OP Poisoning without Ventilatory Assistance Clinical Photo - Upto 1 Week Stay
Stapedectomy + Veingraft
Tympanoplasty
Labyrinthectomy
Laryngo Fissurectomy
Phono Surgery For Vocal Cord Paralysis
Parapharyngeal Tumour Excision
Excision Of Tumours In Pharynx
Microlaryngeal Surgery
Adenoidectomy - Gromet Insertion
Uvulo-Palato Pharyngoplasty
Excision Of Benign Tumour Nose
Angiofibroma Nose
Endoscopic DCR
Endoscopic Sinus Surgery
Mastoidectomy
Facial Nerve Decompression
Myringotomy without grommet insertion
Myringoplasty
Bronchoscopic Foreign Body Removal
Peritonsillor abscess under LA
Septo-rhinoplasty
Fracture reduction nose with septal correction
Myrinogotomy with Grommet - Both ear
Myringotomy with Grommet - One ear
"Excision of Pinna for Growths (Squamous/Basal)
Injuries - Skin only"
Excision of Pinna for Growths (Squamous/Basal) Injuries - Skin and cartilage
Ethmoidectomy ? External
"Ant. Ethmoidal artery ligation - open/
endoscopic"
"Nasal polypectomy ? Unilateral single or
multiple"
Vidian neurectomy ? Micro
Intra Nasal Ethmoidectomy
"Excision of growth Jaw + free fibular flap
reconstruction"
"Excision of CA cheek/ oral cavity + radial
forearm flap"
"Laryngopharyngectomy with Gastric pull-up/
jejunal graft"
Ranula excision
Retro pharyngeal abscess ? Drainage
Parapharyngeal Abscess ? Drainage
Parapharyngeal ? Exploration
Oro Antral fistula
Laryngophayryngectomy
Pharyngeal diverticulum's ? Excision
Choanal atresia
Arytenoidectomy
Rhinosporidiosis
Intranasal Diathermy
Endoscopic Hypophysectomy
Youngs operation
Radical fronto ethmo sphenodectomy
Turbinectomy Partial - unilateral
Turbinectomy Partial - Bilateral
Rhinotomy ? Lateral
Fracture - setting nasal bone
Septoplasty + FESS
Antrostomy - Unilateral
Antrostomy - Bilateral
Tympanotomy
Skull base surgery
Excision of Pinna for Growths (Squamous/Basal) Injuries - Total Amputation & Excision of External Auditory Meatus
Excision of Pinna for Growths (Squamous/Basal) Injuries - Total Amputation
Ossiculoplasty
Behind The Ear Analogue Hearing Aid
Wedge Excision
Removal Of Submandibular Salivary Gland
Brachial Cyst Excision
Parotid Duct Repair
Segmental Mandible Excision
Hemimandibulectomy
Branchial Sinus Excision
Hemi/partial/Subtotal thyroidectomy
Excision Of Thyroglossal Cyst Fistula
Parathyroidectomy
Isthmectomy
Cystic Hygroma Excision-Minor
Total Thyroidectomy
"Bronchial Injuries Due To Foreign Body Repair
Surgery"
Abbe Operation
Partial Glossectomy
Cystic Hygroma Excision-Major
"Acute inflammatory demyelinating
Polyneuropathy"
"Cerebral sino-venous thrombosis (any Isolated/Multiple sinovenus thrombosis without involvment of cavernous sinus) Renamed as
independent procedure"
Acute transverse myelitis
Hyperosmolar Non-Ketotic coma
"Metabolic encephalopathy/encephalitis due to
any cause"
Thrombocytopenia With Bleeding Diathesis
TB Meningitis
Snake Bite Requiring Ventilator Support
Scorpion Sting Requiring Ventilator Support
Metabolic Coma Requiring Ventilatory Support
"Cerebral Malaria (Falciparum) requiring Ventilatory support and treatment with Blood and Platelet Transfusion, IV antibiotics, IV fluids, Mefloquine, IV quinine or IV artesunate,
Paracetamol,"
Severe anemia
"Sickle cell Crisis presenting with Fever, Joint
pains, Tachycardia)"
Carotid Body-Tumours Excision
Cervical Rib Excision
Operation For Hydatid Cyst Liver
Portocaval Anastomosis
Cystogastrostomy
Lap.Cholecystectomy
Cholecystectomy
Cystojejunostomy
Repair Of CBD
