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 Etc.)	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 In General Ward @Rs.500/ Day	X- RAY/ CT	Clinical notes	-	S27N01	V899xxA
S10	Neurosurgery	S10I13	Neurosurgical Trauma Consertative	S10I13.2	Neurosurgical Trauma Consertative Management Stay In Neuro ICU@Rs.4000/Day	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	S10I2.7	C.S.F. Rhinorrhoea	CT/MRI	Post Procedure Clinical Photograph	-	S18A11	G9731
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	S10I3.6	Ventricular Tapping	MRI/ CT	Xray/ CT/MRI	-	S18A07	G07
S10	Neurosurgery	S10I3	Excision Of Brain Tumours	S10I3.7	Abscess Tapping (Twist drill)	MRI/ CT	Clinical Photograph / CT/ MRI/ Pus C/S	-	S18A08	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	S10I5.10	Laminectomy	MRI/ CT	Post Procedure Clinical Photograph /X-Ray/Ct/Mri	-	S18B10	G320
S10	Neurosurgery	S10I5	Spinal Surgeries	S10I5.11	Discectomy	MRI/ CT	Post Procedure Clinical Photograph /X-Ray/Ct/Mri	-	S18B11	G320
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 Of Clinical Photograph	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	S10I8.1	Anterior Discectomy & Bone Grafting	CT/MRI	X Ray/Ct/Mri	-	S18E02	G320
S10	Neurosurgery	S10I8	Spine	S10I8.2	Discectomy With Implants	CT/MRI	Bar Code Stickers,X Ray/Ct/Mri	-	S18E03	G320
S10	Neurosurgery	S10I8	Spine	S10I8.3	Corpectomy For Spinal Fixation	CT/MRI	X Ray/Ct/Mri	-	S18E05	G320
S10	Neurosurgery	S10I8	Spine	S10I8.4	Spinal Fixation Rods And Plates, Artificial Discs	CT/MRI	X Ray/Ct/Mri	-	S18E06	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. MRI	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 Tumour	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 Salpingo Ophorectomy (BSO) + Bilateral Pelvic Lymph No	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 Of Renal Pelvis	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 Residual Disease)	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 Part Of Staging	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 CA Urinary Bladder	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 Tumours	-	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 & Reconstruction	CT/MRI	HPE,Post Procedure Clinical Photograph,Operative Notes	-	SO34AJ04	C005
S11	Surgical Oncology	S11J38	Ca Liver	S11J38.1	Haemangioma SOL Liver Hepatectomy + Wedge Resection	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 of Pancreas)	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	S12M1.1	Cleft Lip	Clinical photo of affected part	Clinical Photo Of Affected Part	-	S25G01	Q899
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	S12M1.12	Vaginal Atresia	Clinical notes with sketch	Sketch/ Clinical Photograph	-	S25A09	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 Hand (Per Hand)	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	S12M1.16	Cup And Bat Ears	Clinical photo of affected part	Clinical Photo Of Affected Part	-	S25A02	Q898
S12	Plastic Surgery	S12M1	Plastic Surgery	S12M1.17	Flap Cover For Electrical Burns With Vitals Exposed	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	S12M1.2	Cleft Palate	Clinical photo of affected part	Clinical Photo Of Affected Part	-	S25G02	Q899
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	S12M1.6	TM Joint Ankylosis	Clinical Phoptograph,X-Ray / OPG	Clinical Phoptograph / Opg/ Xray	-	S25G05	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	S12M1.8	Leprosy Reconstructive Surgery	Clinical Phoptograph	Clinical Photo Of Affected Part	-	S25A06	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 - Payable maximum upto	Doppler	Doppler / Scar Photo	-	S35B05	S098xxA
S12	Plastic Surgery	S12M2	Plastic Sugrey	S12M2.2	Minor Vascular Injury Repair- Tibial Vessels In Leg - Payable maximum upto	Doppler	Doppler / Scar Photo	-	S35B04	S098xxA
S12	Plastic Surgery	S12PM1	Plastic Surgery PMJAY Sub Category	S12PM1.1	Ear Pinna Reconstruction with costal cartilage/ Prosthesis (including the cost of prosthesis/implant	Clinical Photo	Clinical Photo	-
S12	Plastic Surgery	S12PM1	Plastic Surgery PMJAY Sub Category	S12PM1.2	Tissue Expander for disfigurement following burns/ trauma/congenital deformity (including cost of ex	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 Functional Improvement (Package And Physiotherapy)	S13N2.1	Mild Contracture Surgeries For Functional Improvement (including splints, pressure garments And Phys	Clinical photo of affected part	Clinical Photo Of Affected Part	-	S26B01	T2899xS
S13	Burns	S13N2	Burns Post Burn Contracture Surgeries For Functional Improvement (Package And Physiotherapy)	S13N2.2	Moderate Contracture Surgeries For Functional Improvement (including splints, pressure garments And	Clinical photo of affected part	Clinical Photo Of Affected Part	-	S26B02	T2899xS
S13	Burns	S13N2	Burns Post Burn Contracture Surgeries For Functional Improvement (Package And Physiotherapy)	S13N2.3	Severe Contracture Surgeries For Functional Improvement (including splints, pressure garments And Ph	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 Fractures	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 Compound Fractures	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 Compound Fractures	S14O11.1	Grade -III	CLINICAL PHOTOGRAPH	Post Procedure Clinical Photograph	-	S27A02G	V899xxA
S14	Poly Trauma	S14O11	Orthopedic And Facial Trauma Wound Management For Compound Fractures	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 Compound Fractures	S14O11.3	Surgery For Patella Fracture (To Be Covered With Other Injuries Only And Not As Exclusive Procedure	X- RAY	X- Ray Ot Notes	-	S27B01G	V899xxA
S14	Poly Trauma	S14O11	Orthopedic And Facial Trauma Wound Management For Compound Fractures	S14O11.4	Small Bone Fractures K-Wiring (To Be Covered With Other Injuries Only And Not As Exclusive Procedure	X- RAY	X- Ray Ot Notes	-	S27B02G	V899xxA
S14	Poly Trauma	S14O11	Orthopedic And Facial Trauma Wound Management For Compound Fractures	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 Compound Fractures	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 @Rs.500/Day	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.4000/Day	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 Ward @Rs.500/Day	X-RAY/USG/CT	USG	-	S27O01	V899xxA
S14	Poly Trauma	S14O6	Abdomen Consertative Treatment	S14O6.2	Abdominal Injuries Stay In Surgical ICU@Rs.1000/Day	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 with Graft	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 -Milwaukee Brace Plastic Model	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,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 foot - Modified footwear with Silicon	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 & weakness - Calipers HKFO/ KFO/ FO	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-Fibre Foot Drop Splint	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	S1A10.1	Operation For Hydatid Cyst Liver	CT,USG	USG	-	S33A04	K759
S1	General Surgery	S1A10	Liver	S1A10.2	Portocaval Anastomosis	MRI/ USG/ UGI ENDOSCOPY	Endoscopy/ Usg	-	S33A05	K7469
S1	General Surgery	S1A11	Gall Bladder	S1A11.1	Cholecystectomy	CT/USG,LFT	Post Procedure Clinical Photograph,Usg Post Op Hp For Claim	-	S25G26	K77
