All Aarogyasri Codes 16-11-2022

PROCE
AASARA PACKAGE
CODE SURGERY / THERAPY DESCRIPTION DURE SPECIAL INVESTIGATION POST OPERATIVE/PROCEDURE INVESTIGATION
AMOUNT S
TYPE
M2 GENERAL MEDICINE
RBS,Clinical photo, Xray,Colour Dopler
MEDICAL MANAGEMENT OF DIABETIC
M2.47 IP leg,HV A1c,RBS,Clinical photo, Xray,Colour 1575 32376 RBS,Clinical photo,RBS,Clinical photo
FOOT
Dopler leg,HV A1c
MG044 RENAL COLIC
MG044A Renal colic ST 16450
S1 GENERAL SURGERY
Treatment with Self Expanding Metalic Venous Doppler,High Resolution CT
S1.21 IP 20420 CT Scan Scan,Biopsy report,USG
Stent -SEMS Chest,ECHO Cardiogram
MANAGEMENT OF TRAUMA WITH
S1.21.2 DC Clinical photo 3600 treatment photo,postop scar
LACERATION
S1.1 HEAD and NECK
S1.1.1 Excision of Branchial Cyst IP Clinical Photograph 4725 24629 Biopsy,Clinical Photograph
S1.1.10 Excision of Cervical Rib IP X-RAY,Color Doppler 5000 27584 X-RAY,Color Doppler
Removal Of Submandibular Salivary
S1.1.11 IP Clinical Photograph,FNAC 4725 25737 Biopsy,Clinical Photograph
Gland
S1.1.12 Parotid Duct Repair IP Silography 2250 26835 Silography
Superficial Parotoidectomy-Non- USG Neck,Clinical Photograph ,Fine
S1.1.1.13 IP 5000 21817 Post OP HPE,Intra OP photo
malignant Needle Aspiration Cytology (FNAC)
Contrast Enhanced
Surgical treatment for Cut Throat
S1.1.1.14 IP USG,Superficia/deep,Clinical Photograph,X- 3150 33280 Clinical Photograph,Operative Photos
Injury
Ray
Aneurysm not Requiring Bypass Intra OP Photo,Post OP color doppler
S1.1.1.15 IP Clinical Photograph,CT ANGIO/MRI report 2250 36000
Techniques t report,Scar Photo
S1.1.1.17 Submandibular Gland Excision IP Clinical Photograph,FNAC,USG 1575 20000 Intra Op Photo,Biopsy report,SCAR Photo
S1.1.1.18 Aspiration of Empyema with ICD IP Clinical Photograph,X-RAY CHEST 4725 5000 Clinical Photograph,X-RAY CHEST
S1.1.2 Excision of Branchial Sinus IP Clinical Photograph 2250 24629 Biopsy,Clinical Photograph
S1.1.1.20 Branchial fistula excision IP CLINICAL PHOTO,USG NECK 4725 15300 POST OP SCAR,POST OP HPE,INTRAOP PHOTOS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Thyroglossal sinus/ fistula/ cyst POST OP HPE,INTRA OP PHOTOS,CASE

S1.1.1.21 IP SINOGRAPHY,TFT,CLINICAL PHOTOGRAPH 2250 15300
excision SHEET,POST OP SCAR
S1.1.3 Excision of Carotid Body Tumours IP Clinical Photograph,U S Neck 5000 34819 Biopsy,Clinical Photograph
S1.1.4 Excision of Cystic Hygroma -Extensive IP Clinical Photograph 4500 23849 Biopsy,Clinical Photograph
S1.1.5 Excision of Cystic Hygroma -Major IP Clinical Photograph 3375 24629 Biopsy,Clinical Photograph
S1.1.6 Cystic Hygroma Excision-Minor IP Clinical Photograph 2250 10262 Biopsy,Clinical Photograph
S1.1.7 Excision of Lingual Thyroid IP Clinical Photograph,Isotope Scan 4500 30786 Biopsy,Clinical Photograph
Biopsy,Clinical Photograph,Biopsy,Clinical
S1.1.8 Parathyroidectomy -Non Malignant IP USG,USG,USG 2250 29300
Photograph,Biopsy,Clinical Photograph
S1.1.9 Excision of Thyroglossal Cyst Fistula IP Clinical Photograph,Radionucleide Scan 4725 30786 Biopsy,Clinical Photograph
S1.1.2.1 Hemimandibulectomy IP X-RAY 4500 43901 X-RAY
S1.1.2.2 Segmental Mandible Excision IP X-RAY 4500 35646 X-RAY
S1.1.3.1 Partial Glossectomy IP Clinical Photograph 5000 27344 Biopsy,Clinical Photograph
S1.1.4.1 ABBE Operation IP Clinical Photograph 3375 20524 Clinical Photograph
S1.1.4.2 Vermilionectomy IP Clinical Photograph 3375 21724 Clinical Photograph
Wedge Excision of Biopsy,Clinical Photograph,Biopsy,Clinical
S1.1.4.3 IP Clinical Photograph,Clinical Photograph 3375 18194
LipandVermilionectomy-27.43 Photograph
S1.1.4.4 Wedge Excision of Lip IP Clinical Photograph,Clinical Photograph 3375 15116
Photograph
FNAC,T F T,USG,FNAC,T F T,USG,FNAC,T F Biopsy,Clinical Photograph,Biopsy,Clinical
S1.1.5.1 Hemithyroidectomy IP 5000 25655
T,USG Photograph,Biopsy,Clinical Photograph
t3 t4TSH,Clinical Photograph,Fine Needle
S1.1.5.1.1 Laproscopic Hemi Thyroidectomy IP 3375 29072 Post OP HPE,WEBEX
Aspiration Cytology (FNAC),USG Neck
S1.1.5.2 Isthmectomy IP FNAC,T F T,USG 3375 24936 Biopsy,Clinical Photograph
S1.1.5.2.1 Laproscopic Isthmectomy IP 3375 29421 Routine Histopathological Examination
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S1.1.5.3 Partial Thyroidectomy IP FNAC,T F T,USG 4500 24844 Biopsy,Clinical Photograph

S1.1.5.4 Resection Enucleation - Thyroid IP FNAC,T F T,USG 4500 25655 Biopsy,Clinical Photograph
S1.1.5.5 Subtotal Thyroidectomy IP FNAC,T F T,USG 5000 28734 Biopsy,Clinical Photograph
t3 t4TSH,Fine Needle Aspiration Cytology
S1.1.5.5.1 Laproscopic Sub total Thyroidectomy IP 3375 28508 Post OP HPE,WEBEX
(FNAC),USG Neck
S1.1.5.6 Total Thyroidectomy IP 5000 30786
S1.1.5.6.1 Laproscopic Total Thyroidectomy IP 3375 29565 Post OP HPE,WEBEX
S1.1.5.7 Laproscopic Thyroid Nodule Excision IP T3,USG Neck,TSH,T4 1575 25970 Routine Histopathological Examination,WEBEX
S1.1.6.1 INFECTED SCALP WOUND IP Clinical photo,CBP 1575 4300 Scar photo
MULTIPLE LACERATION OVER SCALP
S1.1.6.2 IP CT BRAIN,CT,BT,LIVER,CBP,K,NA 1575 9400 CBP,K,NA
B/L
S1.10 Foreign Body Removal(Deep region)
Foreign Body Removal in Peripheral
S1.10.1 IP Clinical Photograph,X-RAY 10000 Intra Op Photo,POST OP X-RAY SCAR Photo
Region-C ARM guided
Contrast Enhanced USG,Clinical
S1.10.2 Foreign Body Removal in Deep Region IP 1575 28620 Contrast Enhanced USG,CT local Area
Photograph,CT local Area
CT Scan Of Lower Abdomen &
Surgical Management of Superficial Scar Photo,USG Penis,CT Scan Of Lower
S1.10.3 ST Scrotum/Doppler And Scrotum & Testes, 4000
Penile Injuries Abdomen & Scrotum
Clinical Photograph,USG Penis
S1.11 GRANULOMA
Excision of Granuloma / Pyogenic Contrast Enhanced USG,Clinical Routine Histopathological
S1.11.1 IP 9910
Granuloma Photograph Examination,Operative Photos
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Fine Needle Aspiration Cytology Routine Histopathological Examination,Clinical

S1.11.2 Excision of Pyogenic Granuloma IP 7710
(FNAC),RBS,Clinical Photograph Photograph,Scar Photo
S1.12 Excision and Grafting (Skin)
Routine Histopathological Examination,Clinical
S1.12.1 Excision of Keloid IP Clinical Photograph,RBS 2250 25300
Photograph,Operative Photos
S1.12.2 Surgical treatment for Carbuncle back IP Clinical Photograph,RBS 1575 5000 Clinical Photograph,Operative Photos
Exision of Scalp and frantonasan / Fine Needle Aspiration Cytology Routine Histopathological Examination,Clinical
S1.12.3 IP 1575 10380
Peripheral region (FNAC),Clinical Photograph Photograph,Intra OP Photos
Fine Needle Aspiration Cytology Routine Histopathological Examination,Intra OP
S1.12.4 Exicision of binign lisions IP 12000
(FNAC),RBS,Clinical Photograph Photo
USG/FNAC,Post op Photo,USG/FNAC,Post op
S1.12.5.1 Free Grafts - Wolfe Grafts IP Clinical Photograph,Clinical Photograph 35500
Photo
Any raw area which needs skin grafting
S1.12.5.10 IP Clinical Photograph 32610 Clinical Photograph
- mild less than5 Percentage
clinical notes,Operative Photos,Scar

Split thickness skin grafts Large - Clinical Photograph,Clinical
S1.12.5.2 IP 3150 25000 Photo,clinical notes,Operative Photos,Scar
greater than 8 Percentage TBSA Photograph,Clinical Photograph
Photo,clinical notes,Operative Photos,Scar Photo

Split thickness skin grafts Medium - 4 - Clinical Photograph,Clinical
8 Percentage TBSA Photograph,Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Split thickness skin grafts Small - less Clinical Photograph,Clinical
than 4 Percentage TBSA Photograph,Clinical Photograph
Operative notes with steps of Operative notes with steps of surgery,POST OP

S1.12.5.5 Excision and Skin Graft of Venous Ulcer IP 3150 20000
surgery,Clinical Photograph SCAR Photo,Intra Op Photo
Release of fibrous bands and grafting - Clinical assessment and investigations,Scar

S1.12.5.6 IP Clinical assessment and investigations 2250 15000
in -OSMF treatment under GA Photo
S1.12.5.7 Skin Grafting IP Clinical Photograph 1575 20000 Intra Op Photo,Scar Photo
S1.12.5.8 IP Clinical Photograph 3150 36660 Clinical Photograph
- moderate 5-10 Percentage

- major - greater than10 Percentage
S1.12.6 Soft Tissue Tumor -small ? Excision IP Clinical Photograph,FNAC 5000 Intra Op Photo,Scar Photo,Biopsy
Debridement of Large Ulcer-Leprosy -
S1.12.7 IP Clinical Photograph 4725 5900 Intra Op Photo,Post Clinical Photo,Biopsy
5cm to 10 cm
CHRONIC NON HEALING ULCER -
S1.12.7.1 IP clinical photos 4725 8000 intra op photos Showing reduction in ulcer size
VACCUM
Doppler report ,Scar Photo,Operative
S1.12.8 Estlander Operation -lip DC Doppler report ,Doppler report 1575 21000 Photos,Doppler report ,Scar Photo,Operative
Photos
Operation for carcinoma lip- cheek Clinical Photograph,Clinical picture,Biopsy Intra Op Photo,POST OP SCAR Photo,Biopsy
S1.12.8.1 advancement/ Wedge Excision/ IP report,Clinical Photograph,Clinical 42600 report,Intra Op Photo,POST OP SCAR
Wedge Excision and Vermilionectomy picture,Biopsy report Photo,Biopsy report
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S1.13 Excision of Dermal Growths

USG local area,sclergent used,Clinical Routine Histopathological Examination,Clinical
S1.13.1 Hemangioma Scleotherapy IP 9150
Photograph Photograph
S1.13.1.1 Haemangioma ? Excision -small IP Clinical Photograph,USG/DOPPLER 5000 Intra Op Photo,Scar Photo,Biopsy
S1.13.1.2 Haemangioma ? Excision -large IP Clinical Photograph,Color Doppler SCAN 2250 10000 Intra Op Photo,SCAR Photo,Biopsy report
Contrast Enhanced USG,Clinical Clinical Photograph,Scar Photo,Operative
S1.13.2 Drainage of Abscess IP Photograph,Contrast Enhanced 1575 5900 Photos,Clinical Photograph,Scar Photo,Operative
USG,Clinical Photograph Photos
USG Abdomen/CT scan Lower Abdomen
Laproscopic Surgical treatment for
Without Contrast/CT Scan Abdomen USG Abdomen,WEBEX,Routine
S1.13.2.1 Laporoscopic / Open Intra Abdominal IP 3150 35000
Without Contrast/CT Scan Abdomen With Histopathological Examination
Abscess
Contrast
Routine Histopathological Examination,Biopsy
S1.13.3.1 Excision of Small Swelling in Hand DC X-Ray,USG,Clinical Photograph 10780
report,Scar Photo,INTRA OP PhotoS,X-Ray
S1.13.3.10 Adventious Burse ? Excision IP Clinical Photograph,USG 1575 10000 Intra Op Photo,USG,Biopsy report SCAR Photo
USG/CT/Routine Histopathological
S1.13.3.11 Lipoma excision DC USG/CT 4000
Examination,Intra OP Photos,Scar
S1.13.3.12 Cystic Mass ? Excision DC Clinical Photograph,USG/FNAC 1575 4000 Intra OP Photo,Biopsy report,SPECIMEN Photo
S1.13.3.13 Swelling in foot -small ? Excision DC clinical notes 1575 4000 clinical notes,Operative Photos,Scar Photo
Fine Needle Aspiration Cytology Routine Histopathological Examination,Scar
S1.13.3.14 Excision of Sebaceous Cyst DC 4000
(FNAC),Clinical Photograph,RBS Photo,Clinical Photograph
Routine Histopathological Examination,Scar

S1.13.3.15 Excision of Ganglion - large DC Clinical Photograph,X-Ray 4000
Photo,Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S1.13.3.16 Bursa ? Excision IP USG/FNAC,Clinical Photograph 1575 4000 USG/FNAC,Scar Photo,Biopsy,INTRA Op Photo
Excision of Large Swelling in Hand - Routine Histopathological Examination,Biopsy

S1.13.3.2 DC X-Ray,USG,Clinical Photograph 2250 5000
more than 2 cms report,INTRA OP PhotoS,X-Ray
Contrast Enhanced USG,Clinical Routine Histopathological Examination,Scar
S1.13.3.3 Excision of Fibro Lipoma DC 8950
Photograph,X-Ray Photo
Routine Histopathological
Fine Needle Aspiration Cytology
S1.13.3.4 Excision of Small Dermoid Cyst DC 1575 6930 Examination,Operative Photos,Clinical
(FNAC),Clinical Photograph
Photograph
S1.13.3.5 Excision of Corn DC Clinical Photograph 1575 5420 Examination,Operative Photos,Scar
S1.13.3.6 Excision of swelling Neck DC 11140
(FNAC),Clinical Photograph,USG Neck Photo
Excision of Swelling in Right Cervical
S1.13.3.7 DC Clinical Photograph,USG/FNAC 5000 Intra OP Photo,Biopsy report,SPECIMEN Photo
Region
colonoscopy/not required(clinical
S1.13.3.8 Swelling in foot -large ? Excision DC 2250 4000 Intra OP Photo,Biopsy,POST OF X-RAY
Photos,X-RAY)
Clinical Photograph,Clinical photograph
S1.13.3.9 Excision of Neurofibroma IP showing more than 3 leisions,Café-au-lat 5000 Intra Op Photo,Biopsy report,SCAR Photo
spots,FNAC
S1.13.4 Ganglion Sclerotherapy DC Clinical Photograph 2000 Intra OP Photos
Surgical treatment for Infected Bunion X- Ray Foot,Operative Photos,Scar Photo,Clinical
S1.13.5 DC X- Ray Foot,Clinical Photograph 1575 4000
Foot Photograph
Intra Op Photo,SCAR Photo,Post Op color
S1.13.6 Congential Arteriovenus Fistula -small IP Clinical Photograph,Color Doppler SCAN 1575 10000
Doppler report
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Congential Arteriovenus mall Post Op color Doppler,Angio,Scar

S1.13.7 IP Color Doppler/MRI/ USG/CT 3150 25000
formation -large Photo,USG/CT,Webex Video/Intra OP Photos
S1.14 Nail
S1.14.1 Paronychia Drainage DC Clinical Photograph 1575 2000 Clinical Photograph,Operative Photos
S1.14.2 Surgical treatment for Ingrowing Nail DC X-Ray,Clinical Photograph 1575 2400 Clinical Photograph,Operative Photos
S1.15 Lymph nodes
S1.15.1 Submandibular Lymph node ? Excision IP (FNAC),Fine Needle Aspiration Cytology 28400 Photo,Routine Histopathological
(FNAC) Examination,Scar Photo
S1.15.2 Block dissection Cervical Nodes IP Biopsy,CT scan,Clinical Photograph 3150 13000 Biopsy,CT scan,Clinical Photograph
S1.15.3 Cervial Lymphnodes ? Excision DC Clinical Photograph,USG/FNAC 1575 3000 Intra OP Photo,Biopsy report,SPECIMEN Photo
Abdomen Radiograph Supine Or Abdomen Radiograph Supine Or Erect,Biopsy

Erect,FNAC,Clinical Photograph,USG report,POST OP SCAR Photo,Intra Op Photo,USG
S1.15.4 Inguinal Node -dissection - U/L IP Abdomen,Abdomen Radiograph Supine Or 3150 28100 Abdomen,Abdomen Radiograph Supine Or
Erect,FNAC,Clinical Photograph,USG Erect,Biopsy report,POST OP SCAR Photo,Intra
Abdomen Op Photo,USG Abdomen

(FNAC),Fine Needle Aspiration Cytology Photo,Routine Histopathological
S1.15.5 Any Lymph Node Biopsy DC 5900
(FNAC),Fine Needle Aspiration Cytology Examination,Intra OP Photo,Routine
(FNAC) Histopathological Examination,Intra OP Photo
S1.16 Sympathectomy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,Doppler Scan Study Of

Routine Histopathological Examination,Intra OP
Both Lower Limb Arterial
S1.16.1 Laproscopic-Lumbar Sympathectomy IP 25000 Photo,Doppler Scan Study Of Both Lower Limb
System/Doppler,Clinical Photograph,Chest
Arterial System/Doppler
X-Ray PA View(1 Film)
Intra Op Photo,Scar Photo,VIDEO RECORD,Intra

S1.16.2 Thoracoplasty IP Clinical Photograph,Clinical Photograph 4725 34700
Op Photo,Scar Photo,VIDEO RECORD
USG Abdomen, Clinical Photograph,
Doppler Scan Study Of Both Lower Limb Intra OP Photo,Doppler Scan Study Of Both
Arterial System/Doppler,Chest X-Ray PA Lower Limb Arterial System/Doppler,Routine
View(1 Film),USG Abdomen, Clinical Histopathological Examination, Intra OP
S1.16.3 Open Lumbar Sympathectomy - IP 3375 23500
Photograph, Doppler Scan Study Of Both Photo,Doppler Scan Study Of Both Lower Limb
Lower Limb Arterial Arterial System/Doppler,Routine
System/Doppler,Chest X-Ray PA View(1 Histopathological Examination
Film)
S1.17 Thymus
Clinical Photograph,FNAC,CT/MRI,Clinical Intra Op Photo,Scar Photo,Biopsy,Intra Op
S1.17.1 Thymectomy IP 2250 68200
Photograph,FNAC,CT/MRI Photo,Scar Photo,Biopsy
S1.18 Scrotum
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG-Doppler Abdomen,Clinical
Photograph,And Bladder (KUB),Abdomen
And Pelvis For Kidneys,Ureters,CT Scan Of
Lower Abdomen & Scrotum,USG-Doppler USG Abdomen,Operative Photos,Routine
Abdomen,Clinical Photograph,And Histopathological Examination,USG
Bladder (KUB),Abdomen And Pelvis For Abdomen,Operative Photos,Routine
S1.18.1 Orchidectomy -Unilateral IP 1575 18000
Kidneys,Ureters,CT Scan Of Lower Histopathological Examination,USG
Abdomen & Scrotum,USG-Doppler Abdomen,Operative Photos,Routine
Abdomen,Clinical Photograph,And Histopathological Examination
Bladder (KUB),Abdomen And Pelvis For
Kidneys,Ureters,CT Scan Of Lower
Abdomen & Scrotum
S1.18.10 Coccygeal Teratoma Excision IP Clinical Photograph,CECT report 15000 Intra Op Photo,SCAR Photo,POST OP Biopsy
Surgical treatment for Filarial Scrotum - USG Abdomen,Clinical Photograph,CT USG Abdomen,Scar Photo,Operative
S1.18.11 IP 1575 25000
without graft Scan Lower Abdomen With Contrast Photos,Routine Histopathological Examination
Surgical treatment for Filarial Scrotum - USG Abdomen, Clinical Photograph,CT

S1.18.11.1 IP 5000 27900 USG Abdomen,Routine Histopathological
with graft Scan Lower Abdomen With Contrast
Surgical treatment for Fourniers USG Abdomen,Clinical Photograph,CT USG Abdomen,Scar Photo,Operative
S1.18.12 IP 5000 32000
Gangrene Scan Lower Abdomen With Contrast Photos,Routine Histopathological Examination
USG Abdomen,Clinical Photograph,CT Routine Histopathological Examination,Scar

S1.18.13 Excision of multiple Scrotal Cysts DC 1575 8250
Scan Of Lower Abdomen & Scrotum Photo
Excision of multiple Scrotal cyst / solid USG Abdomen,Scar Photo,Routine
S1.18.14 DC USG Scrotum,Clinical Photograph 1575 3100
swellings Histopathological Examination
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
clinical notes,Intra OP Photos,Scar,Routine

S1.18.15 Cyst over Scrotum ? Excision DC clinical notes 1575 5900
Histopathological Examination
S1.18.16 Eversion of Hydrocele Sac ? Bilateral IP Clinical Photograph,USG 1575 10000 Intra Op Photo,Scar Photo,Biopsy
S1.18.17 Eversion of Hydrocele Sac ? Unilateral IP Clinical Photograph,USG 1575 5000 Intra Op Photo,Scar Photo,Biopsy
Clinical Photograph,USG,Clinical Intra Op Photo,Scar Photo,Biopsy,Intra Op
S1.18.18 Operation for Hydrocele -U/L IP 1575 11700
Photograph,USG Photo,Scar Photo,Biopsy
Clinical Photograph,USG/CT,Clinical Intra Op Photo,USG/CT,Scar Photo,Biopsy,Intra
S1.18.19 Hydrocele - Excision ? Bilateral IP 15000
Photograph,USG/CT Op Photo,USG/CT,Scar Photo,Biopsy
USG Abdomen,Operative Photos,Routine
S1.18.2 Orchidopexy with Eversion of Sac IP Photograph,CT Scan Of Lower Abdomen & 2250 25000
Scrotum
Clinical Photograph,COLOR DOPPLER Intra Op Photo,Biopsy report,POST OF SCAR
S1.18.20 Hydrocele + C/L Orchidectomy IP 2250 26000
SCAN,USG Photo
Epididymal -Cyst/ solid Swelling Clinical Photograph,USG,Clinical Intra Op Photo,Scar Photo,Biopsy,Intra Op
S1.18.21 IP 6200
?Excision Photograph,USG Photo,Scar Photo,Biopsy
Dorsal Slit and Reduction of Routine Histopathological
S1.18.22 IP USG Penis,Clinical Photograph 8840
Paraphimosis Examination,Operative Photos
Orchidectomy + Herniorraphy / Hernio USG Abdomen,Clinical Photograph,CT USG Abdomen,Operative Photos,Routine
S1.18.3 IP 2250 30000
plasty Scan Of Lower Abdomen & Scrotum Histopathological Examination
Clinical notes + USG,Scar Photo,Operative
S1.18.4 Evacuation of Scrotal Hematoma IP Clinical notes + USG 18560
Photos
USG Abdomen/ CT Scan Lower Abdomen USG Abdomen,Operative
S1.18.5 Laproscopic Excision of Varicocele IP With Contrast/ CT Pelvis,Clinical 25000 Photos,WEBEX,Routine Histopathological
Photograph Examination
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen/ CT Scan Lower Abdomen

S1.18.5.1 Open Excision of Varicocele IP With Contrast/ CT Pelvis,Clinical 1575 18400 USG Abdomen,Routine Histopathological
Photograph
CT Scan Of Lower Abdomen & Routine Histopathological
S1.18.6 Excision of Epididymal Cyst IP Scrotum,USG Abdomen,CT Scan Of Lower 6200 Examination,Operative Photos,Routine
Abdomen & Scrotum,USG Abdomen Histopathological Examination,Operative Photos

S1.18.7 Epididectomy IP 15000 Scrotum,Operative Photos,Routine
Scrotum,USG Abdomen
Histopathological Examination,USG Abdomen
S1.18.8 Circumcision DC USG Abdomen,Clinical Photograph 1575 14200
Photo
S1.18.9 Vasectomy DC Clinical Photograph 1575 2500 Intra OP PhotoS,Scar Photo,Biopsy report
S1.19 Sequestrectomy
Clinical assessment and investigations,Operative
S1.19.1 Sequestrectomy DC Clinical assessment and investigations 1575 1500
Photos
S1.19.2 Cellulitis Conservative with antibiotics IP CBP,LFT,Creatinine,RBS 1575 8000 CBP,Creatinine
S1.19.3 Cellulitis surgical management IP surgical profile 3150 25000 Intra OP Photos,Casesheet
S1.2 BREAST
S1.2.1 Simple Mastectomy -Non Malignant IP Mammography,Mammography 5000 29300
Photograph
S1.2.2 Excision of Mammary Fistula IP Fistulogram,Clinical Photograph 14100 Examination,Operative Photos,Clinical
Photograph
Chest X-Ray PA View(1 Film),CT Local Clinical Photograph,Routine Histopathological
S1.2.2.1 Wide Excision of Mammary Fistula IP 12820
Area,Clinical Photograph,USG Breast Examination
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Contrast Enhanced USG,Clinical Routine Histopathological Examination,Scar

S1.2.3 Excision of Fibroma IP 9180
Photograph Photo
Fine Needle Aspiration Cytology (FNAC)
S1.2.3.1 Excision of Bilateral Fibroadenoma IP ,USG Breast,Clinical Photograph,Chest X- 1575 10000
Examination,Operative Photos
Ray PA View(1 Film)
Fine Needle Aspiration Cytology (FNAC) Routine Histopathological Examination,Scar
S1.2.3.2 Excision of Unilateral Fibroadenoma DC 7000
,Clinical Photograph Photo
Chest X-Ray PA View(1 Film)/X-Ray
Mammogram,Clinical Photograph,Chest X-
S1.2.4 Bilateral Lumpectomy IP 1575 15000 Photo,Routine Histopathological
Ray PA View(1 Film)/X-Ray
Examination,Scar Photo
Mammogram,Clinical Photograph
S1.2.4.1 Breast Lump ? Excision IP Clinical Photograph,TRUCUT Biopsy 7000 Intra Op Photo,Biopsy report,SCAR Photo
Chest X-Ray PA View(1 Film),Clinical
S1.2.5 Breast Conservation Surgery IP 15000 Clinical Photograph,Operative Photos
Photograph,USG Breast
Chest X-Ray PA View(1 Film),Clinical Clinical Photograph,Routine Histopathological
S1.2.5.1 Segmental Resection of Breast IP 2250 14870
Photograph,USG Breast Examination,Operative Photos
Surgical repair of bilateral Fine Needle Aspiration Cytology Clinical Photograph,Routine Histopathological
S1.2.6 IP 2250 11800
Gynaecomastia (FNAC),Clinical Photograph,USG Breast Examination,Operative Photos
Surgical repair of unilateral Fine Needle Aspiration Cytology (FNAC),
S1.2.6.1 IP 1575 9200 Examination,Operative Photos,Clinical
Gynaecomastia Clinical Photograph,USG Breast
Photograph
S1.2.7 I and D of Breast Abscess DC 2250 8940 Clinical Photograph,Scar Photo
,Clinical Photograph,USG Breast
S1.20 Thorax
S1.20.1 Thorax -penetrating wounds IP Clinical Photograph,X-RAY CHEST 12500 Clinical Photograph,X-RAY CHEST
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Clinical Photograph,CT CHEST,X-RAY Clinical Photograph,Biopsy CHEST,POST OP X-

S1.20.2 Rib Resection and Drainage IP CHEST,Clinical Photograph,CT CHEST,X- 28400 RAY CHEST,Clinical Photograph,Biopsy
RAY CHEST CHEST,POST OP X-RAY CHEST
Clinical Photograph,CT Chest,FNAC,X-RAY Intra Op Photo,Post OP X-Ray Chest,SCAR

chest,Clinical Photograph,CT Chest,FNAC,X- Photo,Biopsy,Intra Op Photo,Post OP X-Ray
S1.20.3 Thoracoscopic Segmental Resection IP 46600
RAY chest,Clinical Photograph,CT Chest,SCAR Photo,Biopsy,Intra Op Photo,Post OP
Chest,FNAC,X-RAY chest X-Ray Chest,SCAR Photo,Biopsy
S1.20.4 Thoracocentesis IP Clinical Photograph,X-RAY CHEST 10000 Clinical Photograph,X-RAY CHEST
Thermal/Flame/ Scald
Burns:Percentage Total Body Surface
S1.20.5 Area Burns - TBSA - any Percentage - DC CLINICAL PHOTO,CASESHEET 7000 CLINICAL PHOTO,CASE SHEET
not requiring admission.Needs at least
5-6 dressing
RTA Pain in non - traumatic chest CBP,Clinical Picture,Chest x ray,VIRAL
S1.20.6 DC 1575 4100 CHEST PA,Clinical Picture
injury MARKERS
S1.21 OTHERS
S1.21.1 SUTURE DEHISCENCE - RESUTURING IP CBP,clinical photo,Blood group 1575 27900 scar photo
USG GUIDED MINOR PROCEDURES -

S1.21.3 IP USG,CLINICAL PHOTO 2000 BIOPSY,FNAC
FNAC, BIPOSY, SINOGRAPHY,TAPPING
S1.21.4 Gangrene foot below knee amputation IP Photo And X-ray 4725 25000 Photo And X-ray
S1.21.5 TOE Amputation -Toe Gangrene IP Photo And X-ray 1575 8000 Photo And X-ray
S1.3 ABDOMEN
S1.3.1.1 Epigastric Hernia repair without Mesh IP Clinical Photograph,Clinical Photograph 4725 23400 Clinical Photograph,Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Herinoplasty with Mesh Direct Inguinal USG of the Abdomen ,Clinical USG of the Abdomen ,scar photo ,Intraoperative
S1.3.1.10 IP 4725 25655
Hernia photograph,Chest X-Ray PA View(1 Film) photos
All Inguinal Hernia Operation with out USG Abdomen,Clinical Photograph,Chest

S1.3.1.10.1 IP 2250 23400 Intra OP Photo,Scar Photo,POST OP USG
Mesh X-Ray PA View(1 Film)
usg abdomen with scrotum,surgical
S1.3.1.10.2 Hernioplasty - Indirect inguinal hernia IP 1575 25000 usg abdomen
profile
S1.3.1.10.3 Open Bilateral hernioplasty with mesh IP Ultra sound abdomen 2250 42500 Ultra sound abdomen
USG of the Abdomen ,Clinical

USG of the Abdomen ,scar photo ,Intraoperative
Laproscopic Surgical treatment for photograph,Chest X-Ray PA View(1
S1.3.1.11 IP 5000 28800 photos,USG of the Abdomen ,scar photo
Incisional Hernia with Mesh Film),USG of the Abdomen ,Clinical
,Intraoperative photos
photograph,Chest X-Ray PA View(1 Film)
Examination,WEBEX,USG Abdomen/CT scan
Laproscopic Surgical treatment for USG Abdomen,Clinical Photograph,ECHO
S1.3.1.11.1 IP 2250 30000 Lower Abdomen Without Contrast/CT Scan
Incisional Hernia without Mesh Cardiogram
Abdomen With Contrast/CT Scan Abdomen
Without Contrast
S1.3.1.2 Epigastric Hernia repair with Mesh IP Clinical Photograph 5000 41048 Clinical Photograph
Laproscopic Surgical treatment for USG of the Abdomen ,scar photo ,Intraoperative
S1.3.1.2.1 IP USG of the Abdomen ,Clinical photograph 5000 51310
Epigastric Hernia repair with Mesh photos
S1.3.1.3 Unilateral Femoral Hernia repair IP Clinical Photograph 5000 23400 Clinical Photograph
Laproscopic Surgical treatment for USG of the Abdomen ,scar photo ,Intraoperative
Unilateral Femoral Hernia With Mesh photos
S1.3.1.4 Hiatus Hernia Repair - Abdominal IP UGI Endoscopy,U S Abdomen 5000 37400 Endoscopy picture
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG of the Abdomen ,Clinical USG of the Abdomen ,scar photo ,Intraoperative
S1.3.1.4.1 IP photograph,USG of the Abdomen ,Clinical 5000 30800 photos,USG of the Abdomen ,scar photo
Hiatus Hernia With Mesh
photograph ,Intraoperative photos
Hiatus Hernia Repair - Abdominal for
S1.3.1.4A IP 47500
Children and Adult
Rare Hernias repair - Clinical Photograph,USG,Clinical
S1.3.1.5 IP 5000 26800 Clinical Photograph,Clinical Photograph
Spigalion,Obuturator,Sciatic Photograph,USG
S1.3.1.6 Umbilical Hernia repair without Mesh IP Clinical Photograph,Clinical Photograph 5000 29300 Clinical Photograph,Clinical Photograph
S1.3.1.7 Umbilical Hernia repair with Mesh IP Clinical Photograph 5000 30786 Clinical Photograph
Laproscopic Surgical treatment for - USG of the Abdomen ,scar photo ,Intraoperative
Umbilical Hernia With Mesh photos
Ventral And Scar Hernia repair without
S1.3.1.8 IP Clinical Photograph,USG 5000 30786 Clinical Photograph
Mesh
Ventral And Scar Hernia repair with
S1.3.1.9 IP Clinical Photograph,USG 5000 41048 Clinical Photograph
Mesh
Laparoscopic Adhesinolysis other than
S1.3.10 IP Clinical Photograph,X-RAY ABDOMEN 18000 Intra Op Photo,VEDIO RECORD POST OP X-RAY
interstinal obsession
Clinical Photograph,COLOR DOPPLER Intra Op Photo,scar Photo,post op color doppler
S1.3.11 Mesenteric Caval Anastomosis IP 28500
SCAN,UGI ENDOSCOPY scan
S1.3.2.1 Laproscopic Appendicectomy IP USG,USG 3375 23400
Photograph
Surgical treatment for Appendicular
S1.3.2.2 IP USG 8375 28400 Biopsy,Clinical Photograph
Perforation
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,Case sheet with clinical

History,Complete Blood Picture,Abdomen
Clinical Photograph,Scar Photo,Intra OP
Radiograph Supine Or Erect(1 Film),USG
Photo,Routine Histopathological
Abdomen,Case sheet with clinical
Examination,Clinical Photograph,Scar Photo,Intra
S1.3.2.3 Open Appendicectomy IP History,Complete Blood Picture,Abdomen 2250 23400
OP Photo,Routine Histopathological
OP Photo,Routine Histopathological Examination
Radiograph Supine Or Erect(1 Film)
Clinical Photograph,USG
Operative drainage of Appendicular Intra Op Photo,POST OP USG,Intra Op
S1.3.2.4 IP ABDOMEN,Clinical Photograph,USG 3150 17600
Abscess Photo,POST OP USG
ABDOMEN
S1.3.3.1 Highly Selective Vagotomy IP Endoscopy 5000 25655 Clinical Photograph
Surgical management of Duodenal
S1.3.3.10 IP USG,CT-Abdomen,X-RAY 8375 32100 Clinical Photograph
perforation
USG of the Abdomen ,Plain X-ray erect
S1.3.3.10.1 IP abdomen,CT Scan Abdomen With 3375 49258 WEBEX
Duodenal Perforation
Contrast
Surgical treatment for Duodenal CT Scan Abdomen With Contrast,Barium Intra OP Photo,USG Abdomen,Routine
S1.3.3.10.2 IP 4725 30010
Diverticulum Meal Follow Through,Upper GI endoscopy Histopathological Examination
Magnetic Resonance
Cholangiopancreatography (MRCP)/ERCP/ USG Abdomen,Routine Histopathological
S1.3.3.10.3 Duodenectomy IP 3150 38650
CT Scan Abdomen With Contrast /USG Examination,Intra OP Photo
Abdomen,Biopsy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Chest X-Ray PA View(1 Film),Abdomen

Radiograph Supine Or Erect(1 Film)/USG
S1.3.3.11 Drainage of Perigastric Abscess IP 3150 35000 Without Contrast/CT Scan Abdomen With
Abdomen/CT scan Lower Abdomen
Contrast,Routine Histopathological Examination
Without Contrast
Abdomen Radiograph Supine Or Erect(1
Film),CT scan Lower Abdomen Without
S1.3.3.12 Drainage of Subdiaphragmatic Abscess IP Contrast/CT Scan Abdomen Without 3150 32000 USG Abdomen,Operative Photos
Contrast ,Chest X-Ray PA View(1
Film),USG Abdomen
USG Abdomen,Abdomen Radiograph
S1.3.3.13 Open Drainage of Pelvic Abscess IP Supine Or Erect(1 Film),CT Scan Abdomen 4725 32000 USG Abdomen,Operative Photos
Without Contrast,CT Pelvis
Examination,Operative Photos,USG Abdomen/CT
USG Abdomen,Plain Abdomen X-Ray,CT
scan Lower Abdomen Without Contrast/CT Scan
scan Lower Abdomen Without
Abdomen With Contrast,Routine
S1.3.3.15 Excision of Mesenteric Cyst IP Contrast,USG Abdomen,Plain Abdomen X- 3150 31260
Histopathological Examination,Operative
Ray,CT scan Lower Abdomen Without
Photos,USG Abdomen/CT scan Lower Abdomen
Contrast
Without Contrast/CT Scan Abdomen With
Contrast
Intra OP Photos,USG,Post OP Photo,Pus Culture
S1.3.3.16 Drainage of Psoas Abscess IP Clinical Photograph,CT,USG 3150 22000
Sensitivity report
S1.3.3.17 Drainage of perivertebral abscess IP Clinical Photograph,USG 10000 Intra Op Photo,Scar Photo,CS report,Pus
Clinical Photograph,IVP/DTPA SCAN,USG
S1.3.3.18 Pyloplasty IP 3150 14000 Intra Op Photo,POST OP IVP,SCAR Photo
ABDOMEN
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG,CECT,Clinical Photograph,Sugar,Viral USG,Viral markers,Sugar,Webex,Intra Op

S1.3.3.19 Laparoscopic cystogastrostomy IP markers,CBC,USG,CECT,Clinical 1575 30800 Photo,CBC,USG,Viral markers,Sugar,Webex,Intra
Photograph,Sugar,Viral markers,CBC Op Photo,CBC
S1.3.3.2 Selective Vagotomy drainage IP Endoscopy 5000 49258 Clinical Photograph
Clinical Photograph,PERITONEAL TAP
Intra Op Photo,SCAR Photo,POST OP USG,CS
Photo,USG ABDOMEN,Clinical
S1.3.3.20 Exploratory Laparotomy IP 15000 report,Intra Op Photo,SCAR Photo,POST OP
Photograph,PERITONEAL TAP Photo,USG
USG,CS report
ABDOMEN
S1.3.3.3 Pyloroplasty and Vagotomy IP Endoscopy 5000 36500 Clinical Photograph
S1.3.3.4 Gastrojejunostomy and Vagotomy IP Endoscopy-Video Photo 8375 36500 Clinical Photograph
Surgical Management for Bleeding
S1.3.3.5 IP Endoscopy 5000 31900 Clinical Photograph
Peptic ulcer
Partial/Subtotal Gastrectomy with
S1.3.3.6 IP Endoscopy 10000 50600 Clinical Photograph
anastomosis to Esophagus for ulcer
S1.3.3.7 Pyloromyotomy IP Endoscopy,Endoscopy 5000 42600 Clinical Photograph,Clinical Photograph
Biopsy,USG,Endoscopy,CT,Biopsy,USG,En
S1.3.3.8 Gastrostomy IP 5000 28400 Clinical Photograph,Clinical Photograph
doscopy,CT
Clinical Photograph,Clinical Clinical Photograph,Clinical Photograph,Clinical
S1.3.3.9 Gastrostomy Closure IP 5000 19600
Photograph,Clinical Photograph Photograph
S1.3.4.1 Surgical treatment for Intususception IP Endoscopy,X-Ray ABD,USG 8375 49258 Biopsy,Clinical Photograph
S1.3.4.10 Excision Benign Tumor -Small intestine IP Clinical Photograph,CECT,USG 3150 30000 Intra Op Photo,SCAR Photo,Biopsy report
Surgical treatment for Acute Intestinal
S1.3.4.2 IP Biopsy,X-Ray ABD,USG,Endoscopy 8375 49258 Biopsy,Clinical Photograph
obstrucion
Surgical treatment for Acute Intestinal
S1.3.4.3 IP Biopsy,CXR,X-Ray ABD,USG,Endoscopy 8375 49258 Biopsy,Clinical Photograph
perforation
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical management For

S1.3.4.4 IP Endoscopy,CT With Contrast 10000 49258 Biopsy,Clinical Photograph
Haemorrhage Of The Small Intestine
Surgical treatment For Recurrent
S1.3.4.5 Intestinal obstruction -Noble Plication IP CT-Contrast 10000 49257 Biopsy,Clinical Photograph
Other
Resection and Anastomosis Of Small Biopsy,Clinical Photograph,Biopsy,Clinical
S1.3.4.6 IP CT,X-Ray ABD,CT,X-Ray ABD 10000 37900
Intestine-45.9 Photograph
Surgical management of entero Fistulogram,Clinical Photograph,Barium
S1.3.4.6.1 IP 8375 40000 USG Abdomen,Scar Photo,Operative Photos
cutanious Fistula Meal Follow Through
Biopsy,USG,Endoscopy,Biopsy,USG,Endos
S1.3.4.7 Ileostomy IP 8375 19400 Clinical Photograph,Clinical Photograph
copy
CT Scan Abdomen With CT Scan Abdomen With Contrast,Scar
S1.3.4.7.1 Illieo Sigmoidostomy IP Contrast,Colonoscopy,Barium 3375 48000 Photo,Operative Photos,Routine
Enema(Single Contrast\Double Contrast) Histopathological Examination
S1.3.4.8 Ileostomy Closure IP Clinical Photograph 8375 25655 Clinical Photograph
USG Abdomen,CT Scan Abdomen With
Contrast,Abdomen Radiograph Supine Or POST OP HPE,scar photo,Intraoperative
S1.3.4.9 Excision of Meckels Diverticulum IP Erect(1 Film),USG Abdomen,CT Scan 5000 41048 photos,POST OP HPE,scar photo,Intraoperative
Abdomen With Contrast,Abdomen photos
Surgical treatment for Mal-Rotation Clinical Photograph,X-RAY,Clinical Photograph,X-

and Volvulus Of The Midgut RAY
CT contrast,colonoscopy ,USG of the
S1.3.5.10 Loop Colostomy Sigmoid IP 5000 20524 POST OP HPE,scar photo,Intraoperative photos
Abdomen
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Clinical
Intra Op Photo,SCAR Photo,POST OP Biopsy
S1.3.5.10.1 Sigmoid Resection IP Photograph,COLONOSCPY,BARIUM 4725 27000
report
ENEMA report
Surgical treatment for Volvulus of
S1.3.5.2 IP CT-Contrast,X-Ray Abdomen 10000 49258 Clinical Photograph,X-Ray Abdomen
Large bowel
Surgical treatment for Duplication Of
S1.3.5.3 IP CT-Contrast,CT-Contrast 10000 28800 Clinical Photograph,Clinical Photograph
Intestines
Barium,USG,Endoscopy,CT,Barium,USG,E Biopsy,Clinical Photograph,Biopsy,Clinical
S1.3.5.4 Left Hemi Colectomy IP 8375 40000
ndoscopy,CT Photograph
USG Abdomen/CT Scan Lower Abdomen
USG Abdomen,WEBEX/Intra OP Photo,Routine
With Contrast,Biopsy
Histopathological Examination,USG
S1.3.5.4.1 Laproscopic Left Hemicolectomy IP report,ColonoScopy,USG Abdomen/CT 1575 40000
Abdomen,WEBEX/Intra OP Photo,Routine
Scan Lower Abdomen With
Contrast,Biopsy report,ColonoScopy
S1.3.5.5 Right Hemi Colectomy IP 8375 40000
S1.3.5.6 Total Colectomy IP 8375 54900
Laproscopic Colectomy -Total
S1.3.5.6.1 IP Abdomen ,CT contrast,colonoscopy ,USG 5000 54900 Post OP HPE,WEBEX ,Post OP HPE,WEBEX
Colectomy
of the Abdomen
Barium,USG,Endoscopy,CT,Barium,USG,E Clinical Photograph,Clinical Photograph,Clinical
S1.3.5.7 Colostomy IP 5000 20524
ndoscopy,CT,Barium,USG,Endoscopy,CT Photograph
S1.3.5.8 Colostomy Closure IP Clinical Photograph 5000 25655 Clinical Photograph
Rectovaginal fistula Management CT contrast,colonoscopy ,USG of the
S1.3.5.9 IP 10000 39816 USG Abdomen
without Colostomy Abdomen
S1.3.6.1 Pull Through Abdominal Resection IP Clinical Photograph 10000 51310 Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Biopsy,Colonoscopy,Clinical
S1.3.6.2 Anterior Resection of Rectum IP Photograph,Biopsy,Colonoscopy,Clinical 10000 51310
Photograph
Photograph
Colonoscopy/Sigmoidoscopy
Rectopexy Open with Mesh for Rectal
S1.3.6.3 IP (REGID),Clinical photograph,USG 8375 28800 USG Abdomen ,Intraoperative photos
Prolapse
Abdomen
Colonoscopy/Sigmoidoscopy
Laproscopic Rectopexy With Mesh for
S1.3.6.3.1 IP (REGID),Clinical photograph,USG 8375 51310 USG Abdomen ,WEBEX
Rectal Prolapse
Abdomen
Colonoscopy/Sigmoidoscopy (REGID) /
Rectopexy Open with Mesh for Rectal USG Abdomen,Operative Photos,Clinical
S1.3.6.3.2 IP Defacogram,Clinical Photograph,USG 3375 30000
Prolapse Photograph
Abdomen
S1.3.6.4 Fistulectomy IP Fistulogram,Clinical Photograph 2250 15000
Photo,Routine Histopathological Examination
Fissurectomy with lateral
S1.3.6.5 IP Clinical Photograph 1575 15000 Intra OP Photo,Post OP Proctoscopy Photo
spinctorotomy
S1.3.6.6 Drainage of Ischio Rectal Abscess IP Clinical Photograph 5000 22000 Intra OP Photo,Scar Photo
Clinical Photograph,Colonoscopy,USG Clinical Photograph,Intra OP Photo,Routine
S1.3.6.7 Excision of Papilloma Rectum IP 19660
Abdomen,Proctoscopy Histopathological Examination
S1.3.6.8 Anorectoplasty IP USG Abdomen,Clinical Photograph 3150 26050 Clinical Photograph,Intra OP Photo
S1.3.6.9.1 Fissurectomy and Haemorrhoidectomy IP Clinical Photograph,PROCTOPSY Photo 2250 13500 Intra Op Photo,Scar Photo,Biopsy
S1.3.6.9.2 Lord Procedure for Haemorrhoids DC USG Abdomen,Colonoscopy,Proctoscopy 1575 10000 Intra OP Photo,Biopsy report
S1.3.6.9.3 Fissurectomy with Sphincterotomy IP Clinical Photograph,PROCTOPSY Photo 15000 Intra Op Photo,Scar Photo,Biopsy
S1.3.6.9.4 Anal Dilation DC clinical notes 2500 clinical notes
S1.3.6.9.4.1 ANAL STRICTURE IP clinical photos 1575 5000 intra op photos
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,Routine Histopathological

S1.3.6.9.5 Haemorroidectomy IP Proctosopy,Clinical Photograph 1575 16670
Examination
LASER HAEMORRHOIDDECTOMY /
S1.3.6.9.6 IP videosigmoidoscopy,fistulogram 1575 15000 specimen photo,po hpe
FISTULA ABALATION
S1.3.6.9.7 Laser internal sphrincterotomy IP clinical photos 1575 15000 Intra op photo
Barium Enema(Single Contras\Double
S1.3.7.1 Cecopexy IP 3150 30000 USG Abdomen,Intra OP Photo
Contrast),Colonoscopy
Clinical Photograph,USG,X-RAY Intra Op Photo,POST OP SCAR Photo,Biopsy
S1.3.7.2 Caecostomy IP 3150 20000
ABDOMEN report
Surgical treatment for Minor Intra
S1.3.8 IP Contrast/CT Scan Abdomen Without 2250 20290 USG Abdomen,Operative Photos
Abdominal Injuries
Contrast/ ECHO Cardiogram,Plain
Abdomen X-Ray
USG Abdomen/CT scan Lower Abdomen Routine Histopathological Examination,USG

