cluster - 1 burns and plastic surgery sr.no package no … 1.12 burns post burn contracture...
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Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1 1.1 Burns 20% burns or scalds/burns over face (with or without grafting) Clinical Photograph Clinical Photograph 3 23000 S11 S1112001
2 1.2 Burns Up to 30% (with grafting) Clinical Photograph Clinical Photograph 3 34500 S11 S1112002
3 1.3 Burns upto-40% with Scalds (Conservative/ without grafting) Clinical Photograph Clinical Photograph 3 28750 S11 S1112003
4 1.4 Burns upto-40% Mixed Burns (with grafting) Clinical Photograph Clinical Photograph 3 40250 S11 S1100002
5 1.5 Burns upto-50% with Scalds (Conservative) Clinical Photograph Clinical Photograph 3 28750 S11 S1112004
6 1.6 Burns upto-50% Mixed Burns (with surgery grafting) Clinical Photograph Clinical Photograph 3 46000 S11 S1112005
7 1.7 Burns upto-60% with Scalds (Conservative) Clinical Photograph Clinical Photograph 3 46000 S11
8 1.8 Burns Up to-60% Mixed Burns (with Surgeries) Clinical Photograph Clinical Photograph 3 57500 S11 S1100003
9 1.9 Burns Above 60% Mixed Burns (with Surgeries) Clinical Photograph Clinical Photograph 3 63250 S11 S1100004
10 1.10 BurnsPost Burn Contracture surgeries for Functional Improvement(Package including
splints, pressure garments and physiotherapy), MildClinical Photograph Clinical Photograph 3 28175 S11 S1112006
11 1.11 BurnsPost Burn Contracture surgeries for Functional Improvement(Package including
splints, pressure garments and physiotherapy), ModerateClinical Photograph Clinical Photograph 3 34500 S11 S1112007
12 1.12 BurnsPost Burn Contracture surgeries for Functional Improvement(Package including
splints, pressure garments and physiotherapy), SevereClinical Photograph Clinical Photograph 3 40250 S11 S1112008
13 1.13 Plastic SurgeryReconstructive lower limb surgery following infection, Trauma, Tumors / Malignancy,
Developmental including diabetic foot – SEVEREClinical photograph Clinical photograph 4 48300 S11 S1012001
14 1.14 Plastic Surgery Abdominal wall reconstruction including post cancer excision. Clinical photograph Clinical photograph 4 40250 S11 S1012002
15 1.15 Plastic SurgeryReconstructive Micro surgery Replantation of hand, finger, thumb, arm, scalp etc
(Per finger 15000)Clinical photograph Clinical photograph 4 57500 S11 S1012003
Cluster - 1 BURNS AND PLASTIC SURGERY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
16 1.16 Plastic Surgery Reconstructive Micro surgery B) free tissue transfer Clinical photograph Clinical photograph 4 57500 S11 S1012004
17 1.17 Plastic Surgery Flap surgeries b) myocutaneous flap Clinical photograph Clinical photograph 4 40250 S11 S1012005
18 1.18 Plastic Surgery Flap surgeries c) osteo myocutaneous flap Clinical photograph Clinical photograph 4 40250 S11 S1012006
19 1.19 Plastic Surgery operation for vascularmalformation Clinical photograph Clinical photograph 4 34500 S11 S1012007
20 1.20 Plastic Surgery Ear Reconstruction for Microtia (stage-I) Clinical photograph Clinical photograph 4 28750 S11 S1012008
21 1.21 Plastic Surgery Ear Reconstruction for Microtia (stage-II) Clinical photograph Clinical photograph 4 34500 S11 S1012009
22 1.22 Plastic Surgery Ear Reconstruction for Microtia (stage-III) Clinical photograph Clinical photograph 4 40250 S11 S1012010
23 1.23 PLASTIC REPAIR Corrective Surgery for Congenital deformity of Upper Limb (Per Procedure) Clinical photograph Clinical photograph 4 20000 S11 S1012011
24 1.24 PLASTIC REPAIR Corrective Surgery for Craniosynostosis Clinical photograph Clinical photograph 4 50000 S11 S1012012
25 1.25Burns/Plastic
Surgery
% Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns) - any % (not
requiring admission). Needs at least 5-6 dressing
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 7,000 S11 S1100001
26 1.26Burns/Plastic
Surgery
% Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns): Upto 40 %;
Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed
necessary; Surgical procedures are required for deep burns that are not amenable to
heal with dressings alone.
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 40,250 S11 S1100002
27 1.27Burns/Plastic
Surgery
% Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns): 40 % - 60 %;
Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed
necessary; Surgical procedures are required for deep burns that are not amenable to
heal with dressings alone.
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 57,500 S11 S1100003
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
28 1.28Burns/Plastic
Surgery
% Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns): > 60 %;
Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed
necessary; Surgical procedures are required for deep burns that are not amenable to
heal with dressings alone.
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 63,250 S11 S1100004
29 1.29Burns/Plastic
Surgery
Electrical contact burns: Low voltage- without part of limb/limb loss; Includes % TBSA
skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical
procedures are required for deep burns that are not amenable to heal with dressings
alone.
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 30,000 S11 S1100005
30 1.30Burns/Plastic
Surgery
Electrical contact burns: Low voltage- with part of limb/limb loss; Includes % TBSA
skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical
procedures are required for deep burns that are not amenable to heal with dressings
alone.
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 40,000 S11 S1100007
31 1.31Burns/Plastic
Surgery
Electrical contact burns: High voltage- without part of limb/limb loss; Includes % TBSA
skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical
procedures are required for deep burns that are not amenable to heal with dressings
alone.
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 50,000 S11 S1100007
32 1.32Burns/Plastic
Surgery
Electrical contact burns: High voltage- with part of limb/limb loss; Includes % TBSA
skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical
procedures are required for deep burns that are not amenable to heal with dressings
alone.
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 60,000 S11 S1100008
33 1.33Burns/Plastic
Surgery
Chemical burns: Without significant facial scarring and/or loss of function; Includes %
TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical
procedures are required for deep burns that are not amenable to heal with dressings
alone.
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 40,000 S11 S1100009
34 1.34Burns/Plastic
Surgery
Chemical burns: With significant facial scarring and/or loss of function; Includes %
TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical
procedures are required for deep burns that are not amenable to heal with dressings
alone.
Clinical photograph and
diagram with Rule of 9/ L
& B Chart for extent of
burns
Clinical photograph 60,000 S11 S1100010
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
35 1.35 Plastic Surgery Hemangioma – Sclerotherapy (under GA) Doppler/ MRI Clinical Photo 35,000 S10 S1000003
36 1.36 Plastic Surgery Hemangioma – Debulking/ Excision MRI Clinical Photo 35,000 S10 S1000004
37 1.37 Plastic SurgeryTissue Expander for disfigurement following burns/ trauma/ congenital deformity
(including cost of expander / implant)Clinical Photo Clinical Photo 50,000 S10 S1000005
38 1.38 Plastic Surgery Scalp avulsion reconstruction Clinical Photo Clinical Photo 50,000 S10 S1000006
39 1.39 Plastic Surgery NPWT (Inpatient only)(Per day Packege Amount) Clinical Photo Clinical Photo 2,000 per day S10 S1000007
40 1.40 Plastic Surgery Pressure Sore – Surgery Clinical Photo Clinical Photo 30,000 S10 S1000008
41 1.41Burns/Plastic
Surgery
Unspecified Surgical Package (Amount Capped @ 1,00,000rs per anum for
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S11 U100
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
42 2.1Intervention
CardiologyCAG (Coronary Angiography) 2D ECHO - 0 4025 S12 S1212001
43 2.2Intervention
CardiologyPeripheral/ Renal Angiography 2D ECHO - 0 4025 S12 S1212002
44 2.3Intervention
CardiologyCoronary Ballon Angioplasty CAG - 5 24150 S12 S1212003
45 2.4Intervention
CardiologyCath with Oxymetry 2D ECHO - 0 5520 S12 S1212004
46 2.5Intervention
CardiologyCath without Oxymetry 2D ECHO - 0 4428 S12 S1212005
47 2.6Intervention
CardiologyCheck Angiography 2D ECHO - 0 3335 S12 S1212006
48 2.7Intervention
CardiologyCoronary Angiography + Peripheral/ Renal Angiography 2D ECHO - 0 4025 S12 S1212007
49 2.10 Cardiology Renal/ Carotid /Peripheral Ballon Plasty (Unilateral) PAG - 5 23000
2.10 has been
modified tthen 2.8 &
2.9 can be included in
2.10
S12 S1212008
50 2.11Intervention
CardiologyAortic Stenting PAG - 5 60000
Rare case cover stent
may be permitted
after special
permission
S12 S1212009
51 2.12Intervention
CardiologyBallon Atrial Septectomy – BAS 2D ECHO - 0 16100 S12 S1200001
52 2.13Intervention
CardiologyIVC filter 0 - 0 50000
Different size and
types of filterS12 S1212010
53 2.14Intervention
CardiologyBi Ventricular Pacing - CRT ECG, ECHO, CAG
Bi-Ventricular Pacing - CRT Report,
ECG, ECHO, X-Ray Chest 0 2,90,000 S12 S1212011
54 2.15 AIntervention
CardiologyAICD - Automatic Implantable Cardiac Defibrillator (with device Single Chamber) ECG, ECHO, CAG
AICD- Automatic Implantable cardiac
Defibrillator (with device) report, ECG,
ECHO,X-Ray Chest
0 3,10,000
After special
Permission in very
Rare Case,as life
saving
S12 S1212012
Cluster - 2 CARDIOLOGY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
55 2.15 BIntervention
CardiologyAICD - Automatic Implantable Cardiac Defibrillator (with device Double Chamber) ECG, ECHO, CAG
AICD- Automatic Implantable cardiac
Defibrillator (with device) report, ECG,
ECHO, X-Ray Chest
0 4,12,000
After special
Permission in very
Rare Case,as life
saving
S12 S1212013
56 2.16Intervention
CardiologyCombo: AICD+Bi ventricular pacemaker (with device) ECG, ECHO
Combo: AICD+Bi ventricular pacemaker
(with device) report, ECG, ECHO, X-Ray
Chest
0 5,97,000
After
specialPermission in
very Rare Case,as life
saving
S12 S1212014
57 2.17Intervention
CardiologyPTCA - one stent (non-medicated) CAG X-Ray 5 62100 S12 S1212015
58 2.18Intervention
CardiologyPTCA - 2 stent (non-medicated) CAG X-Ray 5 85100 S12 S1212016
59 2.19Intervention
CardiologyBalloon Mitral Valvotomy – BMV 2D ECHO 2D ECHO 0 20000 S12 S1200003
60 2.20Intervention
CardiologyCoarctation dilatation – BDC 2D ECHO 2D ECHO, x-RAY 0 16000 S12 S1200012
61 2.21Intervention
CardiologyBalloon Pulmonary Valvotomy – BPV 2D ECHO 2D ECHO 0 16,100 S12 S1200004
62 2.22Intervention
CardiologyBalloon Aortic Valvotomy – BAV 2D ECHO 2D ECHO 0 16,100 S12 S1200002
63 2.23Intervention
CardiologyPeripheral Angioplasty withstent (non-medicated) 2D ECHO , ANGIOGRAM DOPPLER 5 50000 S12 S1212017
64 2.24Intervention
CardiologyRenal Angioplasty withstent (non-medicated) ANGIOGRAM DOPPLER , X-RAY 5 55000 S12 S1200008
65 2.25Intervention
CardiologyBoth side renal Angioplasty withstent (non-medicated) ANGIOGRAM DOPPLER , X-RAY 5 80000 S12 S1212018
66 2.26Intervention
CardiologyVertebral Angioplasty ANGIOGRAM DOPPLER 5 55000 S12 S1200005
67 2.27Intervention
CardiologyTemporary Pacemaker implantation CAG , ECG ECHO , X-RAY 0 4600 S12 S1200021
68 2.28Intervention
CardiologyPermanent pacemaker implantation (only VVI) including Pacemaker value CAG , ECG ECHO , X-RAY 0 63250 S12 S1212019
69 2.29Intervention
CardiologyPericardiocentesis 2D ECHO 2D ECHO 0 3450 S12 S1200020
70 2.30Intervention
CardiologyPDA Device Closure 2D ECHO 2D ECHO 0 50000 S12 S1200016
71 2.31Intervention
CardiologyASD Device Closure 2D ECHO 2D ECHO , X-RAY 0 92000 S12 S1200014
72 2.32Intervention
CardiologyVSD Device Closure 2D ECHO 2D ECHO , X-RAY 0 92000 S12 S1200015
73 2.33Intervention
CardiologyPDA Coil (one) insertion 2D ECHO 2D ECHO , X-RAY 0 13800 S12 S1200018
74 2.34Intervention
CardiologyPDA Multiple coil insertion 2D ECHO 2D ECHO , X-RAY 0 23000 S12 S1200017
75 2.35Intervention
CardiologyIVUS angiogram IVUS report 0 4,600 S12 S1212020
76 2.36Intervention
CardiologyEP study ECG, 2D Echo Clinical Photograph 0 11,308 S12 S1212021
77 2.37Intervention
CardiologyRF Ablation ECG, 2D Echo Clinical Photograph 0 16,100 S12 S1212022
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
78 2.38Intervention
Cardiology3D Maping + Ablation ECG, 2D Echo Clinical Photograph 0 27313 S12 S1212023
79 2.39 Cardiology Medical treatment of Acute MI with Thrombolysis2D ECHO, CPKMB, ECG,
TROPONINE-T2D ECHO, ECG, LAB INVESTIGATION 0 17250 S12 S1200013
80 2.40 Cardiology Thrombolysis for peripheral ischemia ECG, 2D Echo 0 0 11,500 S12 S1200034
81 2.41Intervention
CardiologyRotablation+ PTCA CAG X-Ray 5 34500 S12 S1200031
82 2.42Intervention
CardiologyRotablation+ PTCA+ Stent X-Ray 5 80500 S12 S1200032
83 2.43Intervention
Cardiology Coiling (Coil clouser) 2D ECHO 2D ECHO,X-ray 5 20,000 S12 S1212024
84 2.44Intervention
CardiologyPost mi vsd closure 2D ECHO,ECG 2D ECHO,X-ray 5 92,000 S12 S1212025
85 2.45Intervention
CardiologyPTCA - one stent (medicated) CAG X-ray 5 72,000
Indication for DES
1)Diabetes
2)Lesion >18 mm in
length
S12 S1200024
86 2.46Intervention
CardiologyPTCA - 2 stent (medicated) CAG X-ray 5 108,000
Indication for DES
1)Diabetes
2)Lesion >18 mm in
length
S12 S1200025
87 2.47Intervention
CardiologyIABP 2D Echo 2D Echo - 15,000 S12 S1212026
88 2.48 Cardiology PDA stenting2D ECHO,Angiogram
report & stills40,000 S12 S1200019
89 2.49 Cardiology PTSMA CAG X-Ray 25,000 S12 S1200027
90 2.50 Cardiology Pulmonary artery stenting CAG X-Ray 40,000 S12 S1200028
91 2.51 Cardiology Pulmonary artery stenting (double) CAG X-Ray 65,000 S12 S1200029
92 2.52 Cardiology Right ventricular outflow tract (RVOT) stenting CAG X-Ray 40,000 S12 S1200030
93 2.53 Cardiology Bronchial artery Embolisation (for Haemoptysis)Chest x-Ray/CT
Scan,Serum Creatinine,HB
Chest x-Ray/CT Scan,Hb,Serum
Creatinine25,000 S12 S1200035
94 2.54 Cardiology Percutaneous Transluminal Tricuspid Commissurotormy (PTTC) 2D ECHO 2D ECHO 25,000 S12 S1200036
95 2.55 Cardiology Coiling - Pseudoaneurysms of Abdomen
CT,Serum
Creatinine,PT(Prothrombi
n Time),International
normalized ratio (INR)
CT,Serum Creatinine,PT(Prothrombin
Time),International normalized ratio
(INR)
55,000 S12 S1200037
96 2.56 Cardiology Embolization - Arteriovenous Malformation (AVM) in the Limbs
CT,Serum
Creatinine,PT(Prothrombi
n Time),International
normalized ratio (INR)
CT,Serum Creatinine,PT(Prothrombin
Time),International normalized ratio
(INR),HB
40,000 S12 S1200038
97 2.57 CardiologyCatheter directed Thrombolysis for: Deep vein thrombosis (DVT), Mesenteric
Thrombosis & Peripheral vesselsPT,S.Creatinine ,CT/MRI PT,S.Creatinine 50,000 S12 S1200039
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
98 2.58 CardiologyUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S12 U100
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
99 3.1 Cardiac CABG CAG Clinical Photograph 5 78200 S13 S1300001
100 3.2 Cardiac Re DO CABG CAG Clinical Photograph 5 83375 S13 S1312001
101 3.3 Cardiac CABG with IABP 2D ECHO , CAG Clinical Photograph 5 100625 S13 S1312002
102 3.4 Cardiac CABG with Aneurismal repair CAG Clinical Photograph 5 96025 S13 S1312003
103 3.5 Cardiac CABG with MV repair 2D ECHO , CAG Clinical Photograph 5 97750 S13 S1312004
104 3.6 Cardiac CABG with post MI VSD repair 2D ECHO , CAG Clinical Photograph 5 99475 S13 S1312030
105 3.7 Cardiac Open Mitral Valvotomy 2D ECHO 2D ECHO 5 78200 S13 S1300008
106 3.8 Cardiac Open Aortic Valvotomy 2D ECHO 2D ECHO , X-RAY 5 78200 S13 S1312005
107 3.9 Cardiac Open Pulmonary Valvotomy 2D ECHO 2D ECHO 5 80500 S13 S1300010
108 3.10 Cardiac Mitral Valve Repair 2D ECHO 2D ECHO , X-RAY 5 86250 S13 S1300011
109 3.11 Cardiac Tricuspid Valve Repair 2D ECHO 2D ECHO , X-RAY 5 92000 S13 S1300012
110 3.12 Cardiac Mitral Valve Repair + Tricuspid Valve Repair 2D ECHO 2D ECHO , X-RAY 5 119600 S13 S1312006
111 3.13 Cardiac Aortic Valve Repair 2D ECHO 2D ECHO , X-RAY 5 86250 S13 S1300013
Cluster - 3 CARDIO THORACIC SURGERY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
112 3.14 Cardiac Mitral Valve Replacement 2D ECHO 2D ECHO , X-RAY 5 120750
Bioprosthetic Valve in
special case like
,during pregnency
,Expecting Woman
,Old Age >70 yrs
S13 S1312007
113 3.15 Cardiac Aortic Valve Replacement 2D ECHO 3D ECHO , X-RAY 5 128800
Bioprosthetic Valve in
special case like
,during pregnency
,Expecting Woman
,Old Age >70 yrs
S13 S1312008
114 3.16 Cardiac Double Valve Replacement 2D ECHO 5D ECHO , X-RAY 5 152950 S13 S1312009
115 3.17 Cardiac Ross Procedure 2D ECHO 2D ECHO , X-RAY 5 120000 S13 S1300023
116 3.18 Cardiac ASD 2D ECHO 2D ECHO , X-RAY 5 86250 S13 S1300024
117 3.19 Cardiac VSD 2D ECHO 2D ECHO , X-RAY 5 86250 S13 S1300025
118 3.20 Cardiac AVSD/ AV Canal Defect 2D ECHO 2D ECHO , X-RAY 0 90850 S13 S1300026
119 3.21 Cardiac ICR for TOF 2D ECHO 2D ECHO , X-RAY 5 95000 S13 S1300027
120 3.22 Cardiac Pulmonary Valvotomy + RVOT Resection 2D ECHO 2D ECHO, X-RAY, clinical photograph 5 90850 S13 S1300028
121 3.23 Cardiac AP Window 2D ECHO 2D ECHO, X-RAY, clinical photograph 0 57500 S13 S1300029
122 3.24 Cardiac Surgery for HOCM 2D ECHO/TEE 2D ECHO, X-RAY, clinical photograph 0 90850 S13 S1300030
123 3.25 Cardiac Ebsteins 2D ECHO 2D ECHO, X-RAY, clinical photograph 0 90850 S13 S1300031
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
124 3.26 Cardiac Fontan 2D ECHO 2D ECHO, X-RAY, clinical photograph 0 90850 S13 S1300032
125 3.27 Cardiac TAPVC 2D ECHO 2D ECHO , clinical photograph 0 90850 S13 S1300033
126 3.28 Cardiac Pulmonary Atresia with or without VSD 2D ECHO 2D ECHO , X-RAY, clinical photograph 0 97750 S13 S1312010
127 3.29 Cardiac TGA 2D ECHO/Angio 2D ECHO , X-RAY, clinical photograph 0 97750 S13 S1312011
128 3.30 Cardiac Arterial Switch Operation 2D ECHO/Angio 2D ECHO , X-RAY, clinical photograph 0 86250 S13 S1300035
129 3.31 Cardiac ALCAPA - - 0 86250 S13
130 3.32 Cardiac Sennings 2D ECHO/Angio 2D ECHO , X-RAY, clinical photograph 0 74750 S13 S1300037
131 3.33 Cardiac Mustards 2D ECHO 2D ECHO , X-RAY, clinical photograph 0 86250 S13 S1300038
132 3.34 Cardiac Pulmonary Conduit 2D ECHO 2D ECHO , X-RAY, clinical photograph 0 105000 S13 S1312013
133 3.35 Cardiac Truncus Arteriosus Surgery 2D ECHO 2D ECHO , X-RAY, clinical photograph 0 97750 S13 S1300039
134 3.36 Cardiac Root Replacement (Aortic Aneurysm/ Aortic Dissection) / Bental Procedure 2D ECHO 2D ECHO , X-RAY, clinical photograph 0 130000 S13 S1300040
135 3.37 Cardiac Aortic Arch Replacement 2D ECHO 2D ECHO , X-RAY, clinical photograph 0 38065 S13 S1300041
136 3.38 Cardiac Aortic Aneurysm Repair using CPB 2D ECHO 2D ECHO , X-RAY, clinical photograph 0 125000 S13 S1300042
137 3.39 Cardiac Aortic Aneurysm Repair without using CPB 2D ECHO 2D ECHO , X-RAY, clinical photograph 0 65000 S13 S1300043
138 3.40 Cardiac Pulmonary Embolectomy / Endarterectomy ABG, 2D ECHO, X-Ray 2D ECHO , X-RAY, clinical photograph 0 92000 S13 S1312014
139 3.41 Cardiac Surgery for Cardiac Tumour/ LA Myxoma/ RA Myxoma 2D ECHO 2D ECHO , X-RAY, clinical photograph 0 96600 S13 S1300045
140 3.42 Cardiac Closed Mitral Valvotomy 2D ECHO 2D ECHO , X-RAY 0 23000 S13 S1300009
141 3.43 Cardiac PDA Closure 2D ECHO 2D ECHO , X-RAY 5 23000 S13 S1300046
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
142 3.44 Cardiac Coarctation Repair 2D ECHO, CAG Doppler 0 28750 S13 S1300047
143 3.45 Cardiac Coarctation Repair with graft 2D ECHO, CAG Doppler 0 36800 S13 S1300048
144 3.46 Cardiac BT Shunt (inclusives of grafts) 2D ECHO 2D ECHO, x-RAY 0 42000 S13 S1300049
145 3.47 Cardiac Glenn Shunt 2D ECHO 2D ECHO, x-RAY 0 57500 S13 S1300050
146 3.48 Cardiac Central Shunt 2D ECHO 2D ECHO, x-RAY 0 42000 S13 S1300051
147 3.49 Cardiac Aortic arch Anamolies 2D ECHO 2D ECHO, x-RAY 0 57500 S13 S1312016
148 3.50 Cardiac Pericardiectomy 2D ECHO 2D ECHO , X-RAY 0 34500 S13 S1300052
149 3.51 Cardiac Thoracoscopic surgery CT Chest X-Ray 0 40250 S13 S1312017
150 3.52 Cardiac Surgery without CPB CT Chest X-Ray 0 57500 S13 S1312018
151 3.53 Cardiac Surgery with CPB CT Chest X-Ray 0 57500 S13 S1312019
152 3.54 Thoracic Lobectomy CT-Chest , X-RAY Clinical Photograph , X-RAY 0 34500 S13 S1312020
153 3.55 Thoracic Pneumonectomy CT-Chest , X-RAY Clinical Photograph , X-RAY 0 46000 S13 S100219
154 3.56 Thoracic Pleurectomy CT-Chest , X-RAY Clinical Photograph , X-RAY 0 46000 S13 S1312022
155 3.57 Thoracic Decortication CT-Chest , X-RAY Clinical Photograph , X-RAY 0 51750 S13 S1312023
156 3.58 Thoracic Mediastinotomy CT-Chest , X-RAY Clinical Photograph , X-RAY 0 28750 S13 S1312024
157 3.59 Thoracic Pulmonary AV Fistula surgery Biopsy , CT , X-RAY Biopsy , Clinical Photograph , X-RAY 0 23000 S13 S1300053
158 3.60 Thoracic Lung Cyst CT-Chest , X-RAY Clinical Photograph , X-RAY 0 34500 S13 S1300054
159 3.61 Thoracic SOL mediastinum CT-Chest , X-RAY Clinical Photograph , X-RAY 0 51750 S13 S1300055
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
160 3.62 Thoracic Surgical Correction of Bronchopleural Fistula. Biopsy , CT , X-RAY Biopsy , Clinical Photograph , X-RAY 0 34500 S13 S1512026
161 3.63 Thoracic Diaphragmatic Eventeration Barium Study, CT SCAN USG 0 46000 S13 S1300057
162 3.64 Thoracic Diaphragmatic HerniaBArium Study, X-RAY,
ENDOSCOPY, USGBIOPSY, CLINICAL PHOTOGRAPH 0 23000 S13 S1312025
163 3.65 Thoracic Oesophageal Diverticula /Achalasia Cardia Barium Study, CT SCAN USG 0 23000 S13 S1300058
164 3.66 Thoracic Diaphragmatic Injuries CT-Chest , X-RAY Clinical Photograph , X-RAY 0 23000 S13 S1300059
165 3.67 Thoracic Thoracotomy, Thoraco Abdominal Approach CT-Chest , X-RAY Clinical Photograph , X-RAY 0 34500 S13 S1300060
166 3.68 Thoracic Foreign Body Removal with scopeCT-Chest ,
BRONCHOSCOPYENDOSCOPY PICTURE 0 11500
post ix- endoscopy or
ct chestS13 S1300061
167 3.69 Thoracic Bronchial Repair Surgery for Injuries due to FBCT-Chest ,
BRONCHOSCOPYENDOSCOPY PICTURE 0 28750
post ix- endoscopy or
ct chestS13 S1300062
168 3.70 ThoracicGastro StudyFollowed by Thoracotomy & Repairs for Oesophageal Injury for
Corrosive Injuries/FBGASTROSCOPY ENDOSCOPY PICTURE 0 16100
post ix- endoscopy or
ct thoraxS13 S1312026
169 3.71 Thoracic Oesophageal tumour removalENDOSCOPY, X-RAY,
BARIUM STUDYBiopsy , Clinical Photograph , USG 0 28750 S13 S1312027
170 3.72 Thoracic OesophagectomyBiopsy , CT , Endoscopy ,
USGBiopsy , Clinical Photograph , USG 0 34500 S13 S100103
171 3.73 Thoracic Lung Injury repair CT-Chest , X-RAY Clinical Photograph , X-RAY 0 23000 S13 S1300063
172 3.74 Thoracic Diaphragmatic injury repair CT-Chest , X-RAY Clinical Photograph , X-RAY 0 28750 S13 S1312029
173 3.75 Thoracic Thyomectomy CT-Chest , X-RAY Clinical Photograph , X-RAY 0 28750 S13 S1300064
174 3.76 Cardiac CABG with Post MI Cardiac repair CAG, 2D Echo,ECG 2D Echo, X-ray 5 100000 S13 S1312030
175 3.77 Cardiac Tricuspid valve replacement 2D Echo 2D Echo, X-ray 5 115000 S13 S1312031
176 3.78 Cardiac Root enlargement with/ without graft 2D Echo 2D Echo, X-ray,Clinical Photograph 5 90000 S13 S1312032
177 3.79 Cardiac ICR 2D Echo 2D Echo, X-ray 5 90000 S13 S1312033
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
178 3.80 Cardiac Double Switch Operation 2D ECHO 2D ECHO, X-Ray, Clinical Photograph 120,000 S13 S1300036
179 3.81 Cardiac Pulmonary Valve Replacement 2D ECHO Scar Photo,ECHO 120,000 S13 S1300065
180 3.82 Cardiac Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics &
PhysiotherapyPost Op X-ray / CT Scan Post Op X-ray / CT Scan,Scar Photo 10,000 S13 S1300066
181 3.83 Cardiac Encysted Empyema/Pleural Effusion - Tubercular Post Op X-ray / CT Scan Post Op X-ray / CT Scan,Scar Photo 10,000 S13 S1300067
182 3.84 Cardiac First rib Excision by transaxillary approach, Excision of cervical rib / fibrous band /
muscle by cervical approachPost Op X-ray / CT Scan Post Op X-ray / CT Scan,Scar Photo 30,000 S13 S1300068
183 3.85 Cardiac Congenital Cystic Lesions Post Op X-ray / CT Scan Post Op X-ray / CT Scan,Scar Photo 30,000 S13 S1300069
184 3.86 Cardiac Pulmonary Sequestration Resection Post Op X-ray / CT Scan Post Op X-ray / CT Scan,Scar Photo 40,000 S13 S1300070
185 3.87 Cardiac Pulmonary artero venous malformation Post Op X-ray / CT Scan Post Op X-ray / CT Scan,Scar Photo 40,000 S13 S1300071
186 3.88 Cardiac Unspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S13 U100
Sr.No Package no Sub speciality Procedure namePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
187 4.1 Vascular Patch Graft Angioplasty Regional angiogram Angiogram report, clinical Photograph 5 18400 S13 S100217
188 4.2 Vascular Femoropopliteal by pass procedure with graft (inclu. Graft) ANGIO Doppler 5 51750 S13 S1312035
189 4.3 Vascular Thromboembolectomy ANGIO Color Doppler 5 20700 S13 S1312036
190 4.4 Vascular Surgery for Arterial Aneursysm -Distal Abdominal AortaAngiogram/spiral CT
AngiogramColor Doppler 5 65000 S13 S1312037
191 4.5 Vascular Surgery for Arterial Aneursysm -Upper Abdominal AortaAngiogram/spiral CT
AngiogramColor Doppler 5 57500 S13 S1312038
192 4.6 Vascular Surgery for Arterial Aneursysm –VertebralAngiogram/spiral CT
AngiogramColor Doppler 5 23000 S13 S1312039
193 4.7 Vascular Intrathoracic Aneurysm (without graft)-Aneurysm not Requiring Bypass Techniques CT-Angio , Cath DOPPLER 5 74750 S13 S1300074
194 4.8 Vascular Intrathoracic Aneurysm (with graft) -Requiring Bypass Techniques CT-Angio , Cath DOPPLER 5 86250 S13 S1300075
Cluster - 4 CARDIO VASCULAR SURGERY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
195 4.9 Vascular Dissecting Aneurysms with CPB (inclu. Graft) CT-Angio , Cath DOPPLER 5 94,300 S13 S1312040
196 4.10 Vascular Dissecting Aneurysms without CPB (incl. graft) CT-Angio , Cath DOPPLER 5 86,250 S13 S1312041
197 4.11 Vascular Vascular Procedure – Major Vessels color Doppler/Angiogram Color Doppler 5 23000 S13 S1312042
198 4.12 Vascular Vascular Procedure – Minor Vessels color Doppler/Angiogram Color Doppler 5 20000 S13 S1312043
199 4.13 Vascular Surgery for Arterial Aneurysm Renal ArteryRenal arterial
Doppler,angiogramClinical Photograph 5 17250 S13 S1300076
200 4.14 Vascular Surgery for Arterial Aneurysm Carotid Carotid Doppler Clinical Photograph 5 17250 S13 S1312044
201 4.15 Vascular Surgery for Arterial Aneursysm Main Arteries of the Limb Peripheral Doppler Clinical Photograph 5 17250 S13 S1312045
202 4.16 Vascular Operations for Acquired Arteriovenous Fistual regional Angiogram Clinical Photograph 5 11500 S13 S1312046
203 4.17 Vascular Congenital Arterio Venous Fistula regional Angiogram Clinical Photograph 5 17250 S13 S1300077
204 4.18 Vascular Operations for Stenosis of Renal ArteriesRenal arterial
Doppler,angiogramClinical Photograph 5 23000 S13 S1300078
205 4.19 Vascular Peripheral Embolectomy without graftAngiogram/spiral CT
AngiogramColor Doppler 5 17,250 S13 S1312047
206 4.20 Vascular Aorto Billiac / Bifemoral bypass with Synthetic GraftAngiogram/spiral CT
AngiogramColor Doppler 5 86,250 S13 S1312048
207 4.21 Vascular Axillo bifemoral bypass with Synthetic GraftAngiogram/spiral CT
AngiogramColor Doppler 5 86,250 S13 S1312048
208 4.22 Vascular Femoro Distal Bypass with Vein GraftAngiogram/spiral CT
AngiogramColor Doppler 5 57500 S13 S1300080
209 4.23 Vascular Femoro Distal Bypass with Synthetic GraftAngiogram/spiral CT
AngiogramColor Doppler 5 70000 S13 S1300081
210 4.24 Vascular Axillo Brachial Bypass using with Synthetic GraftAngiogram/spiral CT
AngiogramColor Doppler 5 69000 S13 S1300082
211 4.25 Vascular Brachio - Radial Bypass with Synthetic GraftAngiogram/spiral CT
AngiogramColor Doppler 5 57500 S13 S1300083
212 4.26 Vascular Excision of Carotid body Tumor with vascular repairAngiogram/spiral CT
AngiogramColor Doppler 5 34500 S13 S1300084
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
213 4.27 Vascular Carotid artery bypass with Synthetic GraftAngiogram/spiral CT
AngiogramColor Doppler 5 69000 S13 S1300085
214 4.28 Vascular Excision of Arterio Venous malformation – LargeSpiral CT Angiogram /MRI
AngiogramColor Doppler 5 57500 S13 S1300086
215 4.29 Vascular Excision of Arterio Venous malformation – SmallSpiral CT Angiogram /MRI
AngiogramColor Doppler 5 30000 S13 S1300087
216 4.30 Vascular Arterial Embolectomy Angiogram/colour Doppler Color Doppler/SBP/PVR 5 17,250 S13 S100150
217 4.31 Vascular D V T - IVC Filter color Doppler Plain X-ray abdomen 5 28750 S13 S1300088
218 4.32 Vascular Vascular TumorsAngiogram/Spiral CT
AngiogramColor Doppler 5 46000 S13 S1312050
219 4.33 Vascular Small Arterial Aneurysms – RepairAngiogram/Spiral CT
AngiogramColor Doppler 5 11500 S13 S1312051
220 4.34 Vascular Medium size arterial aneurysms – RepairAngiogram/Spiral CT
AngiogramColor Doppler 5 17250 S13 S1312052
221 4.35 Vascular Medium size arterial aneurysms with synthetic graftAngiogram/Spiral CT
AngiogramColor Doppler 5 34500 S13 S1312053
222 4.36 Vascular Carotid endarterectomy ANGIOGRAM X-RAY/DOPPLER 5 28750 S13 S1300089
223 4.37 Vascular Intrathoracic Aneurysm-Aneurysm not Requiring Bypass Techniques CT Angio, CATH Doppler 44,750 S13 S1300074
224 4.38 Vascular Intrathoracic Aneurysm-Requiring Bypass Techniques CT Angio, CATH Doppler 86,250 S13 S1300075
225 4.39 Vascular Aortic Angioplasty with two stents / Iliac angioplasty with stent Bilateral PAGAngioplasty stills showing Balloon &
post flow,Scar Photo90,000 S13 S1300090
226 4.40 Vascular Bilateral thrombo embolectomy
Duplex
ultrasound/Angiogram -
pre or intra operative
Scar Photo 30,000 S13 S1300091
227 4.41 Vascular Aorto-uni-iliac/uni-femoral bypass with synthetic graft
Angiogram/ Computed
Tomography Angiography
(3D-CTA)/Magnetic
Resonance Angiography
Duplex ultrasound,Scar Photo 70,000 S13 S1300092
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
228 4.42 VascularUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S13 U100
Sr.No Package no Sub speciality Procedure namePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
229 5.1 Urology Open Pyelolithotomy IVP , KUB , USGClinical Photograph , USG , X-RAY, urine
analysis2 15000 S7 S700028
230 5.2 Urology Open Nephrolithotomy IVP , KUB , USGClinical Photograph , USG , X-RAY, urine
analysis2 15000 S7 S700030
231 5.3 Urology Open Cystolithotomy IVP , KUB , USG Clinical Photograph , USG , X-RAY 2 10000 S7 S700060
232 5.4 Urology VVF Repair IVP , KUB , USGClinical Photograph , USG , voiding
cystogram3 23000 S7 S712001
233 5.5 Urology Pyeloplasty IVP , KUB , USGClinical Photograph , IVP/DTPA renal
scan3 23000 S7 S700016
234 5.6 Urology Cystolithotripsy IVP , KUB , USG Clinical Photograph , X-RAY 2 9775 S7 S700095
235 5.7 Urology PCNL (Percutaneous Nephro Lithotomy)IVP , KUB , USG, Spiral CT
KUB
Clinical Photograph , X-RAY KUB, USG
KUB2 23000 S7 S700025
236 5.8 Urology ESWL (Extra carporial shock-wave lithotripsy) IVP , KUB , USG X-RAY and USG KUB 2 8625 S7 S700026
237 5.9 Urology URSLIVP , KUB , USG, Spiral CT
KUBX-RAY KUB 2 10000 S7 S712002
238 5.10 Urology Nephrostomy (PCN) IVP , USG Clinical Photograph 0 5750 S7 S712003
239 5.11 Urology DJ stent (One side) IVP , USG X-RAY KUB 0 5750 S7 S712004
240 5.12 Urology Urethroplasty for Stricture Diseases-single stage RGU & MCU, UroflometryRGU & MCU, Uroflometry, Clinical
Photograph0 25000 S7 S712005
241 5.13 Urology Urethroplasty for Stricture Diseases-First Stage RGU & MCU, UroflometryRGU & MCU, Uroflometry, Clinical
Photograph2 18000 S7 S712005
Cluster - 5 GENITO URINARY SURGERY (RENAL)
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
242 5.14 Urology Urethroplasty for Stricture Diseases-Second Stage RGU & MCU, UroflometryRGU & MCU, Uroflometry, Clinical
Photograph3 18000 S7 S712006
243 5.15 Urology Hypospadiasis(Adult) USG,Clinical Photograph Clinical Photograph, Uroflowmetry 3 20700 S7 S712007
244 5.16 Urology TURBT Biopsy , CT , USG, ECHO Biopsy , USG KUB 3 28750 S7 S700062
245 5.17 Urology TURP USG, Uroflometry, ECHO Biopsy , USG bladder and prostate 3 24150 S7 S700093
246 5.18 Urology Simple NephrectomyBiopsy , CT KUB , USG,
Renal ScanBiopsy , Clinical Photograph , USG 3 20700 S7 S700006
247 5.19 Urology Lap. Nephrectomy SimpleUSG, CT, ECHO, Renal
ScanBiopsy , Clinical Photograph , USG 3 20700 S7 S700007
248 5.20 Urology Lap. Nephrectomy Radical CT, KUB , USG, Renal Scan Biopsy , Clinical Photograph , USG 6 25300 S7 S700009
249 5.21 Urology Lap. Partial Nephrectomy CT, USG Biopsy , Clinical Photograph , USG 6 18527 S7 S700011
250 5.22Urology/
NephrologyRETROGRADE INTRARENAL SURGERY WITH LASER LITHOTRIPSY
CBC, S. CREATININE,
URINE R/M, URINE C/S,
PT/ APTT, X RAY KUB, IVP,
USG KUB
X RAY KUB, USG KUB 5 30000 S7 S712008
251 5.24Urology/
NephrologyHOLMIUM ENUCLEATION OF PROSTATE
CBC, S. CREATININE,
URINE R/M, URINE C/S, X
RAY KUB, USG KUB, S.
PSA, UROFLOWMETRY, S.
ELECTROLYTES
USG KUB, UROFLOWMETRY 5 30000 S7 S700094
252 5.30Urology/
NephrologyCHECK CYSTOSCOPY
CBC, S. CREATININE,
URINE R/M, USG KUB,
URINE CYTOLOGY
- 5 5750 S7 S700067
253 5.31Urology/
NephrologyCYSTOSCOPY + URINE SAMPLING + B/L RGP
CBC, S. CREATININE,
URINE R/M, URINE C/S,
PT/ APTT, X RAY KUB, USG
KUB
- 5 9200 S7 S700057
254 5.41Urology/
NephrologyCOLOSTOMY & SUPRAPUBIC URINARY DIVERSION FOR PELVIC FRACTURE INJURY
CBC, S. CREATININE,
URINE R/M, USG KUB,
RGU + MCU
- 5 23000 S7 S712009
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
255 5.45Urology/
NephrologySURGERY FOR URETHRORECTAL FISTULA
CBC, S. CREATININE,
URINE R/M, URINE C/S,
USG KUB, RGU + MCU, CT
ABDOMEN
MCU 5 28750 S7 S712010
256 5.46Urology/
NephrologyOPEN SURGERY FOR COLOVESICAL FISTULA
CBC, S. CREATININE,
URINE R/M, URINE C/S,
USG KUB, RGU + MCU, CT
ABDOMEN
MCU 5 34500 S7 S712011
257 5.54Urology/
NephrologyOPEN NEPHROURETERECTOMY WITH BLADDER CUFF EXCISION
CBC, S. CREATININE,
URINE C/S, X RAY KUB,
USG KUB, CECT
ABDOMEN, LFT, CHEST X
RAY, URINE CYTOLOTY
S. CREATININE, USG KUB, CHEST X RAY,
CT ABDOMEN5 34500 S7 S700014
258 5.55Urology/
NephrologyLAPAROSCOPIC NEPHROURETERECTOMY WITH BLADDER CUFF EXCISION
CBC, S. CREATININE,
URINE C/S, X RAY KUB,
USG KUB, CECT
ABDOMEN, LFT, CHEST X
RAY, URINE CYTOLOTY
S. CREATININE, USG KUB, CHEST X RAY,
CT ABDOMEN5 51750 S7 S700015
259 5.57Urology/
NephrologyOPEN URETEROCALICOSTOMY
CBC, S. CREATININE,
URINE R/M, URINE C/S, X
RAY KUB, IVP, USG KUB,
DIURETIC RENAL SCAN
USG KUB, DIURETIC RENAL SCAN 5 34500 S7 S700020
260 5.58Urology/
NephrologyLAPAROSCOPIC URETEROCALICOSTOMY
CBC, S. CREATININE,
URINE R/M, URINE C/S, X
RAY KUB, IVP, USG KUB,
DIURETIC RENAL SCAN
USG KUB, DIURETIC RENAL SCAN 5 40250 S7 S700021
261 5.59Urology/
NephrologyOPEN HEMINEPHRECTOMY FOR FUSION ANOMALY
CBC, S. CREATININE,
URINE R/M, URINE C/S, X
RAY KUB, CT IVU, USG
KUB, DIURETIC RENAL
SCAN
USG KUB 5 34500 S7 S712012
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
262 5.60Urology/
NephrologyLAPROSCOPIC HEMINEPHRECTOMY FOR FUSION ANOMALY
CBC, S. CREATININE,
URINE R/M, URINE C/S, X
RAY KUB, CT IVU, USG
KUB, DIURETIC RENAL
SCAN
USG KUB 5 40250 S7 S712013
263 5.61Urology/
NephrologyOPEN ANATROPHIC NEPHROLITHOTOMY ( For Staghorn Stone)
CBC, S. CREATININE,
URINE R/M, URINE C/S, X
RAY KUB, CT IVU, USG
KUB
USG KUB, X RAY KUB, S. CREATININE 5 34500 S7 S712014
264 5.66Urology/
NephrologyOPEN URETERAL REIMPLANTATION FOR URETEROVAGINAL FISTULA
CBC, S. CREATININE,
URINE R/M, URINE C/S,
PT/ APTT, X RAY KUB, IVP,
USG KUB, MCU
USG KUB, DIURETIC IVP, MCU 5 34500 S7 S700044
265 5.67Urology/
NephrologyLAPAROSCOPIC URETERAL REIMPLANTATION FOR URETEROVAGINAL FISTULA
CBC, S. CREATININE,
URINE R/M, URINE C/S,
PT/ APTT, X RAY KUB, IVP,
USG KUB, MCU
USG KUB, DIURETIC IVP, MCU 5 46000 S7 S700046
266 5.68Urology/
NephrologyLAPAROSCOPIC VVF REPAIR
CBC, S. CREATININE,
URINE R/M, URINE C/S,
IVP, USG KUB, MCU
MCU 5 43700 S7 S700085
267 5.71Urology/
NephrologyURETEROLYSIS FOR RETROPERITONEAL FIBROSIS
CBC, S. CREATININE,
URINE R/M, URINE C/S, CT
IVU, USG KUB
DIURETIC IVP 5 34500 S7 S712015
268 5.78Urology/
NephrologyOPEN RADICAL CYSTECTOMY WITH NEOBLADDER
CBC, S. CREATININE,
URINE CYTOLOGY, URINE
C/S,CT ABDOMEN, USG
KUB, CHEST X RAY
USG KUB, CT IVU, POUCHOGRAM 5 80500 S7 S700075
269 5.80Urology/
NephrologyOPEN RADICAL CYSTECTOMY WITH MAINZ 2 POUCH
CBC, S. CREATININE,
URINE CYTOLOGY, URINE
C/S,CT ABDOMEN, USG
KUB, CHEST X RAY,
COLONOSCOPY
CBC, S. CREATININE, ABG, USG
ABDOMEN, CT IVU, COLONOSCOPY5 57500 S7 S712016
270 5.82Urology/
NephrologyOPEN AUGMENTATION CYSTOPLASTY
CBC, S. CREATININE, MCU,
URINE C/S,CT ABDOMEN,
USG KUB, CHEST X RAY,
URINE AFB, IVP
MCU 5 57500 S7 S700089
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
271 5.84Urology/
NephrologyOPEN BLADDER DIVERTICULECTOMY WITH URETERIC REIMPLANTATION
CBC, S. CREATININE,
URINE R/M, URINE C/S,
USG KUB, MCU, DMSA
SCAN
MCU, DMSA RENAL SCAN 5 34500 S7 S700091
272 5.91Urology/
NephrologyOPEN ORCHIECTOMY (SIMPLE / RADICAL)
USG SCROTUM, DOPPLER
SCROTUM / AFP, LDH, B
HCG, CT ABDOMEN
AFP, LDH, B HCG, CT ABDOMEN 5 17250 S7 S712017
273 5.108Urology/
NephrologyOPEN ILEAL REPLACEMENT FOR URETERIC STRICTURE
CT IVU, MCU, URINE FOR
AFB, USG ABDOMENDIURETIC IVP 5 57500 S7 S712018
274 5.111Urology/
NephrologyOPEN BOARI FLAP
CT IVU, MCU, USG
ABDOMENMCU 5 28750 S7 S700052
275 5.124Urology/
NephrologyOPEN URETEROLYSIS
CBC, S. CREATININE,
URINE R/M, URINE C/S, CT
IVU, USG KUB
DIURETIC IVP 5 34500 S7 S712019
276 5.126Urology/
NephrologyOPEN COLOVAGINAL FISTULA REPAIR
CT ABDOMEN,
COLONOSCOPYBARIUM ENEMA 5 34500 S7 S712020
277 5.127Urology/
NephrologyURETHROVAGINAL FISTULA REPAIR
CBC, S. CREATININE,
URINE R/M, URINE C/S,
IVP, USG KUB, MCU
MCU 5 34500 S7 S700087
278 5.135Urology/
NephrologyRADIOCEPHALIC AV FISTULA FOR HEMODIALYSIS DOPPLER UPPER LIMB DOPPLER UPPER LIMB 5 6440 S7 S712022
279 5.136Urology/
NephrologyBRACHIOCEPHALIC AV FISTULA FOR HEMODIALYSIS DOPPLER UPPER LIMB DOPPLER UPPER LIMB 5 8280 S7 S712023
280 5.142Urology/
Nephrology
MAINTENANCE HEMODIALYSIS (MHD) (WITH INJ. ERYTHROPOETINE WITH INJ. IRON)
–PER DIALYSIS.
