Annexure 'C' Package Rates

CATEGORY / SPECIALITY SELECTION

Annexure 'E' Package Rates

S.No.Procedure 1st QtrPer Qtr (for next 3 Qtrs)Requirements while submitting for follow-up
1FP0001 : Total Thyroidectomy 1,200600TFT, Clinical Evaluation
2FP0002 : Portocaval Anastomosis 4,0002,000LFT, Clinical ,Doppler
3FP0003 : Operation of Adrenal Glands bilateral 1,600800Serum Hormone Levels, Clinical Evaluation
4FP0004 : Splenorenal Anastomosis 4,0002,000LFT, Doppler
5FP0005 : Warren Shunt (Next 3 Qtrs)4,0002,000LFT, Clinical Evaluation, Doppler
6FP0006 : Spleenectomy + Devascularisation + Spleno Renal Shunt 4,0002,000LFT, Clinical Evaluation, Doppler
7FP0007 : Lap - Pancreatic Necrosectomy 3,5001,500Serum Pancreatic Enzymes, Tolerance To Food, Blood Glucose Levels, Clinical Evaluation
8FP0008 : Pancreatic Necrosectomy (open) 3,5001,500Serum Pancreatic Enzymes, Tolerance To Food, Blood Glucose Levels, Clinical Evaluation
9FP0009 : Coronary Balloon Angioplasty 4,0002,000Inr Levels, ECG, Clinical Evaluation
10FP0010 : Renal Angioplasty 4,0002,000Serum Renin Levels, BP, Clinical Evaluation, Doppler
11FP0011 : Peripheral Angioplasty 4,0002,000Color Doppler, Capillary Filling Period, Claudications, Clinical Evaluation
12FP0012 : Vertebral Angioplasty 4,0002,000Color Doppler, Tia, Stroke, Pulse, Clinical Evaluation
13FP0013 : Coronary Bypass Surgery 4,0002,000ECG, Clinical History
14FP0014 : Coronary Bypass Surgery - post Angioplasty 4,0002,000ECG, Clinical History, Clinical Evaluation
15FP0015 : CABG with IABP Pump 4,0002,000ECG, Clinical History, Clinical Evaluation, X-ray, ECHO
16FP0016 : CABG with aneurismal repair 4,0002,000ECG, Clinical History, Clinical Evaluation, X-ray, ECHO
17FP0017 : With prosthetic Ring 4,0002,000ECG,ECHO, Clinical Evaluation
18FP0018 : Without prosthetic Ring 4,0002,000ECG,ECHO, Clinical Evaluation
19FP0019 : Open Pulmonary Valvotomy 4,0002,000ECG,ECHO, Clinical Evaluation
20FP0020 : Closed mitral Valvotomy 4,0002,000ECG,ECHO, Clinical Evaluation
21FP0021 : Mitral Valvotomy (open) 4,0002,000ECG,ECHO, Clinical Evaluation
22FP0022 : Mitral Valve Replacement (with valve) 4,0002,000ECG, ECHO, Inr Level, Clinical Evaluation
23FP0023 : Aortic Valve Replacement (with valve) 4,0002,000ECG, ECHO, Inr Level, Clinical Evaluation
24FP0024 : Tricuspid Valve Replacement 4,0002,000ECG, ECHO, Inr Level, Clinical Evaluation
25FP0025 : Double Valve Replacement (with valve) 4,0002,000ECG, ECHO, Inr Level, Clinical Evaluation
26FP0026 : Carotid Embolectomy 4,0002,000Color Doppler, Neurological Evaluation, Clinical Evaluation
27FP0027 : Encephalocele 1,600800Clinical Evaluation
28FP0028 : Surgeries On adrenal gland in children 1,600800Adrenal Hormone Levels, Clinical Evaluation
29FP0029 : Open pylolithotomy 800400USG Abdomen, Urinalysis
30FP0030 : Open Nephrolithotomy 800400USG Abdomen, Urinalysis
31FP0031 : Open Cystolithotomy 800400USG Abdomen, Urinalysis
32FP0032 : Laparoscopic Pylolithotomy 800400USG Abdomen, Urinalysis
33FP0033 : Cystolithotripsy 800400USG Abdomen, Urinalysis
34FP0034 : PCNL 800400USG Abdomen, Urinalysis
35FP0035 : ESWL 800400USG Abdomen, Urinalysis
36FP0036 : URSL 800400USG Abdomen, Urinalysis
37FP0037 : Endoscope Removal of Stone in Bladder 800400USG Abdomen, Urinalysis