"Operation On Adrenal Glands Unilateral For
Tumour"
Warren Shunt
Splenorenal Anastomosis
Splenectomy For Hypersplenism
Right Hemi Colectomy
Total Colectomy
Left Hemi Colectomy
Operation For Volvulus Of Large Bowel
Operation Of The Duplication Of The Intestines
Colostomy Closure
Colostomy
Mal-Rotation & Volvulus Of The Midgut
Resection Enucleation
Simple Mastectomy(NM)
Umbilical Hernia Without Mesh
Epigastric Hernia Without Mesh
Epigastric Hernia With Mesh
Rare Hernias (Spigalion,Obuturator,Sciatic)
Hiatus Hernia Repair Abdominal
Ventral And Scar Hernia With Mesh
Umbilical Hernia With Mesh
Ventral and Scar Hernia Without Mesh
Lap. Appendectomy
AppendIcular Perforation
Gastrostomy Closure
Pyloromyotomy
Gastrostomy
Partial/Subtotal Gastrectomy For Ulcer
Operation For Bleeding Peptic Ulcer
Duodenal Perforation
Intussusception
Operation For Acute Intestinal Obstruction
Operation For Acute Intestinal Perforation
Ileostomy
Ileostomy Closure
Resection & Anastomosis Of Small Intestine
"Operation For Haemorrhage Of The Small
Intestine"
"Operations For Recurrent Intestinal Obstruction
(Noble Plication Other)"
Pull Through Abdominal Resection
Benign Soft Tissue Tumor (large) ? Excision
Rectal Dilation
Infected Bunion Foot ? Excision
Epidedectomy
Epidymal Cyst
Cyst over Scrotum ? Excision
Gastric Perforation Isolated
Papilloma Rectum ? Excision
Ganglion - Sclerotherapy
Excision Meckel's Diverticulum Isolated
Excision of Swelling in Right Cervical Region
Lipoma in lower limb
Granuloma - Excision
Ganglion - Excision
Cystic mass ? Excision
Cervial Lymphnodes
Caecostomy
Free Grafts - Wolfe Grafts
"Aspiration of cold Abscess of Lymphnode
minimum 2 follow up dressing"
Estlander Operation (lip)
"Debridement of Ulcer-Leprosy And 3 follow up
dressing"
Umbilical Sinus ? Excision
Tracheoplasty (Throat)
Sigmoid Diverticulum
Resection Anastomosis (Large Intestine)
Rectopexy
Growth in the Scalp ? Excision
Mesenteric Caval Anastomosis
Mesenteric Cyst ? Excision
"Excision and Skin Graft of Venous Ulcer
Unilateral, multiple"
Unilateral,single"
Exicision of Sinus and Curettage
Excision of Neurofibroma
"Excision of Growth from Tongue with neck node
dissection"
Excision Small Intestinal Fistula
Excision Mammary Fistula
Excision Filarial Scrotum
Excision Benign Tumor -Small intestine
Evacuation of Scrotal Hematoma
Fibroadenoma - unilateral
Drainage of Subdiaphramatic Abscess
Fibroadenoma - Bilateral
Excision of Benign Growth from Tongue only
Epididymal Swelling / Cyst ? Excision
Hydrocele + Orchidectomy / Epidydectomy
Branchial Fistula
Bakers Cyst ? Excision
"Incision and Drainage of large Abscess with
minimum 2 followup dressings"
Dermoid Cyst ? Excision
Wrist Disarticulation Prosthesis
"Rehabilitative management of spine deformity -
Milwaukee Brace Plastic Model"
Rehabilitative management of non healing ulcers of foot - Modified footwear with Silicon
LLETZ (Large Loop Excision of the transformation zone )
Anaemia Of Unknown Cause treated with Haematinics, Blood Transfusion etc for minimum 5 Days Stay - Payable maximum upto
Thalassemia Major Requiring Chelation Therapy 7 Days Stay - Payable maximum upto
"Haemophilia treatment with IV FPP, Factor VIII
/Cryoprecipitate"
Chelation Therapy For Thalassemia
Tetanus Severe
Diphtheria Complicated
Cryptococcal Meningitis
Maintenance Haemodialysis For CRF- Dialysis and supportive therapy (12 dialysis per month or as per advice of Nephrologist)- Package includes per dialysis cost including return fare.