CBC, S.CRETAIN, BL UREA,
S. Na+ /S.K+, HIV(ELLISA),
HCV (ELLISA), HBS Ag
(ELLISA)
- 0 2300 S7 S712024
281 5.143Interventional
Radiology
Permanent tunnelled catheter placement as substitute for AV fistula in long term
dialysis
Colour Doppler/
Peripheral AngiogramClinical Photograph 0 30,000 S7 S712025
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
282 5.144Interventional
RadiologyEndovascular intervention for salvaging hemodialysis AV fistula
Colour Doppler/
Peripheral AngiogramClinical Photograph 0 40,000 S7 S712026
283 5.145Interventional
RadiologySPC for atony bladder
Colour Doppler/
Peripheral AngiogramClinical Photograph 3 20,000 S7 S712027
284 5.146 Urology Adrenalectomy-unilateral, open clinical notes,CT/MRI/USG Clinical photograph,USG 25,000 S7 S700001
285 5.147 Urology Adrenalectomy-unilateral, Laparoscopic clinical notes,CT/MRI/USG Clinical photograph,USG 30,000 S7 S700002
286 5.148 Urology Adrenalectomy-bilateral, open clinical notes,CT/MRI/USG Clinical photograph,USG 32,000 S7 S700003
287 5.149 Urology Adrenalectomy-biilateral, Laparoscopic clinical notes,CT/MRI/USG Clinical photograph,USG 40,000 S7 S700004
288 5.150 Urology Paraganglioma excision with liver mobilization clinical notes,CT/MRI/USG Clinical photograph,USG 50,000 S7 S700005
289 5.151 Urology Nephrectomy-Radical (Renal tumor) Open USG ,CT / MRI HPEE 25,000 S7 S700008
290 5.152 Urology Nephrectomy-Partial or Hemi, Open USG ,CT / MRI HPEE 30,000 S7 S700010
291 5.153 Urology Nephrectomy-Partial or Hemi, Laparoscopic USG ,CT / MRI HPEE 35,000 S7 S700011
292 5.154 Urology Nephro ureterectomy (Benign) Open Renal Scan(DTPA) HPEE 25,000 S7 S700012
293 5.155 Urology Nephro ureterectomy (Benign) Laparoscopic Renal Scan(DTPA) HPEE 30,000 S7 S700013
294 5.156 Urology Endopyelotomy (retrograde with laser/bugbee) USG,X Ray,IVP/CT USG 25,000 S7 S700018
295 5.157 Urology Endopyelotomy (antegrade with laser/bugbee) USG,X Ray,IVP/CT USG 28,000 S7 S700019
296 5.158 Urology Uretero-ureterostomy Open USG,X Ray,IVP/CT USG 25,000 S7 S700022
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
297 5.159 Urology Uretero-ureterostomy Laparoscopic USG,X Ray,IVP/CT USG 35,000 S7 S700023
298 5.160 Urology Pyelolithotomy-Laparoscopic USG,X Ray,IVP/CT USG 30,000 S7 S700029
299 5.161 Urology Perinephric Abscess drainage (percutaneous) USG/CT USG 10,000 S7 S700032
300 5.162 Urology Perinephric Abscess drainage (Open) USG/CT USG 20,000 S7 S700033
301 5.163 Urology Renal Cyst deroofing or marsupialization-Open USG/CT USG 20,000 S7 S700034
302 5.164 Urology Renal Cyst deroofing or marsupialization-Laparoscopic USG/CT USG 30,000 S7 S700035
303 5.165 Urology Ureterolithotomy-Open USG,X Ray,IVP/CT Clinical photograph,USG 20,000 S7 S700037
304 5.166 Urology Ureterolithotomy-Laparoscopic USG,X Ray,IVP/CT Clinical photograph,USG 30,000 S7 S700038
305 5.167 Urology Ureterotomy (Cutaneous) USG,X Ray,IVP/CT Clinical photograph,USG 20,000 S7 S700042
306 5.168 Urology Endoureterotomy (laser/bugbee) USG,X Ray,IVP/CT Clinical photograph,USG 20,000 S7 S700043
307 5.169 Urology Uretero-vaginal/uterine fistula repair openUSG KUB,CT Urography/
MRI UrographyUSG 27,000 S7 S700048
308 5.170 Urology Uretero-vaginal/uterine fistula repair LaparoscopicUSG KUB,CT Urography/
MRI UrographyUSG 37,000 S7 S700049
309 5.171 Urology Boari flap for ureteric stricture, Laparoscopic USG,IVP/CT USG 40,000 S7 S700053
310 5.172 UrologyUreterocele incision including cystoscopy, ureteric catheterization, retrograde
pyelogramUSG,IVP/CT USG 15,000 S7 S700058
311 5.173 Urology Urachal Cyst excision -open USG,IVP/CT USG 15,000 S7 S700059
312 5.174 Urology Cystolithotomy-open, including cystoscopy USG,IVP/CT USG 15,000 S7 S700060
313 5.175 Urology Cystolithotripsy/Urethral Stone endoscopic, including cystoscopy USG,IVP/CT USG 15,000 S7 S700061
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
314 5.176 Urology TUR-fulgration (Transurethral fulgration of the Bladder Tumor) USG/CT USG/HPEE 18,000 S7 S700063
315 5.177 Urology Bladder Neck incision-endoscopic
CBC, S. Cretanine, Urine-
R/M, USG KUB, Urine
Cytology
CLINICAL NOTES 15,000 S7 S700068
316 5.178 UrologyExtrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric
reimplantClinical Photo Clinical Photo 50,000 S7 S700069
317 5.179 Urology Bladder injury repair (as an independent procedure with or without urethral injury) Clinical Photo Clinical Photo 20,000 S7 S700070
318 5.180 UrologyBladder injury repair with colostomy (as an independent procedure with or without
urethral injury)USG, Clinical Notes Clinical Photo 25,000 S7 S700072
319 5.181 Urology Partial Cystectomy-openclinical notes,CT
Scan/USG/MRI /MCUClinical Photo, HPEE 20,000 S7 S700073
320 5.182 Urology Partial Cystectomy-Laparoscopicclinical notes,CT
Scan/USG/MRI /MCUClinical Photo, HPEE 30,000 S7 S700074
321 5.183 Urology Radical cystectomy with continent diversion-openclinical notes,CT
Scan/USG/MRI /MCUClinical Photo, HPEE 50,000 S7 S700076
322 5.184 Urology Radical Cystectomy with Ileal Conduit-openclinical notes,CT
Scan/USG/MRI /MCUClinical Photo, HPEE 50,000 S7 S700077
323 5.185 Urology Radical Cystectomy with ureterostomy-openclinical notes,CT
Scan/USG/MRI /MCUClinical Photo, HPEE 35,000 S7 S700078
324 5.186 Urology Radical Cystectomy with ureterosigmoidostomy-openclinical notes,CT
Scan/USG/MRI /MCUClinical Photo, HPEE 35,000 S7 S700079
325 5.187 Urology Other Cystectomiesclinical notes,CT
Scan/USG/MRI /MCUClinical Photo, HPEE 30,000 S7 S1512008
326 5.188 Urology Suprapubic Cystostomy - Open, as an independent procedureclinical notes,CT
Scan/USG/MRI Clinical Photo 10,000 S7 S700081
327 5.189 Urology Suprapubic Drainage - Closed/Trocarclinical notes,CT
Scan/USG/MRI Clinical Photo 5,000 S7 S700082
328 5.190 Urology VVF/Uterovaginal Repair - Transvaginal approachclinical notes,CT
Scan/USG/MRI /IVPClinical Photo 25,000 S7 S700083
329 5.191 Urology VVF/Uterovaginal Repair - Abdominal,Openclinical notes,CT
Scan/USG/MRI /IVPClinical Photo 25,000 S7 S700084
330 5.192 Urology Hysterectomy as part of VVF/uterovaginal fistula repair (top-up)clinical notes,CT
Scan/USG/MRI /IVPClinical Photo 5,000 S7 S700086
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
331 5.193 Urology Urethrovaginal fistula repairclinical notes,CT
Scan/USG/MRI /IVPClinical Photo 30,000 S7 S700087
332 5.194 Urology Y V Plasty of Bladder Neck/Bladder Neck Reconstructionclinical notes,CT
Scan/USG/MRIClinical Photo 20,000 S7 S700088
333 5.195 Urology Augmentation cystoplasty-openclinical notes,CT
Scan/USG/MRI Clinical Photo 30,000 S7 S700089
334 5.196 Urology Augmentation cystoplasty-Laparoscopicclinical notes,CT
Scan/USG/MRI Clinical Photo 40,000 S7 S700090
335 5.197 Urology Open simple prostatetctomy for BPHclinical notes,CT
Scan/USG/MRIClinical Photo 25,000 S7 S700092
336 5.198 Urology TURP-Transurethral Resection of the Prostate, BPH, Monopolar/Bipolar/Laser USG, Uroflowmetry HPEE, USG 25,000 S7 S700093
337 5.199 Urology TURP/Laser + Circumcision USG, Uroflowmetry HPEE, USG 30,000 S7 S700095
338 5.200 Urology TURP/Laser + Cystolithotripsy USG, Uroflowmetry HPEE, USG 30,000 S7 S700096
339 5.201 Urology TURP/Laser + Cystolithotomy-open USG, Uroflowmetry HPEE, USG 35,000 S7 S700097
340 5.202 Urology TURP/Laser + Orchidectomy USG, Uroflowmetry HPEE, USG 30,000 S7 S700098
341 5.203 Urology TURP/Laser + TURBT USG, Uroflowmetry HPEE, USG 30,000 S7 S700099
342 5.204 Urology TURP/Laser + URS with stone removal USG, Uroflowmetry HPEE, USG 40,000 S7 S700100
343 5.205 Urology TURP/Laser + VIU (visual internal Ureterotomy) USG, Uroflowmetry HPEE, USG 40,000 S7 S700101
344 5.206 Urology TURP/Laser + Hydrocele surgery USG, Uroflowmetry HPEE, USG 40,000 S7 S700102
345 5.207 Urology TURP/Laser + Hernioplasty USG, Uroflowmetry HPEE, USG 40,000 S7 S700103
346 5.208 Urology TURP/Laser + Urethral dilatation-non endoscopic USG, Uroflowmetry HPEE, USG 40,000 S7 S700104
347 5.209 Urology TURP/Laser + Urethral dilatation-endoscopic USG, Uroflowmetry HPEE, USG 40,000 S7 S700105
348 5.210 Urology Radical prostatectomy - laparoscopic USG HPEE, USG 70,000 S7 S700107
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
349 5.211 Urology Transrectal Ultrasound guided prostate biopsy (minimum 12 core) USG HPEE, USG 10,000 S7 S700108
350 5.212 Urology Reduction of Paraphimosis Clinical Photo Clinical Photo 2,000 S7 S700109
351 5.213 Urology Excision of Urethral Caruncle Clinical Notes Clinical Photo 6,000 S7 S700110
352 5.214 Urology Meatoplasty Clinical Photo Clinical Photo 3,500 S7 S700111
353 5.215 Urology Meatotomy Clinical Photo Clinical Photo 3,500 S7 S700112
354 5.216 Urology Post Urethral Valve fulguration USG, MCU USG 10,000 S7 S700113
355 5.217 Urology Urethroplasty-End to endclinical notes,RGU/MCU/
UroflowmetryRGU/MCU 20,000 S7 S700114
356 5.218 Urology Urethroplasty-Transpubicclinical notes,RGU/MCU/
UroflowmetryRGU/MCU 30,000 S7 S700117
357 5.219 Urology Perineal Urethrostomy without closure USG, Clinical Notes Clinical Photo 20,000 S7 S700119
358 5.220 Urology Urethrorectal fistula repair Dye Study Clinical Notes 40,000 S7 S700120
359 5.221 Urology Urethral Dilatation-non endocopic as an independent procedure Clinical Notes Clinical Notes 2,000 S7 S700121
360 5.222 Urology Urethral Dilatation-endocopic as an independent procedure Clinical Notes Clinical Notes 5,000 S7 S700122
361 5.223 Urology Internal Ureterotomy including cystoscopy as an independent procedure clinical notes,RGU/MCU Clinical Notes 10,000 S7 S700123
362 5.224 Urology Orchiopexy-without laparoscopy, unilateral USG, Clinical Notes USG 15,000 S7 S700126
363 5.225 Urology Orchiopexy-without laparoscopy, bilateral USG, Clinical Notes USG 15,000 S7 S700127
364 5.226 Urology Orchiopexy-with laparoscopy, unilateral USG, Clinical Notes USG 30,000 S7 S700128
365 5.227 Urology Orchiopexy-with laparoscopy, bilateral USG, Clinical Notes USG 30,000 S7 S700129
366 5.228 Urology Stress incontinence surgery, open Clinical Notes Uroflowmetry 20,000 S7 S700130
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
367 5.229 Urology Stress incontinence surgery, laparoscopic Clinical Notes Uroflowmetry 30,000 S7 S700131
368 5.230 Urology Stress incontinence surgery with slings Clinical Notes Uroflowmetry 35,000 S7 S700132
369 5.231 Urology Partial Penectomy Clinical Notes Clinical Notes 15,000 S7 S1512014
370 5.232 Urology Total Penectomy + Perineal Urethrostomy Clinical Notes Clinical Notes 20,000 S7 S700134
371 5.233 Urology Ilio-Inguinal lymphadenectomy-unilateral USG/FNAC HPEE 15,000 S7 S700135
372 5.234 Urology Ilio-Inguinal lymphadenectomy-bilateral USG/FNAC HPEE 25,000 S7 S700136
373 5.235 Urology Pelvic lymphadenectomy open, after prior cancer surgeryCT/MRI/USG pelvis,clinical
notesHPEE 25,000 S7 S700137
374 5.236 Urology Pelvic lymphadenectomy laparoscopic, after prior cancer surgeryCT/MRI/USG pelvis,clinical
notesHPEE 30,000 S7 S700138
375 5.237 Urology Orchiectomy-simple USG/CT Abdomen pelvis HPEE 10,000 S7 S700140
376 5.238 Urology Retroperitoneal lymph node dissection-LaparoscopicCT/MRI,USG Abdomen
pelvis,clinical notesHPEE 35,000 S7 S700143
377 5.239 Urology Infertility-Scrotal exploration unilateral Semen Analysis Clinical Notes/HPEE 10,000 S7 S700144
378 5.240 Urology Infertility-Scrotal exploration bilateral Semen Analysis Clinical Notes/HPEE 12,000 S7 S700145
379 5.241 Urology Infertility-Vasoepididymostomy, microsurgical, unilateral USG Vasography 15,000 S7 S700146
380 5.242 Urology Infertility-Vasoepididymostomy, microsurgical, bilateral USG Vasography 20,000 S7 S700147
381 5.243 Urology Varicocele-unilateral-non microsurgical Doppler Doppler 10,000 S7 S700148
382 5.244 Urology Varicocele-unilateral-microsurgical Doppler Doppler 12,000 S7 S700149
383 5.245 Urology Varicocele-bilateral-non microsurgical Doppler Doppler 15,000 S7 S700150
384 5.246 Urology Varicocele-bilateral-microsurgical Doppler Doppler 20,000 S7 S700151
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
385 5.247 Urology Penile prosthesis insertion, Malleable (Indian implant) Clinincal History implant sticker 30,000 S7 S700152
386 5.248 Urology Priapism-aspiration/shunt Clinical Notes Clinical Notes 15,000 S7 S700153
387 5.249 Urology
Neurogenic bladder-Package for evaluation/investigation (catheter + ultrasound +
culture + RGU/ MCU) for 1 month (medicines - antibiotics). Follow up visit once in 3
months
Clinical assessment and
investigationsClinical Notes 7,500 S7 S700154
388 5.250 UrologyChronic prostatitis-Package for evaluation/investigation (ultrasound + culture +
prostate massage) for 1 month (medicines). Follow up visit once in 3 months
Clinical assessment and
investigationsClinical Notes 2,500 S7 S700155
389 5.251 UrologyEmergency management of Ureteric stone - Package for evaluation/investigation
(ultrasound + culture) for 3 weeks (medicines).
Clinical assessment and
investigationsClinical Notes 3,500 S7 S700156
390 5.252 Urology Emergency management of Hematuria (Package rete per day) Daily Urine- RM Clinical Notes 2,000 Package rete per day S7 S700157
391 5.253 Urology Emergency management of Acute retention of Urine (Package rete per day) Clinincal Notes/USG Clinical Notes 2,000 Package rete per day S7 S700158
392 5.254 UrologyAcute management of upper urinary tract trauma – conservative (Package rete per
day)USG/CT, Clinical History Clinical Notes 2,000 Package rete per day S7 S700159
393 5.255 Urology Urinary tract trauma – open surgery (exploratory) USG/CT, Clinical History Clinical Notes 20,000 S7 S700160
394 5.256 Urology Urinary tract trauma – Laparoscopy surgery USG/CT, Clinical History Clinical Notes 30,000 S7 S700161
395 5.257 Urology Pyeloplasty/pyeloureterostomy/pyelopyelostomy Open USG,X Ray,IVP/CT USG 25,000 S7 S700016
396 5.258 Urology Pyeloplasty/pyeloureterostomy/pyelopyelostomy Laparoscopic USG,X Ray,IVP/CT USG 30,000 S7 S700017
397 5.259 UrologyUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S7 U100
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
398 6.1 Brain Craniotomy and Evacuation of Haematoma –Subdural CT Clinical Photograph 3 57040 S8 S812001
Cluster - 6 NEUROSURGERY/NEUROLOGY/INTERVENTIONAL NEURORADIOLOGY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
399 6.2 Brain Craniotomy and Evacuation of Haematoma – Extradural CT Clinical Photograph 3 51520 S8 S812002
400 6.3 Brain Excision of Brain Tumor Supratentorial- Parasagital CT Clinical Photograph 3 51750 S8 S812003
401 6.4 Brain Excision of Brain Tumor Supratentorial-Basal CT Clinical Photograph 3 51750 S8 S812004
402 6.5 Brain Excision of Brain Tumor - Brainstem CT Clinical Photograph 3 70000 S8 S812005
403 6.6 Brain Excision of Brain Tumor - C P Angle CT Clinical Photograph 3 50000 S8 S812006
404 6.7 Brain Excision of Brain Tumor Supratentorial & others CT Clinical Photograph 3 34500 S8 S800056
405 6.8 Brain Excision of Brain Tumors – Infratentorial MRI Clinical Photograph 3 110000 S8 S812007
406 6.9Brain / Spinal
(Endovascular)Intervention with coiling / embolisation procedures DSA DSA 3 85000 S8 S812008
407 6.10 Brain Ventriculoatrial /Ventriculoperitoneal/ Ventriculo-other Shunt CT Clinical Photograph 3 40000 S8 S812009
408 6.11 Brain Twist Drill Craniostomy CT Clinical Photograph 3 18630 S8 S800051
409 6.12 Brain Subdural Tapping CT Clinical Photograph 3 17020 S8 S812010
410 6.13 Brain Abscess Tapping Single CT Clinical Photograph 3 17250 S8 S800057
411 6.14 Brain Abscess Tapping multiple CT Clinical Photograph 3 23920 S8 S800058
412 6.15 Brain Meningo Encephalocele MRI Clinical Photograph 3 34270 S8 S812011
413 6.17 Brain C.S.F. Rhinorrhoea (Transcranial / Transnasal) CT Clinical Photograph 3 75000 S8 S812012
414 6.18 Brain Cranioplasty CT , Clinical Photograph Clinical Photograph 3 27830 S8 S812013
415 6.20 Brain Excision of Brain Abcess CT Clinical Photograph 3 28750 S8 S800059
416 6.21 Brain Aneurysm Clipping MRI Angio / DSA Clinical Photograph , X-RAY 3 34500 S8 S800060
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
417 6.22Brain / Spinal
(Endovascular)Carotid angioplasty with stent ANGIOGRAM DOPPLER , X-RAY 3 60000 S8 S812014
418 6.23Brain / Spinal
(Endovascular)Carotid angioplasty without stent ANGIOGRAM DOPPLER , X-RAY 3 40000 S8 S812015
419 6.24 Brain External Ventricular Drainage (EVD) CT Clinical Photograph 3 28750 S8 S812016
420 6.25 Spinal Spinal Cord Tumours (extramedullary) MRI Biopsy , Clinical Photograph 3 34270 S8 S812017
421 6.26 Spinal Excision of Cervical Inter-Vertebral Discs MRI Clinical Photograph 3 34270 S8 S812018
422 6.27 Spinal Anterior Cervical Spine Surgery with fusion MRI Clinical Photograph 3 34270 S8 S812019
423 6.28 Spinal Anterio Lateral Decompression MRI Clinical Photograph 3 17250 S8 S812020
424 6.29 Spinal Laminectomy-Cervical/dorsal/lumbar MRI Clinical Photograph 3 34270 S8 S812021
425 6.30 Spinal Discectomy-Dorsal MRI Clinical Photograph 3 28520 S8 S812022
426 6.31 Spinal Discectomy-Lumbar MRI Clinical Photograph 3 28520 S8 S812023
427 6.32 Spinal Discectomy + cost of implant MRI Clinical Photograph 3 34270 S8 S812024
428 6.33 Spinal Spinal Intra Medullary Tumours MRI Biopsy , Clinical Photograph , X-RAY 3 68540 S8 S812025
429 6.34 Spinal Spina Bifida Surgery Major MRI Clinical Photograph , X-RAY 3 28750 S8 S812026
430 6.35 Spinal Spina Bifida Surgery Minor MRI Clinical Photograph , X-RAY 3 20700 S8 S812027
431 6.36 Brain / Spinal Stereotaxic Procedures (Framed / Frameless) CT/MRI Clinical Photograph 3 50000 S8 S800065
432 6.37Brain / Spinal
(Endovascular)Vertebral artery Stenting ANGIOGRAM DOPPLER 3 60000 S8 S812028
433 6.38 AAD Surgeries Transoral surgery and CV Junction (With Posterior Fixation) MRI , X-Ray Cerical Spine Clinical Photograph 3 125000 S8 S812029
434 6.39 AAD Surgeries Trans oral Surgery CT Biopsy , Clinical Photograph 3 39790 S8 S800071
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
435 6.40 Brain Trans Sphenoidal Surgery CT, MRI Biopsy , Clinical Photograph 3 34040 S8 S812030
436 6.41 Brain RF Lesions for Trigminal Neuralgia MRI Clinical Photograph 3 28750 S8 S800050
437 6.44 Neuro muscular Muscle Biopsy with report EMG, NCV Biopsy 3 17250 S8 S800074
438 6.45 Brain MVD MRI Clinical Photograph 3 45000 S8 S812031
439 6.46 Neuro Surgery Nerve Biopsy with report EMG, NCV Biopsy 3 8625 S8 S812032
440 6.47 Neuro Surgery Nerve Decompression MRI Clinical Photograph 3 17250 S8 S800075
441 6.48 Neuro Surgery Peripheral Nerve Surgery Major EMG, NCV Clinical Photograph 3 34500 S8 S800076
442 6.49 Neuro Surgery Peripheral Nerve Surgery Minor EMG, NCV Clinical Photograph 3 17250 S8 S800077
443 6.50 C.V.JUNCTION POSTERIOR FIXATION ALONE
MRI SPINE +CT SPINE-
FLEXION/ EXTENTION/
NEUTRAL
X RAY SPINE 5 65000 S8 S812033
444 6.51 BRAIN SURGERY FOR ORBITAL TUMORS/PROPTOSIS MRI CONTRAST/ CECT CECT+BIOPSY REPORT 5 90000 S8 S812034
445 6.52 BRAIN+SPINE INFRATENTORIAL TUMOR WITH SPINAL EXTENSION MRI CONTRAST/ CECT CECT+BIOPSY REPORT 5 100000 S8 S812035
446 6.53 BRAINVASCULAR MALFORMATION SURGERY/Procedure
(SUPRATENTORIAL/INFRATENTORIAL)CTA/MRA/DSA CTA+BIOPSY 5 120000 S8 S812036
447 6.54 BRAIN EPILEPSY SURGERY-GRID INSERTION + LOCALISATION +SURGERY/Procedure MRI BRAIN (1.5/3 TESLA)
+VEEG +CT SCANCT BRAIN 5 110000 S8 S812037
448 6.55 BRAIN EPILEPSY SURGERY-LESIONECTOMYMRI BRAIN (1.5/3 TESLA)
+EEGCT BRAIN 5 60000 S8 S812038
449 6.56 BRAIN EPILEPSY SURGERY- ATL/AH FOR MTSMRI BRAIN (1.5/3 TESLA)
+EEGCT BRAIN 5 70000 S8 S812039
450 6.57 SKULL BONY TUMOR OF SKULL CECT CT BRAIN +BIOPSY REPORT 5 50000 S8 S812040
451 6.58 BRAIN ENDOSPIC BRAIN SURGERIES (DIAGNOSTIC) MRI BRAIN/CT BRAIN CT BRAIN 5 30000 S8 S812041
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
452 6.59 BRAIN ENDOSPIC BRAIN SURGERIES (THIRD VENTRICULOSTOMY) MRI BRAIN/CT BRAIN CT BRAIN 5 45000 S8 S812042
453 6.60 BRAIN ENDOSPIC BRAIN SURGERY (AQUEDUCTOPLASTY) WITHOUT IMPLANT MRI BRAIN/ CT BRAIN CT BRAIN 5 50000 S8 S812043
454 6.61 BRAIN ENDOSPIC BRAIN SURGERY (AQUEDUCTOPLASTY) WITH IMPLANT MRI BRAIN/ CT BRAIN CT BRAIN 5 60000 S8 S812044
455 6.62 BRAIN ENDOSPIC BRAIN SURGERIES ( TUMOUR/CYST EXISION) MRI BRAIN/CT BRAIN CT BRAIN +BIOPSY 5 60000 S8 S812045
456 6.63 NERVE PAIN MANAGEMENT SURGERY (SYMPETHECTOMY/RHIZOTOMY) RELATED INVESTIGATIONS RELATED INVESTIGATIONS 3 40000 S8 S812046
457 6.64 C.V.JUNCTIONC V JUNCTION DECOMPRESSION (POSTERIOR) (ARNOLD-CHIARY MALFORMATION
AND OTHERS)
MRI CV JUNCTION + CT CV
JUNCTION-
FLEXION/EXTENTION/NEU
TRAL
X RAY SPINE 3 70000 S8 S812047
458 6.65 SKULL BONE FLAP REMOVAL CT BRAIN CT BRAIN 3 35000 S8 S812048
459 6.66 SPINE CORPECTOMY AND FIXATION CERVICAL/DORSAL/LUMBER(SINGLE LEVEL) MRI SPINE X RAY SPINE 5 65000 S8 S812049
460 6.67 SPINE CORPECTOMY AND FIXATION CERVICAL/DORSAL/LUMBER (MULTIPLE LEVEL) MRI SPINE X RAY SPINE 5 80000 S8 S812050
461 6.68 SPINE CERVICAL SPINE STABLISATION ANTERIOR MRI SPINE X RAY SPINE 5 60000 S8 S812051
462 6.69 SPINE CERVICAL SPINE STABLISATION-POSTERIOR MRI SPINE X RAY SPINE 5 60000 S8 S812052
463 6.70 SPINE CERVICAL SPINE STABLISATION-GLOBAL MRI SPINE X RAY SPNE 5 90000 S8 S812053
464 6.71 SPINE DL SPINE STABLISATION-ANTERTIOR MRI SPINE X RAY SPINE 5 60000 S8 S812054
465 6.72 A SPINE DL SPINE STABLISATION-POSTERIOR Level one MRI SPINE X RAY SPINE 5 50000 S8 S812055
466 6.72 B SPINE DL SPINE STABLISATION-POSTERIOR Level two MRI SPINE X RAY SPINE 5 60000 S8 S812055
467 6.73 A SPINE DL SPINE STABLISATION-GLOBAL (Anterior & Posterior combine) MRI SPINE X RAY SPINE 5 90000 S8 S812056
468 6.73 B SPINE DL SPINE STABLISATION-POSTERIOR Level three MRI SPINE X RAY SPINE 5 70000 S8 S812056
469 6.73 C SPINE DL SPINE STABLISATION-POSTERIOR Level four MRI SPINE X RAY SPINE 5 80000 S8 S812056
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
470 6.74 SKULL CRANIOSYNOSTOSIS SURGERY MRI+3D CT BRAIN CT BRAIN 5 100000 S8 S800009
471 6.75 SPINE LAMINOPLASTY CERVICAL/DORSAL/LUMBER MRI SPINE X RAY SPINE 3 50000 S8 S812057
472 6.76 BRAINDIAGNOSTIC CEREBRAL/SPINAL ANGIOGRAPHY (DSA-DIGITAL SUBSTRACTION
ANGIOGRAPHY)CT BRAIN/MRI SPINE RELATED INVESTIGATIONS 0 12000 S8 S812058
473 6.77 SPINE ENDOSCOPIC SPINE SURGERY MRI SPINE X RAY SPINE 3 40000 S8 S812059
474 6.78 SPINE THECO-PERITONEAL SHUNT MRI BRAIN/CT BRAIN X RAY SPINE+CSF REPORT 3 30000 S8 S812060
475 6.79 BRAIN CRANIO-FACIAL RESECTIONMRI BRAIN/CT BRAIN
+FACECT BRAIN +FACE 5 90000 S8 S200050
476 6.80
BRAIN
REVASCULARISATI
ON
ST-MCA BYPASS/EC-ICA BYPASS CTA/MRA/DSA CTA 5 95000 S8 S812062
477 6.81 VASCULAR CAROTID LIGATION FOR CCF/GIANT ANEURYSM CTA/MRA/DSA CTA 5 30000 S8 S812063
478 6.82 BRAIN REEXPLORATION FOR DEBRIDEMENT/CSF LEAK/HAEMATOMA CT BRAIN CT BRAIN 3 25000 S8 S812064
479 6.83 REANIMATION FACIAL NERVE REANIMATIONCONCERNED
INVESTIGATIONSCONCERNED INVESTIGATIONS 5 40000 S8 S812065
480 6.84 SPINE TRANSPEDICULAR BIOPSY MRI SPINE CONTRAST X RAY SPINE +BIOPSY REPORT 1 25000 S8 S812066
481 6.85 SPINE VERTEBROPLASTY/KYPHOPLASTY MRI SPINE X RAY SPINE +BIOPSY REPORT 5 50000 S8 S812067
482 6.86 Brain Craniotomy and Evacuation of Haematoma - Intracranial Spontaneous / Traumatic NCCT BRAIN NCCT BRAIN 5 90000 S8 S812068
483 6.87 Brain Decompressive Craniectomy - For Infarct / Lesion with mass effect on brain NCCT BRAIN NCCT BRAIN 5 70000 S8 S812069
484 6.88 BRAIN SUPRATENTORIAL TUMOUR WITH INFRATENTORIAL TUMOR EXTENSIONMRI/CT BRAIN (WITH
CONTRAST)CECT+BIOPSY REPORT 5 100000 S8 S812070
485 6.89*MEDICAL
NEUROLOGYCONSERVATIVE MANAGEMENT (ISCHEMIC STROKE) CT brain plain,others MRI brain with angiography 5 week 60000
Payment fraction (
1st week-35%,2nd
week-25%,3rd week-
15%,4th week-
S8 M112001
486 6.90*MEDICAL
NEUROLOGYTHROMBOLYSIS WITH ACTILYSE FOR ISCHEMIC STROKE CT brain plain,others
Repeat CT brain after 24 hours,MRI
brain with angiography5 week 120000
Payment fraction (
1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
S8 M112002
487 6.91*MEDICAL
NEUROLOGY
INTRAPARENCHYMAL /SUBARACHNOID HEMMORRHAGE (CONSERVATIVE
MANAGEMENT)CT brain plain,others
Repeat CT brain plain , CT angiography
brain5 week 40000
Payment fraction (
1st week-35%,2nd
week-25%,3rd week-
15%,4th week-
S8 M112003
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
488 6.92*MEDICAL
NEUROLOGYMENINGOENCEPHALITIS, OR/ AND EVD/VP shunt (CONSERVATIVE MANAGEMENT) CT brain plain,CSF ,others MRI brain with contrast 5 week 110000
Payment fraction (
1st week-35%,2nd
week-25%,3rd week-
15%,4th week-
10%,5th week-
10%,F/u-5%) of total
package rate
S8 M112004
489 6.93*MEDICAL
NEUROLOGYMYASTHENIA CRISIS MANAGEMENT BY PLASMAPHERESIS
Clinical diagnosis by
neurophysician OR
previously diagnosed case
Anyone of the following:repetitive
nerve stimulation,ACH-R antibody,Anti-
MUSK antibody
5 week 110000
Payment fraction (
1st week-35%,2nd
week-25%,3rd week-
15%,4th week-
10%,5th week-
10%,F/u-5%) of total
package rate
S8 M112005
490 6.94*MEDICAL
NEUROLOGYMYASTHENIA CRISIS MANAGEMENT BY IV IMMUNOGLOBINS
Clinical diagnosis by
neurophysician OR
previously diagnosed case
Anyone of the following:repetitive
nerve stimulation,ACH-R antibody,Anti-
MUSK antibody
5 week 200000
Payment fraction (
1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
S8 M112006
491 6.95*MEDICAL
NEUROLOGYGullian-barre syndrome management by plasmapheresis
Clinical diagnosis by
neurophysicianCSF study, NCV/EMG 5 week 109627
Payment fraction (
1st week-35%,2nd
week-25%,3rd week-
15%,4th week-
10%,5th week-
10%,F/u-5%) of total
package rate
S8 M112007
492 6.96*MEDICAL
NEUROLOGYGullian-barre syndrome management by Intravenous immunoglobulin
Clinical diagnosis by
neurophysicianCSF study, NCV/EMG 5 week 200000
Payment fraction (
1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
S8 M112008
493 6.97 Neurology Anterior Encephalocele CT Brain/ MRI Brain CT Brain 50,000 S8 S800001
494 6.98 Neurology Burr hole CT Brain/ MRI Brain CT Brain 7,000 S8 S800002
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
495 6.99 Neurology Burr hole with chronic Sub Dural Haematoma (including pre and post Op. CT) CT Brain/ MRI Brain CT Brain 20,000 S8 S800003
496 6.100 Neurology Carpal Tunnel Release including pre and post Op. MRI MRI, EMG/NCV - 10,000 S8 S800004
497 6.101 Neurology Cervical Ribs – BilateralX-Ray Cervical Spine/
Chest X-Ray, CT Scan
X-Ray Cervical Spine/ Chest X-Ray, CT
Scan35,000 S8 S800005
498 6.102 Neurology Cervical Ribs – UnilateralX-Ray Cervical Spine/
Chest X-Ray, CT Scan
X-Ray Cervical Spine/ Chest X-Ray, CT
Scan20,000 S8 S800006
499 6.103 Neurology Duroplasty - Endogenous CT Brain CT Brain 12,500 S8 S800010
500 6.104 Neurology Duroplasty - Exogenous(Implant cost is not iclluded in package rate) CT Brain Plain CT Brain 12,500
Implant cost will
added seperatly in
this package
S8 S800011
501 6.105 Neurology Haematoma (Child subdural) inclusive of General anaesthesia, pre and post Op. CT CT Brain CT Brain 50,000 S8 S800014
502 6.106 Neurology Laminectomy with Fusion and fixation MRI Spine X-Ray Spine. 50,000 S8 S800015
503 6.107 Neurology Laminectomy with Fusion MRI Spine X-Ray Spine. 40,000 S8 S800016
504 6.108 Neurology Local Neurectomy CT/MRI Clinical Photograph 16,000 S8 S800017
505 6.109 Neurology Meningocele – Anterior Brain , Spinal Cord MRI X Ray/ Post OP Operative Site 36,000 S8 S800019
506 6.110 Neurology Meningocele – Lumbar Brain , Spinal Cord MRI X Ray/ Post OP Operative Site 36,000 S8 S800020
507 6.111 Neurology Meningococcal – Occipital Clinical Photo/MRI/CT X Ray/ Post OP Operative Site 50,000 S8 S800021
508 6.112 Neurology Skull Traction MRI Spine X-Ray Spine. 8,000 S8 S800026
509 6.113 Neurology Spine - Canal Stenosis CT/MRI CT 40,000 S8 S800027
510 6.114 Neurology Spine - Extradural Haematoma MRI Spine X-Ray Spine. 30,000 S8 S800032
511 6.115 Neurology Spine - Extradural Haematoma with fixation MRI Spine X-Ray Spine. 40,000 S8 S800033
512 6.116 Neurology Spine - Intradural Haematoma MRI X-Ray Spine. 40,000 S8 S800036
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
513 6.117 Neurology Spine - Intradural Haematoma with fixation MRI Spine X-Ray Spine. 50,000 S8 S800037
514 6.118 Neurology Spine - Intramedullar Tumour CT/MRI HPEE 50,000 S8 S800038
515 6.119 Neurology Spine - Intramedullar Tumour - fixation MRI Spine Biopsy , X-Ray Spin 60,000 S8 S800039
516 6.120 Neurology Brain Biopsy MRI Brain/ CT Brain Biopsy 15,000 S8 S800045
517 6.121 Neurology Cranial Nerve Anastomosis concecrned Investigation concecrned Investigation 32,000 S8 S800046
518 6.122 Neurology Depressed Fracture CT Brain CT Brain 40,000 S8 S800047
519 6.123 Neurology Peripheral Neurectomy (Trigeminal) MRI Biopsy 16,500 S8 S800049
520 6.124 Neurology Additonal clip for Aneurysm Clipping MRI ANGIO/DSA X Ray + Clinical Photo of Operative Site 15,000 S8 S800061
521 6.125 Neurology Cervical Disc Multiple level without Fusion MRI Spine X Ray + Clinical Photo of Operative Site 40,000 S8 S800068
522 6.126 Neurology Foramen Magnum Decompression CT/MRI X-Ray 45,000 S8 S800072
523 6.127 Neurology Arterio venous malformation (AVM) excision (whatever size and location) MRA/DSA Report X-Ray , Clinical Photo of Operative Site 50,000 S8 S800079
524 6.128 Neurology Scalp Arterio venous malformation (AVM) CT/MRI ANGIOHistoPatho Repot + Clinical Photo of
Operative Site25,000 S8 S800080
525 6.129 NeurologyGamma Knife radiosurgery (GKRS)/ SRS for tumours/ Arteriovenous malformation
(AVM)CT/MRI Clinical Photo 75,000 S8 S800083
526 6.130Interventional
Neuroradiology
Coil embolization for aneurysms (includes cost of first 3 coils + balloon and/ or stent if
used) 1 to 20 coils may be required as per need. DSA/CT/MRI ANGIO CT/MR ANGIO 1,00,000 S9 S900001
527 6.131Interventional
NeuroradiologyAdditional coil for coil embolization for aneurysms DSA/CT/MRI ANGIO CT/MR ANGIO 24,000 S9 S900002
528 6.132Interventional
NeuroradiologyDural AVMs/AVFs (per sitting) with glue DSA/CT/MR ANGIO CT/MR ANGIO 70,000 S9 S900003
529 6.133Interventional
NeuroradiologyDural AVMs/AVFs (per sitting) with onyx DSA/CT/MR ANGIO CT/MR ANGIO 1,50,000 S9 S900004
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
530 6.134Interventional
Neuroradiology
Carotico-cavernous Fistula (CCF) embolization with coils. [includes 5 coils, guide
catheter, micro-catheter, micro-guidewire, general items]DSA/CT/MR ANGIO CT/MR ANGIO 1,50,000 S9 S900005
531 6.135Interventional
Neuroradiology
Carotid-cavernous Fistula (CCF) embolization with balloon (includes one balloon,
guide catheter, micro-catheter, micro-guidewire, general items)DSA/CT/MR ANGIO CT/MR ANGIO 75,000 S9 S900006
532 6.136Interventional
NeuroradiologyCerebral & Spinal AVM embolization (per sitting). Using Histoacryl DSA/CT/MR ANGIO CT/MR ANGIO 1,00,000 S9 S900007
533 6.137Interventional
NeuroradiologyParent vessel occlusion - Basic CT/MR ANGIO CT/MR ANGIO 30,000 S9 S900008
534 6.138Interventional
NeuroradiologyAdditonal coil for Parent Vessel Occlusion DSA/CT/MR ANGIO CT/MR ANGIO 24,000 S9 S900009
535 6.139Interventional
NeuroradiologyAdditonal balloon for Parent Vessel Occlusion DSA/CT/MR ANGIO CT/MR ANGIO 11,000 S9 S900010
536 6.140Interventional
NeuroradiologyBalloon test occlusion CT/MR ANGIO CT/MR ANGIO 70,000 S9 S900011
537 6.141Interventional
NeuroradiologyIntracranial balloon angioplasty with stenting DSA/CT/MR ANGIO CT/MR ANGIO 1,60,000 S9 S900012
538 6.142Interventional
NeuroradiologyIntracranial thrombolysis / clot retrieval DSA/CT/MR ANGIO CT/MR ANGIO 1,60,000 S9 S900013
539 6.143Interventional
NeuroradiologyPre-operative tumour embolization (per session) DSA/CT/MR ANGIO CT/MR ANGIO 40,000 S9 S900014
540 6.144 NeurologyUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S8 U100
Sr.No Package no Sub speciality Procedure namePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
541 7.1Gastro Intestinal
TractOesophageal atresia –1.pure atresia- first stage(‘o’stomy & ‘G’stomy)
X-ray with infant feeding
tube or Dye studyClinical Photograph 3 23000 S14 S1412001
542 7.2Gastro Intestinal
TractOesophageal atresia –2.pure atresia- second stage(oesaphageal replacement)
2D-ECHO, Dye study,
ultrasoundClinical Photograph 3 70000 S14 S1412002
543 7.3Gastro Intestinal
Tract3.tracheo-oesphageal fistula(type c)
X-ray with infant feeding
tube or Dye studyClinical Photograph 3 40250 S14 S1412003
544 7.4Gastro Intestinal
Tract4. H- type fistula Dye study, Bronchoscopy Clinical Photograph 0 40000 S14 S1412004
Cluster - 7 PAEDIATRIC SURGERY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
545 7.5Gastro Intestinal
TractIntestinal Atresias & Obstructions X-RAY /CT Clinical Photograph 3 46000 S14 S1412005
546 7.6Gastro Intestinal
TractBiliary Atresia HIDA scan Clinical Photograph 3 46000 S14 S1412006
547 7.7Gastro Intestinal
TractCholedochal Cyst MRCP or CT scan Clinical Photograph 3 46000 S14 S1412007
548 7.8Gastro Intestinal
TractDiaphragmatic Hernia USG/CT Clinical Photograph 0 40000 S14 S1312025
549 7.9Gastro Intestinal
TractAnorectal Malformation1. Low ARM(male & female)
Invertogram or clinical
photographClinical Photograph 3 18400 S14 S1412008
550 7.10Gastro Intestinal
Tract2.Intermediate & High variety a. Stage 1 colostomy
Invertogram or clinical
photographClinical Photograph 3 30000 S14 S1412009
551 7.11Gastro Intestinal
Tractb. Stage two PSARP/Abdominoperineal Pull through
2-D ECHO, ULTRASOUND,
Dye StudyClinical Photograph 3 34500 S14 S1412010
552 7.12Gastro Intestinal
Tractc. Stage three colostomy closure/ Ileostomy closure Clinical photograph Clinical Photograph 3 35000 S14 S1412011
553 7.13Gastro Intestinal
Tract
ANORECTAL MALFORMATION.[Colostomy, iliostomy/ pouchostomy (first stage of
male/female ARM, cloaca, pouch colon or hirschsprung diease]Invertogram or clinical
photograph,Clinical Photograph 0 30000 S14 S1412012
554 7.14Gastro Intestinal
TractSecond stage- PSARVUP/Abdominoperineal Pull through Definitive surgery
2-D ECHO, ULTRASOUND
Dye StudyClinical Photograph 0 60000 S14 S1412013
555 7.15Gastro Intestinal
TractThird stage- Colostomy / ileostomy closure
2-D ECHO, ULTRASOUND
Dye StudyClinical Photograph 3 34500 S14 S1412014
556 7.16Gastro Intestinal
TractHirschsprung's Disease- Single Stage Dye Study/ Rectal Biopsy
