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Surgery List

Category Code Category Name Sub Category Code Sub Category Name Surgery Code Surgery Name Pre Investigation Post Investigation Mid Investigation PCS Code ICD Code
S10 Neurosurgery S10I1 Brain S10I1.1 Craniotomy And Evacuation Of Hematoma Subdural MRI/ CT Post Procedure Clinical Photograph/Ct/Mri Post Op Suture Line Photo Mandatory For Claim - S18A01 I6203
S10 Neurosurgery S10I1 Brain S10I1.2 Craniotomy And Evacuation Of Hematoma Extradural MRI/ CT Post Procedure Clinical Photograph/Ct/Mri Post Op Suture Line Photo Mandatory For Claim - S18A10 G9731
S10 Neurosurgery S10I1 Brain S10I1.3 Evacuation Of Brain Abscess - Burr Hole MRI/ CT Post Procedure Clinical Photograph/Ct/Mri Post Op Suture Line Photo Mandatory For Claim - S18A16 G07
S10 Neurosurgery S10I1 Brain S10I1.4 Excision Of Lobe (Frontal, Temporal, Cerebellum Et MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18A17 G379
S10 Neurosurgery S10I1 Brain S10I1.5 Endoscopy Procedures CT/MRI Endoscopy Picture/Ct/Mri - S18D01 G379
S10 Neurosurgery S10I1 Brain S10I1.6 De-Compressive Craniotomy(Non Traumatic) CT/MRI Clinical Photo,Notes/CT/MRI/X-Ray Post Op Suture Line Photo Mandatory For Claim - S18D02 G07
S10 Neurosurgery S10I1 Brain S10I1.7 Intra-Cerebral Hematoma Evacuation CT/MRI Clinical Photo,Notes/CT/MRI Post Op Suture Line Photo Mandatory For Claim - S18D03 G07
S10 Neurosurgery S10I1 Brain S10I1.8 Endoscopic Third Ventriculostomy CT/MRI Clinical Photo,Notes/Ct/Mri - S18D04 G07
S10 Neurosurgery S10I10 Epilepsy Surgery S10I10.1 Temporal Lobectomy MRI,VIDEO EEG,PSYCHOLOGIC ASSESSMENT CT/MRI,Hpe Post Op Suture Line Photo Mandatory For Claim - S18G01 M792
S10 Neurosurgery S10I10 Epilepsy Surgery S10I10.2 Lesionectomy Type 1 MRI,VIDEO EEG,PSYCHOLOGIC ASSESSMENT Clinical Photograph Ct/Mri,Hpe - S18G02 G40419
S10 Neurosurgery S10I10 Epilepsy Surgery S10I10.3 Lesionectomy Type 2 MRI,VIDEO EEG,PSYCHOLOGIC ASSESSMENT Clinical Photograph Ct/Mri,Hpe - S18G03 G40419
S10 Neurosurgery S10I10 Epilepsy Surgery S10I10.4 Temporal Lobectomy Plus Depth Electrodes MRI,VIDEO EEG,PSYCHOLOGIC ASSESSMENT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18G04 G40419
S10 Neurosurgery S10I11 Trigeminal Neuralgia S10I11.1 Radiofrequency Ablation CT/MRI CT/MRI - S18H01 M792
S10 Neurosurgery S10I11 Trigeminal Neuralgia S10I11.2 Micro Vascular Decompression CT/MRI Post Procedure Clinical Photograph/Ct/Xray - S18H02 M792
S10 Neurosurgery S10I12 Management Of Aneurysms S10I12.1 Embolization (Non coil) CT/MRI/ DSA Post Procedure Clinical Photograph/Ct/Mri/Angio - S18I01 I729
S10 Neurosurgery S10I12 Management Of Aneurysms S10I12.2 Cost Of Each Coil CT/MRI/ DSA Post Procedure Clinical Photograph/Ct/Mri/Angio - S18I02 G9731
S10 Neurosurgery S10I13 Neurosurgical Trauma Consertative S10I13.1 Neurosurgical Trauma Consertative Management Stay X- RAY/ CT Clinical notes - S27N01 V899xxA
S10 Neurosurgery S10I13 Neurosurgical Trauma Consertative S10I13.2 Neurosurgical Trauma Consertative Management Stay X- RAY/ CT/ MRI Clinical notes - S27N02 V899xxA
S10 Neurosurgery S10I13 Neurosurgical Trauma Consertative S10I13.3 Neurosurgical Trauma Surgical Treatment (Up To) X- RAY/CT/MRI Lab Investigation,Post Procedure Clinical Photograph - S27N03 V899xxA
S10 Neurosurgery S10I13 Neurosurgical Trauma Consertative S10I13.4 Depressed Fracture of Skull Clinical assessment Clinical assessment -
S10 Neurosurgery S10I15 Tumores S10I15.13 Spine - Extradural Tumour with fixation CT/MRI/X-ray CT,X-ray,MRI -
S10 Neurosurgery S10I2 Brain Tumours S10I2.1 Parasagittal Tumour MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18A18 C719
S10 Neurosurgery S10I2 Brain Tumours S10I2.10 Ventriculoatrial Shunt CT/MRI CT/Xray - S02A40 Q052
S10 Neurosurgery S10I2 Brain Tumours S10I2.11 Excision Of Brain Abscess CT/MRI Clinical Photograph/ Ct/Mri,HPE - S02A41 A066
S10 Neurosurgery S10I2 Brain Tumours S10I2.12 Aneurysm Clipping ANGIOGRAM,MRI,CT CLINICAL PHOTOGRAPH,X- RAY - S18A14 I729
S10 Neurosurgery S10I2 Brain Tumours S10I2.13 External Ventricular Drainage (EVD) CT/MRI Clinical Photograph / Xray/ Ct/ Mri - S18A15 G07
S10 Neurosurgery S10I2 Brain Tumours S10I2.2 Basal Brain Tumour MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18A19 C719
S10 Neurosurgery S10I2 Brain Tumours S10I2.3 Brain Stem Tumour MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18A20 C719
S10 Neurosurgery S10I2 Brain Tumours S10I2.4 C P Angle Tumour MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18A21 C719
S10 Neurosurgery S10I2 Brain Tumours S10I2.5 Meningoencephalocele MRI/ CT Post Procedure Clinical Photograph/Ct/Xray - S18J01 G042
S10 Neurosurgery S10I2 Brain Tumours S10I2.6 Meningomylocele CT/MRI Post Procedure Clinical Photograph/Ct/Xray - S18J02 G042
S10 Neurosurgery S10I2 Brain Tumours S10I2.8 Cranioplasty CT/MRI Post Procedure Clinical Photograph/Ct/Xray - S18A12 G07
S10 Neurosurgery S10I2 Brain Tumours S10I2.9 Meningocele Excision CT/MRI Post Procedure Clinical Photograph/Ct/Xray - S18J03 G042
S10 Neurosurgery S10I3 Excision Of Brain Tumours S10I3.1 Other Procedures MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18A02 I629
S10 Neurosurgery S10I3 Excision Of Brain Tumours S10I3.2 cerebellar tumours MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18A03 C719
S10 Neurosurgery S10I3 Excision Of Brain Tumours S10I3.3 Ventriculolateral / Ventriculoperitoneal Shunt MRI/ CT Xray/ CT/MRI - S18A04 G07
S10 Neurosurgery S10I3 Excision Of Brain Tumours S10I3.4 Twist Drill Craniotomy MRI/ CT Clinical Photograph/Xray/ Ct/Mri - S18A05 G07
S10 Neurosurgery S10I3 Excision Of Brain Tumours S10I3.5 Subdural Tapping MRI/ CT Clinical Photograph/Xray/ Ct/Mri - S18A06 G07
S10 Neurosurgery S10I3 Excision Of Brain Tumours S10I3.8 Vascular Malformations CT/MRI/Angio CT/MRI/Angio - S25A10 Q898
S10 Neurosurgery S10I3 Excision Of Brain Tumours S10I3.9 Thecoperitoneal Shunt MRI/ CT Xray/ CT/MRI - S33A08 K7469
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.1 Surgery On Cord Tumours CT/MRI Clinical Photograph/ Ct/Mri,HPE - S18B01 C719
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.12 Spinal Fusion Procedure MRI/ CT Post Procedure Clinical Photograph /Xray/ Ct/Mri Bar Code Sticker If Allograft - S18B12 G320
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.14 Spine - Extradural Haematoma CT/MRI/X-ray CT/MRI/X-ray -
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.15 Spine - Intradural Haematoma CT/MRI Scar Photo,X-Ray -
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.16 Spine - Intradural Haematoma with fixation CT/MRI/X-ray CT/MRI/X-ray -
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.17 Excision of Benign Orbital Tumour BIOPSY,Clinical and radiological investigations Post Procedure Clinical Photograph,HPE -
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.2 Spinal Intramedullary Tumours MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18B02 C719
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.3 Spina Bifida Surgery Major MRI/ CT Post Procedure Clinical Photograph /X-Ray/Ct/Mri - S18B03 Q050
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.5 Excision Of Cervical Intervertebral Discs MRI/ CT Post Procedure Clinical Photograph /X-Ray/Ct/Mri - S18B05 G320
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.7 Anterior Cervical Discectomy MRI/ CT Post Procedure Clinical Photograph /X-Ray/Ct/Mri - S18B07 G320
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.8 Anterior Cervical Spine Surgery With Fusion X-RAY CERVICAL SPINE,MRI/ CT Post Procedure Clinical Photograph /Xray/ Ct/Mri Bar Code Sticker If Allograft - S18B08 G320
S10 Neurosurgery S10I5 Spinal Surgeries S10I5.9 Anterolateral Decompression MRI/ CT Post Procedure Clinical Photograph /X-Ray/Ct/Mri - S18B09 G320
S10 Neurosurgery S10I6 Other Surgical Procedures S10I6.1 Stereotactic Procedures - Post Procedure Evidence CT/MRI CT/MRI/HPE - S18C01 G379
S10 Neurosurgery S10I6 Other Surgical Procedures S10I6.2 Trans Sphenoidal Surgery MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18C02 G379
S10 Neurosurgery S10I6 Other Surgical Procedures S10I6.3 Trans Oral Surgery MRI/ CT Clinical Photograph/Xray/ Ct/Mri,Hpe - S18C03 G379
S10 Neurosurgery S10I6 Other Surgical Procedures S10I6.4 Combined Trans Oral Surgery And CV Junction Fusion CT/MRI,X-RAY CERVICAL SPINE Post Procedure Clinical Photograph /X-Ray/Ct/Mri - S18C04 G379
S10 Neurosurgery S10I6 Other Surgical Procedures S10I6.5 C.V. Junction Fusion CT/MRI,X-RAY CERVICAL SPINE Post Procedure Clinical Photograph /X-Ray/Ct/Mri - S18C05 G379
S10 Neurosurgery S10I8 Spine S10I8.3 Corpectomy For Spinal Fixation CT/MRI X Ray/Ct/Mri - S18E05 G320
S10 Neurosurgery S10I8 Spine S10I8.5 Syringomyelia CT/MRI Clinical Photograph/ Ct/Mri - S18E01 G07
S10 Neurosurgery S10I9 Soft Tissue And Vascular Injuries S10I9.1 Repair Of Brachial Plexus Injury NCV/EMG/CT/MRI Clinical Photograph/Emg/ Ncv - S02A42 S143
S10 Neurosurgery S10I9 Soft Tissue And Vascular Injuries S10I9.4 Decompression/Excision Of Optic Nerve Lesions CT/MRI Clinical Photograph/ Ct/Mri - S18F03 G07
S10 Neurosurgery S10I9 Soft Tissue And Vascular Injuries S10I9.5 Peripheral Nerve Injury Repair EMG,NERVE CONDUCTION Post Procedure Clinical Photograph - S18F05 M792
S10 Neurosurgery S10I9 Soft Tissue And Vascular Injuries S10I9.6 Proptosis CT/MRI CT/MRI - S18F04 G07
S10 Neurosurgery S10PM1 Neurosurgery PMJAY Sub Category S10PM1.1 Duroplasty CT/MRI CT,MRI -
S10 Neurosurgery S10PM1 Neurosurgery PMJAY Sub Category S10PM1.12 Foramen Magnum Decompression MRI/CT-Angio CT-Head -
S10 Neurosurgery S10PM1 Neurosurgery PMJAY Sub Category S10PM1.13 Carpal Tunnel Release including pre and post Op. M CT/MRI CT,MRI -
S10 Neurosurgery S10PM1 Neurosurgery PMJAY Sub Category S10PM1.2 Intracerebral Hematoma CT/MRI CT,MRI -
S10 Neurosurgery S10PM1 Neurosurgery PMJAY Sub Category S10PM1.3 Local Neurectomy/R.F. or Surgery EMG,Nerve Conduction Clinical Photograph -
S10 Neurosurgery S10PM1 Neurosurgery PMJAY Sub Category S10PM1.4 Peripheral Neurectomy/R.F. or surgery EMG,Nerve Conduction Clinical Photograph -
S10 Neurosurgery S10PM1 Neurosurgery PMJAY Sub Category S10PM1.5 R.F. Lesion for Trigeminal Neuralgia EMG,Nerve Conduction Clinical Photograph -
S10 Neurosurgery S10PM1 Neurosurgery PMJAY Sub Category S10PM1.6 Spine - Extradural Haematoma with Implant CT/MRI/X-ray CT,X-ray,MRI -
S11 Surgical Oncology S11J1 Head And Neck S11J1.1 Composite Resection & Reconstruction BIOPSY,X- RAY,USG,CLINICAL PHOTOGRAPH BIOPSY,CLINICAL PHOTOGRAPH - SO34A01 C490
S11 Surgical Oncology S11J1 Head And Neck S11J1.10 Hemimandibulectomy BIOPSY,X- RAY,USG,CLINICAL PHOTOGRAPH BIOPSY,CLINICAL PHOTOGRAPH - S25G41 C800
S11 Surgical Oncology S11J1 Head And Neck S11J1.3 Neck Dissection Any Type BIOPSY,X- RAY,USG,CLINICAL PHOTOGRAPH BIOPSY,CLINICAL PHOTOGRAPH - S25G40 C800
S11 Surgical Oncology S11J1 Head And Neck S11J1.4 Hemiglossectomy BIOPSY,X-Ray Chest,X- RAY,USG,CLINICAL PHOTOGRAPH BIOPSY,HPE,CLINICAL PHOTOGRAPH - SO34A03 C029
S11 Surgical Oncology S11J1 Head And Neck S11J1.5 Maxillectomy Any Type CLINICAL AND RADIOLOGICAL EVIDENCE,X- RAY,USG,CLINICAL PHOTOGRAPH,BIOPSY BIOPSY,Post Procedure Clinical Photograph,Operative Notes,HPE,CLINICAL PHOTOGRAPH - SO34A04 C048
S11 Surgical Oncology S11J1 Head And Neck S11J1.6 Thyroidectomy Any Type BIOPSY,X- RAY,USG,CLINICAL PHOTOGRAPH BIOPSY,CLINICAL PHOTOGRAPH - SO34A05 C048
S11 Surgical Oncology S11J1 Head And Neck S11J1.7 Parotidectomy Any Type BIOPSY,X- RAY,USG,CLINICAL PHOTOGRAPH BIOPSY,CLINICAL PHOTOGRAPH - SO34A06 C048
S11 Surgical Oncology S11J1 Head And Neck S11J1.8 Laryngectomy Any Type BIOPSY,X- RAY,USG,CLINICAL PHOTOGRAPH BIOPSY,CLINICAL PHOTOGRAPH - SO34A07 C048
S11 Surgical Oncology S11J1 Head And Neck S11J1.9 Laryngo Pharyngo Oesophagectomy BIOPSY,X- RAY,USG,CLINICAL PHOTOGRAPH BIOPSY,CLINICAL PHOTOGRAPH - SO34A08 C048
S11 Surgical Oncology S11J10 Ca Git S11J10.1 Small Bowel Resection CLINICAL AND RADIOLOGICAL EVIDENCE HPE,Post Procedure Clinical Photograph,Operative Notes - SO34R01 C260
S11 Surgical Oncology S11J10 Ca Git S11J10.2 Closure Of Ileostomy CLINICAL PHOTOGRAPH HPE,Post Procedure Clinical Photograph,Operative Notes - SO34R02 C260
S11 Surgical Oncology S11J10 Ca Git S11J10.3 Closure Of Colostomy CLINICAL PHOTOGRAPH HPE,Post Procedure Clinical Photograph,Operative Notes - SO34R03 C260
S11 Surgical Oncology S11J10 Ca Git S11J10.4 Abdomino Perineal Resection (Apr) + Sacrectomy - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34S01 C260
S11 Surgical Oncology S11J11 Ca Rectum S11J11.2 Total Exenteration - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34S03 C260
S11 Surgical Oncology S11J12 Ca Git S11J12.1 Oesophagectomy Any Type BIOPSY,CT HPE,Post Procedure Clinical Photograph,Operative Notes - SO34B01 C260
S11 Surgical Oncology S11J12 Ca Git S11J12.2 Gastrectomy Any Type BIOPSY,CT HPE,Post Procedure Clinical Photograph,Operative Notes - S25G29 C800
S11 Surgical Oncology S11J12 Ca Git S11J12.3 Colectomy Any Type BIOPSY,CT HPE,Post Procedure Clinical Photograph,Operative Notes - SO34B02 C260
S11 Surgical Oncology S11J12 Ca Git S11J12.4 Anterior Resection BIOPSY,CT HPE,Post Procedure Clinical Photograph,Operative Notes - S25G35 C800
S11 Surgical Oncology S11J12 Ca Git S11J12.5 Abdominoperineal Resection BIOPSY,CT HPE,Post Procedure Clinical Photograph,Operative Notes - S02A43 C7A026
S11 Surgical Oncology S11J12 Ca Git S11J12.6 Whipples Any Type CLINICAL AND RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Post Procedure Clinical Photograph,Operative Notes - SO34B03 C260
S11 Surgical Oncology S11J12 Ca Git S11J12.7 Tripple Bypass CLINICAL AND RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34B03 C260
S11 Surgical Oncology S11J12 Ca Git S11J12.8 Other Bypasses-Pancreas RADIOLOGICAL EVIDENCE,BIOPSY Operative Notes,Post Procedure Clinical Photograph - SO34B05 C260
S11 Surgical Oncology S11J13 Ca Gall Bladder S11J13.1 Radical Cholecystectomy RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34T01 C260
S11 Surgical Oncology S11J14 Ca Spleen S11J14.1 Splenectomy CLINICAL AND RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - S25G39 C800
S11 Surgical Oncology S11J15 Ca Retroperitoneal Tumors S11J15.1 Resection Of Retroperitoneal Tumours CLINICAL AND RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34U01 C260
S11 Surgical Oncology S11J16 Ca Abdominal Wall Tumour S11J16.1 Abdominal Wall Tumour Resection BIOPSY/FNAC,CT/MRI/USG Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34V01 C260
S11 Surgical Oncology S11J16 Ca Abdominal Wall Tumour S11J16.2 Resection With Reconstruction of Abdominal Wall Tu BIOPSY/FNAC,CT/MRI/USG Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34V02 C260
S11 Surgical Oncology S11J17 Gynec S11J17.1 Bilateral Pelvic Lymph Node Dissection(BPLND) BIOPSY,FNAC,CT Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34W01 C55
S11 Surgical Oncology S11J17 Gynec S11J17.4 Radical Vaginectomy + Reconstruction BIOPSY/ CT Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34W04 C55
S11 Surgical Oncology S11J18 Ca Cervix S11J18.4 Total Pelvic Exenteration Biopsy,CT Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34X04 C55
S11 Surgical Oncology S11J19 Ca Endometrium S11J19.1 Total Abdominal Hysterectomy(TAH) + Bilateral Salp CT,ENDOMETRIAL BIOPSY Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34Y01 C55
S11 Surgical Oncology S11J2 Ca.Eye/ Maxilla /Para Nasal Sinus S11J2.1 Orbital Exenteration RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34J01 C490
S11 Surgical Oncology S11J2 Ca.Eye/ Maxilla /Para Nasal Sinus S11J2.2 Maxillectomy + Orbital Exenteration CT BIOPSY,CLINICAL PHOTOGRAPH - SO34J02 C490
S11 Surgical Oncology S11J2 Ca.Eye/ Maxilla /Para Nasal Sinus S11J2.3 Maxillectomy + Infratemporal Fossa Clearance CT BIOPSY,CLINICAL PHOTOGRAPH - SO34J03 C490
S11 Surgical Oncology S11J2 Ca.Eye/ Maxilla /Para Nasal Sinus S11J2.4 Cranio Facial Resection CLINICAL AND RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34J04 C490
S11 Surgical Oncology S11J20 Soft Tissue /Bone Tumours. Chest Wall S11J20.1 Chest Wall Resection BIOPSY Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34Z01 C496
S11 Surgical Oncology S11J20 Soft Tissue /Bone Tumours. Chest Wall S11J20.2 Chest Wall Resection + Reconstruction BIOPSY Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34Z02 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.1 Limb Salvage Surgery Without Prosthesis BIOPSY,CT/MRI Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34AA01 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.10 Sacral Resection BIOPSY,MRI HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AA10 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.2 Limb Salvage Surgery With Custom Made Prosthesis BIOPSY,CT/MRI Hpe,Post Procedure Clinical Photograph,Operative Notes - SO34AA02 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.3 Limb Salvage Surgery With Modular Prosthesis BIOPSY,Ct/Mri HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AA03 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.4 Forequarter Amputation BIOPSY Operative Notes,Post Procedure Clinical Photograph - SO34AA04 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.5 Hemipelvectomy RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AA05 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.6 Internal Hemipelvectomy BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AA06 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.7 Curettage & Bone Cement BIOPSY / OR CLINICO RADIOLOGICAL C/O MALIGNANCY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AA07 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.8 Bone Resection BIOPSY,X-Ray,MRI HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AA08 C496
S11 Surgical Oncology S11J22 Limb Salvage Surgery S11J22.9 Shoulder Girdle Resection BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AA09 C496
S11 Surgical Oncology S11J23 Genitourinary S11J23.1 Partial Nephrectomy RADIOLOGICAL ONDE OF MALIGNANCY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AB01 C670
S11 Surgical Oncology S11J23 Genitourinary S11J23.10 Radical Prostatectomy BIOPSY,IMAGING - MRI,FLUNDE PET CT HPE,Post Procedure Clinical Photograph,Operative Notes - SO34C06 C670
S11 Surgical Oncology S11J23 Genitourinary S11J23.11 High Orchidectomy CT ABDOMEN PELVIS,TUMOUR MARKERS HPE,Post Procedure Clinical Photograph,Operative Notes - SO34C07 C670
S11 Surgical Oncology S11J23 Genitourinary S11J23.12 Bilateral Orchidectomy BONE SCAN,TUMOUR MARKERS HPE,Post Procedure Clinical Photograph,Operative Notes - SO34C08 C670
S11 Surgical Oncology S11J23 Genitourinary S11J23.2 Nephroureterectomy For Transitional Cell Carcinima RADIOLOGICAL EVIDENCE,PATHOLOGY / URINE CYTOLOGY/ BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AB02 C670
S11 Surgical Oncology S11J23 Genitourinary S11J23.3 Radical Nephrectomy RADIOLOGICAL ONDE OF MALIGNANCY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34C01 C670
S11 Surgical Oncology S11J23 Genitourinary S11J23.4 Emasculation IMAGING -CT,MRI HPE,Post Procedure Clinical Photograph,Operative Notes - SO34C02 C670
S11 Surgical Oncology S11J23 Genitourinary S11J23.5 Radical Cystectomy BIOPSY,USG,KUB,IVP,CT BIOPSY/USG,CLINICAL PHOTOGRAPH - SO34C03 C670
S11 Surgical Oncology S11J23 Genitourinary S11J23.6 Other Cystectomies - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34C04 C670
S11 Surgical Oncology S11J23 Genitourinary S11J23.7 Total Penectomy BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - S25G33 C800
S11 Surgical Oncology S11J23 Genitourinary S11J23.8 Partial Penectomy BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - S25G34 C800
S11 Surgical Oncology S11J23 Genitourinary S11J23.9 Inguinal Block Dissection One Side - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34C05 C670
S11 Surgical Oncology S11J24 Testis Cancer S11J24.1 Retro Peritoneal Lymph Node Dissection(RPLND) (For CT ABDOMEN THORAX PELVIS HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AC01 C670
S11 Surgical Oncology S11J24 Testis Cancer S11J24.2 Adrenalectomy IMAGING -CT,SERUM METARPHINES,SERUM HORMETAMERPHINES,SERUM CORTIZOL HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AC02 C670
S11 Surgical Oncology S11J24 Testis Cancer S11J24.3 Urinary Diversion INMAGING TO SHOW EVIDENCE OF URINARY OBSTRUCTION OR INVOLVEMENT OF LOWER URINARY TRACT IN MALIGNANCY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AC03 C670
S11 Surgical Oncology S11J24 Testis Cancer S11J24.4 Retro Peritoneal Lymph Node Dissection Rplnd As Pa PATHOLOGY IF PRIMARY OR NODES HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AC04 C670
S11 Surgical Oncology S11J25 Urinary Bladder S11J25.1 Anterior/Posterior Exenteration - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AD01 C670
S11 Surgical Oncology S11J25 Urinary Bladder S11J25.2 Total Exenteration BIOPSY,CYSTOSCOPY,CT BIOPSY,CLINICAL PHOTOGRAPH - SO34AD02 C670
S11 Surgical Oncology S11J25 Urinary Bladder S11J25.3 Bilateral Pelvic Lymph Node Dissection(BPLND) for CT BIOPSY,CLINICAL PHOTOGRAPH - SO34AD03 C670
S11 Surgical Oncology S11J26 Thorax, Mediastinum S11J26.1 Mediastinal Tumour Resection CT BIOPSY,CLINICAL PHOTOGRAPH - SO34AE01 C3490
S11 Surgical Oncology S11J27 Lung S11J27.1 Lung Metastatectomy. Solitary CT BIOPSY,X- RAY - SO34AF01 C3490
S11 Surgical Oncology S11J27 Lung S11J27.2 Lung Metastatectomy. Multiple CT THORAX HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AF02 C3490
S11 Surgical Oncology S11J27 Lung S11J27.3 Sleeve Resection Of Lung Cancer BIOPSY,CYTOLOGY,CT THORAX HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AF03 C3490
S11 Surgical Oncology S11J27 Lung S11J27.4 Lung Cancer Pnumenectomy BIOPSY/ CYTOLOGY,CT THORAX HPE,Post Procedure Clinical Photograph,Operative Notes - SO34H01 C3490
S11 Surgical Oncology S11J27 Lung S11J27.5 Lung Cancer Lobectomy BIOPSY/ CYTOLOGY,CT THORAX HPE,Post Procedure Clinical Photograph,Operative Notes - SO34H02 C3490
S11 Surgical Oncology S11J28 Esophagus S11J28.1 Oesophagectomy With Two Field Lymphadenectomy CT THORAX HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AG01 C260
S11 Surgical Oncology S11J28 Esophagus S11J28.2 Oesophagectomy With Three Field Lymphadenectomy CT THORAX,CT THORAX HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AG02 C260
S11 Surgical Oncology S11J29 Palliative Surgeries S11J29.1 Tracheostomy CLINICAL PHOTOGRAPH CLINICAL PHOTOGRAPH - SO34AH01 C3490
S11 Surgical Oncology S11J29 Palliative Surgeries S11J29.10 Ileotransverse Colostomy BIOPSY,Post Procedure Clinical Photograph,Operative Notes BIOPSY,Post Procedure Clinical Photograph,Operative Notes - SO34AH10 C260
S11 Surgical Oncology S11J29 Palliative Surgeries S11J29.3 Gastrostomy BIOPSY Operative Notes,Post Procedure Clinical Photograph - SO34AH03 C260
