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Package Rates under RSBY for Critical Care Package

Package Rate for Additional Benefits (Critical Care) Post Operative Procedure/ Investigation

Code

S1 S1.1 S1.1.1.1 S1.1.1.2 S1.1.2.1 S1.1.2.2 S1.1.3.1 S1.1.3.2 S1.1.3.2.1 S1.1.3.2.2 S1.1.4.1 S1.1.4.2 S1.1.5.1 S1.1.5.2 S1.1.6.1 S1.1.6.2 S1.1.7.1 S1.1.7.2 S1.1.7.3 S1.1.7.4 S1.10 S1.10.1 S1.10.2 S1.11 S1.11.1 S1.11.10 S1.11.11 S1.11.12 S1.11.13 S1.11.14 S1.11.15 S1.11.16

System

CARDIAC AND CARDIOTHORACIC SURGERY CARDIAC INTERVENTIONS / PROCEDURES CORONARY BALLOON ANGIOPLASTY PTCA Additional Stent ASD Device closure VSD Device closure PDA Stenting Device closure Single coil Multiple coils BALLOON VALVOTOMY Balloon Atrial septostomy PERMANENT PACEMAKER IMPLANTATION TEMPORARY PACEMAKER IMPLANTATION With stent Without stent RENAL ANGIOPLASTY Peripheral Angioplasty VERTEBRAL ANGIOPLASTY Additional Stent CARDIAC INJURES SURGERY WITHOUT CPB SURGERY WITH CPB VASCULAR SURGERIES PERIPHERAL EMBOLECTOMY WITHOUT GRAFT EXCISION OF ARTERIO VENOUS MALFORMATION LARGE EXCISION OF ARTERIO VENOUS MALFORMATION SMALL ARTERIAL EMBOLECTOMY A V FISTULA AT WRIST A. V FISTULA AT ELBOW D V T - IVC FILTER VASCULAR TUMORS

Special Investigation

Packages

2 CAD CAG 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO CAG , ECG CAG , ECG 2D ECHO , CAG Aortogram ANGIOGRAM 2D ECHO , ANGIOGRAM ANGIOGRAM ANGIOGRAM

72000 24000 96000 96000 78000 72000 24000 36000 24000 36000 90000 12000 96000 36000 72000 72000 90000 48000

X-RAY X-RAY 2D ECHO , X-RAY 2D ECHO , X-RAY 2D ECHO 2D ECHO 2D ECHO 2D ECHO ECHO , X-RAY ECHO , X-RAY DOPPLER DOPPLER DOPPLER , XRAY DOPPLER DOPPLER DOPPLER , XRAY

2D ECHO 2D ECHO

48000 90000

2D ECHO 2D ECHO

ANGIOGRAM , Spiral CT Angiogram MRI Angiogram , Spiral CT Angiogram MRI Angiogram , Spiral CT Angiogram ANGIOGRAM , Color Doppler Color Doppler Color Doppler Color Doppler ANGIOGRAM , Spiral CT

30000 90000 48000 24000 12000 24000 120000 48000

Color Doppler Color Doppler Color Doppler ANGIOGRAM , PVR , SBP Color Doppler Color Doppler Plain X-Ray Abdomen Color Doppler

Package Rates under RSBY for Critical Care Package

Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram ANGIOGRAM , Spiral CT Angiogram

S1.11.17 S1.11.18 S1.11.19 S1.11.2 S1.11.3 S1.11.4 S1.11.5 S1.11.6 S1.11.7 S1.11.8 S1.11.9 S1.2 S1.2.1.1 S1.2.1.2 S1.2.1.3 S1.2.1.4 S1.2.10.1 S1.2.10.2 S1.2.10.3 S1.2.10.4 S1.2.11.1 S1.2.11.2 S1.2.11.3 S1.2.12.1 S1.2.12.2 S1.2.13.1 S1.2.13.2 S1.2.13.3 S1.2.13.4 S1.2.13.5