S1	General Surgery	S1A11	Gall Bladder	S1A11.2	Lap.Cholecystectomy	CT/USG,LFT	Post Procedure Clinical Photograph,Video,Usg Post Op Hp For Claim	-	S25G27	K77
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	S1A11	Gall Bladder	S1A11.7	Repair Of CBD	CT/USG,LFT	T-Tube Cholangiogram,Usg Post Procedure Clinical Photograph	-	S33H07	K8081
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	S1A13.1	Splenectomy For Hypersplenism	CT,USG,PERIPHERAL SMEAR	Biopsy,USG,Post Procedure Clinical Photograph	-	S25G39	C800
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	S1A15.10	Scrotal Swelling (Multiple) ? Excision	CLINICAL PHOTOGRAPH	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	S1A15.12	Ligation of Ankle Perforators	CLINICAL PHOTOGRAPH,Doppler venous	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	S1A15.14	Benign Soft Tissue Tumor (small) ? 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 + Reconstruction	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 followup dressings	CLINICAL PHOTOGRAPH,Clinical Notes	CLINICAL PHOTOGRAPH,Clinical Notes	-
S1	General Surgery	S1A15	General Surgery	S1A15.2	Excision Pilonidal Sinus	Clinical Notes	Post operative evidence of surgery	-
S1	General Surgery	S1A15	General Surgery	S1A15.20	Drainage of Psoas Abscess with minimum 2 followup dressings	Scar Photo,USG Abdomen	Scar Photo,USG Abdomen	-
S1	General Surgery	S1A15	General Surgery	S1A15.21	Varicose Veins - Radiofrequency Ablation / Excision and Ligation	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	S1A15	General Surgery	S1A15.3	Eversion of Hydrocele Sac- unilateral	CLINICAL PHOTOGRAPH,Clinical Notes	Scar Photo	-
S1	General Surgery	S1A15	General Surgery	S1A15.4	Haemorroidectomy+ Fistulectomy with or without sphinctor repair	CLINICAL PHOTOGRAPH,Clinical Notes/sckech	Scar Photo	-
S1	General Surgery	S1A15	General Surgery	S1A15.5	Fissurectomy	Clinical Notes/sckech	Clinical Notes	-
S1	General Surgery	S1A15	General Surgery	S1A15.6	Fissurectomy with Sphincterotomy	Clinical Notes/sckech	Clinical Notes	-
S1	General Surgery	S1A15	General Surgery	S1A15.7	Inguinal Hernia Repair	CLINICAL PHOTOGRAPH,Clinical Notes	Laproscopic Video,Scar Photo	-
S1	General Surgery	S1A15	General Surgery	S1A15.8	Prolapse of Rectal Mass ? Excision	CLINICAL PHOTOGRAPH	Scar Photo	-
S1	General Surgery	S1A15	General Surgery	S1A15.9	Haemorroidectomy	Clinical Notes/sckech	Clinical Notes	-
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	S1A4	Abdomen Hernia	S1A4.1	Epigastric Hernia Without Mesh	CLINICAL PHOTOGRAPH,USG Abdomen	Post Procedure Clinical Photograph	-	S09F01G	K469
S1	General Surgery	S1A4	Abdomen Hernia	S1A4.2	Epigastric Hernia With Mesh	CLINICAL PHOTOGRAPH,USG Abdomen	Post Procedure Clinical Photograph	-	S09F02G	K469
S1	General Surgery	S1A4	Abdomen Hernia	S1A4.4	Hiatus Hernia Repair Abdominal	UGI ENDOSCOPY/ Sketch,USG ABDOMEN	Post Procedure Clinical Photograph	-	S09F04G	K469
S1	General Surgery	S1A4	Abdomen Hernia	S1A4.5	Rare Hernias (Spigalion,Obuturator,Sciatic)	CLINICAL PHOTOGRAPH,USG	Post Procedure Clinical Photograph	-	S09F05G	K469
S1	General Surgery	S1A4	Abdomen Hernia	S1A4.6	Umbilical Hernia Without Mesh	CLINICAL PHOTOGRAPH,USG	Post Procedure Clinical Photograph	-	S09F06G	K420
S1	General Surgery	S1A4	Abdomen Hernia	S1A4.7	Umbilical Hernia With Mesh	CLINICAL PHOTOGRAPH,USG	Post Procedure Clinical Photograph	-	S09F07G	K420
S1	General Surgery	S1A4	Abdomen Hernia	S1A4.8	Ventral and Scar Hernia Without Mesh	CLINICAL PHOTOGRAPH,USG	Post Procedure Clinical Photograph	-	S09F08G	K4300
S1	General Surgery	S1A4	Abdomen Hernia	S1A4.9	Ventral And Scar Hernia With Mesh	CLINICAL PHOTOGRAPH,USG	Post Procedure Clinical Photograph	-	S09F09G	K4300
S1	General Surgery	S1A5	Abdomen	S1A5.1	Lap. Appendectomy	USG/ X-ray Abdomen	Biopsy,Video,CLINICAL PHOTOGRAPH	-	S09G01G	K389
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	S1A7.8	Pyloromyotomy	ENDOSCOPY / Sketch	Post Procedure Clinical Photograph	-	S09H06G	K5669
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 (Noble Plication Other)	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	S1PM1.1	Dermoid Cyst ? Excision	Clinical Notes,Clinical Photograph	Clinical Notes,Scar Photo	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.10	Fibroadenoma - Bilateral	BIOPSY,Clinical Notes	Operation Notes,Post Procedure Clinical Photograph	-
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	S1PM1.12	Fibroadenoma - unilateral	BIOPSY,Clinical Notes	HPE,Post Procedure Clinical Photograph,Operative Notes	-
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 dissection	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,single	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, multiple	CLINICAL PHOTOGRAPH,Clinical Notes	Scar Photo	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.3	Incision and Drainage of large Abscess with minimum 2 followup dressings	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 dressing	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 follow up dressing	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	S1PM1.5	Bakers Cyst ? Excision	Clinical Notes	Clinical Notes	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.51	Cervial Lymphnodes	Clinical Notes ,Clinical Photograph	HPR,Scar Photo	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.52	Cystic mass ? Excision	Clinical Notes ,Clinical Photograph	Scar Photo	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.53	Ganglion - Excision	Clinical Notes ,Clinical Photograph	Clinical Notes,Scar Photo	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.54	Granuloma - Excision	Clinical Notes ,Clinical Photograph	Clinical Notes,Scar Photo,Clinical Photograph	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.55	Lipoma in lower limb	Clinical Notes ,Clinical Photograph	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	S1PM1.6	Branchial Fistula	Clinical Photograph	Clinical Photograph	-
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	S1PM1.61	Cyst over Scrotum ? Excision	Clinical Photograph, Clinical Notes	Clinical Notes,Scar Photo	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.62	Epidymal Cyst	Clinical Photograph, Clinical Notes	Clinical Notes,Scar Photo	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.63	Epidedectomy	Clinical Photograph, Clinical Notes	Clinical Notes,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	S1PM1.7	Hydrocele + Orchidectomy / Epidydectomy	Clinical Photograph	Scar Photo,Clinical Notes	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.73	Benign Soft Tissue Tumor (large) ? Excision	CT,FNAC	BIOPSY,CLINICAL PHOTOGRAPH	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.8	Epididymal Swelling / Cyst ? Excision	Clinical Notes,Clinical Photograph	Clinical Notes,Scar Photo	-
S1	General Surgery	S1PM1	General Surgery PMJAY Sub Category	S1PM1.9	Excision of Benign Growth from Tongue only	Clinical photo	HPE	-
S20	Oral & Maxillofacial Surgery	S20A1	Oral & Maxillofacial Surgery	S20A1.4	Benign Mandible Tumour Resection and reconstruction	BIOPSY,X- RAY CHEST	Post Procedure Clinical Photograph,Operative Notes,HPE	-