S11 Surgical Oncology S11J29 Palliative Surgeries S11J29.4 Jejunostomy CLINICAL PHOTOGRAPH,Operation Notes CLINICAL PHOTOGRAPH - SO34AH04 C260
S11 Surgical Oncology S11J29 Palliative Surgeries S11J29.5 Ileostomy BioSpy,CLINICAL PHOTOGRAPH CLINICAL PHOTOGRAPH,Operation Notes - SO34AH05 C260
S11 Surgical Oncology S11J29 Palliative Surgeries S11J29.6 Colostomy - BIOPSY,Post Procedure Clinical Photograph,Operative Notes,HPE - S09J02G K639
S11 Surgical Oncology S11J29 Palliative Surgeries S11J29.8 Intercostal Drainage(ICD) BIOPSY Operative Notes,Post Procedure Clinical Photograph - SO34AH08 C3490
S11 Surgical Oncology S11J29 Palliative Surgeries S11J29.9 Gastro Jejunostomy BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AH09 C260
S11 Surgical Oncology S11J3 Nasopharynx S11J3.1 Resection Of Nasopharyngeal Tumour CLINICAL AND RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34K01 C490
S11 Surgical Oncology S11J30 Reconstruction S11J30.1 Myocutaneous / Cutaneous Flap Clinical indications HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AI01 C800
S11 Surgical Oncology S11J30 Reconstruction S11J30.2 Micro Vascular Reconstruction Clinical indications HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AI02 C800
S11 Surgical Oncology S11J31 Gynecology S11J31.4 Surgery For Ca Ovary Advance Stage USG/CT HPE,Post Procedure Clinical Photograph,Operative Notes - SO34D04 C55
S11 Surgical Oncology S11J31 Gynecology S11J31.5 Vulvectomy - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34D05 C55
S11 Surgical Oncology S11J31 Gynecology S11J31.6 Salpino Oophorectomy BIOPSY/USG HPE,Post Procedure Clinical Photograph,Operative Notes - SO34D06 C55
S11 Surgical Oncology S11J32 Breast S11J32.1 Mastectomy Any Type FNAC HPE,Post Procedure Clinical Photograph,Operative Notes - SO34E01 C50910
S11 Surgical Oncology S11J32 Breast S11J32.2 Axillary Dissection FNAC HPE,Post Procedure Clinical Photograph,Operative Notes - SO34E02 C50910
S11 Surgical Oncology S11J32 Breast S11J32.3 Wide Excision of Breast for Tumour Mamography,FNAC HPE,Post Procedure Clinical Photograph,Operative Notes - SO34E03 C50910
S11 Surgical Oncology S11J32 Breast S11J32.4 Lumpectomy Breast - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34E04 C50910
S11 Surgical Oncology S11J32 Breast S11J32.5 Breast Reconstruction - HPE,Post Procedure Clinical Photograph,Operative Notes - S25G08 T8541
S11 Surgical Oncology S11J32 Breast S11J32.6 Chest Wall Resection - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34Z01 C496
S11 Surgical Oncology S11J33 Skin Tumours S11J33.1 Skin Tumours Wide Excision - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34F01 C439
S11 Surgical Oncology S11J33 Skin Tumours S11J33.2 Skin Tumours Wide Excision + Reconstruction BioSpy,CLINICAL PHOTOGRAPH CLINICAL PHOTOGRAPH,Operation Notes,HPE - SO34F02 C439
S11 Surgical Oncology S11J33 Skin Tumours S11J33.3 Skin Tumours Amputation - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34F03 C439
S11 Surgical Oncology S11J34 Soft Tissue /Bone Tumours S11J34 Wide Excision for tumour CLINICAL AND RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34A02 C490
S11 Surgical Oncology S11J34 Soft Tissue /Bone Tumours S11J34.1 Wide Excision soft tissue/Bone Tumours - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34G01 C496
S11 Surgical Oncology S11J34 Soft Tissue /Bone Tumours S11J34.2 Wide Excision + Reconstruction soft tissue/Bone Tu - HPE,Operative Notes - SO34G02 C496
S11 Surgical Oncology S11J34 Soft Tissue /Bone Tumours S11J34.3 Amputation for soft tissue/Bone Tumours - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34G03 C496
S11 Surgical Oncology S11J37 Oral Cavity S11J37.1 Marginal Mandibulectomy BIOPSY,CT/MRI HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AJ01 C005
S11 Surgical Oncology S11J37 Oral Cavity S11J37.2 Segmental Mandibulectomy BIOPSY Ct/Mri,Post Procedure Clinical Photograph,Operative Notes,HPE - SO34AJ02 C005
S11 Surgical Oncology S11J37 Oral Cavity S11J37.3 Total Glossectomy + Reconstruction - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AJ03 C005
S11 Surgical Oncology S11J37 Oral Cavity S11J37.4 Full Thickness Buccal Mucosal Resection & Reconstr CT/MRI HPE,Post Procedure Clinical Photograph,Operative Notes - SO34AJ04 C005
S11 Surgical Oncology S11J38 Ca Liver S11J38.1 Haemangioma SOL Liver Hepatectomy + Wedge Resectio CT-Scan,USG,FNAC & Tumour marker Biopsy,Clinical Photograph - S33A07 K769
S11 Surgical Oncology S11J38 Ca Liver S6E2.3 Segmentectomy CT,USG,FNAC - - S33A04 K759
S11 Surgical Oncology S11J4 Ca.Soft Palate S11J4.1 Palatectomy Any Type BIOPSY,CT Scan HPE,Post Procedure Clinical Photograph,Operative Notes - SO34L01 C490
S11 Surgical Oncology S11J5 Ca.Ear S11J5.1 Sleeve Resection BIOPSY,CT- SCAN HPE,Post Procedure Clinical Photograph,Operative Notes - SO34M01 C490
S11 Surgical Oncology S11J5 Ca.Ear S11J5.2 Lateral Temporal Bone Resection CLINICAL AND RADIOLOGICAL EVIDENCE,FNAC,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34M02 C490
S11 Surgical Oncology S11J5 Ca.Ear S11J5.3 Subtotal Temporal Bone Resection CLINICAL AND RADIOLOGICAL EVIDENCE,FNAC,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34M03 C490
S11 Surgical Oncology S11J5 Ca.Ear S11J5.4 Total Temporal Bone Resection CLINICAL AND RADIOLOGICAL EVIDENCE,FNAC,BIOPSY HPE - SO34M04 C490
S11 Surgical Oncology S11J6 Surgical Oncology S11J6.1 Submandibular Gland Excision CLINICAL AND RADIOLOGICAL EVIDENCE,BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34N01 C490
S11 Surgical Oncology S11J6 Surgical Oncology S11J6.2 Oesophageal stenting including stent cost Biopsy Report,Clinical & Radiological Evidence of Oesophageal Malignancy Sticker along with evidence of stent placement -
S11 Surgical Oncology S11J6 Surgical Oncology S11J6.3 Enucleation of pancreatic neoplasm(Other than Neck CT,TUMOUR MARKERS,FNAC BIOPSY,USG,Post Procedure Clinical Photograph -
S11 Surgical Oncology S11J7 Ca.Thyroid S11J7.1 Tracheal Resection BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34O01 C490
S11 Surgical Oncology S11J8 Ca Trachea S11J8.2 Tracheal Resection BIOPSY HPE,Post Procedure Clinical Photograph,Operative Notes - SO34O01 C490
S11 Surgical Oncology S11J9 Ca Parathyroid S11J9.2 Parathyroidectomy - HPE,Post Procedure Clinical Photograph,Operative Notes - SO34Q01 C490
S11 Surgical Oncology S11PM1 Surgical Oncology PMJAY Sub Category S11PM1.1 Voice prosthesis (US FDA /CE approved) Evidence of Laryngectomy Evidence of Use of Prosthesis -
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.11 Tumour Of Mandible And Maxilla CT/MRI/Xray/HPE clinical photograph Biopsy Report,Clinical Phoptograph/ Xray - S25A08 Q898
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.13 Vascular Malformations MR angio/Doppler study Clinical Photo Of Affected Part - S25A10 Q898
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.14 Corrective Surgery For Congenital Deformity Of Han CLINICAL PHOTOGRAPH,X-Ray Clinical Phoptograph/ Xray - S25A11 Q898
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.15 Corrective Surgery For Craniosynostosis CLINICAL PHOTOGRAPH,CT Clinical Photo Of Affected Part - S25A12 Q898
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.17 Flap Cover For Electrical Burns With Vitals Expose Clinical photo of affected part Clinical Photo Of Affected Part - S25A13 T2631xD
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.18 Reduction Surgery For Filarial Lymphedema Clinical photo of affected part Clinical Photo Of Affected Part - S25A03 Q898
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.20 Diabetic Foot ? Surgery Clinical Photo,X-Ray Chest,Lab Investigations Clinical Photo -
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.4 Syndactyly Of Hand For Each Hand Clinical photo of affected part Clinical Photo Of Affected Part - S25G03 Q899
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.5 Microtia/Anotia for each stage Clinical photo of affected part Clinical Photo Of Affected Part - S25G04 Q899
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.7 Hemifacial Microsmia CT/ Xray / OPG Clinical Photo Of Affected Part - S25A05 Q898
S12 Plastic Surgery S12M1 Plastic Surgery S12M1.9 Nerve And Tendon Repair + Vascular Repair Clinical Phoptograph Clinical Photo Of Affected Part - S25A07 Q898
S12 Plastic Surgery S12M2 Plastic Sugrey S12M2.1 Minor Vascular Injury Repair - Vessels In Foot - P Doppler Doppler / Scar Photo - S35B05 S098xxA
S12 Plastic Surgery S12M2 Plastic Sugrey S12M2.2 Minor Vascular Injury Repair- Tibial Vessels In Le Doppler Doppler / Scar Photo - S35B04 S098xxA
S12 Plastic Surgery S12PM1 Plastic Surgery PMJAY Sub Category S12PM1.1 Ear Pinna Reconstruction with costal cartilage/ Pr Clinical Photo Clinical Photo -
S12 Plastic Surgery S12PM1 Plastic Surgery PMJAY Sub Category S12PM1.2 Tissue Expander for disfigurement following burns/ Clinical Photo,Lab Investigations Clinical Photo -
S12 Plastic Surgery S12PM1 Plastic Surgery PMJAY Sub Category S12PM1.3 Hemangioma ? Sclerotherapy (under GA) USG Clinical Photograph -
S12 Plastic Surgery S12PM1 Plastic Surgery PMJAY Sub Category S12PM1.4 Pressure Sore ? Surgery Clinical Photo Clinical Photo -
S13 Burns S13N1 Burns Above 50% S13N1.1 Up To -40% With Scalds ( Conservative) Clinical photo of affected part,diagramatic distribution of burns mandatory(Rule of 9) Note that lessthan 30 % burns are covered by the scheme Clinical Photo Of Affected Part - S26A01 T3122
S13 Burns S13N1 Burns Above 50% S13N1.2 Upto-40% Mixed Burns( With Surgeries) Clinical photo of affected part,diagramatic distribution of burns mandatory(Rule of 9) Note that lessthan 30 % burns are covered by the scheme Clinical Photo Of Affected Part - S26A02 T3122
S13 Burns S13N1 Burns Above 50% S13N1.3 Upto-50% With Scalds(Conservative) Clinical photo of affected part,diagramatic distribution of burns mandatory(Rule of 9) Clinical Photo Of Affected Part - S26A03 T3123
S13 Burns S13N1 Burns Above 50% S13N1.4 Up To -50% Mixed Burns( With Surgeries) Clinical photo of affected part,diagramatic distribution of burns mandatory(Rule of 9) Clinical Photo Of Affected Part - S26A04 T3123
S13 Burns S13N1 Burns Above 50% S13N1.5 Up To -60% With Scalds ( Conservative) Clinical photo of affected part,diagramatic distribution of burns mandatory(Rule of 9) Clinical Photo Of Affected Part - S26A05 T3124
S13 Burns S13N1 Burns Above 50% S13N1.6 Up To -60% Mixed Burns( With Surgeries) Clinical photo of affected part,diagramatic distribution of burns mandatory(Rule of 9) Clinical Photo Of Affected Part,Diagramatic distribution of burns mandatory(Rule of 9) - S26A06 T3124
S13 Burns S13N1 Burns Above 50% S13N1.7 Above 60% Mixed Burns( With Surgeries) Clinical Photo Of Affected Part,Diagramatic distribution of burns mandatory(Rule of 9) Clinical Photo Of Affected Part - S26A07 T3125
S13 Burns S13N2 Burns Post Burn Contracture Surgeries For Function S13N2.1 Mild Contracture Surgeries For Functional Improvem Clinical photo of affected part Clinical Photo Of Affected Part - S26B01 T2899xS
S13 Burns S13N2 Burns Post Burn Contracture Surgeries For Function S13N2.2 Moderate Contracture Surgeries For Functional Impr Clinical photo of affected part Clinical Photo Of Affected Part - S26B02 T2899xS
S13 Burns S13N2 Burns Post Burn Contracture Surgeries For Function S13N2.3 Severe Contracture Surgeries For Functional Improv Clinical photo of affected part Clinical Photo Of Affected Part - S26B03 T2899xS
S14 Poly Trauma S14O1 Orthpedic Trauma S14O1.1 Open Reduction And Internal Fixation Of Long Bone X ray OT Notes,X ray - S21AG M8000xA
S14 Poly Trauma S14O1 Orthpedic Trauma S14O1.2 Amputation Surgery X- RAY Post Procedure Clinical Photograph - S02A44 A480
S14 Poly Trauma S14O1 Orthpedic Trauma S14O1.3 Soft Tissue Injury CLINICAL PHOTOGRAPH CLINICAL PHOTOGRAPH - S21D01G M798
S14 Poly Trauma S14O10 Orthopedic And Facial Trauma Wound Management For S14O10.1 Grade I& II CLINICAL PHOTOGRAPH,X- RAY Post Procedure Clinical Photograph Ot Notes - S27A01G V899xxA
S14 Poly Trauma S14O11 Orthopedic And Facial Trauma Wound Management For S14O11.1 Grade -III CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph - S27A02G V899xxA
S14 Poly Trauma S14O11 Orthopedic And Facial Trauma Wound Management For S14O11.2 Flap Cover Surgery For Wound In Compound Fracture CLINICAL PHOTOGRAPH,X- RAY,CT face 3D reconstruction Post Procedure Clinical Photograph,X- Ray Ot Notes - S27A03G V899xxA
S14 Poly Trauma S14O11 Orthopedic And Facial Trauma Wound Management For S14O11.3 Surgery For Patella Fracture (To Be Covered With O X- RAY X- Ray Ot Notes - S27B01G V899xxA
S14 Poly Trauma S14O11 Orthopedic And Facial Trauma Wound Management For S14O11.4 Small Bone Fractures K-Wiring (To Be Covered With X- RAY X- Ray Ot Notes - S27B02G V899xxA
S14 Poly Trauma S14O11 Orthopedic And Facial Trauma Wound Management For S14O11.5 Facial Bone Fractures (Faciomaxillary Injuries) CLINICAL PHOTOGRAPH,X- RAY Post Procedure Clinical Photograph,X- Ray Ot Notes - S02A29 S0292
S14 Poly Trauma S14O11 Orthopedic And Facial Trauma Wound Management For S14O11.6 Surgical Correction Of Pelvic Bone Fractures. X- RAY X- Ray Ot Notes - S27C01G V899xxA
S14 Poly Trauma S14O4 Chest Consertative Treatment S14O4.1 Chest Injuries Conservative Stay In General Ward @ X- RAY/CT Post Procedure Clinical Photograph - S27M01 V899xxA
S14 Poly Trauma S14O4 Chest Consertative Treatment S14O4.2 Chest Injuries Stay In Respiratory ICU/ICCU@Rs.400 Clinical photograph,X- RAY/CT Post Procedure Clinical Photograph - S27M02 V899xxA
S14 Poly Trauma S14O5 Polytrauma Chest S14O5.1 Polytrauma Chest Surgical Treatment X-RAY/USG/CT X-RAY/USG/CT - S27M03 V899xxA
S14 Poly Trauma S14O6 Abdomen Consertative Treatment S14O6.1 Abdominal Injuries Conservative Stay In General Wa X-RAY/USG/CT USG - S27O01 V899xxA
S14 Poly Trauma S14O6 Abdomen Consertative Treatment S14O6.2 Abdominal Injuries Stay In Surgical ICU@Rs.1000/D X-RAY/USG/CT USG - S27O02 V899xxA
S14 Poly Trauma S14O7 Polytrauma Abdomen S14O7.1 Abdominal Injuries Surgical Treatment X-RAY/USG/CT Post Procedure Clinical Photograph,USG - S27O03 V899xxA
S14 Poly Trauma S14O8 Emergency Room Procedures S14O8.1 Tracheostomy CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph - S09M01G J960
S14 Poly Trauma S14O8 Emergency Room Procedures S14O8.2 Thoracostomy CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph - S09M02 J960
S14 Poly Trauma S14PM1 Polytrauma PMJAY Sub Category S14PM1.1 Plexus injury along with Vascular injury repair wi CT,Pre-op. Doppler study,Nerve Conduction study Clinical photo showing scar,Post-op. Doppler study -
S15 Prostheses S15P11 Prosthesis and Orthosis S15P11.2 Rehabilitative management of spine deformity -Milw CLINICAL PHOTOGRAPH,Clinical photograph CLINICAL PHOTOGRAPH,Clinical Photograph With Prosthesis Mandatory For Claim,Clinical Photograph With Prosthesis -
S15 Prostheses S15P11 Prosthesis and Orthosis S15P11.3 Below Elbow Prosthesis CLINICAL PHOTOGRAPH CLINICAL PHOTOGRAPH,Clinical Photograph With Prosthesis Mandatory For Claim,Clinical Photograph With Prosthesis -
S15 Prostheses S15P11 Prosthesis and Orthosis S15P11.4 Finger Prosthesis CLINICAL PHOTOGRAPH,Clinical photograph,CLINICAL PHOTOGRAPH Clinical Photograph With Prosthesis,Clinical Photograph With Prosthesis Mandatory For Claim -
S15 Prostheses S15P11 Prosthesis and Orthosis S15P11.5 Wrist Disarticulation Prosthesis CLINICAL PHOTOGRAPH,Clinical photograph CLINICAL PHOTOGRAPH,Clinical Photograph With Prosthesis Mandatory For Claim,Clinical Photograph With Prosthesis -
S15 Prostheses S15P11 Prosthesis and Orthosis S15P11.6 Rehabilitative management of non healing ulcers of CLINICAL PHOTOGRAPH,Clinical photograph CLINICAL PHOTOGRAPH,Clinical Photograph With Prosthesis Mandatory For Claim,Clinical Photograph With Prosthesis -
S15 Prostheses S15P11 Prosthesis and Orthosis S15P11.7 Rehabilitative management of lower limb deformity CLINICAL PHOTOGRAPH,Clinical photograph CLINICAL PHOTOGRAPH,Clinical Photograph With Prosthesis Mandatory For Claim,Clinical Photograph With Prosthesis -
S15 Prostheses S15P11 Prosthesis and Orthosis S15P11.8 Rehabilitative management of weakness in foot-Fibr CLINICAL PHOTOGRAPH,Clinical photograph CLINICAL PHOTOGRAPH,Clinical Photograph With Prosthesis Mandatory For Claim,Clinical Photograph With Prosthesis -
S15 Prostheses S15P11 Prosthesis and Orthosis S15P11.9 Hemipelvectomy Prosthesis CLINICAL PHOTOGRAPH,X-Ray,Clinical photograph CLINICAL PHOTOGRAPH,Clinical Photograph With Prosthesis Mandatory For Claim,Clinical Photograph With Prosthesis -
S15 Prostheses S15P3 Prosthesis Below Knee(Bk/Ptb) S15P3.3 Below Knee(BK/PTB) Prostheses Modular Clinical photograph Clinical Photograph Clinical Photograph With Prosthesis Mandatory For Claim - S27E03 V899xxA
S15 Prostheses S15P4 Prosthesis Through Knee Prostheses S15P4.3 Through Knee Prostheses Modular Clinical photograph Clinical Photograph Clinical Photograph With Prosthesis Mandatory For Claim - S27F03 V899xxA
S15 Prostheses S15P5 Prosthesis Above Knee(Ak) Prostheses S15P5.3 Above Knee(AK) Prostheses Modular Clinical photograph Clinical Photograph Clinical Photograph With Prosthesis Mandatory For Claim - S27G03 V899xxA
S15 Prostheses S15P6 Prosthesis Hip Disarticulation Prosthesis S15P6.3 Hip Disarticulation Prosthesis Modular Clinical photograph Clinical Photograph Clinical Photograph With Prosthesis Mandatory For Claim - S27H03 V899xxA
S15 Prostheses S15P7 Prosthesis Upper Limb Above Elbow S15P7.6 Above Elbow Prosthesis Modular Clinical photograph Clinical Photograph Clinical Photograph With Prosthesis Mandatory For Claim - S27K03 V899xxA
S15 Prostheses S15P8 Prosthesis Upper Limb Whole Upper Limb S15P8.3 Whole Upper Limb Prosthesis Modular Clinical photograph Clinical Photograph Clinical Photograph With Prosthesis Mandatory For Claim - S27L03 V899xxA
S1 General Surgery S1A1 Head And Neck S1A1.2 Cervical Rib Excision CT chest,X- Ray,Color Doppler Post Procedure Evidence Of X-Ray - S09A05 Q765
S1 General Surgery S1A1 Head And Neck S1A1.8 Carotid Body-Tumours Excision Clinical Photograph,USG Neck/ Color doppler,MRI Biopsy,Post Procedure Evidence Of Clinical Photograph - S35A18 D446
S1 General Surgery S1A10 Liver S1A10.2 Portocaval Anastomosis MRI/ USG/ UGI ENDOSCOPY Endoscopy/ Usg - S33A05 K7469
S1 General Surgery S1A11 Gall Bladder S1A11.5 Cystojejunostomy CT/USG,LFT Post Procedure Clinical Photograph,Usg Intra Op Photographic E/O Surgery Mandatory For Claim - S33I11 K868
S1 General Surgery S1A11 Gall Bladder S1A11.6 Cystogastrostomy CT/USG,LFT Post Procedure Clinical Photograph,Usg Intra Op Photographic E/O Surgery Mandatory For Claim - S33I12 K868
S1 General Surgery S1A12 Adrenals S1A12.2 Operation On Adrenal Glands Unilateral For Tumour Biochemical Investigations,USG,CT Biopsy,Post Procedure Evidence Of Usg - SO34I02 C495
S1 General Surgery S1A13 Spleen S1A13.2 Splenorenal Anastomosis MRI,USG,UGI Endoscopy Endoscopy,Post Procedure Evidence Of Usg - S33B01 K766
S1 General Surgery S1A13 Spleen S1A13.3 Warren Shunt MRI,USG,UGI Endoscopy Endoscopy,Post Procedure Evidence Of Usg - S33B02 K766
S1 General Surgery S1A14 Abdomen Large Intestine S1A14.1 Mal-Rotation & Volvulus Of The Midgut CT,X-RAY ABD X- Ray/Post Procedure Clinical Photograph - S25G21 Q899
S1 General Surgery S1A14 Abdomen Large Intestine S1A14.2 Operation For Volvulus Of Large Bowel CT-CONTRAST,X-RAY ABDOMEN X- Ray/Post Procedure Clinical Photograph - S25G21 Q899
S1 General Surgery S1A14 Abdomen Large Intestine S1A14.3 Operation Of The Duplication Of The Intestines CT-Contrast/ USG Post Procedure Evidence Of Clinical Photograph - S09J06 K639
S1 General Surgery S1A14 Abdomen Large Intestine S1A14.4 Left Hemi Colectomy Barium / CT,USG,Endoscopy,Biopsy Post Procedure Evidence Of Clinical Photograph/Biopsy - S25G37 C800
S1 General Surgery S1A14 Abdomen Large Intestine S1A14.5 Right Hemi Colectomy Barium / CT,USG,Endoscopy,Biopsy Post Procedure Evidence Of Clinical Photograph/Biopsy - S25G38 C800
S1 General Surgery S1A14 Abdomen Large Intestine S1A14.6 Total Colectomy BARIUM,USG/ CT,ENDOSCOPY/ Sketch Biopsy,Post Procedure Clinical Photograph - S09J01G K639
S1 General Surgery S1A14 Abdomen Large Intestine S1A14.7 Colostomy ENDOSCOPY/ Sketch,USG/ CT Post Procedure Clinical Photograph - S09J02G K639
S1 General Surgery S1A14 Abdomen Large Intestine S1A14.8 Colostomy Closure Barium Study,CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph - S09J03G K639
S1 General Surgery S1A15 General Surgery S1A15.1 Drainage of liver Abscess USG Abdomen Scar Photo -
S1 General Surgery S1A15 General Surgery S1A15.11 Drainage of perivertebral abscess CLINICAL PHOTOGRAPH,Clinical Notes Scar Photo -
S1 General Surgery S1A15 General Surgery S1A15.13 Benign Retroperitoneal Tumor ? Excision CT,FNAC BIOPSY,CLINICAL PHOTOGRAPH -
S1 General Surgery S1A15 General Surgery S1A15.15 Benign Submandibular Lymph node ? Excision BIOPSY,Clinical & Radiological Evidence Hpe,Post Procedure Clinical Photograph,Operation Notes -
S1 General Surgery S1A15 General Surgery S1A15.16 Benign Submandibular Mass Excision + Reconstructio BIOPSY,X-Ray Chest Hpe,Post Procedure Clinical Photograph,Operation Notes -
S1 General Surgery S1A15 General Surgery S1A15.17 Pharyngectomy & Reconstruction for Benign Tumours CT- SCAN,FNAC BIOPSY,Post Procedure Clinical Photograph -
S1 General Surgery S1A15 General Surgery S1A15.18 Rib Resection & Drainage for empyema in adults CBC,X- RAY,Fluid Analysis X-Ray Chest -
S1 General Surgery S1A15 General Surgery S1A15.19 Drainage of Ischio Rectal Abscess with minimum 2 CLINICAL PHOTOGRAPH,Clinical Notes CLINICAL PHOTOGRAPH,Clinical Notes -
S1 General Surgery S1A15 General Surgery S1A15.20 Drainage of Psoas Abscess with minimum 2 followup Scar Photo,USG Abdomen Scar Photo,USG Abdomen -
S1 General Surgery S1A15 General Surgery S1A15.21 Varicose Veins - Radiofrequency Ablation / Excisio CLINICAL PHOTOGRAPH,Doppler venous Scar Photo -
S1 General Surgery S1A15 General Surgery S1A15.22 Excision of salivary glands CLINICAL PHOTOGRAPH,FNAC BIOPSY,CLINICAL PHOTOGRAPH -
S1 General Surgery S1A16 Genitourinary S1A16.1 Suprapubic Cystostomy Clinical indications Operation Notes,Post Procedure Clinical Photograph - SO34AH07 C3490
S1 General Surgery S1A2 Head And Neck Thyroid Non Malignant S1A2.4 Resection Enucleation Biopsy,USG/ Thyroid Scan(optional),T F T,FNAC Biopsy,Post Procedure Clinical Photograph - S09D04G D34
S1 General Surgery S1A3 Breast S1A3.1 Simple Mastectomy(NM) FNAC,MAMMOGRAPHY Biopsy,Post Procedure Clinical Photograph - S09E01G D2400
S1 General Surgery S1A5 Abdomen S1A5.2 AppendIcular Perforation CBC,X-ray Abdomen,USG Biopsy,Pus C/S,Post Procedure Clinical Photograph - S09G02G K389
S1 General Surgery S1A7 Abdomen Stomach, Duodenum, Jejunum S1A7.10 Gastrostomy Closure CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph - S09H09G K3189
