Annexure 'C' Package Rates
CATEGORY / SPECIALITY SELECTION
Annexure 'E' Package Rates
| S.No. | Procedure | 1st Qtr | Per Qtr (for next 3 Qtrs) | Requirements while submitting for follow-up |
|---|
| 1 | FP0001 : Total Thyroidectomy | 1,200 | 600 | TFT, Clinical Evaluation |
| 2 | FP0002 : Portocaval Anastomosis | 4,000 | 2,000 | LFT, Clinical ,Doppler |
| 3 | FP0003 : Operation of Adrenal Glands bilateral | 1,600 | 800 | Serum Hormone Levels, Clinical Evaluation |
| 4 | FP0004 : Splenorenal Anastomosis | 4,000 | 2,000 | LFT, Doppler |
| 5 | FP0005 : Warren Shunt (Next 3 Qtrs) | 4,000 | 2,000 | LFT, Clinical Evaluation, Doppler |
| 6 | FP0006 : Spleenectomy + Devascularisation + Spleno Renal Shunt | 4,000 | 2,000 | LFT, Clinical Evaluation, Doppler |
| 7 | FP0007 : Lap - Pancreatic Necrosectomy | 3,500 | 1,500 | Serum Pancreatic Enzymes, Tolerance To Food, Blood Glucose Levels, Clinical Evaluation |
| 8 | FP0008 : Pancreatic Necrosectomy (open) | 3,500 | 1,500 | Serum Pancreatic Enzymes, Tolerance To Food, Blood Glucose Levels, Clinical Evaluation |
| 9 | FP0009 : Coronary Balloon Angioplasty | 4,000 | 2,000 | Inr Levels, ECG, Clinical Evaluation |
| 10 | FP0010 : Renal Angioplasty | 4,000 | 2,000 | Serum Renin Levels, BP, Clinical Evaluation, Doppler |
| 11 | FP0011 : Peripheral Angioplasty | 4,000 | 2,000 | Color Doppler, Capillary Filling Period, Claudications, Clinical Evaluation |
| 12 | FP0012 : Vertebral Angioplasty | 4,000 | 2,000 | Color Doppler, Tia, Stroke, Pulse, Clinical Evaluation |
| 13 | FP0013 : Coronary Bypass Surgery | 4,000 | 2,000 | ECG, Clinical History |
| 14 | FP0014 : Coronary Bypass Surgery - post Angioplasty | 4,000 | 2,000 | ECG, Clinical History, Clinical Evaluation |
| 15 | FP0015 : CABG with IABP Pump | 4,000 | 2,000 | ECG, Clinical History, Clinical Evaluation, X-ray, ECHO |
| 16 | FP0016 : CABG with aneurismal repair | 4,000 | 2,000 | ECG, Clinical History, Clinical Evaluation, X-ray, ECHO |
| 17 | FP0017 : With prosthetic Ring | 4,000 | 2,000 | ECG,ECHO, Clinical Evaluation |
| 18 | FP0018 : Without prosthetic Ring | 4,000 | 2,000 | ECG,ECHO, Clinical Evaluation |
| 19 | FP0019 : Open Pulmonary Valvotomy | 4,000 | 2,000 | ECG,ECHO, Clinical Evaluation |
| 20 | FP0020 : Closed mitral Valvotomy | 4,000 | 2,000 | ECG,ECHO, Clinical Evaluation |
| 21 | FP0021 : Mitral Valvotomy (open) | 4,000 | 2,000 | ECG,ECHO, Clinical Evaluation |
| 22 | FP0022 : Mitral Valve Replacement (with valve) | 4,000 | 2,000 | ECG, ECHO, Inr Level, Clinical Evaluation |
| 23 | FP0023 : Aortic Valve Replacement (with valve) | 4,000 | 2,000 | ECG, ECHO, Inr Level, Clinical Evaluation |
| 24 | FP0024 : Tricuspid Valve Replacement | 4,000 | 2,000 | ECG, ECHO, Inr Level, Clinical Evaluation |
| 25 | FP0025 : Double Valve Replacement (with valve) | 4,000 | 2,000 | ECG, ECHO, Inr Level, Clinical Evaluation |
| 26 | FP0026 : Carotid Embolectomy | 4,000 | 2,000 | Color Doppler, Neurological Evaluation, Clinical Evaluation |
| 27 | FP0027 : Encephalocele | 1,600 | 800 | Clinical Evaluation |
| 28 | FP0028 : Surgeries On adrenal gland in children | 1,600 | 800 | Adrenal Hormone Levels, Clinical Evaluation |
| 29 | FP0029 : Open pylolithotomy | 800 | 400 | USG Abdomen, Urinalysis |
| 30 | FP0030 : Open Nephrolithotomy | 800 | 400 | USG Abdomen, Urinalysis |
| 31 | FP0031 : Open Cystolithotomy | 800 | 400 | USG Abdomen, Urinalysis |
| 32 | FP0032 : Laparoscopic Pylolithotomy | 800 | 400 | USG Abdomen, Urinalysis |
| 33 | FP0033 : Cystolithotripsy | 800 | 400 | USG Abdomen, Urinalysis |
| 34 | FP0034 : PCNL | 800 | 400 | USG Abdomen, Urinalysis |
| 35 | FP0035 : ESWL | 800 | 400 | USG Abdomen, Urinalysis |
| 36 | FP0036 : URSL | 800 | 400 | USG Abdomen, Urinalysis |
| 37 | FP0037 : Endoscope Removal of Stone in Bladder | 800 | 400 | USG Abdomen, Urinalysis |
