClinical notes and USG Neck/ Colour doppler confirming the diagnosisDetailed Operative notes/ Histopathology/ Detailed discharge summary
67Cardiothoracic Vascular SurgerySurgicalIntercostal Drainage onlyIntercostal Drainage only6,200.001Not applicableNot applicableNot applicableSG077AClinical notes and detailing need of ICD/ Chest X-Ray PAAnalysis report of drained fluid/ Detailed Operative notes/ Detailed discharge summary
68Cardiothoracic Vascular SurgerySurgicalRepair of renal artery stenosisRepair of renal artery stenosis83,600.007Not applicableNot applicableNot applicableSG102AAdmission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)/ CT AngioDetailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ CT angio
69Cardiothoracic Vascular SurgerySurgicalDiaphragmatic EventerationDiaphragmatic Eventeration50,700.003Not applicableNot applicableNot applicableSG134MLAChest 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/
70Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - I Congenital Heart DiseaseUnifocalization of MAPCA151,300.0010Not applicableNot applicableNot applicableSV001AClinical notes and ECHO and / or doppler reportsDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
71Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - I Congenital Heart DiseaseIsolated Secundum Atrial Septal Defect (ASD) Repair151,300.0010Not applicableNot applicableNot applicableSV001BClinical notes and ECHO / doppler reportsDetailed discharge summary/ Detailed Operative notes/ barcode of Implant (if used).
72Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - I Congenital Heart DiseaseGlenn procedure151,300.0010Not applicableNot applicableNot applicableSV001CClinical notes and ECHO and / or doppler reportsDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
73Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - I Congenital Heart DiseasePulmonary Artery Banding151,300.0010Not applicableNot applicableNot applicableSV001DClinical notes and ECHO and / or doppler reportsDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
74Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - I Congenital Heart DiseaseSystemic - Pulmonary Artery shunt151,300.0010Not applicableNot applicablePTFE Patch - Thin - 33000SV001EClinical notes and ECHO and / or doppler reportsDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
75Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - I Congenital Heart DiseaseVascular Ring division151,300.0010Not applicableNot applicableNot applicableSV001FClinical notes and ECHO and / or doppler reportsDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
76Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - I Congenital Heart DiseaseCoarctation repair151,300.0010Not applicableNot applicableDacron Graft - Straight - 33000SV001GClinical notes and ECHO and / or doppler reportsDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
77Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - I Congenital Heart DiseaseBT Shunt (inclusives of grafts)110,000.0010Not applicableNot applicableImplant for "BT Shunt (inclusives of grafts)" - 55000SV001HClinical notes and ECHO and / or doppler reportsDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
78Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseASD closure + Partial Anomalous Venous Drainage Repair181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002AClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
79Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseASD Closure + Mitral procedure181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002BClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
80Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseASD Closure + Tricuspid procedure181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002CClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
81Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseASD Closure + Pulmonary procedure181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002DClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
82Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseASD Closure + Infundibular procedure181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002EClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
83Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseVSD closure181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002FClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
84Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseInfundibular PS repair181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002GClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
85Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseValvular PS / PR repair181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002HClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
86Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseasePartial AV canal repair181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002IClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
87Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseIntermediate AV canal repair181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002JClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
88Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseAtrial septectomy + Glenn181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002KClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
89Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseAtrial septectomy + PA Band181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002LClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
90Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseSinus of Valsalva aneurysm repair with aortic valve procedure181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002MClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
91Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseSinus of Valsalva aneurysm repair without aortic valve procedure181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002NClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
92Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - II Congenital Heart DiseaseSub-aortic membrane resection181,500.0010Not applicableNot applicablePTFE 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 - 38500SV002OClinical notes and ECHO reportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
93Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseEbstien repair226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003AClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
94Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseDouble switch operation226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003BClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
95Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseRastelli Procedure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003CClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
96Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseFontan procedure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003DClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
97Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseAP window repair226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003EClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
98Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseArch interruption Repair without VSD closure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003FClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
99Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseArch interruption Repair with VSD closure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003GClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
100Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseDORV Repair226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003HClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
101Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseSupravalvular AS repair226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003IClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
102Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseKonno procedure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003JClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
103Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseNorwood procedure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003KClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
104Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseVSD closure + RV - PA conduit226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003LClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
105Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseVSD + Aortic procedure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003MClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
106Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseVSD + Mitral procedure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003NClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
107Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseVSD + Tricuspid procedure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003OClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
108Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseVSD + Pulmonary procedure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003PClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
109Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseVSD + Infundibular procedure226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003QClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
110Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseVSD + Coarctation repair226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003RClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
111Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseTAPVC Repair226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003SClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
112Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseTruncus arteriosus repair226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003TClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
113Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseTetralogy of Fallot Repair226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003UClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
114Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseComplete AV canal repair226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003VClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
115Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseArterial switch operation226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003WClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
116Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseSenning Operation226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003XClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
117Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseMustard Operation226,900.0012Not applicableNot applicablePTFE 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 - 132000SV003YClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
118Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Category - III Congenital Heart DiseaseALCAPA302,500.0012Not applicableNot applicablePTFE 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 - 132000SV003ZClinical note with ECHO / Doppler ReportDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used.
119Cardiothoracic Vascular SurgerySurgicalCoronary artery bypass grafting (CABG), including intra operative balloon pump (if required)Coronary artery bypass grafting (CABG), including intra operative balloon pump (if required)178,600.0010Not applicableNot applicableNot applicableSV004AClinical note with ECHO + CAG report showing significant multiple blocks & LVEFDetailed Operation notes/ detailed discharge summary
120Cardiothoracic Vascular SurgerySurgicalSingle Valve ProcedureAortic Valve180,100.007Not applicableNot applicableMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 7700SV005AClinical notes and ECHO / Doppler reportPost op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used.
121Cardiothoracic Vascular SurgerySurgicalSingle Valve ProcedureMitral Valve180,100.007Not applicableNot applicableMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 7700 Valve Ring - Mitral - 38500SV005BClinical notes and ECHO / Doppler reportPost op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used.
122Cardiothoracic Vascular SurgerySurgicalSingle Valve ProcedureTricuspid Valve180,100.007Not applicableNot applicableMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 7700 Valve Ring - Tricuspid - 38500SV005CClinical notes and ECHO / Doppler reportPost op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used.
123Cardiothoracic Vascular SurgerySurgicalDouble Valve ProcedureDouble Valve Procedure214,800.0010Repair/ ReplacementNone/ NoneMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500SV006AClinical notes and ECHO and doppler reports showing two cardiac valves diseasedDetailed discharge summary/ Detailed Operative notes/ barcode of valves/rings used
124Cardiothoracic Vascular SurgerySurgicalTriple valve procedureTriple valve procedure257,200.0012Repair/ ReplacementNone/ NoneMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500SV007AClinical notes and ECHO and doppler reports showing three cardiac valves diseasedDetailed discharge summary/ Detailed Operative notes/ barcode of valves/rings used
125Cardiothoracic Vascular SurgerySurgicalClosed Mitral Valvotomy including thoracotomyClosed Mitral Valvotomy including thoracotomy86,200.007Not applicableNot applicableNot applicableSV008AClinical notes and ECHO and / or doppler reportsDetailed discharge summary/ Detailed Operative notes.
126Cardiothoracic Vascular SurgerySurgicalRoss ProcedureRoss Procedure226,900.0010Not applicableNot applicableRV - PA Conduit - 132000SV009AClinical notes and ECHO reportDetailed procedure notes/ detailed discharge summary/ Barcode of RV-PA conduit
127Cardiothoracic Vascular SurgerySurgicalSurgery for Hypertrophic Obstructive Cardiomyopathy (HOCM)Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM)168,000.0010Not applicableNot applicableNot applicableSV010AClinical notes and ECHO reportDetailed discharge summary/ Detailed Operation notes/
128Cardiothoracic Vascular SurgerySurgicalPericardial window (via thoracotomy)Pericardial window (via thoracotomy)45,400.007Not applicableNot applicableNot applicableSV011AClinical notes and CT Chest establishing the aetiology for which surgery is doneDetailed Operation notes/ detailed discharge summary.
129Cardiothoracic Vascular SurgerySurgicalPericardiectomyPericardiectomy101,400.0010Not applicableNot applicableNot applicableSV012AClinical notes an ECHO reportDetailed Operation notes/ Discharge summary
130Cardiothoracic Vascular SurgerySurgicalPatent Ductus Arteriosus (PDA) Closure via thoracotomyPatent Ductus Arteriosus (PDA) Closure via thoracotomy86,200.007Not applicableNot applicableNot applicableSV013AClinical notes and ECHO reportDetailed Operation notes/ Discharge summary
131Cardiothoracic Vascular SurgerySurgicalAortic Root Replacement SurgeryBental Procedure226,900.0012Not applicableNot applicableComposite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500SV014AClinical notes and ECHO report/ CT angio / Angio / MRI reportDetailed discharge summary/ Detailed Operation notes.
132Cardiothoracic Vascular SurgerySurgicalAortic Root Replacement SurgeryAortic Dissection226,900.0012Not applicableNot applicableComposite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500SV014BClinical notes and ECHO report/ CT angio / Angio / MRI reportDetailed discharge summary/ Detailed Operation notes.
133Cardiothoracic Vascular SurgerySurgicalAortic Root Replacement SurgeryAortic Aneurysm226,900.0012Not applicableNot applicableComposite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500SV014CClinical notes and ECHO report/ CT angio / Angio / MRI reportDetailed discharge summary/ Detailed Operation notes.
134Cardiothoracic Vascular SurgerySurgicalAortic Root Replacement SurgeryValve sparing root replacement226,900.0012Not applicableNot applicableComposite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500SV014DClinical notes and ECHO report/ CT angio / Angio / MRI reportDetailed discharge summary/ Detailed Operation notes.
135Cardiothoracic Vascular SurgerySurgicalAortic Root Replacement SurgeryAVR + Root enlargement226,900.0012Not applicableNot applicableComposite Aortic Valved conduit - Mechanical - 110000 Dacron Graft - Straight - 33000 Mechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Valve Ring - Mitral - 38500SV014EClinical notes and ECHO report/ CT angio / Angio / MRI reportDetailed discharge summary/ Detailed Operation notes.
136Cardiothoracic Vascular SurgerySurgicalAortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypassAortic Arch Replacement using bypass226,900.0012Not applicableNot applicableArch Graft - 93500 Coselli Graft - 93500 Complex grafts other than Arch Graft & Coseli Graft - 93500SV015AClinical notes and angio / CT angio / MRI reportsDetailed procedure notes/ detailed discharge summary.
137Cardiothoracic Vascular SurgerySurgicalAortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypassThoracoabdominal aneurysm Repair using bypass226,900.0012Not applicableNot applicableArch Graft - 93500 Coselli Graft - 93500 Complex grafts other than Arch Graft & Coseli Graft - 93500SV015BClinical notes and angio / CT angio / MRI reportsDetailed procedure notes/ detailed discharge summary.
138Cardiothoracic Vascular SurgerySurgicalAortic Aneurysm RepairAortic Aneurysm Repair using Cardiopulmonary bypass (CPB)165,000.0010Not applicableNot applicableDacron Graft - Straight - 33000SV016AClinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysmDetailed procedure notes/ detailed discharge summary.
139Cardiothoracic Vascular SurgerySurgicalAortic Aneurysm RepairAortic Aneurysm Repair using Left Heart Bypass165,000.0010Not applicableNot applicableDacron Graft - Straight - 33000SV016BClinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysmDetailed procedure notes/ detailed discharge summary.
140Cardiothoracic Vascular SurgerySurgicalAortic Aneurysm RepairAortic Aneurysm Repair without using Cardiopulmonary bypass (CPB)99,100.0010Not applicableNot applicableDacron Graft - Straight - 33000SV016CClinical notes angio / CT angio / MRI reportsDetailed procedure notes/ detailed discharge summary.
141Cardiothoracic Vascular SurgerySurgicalAortic Aneurysm RepairAortic Aneurysm Repair without using Left Heart Bypass99,100.0010Not applicableNot applicableDacron Graft - Straight - 33000SV016DClinical notes angio / CT angio / MRI reportsDetailed procedure notes/ detailed discharge summary.
142Cardiothoracic Vascular SurgerySurgicalAorto Iliac / Aorto femoral bypassAorto Iliac bypass97,600.007Not applicableNot applicableDacron Graft - Bifurcated - 38500SV017AClinical notes and MRA / CT angio / Angio reportsDetailed discharge summary/ Detailed Operative notes/ barcode of synthetic graft
143Cardiothoracic Vascular SurgerySurgicalAorto Iliac / Aorto femoral bypassAorto femoral bypass97,600.007Not applicableNot applicableDacron Graft - Bifurcated - 38500SV017BClinical notes and MRA / CT angio / Angio reportsDetailed discharge summary/ Detailed Operative notes/ barcode of synthetic graft
144Cardiothoracic Vascular SurgerySurgicalAorto Iliac / Aorto femoral bypass (Uni and Bi)Aorto Iliac bypass - B/L97,600.007Not applicableNot applicableDacron Graft - Bifurcated - 38500 PTFE Graft - Straight - 55000SV017CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
145Cardiothoracic Vascular SurgerySurgicalAorto Iliac / Aorto femoral bypass (Uni and Bi)Aorto femoral bypass - B/L97,600.007Not applicableNot applicableDacron Graft - Bifurcated - 38500 PTFE Graft - Straight - 55000SV017DClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
146Cardiothoracic Vascular SurgerySurgicalPulmonary Embolectomy / ThromboendarterectomyPulmonary Embolectomy213,300.0010Not applicableNot applicableNot applicableSV018AClinical notes and ECHO report + CT Chest reportDetailed Operation notes/ Discharge summary
147Cardiothoracic Vascular SurgerySurgicalPulmonary Embolectomy / ThromboendarterectomyThromboendarterectomy213,300.0010Not applicableNot applicableNot applicableSV018BClinical notes and ECHO report + CT Chest reportDetailed Operation notes/ Discharge summary
148Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesFemoro - Femoral Bypass77,000.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019AClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
149Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesCarotid - endearterectomy75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019BClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
150Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesCarotid Body Tumor Excision75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019CClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
151Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesThoracic Outlet syndrome Repair75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019DClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
152Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesCarotid aneurysm repair75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019EClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
153Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesSubclavian aneurysm repair75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019FClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
154Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesAxillary aneurysm repair75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019GClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
155Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesBrachial aneurysm repair75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019HClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
156Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesFemoral aneurysm repair75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019IClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
157Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesPopliteal aneurysm repair75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019JClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
158Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesFemoral - popliteal Bypass75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019KClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
159Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesAxillo - Brachial Bypass71,500.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019LClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
160Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesCarotio - carotid Bypass75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019MClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
161Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesCarotido - subclavian bypass75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019NClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
162Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesCarotido - axillary bypass75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019OClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
163Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesAxillo - femoral bypass77,000.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019PClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
164Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesAxillo - femoral bypass - B/L75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019QClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
165Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesAorto - carotid bypass75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019RClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
166Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesAorto - subclavian bypass75,700.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019SClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
167Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesPatch Graft Angioplasty105,900.007Not applicableNot applicableNot applicableSV019TClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
168Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesSmall Arterial Aneurysms – Repair105,900.007Not applicableNot applicableNot applicableSV019UClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
169Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesMedium size arterial aneurysms with synthetic graft105,900.007Not applicableNot applicableDacron Graft - Straight - 33000 PTFE Graft - Straight - 55000SV019VClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary/ barcode of graft used.
170Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesSurgery for Arterial Aneursysm –Vertebral105,900.007Not applicableNot applicableNot applicableSV019WClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary
171Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesSurgery for Arterial Aneurysm Renal Artery105,900.007Not applicableNot applicableNot applicableSV019XClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary
172Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesOperations for Acquired Arteriovenous Fistual105,900.007Not applicableNot applicableNot applicableSV019YClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary
173Cardiothoracic Vascular SurgerySurgicalPeripheral Arterial SurgeriesCongenital Arterio Venous Fistula105,900.007Not applicableNot applicableNot applicableSV019ZClinical notes and Angiogram / CT Angiogram / MRI reportsDetailed operative notes/ Discharge summary
174Cardiothoracic Vascular SurgerySurgicalThromboembolectomyThromboembolectomy42,400.004Not applicableNot applicableNot applicableSV020ASoon as documents are uploaded/ confirm evidence of embolus/ Thrombus in duples USG/ AngioDetailed discharge summary and operative notes
175Cardiothoracic Vascular SurgerySurgicalPeripheral arterial injury repair (without bypass)Peripheral arterial injury repair (without bypass)45,400.004Not applicableNot applicableNot applicableSV021AClinical notes with planned line of treatment/ DopplerDetailed discharge summary and operative notes
176Cardiothoracic Vascular SurgerySurgicalThoracotomy, Thoraco Abdominal ApproachThoracotomy, Thoraco Abdominal Approach45,400.0010Not applicableNot applicableNot applicableSV022AClinical notes and CT Chest establishing the aetiology for which surgery is doneDetailed Operation notes/ detailed discharge summary.
177Cardiothoracic Vascular SurgerySurgicalLung surgery including ThoracotomyLung cyst exision68,100.0010Not applicableNot applicableNot applicableSV023AClinical notes and CT ChestDetailed Operation notes/ Discharge summary
178Cardiothoracic Vascular SurgerySurgicalLung surgery including ThoracotomyDecortication68,100.0010Not applicableNot applicableNot applicableSV023BClinical notes and CT ChestDetailed Operation notes/ Discharge summary
179Cardiothoracic Vascular SurgerySurgicalLung surgery including ThoracotomyHydatid cyst68,100.0010Not applicableNot applicableNot applicableSV023CClinical notes and CT ChestDetailed Operation notes/ Discharge summary
180Cardiothoracic Vascular SurgerySurgicalLung surgery including ThoracotomyOther simple lung procedure excluding lung resection68,100.0010Not applicableNot applicableNot applicableSV023DClinical notes and CT ChestDetailed Operation notes/ Discharge summary
181Cardiothoracic Vascular SurgerySurgicalLung surgery including ThoracotomyBronchial Repair Surgery for Injuries due to FB68,100.0010Not applicableNot applicableNot applicableSV023EClinical notes and CT ChestDetailed Operation notes/ Discharge summary
182Cardiothoracic Vascular SurgerySurgicalPulmonary ResectionNon infective105,900.0010Non - Infective/ InfectiveNone/ "+" 22000Not applicableSV024AClinical notes and Pre-Op X-ray / CT ScanHPE of resected tissue detailed operation notes/ discharge summary.
183Cardiothoracic Vascular SurgerySurgicalForeign Body Removal with scopeForeign Body Removal with scope30,300.002Not applicableNot applicableNot applicableSV025AClinical notes and Radiological evidence of foreign bodyDetailed Operative notes/ Detailed discharge summary/ Photograph of Removed Foreign body
184Cardiothoracic Vascular SurgerySurgicalSurgical Correction of Bronchopleural FistulaSurgical Correction of Bronchopleural Fistula98,300.0010Not applicableNot applicableNot applicableSV026AClinical notes and CT ChestDetailed operative notes and discharge summary
185Cardiothoracic Vascular SurgerySurgicalSpace - Occupying Lesion (SOL) mediastinumSpace - Occupying Lesion (SOL) mediastinum99,100.0010Not applicableNot applicableNot applicableSV027AClinical notes and CT ChestDetailed discharge summary/ Detailed Operation notes/ HPE of SOL
186Cardiothoracic Vascular SurgerySurgicalIsolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & PhysiotherapyIsolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy15,200.004Not applicableNot applicableNot applicableSV028AClinical notes detailing need of ICD/ X-ray chestDetailed procedure notes. Detailed discharge summary
187Cardiothoracic Vascular SurgerySurgicalDiaphragmatic RepairDiaphragmatic Repair45,400.0010Not applicableNot applicableMesh - 6 X 3 - Polypropylene - 2200SV029AClinical notes and Chest XRAY/ CT ChestDetailed procedure notes/ detailed discharge summary.
188Cardiothoracic Vascular SurgerySurgicalSurgery for Cardiac TumourSurgery for Cardiac Tumour143,800.0010Not applicableNot applicableNot applicableSV030AClinical notes and ECHO reportDetailed Operation notes/ Discharge summary/ HPE report/receipt of tumor.
189Cardiothoracic Vascular SurgerySurgicalImmediate reoperation (within 5 days)Tetralogy of Fallot Repair113,500.0012Not applicableNot applicablePTFE 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 - 38500SV031AClinical note with ECHO / Doppler Report/ Detailed Operative notes indicating need for ReoperationDetailed discharge summary/ Detailed Operative notes/ barcode of Implant/ if used. Ascertain the need for reoperation.
190Cardiothoracic Vascular SurgerySurgicalImmediate reoperation (within 5 days)Aortic Valve215,700.007Not applicableNot applicableMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000SV031BClinical notes and ECHO / Doppler report/ Detailed Operative notes indicating need for ReoperationPost op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used. Ascertain the need for reoperation.
191Cardiothoracic Vascular SurgerySurgicalImmediate reoperation (within 5 days)Mitral Valve215,700.007Not applicableNot applicableMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500SV031CClinical notes and ECHO / Doppler report/ Detailed Operative notes indicating need for ReoperationPost op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used. Ascertain the need for reoperation.
192Cardiothoracic Vascular SurgerySurgicalImmediate reoperation (within 5 days)Tricuspid Valve215,700.007Not applicableNot applicableMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Tricuspid - 38500SV031DClinical notes and ECHO / Doppler report/ Detailed Operative notes indicating need for ReoperationPost op ECHO / Detailed procedure notes/ detailed discharge summary/ Barcode of implant/ if used. Ascertain the need for reoperation.
193Cardiothoracic Vascular SurgerySurgicalImmediate reoperation (within 5 days)Double Valve Procedure107,500.0010Repair/ ReplacementNone/ NoneMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500SV031EClinical notes and ECHO and doppler reports/ Detailed Operative notes indicating need for ReoperationDetailed discharge summary/ Detailed Operative notes/ barcode of valves/rings used. Ascertain the need for reoperation.
194Cardiothoracic Vascular SurgerySurgicalImmediate reoperation (within 5 days)Triple valve procedure128,600.0012Repair/ ReplacementNone/ NoneMechanical Valve - Bileaflet - 44000 Mechanical Valve - Tilting Disc - 30800 Tissue Valve - 77000 Valve Ring - Mitral - 38500 Valve Ring - Tricuspid - 38500SV031FClinical notes and ECHO and doppler reports/ Detailed Operative notes indicating need for ReoperationDetailed discharge summary/ Detailed Operative notes/ barcode of valves/rings used. Ascertain the need for reoperation.
195Cardiothoracic Vascular SurgerySurgicalLow Cardiac Output syndrome requiring IABP insertion post - operativelyLow Cardiac Output syndrome requiring IABP insertion post - operatively75,700.007Not applicableNot applicableNot applicableSV032AClinical notes with planned line of treatment (including indication for need of required Procedure )Procedure / Operative Notes/ Detailed Discharge Summary
196Cardiothoracic Vascular SurgerySurgicalRe-do sternotomyRe-do sternotomy30,300.00NANot applicableNot applicableNot applicableSV033AClinical notes with planned line of treatment (including indication for need of required Procedure )Procedure / Operative Notes/ Detailed Discharge Summary
197Cardiothoracic Vascular SurgerySurgicalExcessive bleeding requiring re-explorationExcessive bleeding requiring re-exploration15,200.00NANot applicableNot applicableNot applicableSV034AClinical notes with planned line of treatment (including indication for need of required Procedure )Procedure / Operative Notes/ Detailed Discharge Summary
198Cardiothoracic Vascular SurgerySurgicalMediastinotomyMediastinotomy43,600.004Not applicableNot applicableNot applicableSV035AClinical notes and CT Chest establishing the aetiology for which surgery is doneDetailed Operation notes/ detailed discharge summary.
199Cardiothoracic Vascular SurgerySurgicalPectus excavationPectus excavation68,800.007Not applicableNot applicableNot applicableSV036AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
200Cardiothoracic Vascular SurgerySurgicalLeft ventricular aneurysm repairLeft ventricular aneurysm repair178,600.007Not applicableNot applicableNot applicableSV037AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
201Cardiothoracic Vascular SurgerySurgicalCABG + Left ventricular aneurysm repairCABG + Left ventricular aneurysm repair247,400.007Not applicableNot applicableNot applicableSV038AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
202Cardiothoracic Vascular SurgerySurgicalTracheal repairTracheal repair68,800.007Not applicableNot applicableNot applicableSV039AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
203Cardiothoracic Vascular SurgerySurgicalAortic stentingAortic stenting68,800.007Not applicableNot applicablePTFE Graft - Straight - 55000 Aortic stent - 350000SV040AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
204Cardiothoracic Vascular SurgerySurgicalfollow up - Cardiothoracic Vascular SurgeryFirst Follow-up- 2-4 weeks after discharge0.00 DNot applicableNot applicableNot applicableSV041AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
205Cardiothoracic Vascular SurgerySurgicalfollow up - CTVSSecond Follow-up- After 3 months4,800.007Not applicableNot applicableNot applicableSV041BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
206Cardiothoracic Vascular SurgerySurgicalfollow up - CTVSThird Follow-up- After 3 months2,400.007Not applicableNot applicableNot applicableSV041CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
207Cardiothoracic Vascular SurgerySurgicalfollow up - CTVSfourth Follow-up- After 3 months2,400.007Not applicableNot applicableNot applicableSV041DClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
208Cardiothoracic Vascular SurgerySurgicalfollow up - CTVSFifthFollow-up - After 3 months2,400.007Not applicableNot applicableNot applicableSV041EClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
209Emergency Room PackagesSurgicalLacerationSuturing/ Dressing2,200.00DNot applicableNot applicableNot applicableER001AClinical notes with planned line of treatmentClinical notes with treatment details/ reports of any investigation done
210Emergency Room PackagesSurgicalLacerationDressing Under LA1,200.00DNot applicableNot applicableNot applicableER001BClinical notes with planned line of treatmentClinical notes with treatment details/ reports of any investigation done
211Emergency Room PackagesMedicalCardiopulmonary emergencywith stable cardiopulmonary status2,200.00DNot applicableNot applicableNot applicableER002AClinical notes with planned line of treatment/ ECGClinical notes with treatment details/ reports of any investigation done
212Emergency Room PackagesMedicalCardiopulmonary emergencywith unstable cardiopulmonary status with resuccitation11,000.00NANot applicableNot applicableNot applicableER002BClinical notes with planned line of treatment/ ECGClinical notes / discharge summary with planned line of treatment
213Emergency Room PackagesMedicalAnimal bitesDog/ Cat/ Rat Bites500.00DNot applicableNot applicableNot applicableER003AClinical noteBeneficiary signature / thumb impession/ invoice / bar code sticker of the vaccine/ Clinical Notes with complete treatment details given
214Emergency Room PackagesMedicalAnimal bitesInsect Bite18,500.007Not applicableNot applicableNot applicableER003MLAClinical noteBeneficiary signature / thumb impession/ invoice / bar code sticker of the vaccine/ Clinical Notes with complete treatment details given
215Emergency Room PackagesMedicalAnimal bitesOther bites2,300.00DNot applicableNot applicableNot applicableER003MLBClinical noteBeneficiary signature / thumb impession/ invoice / bar code sticker of the vaccine/ Clinical Notes with complete treatment details given
216Emergency Room PackagesSurgicalGunshot InjuryGunshot Injury45,700.003Not applicableNot applicableNot applicableSG154MLAClinical notes with planned line of treatment/ X-ray films with reportsX ray/ opertive notes/ Discharge summary
217Emergency Room PackagesMedicalEmergency Management of HematuriaEmergency Management of Hematuria0.002Routine Ward2000Not applicableSU073AClinical notes detailing the hematuria with urine report showing frank or microscopic/ planned line of treatmentDetailed Indoor case papers/ investigations report/ treatment given/ detailed discharge summary
218General MedicineMedicalAcute febrile illnessAcute febrile illness0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG001AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
219General MedicineMedicalSevere sepsisSevere sepsis0.0012Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG002AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
220General MedicineMedicalSevere sepsisSeptic shock0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG002BClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
221General MedicineMedicalMalariaMalaria0.009Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG003AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
222General MedicineMedicalMalariaComplicated Malaria0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG003BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
223General MedicineMedicalMalariaPlasmodium Falciparum Malaria0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG003MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
224General MedicineMedicalMalariaPlasmodium Malariae Malaria0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG003MLBClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
225General MedicineMedicalMalariaPlasmodium Vivax Malaria0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG003MLCClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
226General MedicineMedicalDengue feverDengue fever0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG004AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
227General MedicineMedicalDengue feverDengue hemorrhagic fever0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG004BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
228General MedicineMedicalDengue feverDengue shock syndrome0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG004CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
229General MedicineMedicalChikungunya feverChikungunya fever0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG005AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
230General MedicineMedicalEnteric FeverEnteric Fever0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG006AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
231General MedicineMedicalHIV with complicationsHIV with complications0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG007AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
232General MedicineMedicalLeptospirosisLeptospirosis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG008AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
233General MedicineMedicalAcute gastroenteritiswith moderate dehydration0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG009AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
234General MedicineMedicalAcute gastroenteritiswith severe dehydration0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG009BClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
235General MedicineMedicalChronic PD catheter InsertionChronic PD catheter Insertion4,500.004Not applicableNot applicableNot applicableMG0100AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
236General MedicineMedicalAcute severe ulcerative colitisAcute severe ulcerative colitis0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0101AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
237General MedicineMedicalMesenteric IschemiaMesenteric Ischemia0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0102AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
238General MedicineMedicalIntestinal obstructionIntestinal obstruction0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0103AClinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
239General MedicineMedicalAcute necrotizing severe pancreatitisAcute necrotizing severe pancreatitis0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0104AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
240General MedicineMedicalPulmonary ThromboembolismPulmonary Thromboembolism27,500.004Not applicableNot applicableNot applicableMG0105AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
241General MedicineMedicalDiffuse alveolar Hemorrhage Associated with SLE/Vasculitis/GP SyndromeDiffuse alveolar Hemorrhage Associated with SLE/Vasculitis/GP Syndrome149,600.004Not applicableNot applicableNot applicableMG0106AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
242General MedicineMedicalSevere/Refractory VasculitisSevere/Refractory Vasculitis82,500.004Not applicableNot applicableNot applicableMG0107AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
243General MedicineMedicalAcute liver failure/Fulminant HepatitisAcute liver failure/Fulminant Hepatitis55,000.004Not applicableNot applicableNot applicableMG0108AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
244General MedicineMedicalPulmonary thromboembolismPulmonary thromboembolism0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0109AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
245General MedicineMedicalDiarrhoeaDiarrhoea0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG010AClinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
246General MedicineMedicalDiarrhoeaPersistent diarrohea0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG010BClinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ stool examination and All investigations reports.
247General MedicineMedicalAcute liver failureAcute liver failure0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0110AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
248General MedicineMedicalPleural EffusionPleural Effusion0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0111AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
249General MedicineMedicalHyberbilirubinemiaHyberbilirubinemia0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0112AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
250General MedicineMedicalPolytraumaPolytrauma0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0113AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
251General MedicineMedicalTrauma- FacioMaxillaryTrauma- FacioMaxillary0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0113BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
252General MedicineMedicalTrauma Hand injuryTrauma Hand injury0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0113CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
253General MedicineMedicalTrauma Rib fracture conservativeTrauma Rib fracture conservative0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0113DClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
254General MedicineMedicalTrauma Blunt injury conservativeTrauma Blunt injury conservative0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0113EClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
255General MedicineMedicalTrauma Contusion chest injuryTrauma Contusion chest injury0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0113FClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
256General MedicineMedicalOesophageal Varices BandingOesophageal Varices Banding0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG0114AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
257General MedicineMedicalInflammatory Myopathy/ Myaesthenic CrisisInflammatory Myopathy/ Myaesthenic Crisis2,300.004Not applicableNot applicableNot applicableMG0115AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
258General MedicineMedicalGuillain Barre syndromeGuillain Barre syndrome (Plasmapheresis)2,300.004Not applicableNot applicableNot applicableMG0116AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
259General MedicineMedicalMyasthenic crisis (Plasmapheresis)Myasthenic crisis (Plasmapheresis)2,300.004Not applicableNot applicableNot applicableMG0116BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
260General MedicineMedicalMoyamoya revascularizationMoyamoya revascularization2,300.004Not applicableNot applicableNot applicableMG0117AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
261General MedicineMedicalEvaluation of drug resistant epilepsy-Phase-1Evaluation of drug resistant epilepsy-Phase-12,300.004Not applicableNot applicableNot applicableMG0118AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
262General MedicineMedicalDrug resistant epilepsyDrug resistant epilepsy2,300.004Not applicableNot applicableNot applicableMG0119AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
263General MedicineMedicalDysenteryDysentery0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG011AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
264General MedicineMedicalMedical/ neuro rehablitationComprehensive medical rehabilitation for spinal injury/ traumatic brain injury, CVA, Cerebral palsy with or without orthosis27,500.004Not applicableNot applicableNot applicableMG0120AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
265General MedicineMedicalMedical/ neuro rehablitationComprehensive medical rehabilitation for of complication secondary to specified disanility/multiple disability including procedures, chemodenevaration with or with out orthosis38,500.004Not applicableNot applicableNot applicableMG0120BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
266General MedicineMedicalMedical/ neuro rehablitationSingle event multiple level surgery for spasticity management in cerebral palsy16,500.004Not applicableNot applicableNot applicableMG0120CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
267General MedicineMedicalMedical/ neuro rehablitationMedical rehabilitation of muscular dystrophy7,700.004Not applicableNot applicableNot applicableMG0120DClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
268General MedicineMedicalMedical/ neuro rehablitationMedical Rehabilitation intellectual dissability7,700.004Not applicableNot applicableNot applicableMG0120EClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
269General MedicineMedicalMedical/ neuro rehablitationMedical Rehabilitation special learning disability7,700.004Not applicableNot applicableNot applicableMG0120FClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
270General MedicineMedicalMedical/ neuro rehablitationMedical Rehabilitation multiple disability7,700.004Not applicableNot applicableNot applicableMG0120GClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
271General MedicineMedicalHepatitisAcute viral hepatitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG012AClinical notes with planned line of treatment/LFT/USG - Whole AbdomenDetailed ICPs/ Treatment details/ detailed discharge summary/ LFT/ USG - Whole Abdomen and All investigations reports.