Nephrotic Syndrome - 4 Days Stay
Acute Renal Failure-(ARF) -10 Days Stay In MICU
Rapidly Progressive Renal Failure (RPRF)10 Days
"Chronic Renal Failure (CRF) - 5 Days Stay for Initial treatment and Dialysis and supportive
therapy"
Post-Transplant Immunosuppression Treatment From 31st To 36th Month After Transplantation
Post-Transplant Immunosuppression Treatment From 25th To 30th Month After Transplantation
Post-Transplant Immunosuppression Treatment From 19th To 24th Month After Transplantation
Post-Transplant Immunosuppression Treatment From 13th To 18th Month After Transplantation
A V Fistula At Wrist
A V Fistula At Elbow
Endoscopic Third Ventriculostomy
Intra-Cerebral Hematoma Evacuation
Endoscopy Procedures
De-Compressive Craniotomy(Non Traumatic)
Evacuation Of Brain Abscess - Burr Hole
"Excision Of Lobe (Frontal, Temporal, Cerebellum
Etc.)"
"Craniotomy And Evacuation Of Hematoma
Subdural"
Extradural"
Lesionectomy Type 2
Lesionectomy Type 1
Temporal Lobectomy
Temporal Lobectomy Plus Depth Electrodes
Micro Vascular Decompression
Radiofrequency Ablation
Embolization (Non coil)
Cost Of Each Coil
Aneurysm Clipping
Parasagittal Tumour
C P Angle Tumour
Basal Brain Tumour
Brain Stem Tumour
Meningoencephalocele
Cranioplasty
Meningocele Excision
Meningomylocele
C.S.F. Rhinorrhoea
Ventriculoatrial Shunt
External Ventricular Drainage (EVD)
Excision Of Brain Abscess
cerebellar tumours
Thecoperitoneal Shunt
Abscess Tapping (Twist drill)
Twist Drill Craniotomy
Subdural Tapping
Ventriculolateral / Ventriculoperitoneal Shunt
Ventricular Tapping
Vascular Malformations
Other Procedures
Spinal Fusion Procedure
Discectomy
Excision Of Cervical Intervertebral Discs
Spinal Intramedullary Tumours
Spina Bifida Surgery Major
Anterolateral Decompression
Laminectomy
Anterior Cervical Discectomy
Anterior Cervical Spine Surgery With Fusion
Surgery On Cord Tumours
Spine - Intradural Haematoma with fixation
Spine - Intradural Haematoma
Spine - Extradural Haematoma
Excision of Benign Orbital Tumour
Trans Oral Surgery
"Combined Trans Oral Surgery And CV Junction
Fusion"
Trans Sphenoidal Surgery
"Stereotactic Procedures - Post Procedure
Evidence Of Clinical Photograph"
C.V. Junction Fusion
Corpectomy For Spinal Fixation
Anterior Discectomy & Bone Grafting
Spinal Fixation Rods And Plates, Artificial Discs
Syringomyelia
Discectomy With Implants
Proptosis
Repair Of Brachial Plexus Injury
Peripheral Nerve Injury Repair
Decompression/Excision Of Optic Nerve Lesions
"Carpal Tunnel Release including pre and post
Op. MRI"
Foramen Magnum Decompression
Spine - Extradural Haematoma with Implant
R.F. Lesion for Trigeminal Neuralgia
Peripheral Neurectomy/R.F. or surgery
Local Neurectomy/R.F. or Surgery
Intracerebral Hematoma
Duroplasty
Spine - Extradural Tumour with fixation
"Neurosurgical Trauma Surgical Treatment (Up
To)"
Depressed Fracture of Skull
Neurosurgical Trauma Consertative Management Stay In Neuro ICU@Rs.4000/Day
"Neurosurgical Trauma Consertative
Management Stay In General Ward @Rs.500/ Day"
"Pediatric Cataract Surgery - Phacoemulsification IOL"
"Glaucoma Filtering Surgery For Paediatric Glaucoma"
"Photocoagulation For Diabetic Retinopathy Per Sitting"
Scleral Buckle For Retinal Detachment
Corneal Patch Graft
Scleral Patch Graft
Penetrating Keratoplasty
Amniotic Membrane Graft
Therapeutic Penetrating Keratoplasty
Lamellar Keratoplasty
Removal Of Silicon Oil Or Gas
Vitrectomy Plus Silicon Oil Or Gas.