S20	Oral & Maxillofacial Surgery	S20PM1	Oral & Maxillofacial Surgery PMJAY Sub Category	S20PM1.3	Release of fibrous bands & grafting -in (OSMF) treatment under GARelease of fibrous bands & grafting	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	S2B1	Ear	S2B1.4	Tympanoplasty	Audiometry	Intra Op Photo PTA after 2 months,ear findings	-	S05D03G	H748x9
S2	ENT Surgery	S2B1	Ear	S2B1.5	Stapedectomy + Veingraft	CT Temporal Bone,PTA,Impedance audiometry	Clinical Photo With Piston	-	S05D02G	H748x9
S2	ENT Surgery	S2B2	Throat	S2B2.1	Microlaryngeal Surgery	IDL Findings	Clinical Photo,IDL Findings	-	S05E01	H9589
S2	ENT Surgery	S2B2	Throat	S2B2.2	Phono Surgery For Vocal Cord Paralysis	IDL examination finding	Clinical Photo,IDL examination finding	-	S05E02	H9589
S2	ENT Surgery	S2B2	Throat	S2B2.3	Laryngo Fissurectomy	CT scan	Clinical Photo,Clinical findings	-	S05E03G	H9589
S2	ENT Surgery	S2B2	Throat	S2B2.4	Excision Of Tumours In Pharynx	CT Scan	Post Procedure Clinical Photograph,histopath	-	S05E06G	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	S2B2.6	Adenoidectomy - Gromet Insertion	X-RAY NASOPHARYNX	Nasal endoscopy,Post Procedure Clinical Photograph	-	S05E04G	H9589
S2	ENT Surgery	S2B2	Throat	S2B2.7	Uvulo-Palato Pharyngoplasty	Polysomnography	CT/MRI,Clinical Photo	-	S05E05G	H9589
S2	ENT Surgery	S2B3	Nose	S2B3.1	Endoscopic Sinus Surgery	CT PNS	DNE PHOTO GRAPH,Endoscopic Photograph/ Sketch	-	S05F04G	H9589
S2	ENT Surgery	S2B3	Nose	S2B3.2	Mastoidectomy	PTA findings & X-ray Mastoid	Post Procedure Clinical Photograph	-	S05D01G	H748x9
S2	ENT Surgery	S2B3	Nose	S2B3.5	Excision Of Benign Tumour Nose	CT PNS,DNE	Post Procedure Clinical (endoscopic) Photograph	-	S05F01G	J349
S2	ENT Surgery	S2B3	Nose	S2B3.6	Angiofibroma Nose	CT PNS,DNE	Clinical Photo (Nasal endoscopy)	-	S05F02G	J349
S2	ENT Surgery	S2B3	Nose	S2B3.7	Endoscopic DCR	Clinical photo	Clinical photo	-	S05F03G	J349
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	S2B4.2	Myringotomy without grommet insertion	Ear findings by ENT surgeon	Post Procedure Ear Microscopy and Pure Tone Audiogram	-
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	S2B4	Ent	S2B4.7	Facial Nerve Decompression	Clinical photo of facial palsy	Clinical Photo after 2 months	-	S05D05G	H9589
S2	ENT Surgery	S2B5	Head And Neck	S2B5	Brachial Cyst Excision	Clinical Photograph	Post Procedure Clinical Photo,histopath	-	S09A01G	Q180
S2	ENT Surgery	S2B5	Head And Neck	S2B5	Total Thyroidectomy	FNAC,USG Neck,Thyroid Function Test	Histopathology Report	-	S09D06G	D34
S2	ENT Surgery	S2B5	Head And Neck	S2B5.1	Abbe Operation	CLINICAL PHOTOGRAPH	Post Procedure Clinical Photograph	-	SO34AK01	C005
S2	ENT Surgery	S2B5	Head And Neck	S2B5.10	Isthmectomy	FNAC,USG,Thyroid Scan(optional),T F T	Post Procedure Clinical Photograph,histopath	-	S09D02G	D34
S2	ENT Surgery	S2B5	Head And Neck	S2B5.11	Parathyroidectomy	USG	Post Procedure Clinical Photograph,histopath	-	S09A09G	D351
S2	ENT Surgery	S2B5	Head And Neck	S2B5.12	Parotid Duct Repair	Silography	Post Procedure Evidence Of Silography	-	S09A08G	D110
S2	ENT Surgery	S2B5	Head And Neck	S2B5.13	Partial Glossectomy	Biopsy,CLINICAL PHOTOGRAPH	Post Procedure Clinical Photograph,histopath	-	S09C01G	D101
S2	ENT Surgery	S2B5	Head And Neck	S2B5.14	Removal Of Submandibular Salivary Gland	CLINICAL PHOTOGRAPH,USG,FNAC	Post Procedure Clinical Photograph,histopath	-	S09A07G	D105
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	S2B5.17	Wedge Excision	CLINICAL PHOTOGRAPH	Post Procedure Clinical Photograph,histopath	-	SO34AK04	C005
S2	ENT Surgery	S2B5	Head And Neck	S2B5.18	Branchial Sinus Excision	CLINICAL PHOTOGRAPH	Post Procedure Clinical Photograph,histopath	-	S09A02G	Q180
S2	ENT Surgery	S2B5	Head And Neck	S2B5.3	Bronchial Injuries Due To Foreign Body Repair Surgery	Broncoscopy / CT scan	Post Procedure Endoscopic Picture	-	S03A04	J986
S2	ENT Surgery	S2B5	Head And Neck	S2B5.4	Cystic Hygroma Excision-Major	CLINICAL PHOTOGRAPH	Post Procedure Clinical Photograph,histopath	-	S09A03G	D1801
S2	ENT Surgery	S2B5	Head And Neck	S2B5.6	Cystic Hygroma Excision-Minor	CLINICAL PHOTOGRAPH	Post Procedure Clinical Photograph,histopath	-	S09A04G	D1801
S2	ENT Surgery	S2B5	Head And Neck	S2B5.7	Excision Of Thyroglossal Cyst Fistula	CLINICAL PHOTOGRAPH,USG Neck	Post Procedure Clinical Photograph,histopath	-	S09D01G	D34
S2	ENT Surgery	S2B5	Head And Neck	S2B5.8	Hemimandibulectomy	CLINICAL PHOTOGRAPH,CT Scan	CLINICAL PHOTOGRAPH,histopath,X- Ray	-	S25G41	C800
S2	ENT Surgery	S2B5	Head And Neck	S2B5.9	Hemi/partial/Subtotal thyroidectomy	FNAC,USG Neck,Thyroid Scan(optional),T F T	Post Procedure Clinical Photograph,histopath	-	S09E01G	D34
S2	ENT Surgery	S2B7	Hearing Aid	S2B7.1	Behind The Ear Analogue Hearing Aid	machine generated Audiometry	Clinical Photo(10% Of The Cases Will Be Reinvestigated In Government Hospitals For Audiometry After Discharge) PTA with hearing aid	-	S02A45	H6549
S2	ENT Surgery	S2PM1	ENT PMJAY Sub Category	S2PM1.1	Excision of Pinna for Growths (Squamous/Basal) Injuries - Skin and cartilage	Clinical Photograph	Post procedure evidance of Surgery	-
S2	ENT Surgery	S2PM1	ENT PMJAY Sub Category	S2PM1.10	Excision of Pinna for Growths (Squamous/Basal) Injuries - Total Amputation	Clinical Photograph	Post procedure evidance of Surgery	-
S2	ENT Surgery	S2PM1	ENT PMJAY Sub Category	S2PM1.11	Excision of Pinna for Growths (Squamous/Basal) Injuries - Total Amputation & Excision of External Au	Clinical Photograph	Post procedure evidance of Surgery	-
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	S2PM1.16	Septoplasty + FESS	Xray /CT	Post Procedure Clinical Photograph	-
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	S2PM1.2	Excision of Pinna for Growths (Squamous/Basal) Injuries - Skin only	Clinical Photograph	Post procedure evidance of Surgery	-
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	S2PM1.37	Ranula excision	Clinical Photograph	Scar Photo	-
S2	ENT Surgery	S2PM1	ENT PMJAY Sub Category	S2PM1.38	Laryngopharyngectomy with Gastric pull-up/ jejunal graft	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 flap	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 reconstruction	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	S2PM1.7	Myringotomy with Grommet - One ear	Ear Microscopy and Pure Tone Audiogram	Post Procedure Ear Microscopy and Pure Tone Audiogram	-
S2	ENT Surgery	S2PM1	ENT PMJAY Sub Category	S2PM1.8	Myrinogotomy with Grommet - Both ear	Ear Microscopy and Pure Tone Audiogram	Post Procedure Ear Microscopy and Pure Tone Audiogram	-
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 ? IOL	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 Sitting	Fundus Photograph & Sketch	Post Procedure Evidence Of Fundus Photograph & Sketch	-	S20B07	H3570
S3	Ophthalmology Surgery	S3B4	Opthalmology Surgery	S3B4.1	Pterygium + Conjunctival Autograft	Clinical Photograph and clinical notes	Clinical Notes,Post procedure evidance of Surgery	-
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 corneo - Scleral Injury + IOL	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 Degeneration - Per Injection (Maximum ? 6)	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 Oil Or Gas	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	S3B7	Orbit	S3B7.4	Enuleation With Orbital Implant	CLINICAL PHOTOGRAPH ORBIT	Post Procedure Clinical Photograph (photograph of implant)	-	S20C04	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	S3PM1.14	Iris cyst removal	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	S3PM1.16	Entropion correction	Clinical Photograph and clinical notes	Post procedure evidence of surgery	-