272General MedicineMedicalHepatitisChronic Viral Hepatitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG012BClinical notes with planned line of treatment/LFT/USG - Whole AbdomenDetailed ICPs/ Treatment details/ detailed discharge summary/ LFT/ USG - Whole Abdomen and All investigations reports.
273General MedicineMedicalLiver abscessLiver abscess0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG014AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
274General MedicineMedicalDrainage of AbscessLiver Abscess0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG014AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
275General MedicineMedicalVisceral leishmaniasisVisceral leishmaniasis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG015AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
276General MedicineMedicalPneumoniaPneumonia0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG016AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
277General MedicineMedicalPneumoniaSevere pneumonia0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG016BClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
278General MedicineMedicalPneumoniaPneumonia due to Haemophilus Influenzae0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG016MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
279General MedicineMedicalPneumoniaPneumonia due to other Infectious organisms not elsewhere classified0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG016MLBClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
280General MedicineMedicalPneumoniaPneumonia due to Streptococcus Pneumoniae0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG016MLCClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
281General MedicineMedicalPneumoniaViral Pneumonia not elsewhere classified0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG016MLDClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
282General MedicineMedicalPneumoniaBacterial Pneumonia not elsewhere classified0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG016MLEClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
283General MedicineMedicalEmpyemaEmpyema0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG018AClinical notes with planned line of treatment/ CBC/ X ray chestPost Treatment X-ray chest/ Detailed Discharge Summary
284General MedicineMedicalLung abscessLung abscess0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG019AClinical notes with planned line of treatment / X-ray chest/ CBC and any other investigations done/ planned line of managementPost Treatment X-ray chest/ CBC/ Detailed Discharge summary.
285General MedicineMedicalPericardial / Pleural tuberculosisPericardial tuberculosis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG020AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
286General MedicineMedicalPericardial / Pleural tuberculosisPleural tuberculosis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG020BClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
287General MedicineMedicalUrinary tract infectionUrinary tract infection0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG021AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
288General MedicineMedicalViral encephalitisViral encephalitis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG022AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
289General MedicineMedicalSeptic arthritisSeptic arthritis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG023AClinical notes with planned line of treatment/ X-ray of the affected joint/ planned line of treatmentPost treatment X-ray / Radiological evidence/ CBC/ treatment details/ Detailed Discharge Summary
290General MedicineMedicalSkin and soft tissue infectionsSkin and soft tissue infections0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG024AClinical notes with planned line of treatment / CBCDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports including CBC
291General MedicineMedicalRecurrent vomiting with dehydrationRecurrent vomiting with dehydration0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG025AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
292General MedicineMedicalPyrexia of unknown originPyrexia of unknown origin0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG026AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
293General MedicineMedicalBronchiectasisBronchiectasis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG027AX ray-Chest/ Clinical notes with planned line of treatmentDetailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
294General MedicineMedicalAcute bronchitisAcute bronchitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG028AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
295General MedicineMedicalAcute excaberation of COPDAcute excaberation of COPD0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG029AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
296General MedicineMedicalAcute excaberation of Interstitial Lung DiseaseAcute excaberation of Interstitial Lung Disease0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG030AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
297General MedicineMedicalEndocarditisBacterial0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG031AClinical notes with planned line of treatment/ ECHO/ CBCBlood culture reports/ Post treatment ECHO/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
298General MedicineMedicalEndocarditisFungal0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG031BClinical notes with planned line of treatment/ ECHO/ CBCBlood culture reports/ Post treatment ECHO/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
299General MedicineMedicalVasculitisVasculitis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG032AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
300General MedicineMedicalPancreatitisAcute pancreatitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG033AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ Sr Amylase/ Lipase/ LFT/ USG- abdomen/ Detailed Discharge Summary
301General MedicineMedicalPancreatitisChronic pancreatitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG033BClinical note with Sr Amylase/ Lipase/ LFT/ CBC/ USG- abdomenPost treatment Sr Amylase/ Lipase/ LFT/ USG- abdomen Detailed Discharge Summary
302General MedicineMedicalAscitesAscites0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG034AClinical note with any investigations (LFT/CBC/USG- abdomen) doneDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
303General MedicineMedicalAcute transverse myelitisAcute transverse myelitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG035AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
304General MedicineMedicalAtrial FibrillationAtrial Fibrillation0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG036AClinical notes with planned line of treatment/ ECG/ Sr ElectrolytesPost treatment ECG/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
305General MedicineMedicalCardiac TamponadeCardiac Tamponade0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG037AClinical note with 2D echoPost treatment 2D echo/ Fluid Aspirated report/ Procedure notes/ Detailed Discharge Summary
306General MedicineMedicalCongestive heart failureCongestive heart failure0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG038AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
307General MedicineMedicalAsthmaAcute asthmatic attack0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG039AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
308General MedicineMedicalAsthmaStatus Asthmaticus0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG039BClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
309General MedicineMedicalAsthmaExacerbation of asthma0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG039MLAClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
310General MedicineMedicalRespiratory failureType 1 Respiratory failure0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG040AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
311General MedicineMedicalRespiratory failureType 2 Respiratory failure0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG040BClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
312General MedicineMedicalRespiratory failuredue to any cause0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG040CClinical 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.
313General MedicineMedicalGI bleedingUpper - Conservative management0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG041AClinical notes detailing history and Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
314General MedicineMedicalGI bleedingUpper - Endoscopic management0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG041BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
315General MedicineMedicalGI bleedingLower - Conservative management0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG041CClinical notes detailing history and Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
316General MedicineMedicalAddison’s diseaseAddison’s disease0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG043AClinical note with Sr. Cortisol levels/ USG- abdomenPost treatment cortisol levels/ Detailed Discharge Summary
317General MedicineMedicalRenal colicRenal colic0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG044AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
318General MedicineMedicalAKI / Renal failureAKI / Renal failure0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG045AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
319General MedicineMedicalSeizuresSeizures0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG046AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
320General MedicineMedicalStatus epilepticusConvulsive0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG047AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
321General MedicineMedicalStatus epilepticusNon-convulsive0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG047MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
322General MedicineMedicalCerebrovascular accidentCerebrovascular accident0.009Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG048AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
323General MedicineMedicalCerebral sino-venous thrombosis / StrokeCerebral Sino-Venous Thrombosis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG049AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
324General MedicineMedicalCerebral sino-venous thrombosis / StrokeAcute Stroke0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG049BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
325General MedicineMedicalCerebral sino-venous thrombosis / StrokeAcute Ischemic Stroke0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG049CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
326General MedicineMedicalCerebral sino-venous thrombosis / StrokeAcute Heamorrhagic Stroke0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG049DClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
327General MedicineMedicalStrokeStroke0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG049MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
328General MedicineMedicalImmune mediated CNS disordersImmune mediated CNS disorders0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG050AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
329General MedicineMedicalHydrocephalusHydrocephalus0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG051AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
330General MedicineMedicalMyxedema comaMyxedema coma0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG052AClinical notes with planned line of treatment/ Throid profile/ USG- Thyroid GlandPost treatment Thyroid Profile/ Detailed Discharge Summary
331General MedicineMedicalThyrotoxic crisisThyrotoxic crisis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG053AClinical notes with planned line of treatment/ Throid profile/ USG- Thyroid GlandRadionuclide Iodine uptake study/ Post treatment Thyroid Profile/ Detailed Discharge Summary
332General MedicineMedicalGoutGout0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG054AClinical notes with planned line of treatment/ Sr.Uric acidDetailed Discharge Summary
333General MedicineMedicalPneumothroaxPneumothroax0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG055AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ Xray chect/CT chect and All investigations reports.
334General MedicineMedicalNeuromuscular disordersNeuromuscular disorders0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG056AClinical notes detailing history and Admission notes showing vitals and examination findings / any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
335General MedicineMedicalHypoglycemiaHypoglycemia0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG057AClinical note with Blood sugar levelBlood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
336General MedicineMedicalDiabetic FootDiabetic Foot0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG058AClinical note/ Blood sugar levelBlood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
337General MedicineMedicalDiabetic ketoacidosisDiabetic ketoacidosis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG059AClinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of managementBlood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
338General MedicineMedicalElectrolyte ImbalanceHypercalcemia0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG060AClinical notes with planned line of treatment/ Serum CalciumPost treatment Serum Calcium/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
339General MedicineMedicalElectrolyte ImbalanceHypocalcemia0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG060BClinical notes with planned line of treatment/Serum CalciumSerum Calcium/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
340General MedicineMedicalElectrolyte ImbalanceHyponatremia0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG060CClinical notes with planned line of treatment/ Serum ElectrolytesPost treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
341General MedicineMedicalElectrolyte ImbalanceHypernatremia0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG060DClinical notes with planned line of treatment/ Serum ElectrolytesPost treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
342General MedicineMedicalElectrolyte ImbalanceHyperkalaemia0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG060EClinical notes with planned line of treatment/ Serum ElectrolytesPost treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
343General MedicineMedicalElectrolyte ImbalanceHypokalaemia0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG060FClinical notes with planned line of treatment/ Serum ElectrolytesPost treatment Serum Electrolytes/ Detailed Discharge Summary/ Detailed ICPs/ Treatment details/ All investigations reports.
344General MedicineMedicalHyperosmolar Non-Ketotic comaHyperosmolar Non-Ketotic coma0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG061AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
345General MedicineMedicalAccelerated hypertensionAccelerated hypertension0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG062AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
346General MedicineMedicalHypertensive emergenciesHypertensive emergencies0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG063AClinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
347General MedicineMedicalSevere anemiaSevere anemia0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG064AClinical notes detailing history / Admission notes showing vitals and examination findings / any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
348General MedicineMedicalSickle cell anemiaSickle cell anemia0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG065AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
349General MedicineMedicalAnaphylaxisAnaphylaxis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG066AClinical notes with planned line of treatment/ CBCDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
350General MedicineMedicalHeat strokeHeat stroke0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG067AClinical notes detailing history leading to this hospitalization and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
351General MedicineMedicalSystematic lupus erythematosusSystematic lupus erythematosus0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG068AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
352General MedicineMedicalGuillian Barre SyndromeGuillian Barre Syndrome0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG069AClinical Notes including evaluation findings and planned line of treatment Cerebrospinal Fluid (CSF) analysis and Nerve Conduction study (NCS) reportDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
353General MedicineMedicalSnake biteSnake bite0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG070AClinical notes detailing history / Admission notes showing vitals and neurological examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
354General MedicineMedicalPoisoningAcute organophosphorus poisoning0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG071AClinical notes detailing history and Admission notes showing vitals and neurological examination findings/ any investigations done/ planned line of management/ Copy of MLC / FIRDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
355General MedicineMedicalPoisoningOther Poisoning0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG071BClinical notes detailing history and Admission notes showing vitals and neurological examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
356General MedicineMedicalDialysisPeritoneal dialysis3,000.00NANot applicableNot applicableNot applicableMG072BClinical notes detailing history / Admission notes showing vitals and examination findings / any documents confirming the diagnosis/ planned line of managementDetailed discharge summary/ Dialysis record with post dialysis vitals and condition of the patient
357General MedicineMedicalDialysisAcute Haemodialysis3,000.00NANot applicableNot applicableNot applicableMG072CClinical notes detailing history / Admission notes showing vitals and examination findings / any documents confirming the diagnosis/ planned line of managementDetailed discharge summary/ Dialysis record with post dialysis vitals and condition of the patient
358General MedicineMedicalDialysisChronic Haemodialysis3,000.00NANot applicableNot applicableNot applicableMG072DClinical notes detailing history / Admission notes showing vitals and examination findings / any documents confirming the diagnosis/ planned line of managementDetailed discharge summary/ Dialysis record with post dialysis vitals and condition of the patient
359General MedicineMedicalPlasmapheresisPlasmapheresis2,200.00NANot applicableNot applicableNot applicableMG073AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
360General MedicineMedicalWhole BloodWhole Blood2,400.00NANot applicableNot applicableNot applicableMG074AClinical notes with planned line of treatment/ Complete HemogramBlood Group/ Post treatment Complete hemogram/ Detailed Discharge Summary
361General MedicineMedicalBlood transfusionPacked Cells2,400.00NANot applicableNot applicableNot applicableMG074BClinical notes with planned line of treatment/ Complete HemogramBlood Group/ Post treatment Complete hemogram/ Detailed Discharge Summary
362General MedicineMedicalBlood transfusionPlasmapheresis2,400.00NANot applicableNot applicableNot applicableMG074BClinical notes with planned line of treatment/ Complete HemogramBlood Group/ Post treatment Complete hemogram/ Detailed Discharge Summary
363General MedicineMedicalBlood transfusionPlatelets2,400.00NANot applicableNot applicableNot applicableMG074BClinical notes with planned line of treatment/ Complete HemogramBlood Group/ Post treatment Complete hemogram/ Detailed Discharge Summary
364General MedicineMedicalHigh end radiological diagnostic (CT, MRI, Imaging including nuclear imaging)High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging)5,500.00NANot applicableNot applicableNot applicableMG075AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
365General MedicineMedicalHigh end histopathology (Biopsies) and advanced serology investigationsHigh end histopathology (Biopsies) and advanced serology investigations5,500.00NANot applicableNot applicableNot applicableMG076AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
366General MedicineMedicalCRRT CVVHDFInitiation cost for disposable38,500.005Not applicableNot applicableNot applicableMG077AClinical 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.
367General MedicineMedicalAlcoholic liver diseaseAlcoholic liver disease0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG078AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
368General MedicineMedicalPeripheral Arterial ThrombosisPeripheral Arterial Thrombosis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG079AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done.Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
369General MedicineMedicalIHD / CAD / ArrhythmiaArrhythmia0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG081AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done.Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
370General MedicineMedicalIHD / CAD / ArrhythmiaCAD0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG081BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done.Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
371General MedicineMedicalBone marrow aspiration of biopsyBone marrow aspiration of biopsy1,300.004Not applicableNot applicableNot applicableMG082AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
372General MedicineMedicalLumbar punctureLumbar puncture200.004Not applicableNot applicableNot applicableMG083AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
373General MedicineMedicalAcute inflammatory demyelinating polyneuropathyAcute inflammatory demyelinating polyneuropathy0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG083MLAClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
374General MedicineMedicalJoint AspirationJoint Aspiration200.004Not applicableNot applicableNot applicableMG084AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
375General MedicineMedicalAcute tubulo-interstitial nephritisAcute tubulo-interstitial nephritis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG084MLAClinical notes detailing history and Admission notes showing vitals/ planned line management/ investigations doneDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
376General MedicineMedicalDVT Pneumatic Compression Stockings (Add on package in ICU)DVT Pneumatic Compression Stockings (Add on package in ICU)1,000.004Not applicableNot applicableNot applicableMG085AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
377General MedicineMedicalAnaemiawith fever0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG085MLAClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
378General MedicineMedicalAnaemiaSevere anaemia requiring blood transfusion0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG085MLBClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
379General MedicineMedicalAcute Ischemic StokeAcute Ischemic Stoke0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG086AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
380General MedicineMedicalAcute ischemic stroke- intravenous thrombolysisAcute ischemic stroke- intravenous thrombolysis -Recombinant tissue plasminogen activator0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG086BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
381General MedicineMedicalAcute ischemic stroke- Intravenous thrombolysisAcute ischemic stroke- Intravenous thrombolysis-Tenecteplase0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG086CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
382General MedicineMedicalARDS (Acute Respiratory Distress Syndrome)ARDS (Acute Respiratory Distress Syndrome)0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG086MLAClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
383General MedicineMedicalVenous sinus thrombosisVenous sinus thrombosis0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG087AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
384General MedicineMedicalPyogenic MeningitisPyogenic Meningitis0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG088AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
385General MedicineMedicalChicken PoxChicken Pox0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG088MLAClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
386General MedicineMedicalFungal MeningitisFungal Meningitis0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG089AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
387General MedicineMedicalChronic Kidney DiseaseChronic Kidney Disease0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG089MLAClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
388General MedicineMedicalAutoimmune encephalitisAutoimmune encephalitis - Plasmapheresis0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG090AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
389General MedicineMedicalAutoimmune encephalitis (IVIG)Autoimmune encephalitis - Immunoglubulin (IVIG)0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG090BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
390General MedicineMedicalAcute transverse myelitis/ Acute demyelinating encephalitisAcute transverse myelitis/ Acute demyelinating encephalitis0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG090CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
391General MedicineMedicalChronic Liver DiseaseChronic Liver Disease0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG090MLAClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
392General MedicineMedicalAcute hemorrhagic stroke- Hematoma evacuationAcute hemorrhagic stroke- Hematoma evacuation0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG091AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
393General MedicineMedicalAcute hemorrhagic stroke- (Extra ventricular drainage)Acute hemorrhagic stroke- Extra ventricular drainage0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG091BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
394General MedicineMedicalChronic OsteomyelitisChronic Osteomyelitis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG091MLAClinical notes detailing history and Admission notes showing vitals/ planned line management/ investigations doneDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
395General MedicineMedicalMyasthenic crisis (IVIG)Myasthenic crisis - Immunoglobulins (IVIG)0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG092AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
396General MedicineMedicalMyasthenic crisis (Plasmapheresis)Myasthenic crisis - Plasmapheresis0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG093AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
397General MedicineMedicalCirrhosis of Liver with AscitesCirrhosis of Liver with Ascites0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG093MLAClinical note with LFT/ CBC/ USG- abdomen/CECT/ HRCT thorax/ Alfa fetoproteinLFT/ CECT/ Alfa fetoprotein/ Ascitic Fluid Analysis and Culture Report/ Detailed Discharge Summary/
398General MedicineMedicalTuberculous meningitis (Hydrocephalus – VP SHUNT/ EVD/Omaya)Tuberculous meningitis (Hydrocephalus – VP SHUNT/ EVD/Omaya)0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG094AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
399General MedicineMedicalComplicated MeaslesComplicated Measles0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG094MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
400General MedicineMedicalCholangitisCholangitis0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG095AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
401General MedicineMedicalDiabetes MellitusInsulin dependent0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG095MLAClinical note/ Blood sugar levelBlood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
402General MedicineMedicalDiabetes MellitusNon-insulin dependent0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG095MLBClinical note/ Blood sugar levelBlood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
403General MedicineMedicalDiabetes MellitusOther Specified Diabetes Mellitus0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG095MLCClinical note/ Blood sugar levelBlood sugar levels/ HbA1c/ Detailed ICPs/ Treatment details/ Detailed Discharge Summary
404General MedicineMedicalIntercostal drainageIntercostal drainage0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG096AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
405General MedicineMedicalDiphtheriaDiphtheria0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG096MLAClinical notes with planned line of treatment/ stool examintaionDetailed Discharge Summary summary/ any other investigations done
406General MedicineMedicalEndobronchial Ultrasound (EBUS)Endobronchial Ultrasound guided fine needle biopsy17,300.004Not applicableNot applicableNot applicableMG097AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
407General MedicineMedicalEmphysemaEmphysema0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG097MLAClinical notes and X Ray/CT Scan stills confirming the diagnosisDetailed Procedure / Operative Notes/ Post procedure X-ray stills/ detailed discharge summary
408General MedicineMedicalGastritisAcute gastritis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG098MLAClinical notes detailing history and Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
409General MedicineMedicalGastritisChronic gastritis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG098MLBClinical notes detailing history and Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
410General MedicineMedicalPlatelet pheresisPlatelet pheresis12,100.004Not applicableNot applicableNot applicableMG099AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
411General MedicineMedicalHelminthiasisHelminthiasis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG099MLAClinical notes detailing history leading to this hospitalization and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
412General MedicineMedicalIntoxications not elsewhere classifiedIntoxications not elsewhere classified0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG100MLAClinical notes detailing history and Admission notes showing vitals and examination findingsDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
413General MedicineMedicalIntracerebral HaemorrhageIntracerebral Haemorrhage0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG101MLAClinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination) /any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
414General MedicineMedicalLower Respiratory Tract InfectionLower Respiratory Tract Infection0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG102MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
415General MedicineMedicalMalnutrition Related Diabetes MellitusMalnutrition Related Diabetes Mellitus0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG103MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ planned line of management /Blood sugar level/ CBCDetailed ICPs/ Treatment details/ detailed discharge summary/ Blood sugar levels/ Hba1C/ All investigation reports
416General MedicineMedicalMeaslesMeasles0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG104MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
417General MedicineMedicalOpportunistic InfectionsOpportunistic Infections0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG105MLAClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ Sr Amylase/ Lipase/ LFT/ USG- abdomen/ Detailed Discharge Summary
418General MedicineMedicalPertussisPertussis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG106MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
419General MedicineMedicalPrimary hypertensionPrimary hypertension0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG107MLAClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
420General MedicineMedicalPulmonary EmbolismPulmonary Embolism0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG108MLAClinical notes and ECHO report + CT Chest reportDetailed ICPs/ Detailed Operation notes/ Discharge summary
421General MedicineMedicalRadiofrequency Ablation for Trigeminal NeuralgiaRadiofrequency Ablation for Trigeminal Neuralgia0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG109MLAClinical notes establishing diagnosis of Trigeminal neuralgia and justification of local neurectomy with MRI / CTDetailed Procedure / Operative Notes/ detailed discharge summary/ invoice of RF probe
422General MedicineMedicalScrub TyphusScrub typhus complicated0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG110MLAClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
423General MedicineMedicalScrub TyphusScrub typhus0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG110MLBClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
424General MedicineMedicalSubarachnoid HaemorrhageSubarachnoid Haemorrhage0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG111MLACT brain plain/ Clinical notes detailing history / Admission notes showing vitals and examination findings/ planned line of managementRepeat CT brain plain / CT angiography brain/ Detailed ICPs/ Treatment details/ detailed discharge summary
425General MedicineMedicalTyphoid feverTyphoid fever0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG112MLAClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
426General MedicineMedicalTyphoid feverTyphoid fever with complications0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG112MLBClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
427General MedicineMedicalUnspecified Medical Management PackageUnspecified Medical Management Package0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG113MLAClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
428General MedicineMedicalUnspecified Viral HepatitisUnspecified Viral Hepatitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG114MLAClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementLFT/USG - Whole Abdomen/ Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
429General MedicineMedicalUpper respiratory tract infectionUpper respiratory tract infection0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG115MLAClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
430General MedicineMedicalViral and other specified intestinal infectionsViral and other specified intestinal infections0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG116MLAClinical notes and USG Abd/ CT/MRI /Endoscopic Ultrasound - any one test confirming the diagnosis.Detailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
431General MedicineMedicalViral FeverViral Fever0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG117MLAClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
432General MedicineMedicalViral MeningitisViral Meningitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG118MLAClinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
433General MedicineMedicalStroke SyndromeStroke Syndrome0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG119MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
434General MedicineMedicalFibreoptic bronchoscopy (FOB)Bronchoscopy0.00NAForeign body removal/ Video Bronchoscopy2700/ 9400Not applicableMG121AClinical notes with planned line of treatmentProcedure / Operative Notes/ Histopathology report (if done)
435General MedicineMedicalFebrile Seizures/ Other SeizuresNeurocysticercosis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP001CClinical notes detailing history and Admission notes showing vitals/ planned line management/ 1st seizure or past historyDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
436General MedicineMedicalEpileptic EncephalopathyEpileptic Encephalopathy0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP002AClinical notes detailing history and Admission notes showing vitals/ planned line management/ past h/o epilpesyDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
437General MedicineMedicalMedical Management of Meningo EncephalitisMedical Management of Meningo Encephalitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP005AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
438General MedicineMedicalAcute meningo encephalitis / aseptic meningitis / febrile encephalopathy / hypertensive encehalopathy / metabolic encephalopathy / hepatic encephalopathy / brain abscessFebrile encephalopathy0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP005CClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
439General MedicineMedicalEncephalopathyMetabolic0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP005EClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
440General MedicineMedicalEncephalopathyHepatic0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP005FClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
441General MedicineMedicalMeningitisChronic meningitis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP006AClinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
442General MedicineMedicalMeningitisPartially treated pyogenic meningitis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP006BClinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
443General MedicineMedicalMeningitisNeuro tuberculosis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP006CClinical notes detailing history / Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
444General MedicineMedicalMeningitisComplicated bacterial meningitis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP006DClinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
445General MedicineMedicalMeningitisAcute meningitis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP006EClinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
446General MedicineMedicalOptic NeuritisOptic Neuritis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP007AClinical 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.
447General MedicineMedicalIntracranial Space Occupying LesionIntracranial Space Occupying Lesion0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP010AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
448General MedicineMedicalCerebral HerniationCerebral Herniation0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP012AClinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
449General MedicineMedicalAcute demyelinating myelopathyAcute demyelinating myelopathy0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP014AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
450General MedicineMedicalAcute ischemic strokeAcute ischemic stroke0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP017AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
451General MedicineMedicalAcute urticaria / Anaphylaxis acute asthmaAcute Urticaria0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP020AClinical notes detailing history / Admission notes showing vitals/ planned line management/ specify the triggerDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
452General MedicineMedicalAcute urticaria / Anaphylaxis acute asthmaAnaphylaxis acute asthma0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP020BClinical notes detailing history and Admission notes showing vitals/ planned line management/ specify the triggerDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
453General MedicineMedicalCeliac DiseaseCeliac Disease0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP022AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
454General MedicineMedicalUnexplained HepatosplenomegalyUnexplained Hepatosplenomegaly0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP023AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
455General MedicineMedicalAcute GlomerulonephritisAcute Glomerulonephritis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP025AClinical notes/Admission notes showing vitals and examination findings/any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
456General MedicineMedicalNephrotic Syndrome with PeritonitisNephrotic Syndrome with Peritonitis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP026AClinical notes detailing history including past history/ examination findindgs/ investigations done and Admission notes showing vitals/ planned line managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
457General MedicineMedicalNEPHROTIC SYNDROMESteroid dependent or resistent0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP026BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
458General MedicineMedicalHaemolytic Uremic SyndromeHaemolytic Uremic Syndrome0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP027AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
459General MedicineMedicalRheumatoid ArthritisRheumatoid Arthritis0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP038AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
460General MedicineMedicalRheumatic FeverRheumatic Fever0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP039AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
461General MedicineMedicalRheumatic feverRheumatic valvular heart disease0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP039BClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
462General MedicineMedicalIdiopathic Thrombocytopenic PurpuraIdiopathic Thrombocytopenic Purpura0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP042AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
463General MedicineMedicalKetogenic diet initiation in refractory epilepsyKetogenic diet initiation in refractory epilepsy0.00NARoutine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP046AClinical notes detailing history and Admission notes showing vitals and examination findings (incl neurological examination)/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
464General MedicineMedicalNEPHROTIC SYNDROMEUncomplicated steroid sensitive0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMP050AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
464General MedicineMedicalDiagnostics/InvestigationsDiagnostics/Investigations - Public0.00NA - - -MG777MLAClinical NotesTreatment details / detailed discharge summary/ Investigations reports.
465General MedicineMedicalDiagnostics/InvestigationsDiagnostics/Investigations - Private0.00NA - - -MG888MLAClinical NotesTreatment details / detailed discharge summary/ Investigations reports.
466General MedicineMedicalHigh-end DrugsHigh-end Drugs0.00NA - - -MG999MLAClinical NotesTreatment details / detailed discharge summary/ Investigations reports.
467General MedicineMedicalParalysisParalysis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG120MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
468General MedicineMedicalAcute tonsilitisAcute tonsilitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG121MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
469General MedicineMedicalOrchitisOrchitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG122MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
470General MedicineMedicalTuberculosisMDR Tuberculosis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG123MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
471General MedicineMedicalTuberculosisPulmonary Tuberculosis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG123MLBClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
472General MedicineMedicalTuberculosisExtrapulmonary Tuberculosis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG123MLCClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
473General MedicineMedicalBronchiolitisBronchiolitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG124MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
474General MedicineMedicalCellulitisCellulitis0.005Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG125MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
475General SurgerySurgicalLacerationDressing Under LA1,200.00DNot applicableNot applicableNot applicableER001BClinical notes with planned line of treatmentClinical notes with treatment details/ reports of any investigation done
476General SurgeryMedicalPericardiocentesisPericardiocentesis16,700.001Not applicableNot applicableNot applicableMC019AClinical notes and ECHO report justifying need of procedureprocedure note/ post procedure ECHO report/ Analysis of fluid removed/ Detailed discharge summary
477General SurgeryMedicalIntercostal drainageIntercostal drainage0.004Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMG096AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
478General SurgerySurgicalDupytrens contracture releaseDupytrens contracture release16,200.003Not applicableNot applicableNot applicableSB051AClinical notes and clinical photograph of affected part confirming the diagnosisDetailed discharge summary/ detailed Procedure / Operative Notes.
479General SurgerySurgicalExcision of BursaExcision of Bursa8,800.00DNot applicableNot applicableNot applicableSB065AClinical notes detailing findings confirming the diagnosisTreatment details/ detailed Procedure / Operative Notes.
480General SurgerySurgicalGlossectomyHemi Glossectomy77,700.006Not applicableNot applicableNot applicableSC001AClinical notes with planned line of treatment and FNAC/ BIOPSY/CECTProcedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
481General SurgerySurgicalGlossectomyTotal Glossectomy88,000.0011Not applicableNot applicableNot applicableSC001BClinical notes with planned line of treatment and FNAC/ BIOPSY/CECTProcedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
482General SurgerySurgicalCholecystectomyRadical95,600.006Not applicableNot applicableNot applicableSC016AClinical notes and CECT/MRI reportsdetailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
483General SurgerySurgicalCholecystectomyRevision95,600.006Not applicableNot applicableNot applicableSC016BClinical notes and CECT/MRI reportsdetailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
484General SurgerySurgicalLaryngectomyPartial laryngectomy (voice preserving)104,000.006Not applicableNot applicableNot applicableSC040AClinical notes and Biopsy/CECT film and reportdetailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
485General SurgerySurgicalLaryngectomyTotal Laryngectomy103,500.0011Not applicableNot applicableNot applicableSC040BClinical notes and Biopsy/CECT film and reportdetailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
486General SurgerySurgicalComprehensive Neck DissectionComprehensive Neck Dissection36,900.008Not applicableNot applicableNot applicableSC065AClinical notes/ USG/ CT neck and Biopsy/FNACdetailed Procedure / Operative Notes/ HPE report/receipt/ detailed discharge summary
487General SurgerySurgicalResuturing of Any Wound gap SurgeriesResuturing of Any Wound gap Surgeries4,200.00NANot applicableNot applicableNot applicableSC080AClinical notes with planned line of treatmentClinical notes / discharge summary with planned line of treatment
488General SurgerySurgicalOesophagectomyOesophagectomy137,500.005Not applicableNot applicableNot applicableSG001AClinical notes and USG/CT/MRI/ Biopsy report confirming the diagnosis for which the surgery is doneHistopath report/ detailed discharge summary/ Detailed Operative notes
489General SurgerySurgicalOperations for Replacement of Oesophagus by ColonOperations for Replacement of Oesophagus by Colon67,300.0010Not applicableNot applicableNot applicableSG002AClinical 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
490General SurgerySurgicalGastrectomyBleeding Ulcer - Partial Gastrectomy without Vagotomy70,500.005Not applicableNot applicableNot applicableSG003AClinical notes/ UGI Endoscopy confirming the diagnosisHistopathology report/ Detailed Operative notes & detailed discharge summary.
491General SurgerySurgicalGastrectomyBleeding Ulcer - Partial Gastrectomy with Vagotomy70,500.005Not applicableNot applicableNot applicableSG003BClinical notes/ UGI Endoscopy confirming the diagnosisHistopathology report/ Detailed Operative notes & detailed discharge summary.
492General SurgerySurgicalGastrectomyPartial Gastrectomy for carcinoma70,500.005Not applicableNot applicableNot applicableSG003CClinical notes and Biopsy + Endoscopy/ CT Scan confirming the diagnosisHistopathology report/ Detailed Operative notes & detailed discharge summary.
493General SurgerySurgicalGastrectomySubtotal Gastrectomy for Carcinoma89,400.003Not applicableNot applicableNot applicableSG003DClinical notes and Biopsy + Endoscopy/ CT Scan confirming the diagnosisHistopathology report/receipt/ Detailed Operative notes & detailed discharge summary.
494General SurgerySurgicalGastrectomyTotal Gastrectomy - Lap.89,400.005Not applicableNot applicableNot applicableSG003EClinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is doneHistopathology report/ Detailed Operative notes & detailed discharge summary.
495General SurgerySurgicalGastrectomyTotal Gastrectomy - Open89,400.005Not applicableNot applicableNot applicableSG003FClinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is doneHistopathology report/ Detailed Operative notes & detailed discharge summary.
496General SurgerySurgicalOperative GastrostomyOperative Gastrostomy27,100.005Not applicableNot applicableNot applicableSG004AClinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is doneHistopathology report/ Detailed Operative notes & detailed discharge summary.
497General SurgerySurgicalVagotomyG J Vagotomy35,400.005Not applicableNot applicableNot applicableSG005AClinical notes and Endoscopy report with confirming the diagnosis for which this surgery is doneEndoscopic Photograph/ Histopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
498General SurgerySurgicalVagotomyVagotomy + Pyloroplasty35,400.005Not applicableNot applicableNot applicableSG005BClinical notes and Endoscopy report with confirming the diagnosis for which this surgery is doneEndoscopic Photograph/ Histopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
499General SurgerySurgicalOperation for Bleeding Peptic UlcerOperation for Bleeding Peptic Ulcer29,900.005Not applicableNot applicableNot applicableSG006AClinical notes and Endoscopy confirming the diagnosis/Endoscopic Photograph/ Histopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
500General SurgerySurgicalOperation for Gastric / Duodenal PerforationGastric Perforation31,600.006Not applicableNot applicableNot applicableSG007AClinical notes and X Ray Erect/USG/ CT Abdomen confirming the diagnosis/ FIR/MLC in case of traumatic aetiologyHistopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
501General SurgerySurgicalOperation for Gastric / Duodenal PerforationDuodenal Perforation31,600.006Not applicableNot applicableNot applicableSG007BClinical notes and X Ray Erect/USG/ CT Abdomen confirming the diagnosis/ FIR/MLC in case of traumatic aetiologyHistopathology report (if done)/ Detailed Operative notes/ detailed discharge summary
502General SurgerySurgicalPyloroplastyPyloroplasty35,200.005Not applicableNot applicableNot applicableSG008AClinical notes and Endoscopy confirming the diagnosis for which the surgery is doneDetailed discharge summary/ Detailed Operative notes
503General SurgerySurgicalPyloromyotomyPyloromyotomy41,300.005Not applicableNot applicableNot applicableSG009AClinical notes and Endoscopy report confirming the diagnosis of nfantile hypertrophic pyloric stenosisDetailed discharge summary/ Detailed Operative notes
504General SurgerySurgicalSubtotal ColectomyOpen38,400.004Not applicableNot applicableNot applicableSG0106AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
505General SurgerySurgicalSubtotal ColectomyLap38,400.004Not applicableNot applicableNot applicableSG0106BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
506General SurgerySurgicalOperation for HydroceleOperation for Hydrocele16,500.004Not applicableNot applicableNot applicableSG0107AClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
507General SurgerySurgicalGastrojejunostomyGastrojejunostomy33,000.005Not applicableNot applicableNot applicableSG010AClinical notes and Endoscopy report OR Biopsy OR CT Scan confirming the diagnosis for which this surgery is doneDetailed Operative notes/ detailed discharge summary
508General SurgerySurgicalNeurofibroma Excision under LANeurofibroma Excision under LA2,200.00 DNot applicableNot applicableNot applicableSG0114AClinical notes detailing history/ vitals and examination findings / any investigations done/ planned line of managementTreatment details/ All investigations reports.