SMALL ARTERIAL ANEURYSMS - REPAIR MEDIUM SIZE ARTERIAL ANEURYSMS - REPAIR MEDIUM SIZE ARTERIAL ANEURYSMS WITH SYNTHETIC GRAFT AORTO BILLIAC - BIFEMORAL BYPASS WITH SYNTHETIC GRAFT AXILLO BIFEMORAL BYPASS WITH SYNTHETIC GRAFT FEMORO DISTAL BYPASS WITH VEIN GRAFT FEMORO DISTAL BYPASS WITH SYNTHETIC GRAFT AXILLO BRACHIAL BYPASS USING WITH SYNTHETIC GRAFT BRACHIO - RADIAL BYPASS WITH SYNTHETIC GRAFT CAROTID BODY TUMOR - EXCISION CAROTID ARTERY BYPASS WITH SYNTHETIC GRAFT CARDIOTHORACIC AND VASCULAR SURGERIES CORONARY BYPASS SURGERY CORONARY BYPASS SURGERY-POST ANGIOPLASTY CABG WITH IABP PUMP CABG WITH ANEURISMAL REPAIR MITRAL VALVE REPLACEMENT (WITH VALVE) AORTIC VALVE REPLACEMENT (WITH VALVE) TRICUSPID VALVE REPLACEMENT DOUBLE VALVE REPLACEMENT (WITH VALVE) PERICARDIOSTOMY PERICARDIECTOMY PERICARDIOCENTESIS COARCTATION-AROTA REPAIR WITH GRAFT COARCTATION-AROTA REPAIR WITHOUT GRAFT ANEURYSM RESECTION & GRAFTING INTRATHORACIC ANEURYSM -ANEURYSM NOT REQUIRING BYPASS (WITH GRAFT) INTRATHORACIC ANEURYSM -REQUIRING BYPASS (WITH GRAFT) DISSECTING ANEURYSMS ANNULUS AORTIC ECTASIA WITH VALVED

18000 60000 90000 150000 120000 72000 96000 78000 60000 72000 120000

Color Doppler Color Doppler Color Doppler Color Doppler Color Doppler Color Doppler Color Doppler Color Doppler Color Doppler Color Doppler Color Doppler

CAG POST PTCA-CAG 2D ECHO , CAG CAG 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO , CAG 2D ECHO , CAG 2D ECHO , CAG CT-Angio , Cath CT-Angio , Cath CT-Angio , Cath angio

110000 120000 150000 130000 140000 140000 140000 170000 12000 36000 2400 38400 30000 150000 78000 150000 90000 170000

Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph 2D ECHO , X-RAY 3D ECHO , X-RAY 4D ECHO , X-RAY 5D ECHO , X-RAY 2D ECHO 2D ECHO 2D ECHO DOPPLER DOPPLER DOPPLER DOPPLER DOPPLER DOPPLER DOPPLER ,

Package Rates under RSBY for Critical Care Package

CONDUITS S1.2.14.1 S1.2.14.2 S1.2.15.1 S1.2.15.2 S1.2.16.1 S1.2.16.2 S1.2.17.1 S1.2.17.2 S1.2.18.1 S1.2.18.2 S1.2.19.1 AORTO-AORTO BYPASS WITH GRAFT AORTO-AORTO BYPASS WITHOUT GRAFT FEMORO- POPLITIAL BYPASS WITH GRAFT FEMORO- POPLITIAL BYPASS WITHOUT GRAFT With Graft Without Graft FEMORO-FEMORAL BYPASS WITH GRAFT FEMORO-FEMORAL BYPASS WITHOUT GRAFT Arterial Switch Sennings Procedure Carotid Embolectomy angio angio angio angio angio angio angio angio 2D ECHO , angio 2D ECHO , angio ANGIOGRAM 72000 54000 54000 36000 54000 30000 54000 30000 170000 140000 60000 ECHO DOPPLER DOPPLER DOPPLER DOPPLER DOPPLER DOPPLER DOPPLER DOPPLER 2D ECHO 2D ECHO DOPPLER , XRAY Clinical Photograph , ECHO , HPE Clinical Photograph , ECHO Clinical Photograph , ECHO 2D ECHO 2D ECHO Clinical Photograph , ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO ECHO ECHO , X-RAY 2D ECHO 2D ECHO 2D ECHO

S1.2.2.1

SURGERY FOR INTRACARDIAC TUMORS

2D ECHO , CAG

90000

S1.2.3.1

RUPTURED SINUS OF VALSULVA CORRECTION

CAG

110000

S1.2.4.1 S1.2.5.1.1 S1.2.5.1.2

TAPVC CORRECTION SYSTEMIC PULMONARY SHUNTS WITH GRAFT SYSTEMIC PULMONARY SHUNTS WITHOUT GRAFT

2D ECHO 2D ECHO 2D ECHO

110000 24000 24000

S1.2.5.2 S1.2.6.1 S1.2.6.2 S1.2.7.1 S1.2.8.1 S1.2.8.2 S1.2.9.1 S1.2.9.2 S1.2.9.3 S1.2.9.4 S1.2.9.5 S1.3

TOTAL CORRECTION OF TETRALOGY OF FALLOT INTRA CARDIAC REPAIR OF ASD Intracardiac Repair of VSD Surgery-PDA WITH SPECIAL CONDUITS WITHOUT SPECIAL CONDUITS WITH PROSTHETIC RING WITHOUT PROSTHETIC RING OPEN PULMONARY VALVOTOMY CLOSED MITRAL VALVOTOMY MITRAL VALVOTOMY (OPEN) LUNGS