Without Contrast/CT Scan Abdomen With Abdomen/CT scan Lower Abdomen Without
Contrast/CT Scan Abdomen Without Contrast/CT Scan Abdomen With Contrast/CT
Contrast,Plain Abdomen X-Ray,USG Scan Abdomen Without Contrast,Routine
Abdomen/CT scan Lower Abdomen Histopathological Examination,USG Abdomen/CT
Without Contrast/CT Scan Abdomen With scan Lower Abdomen Without Contrast/CT Scan
S1.3.9 Surgical treatment for Burst Abdomen IP 5000 40000
Contrast/CT Scan Abdomen Without Abdomen With Contrast/CT Scan Abdomen
Contrast,Plain Abdomen X-Ray,USG Without Contrast,Routine Histopathological
Abdomen/CT scan Lower Abdomen Examination,USG Abdomen/CT scan Lower
Without Contrast/CT Scan Abdomen With Abdomen Without Contrast/CT Scan Abdomen
Contrast/CT Scan Abdomen Without With Contrast/CT Scan Abdomen Without
Contrast,Plain Abdomen X-Ray Contrast
S1.4 Liver
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical treatment For Hydatid cyst of

S1.4.1 IP CT,USG,CT,USG 8375 41048 USG,USG
Liver
S1.4.2 Portocaval Anastomosis IP MRI,USG,UGI Endoscopy 5000 56800 Endoscopy,USG
S1.4.3 Drainage/Excision of liver Abscess IP Clinical Photograph,USG Abdomen/CECT 4725 30000 Intra OP Photo,Scar Photo,Post OP USG
USG GUIDED MAJOR PROCEDURES -
EG.IVER L ABSCESS,POST OP POST OP USG,CLINICAL AND USG GUIDED
S1.4.3.1 IP USG,CT ABDOMEN 1575 8000
COLLECTIONS DRAINAGE PIGTAIL PROCEDURE PHOTOS
INSERTION
Intra Op Photo,VIDEO RECORD,POST OP SCAR
Clinical
Photo,Biopsy report,Intra Op Photo,VIDEO
Photograph,CECT/MRI,USG,Clinical
S1.4.4 Lap. Hepatic segmental resection IP 3150 53300 RECORD,POST OP SCAR Photo,Biopsy
report,Intra Op Photo,VIDEO RECORD,POST OP
Photograph,CECT/MRI,USG
SCAR Photo,Biopsy report
S1.5 Gallbladder
Clinical Photograph,USG,Clinical
S1.5.1 Cholecystectomy IP CT,LFT,USG,CT,LFT,USG 8375 25655
Photograph,USG
S1.5.2 Laproscopic Cholecystectomy IP CT,LFT,USG,CT,LFT,USG 8375 30786
Photograph,USG
Cholecystectomy With CBD Clinical Photograph,USG,Clinical
S1.5.3 IP CT,LFT,USG,CT,LFT,USG 8375 41048
Exploration -51.41 Photograph,USG
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Routine Histopathological Examination,WEBEX

USG Abdomen ,LFT(liver function ,CT Scan Abdomen With Contrast,USG
tests),CT scan Lower Abdomen Without Abdomen/CT scan Lower Abdomen Without
Contrast/CT Scan Abdomen Without Contrast/CT Scan Abdomen Without
Laproscopic Cholecystectomy With
S1.5.3.1 IP Contrast,USG Abdomen ,LFT(liver function 5000 30786 Contrast,Routine Histopathological
CBD Exploration -51.41
tests),CT scan Lower Abdomen Without Examination,WEBEX ,CT Scan Abdomen With
Contrast/CT Scan Abdomen Without Contrast,USG Abdomen/CT scan Lower
Contrast Abdomen Without Contrast/CT Scan Abdomen
Without Contrast
S1.5.3.2 Benign Biliary Stricture Repair IP USG,CECT ABD,LFT,MRCP 3150 40000 INTA OP PHOTOS,LFT,POST OP USG
S1.5.4 Cholecystostomy IP CT,LFT,USG,CT,LFT,USG 5000 30437
Photograph,USG
S1.5.5 Pancreaticocystojejunostomy IP CT,LFT,USG,CT,LFT,USG,CT,LFT,USG 10000 50600
Photograph,USG,Clinical Photograph,USG
S1.5.6 Pancreaticocystogastrostomy IP CT,LFT,USG 10000 43025 Clinical Photograph,USG
S1.5.7 Repair Of CBD IP CT,LFT,USG 5000 49257 Clinical Photograph,USG
S1.5.8 PANCREAS DIVISUM IP USG,Endoscopy,CT,Biopsy 3375 30000 USG,Clinical Photograph,Biopsy
S1.6 Adrenals
Bilateral Adrenalectomy in
S1.6.1 IP CT,Biochemical Investigations,USG 5000 41048 USG
nonmalignant conditions
Unilateral Adrenelectopmy in
S1.6.2 IP CT,Biochemical Investigations,USG 3375 35917 USG
nonmalignant conditions
S1.7 Spleen
S1.7.1 Splenectomy For Hypersplenism IP CT,Peripheral Smear,USG 10000 41048 USG
S1.7.2 Splenorenal Anastomosis IP MRI,USG,UGI Endoscopy 10000 71834 Endoscopy,USG
S1.7.3 Warren Shunt for Portal Hypertension IP MRI,USG,UGI Endoscopy 10000 71834 Endoscopy,USG
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Intra Op Photo,Webex,Biopsy report SCAR

Clinical Photograph,CECT,PERIPHERAL
Photo,VIDEO RECORD,Intra Op
S1.7.4 Laparoscopic Spleenectomy IP ,USG,CBP,Clinical 2250 40000
Photo,Webex,Biopsy report SCAR Photo,VIDEO
Photograph,CECT,PERIPHERAL ,USG,CBP
RECORD
Clinical
Biopsy report SCAR Photo,VIDEO RECORD,Intra
Photograph,CECT,USG,PERIPHERAL
S1.7.5 Open Spleenectomy IP 4725 23500 Op Photo,Webex,Biopsy report SCAR
,CBP,Clinical
Photo,VIDEO RECORD,Intra Op Photo,Webex
Photograph,CECT,USG,PERIPHERAL ,CBP
S1.8 PERIPHERY VESSELS
Venous Doppler,Clinical
Case Sheet with operation Notes ,Case Sheet
S1.8.1 Excision and Ligation of Varicose Veins IP photograph,Venous Doppler,Clinical 5000 23500
with operation Notes
photograph
Color Doppler Scan,Operative notes with
S1.8.2 Ligation of Perforators incompitence IP 1575 10000 Intra Op Photo,Post OP Doppler report
steps of surgery,Clinical Photograph
S1.9 Excision of Sinus
S1.9.1 Excision of any Sinus IP Sinography,Clinical Photograph 16850
Examination,Operative Photos
USG
S1.9.2 Excision of Umbillical Sinus IP USG Abdomen,Sinogram,Clinical photo 16700 Abdomen/Histopethology,Histopathological
Examination,Intra op photo
S1.9.3 Excision of Pilonidal Sinus IP Clinical Photograph 3150 6600
S11.1 HEAD AND NECK
Biopsy,X-RAY,USG,Clinical
Neck Dissection Any Type in malignant Biopsy,Clinical Photograph,Biopsy,Clinical
S11.1.2 IP Photograph,Biopsy,X-RAY,USG,Clinical 5000 38300
conditions Photograph
Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,Fine Needle Aspiration

Cytology(FNAC),CT Scan Abdomen With
Contrast/MRI Abdomen With
Bilateral neck dissection any type in Routine Histopathological Examination,Routine
S11.1.2.1 IP Contrast,USG Abdomen,Fine Needle 4725 45000
malignant conditions Histopathological Examination
Aspiration Cytology(FNAC),CT Scan
Abdomen With Contrast/MRI Abdomen
With Contrast
Thyroidectomy any type in malignant Photograph,Biopsy,X-RAY,USG,Clinical Biopsy,Clinical Photograph,Biopsy,Clinical
S11.1.5 IP 4500 31500
conditions Photograph,Biopsy,X-RAY,USG,Clinical Photograph,Biopsy,Clinical Photograph
Photograph
S11.17 CA. PARATHYROID
Parathyroidectomy in malignant CT,S.PTH,Nuclear scan,CT,S.PTH,Nuclear Biopsy,Clinical Photograph,Biopsy,Clinical
S11.17.1 IP 5000 29300
conditions scan,CT,S.PTH,Nuclear scan Photograph,Biopsy,Clinical Photograph
S11.18 CA. GASTRO INTESTINAL TRACT
Colostomy Closure in malignant Clinical Photograph,Clinical Photograph,Clinical
S11.18.3 IP Colonoscopy,Colonoscopy,Colonoscopy 10000 26250
S11.2 GASTROINTESTINAL TRACT
Laparoscopic mobilization of stomach
with distal gastrectomy with billroth i
S11.2.11 IP CT/MRI,BIOPSY,CT/MRI,BIOPSY 3150 92300 CXR,CXR
Or ii anastomosis in malignant
conditions
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CEA(Carcino Embryonic
Antigen)125,Biopsy,Colono Scopy,CT Scan
Lower Abdomen With Contrast,Ca 19-
Routine Histopathological Examination
9(Cancer Antigen 19-9 Or Carbohydrate
Laproscopic Right Hemicolectomy in ,WEBEX,USG Abdomen,Routine
S11.2.3.1 IP Antigen 19-9),CEA(Carcino Embryonic 2250 40000
malignant conditions Histopathological Examination ,WEBEX,USG
Abdomen
Antigen 19-9)
USG Abdomen/CT Scan Lower Abdomen Routine Histopathological Examination

Laparoscopic Left Hemicolectomy in With Contrast,Biopsy,Colono Scopy,USG ,WEBEX,USG Abdomen,Routine
S11.2.3.2 IP 2250 40000
malignant conditions Abdomen/CT Scan Lower Abdomen With Histopathological Examination ,WEBEX,USG
Contrast,Biopsy,Colono Scopy Abdomen
Anterior Resection of rectum in Biopsy,USG,Endoscopy,CT,Biopsy,USG,En Biopsy,USG,Clinical

S11.2.4 IP 10000 63000
malignant conditions doscopy,CT Photograph,Biopsy,USG,Clinical Photograph
Whipples Any Type In malignant Biopsy,USG,Endoscopy,CT,Biopsy,USG,En Biopsy,USG,Clinical

S11.2.6 IP 10000 110000
conditions doscopy,CT Photograph,Biopsy,USG,Clinical Photograph
Triple Bypass -Pancreas in malignant Biopsy,USG,Endoscopy,CT,Biopsy,USG,En Biopsy,USG,Clinical

S11.2.7 IP 10000 63000
S11.22 RETROPERITONEAL TUMOR
Resection Of Retroperitoneal Tumors Biopsy,Clinical Photograph,Biopsy,Clinical
S11.22.1 IP CT,CT,CT 8375 44600
in malignant conditions Photograph,Biopsy,Clinical Photograph
S11.36 RECONSTRUCTION
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Reconstructon with Myocutaneous Or

S11.36.1 Cutaneous Flap in malignant IP Clinical Photograph,Clinical Photograph 10000 41000 Clinical Photograph,Clinical Photograph
conditions
S11.5 TUMORS OF THE FEMALE BREAST
Biopsy,Mammography,Clinical
Mastectomy Any Type in malignant Biopsy,Clinical Photograph,Biopsy,Clinical
S11.5.1 IP Photograph,Biopsy,Mammography,Clinica 10000 34560
l Photograph
S15 POLYTRAUMA
Doppler,Post-op. X-ray,Doppler,Post-op. X-
Visceral injury requiring surgical Pre-op. X-ray,Pre-op. X-ray,Pre-op. X-
S15.10 IP 4725 42600 ray,Doppler,Post-op. X-ray,Doppler,Post-op. X-
intervention ray,Pre-op. X-ray
ray
S15.2 NEURO-SURGICAL TRAUMA
Medical Management in General Ward Clinical Photograph,Clinical Photograph,Clinical
S15.2.1.1 IP CT,X-RAY,CT,X-RAY,CT,X-RAY 8375 11084
at Rs.900 Neuro surgical trauma Photograph
Intesive care managementof Neuro
Clinical Photograph,Clinical Photograph,Clinical
S15.2.1.2 Surgical Trauma in Neuro Icu at IP CT,X-RAY,CT,X-RAY,CT,X-RAY,CT,X-RAY 8375 49258
Photograph,Clinical Photograph
Rs.4000 Per Day
Surgical Treatment -Up To for Neuro Clinical Photograph,Clinical Photograph,Clinical
S15.2.2 IP CT,X-RAY,CT,X-RAY,CT,X-RAY,CT,X-RAY 8375 106500
Surgical Trauma Photograph,Clinical Photograph
S15.5 EMERGENCY ROOM PROCEDURES
S15.5.1 Tracheostomy IP 2250 6393
S15.9 PELVIC BONE FRACTURE
Clinical Photograph showing scar,Clinical
Internal fixation of Pelviacetabular
S15.9.2 IP X-RAY/CT,X-RAY/CT,X-RAY/CT,X-RAY/CT 5000 56800 Photograph showing scar,Clinical Photograph
fracture
showing scar,Clinical Photograph showing scar
S2.2 THROAT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Neck dissection selectiveOr clinical notes,Biopsy,Scar Photo,clinical

CT/MRI ,US Neck,FNAC,CT/MRI ,US
S2.2.9.2.1 comprehensiveOr Benign neck tumour IP 35000 notes,Biopsy,Scar Photo,clinical
Neck,FNAC,CT/MRI ,US Neck,FNAC
excision notes,Biopsy,Scar Photo
S2.5 PAROTID GLAND
Histopathological report & Intra Photos,Scar
clinical notes,US Neck,FNAC,clinical
Photo,Histopathological report & Intra
S2.5.2 Total Parotidectomy IP notes,US Neck,FNAC,clinical notes,US 30000
Photos,Scar Photo,Histopathological report &
Neck,FNAC
Intra Photos,Scar Photo
S5.6 SOFT TISSUE SURGERY
Nerve conduction study,Clinical CT Local Area Without Contrast,Clinical
Tendon transfer procedure for wrist
S5.6.19 IP Photograph,Nerve conduction 4725 28400 Photograph,CT Local Area Without
drop
study,Clinical Photograph Contrast,Clinical Photograph
clinical notes,Clinical Photograph,clinical
S5.6.23 Excision of Bursa Or Ganglion IP 4725 3600 clinical notes,clinical notes
notes,Clinical Photograph
GA OR EUA SEPARATE ADD ON
SE040
PACKAGE
SE040A GA Or EUA separate add on package DC 3000
SG001 OESOPHAGECTOMY
SG001A Oesophagectomy IP 92358
SG003 GASTRECTOMY
Bleeding Ulcer - Partial Gastrectomy
SG003A IP 62500
without Vagotomy
SG003C Partial Gastrectomy for Carcinoma IP 43500
SG003D Subtotal Gastrectomy for Carcinoma IP 43500
SG003E Total Gastrectomy - Lap. IP 81300
SG003F Total Gastrectomy - Open IP 41048
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
OPERATION FOR GASTRIC OR

SG007
DUODENAL PERFORATION
SG007A Gastric Perforation IP 22600
SG008 PYLOROPLASTY
SG008A Pyloroplasty IP 20700
SG010 GASTROJEJUNOSTOMY
SG0106A Open IP 34900
SG0106B Lap. IP 34900
SG010A Gastrojejunostomy IP 30000
SG0108 SYMPATHECTOMY
SG0108A Sympathectomy-Bilateral -B Or L IP 35000
SG0109 ERCP
SG0109A ERCP IP 15000
SURGICAL MANAGEMENT OF
SG011
PSEUDOCYST
SG011B CystoJejunostomy - Lap IP 22500
SG0110 BRACHIAL SINUS EXCISION
SG0110A Brachial sinus excision ST 20000
SG0111 EPIDIDYMAL EXCISION UNDER GA
SG0111A Epididymal Excision under GA ST 2000
SG0113 MOLE EXCISION
SG0113A Mole Excision DC 2000
REPLACEMENT SURGERY FOR
SG0117
CORROSIVE INJURY STOMACH
Replacement Surgery For Corrosive
SG0117A IP 58500
Injury Stomach
CHOLEDOCHODUODENOSTOMY OR
SG0118
CHOLEDOCHO JEJUNOSTOMY
Choledochoduodenostomy Or
SG0118A IP 41000
Choledocho Jejunostomy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
HEPATICO JEJUNOSTOMY FOR BILIARY

SG0119
STRICTURE
Hepatico Jejunostomy for biliary
SG0119A IP 45000
stricture
SG012 FEEDING JEJUNOSTOMY
SG012A Feeding Jejunostomy IP 15000
I STAGE- SUB TOTAL COLECTOMY +
SG0120
ILEOSTOMY + J - POUCH
I Stage- Sub Total Colectomy +
SG0120A IP 93600
Ileostomy + J - Pouch
SG0121 PANCREATIC NECROSECTOMY
SG0121A Pancreatic Necrosectomy IP 70200
DISTAL PANCREATECTOMY +
SG0122
SPLENECTOMY
SG0122A Distal Pancreatectomy + Splenectomy IP 70200
SG0123 HELLER MYOTOMY -LAP.OROPEN
SG0123A Heller Myotomy -Lap. Or Open IP 35100
I STAGE-SUB TOTAL COLECTOMY +
SG0124
ILEOSTOMY
I Stage-Sub Total Colectomy +
SG0124A IP 40000
Ileostomy
SG020 TOTAL COLECTOMY
SG020B Lap. IP 48300
SG021 HEMI COLECTOMY
SG021A Right-Open IP 35200
SG021C Left-Open IP 35200
SG023 COLOSTOMY
SG023A Colostomy IP 20000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG028 RECTAL POLYP EXCISION

SG028A Rectal Polyp Excision DC 10000
SG029 ANTERIOR RESECTION OF RECTUM
SG030 RESECTION ANASTOMOSIS
SG032 HAEMORROIDECTOMY
SG032B with Stapler DC 27000
SG034 EXICISION OF SINUS AND CURETTAGE
SG034A Exicision of Sinus and Curettage DC 5900
SG037 HEPATIC RESECTION
SG040 OPERATIVE CHOLECYSTOSTOMY
DISTAL PANCREATECTOMY WITH
SG044
PANCREATICO JEJUNOSTOMY
Distal Pancreatectomy Or Pancreatico
SG044A Jejunostomy with Or without IP 44600
spleenlectomy
SG047 MESENTERIC CAVAL ANASTOMOSIS
SG047A Mesenteric Caval Anastomosis IP 48600
SG050 GROIN HERNIA REPAIR
SG050B Inguinal - Lap. ST 20800
SG051 HERNIA - VENTRAL
SG051C Paraumbilical IP 27000
SG051D Spigelian IP 27000
SG059 ORCHIDECTOMY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG059A Orchidectomy ST 12000

SG061 ESTLANDER OPERATION -LIP
SG061A Estlander Operation -lip IP 9300
SG062 OPERATION FOR CARCINOMA LIP
SG062A Wedge Excision IP 25100
SG062B Wedge Excision and Vermilionectomy IP 26800
SG062C Cheek advancement IP 26800
COMPLETE EXCISION OF GROWTH
SG063 FROM TONGUE ONLY -INCLUSIVE OF
HISTOPATHOLOGY
Complete Excision of Growth from
SG063A Tongue only - -inclusive of DC 20900
Histopathology
EXCISION OF GROWTH FROM TONGUE
SG064
WITH NECK NODE DISSECTION
Excision of Growth from Tongue with
SG064A ST 39200
neck node dissection
SG065 MICROLARYNGOSCOPIC SURGERY
SG065A Microlaryngoscopic Surgery ST 26300
SG066 SUBMANDIBULAR MASS EXCISION
SG066A Submandibular Mass Excision IP 25000
SG069 CAROTID BODY TUMOUR - EXCISION
SG069A Carotid Body tumour - Excision IP 37500
SG070 THYROIDECTOMY
SG070A Hemi thyroidectomy ST 25655
SG074 BREAST LUMP EXCISION -BENIGN
SG074A Breast Lump Excision -Benign DC 10000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG075 MASTECTOMY
SG075A Simple Mastectomy ST 25000
SG081 LOBECTOMY
SG081A Thoracoscopic IP 46600
SG081B Open IP 32900
THORACOSCOPIC SEGMENTAL
SG082
RESECTION
SG082A Thoracoscopic Segmental Resection IP 54900
SG087 FLAP RECONSTRUCTIVE SURGERY
SG087A Flap Reconstructive Surgery IP 36100
SG089 TISSUE RECONSTRUCTION FLAP
SG089A Tissue Reconstruction Flap IP 35200
SG091 SKIN FLAPS - ROTATION FLAPS
SG091A Skin Flaps - Rotation Flaps DC 28800
LYMPHATICS EXCISION OF
SG093 SUBCUTANEOUS TISSUES IN
LYMPHOEDEMA
Lymphatics Excision of Subcutaneous
SG093A ST 15000
Tissues In Lymphoedema
SG094 AV FISTULA WITHOUT PROSTHESIS
SG094A AV Fistula without prosthesis DC 21600
SG095 MANAGEMENT OF VARICOSE VEINS
SG095B Minor sclerotherapy DC 5000
SG096 BIOPSY
SG096B Endometrial Aspiration DC 2700
Cervix Cancer screening -PAP +
SG096C DC 2500
Colposcopy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG096E Vulval DC 2500

SURGICAL MANAGEMENT OF LOWER
GI BLEED -INCLUSIVE OF
SIGMOIDOSCOPY OR COLONOSCOPY -
SG100
COLONOSCOPIC MANAGEMENT ONLY
EXCLUDING LOCAL PERINEAL
CONDITIONS
Surgical management of Lower GI
bleed -inclusive of sigmoidoscopy Or
SG100A colonoscopy - Colonoscopic IP 28400
management only excluding local
perineal conditions
SG102 REPAIR OF RENAL ARTERY STENOSIS
SG102A Repair of Renal Artery Stenosis IP 86300
SG103 ERCP
SG103A ERCP + Stenting Or Stone removal IP 25000
SL021 PAROTIDECTOMY
SL021B Superficial Parotidectomy ST 23800
SL026 TRACHEOSTOMY OR TRACHEOTOMY
SL026B Tracheotomy ST 6393
SL027 NECK DISSECTION
SL027A Benign neck tumour excision IP 23500
DEEP NECK ABSCESS DRAINAGEOR
SL028
POST TRAUMA NECK EXPLORATION
SL028A Deep neck abscess drainage IP 12500
SL028B Post trauma neck exploration ST 21000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
HEAD INJURY WITH REPAIR OF FACIO-

ST002 MAXILLARY INJURY AND FIXATIONS -
INCLUDING IMPLANTS
Head injury with repair of Facio-
ST002A Maxillary Injury and fixations -including IP 42800
implants
CRANIOTOMY AND EVACUATION OF
ST003 HAEMATOMA WITH FIXATION OF
FRACTURE OF LONG BONE
Subdural hematoma along with
ST003A IP 75000
fixation of fracture of single long bone
Extradural hematoma along with

ST003B IP 75000
ST003D fixation of fracture of 2 or more long IP 93800
bone.
MANAGEMENT OF CHEST INJURY
ST004
WITH FRACTURE OF LONG BONE
Management of Chest injury with
ST004A IP 35000
fixation of Single Long bone
ST004B IP 45000
fixation of 2 or more Long bones
MANAGEMENT OF VISCERAL INJURY
ST005
AND FRACTURE LONG BONE
Surgical intervention for Visceral injury
ST005B and fixation of fracture of 2 or more IP 56300
long bones
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
INTERNAL FIXATION WITH FLAP COVER

ST007 SURGERY FOR WOUND IN COMPOUND
FRACTURE
Internal fixation with Flap cover
ST007A Surgery for wound in compound IP 45000
fracture
EMERGENCY TENDONS REPAIR ±
ST008 PERIPHERAL NERVE REPAIROR
RECONSTRUCTIVE SURGERY
Emergency tendons repair ± Peripheral
ST008A IP 37500
Nerve repair
MANAGEMENT OF NERVE PLEXUS OR
ST009
TENDON INJURIES
Nerve and Or or tendon injury. A.
ST009A Wound exploration and closure. B. IP 32660
Nerve repair. C. Tendon repair
Wound exploration and closure. B.
ST009B IP 25560
Nerve graft. C. Tendon graft Or
transfer
ST009C Tendon injury repair IP 40000
ST009D Tendon graft repair IP 45000
PLEXUS INJURY ALONG WITH
ST010
VASCULAR INJURY REPAIR OR GRAFT
ST010A IP 11360
Nerve repair. C. Tendon repair D.
Vascular repair Or graft
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Plexus injury along with Vascular injury

ST010B IP 75000
graft
S1.1 HEAD AND NECK
Removal Of Submandibular Salivary
S1.1.11A IP 25737
Gland
S1.1.1A Excision of Branchial Cyst IP 24629
S1.1.1.20A Branchial fistula excision IP 15300
Thyroglossal sinus Or fistula Or cyst
S1.1.1.21A IP 15300
excision
S1.1.2A Excision of Branchial Sinus IP 24629
S1.1.9A Excision of Thyroglossal Cyst Fistula IP 30786
S1.1.5.1A Hemithyroidectomy IP 30700
S1.1.5.6A Total Thyroidectomy IP 37300
S11.1 HEAD AND NECK
Bilateral neck dissection any type in
S11.1.2.1A IP 45000
malignant conditions
S11.12 CA.SOFT PALATE
Palatectomy any type in malignant
S11.12.1A IP 55031
conditions
S15.5.1A Tracheostomy IP 6393
S2 ENT SURGERY
S2.9 Cryosurgery DC Case sheet with clinical History,DNE 18400 Intra OP Photo,Post OP DNE
S2.1 EAR
S2.1.1 Labyrinthectomy IP CT-Scan PTI,IA 4500 23150 Clinical Photograph
S2.1.10 Ear lobe repair - single -daycare DC clinical photo 1500 Clinical Photographs Showing scar
S2.1.2 Facial Nerve Decompression IP CT-Scan,CT-Scan 4500 35100 Clinical Photograph,Clinical Photograph
S2.1.3 Temporal Bone Excision IP CT-Scan MRI Scan,CT-Scan MRI Scan 4500 56700 Clinical Photograph,Clinical Photograph
S2.1.4 Myringoplasty IP Pure Tone Audiometry 4500 16200 Pure Tone Audiometry
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Pure Tone Audiometry ,OTO endoscopy/

Myringoplasty with ossiculoplasty - OTO Endoscopy Photos,X-Ray Of Both
S2.1.4.1 IP 4500 18500 X-Ray Of Both Mastoids
19.3 Mastoids,Impedances Audiometry(With
Stepedeal Reflex)
Otoscopic findings,Intra OP Photos,Post OP
S2.1.4.2 Ossiculoplasty IP PTA and IA 18000
PTA/WEBEX
Pure Tone Audiometry ,OTO endoscopy/ Pure Tone Audiometry ,Grommet in Positoin
Myringotomy with grommet for one
S2.1.5 IP OTO Endoscopy Photos,Impedances 2250 12000 Photo,Impedances Audiometry(With Stepedeal
ear
Audiometry(With Stepedeal Reflex) Reflex)
Pure Tone Audiometry,OTO
Pure Tone Audiometry,Impedances
Myrinogotomy with-grommet for both endoscopy/OTO Endoscopy
S2.1.5.1 DC 13000 Audiometry(With Stepedeal Reflex) ,Grommet in
ears Photos,Impedances Audiometry(With
Positoin Photo
Stepedeal Reflex)
OTO endoscopy photo,PTA,OTO OTO endoscopy photo,PTA,OTO endoscopy
S2.1.5.2 Myringotomy ? Unilateral IP 9000
endoscopy photo,PTA photo,PTA
OTO endoscopy photo,PTA,OTO OTO endoscopy photo,PTA,OTO endoscopy
S2.1.5.3 Myringotomy ? Bilateral IP 10000
endoscopy photo,PTA photo,PTA
Surgical treatment for Preauricular
S2.1.6 IP Clinical Photograph 18550 Scar Photo
sinus
Partial amputation of Pinna -
S2.1.7.1 IP CT Scan Ear 10000 Routine Histopathological Examination
malignancy perichondritis
Total Amputation and Excision of
S2.1.7.2 IP clinical notes 15000 Clinical Photograph& Post OP Photos
External Auditory Meatus
Excision of Pinna for Growths -
Routine Histopathological Examination report
S2.1.7.3 Squamous/Basal Injuries Total IP CT & Biopsy 6500
&Pre& Post Clinical Photos
Amputation
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Squamous/Basal Injuries - Total
S2.1.7.4 IP CT & Biopsy,CT & Biopsy 16500 clinical notes,clinical notes
Amputation and Excision of External
Auditory Meatus
Webex of Endoscopy showing
S2.1.8.1 Aural polypectomy +Tympanoplasty IP Polyp,Operative notes with steps of 19280 Biopsy report,Post OP webex,clinical notes
surgery
S2.1.8.2 Aural polypectomy IP Webex of Endoscopy showing Polyp 11000 Post OP webex
S2.1.9 Removal of Impacted Ear wax IP Clinical Photograph 1500 Clinical Photograph
S2.2 THROAT
S2.2.1 Microlaryngeal Surgery IP Nasal Endoscopy 4500 20000 Clinical Photograph
CT Scan Neck Includes Chest And
Surgical treatment for Laryngotracheal Larynx,DNL(Direct Nasal DNL(Direct Nasal Laryngoscopy)\DNE - Including
S2.2.1.1 IP 40000
stenosis Laryngoscopy)\DNE -Including Biopsy Biopsy Under GI
Under GI
Hematological and radiological
Excision of tumour of oral cavity / Hematological and radiological
investigations,Biopsy,Post OP
S2.2.10 paranasal sinus / laryngopharynx with IP investigations,Biopsy,Hematological and 30000
Photos,Hematological and radiological
or without reconstruction radiological investigations,Biopsy
investigations,Biopsy,Post OP Photos
CUT THROAT INJURY NECK -
S2.2.11 EXPLORATION and REPAIR WITHOUT IP CLINICAL PHOTO 1575 18000 CLINICAL PHOTO
VASCULAR INTERVENTION
RADIO FREQUENCY ABLATION OF
S2.2.12 IP CT,MRI Tongue 27910 endoscopy photo,biopsy
TONGUE
S2.2.2 Phono Surgery For Vocal Cord Paralysis IP CT-Scan MRI Scan 4500 27500 Clinical Photograph
S2.2.2.1 Vidian neurectomy ? Micro IP Clinical Photograph 9000 Clinical Improvement & Nervestimulation test
S2.2.3 Laryngo Fissurectomy IP CT-Scan 4500 30000 Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CT Scan Neck Includes Chest And

Laryngectomy in nonmalignant Larynx,Video Laryngoscopy,DNL(Direct
S2.2.3.1 IP 5000 40000 Routine Histopathological Examination
conditions Nasal Laryngoscopy) / DNE - Including
Biopsy Under GI
S2.2.3.2 Bilateral Styloidectomy IP OPG showing styloid process with report 15000 Intra OP Photos showing styloid
TRANS ORAL LASER EXCISION OF

S2.2.3.3 IP PREOP VLS,CT NECK 40000 BIOPSY,POST OP VLS
LARYNGEAL TUMOR -TOLMS ? BENIGN
S2.2.4 Exision of Tumors In Pharynx IP FNAC 4500 30000 Biopsy,Clinical Photograph
S2.2.5 Exision of Parapharyngeal Tumour IP CT-Scan MRI Scan,FNAC 4500 30000 Biopsy,Clinical Photograph
Impedance Audiometry,X-Ray
S2.2.6 Adenoidectomy - Gromet Insertion IP 2250 12362 Clinical Photograph
Nasopharynx
S2.2.6.1 Adeno tonsillectomy IP X Ray Nasopharynx,DNE 12000 Clinical Photo showing scar,Post OP DNE
Tonsillectomy - U/L-Diptheria/ tumour INTRA OP PHOTOS,POST OP CLINICAL
S2.2.6.1.1 IP SURGICAL PROFILE 10000
of tonsills/Ulcer of Tonsills PHOTO,CASE SHEET
Tonsillectomy - B/L -Diptheria/ tumour INTRA OP PHOTOS,POST OP CLINICAL

S2.2.6.1.2 IP SURGICAL PROFILE 10000
of tonsills/Ulcer of Tonsills PHOTO,CASE SHEET
Clinical Photo showing scar,Pus for culture
Peritonsillar abscess drainage / clinical notes,Clinical Photograph,clinical
S2.2.6.2 DC 8000 sensitivity report,Clinical Photo showing scar,Pus
intraoral calculus removal notes,Clinical Photograph
for culture sensitivity report
S2.2.7 Uvulo Palato - Pharyngoplasty IP Polysomnography 4500 30000 Clinical Photograph
S2.2.7.1 ZETA PLASTY IP SLEEP STUDY,DICE 20000 endoscopy photo
S2.2.7.2 UPPP AND MODIFICATIONS IP SLEEP STUDY,DICE 35000 endoscopy photo
Surgical treatment for release of
S2.2.8.1 IP Clinical Photograph 10950 Clinical Photograph
tongue tie
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Operative notes with steps of surgery,Post OP

S2.2.8.2 Ranula excision IP clinical notes,Clinical Photograph 20000
Photos
Clinical Photo showing scar,Pre OP
S2.2.8.3 Commondo Operation -glossectomy IP 3150 25000 Clinical Photo showing scar,Biopsy report
Photos,Biopsy
Surgical treatment for Para / retro X-Ray Nasopharynx,Clinical Photograph,PUS
S2.2.9.1 IP X-Ray Nasopharynx 12500
pharyngeal abscess Culture & Sensitivity
Neck dissection selective/
clinical notes,Biopsy,Scar Photo,clinical
comprehensive/ Benign neck tumour CT/MRI ,US Neck,FNAC,CT/MRI ,US
S2.2.9.2.1 IP 35000 notes,Biopsy,Scar Photo,clinical
excision/ Pharyngeal diverticulum Neck,FNAC,CT/MRI ,US Neck,FNAC
notes,Biopsy,Scar Photo
excision
X-Ray Nasopharynx,Clinical Photograph,PUS
S2.2.9.2.2 Drainage Parapharyngeal abscess DC X-Ray Nasopharynx 12500
Culture & Sensitivity
S2.2.9.3 Pharyngectomy and reconstruction IP CT/MRI,VLS Photos,Biopsy 5000 48600 clinical notes,Biopsy,VLS
S2.2.9.4 Pharyngeal diverticulum ? Excision IP CT/ Barium Swallow 26560 Clinical Photograph& Post OP Photos
S2.2.9.5 Laryngophayryngectomy IP clinical notes,VLS Photos,Biopsy 5000 55000 clinical notes,Biopsy,VLS Photos
S2.2.9.6 Laryngectomy with block dissection IP CT neck contrast/MRI,VLS,Biopsy 60960 clinical notes,Scar Photo,Biopsy,VLS
Microlaryngeal surgery with or without
S2.2.9.7 IP clinical notes,VLC Photos & WEBEX 17000 clinical notes,VLC Photos & WEBEX
laser
S2.3 NOSE
S2.3.1 Endoscopic Sinus Surgery IP CT PNS,DNE Photo graph 4500 18200 Endoscopy Photo
ENDOSCOPIC SINUS SURGERY-
S2.3.1.1 INTERNAL MAXILLARY ARTERY IP CT PNS-CONTRAST,nasal endoscopy 34546 nasal endoscopy
LIGATION
clinical notes,X-Ray PNS,Webex showing
S2.3.10 Youngs operation IP 15000 clinical notes,Intra OP Photos,Post OP Photos
DNE
Surgical treatment for Choanal atresia -
S2.3.11 IP Nasal endoscopy,CT-PNS Axial cuts 20000 Nasal endoscopy,WEBEX
Unilateral
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical treatment for Choanal atresia -

S2.3.11.1 IP nasal endoscopy,ct-pns axial cuts 25000 nasal endoscopy,WEBEX
Bilateral
Surgical treatment for Oro antral
S2.3.12 IP X-Ray Nasopharynx,PRE DNE Photo 18000 X-Ray Nasopharynx,Post OP webex
fistula
S2.3.13.1 Antrostomy ? Bilateral IP clinical notes 10000 clinical notes,post-op x-ray PNS
S2.3.13.2 Antrostomy ? Unilateral IP Xray PNS 8500 clinical notes,post-op x-ray PNS
Clinical Photograph/ CT Cysternography/
MR Cysternography,Analysis of Nasal
Secreation ,Clinical Photograph/ CT
Clinical Photograph,Intra OP Photos,Post OP
Cysternography/ MR
Photos,Clinical Photograph,Intra OP Photos,Post
S2.3.13.3 CSF rhinorrhoea - Endoscopic repair IP Cysternography,Analysis of Nasal 35000
OP Photos,Clinical Photograph,Intra OP
Photos,Post OP Photos
Cysternography/ MR
Cysternography,Analysis of Nasal
Secreation
CT PNS Without Contrast,Analysis of

S2.3.13.4 Rhinorrhoea- repair IP Nasal Secreation ,Clinical Photograph/ CT 24990 CT PNS Without Contrast,Clinical Photograph
Cysternography/ MR Cysternography
CT Scan Of Nasal Sinus,DNL(Direct Nasal
Examination,DNL(Direct Nasal
S2.3.13.5 Caldwell-luc-unilateral IP Laryngoscopy)\DNE -Including Biopsy 19000
Laryngoscopy)\DNE-Including Biopsy Under GI
Under GI,CT PNS Without Contrast
,WEBEX
S2.3.14.1 Intranasal Diathermy DC clinical notes,DNE 5000 clinical notes,DNE
S2.3.14.2 Intra Nasal Ethmoidectomy DC clinical notes,DNE 7000 clinical notes,DNE
Septoplasty with Turbinectomy Partial
S2.3.15.1 DC CT / DNE 14000 clinical notes,DNE
? Unilateral
S2.3.15.2 Turbinectomy Partial ? Bilateral DC CT/ DNE 5700 clinical notes,DNE
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Closed reduction / intermaxillary

S2.3.16.1 fixation for fracture of maxilla / DC X Ray Nasal bones,Profile Photo 5850 clinical notes,Post OP Photo
mandible / zygoma
S2.3.16.2 Fracture - setting nasal bone DC clinical notes,profile photos 12000 clinical notes,profile photos
Ant. Ethmoidal / sphenopalatine artery
S2.3.17 IP CT/ DNE 25000 clinical notes
ligation - Open / Endoscopic
S2.3.18 Radical fronto ethmo sphenodectomy IP clinical notes,CT PNS 1575 25000 Pre& Post of X-ray,Biopsy,Post OP DNE
S2.3.19 Epistaxis treatment - packing DC CLINICAL PHOTO 2500 CASE SHEET,CLINICAL PHOTO
PTA,CT Temporal Bone,PTA,CT Temporal
S2.3.2 Mastoidectomy IP 4500 25000 X-Ray Mastoids,X-Ray Mastoids
Bone
oral endoscopy video,nasal endoscopy,ct
S2.3.20 oronasal fistula repair IP 20000 nasal endoscopy
pns
S2.3.3 Tympanoplasty IP PTA,X-Ray Mastoids 4500 18000 PTA,Per OP Photo
S2.3.3.1 Tympanotomy IP clinical notes 15000 clinical notes,Intra OP Photos,Post OP Photos
PTA,Impedance Audiometry,CT Temporal
S2.3.4 Stapedectomy - Veingraft IP 4500 20200 Clinical Photo With Piston + Vein Graft
Bone
S2.3.5 Excision of Benign tumours of Nose IP CT PNS,DNE 4500 18000 Clinical Photograph
S2.3.6 Surgery for Angiofibroma IP CT PNS,DNE 5000 45000 Clinical Photograph
S2.3.7 Endoscopic Surgery for Dacrocystitis IP Clinical Photograph 4500 16500 Endoscopic Photo
X-Ray Nasopharynx,WEBEX Video,DNE PHOTO 3
S2.3.8 Septo rhinoplasty IP X-Ray Nasopharynx,Pre DNE Photo 4500 26600
WEEKS AFTER SURGERY
X Ray,DNE web-x ,Intra OP Photos,Post OP
S2.3.8.1 Rhinoplasty IP X Ray,Profile Photos 20000
Photos
S2.3.8.2 Septoplasty DC clinical notes,DNE 13000 clinical notes,DNE
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S2.3.8.3 Septoplasty + FESS IP clinical notes,DNE,CT PNS 18500 clinical notes,Intra OP Webex,Post OP Webex
S2.3.8.4 NASAL ENDOSCOPIC SURGERY IP NASAL ENDOSCOPY,CT PNS 18200 DNE
Scar Photo,Routine Histopathological
S2.3.9 lateral Rhinotomy IP CT of Nose \ Nasopharynx\CT PNS 25000
Examination
FOREIGN BODY REMOVAL (BRONCHUS-
S2.4
OESOPHAGUS)
Bronchoscopy Foreign Body Removal
S2.4.1 IP Relevant X-Ray 4500 15000 Clinical Photograph
from Oesophagus/Bronchous-98.15.2
Removal of foreign body in Ear under
S2.4.2 IP Clinical Photograph 9990 Clinical Photograph/Endoscopy
GA
S2.5 Parotid Gland
Fine Needle Aspiration Cytology
S2.5.1 Excision of Benign Parotid gland tumor IP (FNAC),Ultrasound Neck,Clinical 25000
Photo
Photograph
Neck,FNAC
S2.6 Skull
S2.6.1 Skull base surgery IP CT PNS 45000 clinical notes,Intra OP Webex,Post OP Webex
S2.8 Maxilla
S2.8.1 Fracture - setting maxilla IP clinical notes 20000 Pre& Post of X-ray
3D CT Facial Bones,Intra OP Photos,Post OP
S2.8.2 Exision of Maxilla IP 3D CT Facial Bones / CT-PNS 5000 40000
Photos
S2.8.3 Partial Maxilla ? Excision IP clinical notes 23000 Histopathological report,post op web-x
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
3D CT facial bones,3D CT facial bones,3D Pre& Post of X-ray,Pre& Post of X-ray,Pre& Post
S2.8.4 Fracture - setting maxilla - Bilateral IP 25000
CT facial bones of X-ray
S3.4 ORBIT
S3.4.10A Endoscopic orbital decompression IP 10130
Decompression Or Excision Of Optic
S3.4.5A IP 60000
Nerve Lesions
SE040
PACKAGE
SE040A1 GA Or EUA separate add on package DC 3000
SG070 THYROIDECTOMY
Total Thyroidectomy with Block
SG070C IP 43600
Dissection
PINNA SURGERY FOR TUMOUR OR
SL001
TRAUMA
SL001A Pinna surgery for tumor ST 12500
SL001B Pinna surgery for trauma ST 10000
SL004 MASTOIDECTOMY
SL004B Mastoidectomy-Radical IP 28000
INFERIOR TURBINATE REDUCTION
SL011
UNDER GA
SL011A Inferior turbinate reduction B Or L ST 6000
SL012 OPEN SINUS SURGERY
SL012A Open sinus surgery ST 16200
SL015 ADENOIDECTOMY
SL015A Adenoidectomy ST 9400
EXCISION OF TUMOUR OF ORAL
CAVITY OR PARANASAL SINUS OR
SL020
LARYNGOPHARYNX WITH OR
WITHOUT RECONSTRUCTION
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Excision of tumour of oral cavity Or

SL020B paranasal sinus Or laryngopharynxwith IP 45000
pedicled flap reconstruction
Excision of tumour of oral cavity Or

SL020C paranasal sinus Or laryngopharynx IP 45000
with free flap reconstruction
SL021 PAROTIDECTOMY
RIGID LARYNGOSCOPY OR
BRONCHOSCOPY OR
SL023
OESOPHAGOSCOPY - DIAGNOSTIC
PLUS OR MINUS BIOPSY
Rigid laryngoscopy - Diagnostic + Or -
SL023A ST 7000
biopsy
Rigid bronchoscopy - Diagnostic + Or -
SL023B ST 7000
biopsy
Rigid oesophagoscopy - Diagnostic +
SL023C ST 7000
Or - biopsy
OPEN LARYNGEAL FRAMEWORK
SL025
SURGERY OR THYROPLASTY
Open laryngeal framework surgery Or
SL025A ST 20000
Thyroplasty
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

SL028
SL028A Deep neck abscess drainage ST 12500
SL029 ANTERIOR SKULL BASE SURGERY
SL029D Craniofacial resection IP 40900
SL029E Maxillary swing IP 40900
ADVANCED ANTERIOR SKULL BASE
SL030
SURGERY
SL030A Endoscopic Hypophysectomy IP 58800
SL030B Clival tumour excision IP 58800
SL031 LATERAL SKULL BASE PROCEDURES
SL031A Subtotal petrosectomy IP 39900
SL031C CSF Otorrhoea repair IP 39900
ADVANCED LATERAL SKULL BASE
SL032
SURGERY
SL032A Fisch approach IP 58900
SL032B Translabyrinthine approach IP 58900
SL032C Transcochlear approach IP 58900
OPEN REDUCTION AND INTERNAL
SL034 FIXATION OF MAXILLA OR MANDIBLE
OR ZYGOMA
Open reduction and internal fixation of
SL034B ST 18000
mandible
SL034C ST 18000
zygoma
CLINIC BASED THERAPEUTIC
SL035
INTERVENTIONS OF ENT
SL035B Biopsy ST 1200
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SL035D Wide bore aspiration ST 1200

SN035 NEURECTOMY
SN035B Trigeminal Nerve Neurectomy IP 31100
M7 NEUROLOGY
M7.11A Medical Management of Optic Neuritis IP 11176
S3 OPHTHALMOLOGY SURGERY
Fundus floroscence,B-Scan,Clinical Fundus floroscence,Clinical Photograph(Intra &
S3.12 Corneal embeded Foreign body DC 2500
Photograph Post OP)
Triple
Fine Needle Aspiration Cytology (FNAC),X-
Markers/Immunohistochemistry(IHC)Three
S3.13 Dermoid cyst excision DC Ray Orbit,CT local Area,Clinical 14220
Markers,Clinical Photograph(Intra & Post
Photograph
OP),Routine Histopathological Examination
REF ER WITH OD MYALINATED N
S3.14 FIBERSD WITH OS TILTED DISC - EVERY DC HVF 1200
YEAR HVF
S3.15 GLAUCOMA - HVF DC HVF 1200
Slit Lamp Photographs of filtration
Aqueous Shunt Procedure -Glaucoma surgery area Intra-ocular Pressures Slit lamp Photograph of Filtration area Fundus
S3.15.1 IP 18000
Drainage Device Fundus Photos (if feasible)Visual Fields Photos (If not taken pre-operatively)
Analysis report
S3.1 CONJUNCTIVA
S3.1.1 Fornix forming sutures IP X-Ray Orbit 10690 Clinical Photograph(Intra & Post OP)
NLD probing(single eye),Clinical
S3.1.2 Pterigium + conjunctival autograft IP 8388 Clinical Photograph(Intra & Post OP)
Photograph
Swab Culture and Sensitivity,Clinical
S3.1.3 Surgical treatment for Symblepharon DC Clinical Photograph 8500
Photograph(Intra & Post OP)
S3.1.4 Epicanthus repair DC Clinical Photograph 6810 Clinical Photograph(Intra & Post OP)
S3.10 Uvea
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
UBM or ASOCT photos,Clinical UBM or ASOCT photos,Clinical Photograph(Intra

S3.10.1 Iridectomy-Iridotomy IP 4060
Photograph & Post OP)
Fundus floroscence,Clinical Photograph(Intra &
S3.10.2 Exision of tumours of iris IP Fundus floroscence,Clinical Photograph 15730
Post OP)
S3.10.4 Surgical treatment for Iris prolapse DC B Scan,Clinical Photograph 7240 Clinical Photograph(Intra & Post OP)
S3.10.6 Iridectomy DC Clinical Photograph 7123 Intra Op Photos,Post Op Photos
S3.11 LIMBUS
S3.11.1 Limbal Dermoid Removal IP 5930 Intra Op Photos,HPE,Post Op Photos
investigations,Clinical Photograph
S3.2 CORNEA and SCLERA
S3.2.1 Therapeutic Penetrating Keratoplasty IP BSCAN 8375 22000 Clinical Photograph
Fundus floroscence,B Scan,IOP,Clinical Fundus floroscence,Clinical Photograph (Intra &
S3.2.10 Cyclocryotherapy IP 10515
Photograph Post OP)
Clinical Photo,Anteriorsegmant Slit Lamp
S3.2.11 Corneal Tear Repair ST 12693 Clinical Photo with Sutures
Photo
Clinical Photo (Clear Face Photo),
S3.2.12 Mucous Membrane Grafting ST 18693 Scar Photo,MMG photo,Post Op Clinical Photo
HPE,Clinical History
COLLAGEN CROSS LINKING FOR
S3.2.13 IP ORB SCAN 20000 ORB SCAN
KERATOCONUS
S3.2.2 Lamellar Keratoplasty IP BSCAN 5000 19600 Clinical Photograph
S3.2.3 Corneal Patch Graft IP Clinical Photograph 5000 11583 Clinical Photograph
S3.2.4 Scleral Patch Graft IP Clinical Photograph 5000 11500 Clinical Photograph
S3.2.5 Penetrating Keratoplasty IP Clinical Photograph 8375 15500 Clinical Photograph
S3.2.6 Double Z-Plasty IP Clinical Photograph 5000 6093 Clinical Photograph
Amniotic Membrane Graft for
S3.2.7 IP Clinical Photograph 3375 12499 Clinical Photograph
Cornea/Sclera -12.87.2
S3.2.7.1 Pterygium repair DC NLD probing(single eye) 4000 Intra OP Photo
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical treatment for Perforating Fundus floroscence,B Scan,Clinical Fundus floroscence,Clinical Photograph(Intra &
S3.2.9 IP 18430
scleral injury Photograph Post OP)
S3.3 VITREO-RETINA
S3.3.1 Vitrectomy IP 3375 23623 Clinical Photograph
Vitreous biopsy + Intraocular
S3.3.1.10 ST 8000
antibiotics -excluding vitrectomy -
Silicone oil exchange - Endolaser -
S3.3.1.11 ST 20298
Memebrane peel
Vitrectomy - membrane/ ILM peel -
S3.3.1.12 IP 28000
air/gas injection
Vitrectomy - Membrane Peeling -
S3.3.1.13 Endolaser - Silicon oil or Gas - With IP 42000
belt buckling
Bevacizumab including biosimilar
injection for macular edema secondary
S3.3.1.14 to retinal or choroidal vascular ST 9000
conditions or inflammation or
degenerations
Ranibizumab including biosimilar
injection for macular edema in retinal
S3.3.1.15 ST 18000
or choroidal vascular conditions or
inflammation or degenerations
Vitrectomy - Membrane Peeling -
S3.3.3 Endolaser - Silicon oil or Gas - with or IP B.Scan,Fundus Photograph 3375 26500 Fundus Photograph
without belt buckling
Vitrectomy - Membrane Peeling-
S3.3.1.3 IP B.Scan,Fundus Photograph 3375 25513 Fundus Photograph
Endolaser
Vitrectomy Plus Silicon Oil Or Gas -
SU66 IP 3375 25123
14.75
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Removal Of Silicon Oil Or Gas post