S3	Ophthalmology Surgery	S3PM1	Opthalmology Surgery PMJAY Sub Category	S3PM1.17	Ectropion correction	Clinical Photograph and clinical notes	Post procedure evidence of surgery	-
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 without Mitomycin C, including postoperative medicati	Evidence of Raised IOP & Clinical Notes along with field of vision,Optic disc changes	Post procedure evidence of surgery	-
S3	Ophthalmology Surgery	S3PM1	Opthalmology Surgery PMJAY Sub Category	S3PM1.9	Limbal Dermoid Removal	Clinical Photograph and clinical notes	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 Support	(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	S4C2.1	LAVH	USG	HPE	-	OG11B01	N819
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.10	Laparoscopic Cystectomy	USG	HPE,Video Is Mandatory,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	OG11B10G	N979
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.11	Laparoscopic Ectopic Resection	USG	HPE,Video Is Mandatory,USG,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	OG11B11	O365110
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.12	Laparoscopic Ovarian Drilling	USG	USG,Video Is Mandatory,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	OG11B12	N979
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.13	Laparoscopic Myomectomy	USG	HPE,Video Is Mandatory,USG,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	OG11B13	D259
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.14	Laparoscopic Recanalisation	HSG,evidence of blockage	USG,Video Is Mandatory,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	OG11B14	N979
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.15	Laparoscopic Sling Operations	USG	USG,Video Is Mandatory,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	OG11B15	N895
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.16	Laparoscopic Adhesolysis	USG	HPE,Video Is Mandatory,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	OG11B16	N895
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.17	Vaginal Hysterectomy	USG	HPE	-	OG11B17G	N819
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.2	Vaginal Hysterectomy With Pelvic Floor Repair	USG	HPE	-	OG11B02G	N819
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.22	Perineal/ Vesico-vaginal/ Recto-vaginal tear repair	Clinical Notes	CLINICAL IMPROVEMENT	-
S4	Gynaecology And Obstetrics Surgery	S4C2	Gynaecology	S4C2.3	Vaginal Hysterectomy With Mesh Repair	USG	HPE	-	OG11B03	N819
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 zone )	Clinical/ Histopathological report	Post.op ultrasound (pelvis)	-
S4	Gynaecology And Obstetrics Surgery	S4C3	Gynaecology And Obstetrics Surgery	S4C3.3	Tuboplasty	USG and HSG	USG	-
S4	Gynaecology And Obstetrics Surgery	S4C3	Gynaecology And Obstetrics Surgery	S4C3.4	Hysteroscopic adhesiolysis	USG	USG	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.1	Repair for rectovaginal fistulas	Clinical Notes	Intra Operative Photoghraph	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.10	HaematoColpo/Excision - Vaginal Septum	Clinical Notes	Clinical Notes	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.11	Cervical Polypectomy	Clinical Notes	Post op Evidence of Surgery	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.12	Bartholins Cyst Enucleation	Clinical Notes	Post op Evidence of Surgery	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.13	Bartholins Cyst Incision drainage	Clinical Notes	Post op Evidence of Surgery	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.14	McDonald's stitch	USG	USG,sketch	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.15	Shirodkar's stitch	USG	USG,sketch	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.17	Colpotomy	Clinical Notes	Clinical Notes	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.18	Intrauterine transfusions	Clinical Notes	Clinical photograph ,Record of Blood Transfusion	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.3	Broad Ligment Haemotoma/ Abdominal Haematoma drainage	USG	USG	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.4	Cyst -Vaginal Enucleation / Removal of Labial cyst	Clinical Notes, Clinical Photograph	Post op evidence of Surgery	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.5	Hysteroscopic myomectomies	USG	USG	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.6	Hysteroscopic polypectomy	Clinical/ Histopathological report	Post.op ultrasound (pelvis)	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.8	Laparotomy for broad ligament haematoma	USG	USG	-
S4	Gynaecology And Obstetrics Surgery	S4PM1	Obstetrics & Gynaecology PMJAY Surgery Sub Category	S4PM1.9	Cyst-Labial	Clinical Notes, Clinical Photograph	Post op evidence of Surgery	-
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 Fractures	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 & Toes @Rs5000 Each Up To Maximum Of Rs 15000	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 Fixation	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. 10000)	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	S5D2.2	Amputations - Forequarter	X Ray	Post Procedure X Ray / Clinical Photgraph	-	S21H01	S98
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.20	Closed Interlocking Tibia + Orif of Fracture Fixation	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 (neck Femur)	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 lacerated wounds (anti-biotic + dressing) - minim	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	S5D2.3	Amputations - Hind Quarter And Hemipelvectomy	X Ray	Post Procedure X Ray / Clinical Photgraph	-	S21H02	S98
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.30	Primary Hip Replacement (with implant) cemented THR (Imported implant)	Clinical and radiological investigations	Clinical and radiological investigations	-
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	S5D2.33	Limb Lengthening	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	S5D2.38	Primary Hip Replacement (with implant) uncemented THR (Imported implant)	Clinical and radiological investigations	Clinical and radiological investigations,post op xray, ct screening post op, discharge note photo by rmo in mrd, scar photo, discharge summary 2 copies signed by relatives ot note signed stamped by surgeon	-
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	S5D2.40	Total Hip Replacement hybrid (procedure cost + Imported implant)	Clinical and radiological investigations	Clinical and radiological investigations	-
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.41	Primary knee replacement (with implant) metal back (imported implant)	Clinical and radiological investigations	Clinical and radiological investigations,post op xray,ct screening post op,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives ,ot note signed stamped by surgeon	-
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.42	Primary Hip Replacement (with implant) cemented THR (Indian implant)	Clinical and radiological investigations	Clinical and radiological investigations	-