2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO 2D ECHO

110000 90000 90000 24000 150000 110000 115000 100000 90000 24000 96000

S1.3.1

PNEUMONECTOMY

CT-Chest , X-RAY

60000

Clinical Photograph , XRAY Clinical Photograph , XRAY

S1.3.2

LOBECTOMY

CT-Chest , X-RAY

60000

Package Rates under RSBY for Critical Care Package

Clinical Photograph , XRAY Clinical Photograph , XRAY Clinical Photograph , XRAY Clinical Photograph , XRAY Clinical Photograph , XRAY Clinical Photograph , XRAY

S1.3.3

DECORTICATION

CT-Chest , X-RAY

60000

S1.3.4

LUNG CYST

CT-Chest , X-RAY

60000

S1.3.5

SOL MEDIASTINUM

CT-Chest , X-RAY

60000

S1.3.6.1

Thorocoplasty

CT-Chest , X-RAY

60000

S1.3.6.2

Myoplasty

CT-Chest , X-RAY

60000

S1.3.6.3 S1.4 S1.4.1 S1.4.2 S1.4.3 S1.5

TRANSPLEURAL BPF CLOSURE CHEST SURGERY Diaphragmatic Eventeration DIAPHRAGMATIC HERNIA OESOPHAGEAL DIVERTICULA /ACHALASIA CARDIA DIAPHRAGMATIC INJURIES THORACOTOMY, THORACO ABDOMINAL APPROACH BRONCHIAL INJURIES/FB FOREIGN BODY REMOVAL WITH SCOPE REPAIR SURGERY FOR INJURIES DUE TO FB OESOPHAGEAL INJURY/FB GASTRO STUDY FOLLOWED BY THORACOTOMY & REPAIRS for OESOPHAGEAL INJURY for Corrosive Injuries/FB VASCULAR INJURY SURGERY WITHOUT GRAFT for ARTERIAL INJURIES VENOUS INJURIES Vascular Injury in upper limbs - Axillary,branchial,Radial and Ulnar - Repair with Vein Graft Major Vascular Injury -in lower limbs-Repair Major Vascular Injury Repair- Tibial vessels in leg Major Vascular Injury Repair -vessels in Foot

CT-Chest , X-RAY

60000

BARIUM STUDIES , CT-Scan CT-Scan , USG BARIUM STUDIES , CT-Scan

48000 48000 48000

USG USG USG

S1.5.1 S1.6 S1.6.1 S1.6.2 S1.8

CT-Scan

48000

Clinical photograph with operative scars

Bronchoscopy , CT-Scan Bronchoscopy , CT-Scan

24000 48000

Endoscopy picture Endoscopy picture

S1.8.1 S1.9

Gastroscopy

60000

Endoscopy picture

S1.9.1 S1.9.1.1 S1.9.1.2 S1.9.1.3 S1.9.1.4

ANGIOGRAM , DOPPLER -

12000 48000 72000 24000 24000

Clinical photograph with operative scars ANGIOGRAM , Color Doppler ANGIOGRAM , Color Doppler ANGIOGRAM , Color Doppler ANGIOGRAM , Color Doppler Clinical photograph with operative scars

S1.9.2

SURGERY WITH VEIN GRAFT

ANGIOGRAM , DOPPLER

18000

Package Rates under RSBY for Critical Care Package

Clinical photograph with operative scars Color Doppler Color Doppler

S1.9.3 S1.9.4 S1.9.5 S1.9.6 S2 S2.1 S2.1.2 S2.1.3

WITH PROSTHETIC GRAFT NECK VASCULAR INJURY - CAROTID VESSELS ABDOMINAL VASCULAR INJURIES - AORTA, ILLAC ARTERIES, IVC, ILIAC VEINS THORACIC VASCULAR INJURIES GENITO URINARY SURGERIES RENAL TRANSPLANTATION A.V. FISTULA(PRE-TRANSPLANT PROCEDURE ONLY) RENAL TRANSPLANTATION SURGERY POST TRANSPLANT IMMUNOSUPPRESSIVE TREATMENT FROM 1ST TO 6TH MONTH AFTER TRANSPLANTATION TESTIS AND PENIS Orchidopexy Bilateral Torsion testis Chordee correction Partial amputation of Penis(Non-Malignant) Total amputation of Penis(Non-Malignant) SURGERY FOR RENAL CALCULI

ANGIOGRAM , DOPPLER ANGIOGRAM , Color Doppler ANGIOGRAM , Color Doppler ANGIOGRAM , Color Doppler

48000 120000 120000 150000

RenalFunction Test , S.Electrolytes RFT , USG

12000 150000

Clinical Photograph Clinical Photograph

S2.1.4 S2.10 S2.10.1 S2.10.2 S2.10.3 S2.10.4 S2.10.5 S2.2

RFT , USG

60000

Bills Copy

USG USG USG Clinical Photograph Clinical Photograph

18000 14400 10000 18000 30000

Clinical Photograph Clinical Photograph Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph

S2.2.1

OPEN PYELOLITHOTOMY

IVP , KUB , USG

12000

Clinical Photograph , USG , X-RAY Clinical Photograph , USG , X-RAY Clinical Photograph , USG , X-RAY Clinical Photograph , XRAY

S2.2.2

OPEN NEPHROLITHOTOMY

IVP , KUB , USG

15000

S2.2.3

OPEN CYSTOLITHOTOMY

IVP , KUB , USG

7500

S2.2.4 S2.3

LAPAROSCOPIC PYELOLITHOTOMY LITHOTRIPSY PROCEDURES

USG

18000

S2.3.1

Cystolithotripsy

IVP , KUB , USG

12000

Clinical Photograph , USG , X-RAY Clinical Photograph , XRAY Clinical Photograph , IVP , X-RAY

S2.3.2

PCNL

IVP , KUB , USG

18000

S2.3.3

ESWL

IVP , KUB , USG

24000

Package Rates under RSBY for Critical Care Package

Clinical Photograph , XRAY Clinical Photograph X-RAY

S2.3.4 S2.3.5 S2.3.6 S2.4 S2.4.1.1 S2.4.1.2.1 S2.4.1.2.2 S2.4.2 S2.4.3.1 S2.4.3.2.1 S2.4.3.2.2 S2.4.4 S2.5 S2.5.1 S2.6 S2.6.1 S2.6.2 S2.6.3 S2.6.4 S2.6.5 S2.6.6 S2.6.7 S2.6.8 S2.7 S2.7.1

URSL NEPHROSTOMY DJ STENT (ONE SIDE) Other Corrective Surgeries/Procedures Single stage Stage-1 Stage-2 Reconstruction Procedure Single Stage Stage-1 Stage-2 TURBT Renal Transplantation Post Transplant immunosuppressive Treatment from 7th to 12 th Month after transplantation RENAL Nephrostomy Nephrectomy Pyonephrosis/XGP Simple Nephrectomy Lap. Nephrectomy Simple Lap. Nephrectomy Radical Lap. Partial Nephrectomy Bilateral Nephroureterectomy Renal Cyst Excision RENAL STONE SURGERY/THERAPIES Endoscope Removal of stone in Bladder ANATROPHIC PEYLOLITHOTOMY FOR STAGHORN CALICULUS CORRECTIVE SURGERIES Anderson Hynes Pyeloplasty Vasico Vaginal Fistula Epispadiasis - Correction

IVP , KUB , USG IVP , USG IVP , USG

30000 10500 6000

RUG RUG RUG Photo Clinical Photograph Clinical Photograph Clinical Photograph CT

17000 17000 17000 36000 20000 20000 20000 15000

Clinical Photograph Clinical Photograph Clinical Photograph Photo Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph

RFT , USG

60000

Bills Copy

IVP , USG IVP , USG IVP , USG IVP , USG IVP , USG IVP , USG IVP , USG IVP , USG

12000 48000 48000 36000 48000 42000 30000 18000

USG USG USG USG USG USG USG USG

IVP , Scopy , USG , X-Ray KUB

12000

Endoscopy Picture Clinical Photograph , USG , X-Ray

S2.7.2 S2.8 S2.8.1 S2.8.2 S2.8.3

IVP , KUB , USG

60000

IVP , USG , X-RAY IVP , Scopy , rgp Clinical Photograph

48000 48000 48000

Clinical Photograph Clinical Photograph Clinical Photograph

Package Rates under RSBY for Critical Care Package

Clinical Photograph Endoscopy Picture Endoscopy Picture USG Clinical Photograph Clinical Photograph

S2.8.4 S2.8.5 S2.8.6 S2.8.7 S2.8.8 S2.8.9 S2.9 S2.9.1 S2.9.2 S2.9.3 S2.9.4 S2.9.5 S2.9.6 S2.9.7 S2.9.8 S3 S3.1 S3.1.1 S3.1.10 S3.1.11 S3.1.12 S3.1.13 S3.1.14 S3.1.15 S3.1.16 S3.1.17 S3.1.18 S3.1.19 S3.1.2 S3.1.20 S3.1.21

Closure of Urethral Fistula Optical Urethrotomy Perineal Urethrostomy Ureteric Reimplantation Ileal Conduit formation Ureterocele BLADDER and PROSTATE Transurethral resection of prostate (TURP) TURP Cyst lithotripsy Open prostatectomy Caecocystoplasty Total cystectomy Diverticulectomy Incontinence Urine (Female) Incontinence Urine (male) NEUROSURGERY BRAIN CRANIOTOMY AND EVACUATION OF HAEMATOMA SUBDURAL OTHERS EXCISION OF BRAIN TUMORS SUBTENTORIAL VENTRICULOATRIAL / VENTRICULOPERITONEAL SHUNT TWIST DRILL CRANIOSTOMY SUBDURAL TAPPING VENTRICULAR TAPPING ABSCESS TAPPING VASCULAR MALFORMATIONS PERITONEAL SHUNT ATRIAL SHUNT CRANIOTOMY AND EVACUATION OF HAEMATOMA EXTRADURAL MENINGO ENCEPHALOCELE MENINGOMYELOCELE