SU67 IP FUNDUS PHOTOGRAPH,BSCAN 3375 9981 FUNDUS PHOTOGRAPH,BSCAN
Vitrectomy
INTRAVITREAL TRIAMCINOLONE /
S3.3.1.7 IP FUNDUS PHOTO,IOP 3500 FUNDUS PHOTO,IOP
ANTIBIOTICS
Intravitreal Anti-Vegf Injection for
S3.3.1.8 ST 9000
Retinopathy of Prematurity per eye
S3.3.1.9 Pnuematic retinopexy ST 11123
Scleral buckle procedure for Retinal
S3.3.4 IP B.Scan,Fundus Photograph 2250 25263 Fundus Photograph
detachment
S3.3.5 Photocoagulation for Retinopathy IP B.Scan,Fundus Photograph 2052 Fundus Photograph
Pan Retinal Photocoagulation -PRP -
Retinal Laser including 3 sittings/ Hematological and radiological Intra Op Photos,Peripheral Fundus Photos
S3.3.2.3 DC 10014
package of retino laser investigations,Clinical Photograph showing PRP laser Marks
photocoagulation -3 sittings per eye
Montage Fundus Photo,Clinical
S3.3.2.4 Scleral Buckle Removal DC 7584 Intra Op Photos,Post Op Photos
Photograph
S3.3.2.5 Surgical Membranectomy DC 8000 Intra Op Photos,Post Op Photos
S3.3.2.7 Cryoretinopexy - closed IP Fundus floroscence 13365 Fundus floroscence
S3.3.3.1 Central serous chorio retinpathy DC FFA, Fundus Photo,OCT 5000 OCT,Fundus Photo
S3.4 ORBIT
S3.4.1 Socket Reconstruction IP Clinical Photograph 4725 25613 Clinical Photograph
CT Orbits Without Contrast / MRI Orbits
Without Contrast,CT Orbits Without Routine Histopathological Examination,Routine
S3.4.10 Endoscopic orbital decompression IP Contrast / MRI Orbits Without Contrast,CT 10130 Histopathological Examination,Routine
Orbits Without Contrast / MRI Orbits Histopathological Examination
Without Contrast
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Excision of Benign neoplasm of Eye CT Orbits With Contrast /MRI Orbits With Routine Histopathological Examination,Clinical
S3.4.11 DC 10620
and Adnexa Contrast,B-Scan,Clinical Photograph Photograph(Intra & Post OP)
POST TREATMENT CLINICAL PHOTO,CASE
S3.4.12 RTA WITH EYE SWELLING ST CLINICAL PHOTO,CLINICAL NOTES 2750
SHEET,treatment photo
S3.4.13 OCULOPLASTY -SKIN GRAFTING IP CLINICAL PICTURE 14000 CL PHOTO
S3.4.2 Dermis Fat Graft IP Clinical Photograph 5000 24798 Clinical Photograph
S3.4.3 Orbitotomy IP 4725 27810 Clinical Photograph
Evisceration /Enucleation with Orbital
S3.4.4 IP Clinical Photograph,Orbit,CT Skull 4725 15912 Clinical Photograph
implant
S3.4.4.1 Evisceration DC 5500 Intra Op Photos,Post Op Photos
investigations,Clinical Photograph,B-Scan
Decompression/Excision Of Optic
S3.4.5 IP MRI,MRI,MRI 3375 60000 Photograph,Photograph,Photograph
Nerve Lesions
S3.4.6 Surgical Management of Proptosis IP MRI,CT 3375 50000 Clinical Photograph
CT Orbits With Contrast,3D CT Skull / MRI
Orbits With Contrast,CT Orbits With Routine Histopathological Examination ,Routine
S3.4.7 Exenteration of Orbit IP 3375 27800
Contrast,3D CT Skull / MRI Orbits With Histopathological Examination
Contrast
Fundus floroscence,CT Orbit,Clinical
S3.4.8 Intraocular foreign body removal IP Fundus floroscence,X-Ray Orbit,CT Orbit 23383
S3.4.9 Anterior chamber reconstruction IP USG local area,X-Ray Orbit 7690
Post OP)
S3.5 SQUINT CORRECTION SURGERY
S3.5.1 Rectus Muscle Surgery-Single IP Clinical Photograph 3375 11000 Clinical Photograph
S3.5.2 Rectus Muscle Surgery-TwoThree IP Clinical Photograph 3375 13153 Clinical Photograph
S3.5.3 Oblique muscle surgery IP Clinical Photograph 3375 15013 Clinical Photograph
S3.6 LID SURGERY
S3.6.1 Lid Reconstruction surgery IP Clinical Photograph 1575 12500 Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
INTRA OP PHOTOS,CASE SHEET,POST OP

S3.6.10 Chalazion Removal DC CLINICAL PHOTO 2400
CLINICAL PHOTO
Clinical Photograph,ICE pack test with
S3.6.2 Surgical correction of Ptosis IP 2250 9400 Clinical Photograph
Chin Elevation
Surgical treatment for
S3.6.3 IP Clinical Phtotograph 11370 Clinical Photograph(Intra & Post OP)
Ankyloblepharon
S3.6.4 Drainage of Lid Abscess IP Clinical Photograph 6700 Clinical Photograph(Intra & Post OP)
Surgical treatment for disorders of
S3.6.5 IP Clinical Photograph 9530 Clinical Photograph(Intra & Post OP)
Eyelid
CT Orbits With Contrast,Clinical Routine Histopathological Examination,Clinical
S3.6.6 Exision of Small tumour of lid IP 9840
Photograph Photograph(Intra & Post OP)
S3.6.7 Ectropion Correction IP Clinical Photograph 12058 Clinical Photograph(Intra & Post OP)
S3.6.8 Lagophthalmos correction IP T3,Clinical Photograph,T4,TSH 13210 Clinical Photograph(Intra & Post OP)
S3.6.9 Entropion correction DC Clinical Photograph 15558 Clinical Photograph(Intra & Post OP)
S3.7 PEDIATRIC OPHTHALMIC SURGERY
Fundus Photograph,Optical Coherence
Photocoagulation For Retinopathy Of Fundus Photograph,Optical Coherence
S3.3.6 IP Tomography,Fundus Fluorescein 3375 9760
Prematurity Tomography,Fundus Fluorescein Angiography
Angiography
Paediatric Cataract Surgery -
S3.3.7 IP B.Scan,Fundus Photograph 5000 15413 Fundus Photograph
Phacoemulsification IOL
Glaucoma filtering surgery for Fundus Fluorescein Angiography,Fundus
S3.3.8 IP 5000 14413 Fundus Photograph
paediatric glaucoma Photograph
S3.3.9 Glaucoma Surgery IP Fundus floroscence 5000 8394 Fundus floroscence
S3.8 LENS
Fundus floroscence,B-Scan,Clinical Fundus floroscence,Clinical Photograph(Intra &
S3.8.4.1 Lensectomy IP 13100
Photograph Post OP)
S3.8.4.2 Enucleation with / without implant IP 7000 Intra Op Photos,Post Op Photos
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S3.8.5 Posterior capsulotomy/polishing IP USG local area,X-Ray Orbit 10993
Post OP)
USG local area,Anterior segment Clnical Fundus floroscence,Clinical Photograph(Intra &
S3.8.6 Yag laser capsulotomy IP 2200
Photo Post OP)
Secondary IOL-scleral fixation-sulcus X-Ray Orbit,Amplitude Modulation Scan Fundus floroscence,Clinical Photograph(Intra &
S3.8.7 IP 12000
fixation of lens ACIOL (A- Scan),Clinical Photograph Post OP)
Bandage contact lens with glue Fundus floroscence,Clinical Photograph(Intra &
S3.8.8 IP USG local area,X-Ray Orbit 4740
application Post OP)
S3.8.9 CATARACT Surgery -SICS IP Clinical Photo,B.SCAN,A-SCAN 1575 4757 CLINAL PHOTO FUNDUS PHOTO,B.SCAN
CATRACT EXTRACTION PHACO WITH Clinical Photo,FUNDUS PHOTO,B.SCAN,A-
S3.8.9.1 IP 8157 CLINAL PHOTO FUNDUS PHOTO,B.SCAN
FOLODABLE PCIOL SCAN
S3.9 Lacrimal Sac
NLD probing(single NLD probing(single eye),Clinical
S3.9.1 Surgery for Congenital dacrocystitis IP 9365
eye),Dacryocystography Photograph(Intra & Post OP)
NLD probing(single eye),Clinical
S3.9.2 Congenital NLD probing IP NLD probing(single eye) 12000
S3.9.2.1 NLD PROBING IP Syringing Report 7000 Syringing Report
NLD probing(single NLD probing(single eye),Clinical
S3.9.3 External Dacryocysto rhinostomy IP 14050
eye),Dacryocystography Photograph(Intra & Post OP)
Canaliculo/conjuctivo Dacryocysto
S3.9.4 IP X-Ray Orbit,Dacryocystography 14299 DNE Photo,Clinical Photograph(Intra & Post OP)
rhinostomy
Canaliculo Dacryocystorhinostomy
with Silicon Tube / Stent OR Canaliculo Hematological and radiological
S3.9.5.1 IP 14103 Intra Op Photos,Post Op Photos
Dacryocystorhinostomy without Silicon investigations,Clinical Photograph
Tube / Stent
Case Sheet with operation Notes,Post OP
S3.9.5.2 Dacrocystectomy DC Clinical Photo,NLD probing 7840
Photo,Intra OP Photo
SE004 LID TEAR REPAIR
SE004A Lid Tear Repair ST 7700
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CONJUNCTIVAL TUMOUR EXCISION

SE009 INCLUDING AMNIOTIC MEMBRANE
GRAFT
Conjunctival tumour excision including
SE009A ST 7000
Amniotic Membrane Graft
SE010 DACRYOCYSTORHINOSTOMY
Canaliculo Dacryocystorhinostomy
SE010B ST 10000
without Silicon Tube / Stent
Dacryocystorhinostomy with Silicon
SE010C ST 14500
Tube / Stent
SE011 CORNEAL ULCER MANAGEMENT
SE011A Corneal Ulcer Management IP 5000
SE021 SURGERY FOR PEDIATRIC CATARACT
Paediatric Membranectomy and
SE021C ST 13000
anterior vitrectomy
SE023 SFIOL -INCLUSIVE OF VITRECTOMY
SE023A SFIOL - Inclusive of Vitrectomy ST 21800
SECONDARY IOL OR IOL EXCHANGE OR
SE024
EXPLANT
SE024A IOL Exchange Or Explant ST 9200
SE027 GLAUCOMA SURGERY
SE027A Cyclophotocoagulation ST 4700
Glaucoma Surgery -Trabeculectomy
SE027B ST 14200
only with Mitomycin C Or Ologen
EUA FOR CONFIRMATION OF
SE028
PEDIATRIC GLAUCOMA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
EUA for Confirmation of Pediatric

SE028A ST 3000
Glaucoma
SE029 RETINAL LASER PHOTOCOAGULATION
SE029A Retinal Laser Photocoagulation DC 1500
ENDOPHTHALMITIS -EXCLUDING
SE034
VITRECTOMY
SE034A Endophthalmitis -excluding Vitrectomy IP 5000
SE036 EVISCERATION
SE036A Evisceration with orbital implant IP 14300
SE040
PACKAGE
SE041 ORBITAL FRACTURE REPAIR
SE041A Orbital fracture repair under GA ST 10500
S1.15 LYMPH NODES
S1.3 ABDOMEN
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S11.25 CA. CERVIX

Radical Hysterectomy +Bilateral Pelvic
Lymph Node Dissection -Bplnd +
S11.25.1 Bilateral Salpingo Ophorectomy -Bso IP CT,CT 10000 60900
Photograph
Or Ovarian Transposition in malignant
conditions
S11.4 GYNAECOLOGICAL ONCOLOGY
Biopsy,USG,Clinical
S11.4.1 Hysterectomy in malignant conditions IP Biopsy,USG,CT,Biopsy,USG,CT 10000 43700
Photograph,Biopsy,USG,Clinical Photograph
Biopsy,USG,Clinical
Surgery For Carcinoma Ovary Early Biopsy,USG,CT,Biopsy,USG,CT,Biopsy,USG
S11.4.3 IP 10000 44500 Photograph,Biopsy,USG,Clinical
Stage ,CT
S4 OBSTETRICS & GYNAECOLOGY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
LLETZ -including PAP smear and

S4.5 IP Clinical report 15000 Intra Op Photos
colposcopy
S4.1 Obstetrics
Caesarean Hysterectomy with Bladder
S4.1.1 IP USG 10000 48005 Photograph,Post-op USG
Repair
Detailed clinical notes with physical
findings,D.D.&C,Papsmear,USG Abdomen
Per-Operative photo with patient face,HPE of
Hysterectomy - abdominal with OR indications 1.(Large Uterus >12weeks size
S4.1.1.1 IP 3150 23920 the Specimen,Post-Operative USG report,Healed
without Salpingo-Oophrectomy 2. Cervical Fibroids/ Cervical Enlargement
scar photo
3. Extensive Plevic Endometriosis 4. Plevic
Inflammatory Disease)
ROUTINE ANTINATAL CHECK-UPS WITH

INVESTIGATIONS,AFI,USG Abdomen
NST,urine routine examination,3rd
Per-operative photo with mother face,Detailed
Poly Hydramnios Management Trimester Hb%,GTT,2nd Trimister
S4.1.10 IP 3150 22000 case sheet,Antenatal photo,mother with baby
including LSCS Hb%,urine routine examination USG
photo
Abdomen,FBS,Viral markers TSH,1st
Trimester/First visit to the hospital Blood
grouping & Rh typiyin,Hb%
Per-operative photo with mother face,Detailed
Placenta Previa-type III to IV ROUTINE ANTINATAL CHECK-UPS WITH
S4.1.11 IP 3150 20000 case sheet,mother with baby photo,Antenatal
Management including delivery LSCS INVESTIGATIONS,complete blood picture
photo
urine Pregnancy Test,Serium
S4.1.12 Hyperemisis Gravidarum Management IP Electorlytes,USG Abdomen Urine ketone 8260 Clinical photo,detailed case sheet
bodies
ROUTINE ANTINATAL CHECK-UPS WITH Antenatal photo,Detailed case sheet,mother
Diabetes complicating pregnancy
S4.1.13 IP INVESTIGATIONS,Treatmnet details of 3150 20000 with baby photo,Per-operative photo with
Management including LSCS
Diabetes mother face
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Antenatal photo,mother with baby

Hepatic Disorder Management in ROUTINE ANTINATAL CHECK-UPS WITH
S4.1.14 IP 3150 20000 photo,Detailed case sheet,Per-operative photo
pregnancy including LSCS INVESTIGATIONS,LFT,Coagulation profile
with mother face
Intra Uterine Growth Retardation
S4.1.15 IP INVESTIGATIONS,2nd Trimester USG must 3150 22000 with baby photo,Per-operative photo with
Management LSCS
be TIFFA mother face
Surgical Management of Ectopic USG Abdomen,Detailed clinical
S4.1.16 IP 3150 21000 the Specimen,Post-Operative USG report,Healed
pregnancy History,Pregnancy Test-Urine
scar photo
LAPROTOMY-RUPTURED OVARIAN CLINICAL NOTES WITH HISTORY,USG PER OP PHOTO WITH PATIENT FACE,HPE OF THE
S4.1.16.1 IP 3150 28400
CYST/ RUPTURED ECTOPIC ABDOMEN SPECIMEN,HEALED SCAR PHOTO,POST OP USG
Abruptio Placenta Management
S4.1.17 IP INVESTIGATIONS,Coagalation 3150 20000 with baby photo,Per-operative photo with
including delivery LSCS
profile,Complete CBP mother face
Clinical notes/ past obstetric history &
S4.1.17.1 McDonald STITCH DC 1575 4000 Photo at the time of procedure
USG abdomen
Clinical notes/ past obstetric history &
S4.1.17.2 Shirodkar stitch DC 1575 4000 Photo at the time of procedure
USG abdomen
S4.1.17.3 Cervical Encieclage IP 2250 7000 Procedure photo/Webex
INVESTIGATIONS,Detailed case sheet

Antenatal photo,Detailed case sheet,mother
Heart disease complicating pregnancy INVESTIGATIONS,Detailed clinical
S4.1.18 IP 3150 20000 with baby photo,Per-operative photo with
Management including deliveryLSCS history,ECHO Cardiogram,ECG,Cardiologist
mother face
Consultation
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,HB%,Complete Blood

Picture [CBP],Bleeding Time And Clotting USG Abdomen,Post Op Photos,Intra OP
S4.1.19 PPH-Surgical management IP 3150 31000
Time,Platelet Count ,Blood Coagulation photos,Case Sheet with operation Notes
Analyzer (BCA) Or Coagulation Profile
Surgery for Rupture Uterus with
S4.1.2 IP USG 5000 33351 USG
Tubectomy
Management of Eclampsia with
ABG,APTT,PT,S.Fibrinogen Level,Platelet
S4.1.3 Complications Requiring Ventilatory IP 5000 41048 Biochemical Investigations,Clinical Photograph
Count,Heamatocrit,RFT,LFT,CUE
Support
Eclampsia Management without INVESTIGATIONS,Coagulation
S4.1.3.1 IP 3150 30000 with baby photo,Per-operative photo with
ventilator support LSCS Profile,Fundo Scopy,24 hr Urinary
mother face
protiens,KIDNEY function test,LFT
Pre- eclampsia / PIH Management INVESTIGATIONS,Coagulation
S4.1.3.2 IP 3150 20000 with baby photo,Per-operative photo with
including delivery LSCS Profile,Fundo Scopy,24 hr Urinary
mother face
protiens,KIDNEY function test,LFT
Surgical Management of Abruptio- USG,APTT,PT,S.Fibrinogen Level,Platelet
S4.1.4 IP 5000 27522 USG,Clinical Photograph of Retroplacental clots
Placenta with Coagulation Defects-Dic Count,Heamatocrit
S4.1.5 Normal Delivery IP 3000 8800
Antenatal photo,photo of the mother with twin
Normal Vaginal Delivery in Twins- ROUTINE ANTINATAL CHECK-UPS WITH babies,Detailed case sheet,Intra
S4.1.5.2 IP 2250 15000
Multiple pregnency INVESTIGATIONS partam/Immidiate post partam photo with
mother face and baby
ROUTINE ANTINATAL CHECK-UPS WITH Detailed case sheet,Intra partam/Immidiate
Normal Vaginal Delivery HIV +ve
S4.1.5.3 IP INVESTIGATIONS,evidence of prophylaxis 2250 20900 post partam photo with mother face and
Mother
to the baby,CD-4 count baby,Antenatal photo
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Retained Placenta with Manual

S4.1.5.4 IP USG Abdomen 1575 12000 USG Abdomen,Photo of the procedure
Removal
clinical photo,CBP with Coagulation Clinical photo detailed case sheet,evidence 0f
S4.1.5.5 Medical Management of PPH IP 2250 10470
Profile,Detaoled clinical notes blood transfusion
INTRAPARTERM PHOTO WITH VACCUM
INSTRUMENTAL VAGINAL DELIVERY - ROUTINE ANTENATAL
S4.1.5.6 IP 1575 11700 EXTRACTION,ANTENATAL PHOTO,POST PARTUM
VACCUM EXTRACTION -for primi CHECKUPS,USG,CLINICAL HISTORY
PHOTO WITH MOTHER FACE
S4.1.6 Caesarean Section IP 1000 14100
ROUTINE ANTINATAL CHECK-UPS WITH Antenatal photo,Card blood for grouping and Rh
Caesarean Section In Rh-Negative INVESTIGATIONS,Indirect coomb s test typing,Evidence of ANT-D GIVEN,Direct Coomb s
S4.1.6.1 IP 3150 17000
Mother With LSCS every trimester,HUSBAND BLOOD test,Detailed case sheet,mother with baby
GROUPING AND Rh typing photo,Per-operative photo with mother face
USG Abdomen,Bio-Physical Profile,CD-4 Case Sheet with operation Notes,Retro viral

S4.1.6.2 Cesarean Section in HIV+ve Mother IP 3150 24000
count,Complete Clinical Notes Prophylaxis to Baby
S4.1.7.1 Secondary suturing of episiotomy IP Clinical Photograph 2250 4000 Procedure Photo
Surgical Management of Post Coital Clinical Photograph,clinical notes with Procedure Photo/Webex,Evidence of
S4.1.7.2 IP 2250 4000
tear / Perineal injury surgical profile bloodtransfusion,detailed case sheet
Complete perineal tear repaire -After
S4.1.7.3 IP clinical notes,Clinical Photograph 3150 5628 Procedure Photo/Webex,detailed case sheet
NVD with PPH
HELLP Syndrome Management in detailed case sheet,Depending upon mode of
S4.1.8 IP INVESTIGATIONS,LFT,Coagulation 2250 20000
pregnancy delivary evidences can be submitted
profile,detailed case sheet
Severe Anemia Management in
S4.1.9 IP INVESTIGATIONS,perpheral 3150 25260 with baby photo,Per-operative photo with
pregnancy incliding delivery LSCS
smear,complete blood picture mother face
S4.2 Gynaecology
S4.2.1 Laproscopic Vaginal Hysterectomy IP USG 4725 23400 Post-op USG
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Vaginal Hysterectomy With Pelvic

S4.2.10 IP Scan 5000 30786 Biopsy,Post-op USG
Floor Repair-70.79
Repair of Cystocele ,Rectocele
S4.2.12 IP USG 5000 20524 Biopsy,Post-op USG
andPerineorraphy-71.71
Surgical Management of Cystocoele -
S4.2.12.1 IP USG Abdomen,Clinical Photo 3150 14220 USG Abdomen,Photo of the surgical procedure
Repair
Mc Indoes operation For Vaginal
S4.2.14 IP Clinical Photograph,Scan 5000 40022 Biopsy,Post-op USG
Atresia
S4.2.16 Abdominal Repair for Vault Prolapse IP Clinical Photograph,USG 5000 35917 USG
Abdominal Repair With Mesh for Vault
S4.2.17 IP Clinical Photograph,USG 5000 41048 USG
Prolapse
USG Abdomen,WEBEX,Routine
Laproscopic Sacrospinocolpopexy for USG Abdomen,ECHO Cardiogram,USG Histopathological Examination,USG
S4.2.18 IP 2250 28400
vault prolapse Abdomen,ECHO Cardiogram Abdomen,WEBEX,Routine Histopathological
Examination
S4.2.19.1 Cone Biopsy Cervix DC Clinical evidance 4000 Photo at the time of procedure
S4.2.19.2 Cervical biopsy and Polypectomy DC Clinical/indication Colposcopy report 5900 Photo at the time of procedure & Biopsy report
Manchesters Operation + Cervical Detailed clinical notes confirming
S4.2.19.3 IP 3150 28400 the Specimen,Post-Operative USG report,Healed
amputation-67.4 diagnosis with surgical profile
scar photo
S4.2.2 Laparoscopic Cystectomy IP USG 2250 23400 Biopsy,Post-op USG
S4.2.2.1 Lap. Salpingo-oophrectomy IP USG pelvis & clinical notes 2250 14000 Procedure Photo with video
Medical Management of Polycystic USG Abdomen,detailed clinical
S4.2.2.2 Ovarian Syndrome for a periodev of 6 DC history,T3,T4,TSH,Glucose Tolerance 8000
improvement
months Test(GTT)
Surgery for Bartholin cyst- USG Abdomen,clinical photo,PUS culture procedure photo with webex and HPE of trhe
S4.2.2.3 DC 10000
Marsupilasation,cyst removal & sensitvity specimen
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,Diagnostic
Surgical Management of
Laproscopy,Chest X-Ray PA View(1 USG Abdomen,Photo at the time of surgery &
S4.2.2.4 Endometriosis - Excision of Chocolate IP 3150 25000
Film),ECHO Cardiogram,Ca125 (Cancer HPE,Routine Histopathological Examination
Cyst
Antigen125 or Carbohydrate Antigen 125)
S4.2.2.5 Cyst -Vaginal Enucleation DC Clinical Photo 5000 Photo at the time of procedure
S4.2.2.6 Cyst-Labial DC Clinical Photo 5000 Procedure Photo
OPEN CYSTECTOMY -Huge ovarian
S4.2.2.7 IP USG,BLOOD TESTS 3150 23400 POST OP USG,BIOPSY
cyst/tumour greater than12 cm
Surgical Treatment for Vulval Clinical Photograph,clinical notes with Case Sheet with operation Notes & Photo of the
S4.2.20.1 IP 2250 13500
Heamatoma surgical profile procedure
Clinical photo graph,Biopsy
Vulvectomy for simplie Benighn Per-Operative photo with patient face,HPE of
S4.2.20.2 IP report,detailed case sheet with surgical 2250 21200
tumors the Specimen,Healed scar photo
profile
Per-Operative photo with patient face,Post-
Surgical Management of Benighn USG Abdomen,Ca 125,Detailed clinical
S4.2.20.3 IP 3150 23500 Operative USG Abdomen,HPE of the
Cystic Ovarian Tumours Open method history with clinical findings,FNAC
Specimen,Healed scar photo
Per-Operative photo with patient face,Post-
Laparotomy for broad ligament
S4.2.21.1 IP Clinical notes & USG abdomen 3150 17500 Operative USG Abdomen,HPE of the
haematoma
Specimen,Healed scar photo
S4.2.21.2 Broad Ligment Haemotoma drainage IP Clinical notes & USG abdomen 3150 11000 Procedure Photo
Re exploration after laparotomy /
S4.2.21.3 IP Clinical notes & USG abdomen 3150 25000 Procedure Photo
Caesarean Section
S4.2.22.1 D and C -Dilatation and curretage DC Clinical notes 6000 Procedure Photo
S4.2.22.2 Fractional Curretage DC Clinical evidance 7250 procedure Photo & video
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,Detailed clinical USG Abdomen,Speciman Photo along with the

Surgical Management of Vesicular notes,Chest X- Ray PA View(1 patients face,Routine Histopathological
S4.2.22.3 IP 3150 5900
moles -Benign GTD Suction Evacution Film),TSH,Beta HCG(Human Chorionic Examination,Beta HCG(Human Chorionic
Gonadotropin) Levels,T3,T4 Gonadotropin) Levels
Detailed case sheet with surgical profile,X-
Surgical management of pelvic abscess Per-Operative photo with patient face,Detailed
S4.2.23.1 IP Ray Abdomen(Lateral View),USG 3150 27000
-Laparotomy case sheet,Healed scar photo
Abdomen
Complete Blood Picture [CBP],Urine
Culture & Sensitivity,USG
Medical Management of Pelvic Abdomen,TSH,Spot PR/CR (Protein-
S4.2.23.2 IP 1575 7690 Case sheet with clinical improvement
Inflammatory Disease Creatinine) Ratio,Serum Creatinine
Levelse,CUE(pH,Specific
Gravity,Sugar,Protein And Microscopy)
Papsmear,Deatiled clinical notes,Routine

S4.2.24.1 Ablation of Endometrium DC 10980 USG Abdomen,WEBEX
(Disfuctional Uterine Blooding/Abnormal
Uterine Blooding)
Complete Blood Picture [CBP],clinical

notes,Ca 125(Cancer Antogen 125 or CUE(pH,Specific Gravity,Sugar,Protein And
Medical Management of
Carbohydrate Antigen 125),USG Microscopy),Case sheet with clinical
S4.2.24.2 Endometriosis for a periopde of 6 IP 7850
Abdomen,Clinical improvement,USG Abdomen,Urine Culture and
months
Photograph,CUE(pH,Specific Sensitivity
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Complete Blood Picture [CBP],Detailed

case sheet,Diagnostic Dilatation & Endometrial Biopsy Routine Histopathological
S4.2.25 Medical Management of AUB IP 10010
Curettage,Renal Profile,Papsmear,Urine Examination
Culture & Sensitivity,USG Abdomen
Abdomen Radiograph Supine or Erect( 1

S4.2.26.1 Intra abdominal IUCD retrival - Lap IP 2250 25000 Clinical Photograph,per - Operative WEBEX
Film),USG Pelvis,Clinical Photograph
Abdomen Radiograph Supine or Erect( 1

Per-Operative photo with patient face,Detailed
S4.2.26.2 Intra abdominal IUCD retrival - Open IP Film),Detailed casev sheet with surgical 2250 20000
cas sheet
profile,USG Pelvis,Clinical Photograph
S4.2.27.1 Hysteroscopic IUCD removal IP Clinical Photograph,Clinical history 1575 5900 Procedure WEBEX,Detailed case sheet
S4.2.27.2 Excision - Vaginal Septum IP Clinical Photograph 2250 10500 Procedure Photo
HSG(Hysterosalpingography),Clinical
S4.2.27.3 Hysteroscopic septal resection IP 1575 17500 WEBEX,Detailed case sheet
notes with surgical profile,Hysteroscopy
S4.2.28.1 Diagnostic hysteroscopy DC Clinical evidance 9400 procedure Photo
Diagnostic hysteroscopy with / without
S4.2.28.2 DC Clinical report 8000 Procedure Photo
biopsy
S4.2.28.3 Diagnostic / Staging laparoscopy IP Clinical report 3150 11000 Webex Video,clinical notes,Operative Photo
Diagnostic laparoscopy and
S4.2.28.4 DC Clinical evidance 5500 procedure Photo with biopsy report
hysteroscopy for infertility
S4.2.29.1 Intrauterine transfusions DC 1575 14200 Procedure Photo/WEBEX
INVESTIGATIONS,Clinical evidance
USG Abdomen,Deatiled clinical
S4.2.29.2 Intra Uterine Insemination IP 10010 Intra OP Photo
notes,Semen Analysis
S4.2.3 Laparoscopic Ectopic Resection IP USG 1575 22710 Biopsy,Post-op USG
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S4.2.30.1 Polypectomy DC Clinical Indication 1575 1500 Procedure Photo

Clinical/indication Colposcopy
S4.2.30.2 Hysteroscopic polypectomy IP 12300 Photo at the time of procedure & Biopsy report
report,Clinical notes
Photo at the time of procedure/Webex,clinical
S4.2.31.1 Laproscopic Tubectomy DC Clinical History with surgical profile 1575 7000
notes
Laparoscopic tubal surgeries -for any
S4.2.31.2 IP USG pelvis & clinical notes 1575 13900 Procedure Photo with video
indication including ectopic pregnancy
LAPROSCOPIC TUBECTOMY-for USG,SURGICAL PROFILE,DETAILED CLINICAL NOTES,WEBEX,PHOTO AT THE
S4.2.31.3 IP 2250 16000
Previous LSCS CLINICAL HISTORY PROCEDURE
PER OP PHOTO WITH DYE TEST WITH PATIENT
S4.2.31.4 TUBAL RECANALISATION IP CLINICAL NOTES,HSG,USG 1575 29300
FACE,DETAILED CASE SHEET,WEBEX
Clinical notes with indication & genetic
S4.2.32 Amniocentesis including Karyotyping DC 14500 Procedure Photo/WEBEX
counsilling
Clinical notes with indication,USG
S4.2.33 Cordocentesis including Karyotyping DC 14500 Procedure Photo/WEBEX
abdomen
S4.2.34 Chorionic villus sampling DC USG abdomen & Clinical evidance 14500 Procedure Photo
Pelvic Abscess Management including
S4.2.35.1 DC Clinical report 2250 5700 Photo at the time of procedure
Colpotomy
S4.2.35.2 HaematoColpo DC USG & Clinical history 2250 14500 Procedure Photo
S4.2.36.1 Electro Cauterisation / Cryo Surgery DC Clinical History 4000 Photo at the time of procedure
S4.2.36.2 Cryo Surgery DC Papsmear,colposcopy,Clinical Photograph 8150 Clinical Photograph,WEBEX

Vulvo vaginal cyst enucleation /
S4.2.37 DC Clinical notes,Clinical phoito 1575 8200 Photo at the time of procedure
drainage
Trans-vaginal tape/ Trans-obturator
S4.2.38 DC Clinical evidance 3150 15200 Procedure Photo
tape
S4.2.5 Laparoscopic Myomectomy IP USG 3150 30786 Biopsy,Post-op USG
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Per-operative photo with patient face,Post-

USG Abdomen,surgical profile,Clinica
S4.2.5.1 Abdominal Myomectomy IP 3150 25820 operative USG,HPE of the Specimen,Detailed
notes with Reprodutive History
case sheet
Hysteroscopic submucus fibroid USG Abdomen,Clinica notes with USG Abdomen,Procedure WEBEX,HPE of the
S4.2.5.2 DC 2250 15000
resection Reprodutive History Specimen
S4.2.5.3 Medical Management of Fibroids IP USG Abdomen,Papsmear 8000 Case Sheet with treatment details
S4.2.6 Laparoscopic Recanalisation IP USG 3150 33587 Biopsy,Post-op USG
S4.2.7 Laparoscopic Sling Operations IP USG 3150 33352 Biopsy,Post-op USG
USG Abdomen,Clinical notes,Routine
Histopathological
S4.2.7.1 Purandares Sling operations - Open IP 3150 25450 USG Abdomen,WEBEX
Examination,Papsmear,Endometrial
Biopsy
S4.2.8 Laparoscopic Adhesiolysis IP USG 1575 30786 Biopsy,Post-op USG
Clinical report & Routine
S4.2.8.1 Hysteroscopic adhesiolysis DC 9400 Procedure Photo
S4.2.8.2 Adhenolysis+ Salpingostomy IP Clinical notes & USG 3150 20000 Procedure Photo
S4.2.8.3 Adhenolysis+ Ovarian Cystectomy IP Clinical notes & USG 3150 10000 Procedure Photo
S4.2.9 Vaginal Hysterectomy IP Scan 4725 23400 Biopsy,Post-op USG
S4.3 ABORTIONS AND MTP
USG Abdomen & clinical markers as per
S4.3.1.1 Hysterotomy DC 2250 10000 Per-op Photo with womens face
MTP rules
USG Abdomen,Detailed clinical
First Trimester Medically Induced notes,Pregnancy Test-Urine,Complete Case Sheet with operation Notes,Procedural
S4.3.1.2 DC 1575 5900
Abortion Blood Picture [CBP],Blood Grouping And Photo
RH Typing
USG abdomen & clinical evidance as per
S4.3.2 MTP upto 8 weeks Medical/ Surgical DC 5900 Photo at the time of procedure
MTP rules
USG abdomen & clinical evidance as per
S4.3.3 MTP upto 12 weeks DC 8200 Photo of the MTP procedure
MTP rules
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MTP greater than 12 weeks up to 20 USG abdomen & clinical evidance as per
S4.3.4 DC 1575 8200 Photo of the fetus with mother
weeks MTP rules
S4.3.5 Incomplete Abortion DC 8850 USG Abdomen,Procedural Photo
History,Surgical Profile
USG Abdomen,Sepsis Profile,Abdomen X-
Surgical Management of Septic Case Sheet with operation Notes,procedure
S4.3.6 IP Ray (Lateral View),Cervical and High 2250 20000
Abortion Photo
Vaginal Swab
Surgical Management of Missed
S4.3.7 DC USG Abdomen,Serum Fibrinogen 10000 USG Abdomen
abortion
Inevitable abortion Management -D USG Abdomen/clinical evidance of
S4.3.8 DC 5000 Photo at the time of procedure
and C pregnancy
S4.4 Intra Uterine Device
Case sheet with clinical(obstetric & Past)
LNG-IUS -Levonorgestrene Intautrine
S4.4.1 DC USG Abdomen,Clinical Photograph 10000 History,Clinical Photograph,Case Sheet with
system
operation Notes
S9.8 CORRECTIVE SURGERIES
CT Scan Lower Abdomen With
Contrast,USG Abdomen,Intra Veneous
Uretero-vaginal Or uterine fistula
S9.8.13.1 IP Pyelogram,CT Scan Lower Abdomen With 2250 37000 clinical notes,clinical notes
repair open
Pyelogram
Uretero-vaginal Or uterine fistula
repair Laparoscopic
Pyelogram
Scopy,IVP,rgp,Scopy,IVP,rgp,Scopy,IVP,rg
S9.8.2.2 Urethrovaginal fistula repair IP 3150 34000 clinical notes,clinical notes,clinical notes
p
SC030 SALPINGOOPHORECTOMY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SC030A Open IP 25000

SC030B Lap. IP 25000
SC032 RADICAL HYSTERECTOMY
Class I radical hysterectomy + bilateral
SC032A IP 53600
salpingoophorectomy + BPLND - Lap.
Class I radical Hysterectomy + Or -

SC032C IP 38500
bilateral salpingoophorectomy - Lap.
SC032E Class II radical hysterctomy + BPLND IP 53600
SC032F Class III radical hysterctomy + BPLND IP 53600
Hysterectomy + bilateral
SC032G salpingoophorectomy + omentectomy IP 88100
+ peritonectomy and organ resections
VULVECTOMY + RECONSTRUCTION
SC034
PROCEDURES
Vulvectomy + reconstruction
SC034A IP 72500
procedures
SG096 BIOPSY
SG096C DC 2500
Colposcopy
SO010 HYSTERECTOMY
SO010A Abdominal Hysterectomy IP 20000
SO010E Laparoscopic hysterectomy -TLH IP 20000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
LAP. SURGERY FOR ENDOMETRIOSIS -

SO015
OTHER THAN HYSTERECTOMY
Lap. Surgery for Endometriosis - -Other
SO015A ST 17400
than Hysterectomy
SO016 DIAGNOSTIC HYSTEROSCOPY
SO016A With biopsy DC 8000
SO018 D ANDC -DILATATION ANDCURRETAGE
DandC -Dilatationandcurretage With
SO018A DC 5000
Endo Metrial Biopsy
SO020 PYOMETRA DRAINAGE
SO020A Pyometra drainage ST 5000
TRANS - VAGINAL TAPE OR TRANS-
SO024
OBTURATOR TAPE
SO024B Trans-obturator tape DC 8000
SO025 SACROCOLPOPEXY -ABDOMINAL
SO025A Open IP 20000
VAGINAL SACROSPINUS FIXATION
SO027
WITH REPAIR
Vaginal Sacrospinus fixation with
SO027A IP 16900
repair
HYMENECTOMY FOR IMPERFORATE
SO029
HYMEN
SO029A Hymenectomy for imperforate hymen DC 3400
ANTERIOR AND POSTERIOR
SO030
COLPOPERINEORRHAPY
Anterior and Posterior
SO030A IP 11300
Colpoperineorrhapy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
VAGINAL REPAIR FOR VESICO-VAGINAL

SO032
FISTULA -REPAIR FOR VVF
Vaginal repair for vesico-vaginal fistula -
SO032A IP 40000
Open
SO033 RECTOVAGINAL FISTULA REPAIR
SO033A Rectovaginal fistula repair ST 25000
RADICAL VULVECTOMY WITH
SO036 INGUINAL AND PELVIC LYMPH NODE
DISECTION
Radical Vulvectomy with Inguinal and
SO036A ST 50000
Pelvic lymph node disection
ABDOMINO PERINEAL REPAIR FOR
SO037
MULLERIAN ANOMALY
Abdomino Perineal repair for
SO037A IP 34700
Mullerian Anomaly
LAPAROTOMY FOR ECTOPICOR
SO040
BENIGN DISORDERS
SO040B PID IP 20000
SO043 BURCH
SO043A Abdominal IP 25000
SO043B Laparoscopic IP 25000
EUA FOR -MINOR GIRLS OR
SO045 UNMARRIED SEXUALLY INACTIVE OR
VICTIMS OF SEXUAL ABUSE
EUA for -minor girls Or unmarried
SO045A sexually inactive Or victims of sexual DC 2700
abuse
MEDICAL MANAGEMENT OF ECTOPIC
SO052
PREGNANCY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical management of ectopic

SO052A IP 2100
pregnancy
SO054 HIGH RISK DELIVERY
Major Fetal malformation requiring
SO054C ST 15000
intervention immediately after birth
Other maternal and fetal conditions as

per guidelines-eg PIH Or Pre Eclampsia
SO054E ST 10000
with normal delivery etc that qualify
for high risk delivery.
Other maternal and fetal conditions as

per guidelines-eg PIH Or Pre Eclampsia
SO054E1 ST 10000
with normal delivery etc that qualify
for high risk delivery.
STAGING LAPAROTOMY FOR OVARIAN
SO060
CANCER -SIMPLE
Hysterrectomy + salpingo
SO060A opherectomy + omentectomy + BPLND- ST 50000
Open
SO061 VAGINAL MYOMECTOMY
SO061A Vaginal Myomectomy IP 15000
DIAGNOSTIC HYSTERO - LAPAROSCOPY
SO066
WITH CHROMOPERTUBATION
Diagnostic Hystero - Laparoscopy with
SO066A DC 15000
Chromopertubation
Diagnostic Hystero - Laparoscopy with
SO066A1 DC 15000
Chromopertubation
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MOLAR FOLLOW UP FOR

SO069
CHEMOTHERAPY
SO069A Molar follow up for chemotherapy DC 6000
SO070 RESUTURING OF WOUNDS
SO070A Resuturing of wounds DC 5000
URETERO-VAGINAL OR UTERINE
SU029
FISTULA REPAIR
SU029B Uretero - Uterine fistula repair - Open IP 32900
Uretero - vaginal fistula repair -
SU029C IP 32900
Laparoscopic
RADICAL RETROPERITONEAL LYMPH
SU090
NODE DISSECTION
SU090A Open IP 49800
SU090B Lap. IP 50700
PALLIATIVE CARE MANAGEMENT OF
PM009 OSTEORADIONECROSIS -
CONSERVATIVE MANAGEMENT
PM009A Osteoradionecrosis -Conservative IP 20000
PM033 VERTEBROPLASTYORKYPHOPLASTY
PM033A Vertebroplasty Or Kyphoplasty IP 44000
S10.2 SPINAL SURGERIES
S10.2.15 Spine - Canal Stenosis IP CT/MRI,CT/MRI 5000 40000 Clinical Photograph ,Clinical Photograph
Excision Of Cervical Inter-Vertebral
S10.2.2 IP MRI,MRI 8375 30785 Clinical Photograph,Clinical Photograph
Discs
S10.2.3 Posterior Cervical Discectomy IP MRI,MRI 8375 31500 Clinical Photograph,Clinical Photograph
S10.2.4 Anterior Cervical Discectomy IP MRI,MRI 5000 31500 Clinical Photograph,Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Anterior Cervical Spine Surgery With MRI,X-Ray Cerical Spine,MRI,X-Ray Cerical

S10.2.5 IP 5000 52000 X-RAY,X-RAY
Fusion Spine
Clinical Photograph,X-RAY,Clinical Photograph,X-
S10.2.6 Anterior Lateral Decompression IP MRI,MRI 8375 30786
RAY
S10.2.7 Laminectomy IP MRI,MRI 8375 27348
RAY
CT Spine (Cervical Dorsal Lumbar Sacral)
Without Contrast /MRI Local Area,X-Ray
Dorso Lumbar Spine,CT Spine (Cervical X-Ray Dorso Lumbar Spine ,X-Ray Dorso Lumbar
S10.2.7.1 Laminoplasty With Implants IP 8375 30971
Dorsal Lumbar Sacral) Without Contrast Spine
/MRI Local Area,X-Ray Dorso Lumbar
Spine
S10.2.8 Discectomy IP MRI,MRI 8375 30000
RAY
S10.2.9 Spinal Fusion Procedure IP MRI,MRI 8375 51309
RAY
S10.2.9.1 Spine - Decompression and Fusion IP CT/MRI,CT/MRI 5000 35000 Clinical Photograph ,Clinical Photograph
SPINAL FRACTURE - CONSERVATIVE BRACE Photo,Clinical Photo,BRACE
S10.2.9.2 IP XRay,CT,XRay,CT 8375 25000
MANAGEMENT Photo,Clinical Photo
Clinical photo,USG ,X-Ray,Intra Op
S10.2.9.3 KYPHOPLASTY IP MRI,CT,MRI,CT 4500 40000 photos,Clinical photo,USG ,X-Ray,Intra Op
photos
S10.5 SPINE
Anterior Discectomy and Bone
S10.5.1 IP MRI,MRI 8375 41048 X-RAY,X-RAY
Grafting
S10.5.2 Discectomy With Implants IP MRI,MRI 8375 71000 X-RAY,X-RAY
S10.5.3 Corpectomy For Spinal Fixation IP MRI,MRI 8375 76964 X-RAY,X-RAY
Spinal Fixation Rods And Plates,
Artificial Discs
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Endoscopic Photograph,Endoscopic Case Sheet with operation Notes,Case Sheet

S10.5.6 Endoscopy - Spinal IP 3375 29000
Photograph with operation Notes
Surgery for Lumbar Disc including pre
S10.5.7 IP MRI/NCS,MRI/NCS 3375 33000 Post OP HPE,Post OP HPE
and post Op. MRI
Hematological and radiological Hematological and radiological
S10.5.8 Vertebroplasty IP investigations,Hematological and 5000 40000 investigations,Hematological and radiological
radiological investigations investigations
S11.28 BONE Or SOFT TISSUE TUMORS
Surgery -Removal for Bone Or Soft Bone Scan,MRI,CT-Local Part,CT-
S11.28.1.1 tissue tumors-Without Prosthesis in IP Chest,Bone Scan,MRI,CT-Local Part,CT- 10000 60000 Clinical Photograph,Clinical Photograph
malignant conditions-83.49 Chest
Surgery -removal for Bone Or Soft
Bone Scan,MRI,CT-Local Part,CT-
tissue tumors-With Custom Made
S11.28.1.2 IP Chest,Bone Scan,MRI,CT-Local Part,CT- 10000 89786 Clinical Photograph,Clinical Photograph
Prosthesis in malignant conditions-
Chest
83.49+84.40
S15 POLYTRAUMA
ray
at Rs.900 Neuro surgical trauma Photograph
Rs.4000 Per Day
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

fracture
S5 ORTHOPAEDICS
S5.16 Drainage of cold abscess IP X-Ray ,MRI Local Area 4725 30010 X-Ray ,MRI Local Area
S5.17 Drainage of perivertebral abscess IP Clinical Photograph,USG 4725 10000 Intra Op Photo,CS report,Scar Photo,Pus
Fracture Correction
S5.1
Surgeries/Procedures
S5.1.1 Bone Grafting As Exclusive Procedure IP X-RAY 5000 21800 Post opX-RAY
Closed Reduction and Percutaneous
S5.1.10 IP X Ray 3150 15000 Clinical Photograph
Pinning
Closed Reduction and Percutaneous
S5.1.11.1 IP X Ray 4725 33000 Clinical Photograph
Nailing
Fracture Radius Internal Fixation -
S5.1.15 IP X Ray 5000 30000 X Ray
Forearm
Fracture - Both Bones - Forearm -
S5.1.16 IP X Ray 5000 42000 X Ray
ORIF/CRIF -Plating
S5.1.17 Distal femur Fracture - ORIF/CRIF IP X Ray 10000 40000 X Ray
S5.1.19 Excision of Radial head IP X-Ray 4725 20000 X-Ray
Excision Or Other Operations For
S5.1.2 IP X-RAY 5000 15393 Post opX-RAY
Scaphoid Fractures
S5.1.2.1 HERBERT SCREW / AO SCREW IP Surgical Profile,X-Ray 4725 14200 Intra OP Photos,Post OP X-Ray
ORIF with Proximal Humerus Fracture
S5.1.20 IP clinical notes,CT(If require),X Ray 5000 38000 clinical notes,Scar Photo,X Ray
fixation -PHILOS
S5.1.22 Distal Radius Fracture - Forearm IP clinical notes 4725 25000 clinical notes
External fixation - Fracture of both
S5.1.23 IP clinical notes 4725 23400 clinical notes
bones of forearms
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Fracture intercondylarHumerus +
S5.1.24 IP clinical notes,X Ray 8375 45000 clinical notes,Scar Photo,X Ray
olecranon osteotomy
S5.1.31 Patellectomy/Fixation IP Clinical Notes + X-Rays 5000 25000 Clinical Notes + X-Rays
S5.1.32 Internal Fixation of Small Bones IP clinical notes 4725 18300 clinical notes,XRAY
S5.1.33 External fixation - Small bone IP X Ray 3150 18200 Clinical Photograph,X Ray
S5.1.34 Open Reduction of Small Joint DC Clinical Notes + X-Rays 3150 10300 Clinical Notes + X-Rays
Bipolar hemiarthroplasty of Hip with
S5.1.35 IP X-Ray Hip Lateral View 4725 42000 X-Ray Hip Lateral View
cement
S5.1.36 Hemiarthroplasty of Hip cemented IP X-Ray Hip Lateral View 4725 28800 X-Ray Hip Lateral View
S5.1.37 Limb lengthening IP X Ray 10000 45700 X Ray
Cancecllous screw/pins fixations for
S5.1.38 IP X-Ray 5000 23200 X-Ray
fracture neck of Femur
S5.1.39 Clavicle surgery IP X-ray 4725 22900 X-Ray
Reduction Of Compound Fractures and
S5.1.4 IP X-RAY 12250 24400 Post opX-RAY
External Fixation-78.10
Internal fixation lateral/Medial condyle
S5.1.40 IP X-Ray,clinical notes 8375 26460 X-Ray,Scar Photo,clinical notes
Humerus fractures
S5.1.42 Limb reconstruction system-lrs IP X-Ray 10000 38000 X-Ray
Neck Femur - ORIF Intertrochanteric /
S5.1.44 Sub Trocanteric Fracture with Dynamic IP X Ray Hip with Proxymal Femur,AP lateral 8375 32900 X Ray Hip with Proxymal Femur,AP lateral
Hip Screw or PFN
Fracture - Metaphyseal - Fracture -