509General SurgerySurgicalIngrowing Toe NailIngrowing Toe Nail2,200.00 DNot applicableNot applicableNot applicableSG0115AClinical notes detailing history/ vitals and examination findings / any investigations done/ planned line of managementTreatment details/ All investigations reports.
510General SurgerySurgicalReplacement Surgery For Corrosive Injury StomachReplacement Surgery For Corrosive Injury Stomach55,000.004Not applicableNot applicableNot applicableSG0117AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
511General SurgerySurgicalCholedochoduodenostomy Or Choledocho JejunostomyCholedochoduodenostomy Or Choledocho Jejunostomy38,500.004Not applicableNot applicableNot applicableSG0118AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
512General SurgerySurgicalHepatico Jejunostomy for biliary strictureHepatico Jejunostomy for biliary stricture49,500.004Not applicableNot applicableNot applicableSG0119AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
513General SurgerySurgicalCystoJejunostomy / CystogastrostomyCystoJejunostomy - Open32,200.006Not applicableNot applicableNot applicableSG011AClinical notes and USG / CT confirming the diagnosis for which procedure is neededDetailed discharge summary/ Detailed Operative notes
514General SurgerySurgicalCystoJejunostomy / CystogastrostomyCystoJejunostomy - Lap.32,200.006Not applicableNot applicableNot applicableSG011BClinical notes and USG / CT confirming the diagnosis for which procedure is neededDetailed discharge summary/ Detailed Operative notes
515General SurgerySurgicalCystoJejunostomy / CystogastrostomyCystogastrostomy - Open32,200.006Not applicableNot applicableNot applicableSG011CClinical notes and USG / CT confirming the diagnosis for which procedure is neededDetailed discharge summary/ Detailed Operative notes
516General SurgerySurgicalCystoJejunostomy / CystogastrostomyCystogastrostomy - Lap.32,200.006Not applicableNot applicableNot applicableSG011DClinical notes and USG / CT confirming the diagnosis for which procedure is neededDetailed discharge summary/ Detailed Operative notes
517General SurgerySurgicalI Stage- Sub Total Colectomy + Ileostomy + J - PouchI Stage- Sub Total Colectomy + Ileostomy + J - Pouch88,000.004Not applicableNot applicableNot applicableSG0120AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
518General SurgerySurgicalDistal Pancreatectomy + SplenectomyDistal Pancreatectomy + Splenectomy66,000.004Not applicableNot applicableNot applicableSG0122AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
519General SurgerySurgicalI Stage-Sub Total Colectomy + IleostomyI Stage-Sub Total Colectomy + Ileostomy44,000.004Not applicableNot applicableNot applicableSG0124AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
520General SurgerySurgicalFeeding JejunostomyFeeding Jejunostomy24,600.006Not applicableNot applicableNot applicableSG012AClinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is doneDetailed discharge summary/ Detailed Operative notes
521General SurgerySurgicalIleostomyIleostomy28,000.006Not applicableNot applicableNot applicableSG013AClinical notes and Endoscopy / Biopsy/ CT Scan confirming the diagnosis for which this surgery is doneHistopath report/ Detailed Operative notes/ detailed discharge summary
522General SurgerySurgicalCongenital atresia & stenosis of small intestineCongenital atresia & stenosis of small intestine41,300.006Not applicableNot applicableNot applicableSG014AClinical notes and X ray/ CT/MRI Abd confirming the diagnosisDetailed Operative notes/ Detailed discharge summary
523General SurgerySurgicalOperation for Duplication of IntestineOperation for Duplication of Intestine28,300.007Not applicableNot applicableNot applicableSG015AClinical 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.
524General SurgerySurgicalDiverticulectomyExcision Duodenal Diverticulum25,200.005Not applicableNot applicableNot applicableSG016AClinical notes and CT Scan/Endoscopy/Double balloon enteroscopy confirming the diagnosisDetailed Operative notes/ Detailed discharge summary
525General SurgerySurgicalDiverticulectomyExcision Meckel's Diverticulum25,200.003Not applicableNot applicableNot applicableSG016BClinical notes and USG/CT/MRI report confirming the diagnosisHistopath report/receipt/ Detailed Operative notes/ detailed discharge summary
526General SurgerySurgicalAppendicectomyOpen21,700.003Not applicableNot applicableNot applicableSG017AClinical notes and USG confirming the diagnosisHistopath report/receipt/ Detailed Operative notes/ detailed discharge summary
527General SurgerySurgicalAppendicectomyLaparoscopic21,700.003Not applicableNot applicableNot applicableSG017BAdmission 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
528General SurgerySurgicalAppendicular PerforationAppendicular Perforation22,000.005Not applicableNot applicableNot applicableSG018AClinical notes and X Ray Abdomen Erect/USG confirming the diagnosisHistopath report/ Detailed Operative notes/ detailed discharge summary
529General SurgerySurgicalAppendicular Abscess - DrainageAppendicular Abscess - Drainage16,500.003Not applicableNot applicableNot applicableSG019AClinical notes/ USG/ CT Scan confirming the diagnosisDetailed Operative notes & discharge summary.
530General SurgerySurgicalColectomyTotal Colectomy - Open53,100.006Not applicableNot applicableNot applicableSG020AClinical notes and CT Scan/ Colonoscopy confirming the diagnosis and need of surgery/Biopsy of the lesionHistopath report/ Detailed Operative notes/ detailed discharge summary
531General SurgerySurgicalColectomyTotal Colectomy - Lap.53,100.006Not applicableNot applicableNot applicableSG020BClinical notes and CT Scan/ Colonoscopy confirming the diagnosis and need of surgery/Biopsy of the lesionHistopath report/ Detailed Operative notes/ detailed discharge summary
532General SurgerySurgicalColectomyRight hemicolectomy - Open38,800.003Not applicableNot applicableNot applicableSG020CClinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done/BiopsyHistopath report/receipt/ Detailed Operative notes/ detailed discharge summary
533General SurgerySurgicalColectomyRight hemicolectomy - Lap.38,800.003Not applicableNot applicableNot applicableSG020DClinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done/BiopsyHistopath report/receipt/ Detailed Operative notes/ detailed discharge summary
534General SurgerySurgicalColectomyLeft hemicolectomy - Open38,800.003Not applicableNot applicableNot applicableSG020EClinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done/BiopsyHistopath report/receipt/ Detailed Operative notes/ detailed discharge summary
535General SurgerySurgicalColectomyLeft hemicolectomy - Lap.38,800.003Not applicableNot applicableNot applicableSG020FClinical notes and CT Scan/Colonoscopy confirming the diagnosis for which the surgery is done/BiopsyHistopath report/receipt/ Detailed Operative notes/ detailed discharge summary
536General SurgerySurgicalOperative Management of Volvulus of Large BowelOperative Management of Volvulus of Large Bowel48,300.006Not applicableNot applicableNot applicableSG022AClinical notes and X Ray Abdomen / CT Contrast confirming the diagnosis/Detailed discharge summary/ X Ray Abdomen/ Detailed Operative notes.
537General SurgerySurgicalClosure of colostomyClosure of colostomy24,600.003Not applicableNot applicableNot applicableSG023AClinical notes and CT/ MRI/ Colonoscopy evidence of need of surgery.Detailed Operative notes & detailed surgery notes.
538General SurgerySurgicalClosure of stomaClosure of stoma18,400.003Not applicableNot applicableNot applicableSG024AClinical notes detailing why colostomy was doneDetailed Operative notes & detailed surgery notes.
539General SurgerySurgicalSigmoid ResectionSigmoid Resection23,700.004Not applicableNot applicableNot applicableSG025AClinical notes and Barium X-rays / CT scan/ sigmoidoscopy/ confirming the diagnosisHistopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
540General SurgerySurgicalProcedure for rectal prolapsePerineal - Open22,400.004Not applicableNot applicableNot applicableSG026AClinical notes +/- Colonoscopy / CT confirming the diagnosis/Detailed Operative notes/ detailed discharge summary
541General SurgerySurgicalProcedure for rectal prolapseAbdominal - Open22,400.004Not applicableNot applicableNot applicableSG026BClinical notes +/- Colonoscopy confirming the diagnosis of prolapseDetailed Operative notes/ Detailed discharge summary
542General SurgerySurgicalProcedure for rectal prolapseAbdominal - Lap.22,400.004Not applicableNot applicableNot applicableSG026CClinical notes +/- Colonoscopy confirming the diagnosis of prolapseDetailed Operative notes/ Detailed discharge summary
543General SurgerySurgicalRectal Polyp ExcisionRectal Polyp Excision10,500.001Not applicableNot applicableNot applicableSG028AClinical notes and Colonoscopy +/- Biopsy justifying surgery/Histopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
544General SurgerySurgicalAnterior Resection of rectumOpen55,000.003Not applicableNot applicableNot applicableSG029AClinical notes/ Biopsy/ColonoscopyHistopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
545General SurgerySurgicalAnterior Resection of rectumLap.55,000.003Not applicableNot applicableNot applicableSG029BClinical notes/ Biopsy/ColonoscopyHistopathology report/receipt/ Detailed Operative notes/ detailed discharge summary
546General SurgerySurgicalResection AnastomosisOpen36,400.007Not applicableNot applicableNot applicableSG030AClinical notes and X Ray Abdomen Erect/USG / CT confirming the diagnosisHistopath report of resected part/detailed discharge summary and Detailed Operative notes
547General SurgerySurgicalResection AnastomosisLap36,400.007Not applicableNot applicableNot applicableSG030BClinical notes and X Ray Abdomen Erect/USG / CT confirming the diagnosisHistopath report of resected part/detailed discharge summary and Detailed Operative notes
548General SurgerySurgicalProcedure for Fissure in AnoProcedure for Fissure in Ano13,800.001Not applicableNot applicableNot applicableSG031AClinical notes and proctoscopic findings confirming the diagnosis for which this surgery is done/Detailed Operative notes/ detailed discharge summary
549General SurgerySurgicalHaemorroidectomywithout Stapler18,800.001Not applicableNot applicableNot applicableSG032AClinical notes and proctoscopy notes confirming the diagnosisDetailed Operative notes/ detailed discharge summary
550General SurgerySurgicalHaemorroidectomywith Stapler18,800.001Not applicableNot applicableHaemorroid Stapler - 18700SG032BClinical notes and proctoscopy notes confirming the diagnosisDetailed Operative notes/ detailed discharge summary
551General SurgerySurgicalExcision of Pilonidal SinusExcision of Pilonidal Sinus16,900.001Local Anesthesia/ General AnesthesiaNone/ "+" 9400Not applicableSG033AClinical notes and confirmation of Pilonidal sinus on examinationHistopath report/receipt of resected part/detailed discharge summary and Detailed Operative notes
552General SurgerySurgicalExcision of Siniuds and CuretageExcision of Siniuds and Curetage14,900.003Not applicableNot applicableNot applicableSG034AClinical notes and some imaging to show tract of sinus/ confirming the diagnosisDetailed Operative notes/ detailed discharge summary. +/- Histopath of surreted material
553General SurgerySurgicalExploratory LaparotomyExploratory Laparotomy12,500.005Not applicableNot applicableNot applicableSG035AClinical notes detailing original pathology that led to peritonitis/ supported by X Ray/USG/CT Scan AbdomenAnalysis of fluid removed/ Indoor case papers (ICPs)/ Detailed discharge summary/ Detailed Operative notes
554General SurgerySurgicalClosure of Burst AbdomenClosure of Burst Abdomen27,100.006Not applicableNot applicableNot applicableSG036AClinical notes describing the original surgery that led to burst abdomen and X Ray/USG/ CT Abdomen confirming the diagnosis for which the surgery is doneDetailed Operative notes/ detailed discharge summary
555General SurgerySurgicalHepatic ResectionOpen47,400.007Not applicableNot applicableNot applicableSG037AClinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery.Histopath report/ detailed discharge summary and Detailed Operative notes
556General SurgerySurgicalHepatic ResectionLap.47,400.007Not applicableNot applicableNot applicableSG037BClinical notes and USG/CT/MRI / Biopsy report confirming the justification of surgery.Histopath report/ detailed discharge summary and Detailed Operative notes
557General SurgerySurgicalAbdominal Hydatid Cyst (Single Organ)Abdominal Hydatid Cyst (Single Organ)49,500.0010Not applicableNot applicableNot applicableSG038AClinical notes and USG/CT/MRI report confirming the diagnosis.Indoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
558General SurgerySurgicalCholecystectomyWithout Exploration of CBD - Open36,800.004Not applicableNot applicableNot applicableSG039AClinical notes and investigation confirming the diagnosisIndoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
559General SurgerySurgicalCholecystectomyWith Exploration of CBD - Open36,800.006Not applicableNot applicableNot applicableSG039BClinical notes and investigation confirming the diagnosisIndoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
560General SurgerySurgicalCholecystectomyWithout Exploration of CBD - Lap.36,800.003Not applicableNot applicableNot applicableSG039CClinical notes and investigation confirming the diagnosisIndoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
561General SurgerySurgicalCholecystectomyWith Exploration of CBD - Lap.36,800.003Not applicableNot applicableNot applicableSG039DClinical notes and investigation confirming the diagnosisIndoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
562General SurgerySurgicalOperative CholecystostomyChronic Cholecystitis With Cholelithiasis14,900.003Not applicableNot applicableNot applicableSG040AClinical notes and investigation confirming the diagnosisIndoor case papers (ICPs)/ Detailed Operative notes and detailed discharge summary
563General SurgerySurgicalOperative CholecystostomyLap.14,900.003Not applicableNot applicableNot applicableSG040BClinical 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
564General SurgerySurgicalOperation of Choledochal CystOpen38,000.005Not applicableNot applicableNot applicableSG041AClinical notes/ USG/CT Abdomen/MRCPDetailed ICPs with treatment details/ Detailed discharge summary/ Detailed Operative notes
565General SurgerySurgicalOperation of Choledochal CystLaparoscopic38,000.005Not applicableNot applicableNot applicableSG041MLAClinical notes/ USG/CT Abdomen/ MRCPDetailed ICPs with treatment details/ Detailed discharge summary/ Detailed Operative notes
566General SurgerySurgicalSplenectomyOpen49,500.007Not applicableNot applicableNot applicableSG042AClinical notes and USG/CT Scan and Lab investigations confirming the diagnosis and justifying the surgery.Detailed Operative notes/ histopath/ detailed discharge summary/
567General SurgerySurgicalSplenectomyLaparoscopic49,500.003Not applicableNot applicableNot applicableSG042BClinical notes and USG/CT Scan and Lab investigations confirming the diagnosis and justifying the surgery.Detailed Operative notes/ histopath report/receipt/ detailed discharge summary/
568General SurgerySurgicalBypass surgery for inoperable CA head pancreasBypass surgery for inoperable CA head pancreas68,800.007Not applicableNot applicableNot applicableSG043AClinical and radiological evidence of inoperability (ERCP/MRCP)Histopathology report/ Detailed Operative notes and discharge summary.
569General SurgerySurgicalDistal Pancreatectomy with Pancreatico JejunostomyDistal Pancreatectomy with Pancreatico Jejunostomy79,800.007Not applicableNot applicableNot applicableSG044AClinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/Histopathology report/ Detailed Operative notes and discharge summary.
570General SurgerySurgicalPancreaticoduodenectomy (Whipple's)Pancreaticoduodenectomy (Whipple's)137,500.007Not applicableNot applicableNot applicableSG045AClinical notes and CT/ USG/ ERCP confirming the diagnosis/Histopathology report/ Detailed Operative notes and discharge summary.
571General SurgerySurgicalPorto Caval AnastomosisPorto Caval Anastomosis55,000.007Not applicableNot applicableNot applicableSG046AClinical notes and USG-doppler /CT/MRI report confirming the diagnosis for which the surgery is doneDetailed discharge summary/ Detailed Operative notes
572General SurgerySurgicalMesenteric Caval AnastomosisMesenteric Caval Anastomosis53,500.006Not applicableNot applicableNot applicableSG047AClinical notes and USG/CT/MRI/ Endoscopy report confirming the diagnosis for which the anastomosis is doneDetailed discharge summary/ Detailed Operative notes
573General SurgerySurgicalMesenteric Cyst - ExcisionMesenteric Cyst - Excision22,000.005Not applicableNot applicableNot applicableSG048AClinical notes and USG/CT/MRI report confirming the diagnosisHistopath/ detailed discharge summary and Detailed Operative notes
574General SurgerySurgicalRetroperitoneal Tumor - ExcisionRetroperitoneal Tumor - Excision43,100.005Not applicableNot applicableNot applicableSG049AClinical notes and X Ray/USG/CT Abdomen confirming the diagnosisHistopath report/ detailed discharge summary/ Detailed Operative notes
575General SurgerySurgicalHernia RepairInguinal22,000.003Not applicableNot applicableMesh - 6 X 3 - Polypropylene - 2200SG050AAdmission 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
576General SurgerySurgicalHernia RepairFemoral22,000.003Not applicableNot applicableMesh - 6 X 3 - Polypropylene - 2200SG050BClinical notes and USG (specifying size of defect).Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
577General SurgerySurgicalHernia RepairObturator22,000.002Not applicableNot applicableTackers - 16500 Mesh - 15 X 15 - 5500SG050CClinical notes and USG (specifying size of defect).Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
578General SurgerySurgicalHernia RepairEpigastric22,000.005Not applicableNot applicableMesh - 6 X 3 - Polypropylene - 2200 Mesh - 15 X 15 - 5500SG050DClinical notes and USG (specifying size of defect).Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
579General SurgerySurgicalHernia RepairUmbilical27,500.005Not applicableNot applicableNot applicableSG050EClinical notes and USG (specifying size of defect).Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
580General SurgerySurgicalHernia RepairParaumbilical27,500.004Not applicableNot applicableMesh - 15 X 15 - 5500SG050FClinical notes and USG (specifying size of defect).Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
581General SurgerySurgicalHernia RepairSpigelian27,500.004Not applicableNot applicableMesh - 15 X 15 - 5500SG050GClinical notes and USG (specifying size of defect).Detailed discharge summary Detailed Operative notes/ Invoice of Mesh used
582General SurgerySurgicalHernia RepairIncisional22,400.003Not applicableNot applicableMesh - 30 X 30 - 16500 Mesh - 15 X 15 - 5500SG050HClinical 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
583General SurgerySurgicalHernia RepairOmphalocele 1st Stage79,800.003Not applicableNot applicableMesh - 30 X 30 - 16500 Mesh - 6 X 3 - Polypropylene - 2200SG050IDetailed Clinical notesIndoor case papers (ICPs) / Detailed operative notes / Detailed discharge summary.
584General SurgerySurgicalHernia RepairOmphalocele 2nd Stage71,300.003Not applicableNot applicableMesh - 30 X 30 - 16500 Mesh - 6 X 3 - Polypropylene - 2200SG050JDetailed Clinical notesIndoor case papers (ICPs) / Detailed operative notes / Detailed discharge summary.
585General SurgerySurgicalHiatus Hernia Repair / FundoplicationHiatus Hernia Repair - Open33,700.005Not applicableNot applicableNot applicableSG053AClinical notes and X-ray/ USG + UGI EndoscopyIndoor case papers (ICPs)/ Detailed Operative notes & discharge summary
586General SurgerySurgicalHiatus Hernia Repair / FundoplicationHiatus Hernia Repair - Lap.33,700.005Not applicableNot applicableNot applicableSG053BClinical notes and X-ray/ USG + UGI EndoscopyIndoor case papers (ICPs)/ Detailed Operative notes & discharge summary
587General SurgerySurgicalHiatus Hernia Repair / FundoplicationFundoplication - Open33,700.005Not applicableNot applicableNot applicableSG053CClinical notes and X-ray/ USG + UGI EndoscopyIndoor case papers (ICPs)/ Detailed Operative notes & discharge summary
588General SurgerySurgicalHiatus Hernia Repair / FundoplicationFundoplication - Lap.33,700.005Not applicableNot applicableNot applicableSG053DClinical notes and X-ray/ USG + UGI EndoscopyIndoor case papers (ICPs)/ Detailed Operative notes & discharge summary
589General SurgerySurgicalExcision of cyst / Sebaceous Cysts over scrotumSingle Cyst2,800.00DNot applicableNot applicableNot applicableSG054ADetailed Clinical notes with planned line of treatmentDetailed Operative notes/ Treatment details/ report of any investigations done
590General SurgerySurgicalExcision of cyst / Sebaceous Cysts over scrotumMultiple Cysts7,700.003Not applicableNot applicableNot applicableSG054BDetailed Clinical notesIndoor case papers (ICPs)/ Detailed Operative notes/ detailed discharge summary.
591General SurgerySurgicalExcision Filarial ScrotumExcision Filarial Scrotum14,900.003Not applicableNot applicableNot applicableSG055AClinical notes +/- USG report confirming the diagnosisDetailed Operative notes/ Detailed discharge summary
592General SurgerySurgicalHydrocele operationHydrocele operation17,300.002Not applicableNot applicableNot applicableSG056AClinical notes and +/- Scrotal USG confirming the diagnosisDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
593General SurgerySurgicalEpididymal Cyst / Nodule ExcisionEpididymal Cyst exision5,800.00DNot applicableNot applicableNot applicableSG057AClinical notes and USG report confirming the diagnosisTreatment details/ detailed Procedure / Operative Notes.
594General SurgerySurgicalEpididymal Cyst / Nodule ExcisionEpididymal Nodule excision5,800.00DNot applicableNot applicableNot applicableSG057BClinical notes and USG report confirming the diagnosisTreatment details/ detailed Procedure / Operative Notes.
595General SurgerySurgicalVasovasostomyVasovasostomy13,200.002Not applicableNot applicableNot applicableSG058AClinical 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+)
596General SurgerySurgicalOrchidectomyOrchidectomy12,900.002Not applicableNot applicableNot applicableSG059AClinical notes and describing Swelling in scrotum/ USG of scrotum +/- FNAC/ tumour markers (if cancer of prostate/testis/etc is the indication)/ justification of orchidectmyHistopath (optional)/ Detailed Operative notes/ Detailed discharge summary
597General SurgerySurgicalInguinal node dissectionInguinal node dissection24,600.003Not applicableNot applicableNot applicableSG060AClinical notes and USG/ Biopsy report confirming the diagnosis for which the surgery is doneHistopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
598General SurgerySurgicalEstlander OperationEstlander Operation20,400.005Not applicableNot applicableNot applicableSG061AClinical notes detailing the original pathology thet has led to this surgery with suporting investigation reports. FIR/MLC in case of traumatic aetiologyDetailed Operative notes/ Detailed discharge summary
599General SurgerySurgicalOperation for Carcinoma LipWedge Excision27,600.006Not applicableNot applicableNot applicableSG062AClinical notes and Biopsy reportHistopath report/ Detailed Operative notes/ Detailed discharge summary
600General SurgerySurgicalOperation for Carcinoma LipWedge Excision and Vermilionectomy41,300.006Not applicableNot applicableNot applicableSG062BClinical notes and Biopsy reportHistopath report/ Detailed Operative notes/ Detailed discharge summary
601General SurgerySurgicalOperation for Carcinoma LipCheek advancement41,300.006Not applicableNot applicableNot applicableSG062CClinical notes and Biopsy reportHistopath report/ Detailed Operative notes/ Detailed discharge summary
602General SurgerySurgicalExcision of Growth from TongueTongue only26,300.001Not applicableNot applicableNot applicableSG063AClinical notes confirming the diagnosis/ FNAC if doneHistopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
603General SurgerySurgicalExcision of Growth from TongueTongue with Neck Node Dissection43,100.003Not applicableNot applicableNot applicableSG064AClinical notes and USG/CT/MRI report confirming the diagnosisHistopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
604General SurgerySurgicalMicrolaryngoscopic SurgeryMicrolaryngoscopic Surgery31,200.003Not applicableNot applicableNot applicableSG065AClinical notes and Nasal Endoscopy confirming the diagnosis for which this surgery is donePost procedure Nasal Endoscopy/ detailed discharge summary/ Detailed Operative notes
605General SurgerySurgicalSubmandibular Mass - ExcisionSubmandibular Mass - Excision27,500.005Not applicableNot applicableNot applicableSG066AClinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done +/- Biopsy/FNACHistopath report/ Detailed Operative notes/ Detailed discharge summary
606General SurgerySurgicalRadical Neck DissectionRadical Neck Dissection36,900.008Not applicableNot applicableNot applicableSG067AClinical notes and CT Scan/MRI Neck confirming the diagnosis/ BiopsyHistopath report/ Detailed Operative notes/ Detailed discharge summary
607General SurgerySurgicalRadical Neck DissectionRadical Neck Dissection - Excision36,900.008Not applicableNot applicableNot applicableSG067BClinical notes and CT Scan/MRI Neck confirming the diagnosis/ BiopsyHistopath report/ Detailed Operative notes/ Detailed discharge summary
608General SurgerySurgicalSurgical removal of Branchial CystSurgical removal of Branchial Cyst22,000.002Not applicableNot applicableNot applicableSG068AClinical notes with USG or CT Scan confirming diagnosisHistopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
609General SurgerySurgicalCarotid Body tumour - ExcisionCarotid Body tumour - Excision49,200.007Not applicableNot applicableNot applicableSG069AClinical notes and USG Neck/ Colour doppler confirming the diagnosisDetailed Operative notes/ Histopathology/ Detailed discharge summary
610General SurgerySurgicalThyroidectomyHemi thyroidectomy30,300.002Not applicableNot applicableNot applicableSG070AClinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosisHistopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
611General SurgerySurgicalThyroidectomyTotal thyroidectomy72,500.004Not applicableNot applicableNot applicableSG070BClinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
612General SurgerySurgicalThyroidectomyTotal Thyroidectomy with Block Dissection80,500.005Not applicableNot applicableNot applicableSG070CClinical notes and FNAC/ Biopsy/ Thyroid Function Test/USG confirming the diagnosis and need for surgeryHistopath report/ Detailed Operative notes/ Detailed discharge summary
613General SurgerySurgicalExcision of Parathyroid Adenoma / CarcinomaExcision of Parathyroid Adenoma27,500.003Not applicableNot applicableNot applicableSG071AClinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
614General SurgerySurgicalExcision of Parathyroid Adenoma / CarcinomaExcision of Parathyroid Carcinoma22,400.003Not applicableNot applicableNot applicableSG071BClinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
615General SurgerySurgicalThymectomyThymectomy66,000.006Not applicableNot applicableNot applicableSG072AClinical notes and Investigation report confirming the need for surgery (CT/MRI)/ Single-fiber electromyography in case of myasthenia gravisHistopath report/ Detailed Operative notes/ Detailed discharge summary
616General SurgerySurgicalSympathectomySympathectomy38,500.005Not applicableNot applicableNot applicableSG073AClinical notes and supporting Evidence of need of surgery (EMG/Nerve conduction study/ CT/MRI)Detailed Operative notes/ Detailed discharge summary
617General SurgerySurgicalBreast Lump ExcisionBreast Lump Excision16,000.001Local Anesthesia/ General AnesthesiaNone/ "+" 6600Not applicableSG074AClinical notes/ Sono mammogram / Mamography showing breast lump / FNAC reportHistopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
618General SurgerySurgicalMastectomySimple56,800.003Not applicableNot applicableNot applicableSG075AClinical notes and Mammography/ Biopsy confirming the diagnosisHistopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
619General SurgerySurgicalMastectomyRadical / Modified Radical56,800.004Not applicableNot applicableNot applicableSG075BClinical notes and Mammography/ sono mammograpgy /Biopsy justifying surgeryHistopath/ detailed discharge summary/ Detailed Operative notes
620General SurgerySurgicalExcision Mammary FistulaExcision Mammary Fistula16,000.001Not applicableNot applicableNot applicableSG076AClinical notes and sonomammogram report confirming the diagnosis/Detailed Operative notes/ Detailed discharge summary
621General SurgerySurgicalIntercostal Drainage onlyIntercostal Drainage only6,200.001Not applicableNot applicableNot applicableSG077AClinical notes and detailing need of ICD/ Chest X-Ray PAAnalysis report of drained fluid/ Detailed Operative notes/ Detailed discharge summary
622General SurgerySurgicalRib Resection & DrainageRib Resection & Drainage22,000.003Not applicableNot applicableNot applicableSG078AClinical notes and X Ray/ CT/ MRI confirming the diagnosis for which the surgery is donePus C/S/ Post procedure X Ray/ Detailed Operative notes/ detailed discharge summary
623General SurgerySurgicalThoracoplastyThoracoplasty31,500.006Not applicableNot applicableNot applicableSG079AClinical notes and X Ray/ CT/MRI Chest confirming the indication for this surgeryDetailed Operative notes/ Detailed discharge summary
624General SurgerySurgicalDecorticationOpen37,000.0010Not applicableNot applicableNot applicableSG080AClinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done/BiopsyHistopathology/ Detailed discharge summary and Detailed Operative notes
625General SurgerySurgicalDecorticationVATS37,000.0010Not applicableNot applicableNot applicableSG080MLAClinical notes and USG/CT Scan confirming the diagnosis for which the surgery is done/BiopsyHistopathology/ Detailed discharge summary and Detailed Operative notes
626General SurgerySurgicalLobectomyThoracoscopic49,600.005Not applicableNot applicableNot applicableSG081AClinical notes and CT Thorax confirming the diagnosis/ Biopsy +/- CytologyDetailed Operative notes/ histopath/ Detailed discharge summary
627General SurgerySurgicalLobectomyOpen49,600.005Not applicableNot applicableNot applicableSG081BClinical notes and CT Thorax confirming the diagnosis/ Biopsy +/- CytologyDetailed Operative notes/ histopath/ Detailed discharge summary
628General SurgerySurgicalThoracoscopic Segmental ResectionThoracoscopic Segmental Resection70,800.005Not applicableNot applicableNot applicableSG082AClinical notes and CT Thorax confirming the diagnosis/ +/- Biopsy reportDetailed Operative notes/ histopath/ Detailed discharge summary
629General SurgerySurgicalLung Hydatid Cyst removalLung Hydatid Cyst removal28,900.003Not applicableNot applicableNot applicableSG083AClinical notes and X Ray/ CT/MRI Chest confirming the diagnosisDetailed Operative notes/ Detailed discharge summary/ Histopathology report/receipt
630General SurgerySurgicalDrainage of AbscessIncision and drainage of abscess5,500.00DLocal Anesthesia/ General AnesthesiaNone/ "+" 5500Not applicableSG084AClinical notes detailing history / Admission notes showing vitals and examination findings / any investigations (establishing diagnosis)/ planned line of managementC/S report for large abscess/ Detailed Operative notes & Treatment details / detailed discharge summary.
631General SurgerySurgicalLipoma / Cyst / other cutaneous swellings ExcisionLipoma Excision5,600.00DLocal Anesthesia/ General AnesthesiaNone/ "+" 5500Not applicableSG085AClinical notes comprising of history and examination findings with indications for the procedure/ any investigation (confirming diagnosis).Histopath (if applicable)/ Detailed Operative notes / treatment details
632General SurgerySurgicalLipoma / Cyst / other cutaneous swellings ExcisionCyst Excision5,600.00DLocal Anesthesia/ General AnesthesiaNone/ "+" 5500Not applicableSG085BClinical notes comprising of history and examination findings with indications for the procedure/ any investigation (confirming diagnosis).Histopath (if applicable)/ Detailed Operative notes / treatment details
633General SurgerySurgicalLipoma / Cyst / other cutaneous swellings ExcisionOther cutaneous swellings Excision5,600.00DLocal Anesthesia/ General AnesthesiaNone/ "+" 5500Not applicableSG085CClinical notes comprising of history and examination findings with indications for the procedure/ any investigation (confirming diagnosis).Histopath (if applicable)/ Detailed Operative notes / treatment details
634General SurgerySurgicalDebridement of UlcerDebridement of Ulcer12,500.00DLocal Anesthesia/ General AnesthesiaNone/ "+" 5500Not applicableSG086AClinical notes and planned line of treatmentDetailed Operative notes/ Detailed discharge summary / treatment details
635General SurgerySurgicalFlap Reconstructive SurgeryFlap Reconstructive Surgery43,500.004Not applicableNot applicableNot applicableSG087AClinical notes detailing the original pathology that has led to this surgery with suporting investigation reportsDetailed Operative notes/ Detailed discharge summary
636General SurgerySurgicalFree Grafts - Wolfe GraftsFree Grafts - Wolfe Grafts34,400.001Not applicableNot applicableNot applicableSG088AClinical notes detailing original pathology/ with suporting reportsDetailed Operative notes/ Detailed discharge summary
637General SurgerySurgicalTissue Reconstruction FlapTissue Reconstruction Flap38,700.005Not applicableNot applicableNot applicableSG089AClinical notes and Clinical photograph of affected part justifying surgery.Detailed Operative notes/ Detailed discharge summary
638General SurgerySurgicalSplit thickness skin graftsSplit skin grafts <= 5%20,700.001Not applicableNot applicableNot applicableSG090AClinical notes detailing time of BurnsDetailed Operative notes/ Detailed discharge summary
639General SurgerySurgicalSplit thickness skin graftsSplit skin grafts 5 - 10%19,900.001Not applicableNot applicableNot applicableSG090BClinical notes detailing time of BurnsDetailed Operative notes/ Detailed discharge summary
640General SurgerySurgicalSplit thickness skin graftsSpit skin graft small >= 10 %22,400.001Not applicableNot applicableNot applicableSG090CClinical notes detailing time of BurnsDetailed Operative notes/ Detailed discharge summary
641General SurgerySurgicalSkin Flaps - Rotation FlapsSkin Flaps - Rotation Flaps31,700.002Not applicableNot applicableNot applicableSG091AClinical notes / medical records of previous surgeries and indication of this surgeryDetailed Operative notes/ Detailed discharge summary
642General SurgerySurgicalTendon TransferTendon Transfer27,500.003Not applicableNot applicableNot applicableSG092AClinical notesDetailed Operative notes/ Detailed discharge summary
643General SurgerySurgicalLymphatics Excision of Subcutaneous Tissues in LymphoedemaLymphatics Excision of Subcutaneous Tissues in Lymphoedema16,500.003Not applicableNot applicableNot applicableSG093AClinical notes and detailing historyHistopath (optional)/ Detailed Operative notes/ detailed discharge summary
644General SurgerySurgicalAV Fistula CreationAV Fistula Creation20,200.003Not applicableNot applicableNot applicableSG094AClinical notes detailing need for AV shunt with supporting Evidence of Creatinine/ RFTDetailed Operative notes/ Detailed discharge summary
645General SurgerySurgicalVaricose VeinsManagement of Varicose Veins18,200.003Not applicableNot applicableNot applicableSG095AClinical notes and Duplex ultrasonography/ Colour Doppler confirming the diagnosisDetailed discharge summary/ Detailed Operative notes
646General SurgerySurgicalManagement of Varicose VeinsMinor sclerotherapy5,500.00 DNot applicableNot applicableNot applicableSG095BClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details / detailed discharge summary/ All investigations reports.