S1 General Surgery S1A7 Abdomen Stomach, Duodenum, Jejunum S1A7.2 Duodenal Perforation USG/ CT- ABDOMEN,X-RAY Post Procedure Clinical Photograph - S09H02 K3189
S1 General Surgery S1A7 Abdomen Stomach, Duodenum, Jejunum S1A7.6 Operation For Bleeding Peptic Ulcer ENDOSCOPY/ Sketch Post Procedure Clinical Photograph - S09H04G K3189
S1 General Surgery S1A7 Abdomen Stomach, Duodenum, Jejunum S1A7.7 Partial/Subtotal Gastrectomy For Ulcer ENDOSCOPY/ Biopsy / Barium meal Post Procedure Clinical Photograph - S09H05G K3189
S1 General Surgery S1A7 Abdomen Stomach, Duodenum, Jejunum S1A7.9 Gastrostomy BIOPSY,USG,ENDOSCOPY/ Sketch Post Procedure Clinical Photograph - S09H08G K3189
S1 General Surgery S1A8 Abdomen Small Intestine S1A8.1 Intussusception USG / CT abd,X-RAY ABD Biopsy,Post Procedure Clinical Photograph - S25G20 Q899
S1 General Surgery S1A8 Abdomen Small Intestine S1A8.2 Operation For Acute Intestinal Obstruction USG / CT abd,X-RAY ABD Biopsy,Post Procedure Clinical Photograph - S09J04G K5669
S1 General Surgery S1A8 Abdomen Small Intestine S1A8.3 Operation For Acute Intestinal Perforation USG / CT abd,X-RAY ABD Biopsy,Post Procedure Clinical Photograph - S09J05G K5669
S1 General Surgery S1A8 Abdomen Small Intestine S1A8.4 Operation For Haemorrhage Of The Small Intestine CT WITH CONTRAST Biopsy,Post Procedure Clinical Photograph - S09I01 K639
S1 General Surgery S1A8 Abdomen Small Intestine S1A8.5 Operations For Recurrent Intestinal Obstruction (N CT-CONTRAST / USG,Xray Biopsy,Post Procedure Clinical Photograph - S09I02 K5669
S1 General Surgery S1A8 Abdomen Small Intestine S1A8.6 Resection & Anastomosis Of Small Intestine CT/ USG,X-RAY ABD Biopsy,Post Procedure Clinical Photograph - S09I03G K5669
S1 General Surgery S1A8 Abdomen Small Intestine S1A8.7 Ileostomy CT abd / USG Hp Report,Post Procedure Clinical Photograph - S09I04G K639
S1 General Surgery S1A8 Abdomen Small Intestine S1A8.8 Ileostomy Closure CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph - S09I05G K639
S1 General Surgery S1A9 Abdomen Rectum And Anus S1A9.1 Pull Through Abdominal Resection CLINICAL PHOTOGRAPH,CT Abdomen + Pelvis Post Procedure Clinical Photograph,Rectal Biopsy - S09K01G K639
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.11 Drainage of Subdiaphramatic Abscess USG Abdomen Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.14 Evacuation of Scrotal Hematoma Clinical Notes,Clinical Photograph Clinical Notes,Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.15 Excision Benign Tumor -Small intestine USG HPE,Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.17 Excision Filarial Scrotum Clinical Notes,Clinical Photo Clinical Notes,Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.18 Excision Mammary Fistula Clinical Notes,Clinical Photograph Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.20 Excision Small Intestinal Fistula X-ray Abdomen Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.22 Excision of Growth from Tongue with neck node diss Clinical Photo HPE -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.23 Excision of Neurofibroma CLINICAL PHOTOGRAPH,Clinical Notes Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.24 Exicision of Sinus and Curettage CLINICAL PHOTOGRAPH,Clinical Notes Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.28 Excision and Skin Graft of Venous Ulcer Unilateral CLINICAL PHOTOGRAPH,Clinical Notes Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.29 Excision and Skin Graft of Venous Ulcer Unilateral CLINICAL PHOTOGRAPH,Clinical Notes Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.3 Incision and Drainage of large Abscess with minimu Clinical Photograph and clinical notes Clinical Notes,Post Procedure Evidence of Surgery -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.31 Mesenteric Cyst ? Excision Scar Photo,USG - Abdomen/CT Scan Scar Photo,USG - Abdomen/CT Scan -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.32 Mesenteric Caval Anastomosis USG - Abdomen/CT Scan Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.35 Growth in the Scalp ? Excision Clinical Photo Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.37 Rectopexy Clinical Photo Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.38 Resection Anastomosis (Large Intestine) CT/ USG,X-RAY ABD Biopsy, Post Procedure Clinical Photograph -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.41 Sigmoid Diverticulum Lab Investigations,USG Post procedure evidence of Surgery -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.42 Tracheoplasty (Throat) CT Contrast Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.43 Umbilical Sinus ? Excision Clinical Notes,Clinical Photograph Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.45 Debridement of Ulcer-Leprosy And 3 follow up dress Clinical Photograph Clinical Photograph -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.46 Estlander Operation (lip) Clinical Notes,Clinical Photograph Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.47 Aspiration of cold Abscess of Lymphnode minimum 2 Clinical Notes,Clinical Photograph Clinical Notes,Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.48 Free Grafts - Wolfe Grafts Clinical Photograph Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.49 Caecostomy Clinical Photograph,USG,Clinical Notes Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.56 Excision of Swelling in Right Cervical Region Clinical Notes ,Clinical Photograph Clinical Notes,Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.57 Excision Meckel's Diverticulum Isolated USG Abdomen Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.58 Ganglion - Sclerotherapy Clinical Notes ,Clinical Photograph Clinical Notes,Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.59 Papilloma Rectum ? Excision Clinical Notes ,Clinical Photograph,Clinical Photograph Clinical Notes,Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.60 Gastric Perforation Isolated X-ray Abdomen Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.65 Infected Bunion Foot ? Excision clinical photo,Clinical Notes Scar Photo -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.66 Rectal Dilation Clinical Notes Clinical Notes -
S1 General Surgery S1PM1 General Surgery PMJAY Sub Category S1PM1.9 Excision of Benign Growth from Tongue only Clinical photo HPE -
S20 Oral and Maxillofacial Surgery S20A1 Oral & Maxillofacial Surgery S20A1.4 Benign Mandible Tumour Resection and reconstructio BIOPSY,X- RAY CHEST Post Procedure Clinical Photograph,Operative Notes,HPE -
S20 Oral and Maxillofacial Surgery S20PM1 Oral & Maxillofacial Surgery PMJAY Sub Category S20PM1.3 Release of fibrous bands & grafting -in (OSMF) tre Clinical Notes, Clinical Photograph,X-Ray Clinical Photograph,X-ray -
S21 Pediatric Cancer S21A1 Pediatric Cancer/Adult S21A1.1 Chronic Myeloid Leukemia Imatinib(Per month) BIOPSY,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Histopathplogy report,Clinical Notes,Chemo Sheets BIOPSY,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Histopathplogy report,Clinical Notes,Chemo Sheets -
S21 Pediatric Cancer S21A1 Pediatric Cancer/Adult S21A1.2 Chronic Myeloid Leukemia Nilotinib(Per month) BIOPSY,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Histopathplogy report,Clinical Notes,Chemo Sheets BIOPSY,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Histopathplogy report,Clinical Notes,Chemo Sheets -
S21 Pediatric Cancer S21A1 Pediatric Cancer/Adult S21A1.3 Chronic Myeloid Leukemia Dasatinib(Per month) BIOPSY,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Histopathplogy report,Clinical Notes,Chemo Sheets BIOPSY,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Histopathplogy report,Clinical Notes,Chemo Sheets -
S2 ENT Surgery S2B1 Ear S2B1.1 Labyrinthectomy CT Scan Ear microscopic finding and clinical findings Clinical Photo - S05D04 H748x9
S2 ENT Surgery S2B2 Throat S2B2.1 Microlaryngeal Surgery IDL Findings Clinical Photo,IDL Findings - S05E01 H9589
S2 ENT Surgery S2B2 Throat S2B2.3 Laryngo Fissurectomy CT scan Clinical Photo,Clinical findings - S05E03G H9589
S2 ENT Surgery S2B2 Throat S2B2.5 Parapharyngeal Tumour Excision CT- SCAN /MRI SCAN,FNAC Post Procedure Clinical Photograph,histopath - S05E07G H9589
S2 ENT Surgery S2B2 Throat S2B2.7 Uvulo-Palato Pharyngoplasty Polysomnography CT/MRI,Clinical Photo - S05E05G H9589
S2 ENT Surgery S2B4 Ent S2B4.1 Bronchoscopic Foreign Body Removal RELEVANT X-RAY Post Op Xray,Post Procedure Clinical (Bronchoscopic) Photograph - S09L01G T81529
S2 ENT Surgery S2B4 Ent S2B4.3 Fracture reduction nose with septal correction X-Ray Skull Lateral view Post Operative Patient Photograph after 6 weeks -
S2 ENT Surgery S2B4 Ent S2B4.4 Myringoplasty Ear Microscopy and Pure Tone Audiogram,Ear findings by ENT surgeon Post Procedure Ear Microscopy and Pure Tone Audiogram -
S2 ENT Surgery S2B4 Ent S2B4.5 Septo-rhinoplasty X-ray- skull AP & lateral clinical findings by surgeon CLINICAL PHOTOGRAPH,X-ray- skull AP & lateral ,Post Procedure,Clinical Notes -
S2 ENT Surgery S2B4 Ent S2B4.6 Peritonsillor abscess under LA Clinical findings by surgeon Clinical Notes of 5 days after surgery -
S2 ENT Surgery S2B5 Head And Neck S2B5.15 Segmental Mandible Excision X- RAY Mandible CLINICAL PHOTOGRAPH,X- RAY Mandible - S09B01 D1039
S2 ENT Surgery S2B5 Head And Neck S2B5.3 Bronchial Injuries Due To Foreign Body Repair Surg Broncoscopy / CT scan Post Procedure Endoscopic Picture - S03A04 J986
S2 ENT Surgery S2B5 Head And Neck S2B5.8 Hemimandibulectomy CLINICAL PHOTOGRAPH,CT Scan CLINICAL PHOTOGRAPH,histopath,X- Ray - S25G41 C800
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.12 Skull base surgery CT Scan of Skull base,Clinical notes Post procedure evidance of Surgery,Scar Photo -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.13 Tympanotomy Ear Microscopy and Pure Tone Audiogram Ear Microscopy and Pure Tone Audiogram -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.14 Antrostomy - Bilateral X-Ray Paranasal Sinus Clinical notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.15 Antrostomy - Unilateral X-Ray Paranasal Sinus Clinical notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.18 Fracture - setting nasal bone X-Ray Post procedure X-Ray -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.19 Rhinotomy ? Lateral CT Scan PNS CLINICAL PHOTOGRAPH,Clinical Notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.20 Turbinectomy Partial - Bilateral X-Ray PNS Clinical Notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.21 Turbinectomy Partial - unilateral X-Ray PNS Clinical Notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.22 Radical fronto ethmo sphenodectomy CT Scan PNS CLINICAL PHOTOGRAPH,Clinical Notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.23 Youngs operation X-Ray PNS Clinical Notes Clinical Notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.24 Endoscopic Hypophysectomy CT Scan Skull CT Scan Skull ,Clinical Notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.25 Intranasal Diathermy Clinical Notes Clinical Notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.26 Rhinosporidiosis Biopsy and endoscopic report CT Scan/X-Ray PNS,Endoscopy -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.28 Arytenoidectomy Clinical Notes,IDL Photograph,Clinical Notes Clinical Notes,IDL Photograph,Clinical Notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.29 Choanal atresia CTScan/ X-Ray PNS,Nasal Endoscopy CTScan/ X-Ray PNS,Post Procedure Nasal Endoscopy -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.30 Pharyngeal diverticulum's ? Excision Clinical Notes,Clinical Photograph Clinical Notes,Scar Photo -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.31 Laryngophayryngectomy CT Scan of Neck Clinical Notes,Scar Photo -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.32 Oro Antral fistula CT Scan/X-Ray PNS,Nasal Endoscopy Nasal Endoscopy,Post Procedure CT Scan/X-Ray PNS -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.33 Parapharyngeal ? Exploration CT/MRI scan,Nasal Endoscopy Nasal Endoscopy,Post Procedure CT Scan/X-Ray PNS -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.34 Parapharyngeal Abscess ? Drainage Xray,CLINICAL PHOTOGRAPH Xray,CLINICAL PHOTOGRAPH -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.36 Retro pharyngeal abscess ? Drainage clinical Photograph Post procedure Evidence of Surgery -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.38 Laryngopharyngectomy with Gastric pull-up/ jejunal CT Scan of Neck, Thorax and abdomen Clinical Notes,Scar Photo -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.39 Excision of CA cheek/ oral cavity + radial forearm CT Scan Maxilla and Mandible.,Clinical Photograph,Clinical Notes Clinical Notes,Scar Photo -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.40 Excision of growth Jaw + free fibular flap reconst CT Scan Maxilla and Mandible.,Clinical Photograph,Clinical Notes Clinical Notes,Scar Photo -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.41 Intra Nasal Ethmoidectomy CT ethmoidal sinus Clinical Photograph -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.42 Vidian neurectomy ? Micro EMG,Nerve Conduction Clinical Photograph -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.43 Nasal polypectomy ? Unilateral single or multiple X-Ray PNS Clinical Notes,HPR -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.44 Ant. Ethmoidal artery ligation - open/ endoscopic Evidence of anterior Nasal Packing and Post Nasal Packing Evidence of Stopage of Epistaxis -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.45 Ethmoidectomy ? External CT ethmoidal sinus Clinical Photograph with Notes -
S2 ENT Surgery S2PM1 ENT PMJAY Sub Category S2PM1.9 Ossiculoplasty Ear Microscopy and Pure Tone Audiogram Post Procedure Ear Microscopy and Pure Tone Audiogram -
S3 Ophthalmology Surgery S3B10 Pediatric Ophthalmic Surgery S3B10.2 Pediatric Cataract Surgery - Phacoemulsification ? B.SCAN Post Procedure Clinical Photograph - S20F01 H28
S3 Ophthalmology Surgery S3B10 Pediatric Ophthalmic Surgery S3B10.3 Glaucoma Filtering Surgery For Paediatric Glaucoma Clinical notes Post Procedure Evidence Of Clinical Photograph - S20F03 H4010
S3 Ophthalmology Surgery S3B11 Retina S3B11.1 Scleral Buckle For Retinal Detachment B.SCAN,FUNDUS PHOTOGRAPH & Sketch Fundus Photograph & Sketch - S20B06 H3570
S3 Ophthalmology Surgery S3B11 Retina S3B11.2 Photocoagulation For Diabetic Retinopathy Per Sitt Fundus Photograph & Sketch Post Procedure Evidence Of Fundus Photograph & Sketch - S20B07 H3570
S3 Ophthalmology Surgery S3B4 Opthalmology Surgery S3B4.2 Dacryocystectomy with implants Clinical Photograph and clinical notes Clinical Notes,Post procedure evidance of Surgery -
S3 Ophthalmology Surgery S3B4 Opthalmology Surgery S3B4.3 Perforating Corneo - Scleral Injury Clinical Photograph and clinical notes Clinical Notes,Post procedure evidance of Surgery -
S3 Ophthalmology Surgery S3B4 Opthalmology Surgery S3B4.4 Anterior Chamber Reconstruction +Perforating corne Clinical Photograph and clinical notes Post op photograph -
S3 Ophthalmology Surgery S3B4 Opthalmology Surgery S3B4.5 Advanced Surgery for Retinopathy of Prematurity Grading of Retinopathy by opthalmologist Proof of Treatment -
S3 Ophthalmology Surgery S3B5 Cornea Sclera S3B5.1 Therapeutic Penetrating Keratoplasty CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph - S20A01 H16109
S3 Ophthalmology Surgery S3B5 Cornea Sclera S3B5.2 Lamellar Keratoplasty Clinical photograph showing corneal opacity Post Procedure Clinical Photograph - S20A02 H16109
S3 Ophthalmology Surgery S3B5 Cornea Sclera S3B5.3 Corneal Patch Graft CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph (Graft in photograph) - S20A03 H16109
S3 Ophthalmology Surgery S3B5 Cornea Sclera S3B5.4 Scleral Patch Graft CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph (graft photo) - S20A04 H16109
S3 Ophthalmology Surgery S3B5 Cornea Sclera S3B5.5 Penetrating Keratoplasty CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph - S20A05 H16109
S3 Ophthalmology Surgery S3B5 Cornea Sclera S3B5.7 Amniotic Membrane Graft CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph (Graft in photograph) - S20A07 H16109
S3 Ophthalmology Surgery S3B6 Vitreo S3B6.1 Vitrectomy B.SCAN,Fundus photograph is mandatory at time of preauth Fundus Photograph(Submitted At The Time Of Preauth) - S20B02 H35449
S3 Ophthalmology Surgery S3B6 Vitreo S3B6.2 Vitrectomy + Membrane Peeling+ Endolaser B.SCAN,FUNDUS PHOTOGRAPH & Sketch Fundus Photograph & Sketch - S20B03 H35449
S3 Ophthalmology Surgery S3B6 Vitreo S3B6.3 Monthly Intravitreal Anti-VEGF For Macular Degener FUNDUS PHOTOGRAPH & Sketch,OCT Post Procedure Evidence Of Fundus Photo/ Sketch / Optical Coherence Tomography - S20B04 H35449
S3 Ophthalmology Surgery S3B6 Vitreo S3B6.4 Vitrectomy - Membrane Peeling Endolaser , Silicon B.SCAN,FUNDUS PHOTOGRAPH & Sketch Fundus Photograph & Sketch - S20B05 H35449
S3 Ophthalmology Surgery S3B6 Vitreo S3B6.5 Removal Of Silicon Oil Or Gas B.SCAN,FUNDUS PHOTOGRAPH & Sketch Fundus Photograph & Sketch - S20B01 H35449
S3 Ophthalmology Surgery S3B6 Vitreo S3B6.6 Vitrectomy Plus Silicon Oil Or Gas. B.SCAN,FUNDUS PHOTOGRAPH & Sketch Fundus Photograph & Sketch - S20B08 H3570
S3 Ophthalmology Surgery S3B7 Orbit S3B7.1 Socket Reconstruction CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph (reconstructed orbit photo) - S20C01 H3570
S3 Ophthalmology Surgery S3B7 Orbit S3B7.2 Dermis Fat Graft CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph (Graft in photograph) - S20C02 H3570
S3 Ophthalmology Surgery S3B7 Orbit S3B7.3 Orbitotomy CT Scan Post Procedure Clinical Photograph - S20C03 H3570
S3 Ophthalmology Surgery S3B8 Squint Correction Surgery S3B8.1 Rectus Muscle Surgery Single. CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph (corrected squint) - S20D01 H526
S3 Ophthalmology Surgery S3B8 Squint Correction Surgery S3B8.2 Rectus Muscle Surgery Two/Three CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph (corrected squint) - S20D02 H526
S3 Ophthalmology Surgery S3B8 Squint Correction Surgery S3B8.3 Oblique Muscle CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph (corrected squint) - S20D03 H526
S3 Ophthalmology Surgery S3B9 Lid Surgery S3B9.1 Lid Reconstruction Surgery CLINICAL PHOTOGRAPH Post Procedure Clinical Photograph of reconstructed lid - S20E01 H4430
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.1 Buckle Removal B.SCAN,Sketch ,FUNDUS PHOTOGRAPH FUNDUS PHOTOGRAPH,Sketch -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.11 IRIS Prolapse ? Repair Preop photograph Post op photograph -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.12 Iridectomy- laser Clinical Photograph and clinical notes Post procedure evidence of surgery -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.13 Iridectomy- surgical Clinical Photograph and clinical notes Post procedure evidence of surgery -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.15 Conjunctival tumour excision + AMG Biopsy and endoscopic report CT Scan,X-Ray PNS,Endoscopy -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.18 Evisceration B Scan Preop photograph Post op photograph -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.2 Canaliculo Dacryocysto Rhinostomy Clinical Photograph,DCG-Dacryocystogram DCG,Post procedure evidence of surgery -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.3 Prophylactic Cryoretinopexy- Closed Retinal Sketch,FUNDUS PHOTOGRAPH Fundus Photograph,Retinal Sketch -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.4 Cyclocryotherapy Evidence of Raised IOP & Clinical Notes Post procedure evidence of surgery -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.5 Cyclophotocoagulation Evidence of Raised IOP & Clinical Notes Post procedure evidence of surgery -
S3 Ophthalmology Surgery S3PM1 Opthalmology Surgery PMJAY Sub Category S3PM1.8 Glaucoma Surgery (Trabeculectomy only) with or wit Evidence of Raised IOP & Clinical Notes along with field of vision,Optic disc changes Post procedure evidence of surgery -
S4 Gynaecology And Obstetrics Surgery S4C1 Obstetrics S4C1.1 Caesarean Hysterectomy With Bladder Repair USG Photograph,USG - OG11A01G O711
S4 Gynaecology And Obstetrics Surgery S4C1 Obstetrics S4C1.2 Rupture Uterus USG Clinical Photograph/ Hpe,USG - OG11A02G O711
S4 Gynaecology And Obstetrics Surgery S4C1 Obstetrics S4C1.3 Eclampsia With Complication Requiring Ventilatory (S.FIBRINOGEN LEVEL, PT, PLATELET COUNT, HAEMATOCRIT, APTT) / Sr. Uric acid,Urine albumin,Sr. Creat,LFT/RFT,ABG Biochemical Investigations,Post Procedure Evidence Of Clinical Photograph - OG11A03G O159
S4 Gynaecology And Obstetrics Surgery S4C1 Obstetrics S4C1.4 Abruptioo Placenta With Coagulation Defect - DIC LFT,USG / (APTT, S.FIBRINOGEN LEVEL, PT, PLATELET COUNT, HAEMATOCRIT) Coagulation profile,RFT Clinical Photograph Of Retroplacental Clots,USG - OG11A04 O365110
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.11 Laparoscopic Ectopic Resection USG HPE,Video Is Mandatory,USG - OG11B11 O365110
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.12 Laparoscopic Ovarian Drilling USG USG,Video Is Mandatory - OG11B12 N979
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.13 Laparoscopic Myomectomy USG HPE,Video Is Mandatory,USG - OG11B13 D259
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.14 Laparoscopic Recanalisation HSG,evidence of blockage USG,Video Is Mandatory - OG11B14 N979
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.15 Laparoscopic Sling Operations USG USG,Video Is Mandatory - OG11B15 N895
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.16 Laparoscopic Adhesolysis USG HPE,Video Is Mandatory - OG11B16 N895
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.22 Perineal/ Vesico-vaginal/ Recto-vaginal tear repai Clinical Notes CLINICAL IMPROVEMENT -
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.4 Cystocele ,Rectocele & Perineorraphy USG Sketch,USG - OG11B04G N819
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.5 Pelvic Floor Reconstruction With Mesh USG Sketch,USG - OG11B05 N819
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.6 Mc Indo-S Repair For Vaginal Atresia USG Sketch,USG - OG11B06 N895
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.7 Slings With Mesh Repair For Prolapse USG Sketch,USG - OG11B07 N993
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.8 Vault Prolapse Abdominal Repair USG Sketch,USG - OG11B08 N819
S4 Gynaecology And Obstetrics Surgery S4C2 Gynaecology S4C2.9 Vault Prolapse Abdominal Repair With Mesh USG Intra Op Photo Showing Mesh,USG - OG11B09 N819
S4 Gynaecology And Obstetrics Surgery S4C3 Gynaecology And Obstetrics Surgery S4C3.2 LLETZ (Large Loop Excision of the transformation z Clinical/ Histopathological report Post.op ultrasound (pelvis) -