S5.1.45 IP X Ray Hip with Proxymal Femur,AP lateral 10000 32900 X Ray Hip with Proxymal Femur,AP lateral
Long Bones - ORIF or CRIF - Lower Limb
Fracture - Ankle Internal Fixation Bi/Tri
S5.1.46 IP X Ray Ankle,Lateral and MORTIS,AP 10000 45000 X Ray Ankle,Lateral and MORTIS,AP
Malleolar
S5.1.47 CMR Nailing IP 10000 35500
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S5.1.5 Ilizarov Ring Fixator Application IP X-RAY 15000 45153 Clinical Photograph,X-RAY
Diaphyseal Fracture - ORIF or CRIF -
S5.1.9 IP X Ray 5000 35500 Clinical Photograph
Nailing Or Plating
Elastic Nailing for fracture fixation -
S5.1.9.1 IP Surgical Profile,X-Ray 5000 30000 Intra OP Photos,Post OP X-Ray
Femur or shaft Tibia
S5.10 Osteomyelitis
Sequestrectomy and Saucerizations
S5.10.1 IP X-Ray 3150 38000 X-Ray
with Antibotic Beads
Debridement and Closure of Minor
injuries - contused lacerated wounds -
S5.10.4 DC Clinical Notes + X-Rays 3150 5800 Clinical Notes + X-Rays
anti-biotic + dressing - minimum of 2
sessions
S5.10.5 Drainage of acute osteomyelitis IP X-Ray ,MRI Local Area,Clinical Photograph 3150 28000 CT Local Area Without Contrast/MRI Local Area
S5.10.6 Cellulitis Conservative with antibiotics IP CBP,LFT,Creatinine,RBS 1575 8000 CBP,Creatinine

S5.10.6.1 Cellulitis surgical management IP surgical profile 3150 25000 Intra OP Photos,Casesheet
S5.11 Excision of Bone / Sinus
S5.11.4 Excision of Lower end Ulna IP X-Ray 4725 15000 X-Ray
S5.11.5 Excision of Patella IP X-Ray 4725 16330 X-Ray
S5.12 Osteotomy
Long bone osteotomy with internal
S5.12.1 IP X-Ray 8375 27100 X-Ray
fixation
S5.12.3 High tibial osteotomy IP clinical notes,X Ray 5000 29800 clinical notes
S5.12.4 Osteotomy -Small Bone IP Clinical Notes + X-Rays 5000 12000 Clinical Notes + X-Rays
S5.13 Exostosis
Surgical Management of Exostosis of
S5.13.1 IP X-Ray ,Clinical Photograph 4725 22000 X-Ray ,Routine Histopathological Examination
small joints
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical Management of Exostosis of

S5.13.2 IP X-Ray ,Clinical Photograph 3150 28000 X-Ray ,Routine Histopathological Examination
long bones
S5.14 Replacement
S5.14.1 Shoulder replacement IP X-Ray 4725 40010 X-Ray
S5.14.2 Elbow replacement IP X-Ray 4725 40010 X-Ray
S5.15 AMPUTATIONS
S5.15.1 Fingers amputations IP X-Ray ,Clinical Photograph 4725 10000 X-ray
X-Ray ,Clinical Photograph,Colour Doppler
S5.15.2 Below Elbow amputations IP 5000 19000 Clinical Photo
Of Specific Limb
S5.15.3 Above Elbow amputations IP 5000 18100 Clinical Photo
Of Specific Limb
S5.15.4 Below Knee amputations IP 5000 21800 Clinical Photo
Of Specific Limb
S5.15.5 Above Knee amputations IP X-Ray ,Clinical Photograph 5000 21200 Clinical Photo
S5.15.6 Amputation ? Wrist IP Clinical Photograph 4725 15000 Clinical Photograph
S5.2 Dislocations
S5.2.1 Open reduction of Deep dislocations IP X-RAY 5000 30787 Post opX-RAY
S5.2.10 Closed reduction of Wrist dislocation DC X-Ray ,Clinical Photograph 3150 7800 X-Ray
Closed reduction of fingers small joint
S5.2.11 DC X-Ray ,Clinical Photograph 3150 5000 X-Ray
dislocation
X-Ray Hip Lateral View,Clinical
S5.2.12 Closed reduction of Hip dislocation DC 4725 7800 X-Ray Hip Lateral View
Photograph
Acromioclavicular joint dislocation
S5.2.13 IP X-Ray 4725 25770 Intra OP Photo
open reconstruction
Closed reduction of Shoulder
S5.2.15 DC X-Ray ,Clinical Photograph 4725 7900 X-Ray
dislocation
Closed reduction of dislocation -
S5.2.5 DC Clinical Notes + X-Rays 3150 7000 Clinical Notes + X-Rays
Shoulder/ Elbow/Knee
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S5.2.7 Closed reduction of Elbow dislocation IP X-Ray Elbow,Clinical Photograph 4725 7800 X-Ray
S5.2.8 Closed reduction of Knee dislocation IP X-Ray ,Clinical Photograph 5000 13400 X-Ray
S5.3 Amputations (Non-Traumatic)
S5.3.1 Amputations - Forequarter IP X-RAY 8375 26500 Clinical Photograph,X-RAY
S5.4 Bone and Joint Surgery/Procedures
S5.4.1 Arthrodesis Of - Major Joints IP X-RAY,Fluid Analysis 12250 29300 Post opX-RAY
S5.4.1.1 Arthrodesis of foot Small joints IP X- Ray Foot,X- Ray Foot 8375 15393 X- Ray Foot,X- Ray Foot
CT Local Area Without Contrast,X-Ray CT Local Area Without Contrast,X-Ray Ankle-
S5.4.1.2 Triple arthrodesis IP 5000 24300
Ankle-Lateral View/AP View,MRI Local Lateral View/AP View,MRI Local Area
CT Local Area Without Contrast,X-Ray
CT Local Area Without Contrast,X-Ray Ankle-
S5.4.1.3 Subtalar arthrodesis IP Ankle-Lateral View/AP View,MRI Local 5000 35010
Lateral View/AP View,MRI Local Area
Area
S5.4.1.5 Arthrodesis of Knee -with implant IP Clinical report 5000 34300 Clinical report,X Ray
SEPTIC ARTHRITIS- ARTHROTOMY/
S5.4.1.5.1 IP CLINICAL PICTURE,CRP XRAY JOINT,CBP 4725 35000 CULTURE SENSITIVITY,REPEAT X-RAY
JOINT LAVAGE
S5.4.10 Arthroplasty of Shoulder IP X-Ray 4725 40000 CT local Area
S5.4.2 Diagnostic Arthroscopy IP MRI 4725 24629 Arthroscopy Picture
S5.4.3 Arthroscopy . Operative Meniscectomy IP MRI 8375 25656 Arthroscopy Picture
Anterior cruciate ligamentl
S5.4.4 IP MRI 12250 53500 Arthroscopy Picture
reconstruction
Posterior cruciate ligament MRI Knee Single Joint Without Contrast,X- CT Local Area Without Contrast/MRI For
S5.4.4.2 IP 3150 53500
reconstruction Ray Ligament Injuries
Surgery for Avascular Necrosis Of
S5.4.5 IP MRI,X-RAY 8375 20000 Post opX-RAY
Femoral Head -Core Decompression
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S5.4.9 Excision arthroplasty-81.8 IP X-Ray 5000 20500 CT local Area

S5.5 Spine Surgery
S5.5.4 Anterior Spine Fixation IP Clinical report 4725 61800 Clinical report,MRI & X-Ray
Mossmiami instrumentation for CT Local Area Without Contrast,MRI Local
S5.5.5 IP 10000 47600 X-Ray
vertebral fractures Area,Neuro evaluation notes
S5.6 Soft Tissue Surgery
S5.6.10 Fasciotomy IP clinical notes 4725 15000 Clinical Photograph,Clinical notes
S5.6.11 Fasciotomy with skin graft IP X-Ray ,Clinical Photograph 3150 25000 X-Ray ,Scar Photo
S5.6.15 Quadricepsplasty IP X-Ray ,Clinical Photograph 4725 35000 CT Local Area Without Contrast
Nerve conduction study,Clinical CT Local Area Without Contrast,Clinical
Tendon transfer procedure for wrist
S5.6.19 IP Photograph,Nerve conduction 4725 28400 Photograph,CT Local Area Without
drop
study,Clinical Photograph Contrast,Clinical Photograph
S5.6.2 Neurolysis / Nerve Suture IP Clinical Photograph 13375 15300 Clinical Photograph
Synovial cyst excision/ganglion/Bakers Contrast Enhanced USG,Clinical
S5.6.20 DC 4725 19790 Contrast Enhanced USG
Cyst Photograph
S5.6.22 Tendon Grafting IP clinical notes 4725 22200 clinical notes
clinical notes,Clinical Photograph,clinical
S5.6.23 Excision of Bursa/Ganglion IP 4725 3600 clinical notes,clinical notes
notes,Clinical Photograph
S5.6.24 Release of Stiff Elbow IP X-Ray Elbow 4725 30000 X-Ray Elbow,Scar Photo
S5.6.25 Synovectomy IP Synovial Fluid analysis and USG 4725 32200 Biopsy report and Clinical Photograph
Surgical management
S5.6.26 IP HR USG 2250 6510 Clinical Photograph
Dequerenstenosynovities
X-Ray Hip Lateral View,Clinical
S5.6.27 Flexion construction of hip release IP 4725 40000 X-Ray Hip Lateral View
Photograph
X-Ray ,Erythrocyte Sedimentation Rate
(ESR),Complete Blood Count (CBC),Clinical
S5.6.28 Arthrotomy and joint lavage IP 5000 25000 X-Ray ,Routine Histopathological Examination
Photograph,Cbp(HB%,TC,DC,WBC,Platelet
s)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S5.6.29 Subacromial decompression IP X-Ray/MRI Synovial Fluid Analysis 4725 30000 X-Ray
Surgery for Brachial Plexus and
S5.6.3 IP MRI 3375 45933 Clinical Photograph,X-RAY
Cervical Rib
S5.6.30 Reconstruction around Radial head IP X-Ray 4725 32000 X-Ray
X-Ray Shoulder - Lateral View/AP
S5.6.31 Rotator cuff repair- Open/Scopic IP 4725 30000 Scopy video Webex
View,MRI,Clinical Photograph
X-Ray Ankle - Lateral View/AP
S5.6.32 Congenital ankle deformity correction IP 7700 17600 X-Ray Ankle-Lateral View/AP View
View,Clinical Photograph
S5.6.33 CTEV correction IP X-Ray ,Clinical Photograph 5000 50000 Clinical Photograph
S5.6.34 Trigger Finger release IP 1575 6500 X-Ray ,Clinical Photograph
Photograph
S5.6.35 Tenolysis IP clinical notes 1575 7100 Intra Op Photo
S5.6.36 Tension band wirings IP X-Ray 4725 25000 X-Ray
S5.6.37 Dupuytrens contracture release IP 3150 15700 Clinical Photograph
Photograph
ENMG (Elektroneuromyography) ,Clinical
S5.6.39 Obturatorneurectomy IP 3150 20000 Scar Photo
Photograph,Nerve conduction study
S5.6.4 Exploration and Ulnar nerve Repair IP electro-diagnostic studies 4725 14000 electro-diagnostic studies,Clinical Video
Primary suturing with Debridment -
S5.6.41 IP RBS,CBP,LFT,Creatinine 3150 17600 CBP,Creatinine
with GA/SA
S5.6.6 Maxpage release for Volkmann IP X-Ray ,Clinical Photograph 5000 30010 Clinical Photograph
S5.6.7 Excision of Retrocalcaneal bursa IP X-Ray ,Clinical Photograph 4725 15010 X-Ray
S5.6.8 Adductor release IP X-Ray ,Clinical Photograph 5000 15000 Case Sheet with operation Notes
Nerve conduction study,Clinical
S5.6.9 Tenotomy IP 1575 7100 Case Sheet with operation Notes
Photograph
S5.7 TUMOR SURGERY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Bone tumor curettage and bone graft- X-Ray ,MRI Local Area,Bone Marrow
S5.7.3 IP 5000 31400 X-Ray ,Routine Histopathological Examination
78.00 Biopsy Needle
S5.8 CONSERVATIVE METHODS
S5.8.1 Removal of implants plates and nail IP X-Ray 3150 17600 X-Ray
S5.8.1.1 Removal of implants wires and screws IP X-Ray 1575 5900 X-Ray
S5.8.10.1 POP application above Knee DC Clinical Photograph 4725 3600 Physiotherapy report
POP Application below Joint - Knee or
S5.8.10.3 DC Clinical Photograph 4725 3600 Physiotherapy report
Elbow
Application of P.O.P. Spikas and
S5.8.10.4 DC Clinical Notes + X-Rays 4725 4100 Clinical Notes + X-Rays
Jackets
S5.8.11 Application of skin traction DC Clinical Notes + X-Rays 3150 3000 Clinical Notes + X-Rays
Cervical spine injury-skull traction CT Spine (Cervical,Dorsal,Lumbar,Sacral)

S5.8.13 IP 5000 5900 X-Ray
treatment Without Contrast / X-Ray,MRI Local Area
Clavicle fracture management -

S5.8.15 DC clinical notes 3150 1800 clinical notes
conservative -daycare
Early OA Hip/ Knee BMAC Injection,
S5.8.16 IP CBP 1575 10000 X-RAY
Age greater than50yrs
INTRA ARTICULAR INJECTIONS OF
PLATELET RICH
PLASMA/STEROID/HYALURUNIC ACID -
S5.8.17 IP X-Ray,Indication 1575 5000 Clinical Photo,Vial Photo
SHOULDER / ELBOW / WRIST / HIP /
KNEE / ANKLE / JOINTS OF FOOT AND
HAND
S5.8.18 PRP Injections for Tendonitis IP CBP 1575 5000 X-RAY
SPINAL FRACTURE - CONSERVATIVE
S5.8.19 IP XRay,CT 8375 15000 BRACE Photo,Clinical Photo
MANAGEMENT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S5.8.2 U-slab application IP X-Ray,Clinical Photograph 5000 4500 Physiotherapy report

Synthetic cast application below Elbow
S5.8.3 DC X-Ray,Clinical Photograph 4725 5550 Physiotherapy Advice at the time of Discharge
Or Knee
POP Application above Joint - Knee or
Elbow
Synthetic cast application above Elbow
or Knee
Physiotherapy Advice at the time of Discharge,X-
S5.8.6 Synthetic cast application above Elbow DC X-Ray,Clinical Photograph 4725 7000
Ray
Bandages and strapping procedures for
S5.8.7 DC X-Ray 3150 2000 X-Ray,Clinical Photograph
fractures
S5.8.8 Application of skeletal traction DC X-Ray 3150 4400 X-Ray
S5.9 DISARTICULATIONS
S5.9.1 Disarticulation at wrist level IP X-Ray ,Doppler and Clinical Photograph 5000 23000 X-ray and Scar Photo
S5.9.2 Disarticulation at elbow level IP X-Ray ,Doppler and Clinical Photograph 5000 25010 X-ray and Scar Photo
S5.9.3 Disarticulation at Shoulder level IP X-Ray,Doppler and Clinical Photograph 5000 40010 X-ray and Scar Photo
S5.9.4 Disarticulations at small joints Foot IP X-Ray,Clinical Photograph 4725 10010 X-ray and Scar Photo
S5.9.5 Disarticulation at ankle level IP 5000 25010 X-ray and Scar Photo
Of Specific Limb
S5.9.6 Disarticulations at knee level IP 5000 27010 X-ray and Scar Photo
Of Specific Limb
FRACTURE - CONSERVATIVE
SB001
MANAGEMENT - WITHOUT PLASTER
Fracture - Conservative Management - -
SB001A DC 2300
Without plaster
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SB002 APPLICATION OF TRACTION

SB076A POP slab DC 2000
SB003 APPLICATION OF P.O.P. CASTS
SB076B POP slab DC 2200
APPLICATION OF P.O.P. SPIKAS AND
SB004
JACKETS
SB004B Jackets IP 3500
SB005 EXTERNAL FIXATION OF FRACTURE
SB005C Pelvis IP 26200
PERCUTANEOUS - FIXATION OF
SB006
FRACTURE
SB006A Percutaneous - Fixation of Fracture IP 4250
ELASTIC NAILING FOR FRACTURE
SB007
FIXATION
SB007B Humerus IP 24100
SB007C Forearm IP 22300
FRACTURE - LONG BONES -
SB009
METAPHYSEAL - ORIF
Fracture - Metaphyseal - Fracture -
SB009A Long Bones - ORIF or CRIF - Upper IP 24400
Limb
SURGERY FOR COMMINUTED
SB011
FRACTURE - OLECRANON OF ULNA
SB011A Plating olecrenon fracture, ulna IP 19800
FRACTURE CONDYLE - HUMERUS -
SB015
ORIF
ORIF with screw Or wire of Medial
SB015B IP 11500
Condyle
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SB078A ORIF with screw of proximal humerus IP 20500

SB018 FRACTURE - ACETABULUM
ORIF THROUGH Single Approach
SB018A IP 38000
PLATING
ORIF THROUGH combined Approach
SB018B IP 33500
PLATING
SB019 FRACTURE - NECK FEMUR
ORIF Intertrochanteric Fracture with
SB019C IP 24100
Proximal Femoral Nail
CERVICAL SPINE FIXATION INCLUDING
SB021
ODONTOID
Cervical spine fixation including
SB021A IP 46700
odontoid
SB025 ARTHROLYSIS OF JOINT
SB025A Elbow IP 15000
SB025B Knee IP 15000
SB025C Ankle IP 15000
SB026 ARTHRODESIS
SB026C Wrist, Wrist with plating IP 22100
SB026E Hand IP 27000
SB026G Ankle Or Triple without implant IP 17400
SB027 DISARTICULATION
SB027A Hind quarter IP 31300
SB027B Fore quarter IP 31300
SB031 HEMIARTHROPLASTY
Bipolar -Modular cemented Or non
SB031C IP 42400
cemented
AC JOINT RECONSTRUCTION OR
SB032
STABILIZATION
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SB032B Rockwood Type - II IP 30500

SB032C Rockwood Type - III IP 30500
SB032D Rockwood Type - IV IP 30500
SB032E Rockwood Type - V IP 30500
SB032F Rockwood Type - VI IP 30500
SB034 OPEN REDUCTION OF CDH
SB034A Open Reduction of CDH IP 20000
ARTHROSCOPIC MENISCUS REPAIR OR
SB036
MENISCECTOMY
Arthroscopic Meniscus Repair Or
SB036A IP 17000
Meniscectomy
SB038 TOTAL HIP REPLACEMENT
SB038A Cemented IP 101850
SB038B Cementless IP 111300
SB038C Hybrid IP 115450
SB038D Revision - Total Hip Replacement IP 218600
Revision of failed hemi Arthroplasty in
SB079A IP 105950
to THR
SB043 SINGLE STAGE AMPUTATION
SB043E Foot IP 18600
SB044 TWO STAGE AMPUTATION
SB044A Above Elbow IP 23200
SB044B Below Elbow IP 23200
SB044C Above Knee IP 23200
SB044D Below Knee IP 23200
SB044E Foot IP 23200
SB044F Hand IP 23200
SB044G Wrist IP 23200
SB045 AMPUTATION - FINGERS OR TOES
SB045B Toe-s IP 13500
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SB046 TENDON GRAFTING OR REPAIR

SB046B Tendon Repair IP 19500
SB053 SEQUESTECTOMY OR CURETTAGE
SB053A Sequestectomy Or Curettage IP 10000
SB054 SPINE DEFORMITY CORRECTION
SB054A Spine deformity correction IP 51650
Combined spinal segment - front and
SB080A back -anterior Or posterior Or IP 64350
combined anterior and posterior
SB056 PELVIC OSTEOTOMY AND FIXATION
SB056A Pelvic Osteotomy and fixation IP 20400
GROWTH MODULATION AND
SB060
FIXATION
SB060A Growth Modulation and fixation IP 10700
CORRECTIVE SURGERY FOR FOOT
SB061
DEFORMITIES
SB061B Other foot deformities IP 15000
SB062 CORRECTION OF CLUB FOOT PER CAST
SB062A Correction of club foot per cast DC 5700
NERVE TRANSPOSITION OR RELEASE
SB066
OR NEUROLYSIS
SB066A Nerve Transposition IP 13000
SB066B Nerve Release IP 13000
SB067 NERVE REPAIR SURGERY
SB067A Nerve Repair Surgery IP 13800
SB070 IMPLANT REMOVAL UNDER LA
SB070B Screw DC 5000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SB071 IMPLANT REMOVAL UNDER RA OR GA

SB071B Plate IP 15000
INCLUDING IMPLANTS
implants
ST003A IP 75000

ST003B IP 75000
bone.
ST004
ST004A IP 35000
ST004B IP 45000
ST005
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

long bones
FRACTURE
fracture
ST008A IP 37500
Nerve repair
ST009
TENDON INJURIES
ST009B IP 25560
transfer
ST010
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

ST010A IP 11360
ST010B IP 75000
graft
S6.1 Emergency
S6.1.1 Surgery For Bleeding Ulcers IP Endoscopy 5000 49258 Endoscopy Picture
S6.1.2 Surgery For Obscure Gi Bleed IP Endoscopy 5000 73886 Endoscopy Picture
S6.10 Hernia
Diaphragmatic Hernia -Gortex Mesh
S6.10.1 IP Endoscopy,Ba.Study,CXR,USG 5000 49258 Biopsy,Clinical Photograph
Repair
S6.11 LIVER SURGERIES
S6.11.1 Rt.Hepatectomy IP CT,ERClinical Photograph,USG 10000 88848 Clinical Photograph
S6.11.2 Lt.Hepatectomy IP CT,ERClinical Photograph,USG 10000 92358 Clinical Photograph
S6.11.3 Segmentectomy IP CT,ERClinical Photograph,USG 10000 61572 Clinical Photograph
S6.12 PANCREATIC SURGERIES
S6.12.1 Distal Pancreatectomy IP CT,ERCP 10000 123144 Clinical Photograph
S6.12.2 Enucleation Of Cyst IP CT 8375 92358 Clinical Photograph
S6.12.3 Whipples Any Type IP CT,ERCP 10000 102620 Clinical Photograph
S6.12.4 Triple Bypass -Pancreas IP CT 10000 61571 Clinical Photograph
S6.12.5 Other Bypasses -Pancreas IP CT 10000 40278 Clinical Photograph
S6.13 ANUS
Endo anal scan / MRI Abdomen With
S6.13.1 Anal Sphincter Repair -With Colostomy IP 10000 34737 Endo anal scan
Contrast,USG Abdomen
Anal Sphincter Repair -Without Endo anal scan/MRI Abdomen With
S6.13.1.1 IP 2250 31320 clinical Photo,Endo anal scan
Colostomy Contrast,USG Abdomen
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CT scan Lower Abdomen Without

Rectovaginal fistula Management with Contrast,Sigmoidoscopy (REGID),TRUS
S6.13.2 IP 8375 40350 Scar Photo
Colostomy (Transrectal Ultrasonography),MRI Local
Area
Rectopexy Open without Mesh for
S6.13.3 IP Defacogram,Clinical Photograph,USG 3150 30000 Clinical Photograph,USG Abdomen
Rectal Prolapse
Abdomen
S6.2 Oesophagus
S6.2.1 Colonic Pull Up IP Biopsy,Endoscopy,CT-Scan 10000 61571 Biopsy,Clinical Photograph
S6.2.2 Oesophagectomy IP Biopsy,Endoscopy,CT-Scan 10000 92358 Biopsy,Endoscopy Picture
S6.2.3 Oesophago-Gastrectomy IP Biopsy,Endoscopy,CT-Scan 10000 92358 Biopsy,Endoscopy Picture
S6.2.4 Lap Heller.S Myotomy IP Biopsy,Endoscopy,CT-Scan 10000 28847 Biopsy,Endoscopy Picture
S6.2.5 Lap Fundoplications IP Biopsy,Endoscopy,CT-Scan 3375 55415 Biopsy,Endoscopy Picture
S6.3 Stomach
Partial Gastrectomy with anastomosis
S6.3.1 IP Biopsy,USG,EUS 10000 41048 Biopsy,Clinical Photograph
to esophagus/jejunum-43.6.2
Partial Gastrectomy with anastomosis USG Abdomen/ CT Scan Abdomen With
S6.3.1.1 IP 4500 40000 Routine Histopathological,USG Abdomen
to duodenum Contrast,Upper GI endoscopy
S6.3.2 Total Gastrectomy IP Biopsy,USG,Endoscopy,CT-Scan 10000 41048 Biopsy,Clinical Photograph
Truncal Vagotomy + Gastro
S6.3.3 IP Biopsy,USG,Endoscopy,CT-Scan 8375 49257 Biopsy,Clinical Photograph
Jejunostomy-44.3
Distal Gastrectomy For Gastric Outlet
S6.3.4 IP Biopsy,USG,Endoscopy,CT-Scan 10000 41047 Biopsy,Clinical Photograph
Obstruction
S6.3.5 Surgery for Corrosive Injury Stomach IP Biopsy,USG,Endoscopy,CT-Scan 8375 61572 Biopsy,Clinical Photograph
S6.4 Small Intestine
S6.4.1 Surgical management of Volvulus IP CT-Scan,X-Ray ABD 10000 49257 Biopsy,Clinical Photograph
S6.4.2 Surgical management of Malrotation IP CT-Scan,X-Ray ABD 8375 49258 Biopsy,Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S6.4.3 Lap Adhesiolysis IP CT-Scan,X-Ray ABD 8375 30786 Biopsy,Clinical Photograph

S6.5 Large Intestine
S6.5.1 Right Hemicolectomy IP Biopsy,Endoscopy,CT-Scan,Colonoscopy 10000 41048 Biopsy,Clinical Photograph
S6.5.2 Left Hemicolectomy IP Biopsy,Endoscopy,CT-Scan,Colonoscopy 10000 41048 Biopsy,Clinical Photograph
S6.5.3 Extended Right Hemicolectomy IP Biopsy,Endoscopy,CT-Scan,Colonoscopy 10000 49257 Biopsy,Clinical Photograph
S6.5.4 Anterior Resection of Large Intestine IP Biopsy,Endoscopy,CT-Scan,Colonoscopy 10000 41048 Biopsy,Clinical Photograph
S6.5.5 Anterior Resection With Ileostomy IP Biopsy,Endoscopy,CT-Scan,Colonoscopy 10000 61572 Biopsy,Clinical Photograph
S6.5.6 Abdominoperinial Resection of rectum IP Biopsy,Endoscopy,CT-Scan,Colonoscopy 10000 52017 Biopsy,Clinical Photograph
S6.5.7 Hartman.S Procedure With Colostomy IP Biopsy,Endoscopy,CT-Scan,Colonoscopy 10000 55414 Biopsy,Clinical Photograph
I Stage-Sub Total Colectomy + Colonoscopy,Endoscopy,CT-Scan with
S6.5.8.1.1 IP 10000 61572 Biopsy,Clinical Photograph
Ileostomy-46.2 Contrast
S6.5.8.1.2 II Stage-J - Pouch IP Colonoscopy 10000 51310 Biopsy,Clinical Photograph
S6.5.8.1.3 III Stage-Ileostomy Closure IP Endoscopy 10000 25655 Biopsy,Clinical Photograph
LAP TOTAL PROCTOCOLECTOMY+
S6.5.8.1.4 IP ct,CEA,usg 4725 65000 video,po hpe,po usg
ILEOSTOMY
I Stage- Sub Total Colectomy + Colonoscopy,Endoscopy,CT-Scan with
S6.5.8.2.1 IP 10000 98515 Biopsy,Clinical Photograph
Ileostomy + J - Pouch Contrast
Colonoscopy,Endoscopy,CT-Scan with
S6.5.8.2.2 II Stage- Ileostomy Closure IP 10000 25655 Biopsy,Clinical Photograph
Contrast
S6.6 Liver
Biopsy,Intra operative
Hepato Cellular Carcinoma-Advanced
S6.6.1 IP Ultrasound,EUSDiagnostic Laparoscopy,CT- 10000 73887 Clinical Photograph,USG
Radio Frequency Ablation
Scan
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Haemangioma Sol Liver Hepatectomy

S6.6.2 IP CT-Scan,USG,Endoscopy 10000 92357 Biopsy,USG,Clinical Photograph
+ Wedge Resection
S6.6.3 Hydatid Cyst-Marsupilisation IP Biopsy,USG,CT-Scan 8375 41048 Clinical Photograph,USG
S6.7 Gall Bladder
Cyst Excision+Hepatic Jejunostomy-
S6.7.1 IP CT,USG 8375 55414 Biopsy,Clinical Photograph
51.37
S6.7.2 Cholecystectomy IP CT,USG 5000 25655 Biopsy,Clinical Photograph
S6.7.3 GB+ Calculi CBD Stones Or Dilated CBD IP CBD,USG,ERClinical Photograph 5000 51310 Biopsy,Clinical Photograph
S6.7.4 Lap.Cholecystectomy IP CT,USG 3375 30786 Biopsy,Clinical Photograph
S6.7.5 Hepatico Jejunostomy IP Biopsy,CT-Scan 10000 68725 Biopsy,Clinical Photograph
Choledochoduodenostomy Or
Choledocho Jejunostomy
S6.8 Spleen
S6.8.1 Splenectomy IP CT,USG 10000 35917 Clinical Photograph,USG
Splenectomy + Devascularisation +
Spleno Renal Shunt-39.1
Spleenectomy For Space Occupying
S6.8.3 IP CT,USG 8375 43100 Clinical Photograph,USG
Lesion
SPLENECTOMY WITH
Webex,SCAR Photo,Biopsy report,Intra Op
S6.8.4 DEVASCULARISATION- NON IP CECT,CBP,Clinical Photograph 3375 38000
Photo
TRAUMATIC
LAP SPLENECTOMY WITH Webex,SCAR Photo,Biopsy report,Intra Op
S6.8.5 IP CBP,Clinical Photograph,CECT 2250 38000
DEVASCULARISATION Photo
S6.9 Pancreas
CT-Scan,ERCP,ERClinical
S6.9.1 Laproscopic Pancreatic Necrosectomy IP 10000 115730 Biopsy,Clinical Photograph
Photograph,Endoscopy
Lateral Pancreaticojejunostomy-Non- CT-Scan,ERCP,ERClinical
S6.9.2 IP 8375 102619 Biopsy,Clinical Photograph
Malignant Photograph,Endoscopy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S6.9.3 Open Pancreatic Necrosectomy IP 10000 123205 Biopsy,Clinical Photograph
Distal Pancreatectomy + Splenectomy- CT-Scan,ERCP,ERClinical
S6.9.4 IP 10000 123143 Biopsy,Clinical Photograph
41.5 Photograph,Endoscopy
S6.9.5 Central Pancreatectomy IP 10000 123143 Biopsy,Clinical Photograph
S6.9.7 Cysto Jejunostomy IP CT,USG 8375 51310 Biopsy,Clinical Photograph
S6.9.8 Cysto Gastrostomy IP CT,USG 8375 43025 Biopsy,Clinical Photograph
M5 CARDIOLOGY
Medical Management of Deep Vein
M5.11A IP 25000
Thrombosis
MC002 CATHETER DIRECTED THROMBOLYSIS
MC002B For Mesenteric Thrombosis IP 38500
MC002C1 For Peripheral vessels IP 38550
DOUBLE CHAMBER PERMANENT
MC016
PACEMAKER IMPLANTATION
Permanent Pacemaker Implantation -
MC016A1 IP 106900
Double Chamber
Vascular reconstruction with synthetic CT SCAN/MRI,BIOPSY,CT
S11.36.3 IP 2250 85500 CXR,CXR,CXR
graft in malignant conditions SCAN/MRI,BIOPSY,CT SCAN/MRI,BIOPSY
CARDIAC & CARDIOTHORACIC
S7
SURGERY
Congenital Cystic Lesions of lung
S7.13 IP Pre Op X-ray / CT Scan 35000 Post Op X-ray/CT Scan
/mediastinum
Medical Management Of Congenital ECHO Cardiogram ,ECG (Electro ECHO Cardiogram,Post procedure cath
S7.14 Heart Diseases -Requiring Cardiac IP Cardiogram),ECHO Cardiogram ,ECG 17660 study,ECHO Cardiogram,Post procedure cath
Catheterization (Electro Cardiogram) study
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management Of Valvular

ECHO Cardiogram ,ECG (Electro
S7.15 Heart Diseases -Requiring Cardiac IP 17650 ECHO Cardiogram,Post procedure cath study
Cardiogram)
Catheterization
CARDIAC INTERVENTIONS /
S7.1
PROCEDURES
S7.1.2.3 MINIMAL ACCESS SURGERY- ASD/VSD IP 2D ECHO,SURGICAL PROFILE 1575 90000 INTRA WEBEX,INTRA PHOTOS,POST OF 2D ECHO
S7.1.5.1 Permanent Pacemaker Implantation IP CAG,ECG,CAG,ECG 8375 79800 ECHO,X-RAY,ECHO,X-RAY
S7.1.5.2 Temporary Pacemaker Implantation IP CAG,ECG,CAG,ECG 5000 14675 ECHO,X-RAY,ECHO,X-RAY

CARDIAC RESYNCHRONISATION
S7.1.5.3 IP ECG,ECHO 110000 WEBEEX,ECHO,FIOROSCOPY,ECG
THERAPY - HOCM
Treatment with Self Expanding Metalic Venous Doppler,High Resolution CT
S7.1.8 IP 20420 CT Scan Scan,Biopsy report,USG
Stent -SEMS Chest,ECHO Cardiogram
S7.10 CARDIAC INJURES
Surgery for Cardiac injuries Without
S7.10.1 IP 2D ECHO 10000 71833 2D ECHO
CPB
S7.10.2 Surgery for Cardiac injuries With CPB IP 2D ECHO 10000 94369 2D ECHO
S7.11 VASCULAR SURGERIES
Peripheral Embolectomy Without
S7.11.1 IP ANGIOGRAM,Spiral CT Angiogram 3375 30786 Color Doppler
Graft
Excision Of Arterio Venous
S7.11.10 IP MRI Angiogram,Spiral CT Angiogram 4500 92357 Color Doppler
Malformation - Large
Excision Of Arterio Venous
S7.11.11 IP MRI Angiogram,Spiral CT Angiogram 3375 45152 Color Doppler
Malformation - Small
S7.11.12 Arterial Embolectomy IP Color Doppler,ANGIOGRAM 3375 30786 ANGIOGRAM,PVR,SBP
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Thromboembolectomy -pre-auth not

S7.11.12.2 IP Duplex ultrasound 30800 Color Doppler,Scar Photo
required, usually done as emergency
Thrombolysis for acute ischemia of Peripheral Angiogram /Doppler report
S7.11.12.3 IP 10000 Post procedure Angio stills,Doppler
limb due to arterial abstruction with Stills
S7.11.13 A V Fistula surgery -creation at Wrist IP Color Doppler 3375 11287 Color Doppler
S7.11.14 A. V Fistula surgery -creation At Elbow IP Color Doppler 3375 11287 Color Doppler
S7.11.15 DVT - Ivc Filter implantation IP Color Doppler 3375 102619 Plain X-Ray Abdomen
Surgical management of Vascular
Tumors
S7.11.17 Small Arterial Aneurysms - Repair IP ANGIOGRAM,Spiral CT Angiogram 8375 50523 Color Doppler
Small Arterial Aneurysms - Repair PTFE
S7.11.17A IP 70523
Graft Large less than 8mm -50000
Medium Size Arterial Aneurysms -
Repair
Medium Size Arterial Aneurysms -
Repair With Synthetic Graft
Aorto Billiac - Bifemoral Bypass With
Synthetic Graft
Operations for Congenital
S7.11.21 IP Regional Angiogram & Stills 15000 Scar Photo
Arteriovenous Fistula
Clinical Photograph,COLOR DOPPER SCAN Intra Op Photo,Scar Photo,COLOR DOPPER SCAN
S7.11.22 Thrombendarterectomy IP 15000
report report
B/L MANAGEMENT OF VARICOSE
Colour doppler,Surgical profile,Clinical
S7.11.23 VEINS - VARICOSE ULCER - VENOUS IP 35000 WEBEX VIDEO,Post of doppler & SCAR PHOTO
photo
MALFORMATIONS -RFA/EVLT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
U/L MANAGEMENT OF VARICOSE

Colour doppler,Surgical profile,Clinical Post of doppler & SCAR PHOTO,INTRA OP
S7.11.24 VEINS - VARICOSE ULCER - VENOUS IP 25000
photo PROCEDURE WITH WEBEX VIDEO
MALFORMATIONS -RFA/EVLT
COMPLEX AV ACCESS WITH GRAFT FOR CKD profile,colour Doppler vein and INTRA OP PROCEDURE WITH GRAFT,POST
S7.11.25 IP 28500
HEMODIALYSIS artery,U/S abdomen OPCOLOUR DOPPLER
Axillo Bifemoral Bypass With Synthetic
Graft
S7.11.4 Femoro Distal Bypass With Vein Graft IP ANGIOGRAM,Spiral CT Angiogram 4500 61571 Color Doppler
Femoro Distal Bypass With Synthetic
Graft
Axillo Brachial Bypass Using With
Synthetic Graft
Axillo Brachial Bypass Using With
S7.11.6A Synthetic Graft PTFE Graft Large Less IP 92000
Than 8mm -50000
Brachio - Radial Bypass With Synthetic
Graft
Excicion Of Carotid Body Tumor With
Vascular Repair
Carotid Artery Bypass With Synthetic
Graft
CARDIOTHORACIC AND VASCULAR
S7.2
SURGERIES
S7.2.1.1 Coronary Bypass Surgery IP CAG 9500 118881 Clinical Photograph
MINIMAL ACCESS SURGERY add on to
S7.2.1.1.2 IP 30000
Open Cardiac Surgery Package
Coronary Bypass Surgery-Post
S7.2.1.2 IP POST PTCA-CAG 10000 121830 Clinical Photograph
Angioplasty
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S7.2.1.3 Cabg With Iabp Pump IP 2D ECHO,CAG 12250 143338 Clinical Photograph
S7.2.1.4 Cabg With Aneurismal Repair IP CAG 12250 158291 Clinical Photograph
S7.2.10.1 Mitral Valve Replacement -With Valve IP 2D ECHO 9500 148799 2D ECHO,X-RAY
S7.2.10.2 Aortic Valve Replacement -With Valve IP 2D ECHO 9500 156239 2D ECHO,X-RAY
S7.2.10.3 Replacement of Tricuspid valve IP 2D ECHO 9500 148019 2D ECHO,X-RAY
S7.2.10.4 Double valve replacement -With Valve IP 2D ECHO 12250 182663 2D ECHO,X-RAY
Surgical Treatment For MVR And Atrial

S7.2.10.6 Fibrillation- Maze Method/ IP ANJIO,SURGICAL PROFILE,ECG,ECHO 2250 150000 INTRA OPERATIVE PROCEDURE,FLUROSCOPY
Cryoablation Method / Hifu Method
S7.2.11.1 Pericardiostomy IP 2D ECHO 4500 25655 2D ECHO
S7.2.11.2 Pericardiectomy IP 2D ECHO 7250 55820 2D ECHO
S7.2.11.3 Pericardiocentesis IP 2D ECHO 3375 17200 2D ECHO
S7.2.12.1 Coarctation-Arota Repair With Graft IP 2D ECHO,CAG 9500 102620 DOPPLER
Coarctation-Arota Repair Without
S7.2.12.2 IP 2D ECHO,CAG 9500 71834 DOPPLER
Graft
S7.2.13.1 Aneurysm Resection and Grafting IP 2D ECHO,CAG 12250 186225 DOPPLER
Intrathoracic Aneurysm -Aneurysm
S7.2.13.2 IP Cath,CT-Angio 9500 102620 DOPPLER
Not Requiring Bypass
Intrathoracic Aneurysm -Requiring
Bypass -With Graft
Surgical management of Dissecting
Aneurysms
Surgical management of Annulus
S7.2.13.5 IP angio 12250 158200 DOPPLER,ECHO
Aortic Ectasia With Valved Conduits
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S7.2.14.1 Aorto-Aorto Bypass With Graft IP angio 9500 102620 DOPPLER

S7.2.14.2 Aorto-Aorto Bypass Without Graft IP angio 7250 87227 DOPPLER
S7.2.15.1 Femoro- Poplitial Bypass With Graft IP angio 7250 66703 DOPPLER
S7.2.15.2 Femoro- Poplitial Bypass Without Graft IP angio 7250 50796 DOPPLER
S7.2.16.1 Femoro- Ileal Bypass With Graft IP angio 7250 66703 DOPPLER
S7.2.16.2 Femoro- Ileal Bypass Without Graft IP angio 7250 46179 DOPPLER
S7.2.17.1 Femoro-Femoral Bypass With Graft IP angio 7250 66703 DOPPLER
S7.2.17.2 Femoro-Femoral Bypass Without Graft IP angio 7250 50797 DOPPLER

S7.2.18.1 TGA - Arterial Switch IP 2D ECHO,angio 12250 153929 2D ECHO
S7.2.18.2 TGA - Sennings Procedure IP 2D ECHO,angio 12250 169323 2D ECHO
S7.2.19.1 TGA - Carotid Embolectomy IP ANGIOGRAM 5000 71834 DOPPLER,X-RAY
S7.2.2.1 Surgery For Intracardiac Tumors IP 2D ECHO,CAG 9500 102620 Clinical Photograph,HPE,ECHO
surgical management of Ruptured
S7.2.3.1 IP CAG 9500 133405 Clinical Photograph,ECHO
Sinus Of Valsalva
surgical management -Correction of
S7.2.4.1 IP 2D ECHO 9500 122980 Clinical Photograph,ECHO
TAPVC
Systemic Pulmonary Shunts With Graft
S7.2.5.1.1 IP 2D ECHO 9500 71793 2D ECHO
TOF
Systemic Pulmonary Shunts Without
S7.2.5.1.2 IP 2D ECHO 7250 62537 2D ECHO
Graft TOF
S7.2.5.2 Total Correction of Tetralogy of Fallot IP 2D ECHO 9500 117701 Clinical Photograph,ECHO
S7.2.6.1 Intra Cardiac Repair Of ASD IP 2D ECHO 5000 90305 2D ECHO
S7.2.6.2 Intracardiac Repair Of VSD IP 2D ECHO 5000 95950 2D ECHO
S7.2.7.1 Surgery for-PDA IP 2D ECHO 4500 40000 2D ECHO
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Ross procedure - Intracardiac repair of

S7.2.8.1 complex congenital heart diseases IP 2D ECHO 12250 153930 2D ECHO
with Special Conduits
Ross procedure - Intracardiac repair of
S7.2.8.2 complex congenitalheart diseases IP 2D ECHO 9500 123617 2D ECHO
without Special Conduits
S7.2.9.1 Valve repair with Prosthetic Ring IP 2D ECHO 9500 143668 ECHO
S7.2.9.2 Valve repair without Prosthetic Ring IP 2D ECHO 7250 112881 ECHO,X-RAY
S7.2.9.3 Open Pulmonary Valvotomy IP 2D ECHO 7250 79017 2D ECHO
S7.2.9.4 Closed Mitral Valvotomy IP 2D ECHO 5000 45153 2D ECHO
S7.2.9.5 Mitral valvotomy -Open IP 2D ECHO 7250 112881 2D ECHO
S7.3 LUNGS
S7.3.1 Pneumonectomy IP CT-Chest,X-RAY 9500 61571 Clinical Photograph,X-RAY
S7.3.2 Lobectomy IP CT-Chest,X-RAY 9500 61571 Clinical Photograph,X-RAY
S7.3.3 Decortication of lung IP CT-Chest,X-RAY 7250 61572 Clinical Photograph,X-RAY
S7.3.4 Surgical management of lung cyst IP CT-Chest,X-RAY 7250 41048 Clinical Photograph,X-RAY
Surgical management of SolItary
S7.3.5 IP CT-Chest,X-RAY 9500 60000 Clinical Photograph,X-RAY
fibrous tumor- Mediastinum
Surgical management of
S7.3.6.1 IP CT-Chest,X-RAY 9500 69299 Clinical Photograph,X-RAY
Bronchopleural fistula -Thorocoplasty
Bronchopleural Fistula - Myoplasty
Transpleural Bronchopleural Fistula
closure
S7.3.7 Pulmonary Sequestration Resection IP Pre Op X-ray / CT Scan 1575 40000 Post Op X-ray/CT Scan
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CT CHEST,PLURAL PATHOLOGY ANALYSIS

S7.3.9 PLEURAL BIOPSY OPEN /VATS IP 20000 HPE REPORT,INTRA-OPERATIVE PICTURE
REPORT,LUNG FUNCTION TEST
S7.4 CHEST SURGERY
S7.4.1 IP BARIUM STUDIES,CT-Scan 10000 56441 USG
Diaphragmatic Eventeration
S7.4.2 IP CT-Scan,USG 10000 48900 USG
Diaphragmatic Hernia
Surgical Management of Oesophageal
S7.4.3 IP BARIUM STUDIES,CT-Scan 10000 51310 USG
Diverticula /Achalasia Cardia
CT Scan Chest With Contrast,Pulmonary

Surgical management of Empyema Function Test(Major),Aspirate For
S7.4.4 IP 10000 58857 Chest X-Ray PA View(1 Film)
Thoracis Culture,PUS Culture & Sensitivity,Chest X-
Ray PA View(1 Film)
S7.4.5 Rib Resection and Drainage IP 14000
CHEST RAY CHEST
Clinical Photograph,FNAC,CT CHEST,X-RAY Intra Op Photo,Post OP X-Ray Chest,SCAR
S7.4.6 Thoracoscopic Segmental Resection IP 1575 25000
CHEST Photo,Biopsy
S7.4.7 Thoracocentesis IP Clinical Photograph,X-RAY CHEST 11800 Clinical Photograph,X-RAY CHEST
S7.4.8 Thorax -penetrating wounds IP Clinical Photograph,X-RAY CHEST 1575 12500 Clinical Photograph,X-RAY CHEST
S7.5 DIAPHRAGMATIC INJURIES
S7.5.1 Diaphragmatic injuries, Thoraco IP CT-Scan 10000 56441 Clinical photograph with operative scars
Abdominal approach
S7.6 BRONCHIAL INJURIES/FB
S7.6.1 Bronchoscopic Foreign body removal IP Bronchoscopy,CT-Scan 20523 Endoscopy picture
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical management For Bronchial

S7.6.2 IP Bronchoscopy,CT-Scan 3375 61572 Endoscopy picture
Injuries due to foreign Body
S7.8 OESOPHAGEAL INJURY/FB
Gastro Study Followed By
Thoracotomy and Repairs For
S7.8.1 IP Gastroscopy 2250 66703 Endoscopy picture
Oesophageal Injury For Corrosive
Injuries/Fb
S7.9 VASCULAR INJURY
Surgery for Arterial Injuries, Venous
S7.9.1 IP ANGIOGRAM,DOPPLER 4500 25655 Clinical photograph with operative scars
Injuries Without Graft
Surgical Management of Vascular
Injury In Upper Limbs -
S7.9.1.1 IP 4500 20523 Color Doppler,ANGIOGRAM
Axillary,Branchial,Radial And Ulnar -
With Vein Graft
Major Vascular Injury -In Lower Limbs-
Repair
Surgical Management of Minor
Vascular Injury - Tibial Vessels In Leg
Surgical Management of Minor
Vascular Injury -Vessels In Foot
injuries with vein graft
Injury With Prosthetic Graft
Surgical Management of Neck Vascular
S7.9.4 IP Color Doppler,ANGIOGRAM 10000 102619
Injury - Carotid Vessels
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical Management of Abdominal

S7.9.5 Vascular Injuries - Aorta, Illac Arteries, IP Color Doppler,ANGIOGRAM 10000 102619 Color Doppler
Ivc, Iliac Veins
Surgical Management of Thoracic
S7.9.6 IP Color Doppler,ANGIOGRAM 10000 153930 Color Doppler
Vascular Injuries
SG077 INTERCOSTAL DRAINAGE ONLY
SG077A Intercostal drainage Only- CMU0830-I IP 5600
SURGICAL CORRECTION OF CATEGORY -