Clinical Photograph/Histopathological
Report3 60000 S14 S1412015
557 7.18Gastro Intestinal
TractSecond stage-Definitive surgery Dye Study/ Rectal Biopsy
Clinical Photograph/Histopathological
Report3 57500 S14 S1412016
558 7.20 Thoracic Surgeries Empyema Thoracis X-Ray/CT Scan Clinical Photograph 3 40000 S14 S1412017
559 7.21GENITOURINARY
SurgeriesHYPOSPIDIAS- 1. SINGLE STAGE SURGERY Clinical Photograph Clinical Photograph 3 34500 S14 S1412018
560 7.22GENITOURINARY
SurgeriesHYPOSPIDIAS- 2.STAGED SURGERIES a) 1st Stage procedure Clinical Photograph Clinical Photograph 3 34500 S14 S1412019
561 7.23GENITOURINARY
Surgeriesa) 2nd Stage procedure Clinical Photograph Clinical Photograph 3 25300 S14 S1412020
562 7.24 Peadiatric Surgery EXSTROPHY BLADDER TOTAL CORRECTION1) SINGLE STAGE - 8 126500 S14 S1412021
563 7.25 Peadiatric Surgery EXSTROPHY BLADDER 2) FIRST STAGE BLADDER CLOSURE USG/ELECTROLYTES/MCU 8 100625 S14 S1412022
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
564 7.26 Peadiatric Surgery EXSTROPHY BLADDER 3) SECOND STAGE BLADDER NECK RECONSTRUCTION - 8 60000 S14 S1412023
565 7.27 Peadiatric Surgery EXSTROPHY BLADDER 4) PRIMARY OR SECONDARY URETEROSIGMOIDOSTOMY - 8 86250 S14 S1412024
566 7.28 Peadiatric Surgery EPISPADIAS REPAIR 1) CONTINENT USG/MCU 5 40000 S14 S1412025
567 7.29 Peadiatric Surgery EPISPADIAS REPAIR 2) INCONTINENT (EPISPADIAS REPAIR +BNR) USG/MCU 5 51750 S14 S1412026
568 7.30 Gastrointestinal
NEC-operative-
1 Exploratory laparotomy+ repair of perforation X ray , USG same as above Clinical photo, X ray abd 4 48000 S14 S1412027
569 7.31 GastrointestinalSingle stage PSARP female ( Rectovestibular fistula/ anovestibular fistula/ vestibular
anus etc)
Clinical photograph, Xray
lumbosacral spine, USG
KUB, 2d echo, MCU
Clinical photgraph 4 50000 S14 S1412028
570 7.32 Gastrointestinal Duodenal atresia- Kimuras duodenoduodenostomy X ray abdomen Clinicl photograph 2 48000 S14 S1412029
571 7.33 Gastrointestinal Pyloric stenoses Ramstedts pyloromyotomy USG abdomen/dye study Clinical photograph 2 26000 S14 S1412030
572 7.34 Gastrointestinal GERD FundoplicationUpper gi scopy/ Upper GI
dye studyClinical photograph 2 35000 S14 S1400016
573 7.35 Genitourinary Posterior urethral valve- stabilization + cystoscopy+ puv fulguration & or vesicostomy
MCU, USG KUB, urine
analysis, Bl urea, ser
creatinine & S electrolyte
USG KUB, 4 30000 S14 S1412031
574 7.36 Brain Hydrocephalus in children- Ventriculoperitoneal shuntCt brain/ MRI Brain USG,
Fundus examinationClinical photograph, CSF report 4 25000 S14 S1412032
575 7.37 Genitourinary Vesicoureteric reflux, megaureter- ureteric reimplantation unilateral/bilateralMCU, USG KUB, Renal
scanClinical photo 4 40000 S14 S1412033
576 7.38 Abdomen Splenectomy for Thalessemia
Pediatrician advise for
splenectomy, Vaccinations
( pneumococcal),USG
Abdomen
Clinical photo 2 35000 S14 S1412034
577 7.39 Paediatric surgery Ankyloglossia Major Clinical Photo Clinical Photo 15,000 S14 S1400001
578 7.40 Paediatric surgery Ankyloglossia Minor Clinical Photo Clinical Photo 5,000 S14 S1400002
579 7.41 Paediatric surgery Hernia & Hydrocele USG clinical notes 20,000 S14 S1400003
580 7.42 Paediatric surgery Sacrococcygeal TeratomaCECT L-S Region, Clinical
Photo, Sputum AFBClinical Photo 20,000 S14 S1400004
581 7.43 Paediatric surgery Undescended Testis - Bilateral-Palp + Nonpalp USG Clinical Photo 15,000 S14 S1400005
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
582 7.44 Paediatric surgery Undescended Testis - Bilateral Palpable USG Clinical Photo 15,000 S14 S1400006
583 7.45 Paediatric surgery Undescended Testis - Bilateral Non-Palpable USG Clinical Photo 20,000 S14 S1400007
584 7.46 Paediatric surgery Undescended Testis - Reexploration/ Second Stage USG Clinical Photo 20,000 S14 S1400008
585 7.47 Paediatric surgery Undescended Testis - Unilateral-Palpable USG Clinical Photo 15,000 S14 S1400009
586 7.48 Paediatric surgery Ano Rectal Malformation - Redo PullthroughClinical Photo, Distal
Cologram/ USG Dye StudyClinical Photo 15,000 S14 S1400014
587 7.49 Paediatric surgery Ano Rectal Malformation - TranspositionClinical Photo, Distal
Cologram/ USG Dye StudyClinical Photo 15,000 S14 S1400015
588 7.50 Paediatric surgery Duplication Cyst Excision CECT Abdomen Clinical Photo 20,000 S14 S1400017
589 7.51 Paediatric surgery Fecal Fistula ClosureClinical Photo, Operative
Details of Previous Surgery Clinical Photo 25,000 S14 S1400018
590 7.52 Paediatric surgery Gastrostomy + Esophagoscopy+ ThreadingX-Ray with Infant Feeding
Tube/ Dye StudyClinical Photo 20,000 S14 S1400019
591 7.53 Paediatric surgery GI Tumor Excision CECT, Clinical Photo Clinical Photo 30,000 S14 S1400020
592 7.54 Paediatric surgery Hirschsprung’s Disease - Retal Biopsy-Punch Barium Enema HPEE 10,000 S14 S1400023
593 7.55 Paediatric surgery Hirschsprung’s Disease - Retal Biopsy –Open Barium Enema HPEE 10,000 S14 S1400024
594 7.56 Paediatric surgery Hirschsprung’s Disease - Sphinecterotomy Barium Enema HPEE 15,000 S14 S1400025
595 7.57 Paediatric surgery Intussusception - Non –Operative Reduction in infants USG Abdomen USG 20,000 S14 S1400026
596 7.58 Paediatric surgery Intussusception – Operative in infantsUSG Abdomen, Clinical
PhotoClinical Photo 25,000 S14 S1400027
597 7.59 Paediatric surgery Ladds Procedure
X-Ray Abdomen Standing,
USG Abdomen/Barium
MEAL
Clinical Photo 30,000 S14 S1400028
598 7.60 Paediatric surgery Rectal Polypectomy - Sigmoiescopic (Ga) Sigmoidoscopic Picutre HPEE, Clinical Notes 8,000 S14 S1400029
599 7.61 Paediatric surgery Retro-Peritoneal Lymphangioma ExcisionCECT Abdomen, Clinical
PictureHPEE, Clinical Notes 25,000 S14 S1400030
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
600 7.62 Paediatric surgery Congenital Lobar Emphysema CECT, X-Ray Chest X-Ray, Clinical Photo 25,000 S14 S1400032
601 7.63 Paediatric surgery Exomphalos/gastroschisis Clinical Photo Clinical Photo 25,000 S14 S1400033
602 7.64 Paediatric surgery Cleft Lip and Palate Surgery (per stage) Clinical Photo Clinical Photo 15,000 S14 S1400034
603 7.65 Paediatric surgeryUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S14 U100
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
604 8.1 Polytrauma Nerve and tendon repair &/ Vascular repairNerve Conduction study,
CT scanClinical Photograph 3 23000 S6 S600001
605 8.2 Polytrauma Nerve & Tendon Repair &/ Vascular Repair (Grade-I& II)Nerve Conduction study,
CT scanClinical Photograph 3 14950 S6 S612001
606 8.3 Polytrauma Nerve & Tendon Repair &/ Vascular Repair (Grade-III)Nerve Conduction study,
CT scanClinical Photograph 3 26450 S6 S612002
607 8.4 Plastic Surgery Flap cover Surgery for wound in compound fractureCLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH 3 23000 S6 S612003
608 8.5 PolytraumaOther Small bonefractures/K-wiring (To be covered along with other injuries only and
not as exclusive procedure)X-RAY X-RAY 3 10000 S6 S612004
609 8.6 PolytraumaSurgery for Patella fracture (To be covered along with other injuries only and not as
exclusive procedure)X-RAY X-RAY 3 15000 S6 S612005
610 8.7 Plastic Surgery Facial bone fractures (Facio-Maxillary Injuries)CLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH, X-RAY 3 28750 S6 S612006
611 8.8Pelvic Bone
FracturesSurgical Correction of Pelvic bone fractures. X-RAY X-RAY 3 40000 S6 S612007
612 8.50 ORTHOJOINT RECONSTRUCTION (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND
NOT AS EXCLUSIVE PROCEDURE)
MRI , CLINICAL
PHOTOGRAPH, X-RAYCLINICAL PHOTOGRAPH, X-RAY 3 74750 S6 S612008
613 8.51 ORTHOELLIZAROV FIXATION,/ External Fixation (TO BE COVERED ALONG WITH OTHER
INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH, X-RAY 3 75000 S6 S612009
614 8.52 ORTHOOPEN REDUCTION INTERNAL FIXATION- SMALL BONE (TO BE COVERED ALONG WITH
OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH, X-RAY 3 17250 S6 S612010
615 8.53 ORTHOOPEN REDUCTION INTERNAL FIXATION- LARGE BONE (TO BE COVERED ALONG WITH
OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH, X-RAY 3 40250 S6 S612011
Cluster- 8 POLY-TRAUMA
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
616 8.54 ORTHOOPEN REDUCTION OF SMALL JOINT(TO BE COVERED ALONG WITH OTHER INJURIES
ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH, X-RAY 3 20000 S6 S612012
617 8.55 ORTHOOPEN REDUCTION WITH PHEMISTER GRAFTING (TO BE COVERED ALONG WITH
OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH, X-RAY 3 40000 S6 S612013
618 8.56 ORTHOPERCUTANEOUS- FIXATION OF FRACTURE (TO BE COVERED ALONG WITH OTHER
INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH, X-RAY 3 20000 S6 S612014
619 8.57 ORTHO
PREPATELLAR BURSA AND REPAIR OF MCL OF KNEE (TO BE COVERED ALONG WITH
OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE) stage A) Stage 1, B)
Stage 2
MRI, CLINICAL
PHOTOGRAPH, X-RAYCLINICAL PHOTOGRAPH, X-RAY 3 57500 S6 S612015
620 8.58 ORTHORECONSTRUCTION OF ACL/PCL (TO BE COVERED ALONG WITH OTHER INJURIES ONLY
AND NOT AS EXCLUSIVE PROCEDURE) stage A) Stage 1, B) Stage 2
MRI, CLINICAL
PHOTOGRAPH, X-RAYCLINICAL PHOTOGRAPH, X-RAY 3 70000 S6 S612016
621 8.60 ORTHOSHOULDER JACKET (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND NOT
AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH, X-RAY 3 50000 S6 S612017
622 8.61 SURGERYRESECTION & ANASTOMOSIS OF INTESTINE (TO BE COVERED ALONG WITH OTHER
INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, USG ABD, CT SCAN
ABD
CLINICAL PHOTOGRAPH, X-RAY 3 34500 S6 S612018
623 8.62 UROLOGYOPERATION FOR INJURY OF BLADDER (TO BE COVERED ALONG WITH OTHER
INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, USG ABD, CT SCAN
ABD
CLINICAL PHOTOGRAPH, X-RAY 3 32200 S6 S612019
624 8.63 UROLOGYURETHRAL INJURY (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND NOT
AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, USG ABD, CT SCAN
ABD
CLINICAL PHOTOGRAPH, X-RAY 3 28750 S6 S612020
625 8.64 UROLOGYURETHRAL RECONSTRUCTION (TO BE COVERED ALONG WITH OTHER INJURIES ONLY
AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, USG ABD, CT SCAN
ABD
CLINICAL PHOTOGRAPH, X-RAY 3 34500 S6 S612021
626 8.66 SURGERYINTESTINAL RESECTION (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND
NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, USG ABD, CT SCAN
ABD
CLINICAL PHOTOGRAPH, X-RAY 3 40250 S6 S612022
627 8.67 SURGERYSPLENECTOMY (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND NOT AS
EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, USG ABD, CT SCAN
ABD
CLINICAL PHOTOGRAPH, X-RAY 3 51750 S6 S612023
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
628 8.70 SURGERYILIEOSIGMOIDOSTOMY (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND
NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, USG ABD, CT SCAN
ABD
CLINICAL PHOTOGRAPH, X-RAY 3 28750 S6 S612024
629 8.73 OPHTHALMOLOGYPERFORATING SCLERA-CORNEAL INJURY (TO BE COVERED ALONG WITH OTHER
INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAYCLINICAL PHOTOGRAPH, X-RAY 3 46000 S6 S612025
630 8.74 NEUROSURGERYDEPRESSED FRACTURE (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND
NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, CT SCAN BRAINCLINICAL PHOTOGRAPH, X-RAY 3 40250 S6 S612026
631 8.76 NEUROSURGERYSKULL TRACTION (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND NOT AS
EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, CT SCAN BRAINCLINICAL PHOTOGRAPH, X-RAY 3 12880 S6 S612027
632 8.77 NEUROSURGERYBURR HOLE (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND NOT AS
EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, CT SCAN BRAINCLINICAL PHOTOGRAPH, X-RAY 3 28750 S6 S612028
633 8.78 NEUROSURGERYTEMPORAL BONE RESECTION (TO BE COVERED ALONG WITH OTHER INJURIES ONLY
AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, CT SCAN BRAINCLINICAL PHOTOGRAPH, X-RAY 3 57500 S6 S612029
634 8.79 NEUROSURGERYSKULL BASE SURGERY (TO BE COVERED ALONG WITH OTHER INJURIES ONLY AND
NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, CT SCAN BRAINCLINICAL PHOTOGRAPH, X-RAY 3 69000 S6 S612030
635 8.80 GYNAECOLOGYRUPTURE UTERUS, CLOSER AND REPAIR WITH TUBAL LIGATION (TO BE COVERED
ALONG WITH OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY,CLINICAL PHOTOGRAPH, X-RAY 3 40250 S6 S612031
636 8.84THORACIC
SURGERY
THORACOPLASTY (TO BE COVERED ALONG WITH /Without OTHER INJURIES ONLY
AND NOT AS EXCLUSIVE PROCEDURE)
CLINICAL PHOTOGRAPH, X-
RAY, CT SCAN THORAXCLINICAL PHOTOGRAPH, X-RAY 3 34500 S6 S612032
637 8.85 ORTHOWound management for compound fracture
(Any grade)Clinical Photograph, Xray Clinical Photograph, Xray 3 30000 S6 S612033
638 8.86 ORTHOEXTERNAL FIXATOR WITH SOFT TISSUE INJURY, SURGICAL MANAGEMENT, STG
COVERING FOR SMALL BONESClinical Photograph, Xray Clinical Photograph, Xray 3 50000 S6 S612034
639 8.87 ORTHOEXTERNAL FIXATOR WITH SOFT TISSUE INJURY, SURGICAL MANAGEMENT, STG
COVERING FOR LARGE BONESClinical Photograph, Xray Clinical Photograph, Xray 3 50000 S6 S612035
640 8.88 SPINE DEFORMITY SURGERY FOR SPINE (KYPHO/SCOLIOSIS) Clinical Photograph, Xray Clinical Photograph, Xray 3 150000 S6 S612036
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
641 8.89 Polytrauma Plexus injury along with Vascular injury repair/ graft
Pre-op. Doppler
study,Nerve Conduction
study,CT
Post-op. Doppler study,Clinical photo
showing scar60,000 S6 S600002
642 8.90 Polytrauma Internal fixation with Flap cover Surgery for wound in compound fracturePRE OP CLINICAL
PICTURE,X-RAY/CT
Post- op. X-ray,Clinical Photograph
showing flap cover40,000 S6 S600003
643 8.91 Polytrauma Head injury requiring Facio-Maxillary Injury repairs & fixations (including implants) X-RAY/CTClinical photograph showing scar,Post-
op. X-ray35,000 S6 S600004
644 8.92 Polytrauma Internal fixation of Pelviacetabular fracture X-RAY/CTClinical photograph showing scar,Post-
op. X-ray40,000 S6 S600005
645 8.93 PolytraumaCraniotomy and evacuation of Haematoma – subdural/Extra dural along with fixation
of fracture of single long bonePre-op. X-ray,CT
Clinical photograph showing scar,Post-
op. X-ray/CT60,000 S6 S600006
646 8.94 PolytraumaCraniotomy and evacuation of Haematoma – subdural/Extra dural along with fixation
of fracture of 2 or more long bone.Pre-op. X-ray,CT
Clinical photograph showing scar,Post-
op. X-ray/CT75,000 S6 S600007
647 8.95 PolytraumaVisceral injury requiring surgical intervention along with fixation of fracture of single
long bone.Pre-op. X-ray,CT,USG
Clinical photograph showing scar,Post-
op. X-ray30,000 S6 S600008
648 8.96 PolytraumaVisceral injury requiring surgical intervention along with fixation of fracture of 2 or
more long bones.Pre-op. X-ray,CT,USG
Clinical photograph showing scar,Post-
op. X-ray45,000 S6 S600009
649 8.97 Polytrauma Chest injury with one fracture of long bone (with implants)Pre-op. X-ray of fracture ,
Chest Xray
Clinical photograph showing scar,Post-
op. X-ray35,000 S6 S600010
650 8.98 Polytrauma Chest injury with fracture of 2 or more long bonesPre-op. X-ray of fracture ,
Chest Xray
Clinical photograph showing scar,Post-
op. X-ray45,000 S6 S600011
651 8.99 Polytrauma Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgeryClinical report,electro-
diagnostic studies
Clinical Photographs with Graft site +
Showing scar,MRI30,000 S6 S600012
652 8.100 PolytraumaUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S6 U100
Sr.No Package No Sub-specialty Procedure namePre-operative
Investigation
Post-operative
InvestigationNo of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
Cluster- 9 MEDICAL ONCOLOGY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
653 9.1* Breast Adriamycin/Cyclophosphamide (AC)
Biopsy with
immunohistochemistry,
Mammography, 2D Echo,
Chest X-ray, Sonography,
Bone scan, Blood
Investigations, clinical
Photograph
Clinical Photograph, Mammography,
chest X-ray4 to 6 months 4485 M5 M512001
654 9.2* Breast 5- Fluorouracil A-C (FAC)
Biopsy with
immunohistochemistry,
Mammography, 2D Echo,
Chest X-ray, Sonography,
Bone scan, Blood
Investigations, clinical
Photograph
Clinical Photograph, Mammography,
chest X-ray4 to 6 months 4600 M5 M512002
655 9.3* Breast AC (AC then T)
Biopsy with
immunohistochemistry,
Mammography, 2D Echo,
Chest X-ray, Sonography,
Bone scan, Blood
Investigations, clinical
Photograph
Clinical Photograph, Mammography,
chest X-ray4 to 6 months 4600 M5 M512003
656 9.4* Breast Paclitaxel
Biopsy with
immunohistochemistry,
Mammography, 2D Echo,
Chest X-ray, Sonography,
Bone scan, Blood
Investigations, clinical
Photograph
Clinical Photograph, Mammography,
chest X-ray4 motnhs 11500 M5 M512004
657 9.5* Breast Cyclophosphamide/Methotrexate/5Fluorouracil (CMF)
Biopsy with
immunohistochemistry,
Mammography, 2D Echo,
Chest X-ray, Sonography,
Bone scan, Blood
Investigations, clinical
Photograph
Clinical Photograph, Mammography,
chest X-ray4 to 6 months 3450 M5 M512005
658 9.6# Breast Tamoxifen tabs
Biopsy with
immunohistochemistry,
Mammography, 2D Echo,
Chest X-ray, Sonography,
Bone scan, Blood
Investigations, clinical
Photograph
Clinical Photograph, Mammography,
chest X-ray4 to 5 years 109 M5 M512006
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
659 9.7# Breast Aromatase Inhibitors
Biopsy with
immunohistochemistry,
Mammography, 2D Echo,
Chest X-ray, Sonography,
Bone scan, Blood
Investigations, clinical
Photograph
Clinical Photograph, Mammography,
chest X-ray2 to 5 years 1150 M5 M512007
660 9.8*HER2 +ve Early
Breast Cancer
After 4 cycles of 9.3 package followed by Taxanes with GCSF, Herceptin with or
without Carboplatin
Biopsy with
immunohistochemistry,
Mammography, 2D Echo,
Chest X-ray, Sonography,
Bone scan, Blood
Investigations, clinical
Clinical Photograph, Mammography,
chest X-ray
6 months to 1
year50000 M5 M512008
661 9.9* Cervical Cancer Weekly Cisplatin
Biopsy, USG,CT scan/MRI,
Chest X-ray, clinical
Photograph.
Clinical Photograph, USG,CT scan/MRI,
Chest X-ray.6 to 8 weeks 4025 M5 M512009
662 9.10* Vulval Cancer Cisplatin/5-FU
Biopsy, USG,CT scan/MRI,
Chest X-ray, clinical
Photograph.
Clinical Photograph, USG,CT scan/MRI,
Chest X-ray.9200 M5 M512010
663 9.11* Vaginal Cancer Cisplatin/5-FU
Biopsy, USG,CT scan/MRI,
Chest X-ray, clinical
Photograph.
Clinical Photograph, USG,CT scan/MRI,
Chest X-ray.6 to 8 weeks 9200 M5 M512011
664 9.12* Ovarian Cancer Carboplatin/Paclitaxel
Biopsy with
immunohistochemistry,
Chest X-ray, USG, CT scan,
CA 125, Cytology, clinical
Photograph
Clinical Photograph, Sonography, CT
scan, CA 125, chest x-ray.4 to 6 months 11500 M5 M512012
665 9.13* Ovarian Cancer Liposomal Doxorubicin & Gemcitabine
Biopsy with
immunohistochemistry,
Chest X-ray, USG, CT scan,
CA 125, Cytology, clinical
Photograph
Clinical Photograph, Sonography, CT
scan, CA 125, chest x-ray.4 to 6 months 13800 M5 M512013
666 9.14*Ovary Germ cell
TumorBleomycin /Etoposide/ Cisplatin (BEP)
Biopsy with
immunohistochemistry,
CT scan, USG, Chest x-ray,
Tumor markers, Clinical
Photograph, 2 D echo.
CT scan, USG, Chest x-ray, Tumor
markers, Clinical Photograph, 2 D echo.3 to 4 months 11270 M5 M512014
667 9.15*
Gestational
Trophoblast Ds.-
Lowrisk
Weekly Methotrexate
Biopsy, CT scan, USC,
Chest x-ray, Tumor
markers, MRI Brain,
Clinical Photograph.
CT scan, USC, Chest x-ray, Tumor
markers, MRI, clinical Photograph.3 to 4 months 863 M5 M512015
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
668 9.16*
Gestational
Trophoblast Ds.-
Lowrisk
Actinomycin
Biopsy, CT scan, USG,
Chest x-ray, Tumor
markers, MRI, Brain,
Clinical Photograph.
CT scan, USC, Chest x-ray, Tumor
markers, MRI, clinical Photograph.3 to 4 months 4370 M5 M512016
669 9.17*
Gestational
Trophoblast Ds.-
Highrisk
Etoposide-Methotrexate-Actinomycin / Cyclophosphamide -Vincristine (EMA-CO)
Biopsy, CT scan, USG,
Chest x-ray, Tumor
markers, MRI Brain,
Clinical Photograph.
CT scan, USC, Chest x-ray, Tumor
markers, MRI, clinical Photograph.4 to 6 months 8280 M5 M512017
670 9.18* Testicular Cancer Bleomycin-Etoposide-Cisplatin (BEP)
Biopsy with
immunohistochemistry,
CT scan, USG, Chest x-ray,
Tumor markers, Clinical
Photograph, 2 D echo.
CT scan, USG, Chest x-ray, Tumor
markers, Clinical Photograph, 2 D echo.3 to 4 months 11040 M5 M512018
671 9.19* Testicular Cancer Taxanes, Ifosphamides, Vinblastine, Gemcitabine, Docetaxol, Platin
Biopsy with
immunohistochemistry,
CT scan, USG, Chest x-ray,
Tumor markers, MRI
Brain, Clinical Photograph.
CT scan, USG, Chest x-ray, Tumor
markers, MRI Brain, Clinical
Photograph.
3 to 4 months 16100 M5 M512019
672 9.20# Prostate Cancer Hormonal therapy
Biopsy, CT scan/MRI, USG,
x-ray, Tumor markers,
Bone scan, Clinical
Photograph.
CT scan/MRI, USG, x-ray, Tumor
markers, Bone scan, Clinical
Photograph.
1.5 to 2 years 4140 M5 M512020
673 9.21* Prostate Cancer Docetaxol + steriods with G-CSF
Biopsy, CT scan/MRI, USG,
x-ray, Tumor markers,
Bone scan, Clinical
Photograph.
CT scan/MRI, USG, x-ray, Tumor
markers, Bone scan, Clinical
Photograph.
1.5 to 2 years 18400 M5 M512021
674 9.22* Bladder Cancer Weekly Cisplatin
Biopsy, USG,CT scan/MRI,
Chest X-ray, clinical
Photograph.
Clinical Photograph, USG,CT scan/MRI,
Chest X-ray.4 to 6 weeks 4140 M5 M512022
675 9.23* Bladder Cancer Methotrexate Vinblastine Adriamycin Cyclophosphamide (MVAC)
Biopsy, CT scan/MRI, USG,
x-ray, Urine cystology,
Clinical Photograph.
CT scan/MRI, USG, x-ray, Urine
cystology, Clinical Photograph.4 to 6 months 7130 M5 M512023
676 9.24* Bladder Cancer Gemcitabine/Carboplatin
Biopsy, CT scan/MRI, USG,
x-ray, Urine cystology,
Clinical Photograph.
CT scan/MRI, USG, x-ray, Urine
cystology, Clinical Photograph.4 to 6 months 12880 M5 M512024
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
677 9.25*
Lung cancer-Non-
small cell lung
cancer (NSCLC)
and SCLC
Platin/Etoposide
Biopsy with
immunohistochemistry,
CT scan, USG, x-ray,
Sonography, Bone scan,
MRI Brain PET-CT Scan.
CT scan, USG, x-ray, Sonography, Bone
scan, MRI Brain PET-CT Scan, Clinical
Photograph.
4 to 6 months 9430 M5 M512025
678 9.26*
Lung cancer-Non-
small cell lung
cancer (NSCLC)
Pemetrexed/ Platin Gemcitabine/ Platin Gefitinib
Biopsy with
immunohistochemistry,
CT scan, USG, x-ray,
Sonography, Bone scan,
MRI Brain PET-CT Scan.
CT scan, USG, x-ray, Sonography, Bone
scan, MRI Brain PET-CT Scan, Clinical
Photograph.
4 to 6 months 14950 M5 M512026
679 9.27* Esophageal Cancer Weekly Cisplatin/ Carboplatin Cisplatin-5FU Epirubicin/ Taxanes
Biopsy, CT scan, USG, x-
ray, Sonography,
Endoscopy.
Biopsy, CT scan, USG, x-ray,
Sonography, Endoscopy, Clinical
Photograph.
4 to 6 months 8625 M5 M512027
680 9.28* Gastric Cancer 5-FU -Leucovorin (McDonald Regimen), Epirubicin/Taxanes/Platin
Biopsy, CT scan, USG, x-
ray, Sonography,
Endoscopy.
Biopsy, CT scan, USG, x-ray,
Sonography, Endoscopy, Clinical
Photograph.
4 to 6 months 17250 M5 M512028
681 9.29* Colorectal Cancer Monthly 5-FUBiopsy, CT scan/MRI, x-
ray, Tumor marker-S. CEA
Biopsy, CT scan/MRI, x-ray, Tumor
marker-S. CEA, Clinical Photograph.4 to 6 months 5750 M5 M512029
682 9.30* Colorectal Cancer 5-Fluorouracil-Oxaliplatin -Leucovorin (FOLFOX) (Stage III only)Biopsy, CT scan/MRI, x-
ray, Tumor marker-S. CEA
Biopsy, CT scan/MRI, x-ray, Tumor
marker-S. CEA, Clinical Photograph.4 to 6 months 13800 M5 M512030
683 9.31* Colorectal Cancer 5-FU, Irinotican, Leucovorin, (FOLFIRI) Capecitabine,Biopsy, CT scan/MRI, x-
ray, Tumor marker-S. CEA
Biopsy, CT scan/MRI, x-ray, Tumor
marker-S. CEA, Clinical Photograph.4 to 6 months 11500 M5 M512031
684 9.32*Osteosarcoma
Bone TumorsCisplatin/Adriamycin + ifosmide (IAP)
Biopsy, CT scan, MRI scan,
x-ray, Bone scan, 2 D
Echo.
X-Ray, Clinical Photograph. 8 to 9 months 13800 M5 M512032
685 9.33*Lymphoma-
Hodgkin disease
Adriamycin/ Bleomycin/Vinblastine/ Dacarbazine (ABVD),
Cyclophosphamide/Vincristine/Prednisolone/Procarbazine (COPP).
Biopsy-
immunohistochemistry,
Serum biochemistry, Bone
marrow examination, CT
scan, x-ray, Sonography,
PET-CT Scan, 2 D Echo,
PFT.
Blood investigations & imaging-USG/CT
scan/PET-CT scan, Clinical Photograph6 to 8 months 6900 M5 M512033
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
686 9.34* Lymphoma-NHL
Cyclophosphamide/Adriamycin/Vincristine/Prednisolone (CHOP), Rituximab,
Chlorambucil CVP (Cyclophosphamide/Vincristine,/Prednisolone), Bendamustine
Cladribone High dose Methotrexate/VCR/Procarbazine- Cytarabine
Biopsy-,
immunohistochemistry,
Serum biochemistry, Bone
marrow examination, CT
scan, x-ray, Sonography,
PET-CT, CSF cytology, MRI
brain/spine, Viral
markers,2 D Echo.
Blood investigations & imaging-USG/CT
scan/PET-CT scan, Clinical Photograph
4 months to 2
years13800 M5 M512034
687 9.35* Multiple Myeloma Vincristine, Adriamycin,Dexamethasone(VAD)
Hematology, Serum
biochemistry, Serum
Protein electrophoresis
and immunofixatation,
Bone marrow
examination, skeletal
survey & MRI Spine, 2 D
Echo.
Blood investigations, & Bone marrow
examination, X-Rays, Clinical
Photograph
2 to 5 years 5750 M5 M512035
688 9.36# Multiple Myeloma Thalidomide+Dexamethasone(Oral)
Hematology, Serum
biochemistry, Serum
Protein electrophoresis
and immunofixatation,
Bone marrow
examination, skeletal
survey & MRI Spine, 2 D
Echo.
Blood investigations, & Bone marrow
examination, Clinical Photograph2 to 5 years 4830 M5 M512036
689 9.37# Multiple Myeloma Melphalan -Prednisone (oral)
Hematology, Serum
biochemistry, Serum
Protein electrophoresis
and immunofixatation,
Bone marrow
examination, skeletal
Blood investigations, & Bone marrow
examination, X-Rays, Clinical
Photograph
2 to 5 years 2530 M5 M512037
690 9.38# Multiple Myeloma Bortezamib, Lenalinomide, Bisphosphonates, Autologus stem cell transplant
Hematology, Serum
biochemistry, Serum
Protein electrophoresis
and immunofixatation,
Bone marrow
examination, skeletal
Blood investigations, & Bone marrow
examination, X-Rays, Clinical
Photograph
2 to 5 years 13800 M5 M512038
691 9.39* Wilm's Tumor SIOP/NWTS regimen(Stages I - IV)USG/CT, biopsy with
Immunohistochemistry
Imaging USG/CT scan, Clinical
Photograph4 to 6 months 9775 M5 M512039
692 9.40*Hepatoblastoma
OperableCisplatin – Adriamycin
USG/CT, biopsy, Tumor
marker-AFP, 2D Echo.
USG/CT, Tumor marker, Clinical
Photograph.4 to 6 months 5175 M5 M512040
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
693 9.41*Childhood B Cell
LymphomasVariable Regimen - MCP 841/BFM - 90, BFM-NHL, LMB 96, Rasburrycase
Hematology, Serum
biochemistry, CT Scan
whole body Or PET Scan,
Tissue biopsy with
immunochemistry/IPT,
Bone marrow
examination, CSF
Cytology.
Bone marrow examination, Imaging-
Studies, Clinical Photograph
6 months to 6.5
years16100 M5 M512041
694 9.42*Neuroblastoma (
Stages I-III )Variable Regimen Variable regimens, Autologous Stem Cell
CT, Biopsy-With
Immunohistochemistry,
Blood investigations,
MIBG scan, Bone marrow
examination.
Blood investigations & imaging-
USG/CT scan, MIBG scan, Clinical
Photograph
3 to 6 months 16100 M5 M512042
695 9.43* Retinoblastoma Carbo/Etoposide/Vincristine, Endoxan/vincristine/doxorubicin-platin/Etoposide
Biopsy, Blood
investigations, MRI Orbit
& Brain, CSF study, Bone
marrow examination,
Bone scan.
Ophthalmologic examination, Imaging-
Studies, Clinical Photograph
4 months to 1
year7130 M5 M512043
696 9.44* HistiocytosisVariable Regimen- LCH-III, Vinblastine + Prednisolone, 6MP, MTX, Cladribone,
Allergenic stem cell transplant.
Hematology, Biopsy,
Serum biochemistry, Bone
marrow examination,
Chest X-Ray, skeletal
survey, MRI Brain,
Endocrine evaluation, HAL
typing & matching, serum
cyclosporine level.CSF
Cytology.
Blood investigations and imagine,
Clinical Photograph6 to 12 months 20700 M5 M512044
697 9.45*Rhabdomyosarco
maVincristine-Actinomycin-Cyclophosphamide (VAC) based chemo
Blood investigations,
Biopsy &
Immunohistochemistry,
CT scan/MRI, Bone
marrow examination,
Bone scan.
Physical examination, Imagine MRI/CT
can, Clinical Photograph8 to 10 months 5750 M5 M512045
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
698 9.46* Ewings sarcoma Variable Regimen- Endoxan/VCR/Doxorubicin-Ifosphamides/Etoposide.
X-Ray/CT Scan/MRI,
Biopsy &
Immunohistochemistry,
Bone Scan, Bone marrow
examination, 2D Echo.
Physical examination, X-Ray/CT
scan/MRI, Clinical Photograph1 year 16100 M5 M512046
699 9.47*Acute Myeloid
LeukemiaInduction Phase
Hematology, Bone
marrow examination with
Immunophenotyping,
Conventional Cytogenetics
and FISH studies, MRI
Brain, X-Ray, 2D Echo.
Physical examination, Blood
investigations, Bone marrow
examination, Clinical Photograph
1 month 25300 M5 M512047
700 9.48*Acute Myeloid
LeukemiaConsolidation Phase
Hematology, Bone
marrow examination with
Immunophenotyping,
Conventional Cytogenetics
and FISH studies, MRI
Brain, X-Ray, 2D Echo.
Physical examination, Blood
investigations, Bone marrow
examination, Clinical Photograph
4 months 43700 M5 M512048
701 9.49*
Acute
Lymphoblastic
Leukemia
Induction phase 1st and 2nd months, MCP 841/BFM 90 protocol, Imatinib
Hematology, Bone
marrow examination with
Immunophenotyping,
Cytogenetics and FISH
studies, CSF cytology, MRI
Brain, USG/CT scan.
Physical examination, Blood
investigations, Bone marrow
examination, Clinical Photograph
1 to 2 months 71300 M5 M512049
702 9.50*
Acute
Lymphoblastic
Leukemia
3rd, 4th, 5th month-MCP 841/BFM 90 protocol, Imatinib, Allergenic stem cell
transplant
Hematology, Bone
marrow examination with
Immunophenotyping,
Cytogenetics and FISH
studies, CSF cytology, MRI
Brain, USG/CT scan, 2D
Echo.
Physical examination, Blood
investigations, Bone marrow
examination, Clinical Photograph
3 to 4 months 36800 M5 M512050
703 9.51*
Acute
Lymphoblastic
Leukemia
Maintenance- MCP 841/BFM 90 protocol, Imatinib
Hematology, Bone
marrow examination, FISH
study, CSF cytology.
Physical examination, Blood
investigations, Bone marrow
examination, Clinical Photograph
2 years 4830 M5 M512051
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
704 9.52* unlisted regimen Palliative ChemotherapyBiopsy. CT, USG, Blood
investigations
Blood investigations, USG/CT scan,
Clinical Photograph7130 M5 M512052
705 9.53*For Terminally ill
cancer patientPalliative and Supportive Therapy Biopsy , CT , USG Clinical Photograph 4830 M5 M512053
706 9.54*Colorectal Cancer
Stage 2& 3XELOX along with Adjuvant chemotherapy
CT scan Abdomen, Pelvis,
Tissue biopsy,
Photograph, Tummor
marker-S. CEA.
USG/CT/biopsy, Biochemical
investigations6 months 10120 M5 M512054
707 9.55*
Febrile
Neutropenia-
Highrisk-1
1ST Line iv antibiotics And other supportive therapy ( third generation
cephalosporin,aminoglycoside, Comnination of Beta Lactum with beta lactamase
inhibitor (Piperacillin-tazobactum), Vancomycin, Anti-Fun gals (azoles), G-CSF etc.,)
Blood C&S, Urine C&S,
Chest X-Ray, Tissue
Biopsy, CT scan.
USG/CT/biopsy, Biochemical
investigations.17250 M5 M512055
708 9.56*
Febrile
Neutropenia-
Highrisk-2
2nd line iv antibiotics and other supportive therapy(Carbapenems, Fourth generation
cephalosporins, Piperacillin, anti-fungal -azoles etc.,)
Blood C&S, Urine C&S,
Chest X-Ray, Tissue
Biopsy, CT scan.
USG/CT/biopsy, Blood investigations,
Blood Culture-sensitivity, X-Ray.48300 M5 M512056
709 9.57*
Relapsed
lymphoma- NHL
and HD
Ifosphamides /Platin /Etoposide (ICE), Cytarabine/ Platin/ Steroids (DHAP),
Autologous stem cell Transplant
Serum biochemistry, Bone
marrow examination, CT
scan, X-ray, Sonography,
PET-CT scan
Blood investigations & imaging-
USG/CT scan/PET-CT scan4-6 months 36800 M5 M512057
710 9.58* APML ATRA, Arsenic trioxide, Daunorubicin, Cytarabine 6 MP, methotrexate
Bone Marrow examination
with Immunophe-
notyping, Conventional
Cytogenetics and FISH/RT-
PCR studies, MRI Brain, X-
ray, 2 D echo, ECG
Bone marrow exam with RT-PCR study, 2 to 2.5 years 64400 M5 M512058
711 9.59* Paediatric AML BFM 93
Bone Marrow examination
with Immunophe-
notyping, Conventional
Cytogenetics and FISH
study, MRI Brain, CSF
cytology, X-ray, 2 D echo,
ECG
Physical exam, Blood investigations,
bone marrow exam (if clinically
indicated)
2-2.5 years 59800 M5 M512059
712 9.60*A CLL CVP - Cyclophosphamide, Vincristine, Steroids [CLL *]
Hematology, Serum
Biochemistry, Bone
marrow examination with
Immunophe-notyping,
Lymph node biopsy with
IHC, USG/CT scan, 2 D
Echo
Physical exam, Blood investigations,
Imaging USG/CT scan5463 M5 M512060
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
713 9.60*B CLL L +P -- Chlorambucil, Steroids [CLL *]
Hematology, Serum
Biochemistry, Bone
marrow examination with
Immunophe-notyping,
Lymph node biopsy with
IHC, USG/CT scan, 2 D
Echo
Physical exam, Blood investigations,
Imaging USG/CT scan5463 M5 M512060
714 9.60*C CLL Fludarabine, Cyclophosphamide, Rituximab (FCR) [CLL *]
Hematology, Serum
Biochemistry, Bone
marrow examination with
Immunophe-notyping,
Lymph node biopsy with
IHC, USG/CT scan, 2 D
Echo
Physical exam, Blood investigations,
Imaging USG/CT scan43700 M5 M512060
715 9.60*D CLL Rituximab [CLL *]
Hematology, Serum
Biochemistry, Bone
marrow examination with
Immunophe-notyping,
Lymph node biopsy with
IHC, USG/CT scan, 2 D
Echo
Physical exam, Blood investigations,
Imaging USG/CT scan38237 M5 M512060
716 9.60*E CLL Bendamustine [CLL *]
Hematology, Serum
Biochemistry, Bone
marrow examination with
Immunophe-notyping,
Lymph node biopsy with
IHC, USG/CT scan, 2 D
Echo
Physical exam, Blood investigations,
Imaging USG/CT scan2-3 years 16387 M5 M512060
717 9.61# CML Blastic crisis Imatinib, Nilotinib, Dasatinib Allogeneic stem cell Transplant
Hematology with serum
biochemistry, Bone
marrow examination,
cytogenetic study, Ph by
FISH or RT-PCR, USG study
Physical exam, Blood investigations,
Bone marrow study, RT- PCR for BCR-
ABL
4600 M5 M512061
718 9.62A^ Aplastic Anaemia Aplastic Anaemia - ATG + Cyclosporine + Steroid
Hematology and serum
biochemistry, Bone
Marrow examination, viral
markers, IPT for PNH, HLA
typing & matching. S.
Cyclosporine level
Blood investigations 320000 M5 M512062
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
719 9.62B^ Aplastic Anaemia Allogeneic stem cell Transplant
Hematology and serum
biochemistry, Bone
Marrow examination, viral
markers, IPT for PNH, HLA
typing & matching. S.