38FP0038 : Transurethral resection of prostate (TURP) 800400Clinical Evaluation, PSA Level If Indicated
39FP0039 : TURP Cyst lithotripsy 800400Clinical Evaluation, PSA Level If Indicated, USG Abdomen, Urinalysis
40FP0040 : Open prostatectomy 800400Clinical Evaluation, PSA Level If Indicated
41FP0041 : Craniotomy and Evacuation of Haematoma Subdural 3,2001,600Clinical Evaluation
42FP0042 : Craniotomy and Evacuation of Haematoma Extradura 3,2001,600Clinical Evaluation
43FP0043 : Evacuation of Brain Abscess-burr hole 3,2001,600Clinical Evaluation
44FP0044 : Excision of Lobe (Frontal,Temporal, Cerebellum etc 3,2001,600Clinical Evaluation, CT , EEG If Indicated
45FP0045 : Excision of Brain Tumour Supratentorial 3,2001,600Clinical Evaluation, Ct Scan/MRI
46FP0046 : Parasagittal 3,2001,600Clinical Evaluation, Ct Scan/MRI
47FP0047 : Basal 3,2001,600Clinical Evaluation, Ct Scan/MRI
48FP0048 : Brain Stem 3,2001,600Clinical Evaluation, Ct Scan/MRI
49FP0049 : C P Angle Tumour 3,2001,600Clinical Evaluation, Ct Scan/MRI
50FP0050 : Excision of Brain Tumour Subtentorial 3,2001,600Clinical Evaluation, Ct Scan/MRI
51FP0051 : Ventriculoatrial/Ventriculoperitoneal Shunt 3,2001,600Clinical Evaluation, Ct Scan/MRI
52FP0052 : Subdural Tapping 3,2001,600Clinical Evaluation, Ct Scan/MRI
53FP0053 : Abscess Tapping 3,2001,600Clinical Evaluation
54FP0054 : Vascular Malformations 3,2001,600Clinical Evaluation, Ct Scan/MRI
55FP0055 : Meningo Encephalocele 3,2001,600Clinical Evaluation, Ct Scan/MRI
56FP0056 : Meningo myelocele 3,2001,600Clinical Evaluation, Ct Scan/MRI
57FP0057 : Ventriculo-Atrial Shunt 3,2001,600Clinical Evaluation, Ct Scan/MRI
58FP0058 : Excision of Brain Abscess 3,2001,600Clinical Evaluation, Ct Scan/MRI
59FP0059 : Aneurysm Clipping 3,2001,600Clinical Evaluation, Ct Scan/MRI
60FP0060 : External Ventricular Drainage (EVD) 3,2001,600Clinical Evaluation
61FP0061 : Trans Sphenoidal Surgery 3,2001,600Clinical Evaluation, Ct Scan/MRI
62FP0062 : Trans Oral Surgery 3,2001,600Clinical Evaluation, Ct Scan/MRI
63FP0063 : Endoscopy Procedures 3,2001,600Clinical Evaluation, copy If Required
64FP0064 : Intra-cerebral Hematoma Evacuation 3,2001,600Clinical Evaluation, Ct Scan/MRI
65FP0065 : Temporal Lobectomy 3,2001,600Clinical Evaluation, Ct Scan/MRI, EEG
66FP0066 : Lesionectomy Type - 1 3,2001,600Clinical Evaluation, Ct Scan/MRI, EEG
67FP0067 : Lesionectomy Type - 2 3,2001,600Clinical Evaluation, Ct Scan/
68FP0068 : Temporal Lobectomy Plus Depth Electrodes 3,2001,600Clinical Evaluation, Ct Scan/
69FP0069 : Stay in General Ward @ Rs.500day 3,2001,600Clinical Evaluation
70FP0070 : Stay in Neuro ICU @ Rs.4000day 3,2001,600Clinical Evaluation
71FP0071 : Surgical Treatment (Up to) 3,2001,600Clinical Evaluation
72FP0072 : Acute Severe Asthma with Acute respiratory failure 4,0002,000Clinical Evaluation
73FP0073 : COPD Respiratory Failure (infective exacerbation) 4,0002,000Clinical Evaluation, PFT, Chest X-ray
74FP0074 : 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 3,0001,000Clinical Evaluation, PFT
75FP0075 : Term baby with seiZures ventilated 2,0001,000Clinical Evaluation, ECHO, TC, DC
76FP0076 : Acute Severe Asthma with (Ventilated) 1,600800Clinical Evaluation, Pefr
77FP0077 : Infective Endocarditis 4,0002,000Clinical Evaluation, Blood Culture, ECHO.
