OP Poisoning without Ventilatory Assistance Clinical Photo - Upto 1 Week Stay
Cholecystitis - Abd 10 Days Stay
Pyelonephritis 10 Days Stay
Lower Respiratory Tract Infection 10 Days Stay
Fungal Sinusitis Pns 10 Days Stay
Cavernous Sinus Thrombosis 10 Days Stay
Rhinocerebral Mucormycosis 10 Days Stay
Pituitary - Acromegaly 1 Week Stay
Cushings Syndrome Inv - Cortisol Assay After Dexamethasone, Acth Assay, Dheas, Mri Ituitary Ctabd, Ct Chest, Dexa Of Hip Spine 1 Week Stay With Post Treatment Evidence Of Clinical And Lab Investigations
Delayed Puberty Hypogonadism (Ex.Turners Synd, Kleinfelter Synd) 5 Days Stay
Hypopitutarism - 1 Week Stay
PTH deficiency/ PTH resistance/ Vit D resistance states
Prolactin Excess (Prolactinoma)
Gonadotropin releasing hormone excess state (For 1 year)
Endogenous Hyperthyroidism
Adrenal Insufficiency - medicines should be given for 3 months
Cortical Venous Sinus Thrombolysis
"Mesenteric Artery Angioplasty & Stenting In Acute & Chronic Mesenteric Ischemia - Single
Stent"
Gastrointestinal Visceral Arterial Embolization In Upper And Lower Gastrointestinal Bleeding With Microcatheter
Tibial Angioplasty In Critical Limb Ischemia
"Deep Venous Thrombolysis For DVT With IVC
Filter"
Balloon Retrograde Transvenous Obliteration Of Bleeding Gastric Varices ( BRTO)
"Carotid Stenting Single Stent With Protection
Device"
"Embolization Of AV Malformation Of Brain Per
Sitting With Onyx"
Intracranial Arterial And Venous Stenting
Embolization Of Caratico-Cavernous Fistula
"Peripheral Stent Graft For Peripheral Aneurysms
And AV Fistulae"
Preoperative Prophylactic Tumor Embolization
"Chemo Embolization For Liver Tumors Using
Drug And PVA Or DC Beads"
"Preoperative Portal Vein Embolization For Liver
Tumors"
Percutaneous Vertebro Plasty/ Cementoplasty (For Each Level) Post Procedure Evidence Of Clinical Photograph And Radiographic Image
Embolization Of Pulmonary AV Malformation Post Procedure Evidence Of Clinical Photograph And Radiographic Image
"Trans Jugular Intrahepatic Portosystemic Shunt
(TIPSS)"
"Subclavian Artery Stenting with stent/ Iliac Artery Stenting with stent / Superficial Femoral
Artery Stenting With Stent."
"Embolization Of Postoperative And Post
Traumatic Bleeding"
"Nephrostomy Tube And Nephroureteral Stent
Placement"
Biliary Drainage Procedures - External Drainage And Stent Placement - Single Metallic Stent
Inferior Vena Cava Filter Placement
Radiofrequency Tumor Ablation Therapy
Central Venous Stenting For Central Venous Occlusion ( Brachiocephalic, Subclavian Vein And Sup Vena Cava) Single Metallic Stent
"Endovascular Intervention For Salvaging
Hemodialysis AV Fistula"
Permanent Tunnelled Catheter Placement As Substitute For AV Fistula In Long Term Dialysis
"Uterine Artery Embolization In Severe Menorrhagia Secondary To PPH, Uterine
Fibroids And AVM"
"Intra-Arterial Thrombolysis For Acute Ischemic
Limbs"
"Bronchial Artery Embolization In Hemoptysis
Using PVA And Micro Catheter"
Acute Stroke Thrombolysis With rTPA
"Renal Artery Embolization With Multiple Coils
And Microcatheter"
"Hepatic Vein Stenting In Budd - Chiari Syndrome
Single Stent"
Embolization Of AV Malformation Of Peripheral Extremity, Craniofascial And Visceral Per Sitting
Vincristin-Actinomycin- Cyclophosphamide (VACTC) Based Chemo - Per month
"Variable Regimen Inv - Hematology, Biopsy -
Payable maximum upto"
"Methotraxate Vinblastin Adriamycin
Cyclophosphamide (MVAC)"
Bladder Cancer Weekly Cisplastin
Maintenance Phase - Per month
Consolidation Phase - Payable maximum upto
Induction Phase - Payable maximum upto
"Induction 3rd, 4th, 5th months - Payable
"Induction 1st And 2 nd Months - Payable
Palliative Chemotherapy -Unlisted Regimen - Payable maximum upto per cycle
Palliative And Supportive Therapy - Per month
Cisplastin/5-FU
"Xelox Along With Adjuvant Chemotherapy Of AS-
I"
"1st Line Iv Antibiotics And Other Supportive
Therapy ( Third Generation Cephalosporin, Aminoglycoside Etc.,)"
"2nd Line Iv Antibiotics And Other Supportive Therapy(Carbapenems, Fourth Generation Cephalosporins, Piperacillin, Anti-Fungal . Azoles
Etc.,)"
Carboplastin/ Paclitaxel
Cisplastin/Etoposide (IIIB)
Bleomycin-Etoposide-Cisplastin (BEP)
Weekly Methotrexate
Actinomycin
"Etoposide - Methotrexate - Actinomycin /
Cyclophosphamide Avincristine (EMA-CO)"
Hormonal Therapy - Per month
Cisplastin- 5FU
5-Fu Leucovorin (MCDONALD Regimen)
Monthly 5-FU/Capacitabine
"5- Flurouracil-Oxaliplastin Leucovorin (Folfox)
(Stage III Only)"
Cisplatin/Adriamycin/Ifosfamide
"Adriamycin Bleomycin Vinblastin Dacarbazine
(ABVD)"
Cyclophosphamide Adriamycin Vincristin Prdnisone (CHOP)+Rituximab/Bendamustine+Rituximab/R- CVPChlorambicil+Rituximab/Fludarabine+Rituxi mab
Radioiodine ablation therapy for cancer thyroid
Brain GBM(Temozolomide) (per month)
Gemcitabine + cisplatin
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
"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)
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