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.43	Primary knee replacement (with implant) All poly (indian implant)	Clinical and radiological investigations	Clinical and radiological investigations	-
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.44	Primary Hip Replacement (with implant) uncemented THR (Indian implant)	Clinical and radiological investigations	Clinical and radiological investigations	-
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.45	Primary knee replacement (with implant) All poly (imported implant)	Clinical and radiological investigations	Clinical and radiological investigations	-
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.46	Total Hip Replacement hybrid (procedure cost + Indian implant)	Clinical and radiological investigations	Clinical and radiological investigations	-
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.47	Primary knee replacement (with implant) metal back (indian implant)	Clinical and radiological investigations	Clinical and radiological investigations	-
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 Accessory digits sometime can be removed (pre-auth)	Clinical photgraph ,X rays of affected limb	Clinical photgraph ,X rays of affected limb	-
S5	Orthopedic Surgery And Procedures	S5D2	Orthopedics	S5D2.55	Disarticulation (hind & for quarter)	CLINICAL PHOTOGRAPH,X-Ray	Post Procedure Clinical Photograph,Post Procedure X-ray	-
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 Decompression)	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/Osteotomy	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-Construction With Conventional Prosthesis	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 replacement (depending upon type of joint and impla	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/ Acromionplasty Nonoperative management is recommended for Ro	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	S5PM1.55	Excision of Bursa	Clinical and radiological investigations	Clinical investigations,radiological investigations	-
S5	Orthopedic Surgery And Procedures	S5PM1	Orthopaedics PMJAY Sub Category	S5PM1.56	Sequestrectomy of Long Bones + anti-biotics + dressing	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 Limbs	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 osteotomy	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 (daycare)	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 fracture of patella (isolated)	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	S6E11	Gall Bladder	S6E11.3	"Choledochoduodenostomy Or Choledocho Jejunostomy Or Hepaticojejunostomy"	MRCP LFT required for pre auth,USG	Biopsy,Clinical Photograph	-	S33H04	K8081
S6	Surgical Gastro Enterology	S6E11	Gall Bladder	S6E11.4	Cholecystectomy & Exploration CBD	CT/USG,LFT	Post Procedure Clinical Photograph,USG,T-Tube Cholangiogram Post Op Hp For Claim	-	S25G28	K77
S6	Surgical Gastro Enterology	S6E12	Spleen	S6E12.1	Splenectomy	CT/USG abdomen,lab investigations	Histopath,Usg,Post Procedure Clinical Photograph	-	S25G39	C800
S6	Surgical Gastro Enterology	S6E12	Spleen	S6E12.3	Spleenectomy For Space Occupying Lesion/Portal Hypertension	Hp Req At The Time Of Claim.,USG/CT	Clinical Photograph,Usg	-	S33B04	C800
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	S6E2	Liver	S6E2.7	Cyst Excision + Hepatic Jejunostomy	CT/USG	Clinical Photograph,Histopath	-	S33H01	K769
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	S6E5.1	Partial Gastrectomy	Endoscopic photograph,USG,EUS,BIOPSY	BIOPSY,Histopath,CLINICAL PHOTOGRAPH	-	S25G31	I864
S6	Surgical Gastro Enterology	S6E5	Stomach	S6E5.2	Total Gastrectomy	BIOPSY,USG,ENDOSCOPY,CT- SCAN,CLINICAL PHOTOGRAPH	BIOPSY,USG,Post Procedure Clinical Photograph,Histopath,ENDOSCOPY,CT- SCAN	-	S25G32	C800
S6	Surgical Gastro Enterology	S6E5	Stomach	S6E5.4	Distal Gastrectomy For Gastric Outlet Obstruction	BIOPSY,USG,ENDOSCOPY,CT- SCAN	BIOPSY,CLINICAL PHOTOGRAPH	-	S33E01	K259
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 Intestine	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 - Pouch	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 Bypass (With Graft)	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. Emergency retrieval of device with defect closure under ca	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 cardiomyopathy)	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 Congenital Heart Diseases	S7F16.1	Ross procedure - Intracardiac repair of complex congenital heart diseases Without Special Conduits	2D Echo	2D Echo/Scar Photo	-	S02B40	Q223
S7	Cardiac And Cardiothoracic Surgery	S7F16	Ross Procedure Intracardiac Repair Of Complex Congenital Heart Diseases	S7F16.2	Ross procedure - Intracardiac repair of complex congenital heart diseases With Special Conduits	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, Venous Injuries	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,Branchial,Radial And Ulnar - Repair With Vein Graft - Paya	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 - Payable maximum upto	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 maximum upto	Angiogram /Doppler/ CT angio	Doppler / Scar Photo	-	S35B08	S098xxA
S7	Cardiac And Cardiothoracic Surgery	S7F24	Vascular Injuries	S7F24.9	Abdominal Vascular Injuries - Aorta, Iliac Arteries, IVC, Iliac Veins - Payable maximum upto	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 Graft	-	-	-	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,post 2d echo ,ptca report,ot note signed stamped by surgeon, discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	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 Graft	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 grafts)	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 done as emergency)	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	S8G2.1	Congenital Hydronephrosis	USG / Renogram	Post Procedure Evidence Of Clinical Photograph	-	S22A09	Q620
S8	Pediatric Surgery	S8G2	Congenital Malformations	S8G2.11	Velo-Pharyngial Incompetence	Contrast Study,Endoscopy	Post Procedure Photo	-	S25G06	Q899
S8	Pediatric Surgery	S8G2	Congenital Malformations	S8G2.15	Hypospadius Stage 1	Clinical Photograph	Post Procedure Clinical Photograph	-	S25G18	Q899
S8	Pediatric Surgery	S8G2	Congenital Malformations	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	S8G2.17	Hemangioma Excision	Colour Doppler,Neuro USG + CT	Post Procedure Photo	-	S22B02	Q808
S8	Pediatric Surgery	S8G2	Congenital Malformations	S8G2.18	Lymphangioma Excision	Clinical photo,USG + CT	Post Procedure Photo	-	S22B03	Q820
S8	Pediatric Surgery	S8G2	Congenital Malformations	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	S8G2.3	Extrophy Bladder Stage 1	Clinical Photograph/USG,Xray Pelvis	Post Procedure Clinical Photograph	-	S22A10	Q6410
S8	Pediatric Surgery	S8G2	Congenital Malformations	S8G2.4	Extrophy Bladder Stage 2	Clinical Photograph/USG,Xray Pelvis	Post Procedure Clinical Photograph	-	S22A10	Q6410
S8	Pediatric Surgery	S8G2	Congenital Malformations	S8G2.5	Posterior Urethral Valves	MCU / USG	Clinical Notes,Clinical Photo With Catheter	-	S22A11	Q6410
S8	Pediatric Surgery	S8G2	Congenital Malformations	S8G2.6	Hypospadias Single Stage	Clinical Photograph	Post Procedure Clinical Photograph	-	S22A12	Q6432