S4 Gynaecology And Obstetrics Surgery S4PM1 Obstetrics & Gynaecology PMJAY Surgery Sub Categor S4PM1.1 Repair for rectovaginal fistulas Clinical Notes Intra Operative Photoghraph -
S4 Gynaecology And Obstetrics Surgery S4PM1 Obstetrics & Gynaecology PMJAY Surgery Sub Categor S4PM1.10 HaematoColpo/Excision - Vaginal Septum Clinical Notes Clinical Notes -
S4 Gynaecology And Obstetrics Surgery S4PM1 Obstetrics & Gynaecology PMJAY Surgery Sub Categor S4PM1.17 Colpotomy Clinical Notes Clinical Notes -
S4 Gynaecology And Obstetrics Surgery S4PM1 Obstetrics & Gynaecology PMJAY Surgery Sub Categor S4PM1.18 Intrauterine transfusions Clinical Notes Clinical photograph ,Record of Blood Transfusion -
S4 Gynaecology And Obstetrics Surgery S4PM1 Obstetrics & Gynaecology PMJAY Surgery Sub Categor S4PM1.3 Broad Ligment Haemotoma/ Abdominal Haematoma drain USG USG -
S4 Gynaecology And Obstetrics Surgery S4PM1 Obstetrics & Gynaecology PMJAY Surgery Sub Categor S4PM1.5 Hysteroscopic myomectomies USG USG -
S4 Gynaecology And Obstetrics Surgery S4PM1 Obstetrics & Gynaecology PMJAY Surgery Sub Categor S4PM1.8 Laparotomy for broad ligament haematoma USG USG -
S5 Orthopedic Surgery And Procedures S5D1 Orthopedics Fracture Correction Surgeries S5D1.1 Bone Grafting As Exclusive Procedure x ray Post Procedure X Ray - S21F01G M8000xD
S5 Orthopedic Surgery And Procedures S5D1 Orthopedics Fracture Correction Surgeries S5D1.2 Excision Or Other Operations For Scaphoid Fracture x ray Post Procedure X Ray - S21F02G S929
S5 Orthopedic Surgery And Procedures S5D1 Orthopedics Fracture Correction Surgeries S5D1.3 Open Reduction & Internal Fixation Of Fingers & To x ray Post Procedure X Ray - S21F03G S929
S5 Orthopedic Surgery And Procedures S5D1 Orthopedics Fracture Correction Surgeries S5D1.4 Reduction Of Compound Fractures & External Fixatio X ray Post Procedure X Ray Mandatory Requireed Clinical Photo Of Part For Claim,mandatory required clinical photo of part for pre auth - S21F04G S929
S5 Orthopedic Surgery And Procedures S5D1 Orthopedics Fracture Correction Surgeries S5D1.5 Ilizarov Ring Fixator Application. X ray Post Procedure X Ray Mandatory Requireed Clinical Photo Of Part For Claim,mandatory required clinical photo of part for pre auth - S21F05 M8000xA
S5 Orthopedic Surgery And Procedures S5D1 Orthopedics Fracture Correction Surgeries S5D1.6 CTEV Neglected. JESS Fixator Clinical Photograph Post Procedure Evidence Of Clinical Photograph,x ray - S21F06 M8000xA
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.11 Foot Amputation (whole) - - -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.1 Open Reduction Of Dislocations - Deep x ray Post Procedure X Ray - S21G01G M435x9
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.16 Closed reduction of dislocation (hip) CLINICAL PHOTOGRAPH,X-Ray CLINICAL PHOTOGRAPH,X-Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.17 Scoliosis (Rs. 90000) + special spinal brace (Rs. CLINICAL PHOTOGRAPH,X-Ray CLINICAL PHOTOGRAPH,bill of spinal brace,X-Ray,Implant sticker (barcode) -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.18 Closed Interlock Nailing + Bone Grafting ? femur Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.19 Closed Interlocking Intermedullary Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.20 Closed Interlocking Tibia + Orif of Fracture Fixat Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.21 Closed Reduction and Internal Fixation with K wire Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.22 Closed Reduction and Percutaneous Screw Fixation ( Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.23 Closed Reduction and Percutaneous Pinning Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.24 Closed Reduction and Percutaneous Nailing X Ray X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.25 Closed Reduction of the Hip (including hip Spika) Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.26 Debridement & Closure of Major injuries - contused Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.27 Closed reduction of dislocation (Knee) Clinical photograph Post Procedure Evidence of Surgery -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.28 Correction of club foot per cast Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.29 Closed reduction of dislocation (Shoulder) Clinical photograph,X Ray X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.31 External fixation - Long bone/pelvis Clinical photograph,X Ray Clinical photograph,X Ray,Clinical photograph -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.32 External fixation - Small bone Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.34 Multiple Tendon Repair Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.35 Open Reduction Internal Fixation (2 Small Bones) Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.36 Open Reduction of CDH Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.37 Open Reduction of Small Joint Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.39 Amputation - Above/Below Elbow CLINICAL PHOTOGRAPH,X-Ray CLINICAL PHOTOGRAPH,X-Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.48 Excision Arthoplasty of Femur head X-Ray , Clinical Photograph Clinical Photograph, X-Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.49 Amputation ? Above Knee CLINICAL PHOTOGRAPH,X-Ray Post Procedure Clinical Photograph,Post Procedure X-ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.50 Amputation ? Below Knee CLINICAL PHOTOGRAPH,X-Ray Post Procedure Clinical Photograph,Post Procedure X-ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.51 Close Fixation - Hand Bones Clinical Photograph,X-Ray Clinical Photograph,X-Ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.52 Amputation - Wrist CLINICAL PHOTOGRAPH,X-Ray Post Procedure Clinical Photograph,Post Procedure X-ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.53 Close Reduction- small joints CLINICAL PHOTOGRAPH,X-Ray Post Procedure Clinical Photograph,Post Procedure X-ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.54 Accessory bone ? Excision (limbs) ? congenital Acc Clinical photgraph ,X rays of affected limb Clinical photgraph ,X rays of affected limb -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.56 Hand Amputation ( partial) CLINICAL PHOTOGRAPH,X-Ray Post Procedure Clinical Photograph,Post Procedure X-ray -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.57 Close Fixation -Foot bones - - -
S5 Orthopedic Surgery And Procedures S5D2 Orthopedics S5D2.58 Closed reduction of dislocation (elbow) - - -
S5 Orthopedic Surgery And Procedures S5D3 Orthopedics Bone And Joint Surgery Procedures S5D2.4 Arthrodesis Of - Major Joints X Ray X Ray - S21E01G M6618
S5 Orthopedic Surgery And Procedures S5D3 Orthopedics Bone And Joint Surgery Procedures S5D2.5 Arthroscopy - Diagnostic Clinical Photo,X rays of affected limb Clinical Photo,X rays of affected limb - S21E02 M6618
S5 Orthopedic Surgery And Procedures S5D3 Orthopedics Bone And Joint Surgery Procedures S5D2.6 Arthroscopy. Operative Meniscectomy Clinical Photograph,X ray Clinical Photograph,X ray - S21E03 M6618
S5 Orthopedic Surgery And Procedures S5D3 Orthopedics Bone And Joint Surgery Procedures S5D2.7 Arthroscopy - ACL Repair Clinical Photograph,X ray Clinical Photograph,Post Procedure X Ray - S21I01 M6618
S5 Orthopedic Surgery And Procedures S5D3 Orthopedics Bone And Joint Surgery Procedures S5D2.8 Avascular Necrosis Of Femoral Head (Core Decompres Clinical Photograph,X ray Clinical Photograph,X ray - S21I02G M87059
S5 Orthopedic Surgery And Procedures S5D3 Orthopedics Bone And Joint Surgery Procedures S5D2.9 Soft Tissue Reconstruction Procedures For Joints/ Clinical Photograph,X ray Clinical Photograph,X ray - S21I03G M940
S5 Orthopedic Surgery And Procedures S5D4 Orthopedics Spine Surgery S5D2.10 Anterolateral Clearance For Tuberculosis Clinical Photograph,X ray Clinical Photograph,X ray - S21J01 B909
S5 Orthopedic Surgery And Procedures S5D4 Orthopedics Spine Surgery S5D4.1 Spinal Ostectomy And Internal Fixations MRI/ Xray Post Procedure X Ray - S21J03 S140xxA
S5 Orthopedic Surgery And Procedures S5D5 Orthopedics Soft Tissue Surgery S5D2.14 Neurolysis/Nerve Suture Clinical Photograph,X ray Clinical Photograph,X ray - S21K02 R94130
S5 Orthopedic Surgery And Procedures S5D6 Orthopedics Bone Tumours S5D6.1 Excision Of Bone Tumours. Deep With Re-Constructio MRI/ Xray Biopsy,Post Procedure X Ray,Post Procedure Clinical Photograph - S21L01 C419
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.15 Osteochondroma excision/ Excision of Exostosis CLINICAL PHOTOGRAPH,X-Ray Post Procedure Clinical Photograph,Post Procedure X-ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.16 Excision Arthoplasty CLINICAL PHOTOGRAPH,X-Ray Post Procedure Clinical Photograph,Post Procedure X-ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.17 Arthorotomy of any joint X-Ray , Clinical Photograph Clinical Photograph, X-Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.20 Bone Tumour Excision (malignant/ benign) + Joint r Clinical and radiological investigations radiological investigations,Clinical investigations -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.3 Foot Amputation (partial) X-Ray,Clinical Photograph X-Ray,Clinical Photograph -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.39 Duputryen?s Contracture release + rehabilitation Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.4 Hand Amputation (whole) Clinical photgraph ,x ray Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.42 Fasciotomy Clinical Photograph Post Procedure evidence of Surgery -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.45 Tendon Grafting (isolated grafting) Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.46 Nerve Repair Surgery x ray & Clinical photgraph Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.5 AC joint reconstruction/ Stabilization/ Acromionpl MRI of shoulder,X rays of affected limb X rays of affected limb -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.50 Open Reduction with bone grafting of nonunion Clinical photograph,X Ray Clinical photograph,X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.53 Pelvic Osteotomy with fixation with plaster Clinical and radiological investigations radiological investigations,Clinical investigations -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.54 Percutaneous - Fixation of Fracture x ray & Clinical photgraph Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.56 Sequestrectomy of Long Bones + anti-biotics + dres x ray & Clinical photgraph Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.61 Application of P.O.P. casts for Upper & Lower Limb x ray & Clinical photgraph Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.62 Skeletal tractions with pins Isolated x ray & Clinical photgraph Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.63 skin traction isolated x ray & Clinical photgraph Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.64 Application of P.O.P. Spikas & Jackets x ray & Clinical photgraph Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.66 External fixation - both bones of forearms x ray & Clinical photgraph Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.67 Fracture intercondylarHumerus + olecranon osteotom x ray & Clinical photgraph Clinical Photgraph Req,Post Procedure X Ray -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.75 Clavicle fracture management - conservative (dayca X-Ray, Clinical Notes, Clinical Photograph Clinical Notes,X-Ray, Clinical Photograph -
S5 Orthopedic Surgery And Procedures S5PM1 Orthopaedics PMJAY Sub Category S5PM1.76 Surgical management of simple or comminuted fractu CLINICAL PHOTOGRAPH,X-Ray,Clinical Notes Clinical Notes,X-Ray -
S6 Surgical Gastro Enterology S6E11 Gall Bladder S6E11.1 GB+ Calculi CBD Stones Or Dilated CBD USG Post Treatment Evidence Of Clinical Improvement And Usg - S33H03 K8081
S6 Surgical Gastro Enterology S6E13 Surgical Gastro Enterology S6E13.1 Oesophageal Diverticula /Achlasia Cardia Barium studies / CT scan Usg /Scar Photo - S03A02 J986
S6 Surgical Gastro Enterology S6E2 Liver S6E2.1 Rt/Lt Hepatectomy CT,USG Biopsy,Usg,Usg,Clinical Photograph,Biopsy - S33A01 C227
S6 Surgical Gastro Enterology S6E2 Liver S6E2.6 Hydatid Cyst- Excision or Pericystectomy USG / CT- SCAN Biopsy,Clinical Photograph - S02A31 Q505
S6 Surgical Gastro Enterology S6E3 Pancreas S6E3.1 Distal Pancreatectomy CT required for pre auth Post Procedure Clinical Photograph - S33I01 K862
S6 Surgical Gastro Enterology S6E3 Pancreas S6E3.3 Whipples Any Type CT/ USG Biopsy,Usg,Post Procedure Clinical Photograph - SO34B03 C260
S6 Surgical Gastro Enterology S6E3 Pancreas S6E3.4 Triple Bypass CT Clinical Photograph,Usg - SO34B04 C260
S6 Surgical Gastro Enterology S6E3 Pancreas S6E3.5 Other Bypasses CT Clinical Photograph,Usg - SO34B05 C260
S6 Surgical Gastro Enterology S6E3 Pancreas S6E3.6 Lap- Pancreatic Necrosectomy CT- SCAN Biopsy,Clinical Photograph - S33I06 C250
S6 Surgical Gastro Enterology S6E3 Pancreas S6E3.7 Lateral Pancreaticojejunostomy(Non- Malignant) CT- SCAN Biopsy,Clinical Photograph - S33I07 K868
S6 Surgical Gastro Enterology S6E3 Pancreas S6E3.8 Pancreatic Necrosectomy (Open) CT- SCAN serum amylase required for pre auth Biopsy,Post Procedure Clinical Photograph - S33I08 K868
S6 Surgical Gastro Enterology S6E3 Pancreas S6E3.9 Distal Pancreatectomy + Splenectomy CT- SCAN Biopsy,Clinical Photograph - S33I09 K868
S6 Surgical Gastro Enterology S6E4 Oesophagus S6E4.1 "Colonic Pull Up / Gastric Pull Up" Biopsy,ENDOSCOPY,CT- SCAN Clinical Photograph,Usg - S33D01 K229
S6 Surgical Gastro Enterology S6E4 Oesophagus S6E4.2 Oesophagectomy Biopsy,ENDOSCOPY,CT- SCAN Clinical Photograph,Usg - S33D02 K229
S6 Surgical Gastro Enterology S6E4 Oesophagus S6E4.3 Oesophago-Gastrectomy Biopsy,ENDOSCOPY,CT- SCAN Biopsy,Endoscopic Photograph Mandatory - S33D03 K229
S6 Surgical Gastro Enterology S6E4 Oesophagus S6E4.4 Lap Heller?s Myotomy ENDOSCOPY Biopsy,Endoscopic Photograph Mandatory - S33D04 K229
S6 Surgical Gastro Enterology S6E4 Oesophagus S6E4.5 Lap Fundoplications ENDOSCOPY Biopsy,Endoscopic Photograph Mandatory - S33D05 K229
S6 Surgical Gastro Enterology S6E5 Stomach S6E5.5 Surgery For Corrosive Injury Stomach BIOPSY,USG,ENDOSCOPY,CT- SCAN BIOPSY,CLINICAL PHOTOGRAPH - S33E02 K259
S6 Surgical Gastro Enterology S6E6 Small Intestine S6E6.1 Volvulus CT- SCAN,X-RAY ABD BIOPSY,CLINICAL PHOTOGRAPH - S25G21 Q899
S6 Surgical Gastro Enterology S6E6 Small Intestine S6E6.3 Lap Adhesiolysis CT- SCAN,X-RAY ABD BIOPSY,CLINICAL PHOTOGRAPH - S33F01 Q433
S6 Surgical Gastro Enterology S6E7 Large Intestine S6E7.1 Right Hemicolectomy BIOPSY,ENDOSCOPY,CT- SCAN,COLONOSCOPY BIOPSY,CLINICAL PHOTOGRAPH - S25G37 C800
S6 Surgical Gastro Enterology S6E7 Large Intestine S6E7.2 Left Hemicolectomy BIOPSY,ENDOSCOPY,CT- SCAN,COLONOSCOPY BIOPSY,CLINICAL PHOTOGRAPH - S25G38 C800
S6 Surgical Gastro Enterology S6E7 Large Intestine S6E7.3 Extended Right Hemicolectomy BIOPSY,ENDOSCOPY,CT- SCAN,COLONOSCOPY BIOPSY,CLINICAL PHOTOGRAPH - S33G06 K319
S6 Surgical Gastro Enterology S6E7 Large Intestine S6E7.4 Anterior Resection - Rectum and Anus/Large Intesti BIOPSY,ENDOSCOPY,CT- SCAN,COLONOSCOPY BIOPSY,CLINICAL PHOTOGRAPH - S25G35 C800
S6 Surgical Gastro Enterology S6E7 Large Intestine S6E7.5 Anterior Resection With Ileostomy BIOPSY,ENDOSCOPY,CT- SCAN,COLONOSCOPY BIOPSY,CLINICAL PHOTOGRAPH - S33G07 K319
S6 Surgical Gastro Enterology S6E7 Large Intestine S6E7.6 Abdomino Perineal Resection(Non- Malignant) BIOPSY,ENDOSCOPY,CT- SCAN,COLONOSCOPY BIOPSY,CLINICAL PHOTOGRAPH - SO34S01 C260
S6 Surgical Gastro Enterology S6E7 Large Intestine S6E7.7 Hartman.S Procedure With Colostomy BIOPSY,ENDOSCOPY,CT- SCAN,COLONOSCOPY BIOPSY,CLINICAL PHOTOGRAPH - S33G08 K319
S6 Surgical Gastro Enterology S6E8 Ulcerative Colitis Iii Stage Procedure S6E8.1 I Stage-Sub Total Colectomy + Ileostomy COLONOSCOPY,ENDOSCOPY,CT-SCAN WITH CONTRAST BIOPSY,CLINICAL PHOTOGRAPH - S33G01 K319
S6 Surgical Gastro Enterology S6E8 Ulcerative Colitis Iii Stage Procedure S6E8.2 II Stage-J - Pouch COLONOSCOPY (submitted during stage I),Clinical Photograph Clinical Photograph - S33G02 K319
S6 Surgical Gastro Enterology S6E8 Ulcerative Colitis Iii Stage Procedure S6E8.3 Ileostomy Closure CT Scan contrast/ USG Biopsy,USG,Clinical Photograph - S33G03 K319
S6 Surgical Gastro Enterology S6E9 Ulcerative Colitis Ii Stage Procedure S6E9.1 I Stage- Sub Total Colectomy + Ileostomy + J - Pou COLONOSCOPY Biopsy,Clinical Photograph - S33G04 K319
S6 Surgical Gastro Enterology S6E9 Ulcerative Colitis Ii Stage Procedure S6E9.2 II Stage- Ileostomy COLONOSCOPY Clinical Photograph - S33G05 K319
S7 Cardiac And Cardiothoracic Surgery S7F1 Cardiology S7F1.4 VSD Device Closure 2D ECHO Fluroscopy Video/Images,Stickers As And Where Applicable,OT Notes - S02A05 Q212
S7 Cardiac And Cardiothoracic Surgery S7F10 Pericardium S7F10.1 Percardectomy 2D Echo / CT 2D Echo/Scar Photo - S02B46 I319
S7 Cardiac And Cardiothoracic Surgery S7F10 Pericardium S7F10.2 Pericardiocentesis 2D Echo / CT 2D Echo/Scar Photo - S02B47 I319
S7 Cardiac And Cardiothoracic Surgery S7F11 Coarctation Of Aorta Repair S7F11.1 Coarctation Of Aorta Repair With Graft 2D Echo & CT Angio (AORTOGRAM) Operation Notes,Post Procedure Doppler - S02A14 Q251
S7 Cardiac And Cardiothoracic Surgery S7F11 Coarctation Of Aorta Repair S7F11.2 Coarctation Of Aorta Repair Without Graft 2D Echo & CT Angio (AORTOGRAM) Operation Notes,Post Procedure Doppler - S02A15 Q251
S7 Cardiac And Cardiothoracic Surgery S7F11 Coarctation Of Aorta Repair S7F11.4 Intrathoracic Aneurysm-Aneurysm Not Requiring Bypa CT-ANGIO Operation Notes,Post Procedure Doppler - S02B14 I718
S7 Cardiac And Cardiothoracic Surgery S7F12 Cardiac Injuries S7F12.1 Surgery Without CPB 2D Echo / Xray chest/ CT 2D Echo / Xray chest/ CT - S02D01 I519
S7 Cardiac And Cardiothoracic Surgery S7F12 Cardiac Injuries S7F12.2 Surgery With CPB 2D Echo / Xray chest/ CT 2D Echo / Xray chest/ CT - S02D02 I519
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.1 Aorto-Aorto Bypass With Graft Angio /CT angio/ MR angio Doppler,Operation Notes/ Scar Photo - S02B17 I700
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.11 Carotid Embolectomy CT- Angio Doppler,Operation Notes - S02B28 I6501
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.12 Surgery For Intracardiac Tumours 2D ECHO 2D Echo/ Histopath,Post Surgery Photograph,Operation Notes Scar Photo Is Mandatory(Female Patients May Be Made An Exception) - S02B29 C388
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.13 Ruptured Sinus Of Valsalva Correction CAG / 2D Echo 2D Echo/Scar Photo - S02B30 Q259
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.14 TAPVC Correction 2D Echo/ CT 2D Echo/Scar Photo - S02B31 Q213
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.15 Intracardiac Repair Of VSD 2D Echo 2D Echo,Operation Notes - S02B37 Q210
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.16 Surgery-PDA 2D Echo 2D Echo,Operation Notes - S02B38 Q250
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.18 Failed device closure for ASD and/or VSD. Emergenc 2D ECHO Scar photo/Post-op 2 D Echo/Post-op X ray -
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.19 Truncus Arteriosus surgery 2D ECHO Scar photo/Post-op 2 D Echo/Post-op X ray -
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.20 Surgery for HOCM (Hypertrophic obstructive cardiom 2D ECHO Scar photo/Post-op 2 D Echo/Post-op X ray -
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.21 Pulmonary artero venous malformation HRCT Thorax or CT Pulmonary Angiogram HRCT Thorax or CT Pulmonary Angiogram -
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.22 Pulmonary Valve Replacement 2D ECHO ECHO,scar photo,Post op X Ray -
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.23 Surgery for Arterial Aneurysm Renal Artery ANGIOGRAM,Spiral CT Angiogram Color Doppler -
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.24 Thyomectomy X- RAY CT-Chest,X- RAY,Clinical Photgraph Req -
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.25 Thoracotomy, Thoraco Abdominal Approach CT Scan Clinical Photo With Scar - S03A03 J986
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.26 Carotid Body Tumour Excision Angiogram / Spiral CT Color Doppler / Scar Photo,Operation Notes - S35A18 D446
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F13.28 Peripheral Embolectomy Without Graft ANGIOGRAM/ COLOR DOPPLER Color Doppler,Operation Notes - S35A04 I872
S7 Cardiac And Cardiothoracic Surgery S7F13 Cvts S7F9.19 Arterial Embolectomy ANGIOGRAM/ COLOR DOPPLER Colour Doppler & Proceedure Notes Sufficient (For Peripheral Arterial Embolectomy) & Ct Angio For Other Arteries - S35A07 I778
S7 Cardiac And Cardiothoracic Surgery S7F14 Systemic Pulmonary Shunts S7F14.1 Systemic Pulmonary Shunts With Graft 2D Echo 2D Echo,Operation Notes - S02B32 Q259
S7 Cardiac And Cardiothoracic Surgery S7F16 Ross Procedure Intracardiac Repair Of Complex Cong S7F16.1 Ross procedure - Intracardiac repair of complex co 2D Echo 2D Echo/Scar Photo - S02B40 Q223
S7 Cardiac And Cardiothoracic Surgery S7F16 Ross Procedure Intracardiac Repair Of Complex Cong S7F16.2 Ross procedure - Intracardiac repair of complex co 2D Echo 2D Echo/Scar Photo - S02B41 Q223
S7 Cardiac And Cardiothoracic Surgery S7F17 Cvts Valve Repairs S7F17.1 Valve Repair Without Prosthetic Ring 2D Echo 2D Echo/Scar Photo - S02B42 Q223
S7 Cardiac And Cardiothoracic Surgery S7F17 Cvts Valve Repairs S7F17.2 Open Pulmonary Valvotomy 2D Echo 2D Echo,Operation Notes,Clinical Photo Showing Suture/Incision/Scar((Female Patients May Be Made An Exception) - S02B43 Q223
S7 Cardiac And Cardiothoracic Surgery S7F17 Cvts Valve Repairs S7F17.4 Open Mitral Valvotomy 2D Echo 2D Echo,Operation Notes,Clinical Photo Showing Suture/Incision/Scar((Female Patients May Be Made An Exception) - S02B48 Q238
S7 Cardiac And Cardiothoracic Surgery S7F17 Cvts Valve Repairs S7F17.5 Annulus Aortic Ectasia With Valved Conduits Angio / 2D Echo/ CT 2D Echo/Scar Photo - S02B18 I700
S7 Cardiac And Cardiothoracic Surgery S7F17 Cvts Valve Repairs S7F17.6 Valve Repair With Prosthetic Ring 2D Echo 2D Echo/Scar Photo - S02B39 Q223
S7 Cardiac And Cardiothoracic Surgery S7F18 Cvts Lungs S7F18.1 Pneumonectomy CT-CHEST /X- RAY Clinical Photo,Xray,Operation Notes,Histopathology Report,Ct/Mri (Submitted At Time Of Preauth) - S02C01 J851
S7 Cardiac And Cardiothoracic Surgery S7F18 Cvts Lungs S7F18.2 Lobectomy CT-CHEST /X- RAY Clinical Photo,Xray,Operation Notes,Histopathology Report,Ct/Mri (Submitted At Time Of Preauth) - S02C02 J851
S7 Cardiac And Cardiothoracic Surgery S7F18 Cvts Lungs S7F18.3 Decortication CT Chest Clinical Photo / Xray - S02C03 J848