647General SurgerySurgicalBiopsyLymph Node5,500.00DNot applicableNot applicableNot applicableSG096AClinical notes +/- FNAC reportHistopathology report/ procedure note
648General SurgerySurgicalBiopsyEndometrial Aspiration3,000.00DNot applicableNot applicableNot applicableSG096BClinical notes with planned line of treatmentHistopathology report/ procedure note
649General SurgerySurgicalBiopsyCervix Cancer screening (PAP + Colposcopy)2,800.00DNot applicableNot applicableNot applicableSG096CClinical notes with planned line of treatmentHistopathology report/ procedure note
650General SurgerySurgicalBiopsyCervical1,700.00DNot applicableNot applicableNot applicableSG096DClinical notes with planned line of treatmentHistopathology report/ procedure note
651General SurgerySurgicalBiopsyVulval2,800.00DNot applicableNot applicableNot applicableSG096EClinical notes with planned line of treatmentHistopathology report/ procedure note
652General SurgeryMedicalStoma ManagementStoma Management follow up of Ileostomy6,100.00NANot applicableNot applicableNot applicableSG097AEarlier discharge summary/ Clinical NotesInvoice / Receipt of drugs and consumables
653General SurgeryMedicalStoma ManagementStoma Management follow up of Colostomy6,100.00NANot applicableNot applicableNot applicableSG097BEarlier discharge summary/ Clinical NotesInvoice / Receipt of drugs and consumables
654General SurgerySurgicalForeign body removalForeign body removal10,200.00DLocal Anesthesia/ General AnesthesiaNone/ "+" 3300Not applicableSG098AClinical notes and X-ray/ USG report of the affected part confirming the diagnosisDetailed Operative notes/ detailed discharge summary / Treatment details and relevant imaging study for comparison
655General SurgerySurgicalNecrotising fasciitis / Fournier GangreneNecrotising fasciitis / Fournier Gangrene15,500.003Not applicableNot applicableNot applicableSG099AClinical notes detailing findings confirming the diagnosisDetailed discharge summary/ detailed Procedure / Operative Notes.
656General SurgerySurgicalFournier GangreneFournier Gangrene11,000.001Not applicableNot applicableNot applicableSG099BClinical notes detailing findings confirming the diagnosisDetailed discharge summary/ detailed Procedure / Operative Notes.
657General SurgerySurgicalSurgical management of Lower GI bleed (inclusive of sigmoidoscopy / colonoscopy) - excluding local perineal conditionsSurgical management of Lower GI bleed (inclusive of sigmoidoscopy / colonoscopy) - excluding local perineal conditions27,500.007Not applicableNot applicableNot applicableSG100AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports & Colonoscopy report
658General SurgerySurgicalCaecopexyCaecopexy33,000.003Not applicableNot applicableNot applicableSG101AAdmission Notes comprising of history and examination with indications for the procedure/Relavant Investigations (establishing diagnosis)/ X-Ray Showing obstructionDetailed Procedure / Operative Notes/ Barcode of mesh used/ progress notes/ Detailed discharge summary
659General SurgerySurgicalRepair of renal artery stenosisRepair of renal artery stenosis83,600.007Not applicableNot applicableNot applicableSG102AAdmission Notes comprising of history and examination with indications for the procedure/ Relavant Investigations (establishing diagnosis)/ CT AngioDetailed Procedure / Operative Notes/ progress notes/ Detailed discharge summary/ CT angio
660General SurgerySurgicalEndoscopic Retrograde Cholangiopancreatography (ERCP)Endoscopic Retrograde Cholangiopancreatography (ERCP)27,500.003Not applicableNot applicableERCP stent - Plastic - 8800 ERCP stent - Metal - 44000SG103AAdmission 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
661General SurgerySurgicalEndoscopic Retrograde Cholangiopancreatography (ERCP)Basket Stoneworm Extraction26,300.003Not applicableNot applicableNot applicableSG103MLAAdmission 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
662General SurgerySurgicalEndoscopic Retrograde Cholangiopancreatography (ERCP)Sphincterotomy26,300.003Not applicableNot applicableNot applicableSG103MLBAdmission 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
663General SurgerySurgicalEndoscopic Retrograde Cholangiopancreatography (ERCP)Balloon Sweep32,600.003Not applicableNot applicableNot applicableSG103MLCAdmission 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
664General SurgerySurgicalCircumcisionCircumcision - Phimosis / Paraphimosis or any other clinical condition22,000.00DNot applicableNot applicableNot applicableSG104AClinical notes detailing history /Admission notes showing vitals/ examination and clinical findings/any investigations doneOperative note/ Treatment details/detailed discharge summary/ All investigations reports
665General SurgerySurgicalPercutaneous Transhepatic Biliary Drainage (PTBD)Percutaneous Transhepatic Biliary Drainage (PTBD)22,200.00NANot applicableNot applicableFor PTBD - 33000SG105AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations doneDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports
666General SurgerySurgicalAccidental injury with lacerated woundAccidental injury with lacerated wound6,900.00DNot applicableNot applicableNot applicableSG106MLAClinical note/ Clinical Photograph/ XrayClinical Photograph / Xray / treatment details / Detailed discharge summary
667General SurgerySurgicalAchalasia Cardia Abdominal, Per Oral Endoscopic Myotomy (Poem)Achalasia Cardia Abdominal, Per Oral Endoscopic Myotomy (Poem)10,900.003Not applicableNot applicableNot applicableSG107MLAClinical note with Barium Study / CT SCANDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports
668General SurgerySurgicalAmputation of PenisPartial18,000.003Not applicableNot applicableNot applicableSG108MLAClinical notes detailing findings confirming the diagnosisDetailed ICPs/ Treatment details/ Detailed discharge summary/ detailed Procedure / Operative Notes.
669General SurgerySurgicalAmputation of PenisTotal29,100.003Not applicableNot applicableNot applicableSG108MLBClinical notes detailing findings confirming the diagnosisDetailed ICPs/ Treatment details/ Detailed discharge summary/ detailed Procedure / Operative Notes.
670General SurgerySurgicalAnal DilatationAnal Dilatation10,000.003Not applicableNot applicableNot applicableSG109MLAAdmission Notes comprising of history and examination with indications for the procedure/Relavant Investigations (establishing diagnosis)/ (USG Abdomen)- optionalDetailed Procedure / Operative Notes/ Histopathology of curetted material (optional)/ Progress notes/ Detailed discharge summary
671General SurgerySurgicalAnorectoplastyAnorectoplasty28,000.003Not applicableNot applicableNot applicableSG110MLAClinical note with Invertogram or clinical photograph/Detailed Procedure / Operative Notes/ Progress notes/ Detailed discharge summary
672General SurgerySurgicalAnterior Cervical DissectomyAnterior Cervical Dissectomy31,300.003Not applicableNot applicableNot applicableSG111MLAClinical notes and MRIDetailed discharge summary/ Detailed Procedure / Operative Notes.
673General SurgerySurgicalAppendicitis for Conservative TreatmentAppendicitis for Conservative Treatment14,900.003Not applicableNot applicableNot applicableSG112MLAClinical notes and USG confirming the diagnosis/ planned line of treatment.Detailed ICPs/ progress note/ all investigation reports/ Detailed discharge summary
674General SurgerySurgicalAspiration of Cold Abscess of LymphnodeAspiration of Cold Abscess of Lymphnode3,300.00DNot applicableNot applicableNot applicableSG113MLAClinical notes and clinical photgraph/ investigation supporting diagnosisC/S of pus/ detailed Procedure / Operative Notes/ detailed discharge summary
675General SurgerySurgicalAspiration of EmpyemaAspiration of Empyema12,400.003Not applicableNot applicableNot applicableSG114MLAClinical notes with planned line of treatment/ CBC/ X ray chestPost Treatment X-ray chest/ Detailed Discharge Summary
676General SurgerySurgicalAssisted Small Bowel Resection Lap.Assisted Small Bowel Resection Lap.37,900.003Not applicableNot applicableNot applicableSG115MLAClinical notes with planned line of treatment and FNAC/ BIOPSY/CECTProcedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
677General SurgerySurgicalAtresia of Oesophagus and Tracheo Oesophageal FistulaAtresia of Oesophagus and Tracheo Oesophageal Fistula17,700.003Not applicableNot applicableNot applicableSG116MLAClinical note with X-ray with infant feeding tube or Dye study / UltrasoundDetailed ICPs/ detailed Discharge Summary
678General SurgerySurgicalAV Shunt For DialysisAV Shunt For Dialysis20,200.001Not applicableNot applicableNot applicableSG117MLAClinical notes and CT/MRIDetailed discharge summary/ Detailed Procedure / Operative Notes.
679General SurgerySurgicalAxillary Lymphnode ExcisionAxillary Lymphnode Excision6,900.00DNot applicableNot applicableNot applicableSG118MLAClinical notes and CT/biopsyDetailed discharge summary / Treatment details/ Detailed Procedure / Operative Notes/ biopsy report/receipt
680General SurgerySurgicalBakers Cyst ExcisionBakers Cyst Excision9,100.003Not applicableNot applicableNot applicableSG119MLAClinical notes and USG/CT/MRI report confirming the diagnosisHistopath if done/ detailed discharge summary and Detailed Operative notes
681General SurgerySurgicalBreast Abscess DrainageBreast Abscess Drainage5,700.003Not applicableNot applicableNot applicableSG120MLAClinical notes and investigation supporting diagnosis/ CTC/S of pus/ detailed Procedure / Operative Notes/ detailed discharge summary
682General SurgerySurgicalCarbuncle BackCarbuncle Back5,800.00DNot applicableNot applicableNot applicableSG121MLAClinical notes and confirmed diagnosis of carbuncle.Detailed discharge summary / Treatment details/ detailed Procedure / Operative Notes
683General SurgerySurgicalCavernostomyCavernostomy16,200.003Not applicableNot applicableNot applicableSG122MLAClinical notes and CT/MRI/ DSA confirming the diagnosisPost procedure x-ray showing balloon/ Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories/ detailed discharge summary
684General SurgerySurgicalCervical Lymphnodes ExcisionCervical Lymphnodes Excision5,800.00DNot applicableNot applicableNot applicableSG123MLAClinical notes to establish indication/ Biopsy if tumourHistopathology report /receipt/ detailed operative notes/ detailed discharge summary / Treatment details
685General SurgerySurgicalCholedocho DuodenostomyCholedocho Duodenostomy16,500.003Not applicableNot applicableNot applicableSG124MLAClinical 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 ductDetailed Indoor Case Papers (ICPs)/ Detailed Operative/Procedure Notes/ Post Procedure LFT/ Detailed Discharge Summary
686General SurgerySurgicalCholedocho JejunostomyOpen11,000.003Not applicableNot applicableNot applicableSG124MLBClinical 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 ductDetailed Indoor Case Papers (ICPs)/ Detailed Operative/Procedure Notes/ Post Procedure LFT/ Detailed Discharge Summary
687General SurgerySurgicalCoccygeal Teratoma ExcisionCoccygeal Teratoma Excision21,300.003Not applicableNot applicableNot applicableSG125MLAClinical notes and CT/MRI confirming the diagnosis/ BiopsyHistopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
688General SurgerySurgicalColectomySigmoid hemicolectomy28,300.003Not applicableNot applicableNot applicableSG126MLAClinical notes / Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)Detailed Procedure / Operative Notes/ detailed discharge summary
689General SurgerySurgicalColectomyTransverse hemicolectomy28,300.003Not applicableNot applicableNot applicableSG126MLBClinical notes / Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)Detailed Procedure / Operative Notes/ detailed discharge summary
690General SurgerySurgicalColocystoplastyColocystoplasty17,000.003Not applicableNot applicableNot applicableSG127MLAClinical notes / Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)Detailed Procedure / Operative Notes/ detailed discharge summary
691General SurgerySurgicalColonoscopyColonoscopy3,000.00DNot applicableNot applicableNot applicableSG128MLAClinical notes/ Distal Cologram/ CT/ USG Abdomen/ Xray Lumbosacral spine (inverted position)Detailed Procedure note/ colonoscopy report
692General SurgerySurgicalColonoscopyWith Biopsy4,100.00DNot applicableNot applicableNot applicableSG128MLBClinical note with USG/CT AbdDetailed Procedure note/ colonoscopy and biopsy report
693General SurgerySurgicalColonoscopyWith Injection4,100.00DNot applicableNot applicableNot applicableSG128MLCClinical note with Invertogram or clinical photographcolonoscopy report
694General SurgerySurgicalColonoscopyWith Snaring5,800.00DNot applicableNot applicableNot applicableSG128MLDClinical note with Invertogram or clinical photographcolonoscopy report
695General SurgerySurgicalCommando OperationCommando Operation24,100.003Not applicableNot applicableNot applicableSG129MLAClinical notes to establish indication/Biopsy of tumourHistopathology report/ receipt/ detailed operative notes/ detailed discharge summary
696General SurgerySurgicalCorn ExcisionCorn Excision2,400.00DNot applicableNot applicableNot applicableSG130MLAClinical notes detailing history and notes showing vitals/ planned line managementTreatment details / detailed discharge summary/ All investigations reports.
697General SurgerySurgicalCut InjuryCut Injury4,800.00DLocal Anesthesia/ General AnesthesiaNone/ "+" 2100Not applicableSG131MLAClinical notes detailing history and notes showing vitals/ planned line managementTreatment details / detailed discharge summary/ All investigations reports.
698General SurgerySurgicalCystectomy TotalCystectomy Total12,600.003Not applicableNot applicableNot applicableSG132MLAAdmission 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.
699General SurgerySurgicalCystoscopyWith Bladder Biopsy4,900.00DNot applicableNot applicableNot applicableSG133MLAClinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stoneDetailed discharge summary / Treatment details/ detailed Procedure / Operative Notes/ Biopsy report / receipt
700General SurgerySurgicalCystoscopyWith Retrograde Catheter Unilateral7,000.00DNot applicableNot applicableNot applicableSG133MLBClinical notes and X ray KUB/USG/IVP/NCCT confirming the diagnosis of large bladder stoneDetailed discharge summary / Treatment details/ detailed Procedure / Operative Notes
701General SurgerySurgicalDiaphragmatic EventerationDiaphragmatic Eventeration50,700.003Not applicableNot applicableNot applicableSG134MLAChest 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/
702General SurgerySurgicalDorsal Slit and Reduction of ParaphimosisDorsal Slit and Reduction of Paraphimosis2,400.00DNot applicableNot applicableNot applicableSG135MLAClinical notes with planned line of treatment/ X-ray films with reportsProcedure / Operation notes/ Treatment details / Detailed Discharge Summary
703General SurgerySurgicalDrainage of AbscessIschio Rectal Abscess6,900.003Not applicableNot applicableNot applicableSG136MLAClinical notes and CT scan confirming the diagnosisPus C/s/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes
704General SurgerySurgicalDrainage of AbscessPsoas Abscess5,500.003Not applicableNot applicableNot applicableSG136MLBClinical notes and CT scan confirming the diagnosisPus C/s/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes
705General SurgerySurgicalDuodenal JejunostomyDuodenal Jejunostomy25,100.003Not applicableNot applicableNot applicableSG137MLAClinical notes and Endoscopy report OR Biopsy OR CT Scan confirming the diagnosis for which this surgery is doneDetailed Operative notes/ detailed discharge summary
706General SurgerySurgicalEndomyocardial BiopsyEndomyocardial Biopsy8,900.003Not applicableNot applicableNot applicableSG138MLAClinical notes with supporting investigationsPic of specimen/ Histopathology report/receipt/ discharge summary
707General SurgerySurgicalEndoscopic Cyst AspirationEndoscopic Cyst Aspiration24,400.003Not applicableNot applicableNot applicableSG139MLAClinical notes with supporting investigationsPic of specimen/ Histopathology report/receipt/ discharge summary
708General SurgerySurgicalEndoscopic Esophageal Sclerotheraphy VariesSubseqent Sitting1,500.00DNot applicableNot applicableNot applicableSG140MLAClinical notes with planned line of treatmentEndoscopic report/ Detailed discharge summary/ treatment details/ detailed Procedure / Operative Notes.
709General SurgerySurgicalEndoscopic Esophageal Sclerotheraphy VariesFirst Sitting1,700.00DNot applicableNot applicableNot applicableSG140MLBClinical notes with planned line of treatmentEndoscopic report/ Detailed discharge summary/ treatment details/ detailed Procedure / Operative Notes.
710General SurgerySurgicalEndoscopic Repair of UreteroceleEndoscopic Repair of Ureterocele12,600.003Not applicableNot applicableNot applicableSG141MLAClinical 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
711General SurgerySurgicalExcision of Lingual ThyroidExcision of Lingual Thyroid18,400.003Not applicableNot applicableNot applicableSG142MLAClinical notesHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
712General SurgerySurgicalExcision of MolesExcision of Moles2,800.00DNot applicableNot applicableNot applicableSG143MLAClinical notes with planned line of treatmentProcedure note/ Treatment details/ all investigations reports.
713General SurgerySurgicalExcision of MolluscumcontagiosumExcision of Molluscumcontagiosum1,800.00DNot applicableNot applicableNot applicableSG144MLAClinical notes and biopsy findingsDetailed discharge summary/ treatment details/ detailed Procedure / Operative Notes.
714General SurgerySurgicalExploratory ThorocotomyExploratory Thorocotomy36,900.003Not applicableNot applicableNot applicableSG145MLACinical notes/ radiological evidence for indicationProcedure / Operative Notes/ HPE report/receipt (optional)/ post operative chect/abdomen X-ray/ Detailed Discharge Summary
715General SurgerySurgicalFacial DecompressionFacial Decompression36,200.003Not applicableNot applicableNot applicableSG146MLAMRI BRAIN/CT BRAIN +FACE/ clinical noteCT BRAIN +FACE / Procedure / Operative Notes/ Detailed Discharge Summary
716General SurgerySurgicalFibro Lipoma of Right Sided Spermatic with Lord ExcisionFibro Lipoma of Right Sided Spermatic with Lord Excision3,100.00DNot applicableNot applicableNot applicableSG147MLAClinical notes/ investigation to confirm diagnosis.Histopath (optional)/ Detailed Operative notes/ detailed discharge summary/ treatment details
717General SurgerySurgicalFibroma ExcisionFibroma Excision14,900.003Not applicableNot applicableNot applicableSG148MLAAdmission Notes comprising of history and examination with indications for the procedure/Investigations (establishing diagnosis)Investigations (establishing diagnosis)/ Detailed Operative notes/ detailed discharge summary
718General SurgerySurgicalFistula RepairFistula Repair12,400.003Not applicableNot applicableNot applicableSG149MLAClinical notes and confirmation of fistula and it's tract by Cystoscopy+Sigmoidoscopy+/-RGU+MCU Detailed Procedure / Operative Notes/ Detailed discharge summary
719General SurgerySurgicalFistulectomyFistulectomy20,000.003Not applicableNot applicableNot applicableSG150MLAClinical notes/ UGI Endoscopy confirming the diagnosisHistopathology report (if done)/ Detailed Operative notes & detailed discharge summary.
720General SurgerySurgicalFlap repairFlap repair12,500.001Not applicableNot applicableNot applicableSG151MLAClinical notes detailing the original pathology thet has led to this surgery with suporting investigation reportsDetailed Operative notes/ Detailed discharge summary
721General SurgerySurgicalGanglion (Dorsum Of Both Wrist) ExcisionGanglion (Dorsum Of Both Wrist) Excision9,100.003Not applicableNot applicableNot applicableSG152MLAclinical notes/CT/MRI/USGClinical photograph/USG/ treatment detailed
722General SurgerySurgicalGastrostomy ClosureGastrostomy Closure17,300.003Not applicableNot applicableNot applicableSG153MLAClinical notes and Endoscopy report +/- Video /Biopsy/ CT Scan confirming the diagnosis for which this surgery is doneDetailed Indoor case papers (ICPs)/ Detailed Operative notes/ Detailed discharge summary
723General SurgerySurgicalGunshot InjuryGunshot Injury45,700.003Not applicableNot applicableNot applicableSG154MLAClinical notes with planned line of treatment/ X-ray films with reportsX ray/ opertive notes/ Discharge summary
724General SurgerySurgicalHeller’S OperationHeller’S Operation33,000.003Not applicableNot applicableNot applicableSG155MLAClinical notes and X-ray/ CT/MRI/ UGIE findings / Barium Swallow Oesophagography / Contrast Oesophagography confirming the diagnosisDetailed ICPs Detailed discharge summary/ Detailed Operative notes
725General SurgerySurgicalHemi MandibulectomyHemi Mandibulectomy29,200.003Not applicableNot applicableNot applicableSG156MLAClinical note/ Biopsy /USG/X-RAY/CT ScanDetailed ICPs Detailed discharge summary/ Detailed Operative notes
726General SurgerySurgicalHemithyroplastyHemithyroplasty24,600.003Not applicableNot applicableNot applicableSG157MLAClinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
727General SurgerySurgicalHernioplastyHernioplasty14,900.003Not applicableNot applicableMesh - 30 X 30 - 16500 Mesh - 6 X 3 - Polypropylene - 2200 Mesh - 15 X 15 - 5500SG159MLAAdmission 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
728General SurgerySurgicalHernioplastyHernioplasty - Inguinal14,900.003Not applicableNot applicableMesh - 30 X 30 - 16500 Mesh - 6 X 3 - Polypropylene - 2200 Mesh - 15 X 15 - 5500SG159MLBAdmission 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/
729General SurgerySurgicalInfected Bunion Foot – ExcisionInfected Bunion Foot – Excision9,100.003Not applicableNot applicableNot applicableSG160MLAClinical note with Blood sugar level/ CBCPost treatment Blood sugar levels/ HbA1c/ Detailed Discharge Summary/ Detailed Operative notes
730General SurgerySurgicalInjury of Soft TissuesInjury of Soft Tissues6,300.003Not applicableNot applicableNot applicableSG161MLAClinical Photograph/Xray / Clinical notesClinical Photograph/ Xray / Detailed ICPs/ detailed discharge summary
731General SurgerySurgicalIsthmectomyIsthmectomy8,100.003Not applicableNot applicableNot applicableSG162MLAClinical notes and FNAC/ Biopsy/ Thyroid Function Test/USG confirming the diagnosisHistopath report/receipt/ Detailed discharge summary/ Detailed Operative notes
732General SurgerySurgicalPancreatic NecrosectomyLap.66,000.003Not applicableNot applicableNot applicableSG163MLAClinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
733General SurgerySurgicalLaparoscopic varicocelectomyLaparoscopic varicocelectomy16,900.003Not applicableNot applicableNot applicableSG164MLAClinical notes X-ray abdomen erect/ CT abdomen/Biopsy report/receipt/ USG/ detailed discharge summary/ Detailed Operative notes
734General SurgerySurgicalLaparotomyLaparotomy, peritonial lavage & drainage16,100.005Not applicableNot applicableNot applicableSG165MLAClinical notes X-ray abdomen erect/ CT abdomen/Biopsy/ USG/ detailed discharge summary/ Detailed Operative notes
735General SurgerySurgicalLaparotomyLaparotomy & reduction of Intussusception24,600.003Not applicableNot applicableNot applicableSG165MLBClinical notes X-ray abdomen erect/ CT abdomen/Biopsy report/receipt/ USG/ detailed discharge summary/ Detailed Operative notes
736General SurgerySurgicalLaryngopharyngectomyLaryngopharyngectomy25,000.003Not applicableNot applicableNot applicableSG166MLAClinical note/ Biopsy/USG / X-RAY/ CT ScanBiopsy report/receipt/ USG/ detailed discharge summary/ Detailed Operative notes
737General SurgerySurgicalLateral PancreaticojejunostomyLateral Pancreatico jejunostomy27,500.003Not applicableNot applicableNot applicableSG167MLAClinical notes and CT/ USG/ ERCP confirming the diagnosis/Histopath report/receipt/ detailed discharge summary and Detailed Operative notes
738General SurgerySurgicalMalrotation of Intestines OperationMalrotation of Intestines Operation41,000.003Not applicableNot applicableNot applicableSG168MLAClinical note with Invertogram or clinical photographDetailed discharge summary/ Detailed Operative notes
739General SurgerySurgicalOesophageal Intubation (Mausseau Barbin Tube)Oesophageal Intubation (Mausseau Barbin Tube)9,700.003Not applicableNot applicableNot applicableSG169MLAClinical note with CBC/LFT/ RFT/ RBS/ CECT Thorax/ abdomen/ Pelvis / Histopathology/UGI endoscospyProcedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
740General SurgerySurgicalOperations for Hydronephrosis Endoplyelotomy RetrogradeOperations for Hydronephrosis Endoplyelotomy Retrograde31,300.003Not applicableNot applicableNot applicableSG169MLBClinical 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.
741General SurgerySurgicalPancreatectomyPancreatectomy91,800.003Not applicableNot applicableNot applicableSG170MLBClinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
742General SurgerySurgicalPancreatectomyPancreatectomy Central71,300.003Not applicableNot applicableNot applicableSG170MLCClinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
743General SurgerySurgicalPancreatic Ring OperationPancreatic Ring Operation64,000.003Not applicableNot applicableNot applicableSG171MLAClinical notes and Sr Amylase/ CT/ USG/ ERCP justifying the surgery/Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
744General SurgerySurgicalPapilloma Rectum ExcisionPapilloma Rectum Excision10,600.00DNot applicableNot applicableNot applicableSG172MLAClinical notes and Colonoscopy +/- Biopsy justifying surgery/Histopath report/receipt/ detailed discharge summary / treatment details/ Detailed Operative notes
745General SurgerySurgicalParathyroidectomyParathyroidectomy35,600.004Not applicableNot applicableNot applicableSG173MLAClinical notes and USG/CT Scan/Nuclear Imaging confirming the diagnosis.Histopath report/receipt/ detailed discharge summary/ Detailed Operative notes
746General SurgerySurgicalParotid Tumour ExcisionParotid Tumour Excision28,000.003Not applicableNot applicableNot applicableSG174MLAClinical notes and USG/ CT / biopsyHPE report/receipt/ Detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes/ detailed discharge summary
747General SurgerySurgicalPhimosis Under LAPhimosis Under LA5,600.003Not applicableNot applicableNot applicableSG175MLAClinical Notes comprising of history and examination findings with indications for the procedureDetailed Procedure / Operative Notes/ Detailed discharge summary / Treatment details
748General SurgerySurgicalPhytomatous Growth In The Scalp – ExcisionPhytomatous Growth In The Scalp – Excision37,800.003Not applicableNot applicableNot applicableSG176MLAHPE/Clinical notes with planned line of treatment/Procedure / Operative Notes/ HPE report/receipt/ Detailed Discharge Summary
749General SurgerySurgicalProlapse of Rectal MassProlapse of Rectal Mass17,100.002Not applicableNot applicableNot applicableSG177MLAClinical notes +/- Colonoscopy confirming the diagnosis of prolapseDetailed discharge summary/ Detailed Operative notes
750General SurgerySurgicalRectal biopsyRectal biopsy17,300.003Not applicableNot applicableNot applicableSG178MLAClinical notes with supporting investigationsPic of specimen/ Histopathology report/receipt/ discharge summary
751General SurgerySurgicalRectopexyOpen24,800.003Not applicableNot applicableNot applicableSG179MLAClinical notes with planned line of treatment and Biopsy/MRIProcedure / Operative Notes/ HPE report if done/ Detailed Discharge Summary
752General SurgerySurgicalRectopexyLaparoscopic24,800.003Not applicableNot applicableNot applicableSG179MLBClinical notes with planned line of treatment and Biopsy/MRIProcedure / Operative Notes/ HPE report if done/ Detailed Discharge Summary
753General SurgerySurgicalRenal Calculi With UTIRenal Calculi With UTI25,200.003Not applicableNot applicableNot applicableSG180MLAClinical notes detailing history / Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed reports of all investigations done and consultation paper of treating doctor/ culture & sensitivity report and Evidence of 3 weeks medicines
754General SurgerySurgicalSarcoma excisionSarcoma excision14,200.003Not applicableNot applicableNot applicableSG181MLAClinical notes and USG/ CT / biopsyHPE report/receipt/ detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes/ detailed discharge summary
755General SurgerySurgicalScrotal abscess drainageScrotal abscess drainage3,000.003Not applicableNot applicableNot applicableSG182MLAClinical notes and CTPus C/s/ Post procedure Imaging with film (CT)/ Detailed discharge summary/ Detailed Procedure / Operative Notes
756General SurgerySurgicalSphineterotomySphineterotomy16,200.003Not applicableNot applicableNot applicableSG183MLAClinical notes with planned line of treatment and CECTProcedure / Operative Notes/ HPE report if done/ Detailed Discharge Summary
757General SurgerySurgicalSpindle Cell Tumor – ExcisionSpindle Cell Tumor – Excision8,100.003Not applicableNot applicableNot applicableSG184MLAClinical notes and USG/ CT / biopsyHPR/ detailed Procedure / Operative Notes/ Detailed Procedure / Operative Notes/ detailed discharge summary
758General SurgerySurgicalSplenorenal ShuntSplenorenal Shunt25,300.003Not applicableNot applicableNot applicableSG185MLAClinical notes and CT/MRIDetailed discharge summary/ Detailed Procedure / Operative Notes.