78FP0078 : Meningo-encephalitis (Non Ventilated) 2,0001,500Clinical Evaluation
79FP0079 : Meningo-encephalitis(Ventilated) 2,0001,500Clinical Evaluation
80FP0080 : Status Epilepticus 2,0001,500Clinical Evaluation, EEG
81FP0081 : Intra Cranial bleed 2,0001,500Clinical Evaluation, Investigations On Case To Case Basis
82FP0082 : Congenital heart disease with congestive cardiac failure 2,0001,000Clinical Evaluation, ECG, Cardiac Enzymes, ECHO
83FP0083 : Acquired heart disease with congestive cardiac failure 2,0001,000Clinical Evaluation, ECG, Cardiac Enzymes, ECHO
84FP0084 : Steroid Resistant Nephrotic syndrome Complicated ro Resistant 2,0001,000RFT, Clinical Evaluation
85FP0085 : Sickle Cell Anemia 2,0001,000Clinical Evaluation, Hb, Lab Investigation
86FP0086 : Neuro Tuberculosis 2,0001,000Clinical Evaluation, Tc/Dc
87FP0087 : Acute Myocardial infarction 4,0002,000Clinical Evaluation, ECG, Cardiac Enzymes, ECHO
88FP0088 : Infective Endocarditis 4,0002,000Clinical Evaluation, ECG,ECHO
89FP0089 : Complex Arrythmias 4,0002,000Clinical Evaluation, ECG
90FP0090 : Nephrotic Syndrome 2,0001,000Clinical Evaluation, RFT
91FP0091 : ADEM or Relapse in Multiple - sclerosis 2,0001,000Clinical Evaluation
92FP0092 : CIDP 2,0001,000Clinical Evaluation
93FP0093 : Haemorrhagic Stroke/Strokes 2,0001,000Clinical Evaluation
94FP0094 : Ischemic Strokes 2,0001,000Clinical Evaluation
95FP0095 : NEUROINFECTIONS - fungal meningitis 2,0001,000Clinical Evaluation, Lp, Blood Investigations, Repeat Ct If Required
96FP0096 : NEUROINFECTIONS - pyogenic meningitis 2,0001,000Clinical, Blood Investigations, Repeat Ct If Required
97FP0097 : Meningoencephalitis (Including Herpes encephalitis) 2,0001,000Clinical, Blood Investigations, Repeat Ct If Required
98FP0098 : Neuromuscular (myasthenia gravis) 1,600800Clinical Evaluation
99FP0099 : Interstitial lung disease 4,0002,000Clinical Evaluation, PFT
100FP0100 : Pneumoconiosis 4,0002,000Clinical Evaluation, PFT, Chest X-Ray
101FP0101 : Pemphigus/Pemphgoid 1,400700Clinical Evaluation
102FP0102 : SLE (SYSTEMIC LUPUS ERYTHEMATOSIS) 2,4001,200Clinical Evaluation
103FP0103 : SCLERODERMA 2,4001,200Clinical Evaluation
104FP0104 : MCTD MIXED CONNECTIVE TISSUE 2,4001,200Clinical Evaluation
105FP0105 : VACSULITIS 2,4001,200Clinical Evaluation
106FP0106 : Hypopitutarism 3,5001,500Clinical Evaluation, Pituitary Hormone Levels
107FP0107 : pituitary - Acromegaly 2,0001,500Clinical Evaluation, Pituitary Hormone Levels
108FP0108 : Delayed Puberty Hypogonadism (ex. Turners synd,klienfelter synd) 2,5001,500Clinical Evaluation
109FP0109 : Gastric Varices 2,5001,500Clinical Evaluation, Endoscopy
110FP0110 : Chronic Pancreatitis with severe pain 2,5001,500Clinical Evaluation, Serum Pancreatic Enzymes
111FP0111 : Cirrhosis with Hepatic Encephalopathy 2,5001,500Clinical Evaluation, LFT, Aptt
112FP0112 : Cirrhosis with Hepatic renal syndrome 2,5001,500Clinical Evaluation, LFT, RFT, Aptt
113FP0113 : Thalassemia Major requiring Chelation 2,5002,500Clinical Evaluation, Hb%, Serum Iron Values, Serum Ferritin