RGU RGU , X-RAY RGU , X-RAY IVP , USG , X-RAY IVP , USG , X-RAY RGU , X-RAY

30000 24000 24000 30000 24000 18000

U.scopy , USG USG , X-RAY USG , X-RAY U.scopy , USG U.scopy , USG U.scopy , USG U.scopy , USG U.scopy , USG

14250 18000 36000 36000 42000 15000 24000 24000

USG USG Clinical Photograph USG USG USG USG USG

CT CT CT CT CT CT CT CT MRI Angio CT CT CT MRI MRI

72000 48000 54000 24000 18000 18000 18000 24000 48000 24000 12000 72000 30000 30000

Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical

Package Rates under RSBY for Critical Care Package

Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph , XRAY Clinical Photograph Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph

S3.1.22 S3.1.23 S3.1.24 S3.1.25 S3.1.26

C.S.F. RHINORRHOEA CRANIOPLASTY MENINGOCELE EXCISION VENTRICULO-ATRIAL SHUNT Excision of Brain Abcess

CT CT , Clinical Photograph MRI CT CT

24000 10000 30000 24000 72000

S3.1.27 S3.1.28 S3.1.3 S3.1.4 S3.1.6 S3.1.7 S3.1.8 S3.1.9 S3.2 S3.2.1

Aneurysm Clipping External Ventricular Drainage (EVD) EVACUATION OF BRAIN ABSCESS-BURR HOLE EXCISION OF LOBE (FRONTAL,TEMPORAL,CEREBELLUM ETC.) Parasagital Basal Brain Stem C P Angle SPINAL SURGERIES SURGERY OF CORD TUMOURS

MRI Angio CT CT CT CT CT CT CT

29750 48000 18750 48000 60000 72000 84000 84000

MRI

30000

Biopsy , Clinical Photograph Biopsy , Clinical Photograph , XRAY Clinical Photograph , XRAY Clinical Photograph , XRAY Clinical Photograph Clinical Photograph Clinical Photograph X-RAY Clinical Photograph , XRAY

S3.2.10

SPINAL INTRA MEDULLARY TUMOURS

MRI

60000

S3.2.11

SPINA BIFIDA SURGERY MAJOR

MRI

24000

S3.2.12 S3.2.2 S3.2.3 S3.2.4 S3.2.5

SPINA BIFIDA SURGERY MINOR EXCISION OF CERVICAL INTER-VERTEBRAL DISCS POSTERIOR CERVICAL DISCECTOMY ANTERIOR CERVICAL DISCECTOMY ANTERIOR CERVICAL SPINE SURGERY WITH FUSION

MRI MRI MRI MRI MRI , X-Ray Cerical Spine

18000 30000 18000 18000 54000

S3.2.6

ANTERIOR LATERAL DECOMPRESSION

MRI

36000

Package Rates under RSBY for Critical Care Package

Clinical Photograph , XRAY Clinical Photograph , XRAY Clinical Photograph , XRAY

S3.2.7

LAMINECTOMY

MRI

18000

S3.2.8

DISCECTOMY

MRI

15000

S3.2.9 S3.3 S3.3.1 S3.3.2 S3.3.3 S3.3.4 S3.3.5 S3.4 S3.4.1 S3.4.1.1 S3.4.2 S3.4.3 S3.5 S3.5.1 S3.5.2 S3.5.3 S3.5.4 S3.5.5 S3.6 S3.6.1 S3.6.2 S3.6.3 S3.6.4 S3.6.5 S3.6.6

SPINAL FUSION PROCEDURE OTHER SURGERIES/PROCEDURES STEREOTACTIC PROCEDURES TRANS SPHENOIDAL SURGERY TRANS ORAL SURGERY COMBINED TRANS-ORAL SURGERY & CV JUNCTION FUSION C.V. JUNCTION FUSION BRAIN Endoscopy procedures De-compressive Craniectomy(Non Traumatic) Intra-Cerebral Hematoma evacuation Endoscopic Third Ventriculostomy SPINE Anterior discectomy & bone grafting Discectomy with Implants Corpectomy for Spinal Fixation Spinal Fixation Rods and Plates, Artificial discs Syringomyelia SOFT TISSUE and VASCULAR SURGERIES Repair of Brachial plexus injury Cervical Sympathectomy Lumbar sympathectomy Decompression/Excision of Optic nerve lesions Peripheral nerve injury repair Proptosis

MRI

22000

CT CT MRI , X-Ray Cerical Spine MRI , X-Ray Cerical Spine

24000 24000 30000 36000 24000

Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Clinical Photograph Clinical Photograph