759General SurgerySurgicalSwelling Over Scapular RegionSwelling Over Scapular Region13,900.003Not applicableNot applicableNot applicableSG186MLAClinical notes/ investigation to confirm diagnosis.Histopath report/receipt/ Detailed Operative notes/ detailed discharge summary
760General SurgerySurgicalSyndactyly of Hand for Each HandSyndactyly of Hand for Each Hand17,300.003Not applicableNot applicableNot applicableSG187MLAClinical notes and X Ray/clinical photograph justifying the indicationDetailed Procedure / Operative Notes. Detailed summary
761General SurgerySurgicalThyroid Adenoma ResectionThyroid Adenoma Resection28,000.003Not applicableNot applicableNot applicableSG188MLAClinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
762General SurgerySurgicalThyroplastyThyroplasty24,600.003Not applicableNot applicableNot applicableSG189MLAClinical notes and Thyroid Function Test/ FNAC/USG confirming the diagnosis and justifying the surgery.Histopath report/receipt/ Detailed Operative notes/ Detailed discharge summary
763General SurgerySurgicalTracheoplasty (Throat)Tracheoplasty (Throat)17,000.003Not applicableNot applicableNot applicableSG190MLAClinical notes with planned line of treatment justifying indicationProcedure / Operative Notes/Histopathology report/receipt/ detailed discharge
764General SurgerySurgicalUpper GI endoscopyUpper GI endoscopy1,700.00DNot applicableNot applicableNot applicableSG191MLAClinical notes with planned line of treatmentClinical note with endoscopic findings or report
765General SurgerySurgicalUpper GI endoscopyWith Biopsy2,400.00DNot applicableNot applicableNot applicableSG191MLBClinical note with USG/CT Abd/Endoscopy/Biopsyclinical note with endoscopic findings/ biopsy report/receipt
766General SurgerySurgicalUpper GI endoscopyWith Injection5,800.00DNot applicableNot applicableNot applicableSG191MLCClinical note with USG/CT Abd/Endoscopy/BiopsyDetailed Procedure / Operative Notes
767General SurgerySurgicalUpper GI endoscopyWith Sclerotherapy7,600.003Not applicableNot applicableNot applicableSG191MLDClinical note with USG/CT Abd/Endoscopy/BiopsyDetailed Procedure / Operative Notes
768General SurgerySurgicalUpper GI endoscopyWith Banding8,000.003Not applicableNot applicableNot applicableSG191MLEClinical note with USG/CT Abd/Endoscopy/BiopsyDetailed Procedure / Operative Notes
769General SurgerySurgicalUpper GI endoscopyWith Foreign Body Removal12,400.003Not applicableNot applicableNot applicableSG191MLFClinical note with USG/CT Abd/Endoscopy/BiopsyDetailed Procedure / Operative Notes
770General SurgerySurgicalUpper GI endoscopyWith NG Tube Placement12,400.003Not applicableNot applicableNot applicableSG191MLGClinical note with USG/CT Abd/Endoscopy/BiopsyDetailed Procedure / Operative Notes
771General SurgerySurgicalUpper GI endoscopyWith Oesophageal Dilatation (Savary)12,400.003Not applicableNot applicableNot applicableSG191MLHClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
772General SurgerySurgicalVasectomyVasectomy2,800.00DNot applicableNot applicableNot applicableSG192MLAClinical notesDetailed Operative notes/ Detailed discharge summary/ Treatment details
773General SurgerySurgicalWarren's ShuntWarren's Shunt22,900.003Not applicableNot applicableNot applicableSG193MLAClinical note/ Color-flow Doppler imaging/ USGDetailed discharge summary/ detailed Procedure / Operative Notes
774General SurgerySurgicalPVD With LF Lower Digital GangrenePVD With LF Lower Digital Gangrene11,000.003Not applicableNot applicableNot applicableSG195MLAClinical notes with planned line of treatment detailing extent of damage.Detailed Operative notes/ detailed discharge summary
775General SurgerySurgicalSeptoplastySeptoplasty16,800.001Local Anesthesia/ General AnesthesiaNone/ "+" 6600Not applicableSL009AIndication for this surgery with supporting medical records/ MLC/FIR for traumatic injuries/ Endoscopic pictureDetailed Procedure / Operative Notes. Detailed discharge summary
776General SurgerySurgicalThyroglossal or Branchial Cyst/ Sinus/ Fistula - ExcisionThryoglossal Cyst Excision22,000.002Not applicableNot applicableNot applicableSL018AClinical notesHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
777General SurgerySurgicalThyroglossal or Branchial Cyst/ Sinus/ Fistula - ExcisionThryoglossal Sinus Excision22,000.002Not applicableNot applicableNot applicableSL018BClinical notesHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
778General SurgerySurgicalThyroglossal or Branchial Cyst/ Sinus/ Fistula - ExcisionThryoglossal Fistula Excision22,000.002Not applicableNot applicableNot applicableSL018CClinical notesHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
779General SurgerySurgicalThyroglossal or Branchial Cyst/ Sinus/ Fistula - ExcisionBranchial Sinus Excision22,000.003Not applicableNot applicableNot applicableSL018DClinical notesHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
780General SurgerySurgicalThyroglossal or Branchial Cyst/ Sinus/ Fistula - ExcisionBranchial Fistula Excision22,000.003Not applicableNot applicableNot applicableSL018EClinical notesHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
781General SurgerySurgicalParotidectomyTotal35,700.002Not applicableNot applicableNot applicableSL021AClinical notes/ CT Scan/FNACHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
782General SurgerySurgicalParotidectomySuperficial Parotidectomy36,900.003Not applicableNot applicableNot applicableSL021BClinical notes/ CT Scan/FNACHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
783General SurgerySurgicalParotidectomyRadical36,900.005Not applicableNot applicableNot applicableSL021MLAClinical notes/ CT Scan/FNACHistopathology report/ detailed Procedure / Operative Notes. Detailed discharge summary
784General SurgerySurgicalParotidectomyConservative31,000.005Not applicableNot applicableNot applicableSL021MLBClinical notes/ CT Scan/FNACHistopathology report/ detailed Procedure / Operative Notes. Detailed discharge summary
785General SurgerySurgicalRemoval of Submandibular Salivary Gland/ Lymph Node/ RanulaRemoval of Submandibular Salivary Gland31,900.003Local Anesthesia/ General AnesthesiaNone/ "+" 6600Not applicableSL022AClinical notes to establish indication/ Biopsy of tumourHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
786General SurgerySurgicalRemoval of Submandibular Salivary Gland/ Lymph Node/ RanulaRemoval of Ranula31,900.003Local Anesthesia/ General AnesthesiaNone/ "+" 6600Not applicableSL022BClinical notes/ MLC/FIR for traumatic injuries and circumstances of the incident which led to rupture of salivary ductHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
787General SurgerySurgicalRemoval of Submandibular Salivary Gland/ Lymph Node/ RanulaRemoval of Submandibular Lymph Node23,800.003Local Anesthesia/ General AnesthesiaNone/ "+" 6600Not applicableSL022CClinical notes to establish indication/ Biopsy of tumourHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
788General SurgerySurgicalNeck dissectionSelective Benign neck tumour excision25,900.003Not applicableNot applicableNot applicableSL027AIndication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumoursHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
789General SurgerySurgicalNeck dissectionComprehensive Benign neck tumour excision25,900.003Not applicableNot applicableNot applicableSL027BIndication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumoursHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
790General SurgerySurgicalNeck dissectionSelective Pharyngeal diverticulum excision25,900.003Not applicableNot applicableNot applicableSL027CIndication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumoursHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
791General SurgerySurgicalNeck dissectionComprehensive Pharyngeal diverticulum excision25,900.003Not applicableNot applicableNot applicableSL027DIndication for surgery with supporting investigation reports (X-ray/ CT/MRI)/ FNAC / Biospy in case of tumoursHistopathology report/receipt/ detailed Procedure / Operative Notes. Detailed discharge summary
792General SurgerySurgicalDeep neck abscess drainage/ Post trauma neck explorationDeep neck abscess drainage18,500.002Not applicableNot applicableNot applicableSL028AClinical notes and clinical photograph/investigation supporting diagnosisC/S of pus/ post procedure/ detailed Procedure / Operative Notes/ detailed discharge summary
793General SurgerySurgicalDeep neck abscess drainage/ Post trauma neck explorationPost trauma neck exploration23,100.002Not applicableNot applicableNot applicableSL028BClinical notes and clinical photograph/investigation supporting diagnosisPost procedure/ detailed Procedure / Operative Notes/ detailed discharge summary
794General SurgerySurgicalAbbe OperationAbbe Operation15,200.002Not applicableNot applicableNot applicableSL036MLAClinical notes and reportHistopath (if done)/ Detailed Operative notes/ Detailed discharge summary
795General SurgerySurgicalNasal PackingNasal Packing with Catheter/ sponge1,400.00DNot applicableNot applicableNot applicableSL053MLAClinical notes with planned line of treatmentClinical note/ Treatment details
796General SurgerySurgicalNasal PackingNasal Packing800.00DNot applicableNot applicableNot applicableSL053MLBClinical notes with planned line of treatmentClinical note/ Treatment details
797General SurgerySurgicalDiagnostic LaproscopyDiagnostic / Staging laparoscopy15,600.003Not applicableNot applicableNot applicableSO039AAdmission Notes comprising of history and examination/ Relavant Investigations (establishing diagnosis)Detailed Procedure / Operative Notes together with indication of surgery/ Progress notes/detailed discharge summary.
798General SurgerySurgicalLaparoscopic CystectomyLaparoscopic Cystectomy27,100.003Not applicableNot applicableNot applicableSO041AAdmission 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.
799General SurgerySurgicalHemangiomaExcision55,400.003Not applicableNot applicableNot applicableSP007CClinical notesInvoice of sclerosing agent used. Detailed discharge summary/ Detailed Procedure / Operative Notes.
800General SurgerySurgicalSurgery for Hirschsprung’s DiseaseMyectomy56,800.002Not applicableNot applicableNot applicableSS008AClinical notes and USG/ Dye testHistopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
801General SurgerySurgicalSurgery for Hirschsprung’s DiseasePull Through42,200.005Not applicableNot applicableNot applicableSS008BClinical notes and USG/ Dye testHistopathology if done/ detailed Procedure / Operative Notes/ detailed discharge summary
802General SurgerySurgicalSurgery for Hirschsprung’s DiseaseRectal Biopsy - Punch56,800.001Not applicableNot applicableNot applicableSS008CClinical notes and USG/ Dye testHistopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
803General SurgerySurgicalSurgery for Hirschsprung’s DiseaseRectal Biopsy - Open56,800.002Not applicableNot applicableNot applicableSS008DClinical notes and USG/ Dye testHistopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
804General SurgerySurgicalSurgery for Hirschsprung’s DiseaseSphinecterotomy21,800.003Not applicableNot applicableNot applicableSS008EClinical notes and USG/ Dye testHistopathology report/receipt/ detailed Procedure / Operative Notes/ detailed discharge summary
805General SurgeryMedicalConservative Management of Head InjurySevere0.005Routine Ward1000Not applicableST001AClinical notes with planned line of treatmentDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
806General SurgerySurgicalConservative Management of Head InjuryDepressed Fracture0.005Routine Ward5000Not applicableST001BClinical notes with planned line of treatment including planned line of treatment/ X-ray films with reportsDetailed ICPs/ Discharge summary
807General SurgerySurgicalHead Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)Head Injury with repair of Facio-Maxillary Injury & Fixations (Including Implants)42,700.005Not applicableNot applicableNot applicableST002AClinical notes detailing the injury and need of surgery. MLC/ FIR with X-ray/ CT/Detailed discharge summary/ Detailed operatives notes
808General SurgerySurgicalCraniotomy and Evacuation of Haematoma with Fixation of Fracture of Long BoneSubdural Hematoma along with Fixation of Fracture of Single Long Bone82,500.005Not applicableNot applicableNot applicableST003AClinical 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
809General SurgerySurgicalCraniotomy and Evacuation of Haematoma with Fixation of Fracture of Long BoneExtradural Hematoma along with Fixation of Fracture of Single Long Bone82,500.005Not applicableNot applicableNot applicableST003BClinical 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
810General SurgerySurgicalCraniotomy and Evacuation of Haematoma with Fixation of Fracture of Long BoneSubdural Hematoma along with Fixation of Fracture of 2 or more Long Bones103,200.005Not applicableNot applicableNot applicableST003CClinical 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
811General SurgerySurgicalCraniotomy and Evacuation of Haematoma with Fixation of Fracture of Long BoneExtradural Hematoma along with Fixation of Fracture of 2 or more Long Bones103,200.005Not applicableNot applicableNot applicableST003DClinical 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
812General SurgerySurgicalManagement of Chest Injury with Fracture of Long BoneManagement of Chest Injury with Fixation of Single Long Bone38,500.005Not applicableNot applicableNot applicableST004AClinical 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
813General SurgerySurgicalManagement of Chest Injury with Fracture of Long BoneManagement of Chest Injury with Fixation of 2 or More Long Bones49,500.005Not applicableNot applicableNot applicableST004BClinical 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
814General SurgerySurgicalManagement of Visceral Injury and Fracture Long BoneSurgical Intervention for Visceral Injury and Fixation of Fracture of Single Long Bone41,300.005Not applicableNot applicableNot applicableST005AClinical 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
815General SurgerySurgicalManagement of Visceral Injury and Fracture Long BoneSurgical Intervention for Visceral Injury and Fixation of Fracture of 2 or More Long Bones61,900.005Not applicableNot applicableNot applicableST005BClinical 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
816General SurgerySurgicalInternal Fixation of Pelviacetabular FractureInternal Fixation of Pelviacetabular Fracture44,000.005Not applicableNot applicableNot applicableST006AClinical 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
817General SurgerySurgicalInternal Fixation with Flap Cover Surgery for Wound in Compound FractureInternal Fixation with Flap Cover Surgery for Wound in Compound Fracture44,000.005Not applicableNot applicableNot applicableST007AClinical notes and PRE OP CLINICAL PICTURE/X-RAY/CTPost- op Clinical Photograph showing implant for fixation and flap cover/ detailed discharge summary/ Detailed operatives notes
818General SurgeryMedicalEmergency tendons repair ± Peripheral Nerve repair/ reconstructive surgeryEmergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery41,300.005Not applicableNot applicableNot applicableST008AClinical 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
819General SurgerySurgicalManagement of Nerve Plexus / Tendon Injuries RepairNerve Plexus injury repair55,000.005Not applicableNot applicableNot applicableST009AClinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)Detailed discharge summary/ Detailed operatives notes
820General SurgerySurgicalManagement of Nerve Plexus / Tendon Injuries RepairNerve Plexus injury reconstruction55,000.005Not applicableNot applicableNot applicableST009BClinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)Detailed discharge summary/ Detailed operatives notes
821General SurgerySurgicalManagement of Nerve Plexus / Tendon Injuries RepairTendon injury repair55,000.005Not applicableNot applicableNot applicableST009CClinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)Detailed discharge summary/ Detailed operatives notes
822General SurgerySurgicalManagement of Nerve Plexus / Tendon Injuries RepairTendon injury reconstruction55,000.005Not applicableNot applicableNot applicableST009DClinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)Detailed discharge summary/ Detailed operatives notes
823General SurgerySurgicalManagement of Nerve Plexus / Tendon Injuries RepairTendon transfer55,000.005Not applicableNot applicableNot applicableST009EClinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) +/- MRI + /- EMG(Electromyography)Detailed discharge summary/ Detailed operatives notes
824General SurgerySurgicalPlexus Injury along with Vascular Injury Repair/ GraftPlexus Injury along With Vascular Injury Repair66,000.005Not applicableNot applicableNot applicableST010AClinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)Detailed discharge summary/ Detailed operatives notes
825General SurgerySurgicalPlexus Injury along with Vascular Injury Repair/ GraftPlexus Injury along with Vascular Injury Graft82,500.005Not applicableNot applicableNot applicableST010BClinical notes detailing the injury and need of surgery. MLC/ FIR +/- Nerve conduction velocity (NCV) + /- MRI + /- MRA + /- EMG (Electromyography)Detailed discharge summary/ Detailed operatives notes
826General SurgerySurgicalAortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypassAortic Arch Replacement using bypass226,900.0012Not applicableNot applicableArch Graft - 93500 Coselli Graft - 93500 Complex grafts other than Arch Graft & Coseli Graft - 93500SV015AClinical notes and angio / CT angio / MRI reportsDetailed procedure notes/ detailed discharge summary.
827General SurgerySurgicalAortic Arch Replacement / Thoracoabdominal aneurysm Repair using bypassThoracoabdominal aneurysm Repair using bypass226,900.0012Not applicableNot applicableArch Graft - 93500 Coselli Graft - 93500 Complex grafts other than Arch Graft & Coseli Graft - 93500SV015BClinical notes and angio / CT angio / MRI reportsDetailed procedure notes/ detailed discharge summary.
828General SurgerySurgicalAortic Aneurysm RepairAortic Aneurysm Repair using Cardiopulmonary bypass (CPB)165,000.0010Not applicableNot applicableDacron Graft - Straight - 33000SV016AClinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysmDetailed procedure notes/ detailed discharge summary.
829General SurgerySurgicalAortic Aneurysm RepairAortic Aneurysm Repair using Left Heart Bypass165,000.0010Not applicableNot applicableDacron Graft - Straight - 33000SV016BClinical notes and ECHO / Angio / CT angio / MRI reports showing aneurysmDetailed procedure notes/ detailed discharge summary.
830General SurgerySurgicalAortic Aneurysm RepairAortic Aneurysm Repair without using Cardiopulmonary bypass (CPB)99,100.0010Not applicableNot applicableDacron Graft - Straight - 33000SV016CClinical notes angio / CT angio / MRI reportsDetailed procedure notes/ detailed discharge summary.
831General SurgerySurgicalAortic Aneurysm RepairAortic Aneurysm Repair without using Left Heart Bypass99,100.0010Not applicableNot applicableDacron Graft - Straight - 33000SV016DClinical notes angio / CT angio / MRI reportsDetailed procedure notes/ detailed discharge summary.
832General SurgerySurgicalThromboembolectomyThromboembolectomy42,400.004Not applicableNot applicableNot applicableSV020ASoon as documents are uploaded/ confirm evidence of embolus/ Thrombus in duples USG/ AngioDetailed discharge summary and operative notes
833General SurgerySurgicalForeign Body Removal with scopeForeign Body Removal with scope30,300.002Not applicableNot applicableNot applicableSV025AClinical notes and Radiological evidence of foreign bodyDetailed Operative notes/ Detailed discharge summary/ Photograph of Removed Foreign body
834General SurgerySurgicalSpace - Occupying Lesion (SOL) mediastinumSpace - Occupying Lesion (SOL) mediastinum99,100.0010Not applicableNot applicableNot applicableSV027AClinical notes and CT ChestDetailed discharge summary/ Detailed Operation notes/ HPE of SOL
835General SurgerySurgicalIsolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & PhysiotherapyIsolated Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy15,200.004Not applicableNot applicableNot applicableSV028AClinical notes detailing need of ICD/ X-ray chestDetailed procedure notes. Detailed discharge summary
836General SurgerySurgicalAcute intestinal obstructionAcute intestinal obstruction31,600.005Not applicableNot applicableNot applicableSL054MLAClinical notes with planned line of treatment/ investigation confirming diagnosisDetailed Operative notes/ Detailed discharge summary
837General SurgerySurgicalHernia RepairInguinal18,500.005Not applicableNot applicableNot applicableSS013MLAClinical notes and X-ray/ USG + UGI EndoscopyDetailed Operative notes & discharge summary
838General SurgerySurgicalHernia & HydroceleHernia & Hydrocele27,500.005Not applicableNot applicableNot applicableSS015AClinical notes and USGdetailed Procedure / Operative Notes/ detailed Procedure / Operative Notes/
839General SurgerySurgicalLaparotomy lavage & drainageLaparotomy lavage & drainage12,700.003Not applicableNot applicableNot applicableSS025MLAClinical notes detailing original pathology that led to peritonitis/ supported by X Ray/USG/CT Scan AbdomenAnalysis 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.
840General SurgerySurgicalTONGUE LACERATIONRepair of tongue laceration19,300.004Not applicableNot applicableNot applicableSS026AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
841General surgeryMedicalDJ Stent RemovalDJ Stent Removal5,000.00DNot applicableNot applicableNot applicableSU034AX-ray KUB films/ Earlier Discharge Summary of DJ StentingClinical note with Treatment details/ report of any investigations done.
842High-end ProceduresSurgicalUSG guided percutaneous Radiofrequency Ablation (RFA)USG guided percutaneous Radiofrequency Ablation (RFA)29,300.00NANot applicableNot applicableNot applicableHEP001MLAClinical notes and CT/MRI confirming the diagnosis and need of procedureDetailed discharge summary/ Detailed Procedure / Operative Notes
843High-end ProceduresSurgicalUSG guided percutaneous Microwave Ablation (MWA)USG guided percutaneous Microwave Ablation (MWA)33,700.00NANot applicableNot applicableNot applicableHEP002MLAClinical notes and CT/MRI confirming the diagnosis and need of procedureDetailed discharge summary/ Detailed Procedure / Operative Notes
844High-end ProceduresSurgicalCT guided percutaneous Radiofrequency Ablation (RFA)CT guided percutaneous Radiofrequency Ablation (RFA)31,900.00NANot applicableNot applicableNot applicableHEP003MLAClinical notes and CT/MRI confirming the diagnosis and need of procedureDetailed discharge summary/ Detailed Procedure / Operative Notes
845High-end ProceduresSurgicalCT guided percutaneous Microwave Ablation (MWA)CT guided percutaneous Microwave Ablation (MWA)36,300.00NANot applicableNot applicableNot applicableHEP004MLAClinical notes and CT/MRI confirming the diagnosis and need of procedureDetailed discharge summary/ Detailed Procedure / Operative Notes
846High-end ProceduresSurgicalUSG guided percutaneous catheter drainageUSG guided percutaneous catheter drainage6,400.00NANot applicableNot applicableNot applicableHEP005MLAClinical notes and CT/MRI confirming the diagnosis and need of procedureDetailed discharge summary/ Detailed Procedure / Operative Notes
847High-end ProceduresSurgicalCerebral angiogramUnder LA6,400.00NANot applicableNot applicableNot applicableHEP006MLAClinical notes and CT/MRI confirming the diagnosis and need of procedureDetailed discharge summary/ Detailed Procedure / Operative Notes
848High-end ProceduresSurgicalCerebral angiogramUnder GA20,800.00NANot applicableNot applicableNot applicableHEP006MLBClinical notes and CT/MRI confirming the diagnosis and need of procedureDetailed discharge summary/ Detailed Procedure / Operative Notes
849High-end ProceduresSurgicalSpinal AngiogramUnder GA20,800.00NANot applicableNot applicableNot applicableHEP007MLAClinical notes and CT/MRI confirming the diagnosis and need of procedureDetailed discharge summary/ Detailed Procedure / Operative Notes
850High-end ProceduresSurgicalPlasmapheresisPlasmapheresis77,000.00NANot applicableNot applicableNot applicableHEP008MLAClinical notes and CT/MRI confirming the diagnosis and need of procedureDetailed discharge summary/ Detailed Procedure / Operative Notes
851Infectious DiseasesMedicalTreatment of COVID-19 InfectionPrivate hospitals0.007General ward without oxygen requirement/ General ward with oxygen requirement/ HDU/ ICU - without ventilator/ ICU - with non-inavise ventilator/ ICU - with invasive ventilator7000/ 11500/ 14000/ 18000/ 20000Not applicableCOVID19DMGClinical note/ Blood culture/ CBC/ XR Chest/ CT ChestBlood culture/ CBC/ XR Chest/ CT Chest/ detailed discharge summary
852Infectious DiseasesMedicalTreatment of COVID-19 InfectionPublic hospitals0.007General ward without oxygen requirement/ General ward with oxygen requirement/ ICU - with non-inavise ventilator/ ICU - with invasive ventilator1200/ 1500/ 2500/ 3000Not applicableCOVID19EMGClinical note/ Blood culture/ CBC/ XR Chest/ CT ChestBlood culture/ CBC/ XR Chest/ CT Chest/ detailed discharge summary
853Infectious DiseasesMedicalTreatment of systemic fungal infectionsTreatment of systemic fungal infections0.007Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableID004MLAClinical 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 chargesBlood culture/ CBC/ RFT/ RBS/ XR Chest/ CT Thorax/ detailed discharge summary
854Interventional NeuroradiologyMedicalDural AVMs/AVFsDural AVMs with glue77,000.005Not applicableNot applicableNot applicableIN001AClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
855Interventional NeuroradiologyMedicalDural AVMs/AVFsDural AVFs with glue77,000.005Not applicableNot applicableNot applicableIN001BClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
856Interventional NeuroradiologyMedicalDural AVMs/AVFsDural AVMs with onyx165,000.005Not applicableNot applicableNot applicableIN001CClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
857Interventional NeuroradiologyMedicalDural AVMs/AVFsDural AVFs with onyx165,000.005Not applicableNot applicableNot applicableIN001DClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
858Interventional NeuroradiologyMedicalCerebral & spinal AVM embolizationusing histoacryl cerebral & spinal AVM embolization110,000.005Not applicableNot applicableNot applicableIN002AClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
859Interventional NeuroradiologyMedicalCerebral & spinal AVM embolizationUsing histoacryl110,000.005Not applicableNot applicableNot applicableIN002BClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed Procedure / Operative Notes/ Invoice / bar code of glue used/ Detailed Discharge Summary
860Interventional NeuroradiologyMedicalCoil embolization for aneurysmsCoil embolization for aneurysms110,000.005Not applicableNot applicableNot applicableIN003AClinical notes and CT Angio/MRA/ DSA confirming the diagnosis for which the procedure is donePost procedure x-ray showing coils/ Detailed Procedure / Operative Notes. Invoice / bar code of used coil / balloon / stent/ detailed discharge summary
861Interventional NeuroradiologyMedicalCarotico-cavernous fistula (CCF) embolizationWith coil206,300.005Not applicableNot applicableNot applicableIN004AClinical notes and CT/MRI/ DSA confirming the diagnosisPost procedure x-ray showing coils/ Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories/ detailed discharge summary
862Interventional NeuroradiologyMedicalCarotico-cavernous fistula (CCF) embolizationWith balloon103,200.005Not applicableNot applicableNot applicableIN004BClinical notes and CT/MRI/ DSA confirming the diagnosisPost procedure x-ray showing balloon/ Detailed Procedure / Operative Notes. Invoice / bar code of used coil / catheter and other accessories/ detailed discharge summary
863Interventional NeuroradiologyMedicalPreoperative tumour embolizationPreoperative tumour embolization44,000.005Not applicableNot applicableNot applicableIN005AClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed discharge summary/ Detailed Procedure / Operative Notes. Invoices / bar code of embolic agent used.
864Interventional NeuroradiologyMedicalIntracranial balloon angioplasty with stentingIntracranial balloon angioplasty with stenting220,000.005Not applicableNot applicableNot applicableIN006AClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed discharge summary/ Detailed Procedure / Operative Notes. Invoices / bar code of balloon and stent
865Interventional NeuroradiologyMedicalIntracranial thrombolysis / clot retrievalIntracranial thrombolysis / clot retrieval220,000.005Not applicableNot applicableNot applicableIN007AClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed discharge summary/ Detailed Procedure / Operative Notes. Invoices / bar code of thrombolytic agentused.
866Interventional NeuroradiologyMedicalBalloon test occlusionBalloon test occlusion96,300.005Not applicableNot applicableNot applicableIN008AClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed discharge summary/ Detailed Procedure / Operative Notes.
867Interventional NeuroradiologyMedicalParent vessel occlusion - basicParent vessel occlusion - basic41,300.005Not applicableNot applicableCoil for Parent Vessel Occlusion - 26400 Balloon for Parent Vessel Occlusion - 12100 Additional coil for coil embolization for aneurysms - 26400IN009AClinical notes and CT/MRI/ DSA confirming the diagnosisDetailed Procedure / Operative Notes with procedure deployed/ detailed discharge summary/ invoice / bar code of coil used
868Interventional NeuroradiologyMedicalVertebroplastyVertebroplasty55,800.005Not applicableNot applicableNot applicableIN010AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
869Interventional NeuroradiologyMedicalCatheter directed ThrombolysisFor Deep vein thrombosis (DVT)57,500.002Not applicableNot applicableNot applicableMC002AClinical notes and doppler establishing presence of DVTPost procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
870Interventional NeuroradiologyMedicalCatheter directed ThrombolysisFor Mesenteric Thrombosis57,500.002Not applicableNot applicableNot applicableMC002BClinical notes and doppler establishing presence of mesentric thrombosisPost procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
871Interventional NeuroradiologyMedicalCatheter directed ThrombolysisFor Peripheral vessels57,500.002Not applicableNot applicableNot applicableMC002CClinical notes and doppler establishing presence of peripheral vessel thrombosisPost procedure Colour Doppler of affected limb/part/ invoice of catheter used/ invoice of the thrombolytic drug (tPA) used/ Detailed Discharge Summary.