S8	Pediatric Surgery	S8G2	Congenital Malformations	S8G2.7	Hypospadius Stage 2	Clinical Photograph	Post Procedure Clinical Photograph	-	S22A12	Q6432
S8	Pediatric Surgery	S8G2	Congenital Malformations	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	S8G3.2	Congenital Dermal Sinus	CT Contrast study /MRI	Biopsy,Post Procedure Clinical Photograph	-	S22C02	Q078
S8	Pediatric Surgery	S8G3	Head And Neck	S8G3.3	Cystic Lesions Of The Neck	Clinical Photograph,USG/MRI /CT	Histopath,Post Procedure Clinical Photograph	-	S22C03	Q079
S8	Pediatric Surgery	S8G3	Head And Neck	S8G3.4	Encephalocele	MRI/ CT/ NEURO USG	Post Procedure Clinical Photograph	-	S22C04	Q018
S8	Pediatric Surgery	S8G3	Head And Neck	S8G3.5	Sinuses & Fistula Of The Neck	Clinical Photograph,USG/CT contrast study	Biopsy,Post Procedure Clinical Photograph	-	S22C05	Q079
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 Correction	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	S8G4	Chest	S8G4.7	Thoracic Wall Defects- Correction	CT,Xray	Post Procedure Clinical Photograph	-	S22D06	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	S8G5.11	Laparoscopic Choleycystectomy	Clinical Photo,Usg	Histopath,Video,Post Procedure Clinical Photograph,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	S25G27	K77
S8	Pediatric Surgery	S8G5	Abdomen	S8G5.12	Laparoscopic Pull Through For Ano Rectal Anomalies	Clinical Photograph,Usg	Clinical Photograph,Video,Usg,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	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,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	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	S8G5.5	Gastro Esophageal Reflux Correction	Endoscopy/ CT Scan Contrast	Post Procedure Evidence Of Clinical Photograph	-	S22E02	P7889
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	S8G6.3	Scrotal Transposition Repair	Clinical Photograph	Post Procedure Photo	-	S22F03	Q5300
S8	Pediatric Surgery	S8G6	Urogenital	S8G6.4	Undescended Testis	Clinical Photograph,Usg	Post Procedure Clinical Photograph	-	S22F04	Q5300
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,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,post op usg report,post op xray,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,scar photo,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	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	S8G7.2	Inguinal Hernia & Hydrocele	CLINICAL PHOTOGRAPH,Clinical Notes	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 renal transpalntation, AV fistula & Doners Nephrecto	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 1st To 6th Month After Transplantation	RFT,USG	BILLS COPY	-	T31A03	N2889
S9	Genitourinary System	S9H2	Urology Testis, Testis And Penis	S9H2.1	Orchidopexy Bilateral	USG/ Clinical photograph	Post Procedure Clinical Photograph	-	S10F02	N4400
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	S9H3.1	Open Pyelolithotomy	USG/KUB/IVP/ CT Abd	Clinical Photo,X Ray/Usg	-	S10B01	N22
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	S9H3.3	Open Cystolithotomy	USG/KUB/IVP/ CT Abd	Clinical Photo,X Ray/Usg	-	S10B03	N22
S9	Genitourinary System	S9H3	Renal Calculi	S9H3.4	Laparoscopic Pyelolithotomy	USG/KUB/IVP/ CT Abd	Clinical Photo,X Ray/Usg,compulsory 2 videos- laparoscopic video shooting of the case during ot,scar photo,histopathology report dispatch acknowledgement photo,discharge note photo by rmo in mrd,discharge summary 2 copies signed by relatives,ot note signed stamped by surgeon	-	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,post op usg,post op xray kub,discharge note photo by rmo in mrd,scar photo,histopathology report dispatch acknowledgement photo,discharge summary 2 copies signed by relatives ,ot note signed stamped by surgeon	-	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,post op usg,post op xray kub,discharge note photo by rmo in mrd,scar photo,histopathology report dispatch acknowledgement photo,discharge summary 2 copies signed by relatives ,ot note signed stamped by surgeon	-	S10C04	N22
S9	Genitourinary System	S9H4	Lithotripsy	S9H4.6	DJ Stent (One Side)	USG/KUB/IVP/ CT Abd	Clinical Photo,X Ray/Usg,post op usg,post op xray kub,discharge note photo by rmo in mrd,scar photo,histopathology report dispatch acknowledgement photo,discharge summary 2 copies signed by relatives ,ot note signed stamped by surgeon	-	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 Stage-1	RGU	Post Procedure Evidence Of Clinical Photograph	-	S10D03	N29
S9	Genitourinary System	S9H5	Corrective Procedures	S9H5.3	Urethroplasty For Stricture Urethra Double Stage Stage-2	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 7th To 12 Th Month After Transplantation	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	S9H7.12	Varicocele-bilateral	Clinical photograph ,USG	Clinical photograph	-
S9	Genitourinary System	S9H7	Urology Kidney Stone	S9H7.13	Varicocele-unilateral	Clinical photograph ,USG	Clinical photograph	-
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	S9H7.8	Renal Cyst Excision	USG/CT Abd	Biopsy,USG,Intra Op Photo	-	S10G01	N29
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	S9H8.1	Vasico Vaginal Fistula	IVP/MCU,Scopy	Clinical Notes	-	S10I01	N898
S9	Genitourinary System	S9H8	Urology Corrective Procedures	S9H8.2	Epispadiasis - Correction	CLINICAL PHOTOGRAPH	Post Procedure Clinical Photograph	-	S25G19	Q899
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	S9H8.8	Ureterocele	X Ray/ IVP/MCU	Post Procedure Evidence Of Intra Operative Clinical Photograph	-	S25G25	Q899
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	S9H9.2	Open Prostatectomy	PSA,USG with prostate size	BIOPSY,Post Op Specimen Photo	-	S10J07	N423
S9	Genitourinary System	S9H9	Bladder Prostate	S9H9.4	Total Cystectomy	CT abd,USG	Post Procedure Evidence Of Usg Biopsy Clinical Photo	-	S10J08	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 (weekly for 6 weeks-total cost of 6 cycles)	Histopathplogy report	Clinical photograph	-
S9	Genitourinary System	S9PM1	Urology PMJAY Sub Category	S9PM1.14	Intravesical BCG/Mitomycin maintenance for 12 doses (total cost of 12 Doses)	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 urethral injury (as an independent procedure)	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 procedure)	MCU ,URETEROSCOPY,RGU	Clinical photograph	-
S9	Genitourinary System	S9PM1	Urology PMJAY Sub Category	S9PM1.19	Y V Plasty of Bladder Neck/Bladder Neck Reconstruction	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 independent procedure	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 Days Stay	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 Days Stay	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 Days Stay	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 Stay	HR CT - Chest	Post Treatment Evidence Of Clinical And Lab Investigations,Sputum Culture /Drug Susceptibility	-	M28A01	J9819
M11	Dermatology	M11T5	Dermatology	M11T5.1	Toxic Epidermal Necrolysis 15 Days Stay	CBC,Urine R/M,Skin Swab,RFT,LFT	CBC,Skin Biopsy,RFT,LFT,Clinical Notes	-	M04A02	L512
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