| 38 | FP0038 : Transurethral resection of prostate (TURP) | 800 | 400 | Clinical Evaluation, PSA Level If Indicated |
| 39 | FP0039 : TURP Cyst lithotripsy | 800 | 400 | Clinical Evaluation, PSA Level If Indicated, USG Abdomen, Urinalysis |
| 40 | FP0040 : Open prostatectomy | 800 | 400 | Clinical Evaluation, PSA Level If Indicated |
| 41 | FP0041 : Craniotomy and Evacuation of Haematoma Subdural | 3,200 | 1,600 | Clinical Evaluation |
| 42 | FP0042 : Craniotomy and Evacuation of Haematoma Extradura | 3,200 | 1,600 | Clinical Evaluation |
| 43 | FP0043 : Evacuation of Brain Abscess-burr hole | 3,200 | 1,600 | Clinical Evaluation |
| 44 | FP0044 : Excision of Lobe (Frontal,Temporal, Cerebellum etc | 3,200 | 1,600 | Clinical Evaluation, CT , EEG If Indicated |
| 45 | FP0045 : Excision of Brain Tumour Supratentorial | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 46 | FP0046 : Parasagittal | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 47 | FP0047 : Basal | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 48 | FP0048 : Brain Stem | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 49 | FP0049 : C P Angle Tumour | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 50 | FP0050 : Excision of Brain Tumour Subtentorial | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 51 | FP0051 : Ventriculoatrial/Ventriculoperitoneal Shunt | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 52 | FP0052 : Subdural Tapping | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 53 | FP0053 : Abscess Tapping | 3,200 | 1,600 | Clinical Evaluation |
| 54 | FP0054 : Vascular Malformations | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 55 | FP0055 : Meningo Encephalocele | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 56 | FP0056 : Meningo myelocele | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 57 | FP0057 : Ventriculo-Atrial Shunt | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 58 | FP0058 : Excision of Brain Abscess | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 59 | FP0059 : Aneurysm Clipping | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 60 | FP0060 : External Ventricular Drainage (EVD) | 3,200 | 1,600 | Clinical Evaluation |
| 61 | FP0061 : Trans Sphenoidal Surgery | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 62 | FP0062 : Trans Oral Surgery | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 63 | FP0063 : Endoscopy Procedures | 3,200 | 1,600 | Clinical Evaluation, copy If Required |
| 64 | FP0064 : Intra-cerebral Hematoma Evacuation | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI |
| 65 | FP0065 : Temporal Lobectomy | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI, EEG |
| 66 | FP0066 : Lesionectomy Type - 1 | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/MRI, EEG |
| 67 | FP0067 : Lesionectomy Type - 2 | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/ |
| 68 | FP0068 : Temporal Lobectomy Plus Depth Electrodes | 3,200 | 1,600 | Clinical Evaluation, Ct Scan/ |
| 69 | FP0069 : Stay in General Ward @ Rs.500day | 3,200 | 1,600 | Clinical Evaluation |
| 70 | FP0070 : Stay in Neuro ICU @ Rs.4000day | 3,200 | 1,600 | Clinical Evaluation |
| 71 | FP0071 : Surgical Treatment (Up to) | 3,200 | 1,600 | Clinical Evaluation |
| 72 | FP0072 : Acute Severe Asthma with Acute respiratory failure | 4,000 | 2,000 | Clinical Evaluation |
| 73 | FP0073 : COPD Respiratory Failure (infective exacerbation) | 4,000 | 2,000 | Clinical Evaluation, PFT, Chest X-ray |
| 74 | FP0074 : Term Baby with persistent pulmonary hypertension/meconia aspirition syndrom/mechanical ventilation/with or without clinical sepsis/with or without hyperbilirubinemia/with or without perinatal asphyxia | 3,000 | 1,000 | Clinical Evaluation, PFT |
| 75 | FP0075 : Term baby with seiZures ventilated | 2,000 | 1,000 | Clinical Evaluation, ECHO, TC, DC |