SV001
I CONGENITAL HEART DISEASE
SV001A Unifocalization of MAPCA IP 150000
SV001C Glenn procedure IP 120000
SV001D Pulmonary Artery Banding- CMU0075 IP 40000
SV001F Vascular Ring division- CMU0080 IP 60000
SV002
II CONGENITAL HEART DISEASE
ASD closure + Partial Anomalous
SV002A IP 170000
Venous Drainage Repair
SV002C ASD Closure + Tricuspid procedure IP 86100
SV002D ASD Closure + Pulmonary procedure IP 86100
SV002E ASD Closure + Infundibular procedure IP 86100

PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SV002I Partial AV canal repair IP 160000

SV002J Intermediate AV canal repair IP 160000
SV002K Atrial septectomy + Glenn IP 160000
SV002L Atrial septectomy + PA Band IP 70000
Sinus of Valsalva aneurysm repair
SV002N IP 160000
without aortic valve procedure
SV002O Sub-aortic membrane resection IP 160000
SV003
III CONGENITAL HEART DISEASE
SV003A Ebstien anomoly repair IP 170000
SV003B Double switch operation IP 160000
SV003C Rastelli Procedure IP 160000
SV003D Fontan procedure IP 160000
SV003E AP window repair IP 160000
Arch interruption Repair without VSD
SV003F IP 160000
closure
Arch interruption Repair with VSD
SV003G IP 160000
closure
SV003H DORV Repair IP 160000
SV003I Supravalvular AS repair IP 160000
SV003J Konno procedure IP 160000
SV003K Norwood procedure IP 160000
SV003L VSD closure + RV - PA conduit IP 160000
SV003M VSD + Aortic procedure IP 160000
SV003N VSD + Mitral procedure IP 160000
SV003O VSD + Tricuspid procedure IP 86100
SV003P VSD + Pulmonary artery procedure IP 160000
SV003Q VSD + Infundibular procedure IP 160000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SV003R VSD + Coarctation repair IP 160000

SV003T Truncus arteriosus repair IP 160000
SV003V Complete AV canal repair IP 160000
SV003Y Mustard Operation IP 160000
SV003Z ALCAPA repair IP 120000
SV007 TRIPLE VALVE PROCEDURE
Triple valve replacement Or repair-
SV007A IP 160000
CMU0029
PERICARDIAL WINDOW -VIA
SV011
THORACOTOMY
SV011A Pericardial window -via thoracotomy IP 41300
SV014 AORTIC ROOT REPLACEMENT SURGERY

SV014A Bental Procedure IP 220000
SV014C Aortic Aneurysm IP 220000
SV014D Valve sparing root replacement IP 220000
SV014E AVR + Root enlargement IP 220000
AORTIC ARCH REPLACEMENT OR
SV015 THORACOABDOMINAL ANEURYSM
REPAIR USING BYPASS
Aortic Arch Replacement using
SV015A IP 220000
cardiopulmonary bypass
Thoracoabdominal aneurysm Repair
SV015B IP 220000
using partial cardiopulmonary bypass
SV016 AORTIC ANEURYSM REPAIR
Aortic Aneurysm Repair using Left
SV016B IP 195000
Heart Bypass
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Aortic Aneurysm Repair without using

SV016D IP 120100
Left Heart Bypass
PULMONARY EMBOLECTOMY OR
SV018
THROMBOENDARTERECTOMY
SV018A Pulmonary Embolectomy IP 150000
SV018B Thromboendarterectomy IP 150000
SV019 PERIPHERAL ARTERIAL SURGERIES
SV019B Carotid - endearterectomy IP 108100
SV019D Thoracic Outlet syndrome Repair IP 108100
SV019E Carotid aneurysm repair IP 108100
SV019F Subclavian aneurysm repair IP 108100
SV019G Axillary aneurysm repair IP 108100
SV019H Brachial artery aneurysm repair IP 108100
SV019I Femoral artery aneurysm repair IP 108100
SV019J Popliteal artery aneurysm repair IP 108100
Carotido - subclavian artery bypass-
SV019N IP 79500
CMU0374
SV019O Carotido - axillary bypass- CMU0375 IP 57800
SV019P Axillo - femoral bypass - U Or L IP 108100
SV019Q Axillo - femoral bypass - B Or L IP 108100
SV019R Aorto - carotid bypass IP 108100
SV019S Aorto - subclavian bypass IP 108100
SV019T Patch Graft Angioplasty IP 118800
Surgery for Arterial Aneursysm
SV019W IP 118800
?Vertebral
Surgery for Arterial Aneurysm Renal
SV019X IP 118800
Artery
Operations for Acquired Arteriovenous
SV019Y IP 118800
Fistual
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
THORACOTOMY, THORACO
SV022
ABDOMINAL APPROACH
Thoracotomy, Thoraco Abdominal
SV022A IP 41300
Approach
LUNG SURGERY INCLUDING
SV023
THORACOTOMY
Other simple lung procedure excluding
SV023D IP 61900
lung resection
SV025 FOREIGN BODY REMOVAL WITH SCOPE
SV025A Foreign Body Removal with scope IP 27500
ISOLATED INTERCOSTAL DRAINAGE
AND MANAGEMENT OF ICD,
SV028
INTERCOSTAL BLOCK, ANTIBIOTICS
AND PHYSIOTHERAPY
Isolated Intercostal Drainage and

SV028A Management of ICD, Intercostal Block, IP 13800
Antibiotics and Physiotherapy
IMMEDIATE REOPERATION -WITHIN 5
SV031
DAYS
SV031B Aortic valve replacement Or repair IP 224100
SV031C Mitral valve replacement Or repair IP 224100
SV031D Tricuspid valve replacement Or repair IP 224100
SV031E Double valve replacement Or repair IP 125700

PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SV031F Triple valve replacement Or repair IP 144900

LOW CARDIAC OUTPUT SYNDROME
SV032 REQUIRING IABP INSERTION POST -
OPERATIVELY
Low Cardiac Output syndrome
SV032A requiring IABP insertion post - IP 118800
operatively
SV033 RE-DO STERNOTOMY
SV033A Re-do sternotomy IP 27500
EXCESSIVE BLEEDING REQUIRING RE-
SV034
EXPLORATION
Excessive bleeding requiring re-
SV034A IP 13800
exploration
SV035 MEDIASTINOTOMY
SV035A Mediastinotomy IP 39600
SV036 PECTUS EXCAVATION
SV036A Pectus excavation IP 62500
SV037 LEFT VENTRICULAR ANEURYSM REPAIR
SV037A Left ventricular aneurysm repair IP 162400
SV039 TRACHEAL REPAIR
SV039A Tracheal repair IP 62500
SV040 AORTIC STENTING
SV040A Aortic stenting IP 412500
SV041 FOLLOW UP -CTVS
First Follow-up- 2-4 weeks after
SV041A IP 0
discharge - AT NETWORK HOSPITAL
SV041B Second Follow-up- After 3 months IP 4400
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SV041C Third Follow-up- After 3 months IP 2200

SV041D fourth Follow-up- After 3 months IP 2200
SV041E FifthFollow-up - After 3 months IP 2200
S1.1 HEAD AND NECK
S1.12 EXCISION AND GRAFTING - SKIN
greater than 8 percentage TBSA Photograph,Clinical Photograph

8 percentage TBSA Photograph,Clinical Photograph

than 4 percentage TBSA Photograph,Clinical Photograph
S1.13 Excision of Dermal Growths
Contrast Enhanced USG,Clinical Clinical Photograph,Scar Photo,Operative
S1.13.2 Drainage of Abscess IP Photograph,Contrast Enhanced 1575 5900 Photos,Clinical Photograph,Scar Photo,Operative
USG,Clinical Photograph Photos
S1.15 LYMPH NODES
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Abdomen Radiograph Supine Or Abdomen Radiograph Supine Or Erect,Biopsy

Erect,FNAC,Clinical Photograph,USG report,POST OP SCAR Photo,Intra Op Photo,USG
S1.15.4 Inguinal Node -dissection - U Or L IP Abdomen,Abdomen Radiograph Supine Or 3150 28100 Abdomen,Abdomen Radiograph Supine Or
Erect,FNAC,Clinical Photograph,USG Erect,Biopsy report,POST OP SCAR Photo,Intra
Abdomen Op Photo,USG Abdomen

S1.16 SYMPATHECTOMY
Intra Op Photo,Scar Photo,VIDEO RECORD,Intra
S1.16.2 Thoracoplasty IP Clinical Photograph,Clinical Photograph 4725 34700
Op Photo,Scar Photo,VIDEO RECORD
USG Abdomen, Clinical Photograph,
Doppler Scan Study Of Both Lower Limb Intra OP Photo,Doppler Scan Study Of Both
Arterial System/Doppler,Chest X-Ray PA Lower Limb Arterial System/Doppler,Routine
View(1 Film),USG Abdomen, Clinical Histopathological Examination, Intra OP
S1.16.3 Open Lumbar Sympathectomy IP 3375 23500
Photograph, Doppler Scan Study Of Both Photo,Doppler Scan Study Of Both Lower Limb
Lower Limb Arterial Arterial System/Doppler,Routine
System/Doppler,Chest X-Ray PA View(1 Histopathological Examination
Film)
S1.17 THYMUS
Clinical Photograph,FNAC,CT/MRI,Clinical Intra Op Photo,Scar Photo,Biopsy,Intra Op
S1.17.1 Thymectomy IP 2250 68200
Photograph,FNAC,CT/MRI Photo,Scar Photo,Biopsy
S1.18 SCROTUM
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Abdomen & Scrotum
Clinical Photograph,USG,Clinical Intra Op Photo,Scar Photo,Biopsy,Intra Op

S1.18.18 Operation for Hydrocele -U Or L IP 1575 11700
Photograph,USG Photo,Scar Photo,Biopsy
Clinical Photograph,USG/CT,Clinical Intra Op Photo,USG/CT,Scar Photo,Biopsy,Intra
S1.18.19 Hydrocele - Excision ? Bilateral IP 15000
Photograph,USG/CT Op Photo,USG/CT,Scar Photo,Biopsy
Epididymal -Cyst Or solid Swelling Clinical Photograph,USG,Clinical Intra Op Photo,Scar Photo,Biopsy,Intra Op
S1.18.21 IP 6200
?Excision Photograph,USG Photo,Scar Photo,Biopsy
CT Scan Of Lower Abdomen & Routine Histopathological
S1.18.6 Excision of Epididymal Cyst IP Scrotum,USG Abdomen,CT Scan Of Lower 6200 Examination,Operative Photos,Routine
Abdomen & Scrotum,USG Abdomen Histopathological Examination,Operative Photos
S1.20 THORAX
S1.20.2 Rib Resection and Drainage IP CHEST,Clinical Photograph,CT CHEST,X- 28400 RAY CHEST,Clinical Photograph,Biopsy
RAY CHEST CHEST,POST OP X-RAY CHEST
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S1.3 ABDOMEN
S1.3.1.1 Epigastric Hernia repair without Mesh IP Clinical Photograph,Clinical Photograph 4725 23400 Clinical Photograph,Clinical Photograph
USG of the Abdomen ,Clinical

USG of the Abdomen ,scar photo ,Intraoperative
Laproscopic Surgical treatment for photograph,Chest X-Ray PA View(1
S1.3.1.11 IP 5000 28800 photos,USG of the Abdomen ,scar photo
Incisional Hernia with Mesh Film),USG of the Abdomen ,Clinical
,Intraoperative photos
photograph,Chest X-Ray PA View(1 Film)
USG of the Abdomen ,Clinical USG of the Abdomen ,scar photo ,Intraoperative
S1.3.1.4.1 IP photograph,USG of the Abdomen ,Clinical 5000 30800 photos,USG of the Abdomen ,scar photo
Hiatus Hernia With Mesh
photograph ,Intraoperative photos
Hiatus Hernia Repair - Abdominal for
S1.3.1.4A IP 47500
Children and Adult
Rare Hernias repair - Clinical Photograph,USG,Clinical
S1.3.1.5 IP 5000 26800 Clinical Photograph,Clinical Photograph
Spigalion,Obuturator,Sciatic Photograph,USG
S1.3.1.6 Umbilical Hernia repair without Mesh IP Clinical Photograph,Clinical Photograph 5000 29300 Clinical Photograph,Clinical Photograph
S1.3.2.1 Laproscopic Appendicectomy IP USG,USG 3375 23400
Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Photo,Routine Histopathological
S1.3.2.3 Open Appendicectomy IP History,Complete Blood Picture,Abdomen 2250 23400
OP Photo,Routine Histopathological
OP Photo,Routine Histopathological Examination
Clinical Photograph,USG
Operative drainage of Appendicular Intra Op Photo,POST OP USG,Intra Op
S1.3.2.4 IP ABDOMEN,Clinical Photograph,USG 3150 17600
Abscess Photo,POST OP USG
ABDOMEN
Examination,Operative Photos,USG Abdomen/CT
USG Abdomen,Plain Abdomen X-Ray,CT
scan Lower Abdomen Without Contrast/CT Scan
scan Lower Abdomen Without
Abdomen With Contrast,Routine
S1.3.3.15 Excision of Mesenteric Cyst IP Contrast,USG Abdomen,Plain Abdomen X- 3150 31260
Histopathological Examination,Operative
Ray,CT scan Lower Abdomen Without
Photos,USG Abdomen/CT scan Lower Abdomen
Contrast
Contrast
USG,CECT,Clinical Photograph,Sugar,Viral USG,Viral markers,Sugar,Webex,Intra Op

S1.3.3.19 Laparoscopic cystogastrostomy IP markers,CBC,USG,CECT,Clinical 1575 30800 Photo,CBC,USG,Viral markers,Sugar,Webex,Intra
Photograph,Sugar,Viral markers,CBC Op Photo,CBC
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Clinical Photograph,PERITONEAL TAP

Intra Op Photo,SCAR Photo,POST OP USG,CS
Photo,USG ABDOMEN,Clinical
S1.3.3.20 Exploratory Laparotomy IP 15000 report,Intra Op Photo,SCAR Photo,POST OP
Photograph,PERITONEAL TAP Photo,USG
USG,CS report
ABDOMEN
S1.3.3.7 Pyloromyotomy IP Endoscopy,Endoscopy 5000 42600 Clinical Photograph,Clinical Photograph
Biopsy,USG,Endoscopy,CT,Biopsy,USG,En
S1.3.3.8 Gastrostomy IP 5000 28400 Clinical Photograph,Clinical Photograph
doscopy,CT
Resection and Anastomosis Of Small Biopsy,Clinical Photograph,Biopsy,Clinical
Intestine-45.9 Photograph
Biopsy,USG,Endoscopy,Biopsy,USG,Endos
S1.3.4.7 Ileostomy IP 8375 19400 Clinical Photograph,Clinical Photograph
copy
USG Abdomen,CT Scan Abdomen With
Contrast,Abdomen Radiograph Supine Or POST OP HPE,scar photo,Intraoperative
S1.3.4.9 Excision of Meckels Diverticulum IP Erect(1 Film),USG Abdomen,CT Scan 5000 41048 photos,POST OP HPE,scar photo,Intraoperative
Abdomen With Contrast,Abdomen photos
Surgical treatment for Mal-Rotation Clinical Photograph,X-RAY,Clinical Photograph,X-

and Volvulus Of The Midgut RAY
Surgical treatment for Duplication Of
S1.3.5.3 IP CT-Contrast,CT-Contrast 10000 28800 Clinical Photograph,Clinical Photograph
Intestines
S1.3.5.7 Colostomy IP 5000 20524
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S1.4 LIVER
Surgical treatment For Hydatid cyst of
S1.4.1 IP CT,USG,CT,USG 8375 41048 USG,USG
Liver
Clinical
S1.5 GALLBLADDER
S1.5.1 Cholecystectomy IP CT,LFT,USG,CT,LFT,USG 8375 25655
Photograph,USG
S1.5.2 Laproscopic Cholecystectomy IP CT,LFT,USG,CT,LFT,USG 8375 30786
Photograph,USG
Cholecystectomy With CBD Clinical Photograph,USG,Clinical
S1.5.3 IP CT,LFT,USG,CT,LFT,USG 8375 41048
Exploration -51.41 Photograph,USG
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Routine Histopathological Examination,WEBEX

USG Abdomen ,LFT(liver function ,CT Scan Abdomen With Contrast,USG
tests),CT scan Lower Abdomen Without Abdomen/CT scan Lower Abdomen Without
Contrast/CT Scan Abdomen Without Contrast/CT Scan Abdomen Without
Laproscopic Cholecystectomy With
S1.5.3.1 IP Contrast,USG Abdomen ,LFT(liver function 5000 30786 Contrast,Routine Histopathological
CBD Exploration -51.41
tests),CT scan Lower Abdomen Without Examination,WEBEX ,CT Scan Abdomen With
Contrast/CT Scan Abdomen Without Contrast,USG Abdomen/CT scan Lower
Contrast Abdomen Without Contrast/CT Scan Abdomen
Without Contrast
S1.5.4 Cholecystostomy IP CT,LFT,USG,CT,LFT,USG 5000 30437
Photograph,USG
S1.7 SPLEEN
Intra Op Photo,Webex,Biopsy report SCAR
Clinical Photograph,CECT,PERIPHERAL
Photo,VIDEO RECORD,Intra Op
S1.7.4 Laparoscopic Spleenectomy IP ,USG,CBP,Clinical 2250 40000
Photo,Webex,Biopsy report SCAR Photo,VIDEO
Photograph,CECT,PERIPHERAL ,USG,CBP
RECORD
Clinical
Biopsy report SCAR Photo,VIDEO RECORD,Intra
Photograph,CECT,USG,PERIPHERAL
S1.7.5 Open Spleenectomy IP 4725 23500 Op Photo,Webex,Biopsy report SCAR
,CBP,Clinical
Photo,VIDEO RECORD,Intra Op Photo,Webex
Photograph,CECT,USG,PERIPHERAL ,CBP
S11.1 HEAD AND NECK
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S11.1.5 IP 4500 31500
Photograph
S11.17 CA. PARATHYROID
S11.17.1 IP 5000 29300
S11.18 CA. GASTRO INTESTINAL TRACT
S11.22 RETROPERITONEAL TUMOR
S11.22.1 IP CT,CT,CT 8375 44600
S11.3 GENITO URINARY SYSTEM
Biopsy,USG,Clinical
Biopsy,USG,KUB,IVP,CT,Biopsy,USG,KUB,I
S11.3.1 Radical Nephrectomy IP 8375 52500 Photograph,Biopsy,USG,Clinical
VP,CT,Biopsy,USG,KUB,IVP,CT
Biopsy,USG,Clinical
Stage ,CT
S2.2 THROAT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Clinical Photo showing scar,Pus for culture

Peritonsillar abscess drainage Or clinical notes,Clinical Photograph,clinical
S2.2.6.2 ST 8000 sensitivity report,Clinical Photo showing scar,Pus
intraoral calculus removal notes,Clinical Photograph
for culture sensitivity report
S8 PEDIATRIC SURGERY
Excision of External angular dermoid in Routine Histopathological Examination,Scar
S8.11 DC X-Ray of part,Clinical Photograph 3000
Paediatric Patient Photo
High risk delivery: Major Fetal
clinical notes,MRI,Clinical Photograph,3D
S8.12 malformation requiring intervention IP 11500 clinical notes,Post OP Photos,Intra OP Photos
USG
immediately after birth
Surgical treatment for Preauricular Routine Histopathological Examination,Intra OP

S8.13 IP Clinical Photograph,Sinogram,USG 10000
sinus in pediatric patient Photos,Biopsy,Scar Photo
Cystoscopy,RFT Platelet
count,CT,BT,RBS,HB,Urine Analysis,CUE,CT
Cystoscopy,Operation Photo,Webex
S9.14.1 Emergency Management of Hematuria ST Abdomen,Cystoscopy,RFT Platelet 15000
video,Cystoscopy,Operation Photo,Webex video
Abdomen
Emergency management of Acute
US Abdomen,CUE,RFT,Urine Analysis,US
S9.14.2 retention of Urine -TROCAR SPC for ST 6000 Clinical Photo,Clinical Photo
Abdomen,CUE,RFT,Urine Analysis
Acute Retention Urine
PAEDIATRIC CONGENITAL
S8.1
MALFORMATIONS
Surgical management of Oesophageal
S8.1.1.1 IP 63512
Atresia In Paediatric Patients
Open repair of diaphragmatic hernia in
S8.1.1.2 IP 51310
paediatric patients
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical Management of Intestinal

S8.1.1.3 Atresias and Obstructions In Paediatric IP 53235
Patients
Surgical Management of Biliary Atresia
S8.1.1.4 and Choledochal Cyst In Paediatric IP 71270
Patients
Stage 1 procedure for Anorectal
S8.1.1.5 IP 49257
Malformations In Paediatric Patients
Stage 2 procedure for Anorectal

S8.1.1.6 IP 61572
Malformations In Paediatric Patients
Stage 1 procedure for Hirschprungs

S8.1.1.7 IP 49257
Disease In Paediatric Patients
Stage 2 procedure for Hirschprungs

S8.1.1.8 IP 70420
Disease In Paediatric Patients
S8.1.9 VULVAL SYNECHIAE IP ULTRA SOUND ABDOMEN 4000 Clinical Photo
Surgical Management of Congenital
S8.1.2.1 IP 54710
Hydronephrosis in Paediatric Patients
Surgical Management of Ureteric
S8.1.2.2 IP 34770
Reimplantations
Stage 1 procedure for Exstrophy
S8.1.2.3 IP 75129
Bladder in Paediatric Patients
Stage 2 procedure for Exstrophy
S8.1.2.4 IP 72071
Bladder in Paediatric Patients
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical Management of Posterior

S8.1.2.5 IP 50747
Urethral Valves in Paediatric Patients
Single Stage procedure for
S8.1.2.6 IP 41048
Hypospadiasis
S8.2.6.1 Stage 1 procedure for Hypospadiasis IP Clinical Photograph,Clinical Photograph 41048 Clinical Photograph,Clinical Photograph
S8.1.2.8 Stage 2 procedure for Hypospadiasis IP 30642

Surgical Management of Paediatric
S8.1.3.1 IP 51310
Tumors
S8.1.4.1 Surgical correction of Cleft Lip IP 25000
Surgical correction of Cleft Palate in
S8.1.4.2 IP 25000
pediatric patients
Surgical correction of Syndactyly of
S8.1.4.4 Hand For Each Hand in Paediatric IP 25000
Patient
S8.10 CYST EXCISION
Routine Histopathological Examination,clinical /
S8.10.1 Excision of Retention Cyst Lip IP Clinical Photograph 5000
scar photo,Intra op photo
Excision of Sebacencyst / Lipoma in X-Ray of part,Clinical Photograph,clinical Routine Histopathological Examination,Scar

S8.10.3 DC 4000
Paediatric Patient photo Photo,Clinical Photograph
S8.2 CONGENITAL MALFORMATIONS
Surgical Management of Hamartoma
S8.2.1 IP IVP,USG,Renogram 56143 Clinical Photograph,IVP
Excision
Surgical Management of Hemangioma
S8.2.2 IP Clinical Photograph,USG 36300 Clinical Photograph,IVP
Excision
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S8.2.3 IP 48000
Lymphangioma In Paediatric Patients
S8.3 HEAD AND NECK
S8.3.1 Neuroblastoma IP Biopsy,CT 51310 Clinical Photograph
Surgical Management of Congenital
S8.3.2 IP 30786
Dermal Sinus
S8.3.2.1 Execision of cogental dermal sinus IP Clinical Photograph,USG 29990 Scar Photo,Biopsy report,Intra OP Photos
Surgical Management of Cystic Lesions
S8.3.3 IP 30000
Of The Neck
S8.3.4 IP 43183
Encephalocele
Surgical management of Sinuses and
S8.3.5 IP 21417
Fistula of the neck in Paediatric Patient
X-Ray Dorso Lumbar Spine,Clinical
S8.3.6 Meningo Myelocele Spinal Procedure IP 35000 Case Sheet with operation Notes
Photograph ,Neurosonogram(NSG)
Surgical Management of Torticollis in
S8.3.7 IP X-Ray,Clinical Photograph,USG 20000 Scar Photo,Intra OP Photos
Paediatric Patient
S8.3.8.1 Ankyloglossia Major IP clinical notes,Clinical Photograph 15000 clinical notes,Clinical Photograph
S8.3.8.3 IP Clinical Photograph 7000 Intra OP Photos
tongue tie
S8.4 CHEST
Surgical correction of Cleft Palate in
S8.4.2 IP Clinical Photograph 25656 Clinical Photograph
pediatric patients
Surgical Correction of Esophageal
S8.4.2A IP 60032
Obstructions In Paediatric Patients
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Syndactoly correction-multiple
S8.4.4.1 IP X-Ray,Clinical Photograph 28000 Scar Photo,X-Ray,Intra OP Photos
correction in Paediatric Patient
Bronchoscopy for Foreign Body
Removal
Bronchoscopy for Foreign Body
S8.4.1A ST 20523
Removal
Surgical Correction of Esophageal
S8.4.3 IP Endoscopy 75083 Clinical Photograph
Substitutions In Paediatric Patients
S8.4.4 Excision of Thoracoscopic Cysts IP Clinical Photograph 25655 Clinical Photograph
S8.4.4A Excision of Thoracoscopic Cysts IP 41049
Thoracoscopic Decortication In
Paediatric Patients
Surgical Correction of Thoracic
S8.4.6 IP Clinical Photograph,X-RAY 45708 Clinical Photograph
Duplications In Paediatric Patients
Surgical Correction of Thoracic Wall
S8.4.7 IP 66710
Defects
CT Scan Chest With Contrast/CT Scan
Empyema decortication In Paediatric Chest X-Ray PA View(1 Film),Routine
S8.7.8 IP Chest Without Contrast,Chest X-Ray PA 35000
Patients Histopathological Examination
View(1 Film)
S8.5 ABDOMEN
Surgical Management of Hamartoma
S8.5.1 IP Clinical Photograph,CT 20525 Clinical Photograph
Excision
Surgical Management of - Gastric
S8.5.1A Outlet Obstructions In Paediatric IP 30787
Patients
Laparoscopic Pull Through Surgeries
S8.5.10 For Hirschprungs Disease In Paediatric IP 69637
Patients
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Paediatric Splenectomy -Non

S8.5.11 IP 40000
Traumatic
Adrenal Gland Surgeries In Paediatric
S8.5.12 IP 42400
patients-07.3and07.4
Meckels Diverticulectomy In Paediatric USG Abdomen /Radio Routine Histopathological Examination,Scar
S8.8.13 IP 41048
Patients Scintography,Clinical Photograph Photo
Unilateral Inguinal Hernia repair In
Paediatric Patients
Bilateral Inguinal Hernia repair In
Paediatric Patients
Lumbar Hernia repair In Paediatric
Patients
Femoral Hernia repair In Paediatric
Patients
Umbilical Hernia repair In Paediatric
S8.8.18 IP USG Abdomen 20525 Scar Photo
Patients
Incisional Hernia repair In Paediatric
Patients
Surgical management of Gastro
S8.5.2 Esophageal Reflux In Paediatric IP CT,Neuro USG 29550 Clinical Photograph
Patients
Surgical management of Gastro
S8.5.2A Esophageal Reflux In Paediatric IP 37364
Patients
Surgical Correction of Hydatid Cysts In
S8.5.3 IP CT,Neuro USG 49257 Clinical Photograph
Paediatric Patient
Surgical Correction of Hydatid Cysts In
S8.5.3A IP 41048
Paediatric Patient
Surgical management of Intestinal
S8.5.4 IP 32730
Polyposis In Paediatric Patients
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S8.5.5 Surgical Correction of Intususception IP 38400

Surgical mangement of Acute
S8.5.6 Intestinal Obstruction In Paediatric IP 49258
Patients
S8.5.7 Laparoscopic Appendicectomy IP 19488
S8.5.8 Laparoscopic Choleycystectomy IP 35000
Laparoscopic Pull Through For Ano
S8.5.9 IP 55840
Rectal Anomalies In Paediatric Patients
S8.6 GENITOURINARY SYSTEM
CONGENITAL LUNG LESIONS -
S8.6.10 CPAM,BRONCHOGENIC CYST, IP 63545
SEQESTRATION - In Paediatric Patients
CYSTOSCOPY AND PROCEDURES -

DIAGNOSTIC,URETEROCELE
S8.6.11 PUNCUTRE,VUR INJECTION THERAPY, IP 43210
DJ STENT PLACEMENT AND REMOVAL
ECT. In Paediatric Patients
EXAMINATION UNDER ANAESTHESIA

S8.6.12 IP 34173
In Paediatric Patients
LYMPH NODE BIOPSY In Paediatric
S8.6.13 IP 39160
Patients
S8.6.4 Undescended testis IP CT,Neuro USG,CT,Neuro USG 22400
Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
RIGID AND FLEXIBLE BRONCHOSCOPY

S8.6.8 IP 53345
In Paediatric Patients
BURST ABDOMEN, SECONDARY
S8.6.9 IP 48483
SUTURING In Paediatric Patients
Simple Nephrectomy in pediatric Biopsy,Clinical Photograph,Biopsy,Clinical
S8.6.1 IP CT,USG,FNAC,CT,USG,FNAC 41048
patients Photograph
S8.6.2 Surgical Correction of Epispadiasis IP CT,Neuro USG,CT,Neuro USG 42963
Photograph
Surgical Correction of Scrotal CT- Clinical Photograph,USG,MRI,CT- Biopsy,Clinical Photograph,Biopsy,Clinical
S8.6.3 IP 20524
Transposition In Paediatric Patients Clinical Photograph,USG,MRI Photograph
Surgical Management for Torsion of Clinical Photograph,CT,Clinical Biopsy,Clinical Photograph,Biopsy,Clinical
S8.6.5 IP 21300
Testis Photograph,CT Photograph
Laparoscopic Orchidopexy In
S8.6.6 IP 25655
Paediatric Patients
S8.6.7 Laparoscopic Varicocele Ligation IP 41048
S8.7 CHEST
Mediastinal Cyst Excision In Paediatric
S8.7.10 IP CECT 66000 Chest X-ray,Post OP HPE
Patients
Open excision of Lung cyst In CT Scan Chest With Contrast,Chest X-Ray Chest X-Ray PA View(1 Film),Scar Photo,Intra OP
S8.7.4.1 IP 40000
Paediatric Patient PA View(1 Film) Photos,Routine Histopathological Examination
CT Scan Chest With Contrast/CT Scan
Empyema-ICD drainage In Paediatric Chest X-Ray PA View(1 Film),Scar Photo,Intra OP
S8.7.8.1 IP Chest Without Contrast,Chest X-Ray PA 25000
Patients Photos
View(1 Film)
Surgery for Congenital Lobar clinical notes,CECT,Clinical Intra PhotoS,Post OP X-Ray Chest,Biopsy
S8.7.9 IP 25000
Emphysema Photograph,USG report,SCAR PhotoS
S8.8 ABDOMEN
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Feeding Jejunostomy In Paediatric Clinical Photograph,Chest X-Ray ,Scar

S8.8.1.1 IP Clinical Photograph 20000
Patients Photo,Intra OP Photos
Correction of Vitello intestinal duct
S8.8.13.1 IP USG Abdomen,Clinical Photograph 35570 Scar Photo,Intra OP Photos
anomalies in Paediatric Patients
S8.8.20 Colostomy closure exept in ARM IP Clinical Photograph 25000 Scar Photo,Intra OP Photos
clinical notes,Scar photo,Clinical
S8.8.21 Exomphalo IP 25000 Post OP Clinical Photograph
Photograph
clinical notes,CECT,Clinical Intra OP PhotoS,Scar PhotoS ,Post OP Biopsy
S8.8.23 GI Tumor Excision IP 30000
Photograph,USG reportS,USG
Ileostomy closure In Paediatric Scar Photo,Intra OP Photos,Routine
S8.8.24 IP Clinical Photograph 25010
Patients Histopathological Examination
Surgical management of peritonitis in Abdomen Radiograph Supine Or Erect(1
S8.8.25 IP 40000 Scar Photo,Intra OP Photos
Paediatric Patients Film),USG Abdomen,X-RAY Abdomen
S8.8.26 Gastro schisis IP Clinical photo 37600 post op USG,scar photo,intra operative photos
Clinical Photograph,COLOR DOPPLER Intra Op Photo,scar Photo,post op color doppler
S8.8.27 Mesenteric Caval Anastomosis IP 28500
SCAN,UGI ENDOSCOPY scan
S8.8.28 Coccygeal Teratoma Excision IP Clinical Photograph,CECT report 35000 Intra Op Photo,SCAR Photo,POST OP Biopsy
S8.8.29 OPEN CYSTECTOMY IP CECT 45000 Post OP Ultra Sound,Post OP HPE
Pancreatic surgery in Paediatric
S8.8.30 IP CECT 75000 Post OP Ultra Sound
Patients
Intussusception - Non ?Operative
S8.8.5.1 IP clinical notes,Clinical Photograph,USG 20000 Intra OP PhotoS,USG
Reduction in infants
Rectopexy Open without Mesh for
S8.8.9.1 IP Defacogram,USG Abdomen,Clinical 35000 USG Abdomen,Scar Photo,Clinical Photograph
Rectal Prolapse
Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Rectal polypectomy In Paediatric

S8.8.9.2 DC Proctoscopy,Clinical Photograph 15000 Routine Histopathological Examination
Patients
Surgical mangement of Anal Fissure
S8.8.9.3 IP Clinical Photograph,PROCTOSCOPY 22590 Scar Photo,Intra OP Photos
and Fistula In Paediatric Patients
S8.8.9.4 Anal Dilatation DC Clinical Photograph 1000 Clinical Photograph
S8.9 GENITOURINARY SYSTEM
USG Abdomen / Abdomen And Pelvis For X-Ray Abdomen And Pelvis For Kidneys,And
Renal calculi-nephrolithotomy in
S8.9.1.1 IP Kidneys,IVP,Ureters,And Bladder (KUB) / 38195 Bladder(KUB),Intra OP Photos,Scar
Paediatric Patients
CT Scan Lower Abdomen With Contrast Photo,Ureters
USG Abdomen/Intra Veneous

S8.9.1.2 Ureterostomy in Paediatric Patients IP 28800 Scar Photo,Intra OP Photos
Pyelogram,MCUG,Clinical Photograph
Vesical calculi-vesicolithotomy in USG Abdomen / X-Ray Kidneys,Clinical X-ray Kidneys,And Bladder(KUB),Intra OP

S8.9.1.3 IP 25000
Paediatric Patients Photograph,IVP,Ureters,Bladder(KUB) Photos,Scar Photo,Ureters
Supra pubic drainage- open in USG Abdomen,X-RAY KUB,Clinical

S8.9.1.4 IP 10000 Scar Photo,Intra OP Photos
Paediatric Patients Photograph
Vesicotomy closure in Paediatric USG Abdomen,X-RAY KUB,Clinical
S8.9.1.5.1 IP 26307 Scar Photo,Intra OP Photos
Patients Photograph
USG Abdomen/ Micturating
S8.9.1.5.2 Vesicostomy IP 25760 Scar Photo,Vesicostomy Photos
Cystourethrogram (MCUG)
Repair of Urethral injuries in Paediatric USG Abdomen,CECT,Clinical
S8.9.1.6 IP 28020 Clinical Photograph,Micturation Photos
Patients Photograph,RGU
Contrast,Micturating Cystourethrogram
S8.9.1.7 Ureteric Implantation with tailoring IP 41880 USG Abdomen,Intra OP Photos,KUB
(MCUG),USG Abdomen,Intra Veneous
Pyelogram
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,Micturating
S8.9.1.8 Bladder augmentation IP Cystourethrogram(MCUG)/Urodynamic 45300 Clinical Photograph
Study(Cystometry),Clinical Photograph
S8.9.10 Open ureterolithotomy IP 18841 USG Abdomen,Intra OP Photos,KUB,Scar Photo
Pyelogram,CECT,Clinical Photograph
S8.9.11 Open Nephro lithitomy IP USG, Xray KUB & Blood investigations,IVP 38195 Intra Op photos,U/S,Xray KUB
S8.9.12 URSL IP USG, Xray KUB & Blood investigations,IVP 27900 Webex,U/S,Xray KUB,Intra Op photos
S8.9.13 ESWL ST USG, Xray KUB & Blood investigations,IVP 21000 Intra Op photos,U/S,Xray KUB
S8.9.14 Open pylo lithitomy IP USG, Xray KUB & Blood investigations,IVP 23500 Intra Op photos,U/S,Xray KUB
Endoscopic removal of Vessical
S8.9.15 ST U/S,Xray KUB 20000 Intra Op photos,U/S,Xray KUB,Webex
calculus
Webex,U/S,Xray KUB,Scar photo,Intra Op
S8.9.16 PCNL in pediatrics IP USG, Xray KUB & Blood investigations,IVP 37600
photos
S8.9.17 CAPD -Tenchkoff catheter insertion ST Renal profie,USG abdomen 36000 post op USG,scar photo,intra operative photos
Clinical photograph,Abdomen and pelvis
S8.9.18 CAPD -Tenchkoff catheter removal ST 34000 post op USG,scar photo,intra operative photos
U/S
Doppler And Scrotum & Testes,CT Scan Of
S8.9.7.1 Open Varicocele ligation IP Lower Abdomen & Scrotum,USG 20000 Scar Photo,Doppler Scan,Intra OP Photos
Abdomen
Hydrocele high ligation In Paediatric
S8.9.7.2 IP Clinical Photograph,USG 15000 Scar Photo,Intra OP Photos
Patients
Surgical Management of Phimosis and
S8.9.8.1 IP Clinical Photograph 14200 Scar Photo,Intra OP Photos
Paraphimosis
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MRI Scrotum/Doppler And Scrotum & CT Scan Of Lower Abdomen & Scrotum,Scar
S8.9.8.2 Surgical Management of Penile Injuries IP 24920
Testes,USG Penis,Clinical Photograph Photo,USG Penis
USG Abdomen/Genitogram,Karyo Typing -
S8.9.9 Intersex-Genitoplasty surgery-70.6 IP 50000 Clinical Photograph
Cytogenetics
S9.10 TESTIS AND PENIS
S9.10.1 Orchidopexy Bilateral IP USG,USG 2250 23465 Clinical Photograph,Clinical Photograph
Clinical Photo,USG Scrotum &
clinical notes-Photo + Scrotum USG,clinical
S9.10.1.1 Orchiopexy with laparoscopy IP Abdomen,Clinical Photo,USG Scrotum & 30000
notes-Photo + Scrotum USG
Abdomen
Clinical Photo,Scrotum &
Orchiopexy-without laparoscopy, clinical notes/USG Scrotum,clinical notes/USG
S9.10.1.4 IP Abdomen,USG,Clinical Photo,Scrotum & 23500
unilateral Scrotum
Abdomen,USG
Post OP USG,U/S scrotum,Follow up harmonal
study,Clinical Photo,Post OP USG,U/S
High Inguinal Orchiectomy -For Testis USG/BHCG/AFP,CT,USG,USG/BHCG/AFP,C
S9.10.1.5 IP 23500 scrotum,Follow up harmonal study,Clinical
Cancer T,USG,USG/BHCG/AFP,CT,USG
Photo,Post OP USG,U/S scrotum,Follow up
harmonal study,Clinical Photo
S9.15 BLADDER AND URETER
BLADDER INJURY REPAIR WITH Webex Video,clinical notes,Operative
Cystogram,CT abdomen,Cystogram,CT
S9.15.4 COLOSTOMY -WITH OR WITHOUT IP 2250 50000 Photo,Webex Video,clinical notes,Operative
abdomen
URETHRAL INJURY Photo
Webex Video,clinical notes,Operative
Bladder injury repair -with or without Cystogram,CT abdomen,Cystogram,CT
S9.15.5 IP 3150 40000 Photo,Webex Video,clinical notes,Operative
urethral injury abdomen
Photo
S9.15.6 Ureterolithotomy-Laparoscopic IP Like URSL ,Like URSL 30000 clinical notes,clinical notes
USG Abdomen,Scar Photo,USG Abdomen,Scar
S9.15.7 Open ureterolithotomy IP Pyelogram,USG Abdomen/Intra Veneous 30000
Photo
Pyelogram
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S9.2 SURGERY FOR RENAL CALCULI

Clinical Photograph,X-RAY,USG,Clinical
S9.2.1 Open Pyelolithotomy IP IVP,USG,KUB,IVP,USG,KUB 5000 35000
Photograph,X-RAY,USG
S9.2.3 Open Cystolithotomy IP IVP,USG,KUB,IVP,USG,KUB 3375 19631
S9.2.4 Laparoscopic Pyelolithotomy IP USG,USG 2250 42901
RAY
OTHER CORRECTIVE SURGERIES Or
S9.4
PROCEDURES
Single Stage Urethroplasty for stricture
S9.4.1.1 IP RUG,RUG 8375 51309 Clinical Photograph,Clinical Photograph
Urethra
Stage 2 Urethroplasty for stricture
S9.4.1.2.2 IP RUG,RUG 8375 38482 Clinical Photograph,Clinical Photograph
Double Stage
Single Stage procedure for Clinical Photo,Clinical Photo,Clinical
S9.4.6.1 IP 37600 Clinical Photo,Clinical Photo,Clinical Photo
Hypospadias in Children Photo
Stage - I procedure for Hypospadias in Clinical Photo,Clinical Photo,Clinical
Children Photo
Stage - II procedure for Hypospadias in Clinical Photo,Clinical Photo,Clinical
Children Photo
S9.6 RENAL
USG,DTPS Scan,CT Clinical
S9.6.14 Nephrectomy in Children IP Photo,USG,DTPS Scan,CT Clinical 40000 USG Abdomen,USG Abdomen,USG Abdomen
Photo,USG,DTPS Scan,CT Clinical Photo
S9.6.3 Simple Nephrectomy IP IVP,USG,IVP,USG,IVP,USG 8375 41048 USG,USG,USG
S9.6.4 Laproscopic Simple Nephrectomy IP IVP,USG,IVP,USG,IVP,USG 5000 51310 USG,USG,USG
S9.6.6 Lap. Partial Nephrectomy IP IVP,USG,IVP,USG,IVP,USG 5000 61572 USG,USG,USG
Nephro ureterectomy -Benign USG,DTPA scan,CT,USG,DTPA
S9.6.7.5 IP 1575 45000 clinical notes,clinical notes,clinical notes
Laparoscopic scan,CT,USG,DTPA scan,CT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S9.7 RENAL STONE SURGERY or THERAPIES

DJ stenting including cystoscopy,
S9.3.7 ureteric catheterization, retrograde DC clinical notes,clinical notes 10000 clinical notes,clinical notes
pyelogram
S9.8.1 Anderson Hynes Pyeloplasty IP IVP,X-RAY,USG,IVP,X-RAY,USG 8375 49258 Clinical Photograph,Clinical Photograph
ivp,cect abd,dtpa renoreno gram,ivp,cect
S9.8.1.3 LAP PYELOPLASTY IP 1575 50000 usg,usg
abd,dtpa renoreno gram
USG KUB/CT Scan/MRI Scan,USG KUB/CT
S9.8.14 Ureterostomy -Cutaneous IP 20000 clinical notes,clinical notes
Scan/MRI Scan
S9.8.15 Ureterocalycostomy Laparoscopic IP CT/IVU,RGP,CT/IVU,RGP 50000 clinical notes,clinical notes
S9.8.16 Uretero-ureterostomy Open IP CT/IVU,RGP,CT/IVU,RGP 1575 30000 clinical notes,clinical notes
S9.8.17 Uretero-ureterostomy Laparoscopic IP CT/IVU,RGP,CT/IVU,RGP 48000 clinical notes,clinical notes
p
S9.8.7 Ureteric Reimplantations IP IVP,X-RAY,USG,IVP,X-RAY,USG 8375 35681 USG,USG
S9.9 BLADDER AND PROSTATE
USG Abdomen,Clinical Photograph,CT
USG Abdomen,CT Scan Lower Abdomen With
Scan Lower Abdomen With Contrast,USG
S9.9.13 Meatoplasty DC 12280 Contrast,USG Abdomen,CT Scan Lower Abdomen
Abdomen,Clinical Photograph,CT Scan
With Contrast
Lower Abdomen With Contrast
Urethral Dilatation-endocopic as an
S9.9.14.2 DC clinical notes,clinical notes 3000 clinical notes,clinical notes
independent procedure
clinical notes,Clinical photo,clinical
S9.9.16 Meatotomy DC 4000 clinical notes,clinical notes
notes,Clinical photo
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CT Scan Lower Abdomen With USG Abdomen,Routine Histopathological

Contrast,Renal biopsy ,Cystoscopy,USG Examination,CT Scan Lower Abdomen With
Abdomen,CT Scan Lower Abdomen With Contrast,USG Abdomen,Routine
S9.9.5.1 Partial Cystectomy IP Contrast,Renal biopsy ,Cystoscopy,USG 10000 34737 Histopathological Examination,CT Scan Lower
Abdomen,CT Scan Lower Abdomen With Abdomen With Contrast,USG Abdomen,Routine
Contrast,Renal biopsy ,Cystoscopy,USG Histopathological Examination,CT Scan Lower
Abdomen Abdomen With Contrast
S9.9.5.6 Partial Cystectomy-Laparoscopic IP clinical notes,clinical notes,clinical notes 2250 36000 clinical notes,clinical notes,clinical notes
Augmentation cystoplasty-
S9.9.5.7 IP USG,U.scopy,USG,U.scopy 2250 40000 USG pelvis,USG pelvis
Laparoscopic
Suprapubic Drainage - Closed Or clinical notes,USG KUB,clinical notes,USG clinical notes,clinical Photo,clinical notes,clinical
S9.9.5.9 DC 7000
Trocar KUB Photo
S9.9.6 Bladder Diverticulectomy IP U.scopy,USG,U.scopy,USG 5000 33043 USG,USG
SC018 HEPATOBLASTOMA EXCISION
SC018A Hepatoblastoma Excision IP 85300
OPERATIONS FOR REPLACEMENT OF
SG002
OESOPHAGUS BY COLON
Operations for Replacement of
SG002A IP 61200
Oesophagus by Colon
SG004 OPERATIVE GASTROSTOMY
SG004A Operative Gastrostomy IP 25000
SG008 PYLOROPLASTY
SG008A1 Pyloroplasty IP 20700
SG009 PYLOROMYOTOMY
SG009A Pyloromyotomy IP 37500
SG0107 OPERATION FOR HYDROCELE -UORL
SG0107A Operation for Hydrocele -B Or L DC 15000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG0108 SYMPATHECTOMY
SG0108A1 Sympathectomy-Bilateral -B Or L DC 35000
SURGICAL MANAGEMENT OF
SG011
PSEUDOCYST
SG011A CystoJejunostomy - Open IP 22500
SG011B1 CystoJejunostomy - Lap IP 22500
SG011C Cystogastrostomy - Open IP 26300
SG011D Cystogastrostomy - Lap IP 26300
SG013 ILEOSTOMY
SG013A Ileostomy IP 16500
OPERATION FOR DUPLICATION OF
SG015
INTESTINE
SG015A Operation for Duplication of Intestine IP 25400
SG017 APPENDICECTOMY
SG017A Open ST 20000
SG018 APPENDICULAR PERFORATION
SG018A Appendicular Perforation IP 20000
OPERATIVE DRAINAGE OF
SG019
APPENDICULAR ABSCESS
Operative drainage of Appendicular
SG019A ST 15000
Abscess
OPERATIVE MANAGEMENT OF
SG022
VOLVULUS OF LARGE BOWEL
Operative Management of Volvulus of
SG022A IP 32900
Large Bowel
SG023 COLOSTOMY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG030 RESECTION ANASTOMOSIS

SG030B1 Lap. IP 26700
SG035 EXPLORATORY LAPAROTOMY
SG035A Exploratory Laparotomy IP 11800
SG039 CHOLECYSTECTOMY
SG039A Without Exploration of CBD - Open IP 31100
SG039B With Exploration of CBD - Open IP 31100
SG039C Without Exploration of CBD - Lap IP 31100
SG039D With Exploration of CBD - Lap IP 31100
SG040 OPERATIVE CHOLECYSTOSTOMY
SG040B1 Lap. IP 11300
SG041 OPERATION OF CHOLEDOCHAL CYST
SG041A Operation of Choledochal Cyst IP 31700
SG042 SPLENECTOMY
SG044
spleenlectomy
SG048 MESENTERIC CYST ? EXCISION
SG048A Mesenteric Cyst ? Excision IP 20700
SG050 GROIN HERNIA REPAIR
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG050E Obturator - Lap. ST 42900

SG051 HERNIA - VENTRAL
SG051A Epigastric IP 22000
SG051C1 Paraumbilical IP 27000
SG051D1 Spigelian IP 27000
HIATUS HERNIA REPAIR OR
SG053
FUNDOPLICATION
SG053A Hiatus Hernia Repair - Open IP 26300
SG053B Hiatus Hernia Repair - Lap IP 26300
EPIDIDYMAL CYST OR NODULE
SG057
EXCISION
SG057A Epididymal Cyst excision DC 5300
SG057B Epididymal Nodule excision DC 5300
SG059 ORCHIDECTOMY
SG060 INGUINAL NODE -DISSECTION - UORL
SG060A Inguinal Node -dissection - U Or L ST 19800
HISTOPATHOLOGY
Histopathology
SG070 THYROIDECTOMY
SG072 THYMECTOMY
SG072A Thymectomy IP 60000
SG073 SYMPATHECTOMY
SG073A Sympathectomy-Unilateral -U Or L IP 20700
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG078 RIB RESECTION AND DRAINAGE