Cyclosporine level
Blood investigations 780000 M5 M512063
720 9.63A^Myelodysplastic
syndromeMyelodysplastic syndrome - Lenalinomide Decitabine
Hematology, serum
biochemistry, Bone
marrow examination with
cytogenetics, FISH study,
Blood investigations 200000 M5 M512064
721 9.63B^Myelodysplastic
syndrome Allogeneic stem cell Transplant
Hematology, serum
biochemistry, Bone
marrow examination with
cytogenetics, FISH study,
Blood investigations 780000 M5 M512065
722 9.64^
Thalassemia/Haem
oglobinopathies
Sickle cell anaemia
Thalassemia/Haemoglobinopat hies Sickle cell anaemia - Allogeneic Bone Marrow
Transplant
Blood investigations Hb
electrophoresis ,HLA studyBlood investigations 780000 M5 M512066
723 9.65^
Congenital
condition
amenable to BMT
Congenital condition amenable to BMT - Allogeneic stem cell Transplant
Hematology, serum
biochemistry, Hb
electrophoresis , HLA
typing
Blood investigations 780000 M5 M512067
724 9.66* Medulloblastoma Cisplatin/cyclophosphamide/VCR/Procarbazine, Lomustine
Hematology, Serum
biochemistry, RI brain &
spine, Biopsy
immunohistochemistry,
CSF cytology
Physical exam, MRI study 4-6 months 6900 M5 M512068
725 9.67^
Relapsed
Paediatric Solid
Tumours
Relapsed Paediatric Solid Tumor - Autologus stem cell transplant -Blood investigations and
Imaging,Blood investigations and Imaging, 780000 M5 M512069
726 9.68^A Palliative package Fixation of pathological fracture [Palliative package ^]Blood investigations and
Imaging,Blood investigations and Imaging, 31740 M5 M512070
727 9.68^B Palliative package Oesophageal Stenting /prosthesis- double [Palliative package ^]Blood investigations and
Imaging,Blood investigations and Imaging, 31750 M5 M512070
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
728 9.68^C Palliative package Oesophageal Stenting/prosthesis- Single [Palliative package ^]Blood investigations and
Imaging,Blood investigations and Imaging, 26450 M5 M512070
729 9.68^D Palliative package Nerve blockage With Image / Nerve blockage Without Image [Palliative package ^]Blood investigations and
Imaging,Blood investigations and Imaging, 10580 M5 M512070
730 9.68^E Palliative packagePain killer / G-CSF/ Drainage – Biliary and urinary / Stenting – Biliary/ Stenting –
urinary / Nutritional supplement [Palliative package ^]
Blood investigations and
Imaging,Blood investigations and Imaging, 5290 M5 M512070
731 9.69* Anal Cancer MITOMYCIN, 5FUCXR , USG ABDOMEN, CT
AbdomenULTRASOUND 3 to 4 months 4600 M5 M512071
732 9.70* Head & Neck CISPLATIN WEEKLYChest X ray, CT/MRI,
BiopsyCT Scan Xrays 5 to 6 weeks 4140 M5 M512072
733 9.71* Head & Neck TPF (DOCETAXEL ,CISPLATIN , 5-FU) X ray, CT, MRI Biopsy CT Scan X-rays 2 to 3 months 16330 M5 M512073
734 9.72# Head & Neck CISPLATIN + MTX X ray, CT, MRI Biopsy CT Scan X-rays 2 to 3 months 4600 M5 M512074
735 9.73# HCC SORAFENIB ORALAFP , USG ABDOMEN, CT
Scan, Chest x rayUSG ABDOMEN 4 to 8 months 8280 M5 M512075
736 9.74# RCC SUNITINIBUSG, Biopsy, CT Scan,
Chest x rayUSG ABDOMEN 4 to 8 months 27600 M5 M512076
737 9.75* Brain Tumour Tenozolamide, Procarbazine, CCNU, Vincristine
MRI Brain, Biopsy with
Immunohistochemistry, X-
ray
MRI Brain, X-ay 6months 17480 M5 M512077
738 9.76*Sarcoma- soft
tissueCisplatin/ Adriamycin/ Ifosphamides
MRI, CT scan, Biopsy with
Immunohistochemistry, X-
ray
MRI, CT scan, X-ray 4 to 6 months 17250 M5 M512078
739 9.77*Hepatobilliary
tumorGemcitabine/ Oxaliplatin/ Capecitabine/ 5 FU
CT scan, Biopsy, Tumor
markers, X-ray,
Sonography
CT scan, Tumor markers, X-ray,
Sonography4 to 6 months 17480 M5 M512079
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
740 9.78* Pancreatic cancer Gemcitabine/ Oxaliplatin/ Capecitabine/ 5 FU/Erlotinib
CT scan, Biopsy, Tumor
markers, X-ray,
Sonography
CT scan, Tumor markers, X-ray,
Sonography4 to 6 months 17480 M5 M512080
741 9.79*Endometrial
cancerWeekly Platin Paclitaxel/ Carboplatin
CT scan/MRI study, X-ray,
Biopsy, SonographyCT scan, X-ray, Sonography 4 to 6 months 4830 M5 M512081
742 9.80 OncologyPET Study (All Cancer for all oncology cluster diagnostic or staging in proven cancer
patient)
Biopsy report of proven
cancer of any past time
necessary for pre
authorisation
- - 15000 M5 M512082
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
743 10.1Cobalt 60 external
beam radiotherapyRadical treatment Usg/x-ray/ct, biopsy
Clinical photograph, rt treatment
charts6 to 7 weeks 23000 M6 M612001
744 10.2Cobalt 60 external
beam radiotherapyPalliative treatment Usg/x-ray/ct, biopsy
Clinical photograph, rt treatment
charts3 weeks 11500 M6 M612002
745 10.3Cobalt 60 external
beam radiotherapyAdjuvent therapy Usg/x-ray/ct, biopsy
Clinical photograph, rt treatment
charts4 weeks 23000 M6 M612003
746 10.4 Linear accelerators Radical treatment with photons (linear accelarator) Usg/x-ray/ct, biopsyClinical photograph, rt treatment
charts6 to 7 weeks 66700 M6 M612004
747 10.5 Linear accelerators Palliative treatment with photons (linear accelarator) Usg/x-ray/ct, biopsyClinical photograph, rt treatment
charts3 weeks 28750 M6 M612005
748 10.6 Linear accelerators Adjuvant treatment with photons/electrons Usg/x-ray/ct, biopsyClinical photograph, rt treatment
charts4 weeks 51750 M6 M612006
749 10.7Brachytherapy-
intracavitary-iiIi. Hdr per application Usg/x-ray/ct, biopsy
Clinical photograph, rt treatment
charts
Weekly
application for 2
to 5 weeks
11500 M6 M612007
Cluster-10 RADIATION ONCOLOGY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
750 10.8Brachytherapy-
interstitial-iiIi. Hdr - one application and multiple dose fractions Usg/x-ray/ct, biopsy
Clinical photograph, rt treatment
charts5 days 11500 M6 M612008
751 10.9LA with multi leaf
collimatorRadical treatment with IMRT
USG/ X-ray/ CT/ MRI/
BiopsyUSG/ X-ray/ CT/ MRI/ Biopsy 6 to 7 weeks 95450 M6 M612009
752 10.10LA with multi leaf
collimatorRadical treatment with IGRT
USG/ X-ray/ CT/ MRI/
BiopsyUSG/ X-ray/ CT/ MRI/ Biopsy 6 to 7 weeks 115000 M6 M612010
753 10.15LA with some
accessoriesSRS (Stereotactic Radiosurgery)
USG/ X-ray/ CT/ MRI/
BiopsyUSG/ X-ray/ CT/ MRI/ Biopsy 1 day 143750 M6 M612011
754 10.16LA with some
accessoriesSRT (Stereotactic Radiotherapy)
USG/ X-ray/ CT/ MRI/
BiopsyUSG/ X-ray/ CT/ MRI/ Biopsy 6 weeks 143750 M6 M612012
755 10.17 Brain Tumour Gamma Knife / Cyber Knife CT CT 1 day 115000 M6 M612013
756 10.19Total Body
RadiationPre Bonemarrow/Stem Cell Transplant
USG/ X-ray/ CT/ MRI/
BiopsyUSG/ X-ray/ CT/ MRI/ Biopsy 6 to 7 weeks 66700 M6 M612014
757 10.20 Iodine Therapy Radio Iodine Therapy Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
chartsPer dose 15000 M6 M612015
758 10.21EBRT (External
Beam RT)SBRT (Sterotactic Beam RT) Usg,/x-ray,/ct,/biopsy
Clinical photograph, rt treatment
charts
Daily (5day x
week) 6 to 7
weeks
130000 M6 M612016
759 10.22 EBRT 3DCRT (3 Dimentional Conformal RT) Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
charts
Daily (5day x
week) 6 to 7
weeks
80000 M6 M612017
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
760 10.23 EBRT Electron Boost Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
charts2 weeks 5000
Total 5 to 10 Fraction
of 200 Gray eachM6 M612018
761 10.24 EBRT Electron treatment curative Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
charts6 to 7 weeks 66700 M6 M612019
762 10.25 EBRT Rapidarc/VMAT Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
charts6 to 7 weeks 130000 M6 M612020
763 10.26 Brachytherapy Intraluminal Brachytherapy in addition to EBRT Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
charts2 weeks 11500
6.5 x 2
up to 55 GrayM6 M612021
764 10.27 Brachytherapy CT guided ICR (Intra Cavitory RT)in addition to EBRT Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
charts2 weeks 16500 weekly upto 66 Gray M6 M612022
765 10.28 Brachytherapy CT guided Interstitial RT in addition to EBRT Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
charts2 to 3 days 16500
6hourly two fraction
per day for two days M6 M612023
766 10.29 Brachytherapy MRI guided ICR in addition to EBRT Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
charts2 weeks 16500 weekly upto 66 Gray M6 M612024
767 10.30 Brachytherapy MRI guided Interstial RT in addition to EBRT Usg,/x-ray,/ct,/biopsyClinical photograph, rt treatment
charts2 to 3 days 16500
6hourly two fraction
per day for two days M6 M612025
768 10.31Radiation
OncologyRespiratory Gating along with Linear Accelerator planning CT, Biopsy Clinical Photo, RT Chart 70,000 M6 M600009
769 10.32Radiation
OncologyTomotherapy(Radical/Adjuvant/Neoadjuvant) Blood test, CT, Biopsy Clinical Photo, RT Chart 75,000 M6 M600011
Sr.No Package no Sub speciality Procedure namePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
770 11.2 Throat Microlaryngeal Surgery including Phonosurgery Biopsy, CT Scan/ MRI Biopsy 1 11500 S15 S1512001
Cluster-11 SURGICAL ONCOLOGY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
771 11.3 Throat Excision/ Hypopharynx of Tumors in Pharynx Biopsy, CT Scan/ MRI Clinical Photograph, biopsy 1 23000 S15 S1512002
772 11.4 Pancreas Distal Pancreatectomy CT , CA 19-9, PET Scan Clinical Photograph 1 55000 S15 S1512003
773 11.5 Pancreas Enucleation of Cyst CT, CA 19-9 Clinical Photograph 1 35000 S15 S1500030
774 11.6 Pancreas Whipples - any typeCT , ERCP, CA 19-9, PET
Scan, EUSClinical Photograph 1 75000 S15 S1512004
775 11.7 Spleen Splenectomy USG/CT Clinical Photograph , USG 1 30000 S15 S100132
776 11.8Genito Urinary
SystemRadical Nephrectomy
Biopsy , CT , IVP , KUB
,USGBiopsy , Clinical Photograph , USG 1 34500 S15 S1512006
777 11.9Genito Urinary
SystemRadical Cystectomy
Biopsy , CT , IVP , KUB
,USGBiopsy , Clinical Photograph , USG 1 60000 S15 S1512007
778 11.10Genito Urinary
SystemOther cystectomies
Biopsy , CT , IVP , KUB
,USGBiopsy , Clinical Photograph , USG 1 40000 S15 S1512008
779 11.11Genito Urinary
SystemHigh Orchidectomy
CT Scan (Abdomen,
Pelvis), Biopsy, USG, CT
Scan Thorax
Biopsy , Clinical Photograph , USG 1 15000 S15 S1512009
780 11.12Genito Urinary
SystemBilateral Orchidectomy
Biopsy , USG, Bone Scan,
Local X-rayBiopsy , Clinical Photograph , USG 1 11500 S15 S1512010
781 11.14Genito Urinary
SystemTotal Penectomy
Biopsy, CT Scan
(Abdomen, Pelvis),Clinical
Photograph
Biopsy , Clinical Photograph , USG 1 25000 S15 S1512011
782 11.15Genito Urinary
SystemInguinal Block Dissection-one side
Biopsy , Clinical
phtograph, CT ScanBiopsy , Clinical Photograph , USG 1 8740 S15 S1512012
783 11.16Genito Urinary
SystemRadical Prostatectomy
CT , KUB , USG, Bone Scan,
BiopsyBiopsy , Clinical Photograph , USG 1 60000 S15 S1512013
784 11.17Genito Urinary
SystemPartial Penectomy
Biopsy, Clinical
Photograph, USG
Abdomen Pelvis
Biopsy , Clinical Photograph , USG 1 15000 S15 S1512014
785 11.18 Gynaec Radical Hysterectomy Biopsy , CT , USG Biopsy , Clinical Photograph , USG 1 34500 S15 S1512015
786 11.19 Gynaec Surgery for Ca Ovary - early stage
CA 125, CEA, Biopsy/
cytology, aFP, ßHCG, LDH,
X-ray chest
Biopsy , Clinical Photograph , USG,
Tumor Marker1 23000 S15 S1512016
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
787 11.20 Gynaec Surgery for Ca Ovary - advance stage
CA 125, CEA, Biopsy/
cytology, aFP, ßHCG, LDH,
X-ray chest
Biopsy , Clinical Photograph , USG,
Tumor Marker1 40000 S15 S1512017
788 11.21 Gynaec Vulvectomy Biopsy, Photograph Biopsy , Clinical Photograph , USG 1 17250 S15 S1512018
789 11.22 Breast Mastectomy - any type
Biopsy, X-rays,
Mammogram,
Photograph, USG, CT,
Bone scan
Biopsy , Clinical Photograph 1 25000 S15 S1512019
790 11.23 Breast Axillary Dissection
Biopsy, X-rays,
Mammogram,
Photograph, USG, CT,
Bone scan
Biopsy , Clinical Photograph 1 23000 S15 S1500022
791 11.24 Breast Wide excision
Biopsy, X-rays,
Mammogram,
Photograph, USG, CT
Biopsy , Clinical Photograph 1 11500 S15 S1512020
792 11.25 Ca.Rectum Abdomino Perineal Resection (APR) +SacrectomyCT/ Barium Meal Follow
throughClinical Photograph, biopsy 1 50000 S15 S1512021
793 11.26 Ca. Gall Bladder Radical Cholecystectomy CT , USG, PET Scan Biopsy , Clinical Photograph , USG 1 60000 S15 S1500031
794 11.27 Breast Wide excision + Reconstruction ( Pedicle flap)
CT/BMFT,
Colonoscopy,Biopsy, CEA,
PET Scan
Clinical Photograph, biopsy 1 25000 S15 S1512022
795 11.28 Lung Cancer Pneumonectomy
Biopsy, X-rays,
Mammogram,
Photograph, USG, CT
Biopsy , Clinical Photograph , USG 1 50000 S15 S100219
796 11.29 Lung Cancer Lobectomy
Biopsy, X-rays,
Mammogram,
Photograph, USG, CT
Biopsy , Clinical Photograph 1 50000 S15 S1312020
797 11.30 Lung Cancer DecorticationBiopsy , CT , X-RAY, PET
scan, CT brainBiopsy , Clinical Photograph , X-RAY 1 40000 S15 S1312023
798 11.31 Lung Cancer Surgical Correction of Bronchopleural Fistula.Biopsy , CT , X-RAY, PET
scan (SOS)Biopsy , Clinical Photograph , X-RAY 1 35000 S15 S1512026
799 11.32 Head &Neck Resection of Nasopharyngeal TumorBiopsy , CT , X-RAY, PET
scan, CT brainBiopsy , Clinical Photograph , X-RAY 1 50000 S15 S1500004
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
800 11.33 Head &Neck Craniofacial resection of any type Biopsy , CT , X-RAY Biopsy , Clinical Photograph , X-RAY 1 90000 S15 S1512027
801 11.34 A Head &Neck Composite Resection ANY TYPE Biopsy, CT/MRI Biopsy , Clinical Photograph 1 41250 S15 S1512028
802 11.34 B Head &Neck PEDICLE FLAP Reconstruction Biopsy, CT/MRI Biopsy , Clinical Photograph 1 13750 S15 S1512028
803 11.35 Head &Neck Neck Dissection - any type CT/ MRI, Biopsy Biopsy , Clinical Photograph 1 32200 S15 S1512029
804 11.36 Head &Neck HemiglossectomyClinical Photograph/X-
Ray,USG/biopsy/CTClinical Photograph, biopsy 1 20700 S15 S1512030
805 11.37 Head &Neck Maxillectomy - any type
Biopsy , Clinical
Photograph , USG , X-RAY,
CT Scan
Biopsy , Clinical Photograph 1 25000 S15 S1512031
806 11.38 Head &Neck Thyroidectomy - any type
Biopsy , Clinical
Photograph , USG , X-RAY,
MRI
Biopsy , Clinical Photograph 1 25000 S15 S1512032
807 11.39 Head &Neck Parotidectomy - any typex-ray of maxilla, CT/MRI,
biopsybiopsy and Clinical Photograph 1 20000 S15 S1512033
808 11.40 Head &Neck Laryngectomy - any type
Biopsy , Clinical
Photograph , USG , X-RAY,
CT Scan
Biopsy , Clinical Photograph 1 40000 S15 S1512034
809 11.41 Head &Neck Laryngopharyngo Oesophagectomy
Biopsy , Clinical
Photograph , USG , X-RAY,
CT Scan
Biopsy , Clinical Photograph 1 70000 S15 S1512035
810 11.42 Head &Neck Hemimandibulectomy
Biopsy , Clinical
Photograph , USG , X-RAY,
CT Scan
Biopsy , Clinical Photograph 1 25000 S15 S1512036
811 11.43 Head &Neck Wide excision Any type
Biopsy , Clinical
Photograph , USG , X-RAY,
CT Scan
Biopsy , Clinical Photograph 1 11500 S15 S1512037
812 11.44 Ca. Salivary Gland Submandibular Gland Excision
Biopsy , Clinical
Photograph , USG , X-RAY,
OPG/CT scan
Biopsy , Clinical Photograph 1 18400 S15 S1512038
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
813 11.45 Ca. Trachea Tracheal ResectionBiopsy , Clinical
Photograph , USG , X-RAYBiopsy , Clinical Photograph 1 50000 S15 S1500001
814 11.46 Ca. Trachea Sternotomy + Superior Mediastinal DissectionBiopsy , Clinical
Photograph , USG , X-RAYBiopsy , Clinical Photograph 1 45000 S15 S1500002
815 11.47 Ca. Parathyroid Parathyroidectomy Biopsy, CT, Bronchoscopy Clinical Photograph, biopsy 1 20700 S15 S1512039
816 11.48Ca. Gastro
Intestinal TractSmall bowel resection Biopsy, CT Clinical Photograph, biopsy 1 18400 S15 S1512040
817 11.49Ca. Gastro
Intestinal TractClosure of Ileostomy/ Colostomy
Biopsy , Clinical
Photograph , USG , X-RAY,
Serum Parathormone
Biopsy , Clinical Photograph 1 8050 S15 S1512041
818 11.50 Spleen Radical Splenectomy CT , USG Biopsy , Clinical Photograph , USG 1 30000 S15 S1512042
819 11.51Gastro Intestinal
SystemResection of Retroperitoneal Tumors
Barium meal test, CT
abdomen, biopsyBiopsy, clinical photograph 1 45000 S15 S1512043
820 11.52Gastro Intestinal
SystemAbdominal wall tumor Resection USG, CT abdomen, biopsy BIOPSY, CLINICAL PHOTOGRAPH 1 35000 S15 S1500032
821 11.53Gastro Intestinal
SystemResection with reconstruction USG, CT abdomen, biopsy BIOPSY, CLINICAL PHOTOGRAPH 1 20700 S15 S1500033
822 11.55Gastro Intestinal
SystemOesophagectomy - any type
Biopsy , CT , Endoscopy
,USG, PET SCANBiopsy , Clinical Photograph , USG 1 60000 S15 S1512044
823 11.56Gastro Intestinal
SystemGastrectomy - any type
Biopsy , CT , Endoscopy
,USG, PET SCANBiopsy , Clinical Photograph , USG 1 40000 S15 S1512045
824 11.57Gastro Intestinal
SystemColectomy - any type
Biopsy , CT , Endoscopy ,
USG, CEABiopsy , Clinical Photograph , USG 1 40000 S15 S1512046
825 11.58Gastro Intestinal
SystemAnterior Resection
Biopsy , CT , Endoscopy ,
USG, CEABiopsy , Clinical Photograph , USG 1 50000 S15 S1512047
826 11.59Gastro Intestinal
SystemAbdominoperinial Resection
Biopsy , CT , Endoscopy ,
USG, CEABiopsy , Clinical Photograph , USG 1 40000 S15 S1512048
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
827 11.60Gastro Intestinal
SystemTriple Bypass
Biopsy , CT , Endoscopy ,
USGBiopsy , Clinical Photograph , USG 1 23000 S15 S1500035
828 11.61Gastro Intestinal
SystemOther GI Bypasses surgery any type (including pancreas)
Biopsy , CT , Endoscopy ,
USGBiopsy , Clinical Photograph , USG 1 25000 S15 S1512049
829 11.62 Gynaec Radical Trachelectomy CT/MRI, Biopsy Clinical Photograph, biopsy 1 35000 S15 S1500043
830 11.63 Gynaec Radical vaginectomy CT, Biopsy Clinical Photograph, biopsy 1 26450 S15 S1500040
831 11.64 Gynaec Radical vaginectomy + Reconstruction CT, Biopsy Clinical Photograph, biopsy 1 45000 S15 S1500041
832 11.65 Gynaec-Ca.CervixRadical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (BPLND) + Bilateral
Salpingo Ophorectomy (BSO) / Ovarian transpositionPap Smear / biopsy, CT Clinical Photograph, biopsy 1 45000 S15 S1500037
833 11.66 Gynaec-Ca.Cervix Anterior Exenteration (Gynaec) Pap Smear / biopsy, CT Clinical Photograph, biopsy 1 60000 S15 S1512050
834 11.67 Gynaec-Ca.Cervix Posterior Exenteration (Gynaec) Pap Smear / biopsy, CT Clinical Photograph, biopsy 1 50000 S15 S1512051
835 11.68 Gynaec-Ca.Cervix Total Pelvic Exenteration Pap Smear / biopsy, CT Clinical Photograph, biopsy 1 75000 S15 S1512052
836 11.69 Chest Chest wall resection for SOFT tissue bone tumorsBiopsy, CT Chest, Bone
ScanClinical Photograph, biopsy 1 9660 S15 S1512053
837 11.70 Chest Chest wall resection + ReconstructionBiopsy, CT Chest, Bone
ScanClinical Photograph, biopsy 1 30000 S15 S1500048
838 11.71Bone / soft tissue
tumorsLimb salvage surgery for Bone Tumors with modular Prosthesis
CT-Local part, CT
Chest,MRI, Bone ScanClinical Photograph, biopsy 1 75000 S15 S1500045
839 11.72Bone / soft tissue
tumorsForequarter amputation Biopsy, CT Chest Clinical Photlograph/ X-Ray, biopsy 1 30000 S15 S1512054
840 11.73Bone / soft tissue
tumorsHemipelvectomy
Biopsy, CT/MRI Pelvis, CT
Chest, PET scanClinical Photlograph/ X-Ray, biopsy 1 55000 S15 S1500046
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
841 11.74Bone / soft tissue
tumorsBone resection CT/MRI, Biopsy Clinical Photograph/X-ray, biopsy 1 30000 S15 S1512055
842 11.75 Renal Cell Cancer Partial Nephrectomy CT/Isotope renogram Clinical Photograph, biopsy 1 40000 S15 S1512056
843 11.76 Renal Cell Cancer Nephroureterectomy for Transitional Cell Carcinoma of renal pelvis (one side) CT, Biopsy Clinical Photograph, biopsy 1 46000 S15 S1512057
844 11.77 Testes cancer Retro Peritoneal Lymph Node Dissection(RPLND) (for Residual Disease)CT-Chest, CT.Abd+Pelvis,
Tumor markers, biopsyClinical Photograph, biopsy 1 60000 S15 S1512058
845 11.78 Tumours AdrenalectomyCT/MRI, Urinary
hormonesClinical Photograph, biopsy 1 45000 S15 S1512059
846 11.79 Testes cancer Urinary diversion biopsy, USG Scrotum Clinical Photograph, biopsy 1 40000 S15 S1512060
847 11.80 Testes cancer Retro Peritoneal Lymph Node Dissection RPLND as part of staging CT, biopsy Clinical Photograph, biopsy 1 23000 S15 S1512061
848 11.81Ca. Urinary
BladderAnterior Exenteration (Urinary Bladder) Cystoscopy, biopsy/CT Clinical Photograph, biopsy 1 60000 S15 S1512062
849 11.82Ca. Urinary
BladderTotal Exenteration (Urinary Bladder) Cystoscopy, biopsy/CT Clinical Photograph, biopsy 1 75000 S15 S1512063
850 11.83Ca. Urinary
BladderBilateral pelvic lymph Node Dissection(BPLND) CT, biopsy Clinical Photograph, biopsy 1 25000 S15 S1500042
851 11.84Thoracic and
MediastinumMediastinal tumor resection CT Clinical Photograph, biopsy 1 50000 S15 S1512064
852 11.85 Lung Lung metastatectomy of any typeCT, biopsy, Bone scan/
PET scanX-Ray, Biospy 1 35000 S15 S1512065
853 11.86 Lung Sleeve resection of Lung cancer.CT/ Bronchoscopy, biopsy,
PET scanX-Ray, Biospy 1 90000 S15 S1500027
854 11.87 Esophagus Oesophagectomy with Two field LymphadenectomyUGI Endoscopy, biopsy /
CTClinical Photograph, biopsy 1 80000 S15 S1500028
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
855 11.88 Esophagus Oesophagectomy with Three field LymphadenectomyUGI Endoscopy, biopsy /
CTClinical Photograph, biopsy 1 80000 S15 S1500029
856 11.89 Palliative Surgeries Tracheostomy Clinical Photograph Clinical Photograph 1 5520 S15 S1500021
857 11.90 Palliative Surgeries Gastrostomy Clinical Photograph Clinical Photograph 1 15000 S15 S100064
858 11.91 Palliative Surgeries Jejunostomy Clinical Photograph Clinical Photograph 1 15000 S15 S100088
859 11.92 Palliative Surgeries Ileostomy Clinical Photograph Clinical Photograph 1 15000 S15 S100095
860 11.93 Palliative Surgeries Colostomy Clinical Photograph Clinical Photograph 1 15000 S15 S100018
861 11.94 Palliative Surgeries Suprapubic Cystostomy Clinical Photograph Clinical Photograph 1 10000 S15 S1512070
862 11.95 Palliative Surgeries Gastro JejunostomyUSG, CT SCAN, Clinical
PhotographClinical Photograph, biopsy 1 20000 S15 S1512071
863 11.96 Palliative Surgeries Ileotransverse BYPASSColostomy
CT SCAN, USG, Endoscopy,
Biopsy, Clinical
Photograph
Clinical Photograph, biopsy 1 9890 S15 S1512072
864 11.97 Palliative Surgeries Substernal bypass
CT SCAN, USG, Endoscopy,
Biopsy, Clinical
Photograph
Clinical Photograph, biopsy 1 35000 S15 S1500003
865 11.98 Reconstruction Myocutaneous / cutaneous flap Clinical Photograph Clinical Photograph 1 25000 S15 S1500005
866 11.99 Reconstruction Micro vascular reconstructionDoppler study, Clinical
PhotographClinical Photograph 1 45000 S15 S1500009
867 11.100Soft Tissue and
Bone TumorsWide excision - for soft tissue and bone tumors
Clinical Photograph,
biopsyClinical Photograph, biopsy 1 12650 S15 S1512073
868 11.101Soft Tissue and
Bone TumorsWide excision + Reconstruction for soft tissue and bone tumors
Clinical Photograph,
biopsyClinical Photograph, biopsy 1 25000 S15 S1512074
869 11.102Soft Tissue and
Bone TumorsAmputation for bone / soft tissue tumours (Major / Minor)
Clinical Photograph,
biopsyClinical Photograph, Biopsy 1 25000 S15 S1512075
870 11.103Genito Urinary
SystemInguinal Block Dissection-both side
Biopsy, Clinical
Photograph, CT scanBiopsy, Clinical Photograph, USG 1 16100 S15 S1512076
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
871 11.104 Ano-rectal Low Anterior resection OR Sphincter preserving surgery of any typeCT/ BMFT, Colonoscopy,
Biopsy, CEABiopsy, Clinical Photograph, USG 1 40000 S15 S1512077
872 11.105Gastro Intestinal
SurgeryLaproscopic resection of any type
Barium meal test, CT
abdomen, biopsy,
Endoscopy, Tumor Marker
Biopsy, Clinical Photograph, USG 1 50000 S15 S1512078
873 11.106 Liver Hepatic surgery of any typeCT abdomen, biopsy,
Endoscopy, Tumor MarkerBiopsy, Clinical Photograph, USG 1 70000 S15 S1512079
874 11.107Lung &
OesophagusThoracoscopic and Laproscopic surgery of any type
CT abdomen, biopsy,
EndoscopyBiopsy, Clinical Photograph, USG 1 60000 S15 S1512080
875 11.108Genito Urinary
SystemLaproscopic surgery for kidney & supra renal any type
CT abdomen, biopsy,
EndoscopyBiopsy, Clinical Photograph, USG 1 40000 S15 S1512081
876 11.109 Brain Tumour Brain tumours surgery of any type CT/ MRI, Biopsy CT, Photograph 1 55000 S15 S1512082
877 11.110Gynaec Body of
the uterusTAH + BSO + BLND + O.S.
Biopsy, CT scan, USG, CA
125CT, Biopsy, Photograph 1 45000 S15 S1512083
878 11.111 Bone & soft tissue Hind Quarter AmputationMRI, Bone scan & PET
scanCT, Biopsy, Photograph 1 40000 S15 S1512084
879 11.112 Bone & soft tissue Hip & Knee Disarticulation MRI Photograph 1 45000 S15 S1512085
880 11.113
Gynaec CIN Early
cancer of any
female organ
Radical Trachelectomy Cone Biopsy, Simple HysterectomyBiopsy, CT scan, USG, CA
125Biopsy, USG 1 40000 S15 S1512086
881 11.114
All System Pre
malignant and
Malignant Lesion
Laser Surgery Any type Usg,/x-ray,/ct,/biopsy clinical photograph 1 15000 S15 S1512087
882 11.115 Head & Neck Flap Cutting any typeUsg,/x-ray,/ct,/biopsy
previous procedure reportclinical photograph 1 5000 S15 S1512088
883 11.116 Head & Neck Eyeball enucleation Usg,/x-ray,/ct,/biopsy clinical photograph 3 15000 S15 S1512089
884 11.117For All Long term
ChemotherapyPICC (For cluster 9 user also) Usg,/x-ray,/ct,/biopsy clinical photograph 3 10000 S15 S1512090
885 11.118For All Long term
ChemotherapyPort Insertion (For cluster 9 user also) Usg,/x-ray,/ct,/biopsy clinical photograph 3 15000 S15 S1512091
886 11.119 Palliative Surgeries ICD Tube Insertion Usg,/x-ray,/ct,/biopsy clinical photograph 0 1500 S15 S1512092
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
887 11.120 Pancreas Wide Excision any type (Surgery other than Whipples) Usg,/x-ray,/ct,/biopsy clinical photograph 3 50000 S15 S1512093
888 11.121 Palliative Surgeries Drain Insertion any type Usg,/x-ray,/ct,/biopsy clinical photograph 0 1500 S15 S1512094
889 11.122Any Wound Gap
SurgeryResuturing
Usg,/x-ray,/ct,/biopsy
previous procedure reportclinical photograph 1 3000 S15 S1512095
890 11.123 Larynx Voice prosthesis Biopsy, CECT Invoice of prosthesis, scar photo 30,000 S15 S1500018
891 11.124 Skin Skin Tumours Wide Excision + ReconstructionBiopsy, Blood Routine
(CBC), CT Scanclinical photograph 25,000 S15 S1500038
892 11.125 Skin Skin Tumours AmputationBiopsy, Blood Routine
(CBC), CT Scanclinical photograph 25,000 S15 S1500039
893 11.126 Oncosurgery Unspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per family) Concern Investigation Concern Investigation 1,00,000 S15 U100
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up
Package Rates
for Private
Hospitals
Package Rates for
Government
Hospitals
Speciality Code
PMJAYProcedure Code PMJAY
894 14.1 Hip Replacement
Primary Hip replacement
(With Implant) Cemented THR
(Indian Implant)
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY
Clinical Photograph,
X-RAY3 1,00,000 50000 S5 S512001
895 14.2 Hip Replacement
Primary Hip replacement
(With Implant) Cemented THR
(Imported Implant)
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY
Clinical Photograph,
X-RAY3 1,20,000 70000 S5 S512002
896 14.3 Hip Replacement Primary Hip replacement
(With Implant) Uncemented THR (Indian Implant)
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY
Clinical Photograph,
X-RAY3 1,20,000 70000 S5 S512003
897 14.4 Hip Replacement
Primary Hip replacement
(With Implant) Uncemented THR
(Imported Implant)
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY
Clinical Photograph,
X-RAY3 1,30,000 85000 S5 S512004
898 14.5 Hip Replacement Revision Hip Replacement
(With Implant) All component Revision
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY
Clinical Photograph,
X-RAY3 3,00,000 2,25,000 S5 S512005
899 14.6 Hip Replacement Revision Hip Replacement
(With Implant) Acetabular Component with cage
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY
Clinical Photograph,
X-RAY3 2,00,000 1,30,000 S5 S512006
Cluster-14 PROCEDURES FOR KNEE & HIP REPLACEMENT
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
900 14.7 Hip Replacement Revision Hip Replacement
(With Implant) Acetabular Component with pelvic Augments
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY
Clinical Photograph,
X-RAY3 2,50,000 1,80,000 S5 S512007
901 14.8 Hip Replacement Revision Hip Replacement
(With Implant) Stem Replacement
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY
Clinical Photograph,
X-RAY3 2,00,000 1,40,000 S5 S512008
902 14.9 Knee Replacement
Primary Knee Replacement
(With Implant) Metal Back
(Indian Implant)
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY,
Bilateral Lower Limb
Standing ORG/CT
scanogram
Clinical Photograph, X-RAY 3 1,10,000 65000 S5 S512009
903 14.10 Knee Replacement
Primary Knee Replacement
(With Implant) Metal Back
(Imported Implant)
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY,
Bilateral Lower Limb
Standing ORG/CT
scanogram
Clinical Photograph, X-RAY 3 1,30,000 75000 S5 S512010
904 14.11 Knee Replacement
Primary Knee Replacement
(With Implant) All Poly
(Indian Implant)
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY,
Bilateral Lower Limb
Standing ORG/CT
scanogram
Clinical Photograph, X-RAY 3 80000 45000 S5 S512011
905 14.12 Knee Replacement
Primary Knee Replacement
(With Implant) All Poly
(Imported Implant)
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY,
Bilateral Lower Limb
Standing ORG/CT
scanogram
Clinical Photograph, X-RAY 3 90000 50000 S5 S512012
906 14.13 Knee Replacement Revision Knee Replacement for Long Stem without Augment
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY,
Bilateral Lower Limb
Standing ORG/CT
scanogram
Clinical Photograph, X-RAY 3 2,50,000 1,75,000 S5 S512013
907 14.14 Knee Replacement Revision Knee Replacement With Augment Support
Haematology, Serum
Biochemistry, Viral
markers, Clinical
Photograph, X-RAY,
Bilateral Lower Limb
Standing ORG/CT
scanogram
Clinical Photograph, X-RAY 3 3,00,000 2,25,000 S5 S512014
Cluster-15 ORGAN TRANSPLANT PACKAGES
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
908 15.1Kidney
transplantationKidney transplantation Laparoscopic Donor nephrectomy
Blood group, FBS, PPBS,
ELISA
USG ABDOMEN, Urine
R/M and C/S
CBC, RFT, LFT, Uric acid,
PTH, Lipid profile, Iron
profile, CMV IgG and IgM
BT, CT, PT, G6PD
2D Echocardiogram
Chest X Ray, ECG, DTPA
Renogram, PAP smear
(female)
CT Angiogram for kidney
vessel
RFT 60000 S17 S1712001
909 15.2 AKidney
transplantation
Open Kidney transplantation from living donor Part-1 Investigations
Blood group, HbA1C, FBS, PPBS, ELISA, HCV RNA Qualitative, CMV IgG and IgM
USG Abdomen,
Urine R/M and C/S
iPTH, Vit D, Uric Acid
BT,CT, PT, aPTT, G6PD level
Chest X Ray, ECG, 2D echocardiogram
Lipid Profile, Anticardiolipin Antibody, Lupus Anticoagulant, C3, C4, ANA, dsDNA,
pANCA, cANCA, USG Doppler Neck vessels
Usg Doppler Iliofemoral Vessels
MCU, Uroflowmetry
15000 S17 S1712002
910 15.2 BKidney
transplantation
Open Kidney transplantation from living donor Part-2 Investigations
HLA Typing
LCM, FCM
Single Antigen Qualitative
22500 S17 S1712003
911 15.2 CKidney
transplantation
Open Kidney transplantation from living donor Part-3 Investigation
Single Antigen Quantitative 22500 S17 S1712004
912 15.2 DKidney
transplantation
Open Kidney transplantation from living donor Part-4 Operative Part S. Creatinine, USG kidney graft,
Doppler study for graft240000 S17 S1712005
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
913 15.3 AKidney
transplantation
Open Kidney transplantation from deceased donor Part-1 Investigations
Blood group, HbA1C, FBS, PPBS, ELISA, HCV RNA Qualitative, CMV IgG and IgM
USG Abdomen,
Urine R/M and C/S
iPTH, Vit D, Uric Acid
BT, CT, PT, aPTT, G6PD level
Chest X Ray, ECG, 2D echocardiogram
Lipid Profile, Anticardiolipin Antibody, Lupus Anticoagulant, C3, C4, ANA, dsDNA,
pANCA, cANCA, USG Doppler Neck vessels
Usg Doppler Iliofemoral Vessels
MCU, Uroflowmetry
18000 S17 S1712006
914 15.3 BKidney
transplantation
Open Kidney transplantation from deceased donor Part-2 Investigations
HLA Typing
LCM, FCM
Single Antigen Qualitative
27000 S17 S1712007
915 15.3 CKidney
transplantation
Open Kidney transplantation from deceased donor Part=3 InvestigationSingle Antigen
Quantitative 27000 S17 S1712008
916 15.3 DKidney
transplantation
Open Kidney transplantation from deceased donor Part-4 Operative Part S. Creatinine, USG kidney graft,
Doppler study for graft288000 S17 S1712009
917 15.4 AKidney
transplantation
Open dual Kidney transplantation from deceased donor Part-1 Investigations
Blood group ,HbA1C, FBS, PPBS, ELISA, HCV RNA Qualitative, CMV IgG and IgM
USG Abdomen,
Urine R/M and C/S
iPTH, Vit D, Uric Acid
BT,CT, PT,aPTT,. G6PD level
Chest X Ray, ECG, 2D echocardiogram
Lipid Profile, Anticardiolipin Antibody, Lupus Anticoagulant, C3, C4, ANA, dsDNA,
pANCA, cANCA,USG Doppler Neck vessels
Usg Doppler Iliofemoral Vessels
MCU, Uroflowmetry
20000 S17 S1712010
918 15.4 BKidney
transplantation
Open dual Kidney transplantation from deceased donor Part-2 Investigations
HLA Typing
LCM, FCM
Single Antigen Qualitative
30000 S17 S1712011
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
919 15.4 CKidney
transplantation
Open dual Kidney transplantation from deceased donor Part=3 Investigation
Single Antigen Quantitative30000 S17 S1712012
920 15.4 DKidney
transplantationOpen dual Kidney transplantation from deceased donor Part - 4 Operative Part
S. Creatinine, USG kidney graft,Doppler
for both kidney grafts320000 S17 S1712013
921 15.5Kidney
transplantationWound exploration for kidney graft nephrectomy
USG and Doppler study of
kidney allograftClinical photo, S. Creatinine 40000 S17 S1712014
922 15.6 AKidney
transplantation
Robotic kidney transplantation from living donor Part-1 Investigations
Blood group, HbA1C, FBS, PPBS, ELISA, HCV RNA Qualitative, CMV IgG and IgM
USG Abdomen,
Urine R/M and C/S
iPTH, Vit D, Uric Acid
BT, CT, PT, aPTT, G6PD level
Chest X Ray, ECG, 2D echocardiogram
Lipid Profile, Anticardiolipin Antibody, Lupus Anticoagulant, C3, C4, ANA, dsDNA,
pANCA, cANCA,USG Doppler Neck vessels
Usg Doppler Iliofemoral Vessels
MCU, Uroflowmetry
22000 S17 S1712015
923 15.6 BKidney
transplantation
Robotic kidney transplantation from living donor Part-2 Investigations
HLA Typing
LCM, FCM
Single Antigen Qualitative
33000 S17 S1712016
924 15.6 CKidney
transplantation
Robotic kidney transplantation from living donor Part-3 Investigation
Single Antigen Quantitative33000 S17 S1712017
925 15.6 DKidney
transplantationRobotic kidney transplantation from living donor Part - 4 Operative Part S. Creatinine, USG kidney graft 352000 S17 S1712018
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
926 15.7 AKidney
transplantation
Robotic kidney transplantation from deceased donor Part-1 Investigations
Blood group ,HbA1C, FBS, PPBS, ELISA, HCV RNA Qualitative, CMV IgG and IgM
USG Abdomen,
Urine R/M and C/S
iPTH, Vit D, Uric Acid
BT,CT, PT,aPTT,. G6PD level
Chest X Ray, ECG, 2D echocardiogram
Lipid Profile, Anticardiolipin Antibody, Lupus Anticoagulant, C3, C4, ANA, dsDNA,
pANCA, cANCA,USG Doppler Neck vessels
Usg Doppler Iliofemoral Vessels
MCU, Uroflowmetry
23000 S17 S1712019
927 15.7 BKidney
transplantation
Robotic kidney transplantation from deceased donor Part-2 Investigations
HLA Typing
LCM, FCM
Single Antigen Qualitative
34500 S17 S1712020
928 15.7 CKidney
transplantation
Robotic kidney transplantation from deceased donor Part-3 Investigation
Single Antigen Quantitative 34500 S17 S1712021
929 15.7 DKidney
transplantationRobotic kidney transplantation from deceased donor Part - 4 Operative Part S. Creatinine, USG kidney graft 368000 S17 S1712022
930 15.8 AKidney
transplantation
Robotic dual kidney transplantation from deceased donor Part-1 Investigations
Blood group, HbA1C, FBS, PPBS, ELISA, HCV RNA Qualitative, CMV IgG and IgM
USG Abdomen,
Urine R/M and C/S
iPTH, Vit D, Uric Acid
BT, CT, PT, aPTT, G6PD level
Chest X Ray, ECG, 2D echocardiogram
Lipid Profile, Anticardiolipin Antibody, Lupus Anticoagulant, C3, C4, ANA, dsDNA,
pANCA, cANCA, USG Doppler Neck vessels
Usg Doppler Iliofemoral Vessels
MCU, Uroflowmetry
24000 S17 S1712023
931 15.8 BKidney
transplantation
Robotic dual kidney transplantation from deceased donor Part-2 Investigations
HLA Typing
LCM, FCM
Single Antigen Qualitative
36000 S17 S1712024
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
932 15.8 CKidney
transplantation
Robotic dual kidney transplantation from deceased donor Part-3 Investigation
Single Antigen Quantitative36000 S17 S1712025
933 15.8 DKidney
transplantationRobotic dual kidney transplantation from deceased donor Part-4 Operative Part
Clinical photograph, S. Creatinine, USG
kidney graft384000 S17 S1712026
934 15.9*Kidney
transplantation
Plasmapheresis for acute B cell rejection Albumin and Rituximab based protocol (
Rate is per sittings with limit of 4 sittings)
Single antigen qualitative
and quantitative, Flow
Cytometry, Kidney biospy
Single antigen qualitative and
quantitative, Flow Cytometry49,000
49,000* per sittings
with limit of 4 sittingsS17 S1712027
935 15.10Kidney
transplantation
Plasmapheresis for highly sensitized recipient Albumin and Rituximab based protocol
(rate is per sittings with limit of 4 sittings)
Single antigen qualitative
and quantitative, Flow
Cytometry
Single antigen qualitative and
quantitative, Flow Cytometry37,500
37,500* per sittings
with limit of 4 sittingsS17 S1712028
936 15.11Kidney
transplantation
Monthly investigations and immunosuppression from discharge after kidney
transplant Include Prednisolone ,Tacrolimus 4mg/day, Mycophenolate 360 or 500 mg
(4 tables) /day, Valgancyclovir 450 mg OD, Fluconazole 100mg OD, Sepmax OD (Rate
is per
CBC, RFT, RBS, Urine,
Graft Doppler, Tacrolimus
level
CBC, RFT, RBS, Urine, Graft Doppler,
Tacrolimus level(monthly)10,000
10,000* Rate per
monthS17 S1712029
937 15.12Kidney
transplantation
Monthly investigations and immunosuppression after kidney transplant Include
Prednisolone,Tacrolimus 4mg/day,Mycophenolate 360 or 500 mg (4 tables) /day,
Sepmax OD (Package Rate per month)
CBC, RFT, RBS, Urine CBC, RFT, RBS, Urine 5,000 * Rate per month S17 S1712030
938 15.13Kidney
transplantation
Treatment of Invasive fungal infection after kidney transplant Include Liposomal
Amphotericin 300MG /day(5mg/kg for 60 kg person) for 30 days and Surgical
debridement Hospital stay for 10 days ,ICU stay for 10 d (Rate per day with limit of
30 days)
Blood culture, CBC, RFT,
RBS, XR Chest, CT of organ
of invasion (plain) , Urine
Routine and culture,
Endoscopy for fluid and
reports, BAL charges
Blood culture, CBC, RFT, RBS, XR Chest,
CT Thorax12,000
* Rate per day with
limit of 30 daysS17 S1712031
939 15.14 AKidney
transplantation
CMV infection after kidney transplant Include IV gancyclovir 500 mg / Hospital stay
for 14 day, tab.Valgancyclovir 450 mg OD for 3-7 days
Kidney graft biopsy, CBC,
RFT, RBS, XR Chest, CT of
organ of invasion (Plain),
Graft Doppler, Tacrolimus
level, CMV DNA quantity,
BKV DNA quantity, Urine
routine and culture
CBC, RFT, RBS, XR Chest, Tacrolimus
level, CMV DNA quantity18000 S17 S1712032
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
940 15.14 BKidney
transplantation
CMV infection after kidney transplant Include IV gancyclovir 500 mg / Hospital stay
for 14 day, tab.Valgancyclovir 450 mg OD for 8-12 days
Kidney graft biopsy, CBC,
RFT, RBS, XR Chest, CT of
organ of invasion (Plain),
Graft Doppler, Tacrolimus
level, CMV DNA quantity,
BKV DNA quantity, Urine
routine and culture
CBC, RFT, RBS, XR Chest, Tacrolimus
level, CMV DNA quantity36000 S17 S1712033
941 15.14 CKidney
transplantation
CMV infection after kidney transplant Include IV gancyclovir 500 mg / Hospital stay
for 14 day, tab.Valgancyclovir 450 mg OD for 13 and above Days
Kidney graft biopsy, CBC,
RFT, RBS, XR Chest, CT of
organ of invasion (Plain),
Graft Doppler, Tacrolimus
level, CMV DNA quantity,
BKV DNA quantity, Urine
routine and culture
CBC, RFT, RBS, XR Chest, Tacrolimus
level, CMV DNA quantity60000 S17 S1712034
942 15.15 AKidney
transplantation
Treatment for B cell rejection with Therapeutic Plasma exchange with ALBUMIN +IVIG
5 gm (4 sessions), Inj Rituximab 200 mg or Inj Boretezomib 2 mg (4 doses)
IV methyl prednisolone, Hospital stay for3-7 days
Single antigen quantity
Kidney graft biopsy , CBC
RFT, RBS, XR Chest, CT
Thorax,
Graft Doppler, Tacrolimus
level
CMV DNA quantity, BKV
DNA quantity, Urine CS
Single antigen quantity , CBC,
RFT, RBS, XR Chest,
Tacrolimus level,
CMV DNA quantity,
BKV DNA quantity
67500 S17 S1712035
943 15.15 BKidney
transplantation
Treatment for B cell rejection with Therapeutic Plasma exchange with ALBUMIN +IVIG
5 gm (4 sessions), Inj Rituximab 200 mg or Inj Boretezomib 2 mg (4 doses)
IV methyl prednisolone, Hospital stay for 8-13 Days
Single antigen quantity
Kidney graft biopsy , CBC
RFT, RBS, XR Chest, CT
Thorax,
Graft Doppler, Tacrolimus
level
CMV DNA quantity, BKV
DNA quantity, Urine CS
Single antigen quantity , CBC,
RFT, RBS, XR Chest,
Tacrolimus level,
CMV DNA quantity,
BKV DNA quantity
135000 S17 S1712036
944 15.15 CKidney
transplantation
Treatment for B cell rejection with Therapeutic Plasma exchange with ALBUMIN +IVIG
5 gm (4 sessions), Inj Rituximab 200 mg or Inj Boretezomib 2 mg (4 doses)
IV methyl prednisolone, Hospital stay for 13 Days abd above
Single antigen quantity
Kidney graft biopsy , CBC
RFT, RBS, XR Chest, CT
Thorax,
Graft Doppler, Tacrolimus
level
CMV DNA quantity, BKV
DNA quantity, Urine CS
Single antigen quantity , CBC,
RFT, RBS, XR Chest,
Tacrolimus level,
CMV DNA quantity,
BKV DNA quantity
225000 S17 S1712037
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
945 15.16 AKidney
transplantation
Treatment for T cell rejection with thymoglobulin IV methyl prednisolone, IV
thymoglobulin 75 mg, Hospital stay for 3-7 days
Single antigen quantity
Kidney graft biopsy, CBC
RFT, RBS, XR Chest, CT
Thorax, Graft Doppler,
Tacrolimus level
CMV DNA quantity, BKV
DNA quantity, Urine CS
CBC,
RFT, RBS, XR Chest,
Tacrolimus level,
CMV DNA quantity, BKV DNA quantity
39000 S17 S1712038
946 15.16 BKidney
transplantation
Treatment for T cell rejection with thymoglobulin IV methyl prednisolone, IV
thymoglobulin 75 mg, Hospital stay for 8-12 days
Single antigen quantity
Kidney graft biopsy, CBC
RFT, RBS, XR Chest, CT
Thorax, Graft Doppler,
Tacrolimus level
CMV DNA quantity, BKV
DNA quantity, Urine CS
CBC,
RFT, RBS, XR Chest,
Tacrolimus level,
CMV DNA quantity, BKV DNA quantity
78000 S17 S1712039
947 15.16 CKidney
transplantation
Treatment for T cell rejection with thymoglobulin IV methyl prednisolone, IV
thymoglobulin 75 mg, Hospital stay for 13 and above Days
Single antigen quantity
Kidney graft biopsy, CBC
RFT, RBS, XR Chest, CT
Thorax, Graft Doppler,
Tacrolimus level
CMV DNA quantity, BKV
DNA quantity, Urine CS
CBC,
RFT, RBS, XR Chest,
Tacrolimus level,
CMV DNA quantity, BKV DNA quantity
130000 S17 S1712040
948 15.17 AKidney
transplantation
Chest Infection after transplant with 10day ICU care with Ventilator, isolation ward
for 3-10 days
Blood culture, CBC, RFT,
RBS
XR Chest, CT Thorax, Graft
Doppler
Tacrolimus level, CMV
DNA quantity, BKV DNA
quantity
Urine culture,
Bronchoscopy charges and
reports
Blood culture ,CBC,RFT,RBS
XR Chest,
CT Thorax,
Tacrolimus level,
Urine culture
75000 S17 S1712041
949 15.17 BKidney
transplantation
Chest Infection after transplant with 10day ICU care with Ventilator, isolation ward
for 11-20 days
Blood culture, CBC, RFT,
RBS
XR Chest, CT Thorax, Graft
Doppler
Tacrolimus level, CMV
DNA quantity, BKV DNA
quantity
Urine culture,
Bronchoscopy charges and
reports
Blood culture ,CBC,RFT,RBS
XR Chest,
CT Thorax,
Tacrolimus level,
Urine culture
112500 S17 S1712042
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
950 15.17 CKidney
transplantation
Chest Infection after transplant with 10day ICU care with Ventilator, isolation ward
for 21 and above days
Blood culture, CBC, RFT,
RBS
XR Chest, CT Thorax, Graft
Doppler
Tacrolimus level, CMV
DNA quantity, BKV DNA
quantity
Urine culture,
Bronchoscopy charges and
reports
Blood culture ,CBC,RFT,RBS
XR Chest,
CT Thorax,
Tacrolimus level,
Urine culture
150000 S17 S1712043
951 15.18Kidney
transplantation
HEPATITIS C VIRUS TREAMENTInclude Sofosbuvir400+ledispasvir90mg OD for 3
months and HCVRNA quantity ( 3 times)
HCVRNA quantity, CBC,
RFT, LFT, Tacrolimus level
HCVRNA quantity, CBC,
LFT, RFT 10,500 * Rate per month S17 S1712044
952 15.19Kidney
transplantation
Yearly HEPATITIS B VIRUS TREATMENT Include ENTECAVIR 0.5 MG OD for 12 months,
HBVDNA quantity( 3 time)
HBVDNA quantity, CBC,
RFT, LFT, Tacrolimus levelHBVDNA quantity, CBC, LFT, RFT 2,200 * Rate per month S17 S1712045
953 15.20Kidney
transplantationMonthly once a day tacrolimus immunosuppression after kidney transplant
tacrolimus lvel, CBC, FRT,
LFR, RBS tacrolimus lvel, CBC, FRT, LFR, RBS 6,800 * Rate per month S17 S1712046
954 15.21Kidney
transplantationMonthly sirolimus immunosuppression after kidney transplant
Sirolimus LEVEL, CBC, LFT,
RFT, RBSSirolimus LEVEL, CBC, LFT, RFT, RBS 3,680 * Rate per month S17 S1712047
955 15.22Kidney
transplantationMonthly everolimus Immunosuppression after kidney transplant
Everolimus LEVEL, CBC,
LFT, RFT, RBSEverolimus LEVEL, CBC, LFT, RFT, RBS 9,000 * Rate per month S17 S1712048
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
956 15.23 ALiver
transplantation
Living donor hepatectomy Part-1 Investigations
Blood group CBC, FBS, PPBS, Glycosylated Hemoglobin, Lipid profile, G6PD deficiency,
Uric acid, Serum Ceruloplasmin, 24 hours urinary copper, S. Creatinine, Blood urea,
LFT, aPTT, PT, INR, S. Calcium, S. Magnesium, S. Na, S. K, S. Alpha feto protein, S. CEA,
S. CA19-9, Stool for occult blood, Urine R/M, HIV ELISA, HCV ELISA, HBV DNA, Anti-
HBc antibody, CMV IgG and IgM, EBV, TORCH Complex, Varicella zoster IgG and IgM,
X-ray chest, USG abdomen, ECG, Pulmonary function test, 2D echocardiography,
NCCT abdomen
11250 S17 S1712049
957 15.23 BLiver
transplantation
Living donor hepatectomy Part-2 Investigations
CT triphasic angiography for celiac axis, CT Volumetry, MR cholengiography7500 S17 S1712050
958 15.23 CLiver
transplantationLiving donor hepatectomy Part-3 Operative Part
LFT, RFT, Lipid profile, ELISA, CT
volumetry131250 S17 S1712051
959 15.24 ALiver
transplantation
Liver transplantation from living donor Part-1 Investigations
Blood group, CBC, S. Creatinine, Blood urea, S. Na+, S. K+, S. Ca++, S. Mg++, FBS,
PPBS, Glycosylated hemoglobin, LFT, Urine R/M, 24 hours urinary proteins, 24 hours
urinary copper, S. Ammonia, Lipid profile, G6PD, D-dimer, S. Fibrinogen, PT, INR, a-
PTT, S. Iron, S. Ferritin, S. Transferrin, TIBC, S. Alfa feto protein, S. CEA, S. CA19-9,
Arterial blood gas study, HIV ELISA, HBsAg ELISA, Anti HBs antibody titer, HCV ELISA,
HCV RNA by PCR Assay, HBV DNA by PCR Assay, HEV antibody, TORCH complex, EBV
antibody titers, Varicella Zoster antibody titers, CMV IgG and IgM
8750 S17 S1712052
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
960 15.24 BLiver
transplantation
Liver transplantation from living donor Part-2 Investigations
Protein C, Protein S, Antithrombin C, Homocysteine, Homocysteine, ANA, AMA,
ASMA, LKM1, IgG level, USG abdomen, Colour Doppler study for portal vein, X-ray
chest, ECG, Triphasic CT abdomen for celiac axis, Pulmonary function tests, 2D
echocardiography, Dobutamine stress echo., Coronary angiography, Arterial blood
gas analysis, Ascites fluid R/M, Ascites fluid culture, Pleural fluid R/M, TB PCR assay,
Vit D level, Vit. B12 level
17500 S17 S1712053
961 15.24 CLiver
transplantationLiver transplantation from living donor Part -3 Operative Part LFT, S. Creatinine, Clinical photograph 323750 S17 S1712054
962 15.25 ALiver
transplantation
Liver transplantation from deceased donor Part 1 Investigations
Blood group, CBC, S. Creatinine, Blood urea, S. Na+, S. K+, S. Ca++, S. Mg++, FBS,
PPBS, Glycosylated hemoglobin, LFT, Urine R/M, 24 hours urinary proteins, 24 hours
urinary copper, S. Ammonia, Lipid profile, G6PD, D-dimer, S. Fibrinogen, PT, INR, a-
PTT, S. Iron, S. Ferritin, S. Transferrin, TIBC, S. Alfa feto protein, S. CEA, S. CA19-9,
Arterial blood gas study, HIV ELISA, HBsAg ELISA, Anti HBs antibody titer, HCV ELISA,
HCV RNA by PCR Assay, HBV DNA by PCR Assay, HEV antibody, TORCH complex, EBV
antibody titers, Varicella Zoster antibody titers, CMV IgG and IgM
12500 S17 S1712055
963 15.25 BLiver
transplantation
Liver transplantation from deceased donor Part 2 Investigations
Protein C, Protein S, Antithrombin C, Homocysteine, Homocysteine, ANA, AMA,
ASMA, LKM1, IgG level, USG abdomen, Colour Doppler study for portal vein, X-ray
chest, ECG, Triphasic CT abdomen for celiac axis, Pulmonary function tests, 2D
echocardiography, Dobutamine stress echo., Coronary angiography, Arterial blood
gas analysis, Ascites fluid R/M, Ascites fluid culture, Pleural fluid R/M, TB PCR assay,
Vit D level, Vit. B12 level
25000 S17 S1712056
964 15.25 CLiver
transplantation Liver transplantation from deceased donor Part - 3 Operative Part LFT, S. Creatinine 462500 S17 S1712057
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
965 15.26 ALiver
transplantation
Split liver transplantation from deceased donor Part 1 Investigations
Blood group, CBC, S. Creatinine, Blood urea, S. Na+, S. K+, S. Ca++, S. Mg++, FBS,
PPBS, Glycosylated hemoglobin, LFT, Urine R/M, 24 hours urinary proteins, 24 hours
urinary copper, S. Ammonia, Lipid profile, G6PD, D-dimer, S. Fibrinogen, PT, INR, a-
PTT, S. Iron, S. Ferritin, S. Transferrin, TIBC, S. Alfa feto protein, S. CEA, S. CA19-9,
Arterial blood gas study, HIV ELISA, HBsAg ELISA, Anti HBs antibody titer, HCV ELISA,
HCV RNA by PCR Assay, HBV DNA by PCR Assay, HEV antibody, TORCH complex, EBV
antibody titers, Varicella Zoster antibody titers, CMV IgG and IgM
12500 S17 S1712058
966 15.26 BLiver
transplantation
Split liver transplantation from deceased donor Part 2 Investigations
Protein C, Protein S, Antithrombin C, Homocysteine, Homocysteine, ANA, AMA,
ASMA, LKM1, IgG level, USG abdomen, Colour Doppler study for portal vein, X-ray
chest, ECG, Triphasic CT abdomen for celiac axis, Pulmonary function tests, 2D
echocardiography, Dobutamine stress echo., Coronary angiography, Arterial blood
gas analysis, Ascites fluid R/M, Ascites fluid culture, Pleural fluid R/M, TB PCR assay,
Vit D level, Vit. B12 level
25000 S17 S1712059
967 15.26 CLiver
transplantationSplit liver transplantation from deceased donor Part - 3 Operative Part LFT, S. Creatinine 462500 S17 S1712060
968 15.27 ALiver
transplantation
Dual lobe liver transplantation: One lobe from one living donor and other lobe from
other living donor (Two donor hepatectomy and one liver recipient surgery) DONOR
Ix Part-1 Investigations
Blood group CBC, FBS, PPBS, Glycosylated Hemoglobin, Lipid profile, G6PD deficiency,
Uric acid, Serum Ceruloplasmin, 24 hours urinary copper, S. Creatinine, Blood urea,
LFT, aPTT, PT, INR, S. Calcium, S. Magnesium, S. Na, S. K, S. Alpha feto protein, S. CEA,
S. CA19-9, Stool for occult blood, Urine R/M, HIV ELISA, HCV ELISA, HBV DNA, Anti-
HBc antibody, CMV IgG and IgM, EBV, TORCH Complex, Varicella zoster IgG and IgM,
X-ray chest, USG abdomen, ECG, Pulmonary function test, 2D echocardiography,
NCCT abdomen
30000 S17 S1712061
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
969 15.27 BLiver
transplantation
Dual lobe liver transplantation: One lobe from one living donor and other lobe from
other living donor (Two donor hepatectomy and one liver recipient surgery) DONOR
Ix Part-2 Investigations
CT triphasic angiography for celiac axis, CT Volumetry, MR cholengiography
30000 S17 S1712062
970 15.27 CLiver
transplantation
Dual lobe liver transplantation: One lobe from one living donor and other lobe from
other living donor (Two donor hepatectomy and one liver recipient surgery)
Receipient Ix
Part-3 Investigations
Blood group, CBC, S. Creatinine, Blood urea, S. Na+, S. K+, S. Ca++, S. Mg++, FBS,
PPBS, Glycosylated hemoglobin, LFT, Urine R/M, 24 hours urinary proteins, 24 hours
urinary copper, S. Ammonia, Lipid profile, G6PD, D-dimer, S. Fibrinogen, PT, INR, a-
PTT, S. Iron, S. Ferritin, S. Transferrin, TIBC, S. Alfa feto protein, S. CEA, S. CA19-9,
Arterial blood gas study, HIV ELISA, HBsAg ELISA, Anti HBs antibody titer, HCV ELISA,
HCV RNA by PCR Assay, HBV DNA by PCR Assay, HEV antibody, TORCH complex, EBV
antibody titers, Varicella Zoster antibody titers, CMV IgG and IgM
30000 S17 S1712063
971 15.27 DLiver
transplantation
Dual lobe liver transplantation: One lobe from one living donor and other lobe from
other living donor (Two donor hepatectomy and one liver recipient surgery)
Receipient Ix Part-4 Investigations
Protein C, Protein S, Antithrombin C, Homocysteine, Homocysteine, ANA, AMA,
ASMA, LKM1, IgG level, USG abdomen, Colour Doppler study for portal vein, X-ray
chest, ECG, Triphasic CT abdomen for celiac axis, Pulmonary function tests, 2D
echocardiography, Dobutamine stress echo., Coronary angiography, Arterial blood
gas analysis, Ascites fluid R/M, Ascites fluid culture, Pleural fluid R/M, TB PCR assay,
Vit D level, Vit. B12 level
LFT, RFT, Lipid profile, ELISA, CT
volumetry of both donors30000 S17 S1712064
972 15.27 ELiver
transplantation
Dual lobe liver transplantation: One lobe from one living donor and other lobe from
other living donor (Two donor hepatectomy and one liver recipient surgery)
Receipient Ix Part-5 Operativr Part for both Donor and recippient
1080000 S17 S1712065
973 15.28Liver
transplantationEmergency Exploratory laparotomy for liver donor ABG, USG abdomen USG abdomen 20000 S17 S1712066
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
974 15.29Liver
transplantationEmergency Exploratory laparotomy for liver recipient ABG, USG abdomen USG abdomen 50000 S17 S1712067
975 15.30Liver
transplantationPost liver transplant Percutaneous Endoscopy guided gastrostomy (PEG) LFT, CBC Photograph 8000 S17 S1712068
976 15.31Liver
transplantationPost liver transplant incisional hernia repair (Prosthetic mesh) CT abdomen Clinical photograph, LFT 40000 for 7 days admission S17 S1712069
977 15.32Liver
transplantationLiver resection for HCC in Child-A cirrhosis
LFT, CECT, HRCT thorax,
Alfa fetoproteinLFT, CECT, Alfa fetoprotein 1,25,000 S17 S1712070
978 15.33Liver
transplantationRadiofrequency ablation (RFA) for HCC for Child-A, B and C cirrhosis
LFT, CECT, HRCT thorax,
Alfa fetoproteinLFT, CECT, Alfa fetoprotein 25,000 * Per session S17 S1712071
979 15.34Liver
transplantationTrans-jugular Intrahepatic Porto-Systemic Shunt procedure (TIPS)
LFT, S. Creatinine, PT, INR,
CBC, S. Ammonia, Doppler
portal vein, USG abdomen
X-ray abdomen, Doppler portal vein, S.