| 76 | FP0076 : Acute Severe Asthma with (Ventilated) | 1,600 | 800 | Clinical Evaluation, Pefr |
| 77 | FP0077 : Infective Endocarditis | 4,000 | 2,000 | Clinical Evaluation, Blood Culture, ECHO. |
| 78 | FP0078 : Meningo-encephalitis (Non Ventilated) | 2,000 | 1,500 | Clinical Evaluation |
| 79 | FP0079 : Meningo-encephalitis(Ventilated) | 2,000 | 1,500 | Clinical Evaluation |
| 80 | FP0080 : Status Epilepticus | 2,000 | 1,500 | Clinical Evaluation, EEG |
| 81 | FP0081 : Intra Cranial bleed | 2,000 | 1,500 | Clinical Evaluation, Investigations On Case To Case Basis |
| 82 | FP0082 : Congenital heart disease with congestive cardiac failure | 2,000 | 1,000 | Clinical Evaluation, ECG, Cardiac Enzymes, ECHO |
| 83 | FP0083 : Acquired heart disease with congestive cardiac failure | 2,000 | 1,000 | Clinical Evaluation, ECG, Cardiac Enzymes, ECHO |
| 84 | FP0084 : Steroid Resistant Nephrotic syndrome Complicated ro Resistant | 2,000 | 1,000 | RFT, Clinical Evaluation |
| 85 | FP0085 : Sickle Cell Anemia | 2,000 | 1,000 | Clinical Evaluation, Hb, Lab Investigation |
| 86 | FP0086 : Neuro Tuberculosis | 2,000 | 1,000 | Clinical Evaluation, Tc/Dc |
| 87 | FP0087 : Acute Myocardial infarction | 4,000 | 2,000 | Clinical Evaluation, ECG, Cardiac Enzymes, ECHO |
| 88 | FP0088 : Infective Endocarditis | 4,000 | 2,000 | Clinical Evaluation, ECG,ECHO |
| 89 | FP0089 : Complex Arrythmias | 4,000 | 2,000 | Clinical Evaluation, ECG |
| 90 | FP0090 : Nephrotic Syndrome | 2,000 | 1,000 | Clinical Evaluation, RFT |
| 91 | FP0091 : ADEM or Relapse in Multiple - sclerosis | 2,000 | 1,000 | Clinical Evaluation |
| 92 | FP0092 : CIDP | 2,000 | 1,000 | Clinical Evaluation |
| 93 | FP0093 : Haemorrhagic Stroke/Strokes | 2,000 | 1,000 | Clinical Evaluation |
| 94 | FP0094 : Ischemic Strokes | 2,000 | 1,000 | Clinical Evaluation |
| 95 | FP0095 : NEUROINFECTIONS - fungal meningitis | 2,000 | 1,000 | Clinical Evaluation, Lp, Blood Investigations, Repeat Ct If Required |
| 96 | FP0096 : NEUROINFECTIONS - pyogenic meningitis | 2,000 | 1,000 | Clinical, Blood Investigations, Repeat Ct If Required |
| 97 | FP0097 : Meningoencephalitis (Including Herpes encephalitis) | 2,000 | 1,000 | Clinical, Blood Investigations, Repeat Ct If Required |
| 98 | FP0098 : Neuromuscular (myasthenia gravis) | 1,600 | 800 | Clinical Evaluation |
| 99 | FP0099 : Interstitial lung disease | 4,000 | 2,000 | Clinical Evaluation, PFT |
| 100 | FP0100 : Pneumoconiosis | 4,000 | 2,000 | Clinical Evaluation, PFT, Chest X-Ray |
| 101 | FP0101 : Pemphigus/Pemphgoid | 1,400 | 700 | Clinical Evaluation |
| 102 | FP0102 : SLE (SYSTEMIC LUPUS ERYTHEMATOSIS) | 2,400 | 1,200 | Clinical Evaluation |
| 103 | FP0103 : SCLERODERMA | 2,400 | 1,200 | Clinical Evaluation |
| 104 | FP0104 : MCTD MIXED CONNECTIVE TISSUE | 2,400 | 1,200 | Clinical Evaluation |
| 105 | FP0105 : VACSULITIS | 2,400 | 1,200 | Clinical Evaluation |
| 106 | FP0106 : Hypopitutarism | 3,500 | 1,500 | Clinical Evaluation, Pituitary Hormone Levels |
| 107 | FP0107 : pituitary - Acromegaly | 2,000 | 1,500 | Clinical Evaluation, Pituitary Hormone Levels |
| 108 | FP0108 : Delayed Puberty Hypogonadism (ex. Turners synd,klienfelter synd) | 2,500 | 1,500 | Clinical Evaluation |
| 109 | FP0109 : Gastric Varices | 2,500 | 1,500 | Clinical Evaluation, Endoscopy |
| 110 | FP0110 : Chronic Pancreatitis with severe pain | 2,500 | 1,500 | Clinical Evaluation, Serum Pancreatic Enzymes |
| 111 | FP0111 : Cirrhosis with Hepatic Encephalopathy | 2,500 | 1,500 | Clinical Evaluation, LFT, Aptt |
| 112 | FP0112 : Cirrhosis with Hepatic renal syndrome | 2,500 | 1,500 | Clinical Evaluation, LFT, RFT, Aptt |
| 113 | FP0113 : Thalassemia Major requiring Chelation | 2,500 | 2,500 | Clinical Evaluation, Hb%, Serum Iron Values, Serum Ferritin |
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