MRI MRI -

78000 60000 72000 36000

Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph

MRI MRI MRI MRI MRI

48000 78000 84000 100000 78000

X-RAY X-RAY X-RAY X-RAY Clinical Photograph

MRI EMG , MRI , Nerve conduction study EMG , MRI , Nerve conduction study MRI EMG , Nerve conduction study MRI

18750 60000 60000 78000 60000 72000

Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph

Package Rates under RSBY for Critical Care Package

S3.7 S3.7.1 S3.7.2 S3.7.3

EPILEPSY Surgery Temporal Lobectomy Lesionectomy type 1 Lesionectomy type 2 MRI-Video EEG Psychologic assesment MRI-Video EEG Psychologic assesment MRI-Video EEG Psychologic assesment MRI-Video EEG Psychologic assesment 100000 165000 175000 Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph , XRAY

S3.7.4 S3.8 S3.8.1 S3.8.2 S3.9 S3.9.1 S3.9.2 S4 S4.1

Temporal lobectomy plus Depth Electrodes MANAGEMENT OF TRIGEMINAL NEURALGIA RADIOFREQUENCY ABLATION FOR TRIGEMINAL NEURALGIA MICROVASCULAR DECOMPRESSION FOR TRIGEMINAL NEURALGIA MANAGEMENT OF ANEYRISMS EMBOLIZATION OF ANEURYSM COST OF EACH COIL RADIATION ONCOLOGY COBALT 60 EXTERNAL BEAM RADIOTHERAPY

160000

EMG , Nerve Conduction EMG , Nerve Conduction

36000 72000

Clinical Photograph Clinical Photograph

ANGIOGRAM , MRI Angio ANGIOGRAM , MRI Angio

60000 36000

Clinical Photograph Clinical Photograph

S4.1.1

RADICAL TREATMENT

Biopsy , CT , USG , X-RAY

24000

RT Treatment Charts , Clinical Photograph RT Treatment Charts , Clinical Photograph RT Treatment Charts , Clinical Photograph

S4.1.2

PALLIATIVE TREATMENT

Biopsy , CT , USG , X-RAY

12000

S4.1.3 S4.2

ADJUVANT TREATMENT EXTERNAL BEAM RADIOTHERAPY (ON LINEAR ACCELERATOR)

Biopsy , CT , USG , X-RAY

18000

S4.2.1

RADICAL TREATMENT WITH PHOTONS

Biopsy , CT , USG , X-RAY

60000

RT Treatment Charts , Clinical Photograph RT Treatment Charts , Clinical Photograph RT Treatment Charts , Clinical Photograph

S4.2.2

PALLIATIVE TREATMENT WITH PHOTONS ADJUVANT TREATMENT WITH PHOTONS/ELECTRONS Brachytherapy A) Intracavitary

Biopsy , CT , USG , X-RAY

24000

S4.2.3 S4.3.1

Biopsy , CT , USG , X-RAY

42000

S4.3.1.1

A) INTRACAVITARY I. LDR PER APPLICATION

Biopsy , CT , USG , X-RAY

5400

RT Treatment Charts , Clinical Photograph RT Treatment Charts , Clinical Photograph

S4.3.1.2 S4.3.2

A) INTRACAVITARY II. HDR PER APPLICATION Brachytherapy B) Interstitial

Biopsy , CT , USG , X-RAY

3000

Package Rates under RSBY for Critical Care Package

RT Treatment Charts , Clinical Photograph RT Treatment Charts , Clinical Photograph

S4.3.2.1

B) INTERSTITIAL I. LDR PER APPLICATION B) INTERSTITIAL II. HDR ONE APPLICATION AND MULTIPLE DOSE FRACTIONS SPECIALIZED RADIATION THERAPY - IMRT (Intensity modulated radiotherapy)

Biopsy , CT , USG , X-RAY

18000

S4.3.2.2 S4.4.1

Biopsy , CT , USG , X-RAY

30000

S4.4.1.1 S14.4.2 S4.4.2.1 S14.4.3 S4.4.3.1 S5 S5.1 S5.1.1 S5.1.2 S5.1.3 S5.2 S5.2.1.1 S5.2.1.2 S5.2.2 S5.3 S5.3.1.1 S5.3.1.2 S5.3.2 S5.4 S5.4.1.1 S5.4.1.2 S5.4.2 S5.5 S5.5.1

Upto 40 fractions in 8 weeks SPECIALIZED RADIATION THERAPY - 3DCRT(3-D conformational radiotherapy) Upto 30 fractions in 6 weeks SPECIALIZED RADIATION THERAPY - SRS/SRT Upto 30 fractions in 6 weeks POLY TRAUMA ORTHOPEDIC TRAUMA SURGICAL CORRECTION OF LONGBONE FRACTURE AMPUTATION SURGERY SOFT TISSUE INJURY NEURO-SURGICAL TRAUMA STAY IN GENERAL [email protected]/DAY STAY IN NEURO [email protected]/DAY SURGICAL TREATMENT (UP TO) CHEST INJURIES CHEST INJURIES CONSERVATIVE STAY IN GENERAL [email protected]/DAY STAY IN RESPIRATORY [email protected]/DAY SURGICAL TREATMENT ABDOMINAL INJURIES ABDOMINAL INJURIES CONSERVATIVE STAY IN GENERAL [email protected]/DAY STAY IN SURGICAL [email protected]/DAY ABDOMINAL INJURIES CONSERVATIVE SURGICAL TREATMENT EMERGENCY ROOM PROCEDURES TRACHEOSTOMY