Monthly Intravitreal Anti-VEGF For Macular Degeneration - Per Injection (Maximum 6)
"Vitrectomy - Membrane Peeling Endolaser ,
Silicon Oil Or Gas" Vitrectomy
Vitrectomy + Membrane Peeling+ Endolaser
Orbitotomy
Dermis Fat Graft
Socket Reconstruction
Enuleation With Orbital Implant
Oblique Muscle
Rectus Muscle Surgery Two/Three
Rectus Muscle Surgery Single.
Lid Reconstruction Surgery
Evisceration
Ectropion correction
Entropion correction
Conjunctival tumour excision + AMG
Iris cyst removal
Iridectomy- surgical
Iridectomy- laser
IRIS Prolapse Repair
Limbal Dermoid Removal
Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including postoperative medications for 12 weeks (and wherever surgical or laser procedures required for bleb augmentation and anterior chamber maintenance)
Cyclophotocoagulation
Cyclocryotherapy
Prophylactic Cryoretinopexy- Closed
Canaliculo Dacryocysto Rhinostomy
Buckle Removal
"Advanced Surgery for Retinopathy of
Prematurity"
"Anterior Chamber Reconstruction +Perforating
corneo - Scleral Injury + IOL"
Perforating Corneo - Scleral Injury
Dacryocystectomy with implants
Pterygium + Conjunctival Autograft
"Excision Or Other Operations For Scaphoid
Fractures"
Ilizarov Ring Fixator Application.
CTEV Neglected. JESS Fixator
"Reduction Of Compound Fractures & External
Fixation"
Bone Grafting As Exclusive Procedure
"Amputations - Hind Quarter And
Hemipelvectomy"
Amputations - Forequarter
Open Reduction Of Dislocations - Deep
"Scoliosis (Rs. 90000) + special spinal brace (Rs.
10000)"
Closed reduction of dislocation (elbow)
Close Fixation -Foot bones
"Primary knee replacement (with implant) All
poly (imported implant)"
"Primary Hip Replacement (with implant)
uncemented THR (Indian implant)"
poly (indian implant)"
cemented THR (Indian implant)"
"Primary knee replacement (with implant) metal
back (imported implant)"
"Total Hip Replacement hybrid (procedure cost +
Imported implant)"
uncemented THR (Imported implant)"
Open Reduction of Small Joint
Open Reduction of CDH
"Open Reduction Internal Fixation (2 Small
Bones)"
Multiple Tendon Repair
Limb Lengthening
External fixation - Small bone
External fixation - Long bone/pelvis
cemented THR (Imported implant)"
Closed reduction of dislocation (Shoulder)
Correction of club foot per cast
Closed reduction of dislocation (Knee)
"Closed Reduction of the Hip (including hip
Spika)"
Closed Reduction and Percutaneous Nailing
Closed Reduction and Percutaneous Pinning
"Closed Reduction and Percutaneous Screw
Fixation (neck Femur)"
"Closed Reduction and Internal Fixation with K
wire"
"Closed Interlocking Tibia + Orif of Fracture
Closed Interlocking Intermedullary
Closed Interlock Nailing + Bone Grafting ? femur
Closed reduction of dislocation (hip)
Close Fixation - Hand Bones
back (indian implant)"
Indian implant)"
Excision Arthoplasty of Femur head
Disarticulation (hind & for quarter)
Close Reduction- small joints
Foot Amputation (whole)
Amputation ? Above Knee
Amputation ? Below Knee
Amputation - Wrist
Hand Amputation ( partial)
Amputation - Above/Below Elbow
Arthrodesis Of - Major Joints
Arthroscopy. Operative Meniscectomy
Arthroscopy - Diagnostic
"Avascular Necrosis Of Femoral Head (Core
Decompression)"