M11	Dermatology	M11T5	Dermatology	M11T5.3	Pemphigus / Pemphigoid Tzanck Clinical Protocol 15 Days Stay	Serum DSG 1& 3,Tzanck Smear	Clinical Notes,Skin Biopsy	-	M04A01	L109
M12	Rheumatology	M12T6	Rheumatology	M12T6.1	SLE With Sepsis 4 Weeks Stay	ANA/Anti DSDNA (new or old report),Blood Culture or source of infection	Lab Investigation,Post Treatment Evidence Of Clinical Improvement	-	M32A02	L931
M12	Rheumatology	M12T6	Rheumatology	M12T6.2	Scleroderma 7 Days Stay	ANA (old or new) / skin biopsy/ PFT,Anti SCL 70	Lab Investigation,Post Treatment Evidence Of Clinical Improvement	-	M32A03	L940
M12	Rheumatology	M12T6	Rheumatology	M12T6.3	MCTD Mixed Connective Tissue Disorder 7 Days Stay	(old or new) /Renal biopsy/ CPK,RA,Anti U1 RNP ab,ANA	Lab Investigation,Post Treatment Evidence Of Clinical Improvement	-	M32A04	L948
M12	Rheumatology	M12T6	Rheumatology	M12T6.5	Vasculitis 10 Days Stay	ANA / Renal biopsy/ Skin biopsy/ NCS,Thromboplastin time,Routine Urine at the time of preauth,PTA,PT,APTT,ANCA	Lab Investigation,Post Treatment Evidence Of Clinical Improvement	-	M32A05	L959
M12	Rheumatology	M12T6	Rheumatology	M12T6.6	SLE (Systemic Lupus Erythematosis) 10 Days Stay	24 Hour urine protein,ACL Antibodies / ANA/ Anti DSDNA/ C3 C4	Lab Investigation,Post Treatment Evidence Of Clinical Improvement	-	M32A01	L931
M13	Endocrinology	M13U1	Endocrinology Uncontrolled Diabetes Mellitus With Infectious Emergencies	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 Infectious Emergencies	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 Infectious Emergencies	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 Infectious Emergencies	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 Infectious Emergencies	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 Infectious Emergencies	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 Dexamethasone, Acth Assay, Dheas, Mri Ituitary Ctabd, C	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, Kleinfelter Synd) 5 Days Stay	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 for 3 months	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 year)	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 states	ALBUMIN,Phosphorus,PTH,Calcium,CREATININE,ALKALINE PHOSPHATASE	Clinical Improvement	-
M14	Gastroenterology	M14V1	Gastroenterology	M14V1.10	Acute Pancreatitis (Severe) -3 Weeks Stay - Payable maximum upto	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 Weeks Stay - Payable maximum upto	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 Stay - Payable maximum upto	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 Stay	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 Stay	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 For Oesophageal Injury For Corrosive Injuries/FB	Gastroscopy	Post Procedure Endoscopic Picture	-	S03A05	J986
M14	Gastroenterology	M14V1	Gastroenterology	M14V1.3	Achalasia Cardia - One Day Stay	Barium swallow,manometry,UGI endoscopy	Post Treatment Evidence Of Endoscopic Photograph/ Barium Swallow	-	M07A14	K220
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 Stay	UGI Endoscopy	Post Treatment Evidence Of Endoscopic Photograph	-	M07A17	I864
M14	Gastroenterology	M14V1	Gastroenterology	M14V1.8	Gastric Varices 3 Days Stay	UGI ENDOSCOPY	Endoscopic Photograph	-	M07A18	I864
M14	Gastroenterology	M14V1	Gastroenterology	M14V1.9	Acute Pancreatitis (Mild) - 1 Week Stay With Post Treatment Evidence Of - Payable maximum upto	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 Upper And Lower Gastrointestinal Bleeding With Mi	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 PVA And Micro Catheter	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 Bleeding	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 And Stent Placement - Single Metallic Stent	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 Placement	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 Secondary To PPH, Uterine Fibroids And AVM	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 Limbs	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 Substitute For AV Fistula In Long Term Dialysis	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 Single Stent	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 Occlusion ( Brachiocephalic, Subclavian Vein And Sup Vena	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 Hemodialysis AV Fistula	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 Bleeding Gastric Varices ( BRTO)	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 Tumors	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 PVA Or DC Beads	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 Each Level) Post Procedure Evidence Of Clinical Pho	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 (TIPSS)	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 Procedure Evidence Of Clinical Photograph And Radiogr	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 Sitting With Onyx	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 Device	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 And AV Fistulae	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 Extremity, Craniofascial And Visceral Per Sitting	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 Microcatheter	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 Artery Stenting with stent / Superficial Femoral Arter	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 & Chronic Mesenteric Ischemia - Single Stent	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 cause	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/Multiple sinovenus thrombosis without involvment of ca	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 pains, Tachycardia)	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 Ventilatory support and treatment with Blood and Platelet Tr	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	M17A1	Mental Disorders Packages	M17A1.1	F20-F29 Schizophrenia, schizotypal and delusional disorders	Clinical assessment/Risk assessment and investigations	Clinical assessment & Report	-
M17	Mental Disorders Packages	M17A1	Mental Disorders Packages	M17A1.2	F30-F39 Mood (affective) disorders	Clinical assessment/Risk assessment and investigations	Clinical assessment & Report	-
M17	Mental Disorders Packages	M17A1	Mental Disorders Packages	M17A1.3	Pre- Electro Convulsive Therapy (ECT) and Pre- rTranscranial Magnetic Stimulation (TMS)Package *	Clinical assessment	Clinical assessment	-
M17	Mental Disorders Packages	M17A1	Mental Disorders Packages	M17A1.4	Electro Convulsive Therapy (ECT)	Basic investigations for anaesthesia - CBC, RBS, ECG,urine culture & microscopy,X- RAY CHEST	Clinical assessment	-