SG078A Rib Resection and Drainage ST 20000
SG079 THORACOPLASTY
SG079A Thoracoplasty IP 24400
SG081 LOBECTOMY
THORACOSCOPIC SEGMENTAL
SG082
RESECTION
SG082A1 Thoracoscopic Segmental Resection IP 54900
SG083 LUNG HYDATID CYST REMOVAL
SG083A Lung Hydatid Cyst removal ST 26300
SG084 INCISION AND DRAINAGE OF ABSCESS
SG084A Incision and Drainage of Abscess DC 5000
SG096 BIOPSY
SG096C DC 2500
Colposcopy
PERITONSILLAR ABSCESS DRAINAGE
SL017
OR INTRAORAL CALCULUS REMOVAL
SL017A Peritonsillar abscess drainage ST 5800
RIGID LARYNGOSCOPY OR
BRONCHOSCOPY OR
SL023
OESOPHAGOSCOPY - DIAGNOSTIC
PLUS OR MINUS BIOPSY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Rigid laryngoscopy - Diagnostic + Or --

SL023A ST 7000
biopsy
Rigid bronchoscopy - Diagnostic + Or - -
SL023B ST 7000
biopsy
Rigid oesophagoscopy - Diagnostic- +
SL023C ST 7000
Or - biopsy
SL028
SL028A Deep neck abscess drainage IP 12500
GASTROSTOMY + ESOPHAGOSCOPY +
SS004
THREADING
Gastrostomy + Esophagoscopy +
SS004A IP 27700
Threading
SS005 LADDS PROCEDURE
SS005A Ladds Procedure IP 48800
SS007 INTUSSUSCEPTION
SS007B Operative in infants IP 33800
SURGERY FOR HIRSCHSPRUNG?S
SS008
DISEASE
SS008A Myectomy IP 32000
SS008C Rectal Biopsy - Punch DC 16000
SS008D Rectal Biopsy ? Open ST 16500
SS008E Sphinecterotomy ST 20700
SS010 ANO RECTAL MALFORMATION
SS010A Abd - Perineal PSARP IP 31900
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SS010B Anoplasty IP 28600

SS010C Cutback IP 25000
SS010D PSARP IP 31500
SS010E Redo - Pullthrough IP 30000
SS010F Transposition IP 26800
SS011 FECAL FISTULA CLOSURE
SS011A Fecal Fistula Closure ST 35400
SS012 GI TUMOR EXCISION
SS012A GI Tumor Excision IP 41700
CONGENITAL DIAPHRAGMATIC
SS013
HERNIA
SS013A Congenital Diaphragmatic Hernia IP 50400
SS014 EXOMPHALOS OR GASTROSCHISIS
SS014B Gastroschisis IP 38500
SS015 HERNIA AND HYDROCELE
SS015A Hernia and Hydrocele IP 25000
SS019 UNDESCENDED TESTIS
SS019B Bilateral Palpable IP 19700
SS019C Bilateral Non - Palpable IP 23800
SS019D Unilateral - Palpable IP 19700
SS019E Reexploration Or Second Stage IP 22500
SS020 EXCISION OF ACCESSORY AURICLE
SS020A Excision of accessory auricle IP 23800
SS021 MACROSTOMIA REPAIR
SS021A Repair of macrostomia IP 48800
SS022 PARATHYROIDECTOMY
SS022A Parathyroidectomy IP 48800
SS023 STENSON S DUCT DILATATION
SS023A Dilatation of Stenson s duct IP 13800
SS024 SUPERNUMMERY DIGIT EXISION
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SS024A Excision of supernumerary digit IP 17500

SS026 TONGUE LACERATION
SS026A Repair of tongue laceration IP 17500
SS028 LIVER TRAUMA NON-OP
Non-operative management of liver
SS028A IP 50000
trauma
SS029 PORTAL HYPERTENSION
SS029A NON-SHUNTS IP 56300
SS030 CONJOINED TWINS
SS030A Separation of twins IP 118800
SS032 MALROTATION
SS032A Ladd s procedure IP 48800
SS034 SPLENORRHAPHY
SS034A Splenorapphy IP 38800
SS035 ESOPHAGEAL DILATATION
SS035A Esophageal dilatation IP 37500
SS036 OPEN KIDNEY BIOPSY
SS036A Kiidney biopsy IP 41300
APPENDICO-
SS037
VESICOSTOMYORMITRAFFANOF
Appendicovesicostomy or Monti
SS037A IP 53800
procedure
SS038 VESICOSTOMY
SS038A Vesicostomy IP 35000
SS039 SUPRAGLOTTOPLASTY
SS039A Supra-glotoplasty IP 33800
SINGLE STAGE AIRWAY
SS040
RECONSTRUCTION
SS040A Airway reconstruction IP 68800
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SS041 STAGED AIRWAY RECONSTRUCTION

SS041A Staged airway reconstruction IP 62500
SS042 SLIDE TRACHEOPLASTY
SS042A Slide tracheoplasty IP 75000
SU003 NEPHRECTOMY
SU003C Radical -Renal tumor - Open IP 41100
SU010 NEPHRO URETERECTOMY -BENIGN
NEPHRO URETERECTOMY WITH CUFF
SU011
OF BLADDER
PYELOPLASTY OR
SU021 PYELOURETEROSTOMY OR
PYELOPYELOSTOMY
SU021C Pyeloureterostomy - Open IP 38700
SU021D Pyeloureterostomy - Laparoscopic IP 43400
SU021E Pyelopyelostomy - Open IP 38700
SU021F Pyelopyelostomy - Laparoscopic IP 43400
SU023 URETEROCALYCOSTOMY
SU023A Ureterocalycostomy - Open IP 39900
SU030 URETERIC REIMPLANTATION
ACUTE MANAGEMENT OF UPPER
SU037 URINARY TRACT TRAUMA ?
CONSERVATIVE
Acute management of upper urinary
SU037A ST 11000
tract trauma - Conservative
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CYSTOLITHOTRIPSY OR URETHRAL
SU041 STONE ENDOSCOPIC, INCLUDING
CYSTOSCOPY
Cystolithotripsy endoscopic, including
SU041A IP 21000
cystoscopy
Urethral Stone removal endoscopic,
SU041B IP 21000
including cystoscopy
SU045 AUGMENTATION CYSTOPLASTY
EXTROPHY BLADDER REPAIR
INCLUDING OSTEOTOMY IF NEEDED +
SU051
EPISPADIAS REPAIR + URETERIC
REIMPLANT
Extrophy Bladder repair including
SU051A osteotomy if needed + epispadias IP 100000
repair + ureteric reimplant
NEUROGENIC BLADDER - PACKAGE
FOR EVALUATION OR INVESTIGATION -
SU052 CATHETER + ULTRASOUND + CULTURE
+ RGUOR MCU FOR 1 MONTH -
MEDICINES - ANTIBIOTICS
Neurogenic bladder - Package for

evaluation Or investigation -catheter +
SU052A IP 20500
ultrasound + culture + RGU Or MCU for
1 month -medicines - antibiotics
SU066 URETHROPLASTY
SU066A Urethroplasty - End to end IP 37500
SU066D Urethroplasty - Transpubic IP 43200
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SU068 URETHRAL DILATATION

Non endocopic as an independent
SU068A ST 3200
procedure
PERINEAL URETHROSTOMY WITHOUT
SU069
CLOSURE
SU069A Perineal Urethrostomy without closure IP 25400
POST. URETHRAL VALVE
SU070
FULGURATION
Post. Urethral Valve fulguration-to be
SU070A IP 25000
checked from pead surgery
SU076 URETHRORECTAL FISTULA REPAIR
SU076A Urethrorectal fistula repair IP 51000
EMERGENCY MANAGEMENT OF
URETERIC STONE - PACKAGE FOR
SU094 EVALUATION OR INVESTIGATION -
ULTRASOUND + CULTURE FOR 3
WEEKS -MEDICINES.
Emergency management of Ureteric
stone - Package for evaluation Or
SU094A IP 2700
investigation -ultrasound + culture for
3 weeks -medicines .
Biopsy,USG,Clinical
Open radical cystectomy with Biopsy,USG,KUB,IVP,CT,Biopsy,USG,KUB,I
Ilealconduit diversion VP,CT,Biopsy,USG,KUB,IVP,CT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Laproscopic radical cystectomy with BIOPSY,2D ECHO,CXR,CT/MRI,BIOPSY,2D

S11.3.2.1 IP 4725 105000 PAC,PAC
Ilealconduit diversion ECHO,CXR,CT/MRI
S9 GENITOURINARY SURGERY
Colour Doppler Of Specific Limb,Clinical
S9.12.3 Difficult vascular access/graft IP 30000 Colour Doppler Of Specific Limb
Photograph
S9.13 Retrograde Intrarenal Surgery-RIRS IP USG,NCCT(KUB) 31580 USG Abdomen,WEBEX USG KUB/X-ray KUB
Cystoscopy,RFT Platelet
Cystoscopy,Operation Photo,Webex
S9.14.1 Emergency Management of Hematuria ST Abdomen,Cystoscopy,RFT Platelet 15000
video,Cystoscopy,Operation Photo,Webex video
Abdomen
Emergency management of Acute
US Abdomen,CUE,RFT,Urine Analysis,US
S9.14.2 retention of Urine -TROCAR SPC for ST 6000 Clinical Photo,Clinical Photo
Abdomen,CUE,RFT,Urine Analysis
Acute Retention Urine
S9.16.1 Urachal Cyst excision - Laparoscopic IP 34660 Examination,CT Scan Lower Abdomen With
Contrast
Uni-lateral illioinguinal block dissection Fine Needle Aspiration Cytology
S9.17 IP 1575 30000 Routine Histopathological Examination
in non malignant conditions (FNAC),Biopsy,USG local area
Routine Histopathological Examination,USG

USG Abdomen,CT scan Lower Abdomen
Surgery for Retroperitoneal Fibrosis Abdomen/CT scan Lower Abdomen Without
S9.18 IP Without Contrast/CT Scan Abdomen 39430
Open/Lap Contrast/CT Scan Abdomen With Contrast/CT
Without Contrast
Scan Abdomen Without Contrast
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S9.19 Parapelvic Cyst Excision-Open/Lap IP Without Contrast/CT Scan Abdomen 1575 32000
Examination
Without Contrast
Pelvic lymphadenectomy open, after
S9.20.1 IP CT scan,FNAC,CT scan,FNAC 25000 clinical notes,clinical notes
prior cancer surgery
S9.20.2 Ilio-Inguinal lymphadenectomy IP clinical notes/ NCCT,clinical notes/ NCCT 1575 31200 clinical notes,clinical notes
S9.20.3 RPLND for Testis Cancer in Children IP Serum Markers,CT Abdomen,CT Chest 63020 Followup Serum Markers
S9.20.4 RPLND as a part of Staging IP Clinical photo,CT Contrast 3150 31725 Biopsy Report
BPLND - Bilateral Pelvic lymphnode
S9.20.5 IP CT(CONTRAST) 3150 57000 CT,Biopsy Report
Dissection
S9.1 RENAL TRANSPLANTATION
RenalFunction
A.V. Fistula surgery -creation [Pre-
S9.1.2 IP Test,S.Electrolytes,RenalFunction 2250 10262 Clinical Photograph,Clinical Photograph
Transplant Procedure Only]
Test,S.Electrolytes
S9.1.3 Renal Transplantation Surgery IP RFT,USG 256000 Clinical Photograph
Balloon dialatation of transplant Renal
S9.1.5 IP 2250 32610
Artery stenosis
Laproscopic post transplant
S9.1.6 IP USG Abdomen 31390 USG Abdomen,WEBEX
lymphocele
USG Abdomen,And
Bladder(KUB),Ureters,Abdomen And USG Abdomen,Routine Histopathological
S9.1.7 Post transplant graft Nephrectomy IP 1575 49320
Pelvis For Kidneys,CT Scan Lower Examination
Abdomen
Post transplant revision Ureteroneo CT Scan Lower Abdomen With CT Scan Lower Abdomen With Contrast,USG
S9.1.8 IP 47420
cystostomy/Pyelo Ureterostomy Contrast,USG Abdomen Abdomen
S9.1.9 Open post transplant lymphocele IP USG Abdomen 33920 USG Abdomen
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S9.10.1 Orchidopexy Bilateral IP USG,USG 2250 23465 Clinical Photograph,Clinical Photograph

Clinical Photo,USG Scrotum &
clinical notes-Photo + Scrotum USG,clinical
S9.10.1.1 Orchiopexy with laparoscopy IP Abdomen,Clinical Photo,USG Scrotum & 30000
notes-Photo + Scrotum USG
Abdomen
S9.10.1.2 Orchiectomy-simple DC clinical notes/USG,clinical notes/USG 16000 clinical notes/USG,clinical notes/USG
Photograph,And Bladder(KUB),Abdomen USG Abdomen,Routine Histopathological
S9.10.1.3 Orchidectomy -Unilateral IP 22000
And Pelvis For Kidneys,Ureters,CT Scan Of Examination
Lower Abdomen & Scrotum
Clinical Photo,Scrotum &
Orchiopexy-without laparoscopy, clinical notes/USG Scrotum,clinical notes/USG
S9.10.1.4 IP Abdomen,USG,Clinical Photo,Scrotum & 23500
unilateral Scrotum
Abdomen,USG
Laproscopic orchidopexy in Children
S9.10.1.6 IP USG,CT 37855 Clinical Photo,U/S scrotum
Bilateral
High Inguinal Orchiectomy -For Testis
S9.10.1.7 IP USG,AFP,BHCG 23500 post op usg,follow UP harmonal study
Cancer
S9.10.12 Vasectomy reversal IP Semen Analysis + Clinical examination 23010 Semen Analysis + Clinical examination
Plaque Excision/Plasty for Penile CT Scan Of Lower Abdomen & Scrotum,Clinical
S9.10.13 IP CT Scan Of Penis 40000
curvature/Peyronies disease photo,USG Penis
USG Penis,Clinical photo,CT Scan Of Lower
S9.10.14 Surgery for Priapism IP Doppler of penis 35000
Abdomen & Scrotum
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical Management of Phimosis and

Paraphimosis
USG Abdomen,Clinical Photograph,CT USG Abdomen,Scar Photo,CT Scan Lower
S9.10.16 Scrotal/Perineal Injuries IP 1575 27460
Scan Lower Abdomen With Contrast Abdomen With Contrast
Doppler And Scrotum & Testes,USG
S9.10.17 Open Varicocele ligation IP Abdomen,CT Scan Of Lower Abdomen & 25000 Scar Photo
Scrotum
Penile Doppler,Neurological Study report
S9.10.18 Penile prosthesis insertion IP 40000 clinical notes
,Vascular study
CT Scan Of Lower Abdomen & Scrotum,USG
S9.10.19 Surgical Management of Penile Injuries IP Scrotum/Doppler And Scrotum & 24920
Penis
Testes,Clinical Photograph,USG Penis
Surgical management of Torsion of
S9.10.2 IP USG 2250 25850 Clinical Photograph
Testis
S9.10.2.1 Torsion testis in children IP Colour Doppler 23500 Clinical Photo,U/S scrotum
Semen Analysis,USG Scrotum,Clinical
S9.10.20 Testis Biopsy -Infertility ST 11500 Biopsy Report.,Clinical Photo
Photo
Undescended Unilateral Testis in
S9.10.21 IP Clinical Photo,CT Plain 23500 Clinical Photo,Scrotal U/S
children
S9.10.3 Surgical correction of Chordee IP USG 2250 33721 Clinical Photograph
Partial Amputation Of Penis-Non-
S9.10.4 IP Clinical Photograph 8375 37631 Biopsy,Clinical Photograph
Malignant
S9.10.5 Total Penectomy IP Clinical Photograph,Clinical Photograph 4500 42600
Photograph
Infertility-Vasoepididymostomy,
S9.10.6 DC clinical notes,Semenal analysis 23000 clinical notes
microsurgical, bilateral
Infertility-Vasoepididymostomy,
S9.10.7 DC clinical notes,Semenal analysis 18000 clinical notes
microsurgical, unilateral
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S9.10.8.1 Varicocele-unilateral-non microsurgical DC clinical notes/Scrotal Doppler 17000 clinical notes
S9.10.9 Varicocele-unilateral-microsurgical DC clinical notes 15000 clinical notes

S9.11 CAPD
USG Abdomen,Renal Profile ,CT Scan USG Abdomen,CT Scan Lower Abdomen With
S9.11.1 CAPD-Tenchkoff catheter insertion IP 3375 37476
Lower Abdomen With Contrast Contrast
Abdomen And Pelvis For Kidneys,Clinical
Abdomen And Pelvis For Kidneys,Scar Photo
S9.11.2 CAPD-Tenchkoff catheter removal IP Photograph,USG Abdomen,And Bladder 2250 34829
,USG Abdomen,And Bladder (KUB),Ureters
(KUB),Ureters
USG Abdomen/Micturating
S9.15.1 Vesicostomy IP 25760 Scar Photo
Cystourethrogram(MCUG)
Urine Cytology For Malignant Cells
,Cystoscopy,Case sheet,Urine Culture & Case Sheet with operation Notes,Intra OP
Intravesical BCG maintenance for one
S9.15.2 IP Sensitivity,Urine Cytology For Malignant 3600 Photo,Case Sheet with operation Notes,Intra OP
time
Cells ,Cystoscopy,Case sheet,Urine Culture Photo
& Sensitivity
Trans abdominal repair of
CT Scan Lower Abdomen With USG Abdomen,CT Scan Lower Abdomen With
S9.15.3 Vesicovaginal Fistula with IP 3150 52500
Contrast,Cystoscopy,USG Abdomen Contrast
omentoplasty
BLADDER INJURY REPAIR WITH Webex Video,clinical notes,Operative
Cystogram,CT abdomen,Cystogram,CT
S9.15.4 COLOSTOMY -WITH OR WITHOUT IP 2250 50000 Photo,Webex Video,clinical notes,Operative
abdomen
URETHRAL INJURY Photo
Webex Video,clinical notes,Operative
Bladder injury repair -with or without Cystogram,CT abdomen,Cystogram,CT
S9.15.5 IP 3150 40000 Photo,Webex Video,clinical notes,Operative
urethral injury abdomen
Photo
S9.15.6 Ureterolithotomy-Laparoscopic IP Like URSL ,Like URSL 30000 clinical notes,clinical notes
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

USG Abdomen,Scar Photo,USG Abdomen,Scar
S9.15.7 Open ureterolithotomy IP Pyelogram,USG Abdomen/Intra Veneous 30000
Photo
Pyelogram
S9.2 SURGERY FOR RENAL CALCULI
S9.2.1 Open Pyelolithotomy IP IVP,USG,KUB,IVP,USG,KUB 5000 35000
S9.2.2 Open Nephrolithotomy IP IVP,USG,KUB 5000 35000 Clinical Photograph,X-RAY,USG
S9.2.3 Open Cystolithotomy IP IVP,USG,KUB,IVP,USG,KUB 3375 19631
S9.2.4 Laparoscopic Pyelolithotomy IP USG,USG 2250 42901
RAY
Intra Veneous Pyelogram,And
Bladder(KUB),Abdomen And Pelvis For
S9.2.6 Partial stag horn caluculi IP 37620 Contrast,Ureters,Abdomen And Pelvis For
Kidneys,Ureters,USG Abdomen/CT Scan
Kidneys,And Bladder(KUB),USG Abdomen
Intra Veneous Pyelogram,And

Bladder(KUB),Abdomen And Pelvis For
S9.2.7 Complete stag horn caluculi IP 1575 37960 Contrast,Ureters,Abdomen And Pelvis For
Kidneys,Ureters,USG Abdomen/CT Scan
S9.3 LITHOTRIPSY PROCEDURES
S9.3.1 Cystolithotripsy IP IVP,USG,KUB 14700 Clinical Photograph,X-RAY,USG
S9.3.2 PCNL IP IVP,USG,KUB 3375 38700 Clinical Photograph,X-RAY
Extracorporeal shockwave lithotripsy -
S9.3.3 IP IVP,USG,KUB 2250 20000 Clinical Photograph,X-RAY,IVP
ESWL
S9.3.4 ursl IP IVP,USG,KUB 2250 25655 Clinical Photograph,X-RAY
S9.3.5 Nephrostomy - Lithotropsy IP IVP,USG 5000 13340 Clinical Photograph
S9.3.6 Dj Stent -One Side IP IVP,USG 6600 X-RAY
S9.3.8 Laser URSL IP Evidence like URSL (S9.3.4) 32900 CT Scan
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S9.4 Other Corrective Surgeries/Procedures

Single Stage Urethroplasty for stricture
S9.4.1.1 IP RUG,RUG 8375 51309 Clinical Photograph,Clinical Photograph
Urethra
S9.4.1.2.1 IP RUG 5000 39683 Clinical Photograph
Double Stage
S9.4.1.2.2 IP RUG,RUG 8375 38482 Clinical Photograph,Clinical Photograph
Double Stage
S9.4.3.1 Single Stage HYPOSPADIASIS -ADULT IP Clinical Photograph 5000 41048 Clinical Photograph
S9.4.3.2.1 Stage-1 HYPOSPADIASIS -ADULT IP Clinical Photograph 3375 33120 Clinical Photograph
S9.4.3.2.2 Stage-2 HYPOSPADIASIS -ADULT IP Clinical Photograph 5000 30642 Clinical Photograph
Transurethral resection of bladder
S9.4.4 IP CT 4500 40022 Clinical Photograph
tumour -TURBT
Transurethral resection of bladder CT Scan Lower Abdomen With Examination,CT Scan Lower Abdomen With
S9.4.5 tumour -TURBT with intravesical IP Contrast,Cystoscopy,CT Scan Lower 35000 Contrast,USG Abdomen,Routine
Mitomycin instillation Abdomen With Contrast,Cystoscopy Histopathological Examination,CT Scan Lower
Abdomen With Contrast
Children Photo
Children Photo
S9.6 RENAL
USG Abdomen,CT Scan Lower Abdomen
S9.6.1.1 Nephropexy IP 35730 USG Abdomen,Scar Photo
With Contrast
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,And
Bladder(KUB),Ureters,Renal
S9.6.10 Drainage of Perinephric Abscess IP Profile,Abdomen And Pelvis For 37970
Contrast
Kidneys,CT Scan Lower Abdomen With
Contrast
Renal Cyst deroofing or
S9.6.11 IP USG,CT scan 23000 clinical notes
marsupialization-Open
USG Abdomen/CT Scan Lower Abdomen With
S9.6.12 Laparoscopic deroofing of Renal Cyst IP 31790 Contrast,WEBEX,Routine Histopathological
Examination
Serum Harmonal Study,CT Contrast
,Clinical photo,IVP Study,Isotop Scan in Nuclear scan,DTPS Scan,USG,Harmonal Study,
S9.6.13 Adrenelectomy in Children IP 57000
suspected pheochromo cytoma,DTPA U/S Abdomen
Scan and USG
S9.6.15 Paediatric Hydronephrosis IP dtpa SCAN AND usg,ivp study 47000 USG,dtps SCAN
S9.6.5 Laproscopic Radical Nephrectomy IP IVP,USG 5000 63501 USG
S9.6.6.1 Partial nephrectomy in children IP CT(CONTRAST) 52500 DTPS scan,Ultra Sound
S9.6.7 Bilateral Nephroureterectomy IP IVP,USG 15000 82096 USG
USG Abdomen/CT Scan Lower Abdomen With
Intra Veneous Pyelogram,Renal
Contrast,Ureters,Abdomen And Pelvis For
S9.6.7.1 Hemi- Nephroureterectomy IP biopsy,USG Abdomen/CT Scan Lower 4725 45000
Kidneys,And Bladder(KUB),Routine
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Intra Veneous Pyelogram/CT Scan Lower USG Abdomen,Routine Histopathological

S9.6.7.2 Open unilateral Nephroureterectomy IP Abdomen With Contrast,Renal biopsy,USG 45010 Examination,CT Scan Lower Abdomen With
Abdomen Contrast
USG Abdomen,WEBEX,Routine
Laproscopic unilateral CT Scan Lower Abdomen With
S9.6.7.3 IP 50000 Histopathological Examination,CT Scan Lower
Nephroureterectomy Contrast,Renal biopsy,USG Abdomen
Intra Veneous Pyelogram,Renal USG Abdomen,Routine Histopathological
S9.6.7.4 Radical Nephro-Ureterectomy IP biopsy,USG Abdomen/CT Scan Lower 50000 Examination,CT Scan Lower Abdomen With
Abdomen With Contrast Contrast
Nephro ureterectomy for TCC of renal Biopsy Report.,Clinical Photo with scar,USG
S9.6.7.6 IP CT(CONTRAST),DTPS Study 47000
pelvis in children Abdomen
S9.6.8 Renal Cyst Excision IP IVP,USG 4500 23828 USG
Nephrolysis/surgery for Chyluria USG Abdomen,CT Scan Lower Abdomen USG Abdomen,WEBEX,CT Scan Lower Abdomen
S9.6.9 IP 40000
Open/Lap With Contrast With Contrast
S9.7 RENAL STONE SURGERY/THERAPIES
Anatrophic Peylolithotomy For
S9.7.2 IP USG,IVP,KUB 8375 51310 Clinical Photograph,USG,X-Ray
Staghorn Caliculus
DJ stenting including cystoscopy,
S9.3.7 ureteric catheterization, retrograde DC clinical notes,clinical notes 10000 clinical notes,clinical notes
pyelogram
Endoscope Removal Of Stone In
S9.7.1 IP IVP,X-Ray KUB,USG,Scopy 16300 Endoscopy Picture
Bladder
S9.8.1 Anderson Hynes Pyeloplasty IP IVP,X-RAY,USG,IVP,X-RAY,USG 8375 49258 Clinical Photograph,Clinical Photograph
Endopyelotomy -retrograde with
S9.8.1.1 DC clinical notes,DTPA Pre-op 35000 clinical notes
laser/bugbee
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Endopyelotomy -antegrade with

S9.8.1.2 IP X-RAY,USG,DTPA scan,IVP 28000 clinical notes
laser/bugbee
ivp,cect abd,dtpa renoreno gram,ivp,cect
S9.8.1.3 LAP PYELOPLASTY IP 1575 50000 usg,usg
abd,dtpa renoreno gram
USG Abdomen,CT Scan Lower Abdomen
USG Abdomen,Abdomen X-Ray (Lateral
Excision of Ureterocele with Ureteric With Contrast,Micturating
S9.8.10 IP 8375 43480 View),Routine Histopathological Examination,CT
Implantation Cystourethrogram (MCUG),Intra Veneous
Scan Lower Abdomen With Contrast
Pyelogram
S9.8.12.1 Ileal replacement for ureteric stricture IP CT(Contrast) scan/IVU,DTPA scan 1575 52000 Post op IVU,Operative Photos
Boari flap for ureteric stricture,
S9.8.12.2 IP IVU,Cystoscopy,USG 3150 40000 clinical notes
Laparoscopic
Uretero-vaginal/uterine fistula repair
open
Pyelogram
Uretero-vaginal/uterine fistula repair
Laparoscopic
Pyelogram
USG KUB/CT Scan/MRI Scan,USG KUB/CT
S9.8.14 Ureterostomy -Cutaneous IP 20000 clinical notes,clinical notes
Scan/MRI Scan
S9.8.15 Ureterocalycostomy Laparoscopic IP CT/IVU,RGP,CT/IVU,RGP 50000 clinical notes,clinical notes
S9.8.16 Uretero-ureterostomy Open IP CT/IVU,RGP,CT/IVU,RGP 1575 30000 clinical notes,clinical notes
S9.8.17 Uretero-ureterostomy Laparoscopic IP CT/IVU,RGP,CT/IVU,RGP 48000 clinical notes,clinical notes
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Internal Ureterotomy including

S9.8.18 cystoscopy as an independent DC clinical notes 15000 clinical notes
procedure
Ureteric sampling including
S9.8.19 cystoscopy, ureteric catheterization, DC clinical notes 11000 clinical notes
retrograde pyelogram
Surgical correction of Vesicovaginal
S9.8.2 IP IVP,Scopy,rgp 10000 45153 Clinical Photograph
Fistula
VVF/Uterovaginal Repair - Abdominal,
S9.8.2.1 IP Scopy,IVP,rgp 3150 35000 clinical notes
Laparoscopic
p
S9.8.20 Urinary diversion in children IP Clinical photo,CT Contrast 66500 USG Abdomen,Clinical Photo, IBP Study
S9.8.3 Epispadiasis - Correction IP Clinical Photograph 5000 42963 Clinical Photograph
S9.8.3.1 Epispadias Correction in Children IP Clinical Photo 37600 Clinical Photo
S9.8.4 Closure Of Urethral Fistula IP RGU 2250 30786 Clinical Photograph
S9.8.5 Optical Urethrotomy IP RGU,X-RAY 4500 23420 Endoscopy Picture
S9.8.6 Perineal Urethrostomy IP RGU,X-RAY 5000 32479 Endoscopy Picture
S9.8.7 Ureteric Reimplantations IP IVP,X-RAY,USG,IVP,X-RAY,USG 8375 35681 USG,USG
S9.8.7.1 Ureteric replacement IP 2250 44880 Contrast,Ureters,Abdomen And Pelvis For
CT Scan Lower Abdomen With Contrast,USG
S9.8.7.2 Ureteric Implantation with tailoring IP Contrast,Intra Veneous Pyelogram,USG 41880
Abdomen
Abdomen
Paediatric Ureteric Re Implantation -
S9.8.7.3 IP MCU/IVU,DTPS Scan 3150 47000 USG abdomen ,Post op MCU
Unilateral
Paediatric Ureteric Re Implantation -
S9.8.7.4 IP MCU/IVU,DTPS Scan 3150 66500 USG abdomen ,Post op MCU
Bilateral
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical Procedure for Ileal Conduit

S9.8.8 IP IVP,X-RAY,USG,IVP,X-RAY,USG 10000 70000 Clinical Photograph,Clinical Photograph
Formation
S9.8.9 Surgical corrrection of Ureterocele IP RGU,X-RAY 2250 24279 Clinical Photograph
S9.9 BLADDER and PROSTATE
Abdomen And Pelvis For Kidneys,Clinical Abdomen And Pelvis For Kidneys,USG
S9.16.2 Urachal Cyst excision - Open IP Photograph,Ureters,And Bladder 3150 18500 Abdomen,And Bladder(KUB),Clinical
(KUB),USG Abdomen Photograph,Ureters
Transurethral Resection of Prostate -
S9.9.1 IP U.scopy,USG 5000 30786 USG
TURP
Uroflowmetry,Cystouretroscopy,Cystosco USG Abdomen,Routine Histopathological
S9.9.1.1 Bipolar TURP IP py,USG Abdomen,CT Scan Lower 40000 Examination,CT Scan Lower Abdomen With
Abdomen With Contrast Contrast
Mid urethral sling procedure for stress USG Abdomen,CT Scan Lower Abdomen With
S9.9.10 IP History ,CT Scan Lower Abdomen With 5000 30786
urinary incontinence Contrast
Contrast
USG
MMK/birch colpo suspension for stress USG Abdomen,CT Scan Lower Abdomen With
S9.9.11 IP Abdomen,Cystouretroscopy,Cystoscopy,C 40000
urinary Incontinence Contrast
T Scan Lower Abdomen With Contrast
S9.9.12.1 Bladder neck incision IP Contrast,Cystoscopy,USG 24140
Contrast
Abdomen,Cystourethroscopy
S9.9.12.2 Excision of Urethral Caruncle IP clinical notes 8000 clinical notes
USG Abdomen,Clinical Photograph,CT
Scan Lower Abdomen With Contrast,USG
S9.9.13 Meatoplasty DC 12280 Contrast,USG Abdomen,CT Scan Lower Abdomen
Abdomen,Clinical Photograph,CT Scan
With Contrast
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,CT Scan Lower Abdomen USG Abdomen,CT Scan Lower Abdomen With
S9.9.14.1 Dilatation for Urethra stenosis DC 1500
With Contrast Contrast
Urethral Dilatation-endocopic as an
S9.9.14.2 DC clinical notes,clinical notes 3000 clinical notes,clinical notes
independent procedure
Surgical management of Posterior
S9.9.14.3 IP MCU,USG abdomen 27900 Post OP USG & MCUG
Urethral Valves
Stress incontinence surgery,
S9.9.15 IP USG,U.scopy 35000 clinical notes
laparoscopic
clinical notes,Clinical photo,clinical
S9.9.16 Meatotomy DC 4000 clinical notes,clinical notes
notes,Clinical photo
CT Scan Lower Abdomen With CT Scan Lower Abdomen With Contrast,USG
S9.9.17 Mitrafanoff procedure IP 2250 46250
Contrast,USG Abdomen Abdomen
Urine Cytology For Malignant Cells ,Triple
Markers/Immunohistochemistry(IHC)
Three Markers,Cystoscopy,Alkaline
S9.9.19 Intravesical BCG Induction therapy DC 9750 Cystoscopy,Case Sheet with operation Notes
Phosphatase Levels,Urine Culture &
Sensitivity,Renal Profile,LFT(liver function
tests)
Transurethral Resection of Prostate -
S9.9.2 IP USG,X-RAY 5000 30785 USG
TURP Cyst Lithotripsy
S9.9.2.1 TURP/Laser + Hydrocele surgery IP Like TURP,USG Abdomen sprotum 40000 clinical notes
clinical notes like TURBT,clinical notes like
S9.9.2.2 TURBT - Restage IP 22000 clinical notes,clinical notes
TURBT
S9.9.2.3 TURP/Laser + Circumcision IP clinical notes like TURP & Clinical photo 32000 clinical notes
S9.9.2.4 TURP/Laser + Orchidectomy IP clinical notes like TURP,USG Sprotum 32000 clinical notes
S9.9.2.5 TURP/Laser + URS with stone removal IP clinical notes like TURP & NCCT KUB 40000 clinical notes
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
TURP/Laser + VIU -visual internal

S9.9.2.6 IP clinical notes,Urethroscopy,USG,RGU 40000 clinical notes
Ureterotomy
S9.9.2.7 TURP/Laser + Hernioplasty IP clinical notes,USG 1575 40000 clinical notes
TURP/Laser + Urethral dilatation-non
S9.9.2.8 IP clinical notes,RGU 1575 40000 clinical notes
endoscopic
TURP/Laser + Urethral dilatation-
S9.9.2.9 IP clinical notes,RGU 40000 clinical notes
endoscopic
Total Extenteration in Children or
S9.9.20 IP CT(CONTRAST) 5000 66500 IVP Study,Clinical Photo, Biopsy Report.
Adults
Anterior Extenteration for Ca. Bladder
S9.9.21 IP CT(CONTRAST) 3150 66500 IVP Study,Clinical Photo, Biopsy Report.
in Children or Adult
Clot Evacuation -Bladder for Clot
S9.9.22 ST CT CUB Plain 23500 Webex vedio of post treatment systeroscopy
retention
S9.9.3 Open Prostatectomy IP USG,X-RAY 8375 33864 Clinical Photograph
USG Abdomen,Cystouretroscopy USG Abdomen,Routine Histopathological
S9.9.3.1 Open radical Prostratectomy IP ,Prostate-Specific Antigen (PSA),CT Scan 10000 51310 Examination,CT Scan Lower Abdomen With
Lower Abdomen With Contrast Contrast
Uroflowmetry,Cystouretroscopy,Prostate-
Specific Antigen (PSA),USG Abdomen,CT USG Abdomen,CT Scan Lower Abdomen With
S9.9.3.2 Laser Prostatectomy IP 40000
Scan Lower Abdomen With Contrast
Contrast,Cystoscopy
Transrectal Ultrasound guided
S9.9.3.3 DC clinical notes 10000 clinical notes
prostate biopsy -minimum 12 core
USG Abdomen,Cystouretroscopy,CT Scan
Lower Abdomen With Contrast,Routine
S9.9.3.4 Laproscopic radical Prostratectomy IP 60000 Examination,CT Scan Lower Abdomen With
Histopathological Examination,Prostate-
Contrast
Specific Antigen(PSA)
S9.9.3.5 LAP TOTAL PROSTATECTOMY IP Cystoscopy,TRUS,CECT Abdomen,PSA 1575 50000 usg

PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S9.9.4 Caecocystoplasty IP U.scopy,USG 10000 42936 USG

S9.9.5 Total Cystectomy IP U.scopy,USG 10000 46199 USG
Open radical cystectomy with
S9.9.5.2 IP Contrast,USG 2250 45000 Examination,CT Scan Lower Abdomen With
Ureterosigmoidostomy -57.88
Abdomen,Cystoscopy,Biopsy Contrast
Contrast,USG Examination,CT Scan Lower Abdomen With
S9.9.5.3 IP Abdomen,Cystoscopy,Biopsy,CT Scan 2250 50000 Contrast,USG Abdomen,Routine
Continent Urinary diversion
Lower Abdomen With Contrast,USG Histopathological Examination,CT Scan Lower
Abdomen,Cystoscopy,Biopsy Abdomen With Contrast
clinical notes,Biopsy,Cystoscopy,USG
Abdomen,CT Scan Lower Abdomen With
Radical Cystectomy with ureterostomy- Contrast,clinical
S9.9.5.4 IP 3150 40000 USG pelvis,USG pelvis
open notes,Biopsy,Cystoscopy,USG
Contrast
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Radical Cystectomy with Contrast,clinical
ureterosigmoidostomy-open notes,Biopsy,Cystoscopy,USG
Contrast
Augmentation cystoplasty-
S9.9.5.7 IP USG,U.scopy,USG,U.scopy 2250 40000 USG pelvis,USG pelvis
Laparoscopic
S9.9.5.8 Diagnostic Cystoscopy DC clinical notes 3750 X-ray KUB/USG KUB/CT,Urography
clinical notes,USG KUB,clinical notes,USG clinical notes,clinical Photo,clinical notes,clinical
S9.9.5.9 Suprapubic Drainage - Closed/Trocar DC 7000
KUB Photo
S9.9.6 Bladder Diverticulectomy IP U.scopy,USG,U.scopy,USG 5000 33043 USG,USG
Surgical Management of Incontinence
S9.9.7 IP U.scopy,USG,U.scopy,USG 5000 22576 USG,USG
Urine -Female
S9.9.8 IP U.scopy,USG 5000 26270 USG
Urine -Male
Bladder neck reconstruction for USG Abdomen,CT Scan Lower Abdomen With
S9.9.9 IP History,CT Scan Lower Abdomen With 10000 61572
Incontinence Contrast
Contrast
S9.9.9.1 Bilateral DJ Stenting DC 10000
S9.9.9.2 Bilateral nephrostomy ST 21400
S9.9.9.3 Psoas hitch for ureteric reimplantation IP 37720
DISTAL URETERECTOMY WITH
SC023
REIMPLANTATION
Distal ureterectomy with
SC023A IP 44500
reimplantation
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SC024 RADICAL CYSTECTOMY

SC024A With continent diversion - Open IP 45000
SC024D With neobladder - Open IP 50000
SC024E With neobladder - Lap IP 50000
SC024F With ureterosigmoidostomy - Open IP 40000
SC024G With ureterosigmoidostomy - Lap IP 45000
SC024H With ureterostomy -Open IP 40000
SC024I With ureterostomy -Lap. IP 45000
SC026 RADICAL URETHRECTOMY
SC026A Radical Urethrectomy IP 48600
PENILE PRESERVING SURGERY -WLE,
SC027
GLANSECTOMY, LASER
Penile preserving surgery - -WLE,
SC027A IP 36100
Glansectomy, Laser
SU001 ADRENALECTOMY
SU003 NEPHRECTOMY
SU005 NEPHROLITHOTOMY
SU005B Anatrophic IP 38000
FOLLOW UP FOR UROLOGICAL
SU0101
PROCEDURES
SU0101A Follow up for urological procedures DC 1900
SU011
OF BLADDER
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

SU013 PERINEPHRIC ABSCESS DRAINAGE
SU013B Percutaneous ST 18800
URETEROSCOPY + STONE REMOVAL
SU014
WITH LITHOTRIPSY
SU014B Upper Ureter IP 37500
PYELOPLASTY OR
SU021 PYELOURETEROSTOMY OR
PYELOPYELOSTOMY
SU021C Pyeloureterostomy - Open IP 38700
SU021D Pyeloureterostomy - Laparoscopic IP 43400
SU021E Pyelopyelostomy - Open IP 38700
SU021F Pyelopyelostomy - Laparoscopic IP 43400
SU023 URETEROCALYCOSTOMY
SU023A Ureterocalycostomy - Open IP 39900
URETEROLYSIS FOR RETROPERITONEAL
SU026 FIBROSIS -WITH OR WITHOUT
OMENTAL WRAPPING
URETERO-VAGINAL OR UTERINE
SU029
FISTULA REPAIR
SU029B Uretero - Uterine fistula repair - Open IP 32900
Uretero - vaginal fistula repair -
SU029C IP 32900
Laparoscopic
SU030 URETERIC REIMPLANTATION
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SU031 BOARI FLAP FOR URETERIC STRICTURE

SU034 DJ STENT REMOVAL
SU034A DJ Stent Removal ST 5000
ACUTE MANAGEMENT OF UPPER
SU037 URINARY TRACT TRAUMA ?
CONSERVATIVE
Acute management of upper urinary
SU037A ST 11000
tract trauma - Conservative
CYSTOLITHOTRIPSY OR URETHRAL
SU041 STONE ENDOSCOPIC, INCLUDING
CYSTOSCOPY
Cystolithotripsy endoscopic, including
SU041A IP 21000
cystoscopy
Urethral Stone removal endoscopic,
SU041B IP 21000
including cystoscopy
SU045 AUGMENTATION CYSTOPLASTY
SU046 DEFLUX FOR VUR
SU046A Deflux for VUR-only procedure charge ST 5300
EXTROPHY BLADDER REPAIR
INCLUDING OSTEOTOMY IF NEEDED +
SU051
EPISPADIAS REPAIR + URETERIC
REIMPLANT
Extrophy Bladder repair including
SU051A osteotomy if needed + epispadias IP 100000
repair + ureteric reimplant
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
NEUROGENIC BLADDER - PACKAGE

FOR EVALUATION OR INVESTIGATION -
SU052 CATHETER + ULTRASOUND + CULTURE
+ RGUOR MCU FOR 1 MONTH -
MEDICINES - ANTIBIOTICS
Neurogenic bladder - Package for

evaluation Or investigation -catheter +
SU052A IP 20500
ultrasound + culture + RGU Or MCU for
1 month -medicines - antibiotics
POST TURBT - CHECK CYSTOSCOPY -

SU057
PER SITTING WITH COLD-CUP BIOPSY
Post TURBT - Check Cystoscopy -Per
SU057A ST 7000
sitting with cold-cup biopsy
SU066 URETHROPLASTY
SU066A Urethroplasty - End to end IP 37500
SU066D Urethroplasty - Transpubic IP 43200
SU068 URETHRAL DILATATION
Non endocopic as an independent
SU068A ST 3200
procedure
PERINEAL URETHROSTOMY WITHOUT
SU069
CLOSURE
SU069A Perineal Urethrostomy without closure IP 25400
POST. URETHRAL VALVE
SU070
FULGURATION
Post. Urethral Valve fulguration-to be
SU070A IP 25000
checked from pead surgery
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SU076 URETHRORECTAL FISTULA REPAIR

SU076A Urethrorectal fistula repair IP 51000
OPEN SIMPLE PROSTATETCTOMY FOR
SU077
BPH
SU077A Open simple prostatetctomy for BPH IP 37300
SU082 PENECTOMY
SU082A Partial Penectomy IP 25000
SU083 SURGERY FOR PRIAPISM
SU083A Aspiration ST 18800
SU090
NODE DISSECTION
EMERGENCY MANAGEMENT OF
URETERIC STONE - PACKAGE FOR
SU094 EVALUATION OR INVESTIGATION -
ULTRASOUND + CULTURE FOR 3
WEEKS -MEDICINES.
Emergency management of Ureteric
stone - Package for evaluation Or
SU094A IP 2700
investigation -ultrasound + culture for
3 weeks -medicines .
SU096 REPAIR FOR VVF
SU096B Laparoscopic Or open IP 37500
PERMANENT TUNNELLED CATHETER
SU097 PLACEMENT AS SUBSTITUTE FOR AV
FISTULA IN LONG TERM DIALYSIS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Permanent tunnelled catheter

SU097A placement as substitute for AV fistula IP 30000
in long term dialysis
PELVIC LYMPHADENECTOMY, AFTER
SU098
PRIOR CANCER SURGERY
SU098A Open ST 25000
SU098B Laparoscopic IP 38000
BOTULINUM TOXIN INJECTION FOR
SU099
NEUROPATHIC BLADDER
Botulinum toxin injection for
SU099A DC 12500
Neuropathic bladder
PALLIATIVE AND SUPPORTIVE CARE
PM039 FOR NON-MALIGNANT DISEASE AT
ADVANCED OR END STAGE
PM039A Palliative care end stage disease ST 16550
S10 NEUROSURGERY
S10.1.18.1 VP SHUNT FOR NPH IP CBP.,MRI Brain,Serum Electrolytes,LFT 8375 44900 Serum Electrolytes
S10.11 Muscle Biopsy with report DC MRI/NCS 7000 Post Op HPE
S10.1 BRAIN
Craniotomy And Evacuation of
Subdural Haematoma
S10.1.11 Excision of Subtentorial Brain Tumours IP CT 8375 73300 Biopsy,Clinical Photograph
S10.1.12 Ventriculoperitoneal Shunt IP CT 5000 44900 Clinical Photograph
S10.1.13 Twist Drill Craniostomy IP CT 4500 21300 Clinical Photograph
S10.1.14 Subdural Tapping IP CT 5000 26600 Clinical Photograph
S10.1.15 Ventricular Tapping IP CT 5000 26600 Clinical Photograph
S10.1.16 Tapping of Brain Abscess IP CT 5000 41048 Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S10.1.17 IP MRI Angio 8375 74000 Clinical Photograph
Malformations
S10.1.18 Ventriculo Peritoneal Shunt IP CT 5000 44900 Clinical Photograph
LUMBAR PERITONEAL/SYRINGO
S10.1.18.2 SUBARACHANOID /CYSTO PERITONEAL IP MRI 5000 40000 Clinical photo,USG ,X-Ray,Intra Op photos
SHUNT
S10.1.19 Atrial Shunt IP CT 5000 44900 Clinical Photograph
Craniotomy And Evacuation of
Extradural Haematoma
Surgical Management of Meningo
S10.1.20 IP MRI 5000 41048 Clinical Photograph
Encephalocele
Meningomyelocele
Surgical Management of C.S.F.
Rhinorrhoea
S10.1.23 Cranioplasty IP Clinical Photograph,CT 5000 39100 Clinical Photograph
CT Scan Head Without Contrast,CT Angio
S10.1.23.1 Cranioplasty With Impants IP 5000 39100 X-Ray Skull
Of Brain(Head)
CT Scan Head Without Contrast,CT Angio
X-Ray Skull/CT Scan Head Without Contrast,CT
S10.1.23.2 Depressed / Elevated Fracture IP Of Brain(Head) /MRI Brain Without 5000 40000
Angio Of Brain(Head)
Contrast
S10.1.23.3 Depressed Fracture IP CT/X-Ray skull 8375 40000 Post Op X-ray/CT Scan
S10.1.23.4 arnold chiari malformation-surgery IP MRI 5000 82100 Clinical photo,USG ,X-Ray,Intra Op photos
S10.1.24 Meningocele Excision IP MRI 5000 54300 Clinical Photograph
S10.1.25 Ventriculo Atrial Shunt IP CT 5000 44900 Clinical Photograph
S10.1.26 Excision Of Brain Abcess IP CT 8375 70900 Clinical Photograph
S10.1.27 Aneurysm Clipping IP MRI Angio 8375 97700 Clinical Photograph,X-RAY
S10.1.28 External Ventricular Drainage -EVD IP CT 5000 36700 Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S10.1.29 Craniostenosis IP CT 5000 42000 Post Op X-ray/CT Scan

Burr Hole procedure for evacuation of
Brain Abscess
Excision Of Lobe -
S10.1.4 IP CT 8375 41048 Biopsy,Clinical Photograph
Frontal,Temporal,Cerebe llum Etc.
S10.1.4.1 Brain Biopsy IP CT/MRI 15000 HPE report
INTRACRANIAL FOREIGN BODY
S10.1.4.2 IP MRI,CT 5000 62000 Clinical photo,USG ,X-Ray,Intra Op photos
REMOVAL
S10.1.6 Excision of Parasagital Brain tumour IP CT 8375 73300 Biopsy,Clinical Photograph
S10.1.7 Excision of Basal Brain tumour IP CT 8375 73300 Biopsy,Clinical Photograph
S10.1.8 Excision of Brain Stem Brain tumour IP CT 8375 71833 Biopsy,Clinical Photograph
S10.1.9 Excision of C P Angle Brain tumour IP CT 8375 73300 Biopsy,Clinical Photograph
S10.1.10 Excision of Other Brain tumours IP CT 8375 73300 Biopsy,Clinical Photograph
Histopathological report/post op xray and
S10.1.5.5.1 Pre-operative tumour embolization IP Histopathological report/CT/MRI 40000
clinicla photos
S10.1.5.5.2 Brain Tumour Embolisation IP MRI Brain With Contrast 80000 CT Angio Of Brain(Head)
S10.10 SCALP
Scalp Arterio venous malformation -
S10.10.1 IP Histopathological report 5000 25000 Histopathological report
AVM
S10.10.2 Excision Of Scalp Lesions IP Clinical Photograph 10000 Routine Histopathological Examination
S10.12 DUROPLASTY
S10.12.1 Duroplasty - Endogenous IP CT/MRI 2250 15540 Intra OP Photos,scar Photo
S10.12.2 Duroplasty - Exogenous IP CT/MRI 5000 15540 Intra OP Photos,scar Photo
S10.2 SPINAL SURGERIES
S10.2.1 Surgery for Cord Tumours IP MRI 8375 63500 Biopsy,Clinical Photograph
Surgical Management of Intra
S10.2.10 IP MRI 8375 51310 Biopsy,X-RAY,Clinical Photograph
Medullary Spinal Tumours
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical Management of Spina Bifida