Creatinine1,50,000 S17 S1712072
980 15.35Liver
transplantationTrans-jugular liver allograft biopsy CBC, PT, LFT, S. Creatinine, X-ray chest, biopsy report 8000
(Including Procedure
and histopathology
charge)
S17 S1712073
981 15.36Liver
transplantationPercutaneous liver allograft biopsy CBC, PT, LFT, S. Creatinine, X-ray chest, biopsy report 5000
(Including Procedure
and histopathology
charge)
S17 S1712074
982 15.37Liver
transplantationPost liver transplant percutaneous transhepatic biliary drainage (PTBD)
LFT, MRCP, USG abdomen,
CBC, PTX-ray abdomen, USG abdomen, LFT 15000 S17 S1712075
983 15.38Liver
transplantationPost liver transplant roux en Y jejunojejunostomy and choledochojejunostomy
LFT, MRCP, USG abdomen,
CBC, PTX-ray abdomen, USG abdomen, LFT 50000
(2 weeks of
hospitalization)S17 S1712076
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
984 15.39Liver
transplantationPost liver transplant ERCP
LFT, MRCP, USG abdomen,
CBC, PTX-ray abdomen, USG abdomen, LFT 10000 S17 S1712077
985 15.40Liver
transplantationPost liver transplant ERCP with stenting
LFT, MRCP, USG abdomen,
CBC, PTX-ray abdomen, USG abdomen, LFT 18000 S17 S1712078
986 15.41 ALiver
transplantation
Monthly investigations and immunosuppression from day of discharge to 3 months
after liver transplant Include Prednisolone, Tacrolimus 4mg/day, Mycophenolate
upto 2 g /day, Valgancyclovir 450 mg ,Fluconazole 100mg/day, Septran 1 tablet once
a day For First Month
CBC, RFT, Na, K, LFT, RBS,
Tacrolimus level, USG liver
allograft
CBC, RFT, LFT, RBS, Tacrolimus level 41580 S17 S1712079
987 15.41 BLiver
transplantation
Monthly investigations and immunosuppression from day of discharge to 3 months
after liver transplant Include Prednisolone, Tacrolimus 4mg/day, Mycophenolate
upto 2 g /day, Valgancyclovir 450 mg ,Fluconazole 100mg/day, Septran 1 tablet once
a day For Second Month
CBC, RFT, Na, K, LFT, RBS,
Tacrolimus level, USG liver
allograft
CBC, RFT, LFT, RBS, Tacrolimus level 13860 S17 S1712080
988 15.41 CLiver
transplantation
Monthly investigations and immunosuppression from day of discharge to 3 months
after liver transplant Include Prednisolone, Tacrolimus 4mg/day, Mycophenolate
upto 2 g /day, Valgancyclovir 450 mg ,Fluconazole 100mg/day, Septran 1 tablet once
a day For Third Month
CBC, RFT, Na, K, LFT, RBS,
Tacrolimus level, USG liver
allograft
CBC, RFT, LFT, RBS, Tacrolimus level 13860 S17 S1712081
989 15.42Liver
transplantation
Monthly investigations and immunosuppression from 4-12 months after liver
transplant Include Prednisolone ,Tacrolimus 4mg/day, Mycophenolate upto 2 g / day
, Fluconazole 100mg/day, Septran 1 tablet once a day,
CBC, RFT, RBS, LFT CBC, RFT, RBS, LFT 4,200 *Rate per month S17 S1712082
990 15.43Liver
transplantation
Monthly investigations and immunosuppression (with everolimus)from 4-12 months
after liver transplant Include Prednisolone Tacrolimus 2 mg/day +Everolimus 1
mg/day, Mycophenolate upto 2 g /day Fluconazole 100mg/day, Septran 1 tablet once
a day
CBC, RFT, RBS, LFT CBC, RFT, RBS, LFT 7800 *Rate per month S17 S1712083
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
991 15.44Liver
transplantation
Maintainence immunosuppresants and investigations after 12 months of liver
transplant(Calcineurin based ) Include Prednisolone, Tacrolimus 2mg/day
Mycophenolate upto 2 g /day
CBC, RFT, RBS, LFT CBC, RFT, RBS, LFT 3,500 *Rate per month S17 S1712084
992 15.45Liver
transplantation
Maintainence immunosuppresants and investigations and for 12 months after liver
transplant (Calcineurin and mTOR based ) Include Prednisolone Tacrolimus 2 mg/day
Everolimus 1 mg/day, Mycophenolate upto 2 g/day
CBC, RFT, RBS, LFT CBC, RFT, RBS, LFT 8,000 *Rate per month S17 S1712085
993 15.46Liver
transplantation
Invasive fungal infection after liver transplant Include Liposomal Amphotericin 5-10
mg/kg/day for 30 days and Surgical debridement, ICU stay for 10 days Hospital stay
for 21 days With Liposomal Amphotericin 300 mg/day
Fluid KOH preperation and
culture, CBC, RFT, LFT,
RBS, XR Chest, CT of organ
of invasion, Endoscopy
Blood culture, CBC, RFT, LFT, RBS, XR
Chest, CT Thorax3,75,000 S17 S1712086
994 15.47 ALiver
transplantation
CMV infection after liver transplant Include IV gancyclovir 500 mg / Hospital stay for
14 day, tab.Valgancyclovir 450 mg OD for 3-7 days
CBC,RFT, LFT, RBS, X-ray
Chest, CT Thorax, Graft
Doppler, Tacrolimus level,
CMV DNA quality and
quantity, Urine RM and
Culture
CBC, RFT, LFT, RBS, XR Chest,
Tacrolimus level, CMV DNA quantity19800 S17 S1712087
995 15.47 BLiver
transplantation
CMV infection after liver transplant Include IV gancyclovir 500 mg / Hospital stay for
14 day, tab.Valgancyclovir 450 mg OD for 8-12 days
CBC,RFT, LFT, RBS, X-ray
Chest, CT Thorax, Graft
Doppler, Tacrolimus level,
CMV DNA quality and
quantity, Urine RM and
Culture
CBC, RFT, LFT, RBS, XR Chest,
Tacrolimus level, CMV DNA quantity39600 S17 S1712088
996 15.47 CLiver
transplantation
CMV infection after liver transplant Include IV gancyclovir 500 mg / Hospital stay for
14 day, tab.Valgancyclovir 450 mg OD for 13 and above Days
CBC,RFT, LFT, RBS, X-ray
Chest, CT Thorax, Graft
Doppler, Tacrolimus level,
CMV DNA quality and
quantity, Urine RM and
Culture
CBC, RFT, LFT, RBS, XR Chest,
Tacrolimus level, CMV DNA quantity66000 S17 S1712089
997 15.48 ALiver
transplantationTreatment for T cell rejection IV methyl prednisolone IV, Hospital stay for 3-7 days
Liver graft biopsy, CBC,
LFT, RFT, RBS, XR Chest,
Graft Doppler, Tacrolimus
level, CMV DNA quality
and quantity
CBC, RFT, RBS, XR Chest, Tacrolimus
level, CMV DNA quantity9000 S17 S1712090
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
998 15.48 BLiver
transplantationTreatment for T cell rejection IV methyl prednisolone IV, Hospital stay for 8-12 days
Liver graft biopsy, CBC,
LFT, RFT, RBS, XR Chest,
Graft Doppler, Tacrolimus
level, CMV DNA quality
and quantity
CBC, RFT, RBS, XR Chest, Tacrolimus
level, CMV DNA quantity18000 S17 S1712091
999 15.48 CLiver
transplantation
Treatment for T cell rejection IV methyl prednisolone IV, Hospital stay for 13 and
above days
Liver graft biopsy, CBC,
LFT, RFT, RBS, XR Chest,
Graft Doppler, Tacrolimus
level, CMV DNA quality
and quantity
CBC, RFT, RBS, XR Chest, Tacrolimus
level, CMV DNA quantity30000 S17 S1712092
1000 15.49 ALiver
transplantation
Treatment for T cell rejection with thymoglobulin IV methyl prednisolone ,IV
thymoglobulin 75 mg , Hospital stay for 15 d,Valgancyclovir 450 mg/day Fluconazole
100 mg/day for First month
Livergraft biopsy , CBC,
RFT, LFT, RBS, XR Chest,
Graft Doppler, Tacrolimus
level, CMV DNA quantity
CBC, RFT, RBS, XR Chest, Tacrolimus
level, CMV DNA quantity 80000 S17 S1712093
1001 15.49 BLiver
transplantation
Treatment for T cell rejection with thymoglobulin IV methyl prednisolone ,IV
thymoglobulin 75 mg , Hospital stay for 15 d,Valgancyclovir 450 mg/day Fluconazole
100 mg/day for second month
Livergraft biopsy , CBC,
RFT, LFT, RBS, XR Chest,
Graft Doppler, Tacrolimus
level, CMV DNA quantity
CBC, RFT, RBS, XR Chest, Tacrolimus
level, CMV DNA quantity 60000 S17 S1712094
1002 15.49 CLiver
transplantation
Treatment for T cell rejection with thymoglobulin IV methyl prednisolone ,IV
thymoglobulin 75 mg , Hospital stay for 15 d,Valgancyclovir 450 mg/day Fluconazole
100 mg/day for 3rd month
Livergraft biopsy , CBC,
RFT, LFT, RBS, XR Chest,
Graft Doppler, Tacrolimus
level, CMV DNA quantity
CBC, RFT, RBS, XR Chest, Tacrolimus
level, CMV DNA quantity 60000 S17 S1712095
1003 15.50 ALiver
transplantation
Chest Infection after transplant with 10day ICU care Include ICU stay , ICU ventilator ,
ICU medicine , isolation ward for 1 to 3 day
Blood culture , CBC , RFT,
LFT, RBS, XR Chest, CT
Thorax, Graft Doppler,
Tacrolimus level, CMV
DNA quantity,
bronchoscopy charges and
reports
Blood culture , CBC, RFT, LFT, RBS, XR
Chest, CT Thorax, Tacrolimus level 75000 S17 S1712096
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1004 15.50 BLiver
transplantation
Chest Infection after transplant with 10day ICU care Include ICU stay , ICU ventilator ,
ICU medicine , isolation ward for 3 to 7 day
Blood culture , CBC , RFT,
LFT, RBS, XR Chest, CT
Thorax, Graft Doppler,
Tacrolimus level, CMV
DNA quantity,
bronchoscopy charges and
reports
Blood culture , CBC, RFT, LFT, RBS, XR
Chest, CT Thorax, Tacrolimus level 112500 S17 S1712097
1005 15.50 CLiver
transplantation
Chest Infection after transplant with 10day ICU care Include ICU stay , ICU ventilator ,
ICU medicine , isolation ward for 10 day or above
Blood culture , CBC , RFT,
LFT, RBS, XR Chest, CT
Thorax, Graft Doppler,
Tacrolimus level, CMV
DNA quantity,
bronchoscopy charges and
reports
Blood culture , CBC, RFT, LFT, RBS, XR
Chest, CT Thorax, Tacrolimus level 150000 S17 S1712098
1006 15.51Liver
Transplantation
Post-liver transplant Hepatitis C infectionIncludes sofosbuvir 400 mg/ day +
daclatasavir 60 mg/day + ribavirin 1000 mg/day
LFT, RFT, CBC, RBS, HCV
ELISA, HCV RNA quantity
LFT, RFT, CBC, RBS, HCV ELISA, HCV
RNA quantity30,000 *Rate per month S17 S1712099
1007 15.52Liver
Transplantation Post-liver transplant Hepatitis B infection Includes entecavir 0.5 mg /day
LFT, RFT, CBC, RBS, HBV
ELISA, HBV DNA quantity
LFT, RFT, CBC, RBS, HBV ELISA, HBV
DNA quantity4,000 *Rate per month S17 S1712100
1008 15.53Liver
Transplantation
Post-liver transplant Hepatitis B infection (entecavir resistant)Includes tenofovir 300
mg /day
LFT, RFT, CBC, RBS, HBV
ELISA, HBV DNA quantity
LFT, RFT, CBC, RBS, HBV ELISA, HBV
DNA quantity4,700 *Rate per month S17 S1712101
1009 15.54 APancreas
transplantation
Pancreas transplant Part-1 Investigations
Blood group, CBC, RFT, LFT, Thyroid Function Test, Calcium, S. Phosphorus, S. Vit D, S.
Uric Acid, Blood Sugar FaSTING, PPBS, HIV ELISA, HCV ELISA, HBSAgelisa, HCV RNA
quantitative, CMV IgG and IgM, Urine Routine and Micro, Urine Culture, USG
Abdomen, Chest XR, ECG, Lipid Profile, Anticardiolipid Ab, Lupus Anticoagulant, C3,
C4, P-ANCA, C-ANCA, ANA, DSDNA, PT INR, APTT, Pulmonary Function Test, ABG,
Doppler of Neck Vessels, Doppler of Iliofemoral Vessels, Uroflometry, MCU,
Urodynamic study
10000 S17 S1712102
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1010 15.54 BPancreas
transplantation
Pancreas transplant Part-2 Investigations
HLA Typing
LCM, FCM
Single Antigen Qualitative
40000 S17 S1712103
1011 15.54 CPancreas
transplantation
Pancreas transplant Part-3 Investigation
Single Antigen Quantitative, S. Amylase, S. lipase, C-Peptide, GAD Antibody, Plain CT
of Abdomen30000 S17 S1712104
1012 15.54 DPancreas
transplantationPancreas transplant Part - 4 Operative Part
Clinical photograph, blood sugar,
Doppler study for pancreas and kidney
graft, C-peptide
420000 S17 S1712105
1013 15.55Pancreas
transplantationExploratory laparotomy after pancreas transplant for abdominal wash ABG, USG abdomen USG abdomen 20000 S17 S1712106
1014 15.56Pancreas
transplantationExploratory laparotomy after pancreas transplant for pancreatectomy ABG, USG abdomen USG abdomen 50000 S17 S1712107
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1015 16.1 ENT Aural polypectomyclinical notes and
autoscopy examination4,000 S2 S200001
1016 16.2 ENT LabyrinthectomyCT temporal bone,CECT/
MRIHPEE 20,000 S2 S200002
1017 16.3 ENT Mastoidectomy X RAY,CT/MRI Clinical photo showing scar 12,500 S2 S200003
1018 16.4 ENT Mastoidectomy corticol modified/ radicalPTA , X-Ray
Mastoids,clinical notesClinical photo showing scar 11,500 S2 S200004
1019 16.5 ENT Mastoidectomy with tympanoplasty
clinical notes and
autoscopy
examination/CTSCAN/MRI
POST OP. SCOP
Y PICTURE16,000 S2 S200005
1020 16.6 ENT Myringoplasty PTA and IA PTA and IA 7,500 S2 S200006
Cluster - 16 ORTORINOLARYNGOLOGY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1021 16.7 ENT Myringoplasty with OssiculoplastyPTA and IA,Endoscopy
Picture,clinical notesclinical notes 13,500 S2 S200007
1022 16.8 ENT Myringotomy – Bilateral clinical notesOperative notes with steps of
surgery,clinical notes6,000 S2 S200008
1023 16.9 ENT Myringotomy – Unilateral clinical notes
Operative notes with steps of
surgery,clinical notes,Endoscopy
Picture
3,500 S2 S200009
1024 16.10 ENT Myringotomy with Grommet - One ear PTA and IA Otoscopic findings 6,500 S2 S200010
1025 16.11 ENT Myrinogotomy with Grommet - Both ear PTA and IA Otoscopic findings 8,500 S2 S2000111026 16.12 ENT Ossiculoplasty PTA and IA Otoscopic findings 9,500 S2 S2000121027 16.13 ENT Partial amputation – Pinna PTA and IA Post op audiogram 4,000 S2 S200013
1028 16.14 ENTExcision of Pinna for Growths (Squamous/Basal) Injuries - Total Amputation &
Excision of External Auditory Meatus
CT/FNAC/HPE/CLINICAL
PHOTO
HPE/POST OP.
CLINICAL PHOTO8,000 S2 S200014
1029 16.15 ENT Excision of Pinna for Growths (Squamous/Basal) Injuries Total Amputation CT clinical notes,Histopathological report 6,500 S2 S200015
1030 16.16 ENT Stapedectomy PTA and IA Post op audiogram 10,000 S2 S200016
1031 16.17 ENT Tympanoplasty PTA and IA,clinical notesclinical notes,Clinical photo showing
scar9,000 S2 S200017
1032 16.18 ENT Vidian neurectomy – Micro clinical notes clinical notes 9,000 S2 S200018
1033 16.19 ENT Ear lobe repair - single (daycare) CLINICAL PHOTO POST.OP CLINICAL PHOTO 1,500 S2 S200019
1034 16.20 ENT Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage CLINICAL PHOTO POST.OP CLINICAL PHOTO 4,000 S2 S200020
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1035 16.21 ENT Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only CLINICAL PHOTO POST.OP CLINICAL PHOTO 2,500 S2 S200021
1036 16.22 ENT Pharyngectomy and reconstruction CT/MRI clinical notes 15,000 S2 S200022
1037 16.23 ENT Skull base surgery CT/MRI POST OPCLINICIAL PHOTO 37,000 S2 S200023
1038 16.24 ENT Total Amputation & Excision of External Auditory Meatus CLINICAL PHOTO POST.OP CLINICAL PHOTO 7,500 S2 S200024
1039 16.25 ENT Tympanotomy CLINICAL PHOTO POST.OP CLINICAL PHOTO 4,000 S2 S200025
1040 16.26 ENT Removal of foreign body from ear clinical notes clinical notes 3,000 S2 S200026
1041 16.27 ENT Aural polypectomy +Tympanoplasty PTA and IA clinical notes 10,000 S2 S200027
1042 16.28 ENT Ant. Ethmoidal artery ligation - open/ endoscopic CT/MRI POST.OP CLINICAL PHOTO 11,000 S2 S200028
1043 16.29 ENT Antrostomy – Bilateralclinical notes,CT/MRI,X-
Rayclinical notes,X Ray 8,500 S2 S200029
1044 16.30 ENT Antrostomy – Unilateral X RAY PNS CLINICAL NOTES 6,000 S2 S200030
1045 16.31 ENT Cryosurgery CLINICAL NOTES CLINICAL NOTES 3,000 S2 S200031
1046 16.32 ENT CSF Rhinorrhoea – Repair CT/MRI Clinical Photograph 14,000 S2 S200032
1047 16.33 ENT Septoplasty + FESS X RAY PNS/CT PNS CLINICAL PHOTO/HPE 11,500 S2 S200033
1048 16.34 ENT Ethmoidectomy – External X RAY PNS/CT PNS HPEE 11,500 S2 S200034
1049 16.35 ENT Fracture reduction nose with septal correctionX RAY/CT/MRI/CLINIAL
NOTESclinical notes,X Ray 8,000 S2 S200035
1050 16.36 ENT Fracture - setting maxilla X RAY PNS/CT PNS clinical notes,X Ray 8,000 S2 S200036
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1051 16.37 ENT Fracture - setting nasal bone X RAY PNS/CT PNS clinical notes,X Ray 5,000 S2 S200037
1052 16.38 ENT Functional Endoscopic Sinus (FESS) X RAY PNS/CT PNS clinical notes 11,000 S2 S200038
1053 16.39 ENT Intra Nasal Ethmoidectomy X RAY PNS/CT PNS clinical notes 5,000 S2 S200039
1054 16.40 ENT Rhinotomy – Lateral X RAY PNS/CT PNS clinical notes 7,500 S2 S200040
1055 16.41 ENT Nasal polypectomy – Bilateral X RAY PNS/CT PNS HPEE 9,000 S2 S200041
1056 16.42 ENT Nasal polypectomy – Unilateral X RAY PNS/CT PNS HPEE 6,000 S2 S200042
1057 16.43 ENT Turbinectomy Partial – Bilateral X RAY PNS/CT PNS clinical notes 3,000 S2 S200043
1058 16.44 ENT Turbinectomy Partial – Unilateral X RAY PNS/CT PNS clinical notes 2,000 S2 S200044
1059 16.45 ENT Radical fronto ethmo sphenodectomy clinical notes,CT/MRI HPEE 18,000 S2 S200045
1060 16.46 ENT Rhinoplasty CLINICAL PHOTO POST OP CLINICAL PHOTO 15,000 S2 S200046
1061 16.47 ENT SeptoplastyX RAY PNS/NASAL
ENDOSCOPYclinical notes 5,000 S2 S200047
1062 16.48 ENT Youngs operation NASAL ENDOSCOPY clinical notes 3,000 S2 S200048
1063 16.49 ENT Angiofibrom Excision CT PNS HPE 18,000 S2 S200049
1064 16.50 ENT Cranio-facial resection CT PNS CLINICAL PHOTO 22,500 S2 S200050
1065 16.51 ENT Endoscopic DCRX RAY PNS/SCOPY
EXAMINATIONENDOSCOPY PICTURE 7,000 S2 S200051
1066 16.52 ENT Endoscopic Hypophysectomy CT/MRI HPEE 21,000 S2 S200052
1067 16.53 ENT Intranasal Diathermy X RAY PNS clinical notes 3,000 S2 S200053
1068 16.54 ENT Rhinosporidiosis CT PNS ,HPE HPEE 5,000 S2 S200054
1069 16.55 ENT Septo-rhinoplasty CLINICAL PHOTO/CT PNS clinical notes 12,500 S2 S200055
1070 16.56 ENT Adeno Tonsillectomy X RAY NASOPHARYNX HPEE 8,000 S2 S200056
1071 16.57 ENT Adenoidectomy X RAY NASOPHARYNX HPEE 5,000 S2 S200057
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1072 16.58 ENT Arytenoidectomy CT clinical notes 10,000 S2 S200058
1073 16.59 ENT Choanal atresiaCT PNS/NASAL
ENDOSCOPYclinical notes 12,500 S2 S200059
1074 16.60 ENT Tonsillectomy + Myrinogotomy PTA/IA HPEE 10,000 S2 S200060
1075 16.61 ENT Pharyngeal diverticulum's – Excision CT/BARIUM STUDY HPEE 10,000 S2 S200061
1076 16.62 ENT Laryngectomy with block dissection CT/MRI HPEE 25,000 S2 S200062
1077 16.63 ENT Laryngofissure clinical notes clinical notes 5,000 S2 S200063
1078 16.64 ENT Laryngophayryngectomy clinical notes,CT/MRI HPEE 20,000 S2 S200064
1079 16.65 ENT Maxilla – Excision clinical notes,CT/MRI HPEE 12,500 S2 S200065
1080 16.66 ENT Oro Antral fistula CT/MRI CLINICAL NOTES 7,500 S2 S200066
1081 16.67 ENT Parapharyngeal – Exploration CT/MRI clinical notes 12,500 S2 S200067
1082 16.68 ENT Parapharyngeal Abscess – Drainage CT/MRI clinical notes 12,500 S2 S200068
1083 16.69 ENT Peritonsillor abscess under LA clinical notes Clinical NOTES 2,500 S2 S200069
1084 16.70 ENT Pharyngoplasty CT/MRI clinical notes 10,000 S2 S200070
1085 16.71 ENT Retro pharyngeal abscess – Drainage CLINICAL NOTES, X RAY/CT clinical notes 5,000 S2 S200071
1086 16.72 ENT Tonsillectomy + Styloidectomy X RAY ,CLINICAL NOTES CLINICAL NOTES 10,000 S2 S200072
1087 16.73 ENT Thyroglossal Fistula/ cyst – Excision USG/ X-RAY clinical notes 7,000 S2 S200073
1088 16.74 ENT Tonsillectomy – (Uni/ Bilateral) CLINICAL NOTES HPEE 7,500 S2 S200074
1089 16.75 ENT Total Parotidectomy USG,FNAC,CT/MRI HPEE 18,000 S2 S200075
1090 16.76 ENT Superficial Parotidectomy USG,FNAC,CT/MRI HPEE 12,000 S2 S200076
1091 16.77 ENT Uvulophanyngo Plasty clinical notes clinical notes 14,000 S2 S200077
1092 16.78 ENT Commondo Operation (glossectomy) CT /MRI ,BIOPSYHPEE,CLINICAL PHOTO
SHOWING SCAR17,500 S2 S200078
1093 16.79 ENT Excision of Branchial Cyst CT/USG CLINICAL NOTES 7,000 S2 S200079
1094 16.80 ENT Excision of Branchial Sinus CT/USG CLINICAL NOTES 7,000 S2 S200080
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1095 16.81 ENT Excision of Cystic Hygroma Major/ Extensive CLINICAL PHOTO/FNAC/CT HPEE 10,000 S2 S200081
1096 16.82 ENT Excision of Cystic Hygroma Minor CLINICAL PHOTO/FNAC/CT HPEE 5,000 S2 S200082
1097 16.83 ENT Excision of the Mandible SegmentalCLINICAL NOTES /X RAY
OPG.CLINICAL PHOTO 7,500 S2 S200083
1098 16.84 ENT Hemi-mandibulectomy with graft X RAY,BIOPSY/CT CLINICAL PHOTO 15,000 S2 S200084
1099 16.85 ENT Hemiglossectomy CLINICAL NOTES/BIOPSY CLINICAL PHOTO 6,000 S2 S200085
1100 16.86 ENT Palatopharyngoplasty CLINICAL NOTES CLINICAL NOTES 10,000 S2 S200086
1101 16.87 ENT Partial Glossectomy CLINICAL NOTES/BIOPSY CLINICAL PHOTO 5,000 S2 S200087
1102 16.88 ENT Ranula excisionCLINICAL NOTE,CLINICAL
PHOTOCLINICAL PHOTO 5,000 S2 S200088
1103 16.89 ENT Removal of Submandibular Salivary gland USG/FNAC HPEE 5,000 S2 S200089
1104 16.90 ENT Total Glossectomy CLINICAL NOTES/BIOPSY CLINICAL PHOTO 15,000 S2 S200090
1105 16.91 ENT Total Laryngectomy + Neck dissection BIOPSY,CT/MRI HPEE 25,000 S2 S200091
1106 16.92 ENT Laryngopharyngectomy with Gastric pull-up/ jejunal graft CLINICAL NOTES/BIOPSY/
CT/MRIHPEE 30,000 S2 S200092
1107 16.93 ENT Excision of CA cheek/ oral cavity + radial forearm flap BIOPSY,CT/MRI HPEE 30,000 S2 S200093
1108 16.94 ENT Excision of growth Jaw + free fibular flap reconstruction BIOPSY,CT/MRI HPEE 30,000 S2 S200094
1109 16.95 ENTUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S2 U100
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1110 17.1 Obs & Gyac Hysterectomy ± Salpingo-oophorectomyUSG, PRE OP, MINOR
PROFILE , HPEE OF D & CHPEE 20,000 S4 S400001
1111 17.2 Obs & Gyac Abdominal Myomectomy USG, Preop Minor Profile HPEE 16,000 S4 S400002
Cluster - 17 OBSTETRICS AND GYNAECOLOGY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1112 17.3 Obs & Gyac Surgeries for Prolapse - Sling SurgeriesUSG, Clinical History Preop
minor profileUSG 16,000 S4 S400003
1113 17.4 Obs & Gyac Surgeries for Stress Incontinence 'Burch'
USG ( PVR) Clinical
History, Preop Minor
Profile
35,000 S4 S400004
1114 17.5 Obs & Gyac Hysterotomes - 2nd Trimester abortionsUSG, Indication for 2nd
trimester terminationUSG 5,000 S4 S400005
1115 17.6 Obs & Gyac Incisional Hernia Repair Clinical History Notes, USG Mesh Sticker Stapler ( If Used) 15,000 S4 S400006
1116 17.7 Obs & Gyac Radical Hysterectomy (Wertheims)USG, CT SCAN, Preop
Major Profile HPEE ReportHPEE 20,000 S4 S400007
1117 17.8 Obs & GyacLaparotomy and proceed for Ovarian Cancers. Omentomy with Bilateral Salpingo-
oophorectomy
USG, CT Scan, Tumer
Marker ( CA125), HPEE,
Preop Major Profile, X-Ray
Chest
HPEE 20,000 S4 S400008
1118 17.9 Obs & Gyac Non descent vaginal hysterectomyUSG/CT Scan, Clinical
History Notes, HPEE PreopHPEE Report Minor Profile 14,000 S4 S400009
1119 17.10 Obs & Gyac Vaginal hysterectomy with anterior and posterior colpoperineorrhaphy
USG, Clinical History
Notes, HPEE Report Preop
Minor Profile
HPEE Report 16,000 S4 S400010
1120 17.11 Obs & Gyac Vaginal surgical repair for vesico-vaginal fistula
Clinical History Notes, RFT,
CT IVP ( KUB ), Preop
Minor Profile
Clinical Examination 10,000 S4 S400011
1121 17.12 Obs & Gyac SacrocolpopexyUSG, Preop.minor Profile,
Clinical History NotesClinical Examination 16,000 S4 S400012
1122 17.13 Obs & Gyac Repair for rectovaginal fitulasCT, Barium Encma, Preop
Minor ProfileClinical Examination 10,000 S4 S400013
1123 17.14 Obs & Gyac VaginoplastyUSG, Clinical Historm,
Preop Minor ProfileClinical Examination 10,000 S4 S400014
1124 17.15 Obs & Gyac LLETZ Colposcopy, Biopsy HPEE Report 15,000 S4 S400015
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1125 17.16 Obs & Gyac ColpotomyClinical Hiatory, USG
Preop, Minor ProfileHPEE Report 1,200 S4 S400016
1126 17.17 Obs & Gyac Dilation and Evacuation (D&E)USG, Clinical History,
Preop Minor ProfileNO 5,000 S4 S400017
1127 17.18 Obs & Gyac Cervical biopsy and PolypectomyUSG, Clinical History,
Minor ProfileHPEE 3,000 S4 S400018
1128 17.19 Obs & Gyac Bartholins Cyst Enucleation/ Incision drainageClinical History Notes
Preop Minor ProfileHPEE 3,000 S4 S400019
1129 17.20 Obs & Gyac Vulvectomy simpleHPEE, Clinical History
Preop Minor HistoryHPEE 17,250 S4 S400020
1130 17.21 Obs & Gyac Radical VulvectomyHPEE, CT, Clinical History
Preop Major ProfileHPEE 17,250 S4 S400021
1131 17.22 Obs & Gyac Diagnostic laparoscopyClinical History Preop
Minor ProfileCD, HPEE Report 11,000 S4 S400022
1132 17.23 Obs & Gyac Laparoscopic hysterectomy (TLH)USG / Ct, Clinical History,
Minor Preofile, HPEEHPEE / CD 20,000 S4 S400023
1133 17.24 Obs & Gyac Laparoscopic myomectomyUSG / Ct, Clinical History,
Minor Preofile, HPEEHPEE / CD 15,000 S4 S400024
1134 17.25 Obs & Gyac Laparoscopic cystectomy
USG / Ct, Clinical History,
Minor Preofile, HPEE ( CA -
125 )
HPEE / CD 15,000 S4 S400025
1135 17.26 Obs & Gyac Laparoscopic ovarotomyUSG / CT, Clinical History,
Minor Profile CA - 125HPEE / CD 10,000 S4 S400026
1136 17.27 Obs & Gyac Laparoscopic adhesiolysisUSG / CT, Clinical History,
Minor ProfileNO / CD 6,000 S4 S400027
1137 17.28 Obs & Gyac Laparoscopic tubal surgeries - salpingectomy, salpingotomyUSG / Clinical History
Preop Minor ProfileHPEE / CD 11,000 S4 S400028
1138 17.29 Obs & Gyac Drag hysteroscopyUSG, Clinical History,
Preop Minor ProfileCD 6,000 S4 S400029
1139 17.30 Obs & Gyac Hysteroscopic myomectomiesUSG, Clinical History,
Preop Minor ProfileCD , HPEE 6,000 S4 S400030
1140 17.31 Obs & Gyac Hysteroscopic adhesiolysisUSG, Clinical History,
Preop Minor ProfileCD 6,000 S4 S400031
1141 17.32 Obs & Gyac Hysteroscopic polypectomyUSG, Clinical History,
Preop Minor ProfileCD , HPEE 3,000 S4 S400032
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1142 17.33 Obs & Gyac Hysteroscopic IUCD removalUSG, Clinical History,
Preop Minor ProfileCD 3,000 S4 S400033
1143 17.34 Obs & Gyac Caesarian Delivery ANH Preop Minor Profile Birth Registration Form 9,000 S4 S400034
1144 17.35 Obs & Gyac Caesarian hysterectomy ANH Preop, Indicator HPEE 16,000 S4 S400035
1145 17.36 Obs & Gyac High risk delivery: Pre-mature delivery
ANC Profile, Clinical
History Notes, USG Preop,
Major Profile
Clinical History Notes in Details with
Tratment Given9,000 S4 S400036
1146 17.37 Obs & Gyac High risk delivery: Expected Gestation at delivery less than 35 weeks
ANC Profile, Clinical
History Notes, USG Preop,
Major Profile
Clinical History Notes in Details with
Tratment Given9,000 S4 S400037
1147 17.38 Obs & Gyac High risk delivery: Mothers with eclampsia or imminent eclampsia
ANC Profile, Clinical
History Notes, USG Preop,
Major Profile
Clinical History Notes in Details with
Tratment Given9,000 S4 S400038
1148 17.39 Obs & Gyac High risk delivery: Obstructed labour
ANC Profile, Clinical
History Notes, USG Preop,
Major Profile
Clinical History Notes in Details with
Tratment Given9,000 S4 S400039
1149 17.40 Obs & GyacHigh risk delivery: Major Fetal malformation requiring intervention immediately after
birth
ANC Profile, Clinical
History Notes, USG Preop,
Major Profile
Clinical History Notes in Details with
Tratment Given9,000 S4 S400040
1150 17.41 Obs & Gyac High risk delivery: Mothers with severe anaemia (<7 g/dL)
ANC Profile, Clinical
History Notes, USG Preop,
Major Profile
Clinical History Notes in Details with
Tratment Given9,000 S4 S400041
1151 17.42 Obs & Gyac
High risk delivery: Other maternal and fetal conditions as per guidelines-Such as Rh
haemolytic disease, uncontrolled diabetes, severe growth retardation etc that qualify
for high risk delivery etc.