S7 Cardiac And Cardiothoracic Surgery S7F18 Cvts Lungs S7F18.4 Lung Cyst CT-CHEST /X- RAY Clinical Photo Showing Suture/Incision/Scar((Female Patients May Be Made An Exception),Xray,Operation Notes,Histopathology Report - S02C04 J984
S7 Cardiac And Cardiothoracic Surgery S7F18 Cvts Lungs S7F18.5 SOL Mediastinum CT-CHEST /X- RAY Clinical Photo Showing Suture/Incision/Scar((Female Patients May Be Made An Exception),Xray,Operation Notes,Histopathology Report - S02C05 J985
S7 Cardiac And Cardiothoracic Surgery S7F19 Surgical Correction Of Bronchopleural Fistula S7F19.5 Transpleural BPF Closure/Myoplasty/Thoracoplasty CT Chest Clinical Photo / Xray - S02C08 J984
S7 Cardiac And Cardiothoracic Surgery S7F2 Cardiology Balloon Procedures S7F2.1 Balloon Valvotomy 2D ECHO Fluroscopy Video/Images,Stickers As And Where Applicable,Ot Notes - S02A10 Q232
S7 Cardiac And Cardiothoracic Surgery S7F2 Cardiology Balloon Procedures S7F2.2 Balloon Atrial Septostomy 2D ECHO Fluroscopy Video/Images,Stickers As And Where Applicable,Ot Notes - S02A11 Q211
S7 Cardiac And Cardiothoracic Surgery S7F20 Cvts Chest S7F20.1 Diaphragmatic Eventeration Barium studies / CT scan Clinical Photo / Xray - S03A01 J986
S7 Cardiac And Cardiothoracic Surgery S7F20 Cvts Chest S7F20.2 Diaphragmatic Hernia USG,X-ray Clinical Photo Showing Suture/Incision/Scar((Female Patients May Be Made An Exception),Xray,Post Procedure Clinical Photo,Operation Notes - S25G13 Q899
S7 Cardiac And Cardiothoracic Surgery S7F24 Vascular Injuries S7F24.1 Surgery Without Graft For Arterial Injuries, Venou Angiogram /Doppler/ CT angio Clinical Photo With Scar - S35B01 S098xxA
S7 Cardiac And Cardiothoracic Surgery S7F24 Vascular Injuries S7F24.10 Thoracic Vascular Injuries - Payable maximum upto Angiogram /Doppler/ CT angio Doppler / Scar Photo - S35B10 S098xxA
S7 Cardiac And Cardiothoracic Surgery S7F24 Vascular Injuries S7F24.2 Vascular Injury In Upper Limbs ? Axillary,Branchia Angiogram /Doppler/ CT angio Doppler / Scar Photo - S35B02 S098xxA
S7 Cardiac And Cardiothoracic Surgery S7F24 Vascular Injuries S7F24.3 Major Vascular Injury -In Lower Limbs-Repair - Pay Angiogram /Doppler/ CT angio Doppler / Scar Photo - S35B03 S098xxA
S7 Cardiac And Cardiothoracic Surgery S7F24 Vascular Injuries S7F24.6 Surgery With Vein Graft Angiogram /Doppler/ CT angio Doppler / Scar Photo - S35B06 S098xxA
S7 Cardiac And Cardiothoracic Surgery S7F24 Vascular Injuries S7F24.7 Vascular Injuries Repair With Prosthetic Graft Angiogram /Doppler/ CT angio Doppler / Scar Photo - S35B07 S098xxA
S7 Cardiac And Cardiothoracic Surgery S7F24 Vascular Injuries S7F24.8 Neck Vascular Injury - Carotid Vessels - Payable m Angiogram /Doppler/ CT angio Doppler / Scar Photo - S35B08 S098xxA
S7 Cardiac And Cardiothoracic Surgery S7F24 Vascular Injuries S7F24.9 Abdominal Vascular Injuries - Aorta, Iliac Arterie Angiogram /Doppler/ CT angio Doppler / Scar Photo - S35B09 S098xxA
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F13.3 Femoro Popliteal Bypass With Graft - - - S02B20 I70209
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F13.5 Femoroileal Bypass With Graft - - - S02B22 I70209
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F13.7 Femoro-Femoral Bypass With Graft CT- Angio/ MRI Angio Doppler,Operation Notes - S02B24 I70209
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F14.2 Systemic Pulmonary Shunts Without Graft - - - S02B33 Q259
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F9.12 Femorodistal Bypass With Vein Graft - - - S35A14 I778
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F9.13 Femorodistal Bypass With Synthetic Graft - - - S35A15 I778
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F9.14 Axillo Brachial Bypass Using With Synthetic Graft - - - S35A16 I778
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F9.15 Brachioradial Bypass With Synthetic Graft - - - S35A17 I778
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F9.17 Carotid Artery Bypass With Synthetic Graft CT angio/ MRI-angio/ Color Doppler/ ANGIOGRAM Barcode Sticker,Operation Notes,Color Doppler - S35A19 I720
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F9.18 Excision Of AV Malformation Small - - - S35A06 I778
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F9.22 Excision Of AV Malformation Large - - - S35A05 I778
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F9.8 Medium Size Arterial Aneurysms - Repair - - - S35A10 I729
S7 Cardiac And Cardiothoracic Surgery S7F25 Vasular S7F9.9 Medium Size Arterial Aneurysms With Synthetic Graf - - - S35A11 I729
S7 Cardiac And Cardiothoracic Surgery S7F26 Congenital heart disease S7F19.1 Intracardiac Repair Of ASD - - - S02B36 Q211
S7 Cardiac And Cardiothoracic Surgery S7F26 Congenital heart disease S7F19.6 Total Correction Of Tetralogy Of Fallots - - - S02B34 Q213
S7 Cardiac And Cardiothoracic Surgery S7F6 Cad S7F6.1 CABG On Pump Without IABP 2D Echo,Coronary Angiography report & Video Clinical Photo Showing Suture/Incision/Scar (Female Patients May Be Made An Exception),X-Ray Chest,Operation Notes Post Surgery Photo - S02A32 I251
S7 Cardiac And Cardiothoracic Surgery S7F6 Cad S7F6.2 CABG Off Pump Without IABP 2D Echo,Coronary Angiography report & Video Operation Notes Post Surgery Photo (Female Patients May Be Made An Exception For Scar Photo),X-Ray Chest - S02B05 I2101
S7 Cardiac And Cardiothoracic Surgery S7F6 Cad S7F6.3 CABG With Aneurysmal Repair Angiography Operation Notes (Female Patients May Be Made An Exception For Scar Photo),Post Surgery Photograph / Doppler - S02B06 I2101
S7 Cardiac And Cardiothoracic Surgery S7F6 Cad S7F6.4 Mitral Valve Replacement (With Valve) 2D Echo 2D Echo/ Xray Chest,Post Procedure Clinical Photo,Operation Notes Sticker Mandatory For Claim (Female Patients May Be Made An Exception For Scar Photo) - S02B07 I058
S7 Cardiac And Cardiothoracic Surgery S7F6 Cad S7F6.5 Coronary Bypass Surgery On Pump With IABP 2D Echo,Coronary Angiography report & Video 2D Echo Required,X-Ray Chest,Post Surgery Photo,Operation Notes,Iabp Sticker For Claims Required - S02B03 I2101
S7 Cardiac And Cardiothoracic Surgery S7F6 Cad S7F6.6 Coronary Bypass Surgery Off Pump With IABP 2D Echo,Coronary Angiography report & Video 2D Echo Required,X-Ray Chest,Post Surgery Photo,Operation Notes,Iabp Sticker For Claims Required - S02B04 I2101
S7 Cardiac And Cardiothoracic Surgery S7F9 Valve Replacement S7F9.1 Aortic Valve Replacement (With Valve) 2D ECHO 2D Echo/ Xray,Post Surgery Photo,Operation Notes (Female Patients May Be Made An Exception For Scar Photo),Bar Code Sticker - S02B08 I060
S7 Cardiac And Cardiothoracic Surgery S7F9 Valve Replacement S7F9.10 Aorto Billac - Bifemoral Bypass With Synthetic Gra CT angio/ MRI-angio/ Color Doppler/ ANGIOGRAM Barcode Sticker,Operation Notes,Color Doppler - S35A12 I729
S7 Cardiac And Cardiothoracic Surgery S7F9 Valve Replacement S7F9.11 Axillo Bifemoral Bypass With Synthetic Graft CT angio/ MRI-angio/ Color Doppler/ ANGIOGRAM Barcode Sticker,Operation Notes,Color Doppler - S35A13 I778
S7 Cardiac And Cardiothoracic Surgery S7F9 Valve Replacement S7F9.2 Tricuspid Valve Replacement 2D ECHO 2D Echo/ Xray,Post Surgery Photo,Operation Notes (Female Patients May Be Made An Exception For Scar Photo),Bar Code Sticker - S02B09 Q224
S7 Cardiac And Cardiothoracic Surgery S7F9 Valve Replacement S7F9.26 Mitral Valve Replacement (With bioprosthetic Valve 2D ECHO,X-Ray Chest,Procedure Clinical Photo,Operation Notes 2D ECHO,X-Ray Chest,Post Procedure Clinical Photo,Operation Notes -
S7 Cardiac And Cardiothoracic Surgery S7F9 Valve Replacement S7F9.3 Double Valve Replacement (With Valve) 2D ECHO 2D Echo/ Xray,Post Surgery Photo,Operation Notes (Female Patients May Be Made An Exception For Scar Photo),Bar Code Sticker - S02B10 I060
S7 Cardiac And Cardiothoracic Surgery S7F9 Valve Replacement S7F9.5 D V T - IVC Filter COLOR DOPPLER Post Procedure Angio - S35A03 N186
S7 Cardiac And Cardiothoracic Surgery S7F9 Valve Replacement S7F9.6 Vascular Tumours Angiogram / Spiral CT Color Doppler / Scar Photo,Operation Notes - S35A08 I778
S7 Cardiac And Cardiothoracic Surgery S7PM1 Cardiology PMJAY Sub Category S7PM1.1 Blalock?Thomas?Taussig (BT) Shunt (inclusives of g 2D ECHO ECHO,scar photo,Post op X Ray -
S7 Cardiac And Cardiothoracic Surgery S7PM1 Cardiology PMJAY Sub Category S7PM1.10 Encysted Empyema/Pleural Effusion - Tubercular Aspirate For Culture,Pulmonary Function Test(Major),PUS Culture & Sensitivity,Chest X-Ray PA View(1 Film),CT Scan Chest With Contrast Chest X-Ray PA View(1 Film) -
S7 Cardiac And Cardiothoracic Surgery S7PM1 Cardiology PMJAY Sub Category S7PM1.2 Glenn Shunt (without cardiopulmonary bypass) 2D ECHO ECHO,scar photo,Post op X Ray -
S7 Cardiac And Cardiothoracic Surgery S7PM1 Cardiology PMJAY Sub Category S7PM1.5 Thromboembolectomy (pre-auth not required, usually Angio report,Duplex ultrasound Post op CT angio,Scar Photo -
S7 Cardiac And Cardiothoracic Surgery S7PM1 Cardiology PMJAY Sub Category S7PM1.6 Thoracocentesis Clinical Notes,X-Ray Clinical Notes,Clinical Photograph -
S7 Cardiac And Cardiothoracic Surgery S7PM1 Cardiology PMJAY Sub Category S7PM1.7 Thrombendarterectomy CT-Angio,Colour Doppler Color Doppler -
S8 Pediatric Surgery S8G1 Congenital Malformations - Gi Tract S8G1.1 Oesophageal Atresia Imaging,X-Ray,TOF test req at time of preauth Post Procedure Clinical Photograph - S22A01 Q390
S8 Pediatric Surgery S8G1 Congenital Malformations - Gi Tract S8G1.2 Diaphragmatic Hernia Chest X-ray AP/Lat,USG/CT scan Chest Xray Ap/Lat,Post Procedure Clinical Photograph - S25G13 Q899
S8 Pediatric Surgery S8G1 Congenital Malformations - Gi Tract S8G1.3 Intestinal Atresias & Obstructions Imaging,X-Ray Post Procedure Clinical Photograph,Usg/Imaging Is Mandatory At Time Of Claims - S22A02 Q403
S8 Pediatric Surgery S8G1 Congenital Malformations - Gi Tract S8G1.4 Biliary Atresia & Choledocal Cyst CLINICAL PHOTOGRAPH,USG/ Imaging,LFT Lft Is Mandatory At Time Of Claims,Post Procedure Clinical Photograph Usg - S22A03 Q443
S8 Pediatric Surgery S8G1 Congenital Malformations - Gi Tract S8G1.5 Anorectal Malformations Stage 1 CLINICAL PHOTOGRAPH,Xray Abdomen(Inverted position),Clinical Notes Post Procedure Scar Photograph - S22A04 Q436
S8 Pediatric Surgery S8G1 Congenital Malformations - Gi Tract S8G1.6 Anorectal Malformations Stage 2 Clinical Photograph,Xray Lumbosacral spine (inverted position),USG Abdomen,Distal Cologram Post Procedure Scar Photograph Operative/ Procedure Notes - S22A05 Q436
S8 Pediatric Surgery S8G1 Congenital Malformations - Gi Tract S8G1.7 Hirschsprung Disease Stage 1 CLINICAL PHOTOGRAPH/Imaging/ Biopsy Biopsy,Post Procedure Scar Photograph - S22A07 Q431
S8 Pediatric Surgery S8G1 Congenital Malformations - Gi Tract S8G1.8 Hirschsprung Disease Stage 2 CLINICAL PHOTOGRAPH/ Imaging/ Biopsy Biopsy,Post Procedure Scar Photograph - S22A08 Q431
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.1 Congenital Hydronephrosis USG / Renogram Post Procedure Evidence Of Clinical Photograph - S22A09 Q620
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.11 Velo-Pharyngial Incompetence Contrast Study,Endoscopy Post Procedure Photo - S25G06 Q899
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.15 Hypospadius Stage 1 Clinical Photograph Post Procedure Clinical Photograph - S25G18 Q899
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.16 Hamartoma Excision CT / Clinical Photograph Biopsy Is Mandatory At Time Of Claims,Post Procedure Photo - S22B01 Q808
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.17 Hemangioma Excision Colour Doppler,Neuro USG + CT Post Procedure Photo - S22B02 Q808
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.18 Lymphangioma Excision Clinical photo,USG + CT Post Procedure Photo - S22B03 Q820
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.2 Ureteric Reimplantations Clinical Photograph/USG,IVP/MCU Post Procedure Clinical Photograph/Scar/Suture Req At The Time Of Claim - S25G14 Q899
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.3 Extrophy Bladder Stage 1 Clinical Photograph/USG,Xray Pelvis Post Procedure Clinical Photograph - S22A10 Q6410
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.4 Extrophy Bladder Stage 2 Clinical Photograph/USG,Xray Pelvis Post Procedure Clinical Photograph - S22A10 Q6410
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.5 Posterior Urethral Valves MCU / USG Clinical Notes,Clinical Photo With Catheter - S22A11 Q6410
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.6 Hypospadias Single Stage Clinical Photograph Post Procedure Clinical Photograph - S22A12 Q6432
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.7 Hypospadius Stage 2 Clinical Photograph Post Procedure Clinical Photograph - S22A12 Q6432
S8 Pediatric Surgery S8G2 Congenital Malformations ?Urogenital S8G2.8 Pediatric Tumours Imaging / BIOPSY/ tumour markers Hp Report At The Time Of Claims,Post Procedure Clinical Photograph - S02A33 C7A010
S8 Pediatric Surgery S8G3 Head And Neck S8G3.1 Neuroblastoma Imaging / biopsy Biopsy,Usg,Post Procedure Clinical Photograph - S22C01 Q078
S8 Pediatric Surgery S8G3 Head And Neck S8G3.4 Encephalocele MRI/ CT/ NEURO USG Post Procedure Clinical Photograph - S22C04 Q018
S8 Pediatric Surgery S8G4 Chest S8G4.1 Bronchoscopy Foreign Body Removal Imaging/ ENDOSCOPIC VIDEO Xray /Scopy Photo/Video Ensure Bronchoscopy Is Done Only Once - S09L01G T81529
S8 Pediatric Surgery S8G4 Chest S8G4.2 Paediatric Esophageal Obstructions- Surgical Corre contrast UGI Clinical Photograph - S22D01 P7889
S8 Pediatric Surgery S8G4 Chest S8G4.3 Paediatric Esophageal Substitutions contrast study Clinical Photograph - S22D02 P7889
S8 Pediatric Surgery S8G4 Chest S8G4.4 Thoracoscopic Cysts Excision USG / CT Biopsy/Video,Post Procedure Clinical Photograph - S22D03 Q330
S8 Pediatric Surgery S8G4 Chest S8G4.5 Thoracoscopic Decortication USG / CT Biopsy/Video,Post Procedure Clinical Photograph - S22D04 Q330
S8 Pediatric Surgery S8G4 Chest S8G4.6 Thoracic Duplications CT,Xray Biopsy,Post Procedure Clinical Photograph - S22D05 Q339
S8 Pediatric Surgery S8G5 Abdomen S8G5.1 Gastric Outlet Obstructions Contrast USG,Xray Post Procedure Clinical Photograph - S22E05 P7889
S8 Pediatric Surgery S8G5 Abdomen S8G5.12 Laparoscopic Pull Through For Ano Rectal Anomalies Clinical Photograph,Usg Clinical Photograph,Video,Usg - S22E04 P7889
S8 Pediatric Surgery S8G5 Abdomen S8G5.2 Laparoscopic Pull Through Surgeries For HD Clinical Photograph,USG/Biopsy Biopsy,Video,Post Procedure Clinical Photograph - S22E01 P7889
S8 Pediatric Surgery S8G5 Abdomen S8G5.3 Paediatric Splenectomy (Non Traumatic) Heamogram,Usg Biopsy,Usg,Post Procedure Clinical Photograph - S22E07 P7889
S8 Pediatric Surgery S8G5 Abdomen S8G5.4 Surgeries On Adrenal Gland In Children CT,Hormone Assays Biopsy,Usg,Post Procedure Clinical Photograph - S22E06 Q891
S8 Pediatric Surgery S8G5 Abdomen S8G5.6 Hydatid Cysts In Paediatric Patient CT,Usg Biopsy,Usg,Post Procedure Clinical Photograph - S22E08 P7889
S8 Pediatric Surgery S8G5 Abdomen S8G5.8 Intussusception CT/ USG,Usg Post Procedure Clinical Photograph - S02A34 K561
S8 Pediatric Surgery S8G5 Abdomen S8G5.9 Paediatric Acute Intestinal Obstruction CT/ USG,X-ray Post Procedure Clinical Photograph/Scar/Suture Req At The Time Of Claim - S22E09 P7889
S8 Pediatric Surgery S8G6 Urogenital S8G6.1 Nephrectomy DMSA scan,USG / CT Clnical Photograph Biopsy,Usg,Post Procedure Clinical Photograph - S25G24 Q899
S8 Pediatric Surgery S8G6 Urogenital S8G6.5 Torsion Testis clinical photo and colour doppler Clinical Photo,Notes - S10F01 N4400
S8 Pediatric Surgery S8G6 Urogenital S8G6.6 Laparoscopic Orchidopexy Clinical Photograph,Usg Clinical Photograph,Video,Usg - S22F01 Q5300
S8 Pediatric Surgery S8G7 Pediatric Surgery S8G7.1 Hirschsprung?s Disease - Pull Through BIOPSY,imaging,CLINICAL PHOTOGRAPH BIOPSY,Post Procedure Evidence of Surgery -
S8 Pediatric Surgery S8G7 Pediatric Surgery S8G7.3 Sacrococcygeal Teratoma CLINICAL PHOTOGRAPH,X-RAY/USG,Clinical Notes Post Procedure Evidence of Surgery -
S8 Pediatric Surgery S8G7 Pediatric Surgery S8G7.4 Hirschsprung?s Disease - Sphinecterotomy BIOPSY,imaging,CLINICAL PHOTOGRAPH BIOPSY,Post Procedure Evidence of Surgery -
S8 Pediatric Surgery S8G7 Pediatric Surgery S8G7.5 Caecocystoplasty IVP/ MCU ,USG CLINICAL PHOTOGRAPH,Post Procedure Evidence Of Usg - S10J01 N29
S8 Pediatric Surgery S8PM1 Pediatric Surgery PMJAY Sub Category S8PM1.10 Exomphalos/gastroschisis Clinical Photo Clinical Notes -
S8 Pediatric Surgery S8PM1 Pediatric Surgery PMJAY Sub Category S8PM1.2 Ankyloglossia Major Clinical Notes,Clinical Photograph Post Procedure Evidence of Surgery -
S8 Pediatric Surgery S8PM1 Pediatric Surgery PMJAY Sub Category S8PM1.3 Ankyloglossia Minor Clinical Notes,Clinical Photograph Post Procedure Evidence of Surgery -
S8 Pediatric Surgery S8PM1 Pediatric Surgery PMJAY Sub Category S8PM1.5 Fecal Fistula Closure Clinical Notes,Clinical Photograph Post Procedure Evidence of Surgery -
S8 Pediatric Surgery S8PM1 Pediatric Surgery PMJAY Sub Category S8PM1.6 GI Tumor Excision USG Biopsy ,Post Procedure Evidence of Surgery , Post Procedure USG -
S8 Pediatric Surgery S8PM1 Pediatric Surgery PMJAY Sub Category S8PM1.9 Congenital Lobar Emphysema X-Ray Chest/ HRCT Intra Operative Photograph -
S9 Genitourinary System S9H1 Transplantation S9H1.2 Renal Transplantation Surgery Including cost of re All legal formalities of transplantation of Human Organs Act shall be completed.,USG,RFT Ot Notes,Post Procedure Clinical Photograph/ Usg - T31A02 N2889
S9 Genitourinary System S9H1 Transplantation S9H1.3 Post-Transplant Immunosuppression Treatment From RFT,USG BILLS COPY - T31A03 N2889
S9 Genitourinary System S9H2 Urology Testis, Testis And Penis S9H2.2 Torsion Testis USG Post Procedure Clinical Photograph - S25G23 Q899
S9 Genitourinary System S9H2 Urology Testis, Testis And Penis S9H2.3 Chordae Correction Clinical Photo Post Procedure Evidence Of Clinical Photograph - S10F03 N448
S9 Genitourinary System S9H3 Renal Calculi S9H3.2 Open Nephrolithotomy USG/KUB/IVP/ CT Abd Clinical Photo,X Ray/Usg - S10B02 N22
S9 Genitourinary System S9H3 Renal Calculi S9H3.4 Laparoscopic Pyelolithotomy USG/KUB/IVP/ CT Abd Clinical Photo,X Ray/Usg - S10B04 N22
S9 Genitourinary System S9H4 Lithotripsy S9H4.1 Cystolithotripsy USG/KUB/IVP/ CT Abd Usg / X Ray - S10C01 N22
S9 Genitourinary System S9H4 Lithotripsy S9H4.2 PCNL USG/KUB/IVP/ CT Abd Clinical Photo,X Ray/Usg - S10C02 N22
S9 Genitourinary System S9H4 Lithotripsy S9H4.3 ESWL USG/KUB/IVP/ CT Abd During Procedure Photo,X Ray/Usg - S10C03 N22
S9 Genitourinary System S9H4 Lithotripsy S9H4.4 URSL USG/KUB/IVP/ CT Abd Clinical Photo,X Ray/Usg - S10C04 N22
S9 Genitourinary System S9H4 Lithotripsy S9H4.6 DJ Stent (One Side) USG/KUB/IVP/ CT Abd X-Ray - S10C06 N22
S9 Genitourinary System S9H5 Corrective Procedures S9H5.1 Urethroplasty For Stricture Urethra Single Stage RGU Post Procedure Evidence Of Clinical Photograph - S10D02 N29
S9 Genitourinary System S9H5 Corrective Procedures S9H5.2 Urethroplasty For Stricture Urethra Double Stage S RGU Post Procedure Evidence Of Clinical Photograph - S10D03 N29
S9 Genitourinary System S9H5 Corrective Procedures S9H5.3 Urethroplasty For Stricture Urethra Double Stage S Clinical photo & RGU(submitted during stage I) is mandatory for preauth Post Procedure Evidence Of Clinical Photograph - S10D04 N29
S9 Genitourinary System S9H5 Corrective Procedures S9H5.5 Hypospadius Adult Single Stage Clinical Photograph Post Procedure Evidence Of Clinical Photograph - S25G15 Q899
S9 Genitourinary System S9H5 Corrective Procedures S9H5.6 Hypospadius Adult Double Stage - Stage-1 Clinical Photograph Post Procedure Evidence Of Clinical Photograph - S25G16 Q899
S9 Genitourinary System S9H5 Corrective Procedures S9H5.7 Hypospadius Adult Double Stage - Stage-2 Clinical Photograph Post Procedure Evidence Of Clinical Photograph - S25G18 Q899
S9 Genitourinary System S9H5 Corrective Procedures S9H5.8 Hypospadius Adult Double Stage - TURBT Clinical photgraph Clinical photgraph - S02A37 Q540
S9 Genitourinary System S9H6 Urology S9H6.1 Post-Transplant Immunosuppressive Treatment From 7 RFT,USG Bills Copy - T31A04 N2889
S9 Genitourinary System S9H7 Urology Kidney Stone S9H10.1 Anatrophic Pyelolithotomy For Staghorn Calculus IVP/ CT abd,X ray,USG Post Procedure Clinical Photograph,X- Ray/Usg - S10E01 N29
S9 Genitourinary System S9H7 Urology Kidney Stone S9H10.2 Anderson Hynes Pyeloplasty IVP/ CT abd,X ray,USG Clinical Photo - S10I06 N3642
S9 Genitourinary System S9H7 Urology Kidney Stone S9H7.1 Nephrostomy IVP/USG/CT Abd Usg/Xray Post Op Photo Of Nephrostomy Required For Claim - S10C05 N22
S9 Genitourinary System S9H7 Urology Kidney Stone S9H7.10 Surgery for correction of ureteric stricture IVP/CT,USG CLINICAL PHOTOGRAPH,USG -
S9 Genitourinary System S9H7 Urology Kidney Stone S9H7.11 Perinephric Abscess drainage USG USG -
S9 Genitourinary System S9H7 Urology Kidney Stone S9H7.2 Nephrectomy Pyonephrosis/XGP IVP,USG/CT Abd urine routine microscopy mandatory for pre auth Usg/ Biopsy - S10G02 N29
S9 Genitourinary System S9H7 Urology Kidney Stone S9H7.3 Simple Nephrectomy USG / CT scan Biopsy,Post Procedure Evidence Of Usg - S10G03 N29
S9 Genitourinary System S9H7 Urology Kidney Stone S9H7.5 Lap. Nephrectomy Radical CT scan,USG Biopsy,Post Procedure Evidence Of Usg - S10G05 N29
S9 Genitourinary System S9H7 Urology Kidney Stone S9H7.6 Lap. Partial Nephrectomy CT scan,USG Biopsy,Post Procedure Evidence Of Usg - S10G06 N29
S9 Genitourinary System S9H7 Urology Kidney Stone S9H7.7 Bilateral Nephroureterectomy IVP,USG Post Procedure Evidence Of Usg - S02A38 C676
S9 Genitourinary System S9H7 Urology Kidney Stone S9H7.9 Endoscope Removal Of Stone In Bladder USG/KUB/IVP/ CT Abd Endoscopic Photograph,Usg/Xray Kub - S10H01 N22
S9 Genitourinary System S9H8 Urology Corrective Procedures S9H8.3 Closure Of Urethral Fistula Clinical photograph,Retrograde Urethrogram Post Procedure Clinical Photograph - S10I02 N369
S9 Genitourinary System S9H8 Urology Corrective Procedures S9H8.4 Optical Urethrotomy RGU Post Procedure Evidence Of Intra Operative Endoscopic Picture - S10I03 N3642
S9 Genitourinary System S9H8 Urology Corrective Procedures S9H8.5 Perineal Urethrostomy RGU,X-Ray Post Procedure Evidence Of Clinical Picture - S10I04 N3642
S9 Genitourinary System S9H8 Urology Corrective Procedures S9H8.6 Ureteric Reimplantation IVP/ MCU ,USG Intra Op Photo,Post Op Xray - S25G14 Q899
S9 Genitourinary System S9H8 Urology Corrective Procedures S9H8.7 Ileal Conduit formation CT abd Post Procedure Evidence Of Clinical Photograph - S10I05 N3642
S9 Genitourinary System S9H8 Urology Corrective Procedures S9H8.9 Transurethral Resection Of Prostate (TURP) USG WITH POST VOID VOLUME AT TIME OF PREAUTH,USG with prostate size BIOPSY,Post Op Specimen Photo - S10J05 N423