Major
Surgical Management of Spina Bifida
Minor
S10.2.13.1 Spine - Extradural Haematoma IP CT/MRI 30000 Post OP X Ray,scar Photo
Spine - Extradural Haematoma with
S10.2.13.2 IP CT/MRI 5000 55000 CT/MRI,scar Photo
fixation
S10.2.13.3 Spine - Intradural Tumour IP CT/MRI 5000 61000 Histopathological report
S10.2.13.4 Spine - Intradural Haematoma IP CT/MRI 5000 40000 Post OP X Ray,scar Photo
S10.2.13.5 Spine - Extradural Tumour IP CT/MRI 4725 49400 Biopsy & Scar Photo
S10.2.14 Selective Posterior Rhizotomy IP Case sheet with clinical History 5000 30000 Case Sheet with operation Notes
S10.2.15 Spine - Canal Stenosis IP CT/MRI,CT/MRI 5000 40000 Clinical Photograph ,Clinical Photograph
Excision Of Cervical Inter-Vertebral
S10.2.2 IP MRI,MRI 8375 30785 Clinical Photograph,Clinical Photograph
Discs
S10.2.2.1 Cervical Ribs ? Unilateral IP CT 2250 20000 Post Op X-ray/CT Scan
S10.2.3 Posterior Cervical Discectomy IP MRI,MRI 8375 31500 Clinical Photograph,Clinical Photograph
S10.2.4 Anterior Cervical Discectomy IP MRI,MRI 5000 31500 Clinical Photograph,Clinical Photograph
Anterior Cervical Spine Surgery With MRI,X-Ray Cerical Spine,MRI,X-Ray Cerical
S10.2.5 IP 5000 52000 X-RAY,X-RAY
Fusion Spine
S10.2.6 Anterior Lateral Decompression IP MRI,MRI 8375 30786
RAY
S10.2.7 Laminectomy IP MRI,MRI 8375 27348
RAY
CT Spine (Cervical Dorsal Lumbar Sacral)
Without Contrast /MRI Local Area,X-Ray
Dorso Lumbar Spine,CT Spine (Cervical X-Ray Dorso Lumbar Spine ,X-Ray Dorso Lumbar
S10.2.7.1 Laminoplasty With Implants IP 8375 30971
Dorsal Lumbar Sacral) Without Contrast Spine
/MRI Local Area,X-Ray Dorso Lumbar
Spine
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S10.2.8 Discectomy IP MRI,MRI 8375 30000
RAY
S10.2.9 Spinal Fusion Procedure IP MRI,MRI 8375 51309
RAY
S10.2.9.1 Spine - Decompression and Fusion IP CT/MRI,CT/MRI 5000 35000 Clinical Photograph ,Clinical Photograph
SPINAL FRACTURE - CONSERVATIVE BRACE Photo,Clinical Photo,BRACE
S10.2.9.2 IP XRay,CT,XRay,CT 8375 25000
MANAGEMENT Photo,Clinical Photo
Clinical photo,USG ,X-Ray,Intra Op
S10.2.9.3 KYPHOPLASTY IP MRI,CT,MRI,CT 4500 40000 photos,Clinical photo,USG ,X-Ray,Intra Op
photos
S10.3 OTHER SURGERIES/PROCEDURES
S10.3.1 Stereotactic Procedures IP 5000 82900 Clinical Photograph
S10.3.2 Trans Sphenoidal Surgery IP CT 8375 73300 Biopsy,Clinical Photograph
S10.3.3 Trans Oral Surgery IP CT 8375 74000 Biopsy,Clinical Photograph
Combined Trans-Oral Surgery and Cv
S10.3.4 IP MRI,X-Ray Cerical Spine 8375 65000 Clinical Photograph
Junction Fusion
MRI,X-Ray Cerical Spine,MRI,X-Ray Cerical
S10.3.5 C.V. Junction Fusion IP 8375 65000 Clinical Photograph,Clinical Photograph
Spine
S10.3.6 Excision of Orbital Tumour IP CT 5000 63400 CT
S10.4 BRAIN
S10.4.1 Endoscopy Procedures -Brain IP MRI 8375 80043 Clinical Photograph
De-Compressive Craniectomy -Non
S10.4.1.1 IP 8375 73300 Clinical Photograph
Traumatic
Evacuation of Intra-Cerebral
Hematoma
S10.4.3 Endoscopic Third Ventriculostomy IP 5000 41048 Clinical Photograph
S10.5 SPINE
Anterior Discectomy and Bone
Grafting
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S10.5.2 Discectomy With Implants IP MRI,MRI 8375 71000 X-RAY,X-RAY

S10.5.3 Corpectomy For Spinal Fixation IP MRI,MRI 8375 76964 X-RAY,X-RAY
Spinal Fixation Rods And Plates,
Artificial Discs
S10.5.5 Surgical Management of Syringomyelia IP MRI 8375 75000 Clinical Photograph
Endoscopic Photograph,Endoscopic Case Sheet with operation Notes,Case Sheet
S10.5.6 Endoscopy - Spinal IP 3375 29000
Photograph with operation Notes
Surgery for Lumbar Disc including pre
S10.5.7 IP MRI/NCS,MRI/NCS 3375 33000 Post OP HPE,Post OP HPE
and post Op. MRI
Hematological and radiological Hematological and radiological
S10.5.8 Vertebroplasty IP investigations,Hematological and 5000 40000 investigations,Hematological and radiological
radiological investigations investigations
DERMAL SINUS WITH INTRADURAL
S10.5.9 EXTENSION/TETHERED CORD /RELEASE IP MRI 5000 42000 Clinical photo,USG ,X-Ray,Intra Op photos
OF TIGHT FILUM
SOFT TISSUE and VASCULAR
S10.6
SURGERIES
Surgical treatment for brachial plexus
injuries
Additonal balloon for Parent Vessel Hematological and radiological
S10.6.10.1 IP 11000 Hematological and radiological investigations
Occlusion investigations
Additonal coil for Parent Vessel Hematological and radiological
S10.6.10.2 IP 24000 Hematological and radiological investigations
Occlusion investigations
S10.6.10.3 Parent vessel occlusion - Basic IP 8375 50000 Hematological and radiological investigations
investigations
S10.6.11 Peripheral Nerve Surgery Minor IP Clinical Photograph showing scar 5000 15000 Clinical Photograph showing scar
S10.6.12 Nerve Biopsy excluding Hensens IP NCS 8000 Post OP HPE
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CT Scan Limbs Without Contrast /MRI Of

Both Hands,ENMG
(Elektroneuromyography) ,Nerve Scar Photo,Case Sheet with operation
Surgical management Carpal tunnel
S10.6.13 IP conduction study,CT Scan Limbs Without 14000 Notes,Scar Photo,Case Sheet with operation
syndrome
Contrast /MRI Of Both Hands,ENMG Notes
(Elektroneuromyography) ,Nerve
conduction study
S10.6.2 Cervical Sympathectomy IP EMG,Nerve conduction study,MRI 8375 30786 Clinical Photograph
S10.6.3 Lumbar Sympathectomy IP EMG,Nerve conduction study,MRI 8375 30786 Clinical Photograph
Decompression/Excision Of Optic
Nerve Lesions
S10.6.5 Peripheral Nerve Injury Repair IP EMG,Nerve conduction study 8375 41048 Clinical Photograph
S10.6.6 Proptosis IP MRI 8375 61572 Clinical Photograph
S10.6.7.1 Local Neurectomy IP NCS/MRI,NCS/MRI 17600 Post OP HPE,Post OP HPE
CT Spine(Cervical,Dorsal,Lumbar,Sacral)
Without Contrast/MRI Local Area,CT Case Sheet with operation Notes,Case Sheet
S10.6.7.2 Facet, Nerve Root Blocks IP 10000
Spine(Cervical,Dorsal,Lumbar,Sacral) with operation Notes
Without Contrast/MRI Local Area
S10.6.8 Carotid Endarterectomy IP Angiogram report 5000 65600 Stills showing the procedure with graft
S10.6.9 Cranial Nerve Anastomosis IP NCS 35500 Post OP HPE
S10.7 EPILEPSY Surgery
S10.7.1 Temporal Lobectomy IP MRI-Video EEG Psychologic assesment 8375 76965 Clinical Photograph
S10.7.2 Lesionectomy Type 1 IP MRI-Video EEG Psychologic assesment 8375 58348 Clinical Photograph
S10.7.3 Lesionectomy Type 2 IP MRI-Video EEG Psychologic assesment 8375 58534 Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Temporal Lobectomy Plus Depth

S10.7.4 IP MRI-Video EEG Psychologic assesment 8375 143668 Clinical Photograph,X-RAY
Electrodes
MANAGEMENT OF TRIGEMINAL
S10.8
NEURALGIA
Radiofrequency Ablation For
S10.8.1 IP EMG,Nerve Conduction 3375 28400 Clinical Photograph
Trigeminal Neuralgia
Microvascular Decompression For
S10.8.2 IP EMG,Nerve Conduction 8375 61571 Clinical Photograph
Trigeminal Neuralgia
S10.9 MANAGEMENT OF ANEYRISMS
S10.9.1 Embolization of Aneurysm IP MRI Angio,ANGIOGRAM 5000 84660 Clinical Photograph
Coil Embolization of Aneurysm -each
S10.9.2 IP MRI Angio,ANGIOGRAM 5000 127000 Clinical Photograph
coil cost
S10.9.3 Intra Cranial Vascular Bypass IP CT ANGIOGRAM 4725 95900 INTRA OP PHOTOS,VIDEOS
S15 POLYTRAUMA
ray
Rs.4000 Per Day
fracture
S2.3 NOSE
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Cysternography/ MR
Cysternography/ MR
Secreation
S3.4 ORBIT
Without Contrast
Nerve Lesions
ARTERIO VENOUS MALFORMATION -
SN025
AVM EXCISION
Laminectomy Or Laminotomy and
SN025B excision of Intraspinal arteriovenous IP 60000
malformation
SN027 SKULL TRACTION
SN027A Skull Traction IP 12500
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
POSTERIOR CERVICAL FUSION WITH

SN029
IMPLANT -LATERAL MASS FIXATION
Posterior cervical fusion using lateral

SN029A IP 65700
mass or pedicle screws and rods
SN035 NEURECTOMY
SN042 SPINE - INTRADURAL TUMOUR
Excision of Intradural extramedullary
SN042B tumor with fusion and ficxation -Cost IP 71000
of implants to be extra
SN043 SPINE - INTRAMEDULLAR TUMOUR
Excision of Intramedullary tumor of
SN043A IP 64500
spine
SN049 PERIPHERAL NERVE SURGERY
Peripheral nerve tumor excision and
SN049B IP 42200
repair
GAMMA KNIFE RADIOSURGERY -GKRS
OR SRS FOR TUMOURS OR
SN054
ARTERIOVENOUS MALFORMATION -
AVM
Gamma Knife Radiosurgery for tumors
SN054A IP 93800
Or AVMs Or Trigeminal Neuralgia
SN059 R. F. LESIONING
SN059A Radiofrequency lesioning for sacroilitis IP 10200
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Radiofrequency lesioning for chronic

SN059B IP 10200
back pain
SN060 DISCECTOMY - DORSAL
SN060A Discectomy - Dorsal IP 42200
DIAGNOSTIC CEREBRAL OR SPINAL
SN061 ANGIOGRAPHY -DSA - DIGITAL
SUBSTRACTION ANGIOGRAPHY
Diagnostic Cerebral Or Spinal
SN061A Angiography -DSA - Digital IP 20800
Substraction Angiography
REEXPLORATION FOR CRANIAL OR
SN062
SPINAL SURGERIES
Reexploration for Cranial Or Spinal
SN062A IP 31300
surgeries
CONSERVATIVE MANAGEMENT OF
SN063
HIGH CERVICAL INJURY
Conservatively managed spinal injury
SN063A IP 55000
with ventilator
Conservatively managed Severe Head
SN063C IP 25000
injury
SN064 AVM EMBOLISATION
AVM EMBOLISATION Or
SN064A IP 145000
THROMBECTOMY
INCLUDING IMPLANTS
implants
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

ST003A IP 75000

ST003B IP 75000
bone.
ST004
ST004A IP 35000
ST004B IP 45000
ST005
long bones
FRACTURE
fracture
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

ST008A IP 37500
Nerve repair
ST009
TENDON INJURIES
ST009B IP 25560
transfer
ST010
ST010A IP 11360
ST010B IP 75000
graft
MANAGEMENT OF BLEEDING IN
PM003 MALIGNANT HEAD AND NECK OR
INGUINAL MALIGNANCIES
PM003A Trans arterial Embolization IP 66000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

PM004 OSTEORADIONECROSIS -SURGICAL
INTERVENTION
Osteoradionecrosis -Surgical
PM004A IP 44000
intervention
PALLIATIVE CARE APPROACH TO
MANAGING PRESSURE SORE IN
PM005
ADVANCED CHRONIC DISEASES WHO
ARE BED RIDDEN-SURGICAL
PM005A Pressure sore-Interventions IP 30000
MALIGNANT SPINAL CORD
COMPRESSION WITH DIAGNOSTICS,
PM007
PALLIATIVE RADIOTHERAPY, BRACE IN
ADVANCED CANCER PATIENTS
PM007A Malignant Spinal cord compression IP 16500
PALLIATIVE NERUROSURGICAL
PM008 INTERVENTIONS FOR SECONDARY
VERTEBRAL AND BRAIN METASTASIS
PM008A Palliative neurological interventions IP 66000
MANAGEMENT OF TERMINAL
PM021 ORFATAL BLEEDING MALIGNANT HEAD
AND NECK OR INGUINAL LESIONS
Conservative management of fatal
PM021A IP 26250
bleeding in cancer patients
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MALIGNANT PLEURAL EFFUSION FOR

PLEURAL TAP WITH PIG TAIL
PM023 CATHETERORCHEST TUBE INSERTION
WITH PLEURODESIS IN ADVANCED
CANCER PATIENTS
PM023A Pleural effusion and Pleurodesis ST 8300
MALIGNANT ASCITES DRAINAGE WITH
PM024 CATHETER INSERTION IN ADVANCED
CANCER PATIENTS
Management of malignant
PM024A Ascitis,Tapping and conservative ST 26250
management
BREATHLESSNESS IN ADVANCED
CANCERS AND CHRONIC RESPIRAROTY
PM026 DISEASES-
ENDOSCOPICORSURGICALORRADIOLO
GICAL, RADIOTHERPAY
INTERVENTIONS
PM026A Palliative Breathlessness Intervntions IP 44000
PALLIATIVE CARE APPROACH FOR
MALIGNANT WOUND -CONSERVATIVE
PM028 MANAGEMENT USING DRUGS AND
DRESSINGS INCLUDING SPECIAL
DRESSINGS.
Palliative Wound Conservative
PM028A IP 26250
management
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

CONSTIPATION IN ADVANCED CANCER
PM029 PATIENTS -
GICAL INTERVENTIONS
Constipation - Palliative Invasive
PM029A IP 33000
interventions
LYMPHADEMA IN CANCER PATIENTS
INCLUDING -INFORMATION,
PM031
EDUCATION, COMMUNICATION -IEC,
AND PNEUMATIC COMPRESSION
THERAPY
Conservative management of
PM031A ST 26250
Lymphedema
MALIGNANT BOWEL OBSTRUCTION-
PM036
GICAL INTERVENTIONS
Palliative Bowel Obstruction
PM036A IP 44000
interventions
S1.1 HEAD AND NECK
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Wedge Excision of Biopsy,Clinical Photograph,Biopsy,Clinical

S1.1.4.3 IP Clinical Photograph,Clinical Photograph 3375 18194
LipandVermilionectomy-27.43 Photograph
S1.1.4.4 Wedge Excision of Lip IP Clinical Photograph,Clinical Photograph 3375 15116
Photograph
Doppler report ,Scar Photo,Operative
S1.12.8 Estlander Operation -lip DC Doppler report ,Doppler report 1575 21000 Photos,Doppler report ,Scar Photo,Operative
Photos
Operation for carcinoma lip- cheek Clinical Photograph,Clinical picture,Biopsy Intra Op Photo,POST OP SCAR Photo,Biopsy
S1.12.8.1 advancement Or Wedge Excision Or IP report,Clinical Photograph,Clinical 42600 report,Intra Op Photo,POST OP SCAR
Wedge Excision and Vermilionectomy picture,Biopsy report Photo,Biopsy report
S1.15 LYMPH NODES
S1.15.1 Submandibular Lymph node ? Excision IP (FNAC),Fine Needle Aspiration Cytology 28400 Photo,Routine Histopathological
(FNAC) Examination,Scar Photo
S1.18 SCROTUM
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Abdomen & Scrotum
S1.2 BREAST
S1.2.1 Simple Mastectomy -Non Malignant IP Mammography,Mammography 5000 29300
Photograph
Chest X-Ray PA View(1 Film)/X-Ray
Mammogram,Clinical Photograph,Chest X-
S1.2.4 Bilateral Lumpectomy IP 1575 15000 Photo,Routine Histopathological
Ray PA View(1 Film)/X-Ray
Examination,Scar Photo
Mammogram,Clinical Photograph
S1.20 THORAX
S1.3 ABDOMEN
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S1.3.5.4 Left Hemi Colectomy IP 8375 40000
USG Abdomen/CT Scan Lower Abdomen
USG Abdomen,WEBEX/Intra OP Photo,Routine
With Contrast,Biopsy
Histopathological Examination,USG
S1.3.5.4.1 Laproscopic Left Hemicolectomy IP report,ColonoScopy,USG Abdomen/CT 1575 40000
Abdomen,WEBEX/Intra OP Photo,Routine
Scan Lower Abdomen With
Contrast,Biopsy report,ColonoScopy
S1.3.5.5 Right Hemi Colectomy IP 8375 40000
S1.3.5.6 Total Colectomy IP 8375 54900
Laproscopic Colectomy -Total
S1.3.5.6.1 IP Abdomen ,CT contrast,colonoscopy ,USG 5000 54900 Post OP HPE,WEBEX ,Post OP HPE,WEBEX
Colectomy
of the Abdomen
S1.3.5.7 Colostomy IP 5000 20524
Biopsy,Colonoscopy,Clinical
S1.3.6.2 Anterior Resection of Rectum IP Photograph,Biopsy,Colonoscopy,Clinical 10000 51310
Photograph
Photograph
S1.4 LIVER
Clinical
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S1.5 GALLBLADDER
S11 SURGICAL ONCOLOGY
Diagnostic Laparoscopy in malignant Without Contrast/CT Scan Abdomen With
conditions Contrast/CT Scan Abdomen Without
Contrast
CT Scan Chest With Contrast ,Digital
IVC thrombectomy in malignant
S11.39 IP Subtraction Angiography(DSA Peripheral 4050 53660 Routine Histopathological Examination
conditions
Artery\Arteries)
Inoperable Laparotomy in malignant Without Contrast/CT Scan Abdomen With USG Abdomen,Routine Histopathological
S11.40 IP 1575 20000
conditions Contrast/CT Scan Abdomen Without Examination
Contrast
S11.41 Voice prosthesis IP Biopsy,Clinical Photos 4725 35964 Invoice of prosthesis,Clinical Photos
Popliteal lymphadenectomy in Fine Needle Aspiration Cytology
malignant conditions (FNAC),USG Abdomen
S9.20.2 Ilio-Inguinal lymphadenectomy IP clinical notes/ NCCT,clinical notes/ NCCT 1575 31200 clinical notes,clinical notes
S11.1 HEAD and NECK
Composite Resection and
S11.1.1 Reconstruction - Head and Neck in IP Biopsy,X-RAY,USG,Clinical Photograph 10000 68313 Biopsy,Clinical Photograph
S11.1.10 Head and Neck - Wide Excision IP Biopsy,X-RAY,USG,Clinical Photograph 10000 54839 Biopsy,Clinical Photograph
S11.1.11 External carotid artery ligation IP 1575 25000
Neck Dissection Any Type in malignant Biopsy,Clinical Photograph,Biopsy,Clinical
S11.1.2 IP Photograph,Biopsy,X-RAY,USG,Clinical 5000 38300
Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,Fine Needle Aspiration

Cytology(FNAC),CT Scan Abdomen With
Contrast/MRI Abdomen With
Bilateral neck dissection any type in Routine Histopathological Examination,Routine
S11.1.2.1 IP Contrast,USG Abdomen,Fine Needle 4725 45000
malignant conditions Histopathological Examination
Aspiration Cytology(FNAC),CT Scan
Abdomen With Contrast/MRI Abdomen
With Contrast
Hemiglossectomy in malignant
S11.1.3 IP Biopsy,X-RAY,USG,Clinical Photograph 5000 57352 Biopsy,Clinical Photograph
conditions
Maxillectomy Any Type in malignant
conditions
S11.1.5 IP 4500 31500
Photograph
Parotidectomy any type in malignant
conditions
Laryngectomy Any Type in malignant
conditions
Laryngopharyngo Oesophagectomy in
Hemimandibulectomy in malignant
conditions
S11.10 Ca.Eye/ Maxilla /Para Nasal Sinus
Orbital Exenteration in malignant
conditions
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Maxillectomy + Orbital Exenteration in

Maxillectomy + Infratemporal Fossa

Clearance in malignant conditions
Cranio Facial Resection in malignant
S11.10.4 IP CT,MRI 10000 95550 Clinical Photograph
conditions
S11.11 Ca. Nasopharynx
Resection of Nasopharyngeal Tumor in
S11.11.1 IP CT,MRI 5000 79600 Biopsy,Clinical Photograph
Excision of Parapharyngeal tumours in
S11.11.2 IP CT of Nose \ Nasopharynx 3150 47430 Routine Histopathological Examination
S11.12 Ca.Soft Palate
Palatectomy any type in malignant
conditions
S11.13 Ca. Ear
Sleeve Resection of Ear in malignant
conditions
Resection of Lateral Temporal Bone in
Subtotal Resection of Temporal Bone
in malignant conditions
Total Resection of Temporal Bone in
S11.14 Ca. Salivary Gland
Excision of Submandibular gland in
S11.15 Ca. Thyroid
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Tracheal Resection in malignant

S11.15.1 IP Bronchoscopy,CT 5000 68250 Biopsy,Clinical Photograph
conditions-CA. THYROID
S11.16 Ca. Trachea
Superior Mediastinal
S11.16.1 Dissection+Sternotomy in malignant IP CT 10000 83722 Clinical Photograph
conditions-77.31
Tracheal Resection in malignant
S11.16.2 IP Bronchoscopy,CT 10000 68250 Biopsy,Clinical Photograph
conditions
S11.16.3 Tracheal Stenting IP BIOPSY,CT 3150 93900
S11.17 Ca. Parathyroid
S11.17.1 IP 5000 29300
S11.18 Ca. Gastro Intestinal Tract
Small Bowel Resection in malignant
S11.18.1 IP Barium Meal Follow Through,CT 10000 66307 Biopsy,Clinical Photograph
conditions
Stapplers in Bowel Resection and
S11.18.1.1 IP CXR,BIOPSY 3150 35000 CT/MRI
anastomosis
Ileostomy Closure in malignant
S11.18.2 IP Colonoscopy 10000 26250 Clinical Photograph
conditions
S11.19 Ca.Rectum
Abdomino Perineal Resection -Apr +
S11.19.1 Sacrectomy in malignant conditions- IP BMFT,CT 10000 63000 Biopsy,Clinical Photograph
77.99
Posterior Exenteration for Carcinoma
S11.19.2 IP BMFT,CT 10000 63000 Biopsy,Clinical Photograph
Rectum
Total Exenteration for Carcinoma
S11.19.3 IP BMFT,CT 10000 102900 Biopsy,Clinical Photograph
Rectum
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S11.2 GASTROINTESTINAL TRACT

Oesophagectomy Any Type in
S11.2.1 IP Biopsy,USG,Endoscopy,CT 10000 100000 Biopsy,USG,Clinical Photograph
Thoracoscopic Mobilization of
Oesophagus + Laparoscopic
S11.2.10 IP CT SCAN/MRI,BIOPSY 4950 120000 CXR
Mobilization of stomach + Gastric Pull-
up in malignant conditions
Laparoscopic mobilization of stomach
with distal gastrectomy with billroth
S11.2.11 IP CT/MRI,BIOPSY,CT/MRI,BIOPSY 3150 92300 CXR,CXR
i/ii anastomosis in malignant
conditions
Histopathological report,post op xray and
S11.2.12 HCC Chemo embolization IP Histopathological report,MRI,CT 200000
clinicla photos
Gastrectomy Any Type in malignant
conditions
Colectomy Any Type in malignant
conditions
CEA(Carcino Embryonic
Routine Histopathological Examination
Laproscopic Right Hemicolectomy in ,WEBEX,USG Abdomen,Routine
S11.2.3.1 IP Antigen 19-9),CEA(Carcino Embryonic 2250 40000
malignant conditions Histopathological Examination ,WEBEX,USG
Abdomen
Antigen 19-9)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen/CT Scan Lower Abdomen Routine Histopathological Examination

Laparoscopic Left Hemicolectomy in With Contrast,Biopsy,Colono Scopy,USG ,WEBEX,USG Abdomen,Routine
S11.2.3.2 IP 2250 40000
malignant conditions Abdomen/CT Scan Lower Abdomen With Histopathological Examination ,WEBEX,USG
Contrast,Biopsy,Colono Scopy Abdomen
Anterior Resection of rectum in Biopsy,USG,Endoscopy,CT,Biopsy,USG,En Biopsy,USG,Clinical

S11.2.4 IP 10000 63000
malignant conditions doscopy,CT Photograph,Biopsy,USG,Clinical Photograph
Abdominoperinial Resection in
Whipples Any Type In malignant Biopsy,USG,Endoscopy,CT,Biopsy,USG,En Biopsy,USG,Clinical
S11.2.6 IP 10000 110000
Triple Bypass -Pancreas in malignant Biopsy,USG,Endoscopy,CT,Biopsy,USG,En Biopsy,USG,Clinical

S11.2.7 IP 10000 63000
Other Bypasses-Pancreas in malignant
conditions
CEA(Carcino Embryonic Antigen) 125 ,CT
Hartman procedure in malignant Scan Lower Abdomen With Contrast,Ca 19- Routine Histopathological Examination ,USG
S11.2.9 IP 2250 49790
conditions 9(Cancer Antigen 19-9 Or Carbohydrate Abdomen
Antigen 19-9)
S11.20 Ca. Gall Bladder
Radical Cholecystectomy in malignant
conditions
S11.21 Spleen
S11.21.1 Splenectomy in malignant conditions IP CT 10000 44940 Biopsy,Clinical Photograph
S11.22 Retroperitoneal Tumor
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S11.22.1 IP CT,CT,CT 8375 44600
S11.23 Abdominal wall tumor
Abdominal Wall Tumor Resection in
Resection With Reconstruction of
S11.23.2 Abdominal wall Tumors in malignant IP CT 10000 61950 Biopsy,Clinical Photograph
conditions
S11.24 Gynaec Cancers
Bilateral Pelvic Lymph Node Dissection-
BPLND - Gynaec cancers
Radical Trachelectomy in malignant
conditions
Radical Vaginectomy in malignant
conditions
Radical Vaginectomy + Reconstruction-
70.62
Laparoscopic ExtraFACIAL
Hysterectomy with Bilateral pelvic Routine Histopathological Examination,USG
S11.24.5 IP Contrast,Biopsy,USG Abdomen,CT Scan 2250 50000
node dissection in malignant Abdomen
conditions
Laparoscopic extraFACIAL CT scan Lower Abdomen Without
S11.24.6 hysterectomy + multiple biopsies + IP Contrast,Biopsy,USG Abdomen,CT Scan 2250 49047
Abdomen
omentectomy in malignant conditions Abdomen With Contrast
S11.25 Ca. Cervix
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Radical Hysterectomy +Bilateral Pelvic

Lymph Node Dissection -Bplnd +
S11.25.1 Bilateral Salpingo Ophorectomy -Bso / IP CT,CT 10000 60900
Photograph
Ovarian Transposition in malignant
conditions
Anterior Exenteration - Carcinoma
Cervix
Posterior Exenteration - Carcinoma
Cervix
Total Pelvic Exenteration - Carcinoma
Cervix
Supra Levator Exenteration -
Carcinoma Cervix
S11.26 Ca. Endometrium
Total Abdominal Hysterectomy-Tah +
Bilateral Salpingo Ophorectomy -Bso +
S11.26.1 Bilateral Pelvic Lymph Node Dissection IP CT 10000 65247 Biopsy,Clinical Photograph
-Bplnd + Omentectomy in malignant
conditions
S11.27 Soft tissue /Bone tumors . Chest wall

Surgical Resection of Soft tissue /Bone
S11.27.1 IP Bone Scan,CT-Chest 10000 124700 Clinical Photograph
tumors of Chest wall
Surgical Resection and Reconstruction
S11.27.2 of Soft tissue /Bone tumors of Chest IP Bone Scan,CT-Chest 10000 80770 Clinical Photograph
wall in malignant conditions
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S11.27.3 Bronchoscopic Tumor Resection IP CECT CHEST,BRONCHOSCOPY,,BIOPSY 3150 85000 USG ABDOMEN
S11.28 Bone / Soft tissue tumors
Surgery -Removal for Bone Or Soft Bone Scan,MRI,CT-Local Part,CT-
S11.28.1.1 tissue tumors-Without Prosthesis in IP Chest,Bone Scan,MRI,CT-Local Part,CT- 10000 60000 Clinical Photograph,Clinical Photograph
malignant conditions-83.49 Chest
Surgery -removal for Bone / Soft tissue Bone Scan,MRI,CT-Local Part,CT-
S11.28.1.2 tumors-With Custom Made Prosthesis IP Chest,Bone Scan,MRI,CT-Local Part,CT- 10000 89786 Clinical Photograph,Clinical Photograph
in malignant conditions-83.49+84.40 Chest
Surgery -removal for Bone / Soft tissue

S11.28.1.3 tumors-With Modular Prosthesis in IP Bone Scan,MRI,CT-Local Part,CT-Chest 10000 110300 Clinical Photograph
malignant conditions-83.49+84.40
Forequarter Amputation in malignant
S11.28.2 IP CT-Chest 10000 82142 Clinical Photograph,X-RAY
conditions
Hemipelvectomy in malignant
S11.28.3 IP CT,MRI-Pelvis,CT-Chest 10000 82830 Clinical Photograph,X-RAY
conditions
Internal Hemipelvectomy in malignant
S11.28.4 IP CT,MRI-Pelvis,CT-Chest 10000 105200 Clinical Photograph,X-RAY
conditions
Curettage and Bone Cement in
S11.28.5 IP CT,MRI 10000 53687 Clinical Photograph,X-RAY
Bone Resection in malignant
conditions
Shoulder Girdle Resection in malignant
S11.28.7 IP Bone Scan,MRI,CT 10000 57845 Clinical Photograph,X-RAY
conditions
Sacral Resection in malignant
conditions
S11.29 Genito urinary Cancer
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CT,Isotope renogram,CT,Isotope Biopsy,Clinical Photograph,Biopsy,Clinical

S11.29.1 Open Partial Nephrectomy IP 8375 42000
renogram Photograph
Nephroureterectomy For Transitional
S11.29.2 Cell Carcinoma Of Renal Pelvis in IP CT,CT 8375 68250
Photograph
USG Abdomen,Prostate-Specific Antigen
S11.29.3 Channel TURP IP (PSA),CT Scan Lower Abdomen With 1575 43500
Abdomen
Contrast
Biopsy,USG,Clinical
Biopsy,USG,KUB,IVP,CT,Biopsy,USG,KUB,I
S11.3.1 Radical Nephrectomy IP 8375 52500 Photograph,Biopsy,USG,Clinical
VP,CT,Biopsy,USG,KUB,IVP,CT
Laproscopic radical nephrectomy in
S11.3.1.1 IP CT/MRI,CECT 3150 70000 CXR
Biopsy,USG,Clinical
S11.3.10 Emasculation in malignant conditions IP Biopsy,USG,Biopsy,USG 5000 42588
Biopsy,USG,Clinical
Open radical cystectomy with Biopsy,USG,KUB,IVP,CT,Biopsy,USG,KUB,I
Ilealconduit diversion VP,CT,Biopsy,USG,KUB,IVP,CT
Laproscopic radical cystectomy with BIOPSY,2D ECHO,CXR,CT/MRI,BIOPSY,2D

S11.3.2.1 IP 4725 105000 PAC,PAC
Ilealconduit diversion ECHO,CXR,CT/MRI
Other Cystectomies in malignant Biopsy,USG,KUB,IVP,CT,Biopsy,USG,KUB,I Biopsy,USG,Clinical

S11.3.3 IP 10000 92022
conditions VP,CT Photograph,Biopsy,USG,Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Biopsy,USG,Clinical
Biopsy,USG,Clinical
S11.3.5 Partial Penectomy IP Clinical Photograph,Clinical Photograph 5000 38504
Inguinal Block Dissection One Side in Biopsy,Clinical Photograph,Biopsy,Clinical Biopsy,USG,Clinical

S11.3.6 IP 5000 31269
malignant conditions Photograph Photograph,Biopsy,USG,Clinical Photograph
Bilateral inguinal block dissection in Fine Needle Aspiration Cytology

S11.3.6.1 IP 3150 44000 Routine Histopathological Examination
malignant conditions (FNAC),Clinical Photograph,USG local area
Bi-lateral Ilioinguinal block disection in
S11.3.6.2 IP USG ABDOMEN,BIOPSY,USG GROIN 4725 63850 CXR
Radical Prostatectomy in malignant Biopsy,USG,Clinical
S11.3.7 IP CT,USG,KUB,CT,USG,KUB 8375 90978
conditions Photograph,Biopsy,USG,Clinical Photograph
Biopsy,USG,Clinical
S11.3.8 High Orchidectomy IP Biopsy,USG,Biopsy,USG 3375 23100
Biopsy,USG,Clinical
S11.3.9 Bilateral Orchidectomy IP Biopsy,USG,Biopsy,USG 3375 24507
S11.30 Testes cancer
Retro Peritoneal Lymph Node CT-Abdomen + Pelvis,Tumor Markers,CT-
S11.30.1 Dissection-Rplnd -For Residual Disease IP Chest,CT-Abdomen + Pelvis,Tumor 10000 81900
Photograph
in malignant conditions Markers,CT-Chest
Unilateral Adrenalectomy in malignant CT,UrinaryHormones,MRI,CT,UrinaryHor Biopsy,Clinical Photograph,Biopsy,Clinical
S11.30.2 IP 10000 68918
conditions mones,MRI Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Urinary Diversion in malignant Biopsy,Clinical Photograph,Biopsy,Clinical

S11.30.3 IP 10000 66413
conditions-56.6/56.7 Photograph
Retro Peritoneal Lymph Node
S11.30.4 Dissection Rplnd As Part Of Staging in IP CT,CT 10000 42000
Photograph
USG Abdomen,Biopsy,CT Scan Lower Routine Histopathological Examination,USG
S11.30.5 Scrotectomy in malignant conditions IP 1575 38440
Abdomen With Contrast Abdomen
S11.31 Ca. Urinary Bladder
Anterior Exenteration -CA. URINARY Biopsy,Clinical Photograph,Biopsy,Clinical
S11.31.1 IP CT,CT 10000 147200
BLADDER Photograph
Total Exenteration -CA. URINARY Biopsy,Clinical Photograph,Biopsy,Clinical
S11.31.2 IP CT,CT 10000 78750
BLADDER Photograph
Bilateral Pelvic Lymph Node Dissection- Biopsy,Clinical Photograph,Biopsy,Clinical
S11.31.3 IP CT,CT 5000 63700
Bplnd -CA. URINARY BLADDER Photograph
S11.32 Thoracic and Mediastinum
Resection of mediastinal tumors in
S11.33 Lung
Solitary Lung Metastatectomy in
S11.33.1 IP CT 10000 83900 Biopsy,X-RAY
Lung Metastatectomy multiple in
S11.33.2 IP CT 10000 83900 Biopsy,X-RAY
S11.33.3 Sleeve Resection of Lung Cancer IP Bronchoscopy,CT 10000 113400 X-RAY,Biopsy
S11.34 Esophagus
Oesophagectomy With Two Field
S11.34.1 Lymphadenectomy in malignant IP CT 10000 122850 Biopsy,Clinical Photograph
conditions-40.59
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Oesophagectomy With Three Field

S11.34.2 Lymphadenectomy in malignant IP 10000 126000 Biopsy,Clinical Photograph
conditions-40.59
S11.35 Palliative Surgeries
S11.35.1 Tracheostomy in malignant conditions IP Clinical Photograph 5000 6542 Clinical Photograph
Substernal Gastric Bypass in malignant
conditions
S11.35.2 Gastrostomy in malignant conditions IP Clinical Photograph 10000 21000 Clinical Photograph
S11.35.3 Jejunostomy in malignant conditions IP Clinical Photograph 10000 33443 Clinical Photograph
S11.35.4 Ileostomy in malignant conditions IP Clinical Photograph 8375 34230 Clinical Photograph
Laparoscopic anterior/low resection
S11.35.4.1 with stapplers with diversion covering IP CXR,BIOPSY,CT/MRI 2250 90000
ileostomy in malignant conditions
S11.35.5 Colostomy in malignant conditions IP Clinical Photograph 8375 21000 Clinical Photograph
S11.35.6 Suprapubic cystostomy IP Clinical Photograph 2250 17840 Clinical Photograph
Intercostal Drainage-Icd in malignant
conditions
Gastro Jejunostomy in malignant
conditions
Ileotransverse Colostomy in malignant
conditions
S11.36 Reconstruction
Reconstructon with Myocutaneous /
S11.36.1 Cutaneous Flap in malignant IP Clinical Photograph,Clinical Photograph 10000 41000 Clinical Photograph,Clinical Photograph
conditions
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Micro Vascular Reconstruction in

S11.36.3 IP 2250 85500 CXR,CXR,CXR
Reconstruction with Ossco CLINICAL IMAGES,BIOPSY,,CLINICAL
S11.36.4 IP 3150 70000
MyoCutaneous flap IMAGES,BIOPSY,
S11.36.5 Revision Surgeires for Flap necrosis IP CLINICAL PHOTOS 4500 35000
S11.37 OTHERS
Chemo port -Below 13 years age group
S11.37.1 + EWS + Breast cancer patients + folfox IP CT SCAN,BIOPSY,BLEEDING PHOTOS 3150 40000 USG ABDOMEN
patients.
Surgical Management of Post
S11.37.2 IP CLINICAL PHOTOS 4725 40000 USG/CT
Operative Anastamotic leak
Biopsy,USG,Clinical
S11.4.1 Hysterectomy in malignant conditions IP Biopsy,USG,CT,Biopsy,USG,CT 10000 43700
Radical Hysterectomy in malignant
S11.4.2 IP Biopsy,USG,CT 10000 58443 Biopsy,USG,Clinical Photograph
conditions
Biopsy,USG,Clinical
Stage ,CT
Surgery For Carcinoma Ovary Advance
S11.4.4 IP Biopsy,USG,CT 10000 65520 Biopsy,USG,Clinical Photograph
Stage
S11.4.5 Vulvectomy in malignant conditions IP Biopsy,Clinical Photograph 48153 Biopsy,USG,Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Unilateral /BilateralSalpingo
S11.4.6 Oophorectomy in malignant conditions- IP Biopsy,USG,CT 10000 31500 Biopsy,USG,Clinical Photograph
65.6.1
USG Abdomen,Ca 125(Cancer Antigen
Excision of Complex ovarian mass in Routine Histopathological Examination,USG
S11.4.8 IP 125 Or Carbohydrate Antigen 125),CT scan 4725 50080
malignant conditions Abdomen
Lower Abdomen Without Contrast
Routine Histopathological Examination,CT
Laparoscopic wertheim hysterectomy Scan Abdomen With Contrast,CT scan Routine Histopathological Examination,USG
S11.4.9 IP 2250 44220
in malignant conditions Lower Abdomen Without Contrast,Pap Abdomen
Smear
S11.5 TUMORS OF THE FEMALE BREAST
Mastectomy Any Type in malignant Biopsy,Clinical Photograph,Biopsy,Clinical
S11.5.1 IP Photograph,Biopsy,Mammography,Clinica 10000 34560
l Photograph
Axillary Dissection in malignant
S11.5.2 IP Biopsy,Clinical Photograph 8375 36500 Biopsy,Clinical Photograph
conditions
Wide Excision - Breast in malignant
conditions
S11.5.4 Lumpectomy IP Biopsy,Clinical Photograph 5000 3245 Biopsy,Clinical Photograph
S11.5.5 Breast Reconstruction Surgery IP Biopsy,Clinical Photograph 10000 46302 Biopsy,Clinical Photograph
Surgical Resection of Soft tissue /Bone
tumors of Chest wall
S11.6 SKIN TUMORS
Skin Tumors Wide Excision in
Skin Tumors wide Excision +
S11.6.2 Reconstruction in malignant conditions- IP Biopsy,Clinical Photograph 10000 42000 Biopsy,Clinical Photograph
86.6/86.7
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Skin Tumors amputation in malignant

conditions
S11.7 SOFT TISSUE AND BONE TUMORS
Soft Tissue And Bone Tumors Wide
Excision
Soft Tissue And Bone Tumors Wide
Excision + Reconstruction
Bone and Soft TissueTumors
S11.7.3 Amputation in malignant conditions- IP Biopsy,Clinical Photograph 10000 25641 Biopsy,Clinical Photograph
83.49
S11.8 LUNG CANCER
S11.8.1 Pneumonectomy for Carcinoma Lung IP Biopsy,X-RAY,CT 10000 84300 Biopsy,X-RAY,Clinical Photograph
S11.8.2 Lobectomy for Carcinoma Lung IP Biopsy,X-RAY,CT 10000 83900 Biopsy,X-RAY,Clinical Photograph
S11.8.3 Decortication IP Biopsy,X-RAY,CT 10000 63000 Biopsy,X-RAY,Clinical Photograph
Surgical Correction Of Bronchopleural
S11.8.4.1 IP Biopsy,X-RAY,CT 10000 70907 Biopsy,X-RAY,Clinical Photograph
Fistula. Thoracoplasty
Surgical Correction Of Bronchopleural
S11.8.4.2 IP Biopsy,X-RAY,CT 10000 78908 Biopsy,X-RAY,Clinical Photograph
Fistula. Myoplasty
Surgical Correction of Bronchopleural
S11.8.4.3 Fistula - Transpleural BPF Closure in IP Biopsy,X-RAY,CT 10000 78792 Biopsy,X-RAY,Clinical Photograph
Chest X-Ray PA View(1 Film),Chest X-Ray

PA View( 2 Films(1. at different dates film.
Clinical Photograph,Case Sheet with operation
S11.8.4.4 Icd + pleurodesis IP 2. Plural Fluid Cytology)),Ultra Sound 2250 19380
Notes,Pulmonary Function Test(Major)
Chest showing recurrent pleural
effusion,CT Scan Chest With Contrast
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S11.8.5 Extrapleural Pneumonectomies IP BIOPSY, 3150 90000

S11.9 Ca.Oral cavity
Marginal Mandibulectomy in
S11.9.1 IP Orthopantomogram 10000 46326 Clinical Photograph
S11.9.2 Segmental Mandibulectomy IP CT,Orthopantomogram 5000 36473 Clinical Photograph
Total Glossectomy + Reconstruction in
malignant conditions-25.59
Full Thickness Buccal Mucosal
S11.9.4 Resection and Reconstruction in IP Biopsy 10000 66476 Clinical Photograph
malignant conditions-27.59
Cyst and tumour of Maxilla/mandible
by
S11.9.5 IP Clinical assessment and investigations 4725 2500 Clinical assessment and investigations
enucleation/excision/marsupialization
under LA
Mandible Tumour Resection and
S11.9.6 IP Clinical assessment and investigations 4725 55000 Clinical assessment and investigations
reconstruction/Cancer surgery
S2.1 EAR
S2.1.2 Facial Nerve Decompression IP CT-Scan,CT-Scan 4500 35100 Clinical Photograph,Clinical Photograph
S2.1.3 Temporal Bone Excision IP CT-Scan MRI Scan,CT-Scan MRI Scan 4500 56700 Clinical Photograph,Clinical Photograph
Myringotomy-with out grommet - OTO endoscopy photo,PTA,OTO OTO endoscopy photo,PTA,OTO endoscopy
S2.1.5.2 ST 9000
Unilateral endoscopy photo,PTA photo,PTA
Myringotomy-with out grommet - OTO endoscopy photo,PTA,OTO OTO endoscopy photo,PTA,OTO endoscopy
S2.1.5.3 ST 10000
bilateral endoscopy photo,PTA photo,PTA
SquamousOrBasal Injuries - Total
S2.1.7.4 IP CT & Biopsy,CT & Biopsy 16500 clinical notes,clinical notes
Amputation and Excision of External
Auditory Meatus
S2.2 THROAT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Excision of tumour of oral cavity Or Hematological and radiological
investigations,Biopsy,Post OP
S2.2.10 paranasal sinus Or laryngopharynx IP investigations,Biopsy,Hematological and 30000
Photos,Hematological and radiological
without reconstruction radiological investigations,Biopsy
investigations,Biopsy,Post OP Photos
Neck dissection selectiveOr clinical notes,Biopsy,Scar Photo,clinical
CT/MRI ,US Neck,FNAC,CT/MRI ,US
S2.2.9.2.1 comprehensiveOr Benign neck tumour IP 35000 notes,Biopsy,Scar Photo,clinical
Neck,FNAC,CT/MRI ,US Neck,FNAC
excision notes,Biopsy,Scar Photo
S2.3 NOSE
Cysternography/ MR
Cysternography/ MR
Secreation
PTA,CT Temporal Bone,PTA,CT Temporal
S2.3.2 Mastoidectomy - simple IP 4500 25000 X-Ray Mastoids,X-Ray Mastoids
Bone
S2.5 PAROTID GLAND
Neck,FNAC
S3.4 ORBIT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Without Contrast
Nerve Lesions
CT Orbits With Contrast,3D CT Skull / MRI
Orbits With Contrast,CT Orbits With Routine Histopathological Examination ,Routine
S3.4.7 Exenteration of Orbit IP 3375 27800
Contrast,3D CT Skull / MRI Orbits With Histopathological Examination
Contrast
BONE AND JOINT SURGERY Or
S5.4
PROCEDURES
S5.4.1.1 Arthrodesis of foot Small joints IP X- Ray Foot,X- Ray Foot 8375 15393 X- Ray Foot,X- Ray Foot
S9 GENITOURINARY SURGERY
Pelvic lymphadenectomy open, after
S9.20.1 IP CT scan,FNAC,CT scan,FNAC 25000 clinical notes,clinical notes
prior cancer surgery
S9.10.1.2 Orchiectomy-simple DC clinical notes/USG,clinical notes/USG 16000 clinical notes/USG,clinical notes/USG

Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S9.4
PROCEDURES
Transurethral resection of bladder CT Scan Lower Abdomen With Examination,CT Scan Lower Abdomen With
S9.4.5 tumour -TURBT with intravesical IP Contrast,Cystoscopy,CT Scan Lower 35000 Contrast,USG Abdomen,Routine
Mitomycin instillation Abdomen With Contrast,Cystoscopy Histopathological Examination,CT Scan Lower
S9.6 RENAL
Surgical Procedure for Ileal Conduit
S9.8.8 IP IVP,X-RAY,USG,IVP,X-RAY,USG 10000 70000 Clinical Photograph,Clinical Photograph
Formation
S9.9 BLADDER AND PROSTATE
clinical notes like TURBT,clinical notes like
S9.9.2.2 TURBT - Restage IP 22000 clinical notes,clinical notes
TURBT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Contrast,USG Examination,CT Scan Lower Abdomen With
S9.9.5.3 IP Abdomen,Cystoscopy,Biopsy,CT Scan 2250 50000 Contrast,USG Abdomen,Routine
Continent Urinary diversion
Lower Abdomen With Contrast,USG Histopathological Examination,CT Scan Lower
Abdomen,Cystoscopy,Biopsy Abdomen With Contrast
Radical Cystectomy with ureterostomy- Contrast,clinical
open notes,Biopsy,Cystoscopy,USG
Contrast
Radical Cystectomy with Contrast,clinical
ureterosigmoidostomy-open notes,Biopsy,Cystoscopy,USG
Contrast
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S9.9.7 IP U.scopy,USG,U.scopy,USG 5000 22576 USG,USG
Urine -Female
SB026 ARTHRODESIS
SB026E Hand IP 27000
SC002 PALATECTOMY
SC002A Soft palate IP 45100
SC003 MAXILLECTOMY
SC003A Partial IP 60800
SC003C Total IP 67200
OESOPHAGEAL OR TRACHEAL
SC005
STENTING
SC005A Oesophageal stenting IP 92700
SC007 GASTRIC PULL-UP OR JEJUNAL GRAFT
SC007A Gastric pull-up Or Jejunal Graft IP 102000
SC008 RADICAL SMALL BOWEL RESECTION
SC008B Lap. IP 115000
SC009 INTERSPHINCTERIC RESECTION
EXPLORATORY LAPAROTOMY F OR B
SC011
DIVERSION STOMA OR BYPASS
Exploratory laparotomy f Or b
SC011A IP 50000
diversion stoma
Exploratory laparotomy f Or b
SC011B IP 50000
diversion bypass
SC012 ABDOMINOPERINEAL RESECTION
SC013 OMENTECTOMY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SC013A Omentectomy IP 35600