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, Blood Transfusion etc for minimum 5 Days Stay -	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 /Cryoprecipitate	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 Days Stay - Payable maximum upto	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 (CMF)	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/Tamoxifen)	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 chemotherapy regime	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/Cyclophosphamide+Bortezomib+Dexamethasone	-	-	-	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 maximum upto	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	M1K15.1	Variable Regimen Inv - X-Ray/CT Scan - Payable maximum upto/Per month	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 maximum upto	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) Based Chemo - Per month	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 - Payable maximum upto	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 Cyclophosphamide (MVAC)	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 upto	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 upto	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 - Payable maximum upto per cycle	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 Therapy ( Third Generation Cephalosporin, Aminoglycosid	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 Therapy(Carbapenems, Fourth Generation Cephalosporins,	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 / Cyclophosphamide Avincristine (EMA-CO)	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) (Stage III Only)	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 (CHOP)+Rituximab/Bendamustine+Rituximab/R CVPChlora	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 Multiple Dose Fractions	Histopatholigy report,USG/CT/X-RAY/Imagings	Rt Treatment Charts	-	R29D02	C800
M2	Radiation Oncology	M2L5	Specialized Radiation Therapy - Imrt (Intensity Modulated Radiotherapy)	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 Conformational Radiotherapy)	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 10 Days Stay	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)14 Days Stay with ventilator support	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 Failure, Ventilator 10 Days Stay	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 Care 14 Days Stay	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 Ventilatory Care	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 Ventilatory Assistance Clinical Photo - 1 Week Stay	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 Assistance	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 Clinical Photo - Upto 1 Week Stay	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 complication (neurocysticercosis, tuberculoma)	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 Ventilated Hyperbilirubinemia	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, Septic Shock, Ventilated, Hyperbilirubinemia Renal Fai	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 Membrane Disease Clinical Sepsis Bubble CPAP Hyperbilirub	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 Disease Culture Positive Sepsis Nonventilated Hyperbili	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 Disease Culture Positive Sepsis ? Nonventilated Hyperbi	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 Disease Culture Positive Sepsis Mechanical Ventilatio	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 Disease Clinical/ Culture Positive Sepsis Mechanical	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 Clinical/ Culture Positive Sepsis Mechanical Venti	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 Disease Clinical/Culture Positive Sepsis Patent Ductu	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 Ventilated Hyperbilirubinemia Requiring Exchange Tra	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 Disease Clinical Sepsis Patent Ductus Arteriosus - Me	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 general ward @Rs.1000/day/Stay in NICU @Rs.2000/day) +	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 Clinical/Culture Positive Sepsis Patent Ductus Art	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 Ventilation- HFO Hyperbilirubinemia Clinical Sepsis	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 Ventilated Clinical Sepsis Hyperbilirubinemia	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 - Ventilated Clinical Sepsis Hyperbilirubinemia	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 Sepsis	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 - Neurosonogram, CT-Scan Brain, Ultrasound Abdomen, CSF Analy	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 Ventilated Hyperbilirubinemia	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/ Pleural Effusion	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 Pneumothorax 14 Days	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 Failure - 7 Days	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 Failure- 7 Days Stay	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 Or Resistant - 2 Weeks Stay	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 Pyelonephritis And Renal Failure - 10 Days Stay	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 - DOTS Rx Free	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 Thrombocytopenia	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 Ventilated)	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 Cardiogenic Shock (Ventilated)	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 Endoscopy, USG Abdomen 10 Days PICU Stay With Post	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 Days PICU Stay	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 Stay	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 10 Days PICU Stay	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 Shock Requiring Ventilatory Assistance 10 Days ICU S	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 Assistance 7 Days PICU Stay	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 Ablation)	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 Commissurotormy (PTTC)	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 13th To 18th Month After Transplantation	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 Initial treatment and Dialysis and supportive therapy	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 supportive therapy (12 dialysis per month or as per	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 19th To 24th Month After Transplantation	USG/RFT	BILLS COPY	-
M8	Nephrology	M8T2	Nephrology	M8T2.8	Post-Transplant Immunosuppression Treatment From 25th To 30th Month After Transplantation	USG/RFT	BILLS COPY	-
M8	Nephrology	M8T2	Nephrology	M8T2.9	Post-Transplant Immunosuppression Treatment From 31st To 36th Month After Transplantation	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 necessary investigations including 4- vessel cerebra	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 investigations including 4- vessel cerebral angio (DS	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 - ICU, 40 Days - Ward Stay	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 - ICU, 7 Days - Ward Stay	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 (Including Herpes Encephalitis) - Min 10 Days - ICU, 7	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 Days Stay	Blood Sugar,ELECTROLYTES	Lab Investigations Eeg / Ct-Brain,Post Procedure Evidance Of Clinical Imrovement	-	M02A64	G40821
M7	Cardiology	M7T1	Cardiology	CAG12.1	CAG	2D ECHO/ECG	CAG report,CAG CD	-
S9	Genitourinary System	S9H4	Lithotripsy	DJR1.1	DJ Stent Removal			-
Category Code	Category Name	Sub Category Code	Sub Category Name	Surgery Code	Surgery Name	Pre Investigation	Post Investigation	Mid Investigation	PCS Code	ICD Code