S9 Genitourinary System S9H9 Bladder Prostate S9H9.6 Incontinence Urine (Female) U.SCOPY,USG,UDS (optional) USG - S10J03 N29
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.10 Endoureterotomy (laser/bugbee) CT,USG,IVP USG, CLINICAL PHOTOGRAPH -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.11 Uretero-vaginal/uterine fistula repair Open CT,USG,IVP USG, CLINICAL PHOTOGRAPH -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.12 Urethral Dilatation- as an independent procedure RGU Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.13 Intravesical BCG/Mitomycin 6 induction cycles (wee Histopathplogy report Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.14 Intravesical BCG/Mitomycin maintenance for 12 dose Histopathplogy report Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.15 Bladder Neck incision-endoscopic USG USG, CLINICAL PHOTOGRAPH -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.16 Surgery for Bladder injury repair with or without CT,USG,RGU ,MCU Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.17 Suprapubic Drainage - Closed/Trocar RGU ,USG Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.18 Urethrovaginal fistula repair (independent procedu MCU ,URETEROSCOPY,RGU Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.19 Y V Plasty of Bladder Neck/Bladder Neck Reconstruc CYSTOSCOPY ,USG,MCU Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.2 Augmentation cystoplasty CT,USG USG /clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.22 Urinary tract trauma Repair Open/Laparoscopy CT ABDOMEN USG, CLINICAL PHOTOGRAPH -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.23 Post Urethral Valve fulguration MCU ,RGU Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.24 Internal Ureterotomy including cystoscopy as an in RGU Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.25 Reduction of Paraphimosis Clinical Notes,Clinical Photograph Clinical Notes,Clinical Photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.26 Excision of Urethral Caruncle Clinical photograph Clinical photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.27 Emergency management of Acute retention of Urine USG USG, CLINICAL PHOTOGRAPH -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.28 Urachal Cyst excision -open USG USG, CLINICAL PHOTOGRAPH -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.3 Meatoplasty Clinical Notes,Clinical Photograph Clinical Notes,Clinical Photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.4 Meatotomy Clinical Notes,Clinical Photograph Clinical Notes,Clinical Photograph -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.5 Endopyelotomy (anterograde with laser/bugbee) IVP USG, CLINICAL PHOTOGRAPH -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.6 Ureterocalycostomy Open IVP USG, CLINICAL PHOTOGRAPH -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.7 Uretero-ureterostomy Open CT IVP USG, CLINICAL PHOTOGRAPH -
S9 Genitourinary System S9PM1 Urology PMJAY Sub Category S9PM1.9 Ureterotomy (Cutaneous) Usg CLINICAL PHOTOGRAPH -
M10 Pulmonology M10T4 Pulmonology M10T4.1 Lung Abscess, Non Resolving - Ct Scan Chest,10 Da CT Scan Chest Post Treatment Evidence Of Clinical And Lab Investigations,Pus C/S - M28A06 J9819
M10 Pulmonology M10T4 Pulmonology M10T4.2 Pneumothorax (Large/Recurrent) HRCT-10 Days Stay Chest HRCT Post Treatment Evidence Of Clinical And Lab Investigations Xray - M28A07 J9819
M10 Pulmonology M10T4 Pulmonology M10T4.3 Interstitial Lung Diseases- 10 Days Stay HR CT - Chest Post Treatment Evidence Of Clinical And Lab Investigations,Spirometry - M28A02 J9819
M10 Pulmonology M10T4 Pulmonology M10T4.4 Pneumoconiosis - 10 Days Stay HR CT - Chest Post Treatment Evidence Of Clinical And Lab Investigations - M28A03 J9819
M10 Pulmonology M10T4 Pulmonology M10T4.5 Acute Respiratory Failure (Without Ventilator) 10 ABG,Sputum / Bronchial Washing / ET Suctions for Analysis x ray mandatory for pre auth,Serum Electrolytes,ECG Post Treatment Evidence Of Clinical And Lab Investigations - M28A04 J9819
M10 Pulmonology M10T4 Pulmonology M10T4.6 Acute Respiratory Failure (With Ventilator) 10 Day ABG,Sputum / Bronchial Washing / ET Suctions for Analysis x ray mandatory for pre auth,Serum Electrolytes,ECG Post Treatment Evidence Of Clinical And Lab Investigations - M28A05 J9819
M10 Pulmonology M10T4 Pulmonology M10T4.8 Bronchiectasis Requiring Hospitalisation - 10 Days HR CT - Chest Post Treatment Evidence Of Clinical And Lab Investigations,Sputum Culture /Drug Susceptibility - M28A01 J9819
M11 Dermatology M11T5 Dermatology M11T5.2 Stevens- Johnson Syndrome 15 Days Stay CBC,Urine R/M,Skin Swab,RFT,LFT CBC,Skin Biopsy,RFT,LFT,Clinical Notes - M04A03 L508
M13 Endocrinology M13U1 Endocrinology Uncontrolled Diabetes Mellitus With M13U1.1 Lower Respiratory Tract Infection 10 Days Stay CXR,Sputum gram stain Lab Investigations,Post Procedure Evidance Of Clinical Imrovement - M02A68 J22
M13 Endocrinology M13U1 Endocrinology Uncontrolled Diabetes Mellitus With M13U1.2 Fungal Sinusitis Pns 10 Days Stay CT PNS,Direct microscopy report to confirm Fungal hyphae is mandatory during preauth Lab Investigations,Post Procedure Evidance Of Clinical Imrovement - M02A69 J329
M13 Endocrinology M13U1 Endocrinology Uncontrolled Diabetes Mellitus With M13U1.3 Cholecystitis - Abd 10 Days Stay LFT,USG /CT Abd Lab Investigations,Post Procedure Evidance Of Clinical Imrovement - M02A70 K81
M13 Endocrinology M13U1 Endocrinology Uncontrolled Diabetes Mellitus With M13U1.4 Cavernous Sinus Thrombosis 10 Days Stay MRI,Venogram Lab Investigations,Post Procedure Evidance Of Clinical Imrovement - S06A01 E1365
M13 Endocrinology M13U1 Endocrinology Uncontrolled Diabetes Mellitus With M13U1.5 Rhinocerebral Mucormycosis 10 Days Stay (Brain PNS Chest) when necessary,Direct microscopy report for Fungal hyphae is mandatory during preauth,CT-Scan Lab Investigations,Post Procedure Evidance Of Clinical Imrovement - S06A02 E1365
M13 Endocrinology M13U1 Endocrinology Uncontrolled Diabetes Mellitus With M13U2.4 Pyelonephritis 10 Days Stay USG,Urine R/M Lab Investigations,Urine C/S,Post Procedure Evidance Of Clinical Imrovement - M02A67 N119
M13 Endocrinology M13U2 Other Endocrinal Disorders M13U1.6 Hypopitutarism - 1 Week Stay FSH/LH,basal cortisol post-ACTH cortisol,Testosterone or Estradiol GH stimulation test 1 yr. needed MRI pic visual field water deprivation test 1 yr. needed,T3 T4 TSH,GH stimulation test Injection Vial With Patient Name On It And Bills Of The Injection Are Mandatory For Claims,Post Procedure Evidance Of Clinical Imrovement,Lab Investigations - M06B01 E228
M13 Endocrinology M13U2 Other Endocrinal Disorders M13U2.1 Pituitary - Acromegaly 1 Week Stay Basal cortisol cost FSH / LH,water deprivation test (if needed),testosterone / estriol,t3 t4 TSH,prolactin,Post glucose GH assay Lab Investigations,Post Procedure Evidance Of Clinical Imrovement - M06B02 E228
M13 Endocrinology M13U2 Other Endocrinal Disorders M13U2.2 Cushings Syndrome Inv - Cortisol Assay After Dexam ACTH assay,MRI pituitary CT Abd,Dexa of Hip spine,DHEAS,Cortisol assay after dexamethasone Lab Investigations,Post Procedure Evidance Of Clinical Imrovement - M06B03 E278
M13 Endocrinology M13U2 Other Endocrinal Disorders M13U2.3 Delayed Puberty Hypogonadism (Ex.Turners Synd, Kle 2D echo,testosterone,karyotyping,Xray bone age,USG pelvis,T4 TSH,MRI brain DEXA,FSH/LH Lab Investigations,Post Procedure Evidance Of Clinical Imrovement - M06B04 E278
M13 Endocrinology M13U3 Endocrinology M13U3.1 Adrenal Insufficiency - medicines should be given Basal ACTH,Serum Sodium,Serum Potassium,Basal Cortisol Clinical Improvement -
M13 Endocrinology M13U3 Endocrinology M13U3.2 Endogenous Hyperthyroidism T3 T4 TSH,TC-99 thyroid scan Clinical Improvement -
M13 Endocrinology M13U3 Endocrinology M13U3.3 Gonadotropin releasing hormone excess state (For 1 FSH / LH,X rays of affected limb Clinical Improvement -
M13 Endocrinology M13U3 Endocrinology M13U3.4 Prolactin Excess (Prolactinoma) Basal Cortisol,T3 T4 TSH,MRI pituitary CT Abd,IGF1,FSH / LH Clinical Improvement -
M13 Endocrinology M13U3 Endocrinology M13U3.5 PTH deficiency/ PTH resistance/ Vit D resistance s ALBUMIN,Phosphorus,PTH,Calcium,CREATININE,ALKALINE PHOSPHATASE Clinical Improvement -
M14 Gastroenterology M14V1 Gastroenterology M14V1.10 Acute Pancreatitis (Severe) -3 Weeks Stay - Payabl CT Abdomen/ EUS,electolytes,Sr. Amylase,Sr Lipase,RFT,RBS,RANSON Scoring/ BISAP Scoring,LFT,Etiology of pancreatitis Ct Scan Abdomen,USG Abdomen,Sr. Amylase,Sr Calcium Level,Ranson/Bisap Score At Time Of Admission,RFT: Urea & Creatinine Level,Post Treatment Evidence Of Usg. Lab Investigation ( Sr. Amylase/Sr. Lipase ) Wbc Count,Lipase Which Are Repeated At An Interval Of 48 Hours Of Admission,LFT : Esp. Ast,Blood Sugar Level,Diet Chart - M07A02 K850
M14 Gastroenterology M14V1 Gastroenterology M14V1.11 Acute Pancreatitis With Pseudocyst (Infected) 3 We CBC,USG,Sr Lipase,S. AMYLASE,EUS/ CT- ABDOMEN Lab Investigations(S. Amylase/ Sr Lipase),USG - M07A08 K850
M14 Gastroenterology M14V1 Gastroenterology M14V1.12 Chronic Pancreatitis With Severe Pain - 7 Days Sta CT Scan abdomen/ USG/ EUS / ERCP/ MRCP, Etiology of pancreatitis,LFT,RFT,RFT,RBS,LFT,Etiology of pancreatitis Apache Score At Time Of Admission & 48 Hrs Post Admission,Usg Abdomen/Ct Scan Abdomen,Sr. Amylase,Sr Calcium Level,RFT: Urea & Creatinine Level,Post Treatment Lab Investigation Wbc Count,Lipase Which Are Repeated At An Interval Of 48 Hours Of Admission,LFT : Esp. Ast,Blood Sugar Level,Diet Chart - M07A09 K850
M14 Gastroenterology M14V1 Gastroenterology M14V1.13 Obscure GI Bleed - 1 Week Stay CAPSULE ENDOSCOPY/ CT enterography/ Barium Meal Follow Through,ENTEROSCOPY BIOPSY (optional) Endoscopic Photograph/ Lab Investigations - S33C07 I864
M14 Gastroenterology M14V1 Gastroenterology M14V1.14 Cirrhosis With Hepatic Encephalopathy 11 Days Stay LFT,USG / ascitic fluid analysis,UGI Endoscopy(optional) Clinician notes of diagnosis & clinical finiding,Sr Ammonia(optional),PT- INR LFT,Post Procedure Clinical Photograph And Lab Invistigations - M07A04 K769
M14 Gastroenterology M14V1 Gastroenterology M14V1.15 Cirrhosis With Hepato Renal Syndrome - 10 Days Sta Reports of Serum Chemistry,USG/CT ABDOMEN IS MANDATORY AT TIME OF PREAUTH Post Treatment Evidence Of Lab Investigation - M07A05 K769
M14 Gastroenterology M14V1 Gastroenterology M14V1.16 Biliary Stricture 1) Post Op Stent 7 Days Stay EUS & LFT,USG,Per cutaneous Transhepatic Billiary/ Endoscopic Drainage,MRCP/ ERCP Endoscopic Image/ Video Radiological - M07A10 K838
M14 Gastroenterology M14V1 Gastroenterology M14V1.17 Biliary Stricture 2) Post Op Leaks 7 Days Stay MRCP/ ERCP,USG,Per cutaneous Transhepatic Billiary/ Endoscopic Drainage Endoscopic Image/ Video Radiological - M07A11 K838
M14 Gastroenterology M14V1 Gastroenterology M14V1.18 Biliary Stricture 3) Sclerosing Cholangitis 7 Days MRCP/ ERCP,USG & LFT,Per cutaneous Transhepatic/ Endoscopic Billiary Drainage Post Treatment Evidence Of Radiological And Endoscopic Image/ Video - M07A12 K838
M14 Gastroenterology M14V1 Gastroenterology M14V1.2 Oesophageal Perforation- 7 Days Stay CT SCAN THORAX and Abdomen Ct- Abdomen Optional - M07A13 K220
M14 Gastroenterology M14V1 Gastroenterology M14V1.20 Corrosive Oesophageal Injury 7 Days Stay Alkali/corrosive,clinical history of acid ingestion Mlc,Post Treatment Evidence Of Barium Swallow / Ugi Scopy Optional - M07A07 I864
M14 Gastroenterology M14V1 Gastroenterology M14V1.21 Gastro Study Followed By Thoracotomy And Repairs F Gastroscopy Post Procedure Endoscopic Picture - S03A05 J986
M14 Gastroenterology M14V1 Gastroenterology M14V1.4 Oesophageal Varices, Variceal Banding One Day Stay UGI endoscopy Post Treatment Evidence Of Endoscopic Photograph - M07A15 I864
M14 Gastroenterology M14V1 Gastroenterology M14V1.5 Oesophageal Varices, Sclerotherapy- One Day Stay UGI ENDOSCOPY Endoscopic Photograph - M07A16 I864
M14 Gastroenterology M14V1 Gastroenterology M14V1.6 Oesophageal Fistula -3 Days Stay CT Thorax Post Treatment Evidence Of Photograph Of Stent In Position - M07A06 I864
M14 Gastroenterology M14V1 Gastroenterology M14V1.7 GAVE (Gastric Antral Vascular Ectasia) - 2 Days S UGI Endoscopy Post Treatment Evidence Of Endoscopic Photograph - M07A17 I864
M14 Gastroenterology M14V1 Gastroenterology M14V1.9 Acute Pancreatitis (Mild) - 1 Week Stay With Post CT Abdomen/ EUS,electolytes,Sr Lipase,Sr AMYLASE,RFT,RBS,RANSON Scoring/ BISAP Scoring,LFT,Etiology of pancreatitis Ct Scan Abdomen,USG Abdomen,Sr. Amylase,Sr Calcium Level,Ranson/Bisap Score At Time Of Admission,RFT: Urea & Creatinine Level,Post Treatment Evidence Of Usg. Lab Investigation ( Sr. Amylase/Sr. Lipase ) Wbc Count,Lipase Which Are Repeated At An Interval Of 48 Hours Of Admission,LFT : Esp. Ast,Blood Sugar Level,Diet Chart - M07A01 K850
M15 Interventional Radiology M15PM1 Interventional Radiology PMJAY Sub Category M15PM1.1 Balloon test occlusion MRI/CT-Angio,MRI/CT-Angio CT-Head,CT-Head -
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.1 Inferior Vena Cava Stenting Single Stent USG/ CT scan/ DSA IVC Gram Post Procedure Angiographic Image - R14A02 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.10 Gastrointestinal Visceral Arterial Embolization In CT,USG,Endoscopy Intra Op Video (Mandatory),Post Procedure Clinical Photograph - R14A10 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.11 Bronchial Artery Embolization In Hemoptysis Using Xray/CT chest Intra Op Video (Mandatory),Post Procedure Clinical Photograph - R14A11 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.12 Radiofrequency Tumor Ablation Therapy USG/CT/ MRI Post Procedure CT/MRI Scan,intra operative images showing RF probe - S33A06 K769
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.13 Embolization Of Postoperative And Post Traumatic B clinical photo Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A12 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.14 Inferior Vena Cava Filter Placement COLOR DOPPLER/ Venogram IS MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A06 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.15 Biliary Drainage Procedures - External Drainage An CT/MRI/ USG/ERCP req at the time of preauth Post Procedure Clinical Photograph,Stent Sticker At Time Of Claims Mandatory,Radiographic Image/Cd - R14A13 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.16 Nephrostomy Tube And Nephroureteral Stent Placemen USG/CT IS MANDATORY AT TIME OF PREAUTH. Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A14 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.17 Uterine Artery Embolization In Severe Menorrhagia USG/CT IS MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A15 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.18 Intra-Arterial Thrombolysis For Acute Ischemic Lim COLOR DOPPLER/PERIPHERAL ANGIOGRAM IS MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A16 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.19 Permanent Tunnelled Catheter Placement As Substitu COLOR DOPPLER MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A17 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.2 Hepatic Vein Stenting In Budd - Chiari Syndrome Si CT/MRI Liver Angiography,Stent Sticker Req At The Time Of Claims - M13A02 K7469
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.20 Central Venous Stenting For Central Venous Occlusi COLOR DOPPLER IS MANDATORY AT TIME OF PREAUTH,DSA/CT venography/MRI Post Procedure Clinical Photograph,Radiographic Image/Cd Stent Sticker At Time Of Claims Mandatory - R14A18 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.21 Endovascular Intervention For Salvaging Hemodialys COLOR DOPPLER IS MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A19 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.22 Balloon Retrograde Transvenous Obliteration Of Ble endoscopic images of gastric varices,clinical history,CT Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A20 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.23 Preoperative Portal Vein Embolization For Liver Tu USG/CT IS MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A21 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.24 Chemo Embolization For Liver Tumors Using Drug And USG/CT IS MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A22 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.25 Percutaneous Vertebro Plasty/ Cementoplasty (For E CT/MRI MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A23 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.26 Trans Jugular Intrahepatic Portosystemic Shunt (TI MRI/COLOR DOPPLER MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A24 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.27 Embolization Of Pulmonary AV Malformation Post Pro CT MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A25 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.28 Preoperative Prophylactic Tumor Embolization CT/MRI/ USG req at the time of preauth Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A26 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.29 Embolization Of AV Malformation Of Brain Per Sitti CT/MRI MANDATORY AT TIME OF PREAUTH,DSA Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A27 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.3 Acute Stroke Thrombolysis With rTPA CT/ CT-perfusion/ MRI CT,Post Procedure Dsa - R14A03 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.30 Carotid Stenting Single Stent With Protection Devi MRI/CT- Angiogram,Pre- Doppler (carotid) Claims Approval Subject To Stent Visiblity And Restoration Of Arterial Lumen In Angioplasty Video,Post Porocedure Dsa Stent Sticker - R14A28 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.31 Intracranial Arterial And Venous Stenting DSA,MRI/CT- Angiogram Post Procedure Dsa - R14A29 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.32 Peripheral Stent Graft For Peripheral Aneurysms An CT or Doppler Post Procedure Angiography Picture - R14A30 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.33 Embolization Of Caratico-Cavernous Fistula CT/MRI MANDATORY AT TIME OF PREAUTH Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A31 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.34 Embolization Of AV Malformation Of Peripheral Extr CT scan/ MRI,DSA Post Procedure Angiographic Image - R14A01 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.35 Intracranial clot retrieval CT,MRI,CT-perfusion CT,Post Procedure Dsa -
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.4 Renal Artery Embolization With Multiple Coils And CT-Angiogram/ DSA Angiogram Post Procedure Angiographic Image - R14A04 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.5 Cortical Venous Sinus Thrombolysis CT/MRI Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A05 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.6 Deep Venous Thrombolysis For DVT With IVC Filter Color Doppler/ Clinical Photograph Doppler/ Venographic Dsa Image,Post Procedure Clinical Photograph - M02A72 I825
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.7 Subclavian Artery Stenting with stent/ Iliac Arte Angiogram / Doppler Claims Approval Subject To Stent Visiblity And Restoration Of Arterial Lumen In Angioplasty Video.,Radiographic Image/Cd Stent Sticker,Post Procedure Clinical Photograph - R14A07 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.8 Tibial Angioplasty In Critical Limb Ischemia Angiogram / Doppler Post Procedure Clinical Photograph,Radiographic Image/Cd - R14A08 R9089
M15 Interventional Radiology M15W1 Interventional Radiology M15W1.9 Mesenteric Artery Angioplasty & Stenting In Acute Angiogram / CT angio Claims Approval Subject To Stent Visiblity And Restoration Of Arterial Lumen In Angioplasty Video.,Radiographic Image/Cd Stent Sticker,Post Procedure Clinical Photograph - R14A09 R9089
M16 GENERAL MEDICINE M16PM1 General Medicine PMJAY Sub Category M16PM1.1 Acute inflammatory demyelinating Polyneuropathy Nerve Conduction Study(NCS) Clinical Notes -
M16 GENERAL MEDICINE M16PM1 General Medicine PMJAY Sub Category M16PM1.2 Metabolic encephalopathy/encephalitis due to any c EEG,Lab Investigations Clinical Notes -
M16 GENERAL MEDICINE M16PM1 General Medicine PMJAY Sub Category M16PM1.4 Hyperosmolar Non-Ketotic coma ABG,Electrolyte Studies,Blood Sugar Clinical Notes -
M16 GENERAL MEDICINE M16PM1 General Medicine PMJAY Sub Category M16PM1.5 Acute transverse myelitis CBC,MRI Spine,CSF analysis,CBC Clinical Notes -
M16 GENERAL MEDICINE M16PM1 General Medicine PMJAY Sub Category M16PM1.6 Cerebral sino-venous thrombosis (any Isolated/Mult MRI,Venogram Post Procedure Evidance Of Clinical Improvement ,Lab Investigations -
M16 GENERAL MEDICINE M16Q1 Critical Care Gen Medicine M16Q1.1 Thrombocytopenia With Bleeding Diathesis BT,PT INR,CT,CBC (platelet count),Bone marrow aspiration Post Procedure Evidance Of Clinical Imrovement - M12A01 D759
M16 GENERAL MEDICINE M16Q1 Critical Care Gen Medicine M16Q1.10 Sickle cell Crisis presenting with Fever, Joint pa Electrophorosis and other confirmatory test Clinical Improvement,Lab Investigations -
M16 GENERAL MEDICINE M16Q1 Critical Care Gen Medicine M16Q1.11 Severe anemia Sr. Fe + B12,CBC,BONE MARROW EXAMINATION BONE MARROW EXAMINATION,PBS report,EVIDENCE OF PLATELET TRANSFUSION -
M16 GENERAL MEDICINE M16Q1 Critical Care Gen Medicine M16Q1.5 Cerebral Malaria (Falciparum) requiring Ventilator CBC,Test for detection of Malarial Parasite/ Rapid test,CT brain E/O ARDS,Post Treatment Evidence Of Clinical Improvement & Lab Investigations - M08B04 B500
M16 GENERAL MEDICINE M16Q1 Critical Care Gen Medicine M16Q1.6 TB Meningitis CSF Analysis,Chest X-Ray,CT Scan-Brain Csf,Post Treatment Evidence Of Clinical Improvement & Lab Investigations - M17A11 G031
M16 GENERAL MEDICINE M16Q1 Critical Care Gen Medicine M16Q1.7 Snake Bite Requiring Ventilator Support ECG,Serial ABG,PT/PTTK/ DIC profile RFT BT CT,Serum Cholinesterase,RFT,Post Treatment Evidence Of Clinical Improvement & Cpk,Lab Investigations - M12A05 D759
M16 GENERAL MEDICINE M16Q1 Critical Care Gen Medicine M16Q1.8 Scorpion Sting Requiring Ventilator Support ECG,Serial ABG Post Treatment Evidence Of Clinical Improvement & Rft Investigations - M12A06 D759
M16 GENERAL MEDICINE M16Q1 Critical Care Gen Medicine M16Q1.9 Metabolic Coma Requiring Ventilatory Support Blood Urea,clinical photo with ventilatory support,Sr. Electrolites,Sr. Creat,Machine generated ABG,LFT,ECG,CT brain/ MRI brain,Blood sugar Post Treatment Evidence Of Clinical Improvement,Vit B12 Level / Lab Investigations - M08A09 E889
M17 Mental Disorders Packages M17PM1 Mental Disorders Packages PMJAY Sub Category M17PM1.5 Transcranial Magnetic Stimulation (TMS) Clinical assessment Clinical assessment -