ANC Profile, Clinical
History Notes, USG Preop,
Major Profile
Clinical History Notes in Details with
Tratment Given9,000 S4 S400042
1152 17.43 Obs & Gyac Manual removal of placentaClinical Notes, USG, Preop
Minor ProfileHPEE 5,000 S4 S400043
1153 17.44 Obs & Gyac Laparotomy for ruptured ectopicUSG, Clinical History Preop
MinorHPEE 10,000 S4 S400044
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1154 17.45 Obs & Gyac MTP > 12 weeksUSG, Clinical History Preop
Minor, Consort FormNO 6,500 S4 S400045
1155 17.46 Obs & Gyac MTP upto 12 weeksUSG, Clinical History Preop
Minor, Consort FormNO 5,000 S4 S400046
1156 17.47 Obs & Gyac MTP upto 8 weeks
USG, Clinical History,
Preop Minor Profile,
Consort Form
NO 3,500 S4 S400047
1157 17.48 Obs & Gyac McDonald's stitch
USG, Clinical History,
Preop Minor Profile,
Consort Form
NO 4,000 S4 S400048
1158 17.49 Obs & Gyac Shirodkar's stitch
USG, Clinical History,
Preop Minor Profile,
Consort Form
NO 4,000 S4 S400049
1159 17.50 Obs & Gyac TuboplastyHSG, USG, Clinical History
Preop Minor ProfileNO 10,000 S4 S400050
1160 17.51 Obs & Gyac Laparotomy for broad ligament haematomaUSG, Minor Profile Clinical
HistoryNO 16,000 S4 S400051
1161 17.52 Obs & Gyac Trans-vaginal tape/ Trans-obturator tapeClinical History, USGPreop
MinorTVT / TUT Tape Sticker 5,000 S4 S400052
1162 17.53 Obs & Gyac Abdominal Perineal neo construction Cx + Uteria + VaginaUSG, HSG, Clinical History,
Preop MinorUSG 20,000 S4 S400053
1163 17.54 Obs & Gyac Ablation of Endometriotic Spot + AdhenolysisUSG / CT, Clinical History,
Preop Minor ProfileCD (if Laproscopy) 10,000 S4 S400054
1164 17.55 Obs & Gyac Ablation of Endometriotic Spot +SalpingostomyUSG / CT, Clinical History,
Preop Minor ProfileCD (if Laproscopy) 10,000 S4 S400055
1165 17.56 Obs & Gyac Adhenolysis + Hernia - Ventral - Lipectomy/IncisionUSG / CT, Clinical History,
Preop Minor ProfileCD (if Laproscopy) 16,000 S4 S400056
1166 17.57 Obs & Gyac Adhenolysis+ Ovarian CystectomyUSG / CT, Clinical History,
Preop Minor ProfileCD (if Laproscopy) 10,000 S4 S400057
1167 17.58 Obs & Gyac Adhenolysis+ SalpingostomyUSG / CT, Clinical History,
Preop Minor ProfileCD (if Laproscopy) 10,000 S4 S400058
1168 17.59 Obs & Gyac Broad Ligment Haemotoma drainageUSG / CT, Clinical History,
Preop Minor ProfileCD (if Laproscopy) 10,000 S4 S400059
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1169 17.60 Obs & Gyac Brust abdomen repairClinical History, Minor
ProfileClincial Notes 14,000 S4 S400060
1170 17.61 Obs & Gyac Cone Biopsy CervixPap Smcar, Colposcopy
Minor ProfileHPEE 1,000 S4 S400061
1171 17.62 Obs & Gyac Conventional TubectomyPreop Minor, Clinical
NotesHPEE 4,000 S4 S400062
1172 17.63 Obs & Gyac Cyst -Vaginal EnucleationClinical History Notes
Preop Minor / USGHPEE 3,000 S4 S400063
1173 17.64 Obs & Gyac Cyst-LabialClinical History Notes
Preop Minor / USGHPEE 3,000 S4 S400064
1174 17.65 Obs & Gyac Cystocele - Anterior repairClinical History Notes
Preop Minor / USGHPEE 12,000 S4 S400065
1175 17.66 Obs & Gyac Cystocele - Anterior Repair + Perineal Tear RepairClinical History Notes
Preop Minor / USGHPEE 13,000 S4 S400066
1176 17.67 Obs & Gyac D&C (Dilatation &curretage) + Electro Cauterisation Cryo Surgery
Clinical History Notes
Preop Minor / USG + Pap
Smcar
HPEE 4,000 S4 S400067
1177 17.68 Obs & Gyac D&C (Dilatation&curretage)Clinical History USG, Preop
MinorHPEE 3,000 S4 S400068
1178 17.69 Obs & Gyac Diagnostic laparoscopy & hysteroscopy for infertilityClinical History USG, Preop
MinorCD , HPEE 5,000 S4 S400069
1179 17.70 Obs & Gyac Electro Cauterisation Cryo Surgery Pap Smcar, Clinical History NO 4,000 S4 S400070
1180 17.71 Obs & Gyac Exploration of abdominal haematoma (after laparotomy + LSCS)USG / CT, Clinical History
Preop Minor ProfileNO 14,000 S4 S400071
1181 17.72 Obs & Gyac Fractional CurretagePreop Minor Profile USG,
Clinical HistoryHPEE 4,000 S4 S400072
1182 17.73 Obs & Gyac Gaping Perineal wound secondary suturing/ episiotomy
Preop Minor Profile,
Clinical History Notes,
Clinical Site photo
NO 2,500 S4 S400073
1183 17.74 Obs & Gyac HaematoColpo/Excision - Vaginal Septum USG / CT, Clinical History HPEE 5,000 S4 S400074
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1184 17.75 Obs & Gyac Hymenectomy& Repair of Hymen
Clinical History, USG
Clinical Site Photo, Preop
Minor Profile
HPEE 7,000 S4 S400075
1185 17.76 Obs & Gyac Amniocentesis AN Profile USG Triple 5,000 S4 S400076
1186 17.77 Obs & Gyac Chorionic villus sampling Electrophoresi 5,000 S4 S400077
1187 17.78 Obs & Gyac Cordocentesis 5,000 S4 S400078
1188 17.79 Obs & Gyac Intrauterine transfusions Clinical Treatment Notes, USG Plates 10,000 S4 S400079
1189 17.80 Obs & GyacUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S4 U100
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1190 18.1 Opthelmology Buckel Removal
History of Previous
Operation/ Discharge
Summary (RD)
Clinical Photo 5,000 S3 S300001
1191 18.2 Opthelmology Canaliculo Dacryocysto Rhinostomy Dacryocysto Graphy Clinical Photo 10,000 S3 S300002
1192 18.3 Opthelmology Capsulotomy (YAG) B-scan/clinical photo _ 1,500 S3 S300003
1193 18.4 Opthelmology Corneal Grafting clinical photo clinical photo 8,500 S3 S300004
1194 18.5 Opthelmology Prophylactic Cryoretinopexy- Closed retinal photo retinal photo 2,500 S3 S300005
1195 18.6 Opthelmology Cyclocryotherapy/Cyclophotocoagulation retinal photo retinal photo 3,000 S3 S300006
1196 18.7 Opthelmology Pterygium + ConjunctivalAutograft clinical photo Clinical Photo 9,000 S3 S300007
1197 18.8 Opthelmology Dacryocystectomy with implants Dacryocysto Graphy Clinical Photo,sticker of implant 10,000 S3 S300008
1198 18.9 Opthelmology Enucleation B-scan/clinical photo clinical photo 6,000 S3 S300009
1199 18.10 Opthelmology Enucleation with Implant B-scan/clinical photo Clinical Photo,sticker of implant 11,000 S3 S300010
1200 18.11 Opthelmology Exenteration MRI X RAY 15,000 S3 S300011
1201 18.12 Opthelmology
Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including
postoperative medications for 12 weeks (and wherever surgical or laser procedures
required for bleb augmentation and anterior chamber maintenance)
Visual field
report/tonometry/retinal
photo
clinical photo 10,000 S3 S300012
1202 18.13 Opthelmology Intraocular Foreign Body Removal from Anterior Segment B-scan/clinical photo clinical photo 4,000 S3 S300013
Cluster - 18 OPTHALMOLOGY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1203 18.14 Opthelmology Intraocular Foreign Body Removal from Posterior Segment B-scan/clinical photo B-scan/clinical photo 20,000 S3 S300014
1204 18.15 Opthelmology Lensectomy /pediatric lens aspiration B-scan/clinical photo B-scan/clinical photo 9,000 S3 S300015
1205 18.16 Opthelmology Limbal Dermoid Removal clinical photo clinical photo 4,000 S3 S300016
1206 18.17 Opthelmology Surgical Membranectomy B-scan/clinical photo clinical photo 8,000 S3 S300017
1207 18.18 Opthelmology Perforating Corneo - Scleral Injury clinical photo clinical photo 10,000 S3 S300018
1208 18.19 Opthelmology Ptosis Surgery clinical photo clinical photo 10,000 S3 S300019
1209 18.20 Opthelmology IRIS Prolapse – Repair clinical photo clinical photo 4,000 S3 S300020
1210 18.21 Opthelmology Retinal Detachment Surgery retinal photo retinal photo 15,000 S3 S300021
1211 18.22 Opthelmology Small Tumour of Lid – Excision + Lid Reconstruction clinical photo clinical photo 10,000 S3 S300022
1212 18.23 Opthelmology Socket Reconstruction with amniotic membrane clinical photo clinical photo 8,000 S3 S300023
1213 18.24 Opthelmology Iridectomy – Laser clinical photo clinical photo 2,000 S3 S300024
1214 18.25 Opthelmology Iridectomy – Surgical clinical photo clinical photo 3,000 S3 S300025
1215 18.26 Opthelmology Iris cyst removal B-scan/clinical Notes clinical photo 2,500 S3 S300026
1216 18.27 Opthelmology Vitrectomy retinal photo retinal photo/CLINICAL PHOTO 7,500 S3 S300027
1217 18.28 Opthelmology Vitrectomy + Retinal Detachment surgery (pre-auth required) retinal photo retinal photo/CLINICAL PHOTO 17,500 S3 S300028
1218 18.29 Opthelmology Cataract with foldable hydrophobic acrylic IOL by Phaco emulsification tech A-Scan implant sticker,clinical photo 7,500 S3 S300029
1219 18.30 Opthelmology Cataract with non-foldable IOL using SICS technique A-Scan implant sticker,clinical photo 5,000 S3 S300030
1220 18.31 OpthelmologyCataract with foldable hydrophobic acrylic IOL by Phaco emulsification tech +
Glaucoma
A-Scan,field of
vision,tonometryimplant sticker,clinical photo 10,500 S3 S300031
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1221 18.32 Opthelmology Cataract with non-foldable IOL using SICS technique + GlaucomaA-Scan,field of
vision,tonometryimplant sticker,clinical photo 6,500 S3 S300032
1222 18.33 Opthelmology Conjunctival tumour excision + AMG clinical photo clinical photo 5,000 S3 S300033
1223 18.34 Opthelmology Entropion correction clinical photo clinical photo 4,000 S3 S300034
1224 18.35 Opthelmology Ectropion correction clinical photo clinical photo 5,000 S3 S300035
1225 18.36 Opthelmology Evisceration clinical photo/B -scan clinical photo 3,500 S3 S300036
1226 18.37 Opthelmology Laser for retinopathy (per sitting) retinal photo retinal photo 1,500 S3 S300037
1227 18.38 Opthelmology Lid tear clinical photo clinical photo 5,000 S3 S300038
1228 18.39 Opthelmology Orbitotomy B-Scan/MRI clinical photo 10,000 S3 S300039
1229 18.40 Opthelmology Squint correction (per muscle) clinical photo clinical photo 4,000 S3 S300040
1230 18.41 Opthelmology Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL A-Scan,clinical photo clinical photo,IOL Sticker 11,500 S3 S300041
1231 18.42 Opthelmology PRP - Retinal Laser including 3 sittings retinal photo retinal photo 5,000 S3 S300042
1232 18.43 OpthelmologyUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S3 U100
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1233 19.1 General Surgery Adventious Burse – Excision USG/MRI 10,000 S1 S100001
1234 19.2 General Surgery Anterior Resection for CAUSG/Colonoscopy/CT/Bio
psyHPE 15,000 S1 S100002
1235 19.3 General Surgery Appendicectomy Clinical notes + USG HPE 10,000 S1 S100003
1236 19.4 General Surgery Appendicular Abscess – Drainage USG/CT HPE/USG 12,000 S1 S100004
1237 19.5 General Surgery Arteriovenous (AV) Malformation of Soft Tissue Tumour - Excision USG/Color droppler HPE/USG 15,000 S1 S100005
Cluster - 19 GENERAL SURGERY
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1238 19.6 General Surgery Bakers Cyst – Excision Clinical report/USG HPE/USG 6,000 S1 S100006
1239 19.7 General Surgery Bilateral Inguinal block dissection USG/CT/FNAC HPE 25,000 S1 S100007
1240 19.8 General Surgery Bleeding Ulcer - Gastrectomy & vagotomy USG/CT/HPE/OGD USG/HPE 25,000 S1 S100008
1241 19.9 General Surgery Bleeding Ulcer - Partial Gastrectomy USG/CT USG 25,000 S1 S100009
1242 19.10 General Surgery Block dissection Cervical Nodes CT scan/USG,FNAC HPE 10,000 S1 S100010
1243 19.11 General Surgery Branchial Fistula USG/CT HPE 14,000 S1 S100011
1244 19.12 General Surgery Breast Lump - Left – Excision USG/CT/FNAC HPE 6,500 S1 S100012
1245 19.13 General Surgery Breast Lump - Right – Excision USG/CT/FNAC HPE 6,500 S1 S100013
1246 19.14 General Surgery Branchial Cyst USG/CT HPE 10,000 S1 S100014
1247 19.15 General Surgery Bursa – Excision USG/Clinical Note HPE 4,000 S1 S100015
1248 19.16 General Surgery Bypass - Inoperable PancreasCT/MRI,USG,Tumor
MarkerHPE/USG 15,000 S1 S100016
1249 19.17 General Surgery Cervial Lymphnodes – Excision USG/FNAC HPE/USG 2,000 S1 S100017
1250 19.18 General Surgery Colostomy USG/CT/Xray/Loopogram HPE/USG,Clinical Photograph 10,000 S1 S100018
1251 19.19 General Surgery Cyst over Scrotum – Excision clinical notes/USG 2,000 S1 S100019
1252 19.20 General Surgery Cystic Mass – Excision clinical notes/USG 2,000 S1 S100020
1253 19.21 General Surgery Dermoid Cyst - Large – Excision USG/FNAC 4,000 S1 S100021
1254 19.22 General Surgery Dermoid Cyst - Small – Excision USG/FNAC 2,000 S1 S100022
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1255 19.23 General Surgery Drainage of Ischio Rectal Abscess clinical notes/USG 4,000 S1 S100023
1256 19.24 General Surgery Incision and Drainage of large Abscess clinical notes 4,000 S1 S100024
1257 19.25 General Surgery Drainage of Psoas Abscess USG/CT,clinical notes 7,500 S1 S100025
1258 19.26 General Surgery Drainage of Subdiaphramatic Abscess USG/CT,clinical notes 10,000 S1 S100026
1259 19.27 General Surgery Drainage Pericardial Effusion USG/CT,Echo 13,750 S1 S100027
1260 19.28 General Surgery Duodenal Diverticulum USG/CT/UGI 20,000 S1 S100028
1261 19.29 General Surgery Duodenal Jejunostomy USG/CT 20,000 S1 S100029
1262 19.30 General Surgery Duplication of Intestine Clinical report,CT HPE 18,000 S1 S100030
1263 19.31 General Surgery Hydrocele + Orchidectomy Clinical report,USG HPE 8,000 S1 S100031
1264 19.32 General Surgery Epidedectomy Clinical report,USG 8,000 S1 S100032
1265 19.33 General Surgery Epididymal Swelling –Excision USG/FNAC 6,000 S1 S100033
1266 19.34 General Surgery Epidymal Cyst Clinical report,USG 4,000 S1 S100034
1267 19.35 General Surgery Evacuation of Scrotal Hematoma Clinical report,USG 5,000 S1 S100035
1268 19.36 General Surgery Excision Benign Tumor -Small intestine USG/CT HPE 15,000 S1 S100036
1269 19.37 General Surgery Excision Bronchial SinusClinical
report,Broncoscopy/HRCTHPE 8,000 S1 S100037
1270 19.38 General Surgery Drainage of liver Abscess Clinical report,USG USG 8,000 S1 S100038
1271 19.39 General Surgery Excision Filarial Scrotum Clinical report,USG,PS 5,000 S1 S100039
1272 19.40 General Surgery Excision Mammary FistulaClinical
report,mammogramHPE 5,000 S1 S100040
1273 19.41 General Surgery Excision Meckel's Diverticulum USG/CT HPE 15,000 S1 S100041
1274 19.42 General Surgery Excision Pilonidal Sinus clinical notes 8,000 S1 S100042
1275 19.43 General Surgery Excision Small Intestinal Fistula USG/CT HPE 15,000 S1 S100043
1276 19.44 General Surgery Excision of Growth from Tongue only Biopsy,Clinical Note HPE 6,000 S1 S100044
1277 19.45 General Surgery Excision of Growth from Tongue with neck node dissection Biopsy,CT HPE 15,000 S1 S100045
1278 19.46 General Surgery Excision of Swelling in Right Cervical Region clinical notes 5,000 S1 S100046
1279 19.47 General Surgery Excision of Large Swelling in Hand clinical notes 3,000 S1 S100047
1280 19.48 General Surgery Excision of Small Swelling in Hand clinical notes 1,500 S1 S100048
1281 19.49 General Surgery Excision of Neurofibroma clinical notes HPE 3,000 S1 S100049
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1282 19.50 General Surgery Exicision of Sinus and Curettage clinical notes 5,000 S1 S100050
1283 19.51 General Surgery Fibroadenoma – Bilateral clinical notes HPE 8,000 S1 S100051
1284 19.52 General Surgery Fibrodenoma – Unilateral clinical notes HPE 7,000 S1 S100052
1285 19.53 General Surgery Fissurectomy clinical notes 8,000 S1 S100053
1286 19.54 General Surgery Fissurectomy and Haemorrhoidectomy clinical notes 12,000 S1 S100054
1287 19.55 General Surgery Eversion of Hydrocele Sac – Bilateral clinical notes 10,000 S1 S100055
1288 19.56 General Surgery Eversion of Hydrocele Sac – Unilateral clinical notes 5,000 S1 S100056
1289 19.57 General Surgery Fissurectomy with Sphincterotomy clinical notes Photograph of removed part of body 15,000 S1 S100057
1290 19.58 General Surgery Foreign Body Removal in Deep Region requiring GA Pre-op. X-ray 5,000 S1 S100058
1291 19.59 General Surgery Fundoplication Clinical report,OGD/CT USG 20,000 S1 S100059
1292 19.60 General Surgery G J Vagotomy/ Vagotomy + Pyloroplasty Clinical report HPE 15,000 S1 S100060
1293 19.61 General Surgery Ganglion - large – Excision Clinical report 3,000 S1 S100061
1294 19.62 General Surgery Ganglion - Small – Excision clinical notes 2,000 S1 S100062
1295 19.63 General Surgery Gastrojejunostomy Clinical notes + USG Clinical Photograph 15,000 S1 S100063
1296 19.64 General Surgery Gastrostomy Clinical notes + USG Clinical Photograph 15,000 S1 S100064
1297 19.65 General Surgery Graham's Operation for duodenal perforation X-ray abdomen/USG 15,000 S1 S100065
1298 19.66 General Surgery Granuloma – Excision Clinical report 2,000 S1 S100066
1299 19.67 General Surgery Haemangioma – Excision (large) Doppler 10,000 S1 S100067
1300 19.68 General Surgery Haemangioma – Excision (small) Doppler 5,000 S1 S100068
1301 19.69 General Surgery Haemorrhage of Small Intestine clinical notes 15,000 S1 S100069
1302 19.70 General Surgery Hepatic Resection (lobectomy) Clinical report,USG/CT HPE 20,000 S1 S100070
1303 19.71 General Surgery Hernia – Epigastric Clinical report USG,Mesh Sticker 11,000 S1 S100071
1304 19.72 General Surgery Hernia – Incisional Clinical report 15,000 S1 S100072
1305 19.73 General Surgery Hernia - Repair & release of obstruction Clinical report,X-ray 15,000 S1 S100073
1306 19.74 General Surgery Hernia – Umbilical Clinical report USG/CT 11,000 S1 S100074
1307 19.75 General Surgery Hernia – Femoral Clinical report/USG Mesh Sticker 10,000 S1 S100075
1308 19.76 General Surgery Hernioplasty – Inguinal Clinical report/USG Mesh Sticker 10,000 S1 S100076
1309 19.77 General Surgery Herniorraphy Clinical report 9,000 S1 S100077
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1310 19.78 General Surgery Hiatus Hernia – abdominal Clinical report,USG/OGD 15,000 S1 S100078
1311 19.79 General Surgery Hydatid Cyst of Liver Clinical report/USG HPE 12,500 S1 S100079
1312 19.80 General Surgery Hydrocele - Excision – Unilateral clinical notes 5,000 S1 S100080
1313 19.81 General Surgery Hydrocele - Excision – Bilateral Clinical report 10,000 S1 S100081
1314 19.82 General Surgery IlieoSigmoidostomy clinical notes 17,000 S1 S100082
1315 19.83 General Surgery Infected Bunion Foot – Excision clinical notes 4,000 S1 S100083
1316 19.84 General Surgery Inguinal Node (dissection) - Unilateral Clinical notes + USG HPE 10,000 S1 S100084
1317 19.85 General Surgery Intestinal perforation Clinical report,X-ray 12,500 S1 S100085
1318 19.86 General Surgery Intestinal Obstruction Clinical report,X-ray 12,500 S1 S100086
1319 19.87 General Surgery Intussusception Clinical report,X-ray 15,000 S1 S100087
1320 19.88 General Surgery Jejunostomy X-RAY/USG Clinical Photo 10,000 S1 S100088
1321 19.89 General Surgery Gastric Perforation Clinical report,X-ray/USG 15,000 S1 S100089
1322 19.90 General Surgery Intestinal Perforation (Resection Anastomosis) Clinical report,X-ray/USG 20,000 S1 S100090
1323 19.91 General Surgery Appendicular Perforation X-RAY/USG HPE 15,000 S1 S100091
1324 19.92 General Surgery Burst Abdomen Obstruction Clinical report 15,000 S1 S100092
1325 19.93 General Surgery Closure of Hollow Viscus Perforation Clinical notes + USG 15,000 S1 S100093
1326 19.94 General Surgery Laryngectomy & Pharyngeal Diverticulum (Throat) Clinical report,CT HPE 15,000 S1 S100094
1327 19.95 General Surgery Ileostomy clinical notes Clinical Photo 10,000 S1 S100095
1328 19.96 General Surgery Lipoma excision clinical notes 2,500 S1 S100096
1329 19.97 General Surgery Loop Colostomy Sigmoid clinical notes 12,000 S1 S100097
1330 19.98 General Surgery Mastectomyclinical
notes,MammogramHPE 12,000 S1 S100098
1331 19.99 General Surgery Mesenteric Cyst – Excision USG/ CT HPE 16,000 S1 S100099
1332 19.100 General Surgery Mesenteric Caval Anastomosis USG/ CT 15,000 S1 S100100
1333 19.101 General Surgery Microlaryngoscopic Surgery Clinical Note 15,000 S1 S100101
1334 19.102 General Surgery Oeshophagoscopy for foreign body removal Clinical Note Photo of removed foreign body 7,500 S1 S100102
1335 19.103 General Surgery Oesophagectomy CT HPE 17,500 S1 S100103
1336 19.104 General Surgery Portal Hypertension shunt surgery USG 18,000 S1 S100104
1337 19.105 General Surgery Pelvic Abscess - Open Drainage Clinical Note 10,000 S1 S100105
1338 19.106 General Surgery PancreaticoDuodenectomy CT HPE 25,000 S1 S100106
1339 19.107 General Surgery Distal Pancreatectomy with PancreaticoJejunostomy CT HPE 25,000 S1 S100107
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1340 19.108 General Surgery Papilloma Rectum – Excision clinical notes HPE 4,000 S1 S100108
1341 19.109 General Surgery Haemorroidectomy+ Fistulectomy clinical notes 10,000 S1 S100109
1342 19.110 General Surgery Growth in the Scalp – Excision clinical notes 4,000 S1 S100110
1343 19.111 General Surgery Porto Caval Anastomosis USG 15,000 S1 S100111
1344 19.112 General Surgery Pyeloroplasty USG 10,000 S1 S100112
1345 19.113 General Surgery Radical Mastectomy Mammogram,USG/X-ray HPE 10,000 S1 S100113
1346 19.114 General Surgery Radical Neck Dissection – Excision CT,Biopasy HPE 15,000 S1 S100114
1347 19.115 General Surgery Hernia – Spigelian USG 5,000 S1 S100115
1348 19.116 General Surgery Rectal Dilation clinical notes 2,000 S1 S100116
1349 19.117 General Surgery Prolapse of Rectal Mass – Excision clinical notes 10,000 S1 S100117
1350 19.118 General Surgery Rectopexy clinical notes 10,000 S1 S100118
1351 19.119 General Surgery Repair of Common Bile Duct USG 15,000 S1 S100119
1352 19.120 General Surgery Resection Anastomosis (Large Intestine) clinical notes 15,000 S1 S100120
1353 19.121 General Surgery Resection Anastomosis (Small Intestine) clinical notes 15,000 S1 S100121
1354 19.122 General Surgery Retroperitoneal Tumor – Excision USG/CT HPE 20,000 S1 S100122
1355 19.123 General Surgery Haemorroidectomy Clinical Notes 5,000 S1 S100123
1356 19.124 General Surgery Salivary Gland – Excision FNAC HPE 10,000 S1 S100124
1357 19.125 General Surgery Segmental Resection of Breast clinical notes 10,000 S1 S100125
1358 19.126 General Surgery Scrotal Swelling (Multiple) – Excision clinical notes,USG 5,000 S1 S100126
1359 19.127 General Surgery Sigmoid Diverticulum USG/ X-RAY 15,000 S1 S100127
1360 19.128 General Surgery Simple closure - Peptic perforation Clinical Note,X-ray 15,000 S1 S100128
1361 19.129 General Surgery Sinus – Excision clinical notes 5,000 S1 S100129
1362 19.130 General Surgery Soft Tissue Tumor (small) – Excision clinical notes HPE 5,000 S1 S100130
1363 19.131 General Surgery Soft Tissue Tumor (large) – Excision clinical notes,USG HPE 10,000 S1 S100131
1364 19.132 General Surgery Splenectomy clinical notes,USG HPE 25,000 S1 S100132
1365 19.133 General Surgery Submandibular Lymph node – Excision clinical notes,FNAC 5,000 S1 S100133
1366 19.134 General Surgery Submandibular Mass Excision + Reconstruction clinical notes,CT/FNAC HPE 20,000 S1 S100134
1367 19.135 General Surgery Swelling in foot (small) – Excision clinical notes 1,500 S1 S100135
1368 19.136 General Surgery Swelling in foot (large) – Excision clinical notes 3,500 S1 S100136
1369 19.137 General Surgery Coloectomy – Total USG/Colonoscopy HPE 20,000 S1 S100137
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1370 19.138 General Surgery Pharyngectomy& Reconstruction – Total CT/MRI HPE 20,000 S1 S100138
1371 19.139 General Surgery Tracheal Stenosis (End to end Anastamosis) (Throat) CT/MRI,Laryngoscopy 15,000 S1 S100139
1372 19.140 General Surgery Tracheoplasty (Throat) CT/USG 15,000 S1 S100140
1373 19.141 General Surgery Umbilical Sinus – Excision clinical notes 5,000 S1 S100141
1374 19.142 General Surgery Varicose Veins - Excision and Ligation Clinical notes,Doppler 10,000 S1 S100142
1375 19.143 General Surgery Vasovasostomy Clinical Note/USG 12,000 S1 S100143
1376 19.144 General Surgery Volvlous of Large Bowel Clinical Note/X-ray 25,000 S1 S100144
1377 19.145 General Surgery Cleft lip operation PRE OP CLINICAL PICTURE Clinical photograph 12,000 S1 S100145
1378 19.146 General Surgery Cleft palate repair (for each stage) PRE OP CLINICAL PICTURE Clinical photograph 12,000 S1 S100146
1379 19.147 General Surgery Cleft lip & palate operation (for each stage) PRE OP CLINICAL PICTURE Clinical photograph 15,000 S1 S100147
1380 19.148 General Surgery Aneurysm not Requiring Bypass Techniques t CT Angio CT Angio,Doppler 36,000 S1 S100148
1381 19.149 General Surgery Aneurysm Resection & Grafting CT Angio 36,000 S1 S100149
1382 19.150 General Surgery Arterial Embolectomy CT Angio/Color Doppler Doppler 17,250 S1 S100150
1383 19.151 General Surgery Carotid artery aneurysm repair Angiogram Color Doppler 17,250 S1 S100151
1384 19.152 General Surgery Carotid Body tumour - Excision Angiogram Color Doppler 20,000 S1 S100152
1385 19.153 General Surgery Cholecystectomy & Exploration of CBD USG/CT HPE 22,000 S1 S100153
1386 19.154 General Surgery Cholecystostomy USG/CT HPE 10,000 S1 S100154
1387 19.155 General Surgery Congential Arteriovenus Fistula (large) CT Angio/ Doppler 20,000 S1 S100155
1388 19.156 General Surgery Congential Arteriovenus Fistula (small) CT Angio/ Doppler 10,000 S1 S100156
1389 19.157 General Surgery Decortication (Pleurectomy) HRCT X-ray 20,000 S1 S100157
1390 19.158 General Surgery Dissecting Aneurysms CT Angio/ Cath Doppler 36,000 S1 S100158
1391 19.159 General Surgery Distal Abdominal Aorta repair Angiogram Color Doppler 36,000 S1 S100159
1392 19.160 General Surgery Estlander Operation (lip) Clinical Note 7,000 S1 S100160
1393 19.161 General Surgery Excision and Skin Graft of Venous Ulcer Clinical Note 15,000 S1 S100161
1394 19.162 General Surgery Excision of Parathyroid Adenoma/Carcinoma Biopsy,CT,Bronchoscopy Biopsy,Clinical Photograph 20,700 S1 S100162
1395 19.163 General Surgery Flap Reconstructive Surgery clinical notes 20,000 S1 S100163
1396 19.164 General Surgery Split thickness skin grafts – Small (< 4% TBSA) clinical notes Clinical Photograph 5,000 S1 S100164
1397 19.165 General Surgery Split thickness skin grafts – Medium (4 - 8% TBSA) clinical notes Clinical Photograph 10,000 S1 S100165
1398 19.166 General Surgery Split thickness skin grafts – Large (> 8% TBSA) clinical notes Clinical Photograph 15,000 S1 S100166
1399 19.167 General Surgery Free Grafts - Wolfe Grafts clinical notes Clinical Photograph 10,000 S1 S100167
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1400 19.168 General Surgery Hemi thyroidectomy USG/FNAC/TFT HPE 10,000 S1 S100168
1401 19.169 General Surgery Total thyroidectomy USG/FNAC/TFT HPE 20,000 S1 S100169
1402 19.170 General Surgery Laparoscopic Hernia Repair clinical notes Mesh Sticker 18,000 S1 S100170
1403 19.171 General Surgery Lap. Assisted left Hemi colectomy t USG HPE 25,000 S1 S100171
1404 19.172 General Surgery Lap. Assisted Right Hemi colectomy t USG HPE 25,000 S1 S100172
1405 19.173 General Surgery Lap. Assisted small bowel resection USG/CT HPE 15,000 S1 S100173
1406 19.174 General Surgery Lap. Assisted Total Colectomy USG/CT HPE 25,000 S1 S100174
1407 19.175 General Surgery Lap. Cholecystectomy & CBD exploration USG HPE 20,000 S1 S100175
1408 19.176 General Surgery Lap. For intestinal obstruction USG/CT,X-ray 15,000 S1 S100176
1409 19.177 General Surgery Lap. Hepatic resection USG/CT HPE 25,000 S1 S100177
1410 19.178 General Surgery Lap. Hydatid of liver surgery USG/CT HPE 20,000 S1 S100178
1411 19.179 General Surgery Laparoscopic Adhesinolysis Clinical notes + USG 15,000 S1 S100179
1412 19.180 General Surgery Laparoscopic Appendicectomy Clinical notes + USG HPE 18,000 S1 S100180
1413 19.181 General Surgery Laparoscopic Cholecystectomy USG HPE 15,000 S1 S100181
1414 19.182 General Surgery Laparoscopic cystogastrostomy USG 20,000 S1 S100182
1415 19.183 General Surgery Laparoscopic Gastrostomy USG/CT,Clinical note 12,000 S1 S100183
1416 19.184 General Surgery Laparoscopic Hiatus Hernia Repair OGD/USG 22,000 S1 S100184
1417 19.185 General Surgery Laparoscopic Pyloromyotomy OGD/USG 20,000 S1 S100185
1418 19.186 General Surgery Laparoscopic Rectopexy Clinical notes + USG 15,000 S1 S100186
1419 19.187 General Surgery Laparoscopic Spleenectomy Clinical notes + USG HPE 16,500 S1 S100187
1420 19.188 General Surgery Laparoscopic umbilical hernia repair Clinical notes + USG 15,000 S1 S100188
1421 19.189 General Surgery Laparoscopic ventral hernia repair Clinical notes + USG Mesh Sticker 20,000 S1 S100189
1422 19.190 General Surgery Laparotomy-peritonitis lavage and drainage Clinical notes + USG 10,000 S1 S100190
1423 19.191 General Surgery Ligation of Ankle Perforators Doppler 5,000 S1 S100191
1424 19.192 General Surgery Lymphatics Excision of Subcutaneous Tissues In Lymphoedema clinical notes,USG pelvis 10,000 S1 S100192
1425 19.193 General Surgery Repair of Main Arteries of the Limbs Clinical notes,Doppler 25,000 S1 S100193
1426 19.194 General Surgery Mediastinal Tumour CT Biopsy,Clinical photo showing scar 20,000 S1 S100194
1427 19.195 General Surgery Oesophagectomy for Carcinoma Oesophagus USG/CT,Biopsy HPE 25,000 S1 S100195
1428 19.196 General Surgery Operation for Bleeding Peptic Ulcer Clinical notes,OGD 15,000 S1 S100196
1429 19.197 General Surgery Operation for Carcinoma Lip – Vermilionectomy Clinical notes HPE 10,000 S1 S100197
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1430 19.198 General Surgery Operation for Carcinoma Lip - Wedge Excision and Vermilionectomy Clinical notes HPE 12,000 S1 S100198
1431 19.199 General Surgery Operation for Carcinoma Lip - Wedge-Excision Clinical notes HPE 10,000 S1 S100199
1432 19.200 General Surgery Appendicectomy - Appendicular Abscess – Drainage USG HPE 12,000 S1 S100200
1433 19.201 General Surgery Caecostomy Clinical notes + USG 10,000 S1 S100201
1434 19.202 General Surgery Closure of Colostomy Clinical notes 5,000 S1 S100202
1435 19.203 General Surgery Coccygeal Teratoma Excision USG/CT HPE 15,000 S1 S100203
1436 19.204 General Surgery Congenital Atresia & Stenosis of Small Intestine USG/CT 20,000 S1 S100204
1437 19.205 General Surgery CystoJejunostomy/or Cystogastrostomy clinical notes 20,000 S1 S100205
1438 19.206 General Surgery Drainage of perivertebral abscess Clinical notes + USG 10,000 S1 S100206
1439 19.207 General Surgery Hernia -hiatus-Transthoracicclinical notes,OGD/CHEST
X- ray25,000 S1 S100207
1440 19.208 General Surgery Intercostal drainage X-ray X-ray 2,000 S1 S100208
1441 19.209 General Surgery Operation for carcinoma lip- cheek advancement clinical notes HPE 12,000 S1 S100209
1442 19.210 General Surgery Thymectomy CT scan HPE 20,000 S1 S100210
1443 19.211 General Surgery Operation of Choledochal Cyst USG 15,000 S1 S100211
1444 19.212 General Surgery Operations for Acquired Arteriovenous Fistulaclinical
notes,Doppler/Angio15,000 S1 S100212
1445 19.213 General Surgery Operations for Replacement of Oesophagus by Colon clinical notes,OGD 25,000 S1 S100213
1446 19.214 General Surgery Hemodialysis per sitting RFT Serum Creatinine 2,300 S1 S100214
1447 19.215 General Surgery Parapharyngeal Tumour Excision USG,CT/FNAC HPE 20,000 S1 S100215
1448 19.216 General Surgery Partial/Subtotal Gastrectomy for Carcinoma OGD/CT HPE 22,000 S1 S100216
1449 19.217 General Surgery Patch Graft Angioplasty Angiography 20,000 S1 S100217
1450 19.218 General Surgery Pericardiostomy Clinical note,X-ray 30,000 S1 S100218
1451 19.219 General Surgery Pneumonectomy CT/Xray Clinical photo showing scar,X-ray 25,000 S1 S100219
1452 19.220 General Surgery Removal of Foreign Body from Trachea or Oesophagus clinical notes Photograph of removed foreign body 5,000 S1 S100220
1453 19.221 General Surgery Removal Tumours of Chest Wall USG/CT HPE 20,000 S1 S100221
1454 19.222 General Surgery Procedures Requiring Bypass Techniques Doopler/Angio 35,000 S1 S100222
1455 19.223 General Surgery Resection Enucleation of Adenoma (lung) HRCT HPE 10,000 S1 S100223
1456 19.224 General Surgery Rib Resection & Drainage X-ray/USG X-ray 10,000 S1 S100224
1457 19.225 General Surgery Skin Flaps - Rotation Flaps clinical notes 6,200 S1 S100225
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1458 19.226 General Surgery Splenectomy - For Trauma CT Angio Report HPE 20,000 S1 S100226
1459 19.227 General Surgery Surgery for Arterial Aneurism Spleen Artery Doopler/Angio 20,000 S1 S100227
1460 19.228 General Surgery Surgery for Arterial Aneurism –Vertebral Doopler/MR Angio 25,000 S1 S100228
1461 19.229 General Surgery Sympathetectomy – Cervical clinical notes 5,000 S1 S100229
1462 19.230 General Surgery Temporal Bone resection clinical notes 15,000 S1 S100230
1463 19.231 General Surgery Thorachostomy X-ray,clinical notes 10,000 S1 S100231
1464 19.232 General Surgery Thoracocentesis X-ray 1,500 S1 S100232
1465 19.233 General Surgery Thoracoplasty X-ray 20,000 S1 S100233
1466 19.234 General Surgery Thoracoscopic Decortication CT X-ray 25,000 S1 S100234
1467 19.235 General Surgery Thoracoscopic Hydatid Cyst excision CT X-ray 20,000 S1 S100235
1468 19.236 General Surgery Thoracoscopic Lobectomy CT X-ray 25,000 S1 S100236
1469 19.237 General Surgery Thoracoscopic Pneumonectomy CT X-ray 30,000 S1 S100237
1470 19.238 General Surgery Thoracoscopic Segmental Resection CT X-ray 25,000 S1 S100238
1471 19.239 General Surgery Thoracoscopic Sympathectomy CT X-ray 15,000 S1 S100239
1472 19.240 General Surgery Thrombendarterectomy CT/Angio 15,000 S1 S100240
1473 19.241 General Surgery Thorax (penetrating wounds) clinical notes,CT/X-ray X-ray 12,500 S1 S100241
1474 19.242 General Surgery Total Thyroidectomy and Block Dissection USG HPE 20,000 S1 S100242
1475 19.243 General Surgery Trendelenburg Operation Doppler 10,000 S1 S100243
1476 19.244 General Surgery Debridement of Ulcer-Leprosy clinical notes 5,000 S1 S100244
1477 19.245 General Surgery Tissue Reconstruction Flap Leprosy clinical notes 25,000 S1 S100245
1478 19.246 General Surgery Tendon Transfer-Leprosy clinical notes 25,000 S1 S100246
1479 19.247 General Surgery Adhenolysis + Appendicectomy USG HPE 20,000 S1 S100247
1480 19.248 General Surgery Hernia - Repair & release of obstruction+ Hernioplasty clinical notes 20,000 S1 S100248
1481 19.249 General Surgery Aspiration of cold Abscess of Lymphnode clinical notes HPE/Cytology 3,000 S1 S100249
1482 19.250 General Surgery Aspiration of Empyema X-ray Fluid-RM/CS 2,000 S1 S100250
1483 19.251 General Surgery AV Shunt for dialysisclinical note,Serum
CreatinineDoppler 6,000 S1 S100251
1484 19.252 General Surgery Peritoneal dialysis per sittingclinical notes,Serum
CreatinineSerum Creatinine 2,300 S1 S100252
1485 19.253 General Surgery Vasectomy clinical notes clinical notes 2,500 S1 S100253
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1486 19.254 General SurgeryUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S1 U100
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1487 20.1
Oral and
Maxillofacial
Surgery
Fixation of fracture of jaw with closed reduction (1 jaw) using wires - under LA OPG/CT Scan Clinical Photo 5,000 S16 S1600001
1488 20.2
Oral and
Maxillofacial
Surgery
Fixation of fracture of jaw with open reduction (1 jaw) and fixing of plates/ wire –
under GA OPG/CT Scan Clinical Photo 12,000 S16 S1600002
1489 20.3
Oral and
Maxillofacial
Surgery
Sequestrectomy OPG/CT Scan Clinical Photo 1,500 S16 S1600003
1490 20.4
Oral and
Maxillofacial
Surgery
TM joint ankylosis of both jaws - under GA OPG/CT Scan Clinical Photo 15,000 S16 S1600004
1491 20.5
Oral and
Maxillofacial
Surgery
Release of fibrous bands & grafting -in (OSMF) treatment under GA Clinical Photo Clinical Photo 3,000 S16 S1600005
1492 20.6
Oral and
Maxillofacial
Surgery
Extraction of impacted tooth under LA X-Ray Clinical Photo 500 S16 S1600006
1493 20.7
Oral and
Maxillofacial
Surgery
Cyst & tumour of Maxilla/mandible by enucleation/excision/marsupialization under
LA OPG/CT Scan/X-Ray Clinical Photo 2,500 S16 S1600007
1494 20.8
Oral and
Maxillofacial
Surgery
Mandible Tumour Resection and reconstruction/Cancer surgery OPG/CT Scan Clinical Photo 6,000 S16 S1600008
1495 20.9
Oral and
Maxillofacial
Surgery
Cleft lip and palate surgery (each stage) Clinical Photo Clinical Photo 15,000 S16 S1600009
1496 20.10
Oral and
Maxillofacial
Surgery
Unspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S16 U100
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1497 21.1 A General Medicine Acute gastroenteritis with moderate dehydration (admission type: Routine ward ) Clinical Notes clinical notes 1800
Government Reserve
(Package Amount per
day)
M1 M100001
21.1 B General Medicine Acute gastroenteritis with moderate dehydration (admission type: HDU ) Clinical Notes clinical notes 2700
Government Reserve
(Package Amount per
day)
M1 M100001
21.1 C General Medicine Acute gastroenteritis with moderate dehydration (admission type: ICU ,without
ventilator)Clinical Notes clinical notes 3600
Government Reserve
(Package Amount per
day)
M1 M100001
Cluster - 20 ORAL AND MAXILLO FACIAL SURGERY
Cluster - 21 GENERAL MEDICINE
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.1 D General Medicine Acute gastroenteritis with moderate dehydration (admission type: ICU (with
ventilator )Clinical Notes clinical notes 4,500
Government Reserve
(Package Amount per
day)
M1 M100001
1498 21.2 A General Medicine Recurrent vomiting with dehydration (admission type: Routine ward )X-Ray abd.Standing /USG
Abd.Pelvis,clinical notesclinical notes 1800
Government Reserve
(Package Amount per
day)
M1 M100002
21.2 B General Medicine Recurrent vomiting with dehydration(admission type: HDU )X-Ray abd.Standing /USG
Abd.Pelvis,clinical notesclinical notes 2700
Government Reserve
(Package Amount per
day)
M1 M100002
21.2 C General Medicine Recurrent vomiting with dehydration(admission type: ICU ,without ventilator)X-Ray abd.Standing /USG
Abd.Pelvis,clinical notesclinical notes 3600
Government Reserve
(Package Amount per
day)
M1 M100002
21.2 D General Medicine Recurrent vomiting with dehydration(admission type: ICU (with ventilator )X-Ray abd.Standing /USG
Abd.Pelvis,clinical notesclinical notes 4,500
Government Reserve
(Package Amount per
day)
M1 M100002
1499 21.3 A General Medicine Dysentery (admission type: Routine ward ) Clinical Notes clinical notes 1800
Government Reserve
(Package Amount per
day)
M1 M100003
21.3 B General Medicine Dysentery(admission type: HDU ) Clinical Notes clinical notes 2700
Government Reserve
(Package Amount per
day)
M1 M100003
21.3 C General Medicine Dysentery(admission type: ICU ,without ventilator) Clinical Notes clinical notes 3600
Government Reserve
(Package Amount per
day)
M1 M100003
21.3 D General Medicine Dysentery(admission type: ICU (with ventilator ) Clinical Notes clinical notes 4,500
Government Reserve
(Package Amount per
day)
M1 M100003
1500 21.4 A General Medicine Renal colic (admission type: Routine ward ) X-Ray/USG clinical notes 1800Package Amount per
dayM1 M100004
21.4 B General Medicine Renal colic(admission type: HDU ) X-Ray/USG clinical notes 2700Package Amount per
dayM1 M100004
21.4 C General Medicine Renal colic(admission type: ICU ,without ventilator) X-Ray/USG clinical notes 3600Package Amount per
dayM1 M100004