872Interventional NeuroradiologySurgicalNephrostomyPercutaneous - Ultrasound Guided40,000.001Not applicableNot applicableNot applicableSU008AClinical notes and USG confirming the indication and need of procedure.Detailed discharge summary/ detailed Procedure / Operative Notes
873Interventional NeuroradiologySurgicalNephrostomyOpen22,000.003Not applicableNot applicableNot applicableSU008CClinical notes and USG confirming the indication and need of procedure.Detailed discharge summary/ detailed Procedure / Operative Notes
874Interventional NeuroradiologyMedicalNephrostomyNephrostomy (PCN) - Follow Up1,200.00DNot applicableNot applicableNot applicableSU008BEarlier discharge summary / Clinical notes detailing history and any investigations done.Clinical note with Treatment details/ USG / X-RAY KUB
875Interventional RadiologyMedicalVertebroplastyPercutaneous transhepatic biliary stenting (SEMS) after prior PTBD39,100.007Not applicableNot applicableNot applicableIN010BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
876Interventional RadiologyMedicalPercutaneous cholangioplastyPercutaneous cholangioplasty16,700.007Not applicableNot applicableNot applicableIN011AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
877Interventional RadiologyMedicalHepatic venous wedge pressure measurement (HVPG)Hepatic venous wedge pressure measurement (HVPG)19,100.007Not applicableNot applicableLABS set - 0IN012AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
878Interventional RadiologyMedicalPlug-assisted retrograde transvenous obliteration (PARTO)Plug-assisted retrograde transvenous obliteration (PARTO)63,400.007Not applicableNot applicableLipoidol+coils(Vascular plug separate additional cost - 0IN013AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
879Interventional RadiologyMedicalTunnelled long-term venous catheterTunnelled long-term venous catheter16,100.007Not applicableNot applicableChemoport - 0IN014AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
880Interventional RadiologyMedicalTunelled longterm indwelling catheter for refractory ascites/pleural effusionTunelled longterm indwelling catheter for refractory ascites/pleural effusion18,400.007Not applicableNot applicablePermcath - 0IN014BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
881Interventional RadiologyMedicalPeripherally inserted central catheter (PICC)Peripherally inserted central catheter (PICC)9,800.007Not applicableNot applicableNot applicableIN015AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
882Interventional RadiologyMedicalPercutaneous antegrade uretric stenting after prior PCNPercutaneous antegrade uretric stenting after prior PCN18,300.007Not applicableNot applicableRF Probe for Tumor ablation - 0IN015BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
883Interventional RadiologyMedicalLymphatic occlusion of chylous leakLymphatic occlusion of chylous leak23,400.007Not applicableNot applicableMicrowave antenna - 0IN016AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
884Interventional RadiologyMedicalPVA particle embolization (without microcatheter)PVA particle embolization (without microcatheter)17,400.007Not applicableNot applicableLipidol+Coils(2) - 0IN017AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
885Interventional RadiologyMedicalGlue embolization (without microcatheter)Glue embolization (without microcatheter)27,700.007Not applicableNot applicableCoils(3 ) - 0IN018AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
886Interventional RadiologyMedicalGlue embolization (with microcatheter)Glue embolization (with microcatheter)44,600.007Not applicableNot applicableMicrocatheter+Coil (3) - 0IN018BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
887Interventional RadiologyMedicalCoil embolizationCoil embolization (without microcatheter)22,000.007Not applicableNot applicableMicrocatheter - 0IN019AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
888Interventional RadiologyMedicalAlcohol embolisationAlcohol embolisation32,300.007Not applicableNot applicableBalloon - 0IN019BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
889Interventional RadiologyMedicalPVA embolization (with microcatheter)PVA embolization (with microcatheter)41,800.007Not applicableNot applicableLipidol+Microcatheter+Coil - 0IN020AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
890Interventional RadiologyMedicalCoil embolization (with microcatheter)Coil embolization (with microcatheter)41,800.007Not applicableNot applicableVacsular Plug+Coils - 0IN021AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
891Interventional RadiologyMedicalVascular plug assisted embolizationVascular plug assisted embolization54,000.007Not applicableNot applicableMicrocatheter - 0IN022AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
892Interventional RadiologyMedicalAngioplasty (arterial)Angioplasty (arterial)39,500.007Not applicableNot applicableBalloon - 0IN025AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
893Interventional RadiologyMedicalAngioplasty (arterial)Angioplasty (arterial) using microguidewire and guiding catheter61,300.007Not applicableNot applicableBalloon +metallic stent - 0IN025BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
894Interventional RadiologyMedicalAngioplasty (arterial)Angioplasty and bare metal stenting (arterial) CTO lesion83,700.007Not applicableNot applicableBalloon + Covered stent - 0IN025CClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
895Interventional RadiologyMedicalAngioplasty (arterial)Angioplasty and covered stent placement (arterial)69,000.007Not applicableNot applicablemultiside hole thrombolysis catheter), r TPA , balloon - 0IN025DClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
896Interventional RadiologyMedicalAngioplasty (arterial)Catheter directed thrombolysis (arterial/venous)48,500.007Not applicableNot applicablemultiside hole thrombolysis catheter), r TPA , Thrombectomy Catheter - 0IN025EClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
897Interventional RadiologyMedicalThrombectomy followed by thrombolysis (arterial/venous)Thrombectomy followed by thrombolysis (arterial/venous)60,100.007Not applicableNot applicableBalloon - 0IN026AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
898Interventional RadiologyMedicalAngioplasty (venous)Angioplasty (venous)27,600.007Not applicableNot applicableBalloon+Metallic stent - 0IN027AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
899Interventional RadiologyMedicalAngioplasty (venous)Angioplasty and stenting hepatic vein69,100.007Not applicableNot applicableHigh Pressure large Ballon - 0IN027BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
900Interventional RadiologyMedicalAngioplasty (venous)Angioplasty (IVC/central vein) with high pressure balloon64,100.007Not applicableNot applicableBallon+High Pressure large Balloon+metallic stent - 0IN027CClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
901Interventional RadiologyMedicalAngioplasty (venous)Angioplasty and covered stent placement (venous)62,000.007Not applicableNot applicablebelow knee Balloon - 0IN027DClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
902Interventional RadiologyMedicalAngioplasty Below knee angioplastyAngioplasty Below knee angioplasty73,300.007Not applicableNot applicableDrug Coated balloon/Cutting Ballon - 0IN028AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
903Interventional RadiologyMedicalAngioplasty (complex): cutting balloon/drug coated balloonAngioplasty (complex): cutting balloon/drug coated balloon73,200.007Not applicableNot applicableGraft - 0IN029AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
904Interventional RadiologyMedicalFenestration of dissecting aneurysmFenestration of dissecting aneurysm41,000.007Not applicableNot applicableNot applicableIN030AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
905Interventional RadiologyMedicalPost EVAR endoleak managementPost EVAR endoleak management30,000.007Not applicableNot applicableNot applicableIN031AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
906Interventional RadiologyMedicalIVC filter placementIVC filter placement21,300.007Not applicableNot applicablemultiside hole thrombolysis catheter), r TPA , IVC filter - 0IN032AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
907Interventional RadiologyMedicalIVC filter Placeemnt with Catheter directed thrombolysis (arterial/venous)IVC filter Placeemnt with Catheter directed thrombolysis (arterial/venous)39,800.007Not applicableNot applicableRetrieval kit - 0IN032BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
908Interventional RadiologyMedicalIVC filter retrivalIVC filter retrival15,800.007Not applicableNot applicableNot applicableIN032CClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
909Interventional RadiologyMedicalMiscellaneous vacular IR procedureMiscellaneous vascular IR procedure13,100.007Not applicableNot applicableSnare - 0IN033AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
910Interventional RadiologyMedicalRetrival of intravascular foreign bodyRetrival of intravascular foreign body18,600.007Not applicableNot applicableNot applicableIN034AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
911Interventional RadiologyMedicalJoint/bursa interventionJoint/bursa intervention7,600.007Not applicableNot applicableNot applicableIN035AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
912Interventional RadiologyMedicalSacroiliac joint denervationSacroiliac joint denervation20,800.007Not applicableNot applicableNot applicableIN036CClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
913Interventional RadiologyMedicalFacet joint intra-articular intervention- CS/Thoracic/LSFacet joint intra-articular intervention- CS/Thoracic/LS7,600.007Not applicableNot applicableNot applicableIN037AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
914Interventional RadiologyMedicalmedian branch rhizotomy- CS/Thoracic/LSmedian branch rhizotomy- CS/Thoracic/LS20,800.007Not applicableNot applicableNot applicableIN037BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
915Interventional RadiologyMedicalRadiofrequency 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)20,800.007Not applicableNot applicableNot applicableIN038AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
916Interventional RadiologyMedicalPRP -suprascapular /tennis elbow/other tendonPRP -suprascapular /tennis elbow/other tendon7,600.007Not applicableNot applicableNucleotome set - 0IN039AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
917Interventional RadiologyMedicalPercutaneous Discotomy/nucleotomy using laser or nucleuotomePercutaneous Discotomy/nucleotomy using laser or nucleuotome18,600.007Not applicableNot applicableNot applicableIN040AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
918Interventional RadiologyMedicalNeural foraminal blockNeural foraminal block7,600.007Not applicableNot applicableRF probe - 0IN041AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
919Interventional RadiologyMedicalRadiofrequency Ablation (RFA) of bone tumor /metastases/osteoid osteomaRadiofrequency Ablation (RFA) of bone tumor /metastases/osteoid osteoma35,000.007Not applicableNot applicableMicrowave probe - 0IN041BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
920Interventional RadiologyMedicalMicrowave ablation of bone tumor /osteoid osteomaMicrowave ablation of bone tumor /osteoid osteoma43,800.007Not applicableNot applicableNot applicableIN042AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
921Interventional RadiologyMedicalDiskographyDiskography7,600.007Not applicableNot applicableBiopsy Gun - 0IN043AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
922Interventional RadiologyMedicalAngioplasty with medicated SFA stent /Specialised stent (arterial) CTO lesionAngioplasty with medicated SFA stent /Specialised stent (arterial) CTO lesion327,400.007Not applicableNot applicableHigh Pressure large Ballon+ specialised venous stent - 0IN044AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
923Interventional RadiologyMedicalAngioplasty (central vein/ CIV ) with high pressure balloon Aand specilaised venous stentAngioplasty (central vein/ CIV ) with high pressure balloon Aand specilaised venous stent228,600.007Not applicableNot applicableNot applicableIN045AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
924Interventional RadiologyMedicalStent RetrieverStroke-Stent Retreiver320,100.007Not applicableNot applicableNot applicableIN046AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
925Interventional RadiologyMedicalAspirationStroke-Aspiration Catheter341,300.007Not applicableNot applicableNot applicableIN047AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
926Interventional RadiologyMedicalIntervention for Acute stroke (Aspiration & stent retrival)Intervention for Acute stroke (Aspiration & stent retrival)432,500.007Not applicableNot applicableNot applicableIN048AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
927Interventional RadiologyMedicalEndovascular therapy for intracranial aneurysmAneurysm-5 Coil297,400.007Not applicableNot applicableNot applicableIN049AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
928Interventional RadiologyMedicalEndovascular therapy for intracranial aneurysmAneurysm-7 Coil353,900.007Not applicableNot applicableNot applicableIN049BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
929Interventional RadiologyMedicalEndovascular therapy for intracranial aneurysm5 Coil + Balloon379,900.007Not applicableNot applicableNot applicableIN049CClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
930Interventional RadiologyMedicalEndovascular therapy for intracranial aneurysm5 Coil + Balloon+Stent475,500.007Not applicableNot applicableNot applicableIN049DClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
931Interventional RadiologyMedicalEndovascular therapy for intracranial aneurysm7 Coil + Balloon+Stent521,700.007Not applicableNot applicableNot applicableIN049EClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
932Interventional RadiologyMedicalArteriovenous fistula (AVF)/Arteriovenous Malformation (AVM)Pial AVF (Single hole)132,400.007Not applicableNot applicableNot applicableIN050AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
933Interventional RadiologyMedicalArteriovenous fistula (AVF)/Arteriovenous Malformation (AVM)AVF143,400.007Not applicableNot applicableNot applicableIN050BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
934Interventional RadiologyMedicalArteriovenous fistula (AVF)/Arteriovenous Malformation (AVM)AVM (nidus upto 3 cm)172,400.007Not applicableNot applicableNot applicableIN050CClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
935Interventional RadiologyMedicalCarotid angioplasty & stentingCarotid stenting137,500.007Not applicableNot applicableNot applicableIN051AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
936Interventional RadiologyMedicalCarotid angioplasty & stentingCarotid stenting-membrane layered194,400.007Not applicableNot applicableNot applicableIN051BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
937Interventional RadiologyMedicalIntracranial stenting for Intracranialatheroscelorosis disease (ICAD)Intracranial stenting for Intracranialatheroscelorosis disease (ICAD)400,700.007Not applicableNot applicableNot applicableIN052AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
938Interventional RadiologyMedicalDural sinus stentingDural sinus stenting146,200.007Not applicableNot applicableNot applicableIN052BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
939Interventional RadiologyMedicalCarotid stenting with protection deviceCarotid stenting with protection device228,700.007Not applicableNot applicableNot applicableIN052CClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
940Interventional RadiologyMedicalVasospasm management-post coiling/clipping *Cost per sessionVasospasm management-post coiling/clipping *Cost pe89,000.007Not applicableNot applicableNot applicableIN052DClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
941Interventional RadiologyMedicalRetinoblastoma packageRetinoblastoma under GA99,200.007Not applicableNot applicableNot applicableIN053AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
942Interventional RadiologyMedicalPercutaneous cholecystostomyPercutaneous cholecystostomy24,300.007Not applicableNot applicableBalloon - 0IN054AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
943Interventional RadiologyMedicalPAIR / percutaneous sclerotherapy for Hydatid cystPAIR / percutaneous sclerotherapy for Hydatid cyst10,100.007Not applicableNot applicableBalloon+Metallic stent - 0IN055AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
944Interventional RadiologyMedicalOesophageal /gastric / duodenal / colonic stenting/balloon dilatationOesophageal /gastric / duodenal / colonic stenting/balloon dilatation26,300.007Not applicableNot applicableNot applicableIN056AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
945Interventional RadiologyMedicalTransjugular Liver biopsyTransjugular Liver biopsy19,400.007Not applicableNot applicableGastrostomy set - 0IN057AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
946Interventional RadiologyMedicalPercutaneous gastrostomyPercutaneous gastrostomy8,700.007Not applicableNot applicablelipoiodol+Microcather - 0IN058AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
947Interventional RadiologyMedicalTransarterial chemoembolization - conventional (cTACE)Transarterial chemoembolization - conventional (cTACE)66,000.007Not applicableNot applicableDEB+Microcather - 0IN059AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
948Interventional RadiologyMedicalTransarterial chemoembolization - Drug eluting beads (DEB-TACE)Transarterial chemoembolization - Drug eluting beads (DEB-TACE)56,700.007Not applicableNot applicableRUPS set,covered stent, uncovered stent,Balloon catheter - 0IN060AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
949Interventional RadiologyMedicalTransjugular intrahepatic portosystemic shunt creation (TIPSS) Direct transjugular Intrahepatic Portosystemic shunt(DIPSS)Transjugular intrahepatic portosystemic shunt creation (TIPSS) Direct transjugular Intrahepatic Portosystemic shunt(DIPSS)104,200.007Not applicableNot applicablelipoiodol+Ballon+coils 2 - 0IN061AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
950Interventional RadiologyMedicalBalloon-occluded retrograde transvenous obliteration (BRTO)Balloon-occluded retrograde transvenous obliteration (BRTO)56,100.007Not applicableNot applicableVacsular Plu+coil+lipoidol - 0IN062AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
951Interventional RadiologyMedicalPre-operative portal vein embolizationPre-operative portal vein embolization36,700.007Not applicableNot applicablePleurex kit - 0IN063AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
952Interventional RadiologyMedicalChemoport/implantable linesChemoport/implantable lines16,100.007Not applicableNot applicablePICC line - 0IN064AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
953Interventional RadiologyMedicalPrimary percutaneous antegrade uretric stentingPrimary percutaneous antegrade uretric stenting26,600.007Not applicableNot applicableSilicon Stent - 0IN065AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
954Interventional RadiologyMedicalUSG guided percutaneous ganglion/plexus block (Neuronolysis)USG guided percutaneous ganglion/plexus block (Neuronolysis)12,500.007Not applicableNot applicableNot applicableIN066AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
955Interventional RadiologyMedicalCT guided percutaneous ganglion/plexus block (Neuronolysis)CT guided percutaneous ganglion/plexus block (Neuronolysis)15,800.007Not applicableNot applicableVertebroplasty kit including cement - 0IN067AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
956Interventional RadiologyMedicalVertebroplasty/CementoplastyVertebroplasty/Cementoplasty30,400.007Not applicableNot applicableKyphoplasty kit+Cement - 0IN068AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
957Interventional RadiologyMedicalKyphoplastyKyphoplasty43,700.007Not applicableNot applicableVABB gun - 0IN069AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
958Interventional RadiologyMedicalVaccum assisted breast biopsyVaccum assisted breast biopsy11,800.007Not applicableNot applicableLipidol - 0IN070AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
959Interventional RadiologyMedicalUSG guided percutaneous Microwave Ablation (MWA)- benign breast /thyroid tumorUSG guided percutaneous Microwave Ablation (MWA)- benign breast /thyroid tumor40,500.007Not applicableNot applicableNot applicableIN071AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
960Interventional RadiologyMedicalDiagnostic angiography (DSA)Diagnostic angiography (DSA)9,600.007Not applicableNot applicableNot applicableIN072AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
961Interventional RadiologyMedicalGelfoam embolization (without microcatheter)Gelfoam embolization (without microcatheter)16,100.007Not applicableNot applicable2 PVA particle - 0IN073AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
962Interventional RadiologyMedicalGelfoam embolization (with microcatheter)Gelfoam embolization (with microcatheter)32,300.007Not applicableNot applicablePVA particle+Microcathetr - 0IN073BClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Colour Doppler/ angio report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
963Interventional RadiologyMedicalVaricose vein: endovenous treatment (for one limb)Varicose vein: endovenous treatment (for one limb)16,900.007Not applicableNot applicableNot applicableIN074AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
964Interventional RadiologyMedicalPercutaneous Injection sclerotherapy for low flow vascular malformationPercutaneous Injection sclerotherapy for low flow vascular malformation12,500.007Not applicableNot applicableCoils(4 ), microcatheter - 0IN075AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
965Interventional RadiologyMedicalVaricocele embolizationVaricocele embolization25,000.007Not applicableNot applicableBalloon+Drug Coated ballon/Cutting Ballon - 0IN076AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
966Interventional RadiologyMedicalFistuloplasty / Thrombectomy of dialysis fistulaFistuloplasty / Thrombectomy of dialysis fistula44,700.007Not applicableNot applicableIVC filter - 0IN077AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
967Interventional RadiologyMedicalEVOH PackageAVM (1 vial)147,600.007Not applicableNot applicableNot applicableIN078AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
968Interventional RadiologyMedicalTumor EmbolizationTumor Embolization99,100.007Not applicableNot applicableNot applicableIN079AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
969Interventional RadiologyMedical3 Coil + Balloon+Stent Package3 Coil + Balloon+Stent Package243,500.007Not applicableNot applicableNot applicableIN080AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
970Interventional RadiologyMedicalPercutaneous nephrostomyPercutaneous nephrostomy24,300.007Not applicableNot applicableSilicon Stent - 0IN081AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
971Interventional RadiologyMedical3 Coil + Balloon Package3 Coil + Balloon Package168,700.007Not applicableNot applicableNot applicableIN082AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
972Interventional RadiologyMedicalAngioplasty and bare metal stenting (arterial)Angioplasty and bare metal stenting (arterial)53,000.007Not applicableNot applicableBalloon +metallic stent - 0IN083AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
973Interventional RadiologyMedicalTEVAR for aortic aneurysm/ dissectionTEVAR for aortic aneurysm/ dissection92,200.007Not applicableNot applicableBalloon - 0IN084AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticDetailed discharge summary/ Detailed Procedure / Operative Notes
974Interventional RadiologyMedicalCoil PackageAneurysm-3 Coil151,000.007Not applicableNot applicableNot applicableIN085AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticAngiography image with coils/ Detailed discharge summary/ Detailed Procedure / Operative Notes
975Interventional RadiologyMedicalAngioplasty and bare metal stenting (venous)Angioplasty and bare metal stenting (venous)48,700.007Not applicableNot applicableHigh Pressure large Ballon+Covered stent - 0IN086AClinical notes and CT/MRI confirming the diagnosis and need of procedure/ MLC/ FIR if traumaticPost procedure Angio with report/ Detailed discharge summary/ Detailed Procedure / Operative Notes
976Medical OncologyMedicalCT for CA BreastCyclophosphamide + Epirubcin Cyclophosphamide - 830 mg /m2 D1 Epirubicin -100mg/m2 D1 every 21 days8,900.00DNot applicableNot applicableNot applicableMO001AClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
977Medical OncologyMedicalCT for CA BreastWeekly Paclitaxel for Adjuvant Therapy Paclitaxel 80mg/m2 every week7,900.00DNot applicableNot applicableNot applicableMO001BClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
978Medical OncologyMedicalCT for CA BreastWeekly Paclitaxel in metastatic setting Paclitaxel 80mg/m2 every week7,900.00DNot applicableNot applicableNot applicableMO001CClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
979Medical OncologyMedicalCT for CA BreastCyclophosphamide + Methotrexate + 5 - FU Cyclophosphamide - 100mg/m2 orally D1-D14 Methotrexate 40mg/m2 IV D1 D8 5FU 600 mg/m2 D1, D8 every 28 days7,900.00DNot applicableNot applicableNot applicableMO001DClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
980Medical OncologyMedicalCT for CA BreastDocetaxel + Cyclophosphamide Docetaxel 75mg/m2 D1 Cyclophosphamide 600 mg/m2 D1 every 21 days21,800.00DNot applicableNot applicableNot applicableMO001EClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
981Medical OncologyMedicalCT for CA BreastTrastuzumab Trastuzumab 8 mg/Kg in Cycle 1 D1 Trastuzumab 6 mg/kg D1 from C2 every 21 days25,700.00DNot applicableNot applicableNot applicableMO001FClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
982Medical OncologyMedicalCT for CA BreastTamoxifen Tamoxifem 20 mg orally daily7,900.00DNot applicableNot applicableNot applicableMO001GClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
983Medical OncologyMedicalCT for CA BreastLetrozole Letrozole 2.5 mg orally daily7,900.00DNot applicableNot applicableNot applicableMO001HClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
984Medical OncologyMedicalCT for CA BreastCarboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days16,400.00DNot applicableNot applicableNot applicableMO001IClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
985Medical OncologyMedicalCT for CA BreastCapecitabine Capecitabine - 1000mg/m2 orally twice daily D1-D14 every 21 days9,000.00DNot applicableNot applicableNot applicableMO001JClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
986Medical OncologyMedicalCT for CA BreastCarboplatin + Gemcitabine Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 2 D1 D8 Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 5-6 D1 only15,300.00DNot applicableNot applicableNot applicableMO001KClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
987Medical OncologyMedicalCT for CA BreastCyclophosphamide + Adriamycin Cyclophosphamide - 600 mg /m2 D1 Adriamycin - 60mg/m2 D1 every 21 days7,900.00DNot applicableNot applicableNot applicableMO001LClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
988Medical OncologyMedicalCT for CA BreastFulvestrant Fulvestrant 500 mg D1 D15 D28 then every 28 days12,100.00DNot applicableNot applicableNot applicableMO001MClinical 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 pelvisBAR CODE OF THE DRUGS/ 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)
989Medical OncologyMedicalCT for CA BreastPaclitaxel Paclitaxel 175 mg/m2 D1 every 21 days13,000.00DNot applicableNot applicableNot applicableMO001NClinical 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 pelvisBAR CODE OF THE DRUGS/ 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)
990Medical OncologyMedicalCT for CA BreastExemestane Exemestane 25 mg orally daily11,400.00DNot applicableNot applicableNot applicableMO001OClinical 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 pelvisBAR CODE OF THE DRUGS/ 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)
991Medical OncologyMedicalCT for CA BreastLapatinib Lapatinib 500 mg BD orally , daily18,300.00 DNot applicableNot applicableNot applicableMO001PClinical 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 diseaseBAR CODE OF THE DRUGS/ 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)
992Medical OncologyMedicalCT for Metastatic bone malignancy and multiple myelomaZoledronic Acid Zoledronic acid 4 mg IV Monthly5,000.00DNot applicableNot applicableNot applicableMO002ARFT/ skeletal survey/bone scan/PET-CT showing bone metastasis histopathology showing myeloma/ lung cancer/Breast cancer/ renal cancer or other cancerBAR CODE OF THE DRUGS/ REPORTS 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)
993Medical OncologyMedicalCT for CA OvaryCisplatin + Irinotecan Cisplatin 60mg/m2 D1 Irinotecan 60 mg/m2 D1 D8 D15 every 28 days15,800.00DNot applicableNot applicableNot applicableMO003AClinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinomaBAR CODE OF THE DRUGS/ 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)
994Medical OncologyMedicalCT for CA OvaryLipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5-6 D1 every 28 days20,900.00DNot applicableNot applicableNot applicableMO003BClinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinomaBAR CODE OF THE DRUGS/ 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)
995Medical OncologyMedicalCT for CA OvaryEtoposide Etoposide 50 mg/m2 OD D1-D14 every 21 days11,200.00DNot applicableNot applicableNot applicableMO003CClinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinomaBAR CODE OF THE DRUGS/ 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)
996Medical OncologyMedicalCT for CA OvaryIrinotecan Irinotecan 60 -90 mg/m2 D1 D8 every 21 days13,300.00DNot applicableNot applicableNot applicableMO003DClinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinomaBAR CODE OF THE DRUGS/ 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)
997Medical OncologyMedicalCT for CA OvaryLipodox Lipodox 40 mg/m2 IV every 28 days21,800.00DNot applicableNot applicableNot applicableMO003EClinical note with CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinomaBAR CODE OF THE DRUGS/ 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)
998Medical OncologyMedicalCT for CA OvaryCarboplatin + Gemcitabine Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 2 D1 D8 Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 5-6 D1 only15,300.00DNot applicableNot applicableNot applicableMO003FClinical note with CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinomaBAR CODE OF THE DRUGS/ 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)
999Medical OncologyMedicalCT for CA OvaryCarboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days18,000.00DNot applicableNot applicableNot applicableMO003GClinical note with CBc/ LFT/ RFT/ RBS/ CA-125/ CECT Thorax/ abdomen and Pelvis/ HPR or cytology suggestive of ovarian adenocarcinomaBAR CODE OF THE DRUGS/ 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)
1,000Medical OncologyMedicalCT for CA Ovary Cyclophosphamide 50 mg/m2 OD D1-D21 every 28 days3,400.00 DNot applicableNot applicableNot applicableMO003HClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,001Medical OncologyMedicalCT for CA OvaryTamoxifen Tamoxifem 20 mg orally daily (3 months)1,500.00 DNot applicableNot applicableNot applicableMO003IClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,002Medical OncologyMedicalCT for CA OvaryLetrozole Letrozole 2.5 mg orally daily (3 months)4,700.00 DNot applicableNot applicableNot applicableMO003JClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,003Medical OncologyMedicalCT for CA OvarySingle agent Carboplatin Carboplatin AUC 5-6 D1 every 21 days ( maximum -6 cycle)8,500.00 DNot applicableNot applicableNot applicableMO003KClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,004Medical OncologyMedicalCT for CA OvaryCisplatin Cisplatin 40 mg/m2 every week (maximum- 6 cycles)5,100.00 DNot applicableNot applicableNot applicableMO003LClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,005Medical OncologyMedicalCT for Germ Cell TumorCarboplatin (AUC 7) Carboplatin AUC 7 every 21 days8,900.00DNot applicableNot applicableNot applicableMO004AClinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -testicular seminomaBAR CODE OF THE DRUGS/ 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)
1,006Medical OncologyMedicalCT for Germ Cell TumorBleomycin + Etoposide + Cisplatin Bleomycin 30 units D1 D8 D15 Cisplatin 20 mg/m2 IV D1-D5 Etoposide 100mg/m2 D1-D5 every 21 days15,000.00DNot applicableNot applicableNot applicableMO004BClinical note with Beta- HCG/ AFP/LDH/CECT Thorax/ abdomen and Pelvis/Histopathology -Ovarian/ testicular/ mediastinalBAR CODE OF THE DRUGS/ 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)
1,007Medical OncologyMedicalCT for Germ Cell TumorEtoposide + Cisplatin Cisplatin 20 mg/m2 IV D1-D5 Etoposide 100mg/m2 D1-D5 every 21 days13,200.00DNot applicableNot applicableNot applicableMO004CClinical note with Beta- HCG/ AFP/LDH/CECT Thorax/ abdomen and Pelvis/Histopathology -Ovarian/ testicular/ mediastinalBAR CODE OF THE DRUGS/ 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)
1,008Medical OncologyMedicalCT for Germ Cell TumorGemcitabine + Oxaliplatin Gemcitabine 1000mg/m2 D1 D8 Oxaiplatin 130mg/m2 D1 every 21 days19,300.00DNot applicableNot applicableNot applicableMO004DClinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -Ovarian/ testicular/ mediastinalBAR CODE OF THE DRUGS/ 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)
1,009Medical OncologyMedicalCT for Germ Cell TumorGemcitabine + Paclitaxel Gemcitabine 1000mg/m2 D1 D8 D15 Paclitaxel 100 mg/m2 D1 D8 D15 every 28 days19,300.00DNot applicableNot applicableNot applicableMO004EClinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -Ovarian/ testicular/ mediastinalBAR CODE OF THE DRUGS/ 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)
1,010Medical OncologyMedicalCT for Germ Cell TumorPaclitaxel + 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 days29,600.00DNot applicableNot applicableNot applicableMO004FClinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -Ovarian/ testicular/ mediastinalBAR CODE OF THE DRUGS/ 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)
1,011Medical OncologyMedicalCT for Germ Cell TumorVinblastin + 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 days16,500.00DNot applicableNot applicableNot applicableMO004GClinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ AFP/ LDH/CECT Thorax/ abdomen and Pelvis/ ECG/ Histopathology -Ovarian/ testicular/ mediastinalBAR CODE OF THE DRUGS/ 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)
1,012Medical OncologyMedicalCT for Gestational Trophoblastic NeoplasiaEtoposide + 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 weeks14,600.00DNot applicableNot applicableNot applicableMO005AClinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ CECT Thorax// abdomen and PelvisBAR CODE OF THE DRUGS/ 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)
1,013Medical OncologyMedicalCT for Gestational Trophoblastic NeoplasiaEtoposide + 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 weeks15,500.00DNot applicableNot applicableNot applicableMO005BClinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ CECT Thorax// abdomen and PelvisBAR CODE OF THE DRUGS/ 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)
1,014Medical OncologyMedicalCT for Gestational Trophoblastic NeoplasiaMethotrexate 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 days12,500.00DNot applicableNot applicableNot applicableMO005CClinical note with CBC/ LFT/ RFT/ RBS/ Beta- HCG/ CECT Thorax// abdomen and PelvisBAR CODE OF THE DRUGS/ 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)
1,015Medical OncologyMedicalCT for Gestational Trophoblastic NeoplasiaDactinomycin Inj Dactinomycin 0.5 mg D1- D5 every 14 days8,500.00 DNot applicableNot applicableNot applicableMO005DClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,016Medical OncologyMedicalCT for Cervical CancerCarboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days16,400.00DNot applicableNot applicableNot applicableMO006AClinical note with CBC/ LFT/ RFT/ RBS/CECT Thorax/ abdomen and Pelvis / histopathologyBAR CODE OF THE DRUGS/ 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)
1,017Medical OncologyMedicalCT for Cervical CancerCisplatin Cisplatin 40 mg/m2 every week16,400.00DNot applicableNot applicableNot applicableMO006BClinical note with CECT Thorax/ abdomen and Pelvis / histopathologyBAR CODE OF THE DRUGS/ 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)
1,018Medical OncologyMedicalCT for Endometrial CancerCarboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days16,400.00DNot applicableNot applicableNot applicableMO007AClinical note with CBC/ LFT/ RFT/ RBS/CECT Thorax/ abdomen and Pelvis / histopathologyBAR CODE OF THE DRUGS/ 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)
1,019Medical OncologyMedicalCT for Endometrial CancerCisplatin + Doxorubicin Doxorubicin 60 mg/m2 D1 Cisplatin 50mg/m2 every 3 weeks16,400.00DNot applicableNot applicableNot applicableMO007BClinical note with CBC/ LFT/ RFT/ RBS/CECT Thorax/ abdomen and Pelvis / histopathology/ ECG/2D ECHOBAR CODE OF THE DRUGS/ 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)
1,020Medical OncologyMedicalCT for Endometrial CancerLipodox + Carboplatin Lipopdox 30 mg/m2 D1 Carboplatin AUC 5 D1 every 28 days20,900.00 DNot applicableNot applicableNot applicableMO007CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,021Medical OncologyMedicalCT for Endometrial CancerCarboplatin + Gemcitabine Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 2 D1 D8 Gemcitabine - 1000mg/m2 D1 D8 Carboplatin AUC 5-6 D1 only every 3 weeks16,800.00 DNot applicableNot applicableNot applicableMO007DClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,022Medical OncologyMedicalCT for Endometrial CancerAnastrozole 1 mg orally daily (for 3 months)4,700.00 DNot applicableNot applicableNot applicableMO007EClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,023Medical OncologyMedicalCT for Vulvar CancerCisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks10,000.00DNot applicableNot applicableNot applicableMO008AClinical note with CBC/ LFT/ RFT/ RBS/ MRI pelvis / histopathologyBAR CODE OF THE DRUGS/ 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)
1,024Medical OncologyMedicalCT for Vulvar CancerCisplatin Cisplatin 40 mg/m2 every week8,400.00DNot applicableNot applicableNot applicableMO008BClinical note with CBC/ LFT/ RFT/ RBS/ MRI pelvis / histopathologyBAR CODE OF THE DRUGS/ 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)
1,025Medical OncologyMedicalCT for Vulvar CancerCarboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5 D1 every 21 days17,600.00 DNot applicableNot applicableNot applicableMO008CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,026Medical OncologyMedicalCT for Ewing SarcomaVincristine + 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 weeks28,100.00DNot applicableNot applicableNot applicableMO009AClinical note with CBC/ Biochemistry/ PET CT or CT CHEST/BONE SCAN/ Bone marrow studies/ Biopsy/ ECG/ 2D-ECHOBAR CODE OF THE DRUGS/ 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)
1,027Medical OncologyMedicalCT for Ewing SarcomaVincristine + 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 weekly24,600.00DNot applicableNot applicableNot applicableMO009BClinical note with CBC/ Biochemistry/ PET CT or CT CHEST/BONE SCAN/ Bone marrow studies/ Biopsy/ ECG/ 2D-ECHOBAR CODE OF THE DRUGS/ 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)
1,028Medical OncologyMedicalCT for Ewing SarcomaVincristine + 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 weekly24,600.00DNot applicableNot applicableNot applicableMO009CPET CT or CT CHEST/BONE SCAN/ Bone marrow studies/ BiopsyBAR CODE OF THE DRUGS/ REPORTS 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)