M18 Hematology M18Q1 Hematology M18Q1.1 Anaemia Of Unknown Cause treated with Haematinics, BONE MARROW EAMINATION SOS,HAEMOGRAM / HB ELECTROPHORESIS Post Procedure Evidance Of Clinical Imrovement And Lab Investigations (Cbc) - M02A62 D649
M18 Hematology M18Q1 Hematology M18Q1.2 Haemophilia treatment with IV FPP, Factor VIII /Cr VON WILL BRANDS / FACTOR VIII/ IX ASSAY Coagulation Parameters Case Sheet With Records Of Factor Given,Post Procedure Evidance Of Clinical Imrovement - M12A02 D759
M18 Hematology M18Q1 Hematology M18Q1.3 Thalassemia Major Requiring Chelation Therapy - 7 HB ELECTROPHORESIS/ HPLC,SERUM FERRITIN(6 monthly)req Case Sheet With Records Of Chelation Therapy - M23A12 P619
M18 Hematology M18Q1 Hematology M18Q1.4 Chelation Therapy For Thalassemia Haemogram,Serum Ferritin,Hb Electrophoresis Lab Investigations,Post Treatment Evidence Of Clinical Improvement & Lft - M12A04 D759
M1 Medical Oncology M1K1 Breast M1K1.1 Adriamycin/Cyclophosphamide (Ac) Biopsy/Histopathology report,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Post Treatment Clinical Notes - MO15A01 C50910
M1 Medical Oncology M1K1 Breast M1K1.2 5- Flurouracil A-C (FAC) Biopsy/Histopatholigy report,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Post Treatment Clinical Notes - MO15A02 C50910
M1 Medical Oncology M1K1 Breast M1K1.3 AC (AC Then T) Biopsy/Histopathology report,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Post Treatment Clinical Notes - MO15A03 C50910
M1 Medical Oncology M1K1 Breast M1K1.4 Paclitaxel/Docitaxel Biopsy/Histopathology report,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Post Treatment Clinical Notes - MO15A04 C50910
M1 Medical Oncology M1K1 Breast M1K1.5 Cyclophosphamide / Methotraxate / 5flurouracil (CM Biopsy/Histopathology report Chemo Sheets,Post Treatment Clinical Notes - MO15A05 C50910
M1 Medical Oncology M1K1 Breast M1K1.6 Tamoxifen Tabs - Per month Biopsy/Histopathology report,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Post Treatment Clinical Notes - MO15A06 C50910
M1 Medical Oncology M1K1 Breast M1K1.7 Hormonal Treatment - Per month (Letrozole/Tamoxif Biopsy/Histopathology report,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Post Treatment Clinical Notes - MO15A07 C50910
M1 Medical Oncology M1K10 Multiple Myeloma M1K10.1 Vincristin, Adriamycin,Dexamethasone (VAD) Bence Jones Protiens (urine),S. Immune electrophoresis,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Bone marrow Chemo Charts,Clinical Photograph - MO15J01 C9000
M1 Medical Oncology M1K10 Multiple Myeloma M1K10.2 Thalidomide+Dexamethasone(Oral) Bence Jones Protiens (urine),S. Immune electrophoresis,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Bone marrow Chemo Charts,Clinical Photograph - MO15J02 C9000
M1 Medical Oncology M1K10 Multiple Myeloma M1K10.3 Melphalan+Thalidomide+Prednisone Oral Bence Jones Protiens (urine),S. Immune electrophoresis,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Bone marrow Chemo Charts,Clinical Photograph - MO15J03 C9000
M1 Medical Oncology M1K10 Multiple Myeloma M1K10.4 Zoledronic Acid/Pamindronic acid Along With any ch Bence Jones Protiens (urine),S. Immune electrophoresis,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Bone marrow Chemo Charts,Clinical Photograph,Chemo Charts - MO15AH01 C9590
M1 Medical Oncology M1K10 Multiple Myeloma M1K10.5 Bortezomib+Lenoladomide+Dexamethasone/Cyclophospha - - - MO15J03 C9000
M1 Medical Oncology M1K11 Wilm'S Tumor M1K11.1 SIOP/NWTS Regimen (Stages I III) - Per month Biopsy / USG/CT,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Charts,Clinical Photograph - MO15K01 C801
M1 Medical Oncology M1K12 Hepatoblastoma -Operable M1K12.1 Cisplastin Adriamycin Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,SG/CT Scan / Biopsy Chemo Charts,Clinical Photograph - MO15L01 C260
M1 Medical Oncology M1K13 Cervix M1K13.1 Cervical Cancer Weekly Cisplastin Biopsy,USG/CT,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Charts,Clinical Photograph - MO15M01 C55
M1 Medical Oncology M1K14 Childhood B-Cell Lymphomas M1K14.1 Variable Regimen Inv - Hematology - Payable maximu Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Tumour Biospy/Bone marrow aspi / USG/CT/PET-CT Chemo Charts,Clinical Photograph - MO15N01 C8100
M1 Medical Oncology M1K15 Neuroblastoma Stage I ?Iii M1K15.1 Variable Regimen Inv - X-Ray/CT Scan - Payable max Biopsy,Plan of CHEMOTHERAPY REGIMEN(any change in regimen should be informed promptly),CT scan/PET Chemo Charts,Clinical Photograph - MO15N01 C8100
M1 Medical Oncology M1K16 Retinoblastoma M1K16.1 Carbo/Etoposide/Vincristin MRI/CT Orbit/USG orbit,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Clinical Photograph - MO15P01 C6960
M1 Medical Oncology M1K17 Histocytosis M1K17.1 Variable Regimen Inv - CT, Biopsy - Payable maximu Planned CHEMOTHERAPY REGIMEN (any change in regimen should be informed promptly),CT/Skeletal study,Biopsy Chemo Sheets,Clinical Photograph - MO15Q01 C961
M1 Medical Oncology M1K18 Rhabdomyosarcoma M1K18.1 Vincristin-Actinomycin- Cyclophosphamide (VACTC) B Biopsy,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,CT/USG/PET-CT Chemo Sheets,Clinical Photograph - MO15R01 C800
M1 Medical Oncology M1K19 Ewing'S Sarcoma M1K19.1 Variable Regimen Inv - Hematology, Biopsy - Payabl Planned CHEMOTHERAPY REGIMEN (any change in regimen should be informed promptly),CT/USG/PET-CT,Biopsy Chemo Sheets,Clinical Photograph - MO15S01 C800
M1 Medical Oncology M1K2 Urinary Bladder M1K2.1 Bladder Cancer Weekly Cisplastin Biopsy/Histopathology report,USG Chemo Sheets,Post Treatment Clinical Notes - MO15B01 C670
M1 Medical Oncology M1K2 Urinary Bladder M1K2.2 Methotraxate Vinblastin Adriamycin Cyclophosphamid Biopsy/Histopathology report,USG,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Post Treatment Evidence Of Clinical Improvements,lab investigations - MO15B02 C670
M1 Medical Oncology M1K20 Acute Myeloid Leukemia M1K20.1 Induction Phase - Payable maximum upto BM Asp Biopsy,cytochemistry/ Surface markers,CBC Chemo Sheets,Post Treatment Clinical Notes - MO15T01 C9200
M1 Medical Oncology M1K20 Acute Myeloid Leukemia M1K20.2 Consolidation Phase - Payable maximum upto BM Asp Biopsy Chemo Sheets,Post Treatment Clinical Notes - MO15T02 C9200
M1 Medical Oncology M1K20 Acute Myeloid Leukemia M1K20.3 Maintenance Phase - Per month CBC Chemo Sheets,Post Treatment Clinical Notes - MO15T03 C9200
M1 Medical Oncology M1K21 Acute Lymphatic Leukemia M1K21.1 Induction 1st And 2 nd Months - Payable maximum up BM Asp Biopsy,cytochemistry/ Surface markers,CBC Chemo Sheets,Post Treatment Clinical Notes - MO15U01 C9100
M1 Medical Oncology M1K21 Acute Lymphatic Leukemia M1K21.2 Induction 3rd, 4th, 5th months - Payable maximum u BM Asp Biopsy Chemo Sheets,Post Treatment Clinical Notes - MO15U02 C9100
M1 Medical Oncology M1K21 Acute Lymphatic Leukemia M1K21.3 Maintenance Phase - Per month CBC Chemo Sheets,Post Treatment Clinical Notes - MO15U03 C9100
M1 Medical Oncology M1K22 Unlisted Regimen M1K22.1 Palliative Chemotherapy -Unlisted Regimen - Payabl Biopsy/Histopatholigy report,USG/CT Scan Chemo Sheets,Post Treatment Clinical Notes - MO15V01 C9000
M1 Medical Oncology M1K23 Terminally Ill M1K23.1 Palliative And Supportive Therapy - Per month Biopsy,USG/CT/ Blood test Chemo Sheets,Post Treatment Clinical Notes - MO15W01 C9100
M1 Medical Oncology M1K24 Vulval Cancer M1K24.1 Cisplastin/5-FU Biopsy/Histopatholigy report Chemo Sheets,Post Treatment Clinical Notes - MO15X01 C55
M1 Medical Oncology M1K25 Rectal Cancer Stage 2 And 3 M1K25.1 Xelox Along With Adjuvant Chemotherapy Of AS-I Biopsy/Histopathology report,CT Abdomen Usg/Ct/Biopsy/Biochemical Investigations - MO15AF01 C762
M1 Medical Oncology M1K27 Febrile Neutropenia Fn High Risk 2 M1K27.1 1st Line Iv Antibiotics And Other Supportive Thera Blood C/s / Urine C/S,Clinical notes,CXR/ CT scan,CBC Usg/Ct/Biopsy/Biochemical Investigations - MO15AG01 D703
M1 Medical Oncology M1K27 Febrile Neutropenia Fn High Risk 2 M1K27.2 2nd Line Iv Antibiotics And Other Supportive Thera Biopsy,Clinical notes,CXR,CBC,Blood C/s / Urine C/S Usg/Ct/Biopsy/Biochemical Investigations - MO15AG02 D703
M1 Medical Oncology M1K28 Vaginal Cancer M1K28.1 Cisplastin/5-FU Biopsy,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,CT Scan/ USG Chemo Sheets,Clinical Photograph - MO15Y01 C55
M1 Medical Oncology M1K29 Ovary M1K29.1 Carboplastin/ Paclitaxel Biopsy,USG/CT,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Ca 125 Chemo Sheets,Clinical Photograph - MO15Z01 C55
M1 Medical Oncology M1K3 Small Cell Lung Cancer M1K3.1 Cisplastin/Etoposide (IIIB) Biopsy/FNAC,X-Ray/CT Scan,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Clinical Photograph - MO15C01 C3491
M1 Medical Oncology M1K30 Ovary Germ Cell Tumour M1K30.1 Bleomycin-Etoposide-Cisplastin (BEP) Biopsy,S.A FP/ B HC,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Clinical Photograph - MO15AA01 C55
M1 Medical Oncology M1K31 Gestational Trophoblast Ds. Low Risk M1K31.1 Weekly Methotrexate B HCG,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Biopsy Chemo Sheets,Clinical Photograph - MO15AB01 C55
M1 Medical Oncology M1K31 Gestational Trophoblast Ds. Low Risk M1K31.2 Actinomycin B HCG,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Biopsy Chemo Sheets,Clinical Photograph - MO15AB02 C55
M1 Medical Oncology M1K32 Gestational Trophoblast Ds. High Risk M1K32.1 Etoposide - Methotrexate - Actinomycin / Cyclophos B HCG,USG/CT,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Biopsy Chemo Sheets,Clinical Photograph - MO15AC01 C800
M1 Medical Oncology M1K33 Testis M1K33.1 Bleomycin-Etoposide-Cisplastin (BEP) Biopsy,USG/CT,S.A FP/ B HC,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Sheets,Clinical Photograph - MO15AD01 C62
M1 Medical Oncology M1K34 Prostate M1K34.1 Hormonal Therapy - Per month Biopsy,USG,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,PSA Chemo Sheets,Clinical Photograph - MO15AE01 C61
M1 Medical Oncology M1K4 Oncologyoesophagus M1K4.1 Cisplastin- 5FU Endoscopy/CT scan,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Biopsy Chemo Sheets,Clinical Photograph - MO15D01 C159
M1 Medical Oncology M1K49 Medical Oncology M1K49.1 Radioiodine ablation therapy for cancer thyroid BIOPSY,USG,THYROID PROFILE,Iodine scan,CT Scan of Neck Chemo Charts -
M1 Medical Oncology M1K49 Medical Oncology M1K49.2 Gemcitabine + cisplatin BIOPSY,CT Chemotherapy drug batch number with bar code -
M1 Medical Oncology M1K49 Medical Oncology M1K49.3 Brain GBM(Temozolomide) (per month) BIOPSY,MRI,CT BRAIN Chemotherapy drug batch number with bar code -
M1 Medical Oncology M1K5 Stomach M1K5.1 5-Fu Leucovorin (MCDONALD Regimen) Endoscopy/CT scan,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Biopsy Chemo Sheets,Clinical Photograph - MO15E01 C169
M1 Medical Oncology M1K6 Colon Rectum M1K6.1 Monthly 5-FU/Capacitabine Biopsy,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Endoscopy/CT Scan,CEA Optional Chemo Charts,Clinical Photograph - MO15F01 C189
M1 Medical Oncology M1K6 Colon Rectum M1K6.2 5- Flurouracil-Oxaliplastin Leucovorin (Folfox) (S Biopsy,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,Endoscopy/CT Scan Chemo Charts,Clinical Photograph - MO15F02 C189
M1 Medical Oncology M1K7 Bone Tumors/Osteosarcoma M1K7.1 Cisplatin/Adriamycin/Ifosfamide Biopsy,Xray/CT scan,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Charts,Clinical Photograph - MO15G01 C4092
M1 Medical Oncology M1K8 Lymphoma, Hodgkin'S M1K8.1 Adriamycin Bleomycin Vinblastin Dacarbazine (ABVD) Biopsy,Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH,CT scan/PET Chemo Charts,Clinical Photograph - MO15H01 C8100
M1 Medical Oncology M1K9 Lymphoma Nhl M1K9.1 Cyclophosphamide Adriamycin Vincristin Prdnisone ( Biopsy,CT scan/PET Planned CHEMOTHERAPY REGIMEN AT TIME OF PREAUTH Chemo Charts,Clinical Photograph - MO15I01 C8101
M2 Radiation Oncology M2L1 Cobalt 60 External Beam Radiotherapy M2L1.1 Radical Treatment Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29A01 C800
M2 Radiation Oncology M2L1 Cobalt 60 External Beam Radiotherapy M2L1.2 Palliative Treatment Biopsy/Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29A02 C800
M2 Radiation Oncology M2L1 Cobalt 60 External Beam Radiotherapy M2L1.3 Adjuvant Treatment Biopsy/Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29A03 C800
M2 Radiation Oncology M2L2 External Beam Radiotherapy (On Linear Acclerator) M2L2.1 Radical Treatment With Photons Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29B01 C800
M2 Radiation Oncology M2L2 External Beam Radiotherapy (On Linear Acclerator) M2L2.2 Palliative Treatment With Photons Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29B02 C800
M2 Radiation Oncology M2L2 External Beam Radiotherapy (On Linear Acclerator) M2L2.3 Adjuvant Treatment With Photons/Electrons Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29B03 C800
M2 Radiation Oncology M2L3 Brachytherapy Intracavity M2L3.1 A) Intracavitary I. LDR Per Application Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29C01 C800
M2 Radiation Oncology M2L3 Brachytherapy Intracavity M2L3.2 A) Intracavitary II. HDR Per Application Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29C02 C800
M2 Radiation Oncology M2L4 Brachytherapy Interstitial M2L4.1 B) Interstitial I. LDR Per Application Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29D01 C800
M2 Radiation Oncology M2L4 Brachytherapy Interstitial M2L4.2 B) Interstitial II. HDR One Application And Multip Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29D02 C800
M2 Radiation Oncology M2L5 Specialized Radiation Therapy - Imrt (Intensity Mo M2L5.1 IMRT-Up To 40 Fractions In 8 Weeks Biopsy/Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29E01 C800
M2 Radiation Oncology M2L6 Specialized Radiation Therapy - 3dcrt(3-D Conforma M2L6.1 3DCRT-Up To 30 Fractions In 6 Weeks Biopsy/Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29F01 C800
M2 Radiation Oncology M2L7 Specialized Radiation Therapy - Srs/Srt M2L7.1 SRS/SRT upto 5 fractions Biopsy/Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29G01 C800
M2 Radiation Oncology M2L8 Specialized Radiation Therapy Rapid Ax Therapy M2L8.1 VMAT Therapy-Up To 40 Fractions In 8 Weeks Biopsy/Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29H01 C800
M2 Radiation Oncology M2L9 Specialized Radiation Therapy - Imrt With Igrt M2L9.1 IMRT+IGRT-Up To 40 Fractions In 8 Weeks Biopsy/Histopatholigy report,USG/CT/X-RAY/Imagings Rt Treatment Charts - R29I01 C800
M2 Radiation Oncology M2PM1 Radiation Oncology PMJAY Sub category M2PM1.1 Tomotherapy(Radical/Adjuvant/Neoadjuvant) Biopsy,CT,Blood test Data of RT treatment plan & dose -
M3 Critical Care M3Q1 Critical Care M3Q1.1 Acute Severe Asthma With Acute Respiratory Failure Chest X-Ray,Machine generated ABG,Clinical photo with ventilatory support Abg,X-Ray,Post Treatment Evidence Of Clinical Improvement,Lab Investigations - M24A03 J191
M3 Critical Care M3Q1 Critical Care M3Q1.2 COPD Respiratory Failure (Infective Exacerbation)1 2D ECHO,SPIROMETRY,Machine generated ABG,HR CT ? CHEST,CLINICAL PHOTOGRAPH ABG,Post Treatment Evidence Of Clinical Improvement,LAB INVESTIGATIONS VENTILATORY CARE M08A02 J45998
M3 Critical Care M3Q1 Critical Care M3Q1.3 Acute Bronchitis And Pneumonia With Respiratory Fa Chest X-Ray/ HRCT Chest,Machine generated ABG,Clinical photo with ventilatory support Abg,Post Treatment Evidence Of Clinical Improvement,Lab Investigations - M08A03 J45998
M3 Critical Care M3Q1 Critical Care M3Q1.4 ARDS With Ventilatory Care 14 Days Stay BiPAP is not accepted,Machine generated ABG,For ARDS packages Ventilator with NIV Mask / invasive ventilator should be discretion of treating physician,Clinical photo with ventilatory support,Chest X-Ray/ HRCT Chest,CPAP Abg,Post Treatment Evidence Of Clinical Improvement,Lab Investigations - M08A04 J960
M3 Critical Care M3Q1 Critical Care M3Q1.5 ARDS With Multi Organ Failure With Ventilatory Car CBC,Sr ElectrolitesFor ARDS packages Ventilator with NIV Mask / invasive ventilator should be discretion of treating physician,RFT,Machine generated ABG,LFT,Clinical photo,Chest X-Ray/ HRCT Chest Abg,Post Treatment Evidence Of Clinical Improvement,Lab Investigations(Cbc, Lft, Rft),Justification From Treating Dr For Standalone Niv Treatment(If Given) In Ards - M08A05 J960
M3 Critical Care M3Q1 Critical Care M3Q1.6 ARDS Plus DIC (Blood & Blood Products) With Ventil CBC,Machine generated ABG,DIC profile,Clinical photo with ventilatory support,Chest X-Ray Abg,Post Treatment Evidence Of Clinical Improvement,Lab Investigations - M08A06 J960
M3 Critical Care M3Q1 Critical Care M3Q1.7 OP Poisoning / Other Poisoning Requiring Ventilato Clinical photo on ventilator,Sr cholinesterase,RFT,Machine generated ABG Abg,Post Treatment Evidence Of Clinical Improvement,Lab Investigations - M02A46 T400X1
M3 Critical Care M3Q1 Critical Care M3Q1.8 Septic Shock(ICU Management) With Ventilatory Assi CBC,Xray chest,Urine R/M,USG,RFT,Machine generated ABG,Justification from treating Physician for necessity of ventilatory support if SpO2 is >80%, esp. of no evidence of alkalosis/acidosis,Clinical photograph Abg,Report Of Blood Culture/ Urine Culture,Post Treatment Evidence Of Clinical Improvement,Lab Investigations,If Blood Culture Report Is Negative Then Other Markers Of Sepsis Like Urine Culture/ Sputum Culture/Csf Analysis/ C3 Marker To Be Given To Confirm The Dignosis Of Septic Shock - M08A08 R6520
M3 Critical Care M3Q1 Critical Care M3Q1.9 OP Poisoning without Ventilatory Assistance Clinic Machine generated ABG,X-Ray Chest,Sr cholinesterase,RFT LAB INVESTIGATIONS,Post Treatment Evidence Of Clinical Improvement -
M5 Infectious Diseases M5R1 Infectious Diseases M5R1.1 Tetanus Severe ABG,Clinical Photo of posture Clinical Photograph Post Treatment E/O Clinical Improvement,Swab For C/S Mandatory For Claims Settlement - M08B01 A35
M5 Infectious Diseases M5R1 Infectious Diseases M5R1.2 Diphtheria Complicated Clinical photograph,Throat swab for C/S,ECG Lab Investigations - M08B02 A360
M5 Infectious Diseases M5R1 Infectious Diseases M5R1.3 Cryptococcal Meningitis Investigation foe cryptococcal antigen/ CSF India ink preparation Lab Investigations - M08B03 B458
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.1 Idiopathic Thrombocytopenic Purpura Bone Marrow,HBSAG,CBC Clinical Notes -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.10 Refractory seizures CSF ANALYSIS,SERIAL ABG CT Scan,Post Procedure Evidance Of Clinical Imrovement With Lab Investigations,Eeg -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.11 Acute neuroregression CT ? Scan,MRI,Investigations justyfying the diagnosis Clinical Notes -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.2 Juvenile myasthenia gravis CT-Abdomen,Thyroid profile,RNS,Neostgmine test,CT-Chest Clinical and lab investigation -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.3 Intracranial ring enhancing lesion with complicati CT ? Scan,X-Ray Chest,ESR Clinical Notes -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.4 Acute glomerulonephritis Urine Analysis,USG,CT and KFT Clinical Notes -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.5 Infantile cholestasis LFT,Urine BS - BP,USG Abdomen LFT -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.6 Haemolytic uremic syndrome CBC,USG Abdomen,RFT RFT -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.7 Immune haemolytic anemia Reticulocytes Count,PS,Coomb's Test,CBC CBC,PS,Clinical Notes -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.8 Cyanotic spells 2DEcho,CBC Clinical Notes -
M6 Pediatrics Medical Management M6PM1 Pediatrics Medical Management PMJAY Sub Category M6PM1.9 Rheumatoid arthritis RA Factor Clinical Notes -
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.1 Term Baby With Culture Positive Sepsis- Non Ventil BLOOD CULTURE/ CBC,SERUM BILIRUBIN,CRP Post Procedure Evidance Of Clinical Imrovement And Lab Investigations (Blood Culture/Crp/Cbc) - M19A01 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.10 Term Baby, Fulminant Culture Positive Sepsis, Sept ABG APGAR Score to be mandate at time of admission,SERUM BILIRUBIN,RFT,CRP,BLOOD CULTURE / CBC Lab Investigations (Blood Culture/Crp/Cbc/Rft) Usg Abdomen Is Required In Claims Which Was There Previously,Post Procedure Evidance Of Clinical Imrovement - M19A02 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.11 33 To 34 Weeks Preterm Baby Severe Hyaline Membran ABG,X- RAY CHEST,SERUM BILIRUBIN,CRP,CBC,APGAR Score (mandatory) ABG,X- RAY CHEST,Post Procedure Evidance Of Clinical Imrovement - M19A03 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.13 35 To 36 Weeks Preterm Mild Hyaline Membrane Disea BLOOD CULTURE/ CRP/ CBC,X- RAY CHEST,SERUM BILIRUBIN APGAR Score to be mandate at time of admission Lab Investigations (Cbc, Sr Bilirubin),Post Procedure Evidance Of Clinical Imrovement - M02A48 P0737
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.14 33 To 34 Weeks Preterm Mild Hyaline Membrane Disea CBC,X- RAY CHEST,SERUM BILIRUBIN APGAR Score to be mandate at time of admission,CRP/BLOOD CULTURE CRP,Post Procedure Evidance Of Clinical Imrovement,Lab Investigations (Cbc, Sr Bilirubin) - M02A49 P599
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.15 33 To 34 Weeks Preterm Severe Hyaline Membrane Dis ABG,X- RAY CHEST,SERUM BILIRUBIN,CRP,CBC,BLOOD CULTURE / CBC APGAR Score to be mandate at time of admission Lab Investigations (Cbc, Xray Chest /Abg),SERUM BILIRUBIN,Post Procedure Evidance Of Clinical Imrovement - M02A50 P0736
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.16 30 To 32 Weeks Preterm Severe Hyaline Membrane Dis ABG,X- RAY CHEST,SERUM BILIRUBIN,Clinical photo with ventilatory care,CRP/BLOOD CULTURE,CBC Lab Investigations (Cbc, Xray Chest /Abg),Post Procedure Evidance Of Clinical Imrovement - M02A51 P0733
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.17 <30 Weeks Preterm Severe Hyaline Membrane Disease ABG,X- RAY CHEST,SERUM BILIRUBIN,CRP/ BLOOD CULTURE APGAR Score to be mandate at time of admission,CBC Lab Investigations (Cbc, Xray Chest /Abg),SERUM BILIRUBIN,Post Procedure Evidance Of Clinical Imrovement - M02A52 P0732
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.18 33 To 34 Weeks Preterm Severe Hyaline Membrane Dis 2D ECHO,blood culture/ CRP,X- RAY CHEST,Serum bilirubin APGAR Score to be mandate at time of admission,CBC,ABG 2D ECHO,Post Procedure Evidance Of Clinical Imrovement,Lab Investigations (Cbc, Xray Chest /Abg) - M02A53 Z3A34
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.19 "Necrotising Enterocolitis, Clinical Sepsis Non Ve CBC, Sr Bilirubin/ Reticulocyte Count/USG abdomen/ Blood Culture & Sensitivity CBC, Sr Bilirubin/ Reticulocyte Count/USG abdomen/ Blood Culture & Sensitivity -