21.4 D General Medicine Renal colic(admission type: ICU (with ventilator ) X-Ray/USG clinical notes 4,500Package Amount per
dayM1 M100004
1501 21.5 A General Medicine Acute bronchitis (admission type: Routine ward ) Chest X-Ray clinical notes 1800Package Amount per
dayM1 M100005
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.5 B General Medicine Acute bronchitis(admission type: HDU ) Chest X-Ray clinical notes 2700Package Amount per
dayM1 M100005
21.5 C General Medicine Acute bronchitis(admission type: ICU ,without ventilator) Chest X-Ray clinical notes 3600Package Amount per
dayM1 M100005
21.5 D General Medicine Acute bronchitis(admission type: ICU (with ventilator ) Chest X-Ray clinical notes 4,500Package Amount per
dayM1 M100005
1502 21.6 A General Medicine Pneumothroax (admission type: Routine ward ) Chest X-Ray clinical notes 1800Package Amount per
dayM1 M100006
21.6 B General Medicine Pneumothroax(admission type: HDU ) Chest X-Ray clinical notes 2700Package Amount per
dayM1 M100006
21.6 C General Medicine Pneumothroax(admission type: ICU ,without ventilator) Chest X-Ray clinical notes 3600Package Amount per
dayM1 M100006
21.6 D General Medicine Pneumothroax(admission type: ICU (with ventilator ) Chest X-Ray clinical notes 4,500Package Amount per
dayM1 M100006
1503 21.7 A General Medicine Accelerated hypertension (admission type: Routine ward ) clinical notes,ECG clinical notes 1800Package Amount per
dayM1 M100007
21.7 B General Medicine Accelerated hypertension(admission type: HDU ) clinical notes,ECG clinical notes 2700Package Amount per
dayM1 M100007
21.7 C General Medicine Accelerated hypertension(admission type: ICU ,without ventilator) clinical notes,ECG clinical notes 3600Package Amount per
dayM1 M100007
21.7 D General Medicine Accelerated hypertension(admission type: ICU (with ventilator ) clinical notes,ECG clinical notes 4,500Package Amount per
dayM1 M100007
1504 21.8 A General Medicine Congestive heart failure (admission type: Routine ward )Chest X-Ray, 2 D Echo,
ECGclinical notes 1800
Package Amount per
dayM1 M100008
21.8 B General Medicine Congestive heart failure(admission type: HDU )Chest X-Ray, 2 D Echo,
ECGclinical notes 2700
Package Amount per
dayM1 M100008
21.8 C General Medicine Congestive heart failure(admission type: ICU ,without ventilator)Chest X-Ray, 2 D Echo,
ECGclinical notes 3600
Package Amount per
dayM1 M100008
21.8 D General Medicine Congestive heart failure(admission type: ICU (with ventilator )Chest X-Ray, 2 D Echo,
ECGclinical notes 4,500
Package Amount per
dayM1 M100008
1505 21.9 A General Medicine Severe anemia (admission type: Routine ward ) HB clinical notes 1800Package Amount per
dayM1 M100009
21.9 B General Medicine Severe anemia(admission type: HDU ) HB clinical notes 2700Package Amount per
dayM1 M100009
21.9 C General Medicine Severe anemia(admission type: ICU ,without ventilator) HB clinical notes 3600Package Amount per
dayM1 M100009
21.9 D General Medicine Severe anemia(admission type: ICU (with ventilator ) HB clinical notes 4,500Package Amount per
dayM1 M100009
1506 21.10 A General Medicine Diabetic ketoacidosis (admission type: Routine ward )FBS, PP2BS,HBA1C, Urine
Ketonsclinical notes 1800
Package Amount per
dayM1 M100010
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.10 B General Medicine Diabetic ketoacidosis(admission type: HDU )FBS, PP2BS,HBA1C, Urine
Ketonsclinical notes 2700
Package Amount per
dayM1 M100010
21.10 C General Medicine Diabetic ketoacidosis(admission type: ICU ,without ventilator)FBS, PP2BS,HBA1C, Urine
Ketonsclinical notes 3600
Package Amount per
dayM1 M100010
21.10 D General Medicine Diabetic ketoacidosis(admission type: ICU (with ventilator )FBS, PP2BS,HBA1C, Urine
Ketonsclinical notes 4,500
Package Amount per
dayM1 M100010
1507 21.11 A General Medicine Acute febrile illness (admission type: Routine ward ) Fever Profile clinical notes 1800Package Amount per
dayM1 M100011
21.11 B General Medicine Acute febrile illness(admission type: HDU ) Fever Profile clinical notes 2700Package Amount per
dayM1 M100011
21.11 C General Medicine Acute febrile illness(admission type: ICU ,without ventilator) Fever Profile clinical notes 3600Package Amount per
dayM1 M100011
21.11 D General Medicine Acute febrile illness(admission type: ICU (with ventilator ) Fever Profile clinical notes 4,500Package Amount per
dayM1 M100011
1508 21.12 A General Medicine Acutre excaberation of COPD (admission type: Routine ward ) Chest X-Ray clinical notes 1800Package Amount per
dayM1 M100012
21.12 B General Medicine Acutre excaberation of COPD(admission type: HDU ) Chest X-Ray clinical notes 2700Package Amount per
dayM1 M100012
21.12 C General Medicine Acutre excaberation of COPD(admission type: ICU ,without ventilator) Chest X-Ray clinical notes 3600Package Amount per
dayM1 M100012
21.12 D General Medicine Acutre excaberation of COPD(admission type: ICU (with ventilator ) Chest X-Ray clinical notes 4,500Package Amount per
dayM1 M100012
1509 21.13 A General Medicine UTI (admission type: Routine ward )USG KUB, Urine routine
Microclinical notes 1800
Package Amount per
dayM1 M100013
21.13 B General Medicine UTI(admission type: HDU )USG KUB, Urine routine
Microclinical notes 2700
Package Amount per
dayM1 M100013
21.13 C General Medicine UTI(admission type: ICU ,without ventilator)USG KUB, Urine routine
Microclinical notes 3600
Package Amount per
dayM1 M100013
21.13 D General Medicine UTI(admission type: ICU (with ventilator )USG KUB, Urine routine
Microclinical notes 4,500
Package Amount per
dayM1 M100013
1510 21.14 A General Medicine Malaria (admission type: Routine ward ) PSMP clinical notes 1800Package Amount per
dayM1 M100014
21.14 B General Medicine Malaria(admission type: HDU ) PSMP clinical notes 2700Package Amount per
dayM1 M100014
21.14 C General Medicine Malaria(admission type: ICU ,without ventilator) PSMP clinical notes 3600Package Amount per
dayM1 M100014
21.14 D General Medicine Malaria(admission type: ICU (with ventilator ) PSMP clinical notes 4,500Package Amount per
dayM1 M100014
1511 21.15 A General Medicine Dengue fever (admission type: Routine ward ) NS, Antigen clinical notes 1800Package Amount per
dayM1 M100015
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.15 B General Medicine Dengue fever(admission type: HDU ) NS, Antigen clinical notes 2700Package Amount per
dayM1 M100015
21.15 C General Medicine Dengue fever(admission type: ICU ,without ventilator) NS, Antigen clinical notes 3600Package Amount per
dayM1 M100015
21.15 D General Medicine Dengue fever(admission type: ICU (with ventilator ) NS, Antigen clinical notes 4,500Package Amount per
dayM1 M100015
1512 21.16 A General Medicine Chikungunya fever (admission type: Routine ward ) Clinical History clinical notes 1800Package Amount per
dayM1 M100016
21.16 B General Medicine Chikungunya fever(admission type: HDU ) Clinical History clinical notes 2700Package Amount per
dayM1 M100016
21.16 C General Medicine Chikungunya fever(admission type: ICU ,without ventilator) Clinical History clinical notes 3600Package Amount per
dayM1 M100016
21.16 D General Medicine Chikungunya fever(admission type: ICU (with ventilator ) Clinical History clinical notes 4,500Package Amount per
dayM1 M100016
1513 21.17 A General Medicine Leptospirosis (admission type: Routine ward ) Clinical History clinical notes 1800Package Amount per
dayM1 M100017
21.17 B General Medicine Leptospirosis(admission type: HDU ) Clinical History clinical notes 2700Package Amount per
dayM1 M100017
21.17 C General Medicine Leptospirosis(admission type: ICU ,without ventilator) Clinical History clinical notes 3600Package Amount per
dayM1 M100017
21.17 D General Medicine Leptospirosis(admission type: ICU (with ventilator ) Clinical History clinical notes 4,500Package Amount per
dayM1 M100017
1514 21.18 A General Medicine Enteric fever (admission type: Routine ward ) CBC, S. Widal clinical notes 1800Package Amount per
dayM1 M100018
21.18 B General Medicine Enteric fever(admission type: HDU ) CBC, S. Widal clinical notes 2700Package Amount per
dayM1 M100018
21.18 C General Medicine Enteric fever(admission type: ICU ,without ventilator) CBC, S. Widal clinical notes 3600Package Amount per
dayM1 M100018
21.18 D General Medicine Enteric fever(admission type: ICU (with ventilator ) CBC, S. Widal clinical notes 4,500Package Amount per
dayM1 M100018
1515 21.19 A General Medicine Pneumonia (admission type: Routine ward ) CBC, X-Ray Chest clinical notes 1800Package Amount per
dayM1 M100019
21.19 B General Medicine Pneumonia(admission type: HDU ) CBC, X-Ray Chest clinical notes 2700Package Amount per
dayM1 M100019
21.19 C General Medicine Pneumonia(admission type: ICU ,without ventilator) CBC, X-Ray Chest clinical notes 3600Package Amount per
dayM1 M100019
21.19 D General Medicine Pneumonia(admission type: ICU (with ventilator ) CBC, X-Ray Chest clinical notes 4,500Package Amount per
dayM1 M100019
1516 21.20 A General Medicine Acute excaberation of ILD (admission type: Routine ward ) Chest X-Ray clinical notes 1800Package Amount per
dayM1 M100020
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.20 B General Medicine Acute excaberation of ILD(admission type: HDU ) Chest X-Ray clinical notes 2700Package Amount per
dayM1 M100020
21.20 C General Medicine Acute excaberation of ILD(admission type: ICU ,without ventilator) Chest X-Ray clinical notes 3600Package Amount per
dayM1 M100020
21.20 D General Medicine Acute excaberation of ILD(admission type: ICU (with ventilator ) Chest X-Ray clinical notes 4,500Package Amount per
dayM1 M100020
1517 21.21 A General Medicine Liver abscess (admission type: Routine ward )USG, Chest X-Ray, X-ray
Abdclinical notes 1800
Package Amount per
dayM1 M100021
21.21 B General Medicine Liver abscess(admission type: HDU )USG, Chest X-Ray, X-ray
Abdclinical notes 2700
Package Amount per
dayM1 M100021
21.21 C General Medicine Liver abscess(admission type: ICU ,without ventilator)USG, Chest X-Ray, X-ray
Abdclinical notes 3600
Package Amount per
dayM1 M100021
21.21 D General Medicine Liver abscess(admission type: ICU (with ventilator )USG, Chest X-Ray, X-ray
Abdclinical notes 4,500
Package Amount per
dayM1 M100021
1518 21.22 A General Medicine Acute viral hepatitis (admission type: Routine ward )USG ABD, Hepatits
Marker, HBSAG,NTHCVclinical notes 1800
Package Amount per
dayM1 M100022
21.22 B General Medicine Acute viral hepatitis(admission type: HDU )USG ABD, Hepatits
Marker, HBSAG,NTHCVclinical notes 2700
Package Amount per
dayM1 M100022
21.22 C General Medicine Acute viral hepatitis(admission type: ICU ,without ventilator)USG ABD, Hepatits
Marker, HBSAG,NTHCVclinical notes 3600
Package Amount per
dayM1 M100022
21.22 D General Medicine Acute viral hepatitis(admission type: ICU (with ventilator )USG ABD, Hepatits
Marker, HBSAG,NTHCVclinical notes 4,500
Package Amount per
dayM1 M100022
1519 21.23 A General Medicine Snake bite (admission type: Routine ward ) BT,CT,PT,APTT clinical notes 1800Package Amount per
dayM1 M100023
21.23 B General Medicine Snake bite(admission type: HDU ) BT,CT,PT,APTT clinical notes 2700Package Amount per
dayM1 M100023
21.23 C General Medicine Snake bite(admission type: ICU ,without ventilator) BT,CT,PT,APTT clinical notes 3600Package Amount per
dayM1 M100023
21.23 D General Medicine Snake bite(admission type: ICU (with ventilator ) BT,CT,PT,APTT clinical notes 4,500Package Amount per
dayM1 M100023
1520 21.24 A General Medicine Acute organophosphorus poisoning (admission type: Routine ward ) Anti Choline esterase clinical notes 1800Package Amount per
dayM1 M100024
21.24 B General Medicine Acute organophosphorus poisoning(admission type: HDU ) Anti Choline esterase clinical notes 2700Package Amount per
dayM1 M100024
21.24 C General Medicine Acute organophosphorus poisoning(admission type: ICU ,without ventilator) Anti Choline esterase clinical notes 3600Package Amount per
dayM1 M100024
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.24 D General Medicine Acute organophosphorus poisoning(admission type: ICU (with ventilator ) Anti Choline esterase clinical notes 4,500Package Amount per
dayM1 M100024
1521 21.25 A General Medicine Other poisoning (admission type: Routine ward ) Clinical Notes clinical notes 1800Package Amount per
dayM1 M100025
21.25 B General Medicine Other poisoning(admission type: HDU ) Clinical Notes clinical notes 2700Package Amount per
dayM1 M100025
21.25 C General Medicine Other poisoning(admission type: ICU ,without ventilator) Clinical Notes clinical notes 3600Package Amount per
dayM1 M100025
21.25 D General Medicine Other poisoning(admission type: ICU (with ventilator ) Clinical Notes clinical notes 4,500Package Amount per
dayM1 M100025
1522 21.26 A General Medicine Pyrexia of unknown origin (admission type: Routine ward ) Fever Profile clinical notes 1800Package Amount per
dayM1 M100026
21.26 B General Medicine Pyrexia of unknown origin(admission type: HDU ) Fever Profile clinical notes 2700Package Amount per
dayM1 M100026
21.26 C General Medicine Pyrexia of unknown origin(admission type: ICU ,without ventilator) Fever Profile clinical notes 3600Package Amount per
dayM1 M100026
21.26 D General Medicine Pyrexia of unknown origin(admission type: ICU (with ventilator ) Fever Profile clinical notes 4,500Package Amount per
dayM1 M100026
1523 21.27 A General Medicine Pericardial/ Pleural tuberculosis (admission type: Routine ward )Chest X-Ray,
PL.TAPPING,AFBclinical notes 1800
Package Amount per
dayM1 M100027
21.27 B General Medicine Pericardial/ Pleural tuberculosis(admission type: HDU )Chest X-Ray,
PL.TAPPING,AFBclinical notes 2700
Package Amount per
dayM1 M100027
21.27 C General Medicine Pericardial/ Pleural tuberculosis(admission type: ICU ,without ventilator)Chest X-Ray,
PL.TAPPING,AFBclinical notes 3600
Package Amount per
dayM1 M100027
21.27 D General Medicine Pericardial/ Pleural tuberculosis(admission type: ICU (with ventilator )Chest X-Ray,
PL.TAPPING,AFBclinical notes 4,500
Package Amount per
dayM1 M100027
1524 21.28 A General Medicine Systematic lupus erythematosus (admission type: Routine ward )Clinical History/Concern
Investigationclinical notes 1800
Package Amount per
dayM1 M100028
21.28 B General Medicine Systematic lupus erythematosus(admission type: HDU )Clinical History/Concern
Investigationclinical notes 2700
Package Amount per
dayM1 M100028
21.28 C General Medicine Systematic lupus erythematosus(admission type: ICU ,without ventilator)Clinical History/Concern
Investigationclinical notes 3600
Package Amount per
dayM1 M100028
21.28 D General Medicine Systematic lupus erythematosus(admission type: ICU (with ventilator )Clinical History/Concern
Investigationclinical notes 4,500
Package Amount per
dayM1 M100028
1525 21.29 A General Medicine Vasculitis (admission type: Routine ward )Clinical History/Concern
Investigationclinical notes 1800
Package Amount per
dayM1 M100029
21.29 B General Medicine Vasculitis(admission type: HDU )Clinical History/Concern
Investigationclinical notes 2700
Package Amount per
dayM1 M100029
21.29 C General Medicine Vasculitis(admission type: ICU ,without ventilator)Clinical History/Concern
Investigationclinical notes 3600
Package Amount per
dayM1 M100029
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.29 D General Medicine Vasculitis(admission type: ICU (with ventilator )Clinical History/Concern
Investigationclinical notes 4,500
Package Amount per
dayM1 M100029
1526 21.30 A General Medicine Seizures (admission type: Routine ward ) Clinical History clinical notes 1800Package Amount per
dayM1 M100030
21.30 B General Medicine Seizures(admission type: HDU ) Clinical History clinical notes 2700Package Amount per
dayM1 M100030
21.30 C General Medicine Seizures(admission type: ICU ,without ventilator) Clinical History clinical notes 3600Package Amount per
dayM1 M100030
21.30 D General Medicine Seizures(admission type: ICU (with ventilator ) Clinical History clinical notes 4,500Package Amount per
dayM1 M100030
1527 21.31 A General Medicine Bacterial/ fungal endocarditis (admission type: Routine ward ) 2 D Echo clinical notes 1800Package Amount per
dayM1 M100031
21.31 B General Medicine Bacterial/ fungal endocarditis(admission type: HDU ) 2 D Echo clinical notes 2700Package Amount per
dayM1 M100031
21.31 C General Medicine Bacterial/ fungal endocarditis(admission type: ICU ,without ventilator) 2 D Echo clinical notes 3600Package Amount per
dayM1 M100031
21.31 D General Medicine Bacterial/ fungal endocarditis(admission type: ICU (with ventilator ) 2 D Echo clinical notes 4,500Package Amount per
dayM1 M100031
1528 21.32 A General Medicine Acute inflammatory demyelinating polyneuropathy (admission type: Routine ward ) EMG,NCV,CSF,MRI clinical notes 1800Package Amount per
dayM1 M100032
21.32 B General Medicine Acute inflammatory demyelinating polyneuropathy(admission type: HDU ) EMG,NCV,CSF,MRI clinical notes 2700Package Amount per
dayM1 M100032
21.32 C General Medicine Acute inflammatory demyelinating polyneuropathy(admission type: ICU ,without
ventilator)EMG,NCV,CSF,MRI clinical notes 3600
Package Amount per
dayM1 M100032
21.32 D General Medicine Acute inflammatory demyelinating polyneuropathy(admission type: ICU (with
ventilator )EMG,NCV,CSF,MRI clinical notes 4,500
Package Amount per
dayM1 M100032
1529 21.33 A General Medicine Lung abscess/ Empyema (admission type: Routine ward ) Chest X-Ray, CT Thorax clinical notes 1800Package Amount per
dayM1 M100033
21.33 B General Medicine Lung abscess/ Empyema(admission type: HDU ) Chest X-Ray, CT Thorax clinical notes 2700Package Amount per
dayM1 M100033
21.33 C General Medicine Lung abscess/ Empyema(admission type: ICU ,without ventilator) Chest X-Ray, CT Thorax clinical notes 3600Package Amount per
dayM1 M100033
21.33 D General Medicine Lung abscess/ Empyema(admission type: ICU (with ventilator ) Chest X-Ray, CT Thorax clinical notes 4,500Package Amount per
dayM1 M100033
1530 21.34 A General Medicine Acute and chronic meningitis (admission type: Routine ward ) CSF,MRI Brain clinical notes 1800Package Amount per
dayM1 M100034
21.34 B General Medicine Acute and chronic meningitis(admission type: HDU ) CSF,MRI Brain clinical notes 2700Package Amount per
dayM1 M100034
21.34 C General Medicine Acute and chronic meningitis(admission type: ICU ,without ventilator) CSF,MRI Brain clinical notes 3600Package Amount per
dayM1 M100034
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.34 D General Medicine Acute and chronic meningitis(admission type: ICU (with ventilator ) CSF,MRI Brain clinical notes 4,500Package Amount per
dayM1 M100034
1531 21.35 A General Medicine Viral encephalitis (admission type: Routine ward ) CSF, MRI clinical notes 1800Package Amount per
dayM1 M100035
21.35 B General Medicine Viral encephalitis(admission type: HDU ) CSF, MRI clinical notes 2700Package Amount per
dayM1 M100035
21.35 C General Medicine Viral encephalitis(admission type: ICU ,without ventilator) CSF, MRI clinical notes 3600Package Amount per
dayM1 M100035
21.35 D General Medicine Viral encephalitis(admission type: ICU (with ventilator ) CSF, MRI clinical notes 4,500Package Amount per
dayM1 M100035
1532 21.36 A General Medicine Persistent/ Chronic diarrohea (admission type: Routine ward ) Concern Investigation clinical notes 1800Package Amount per
dayM1 M100036
21.36 B General Medicine Persistent/ Chronic diarrohea(admission type: HDU ) Concern Investigation clinical notes 2700Package Amount per
dayM1 M100036
21.36 C General Medicine Persistent/ Chronic diarrohea(admission type: ICU ,without ventilator) Concern Investigation clinical notes 3600Package Amount per
dayM1 M100036
21.36 D General Medicine Persistent/ Chronic diarrohea(admission type: ICU (with ventilator ) Concern Investigation clinical notes 4,500Package Amount per
dayM1 M100036
1533 21.37 A General Medicine Acute and chronic pancreatitis (admission type: Routine ward ) USG ABD, CT clinical notes 1800Package Amount per
dayM1 M100037
21.37 B General Medicine Acute and chronic pancreatitis(admission type: HDU ) USG ABD, CT clinical notes 2700Package Amount per
dayM1 M100037
21.37 C General Medicine Acute and chronic pancreatitis(admission type: ICU ,without ventilator) USG ABD, CT clinical notes 3600Package Amount per
dayM1 M100037
21.37 D General Medicine Acute and chronic pancreatitis(admission type: ICU (with ventilator ) USG ABD, CT clinical notes 4,500Package Amount per
dayM1 M100037
1534 21.38 A General Medicine Visceral leishmaniasis (admission type: Routine ward ) IGM,Ab clinical notes 1800Package Amount per
dayM1 M100038
21.38 B General Medicine Visceral leishmaniasis(admission type: HDU ) IGM,Ab clinical notes 2700Package Amount per
dayM1 M100038
21.38 C General Medicine Visceral leishmaniasis(admission type: ICU ,without ventilator) IGM,Ab clinical notes 3600Package Amount per
dayM1 M100038
21.38 D General Medicine Visceral leishmaniasis(admission type: ICU (with ventilator ) IGM,Ab clinical notes 4,500Package Amount per
dayM1 M100038
1535 21.39 A General Medicine HIV with complications (admission type: Routine ward ) HIV clinical notes 1800Package Amount per
dayM1 M100039
21.39 B General Medicine HIV with complications(admission type: HDU ) HIV clinical notes 2700Package Amount per
dayM1 M100039
21.39 C General Medicine HIV with complications(admission type: ICU ,without ventilator) HIV clinical notes 3600Package Amount per
dayM1 M100039
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.39 D General Medicine HIV with complications(admission type: ICU (with ventilator ) HIV clinical notes 4,500Package Amount per
dayM1 M100039
1536 21.40 A General Medicine Neuromuscular disorders (admission type: Routine ward ) EMG,NCV,MRI clinical notes 1800Package Amount per
dayM1 M100040
21.40 B General Medicine Neuromuscular disorders(admission type: HDU ) EMG,NCV,MRI clinical notes 2700Package Amount per
dayM1 M100040
21.40 C General Medicine Neuromuscular disorders(admission type: ICU ,without ventilator) EMG,NCV,MRI clinical notes 3600Package Amount per
dayM1 M100040
21.40 D General Medicine Neuromuscular disorders(admission type: ICU (with ventilator ) EMG,NCV,MRI clinical notes 4,500Package Amount per
dayM1 M100040
1537 21.41 A General Medicine Metabolic encephalopathy (admission type: Routine ward ) RFT,LFT,Uric acid, CBC clinical notes 1800Package Amount per
dayM1 M100041
21.41 B General Medicine Metabolic encephalopathy(admission type: HDU ) RFT,LFT,Uric acid, CBC clinical notes 2700Package Amount per
dayM1 M100041
21.41 C General Medicine Metabolic encephalopathy(admission type: ICU ,without ventilator) RFT,LFT,Uric acid, CBC clinical notes 3600Package Amount per
dayM1 M100041
21.41 D General Medicine Metabolic encephalopathy(admission type: ICU (with ventilator ) RFT,LFT,Uric acid, CBC clinical notes 4,500Package Amount per
dayM1 M100041
1538 21.42 A General Medicine Sickle cell Anemia (admission type: Routine ward )Sicklmg test, Electro
phoresisclinical notes 1800
Package Amount per
dayM1 M100042
21.42 B General Medicine Sickle cell Anemia(admission type: HDU )Sicklmg test, Electro
phoresisclinical notes 2700
Package Amount per
dayM1 M100042
21.42 C General Medicine Sickle cell Anemia(admission type: ICU ,without ventilator)Sicklmg test, Electro
phoresisclinical notes 3600
Package Amount per
dayM1 M100042
21.42 D General Medicine Sickle cell Anemia(admission type: ICU (with ventilator )Sicklmg test, Electro
phoresisclinical notes 4,500
Package Amount per
dayM1 M100042
1539 21.43 A General Medicine Poisonings with unstable vitals (admission type: Routine ward ) Gastic Levage clinical notes 1800Package Amount per
dayM1 M100043
21.43 B General Medicine Poisonings with unstable vitals(admission type: HDU ) Gastic Levage clinical notes 2700Package Amount per
dayM1 M100043
21.43 C General Medicine Poisonings with unstable vitals(admission type: ICU ,without ventilator) Gastic Levage clinical notes 3600Package Amount per
dayM1 M100043
21.43 D General Medicine Poisonings with unstable vitals(admission type: ICU (with ventilator ) Gastic Levage clinical notes 4,500Package Amount per
dayM1 M100043
1540 21.44 A General Medicine Type 1/2 respiratory failure (admission type: Routine ward ) ABG Analysis clinical notes 1800Package Amount per
dayM1 M100044
21.44 B General Medicine Type 1/2 respiratory failure(admission type: HDU ) ABG Analysis clinical notes 2700Package Amount per
dayM1 M100044
21.44 C General Medicine Type 1/2 respiratory failure(admission type: ICU ,without ventilator) ABG Analysis clinical notes 3600Package Amount per
dayM1 M100044
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.44 D General Medicine Type 1/2 respiratory failure(admission type: ICU (with ventilator ) ABG Analysis clinical notes 4,500Package Amount per
dayM1 M100044
1541 21.45 A General Medicine Acute asthmatic attack (admission type: Routine ward ) Clinical History clinical notes 1800Package Amount per
dayM1 M100045
21.445 B General Medicine Acute asthmatic attack(admission type: HDU ) Clinical History clinical notes 2700Package Amount per
dayM1 M100045
21.45 C General Medicine Acute asthmatic attack(admission type: ICU ,without ventilator) Clinical History clinical notes 3600Package Amount per
dayM1 M100045
21.45 D General Medicine Acute asthmatic attack(admission type: ICU (with ventilator ) Clinical History clinical notes 4,500Package Amount per
dayM1 M100045
1542 21.46 A General Medicine Acutre excaberation of ILD(admission type: Routine ward ) Chesr X-Ray(PA) clinical notes 1800Package Amount per
dayM1 M100020
21.46 B General Medicine Acutre excaberation of ILD(admission type: HDU ) Chesr X-Ray(PA) clinical notes 2700Package Amount per
dayM1 M100020
21.46 C General Medicine Acutre excaberation of ILD(admission type: ICU ,without ventilator) Chesr X-Ray(PA) clinical notes 3600Package Amount per
dayM1 M100020
21.46 D General Medicine Acutre excaberation of ILD(admission type: ICU (with ventilator ) Chesr X-Ray(PA) clinical notes 4,500Package Amount per
dayM1 M100020
1543 21.47 A General Medicine Severe pneumonia (admission type: Routine ward ) Chesr X-Ray(PA) clinical notes 1800Package Amount per
dayM1 M100047
21.47 B General Medicine Severe pneumonia(admission type: HDU ) Chesr X-Ray(PA) clinical notes 2700Package Amount per
dayM1 M100047
21.47 C General Medicine Severe pneumonia(admission type: ICU ,without ventilator) Chesr X-Ray(PA) clinical notes 3600Package Amount per
dayM1 M100047
21.47 D General Medicine Severe pneumonia(admission type: ICU (with ventilator ) Chesr X-Ray(PA) clinical notes 4,500Package Amount per
dayM1 M100047
1544 21.48 A General Medicine Acute gastroenteritis with severe dehydration (admission type: Routine ward ) Stool Culture clinical notes 1800Package Amount per
dayM1 M100048
21.48 B General Medicine Acute gastroenteritis with severe dehydration(admission type: HDU ) Stool Culture clinical notes 2700Package Amount per
dayM1 M100048
21.48 C General Medicine Acute gastroenteritis with severe dehydration(admission type: ICU ,without
ventilator)Stool Culture clinical notes 3600
Package Amount per
dayM1 M100048
21.48 D General Medicine Acute gastroenteritis with severe dehydration(admission type: ICU (with ventilator ) Stool Culture clinical notes 4,500Package Amount per
dayM1 M100048
1545 21.49 A General Medicine Hypertensive emergencies (admission type: Routine ward ) ECG, 2D Echo clinical notes 1800Package Amount per
dayM1 M100049
21.49 B General Medicine Hypertensive emergencies(admission type: HDU ) ECG, 2D Echo clinical notes 2700Package Amount per
dayM1 M100049
21.49 C General Medicine Hypertensive emergencies(admission type: ICU ,without ventilator) ECG, 2D Echo clinical notes 3600Package Amount per
dayM1 M100049
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.49 D General Medicine Hypertensive emergencies(admission type: ICU (with ventilator ) ECG, 2D Echo clinical notes 4,500Package Amount per
dayM1 M100049
1546 21.50 A General Medicine Dengue hemorrhagic fever/Dengue shock syndrome (admission type: Routine ward ) Dengue NS1, IGM clinical notes 1800Package Amount per
dayM1 M100050
21.50 B General Medicine Dengue hemorrhagic fever/Dengue shock syndrome(admission type: HDU ) Dengue NS1, IGM clinical notes 2700Package Amount per
dayM1 M100050
21.50 C General Medicine Dengue hemorrhagic fever/Dengue shock syndrome(admission type: ICU ,without
ventilator)Dengue NS1, IGM clinical notes 3600
Package Amount per
dayM1 M100050
21.50 D General Medicine Dengue hemorrhagic fever/Dengue shock syndrome(admission type: ICU (with
ventilator )Dengue NS1, IGM clinical notes 4,500
Package Amount per
dayM1 M100050
1547 21.51 A General Medicine Complicated malaria (admission type: Routine ward ) CBC, RFT,LFT clinical notes 1800Package Amount per
dayM1 M100051
21.51 B General Medicine Complicated malaria(admission type: HDU ) CBC, RFT,LFT clinical notes 2700Package Amount per
dayM1 M100051
21.51 C General Medicine Complicated malaria(admission type: ICU ,without ventilator) CBC, RFT,LFT clinical notes 3600Package Amount per
dayM1 M100051
21.51 D General Medicine Complicated malaria(admission type: ICU ,without ventilator)(admission type: ICU
(with ventilator )CBC, RFT,LFT clinical notes 4,500
Package Amount per
dayM1 M100051
1548 21.52 A General Medicine Heat stroke (admission type: Routine ward ) CPK Total clinical notes 1800Package Amount per
dayM1 M100052
21.52 B General Medicine Heat stroke(admission type: HDU ) CPK Total clinical notes 2700Package Amount per
dayM1 M100052
21.52 C General Medicine Heat stroke(admission type: ICU ,without ventilator) CPK Total clinical notes 3600Package Amount per
dayM1 M100052
21.52 D General Medicine Heat stroke(admission type: ICU (with ventilator ) CPK Total clinical notes 4,500Package Amount per
dayM1 M100052
1549 21.53 A General Medicine Hyperosmolar Non-Ketotic coma (admission type: Routine ward ) ABGA,RBS clinical notes 1800Package Amount per
dayM1 M100053
21.53 B General Medicine Hyperosmolar Non-Ketotic coma(admission type: HDU ) ABGA,RBS clinical notes 2700Package Amount per
dayM1 M100053
21.53 C General Medicine Hyperosmolar Non-Ketotic coma(admission type: ICU ,without ventilator) ABGA,RBS clinical notes 3600Package Amount per
dayM1 M100053
21.53 D General Medicine Hyperosmolar Non-Ketotic coma(admission type: ICU (with ventilator ) ABGA,RBS clinical notes 4,500Package Amount per
dayM1 M100053
1550 21.54 A General Medicine Severe sepsis/Septic shock (admission type: Routine ward ) Blood Culture clinical notes 1800Package Amount per
dayM1 M100055
21.54 B General Medicine Severe sepsis/Septic shock(admission type: HDU ) Blood Culture clinical notes 2700Package Amount per
dayM1 M100055
21.54 C General Medicine Severe sepsis/Septic shock(admission type: ICU ,without ventilator) Blood Culture clinical notes 3600Package Amount per
dayM1 M100055
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.54 D General Medicine Severe sepsis/Septic shock(admission type: ICU (with ventilator ) Blood Culture clinical notes 4,500Package Amount per
dayM1 M100055
1551 21.55 A General Medicine Upper GI bleeding (conservative) (admission type: Routine ward ) Clinical History clinical notes 1800Package Amount per
dayM1 M100056
21.55 B General Medicine Upper GI bleeding (conservative)(admission type: HDU ) Clinical History clinical notes 2700Package Amount per
dayM1 M100056
21.55 C General Medicine Upper GI bleeding (conservative)(admission type: ICU ,without ventilator) Clinical History clinical notes 3600Package Amount per
dayM1 M100056
21.55 D General Medicine Upper GI bleeding (conservative)(admission type: ICU (with ventilator ) Clinical History clinical notes 4,500Package Amount per
dayM1 M100056
1552 21.56 A General Medicine Upper GI bleeding (endoscopic) (admission type: Routine ward ) Scopy clinical notes 1800Package Amount per
dayM1 M100057
21.56 B General Medicine Upper GI bleeding (endoscopic) Scopy clinical notes 2700Package Amount per
dayM1 M100057
21.56 C General Medicine Upper GI bleeding (endoscopic)(admission type: ICU ,without ventilator) Scopy clinical notes 3600Package Amount per
dayM1 M100057
21.56 D General Medicine Upper GI bleeding (endoscopic)(admission type: ICU (with ventilator ) Scopy clinical notes 4,500Package Amount per
dayM1 M100057
1553 21.57 A General Medicine Lower GI hemorrhage (admission type: Routine ward )Colonoscopy, USG Abd/
CTclinical notes 1800
Package Amount per
dayM1 M100058
21.57 B General Medicine Lower GI hemorrhage(admission type: HDU )Colonoscopy, USG Abd/
CTclinical notes 2700
Package Amount per
dayM1 M100058
21.57 C General Medicine Lower GI hemorrhage(admission type: ICU ,without ventilator)Colonoscopy, USG Abd/
CTclinical notes 3600
Package Amount per
dayM1 M100058
21.57 D General Medicine Lower GI hemorrhage(admission type: ICU (with ventilator )Colonoscopy, USG Abd/
CTclinical notes 4,500
Package Amount per
dayM1 M100058
1554 21.58 A General Medicine Immune mediated CNS disorders such as autoimmune encephalitis (admission type:
Routine ward )CSF,MRI clinical notes 1800
Package Amount per
dayM1 M100059
21.58 B General Medicine Immune mediated CNS disorders such as autoimmune encephalitis(admission type:
HDU )CSF,MRI clinical notes 2700
Package Amount per
dayM1 M100059
21.58 C General Medicine Immune mediated CNS disorders such as autoimmune encephalitis(admission type:
ICU ,without ventilator)CSF,MRI clinical notes 3600
Package Amount per
dayM1 M100059
21.58 D General Medicine Immune mediated CNS disorders such as autoimmune encephalitis(admission type:
ICU (with ventilator )CSF,MRI clinical notes 4,500
Package Amount per
dayM1 M100059
1555 21.59 A General Medicine Acute transverse myelitis (admission type: Routine ward ) MRI.CSF clinical notes 1800Package Amount per
dayM1 M100060
21.59 B General Medicine Acute transverse myelitis(admission type: HDU ) MRI.CSF clinical notes 2700Package Amount per
dayM1 M100060
21.59 C General Medicine Acute transverse myelitis(admission type: ICU ,without ventilator) MRI.CSF clinical notes 3600Package Amount per
dayM1 M100060
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.59 D General Medicine Acute transverse myelitis(admission type: ICU (with ventilator ) MRI.CSF clinical notes 4,500Package Amount per
dayM1 M100060
1556 21.60 A General Medicine Hydrocephalus (admission type: Routine ward ) CT clinical notes 1800Package Amount per
dayM1 M100062
21.60 B General Medicine Hydrocephalus(admission type: HDU ) CT clinical notes 2700Package Amount per
dayM1 M100062
21.60 C General Medicine Hydrocephalus(admission type: ICU ,without ventilator) CT clinical notes 3600Package Amount per
dayM1 M100062
21.60 D General Medicine Hydrocephalus(admission type: ICU (with ventilator ) CT clinical notes 4,500Package Amount per
dayM1 M100062
1557 21.61 A General Medicine Cerebral sino-venous thrombosis (admission type: Routine ward ) MR Veno clinical notes 1800Package Amount per
dayM1 M100063
21.61 B General Medicine Cerebral sino-venous thrombosis(admission type: HDU ) MR Veno clinical notes 2700Package Amount per
dayM1 M100063
21.61 C General Medicine Cerebral sino-venous thrombosis(admission type: ICU ,without ventilator) MR Veno clinical notes 3600Package Amount per
dayM1 M100063
21.61 D General Medicine Cerebral sino-venous thrombosis(admission type: ICU (with ventilator ) MR Veno clinical notes 4,500Package Amount per
dayM1 M100063
1558 21.62 A General Medicine AKI/ renal failure(dialysis payable separately as an add on package for ) (admission
type: Routine ward )RFT, USG clinical notes 1800
Package Amount per
dayM1 M100064
21.62 B General Medicine AKI/ renal failure(dialysis payable separately as an add on package for )(admission
type: HDU )RFT, USG clinical notes 2700
Package Amount per
dayM1 M100064
21.62 C General Medicine AKI/ renal failure(dialysis payable separately as an add on package for )(admission
type: ICU ,without ventilator)RFT, USG clinical notes 3600
Package Amount per
dayM1 M100064
21.62 D General Medicine AKI/ renal failure(dialysis payable separately as an add on package for )(admission
type: ICU (with ventilator )RFT, USG clinical notes 4,500
Package Amount per
dayM1 M100064
1559 21.63 A General Medicine Status epilepticus (admission type: Routine ward ) MRI,CSF clinical notes 1800Package Amount per
dayM1 M100065
21.63 B General Medicine Status epilepticus(admission type: HDU ) MRI,CSF clinical notes 2700Package Amount per
dayM1 M100065
21.63 C General Medicine Status epilepticus(admission type: ICU ,without ventilator) MRI,CSF clinical notes 3600Package Amount per
dayM1 M100065
21.63 D General Medicine Status epilepticus(admission type: ICU (with ventilator ) MRI,CSF clinical notes 4,500Package Amount per
dayM1 M100065
1560 21.64 A General Medicine Status asthmaticus (admission type: Routine ward ) Clinical History clinical notes 1800Package Amount per
dayM1 M100066
21.64 B General Medicine Status asthmaticus(admission type: HDU ) Clinical History clinical notes 2700Package Amount per
dayM1 M100066
21.64 C General Medicine Status asthmaticus(admission type: ICU ,without ventilator) Clinical History clinical notes 3600Package Amount per
dayM1 M100066
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
21.64 D General Medicine Status asthmaticus(admission type: ICU (with ventilator ) Clinical History clinical notes 4,500Package Amount per
dayM1 M100066
1561 21.65 A General Medicine Respiratory failure due to any cause (pneumonia, asthma, COPD, ARDS, foreign body,
poisoning, head injury etc.) (admission type: Routine ward )Concern Investigation clinical notes 1800
Package Amount per
dayM1 M100067
21.65 B General Medicine Respiratory failure due to any cause (pneumonia, asthma, COPD, ARDS, foreign body,
poisoning, head injury etc.)(admission type: HDU )Concern Investigation clinical notes 2700
Package Amount per
dayM1 M100067
21.65 C General Medicine Respiratory failure due to any cause (pneumonia, asthma, COPD, ARDS, foreign body,
poisoning, head injury etc.)(admission type: ICU ,without ventilator)Concern Investigation clinical notes 3600
Package Amount per
dayM1 M100067
21.65 D General Medicine Respiratory failure due to any cause (pneumonia, asthma, COPD, ARDS, foreign body,
poisoning, head injury etc.)(admission type: ICU (with ventilator )Concern Investigation clinical notes 4,500
Package Amount per
dayM1 M100067
1562 21.66 General Medicine
Blood and blood component transfusion (admission for a diagnostic procedure
leading to treatment requiring admission, e.g. bone marrow and bone biopsy,
endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-alveolar lavage,
lumbar puncture, muscle biopsy, pleural aspiration, ascitic tapping etc.)