1,029Medical OncologyMedicalCT for Osteogenic SarcomaDoxorubicin + Cisplatin Cisplatin 100mg/m2 Doxorubicin 75mg/m2 given every 3 weeks24,000.00DNot applicableNot applicableNot applicableMO010AClinical note with CBC/ LFT/ RFT/ RBS/ DTPA GFR/ NCCT chest/ MRI of the involved site/ 2D ECHO/ Pure tone audiometry/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,030Medical OncologyMedicalCT for Osteogenic SarcomaMethotrexate + Doxorubicin + Cisplatin for Relapsed Osteogenic Sarcoma Cisplatin 120mg/sq.m Doxorubicin 75mg/m2 Methotrexate 8-12 gram/m2 Each cycle for 5 weeks29,700.00DNot applicableNot applicableNot applicableMO010BClinical note with CBC/ Biochemistry/ CT CHEST/ BONE SCAN/ Biopsy/ ECG/ 2D-ECHO/ AUDIOMETRY/ GFRBAR CODE OF THE DRUGS/ 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)
1,031Medical OncologyMedicalCT for Osteogenic SarcomaOGS - 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 days32,600.00DNot applicableNot applicableNot applicableMO010CClinical note with CBC/ LFT/ RFT/ RBS/ DTPA GFR/ NCCT chest/ MRI of the involved site/ 2D ECHO/ Pure tone audiometry/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,032Medical OncologyMedicalCT for Osteogenic SarcomaOGS - 12 Ifosfamide 1800 mg/m2 D1-D5 Mesna 600mg/m2 0h 3h 6h 9h D1-D5 Cisplatin 33 mg/m2 D1-D3 every 21 days39,800.00DNot applicableNot applicableNot applicableMO010DClinical note with CBC/ LFT/ RFT/ RBS/ DTPA GFR/ 2D ECHO/ Pure tone/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,033Medical OncologyMedicalCT for Soft Tissue SarcomaGemcitabine + Docetaxel Gemcitabine 900 mg/m2 D1 D8 Docetaxel 100 mg/m2 D8 every 21 days34,000.00DNot applicableNot applicableNot applicableMO011AClinical note with MRI of the involved part/CECT Thorax/ abdomen and Pelvis/histopathologyBAR CODE OF THE DRUGS/ 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)
1,034Medical OncologyMedicalCT for Soft Tissue SarcomaIfosfamide + Adriamycin Doxorubicin 30mg/m2 D1 D2 Ifosfamide 2000 to 3000mg/m2 Mesna 400 to 600 mg/m2 0h 4h 8h D1 - D3 Every 21 days34,000.00DNot applicableNot applicableNot applicableMO011BClinical note with CBC/ LFT/ ECHO/ MRI of the involved part/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,035Medical OncologyMedicalCT for Soft Tissue SarcomaDoxorubicin 60-75/m2, every 21 days4,800.00 DNot applicableNot applicableNot applicableMO011CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,036Medical OncologyMedicalCT for Metastatic MelanomaDacarbazine + Cisplatin Dacarbazine 250mg/m2 D1-D5 Cisplatin 75 mg/m2 Every 21 days8,700.00DNot applicableNot applicableNot applicableMO012AClinical note with CBC/ RFT/ LFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,037Medical OncologyMedicalCT for Metastatic MelanomaTemozolamide Temozolamide 200mg/m2 D1-D5 every 28 days25,400.00DNot applicableNot applicableNot applicableMO012BClinical note with CBC/ RFT/ LFT/ RBS/ CECT Thorax/ abdomen and PelvisBAR CODE OF THE DRUGS/ 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)
1,038Medical OncologyMedicalCT for Metastatic MelanomaImatinib Tab Imatinib 400/800 mg daily6,100.00 DNot applicableNot applicableNot applicableMO012CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,039Medical OncologyMedicalCT for Anal Cancer5 FU + Mitomycin C 5 FU 1000mg/m2 D1-D4 D29-D32 Mitomycin 10mg/m2 D113,300.00DNot applicableNot applicableNot applicableMO013AClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / MRI Pelvis/ CEA/ HistopathologyBAR CODE OF THE DRUGS/ 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)
1,040Medical OncologyMedicalCT for Anal CancerCapecitabine + Mitomycin C Capecitabine 825mg/m2 PO twice daily till completion of RT Mitomycin 10mg/2 D120,500.00DNot applicableNot applicableNot applicableMO013BClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / MRI Pelvis/ CEA/ HistopathologyBAR CODE OF THE DRUGS/ 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)
1,041Medical OncologyMedicalCT for Anal CancerCisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks11,600.00DNot applicableNot applicableNot applicableMO013CClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ HistopathologyBAR CODE OF THE DRUGS/ 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)
1,042Medical OncologyMedicalCT for Anal CancerCarboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days16,400.00DNot applicableNot applicableNot applicableMO013DClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ HistopathologyBAR CODE OF THE DRUGS/ 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)
1,043Medical OncologyMedicalCT for Anal CancerCisplatin + Paclitaxel Paclitaxel 175 mg/m2 D1 Cisplatin 75mg/m2 D1 every 21 days16,200.00DNot applicableNot applicableNot applicableMO013EClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ HistopathologyBAR CODE OF THE DRUGS/ 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)
1,044Medical OncologyMedicalCT for Colorectal Cancer5 FU + Leucovorin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 every 14 days6,700.00DNot applicableNot applicableNot applicableMO014AClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / ColonoscopyBAR CODE OF THE DRUGS/ 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)
1,045Medical OncologyMedicalCT for Colorectal CancerCapecitabine + Irinotecan Capecitabine 1000mg/m2 D1-D14 Irinotecan 200 mg/m2 D1 every 21 days13,800.00DNot applicableNot applicableNot applicableMO014BClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ HistopathologyBAR CODE OF THE DRUGS/ 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)
1,046Medical OncologyMedicalCT for Colorectal Cancer5 FU + Leucovorin + Oxaliplatin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 every 14 days16,600.00DNot applicableNot applicableNot applicableMO014CClinical note with CECT Thorax / abdomen / Pelvis / CEA / Histopathology /ColonoscopyBAR CODE OF THE DRUGS/ 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)
1,047Medical OncologyMedicalCT for Colorectal Cancer5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days11,700.00DNot applicableNot applicableNot applicableMO014DClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ HistopathologyBAR CODE OF THE DRUGS/ 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)
1,048Medical OncologyMedicalCT for Colorectal CancerCapecitabine + Oxaliplatin Capecitabine 1000mg/m2 D1-D14 Oxaliplatin 130 mg/m2 D1 every 21 days18,200.00DNot applicableNot applicableNot applicableMO014EClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / ColonoscopyBAR CODE OF THE DRUGS/ 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)
1,049Medical OncologyMedicalCT for Colorectal CancerCapecitabine along with RT Capecitabine 825 mg/m2 twice daily8,800.00DNot applicableNot applicableNot applicableMO014FClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / ColonoscopyBAR CODE OF THE DRUGS/ 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)
1,050Medical OncologyMedicalCT for Colorectal CancerCapecitabine Capecitabine 1000mg/m2 D1-D14 every 21 days8,900.00DNot applicableNot applicableNot applicableMO014GClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / ColonoscopyBAR CODE OF THE DRUGS/ 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)
1,051Medical OncologyMedicalCT for Colorectal Cancer5FU + Leucovorin + Oxaliplatin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Irinotecan 180mg/m2 every 14 days22,800.00DNot applicableNot applicableNot applicableMO014HClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ CEA/ Histopathology / ColonoscopyBAR CODE OF THE DRUGS/ 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)
1,052Medical OncologyMedicalCT for Esophageal CancerCarboplatin + Paclitaxel Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days16,400.00DNot applicableNot applicableNot applicableMO015AClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,053Medical OncologyMedicalCT for Esophageal CancerCisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks16,400.00DNot applicableNot applicableNot applicableMO015BClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,054Medical OncologyMedicalCT for Esophageal CancerCisplatin + 5 FU Cisplatin 75mg/m2 D1 D29 5FU 100mg/m2 D1-D4 D29 D32 every 35 days16,400.00DNot applicableNot applicableNot applicableMO015CClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,055Medical OncologyMedicalCT for Esophageal CancerPaclitaxel + Carboplatin Paclitaxel 50mg/m2 D1 Carboplatin AUC 2 D1 every week32,900.00DNot applicableNot applicableNot applicableMO015DClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,056Medical OncologyMedicalCT for Esophageal CancerPaclitaxel + Carboplatin Paclitaxel 50mg/m2 D1 Carboplatin AUC 2 D1 every week32,900.00DNot applicableNot applicableNot applicableMO015EClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,057Medical OncologyMedicalCT for Esophageal / Stomach CancerCisplatin + Docetaxel Docetaxel 40mg/m2 D1 Cisplatin 40 mg/m2 D1 Leucovorin 400mg/m2 D1 5FU 1000mg/m2 D1 D2 every 14 days16,800.00DNot applicableNot applicableNot applicableMO016AClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,058Medical OncologyMedicalCT for Esophageal / Stomach CancerIrinotecan Irinotecan 60- 90 mg/m2 D1 D8 every 21 days13,300.00DNot applicableNot applicableNot applicableMO016BClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,059Medical OncologyMedicalCT for Esophageal / Stomach Cancer5 FU 5 FU 250 mg/m2 D1-D5 over 24 hrs every week13,300.00DNot applicableNot applicableNot applicableMO016CClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,060Medical OncologyMedicalCT for Esophageal / Stomach CancerCapecitabine Capecitabine 825 mg/m2 twice daily13,300.00DNot applicableNot applicableNot applicableMO016DClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,061Medical OncologyMedicalCT for Esophageal / Stomach CancerCapecitabine + Oxaliplatin Capecitabine 1000mg/m2 D1-D14 Oxaliplatin 130 mg/m2 D1 every 21 days18,200.00DNot applicableNot applicableNot applicableMO016EClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,062Medical OncologyMedicalCT for Esophageal / Stomach CancerDocetaxel + Cisplatin + 5 FU Docetaxel 40mg/m2 D1 Cisplatin 40 mg/m2 D1 Leucovorin 400mg/m2 D1 5FU 1000mg/m2 D1 D2 every 14 days18,000.00DNot applicableNot applicableNot applicableMO016FClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,063Medical OncologyMedicalCT for Esophageal / Stomach CancerDocetaxel + Cisplatin + Xeloda Docetaxel 40mg/m2 D1 Cisplatin 40 mg/m2 D1 Capecitabine 825mg/m2 twice daily every 14 days21,700.00DNot applicableNot applicableNot applicableMO016GClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,064Medical OncologyMedicalCT for Esophageal / Stomach CancerDocetaxel + Oxaliplatin + 5 FU Docetaxel 50mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Leucovorin 400mg/m2 D1 5FU 1200mg/m2 D1 D2 every 14 days22,400.00DNot applicableNot applicableNot applicableMO016HClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,065Medical OncologyMedicalCT for Esophageal / Stomach CancerDocetaxel + Oxaliplatin + Xeloda Docetaxel 50mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Capecitabine 825 mg/m2 Twice daily every 14 days27,400.00DNot applicableNot applicableNot applicableMO016IClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,066Medical OncologyMedicalCT for Esophageal / Stomach Cancer5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days13,300.00DNot applicableNot applicableNot applicableMO016JClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,067Medical OncologyMedicalCT for Esophageal / Stomach Cancer5FU + Leucovorin + Oxaliplatin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 every 14 days16,600.00DNot applicableNot applicableNot applicableMO016KClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax / abdomen / Pelvis/ Histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,068Medical OncologyMedicalCT for Esophageal / Stomach CancerPaclitaxel Paclitaxel 80mg/m2 every week13,300.00DNot applicableNot applicableNot applicableMO016LClinical note with CECT Thorax / abdomen / Pelvis/ histopathology / UGI endoscospyBAR CODE OF THE DRUGS/ 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)
1,069Medical OncologyMedicalCT for Hepatocellular CarcinomaDoxorubicin Doxorubicin 30-75 mg/m2 one course27,300.00DNot applicableNot applicableNot applicableMO017AClinical note with CBC/ LFT/ RFT/ RBS/ Triphasic CECT Thorax / abdomen / Pelvis/ Histopathology / AFP/ MRIBAR CODE OF THE DRUGS/ 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)
1,070Medical OncologyMedicalCT for Hepatocellular CarcinomaSorafenib Sorafenib 400mg PO twice daily11,000.00DNot applicableNot applicableNot applicableMO017BClinical note with CBC/ LFT/ RFT/ RBS/ Triphasic CECT Thorax / abdomen / Pelvis/ Histopathology / AFP/ Lipid Profile/ Urine R/M/ 2D ECHOBAR CODE OF THE DRUGS/ 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)
1,071Medical OncologyMedicalCT for Hepatocellular CarcinomaLenvatinib 12 mg daily20,600.00 DNot applicableNot applicableNot applicableMO017CClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,072Medical OncologyMedicalCT for Panceratic CancerGemcitabine + Nanopaclitaxel Gemcitabine 1000mg/m2 D1 D8 D16 Albumin bound Paclitaxel 125mg/m2 D1 D8 D15 every 28 days34,400.00DNot applicableNot applicableNot applicableMO018AClinical 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)
1,073Medical OncologyMedicalCT for Panceratic CancerGemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days25,900.00DNot applicableNot applicableNot applicableMO018BClinical 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)
1,074Medical OncologyMedicalCT for Panceratic CancerGemcitabine Gemcitabine 300mg/m2 weekly25,900.00DNot applicableNot applicableNot applicableMO018CClinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9BAR CODE OF THE DRUGS/ 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)
1,075Medical OncologyMedicalCT for Panceratic Cancer5FU + Leucovorin + Oxaliplatin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 Irinotecan 180mg/m2 every 14 days25,900.00DNot applicableNot applicableNot applicableMO018DClinical 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)
1,076Medical OncologyMedicalCT for Panceratic CancerCapecitabine Capecitabine 825 mg/m2 twice daily25,900.00DNot applicableNot applicableNot applicableMO018EClinical 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)
1,077Medical OncologyMedicalCT for Panceratic CancerCapecitabine + Gemcitabine Gemcitabine 1000mg/m2 D1 D8 D15 Capecitabine 830mg/m2 twice daily D1-D21 every 28 days41,400.00DNot applicableNot applicableNot applicableMO018FClinical 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)
1,078Medical OncologyMedicalCT for Gall Bladder Cancer / CholangiocarcinomaCapecitabine Capecitabine 1000 - 1250 mg/m2 twice daily D1 -D14 every 21 days8,900.00DNot applicableNot applicableNot applicableMO019AClinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9BAR CODE OF THE DRUGS/ 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)
1,079Medical OncologyMedicalCT for Gall Bladder Cancer / CholangiocarcinomaCisplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 25 mg/m2 D1 D8 every 21 days14,700.00DNot applicableNot applicableNot applicableMO019BClinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9BAR CODE OF THE DRUGS/ 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)
1,080Medical OncologyMedicalCT for Gall Bladder Cancer / Cholangiocarcinoma5FU + Leucovorin + Irinotecan 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Irinotecan 180mg/m2 85 mg/m2 D1 every 14 days11,700.00DNot applicableNot applicableNot applicableMO019CClinical 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)
1,081Medical OncologyMedicalCT for Gall Bladder Cancer / CholangiocarcinomaGemcitabine Gemcitabine 300 mg/m2 D1 every week9,900.00DNot applicableNot applicableNot applicableMO019DClinical 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)
1,082Medical OncologyMedicalCT for Gall Bladder Cancer / CholangiocarcinomaGemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days10,900.00DNot applicableNot applicableNot applicableMO019EClinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9BAR CODE OF THE DRUGS/ 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)
1,083Medical OncologyMedicalCT for Gall Bladder Cancer / CholangiocarcinomaOxaliplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 Oxaliplatin 100 mg/m2 D1 every 14 days21,100.00DNot applicableNot applicableNot applicableMO019FClinical 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)
1,084Medical OncologyMedicalCT for Gall Bladder Cancer / CholangiocarcinomaCapecitabine + Irinotecan Capecitabine 1000mg/m2 D1-D14 Irinotecan 200 mg/m2 D1 every 21 days13,900.00DNot applicableNot applicableNot applicableMO019GClinical note with CECT Thorax / abdomen / Pelvis/ histopathology/FNAC/ CA19.9BAR CODE OF THE DRUGS/ 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)
1,085Medical OncologyMedicalCT for Gall Bladder Cancer / Cholangiocarcinoma5FU + Leucovorin + Oxaliplatin 5 FU 1200mg/m2 D1 D2 Leucovorin 400mg/m2 D1 Oxaliplatin 85 mg/m2 D1 every 14 days16,600.00DNot applicableNot applicableNot applicableMO019HClinical 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)
1,086Medical OncologyMedicalCT for Gastointestinal stromal tumorImatinib Imatinib 400 mg once daily21,300.00DNot applicableNot applicableNot applicableMO020AClinical 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)
1,087Medical OncologyMedicalCT for Gastointestinal stromal tumorSunitinib Sunitinb 37.5 mg once daily26,800.00DNot applicableNot applicableNot applicableMO020BClinical 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)
1,088Medical OncologyMedicalCT for CA BrainTemozolamide Temozolomide 150 - 200 mg/m2 D1-D5 every 28 days14,300.00DNot applicableNot applicableNot applicableMO021AClinical note with CBC/ LFT/ RFT/ RBS/ MRI brain/ HistopathologyBAR CODE OF THE DRUGS/ 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)
1,089Medical OncologyMedicalCT for CA BrainTemozolamide Temozolomide 75mg/m2 once daily74,400.00DNot applicableNot applicableNot applicableMO021BClinical note with CBC/ LFT/ RFT/ RBS/ MRI brain/ HistopathologyBAR CODE OF THE DRUGS/ 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)
1,090Medical OncologyMedicalCT for MesotheliomaGemcitabine + Cisplatin Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 every 21 days14,700.00DNot applicableNot applicableNot applicableMO022AClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,091Medical OncologyMedicalCT for MesotheliomaPemetrexed + Cisplatin Pemetrexed 500mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days12,200.00DNot applicableNot applicableNot applicableMO022BClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,092Medical OncologyMedicalCT for MesotheliomaPemetrexed + Carboplatin Pemetrexed 500mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days12,200.00DNot applicableNot applicableNot applicableMO022CClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,093Medical OncologyMedicalCT for Thymic CarcinomaCisplatin + Etoposide Etoposide 100mg/m2 D1 - D3 Cisplatin 75-100 mg/m2 D1 every 21 days8,600.00DNot applicableNot applicableNot applicableMO023AClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology / ECG / ECHOBAR CODE OF THE DRUGS/ 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)
1,094Medical OncologyMedicalCT for Thymic CarcinomaCisplatin + Adriamycin + Cyclophosphamide Cisplatin 50 mg/m2 D1 Doxorubicin 50 mg/m2 D1 Cyclophosphamide 500 mg/m2 D1 every 21 days7,200.00DNot applicableNot applicableNot applicableMO023BClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology / ECG / ECHOBAR CODE OF THE DRUGS/ 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)
1,095Medical OncologyMedicalCT for CA Head & NeckCisplatin + Docetaxel Docetaxel 75 mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days15,100.00DNot applicableNot applicableNot applicableMO024AClinical 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)
1,096Medical OncologyMedicalCT for CA Head & NeckCisplatin Cisplatin 100mg/m2 every 21 days13,600.00DNot applicableNot applicableNot applicableMO024BClinical 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)
1,097Medical OncologyMedicalCT for CA Head & NeckCarboplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Carboplatin AUC 5-6 D1 every 21 days15,700.00DNot applicableNot applicableNot applicableMO024CClinical note with CBC/ LFT/ RFT/ RBS/ histopathology-squamous carcinoma/ nasopharyngeal carcinoma/ salivary glandBAR CODE OF THE DRUGS/ 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)
1,098Medical OncologyMedicalCT for CA Head & NeckDocetaxel + Cisplatin + 5 FU Docetaxel 75 mg/m2 D1 Cisplatin 75 mg/m2 D1 5 FU 750 mg/m2 D1- D5 every 21 days18,200.00DNot applicableNot applicableNot applicableMO024DClinical 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)
1,099Medical OncologyMedicalCT for CA Head & NeckDocetaxel Docetaxel 20mg/m2 every week16,500.00DNot applicableNot applicableNot applicableMO024EClinical note with CBC/ LFT/ RFT/ RBS/ histopathology-squamous carcinoma/ nasopharyngeal carcinoma/ salivary glandBAR CODE OF THE DRUGS/ 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)
1,100Medical OncologyMedicalCT for CA Head & NeckDocetaxel Docetaxel 75 mg/m2 D1 every 21 days15,800.00DNot applicableNot applicableNot applicableMO024FClinical note with CECT/MR Face and neck / histopathology -squamous carcinomaBAR CODE OF THE DRUGS/ 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)
1,101Medical OncologyMedicalCT for CA Head & NeckEtoposide + Carboplatin Etoposide 100mg/m2 D1 - D3 Carboplatin AUC 5-6 D1 every 21 days13,600.00DNot applicableNot applicableNot applicableMO024GClinical note with Histopathology -esthesioneuroblastoma/ NeuroendocrineBAR CODE OF THE DRUGS/ 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)
1,102Medical OncologyMedicalCT for CA Head & NeckEtoposide + Cisplatin Etoposide 100mg/m2 D1 - D3 Cisplatin 75-100 mg/m2 D1 every 21 days13,600.00DNot applicableNot applicableNot applicableMO024HClinical note with CBC/ LFT/ RFT/ RBS/ histopathology -esthesioneuroblastoma/ NeuroendocrineBAR CODE OF THE DRUGS/ 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)
1,103Medical OncologyMedicalCT for CA Head & NeckGemcitabine Gemcitabine 1000 mg/m2 D1 D8 every 21 days13,600.00DNot applicableNot applicableNot applicableMO024IClinical 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)
1,104Medical OncologyMedicalCT for CA Head & NeckGemcitabine + Cisplatin Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 every 21 days13,600.00DNot applicableNot applicableNot applicableMO024JClinical 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)
1,105Medical OncologyMedicalCT for CA Head & NeckPaclitaxel + Carboplatin Paclitaxel 80mg/m2 D1 Carboplatin AUC 2 D1 every week13,600.00DNot applicableNot applicableNot applicableMO024KClinical note with CBC/ LFT/ RFT/ RBS/ histopathology-squamous carcinoma/ nasopharyngeal carcinoma/ salivary glandBAR CODE OF THE DRUGS/ 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)
1,106Medical OncologyMedicalCT for CA Head & NeckPaclitaxel + Carboplatin Paclitaxel 175mg/m2 every 21 days16,600.00DNot applicableNot applicableNot applicableMO024LClinical 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)
1,107Medical OncologyMedicalCT for CA Head & NeckPaclitaxel Paclitaxel 80mg/m2 every week13,600.00DNot applicableNot applicableNot applicableMO024MClinical note with CBC/ LFT/ RFT/ RBS/ histopathology-squamous carcinoma/ salivary glandBAR CODE OF THE DRUGS/ 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)
1,108Medical OncologyMedicalCT for CA Head & NeckPaclitaxel Paclitaxel 175mg/m2 every 21 days13,400.00DNot applicableNot applicableNot applicableMO024NClinical 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)
1,109Medical OncologyMedicalCT for CA Head & NeckCarboplatin Carboplatin AUC 2 every week13,600.00DNot applicableNot applicableNot applicableMO024OClinical 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)
1,110Medical OncologyMedicalCT for CA Head & NeckCisplatin Cisplatin 40mg/m2 every week13,600.00DNot applicableNot applicableNot applicableMO024PClinical note with CECT/MR Face and neck/histopathology -squamous carcinomaBAR CODE OF THE DRUGS/ 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)
1,111Medical OncologyMedicalCT for Renal Cell CancerSunitinib 50 mg once daily 4 weeks on 2 weeks off29,000.00DNot applicableNot applicableNot applicableMO025AClinical note with CBC/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ lipid profile/ 2 D ECHO/ TFT/ 24 hour urine proteinBAR CODE OF THE DRUGS/ 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)
1,112Medical OncologyMedicalCT for Renal Cell CancerCabozantinib 60 mg od x 1 month every 4 weeks15,700.00 DNot applicableNot applicableNot applicableMO025BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,113Medical OncologyMedicalCT for Ureter / Bladder / UrethraCisplatin + 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 days8,300.00DNot applicableNot applicableNot applicableMO026AClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,114Medical OncologyMedicalCT for Ureter / Bladder / UrethraCarboplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Carboplatin AUC 5-6 D1 every 21 days15,700.00DNot applicableNot applicableNot applicableMO026BClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ MRI/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,115Medical OncologyMedicalCT for Ureter / Bladder / UrethraCisplatin + Gemcitabine Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 every 21 days14,700.00DNot applicableNot applicableNot applicableMO026CClinical note with CECT Thorax/ abdomen and Pelvis/MRI/HistopathologyBAR CODE OF THE DRUGS/ 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)
1,116Medical OncologyMedicalCT for Ureter / Bladder / UrethraCisplatin + 5 FU 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks9,900.00DNot applicableNot applicableNot applicableMO026DClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,117Medical OncologyMedicalCT for Ureter / Bladder / UrethraCisplatin + Paclitaxel Paclitaxel 175 mg /m2 D1 Cisplatin 75 mg /m2 D1 every 21 days14,900.00DNot applicableNot applicableNot applicableMO026EClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,118Medical OncologyMedicalCT for Ureter / Bladder / UrethraDocetaxel Docetaxel 75 mg/m2 D1 every 21 days15,800.00DNot applicableNot applicableNot applicableMO026FClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,119Medical OncologyMedicalCT for Ureter / Bladder / UrethraGemcitabine + Paclitaxel Gemcitabine 2500 mg/m2 D1 Paclitaxel 150 mg/m2 D1 every 14 days19,300.00DNot applicableNot applicableNot applicableMO026GClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,120Medical OncologyMedicalCT for Ureter / Bladder / UrethraGemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days10,100.00DNot applicableNot applicableNot applicableMO026HClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,121Medical OncologyMedicalCT for Ureter / Bladder / UrethraMethotrexate + Vinblastin + Doxorubicin + Cisplatin Methotrexate 30mg/m2 D1 Vinblastine 3 mg/m2 D2 Doxorubicin 30 mg/m2 D2 Cuisplatin 70 mg/m2 D2 every 14 days9,100.00DNot applicableNot applicableNot applicableMO026IClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ MRI/ histopathology/ ECG / ECHOBAR CODE OF THE DRUGS/ 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)
1,122Medical OncologyMedicalCT for Ureter / Bladder / UrethraPaclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days16,600.00DNot applicableNot applicableNot applicableMO026JClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,123Medical OncologyMedicalCT for Ureter / Bladder / UrethraPaclitaxel Paclitaxel 80 mg/m2 D1 every week7,800.00DNot applicableNot applicableNot applicableMO026KClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,124Medical OncologyMedicalCT for CA PenisCisplatin + Paclitaxel Paclitaxel 175 mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days14,900.00DNot applicableNot applicableNot applicableMO027AClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,125Medical OncologyMedicalCT for CA Penis5 FU + Cisplatin 5 FU 1000mg/m2 D1-D4 Cisplatin 75mg/m2 D1 every 4 weeks14,900.00DNot applicableNot applicableNot applicableMO027BClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,126Medical OncologyMedicalCT for CA PenisCapecitabine Capecitabine 1000-1250 mg/m2 PO twice daily D1 -D14 every 21 days14,900.00DNot applicableNot applicableNot applicableMO027CClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,127Medical OncologyMedicalCT for CA PenisPaclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days16,600.00DNot applicableNot applicableNot applicableMO027DClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,128Medical OncologyMedicalCT for CA PenisPaclitaxel Paclitaxel 80 mg/m2 D1 every week14,900.00DNot applicableNot applicableNot applicableMO027EClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,129Medical OncologyMedicalCT for CA PenisPaclitaxel Paclitaxel 175 mg/m2 D1 every 21 days14,900.00DNot applicableNot applicableNot applicableMO027FClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,130Medical OncologyMedicalCT for CA PenisPaclitaxel + Carboplatin Paclitaxel 80 mg/m2 D1 Carboplatin AUC 2 D1 every week14,900.00DNot applicableNot applicableNot applicableMO027GClinical note with CBC/ RFT/ LFT/ CECT Thorax/ abdomen and Pelvis/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,131Medical OncologyMedicalCT for CA ProstateDocetaxel Docetaxel 60 mg/m2 D1 every 14 days12,900.00DNot applicableNot applicableNot applicableMO028AClinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,132Medical OncologyMedicalCT for CA ProstateDocetaxel Docetaxel 75 mg/m2 D1 every 21 days15,500.00DNot applicableNot applicableNot applicableMO028BClinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,133Medical OncologyMedicalCT for CA ProstateEtoposide + Carboplatin Etoposide 100mg/m2 D1 - D3 Carboplatin AUC 5-6 D1 every 21 days12,900.00DNot applicableNot applicableNot applicableMO028CClinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,134Medical OncologyMedicalCT for CA ProstateLHRH Agonist Leuprolide 22.5 ug every 3 months18,600.00DNot applicableNot applicableNot applicableMO028DClinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,135Medical OncologyMedicalCT for CA ProstateMitoxantrone + Prednisolone Mitoxantrone 12mg/m2 every 3 weeks Prednsiolone 10 mg daily12,900.00DNot applicableNot applicableNot applicableMO028EClinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,136Medical OncologyMedicalCT for CA ProstatePaclitaxel + Carboplatin Paclitaxel 80mg/m2 D1 Carboplatin AUC 2 D1 every week12,900.00DNot applicableNot applicableNot applicableMO028FPSA / CECTThorax/ abdomen and Pelvis/bone scan/histopathologyBAR CODE OF THE DRUGS/ REPORTS 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)
1,137Medical OncologyMedicalCT for CA ProstatePaclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days16,600.00DNot applicableNot applicableNot applicableMO028GClinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,138Medical OncologyMedicalCT for CA ProstateDocetaxel Docetaxel 20mg/m2 D1 every week16,200.00DNot applicableNot applicableNot applicableMO028HClinical note with CBC/ RFT/ LFT/ PSA/ ECG/ CECT Thorax/ abdomen and Pelvis/ bone scan/ histopathologyBAR CODE OF THE DRUGS/ 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)
1,139Medical OncologyMedicalCT for CA ProstateAbiraterone 1000 mg + Prednisolone 10mg daily Once every month15,700.00 DNot applicableNot applicableNot applicableMO028IClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,140Medical OncologyMedicalCT 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 days31,800.00DNot applicableNot applicableNot applicableMO029AClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow/PB cytometry/ ECG/ 2D-ECHOBAR CODE OF THE DRUGS/ 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)
1,141Medical OncologyMedicalCT 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 days29,700.00DNot applicableNot applicableNot applicableMO029BClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometryBAR CODE OF THE DRUGS/ 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)
1,142Medical OncologyMedicalCT for High - Grade NHL - B CellRituxmab + 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 21days38,400.00DNot applicableNot applicableNot applicableMO030AClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometryBAR CODE OF THE DRUGS/ 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)
1,143Medical OncologyMedicalCT 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 cycles42,800.00DNot applicableNot applicableNot applicableMO031AClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometryBAR CODE OF THE DRUGS/ 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)
1,144Medical OncologyMedicalCT 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 cycles38,800.00DNot applicableNot applicableNot applicableMO031BClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometryBAR CODE OF THE DRUGS/ 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)
1,145Medical OncologyMedicalCT for PMBCL / Burkitt's Lymphoma / Seropositive B - Cell NHLREtoposide + 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 cycles34,900.00DNot applicableNot applicableNot applicableMO032AClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHOBAR CODE OF THE DRUGS/ 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)
1,146Medical OncologyMedicalCT for Burkitt's NHLCodox - M - IVAC / GMALL / BFM / Hyper CVAD38,000.00DNot applicableNot applicableNot applicableMO033AClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHOBAR CODE OF THE DRUGS/ 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)
1,147Medical OncologyMedicalCT for Low Grade B - Cell NHLBendamustine + Rituximab Bendamustine 90mg/m2 on day 1, 2 Rituximab 375mg/m2 on day 1 Repeat every 28 days, Total 6 cycles33,800.00DNot applicableNot applicableNot applicableMO034AClinical 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)
1,148Medical OncologyMedicalCT for Low Grade B - Cell NHLLenalidomide + Rituximab Rituximab 375mg/m2 Day 1 Lenlidomide 25 mg D1-28, for 8 cycles33,800.00DNot applicableNot applicableNot applicableMO034BClinical 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)
1,149Medical OncologyMedicalCT for Low Grade NHLRituximab Rituximab 375mg/m2 per week for 6 weeks27,300.00DNot applicableNot applicableNot applicableMO035AClinical 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)
1,150Medical OncologyMedicalCT for Low Grade NHLRituximab + 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 cycles28,400.00DNot applicableNot applicableNot applicableMO035BClinical 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)
1,151Medical OncologyMedicalCT for Chronic Lymphocytic LeukemiaFludarabine + Cyclophosphamide Fludarabine 25mg/m2 D1-3 Cyclophosphamide 250 mg/m2 D1-3 every 28 days for 6 cycles22,000.00DNot applicableNot applicableNot applicableMO036AClinical 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)
1,152Medical OncologyMedicalCT for Chronic Lymphocytic LeukemiaRituxmab + Chlorambucil Rituximab 375mg/m2 Day 1 Chlorambucil 10 mg/m2 D1-7 Repeat every 28 days for 12 cycles27,400.00DNot applicableNot applicableNot applicableMO036BClinical 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)
1,153Medical OncologyMedicalCT for Chronic Lymphocytic LeukemiaRituximab + Fludarabine + Cyclophosphamide Rituximab 375mg/m2 on day 1 Fludarabine 25mg/m2 D1 - 3 Cyclophosphamide 250 mg/m2 D1 - 3 Every 28 days for 6 cycles44,800.00DNot applicableNot applicableNot applicableMO036CClinical 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)
1,154Medical OncologyMedicalCT for Chronic Lymphocytic LeukemiaLenalidomide lenalidomide-10-25 mg/day day 1 to 21 every 28 days19,900.00DNot applicableNot applicableNot applicableMO036DClinical 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)
1,155Medical OncologyMedicalCT for Peripheral T - Cell LymphomaCHOEP 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 cycles6,400.00DNot applicableNot applicableNot applicableMO037AClinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,156Medical OncologyMedicalCT for Peripheral T - Cell LymphomaCHOP Cyclophosphamide 750mg/m2 D1 Vincristine 1.4mg/m2 D1 Adriamycin 50 mg/m2 D1 Prednisolone 100 mg D1-5 Every 21days. Total 6 cycles6,300.00DNot applicableNot applicableNot applicableMO037BClinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,157Medical OncologyMedicalCT for Peripheral T - Cell LymphomaSMILE 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 days23,900.00DNot applicableNot applicableNot applicableMO037CClinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,158Medical OncologyMedicalCT for NK - T Cell LymphomaGELOX Gemcitabine 1000mg/m2 D1 and D8 Oxaliplatin 130mg/m2 D1 L- asparginase 6000 U/m2 D1-7 Repeat every 21 days23,400.00DNot applicableNot applicableNot applicableMO038AClinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,159Medical OncologyMedicalCT for NK - T Cell LymphomaLVP L-asparginase 6000U/m2 D1-5 Vincristine 1.4mg/m2 D1 Prednisolone 100mg D1-5 Repeat every 21 days20,800.00DNot applicableNot applicableNot applicableMO038BClinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,160Medical OncologyMedicalCT for Hodgkin's LymphomaCOPP 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 cycles4,700.00DNot applicableNot applicableNot applicableMO039AClinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,161Medical OncologyMedicalCT for Hodgkin's LymphomaABVD Adriamycin 25mg/m2 Bleomycin 10unit/m2 Vinblastine 6mg/m2 Dacarbazine 375 mg/m2 Day 1,15 Every 28 days for 6 cycles12,400.00DNot applicableNot applicableNot applicableMO039BPET 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)
1,162Medical OncologyMedicalCT for Hodgkin's LymphomaAEVD 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 cycles12,400.00DNot applicableNot applicableNot applicableMO039CClinical 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)
1,163Medical OncologyMedicalCT for Relapsed Hodgkin LymphomaICE Ifosfamide 1.5 mg/m2 D1-3 Carboplatin AUC5 D2 Etoposide 100mg/m2 D1-3 Every 3 weeks12,800.00DNot applicableNot applicableNot applicableMO040AClinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,164Medical OncologyMedicalCT for Relapsed Hodgkin LymphomaMINE Ifosfamide 4 gm/m2 over 3days (D1-3) Mitoxantrone 8mg/m2 Etoposide 65mg/m2 D1-3 Every 3 weeks12,800.00DNot applicableNot applicableNot applicableMO040BClinical note with CBC/ Biochemistry/ LDH/ PET CECT or CECT chest abdomen and pelvis/ Bone marrow studies/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,165Medical OncologyMedicalCT for Relapsed Hodgkin LymphomaPTCL - GDP Gemcitabine 1000mg/m2 D1 and D8 Dexamethasone 40mg D1-4 Cisplatin 75mg/m2 D1 or Cacrboplatin AUC-5 Every 3 weeks17,900.00DNot applicableNot applicableNot applicableMO040CClinical 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)
1,166Medical OncologyMedicalCT for Relapsed NHL & HLDHAP Dexamethasone 40mg D1-4 Cisplatin 100mg/m2 or Carboplatin AUC-5D1 Cytarabine 2 gm/m2 BD D2 Repeat every 21 days15,200.00DNot applicableNot applicableNot applicableMO041AClinical 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)
1,167Medical OncologyMedicalCT for MM / Amyloidosis / POEMSLenalidomide + Dexamethasone Lenalidomide 25 mg daily Day1-21 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28days6,600.00DNot applicableNot applicableNot applicableMO042AClinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJPBAR CODE OF THE DRUGS/ 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)
1,168Medical OncologyMedicalCT for MM / Amyloidosis / POEMSPomalidomide + Dexamethasone Pomalidomide 4 mg daily Day 1-21 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28 days8,700.00DNot applicableNot applicableNot applicableMO042BClinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJPBAR CODE OF THE DRUGS/ 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)