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.2 30 To 32 Weeks Preterm Severe Hyaline Membrane Dis 2D ECHO,Xray chest APGAR Score to be mandate at time of admission,Sr Bilirubin,CBC ABG,Blood culture / CRP 2D Echo,Post Procedure Evidance Of Clinical Imrovement,Lab Investigations (Cbc, Xray Chest /Abg) - M19A02 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.20 "Idiopathic Thrombocytopenic Purpura (Stay in gene CBC with P.S/ Bone Marrow CBC with P.S -
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.3 <30 Weeks Preterm Severe Hyaline Membrane Disease 2D ECHO,X- RAY CHEST,Sr Bilirubin APGAR Score to be mandate at time of admission,CBC,Blood culture /CRP,ABG CRP,Post Procedure Evidance Of Clinical Imrovement,Lab Investigations (Cbc, Xray Chest /Abg) - M19A03 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.4 Term Baby With Persistent Pulmonary Hypertension V 2D ECHO APGAR Score to be mandate at time of admission,Xray chest,Sr. Bilirubin,ABG ABG,Xray chest,Sr. Bilirubin,Post Treatment Evidence Of Clinical Improvement And Lab Investigations - M19A04 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.5 Term Baby With Severe Perinatal Asphyxia - Non Ven CBC ,Sr Bilirubin APGAR Score to be mandate at time of admission,CRP/ BLOOD CULTURE Lab Investigations,Post Procedure Evidance Of Clinical Imrovement,Neurosonogram/Ct- Scan/ Mri - M19A05 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.6 Term Baby With Severe Perinatal Asphyxia - Ventila ABG,X- RAY CHEST,Sr Bilirubin APGAR Score to be mandate at time of admission,CRP/ BLOOD CULTURE,CBC Lab Investigations,Post Procedure Evidance Of Clinical Imrovement,Neurosonogram/Ct- Scan/ Mri - M19A06 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.7 Term Baby Severe Hyperbilirubinemia Clinical Sepsi CBC / CRP,SERUM BILIRUBIN APGAR Score to be mandate at time of admission ( Cbc Sr Bilirubin) Blood Culture Report Is Mandatory At Time Of Claims,Post Procedure Evidance Of Clinical Imrovement,Lab Investigations - M19A07 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.8 Term Baby With Seizures Ventilated Inv - Neurosono ABG APGAR Score to be mandate at time of admission,Electrolytes,Calcium,CSF ANALYSIS,Blood sugar Post Procedure Evidance Of Clinical Imrovement And Lab Investigations Neurosonogram/Ct- Scan/Mri) - M19A06 P578
M6 Pediatrics Medical Management M6S1 Paediatrics Neonatal M6S1.9 Necrotising Enterocolitis, Clinical Sepsis Non Ven CBC,Xray Abdomen ultrasound optional stool exam and usg mandatory for pre auth,CRP/Blood culture CBC,Xray Abdomen,Post Treatment Evidence Of Clinical Improvement,CRP - M24B04 P84
M6 Pediatrics Medical Management M6S10 Gen Paediatrics Respiratory M6S10.1 Acute Broncho/ Lobarpneumonia With Empyema/ Pleura CBC,X- RAY,Fluid Analysis CBC,X- Ray Chest,CRP - M24A21 J181
M6 Pediatrics Medical Management M6S11 Gen Paediatrics Cvs M6S11.1 Acute Broncho/ Lobarpneumonia With Pyo Pneumothora BLOOD CULTURE/ CBC/CRP,X- Ray,PUS CULTURE/ Gram stain CBC,X- Ray Chest,CRP - M02A59 J181
M6 Pediatrics Medical Management M6S11 Gen Paediatrics Cvs M6S11.2 Congenital Heart Disease With Congestive Cardiac F 2D ECHO,X- RAY chest,ECG,CBC req at time of preauth Post Procedure Evidence Of Post Procedure Evidance Of Clinical Imrovement 2D Echo,X- Ray Chest - M02A60 Q209
M6 Pediatrics Medical Management M6S11 Gen Paediatrics Cvs M6S11.3 Acquired Heart Disease With Congestive Cardiac Fai 2D ECHO,X- Ray,ECG 2D ECHO,Post Treatment Evidence Of X-Ray Chest,ECG - M23A01 P2989
M6 Pediatrics Medical Management M6S11 Gen Paediatrics Cvs M6S11.4 Viral Myocarditis 7 Days Stay 2D ECHO,X- Ray,ECG 2D ECHO,X- Ray Chest,ECG - M02A61 B3322
M6 Pediatrics Medical Management M6S12 General Paediatrics Renal M6S12.1 Steroid Resistant Nephrotic Syndrome Complicated O RFT'S MANDATORY AT THE TIME OF PREAUTH.,URINE EXAM,RENAL BIOPSY SOS Post Procedure Evidance Of Clinical Imrovement And Lab Investigations( Urine Albumin, Hpe If Biopsy Done) - M16A02F N04
M6 Pediatrics Medical Management M6S12 General Paediatrics Renal M6S12.2 Urinary Tract Infection With Complications Like Py BUN,Urine R/M / URINE FOR CULTURE AND SENSITIVITY/ USG,Sr. Creat Post Procedure Evidance Of Clinical Imrovement And Urine Culture/ Uriner/M / Usg - M24A24 P9689
M6 Pediatrics Medical Management M6S12 General Paediatrics Renal M6S12.3 Acute Renal Failure 10 Days Stay ELECTROLYTES req at time of preauth,RFT Post Procedure Evidance Of Clinical Imrovement And Lab Investigations (Rft) - M24A15 P960
M6 Pediatrics Medical Management M6S12 General Paediatrics Renal M6S12.4 Acute Renal Failure With Dialysis - 10 Days Stay. RFT,Uric acid / SERUM ELECTROLYTES(optional) Post Procedure Evidance Of Clinical Imrovement And Lab Investigations (Rft) - M24A25 P9689
M6 Pediatrics Medical Management M6S14 General Paediatrics Infections M6S14.1 Pyogenic Meningitis With 10 Days Stay CSF ANALYSIS ,X- RAY CHEST Post Procedure Evidance Of Clinical Imrovement And Csf Analysis - M24A27 P84
M6 Pediatrics Medical Management M6S14 General Paediatrics Infections M6S14.2 Neuro Tuberculosis- 12 Days Stay - DOTS Rx Free CSF ANALYSIS,X- RAY CHEST,CT- SCAN BRAIN Lab Investigations,Post Procedure Evidance Of Clinical Improvement - M24A28 P84
M6 Pediatrics Medical Management M6S14 General Paediatrics Infections M6S14.3 Neuro Tuberculosis With Ventilation- 12 Days Stay ABG,X- RAY CHEST,CT- SCAN BRAIN,CSF ANALYSIS Lab Investigations,Post Procedure Evidance Of Clinical Improvement - M02A63 A1781
M6 Pediatrics Medical Management M6S14 General Paediatrics Infections M6S14.4 Suspected Dengue Shock Syndrome With Thrombocytope CBC (PLATELET COUNT) / Dengue SEROLOGY CBC,Evidence Of Platelet Transfusion If Given - M24A17 A91
M6 Pediatrics Medical Management M6S14 General Paediatrics Infections M6S14.5 Cerebral Malaria (Falciparum) 7 Days Stay Blood sugar,Test for P. Falciparum PARASITE,CSF ANALYSIS Lab Investigations,Post Procedure Evidance Of Clinical Improvement - M08B04 B500
M6 Pediatrics Medical Management M6S15 General Paediatrics Neurology M6S15.2 Stroke Syndrome-14 Days Stay CT Post Treatment Evidence Of Clinical And Lab Investigation - M02A65 G463
M6 Pediatrics Medical Management M6S15 General Paediatrics Neurology M6S15.3 Encephalitis / Encephalopathy - 10 Days Stay CSF Analysis,CT-brain/ MRI Lab Investigations,Post Procedure Evidance Of Clinical Imrovement - M02A66 G05
M6 Pediatrics Medical Management M6S2 Pediatric Ic Care Respiratory M6S2.1 Severe Bronchiolitis (Ventilated) CLINICAL PHOTOGRAPH,X- RAY CHEST X-Ray - M02A54 Z382
M6 Pediatrics Medical Management M6S2 Pediatric Ic Care Respiratory M6S2.2 Severe Bronchiolitis (Non Ventilated) ABG,X- RAY CHEST,CLINICAL PHOTOGRAPH ABG,X-Ray - M24A01 P369
M6 Pediatrics Medical Management M6S2 Pediatric Ic Care Respiratory M6S2.3 Severe Bronchopneumonia (Non Ventilated) X-Ray Chest re at the time of preauth X-Ray - M24A02 P369
M6 Pediatrics Medical Management M6S2 Pediatric Ic Care Respiratory M6S2.4 Severe Bronchopneumonia (Ventilated) Clinical photo with ventilatory support SERIAL ABG,X-RAY CHEST ABG,X-Ray - M24A03 J191
M6 Pediatrics Medical Management M6S2 Pediatric Ic Care Respiratory M6S2.5 Acute Severe Asthma (Ventilated) Clinical photo with ventilatory support SERIAL ABG,X-RAY CHEST ABG,X-Ray - M24A04 P369
M6 Pediatrics Medical Management M6S2 Pediatric Ic Care Respiratory M6S2.6 Severe Aspiration Pneumonia (Non Ventilated) X-RAY CHEST Lab Investigations,Post Procedure Evidance Of Clinical Imrovement And Xray - M02A55 J690
M6 Pediatrics Medical Management M6S2 Pediatric Ic Care Respiratory M6S2.7 Severe Aspiration Pneumonia (Ventilated) Clinical photo with ventilatory support SERIAL ABG,X-RAY CHEST ABG,Post Procedure Evidance Of Clinical Imrovement And Xray Chest - M02A56 J954
M6 Pediatrics Medical Management M6S2 Pediatric Ic Care Respiratory M6S2.8 ARDS With Multi- Organ Failure ABG,X- RAY CHEST,RFT,LFT,CLINICAL PHOTOGRAPH ABG,Xray Chest Blood Culture At Claim,Lab Investigations (Lft, Rft) - M08A05 J960
M6 Pediatrics Medical Management M6S2 Pediatric Ic Care Respiratory M6S2.9 ARDS Plus DIC (Blood & Blood Products) ABG optional,X- RAY CHEST,COAGULATION PROFILE Lab Investigations( Coagulation Profile Optional) Blood Culture At Claim,X- RAY CHEST - M08A06 J960
M6 Pediatrics Medical Management M6S3 Pediatric Ic Care Cardiovascular M6S3.1 Severe Myocarditis 2 D Echo,X- RAY CHEST,ECG Post Procedure Evidance Of Clinical Imrovement And X-Ray - M24A05 P369
M6 Pediatrics Medical Management M6S3 Pediatric Ic Care Cardiovascular M6S3.2 Congenital Heart Disease With Infection (Non Venti 2 D Echo,X- RAY CHEST,CBC / CRP Post Procedure Evidance Of Clinical Imrovement And X-Ray - M24A04 P369
M6 Pediatrics Medical Management M6S3 Pediatric Ic Care Cardiovascular M6S3.3 Congenital Heart Disease With Infection And Cardio 2D ECHO,clinical photo with ventilatory support,X- RAY CHEST,SERIAL ABG Post Procedure Evidance Of Clinical Imrovement Photo And Abg,X-Ray - M24A04F Q249
M6 Pediatrics Medical Management M6S3 Pediatric Ic Care Cardiovascular M6S3.4 Cardiogenic Shock ECHO /CVP Monitoring,X-RAY CHEST Post Procedure Evidance Of Clinical Imrovement Photo And X-Ray - M02A57 R570
M6 Pediatrics Medical Management M6S3 Pediatric Ic Care Cardiovascular M6S3.5 Infective Endocarditis CBC,ECHO,CRP/BLOOD CULTURES X- RAY CHEST Post Procedure Evidance Of Clinical Imrovement Photo And Blood Culture - M02A58 I330
M6 Pediatrics Medical Management M6S4 Pediatric Ic Care Cns M6S4.1 Meningo-Encephalitis (Non Ventilated) CSF ANALYSIS,CT- SCAN Post Procedure Evidance Of Clinical Imrovement And Lab Investigations ( Csf Analysis) - M24A08 P84
M6 Pediatrics Medical Management M6S4 Pediatric Ic Care Cns M6S4.2 Meningo- Encephalitis (Ventilated) CSF ANALYSIS,SERIAL ABG,Clinical photo with ventilatory support,CT- SCAN Post Procedure Evidance Of Clinical Imrovement And Lab Investigations ( Csf Analysis) - M24A09 P84
M6 Pediatrics Medical Management M6S4 Pediatric Ic Care Cns M6S4.3 Status Epilepticus Clinical Notes,EEG optional Eeg/ Ct Scan,Post Procedure Evidance Of Clinical Imrovement With Lab Investigations - M24A09 P84
M6 Pediatrics Medical Management M6S4 Pediatric Ic Care Cns M6S4.4 Febrile Seizures (Atypical- Mechanical Ventilated) CSF ANALYSIS,SERIAL ABG Eeg/ Ct Scan,Post Procedure Evidance Of Clinical Imrovement With Lab Investigations - M24A07 P90
M6 Pediatrics Medical Management M6S4 Pediatric Ic Care Cns M6S4.5 Intra Cranial Bleed CT- SCAN/ MRI Post Procedure Evidance Of Clinical Imrovement With Lab Investigations - M24A10 P84
M6 Pediatrics Medical Management M6S5 Pediatric Ic Care Git M6S5.1 Acute Gastro Intestinal Bleed Inv - ABG/Upper GI E Upper GI Endoscopy Post Treatment Evidence For Clinical Improvement With Lab Investigations - M24A11 P781
M6 Pediatrics Medical Management M6S5 Pediatric Ic Care Git M6S5.2 Acute Pancreatitis - 10 Days PICU Stay LIPASE,USG/CT SCAN ABDOMEN,SERUM AMYLASE Post Procedure Evidance Of Clinical Imrovement With Lab Investigations( Sr. Amylase, Sr Lipase) - M24A12 P781
M6 Pediatrics Medical Management M6S5 Pediatric Ic Care Git M6S5.3 Acute Hepatitis With Hepatic Encephalopathy ? 10 D ABG,USG req,S. AMMONIA,LFT,HEPATIC VIRAL STUDIES (HEPATITIS B, HEPATITIS C),(HEPATITIS A optional),BLOOD SUGAR LEVELS Post Procedure Evidance Of Clinical Imrovement With Lab Investigations ( Lft, Sr. Ammonia) - M24A13 P781
M6 Pediatrics Medical Management M6S6 Pediatric Ic Care Renal M6S6.1 Acute Renal Failure With Dialysis - 10 Days PICU S RFT,XRAY CHEST,USG MANDATORY ,SERUM ELECTROLYTES Post Procedure Evidance Of Clinical Imrovement And Lab Investigations (Rft) - M24A14 P781
M6 Pediatrics Medical Management M6S7 Pediatric Ic Care Endocrine M6S7.1 Diabetic Ketoacidosis - 8 Days PICU Stay ABG optional,Urine Ketone,Blood sugar Blood Sugar,Post Treatment Evidence For Clinical Improvement With Biochemical Parameters - M24A15 P960
M6 Pediatrics Medical Management M6S8 Pediatric Ic Care Infection M6S8.1 Septic Shock- 10 Days PICU Stay ABG,X- RAY CHEST,CRP,CBC,BLOOD SUGAR LEVELS MANDATORY Blood Culture,Post Procedure Evidance Of Clinical Imrovement With Lab Investigations(Cbc, Crp) - M24A06 P84
M6 Pediatrics Medical Management M6S9 Pediatric Ic Care Toxicology M6S9.1 Snake Bite Requiring Ventilatory Assistance With 1 Serial ABG,coagulation profile(optional) ABG,Picu Stay With Post Treatment Evidence For Clinical Improvement With Biochemical Parameters - M12A05 D759
M6 Pediatrics Medical Management M6S9 Pediatric Ic Care Toxicology M6S9.2 Scorpion Sting With Myocarditis And Cardiogenic Sh CVP monitoring,Serial ABG,Echo,ECG Post Treatment Evidence For Clinical Improvement With Lab Investigations - M24A19 T63001A
M6 Pediatrics Medical Management M6S9 Pediatric Ic Care Toxicology M6S9.3 Poison Ingestion/ Aspiration Requiring Ventilatory CVP monitoring(optional),Serial ABG Mlc,Post Treatment Evidence For Clinical Improvement With Biochemical Parameters - M24A20 T63001A
M7 Cardiology M7F1 Angioplasty M7F1.1 Coronary Ballon Angioplasty Coronary Angiography report & Video Angioplasty Video,Stent Stickers Claims Approval Subject To Stent Visiblity And Restoration Of Arterial Lumen In Angioplasty Video - S02A01 I2101
M7 Cardiology M7F1 Angioplasty M7F1.2 PTCA Additional Stent Coronary Angiography report & Video Angioplasty Video,Stent Stickers Claims Approval Subject To Stent Visiblity And Restoration Of Arterial Lumen In Angioplasty Video - S02A03 I2101
M7 Cardiology M7F1 Angioplasty M7F1.4 Renal Angioplasty Angiography Angioplasty Video,Stent Stickers Claims Approval Subject To Stent Visiblity And Restoration Of Arterial Lumen In Angioplasty Video - S02A17 I701
M7 Cardiology M7F1 Angioplasty M7F1.5 Vertebral Angioplasty Angiography Angioplasty Video,Stent Stickers Claims Approval Subject To Stent Visiblity And Restoration Of Arterial Lumen In Angioplasty Video - S02A19 M47029
M7 Cardiology M7F1 Angioplasty M7F1.6 Peripheral Angioplasty Angiography Angioplasty Video,Stent Stickers Claims Approval Subject To Stent Visiblity And Restoration Of Arterial Lumen In Angioplasty Video - S02A18 I70209
M7 Cardiology M7F3 Cardiology Pacemaker Implantation M7F3.1 Permanent Pacemaker Implantation ECG with date & name of patient (preferably printed) Ecg,X-Ray Chest/ Fluoroscopic Image,Post Procedure Clinical Photo - S02A12 I479
M7 Cardiology M7F3 Cardiology Pacemaker Implantation M7F3.2 Temporary Pacemaker Implantation ECG with date & name of patient (preferably printed) Ecg,Post Procedure Clinical Photo - S02A13 I479
M7 Cardiology M7F4 Coarctation Of Aorta Repair / Aortoplasty M7F4.1 Coarctation Of Aorta Repair With Stent - - - S02A14 Q251
M7 Cardiology M7F4 Coarctation Of Aorta Repair / Aortoplasty M7F4.2 Coarctation Of Aorta Repair Without Stent - - - S02A15 Q251
M7 Cardiology M7PM1 Cardiology PMJAY Sub Category M7PM1.1 Coarctation dilatation 2D ECHO report stills of ECHO,2D ECHO report -
M7 Cardiology M7PM1 Cardiology PMJAY Sub Category M7PM1.2 PTSMA (Percutaneous Transluminal Septal Myocardial 2D ECHO,ECG,CAG stills showing blocks & reports Post op. Angiogram report,showing stent & post Stent flow,carton of the stents used approved by FDA/DCGI only -
M7 Cardiology M7T1 Cardiology M7T1.1 Pulmonary artery stenting Angiogram report & stills/ Video Post procedure Angio stills -
M7 Cardiology M7T1 Cardiology M7T1.10 Pericardial Effusion Tamponade 2D ECHO 2D Echo,Lab Investigations Of Pericardial Fluid - M01A10 I4430
M7 Cardiology M7T1 Cardiology M7T1.11 Thrombolytic Therapy for Acute MI Cardiac Enzymes,Serial ECG with date & name Clinical notes,Lab Investigations - M01A01 I2101
M7 Cardiology M7T1 Cardiology M7T1.12 Right ventricular outflow tract (RVOT) stenting Angiogram report & stills/ Video 2D ECHO,Post procedure Angio stills -
M7 Cardiology M7T1 Cardiology M7T1.13 Percutaneous Transluminal Tricuspid Commissurotorm 2D ECHO 2D ECHO,Fluroscopy Images -
M7 Cardiology M7T1 Cardiology M7T1.14 ASD Device Closure 2D ECHO Fluroscopy Video/Images,Stickers As And Where Applicable,Ot Notes - S02A04 Q211
M7 Cardiology M7T1 Cardiology M7T1.15 Coil Closure Multiple Coils 2D ECHO Fluroscopy Video/Images,Stickers As And Where Applicable,Ot Notes - S02A09 Q250
M7 Cardiology M7T1 Cardiology M7T1.16 Coil Closure Single Coil 2D Echo Fluroscopy Video/Images,Stickers As And Where Applicable,OT Notes - S02A08 Q250
M7 Cardiology M7T1 Cardiology M7T1.17 PDA Device Closure 2D Echo Fluroscopy Video/Images,Stickers As And Where Applicable,OT Notes - S02A07 Q250
M7 Cardiology M7T1 Cardiology M7T1.18 PDA Stenting 2D Echo Fluroscopy Video/Images,Stickers As And Where Applicable,OT Notes - S02A06 Q250
M7 Cardiology M7T1 Cardiology M7T1.2 Pulmonary artery stenting (double) Anigo,CT Pul angio/ angio Clinical Notes,ECG,Ct Pulm (Submitted During Preauth) -
M7 Cardiology M7T1 Cardiology M7T1.3 Acute MI With Cardiogenic Shock 2D Echo,ECG with date & name,Clinical notes,Cardiac Enzymes Clinical notes,Lab Investigations - M01A03 I2101
M7 Cardiology M7T1 Cardiology M7T1.4 Acute MI Requiring IABP Pump 2D Echo,TROPONIN/CPKMB,ECG,Clinical notes Clinical Notes Iabp Sticker Mandatory At The Time Of Claim,Lab Investigations - M01A02 I2101
M7 Cardiology M7T1 Cardiology M7T1.5 Refractory Cardiac Failure 2D Echo,Patient has to be certified by cardiologist/Physician for the same,Evidence of treatment resulting in refractory cardiac failure,ECG Lab Investigations,Post Treatment Evidence Of Clinical Improvement & 2D Echo - M01A05 I428
M7 Cardiology M7T1 Cardiology M7T1.6 Infective Endocarditis 2D Echo,ESR,ECG,CBC,Blood culture Blood Culture (Can Be Negative),Post Procedure Evidence Of Clinical Improvement & Ecg,Lab Investigations - M01A06 I400
M7 Cardiology M7T1 Cardiology M7T1.7 Pulmonary Embolism CT Pul angio/ angio,Doppler Clinical notes,ECG,Ct Pulm (Submitted During Preauth) - M01A07 I400
M7 Cardiology M7T1 Cardiology M7T1.8 Complex Arrhythmias ECG with date & name of patient (preferably printed) Clinical Notes,Then Procedure Notes Are Mandatory For Claims,Ecg Cartoguided Ablation If Done - M01A08 I4430
M7 Cardiology M7T1 Cardiology M7T1.9 Simple Arrhythmias ECG with date & name of patient (preferably printed) Clinical Notes,Then Procedure Notes Are Mandatory For Claims,Ecg Focus Ablation If Done - M01A09 I4430
M8 Nephrology M8S1 Nephrology M8S1.1 A V Fistula At Elbow COLOR DOPPLER Clinical Photo/Color Doppler - S35A02 N186
M8 Nephrology M8S1 Nephrology M8S1.2 A V Fistula At Wrist COLOR DOPPLER Clinical Photo/Color Doppler - S35A01 N186
M8 Nephrology M8T2 Nephrology M8T2.1 Post-Transplant Immunosuppression Treatment From 1 USG/RFT BILLS COPY -
M8 Nephrology M8T2 Nephrology M8T2.2 Acute Renal Failure-(ARF) -10 Days Stay In MICU RFT,USG Abdomen,Sr. Electrolites,S. Protein Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M24A15 P960
M8 Nephrology M8T2 Nephrology M8T2.3 Nephrotic Syndrome - 4 Days Stay RFT,USG Abdomen,S. Protein Lab Investigations,Renal Biopsy,Post Treatment Evidence Of Clinical Improvement - M16A02 N19
M8 Nephrology M8T2 Nephrology M8T2.4 Rapidly Progressive Renal Failure (RPRF)10 Days ANA/DsDNA/ANCA/C3 /C4 optional,USG Abdomen,Sr. Electrolites,S. Protein,RFT Lab Investigations,Renal Biopsy,Post Treatment Evidence Of Clinical Improvement - M16A03 N19
M8 Nephrology M8T2 Nephrology M8T2.5 Chronic Renal Failure (CRF) - 5 Days Stay for Ini RFT,USG Abdomen( At the time of first preauthorisation),USG Abdomen,Sr. Electrolites,S. Protein,RFT Lab Investigations,Sr. Creatinine Photo Of Each Dialysis Sessions Mandatory For Claim,Post Treatment Evidence Of Clinical Improvement - M16A04 N19
M8 Nephrology M8T2 Nephrology M8T2.6 Maintenance Haemodialysis For CRF- Dialysis and su S. Protein,USG Abdomen,RFT Post Treatment Evidence Of Clinical Improvements ,Sr. Creatinine Photo Of Each Dialysis Sessions Mandatory For Claim - M16A05 N19
M8 Nephrology M8T2 Nephrology M8T2.7 Post-Transplant Immunosuppression Treatment From 1 USG/RFT BILLS COPY -
M8 Nephrology M8T2 Nephrology M8T2.8 Post-Transplant Immunosuppression Treatment From 2 USG/RFT BILLS COPY -
M8 Nephrology M8T2 Nephrology M8T2.9 Post-Transplant Immunosuppression Treatment From 3 USG/RFT BILLS COPY -
M9 Neurology M9T3 Neurology M9T3.1 CIDP -10 Days Stay CSF ANALYSIS,SERUM PROTEIN ELECTROPHORESIS,NERVE BIOPSY(optional),NCS,EMG Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M17A05 G35
M9 Neurology M9T3 Neurology M9T3.10 Optic Neuritis - Analysis 3 Days Stay CSF Analysis,VEPs,MRI Brain and optic nerves Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M17A03 G35
M9 Neurology M9T3 Neurology M9T3.11 Immunoglobulin Therapy -5 Days Stay CSF Analysis,sr.pottassium,Investigation Indicative of Disease Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M17A04 G35
M9 Neurology M9T3 Neurology M9T3.12 ADEM Or Relapse In Multiple Sclerosis 15 Days Stay CSF ANALYSIS,MRI BRAIN/ SPINAL CORD (3 SITES) PLAIN/ CONTRAST Clinical Improvement,Lab Investigations - M17A01 G35
M9 Neurology M9T3 Neurology M9T3.13 Guillian-Barre Syndrome- 15 Days Stay CSF Analysis,sr.pottassium EMG,Post Treatment Evidence Of Clinical Improvements & Lab Investigations,Nerve Conduction Study - M23A11 Q079
M9 Neurology M9T3 Neurology M9T3.2 Haemorrhagic Stroke/Strokes Management with all ne CT-Brain/ MRI/MRV/MRA,ECG - not mandatory Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M17A06 G463
M9 Neurology M9T3 Neurology M9T3.3 Ischemic Strokes-Management with all necessary inv CT-Brain/ Carotid vertebral doppler Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M17A07 G463
M9 Neurology M9T3 Neurology M9T3.4 Myopathies - Acquired NCS, 15 Days Stay EMG,Serum alkaline phosphatase,Muscle biopsy,Endocrine evaluation Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M17A08 G35
M9 Neurology M9T3 Neurology M9T3.5 Neuroinfections - Fungal Meningitis- Min 20 Days - CSF analysis,cell count,CT Brain/MRI Brain,ADA Lab Investigations/ Blood Culture,Post Treatment Evidence Of Clinical Improvement - M17A12 G031
M9 Neurology M9T3 Neurology M9T3.6 Neuroinfections - Pyogenic Meningitis -Min 10 Days CSF analysis,cell count,CT Brain/MRI Brain,ADA Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M17A10 G031
M9 Neurology M9T3 Neurology M9T3.7 Neuroinfections - Viral Meningoencephalitis (Inclu CSF Antibodies for HSV,CT/MRI Brain,CSF analysis Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M17A12 G031
M9 Neurology M9T3 Neurology M9T3.8 Neuromuscular (Myasthenia Gravis)-15 Days Stay RNS/ CT chest/ Neostigmine test/ thyroid profile Lab Investigations,Post Treatment Evidence Of Clinical Improvement - M17A09 G35
M9 Neurology M9T4 Epilepsy M9T4.1 Convulsive Disorders/Status EpileptICUs (Fits) - 7 Blood Sugar,ELECTROLYTES Lab Investigations Eeg / Ct-Brain,Post Procedure Evidance Of Clinical Imrovement - M02A64 G40821
Category Code Category Name Sub Category Code Sub Category Name Surgery Code Surgery Name Pre Investigation Post Investigation Mid Investigation PCS Code ICD Code

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