Biopsy , CT-Scan with Contrast

120000

RT Treatment Charts , CT , Tumor Markers , USG

Biopsy , CT-Scan with Contrast

90000

CT , USG

Biopsy , CT-Scan with Contrast

X-RAY X-RAY Clinical Photograph

26400 6000 6000

X-RAY Clinical Photograph Clinical Photograph

CT , X-RAY CT , X-RAY CT , X-RAY

7200 57600 60000

Clinical Photograph Clinical Photograph Clinical Photograph

CT , X-RAY CT , X-RAY CT , X-RAY 24000 60000

Clinical Photograph Clinical Photograph X-RAY

CT , USG , X-RAY CT , USG , X-RAY CT , USG , X-RAY

3600 8400 90000

USG USG Clinical Photograph , USG

Clinical Photograph

3600

Clinical Photograph

Package Rates under RSBY for Critical Care Package

Clinical Photograph

S5.5.2 S5.6 S5.6.1 S5.6.2 S5.6.3

THORACOSTOMY WOUND MANAGEMENT FOR COMPOUND FRACTURES GRADE-I& II GRADE-III FLAP COVER SURGERY FOR WOUND IN COMPOUND FRACTURE OTHER SMALL BONE FRACTURES-K-WIRING (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE) SURGERY FOR PATELLA FRACTURE (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE) SMALL BONE FRACTURES-K-WIRING (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE) FACIAL INJURIES FACIAL BONE FRACTURES (FACIO-MAXILLARY INJURIES) PELVIC BONE FRACTURE SURGICAL CORRECTION OF PELVIC BONE FRACTURES. SURGICAL GASTRO ENTEROLOGY Emergency Surgery for Bleeding Ulcers Surgery for Obscure GI Bleed Hernia Diaphragmatic Hernia (Gortex Mesh Repair) LIVER SURGERIES RT.HEPATECTOMY LT.HEPATECTOMY SEGMENTECTOMY PANCREATIC SURGERIES DISTAL PANCREATECTOMY ENUCLEATION OF CYST WHIPPLES ANY TYPE TRIPLE BYPASS

Clinical Photograph

3600

Clinical Photograph , X-Ray Clinical Photograph , X-Ray Clinical Photograph , X-Ray

12000 24000 24000

Clinical Photograph Clinical Photograph Clinical Photograph

S5.7

S5.7.1

X-Ray

6000

X-Ray

S5.7.2 S5.8

X-Ray

6000

X-Ray

S5.8.1 S5.9 S5.9.1 S6 S6.1 S6.1.1 S6.1.2 S6.10 S6.10.1 S6.11 S6.11.1 S6.11.2 S6.11.3 S6.12 S6.12.1 S6.12.2 S6.12.3 S6.12.4

Clinical Photograph , X-Ray

18000

Clinical Photograph , XRay

X-Ray

24000

X-Ray

Endoscopy Endoscopy

48000 72000

Endoscopy Picture Endoscopy Picture

Ba.Study , CXR , Endoscopy , USG

48000

Biopsy , Clinical Photograph

CT , ERClinical Photograph , USG CT , ERClinical Photograph , USG CT , ERClinical Photograph , USG

90000 90000 60000

Clinical Photograph Clinical Photograph Clinical Photograph

CT , ERCP CT CT , ERCP CT

30000 90000 90000 30000

Clinical Photograph Clinical Photograph Clinical Photograph Clinical Photograph

Package Rates under RSBY for Critical Care Package

Clinical Photograph

S6.12.5 S6.2 S6.2.1 S6.2.2 S6.2.3 S6.2.4 S6.2.5 S6.3 S6.3.1 S6.3.2 S6.3.3 S6.3.4 S6.3.5 S6.4 S6.4.1 S6.4.2 S6.4.3 S6.5 S6.5.1 S6.5.2 S6.5.3 S6.5.4 S6.5.5 S6.5.6 S6.5.7 S6.5.8.1.1 S6.5.8.1.2 S6.5.8.1.3