Concern Investigation clinical notes 2,000Package Amount per
dayM1 M100068
1563 21.67 General Medicine Plasmapheresis - per session Concern Investigation clinical notes 2,000 M1 M100069
1564 21.68 General Medicine Haemodialysis/Peritoneal Dialysis - per session Concern Investigation clinical notes 2,300 M1 M100070
1565 21.69 General Medicine High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can
only be clubbed with medical package. Rs 5000 per annum limit to a familyclinical notes clinical notes 5,000
capped @ Rs 5000 per
annum for a familyM1 M100071
1566 21.70 General Medicine High end histopathology (Biopsies) and advanced serology investigations - can only be
clubbed with medical package. Rs 5000 per annum limit to a familyclinical notes clinical notes 5,000
capped @ Rs 5000 per
annum for a familyM1 M100072
1567 21.71 General Medicine CONSERVATIVE MANAGEMENT (ISCHEMIC STROKE) CT brain plain,others MRI brain with angiography
60000
(Payment fraction
( 1st week-
35%,2nd week-
25%,3rd week-
( 1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of total
M1 M112001
1568 21.72 General Medicine THROMBOLYSIS WITH ACTILYSE FOR ISCHEMIC STROKE CT brain plain,othersRepeat CT brain after 24 hours,MRI
brain with angiography
120000
(Payment fraction
( 1st week-
50%,2nd week-
15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of
total package
rate)
( 1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of total
package rate)
M1 M112002
1569 21.73 General Medicine INTRAPARENCHYMAL /SUBARACHNOID HEMMORRHAGE (CONSERVATIVE
MANAGEMENT)CT brain plain,others
Repeat CT brain plain , CT angiography
brain
40000
(Payment fraction
( 1st week-
35%,2nd week-
25%,3rd week-
( 1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of total
M1 M112003
1570 21.74 General Medicine MENINGOENCEPHALITIS, OR/ AND EVD/VP shunt (CONSERVATIVE MANAGEMENT) CT brain plain,CSF ,others MRI brain with contrast
110000
(Payment fraction
( 1st week-
35%,2nd week-
25%,3rd week-
( 1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of total
M1 M112004
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1571 21.75 General Medicine MYASTHENIA CRISIS MANAGEMENT BY PLASMAPHERESIS
Clinical diagnosis by
neurophysician OR
previously diagnosed case
Anyone of the following:repetitive
nerve stimulation,ACH-R antibody,Anti-
MUSK antibody
110000
(Payment fraction
( 1st week-
35%,2nd week-
25%,3rd week-
15%,4th week-
10%,5th week-
( 1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of total
package rate)
M1 M112005
1572 21.76 General Medicine MYASTHENIA CRISIS MANAGEMENT BY IV IMMUNOGLOBINS
Clinical diagnosis by
neurophysician OR
previously diagnosed case
Anyone of the following:repetitive
nerve stimulation,ACH-R antibody,Anti-
MUSK antibody
200000
(Payment fraction
( 1st week-
50%,2nd week-
15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of
( 1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of total
package rate)
M1 M112006
1573 21.77 General Medicine Gullian-barre syndrome management by plasmapheresisClinical diagnosis by
neurophysicianCSF study, NCV/EMG
109627
(Payment fraction
( 1st week-
35%,2nd week-
25%,3rd week-
( 1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of total
M1 M112007
1574 21.78 General Medicine Gullian-barre syndrome management by Intravenous immunoglobulinClinical diagnosis by
neurophysicianCSF study, NCV/EMG 200000
( 1st week-50%,2nd
week-15%,3rd week-
10%,4th week-
10%,5th week-
10%,F/u-5%) of total
M1 M112008
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1575 22.1 Mental Disorder Organic, including symptomatic, mental disorders (Admision Type -routine ward)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination 1,500
Government
Reserve,Package
amount is per Day
M8 M800001
1576 22.2 Mental DisorderMental and Behavioural disorders due to psychoactive substance use (Admision Type -
routine ward)
Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination 1,500
Government
Reserve,Package
amount is per Day
M8 M800002
1577 22.3 Mental Disorder Schizophrenia, schizotypal and delusional disorders (Admision Type -routine ward)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination 1,500
Government
Reserve,Package
amount is per Day
M8 M800003
1578 22.4 Mental Disorder Mood (affective) disorders (Admision Type -routine ward)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
1,500
Government
Reserve,Package
amount is per Day
M8 M800004
1579 22.5 Mental Disorder Neurotic, stress-related and somatoform disorders (Admision Type -routine ward)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
1,500 M8 M800005
Cluster - 22 MENTAL DISORDER PACKAGES
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1580 22.6 Mental DisorderBehavioural syndromes associated with physiological disturbances and physical
factors (Admision Type -routine ward)
Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
1,500
Government
Reserve,Package
amount is per Day
M8 M800006
1581 22.7 Mental Disorder Mental retardation (Admision Type -routine ward)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
1,500
Government
Reserve,Package
amount is per Day
M8 M800007
1582 22.8 Mental Disorder Organic, including symptomatic, mental disorders (Admision Type -HDU)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
2,500
Government
Reserve,Package
amount is per Day
M8 M800008
1583 22.9 Mental DisorderMental and Behavioural disorders due to psychoactive substance use (Admision Type -
HDU)
Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
2,500
Government
Reserve,Package
amount is per Day
M8 M800009
1584 22.10 Mental Disorder Schizophrenia, schizotypal and delusional disorders (Admision Type -HDU)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
2,500
Government
Reserve,Package
amount is per Day
M8 M800010
1585 22.11 Mental Disorder Mood (affective) disorders (Admision Type -HDU)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
2,500
Government
Reserve,Package
amount is per Day
M8 M800011
1586 22.12 Mental Disorder Neurotic, stress-related and somatoform disorders (Admision Type -HDU)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
2,500
Government
Reserve,Package
amount is per Day
M8 M800012
1587 22.13 Mental DisorderBehavioural syndromes associated with physiological disturbances and physical
factors (Admision Type -HDU)
Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
2,500
Government
Reserve,Package
amount is per Day
M8 M800013
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1588 22.14 Mental Disorder Mental Retardation (Admision Type -HDU)Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
2,500
Government
Reserve,Package
amount is per Day
M8 M800014
1589 22.15 Mental Disorder
Pre- Electro Convulsive Therapy (ECT) and Pre- Transcranial Magnetic Stimulation
(TMS) Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal
Function Test, Serum Electrolytes, Electro Cardiogram (ECG), CT/MRI Brain,
Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels,
Folate levels, Lipid Profile, Homocysteine levels)
Clinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
10,000 Government Reserve M8 M800015
1590 22.16 Mental Disorder Electro Convulsive Therapy (ECT) - per sessionClinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
3,000 Government Reserve M8 M800016
1591 22.17 Mental Disorder Transcranial Magnetic Stimulation (TMS) - per sessionClinical assessment and
investigations
Clinical assessment& Report/ Mental
Status Examination/Related
Investigations
1,000 Government Reserve M8 M800017
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1592 23.1Emergency Room
PackagesEmergency with stable cardiopulmonary status X Ray,ECG with report X Ray,ECG with report 1,000 M7 M700001
1593 23.2Emergency Room
Packages
Emergency consultation: acute colic, high fever, cut, stitches, soft tissue injury, FB
removalBlood test clinical notes 1,000 M7 M700002
1594 23.3Emergency Room
Packages
Single bone fracture plaster, nebulization for asthmatic attack, moderate
dehydration, hypoglycaemia in a diabetic, Dengue without complication, Syncope,
Food poisoning etc
Blood test clinical notes 1,000 M7 M700003
1595 23.4Emergency Room
PackagesAnimal bites (Payment after completion of 5th dose) clinical notes Antirabies register/Stock register 1,700 M7 M700004
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
Cluster - 23 EMERGENCY ROOM PACKAGES (Care Requiring Less Than 12 hrs Stay )
Cluster - 24 PEAEDIATRIC MEDICAL MANAGEMENT
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1596 24.1 A Pediatric Medicine Diarrhoea (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200001
24.1 B Pediatric Medicine Diarrhoea (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200001
24.1 C Pediatric Medicine Diarrhoea (admission type: ICU without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200001
24.1 D Pediatric Medicine Diarrhoea (admission type: ICU (with ventilator))clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200001
1597 24.2 A Pediatric Medicine Acute dysentery (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200002
24.2 B Pediatric Medicine Acute dysentery(admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200002
24.2 C Pediatric Medicine Acute dysentery (admission type: ICU (without ventilator))clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200002
24.2 D Pediatric Medicine Acute dysentery (admission type: ICU (with ventilator))clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200002
1598 24.3 A Pediatric Medicine Pneumonia (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100019
24.3 B Pediatric Medicine Pneumonia (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100019
24.3 C Pediatric Medicine Pneumonia (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100019
24.3 D Pediatric Medicine Pneumonia (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100019
1599 24.4 A Pediatric Medicine Urinary tract infection (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200004
24.4 B Pediatric Medicine Urinary tract infection (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200004
24.4 C Pediatric Medicine Urinary tract infection (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200004
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.4 D Pediatric Medicine Urinary tract infection (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200004
1600 24.5 A Pediatric Medicine Acute Exacerbation of asthma (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200005
24.5 B Pediatric Medicine Acute Exacerbation of asthma (admission type:HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200005
24.5 C Pediatric Medicine Acute Exacerbation of asthma (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200005
24.5 D Pediatric Medicine Acute Exacerbation of asthma (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200005
1601 24.6 A Pediatric Medicine Acute glomerulonephritis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200006
24.6 B Pediatric Medicine Acute glomerulonephritis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200006
24.6 C Pediatric Medicine Acute glomerulonephritis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200006
24.6 D Pediatric Medicine Acute glomerulonephritis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200006
1602 24.7 A Pediatric Medicine Acute urticaria/ Anaphylaxis acute asthma (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200007
24.7 B Pediatric Medicine Acute urticaria/ Anaphylaxis acute asthma (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200007
24.7 C Pediatric Medicine Acute urticaria/ Anaphylaxis acute asthma (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200007
24.7 D Pediatric Medicine Acute urticaria/ Anaphylaxis acute asthma (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200007
1603 24.8 A Pediatric Medicine Poisonings with normal vital signs (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200008
24.8 B Pediatric Medicine Poisonings with normal vital signs (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200008
24.8 C Pediatric Medicine Poisonings with normal vital signs (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200008
24.8 D Pediatric Medicine Poisonings with normal vital signs (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200008
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1604 24.9 A Pediatric Medicine Febrile seizures/other seizures (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200009
24.9 B Pediatric Medicine Febrile seizures/other seizures (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200009
24.9 C Pediatric Medicine Febrile seizures/other seizures (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200009
24.9 D Pediatric Medicine Febrile seizures/other seizures (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200009
1605 24.10 A Pediatric Medicine Epileptic encephalopathy (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200010
24.10 B Pediatric Medicine Epileptic encephalopathy (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200010
24.10 C Pediatric Medicine Epileptic encephalopathy (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200010
24.10 D Pediatric Medicine Epileptic encephalopathy (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200010
1606 24.11 A Pediatric Medicine Optic neuritis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200011
24.11 B Pediatric Medicine Optic neuritis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200011
24.11 C Pediatric Medicine Optic neuritis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200011
24.11 D Pediatric Medicine Optic neuritis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200011
1607 24.12 A Pediatric Medicine Aseptic meningitis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200012
24.12 B Pediatric Medicine Aseptic meningitis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200012
24.12 C Pediatric Medicine Aseptic meningitis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200012
24.12 D Pediatric Medicine Aseptic meningitis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200012
1608 24.13 A Pediatric Medicine Trauma (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200013
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.13 B Pediatric Medicine Trauma (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200013
24.13 C Pediatric Medicine Trauma (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200013
24.13 D Pediatric Medicine Trauma (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200013
1609 24.14 A Pediatric Medicine Pyrexia of unexplained origin (admission type:Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200014
24.14 B Pediatric Medicine Pyrexia of unexplained origin (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200014
24.14 C Pediatric Medicine Pyrexia of unexplained origin (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200014
24.14 D Pediatric Medicine Pyrexia of unexplained origin (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200014
1610 24.15 A Pediatric Medicine Chronic cough (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200015
24.15 B Pediatric Medicine Chronic cough (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200015
24.15 C Pediatric Medicine Chronic cough (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200015
24.15 D Pediatric Medicine Chronic cough (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200015
1611 24.16 A Pediatric Medicine Wheezing (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200016
24.16 B Pediatric Medicine Wheezing (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200016
24.16 C Pediatric Medicine Wheezing (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200016
24.16 D Pediatric Medicine Wheezing (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200016
1612 24.17 A Pediatric Medicine Unexplained seizures (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200017
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.17 B Pediatric Medicine Unexplained seizures (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200017
24.17 C Pediatric Medicine Unexplained seizures (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200017
24.17 D Pediatric Medicine Unexplained seizures (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200017
1613 24.18 A Pediatric MedicineGlobal developmental delay/ Intellectual disability of unknown etiology (admission
type: Routine ward)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200018
24.18 B Pediatric MedicineGlobal developmental delay/ Intellectual disability of unknown etiology (admission
type: HDU)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200018
24.18 C Pediatric MedicineGlobal developmental delay/ Intellectual disability of unknown etiology (admission
type: ICU, without ventilator
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200018
24.18 D Pediatric MedicineGlobal developmental delay/ Intellectual disability of unknown etiology (admission
type: ICU, with ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200018
1614 24.19 A Pediatric Medicine Dysmorphic children (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200019
24.19 B Pediatric Medicine Dysmorphic children (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200019
24.19 C Pediatric Medicine Dysmorphic children (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200019
24.19 D Pediatric Medicine Dysmorphic children (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200019
1615 24.20 A Pediatric Medicine Rickets (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200020
24.20 B Pediatric Medicine Rickets (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200020
24.20 C Pediatric Medicine Rickets (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200020
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.20 D Pediatric Medicine Rickets (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200020
1616 24.21 A Pediatric Medicine Unexplained severe anemia (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200021
24.21 B Pediatric Medicine Unexplained severe anemia (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200021
24.21 C Pediatric Medicine Unexplained severe anemia (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200021
24.21 D Pediatric Medicine Unexplained severe anemia (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200021
1617 24.22 A Pediatric Medicine Short stature (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200022
24.22 B Pediatric Medicine Short stature (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200022
24.22 C Pediatric Medicine Short stature (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200022
24.22 D Pediatric Medicine Short stature (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200022
1618 24.23 A Pediatric Medicine Musculoskeletal problems (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200023
24.23 B Pediatric Medicine Musculoskeletal problems (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200023
24.23 C Pediatric Medicine Musculoskeletal problems (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200023
24.23 D Pediatric Medicine Musculoskeletal problems (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200023
1619 24.24 A Pediatric Medicine Developmental and behavioral disorders (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200024
24.24 B Pediatric Medicine Developmental and behavioral disorders (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200024
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.24 C Pediatric Medicine Developmental and behavioral disorders (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200024
24.24 D Pediatric Medicine Developmental and behavioral disorders (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200024
1620 24.25 A Pediatric Medicine Diabetic ketoacidosis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100010
24.25 B Pediatric Medicine Diabetic ketoacidosis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100010
24.25 C Pediatric Medicine Diabetic ketoacidosis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100010
24.25 D Pediatric Medicine Diabetic ketoacidosis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100010
1621 24.26 A Pediatric Medicine Nephrotic syndrome with peritonitis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200026
24.26 B Pediatric Medicine Nephrotic syndrome with peritonitis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200026
24.26 C Pediatric Medicine Nephrotic syndrome with peritonitis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200026
24.26 D Pediatric Medicine Nephrotic syndrome with peritonitis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200026
1622 24.27 A Pediatric Medicine Pyogenic meningitis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200027
24.27 B Pediatric Medicine Pyogenic meningitis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200027
24.27 C Pediatric Medicine Pyogenic meningitis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200027
24.27 D Pediatric Medicine Pyogenic meningitis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200027
1623 24.28 A Pediatric Medicine Persistent/ Chronic diarrhea (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200028
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.28 B Pediatric Medicine Persistent/ Chronic diarrhea (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200028
24.28 C Pediatric Medicine Persistent/ Chronic diarrhea (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200028
24.28 D Pediatric Medicine Persistent/ Chronic diarrhea (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200028
1624 24.29 A Pediatric Medicine Acute severe malnutrition (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200029
24.29 B Pediatric Medicine Acute severe malnutrition (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 27,000 M2 M200029
24.29 C Pediatric Medicine Acute severe malnutrition (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200029
24.29 D Pediatric Medicine Acute severe malnutrition (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200029
1625 24.30 A Pediatric Medicine Dengue (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200030
24.30 B Pediatric Medicine Dengue (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200030
24.30 C Pediatric Medicine Dengue (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200030
24.30 D Pediatric Medicine Dengue (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200030
1626 24.31 A Pediatric Medicine Enteric fever (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100018
24.31 B Pediatric Medicine Enteric fever (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100018
24.31 C Pediatric Medicine Enteric fever (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100018
24.31 D Pediatric Medicine Enteric fever (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100018
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1627 24.32 A Pediatric Medicine Chikungunya (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200032
24.32 B Pediatric Medicine Chikungunya (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200032
24.32 C Pediatric Medicine Chikungunya (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200032
24.32 D Pediatric Medicine Chikungunya (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200032
1628 24.33 A Pediatric Medicine Acute hepatitis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200033
24.33 B Pediatric Medicine Acute hepatitis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200033
24.33 C Pediatric Medicine Acute hepatitis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200033
24.33 D Pediatric Medicine Acute hepatitis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200033
1629 24.34 A Pediatric Medicine Kala azar (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200034
24.34 B Pediatric Medicine Kala azar (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200034
24.34 C Pediatric Medicine Kala azar (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200034
24.34 D Pediatric Medicine Kala azar (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200034
1630 24.35 A Pediatric Medicine Tuberculosis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200035
24.35 B Pediatric Medicine Tuberculosis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200035
24.35 C Pediatric Medicine Tuberculosis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200035
24.35 D Pediatric Medicine Tuberculosis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200035
1631 24.36 A Pediatric Medicine HIV with complications (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100039
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.36 B Pediatric Medicine HIV with complications (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100039
24.36 C Pediatric Medicine HIV with complications (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100039
24.36 D Pediatric Medicine HIV with complications (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100039
1632 24.37 A Pediatric Medicine Infantile cholestasis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200037
24.37 B Pediatric Medicine Infantile cholestasis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200037
24.37 C Pediatric Medicine Infantile cholestasis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200037
24.37 D Pediatric Medicine Infantile cholestasis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200037
1633 24.38 A Pediatric Medicine Haemolytic uremic syndrome (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200038
24.38 B Pediatric Medicine Haemolytic uremic syndrome (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200038
24.38 C Pediatric Medicine Haemolytic uremic syndrome (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200038
24.38 D Pediatric Medicine Haemolytic uremic syndrome (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200038
1634 24.39 A Pediatric Medicine ITP (admission type: Routine down)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200039
24.39 B Pediatric Medicine ITP (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200039
24.39 C Pediatric Medicine ITP (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200039
24.39 D Pediatric Medicine ITP (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200039
1635 24.40 A Pediatric Medicine Juvenile myasthenia (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200040
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.40 B Pediatric Medicine Juvenile myasthenia (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200040
24.40 C Pediatric Medicine Juvenile myasthenia (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200040
24.40 D Pediatric Medicine Juvenile myasthenia (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200040
1636 24.41 A Pediatric Medicine Kawasaki Disease (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200041
24.41 B Pediatric Medicine Kawasaki Disease (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200041
24.41 C Pediatric Medicine Kawasaki Disease (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200041
24.41 D Pediatric Medicine Kawasaki Disease (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200041
1637 24.42 A Pediatric Medicine Persistent pneumonia (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200042
24.42 B Pediatric Medicine Persistent pneumonia (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200042
24.42 C Pediatric Medicine Persistent pneumonia (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200042
24.42 D Pediatric Medicine Persistent pneumonia (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200042
1638 24.43 A Pediatric Medicine Empyema (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200043
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.43 B Pediatric Medicine Empyema (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200043
24.43 C Pediatric Medicine Empyema (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200043
24.43 D Pediatric Medicine Empyema (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200043
1639 24.44 A Pediatric Medicine Immune haemolytic anemia (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200044
24.44 B Pediatric Medicine Immune haemolytic anemia (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200044
24.44 C Pediatric Medicine Immune haemolytic anemia (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200044
24.44 D Pediatric Medicine Immune haemolytic anemia (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200044
1640 24.45 A Pediatric Medicine Cyanotic spells (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200045
24.45 B Pediatric Medicine Cyanotic spells (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200045
24.45 C Pediatric Medicine Cyanotic spells (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200045
24.45 D Pediatric Medicine Cyanotic spells (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200045
1641 24.46 A Pediatric Medicine Rheumatic fever (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200046
24.46 B Pediatric Medicine Rheumatic fever (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200046
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.46 C Pediatric Medicine Rheumatic fever (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200046
24.46 D Pediatric Medicine Rheumatic fever (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200046
1642 24.47 A Pediatric Medicine Rheumatoid arthritis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200047
24.47 B Pediatric Medicine Rheumatoid arthritis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200047
24.47 C Pediatric Medicine Rheumatoid arthritis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200047
24.47 D Pediatric Medicine Rheumatoid arthritis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200047
1643 24.48 A Pediatric Medicine Encephalitis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200048
24.48 B Pediatric Medicine Encephalitis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200048
24.48 C Pediatric Medicine Encephalitis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200048
24.48 D Pediatric Medicine Encephalitis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200048
1644 24.49 A Pediatric Medicine Chronic meningitis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200049
24.49 B Pediatric Medicine Chronic meningitis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200049
24.49 C Pediatric Medicine Chronic meningitis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200049
24.49 D Pediatric Medicine Chronic meningitis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200049
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1645 24.50 A Pediatric MedicineIntracranial ring enhancing lesion with complication (neurocysticercosis,
tuberculoma) (admission type: Routine ward)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200050
24.50 B Pediatric MedicineIntracranial ring enhancing lesion with complication (neurocysticercosis,
tuberculoma) (admission type: HDU)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200050
24.50 C Pediatric MedicineIntracranial ring enhancing lesion with complication (neurocysticercosis,
tuberculoma) (admission type: ICU, without ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200050
24.50 D Pediatric MedicineIntracranial ring enhancing lesion with complication (neurocysticercosis,
tuberculoma) (admission type: ICU, with ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200050
1646 24.51 A Pediatric Medicine Refractory seizures (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200051
24.51 B Pediatric Medicine Refractory seizures (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200051
24.51 C Pediatric Medicine Refractory seizures (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200051
24.51 D Pediatric Medicine Refractory seizures (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200051
1647 24.52 A Pediatric Medicine Floppy infant (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200052
24.52 B Pediatric Medicine Floppy infant (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200052
24.52 C Pediatric Medicine Floppy infant (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200052
24.52 D Pediatric Medicine Floppy infant (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200052
1648 24.53 A Pediatric Medicine Acute neuroregression (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200053
24.53 B Pediatric Medicine Acute neuroregression (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200053
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.53 C Pediatric Medicine Acute neuroregression (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200053
24.53 D Pediatric Medicine Acute neuroregression (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200053
1649 24.54 A Pediatric Medicine Neuromuscular disorders (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100040
24.54 B Pediatric Medicine Neuromuscular disorders (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100040
24.54 C Pediatric Medicine Neuromuscular disorders (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100040
24.54 D Pediatric Medicine Neuromuscular disorders (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100040
1650 24.55 A Pediatric Medicine Opsoclonus myoclonus syndrome (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200055
24.55 B Pediatric Medicine Opsoclonus myoclonus syndrome (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200055
24.55 C Pediatric Medicine Opsoclonus myoclonus syndrome (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200055
24.55 D Pediatric Medicine Opsoclonus myoclonus syndrome (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200055
1651 24.56 A Pediatric Medicine Acute ataxia (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200056
24.56 B Pediatric Medicine Acute ataxia (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200056
24.56 C Pediatric Medicine Acute ataxia (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200056
24.56 D Pediatric Medicine Acute ataxia (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200056
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1652 24.57 A Pediatric Medicine Steven Johnson syndrome (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200057
24.57 B Pediatric Medicine Steven Johnson syndrome (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200057
24.57 C Pediatric Medicine Steven Johnson syndrome (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200057
24.57 D Pediatric Medicine Steven Johnson syndrome (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200057
1653 24.58 A Pediatric Medicine Metabolic encephalopathy (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100041
24.58 B Pediatric Medicine Metabolic encephalopathy (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100041
24.58 C Pediatric Medicine Metabolic encephalopathy (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100041
24.58 D Pediatric Medicine Metabolic encephalopathy (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100041
1654 24.59 A Pediatric Medicine Ketogenic diet initiation in refractory epilepsy (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200059
24.59 B Pediatric Medicine Ketogenic diet initiation in refractory epilepsy (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200059
24.59 C Pediatric MedicineKetogenic diet initiation in refractory epilepsy (admission type: ICU, without
ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200059
24.59 D Pediatric Medicine Ketogenic diet initiation in refractory epilepsy (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200059
1655 24.60 A Pediatric Medicine Inborn errors of metabolism (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200060
24.60 B Pediatric Medicine Inborn errors of metabolism (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200060
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.60 C Pediatric Medicine Inborn errors of metabolism (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200060
24.60 D Pediatric Medicine Inborn errors of metabolism (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200060
1656 24.61 A Pediatric Medicine Wilson’s disease (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200061
24.61 B Pediatric Medicine Wilson’s disease (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200061
24.61 C Pediatric Medicine Wilson’s disease (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200061
24.61 D Pediatric Medicine Wilson’s disease (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200061
1657 24.62 A Pediatric Medicine Celiac disease (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200062
24.62 B Pediatric Medicine Celiac disease (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200062
24.62 C Pediatric Medicine Celiac disease (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200062
24.62 D Pediatric Medicine Celiac disease (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200062
1658 24.63 A Pediatric Medicine Unexplained jaundice (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200063
24.63 B Pediatric Medicine Unexplained jaundice (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200063
24.63 C Pediatric Medicine Unexplained jaundice (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200063
24.63 D Pediatric Medicine Unexplained jaundice (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200063
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1659 24.64 A Pediatric Medicine Unexplained hepatosplenomegaly (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200064
24.64 B Pediatric Medicine Unexplained hepatosplenomegaly (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200064
24.64 C Pediatric Medicine Unexplained hepatosplenomegaly (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200064
24.64 D Pediatric Medicine Unexplained hepatosplenomegaly (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200064
1660 24.65 A Pediatric Medicine Severe pneumonia (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100047
24.65 B Pediatric Medicine Severe pneumonia (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100047
24.65 C Pediatric Medicine Severe pneumonia (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100047
24.65 D Pediatric Medicine Severe pneumonia (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100047
1661 24.66 A Pediatric Medicine Severe exacerbation of asthma (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200066
24.66 B Pediatric Medicine Severe exacerbation of asthma (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200066
24.66 C Pediatric Medicine Severe exacerbation of asthma (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200066
24.66 D Pediatric Medicine Severe exacerbation of asthma (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200066
1662 24.67 A Pediatric Medicine Acute kidney injury (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200067
24.67 B Pediatric Medicine Acute kidney injury (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200067
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.67 C Pediatric Medicine Acute kidney injury (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200067
24.67 D Pediatric Medicine Acute kidney injury (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200067
1663 24.68 A Pediatric Medicine Poisonings (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200068
24.68 B Pediatric Medicine Poisonings (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200068
24.68 C Pediatric Medicine Poisonings (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200068
24.68 D Pediatric Medicine Poisonings (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200068
1664 24.69 A Pediatric Medicine Serious trauma with unstable vitals (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200069
24.69 B Pediatric Medicine Serious trauma with unstable vitals (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200069
24.69 C Pediatric Medicine Serious trauma with unstable vitals (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200069
24.69 D Pediatric Medicine Serious trauma with unstable vitals (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200069
1665 24.70 A Pediatric Medicine Upper GI hemorrhage (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200070
24.70 B Pediatric Medicine Upper GI hemorrhage (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200070
24.70 C Pediatric Medicine Upper GI hemorrhage (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200070
24.70 D Pediatric Medicine Upper GI hemorrhage (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200070
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1666 24.71 A Pediatric Medicine Lower GI hemorrhage (admission type: Routine ward )clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100058
24.71 B Pediatric Medicine Lower GI hemorrhage (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100058
24.71 C Pediatric Medicine Lower GI hemorrhage (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100058
24.71 D Pediatric Medicine Lower GI hemorrhage (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100058
1667 24.72 A Pediatric Medicine Acute abdomen (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200072
24.72 B Pediatric Medicine Acute abdomen (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200072
24.72 C Pediatric Medicine Acute abdomen (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200072
24.72 D Pediatric Medicine Acute abdomen (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200072
1668 24.73 A Pediatric Medicine Liver abscess (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100021
24.73 B Pediatric Medicine Liver abscess (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100021
24.73 C Pediatric Medicine Liver abscess (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100021
24.73 D Pediatric Medicine Liver abscess (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100021
1669 24.74 A Pediatric Medicine Complicated malaria (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100051
24.74 B Pediatric Medicine Complicated malaria (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100051
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.74 C Pediatric Medicine Complicated malaria (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100051
24.74 D Pediatric Medicine Complicated malaria (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100051
1670 24.75 A Pediatric Medicine Severe dengue with shock (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200075
24.75 B Pediatric Medicine Severe dengue with shock (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200075
24.75 C Pediatric Medicine Severe dengue with shock (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200075
24.75 D Pediatric Medicine Severe dengue with shock (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200075
1671 24.76 A Pediatric Medicine Congestive cardiac failure (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200076
24.76 B Pediatric Medicine Congestive cardiac failure (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200076
24.76 C Pediatric Medicine Congestive cardiac failure (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200076
24.76 D Pediatric Medicine Congestive cardiac failure (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200076
1672 24.77 A Pediatric Medicine Brain abscess (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200077
24.77 B Pediatric Medicine Brain abscess (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200077
24.77 C Pediatric Medicine Brain abscess (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200077
24.77 D Pediatric Medicine Brain abscess (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200077
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1673 24.78 A Pediatric Medicine Acute encephalitic syndrome (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200078
24.78 B Pediatric Medicine Acute encephalitic syndrome (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200078
24.78 C Pediatric Medicine Acute encephalitic syndrome (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200078
24.78 D Pediatric Medicine Acute encephalitic syndrome (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200078
1674 24.79 A Pediatric Medicine Acute demyelinating myelopathy, (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200079
24.79 B Pediatric Medicine Acute demyelinating myelopathy, (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200079
24.79 C Pediatric Medicine Acute demyelinating myelopathy, (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200079
24.79 D Pediatric Medicine Acute demyelinating myelopathy, (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200079
1675 24.80 A Pediatric MedicineImmune mediated CNS disorders such as autoimmune encephalitis (admission type:
Routine ward)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100059
24.80 B Pediatric MedicineImmune mediated CNS disorders such as autoimmune encephalitis (admission type:
HDU)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100059
24.80 C Pediatric MedicineImmune mediated CNS disorders such as autoimmune encephalitis (admission type:
ICU, without ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100059
24.80 D Pediatric MedicineImmune mediated CNS disorders such as autoimmune encephalitis (admission type:
ICU, with ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100059
1676 24.81 A Pediatric Medicine Acute transverse myelitis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100060
24.81 B Pediatric Medicine Acute transverse myelitis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100060
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.81 C Pediatric Medicine Acute transverse myelitis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100060
24.81 D Pediatric Medicine Acute transverse myelitis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100060
1677 24.82 A Pediatric Medicine Guillain Barre Syndrome (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200082
24.82 B Pediatric Medicine Guillain Barre Syndrome (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200082
24.82 C Pediatric Medicine Guillain Barre Syndrome (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200082
24.82 D Pediatric Medicine Guillain Barre Syndrome (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200082
1678 24.83 A Pediatric Medicine Hydrocephalus (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100062
24.83 B Pediatric Medicine Hydrocephalus (admission type:HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100062
24.83 C Pediatric Medicine Hydrocephalus (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100062
24.83 D Pediatric Medicine Hydrocephalus (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100062
1679 24.84 A Pediatric Medicine Intracranial space occupying lesion (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200084
24.84 B Pediatric Medicine Intracranial space occupying lesion (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200084
24.84 C Pediatric Medicine Intracranial space occupying lesion (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200084
24.84 D Pediatric Medicine Intracranial space occupying lesion (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200084
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1680 24.85 A Pediatric Medicine Cerebral malaria (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200085
24.85 B Pediatric Medicine Cerebral malaria (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200085
24.85 C Pediatric Medicine Cerebral malaria (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200085
24.85 D Pediatric Medicine Cerebral malaria (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200085
1681 24.86 A Pediatric Medicine Acute ischemic stroke (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200086
24.86 B Pediatric Medicine Acute ischemic stroke (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200086
24.86 C Pediatric Medicine Acute ischemic stroke (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200086
24.86 D Pediatric Medicine Acute ischemic stroke (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200086
1682 24.87 A Pediatric Medicine Cerebral sino-venous thrombosis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100063
24.87 B Pediatric Medicine Cerebral sino-venous thrombosis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100063
24.87 C Pediatric Medicine Cerebral sino-venous thrombosis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100063
24.87 D Pediatric Medicine Cerebral sino-venous thrombosis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100063
1683 24.88 A Pediatric MedicineRespiratory failure due to any causes (pneumonia, asthma, foreign body, poisoning,
head injury etc.) (admission type: Routine ward)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200088
24.88 B Pediatric MedicineRespiratory failure due to any causes (pneumonia, asthma, foreign body, poisoning,
head injury etc.) (admission type: HDU)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200088
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.88 C Pediatric MedicineRespiratory failure due to any causes (pneumonia, asthma, foreign body, poisoning,
head injury etc.) (admission type: ICU, without ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200088
24.88 D Pediatric MedicineRespiratory failure due to any causes (pneumonia, asthma, foreign body, poisoning,
head injury etc.) (admission type: ICU, with ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200088
1684 24.89 A Pediatric Medicine Acute transverse myelitis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M100060
24.89 B Pediatric Medicine Acute transverse myelitis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M100060
24.89 C Pediatric Medicine Acute transverse myelitis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M100060
24.89 D Pediatric Medicine Acute transverse myelitis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M100060
1685 24.90 A Pediatric Medicine Acute encephalitis –infectious/immune-mediated (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200090
24.90 B Pediatric Medicine Acute encephalitis –infectious/immune-mediated (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200090
24.90 C Pediatric MedicineAcute encephalitis –infectious/immune-mediated (admission type: ICU, without
ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200090
24.90 D Pediatric MedicineAcute encephalitis –infectious/immune-mediated (admission type: ICU, with
ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200090
1686 24.91 A Pediatric Medicine Convulsive & non convulsive status epilepticus (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200091
24.91 B Pediatric Medicine Convulsive & non convulsive status epilepticus (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200091
24.91 C Pediatric MedicineConvulsive & non convulsive status epilepticus (admission type: ICU, without
ventilator)
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200091
24.91 D Pediatric Medicine Convulsive & non convulsive status epilepticus (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200091
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1687 24.92 A Pediatric Medicine Cerebral herniation (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200092
24.92 B Pediatric Medicine Cerebral herniation (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200092
24.92 C Pediatric Medicine Cerebral herniation (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200092
24.92 D Pediatric Medicine Cerebral herniation (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200092
1688 24.93 A Pediatric Medicine Intracranial hemorrhage (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200093
24.93 B Pediatric Medicine Intracranial hemorrhage (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200093
24.93 C Pediatric Medicine Intracranial hemorrhage (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200093
24.93 D Pediatric Medicine Intracranial hemorrhage (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200093
1689 24.94 A Pediatric Medicine Hepatic encephalopathy (admission type: Rourine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200094
24.94 B Pediatric Medicine Hepatic encephalopathy (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200094
24.94 C Pediatric Medicine Hepatic encephalopathy (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200094
24.94 D Pediatric Medicine Hepatic encephalopathy (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200094
1690 24.95 A Pediatric Medicine Complicated bacterial meningitis (admission type: Routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200095
24.95 B Pediatric Medicine Complicated bacterial meningitis (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200095
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
24.95 C Pediatric Medicine Complicated bacterial meningitis (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200095
24.95 D Pediatric Medicine Complicated bacterial meningitis (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200095
1691 24.96 A Pediatric Medicine Raised intracranial pressure (admission type: routine ward)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200096
24.96 B Pediatric Medicine Raised intracranial pressure (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200096
24.96 C Pediatric Medicine Raised intracranial pressure (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200096
24.96 D Pediatric Medicine Raised intracranial pressure (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200096
1692 24.97 A Pediatric Medicine Hypertensive encephalopathy (admission type: Routind)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,800 M2 M200097
24.97 B Pediatric Medicine Hypertensive encephalopathy (admission type: HDU)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 2,700 M2 M200097
24.97 C Pediatric Medicine Hypertensive encephalopathy (admission type: ICU, without ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 3,600 M2 M200097
24.97 D Pediatric Medicine Hypertensive encephalopathy (admission type: ICU, with ventilator)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 4,500 M2 M200097
1693 24.98 Pediatric Medicine CRRT (per session)clinical notes,Concern
Investigationsclinical notes,Concern Investigations 8,000 M2 M200098
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1694 24.99 Pediatric Medicine
Blood and blood component transfusion up to a limit of 2 days(admission for a
diagnostic procedure leading to treatment requiring admission, e.g. bone marrow and
bone biopsy, endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-
alveolar lavage, lumbar puncture, muscle biopsy, FNAC, pleural aspiration, ascitic
tapping, neostigmine challenge test etc.)Package rate per Day
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,500 Package rate per Day M2 M200099
1695 24.100 Pediatric MedicineBlood and blood component transfusion for indications like
Thalassemia/Hemoglobinopathies - upto a limit of 2 days,Package rate per Day
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 1,500 Package rate per Day M2 M200100
1696 24.101 Pediatric MedicineHigh end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can
only be clubbed with medical package.
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 5,000
capped @ Rs 5000 per
annum for a familyM2 M200101
1697 24.102 Pediatric MedicineHigh end histopathology (Biopsies) and advanced serology investigations - can only be
clubbed with medical package.
clinical notes,Concern
Investigationsclinical notes,Concern Investigations 5,000
capped @ Rs 5000 per
annum for a familyM2 M200102
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1698 25.1 Neonatal
Basic neonatal care package (Rs. 500 per day, maximum 1500): Babies that can be
managed by side of mother in postnatal ward without requiring admission in
SNCU/NICU:
• Any newborn needing feeding support
• Babies requiring closer monitoring or short-term care for conditions like:
o Birth asphyxia (need for positive pressure ventilation; no HIE)
o Moderate jaundice requiring phototherapy
o Large for dates (>97 percentile) Babies
o Small for gestational age (less than 3rd centile) (Package rate is per day)
Blood sugar,Blood
group,Complete blood
count,Coombs test,others
as required,Concern
Investigaions
clinical notes,Concern Investigaions 500Capped Amount is
1500 for this PackageM3 M300001
Cluster - 25 NEO-NATAL PACKAGES
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1699 25.2 Neonatal
Special Neonatal Care Package (Rs. 3000 per day, maximum of 18000 - pre-auth after
4 days): Babies that required admission to SNCU or NICU:
Babies admitted for short term care for conditions like:
• Mild Respiratory Distress/tachypnea
• Mild encephalopathy
• Severe jaundice requiring intensive phototherapy
• Haemorrhagic disease of newborn
• Unwell baby requiring monitoring
• Some dehydration
• Hypoglycaemia
Mother's stay and food in the hospital for breastfeeding, family centred care and
(Kangaroo Mother Care) KMC is mandatory and included in the package rate
Blood sugar (Package rate
is per day)
Complete Blood Picture
Blood group
Bilirubin
Coombs Test
Chest X ray
CRP
Micro ESR
Blood Culture
Electrolytes
Renal function tests
Coagulation profile
Others as required
clinical notes,Concern Investigaions 3,000
Capped Amount is
18000 for this
Package
M3 M300002
1700 25.3 Neonatal
Intensive Neonatal Care Package (Rs. 5000 per day, maximum of Rs. 50,000 – pre-
auth is needed after 5 days) (Package rate is per day)
Babies with birthweight 1500-1799 g
or
Babies of any birthweight and at least one of the following conditions:
• Need for mechanical ventilation for less than 24 hours or non-invasive respiratory
support (CPAP, HFFNC)
• Sepsis / pneumonia without complications
• Hyperbilirubinemia requiring exchange transfusion
• Seizures
• Major congenital malformations (pre-surgical stabilization, not requiring
ventilation)
• Cholestasis significant enough requiring work up and in-hospital management
• Congestive heart failure or shock
Mother's stay and food in the hospital for breastfeeding, family centred care and
(Kangaroo Mother Care) KMC is mandatory and included in the package rate
Concern Investigaions clinical notes,Concern Investigaions 5,000
Capped Amount is
50000 for this
Package
M3 M300003
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1701 25.4 Neonatal
Advanced Neonatal Care Package (Rs. 6000 per day, maximum of Rs. 75,000 – pre-
auth is needed after 7 days) (Package rate is per day)
Babies with birthweight of 1200-1499 g
or
Babies of any birthweight with at least one of the following conditions:
• Any condition requiring invasive ventilation longer than 24 hours
• Hypoxic Ischemic encephalopathy requiring Therapeutic Hypothermia
• Cardiac rhythm disorders needing intervention (the cost of cardiac surgery or
implant will be covered under cardiac surgery packages)
• Sepsis with complications such as meningitis or bone and joint infection, DIC or
shock
• Renal failure requiring dialysis
• Inborn errors of metabolism
Mother's stay and food in the hospital for breastfeeding, family centred care and
(Kangaroo Mother Care) KMC is mandatory and included in the package rate
Concern Investigaions clinical notes,Concern Investigaions 6,000
Capped Amount is
75000 for this
Package
M3 M300004
1702 25.5 Neonatal
Critical Care Neonatal Package (Rs. 7000 per day, maximum of Rs. 1,20,000 – pre-
auth after 10 days) (Package rate is per day)
Babies with birthweight of <1200 g
or
Babies of any birthweight with at least one of the following conditions:
• Severe Respiratory Failure requiring High Frequency Ventilation or inhaled Nitric
Oxide (iNO)
• Multisystem failure requiring multiple organ support including mechanical
ventilation and multiple inotropes
• Critical congenital heart disease
Mother's stay and food in the hospital for breastfeeding, family centred care and
(Kangaroo Mother Care) KMC is mandatory and included in the package rate
Concern Investigaions clinical notes,Concern Investigaions 7,000
Capped Amount is
120000 for this
Package
M3 M300005
1703 25.6 Neonatal
Chronic Care Package (Rs. 3000 per day, maximum of Rs. 30,000): If the baby requires
stay beyond the upper limit of usual stay in Package no 0004 or 0005 for conditions
like severe BPD requiring respiratory support, severe NEC requiring prolonged TPN
support (Package rate is per day)
clinical notes,Concern
Investigaionsclinical notes,Concern Investigaions 3,000
Capped Amount is
30000 for this
Package
M3 M300006
1704 25.7 Neonatal High Risk Newborn Post Discharge Care Package (Protocol Driven)clinical notes,Concern
Investigaionsclinical notes,Concern Investigaions 2,400 M3 M300007
1705 25.8 Neonatal Laser Therapy for Retinopathy of Prematurity (Irrespective of no. of eyes affected) -
per session
clinical notes,Concern
Investigaionsclinical notes,Concern Investigaions 1,500 M3 M300008
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1706 25.9 Neonatal Advanced Surgery for Retinopathy of Prematurityclinical notes,Concern
Investigaionsclinical notes,Concern Investigaions 15,000 M3 M300009
1707 25.10 Neonatal Ventriculoperitoneal Shunt Surgery (VP) or Omaya Reservoir or External Drainage for
Hydrocephalus
clinical notes,Concern
Investigaionsclinical notes,Concern Investigaions 5,000 M3 M300010
Sr.No Package no Sub speciality Procedure namePre-Operative
InvestigationPost Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1708 26.1 Orthopeidc
AC joint reconstruction/ Stabilization/ Acromionplasty (Nonoperative management is
recommended for Rockwood type I and II injuries, whereas surgical reconstruction is
recommended for type IV and VI separations. The management for type III and V
injuries is more controversial and is determined on a case-by-case basis)
X Ray of Affected Limb,
MIR of ShoulderX Ray of Affected Limb 25,000 S5 S500001
1709 26.2 OrthopeidcAccessory bone – Excision (limbs) – congenital, Accessory digits sometime can be
removed X Ray of Affected Limb X Ray of Affected Limb 6,000 S5 S500002
1710 26.3 Orthopeidc Amputation - Below ElbowX Ray of Affected Limb,
clinical pictureX Ray of Affected Limb 15,000 S5 S500003
1711 26.4 Orthopeidc Amputation - Above ElbowX Ray of Affected Limb,
clinical pictureX Ray of Affected Limb 15,000 S5 S500004
1712 26.5 Orthopeidc Amputation – one or more fingersX Ray of Affected Limb,
clinical pictureX Ray of Affected Limb 6,000 S5 S500005
1713 26.6 Orthopeidc Amputation – WristX Ray of Affected Limb,
clinical pictureX Ray of Affected Limb 15,000 S5 S500006
1714 26.7 Orthopeidc Amputation - one or more toes/ digitsX Ray of Affected Limb,
clinical pictureX Ray of Affected Limb 6,000 S5 S500007
1715 26.8 Orthopeidc Amputation – Below KneeX Ray of Affected Limb,
clinical pictureX Ray of Affected Limb 15,000 S5 S500008
1716 26.9 Orthopeidc Amputation – Above KneeX Ray of Affected Limb,
clinical pictureX Ray of Affected Limb 18,000 S5 S500009
1717 26.10 Orthopeidc Foot & Hand Amputation (whole/ partial)X Ray of Affected Limb,
clinical pictureX Ray of Affected Limb 15,000 S5 S500010
1718 26.11 Orthopeidc Disarticulation (hind & for quarter)Clinical and radiological
investigationClinical and radiological investigation 25,000 S5 S500011
1719 26.12 Orthopeidc Anterior Spine FixationClinical and radiological
investigationClinical and radiological investigation 35,000 S5 S500012
1720 26.13 Orthopeidc Posterior Spine FixationClinical and radiological
investigationClinical and radiological investigation 20,000 S5 S500013
Cluster - 26 ORTHOPEDICS
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1721 26.14 Orthopeidc Osteochondroma excision/ Excision of ExostosisClinical and radiological
investigationClinical and radiological investigation 10,000 S5 S500014
1722 26.15 Orthopeidc Excision ArthoplastyClinical and radiological
investigationClinical and radiological investigation 15,000 S5 S500015
1723 26.16 Orthopeidc Arthorotomy of any joint
X-Ray/USG/ MRI of
affected joints and clinical
photo , CBC
Clinical and radiological investigation 15,000 S5 S500016
1724 26.17 Orthopeidc Arthrodesis Ankle TripleClinical and radiological
investigationClinical and radiological investigation 15,000 S5 S500017
1725 26.18 Orthopeidc Excision Arthoplasty of Femur headX-Ray, MRI of affected
joints , CBC, ESR, CRPPost-Operative X-Ray 22,500 S5 S500018
1726 26.19 Orthopeidc Bimalleolar Fracture FixationClinical and radiological
investigationClinical and radiological investigation 15,000 S5 S500019
1727 26.20 Orthopeidc Bone Tumour Excision + reconstruction using implant (malignant/ benign)Clinical and radiological
investigationClinical and radiological investigation 50,000 S5 S500020
1728 26.21 Orthopeidc Bone Tumour (malignant/ benign) curettage and bone graftingClinical and radiological
investigationClinical and radiological investigation 20,000 S5 S500021
1729 26.22 OrthopeidcBone Tumour Excision (malignant/ benign) + Joint replacement (depending upon
type of joint and implant)
Clinical and radiological
investigationClinical and radiological investigation 1,50,000 S5 S500022
1730 26.23 Orthopeidc Clavicle fracture management - conservative (daycare) X- Ray of affected sights X- Ray of limb treated. 3,000 S5 S500023
1731 26.24 Orthopeidc Close Fixation - Hand BonesClinical and radiological
investigationX- Ray of limb treated. 4,000 S5 S500024
1732 26.25 Orthopeidc Close Fixation - Foot BonesX Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 4,000 S5 S500025
1733 26.26 Orthopeidc Close Reduction - Small JointsX Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 4,000 S5 S500026
1734 26.27 Orthopeidc Closed Interlock Nailing + Bone Grafting – femurX Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 19,000 S5 S500027
1735 26.28 Orthopeidc Closed Interlocking IntermedullaryX Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 17,500 S5 S500028
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1736 26.29 Orthopeidc Closed Interlocking Tibia + Orif of Fracture FixationX Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 25,000 S5 S500029
1737 26.30 Orthopeidc Closed Reduction and Internal Fixation with K wireX Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 6,000 S5 S500030
1738 26.31 Orthopeidc Closed Reduction and Percutaneous Screw Fixation (neck femur)X Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 15,000 S5 S500031
1739 26.32 Orthopeidc Closed Reduction and Percutaneous PinningX Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 15,000 S5 S500032
1740 26.33 Orthopeidc Closed Reduction and Percutaneous NailingX Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 20,000 S5 S500033
1741 26.34 Orthopeidc Closed Reduction of the Hip (including hip Spika)X Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 7,000 S5 S500034
1742 26.35 OrthopeidcDebridement & Closure of Major injuries - contused lacerated wounds (anti-biotic +
dressing) - minimum of 3 sessions
X Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 7,000 S5 S500035
1743 26.36 Orthopeidc Debridement & Closure of Minor injuriesX Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 3,000 S5 S500036
1744 26.37 Orthopeidc Closed reduction of dislocation (Knee/ Hip)X Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 6,000 S5 S500037
1745 26.38 Orthopeidc Closed reduction of dislocation (Shoulder/ Elbow)X Ray of Affected Limb,
clinical pictureX- Ray of limb treated. 5,000 S5 S500038
1746 26.39 Orthopeidc Duputryen’s Contracture release + rehabilitation USG of Affected Hand clinical picture + USG 10,000 S5 S500039
1747 26.40 Orthopeidc Exploration and Ulnar nerve Repair X-Ray, UGS, RMG & NCV Post of USG 10,000 S5 S500040
1748 26.41 Orthopeidc External fixation - Long boneX Ray of Affected Limb,
clinical picturePost of X -Ray 15,000 S5 S500041
1749 26.42 Orthopeidc External fixation - Small boneX Ray of Affected Limb,
clinical picturePost of X -Ray 10,000 S5 S500042
1750 26.43 Orthopeidc External fixation - PelvisX Ray of Affected Limb,
clinical picturePost of X -Ray 15,000 S5 S500043
1751 26.44 Orthopeidc FasciotomyX Ray of Affected Limb,
clinical picturePost of X -Ray 7,000 S5 S500044
1752 26.45 Orthopeidc Fixator with Joint ArthrolysisX Ray of Affected Limb,
clinical picturePost of X -Ray 20,000 S5 S500045
1753 26.46 Orthopeidc Fracture - AcetabulumX Ray of Affected Limb,
clinical picturePost of X -Ray 30,000 S5 S500046
1754 26.47 Orthopeidc Fracture - Fibula Internal FixationX Ray of Affected Limb,
clinical picturePost of X -Ray 10,000 S5 S500047
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1755 26.48 OrthopeidcFracture - Hip Internal Fixation (Intertrochanteric Fracture with implant) +
rehabilitation
X Ray of Affected Limb,
clinical picturePost of X -Ray 17,000 S5 S500048
1756 26.49 Orthopeidc Fracture - Humerus Internal FixationX Ray of Affected Limb,
clinical picturePost of X -Ray 17,000 S5 S500049
1757 26.50 Orthopeidc Fracture - Olecranon of UlnaX Ray of Affected Limb,
clinical picturePost of X -Ray 10,000 S5 S500050
1758 26.51 Orthopeidc Fracture - Radius Internal FixationX Ray of Affected Limb,
clinical picturePost of X -Ray 10,000 S5 S500051
1759 26.52 Orthopeidc Fracture - TIBIA Internal Fixation platingX Ray of Affected Limb,
clinical picturePost of X -Ray 17,000 S5 S500052
1760 26.53 Orthopeidc Fracture - Ulna Internal FixationX Ray of Affected Limb,
clinical picturePost of X -Ray 10,000 S5 S500053
1761 26.54 Orthopeidc Head Radius – ExcisionX Ray of Affected Limb,
clinical picturePost of X -Ray 8,000 S5 S500054
1762 26.55 Orthopeidc High Tibial OsteotomyX Ray of Affected Limb,
clinical picturePost of X -Ray 17,000 S5 S500055
1763 26.56 Orthopeidc Closed reduction + Hip SpicaX Ray of Affected Limb,
clinical picturePost of X -Ray 7,000 S5 S500056
1764 26.57 Orthopeidc Internal Fixation Lateral EpicondyleX Ray of Affected Limb,
clinical picturePost of X -Ray 10,000 S5 S500057
1765 26.58 Orthopeidc Internal Fixation of other Small Bones (metatarsals)X Ray of Affected Limb,
clinical picturePost of X -Ray 10,000 S5 S500058
1766 26.59 Orthopeidc Limb LengtheningX Ray of Affected Limb,
clinical picturePost of X -Ray 25,000 S5 S500059
1767 26.60 Orthopeidc Llizarov FixationX Ray of Affected Limb,
clinical picturePost of X -Ray 10,000 S5 S500060
1768 26.61 Orthopeidc Multiple Tendon RepairClinical + Electro
Diagnostic studyClinical photographs showing scar 20,000 S5 S500061
1769 26.62 Orthopeidc Nerve Repair SurgeryClinical + Electro
Diagnostic study
Clinical photographs showing scar +
Electro Dignostic study15,000 S5 S500062
1770 26.63 Orthopeidc Nerve Transposition/Release/ NeurolysisClinical + Electro
Diagnostic study
Clinical photographs showing scar +
Electro Dignostic study8,000 S5 S500063
1771 26.64 Orthopeidc Open Reduction Internal Fixation (2 Small Bones)X Ray of Affected Limb,
clinical picturePost of X -Ray 10,000 S5 S500064
1772 26.65 Orthopeidc Open Reduction Internal Fixation (Large Bone)X Ray of Affected Limb,
clinical picturePost of X -Ray 20,000 S5 S500065
1773 26.66 Orthopeidc Open Reduction of CDHX Ray of Affected Limb,
clinical picturePost of X -Ray 30,000 S5 S500066
1774 26.67 Orthopeidc Open Reduction of Small JointX Ray of Affected Limb,
clinical picturePost of X -Ray 15,000 S5 S500067
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1775 26.68 Orthopeidc Open Reduction with bone grafting of nonunionX Ray of Affected Limb,
clinical picturePost of X -Ray 20,000 S5 S500068
1776 26.69 Orthopeidc Osteotomy -Small BoneX Ray of Affected Limb,
clinical picturePost of X -Ray 17,000 S5 S500069
1777 26.70 Orthopeidc Osteotomy -Long BoneX Ray of Affected Limb,
clinical picturePost of X -Ray 30,000 S5 S500070
1778 26.71 Orthopeidc PatellectomyX Ray of Affected Limb,
clinical picturePost of X -Ray 8,000 S5 S500071
1779 26.72 Orthopeidc Pelvic Osteotomy with fixation with plasterX Ray of Affected Limb,
clinical picturePost of X -Ray, Clinical photo 30,000 S5 S500072
1780 26.73 Orthopeidc Percutaneous - Fixation of FractureX Ray of Affected Limb,
clinical picturePost of X -Ray 7,000 S5 S500073
1781 26.74 Orthopeidc Excision of BursaX Ray of Affected Limb,
clinical pictureRadiology Investigation 3,000 S5 S500074
1782 26.75 Orthopeidc Reconstruction of ACL/PCL with implant and braceClinical and radiological
investigationClinical and radiological investigation 30,000 S5 S500075
1783 26.76 Orthopeidc Sequestrectomy of Long Bones + anti-biotics + dressingClinical and radiological
investigationClinical and radiological investigation 25,000 S5 S500076
1784 26.77 Orthopeidc Tendo Achilles TenotomyX Ray of Affected Limb,
clinical pictureClinical and radiological investigation 5,000 S5 S500077
1785 26.78 Orthopeidc Tendon GraftingClinical and radiological
investigationClinical and radiological investigation 15,000 S5 S500078
1786 26.79 Orthopeidc Tendon Release/ TenotomyClinical and radiological
investigationClinical and radiological investigation 5,000 S5 S500079
1787 26.80 Orthopeidc TenolysisClinical and radiological
investigationClinical and radiological investigation 5,000 S5 S500080
1788 26.81 Orthopeidc Tension Band Wiring PatellaClinical and radiological
investigationClinical and radiological investigation 15,000 S5 S500081
1789 26.82 Orthopeidc Application of P.O.P. casts for Upper & Lower LimbsClinical and radiological
investigationClinical and radiological investigation 3,000 S5 S500082
1790 26.83 Orthopeidc Application of P.O.P. Spikas& JacketsClinical and radiological
investigationClinical and radiological investigation 3,500 S5 S500083
1791 26.84 Orthopeidc Application of Skeletal Tractions with pinClinical and radiological
investigationClinical and radiological investigation 3,000 S5 S500084
1792 26.85 Orthopeidc Application of Skin TractionClinical and radiological
investigationClinical and radiological investigation 1,000 S5 S500085
Sr.No Package No Sub Speciality Procedure NamePre-Operative
Investigation Post Operative Investigation No of Follow up Package Rates Remarks
Speciality Code
PMJAYProcedure Code PMJAY
1793 26.86 Orthopeidc Head radius - Excision + Fracture - Ulna Internal FixationClinical and radiological
investigationClinical and radiological investigation 20,000 S5 S500086
1794 26.87 Orthopeidc External fixation - both bones of forearmsClinical and radiological
investigationClinical and radiological investigation 25,000 S5 S500087
1795 26.88 Orthopeidc Fracture intercondylarHumerus + olecranon osteotomyClinical and radiological
investigationClinical and radiological investigation 20,000 S5 S500088
1796 26.89 Orthopeidc Correction of club foot per castClinical and radiological
investigationClinical and radiological investigation 15,000 S5 S500089
1797 26.90 Orthopeidc Arthroscopic Meniscus Repair/ MeniscectomyClinical and radiological
investigationClinical and radiological investigation 20,000 S5 S500090
1798 26.91 Orthopeidc Bipolar Hemiarthroplasty (hip & shoulder)Clinical and radiological
investigationClinical and radiological investigation 40,000 S5 S500094
1799 26.92 Orthopeidc Unipolar HemiarthroplastyClinical and radiological
investigationClinical and radiological investigation 30,000 S5 S500095
1800 26.93 Orthopeidc Elbow replacementClinical and radiological
investigationClinical and radiological investigation 40,000 S5 S500097
1801 26.94 Orthopeidc Arthrodesis of shoulderClinical and radiological
investigationClinical and radiological investigation 40,000 S5 S500098
1802 26.95 Orthopeidc Arthrodesis of Knee (with implant)Clinical and radiological
investigationClinical and radiological investigation 40,000 S5 S500099
1803 26.96 Orthopeidc Arthrodesis of Wrist (with implant)Clinical and radiological
investigationClinical and radiological investigation 30,000 S5 S500100
1804 26.97 Orthopeidc Arthrodesis of Ankle (with implant)Clinical and radiological
investigationClinical and radiological investigation 30,000 S5 S500101
1805 26.98 OrthopeidcUnspecified Surgical Package (Amount Capped @ 1,00,000rs per anum per
family,Package amount is Negotiable)Concern Investigation Concern Investigation 1,00,000 S5 U100