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. ~ ...t?lI<:-1-l.11MINISTRY OF RAILWAYS(~<?1~ EI)~)/RAILWAY BOARD

No. 2008/H/23/2 New Delhi, DatedA1.02.08

The General Managers,All Indian Railways,Including all ptoduction units.

Sub: CI&ssification of Cath-Labs. Procedures

Classification of interventional procedures being performed in the Cath-Labs. has been, \

under examination for sometimes. After careful examination of the matter it has been decided toclassify the Cath-Lab. procedures as under:- .Classification Procedures

;

MinorMinor

All Diagnostic proceduresA.IIDiagnostic pain interventional procedures & intramuseular nervestimulation

M~jorMajorMajorMajorMajorMajorMajorMajorMajorMajorMajorMajor

Angioplasties (except coronary angioplasty)3mbolization,Stentgrafting .'

?TBD with stentittg ,

Liver biopsy and,'all endovenous therapeutic proceduresRadiofrequency ablation of dorsal ganglion nerve rootRacz procedure(P.ercutaneous adhesinolysis)Coeliac plexus nerve block"Lumbar sympathectomyStellate ganglion blockTrigeminal ganglion blockTransforaminal nerve block

SpecialSpecialSpecial

Spinal cord stimulators implantationIntrathecal drug deliveryAortic stenting abdominal and thoracic

~~~(Dr. Pankaj Kapoor)

Executive Director Health(Plg)Railway Board

DA: ACS to Annx.L of Chapter VI ofIRMM, 2000.

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ACS No.4 of2008

Advance correction SliD to Annexure -II (cI~ification of operations) ofChapter VI of IRMM. 2000~

Addendum

Classification of the following interventional procedures be added to Annexure-II ofChapter -VI ofIRMM, 2000.

Classification Procedures

MinorMinor

All Diagnostic proceduresAll Diagnostic paininterventional procedures & intramuscular nervestimulation

~ "

MajorMajorMajorMajorMajorMajorMajorMajorMajorMajorMajorMajor

Angioplasties (except coronary angioplasty)EmbolizationStent graftingPTBD with stentingLiver biopsy and all endovenous therapeutic proceduresRadiofrequency ablation of dorsal ganglion nerve rootRacz procedure(Percutaneous adhesinolysis)Coeliac plexus nerve blockLumbar sympatheCtomyStellate ganglion blockTrigeminal ganglion blockTransforaminal nerve block

(.

SpecialSpecialSpecial

Spinal cord stimulators implantationIntrathecal drug delivery .

Aortic stentin abdominal and thoracic.""'

(Authority Board's tetter No.2008/H/23/2 dated ""7.02.08 )

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. No.2008/H/23/2

'-'-Copyto :1.2.3.4.

New Delhi, dated: "'-1.02.2008.

1-

Chief Medical Qirector, All Indian Railways and CMS IMSs' ,CLW,DLW,ICF,DMW,RCF, & RWF.OSDs/PPSs to MR, MSR(V) and MSR(N)Chief Commissioner of Railway Safety, Lucknow.

Chairman, FC,MS, ME, MM, ML, MT Secy, DG/RHS,DG/RPF, EDCC, AM(CE), AM(WORKS), AM(L&A), ECO ADV., AM (L), Adv.(STAFF), Adv.(IR), AM(BUDGET), AM(FIN.) ADVISER (FINANCE)"AM(IT), LEGAL ADVISER AM(M), AM(PU), AM(PLG.) AM(S&C), ADVISER(SIGNAL),AM(TELECOM), AM(STORES), AM(TRAFFIC), AM(COMML), AM(T&C), AOVISER(VIG.),EOCE(B&S), EDCE(G), ED(DM), ED(PROJECTS), ED(TRACI< (M), EDTRACK(MC), ED TRACK(P),EO(WORKS), EOEE(OEV.), EOEE(G), EOEE(RS), ED(RE), EO(ACCOUNTS), EDF(S)EDF(X)I,EDF(X)II, EOF ( C), EOF(E), EO(PC), EO(STATISTIC & ECONOMICS), EDME(CHG.), EDME(FR.),EDME(TR) EDME(DEV.,), EDME(W), EDE(RRB), EDE(N), EDE(RES.)EDE(GC), ED(T&MPP),ED(C&IS), ED(MIS) EDTT(M), EOTT(S), EDTT(F), ED(PM), ED(PG), EDTC (R) ED(T&C),ED(SAF€TY), EO(COACHING), ADVISER (CONFO.), ED(SIGNAL), ED(TO), EDRS (C ), EDRS(G),EDRS(P), EDRS(S), ECO. ADV., ED(E&R), ED(PLG.), OIR.(I&P),EDV(E), EDV(T), EDV(S),DIG(VIG.),

5. All Qfficers of Health DteJor information, F(E) Spl.(with 5 spares),ERB-III(with 5 spares).6. Computer Facilitation Centre, Room No.5, Near Gate No.1, Rail Bhawan.7. Directors of CTls , RSC/Baroda, IRICEN/Pune,IRIEEN/Nasik, IRISETISecunderabad, IRIMEEI

Jamalpur and !RITM/Lucknow.8. G.M. & FA &CAO, Metro Rail Kolkata.9. G.M. & FA & CAO, CORE, Allahabad.10. The Director General, Railway Staff College, Vadodara.11. The Managing Director, RITES, IRCON, IRFC, CONCOR of India Ltd. , Konkan Rly. Corpn.Ltd.,

Belapur Bhawan, Sector-11,C.B.D.Belapur, Navi Mumbai-400 614, RVNL, Plot NO.25, 1stfir.AugustKranti Bhawsn, Bhikaji Cama Place, N.Delhi-110066.

L12.The PayandAccountOfficer,Ministryof Railways(RailwayBoard).

13. The General Secretary, IRCA/New Delhi. ~~ La¥,(Dr.PankaJ Kapoor)

Executive Director Healt.h(Pig)Railway Board. .

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No.2008/H/23/2Copy to ;-14. The Secretary, RBSS Group 'A', Officers Association.15. The Secretary, RBSS Group 'B', Officers Association.16. The Secretary, Railway Board, Miniterial Staff Association.17. The Secretary, Railway Board, Group '0' Employees Association.18. General Secretary, AIRF, New Delhi. (35spares)19. General Secretary, NFIR, New Delhi. (35 spares)20. General Secretary, RREWA, 490A/16 Gurdwara Road, Gurgaon.21. The Secretary General,JRPOF,RoomNo.268,Raii Bhawan,with10 spares.22. Secretary General, FROA with 10 spares.23. President"Alllndia Retired Railwaymen's Federation, Building no. 13/9, Vivekanand Housing

Society, Guru Mandir Marg, Dombivili (E)-421201.24. The President,All India Retired Railway Officers' Assodation, 12-13-268, St.No.IS,

Tamaka, Secunderabad.

25. The president, AIRRF, Block No. 303, Railway Colony High School, Chilkalguda,Secunderabad 500025(A.P)

26. The President, National Federation of Railway Pensioners, Palghat.27. The Presidsnt, National Federation of Railway Pensioners, Chenna!.28. The Members of the National Council, Departmental Council and Secretary, Staff Side, National

Council, 13-C, Ferozeshah Road, New Delhi 9 (with 30 spares).

New Deihl, dated ~1.02.2008.

~ ~~1a<>JRailway Board

(;IMy DOClirnel1!$IJ~'OIi 200K.<!(";