Other Bypasses Oesophagus Colonic Pull up Oesophagectomy Oesophago-Gastrectomy Lap Heller.s myotomy Lap Fundoplications Stomach Partial Gastrectomy Total Gastrectomy Truncal vagotomy + Gastro Jejunostomy Distal Gastrectomy for Gastric Outlet obstruction Surgery for Corrosive injury Stomach Small Intestine Volvulus Malrotation Lap Adhesiolysis Large Intestine Right Hemicolectomy Left Hemicolectomy Extended Right Hemicolectomy Anterior Resection Anterior Resection with Ileostomy Abdomino Perineal Resection(Non-Malignant) Hartman.s Procedure with Colostomy I Stage-Sub Total Colectomy + Ileostomy II Stage-J - Pouch III Stage-Ileostomy Closure

CT

30000

Biopsy , CT-Scan , Endoscopy Biopsy , CT-Scan , Endoscopy Biopsy , CT-Scan , Endoscopy Biopsy , CT-Scan , Endoscopy Biopsy , CT-Scan , Endoscopy

36000 14000 90000 36000 15750

Biopsy , Clinical Photograph Biopsy , Endoscopy Picture Biopsy , Endoscopy Picture Biopsy , Endoscopy Picture Biopsy , Endoscopy Picture

Biopsy , EUS , USG Biopsy , CT-Scan , Endoscopy , USG Biopsy , CT-Scan , Endoscopy , USG Biopsy , CT-Scan , Endoscopy , USG Biopsy , CT-Scan , Endoscopy , USG

15000 15000 48000 48000 60000

Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph

CT-Scan , X-Ray ABD CT-Scan , X-Ray ABD CT-Scan , X-Ray ABD

48000 48000 48000

Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph

Biopsy , CT-Scan , Colonoscopy , Endoscopy Biopsy , CT-Scan , Colonoscopy , Endoscopy Biopsy , CT-Scan , Colonoscopy , Endoscopy Biopsy , CT-Scan , Colonoscopy , Endoscopy Biopsy , CT-Scan , Colonoscopy , Endoscopy Biopsy , CT-Scan , Colonoscopy , Endoscopy Biopsy , CT-Scan , Colonoscopy , Endoscopy CT-Scan with Contrast , Colonoscopy , Endoscopy Colonoscopy Endoscopy

16000 16000 16000 10000 17500 17500 54000 60000 36000 24000

Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical

Package Rates under RSBY for Critical Care Package

Photograph CT-Scan with Contrast , Colonoscopy , Endoscopy CT-Scan with Contrast , Colonoscopy , Endoscopy Biopsy , Clinical Photograph Biopsy , Clinical Photograph

S6.5.8.2.1 S6.5.8.2.2 S6.6

I Stage- Sub Total Colectomy + Ileostomy + J - Pouch II Stage- Ileostomy Closure Liver Hepato Cellular Carcinoma(Advanced) Radio Frequency Ablation Haemangioma SOL Liver Hepatectomy + Wedge Resection Hydatid cyst-Marsupilisation Gall Bladder Cyst excision + Hepatic Jejunostomy Cholecystectomy GB+ Calculi CBD Stones or Dilated CBD Lap.Cholecystectomy Hepatico Jejunostomy Choledochoduodenostomy Or Choledocho jejunostomy Spleen Splenectomy Splenectomy + Devascularisation + Spleno Renal Shunt Spleenectomy for Space occupying lesion Pancreas Lap- Pancreatic Necrosectomy Lateral PancreaticoJejunostomy(Non- Malignant) Pancreatic Necrosectomy (open) Distal Pancreatectomy + Splenectomy Central Pancreatectomy Cysto Jejunostomy Cysto Gastrostomy

96000 24000

S6.6.1 S6.6.2 S6.6.3 S6.7 S6.7.1 S6.7.2 S6.7.3 S6.7.4 S6.7.5 S6.7.6 S6.8 S6.8.1 S6.8.2 S6.8.3 S6.9 S6.9.1 S6.9.2 S6.9.3 S6.9.4 S6.9.5 S6.9.7 S6.9.8

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

72000 90000 36000

Clinical Photograph , USG Biopsy , Clinical Photograph , USG Clinical Photograph , USG

CT , USG CT , USG CBD , ERClinical Photograph , USG CT , USG Biopsy , CT-Scan CT , USG

54000 13250 30000 10000 54000 42000

Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph

CT , USG CT , USG CT , USG

23000 72000 42000

Clinical Photograph , USG Biopsy , Clinical Photograph Clinical Photograph , USG

CT-Scan , ERCP , ERClinical Photograph , Endoscopy CT-Scan , ERCP , ERClinical Photograph , Endoscopy CT-Scan , ERCP , ERClinical Photograph , Endoscopy CT-Scan , ERCP , ERClinical Photograph , Endoscopy CT-Scan , ERCP , ERClinical Photograph , Endoscopy CT , USG CT , USG

120000 120000 120000 120000 120000 10000 10000

Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph Biopsy , Clinical Photograph

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Microsoft Word - Package Rates under RSBY for Critical Care Package.doc

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Microsoft Word - Package Rates under RSBY for Critical Care Package.doc