"Soft Tissue Reconstruction Procedures For
Joints/Osteotomy"
Arthroscopy - ACL Repair
Anterolateral Clearance For Tuberculosis
Spinal Ostectomy And Internal Fixations
Neurolysis/Nerve Suture
"Clavicle fracture management - conservative
(daycare)"
Arthorotomy of any joint
Excision Arthoplasty
Osteochondroma excision/ Excision of Exostosis
Hand Amputation (whole)
Foot Amputation (partial)
"Fracture intercondylarHumerus + olecranon
osteotomy"
External fixation - both bones of forearms
Application of P.O.P. Spikas & Jackets
skin traction isolated
Skeletal tractions with pins Isolated
"Application of P.O.P. casts for Upper & Lower
Limbs"
"Sequestrectomy of Long Bones + anti-biotics +
dressing"
Excision of Bursa
Percutaneous - Fixation of Fracture
Pelvic Osteotomy with fixation with plaster
Open Reduction with bone grafting of nonunion
Nerve Repair Surgery
Tendon Grafting (isolated grafting)
Fasciotomy
"Duputryen?s Contracture release +
rehabilitation"
"Surgical management of simple or comminuted
fracture of patella (isolated)"
"Open Reduction & Internal Fixation Of Fingers &
Toes @Rs5000 Each Up To Maximum Of Rs 15000"
"Debridement & Closure of Major injuries - contused lacerated wounds (anti-biotic +
dressing) - minimum of 3 sessions"
"Accessory bone ? Excision (limbs) ? congenital
Accessory digits sometime can be removed (pre- auth)"
Excision Of Bone Tumours. Deep With Re- Construction With Conventional Prosthesis
"Bone Tumour Excision (malignant/ benign) +
Joint replacement (depending upon type of joint and implant)"
AC joint reconstruction/ Stabilization/ Acromionplasty Nonoperative management is recommended for Rockwood type I and II injuries, whereas surgical reconstruction is recommended for type IV and VI separations. The management for type III and V injuries is more controversial and is determined on a case- by-case basis (pre-auth)
Leprosy Reconstructive Surgery
Hemifacial Microsmia
Nerve And Tendon Repair + Vascular Repair
Syndactyly Of Hand For Each Hand
TM Joint Ankylosis
Tumour Of Mandible And Maxilla
"Flap Cover For Electrical Burns With Vitals
Exposed"
Cup And Bat Ears
Reduction Surgery For Filarial Lymphedema
Vascular Malformations
Vaginal Atresia
Corrective Surgery For Craniosynostosis
"Corrective Surgery For Congenital Deformity Of
Hand (Per Hand)"
Cleft Palate
Cleft Lip
Diabetic Foot Surgery
Microtia/Anotia for each stage
"Ear Pinna Reconstruction with costal cartilage/ Prosthesis (including the cost of
prosthesis/implants)."
Pressure Sore Surgery
Hemangioma ? Sclerotherapy (under GA)
Tissue Expander for disfigurement following burns/ trauma/congenital deformity (including cost of expander / implant)
"Minor Vascular Injury Repair- Tibial Vessels In
Leg - Payable maximum upto"
"Minor Vascular Injury Repair - Vessels In Foot -
Payable maximum upto"
Amputation Surgery
Soft Tissue Injury
"Open Reduction And Internal Fixation Of Long
Bone Fractures"
Grade I& II
Grade -III
"Surgery For Patella Fracture (To Be Covered With Other Injuries Only And Not As Exclusive
Procedure)"
Flap Cover Surgery For Wound In Compound Fracture
"Small Bone Fractures K-Wiring (To Be Covered With Other Injuries Only And Not As Exclusive
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