1,169Medical OncologyMedicalCT for MM / AmyloidosisCyclophosphamide + Thalidomide + Dexamethasone Cyclophosphamide 100mg D1-D14 Thalidomide 100-200 mg daily Day 1-28 Dexamethasone 40mg Day 1, 8, 15, 22 Every 28 days5,000.00DNot applicableNot applicableNot applicableMO043AClinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJPBAR CODE OF THE DRUGS/ 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)
1,170Medical OncologyMedicalCT for MM / AmyloidosisMelphalan + Thalidomide + Prednisolone Melphalan 9mg/m2 D1-D4 Thalidomide 100mg D1-28 Prednisolone 100mg Day1-4 Every 28days5,100.00DNot applicableNot applicableNot applicableMO043BClinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJPBAR CODE OF THE DRUGS/ 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)
1,171Medical OncologyMedicalCT for MM / AmyloidosisBortezomib + 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 days16,100.00DNot applicableNot applicableNot applicableMO043CClinical 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)
1,172Medical OncologyMedicalCT for MM / AmyloidosisBortezomib + Dexamethasone Bortezomib 1.3 mg/m2 Day1, 8, 15, 22 Dexamethasone 40mg Day1, 8, 15, 22 Every 28 day16,200.00DNot applicableNot applicableNot applicableMO043DClinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJPBAR CODE OF THE DRUGS/ 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)
1,173Medical OncologyMedicalCT for MM / AmyloidosisBortezomib + Melphalan + Prednsiolone Melphalan 9mg/m2 D1-D4 Prednisolone 100mg Day 1-4 Bortezomib 1.3 mg/m2 Day 1, 8, 15, 22 Every 28 days13,900.00DNot applicableNot applicableNot applicableMO043EClinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJPBAR CODE OF THE DRUGS/ 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)
1,174Medical OncologyMedicalCT for MM / AmyloidosisBortezomib + 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 days19,600.00DNot applicableNot applicableNot applicableMO043FClinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJPBAR CODE OF THE DRUGS/ 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)
1,175Medical OncologyMedicalCT for MM / AmyloidosisBortezomib + 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 days16,500.00DNot applicableNot applicableNot applicableMO043GClinical note with CBC/ Biochemistry/ Serum protein electrophoresis/ Immunofixation/ Serum free light chain assay/ Bone marrow studies/ Skeletal survey/ Urine BJPBAR CODE OF THE DRUGS/ 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)
1,176Medical OncologyMedicalCT for Chronic Myeloid LeukemiaImatinib Imatinib 400 mg, 600 mg, 800 mg (per month X 5 years)21,300.00DNot applicableNot applicableNot applicableMO044AClinical note with CBC/ RFT/ LFT/ MDC/ BONE MARROW/ BIOPSY/ CYTOGENETICS/ RQ PCR BCR ABLBAR CODE OF THE DRUGS/ 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)
1,177Medical OncologyMedicalCT for Chronic Myeloid LeukemiaDasatinib 100 mg once a day6,100.00 DNot applicableNot applicableNot applicableMO044BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,178Medical OncologyMedicalCT for Myeloproliferative NeoplasmHydroxurea Hydroxurea daily (Dose will be based on blood counts)2,800.00DNot applicableNot applicableNot applicableMO045AClinical note with CBC/ RFT/ LFT/ MDC/ BONE MARROW / CYTOGENETICSBAR CODE OF THE DRUGS/ 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)
1,179Medical OncologyMedicalCT for Acute Myeloid LeukemiaCytarabine 2 gm / M2 BD for 3 days Every 21 days for 3 cycles86,200.00DNot applicableNot applicableNot applicableMO046AClinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ MolecularBAR CODE OF THE DRUGS/ 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)
1,180Medical OncologyMedicalCT for Acute Myeloid LeukemiaCytarabine 100 mg / M2 7 days Daunomycin 60 mg / M2 3 days127,800.00DNot applicableNot applicableNot applicableMO046BClinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ MolecularBAR CODE OF THE DRUGS/ 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)
1,181Medical OncologyMedicalCT for Acute Lymphoblastic LeukemiaBFM-90 BFM-95 BFM-2000 HyperCVAD UKALL GMALL176,000.00DNot applicableNot applicableNot applicableMO047AClinical note with CBC/ BIOCHEMBAR CODE OF THE DRUGS/ 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)
1,182Medical OncologyMedicalCT for Acute Lymphoblastic LeukemiaBFM-90 BFM-95 BFM-2000 HyperCVAD UKALL GMALL176,000.00DNot applicableNot applicableNot applicableMO047BClinical 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)
1,183Medical OncologyMedicalCT for Acute Lymphoblastic Leukemia6 Mercaptopurine 50 mg / M2 daily Methotrexate 25 mg / M2 Weekly for 2 years176,000.00DNot applicableNot applicableNot applicableMO047CClinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ CSF CYTOMORPHOLOGY/ FLOW CYTOMETRY/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ NGS/ BIOPSYBAR CODE OF THE DRUGS/ 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)
1,184Medical OncologyMedicalCT for Lymphoblastic LymphomaBFM-90 BFM-95 BFM-2000 HyperCVAD UKALL GMALL176,000.00DNot applicableNot applicableNot applicableMO048AClinical note with CBC/ BIOCHEMBAR CODE OF THE DRUGS/ 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)
1,185Medical OncologyMedicalCT for Lymphoblastic LymphomaBFM-90 BFM-95 BFM-2000 HyperCVAD UKALL GMALL176,000.00DNot applicableNot applicableNot applicableMO048BClinical 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)
1,186Medical OncologyMedicalCT for Lymphoblastic Lymphoma6 Mercaptopurine 50 mg/M2 daily and Methotrexate 25 mg/M2 Weekly for 2 Years176,000.00DNot applicableNot applicableNot applicableMO048CClinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ CSF CYTOMORPHOLOGY/ FLOW CYTOMETRY/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ NGS/ BIOPSYBAR CODE OF THE DRUGS/ 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)
1,187Medical OncologyMedicalCT for Acute Promyelocytic Leukemia (High Risk)Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary in each protocol87,100.00DNot applicableNot applicableNot applicableMO049AClinical note with CBC/ BIOCHEM/ ECG/ BONE MARROW / RQPCR PML RARABAR CODE OF THE DRUGS/ 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)
1,188Medical OncologyMedicalCT for Acute Promyelocytic Leukemia (High Risk)Arsenic trioxide ATRA Daunomycin or Idarubcin Cytarabine - multiagent - vary on protocol117,200.00DNot applicableNot applicableNot applicableMO049BClinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ PT/ APTT/ FIBRINOGEN/ 2D ECHO/ NCCT CHEST/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ RQPCR PML RARA/ BIOPSYBAR CODE OF THE DRUGS/ 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)
1,189Medical OncologyMedicalCT 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 Months35,200.00DNot applicableNot applicableNot applicableMO049CClinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ PT/ APTT/ FIBRINOGEN/ 2D ECHO/ NCCT CHEST/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ RQPCR PML RARA/ BIOPSYBAR CODE OF THE DRUGS/ 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)
1,190Medical OncologyMedicalCT 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 Months13,200.00DNot applicableNot applicableNot applicableMO050AClinical note with CBC LFTBAR CODE OF THE DRUGS/ 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)
1,191Medical OncologyMedicalCT for Acute Promyelocytic Leukemia (Low Risk)ATO 0.15 mg / kg ATRA 45 mg / M298,000.00DNot applicableNot applicableNot applicableMO050BClinical note with CBC/ BIOCHEMBAR CODE OF THE DRUGS/ 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)
1,192Medical OncologyMedicalFebrile NeutopeniaCefoperazone + Sulbactum Piperalicillin + Tazobactum Cefoperazone Piperacillin Amikacin Gentamicin Cefipime Levofloxacin Amoxycillin and clavulanate Teicoplanin Vancomycin40,300.00DNot applicableNot applicableNot applicableMO051AClinical note with CBC/ BIOCHEM/ ECG/ BONE MARROW/ RQ PCR/ PML RARABAR CODE OF THE DRUGS/ 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)
1,193Medical OncologyMedicalFebrile NeutopeniaMeropenem Imipenem Colistin Tigecyclin Linezolid Voriconazole Caspfungin Amphotericin - B95,400.00DNot applicableNot applicableNot applicableMO051BClinical note with CBC/ LFT/ RQ PCR/ PML RARABAR CODE OF THE DRUGS/ 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)
1,194Medical OncologyMedicalChemotherapy Complications - Tumor Lysis SyndromeRasburicase Febuxostat Allopurinol Sevelamer26,400.00DNot applicableNot applicableNot applicableMO052AClinical note with CBC/ LFT/ Serum Electrolytes/ Blood Phosphate levels/ Uric Acid/ BUNBAR CODE OF THE DRUGS/ 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)
1,195Medical OncologyMedicalGranulocyte Colony Stimulating Factor Use5 microgram / kg / day (max 300 microgram per day) for 7 days or PEG - GCSF 6mg one single dose per chemotherapy cycle14,100.00DNot applicableNot applicableNot applicableMO053AClinical note with CBC/ Bone marrow/ RFT/ LFTBAR CODE OF THE DRUGS/ 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)
1,196Medical OncologyMedicalCT for Langerhans Cell HistiocytosisLangerhans Cell Histiocytosis (Histiocytosis Protocol - Induction)30,700.00DNot applicableNot applicableNot applicableMO054AClinical note with CBC/ RFT/ LFT/ MDC/ BONE MARROW/ BIOPSY/ SKELETAL SURVEY OR PET CECTBAR CODE OF THE DRUGS/ 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)
1,197Medical OncologyMedicalCT for Langerhans Cell HistiocytosisLangerhans Cell Histiocytosis (Histiocytosis Protocol - Maintenance)35,000.00DNot applicableNot applicableNot applicableMO054BClinical note with CBC/ RFT/ LFT/ MDC/ BONE MARROW/ SKELETAL SURVEY OR PET CECTBAR CODE OF THE DRUGS/ 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)
1,198Medical OncologyMedicalCT for Low Grade GliomaVincristine + 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)7,200.00DNot applicableNot applicableNot applicableMO055AClinical note with CBC/ Biochemistry/ MRI/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,199Medical OncologyMedicalCT for Low Grade GliomaVinblastin Vinblastine 6 mg/m2 every week6,200.00DNot applicableNot applicableNot applicableMO055BClinical note with CBC/ Biochemistry/ MRI/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,200Medical OncologyMedicalCT for Medulloblastoma / Brain PNETPACKER7,700.00DNot applicableNot applicableNot applicableMO056AClinical 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)
1,201Medical OncologyMedicalCT for Medulloblastoma / CNS PNETCisplatin + 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 weekly10,100.00DNot applicableNot applicableNot applicableMO056BClinical 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)
1,202Medical OncologyMedicalCT for NeuroblastomaCabroplatin + Etoposide + Cyclophosphamide + Doxorubicin Carboplatin 600mg/m2 Etoposide 100mg/m2 (days 1-5) Cyclophosphamide Doxorubicin10,500.00DNot applicableNot applicableNot applicableMO057AClinical note with CBC/ Biochemistry/ CECT/MRI/ BONE MARROW STUDIES/ MIBG OR BONE OR PET CT SCAN/ BIOPSY/ FISHBAR CODE OF THE DRUGS/ 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)
1,203Medical OncologyMedicalCT for NeuroblastomaCarboplatin + Cisplatin + Cyclophosphamide + Vincristine + Etoposide8,700.00DNot applicableNot applicableNot applicableMO057BClinical note with CBC/ Biochemistry/ CECT/MRI/ BONE MARROW STUDIES/ MIBG OR BONE OR PET CT SCAN/ BIOPSY/ FISHBAR CODE OF THE DRUGS/ 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)
1,204Medical OncologyMedicalCT for Neuroblastoma13-cis retinoic acid 160mg/m2 per day for 2 weeks Each cycle given 4 weekly8,700.00DNot applicableNot applicableNot applicableMO057CClinical note with CBC/ BiochemistryBAR CODE OF THE DRUGS/ 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)
1,205Medical OncologyMedicalCT for RetinoblastomaVincristine + Carboplatin + Etoposide Carboplatin 600mg/m2 day 1 Etoposide 150mg/m2 days 1-3 Vincristine1.5mg/m2 day 19,000.00DNot applicableNot applicableNot applicableMO058AClinical note with CBC/ Biochemistry/ MRI/CT (BRAIN AND ORBITS)/ ULTRASONOGRAPHY/ BONE MARROW AND CSF STUDIESBAR CODE OF THE DRUGS/ 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)
1,206Medical OncologyMedicalCT for RhabdomyosarcomaVincristine + 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 cycle6,900.00DNot applicableNot applicableNot applicableMO059AClinical note with CBC/ Biochemistry/ MRI OR CECT/ BONE MARROW STUDIES/ BONE SCAN OR PET CT/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,207Medical OncologyMedicalCT for RhabdomyosarcomaVincristine + 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 weeks19,700.00DNot applicableNot applicableNot applicableMO059BClinical note with CBC/ Biochemistry/ MRI OR CECT/ BONE MARROW STUDIES/ BONE SCAN OR PET CT/ BiopsyBAR CODE OF THE DRUGS/ 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)
1,208Medical OncologyMedicalCT for Relapse RhabdomyosarcomaVincristine + 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 couplets15,100.00DNot applicableNot applicableNot applicableMO060AClinical note with CBC/ Biochemistry/ MRI OR CECT/ BONE MARROW STUDIES/ BONE SCAN OR PET CT/ Biopsy/ 2D ECHOBAR CODE OF THE DRUGS/ 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)
1,209Medical OncologyMedicalCT for Wilms TumorVincristine + Actinomycin D Vincristine 1.5 mg/m2 weekly for 12 weeks and then 3 weekly Actinomycin D 45 microgram / kg 3 weekly for 24 weeks4,600.00DNot applicableNot applicableNot applicableMO061AClinical note with CBC/ Biochemistry/ CT CHEST ABDOMEN/ ULTRASONOGRAPHY/ BIOPSYBAR CODE OF THE DRUGS/ 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)
1,210Medical OncologyMedicalCT for Wilms TumorVincristine + 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 weeks6,100.00DNot applicableNot applicableNot applicableMO061BClinical note with CBC/ Biochemistry/ CT CHEST ABDOMEN/ ULTRASONOGRAPHY/ BIOPSY/ 2D ECHOBAR CODE OF THE DRUGS/ 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)
1,211Medical OncologyMedicalCT for Wilms TumorCyclophosphamide + Doxorubicin + Etoposide + Vincristine + Dactinomycin Vincristine 1.5 mg/m2 Dactinomycin 45 microgram/kg Adriamyicn 60mg/m2 Cyclophosphamide Etoposide Weekly chemotherapy - varying hybrid regimen18,500.00DNot applicableNot applicableNot applicableMO061CClinical note with CBC/ Biochemistry/ CT CHEST ABDOMEN/ ULTRASONOGRAPHY/ BIOPSY/ 2D ECHOBAR CODE OF THE DRUGS/ 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)
1,212Medical OncologyMedicalCT for Pediatric Acute Lymphoblastic LeukemiaConsolidation (Phase II, CNS Therapy Reinduction)290,100.00DNot applicableNot applicableNot applicableMO062AClinical note with CBC/ BIOCHEMBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,213Medical OncologyMedicalCT for Pediatric Acute Lymphoblastic LeukemiaICICLE BFM KLALL MCP:841229,500.00DNot applicableNot applicableNot applicableMO062BClinical 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
1,214Medical OncologyMedicalCT for Pediatric Acute Lymphoblastic Leukemia6 - Mercaptopurine 75mg/m2 daily Methotrexate 20mg/m2 weekly Vincristine 1.5mg/m2 monthly Intrathecal methotrexate 12 mg 3 monthly229,500.00DNot applicableNot applicableNot applicableMO062CClinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ CSF CYTOMORPHOLOGY/ FLOW CYTOMETRY/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ NGS/ BIOPSYBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,215Medical OncologyMedicalCT for Ph+ve Pediatric Acute Lymphoblastic Leukemia for adult and paediatricDasatinib + chemo (to be used only with ALL therapy)6,100.00 DNot applicableNot applicableNot applicableMO062DClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,216Medical OncologyMedicalCT for Ph+ve Pediatric Acute Lymphoblastic Leukemia for adult and paediatricImatinib + chemo ((to be used only with ALL therapy)6,100.00 DNot applicableNot applicableNot applicableMO062EClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,217Medical OncologyMedicalCT for Pediatric Lymphoblastic LymphomaConsolidation (Phase II, CNS Therapy Reinduction)290,100.00DNot applicableNot applicableNot applicableMO063AClinical note with CBC/ BIOCHEMBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,218Medical OncologyMedicalCT for Pediatric Lymphoblastic LymphomaICICLE BFM KLALL MCP:841229,500.00DNot applicableNot applicableNot applicableMO063BClinical 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
1,219Medical OncologyMedicalCT for Pediatric Lymphoblastic Lymphoma6 - Mercaptopurine 75mg/m2 daily Methotrexate 20mg/m2 weekly Vincristine 1.5mg/m2 monthly Intrathecal methotrexate 12 mg 3 monthly229,500.00DNot applicableNot applicableNot applicableMO063CClinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ CSF CYTOMORPHOLOGY/ FLOW CYTOMETRY/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ NGS/ BIOPSYBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,220Medical OncologyMedicalCT for Pediatric Acute Myeloid LeukemiaCytrabine 3 gram/m2 twice a day Days 1, 3 and 563,400.00DNot applicableNot applicableNot applicableMO064AClinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ MolecularBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,221Medical OncologyMedicalCT for Pediatric Acute Myeloid LeukemiaCytrabine 200mg/m2/day days 1-10 and Daunorubicin 50mg/m2 days 1, 3 and 5 Etposide 100mg/m2 days 1-5127,400.00DNot applicableNot applicableNot applicableMO064BClinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ MolecularBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,222Medical OncologyMedicalCT for Pediatric Acute Myeloid LeukemiaCytrabine 100-200mg/m2/day days 1-7 and Daunorubicin 50mg/m2 days 1, 3 and 5126,900.00DNot applicableNot applicableNot applicableMO064CClinical note with CBC/ LFT/ RFT/ RBS/ Bone marrow aspiration/ flow cytometry or Peripheral blood flow cytometry/ cytogenetics/ MolecularBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,223Medical OncologyMedicalCT for Pediatric Acute Promyelocytic LeukemiaConsolidation71,200.00DNot applicableNot applicableNot applicableMO065AClinical note with CBC/ BIOCHEM ECG BONEMARROW RQPCR PML RARABAR CODE OF THE DRUGS/ 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)
1,224Medical OncologyMedicalCT for Pediatric Acute Promyelocytic LeukemiaInduction156,600.00DNot applicableNot applicableNot applicableMO065BClinical note with CBC/ BIOCHEMBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,225Medical OncologyMedicalCT for Pediatric Acute Promyelocytic LeukemiaMaintenance47,600.00DNot applicableNot applicableNot applicableMO065CClinical note with CBC/ MDC/ HIV/ HBSAG/ HCV/ BIOCHEM/ PT/ APTT/ FIBRINOGEN/ 2D ECHO/ NCCT CHEST/ BONE MARROW FLOW CYTOMETRY/ CYTOGENETICS/ RQPCR PML RARA/ BIOPSYBAR CODE OF THE DRUGS/ 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)
1,226Medical OncologyMedicalCT for Pediatric Hodgkins LymphomaCOPDAC11,400.00DNot applicableNot applicableNot applicableMO066AClinical 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
1,227Medical OncologyMedicalCT for Pediatric Hodgkins LymphomaOPEA14,300.00DNot applicableNot applicableNot applicableMO066BClinical 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
1,228Medical OncologyMedicalCT for Pediatric Hodgkins Lymphoma RelapseICE23,700.00DNot applicableNot applicableNot applicableMO067AClinical 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
1,229Medical OncologyMedicalCT for Pediatric Hodgkins Lymphoma RelapseDECA23,700.00DNot applicableNot applicableNot applicableMO067BClinical 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
1,230Medical OncologyMedicalCT for Pediatric Hodgkins Lymphoma RelapseIGVD37,400.00DNot applicableNot applicableNot applicableMO067CClinical 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
1,231Medical OncologyMedicalCT for Pediatric Non Hodgkins LymphomaLMB 89 - 96 - Consolidation51,600.00DNot applicableNot applicableNot applicableMO068AClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHOBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,232Medical OncologyMedicalCT for Pediatric Non Hodgkins LymphomaLMB 89 - 96 - Induction - COPADAM51,400.00DNot applicableNot applicableNot applicableMO068BClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHOBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,233Medical OncologyMedicalCT for Pediatric Non Hodgkins LymphomaLMB 89 - 96 - Maintenance79,600.00DNot applicableNot applicableNot applicableMO068CClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHOBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,234Medical OncologyMedicalCT for Pediatric Non Hodgkins LymphomaMCP - 842119,500.00DNot applicableNot applicableNot applicableMO068DClinical note with CBC/ Biochemistry/ PET CT or CECT Chest abdomen and pelvis/ Bone marrow studies/ Biopsy or fluid flow cytometry/ ECG/ 2D-ECHOBAR CODE OF THE DRUGS/ REPORTS OF THE TESTS (PATHOLOGY/ RADIOLOGY/ MICROBIOLOGY/ HEMATOLOGY/ BIOCHEMISTRY) / DISCHARGE SUMMARY OF INPATIENT DEPARTMENT / DISCHARGE SUMMARY OF DAY CARE DEPARTMENT/ CHARTS OF CHEMOTHERAPY REGIMEN
1,235Medical OncologyMedicalPEDIATRIC-GCT/JEBPediatric - Germ Cell Tumor / JEB13,000.00DNot applicableNot applicableNot applicableMO069AClinical note with CBC/ Biochemistry/ TUMOR MARKERS/ CECT CHEST AND ABDOMEN/ Biopsy/ AUDIOMETRY/ GFRBAR CODE OF THE DRUGS/ 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)
1,236Medical OncologyMedicalCT for Pediatric HepatoblastomaCarboplatin + Cisplatin + Doxorubicin6,800.00DNot applicableNot applicableNot applicableMO070AClinical note with CBC/ Biochemistry/ CECT CHEST AND ABDOMEN/ Biopsy/ ECG/ 2D-ECHO/ AUDIOMETRY/ GFRBAR CODE OF THE DRUGS/ 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)
1,237Medical OncologyMedicalCT for Pediatric HepatoblastomaCisplatin6,200.00DNot applicableNot applicableNot applicableMO070BClinical note with CBC/ Biochemistry/ S.AFP/ CECT CHEST AND ABDOMEN/ Biopsy/ AUDIOMETRY/ GFRBAR CODE OF THE DRUGS/ 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)
1,238Medical OncologyMedicalCT for CA LungDocetaxel Docetaxel 75 mg/m2 D1 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071AClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and PelvisBAR CODE OF THE DRUGS/ 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)
1,239Medical OncologyMedicalCT for CA LungErlotinib Erlotinib 150 mg once daily17,800.00DNot applicableNot applicableNot applicableMO071BClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ EGFR mutation positiveBAR CODE OF THE DRUGS/ 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)
1,240Medical OncologyMedicalCT for CA LungGefitnib Gefitinib 250 mg once daily17,800.00DNot applicableNot applicableNot applicableMO071CClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ EGFR mutation positiveBAR CODE OF THE DRUGS/ 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)
1,241Medical OncologyMedicalCT for CA LungPaclitaxel + Carboplatin Paclitaxel 175mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071DClinical 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)
1,242Medical OncologyMedicalCT for CA LungPemetrexed + Carboplatin Pemetrexed 500mg/m2 D1 Carboplatin AUC 5-6 D1 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071EClinical 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)
1,243Medical OncologyMedicalCT for CA LungTopotecan Topotecan 1.5 mg/m2 D1-D5 every 21 days27,100.00DNot applicableNot applicableNot applicableMO071FClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology - Small Cell Lung CarcinomaBAR CODE OF THE DRUGS/ 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)
1,244Medical OncologyMedicalCT for CA LungDocetaxel Docetaxel 20 mg/m2 D1 every week17,800.00DNot applicableNot applicableNot applicableMO071GClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancerBAR CODE OF THE DRUGS/ 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)
1,245Medical OncologyMedicalCT for CA LungEtoposide + Carboplatin Etoposide 100mg/m2 D1 - D3 Carboplatin AUC 5-6 D1 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071HClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology - Small Cell Lung CarcinomaBAR CODE OF THE DRUGS/ 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)
1,246Medical OncologyMedicalCT for CA LungEtoposide + Cisplatin Etoposide 100mg/m2 D1 - D3 Cisplatin 75-100 mg/m2 D1 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071IClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology - Small Cell Lung CarcinomaBAR CODE OF THE DRUGS/ 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)
1,247Medical OncologyMedicalCT for CA LungGemcitabine Gemcitabine 1000mg /m2 D1 D8 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071JClinical 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)
1,248Medical OncologyMedicalCT for CA LungGemcitabine + Carboplatin Gemcitabine 1000 mg/m2 D1 D8 Carboplatin AUC 5-6 D1 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071KClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancerBAR CODE OF THE DRUGS/ 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)
1,249Medical OncologyMedicalCT for CA LungGemcitabine + Cisplatin Gemcitabine 1000 mg/m2 D1 D8 Cisplatin 75 mg/m2 D1 D8 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071LClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancerBAR CODE OF THE DRUGS/ 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)
1,250Medical OncologyMedicalCT for CA LungPaclitaxel Paclitaxel 80mg/m2 every week17,800.00DNot applicableNot applicableNot applicableMO071MClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancerBAR CODE OF THE DRUGS/ 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)
1,251Medical OncologyMedicalCT for CA LungPaclitaxel Paclitaxel 175mg/m2 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071NClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancerBAR CODE OF THE DRUGS/ 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)
1,252Medical OncologyMedicalCT for CA LungPaclitaxel + Carboplatin Paclitaxel 50mg/m2 D1 Carboplatin AUC 2 D1 every week17,800.00DNot applicableNot applicableNot applicableMO071OClinical 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)
1,253Medical OncologyMedicalCT for CA LungPaclitaxel + Cisplatin Paclitaxel 175 mg/m2 D1 Cisplatin 75mg/m2 D1 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071PClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancerBAR CODE OF THE DRUGS/ 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)
1,254Medical OncologyMedicalCT for CA LungPemetrexed + Cisplatin Pemetrexed 500mg/m2 D1 Cisplatin 75 mg/m2 D1 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071QClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology - adenocarcinoma and adenosquamous carcinomaBAR CODE OF THE DRUGS/ 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)
1,255Medical OncologyMedicalCT for CA LungPemetrexed Pemetrexed 500mg/m2 D1 every 21 days17,800.00DNot applicableNot applicableNot applicableMO071RClinical 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)
1,256Medical OncologyMedicalCT for CA LungVinorelbine + Carboplatin Vinorelbine 25mg/m2 D1 D8 CarboplatinAUC 5-6 D1 every 21 days25,100.00DNot applicableNot applicableNot applicableMO071SClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancerBAR CODE OF THE DRUGS/ 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)
1,257Medical OncologyMedicalCT for CA LungVinorelbine + Cisplatin Vinorelbine 25mg/m2 D1 D8 Cisplatin 75mg/m2 D1 every 21 days22,700.00DNot applicableNot applicableNot applicableMO071TClinical note with CBC/ LFT/ RFT/ RBS/ CECT Thorax/ abdomen and Pelvis/ histopathology- Non Small cell Lung cancerBAR CODE OF THE DRUGS/ 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)
1,258Medical OncologyMedicalCT for CA CervixCarboplatin Carboplatin AUC 2 every week3,300.00DNot applicableNot applicableNot applicableMO072AClinical note with CBC/ LFT/RFT/RBS/ CECT/MR Face and neck/ histopathology -squamous carcinoma/ nasopharyngeal carcinomaBAR CODE OF THE DRUGS/ 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)
1,259Medical OncologyMedicalCT for primary CNS lymphomaDe-Angelis/MTR43,600.00 DNot applicableNot applicableNot applicableMO073AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,260Medical OncologyMedicalUnspecified Chemotherapy regimenUnspecified Chemotherapy regimen0.001Routine Ward/ HDU/ ICU - Without Ventilator/ ICU - With Ventilator2100/ 3300/ 8500/ 9000Not applicableMO073MLAClinical note with CBC/ LFT/ Serum Electrolytes/ Blood Phosphate levels/ Uric Acid/ BUNBAR CODE OF THE DRUGS/ 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)
1,261Medical OncologyMedicalGCT TestisSA Carboplatin AUC 7 once every 3 weeks7,300.00 DNot applicableNot applicableNot applicableMO074AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,262Medical OncologyMedicalCT for GCT of boneDenosumab Denosumab 120 mg s/c D1, 8, 15 then every 28 days21,800.00 DNot applicableNot applicableNot applicableMO075AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,263Medical OncologyMedicalGEP NET Neuroendocrine carcinomaTemozolamide 150mg/m2 D9-14 + Capecitabine 1gm/me D1-14 every 28 days9,700.00 DNot applicableNot applicableNot applicableMO076AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,264Medical OncologyMedicalGEP NET high grade Neuroendocrine carcinomaCarboplatin AUC 5 + Etoposide 100mg/m2 D1-D3 every 21 days16,300.00 DNot applicableNot applicableNot applicableMO076BClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,265Medical OncologySurgicalIntravesical BCG / MitomycinIntravesical BCG / Mitomycin3,500.004Not applicableNot applicableNot applicableSU060AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/ detailed discharge summary/ All investigations reports.
1,266Medical OncologyMedicalCT for CA CervixPaclitaxel 160mg + Cisplatin 50mg7,300.00 DNot applicableNot applicableNot applicableMO074MLAClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementTreatment details/detailed discharge summary/ All investigations reports.
1,267Mental DisordersMedicalMental RetardationMental Retardation0.0010Routine Ward/ HDU2300/ 3600Not applicableMM001ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,268Mental DisordersMedicalMental disorders - Organic, including symptomaticMental disorders - Organic, including symptomatic0.0010Routine Ward/ HDU2300/ 3600Not applicableMM002ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,269Mental DisordersMedicalSchizophrenia, schizotypal and delusional disordersSchizophrenia, schizotypal and delusional disorders0.0010Routine Ward/ HDU2300/ 3600Not applicableMM003ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,270Mental DisordersMedicalNeurotic, stress-related and somatoform disordersNeurotic, stress-related and somatoform disorders0.0010Routine Ward/ HDU2300/ 3600Not applicableMM004ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,271Mental DisordersMedicalMood (affective) disordersMood (affective) disorders0.0010Routine Ward/ HDU2300/ 3600Not applicableMM005ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,272Mental DisordersMedicalBehavioural syndromes associated with physiological disturbances and physical factorsBehavioural syndromes associated with physiological disturbances and physical factors0.0010Routine Ward/ HDU2300/ 3600Not applicableMM006ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,273Mental DisordersMedicalMental and Behavioural disorders due to psychoactive substance useMental and Behavioural disorders due to psychoactive substance use0.0010Routine Ward/ HDU2300/ 3600Not applicableMM007ADetailed 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.
1,274Mental DisordersMedicalPackage (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 levelPackage (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 level7,300.004Not applicableNot applicableNot applicableMM008ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,275Mental DisordersMedicalElectro Convulsive Therapy (ECT) - per sessionElectro Convulsive Therapy (ECT) - per session3,300.001Not applicableNot applicableNot applicableMM009ADetailed 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.
1,276Mental DisordersMedicalTranscranial Magnetic Stimulation (TMS)Transcranial Magnetic Stimulation (TMS)1,100.001Not applicableNot applicableNot applicableMM010ADetailed 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.
1,277Mental DisordersMedicalNeuroDevelopmental Disorders (NDD) Other than Intellectual DisabilityMixed Developmental Disorder0.004Routine Ward/ HDU2300/ 3600Not applicableMM010BDetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,278Mental DisordersMedicalNeuroDevelopmental Disorders (NDD) Other than Intellectual DisabilityTourette Syndrome / Chronic Tic Disorder0.004Routine Ward/ HDU2300/ 3600Not applicableMM010CDetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,279Mental DisordersMedicalNeuroDevelopmental Disorders (NDD) Other than Intellectual DisabilityAttention Deficit Hyperactivity Disorder (ADHD)0.004Routine Ward/ HDU2300/ 3600Not applicableMM010DDetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,280Mental DisordersMedicalNeuroDevelopmental Disorders (NDD) Other than Intellectual DisabilitySpecific Developmental Disorders0.004Routine Ward/ HDU2300/ 3600Not applicableMM010EDetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,281Mental DisordersMedicalBehavioral and motional Disorders of Childhood and AdolescenceOppositional Defiant Disorder0.004Routine Ward/ HDU2300/ 3600Not applicableMM011ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,282Mental DisordersMedicalBehavioral and motional Disorders of Childhood and AdolescenceConduct Disorder0.004Routine Ward/ HDU2300/ 3600Not applicableMM011BDetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,283Mental DisordersMedicalBehavioral and motional Disorders of Childhood and AdolescenceMixed Disorder of Conduct and Emotions0.004Routine Ward/ HDU2300/ 3600Not applicableMM011CDetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,284Mental DisordersMedicalBehavioral and motional Disorders of Childhood and AdolescenceAnxiety and Depressive Disorders0.004Routine Ward/ HDU2300/ 3600Not applicableMM011DDetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,285Mental DisordersMedicalBehavioral and motional Disorders of Childhood and AdolescenceOther Internalizing and Externalizing Disorders of Childhood and Adolescence0.004Routine Ward/ HDU2300/ 3600Not applicableMM011EDetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,286Mental DisordersMedicalNon-Pharmacological InterventionsPsychological, 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)3,600.004Not applicableNot applicableNot applicableMM012ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,287Mental DisordersMedicalPharmacological InterventionsCommon Medications Used in Management of Child & Adult Psycholoigical DisordersiIncluding Anti-ADHD Medication2,400.004Not applicableNot applicableNot applicableMM013ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,288Mental DisordersMedicalPsychological / Psychosocial Assessment Package for All Child And Adolescent Psychiatric DisordersPsychological 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)3,100.004Not applicableNot applicableNot applicableMM014ADetailed history with chronicity/ need for hospitalization. Admission under empanneled hospital is a must.Detailed treatment notes/ all investigations done/ detailed discharge summary.
1,289Neo-natal CareMedicalBasic 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 counselling900.004Not applicableNot applicableNot applicableMN011AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,290Neo-natal CareMedicalROP screeningROP screening600.004Not applicableNot applicableNot applicableMN012AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,291Neo-natal CareMedicalBERABERA1,800.004Not applicableNot applicableNot applicableMN013AClinical notes detailing history and Admission notes showing vitals and examination findings/ any investigations done/ planned line of managementDetailed ICPs/ Treatment details/ detailed discharge summary/ All investigations reports.
1,292Neo-natal CareMedicalBasic 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)0.004Routine Ward2100Not applicableMN001ADetailed clinical notes (incl trigger for hospitalization and examiantion findings)/ supporting investigations.Detailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,293Neo-natal CareMedicalSpecial 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 rateSpecial 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 rate0.006SNCU / NICU3300Not applicableMN002AClinical notes with planned line of treatment (incl birth & past history)/ Investigation Reports supporting diagnosis/ Planned line of treatment/ admission in NICU or SICUDetailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,294Neo-natal CareMedicalIntensive 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 rateIntensive 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 rate0.007SNCU / NICU5500Not applicableMN003ADetailed clinical notes (incl trigger for hospitalization and examiantion findings)/ planned line of treatment/ Admission in NICU or SICUDetailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,295Neo-natal CareMedicalAdvanced 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 rateAdvanced 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 rate0.007SNCU / NICU6600Not applicableMN004ADetailed clinical notes (incl trigger for hospitalization and examiantion findings)/ planned line of treatment/ Admission in NICU or SICUDetailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,296Neo-natal CareMedicalCritical 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 rateCritical 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 rate0.0021SNCU / NICU7700Not applicableMN005ADetailed clinical notes (incl trigger for hospitalization and examiantion findings)/ planned line of treatment/ Admission in NICU or SICUDetailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,297Neo-natal CareMedicalChronic 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 supportChronic 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 support0.007SNCU / NICU3300Not applicableMN006AClaim number of having utilized Package no MN004A or MN005A and Notes mentioning need for stay beyond prescribed upper limitDetailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,298Neo-natal CareMedicalHigh Risk Newborn Post Discharge Care Package (Protocol Driven)High Risk Newborn Post Discharge Care Package (Protocol Driven)2,600.00NANot applicableNot applicableNot applicableMN007ANeed of planned care and details of planned post discharge careDetailed 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.
1,299Neo-natal CareMedicalLaser Therapy for Retinopathy of PrematurityLaser Therapy for Retinopathy of Prematurity2,100.00DNot applicableNot applicableNot applicableMN008AClinical notes and Fundoscope reports / stills showing extent of ROP and need for procedure.Details of Laser therapy done.
1,300Neo-natal CareSurgicalAdvanced Surgery for Retinopathy of PrematurityAdvanced Surgery for Retinopathy of Prematurity20,700.005Not applicableNot applicableNot applicableMN009AClinical notes and Fundoscope reports / stills showing extent of ROP and need for surgery.Detailed discharge summary/ Detailed Procedure / Operative Notes
1,301Neo-natal CareSurgicalVentriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for HydrocephalusVentriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for Hydrocephalus13,000.002Not applicableNot applicableNot applicableMN010AClinical history and CT/ MRIDetailed discharge summary/ Detailed Procedure / Operative Notes
1,302Neo-natal CareMedicalMeconium Aspiration SyndromeMeconium Aspiration Syndrome12,000.003Not applicableNot applicableNot applicableMN011MLAClinical notes showing vitals and examination findingsDetailed ICPs (daily Treatment details)/ detailed discharge summary/ All investigations reports.
1,303NeurosurgerySurgicalNerve root blockNerve root block3,300.00DNot applicableNot applicableNot applicableSB068AClinical notes with planned line of treatment including planned line of treatment/ X-rayProcedure / Operation notes/ Post procedure X-ray/ Treatment details / Detailed Discharge Summary
1,304NeurosurgerySurgicalResuturing of Any Wound gap SurgeriesResuturing of Any Wound gap Surgeries4,200.00NANot applicableNot applicableNot applicableSC080AClinical notes with planned line of treatmentClinical notes / discharge summary with planned l