PROCEDURES REQUIRING BYPASS
SC014
TECHNIQUES
Procedures Requiring Bypass
SC014A IP 61400
Techniques
SEGMENTECTOMY - HEPATOBILIARY
SC015
SYSTEM
SC015A Segmentectomy - hepatobiliary system IP 69300
RADICAL OR REVISION
SC016
CHOLECYSTECTOMY
SC016B Revision IP 86900
ENUCLEATION OF PANCREATIC
SC017
NEOPLASM
SC017A Enucleation of pancreatic neoplasm IP 59800
SC018 HEPATOBLASTOMA EXCISION
SC018A Hepatoblastoma Excision IP 85300
SC020 PELVIC EXENTERATION
SC020B Anterior - Lap. IP 88987
SC020D Total - Lap. IP 102900
SC022 URETERIC END TO END ANASTOMOSIS
SC022A Ureteric end to end anastomosis IP 44000
DISTAL URETERECTOMY WITH
SC023
REIMPLANTATION
Distal ureterectomy with
SC023A IP 44500
reimplantation
SC024 RADICAL CYSTECTOMY
SC024A With continent diversion - Open IP 45000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SC024D With neobladder - Open IP 50000

SC024E With neobladder - Lap IP 50000
SC024F With ureterosigmoidostomy - Open IP 40000
SC024G With ureterosigmoidostomy - Lap IP 45000
SC024H With ureterostomy -Open IP 40000
SC024I With ureterostomy -Lap. IP 45000
SC026 RADICAL URETHRECTOMY
SC026A Radical Urethrectomy IP 48600
PENILE PRESERVING SURGERY -WLE,
SC027
GLANSECTOMY, LASER
Penile preserving surgery - -WLE,
SC027A IP 36100
Glansectomy, Laser
EXCISION OF UNDESCENDED
SC028
TESTICULAR MASS
Excision of undescended testicular
SC028A IP 35700
mass
SC029 GERM CELL TUMOUR EXCISION
SC029A Germ Cell Tumour Excision IP 44500
SC031 LEIOMYOMA EXCISION
SC031B MIS IP 98300
SC032 RADICAL HYSTERECTOMY
Class I radical hysterectomy + bilateral
SC032A IP 53600
salpingoophorectomy + BPLND - Lap.
Class I radical Hysterectomy + Or -

SC032C IP 38500
bilateral salpingoophorectomy - Lap.
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SC032E Class II radical hysterctomy + BPLND IP 53600
SC032F Class III radical hysterctomy + BPLND IP 53600
Hysterectomy + bilateral
SC032G salpingoophorectomy + omentectomy IP 88100
+ peritonectomy and organ resections
VULVECTOMY + RECONSTRUCTION
SC034
PROCEDURES
Vulvectomy + reconstruction
SC034A IP 72500
procedures
SC036 SACRAL TUMOUR EXCISION
SC036B Posterior approach IP 110000
SC038 TOTAL PHARYNGECTOMY
SC038A Total Pharyngectomy IP 67400
TRACHEAL STENOSIS -END TO END
SC043
ANASTAMOSIS -THROAT
Tracheal Stenosis -End to end
SC043A IP 50000
Anastamosis -Throat
CENTRAL AIRWAY TUMOUR
SC044
DEBULKING
SC044A Central airway tumour debulking IP 35100
SC045 DIAGNOSTIC THORACOSCOPY
SC045A Diagnostic thoracoscopy ST 20800
SC047 MEDIASTINOSCOPY
SC047A Diagnostic ST 43200
SC047B Staging ST 43200
SC050 CHAMBERLAIN PROCEDURE
SC050A Chamberlain procedure ST 30700
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SC053 LUNG METASTECTOMY

SC053B VATS IP 73900
SC054 THORACOSTOMY
SC054A Thoracostomy ST 10796
SC055 MEDIASTINAL LYMPHADENECTOMY
SC055B Video - assisted IP 98400
SC057 SEGMENTAL RESECTION OF LUNG
SC057B Thoracoscopic IP 87000
SC058 WEDGE RESECTION LUNG
SC058B Thoracoscopic IP 100000
SC059 BREAST CONSERVING SURGERY
Breast conserving surgery - -
SC059A ST 49200
lumpectomy + axillary surgery
AXILLARY SAMPLING OR SENTINEL
SC060
NODE BIOPSY
Axillary Sampling Or Sentinel Node
SC060A ST 20700
Biopsy
SCALP TUMOUR EXCISION WITH SKULL
SC062
BONE EXCISION
Scalp tumour excision with skull bone
SC062A IP 44500
excision
SC063 NEUROBLASTOMA EXCISION
SC063A Neuroblastoma Excision IP 51310
EXCISION OF PINNA FOR GROWTHS OR
INJURIES - TOTAL AMPUTATION AND
SC064
EXCISION OF EXTERNAL AUDITORY
MEATUS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SC064B Growth - Basal ST 10000

SC064C Injury ST 10000
SC065 NECK DISSECTION - COMPREHENSIVE
SC065A Neck dissection - comprehensive IP 33300
MALIGNANT SOFT TISSUE TUMOUR -
SC067
EXCISION
Malignant Soft Tissue Tumour -Small -
SC067A IP 51000
Excision -New procedure
SC068 REGIONAL FLAP
SC068A Myocutaneous flap IP 54000
SC068B Fasciocutaneous flap IP 54000
SC069 ROTATIONPLASTY
SC069A Rotationplasty IP 80100
SC071 ENDOPROSTHESIS REVISION
SC071B Partial IP 67600
VERTEBRAL TUMOUR EXCISION AND
SC072
RECONSTRUCTION
Vertebral Tumour Excision and
SC072A IP 100000
Reconstruction
SC075 CUROPSY OR SCLEROTHERAPY
SC075A Curopsy Or Sclerotherapy ST 27900
SC079 PLASTIC SURGERY FLAP DIVISION
SC079A Head and Neck Flap Cutting any type IP 24000
SG001 OESOPHAGECTOMY
SG001A Oesophagectomy IP 92358
SG003 GASTRECTOMY
SG003C Partial Gastrectomy for Carcinoma IP 43500
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG003D Subtotal Gastrectomy for Carcinoma IP 43500

SG003E Total Gastrectomy - Lap. IP 81300
SG003F Total Gastrectomy - Open IP 41048
SG010 GASTROJEJUNOSTOMY
SG0106A1 Open IP 34900
SG0106B1 Lap. IP 34900
SG010A Gastrojejunostomy IP 30000
SG020 TOTAL COLECTOMY
SG021 HEMI COLECTOMY
SG021A Right-Open IP 35200
SG021C Left-Open IP 35200
SG023 COLOSTOMY
SG028 RECTAL POLYP EXCISION
SG028A Rectal Polyp Excision DC 10000
SG029 ANTERIOR RESECTION OF RECTUM
SG029B1 Lap. IP 50000
SG044
spleenlectomy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG059 ORCHIDECTOMY
SG061 ESTLANDER OPERATION -LIP
SG061A Estlander Operation -lip IP 9300
SG062 OPERATION FOR CARCINOMA LIP
SG062A Wedge Excision IP 25100
SG062B Wedge Excision and Vermilionectomy IP 26800
SG062C Cheek advancement IP 26800
HISTOPATHOLOGY
Histopathology
EXCISION OF GROWTH FROM TONGUE
SG064
WITH NECK NODE DISSECTION
Excision of Growth from Tongue with
SG064A ST 39200
neck node dissection
SG066 SUBMANDIBULAR MASS EXCISION
SG066A Submandibular Mass Excision IP 25000
SG070 THYROIDECTOMY
Total Thyroidectomy with Block
SG070C1 IP 43600
Dissection
SG074 BREAST LUMP EXCISION -BENIGN
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
SG074A Breast Lump Excision -Benign DC 10000

SG075 MASTECTOMY
SG075A Simple Mastectomy ST 25000
SG081 LOBECTOMY
SG087 FLAP RECONSTRUCTIVE SURGERY
SG087A Flap Reconstructive Surgery IP 36100
SL004 MASTOIDECTOMY
SL004B specific IP 28000
EXCISION OF TUMOUR OF ORAL
CAVITY OR PARANASAL SINUS OR
SL020
LARYNGOPHARYNX WITH OR
WITHOUT RECONSTRUCTION
SL020B specific IP 45000
SL020C specific IP 45000
SL021 PAROTIDECTOMY
OPEN LARYNGEAL FRAMEWORK
SL025
SURGERY OR THYROPLASTY
Open laryngeal framework surgery Or
SL025A ST 20000
Thyroplasty
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
ADVANCED ANTERIOR SKULL BASE

SL030
SURGERY
SL030A Endoscopic Hypophysectomy IP 58800
SL030B Clival tumour excision IP 58800
SL031 LATERAL SKULL BASE PROCEDURES
SL031A Subtotal petrosectomy IP 39900
SL031C CSF Otorrhoea repair IP 39900
ADVANCED LATERAL SKULL BASE
SL032
SURGERY
SL032A Fisch approach IP 58900
SL032B Translabyrinthine approach IP 58900
SL032C Transcochlear approach IP 58900
SP009 DIABETIC FOOT ? SURGERY
Resuturing of Any Wound gap
SP009A1 IP 3800
Surgeries
SU003 NEPHRECTOMY
SU011
OF BLADDER
SU082 PENECTOMY
SU082A Partial Penectomy IP 25000
SU090
NODE DISSECTION
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
PELVIC LYMPHADENECTOMY, AFTER

SU098
PRIOR CANCER SURGERY
SU098A Open ST 25000
M0074 GCT TESTIS
SA Carboplatin AUC 7 once every 3
M0074A DC 30000
weeks
MO001 CT FOR CA BREAST
Weekly Paclitaxel in metastatic setting-
MO001C DC 6600
Paclitaxel 80mg Or m2 every week
Carboplatin + Paclitaxel- Paclitaxel

MO001I 175mg Or m2 D1- Carboplatin AUC 5-6 DC 16400
D1 every 21 days
Capecitabine- Capecitabine - 1000mg
MO001J Or m2 orally twice daily D1-D14 every DC 8200
21 days
Carboplatin + Gemcitabine-
Gemcitabine - 1000mg Or m2 D1 D8-
MO001K Carboplatin AUC 2 D1 D8- Gemcitabine IP 15300
- 1000mg Or m2 D1 D8 - Carboplatin
AUC 5-6 D1 only
Fulvestrant- Fulvestrant 500 mg D1
MO001M IP 45000
D15 D28 then every 28 days
Exemestane- Exemestane 25 mg orally
MO001O DC 4300
daily -q 3 monthsly
Lapatinib- Lapatinib 500 mg BD orally ,
MO001P DC 16600
daily
MO003 CT FOR CA OVARY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Cisplatin + Irinotecan- Cisplatin 60mg

MO003A Or m2 D1- Irinotecan 60 mg Or m2 D1 IP 14400
D8 D15 every 28 days
Lipodox + Carboplatin- Lipopdox 30 mg
MO003B Or m2 D1- Carboplatin AUC 5-6 D1 DC 19000
every 28 days
Etoposide 50 mg Or m2 OD D1-D21
MO003C DC 3800
every 28 days
Irinotecan- Irinotecan 60 -90 mg Or m2
MO003D DC 12100
D1 D8 every 21 days
Lipodox- Lipodox 40 mg Or m2 IV
MO003E DC 19800
every 28 days
Gemcitabine - 1000mg Or m2 D1 D8 -
MO003F Carboplatin AUC 2 D1 D8- Gemcitabine IP 15300
- 1000mg Or m2 D1 D8- Carboplatin
AUC 5-6 D1 only
Cyclophosphamide 50 mg Or m2 OD
MO003H DC 3100
D1-D21 every 28 days
Tamoxifen- Tamoxifem 20 mg orally
MO003I DC 1400
daily -3 months
Letrozole- Letrozole 2.5 mg orally daily
MO003J DC 4300
-3 months
Single agent Carboplatin - Carboplatin
MO003K AUC 5-6 D1 every 21 days - maximum - DC 7700
6 cycle
Cisplatin- Cisplatin 40 mg Or m2 every
MO003L DC 4600
week -maximum- 6 cycles
MO004 CT FOR GERM CELL TUMOR
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Carboplatin -AUC 7 - Carboplatin AUC

MO004A DC 8100
7 every 21 days
Etoposide + Cisplatin- Cisplatin 20 mg
MO004C Or m2 IV D1-D5- Etoposide 100mg Or IP 12000
m2 D1-D5 every 21 days
Gemcitabine + Oxaliplatin-
Gemcitabine 1000mg Or m2 D1 D8-
MO004D IP 19300
Oxaiplatin 130mg Or m2 D1 every 21
days
Gemcitabine + Paclitaxel- Gemcitabine
1000mg Or m2 D1 D8 D15- Paclitaxel
MO004E IP 19300
100 mg Or m2 D1 D8 D15 every 28
days
Paclitaxel + Ifosfamide + Cisplatin-
Paclitaxel 240 mg Or m2 D1-
Ifosfamide 1500mg Or m2 D2-D5-
MO004F IP 26900
Mesna 300 mg Or m2 0h 4h 8h D2-D5-
Cisplatin 25mg Or m2 D2-D5 every 21
days
Vinblastin + Ifosfamide + Cisplatin-
Vinblastine 0.11 mg Or kg IV D1-D2-
Mesna 240mg Or m2 0h 4h 8h D1-D5-
MO004G IP 15000
Ifosfamide 1200mg Or m2 D1-D5-
Cisplatin 20 mg Or m2 D1-D5 every 21
days
CT FOR GESTATIONAL TROPHOBLASTIC
MO005
NEOPLASIA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Etoposide + Methotrexate +
Dactinomycin + Cisplatin- Etoposide
100mg Or m2 IV D1 D2 D8-
Dactinomycin 0.5 mg IV push D1 D2
MO005B IP 14100
Methotrexate 300 mg Or m2 D1-
Leucovorin 15 mg PO every 12 hrs for
4 doses Cisplatin 75mg Or m2 D8 every
2 weeks
Dactinomycin- Inj Dactinomycin 0.5 mg
MO005D IP 7700
D1- D5 every 14 days
MO006 CT FOR CERVICAL CANCER
MO006A 175mg Or m2 D1- Carboplatin AUC 5-6 DC 16400
D1 every 21 days
MO007 CT FOR ENDOMETRIAL CANCER
MO007A 175mg Or m2 D1- Carboplatin AUC 5 DC 16400
D1 every 21 days
Cisplatin + Doxorubicin- Doxorubicin

MO007B 60 mg Or m2 D1- Cisplatin 50mg Or DC 4900
m2 every 3 weeks
Lipodox + Carboplatin- Lipopdox 30 mg
MO007C Or m2 D1- Carboplatin AUC 5 D1 every DC 19000
28 days
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Gemcitabine - 1000mg Or m2 D1 D8-
MO007D Carboplatin AUC 2 D1 D8- Gemcitabine IP 15300
- 1000mg Or m2 D1 D8 - Carboplatin
AUC 5-6 D1 only every 3 weeks
Anastrozole - 1 mg orally daily -for 3
MO007E DC 4300
months
MO008 CT FOR VULVAR CANCER
Cisplatin + 5 FU- 5 FU 1000mg Or m2
MO008A D1-D4- Cisplatin 75mg Or m2 D1 every IP 9100
3 weeks
Cisplatin- Cisplatin 40 mg Or m2 every
MO008B DC 2600
week
MO008C 175mg Or m2 D1- Carboplatin AUC 5 DC 16000
D1 every 21 days
MO009 CT FOR EWING SARCOMA
Vincristine + Topotecan +
Cyclophosphamide + Irinotecan +
Temozolamide- Vincristine 1.5mg Or
m2- day 1 - Topotecan 1.5mg Or m2 -
day 1-5 - Cyclophosphamide 250mg Or
MO009A IP 25500
m2 -days 1-5 - Given every 3 weeks-
Irinotecan 10-50 mg Or sqM days 1-5
and days 8-12 Temozolamide 100mg
Or m2 days 1-5 of each cycle every 3
weeks
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Vincristine + Ifosfamide + Etoposide-

Vincristine + Doxorubicin +
Cyclophosphamide- Vincristine +
Cyclophosphamide + Dactinomycin.- 4
cycles VIE, 6 cycles VAC, 4 cycles VCD-
Vincristine 1.5mg Or m2 -day 1, 8 and
15 - Ifosfamide: 1800mg Or m2 -days1-
5 - Etposide: 100mg Or sq.m -days 1-5 -
MO009B IP 10900
Given every 3 weeks- Vincristine
1.5mg Or m2 -day 1 and 8 -
Adriamyicn: 60mg Or m2 -day 1 -
Cyclophosphamide 600mg Or m2 -day
1 - Given 2-3 weekly- Vincristine 1.5mg
Or m2 -day 1 and 8 Cyclophosphamide
600mg Or m2 -day 1 Dactinomycin1mg
Or m2 -day1 - Given 3 weekly
Vincristine + Adriamycin +
Cyclophosphamide- Ifosfamide +
Etoposide- Ifosfamide: 1800mg Or m2 -
days1-5 - Etposide: 100mg Or sq.m -
MO009C days 1-5 - Given every 2-3 weekly- IP 14000
Vincristine 1.5mg Or m2 -day 1 and 8 -
Adriamyicn: 75mg Or m2 -day 1 -
Cyclophosphamide 1200mg Or m2 -
day 1 - Given 2-3 weekly
MO010 CT FOR OSTEOGENIC SARCOMA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Doxorubicin + Cisplatin- Cisplatin

MO010A 100mg Or m2- Doxorubicin 75mg Or DC 13200
m2 given every 3 weeks
Methotrexate + Doxorubicin +
Cisplatin for Relapsed Osteogenic
Sarcoma- Cisplatin 120mg Or sq.m-
MO010B IP 29700
Doxorubicin 75mg Or m2-
Methotrexate 8-12 gram Or m2- Each
cycle for 5 weeks
OGS - 12- Ifosfamide 1800 mg Or m2
D1-D5- Mesna 600mg Or m2 0h 3h 6h
MO010C 9h D1-D5- Adriamycin 25mg Or m2 D1- IP 32600
D3- Cisplatin 33 mg Or m2 D1-D3 every
21 days
OGS - 12- Ifosfamide 1800 mg Or m2
D1-D5- Mesna 600mg Or m2 0h 3h 6h
MO010D IP 31500
9h D1-D5- Cisplatin 33 mg Or m2 D1-
D3 every 21 days
MO011 CT FOR SOFT TISSUE SARCOMA
Gemcitabine + Docetaxel- Gemcitabine
MO011A 900 mg Or m2 D1 D8- Docetaxel 100 IP 26400
mg Or m2 D8 every 21 days
Ifosfamide + Adriamycin- Doxorubicin
30mg Or m2 D1 D2- Ifosfamide 2000
MO011B to 3000mg Or m2- Mesna 400 to 600 IP 15100
mg Or m2 0h 4h 8h D1 - D3- Every 21
days
Doxorubicin 60-75 Or m2, every 21
MO011C DC 4400
days
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MO012 CT FOR METASTATIC MELANOMA

Dacarbazine + Cisplatin- Dacarbazine
MO012A 250mg Or m2 D1-D5- Cisplatin 75 mg IP 7900
Or m2 Every 21 days
Temozolamide- Temozolamide 200mg
MO012B DC 5500
Or m2 D1-D5 every 28 days
Imatinib - Tab Imatinib 400 Or 800 mg
MO012C DC 5500
daily-
MO013 CT FOR ANAL CANCER
Capecitabine + Mitomycin C-
Capecitabine 825mg Or m2 PO twice
MO013B IP 18600
daily till completion of RT- Mitomycin
10mg Or 2 D1
MO013C D1-D4- Cisplatin 75mg Or m2 D1 every IP 9000
4 weeks
MO013D 175mg Or m2 D1- Carboplatin AUC 5-6 DC 16400
D1 every 21 days
Cisplatin + Paclitaxel- Paclitaxel 175 mg
MO013E Or m2 D1- Cisplatin 75mg Or m2 D1 DC 14700
every 21 days
MO014 CT FOR COLORECTAL CANCER
5 FU + Leucovorin- 5 FU 1200mg Or
MO014A m2 D1 D2- Leucovorin 400mg Or m2 DC 6100
D1 every 14 days
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
5FU + Leucovorin + Irinotecan- 5 FU

1200mg Or m2 D1 D2- Leucovorin
MO014D IP 10600
400mg Or m2 D1- Irinotecan 180mg Or
m2 85 mg Or m2 D1 every 14 days
Capecitabine along with RT-

MO014F DC 8000
Capecitabine 825 mg Or m2 twice daily
Capecitabine- Capecitabine 1000mg Or

MO014G DC 8100
m2 D1-D14 every 21 days
5FU + Leucovorin + Oxaliplatin +

Irinotecan- 5 FU 1200mg Or m2 D1 D2-
MO014H Leucovorin 400mg Or m2 D1- DC 20700
Oxaliplatin 85 mg Or m2 D1- Irinotecan
180mg Or m2 every 14 days
MO015 CT FOR ESOPHAGEAL CANCER
MO015A 175mg Or m2 D1- Carboplatin AUC 5-6 DC 16400
D1 every 21 days
MO015B D1-D4- Cisplatin 75mg Or m2 D1 every IP 10700
4 weeks
Paclitaxel + Carboplatin- Paclitaxel
MO015D 50mg Or m2 D1- Carboplatin AUC 2 D1 DC 11400
every week
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

MO015E 50mg Or m2 D1- Carboplatin AUC 2 D1 DC 11400
every week
CT FOR ESOPHAGEAL OR STOMACH
MO016
CANCER
Cisplatin + Docetaxel- Docetaxel 40mg
Or m2 D1- Cisplatin 40 mg Or m2 D1-
MO016A IP 15300
Leucovorin 400mg Or m2 D1- 5FU
1000mg Or m2 D1 D2 every 14 days
Irinotecan- Irinotecan 60- 90 mg Or m2
MO016B IP 12100
D1 D8 every 21 days
5 FU- 5 FU 250 mg Or m2 D1-D5 over
MO016C IP 5000
24 hrs every week
Capecitabine- Capecitabine 825 mg Or
MO016D DC 8000
m2 twice daily
Capecitabine + Oxaliplatin-
Capecitabine 1000mg Or m2 D1-D14-
MO016E DC 13800
Oxaliplatin 130 mg Or m2 D1 every 21
days
Docetaxel + Cisplatin + Capecitabine-
Docetaxel 40mg Or m2 D1- Cisplatin
MO016G DC 16000
40 mg Or m2 D1- Capecitabine 825mg
Or m2 twice daily every 14 days
Docetaxel + Oxaliplatin + 5 FU-
Docetaxel 50mg Or m2 D1- Oxaliplatin
MO016H 85 mg Or m2 D1- Leucovorin 400mg DC 20400
Or m2 D1- 5FU 1200mg Or m2 D1 D2
every 14 days
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Docetaxel + Oxaliplatin + Capecitabine-

Docetaxel 50mg Or m2 D1- Oxaliplatin
MO016I DC 20400
85 mg Or m2 D1- Capecitabine 825 mg
Or m2 Twice daily every 14 days

MO016J DC 10600
5FU + Leucovorin + Oxaliplatin- 5 FU

MO016K DC 15100
400mg Or m2 D1- Oxaliplatin 85 mg Or
m2 D1 every 14 days
Paclitaxel- Paclitaxel 80mg Or m2
MO016L DC 6600
every week
CT FOR HEPATOCELLULAR
MO017
CARCINOMA
Doxorubicin -TACE - Doxorubicin 30-75
MO017A DC 24800
mg Or m2 one course
MO017C Lenvatinib 12 mg daily DC 16000
MO018 CT FOR PANCERATIC CANCER
Gemcitabine + Nanopaclitaxel-
Gemcitabine 1000mg Or m2 D1 D8
MO018A IP 31300
D16- Albumin bound Paclitaxel 125mg
Or m2 D1 D8 D15 every 28 days
Gemcitabine- Gemcitabine 1000mg Or
MO018B IP 9900
m2 D1 D8 every 21 days
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

MO018C DC 4400
m2 weekly
5FU + Leucovorin + Oxaliplatin +
Irinotecan- 5 FU 1200mg Or m2 D1 D2-
MO018D Leucovorin 400mg Or m2 D1- DC 20800
Oxaliplatin 85 mg Or m2 D1- Irinotecan
180mg Or m2 every 14 days
Capecitabine- Capecitabine 825 mg Or
MO018E DC 8000
m2 twice daily
Capecitabine + Gemcitabine-
Gemcitabine 1000mg Or m2 D1 D8
MO018F IP 24000
D15- Capecitabine 830mg Or m2 twice
daily D1-D21 every 28 days
CT FOR GALL BLADDER CANCER OR
MO019
CHOLANGIOCARCINOMA
Capecitabine- Capecitabine 1000 -
MO019A 1250 mg Or m2 twice daily D1 -D14 DC 8100
every 21 days
Cisplatin + Gemcitabine- Gemcitabine
MO019B 1000 mg Or m2 D1 D8- Cisplatin 25 mg IP 13400
Or m2 D1 D8 every 21 days

MO019C DC 10600
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Gemcitabine- Gemcitabine 300 mg Or

MO019D DC 5000
m2 D 1every week -till RT ends
MO019E IP 9900
Oxaliplatin + Gemcitabine-
Gemcitabine 1000 mg Or m2 D1-
MO019F IP 19200
Oxaliplatin 100 mg Or m2 D1 every 14
days
Capecitabine + Irinotecan-
Capecitabine 1000mg Or m2 D1-D14-
MO019G DC 13800
Irinotecan 200 mg Or m2 D1 every 21
days
5FU + Leucovorin + Oxaliplatin- 5 FU
MO019H DC 15100
400mg Or m2 D1- Oxaliplatin 85 mg Or
m2 D1 every 14 days
CT FOR GASTOINTESTINAL STROMAL
MO020
TUMOR
MO020B Sunitinib- Sunitinb 37.5 mg once daily DC 11000
MO021 CT FOR CA BRAIN
Temozolamide- Temozolomide 75mg
MO021B DC 26000
Or m2 once daily
MO022 CT FOR MESOTHELIOMA
Gemcitabine + Cisplatin- Gemcitabine
MO022A 1000 mg Or m2 D1 D8- Cisplatin 75 mg IP 13400
Or m2 D1 every 21 days
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Pemetrexed + Cisplatin- Pemetrexed

MO022B 500mg Or m2 D1- Cisplatin 75 mg Or DC 10400
m2 D1 every 21 days
Pemetrexed + Carboplatin-
MO022C Pemetrexed 500mg Or m2 D1- DC 11200
Carboplatin AUC 5-6 D1 every 21 days
MO023 CT FOR THYMIC CARCINOMA
Cisplatin + Etoposide- Etoposide
MO023A 100mg Or m2 D1 - D3- Cisplatin 75-100 DC 7800
Cisplatin + Adriamycin +
Cyclophosphamide- Cisplatin 50 mg Or
MO023B m2 D1- Doxorubicin 50 mg Or m2 D1- DC 6500
Cyclophosphamide 500 mg Or m2 D1
every 21 days
MO024 CT FOR CA HEAD AND NECK
Cisplatin + Docetaxel- Docetaxel 75 mg
MO024A Or m2 D1- Cisplatin 75 mg Or m2 D1 DC 13700
every 21 days
Cisplatin- Cisplatin 100mg Or m2 every
MO024B DC 6260
21 days
MO024C Gemcitabine 1000 mg Or m2 D1 D8- IP 15300
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Docetaxel + Cisplatin + 5 FU- Docetaxel

75 mg Or m2 D1- Cisplatin 75 mg Or
MO024D DC 16000
m2 D1- 5 FU 750 mg Or m2 D1- D5
every 21 days
Docetaxel- Docetaxel 20mg Or m2
MO024E DC 3600
every week
Docetaxel- Docetaxel 75 mg Or m2 D1
MO024F DC 9400
every 21 days
Etoposide + Carboplatin- Etoposide
MO024G 100mg Or m2 D1 - D3- Carboplatin IP 8500
AUC 5-6 D1 every 21 days
Etoposide + Cisplatin- Etoposide
MO024H 100mg Or m2 D1 - D3- Cisplatin 75-100 IP 10200
Gemcitabine- Gemcitabine 1000 mg Or
MO024I IP 9900
MO024J 1000 mg Or m2 D1 D8- Cisplatin 75 mg IP 13400
MO024K 80mg Or m2 D1- Carboplatin AUC 2 D1 DC 8500
every week
MO024M DC 6600
every week
MO024N DC 13000
every 21 days
Carboplatin- Carboplatin AUC 2 every
MO024O DC 3000
week
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Cisplatin- Cisplatin 40mg Or m2 every

MO024P DC 2600
week
MO025 CT FOR RENAL CELL CANCER
Sunitinib- 50 mg once daily 4 weeks on
MO025A DC 11000
2 weeks off
Cabozantinib 60 mg od x 1 month-
MO025B DC 14300
every 4 weeks-
CT FOR URETER OR BLADDER OR
MO026
URETHRA
MO026B Gemcitabine 1000 mg Or m2 D1 D8- IP 15300
Cisplatin + Gemcitabine- Gemcitabine

MO026C 1000 mg Or m2 D1 D8- Cisplatin 75 mg IP 13400
MO026D D1-D4- Cisplatin 75mg Or m2 D1 every IP 9000
4 weeks
MO026E Or m2 D1- Cisplatin 75 mg Or m2 D1 DC 14700
every 21 days
MO026F DC 9400
every 21 days
Gemcitabine + Paclitaxel- Gemcitabine
MO026G 2500 mg Or m2 D1- Paclitaxel 150 mg IP 17100
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

MO026H IP 9900
Methotrexate + Vinblastin +
Doxorubicin + Cisplatin- Methotrexate
30mg Or m2 D1- Vinblastine 3 mg Or
MO026I DC 8300
m2 D2- Doxorubicin 30 mg Or m2 D2-
Cuisplatin 70 mg Or m2 D2 every 14
days

MO026J 175mg Or m2 D1- Carboplatin AUC 5-6 DC 16000
D1 every 21 days
Paclitaxel- Paclitaxel 80 mg Or m2 D1
MO026K DC 7100
every week
MO027 CT FOR CA PENIS
MO027A Or m2 D1- Cisplatin 75 mg Or m2 D1 DC 14700
every 21 days
5 FU + Cisplatin- 5 FU 1000mg Or m2
MO027B D1-D4- Cisplatin 75mg Or m2 D1 every DC 9000
4 weeks
Capecitabine- Capecitabine 1000-1250
MO027C mg Or m2 PO twice daily D1 -D14 DC 8100
every 21 days
MO027D 175mg Or m2 D1- Carboplatin AUC 5-6 DC 16000
D1 every 21 days
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MO027E DC 6600
every week
MO027F DC 13000
every 21 days
Paclitaxel + Carboplatin- Paclitaxel 80
MO027G mg Or m2 D1- Carboplatin AUC 2 D1 DC 8500
every week
MO028 CT FOR CA PROSTATE
MO028B DC 9400
every 21 days
Etoposide + Carboplatin- Etoposide
MO028C 100mg Or m2 D1 - D3- Carboplatin DC 8500
AUC 5-6 D1 every 21 days
LHRH Agonist- Leuprolide 22.5 ug
MO028D DC 16900
every 3 months
Mitoxantrone + Prednisolone-
MO028E Mitoxantrone 12mg Or m2 every 3 DC 4700
weeks- Prednsiolone 10 mg daily
MO028F 80mg Or m2 D1- Carboplatin AUC 2 D1 DC 8500
every week
MO028G 175mg Or m2 D1- Carboplatin AUC 5-6 DC 16000
D1 every 21 days
Docetaxel- Docetaxel 20mg Or m2 D1
MO028H DC 3600
every week
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Abiraterone 1000 mg + Prednisolone

MO028I DC 14300
10mg daily - Once every month
CT FOR B - CELL NHL - HIGH GRADE -
MO029
EXCEPT BURKITT S AND PCNSL
Rituximab + Cyclophosphamide +
Etoposide + Prednsiolone- Rituximab
375mg Or m2- Cyclophosphamide 750
MO029A mg Or m2- Vincristine 1.4 mg Or m2, IP 28900
on Day1- Etoposide 65mg Or m2 Day 1
to 3- Prednisolone 100 mg Day 1-5-
Total 6 cycles, repeat 21 days
Rituximab + Cyclophosphamide +
Doxorubicin + Prednsiolone- Rituximab
375mg Or m2- Cyclophosphamide 750
MO029B mg Or m2- Doxorubicin 50mg Or m2- IP 29700
Vincristine 1.4 mg Or m2 on Day1-
Prednisolone 100 mg Day 1-5- Total 6
cycles, repeat 21 days
MO030 CT FOR HIGH - GRADE NHL - B CELL
Rituxmab + Dexamethasone + High
Dose Cytarabine + Cisplatin- Rituximab
375mg Or m2 Day 1- Cytarabine 2g Or
MO030A m2 BD on day 2- Dexamethasone 40 IP 38400
mg Day 1 - 4- Cisplatin 75mg Or m2 or -
Carboplatin AUC-5 on day 1- Cycle to
be repeated every 21days
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CT FOR RELAPSED B - CELL NHL - HIGH

MO031
GRADE -EXCEPT BURKITT S AND PCNSL
GDP - R- Rituximab 375mg Or m2 Day
1- Gemcitabine 1000mg Or m2 on day
1 and 8- Dexamethasone 40 mg Day 1 -
MO031A IP 38900
4- Cisplatin 75mg Or m2 on day 1-
Cycle to be repeated every 21days-
Total- 6 cycles
CT FOR PMBCL OR BURKITT S
MO032 LYMPHOMA OR SEROPOSITIVE B - CELL
NHLR
Etoposide + Prednsiolone + Vincristine
+ Cyclophosphamide + Doxorubicin-
Rituximab 375mg Or m2 Day 1-
Etoposide 50mg Or m2- VCR 0.4mg Or
m2- Doxorubicin 10mg Or m2 Day1 - 4-
MO032A IP 34900
Cyclophosphamide 750mg Or m2 on
day 5 Prednisolone 100 mg day 1-5-
Every 21 days- Dose adjustment each
cycle depending on nadir counts- Total-
6 cycles
MO033 CT FOR BURKITT S NHL
Codox - M - IVAC Or GMALL Or BFM Or
MO033A IP 38000
Hyper CVAD
MO035 CT FOR LOW GRADE NHL
Rituximab- Rituximab 375mg Or m2
MO035A DC 17600
per week for 6 weeks
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CT FOR CHRONIC LYMPHOCYTIC

MO036
LEUKEMIA
Fludarabine + Cyclophosphamide-
Fludarabine 25mg Or m2 D1-3-
MO036A IP 20000
Cyclophosphamide 250 mg Or m2 D1-3
every 28 days for 6 cycles
Rituxmab + Chlorambucil- Rituximab
375mg Or m2 Day 1- Chlorambucil 10
MO036B IP 18900
mg Or m2 D1-7- Repeat every 28 days
for 12 cycles
Rituximab + Fludarabine +
Cyclophosphamide- Rituximab 375mg
Or m2 on day 1- Fludarabine 25mg Or
MO036C IP 44800
m2 D1 - 3- Cyclophosphamide 250 mg
Or m2 D1 - 3- Every 28 days for 6
cycles
Lenalidomide- lenalidomide-10-25 mg
MO036D DC 5300
Or day day 1 to 21 every 28 days
CT FOR PERIPHERAL T - CELL
MO037
LYMPHOMA
CHOEP- Cyclophosphamide 750mg Or
m2 D1- Vincristine 1.4mg Or m2 D1-
Adriamycin 50 mg Or m2 D1-
MO037A IP 5800
Etoposide 100mg Or m2 D1-3-
Prednisolone 100 mg D1-5- Every
21days. Total 6 cycles
MO038 CT FOR NK - T CELL LYMPHOMA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
GELOX- Gemcitabine 1000mg Or m2

D1 and D8- Oxaliplatin 130mg Or m2
MO038A IP 21300
D1- L- asparginase 6000 U Or m2 D1-7-
Repeat every 21 days
LVP- L-asparginase 6000U Or m2 D1-5-
Vincristine 1.4mg Or m2 D1-
MO038B IP 8800
Prednisolone 100mg D1-5- Repeat
every 21 days
MO039 CT FOR HODGKIN S LYMPHOMA
COPP- Cyclophosphamide 650mg Or
m2 D1, 8- Vincristine 1.4mg Or m2 D1,
MO039A 8- Procarbazine 100 mg Or m2 D1-14- IP 4300
Prednisolone 40mg Or m2 D1-14-
Every 28days. Total 6 - 8 cycles
AEVD- Adriamycin 25mg Or m2-
Vinblastine 6mg Or m2- Dacarbazine
MO039C 375 mg Or m2 Day 1,15- Etoposide IP 11300
65mg Or m2 Day 1-3, 15-17- Every 28
days for 6 cycles
CT FOR RELAPSED HODGKIN
MO040
LYMPHOMA
ICE- Ifosfamide 1.5 mg Or m2 D1-3-
MO040A Carboplatin AUC5 D2- Etoposide IP 11600
100mg Or m2 D1-3- Every 3 weeks
MINE- Ifosfamide 4 gm Or m2 over
3days -D1-3 - Mitoxantrone 8mg Or
MO040B IP 11600
m2- Etoposide 65mg Or m2 D1-3-
Every 3 weeks
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
PTCL - GDP- Gemcitabine 1000mg Or

m2 D1 and D8- Dexamethasone 40mg
MO040C IP 16300
D1-4- Cisplatin 75mg Or m2 D1 or-
Cacrboplatin AUC-5- Every 3 weeks
MO041 CT FOR RELAPSED NHL AND HL
DHAP- Dexamethasone 40mg D1-4-
Cisplatin 100mg Or m2 or - Carboplatin
MO041A IP 13800
AUC-5D1- Cytarabine 2 gm Or m2 BD
D2- Repeat every 21 days
CT FOR MM OR AMYLOIDOSIS OR
MO042
POEMS
Pomalidomide + Dexamethasone-
Pomalidomide 4 mg daily Day 1-21-
MO042B IP 7900
Dexamethasone 40mg Day 1, 8, 15, 22-
Every 28 days
MO043 CT FOR MM OR AMYLOIDOSIS
Cyclophosphamide + Thalidomide +
Dexamethasone- Cyclophosphamide
MO043A 100mg D1-D14- Thalidomide 100-200 IP 4500
mg daily Day 1-28- Dexamethasone
40mg Day 1, 8, 15, 22- Every 28 days
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Bortezomib + Cyclophosphamide +
Dexamethasone- Cyclophosphamide -
300 mg Or m2 day 1, 8, 15, 22-
MO043C IP 16100
Dexamethasone 40mg Day 1, 8, 15, 22-
Bortezomib 1.3 mg Or m2 Day1, 8, 15,
22- Every 28 days
Bortezomib + Melphalan +
Prednsiolone- Melphalan 9mg Or m2
MO043E D1-D4- Prednisolone 100mg Day 1-4- IP 13900
Bortezomib 1.3 mg Or m2 Day 1, 8, 15,
22- Every 28 days
Bortezomib + Lenalidomide +
Dexamethasone- Lenalidomide 25 mg
MO043F daily Day 1 - 21- Dexamethasone 40mg IP 19600
Day 1, 8, 15, 22- Bortezomib 1.3 mg Or
m2 Day 1, 8, 15, 22- Every 28 days
Bortezomib + Thalidomide +
Dexamethasone- Thalidomide 100 mg
MO043G daily Day 1 - 28 Dexamethasone 40 mg IP 16500
Day 1, 8, 15, 22- Bortezomib 1.3 mg Or
m2 Day 1, 8, 15, 22- Every 28 days
MO044 CT FOR CHRONIC MYELOID LEUKEMIA

MO044B Dasatinib 100 mg once a day DC 5500
CT FOR MYELOPROLIFERATIVE
MO045
NEOPLASM
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Hydroxurea- Hydroxurea daily- -Dose

MO045A DC 2500
will be based on blood counts
MO046 CT FOR ACUTE MYELOID LEUKEMIA
Cytarabine 2 gm Or M2 BD for 3 days-
MO046A IP 78400
Every 21 days for 3 cycles
MO048 CT FOR LYMPHOBLASTIC LYMPHOMA
BFM-90- BFM-95- BFM-2000-
MO048A IP 176000
HyperCVAD- UKALL- GMALL
BFM-90- BFM-95- BFM-2000-
MO048B IP 136200
HyperCVAD- UKALL- GMALL
6 Mercaptopurine 50 mg Or M2 daily
MO048C and - Methotrexate 25 mg Or M2 IP 4400
Weekly for 2 Years
CT FOR ACUTE PROMYELOCYTIC
MO049
LEUKEMIA -HIGH RISK
Arsenic trioxide- ATRA- Daunomycin or
MO049B Idarubcin- Cytarabine - multiagent - IP 106500
vary on protocol
6 MP 50 mg Or day daily-
Methotrexate 15 mg Weekly- ATRA 45
MO049C IP 8800
mg Or M2 for 14 days - Every three
months for 18 Months
CT FOR ACUTE PROMYELOCYTIC
MO050
LEUKEMIA -LOW RISK
ATO 0.15 mg Or kg day 1-45 or 60-
MO050B IP 89100
ATRA 45 mg Or M2 - day 1-45 or 60
MO051 FEBRILE NEUTOPENIA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Cefoperazone + Sulbactum-
Piperalicillin + Tazobactum-
Cefoperazone- Piperacillin- Amikacin-
MO051A IP 36600
Gentamicin- Cefipime- Levofloxacin-
Amoxycillin and clavulanate-
Teicoplanin- Vancomycin
Meropenem- Imipenem- Colistin-

MO051B Tigecyclin- Linezolid- Voriconazole- IP 86700
Caspfungin- Amphotericin - B
CHEMOTHERAPY COMPLICATIONS -
MO052
TUMOR LYSIS SYNDROME
Rasburicase- Febuxostat- Allopurinol-
MO052A IP 26400
Sevelamer
GRANULOCYTE COLONY STIMULATING
MO053
FACTOR USE
5 microgram Or kg Or day- -max 300
microgram per day for 7 days or- PEG -
MO053A IP 5000
GCSF 6mg one single dose per
chemotherapy cycle
CT FOR LANGERHANS CELL
MO054
HISTIOCYTOSIS
Langerhans Cell Histiocytosis- -
MO054B IP 31800
Histiocytosis Protocol - Maintenance
MO055 CT FOR LOW GRADE GLIOMA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Vincristine + Carboplatin- Vincristine

1.5mg Or m2 -day 1, 8 and 15 for first
MO055A 4 cycles and then only day 1 from cycle IP 6500
5 to 17 - Carboplatin 550mg Or m2
every 3 weeks -all cycles
Vinblastin- Vinblastine 6 mg Or m2
MO055B IP 3700
every week
CT FOR MEDULLOBLASTOMA OR
MO056
BRAIN PNET
MO056A PACKER IP 7000
MO057 CT FOR NEUROBLASTOMA
Carboplatin + Cisplatin +
MO057B Cyclophosphamide + Vincristine + IP 8400
Etoposide
13-cis retinoic acid 160mg Or m2 per
MO057C day for 2 weeks- Each cycle given 4 IP 2300
weekly
MO058 CT FOR RETINOBLASTOMA
Vincristine + Carboplatin + Etoposide-
Carboplatin 600mg Or m2 day 1-
MO058A IP 8200
Etoposide 150mg Or m2 days 1-3
Vincristine1.5mg Or m2 day 1
MO059 CT FOR RHABDOMYOSARCOMA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Vincristine + Ifosfamide + Etoposide-

Vincristine 1.5mg Or m2 -days 1, 8 and
MO059B 15 - Ifosfamide 1.8gm Or m2 -days 1-5 - IP 17900
Etoposide 100mg Or m2 -days 1-5 -
Each cycle every 3 weeks
CT FOR RELAPSE
MO060
RHABDOMYOSARCOMA
Vincristine + Topotecan +
Cyclophosphamide and- Vincristine +
Adriamycin + Cyclophosphamide-
Vincristine 1.5mg Or m2 -day 1 -
Topotecan 1.5mg Or m2 -day 1-5 -
MO060A Cyclophosphamide 250mg Or m2 -days IP 13700
1-5 - 3 - weekly- Vincristine 1.5mg Or
m2- Adriamyicn 60mg Or m2-
Cyclophosphamide 600mg Or m2 -all
Day 1 - Every 3 weeks. Cycles given in
couplets
MO061 CT FOR WILMS TUMOR
Vincristine + Actinomycin D +
Doxorubicin- Vincristine 1.5 mg Or m2
weekly for 12 weeks and then 3
MO061B IP 5500
weekly- Actinomycin D 45 microgram
Or kg 3 weekly- Doxorubicin 60mg Or
m2 for 24 weeks
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Cyclophosphamide + Doxorubicin +
Etoposide + Vincristine + Dactinomycin-
Vincristine 1.5 mg Or m2-
Dactinomycin 45 microgram Or kg-
MO061C IP 16800
Adriamyicn 60mg Or m2-
Cyclophosphamide- Etoposide- Weekly
chemotherapy - varying hybrid
regimen
CT FOR PEDIATRIC ACUTE
MO062
LYMPHOBLASTIC LEUKEMIA
Consolidation - -Phase II, CNS Therapy
MO062A IP 263700
Reinduction
MO062B ICICLE- BFM- KLALL- MCP:841 IP 95700
6 - Mercaptopurine 75mg Or m2 daily-
Methotrexate 20mg Or m2 weekly-
MO062C Vincristine 1.5mg Or m2 monthly- IP 3000
Intrathecal methotrexate 12 mg 3
monthly
Dasatinib + chemo -to be used only
MO062D IP 6250
with ALL therapy
Imatinib + chemo --to be used only
MO062E IP 6250
with ALL therapy
CT FOR PEDIATRIC LYMPHOBLASTIC
MO063
LYMPHOMA
Consolidation - -Phase II, CNS Therapy
MO063A IP 263700
Reinduction
MO063B ICICLE- BFM- KLALL- MCP:841 IP 95700
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
6 - Mercaptopurine 75mg Or m2 daily-

Methotrexate 20mg Or m2 weekly-
MO063C Vincristine 1.5mg Or m2 monthly- IP 3000
Intrathecal methotrexate 12 mg 3
monthly
CT FOR PEDIATRIC ACUTE MYELOID
MO064
LEUKEMIA
Cytrabine 200mg Or m2 Or day days 1-
10 and - Daunorubicin 50mg Or m2
MO064B IP 115800
days 1, 3 and 5- Etposide 100mg Or m2
days 1-5
Cytrabine 100-200mg Or m2 Or day
MO064C days 1-7 and Daunorubicin 50mg Or IP 115400
m2 days 1, 3 and 5
CT FOR PEDIATRIC ACUTE
MO065
PROMYELOCYTIC LEUKEMIA
MO065A Consolidation IP 64700
MO065B Induction IP 142400
MO065C Maintenance -18 months total cost IP 43300
CT FOR PEDIATRIC HODGKINS
MO066
LYMPHOMA
MO066A COPDAC IP 10400
MO066B OPEA IP 14300
CT FOR PEDIATRIC HODGKINS
MO067
LYMPHOMA RELAPSE
MO067B DECA IP 15400
MO067C IGVD IP 37400
CT FOR PEDIATRIC NON HODGKINS
MO068
LYMPHOMA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
LMB 89 - 96 - Consolidation -second

MO068A IP 46900
month
LMB 89 - 96 - Induction - COPADAM -
MO068B IP 46700
first month
MO068C LMB 89 - 96 - Maintenance IP 72400
MO068D MCP - 842 IP 108600
MO069 PEDIATRIC-GCTORJEB
MO069A Pediatric - Germ Cell Tumor Or JEB IP 11800
MO070 CT FOR PEDIATRIC HEPATOBLASTOMA
MO070A Carboplatin + Cisplatin + Doxorubicin IP 6200

MO071 CT FOR CA LUNG
MO071A DC 9400
every 21 days
Topotecan- Topotecan 1.5 mg Or m2
MO071F DC 27100
D1-D5 every 21 days
MO071G DC 3500
every week
Etoposide + Cisplatin- Etoposide
MO071I 100mg Or m2 D1 - D3- Cisplatin 75-100 DC 7500
MO071J IP 9900
Gemcitabine + Carboplatin-
MO071K Gemcitabine 1000 mg Or m2 D1 D8- IP 15300
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

MO071L 1000 mg Or m2 D1 D8- Cisplatin 75 mg IP 13400
Or m2 D1 D8 every 21 days
MO071M DC 6600
every week
MO071N DC 13000
every 21 days
MO071O 50mg Or m2 D1- Carboplatin AUC 2 D1 DC 8500
every week
Paclitaxel + Cisplatin- Paclitaxel 175 mg
MO071P Or m2 D1- Cisplatin 75mg Or m2 D1 DC 14700
every 21 days
Pemetrexed + Cisplatin- Pemetrexed
MO071Q 500mg Or m2 D1- Cisplatin 75 mg Or DC 10400
m2 D1 every 21 days
Pemetrexed- Pemetrexed 500mg Or
MO071R DC 8400
m2 D1 every 21 days
Vinorelbine + Carboplatin- Vinorelbine
MO071S 25mg Or m2 D1 D8- CarboplatinAUC 5- IP 18700
6 D1 every 21 days
Vinorelbine + Cisplatin- Vinorelbine

MO071T 25mg Or m2 D1 D8- Cisplatin 75mg Or IP 18700
m2 D1 every 21 days
MO072 CT FOR CA CERVIX
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Carboplatin Carboplatin AUC 2 every

MO072A DC 3000
week
MO073 CT FOR PRIMARY CNS LYMPHOMA
MO073A De-Angelis Or MTR IP 39600
GEP NET HIGH GRADE
MO076
NEUROENDOCRINE CARCINOMA
Temozolamide 150mg Or m2 D9-14 +
MO076A Capecitabine 1gm Or me D1-14 every DC 8800
28 days
Carboplatin AUC 5 + Etoposide 100mg
MO076B IP 14800
Or m2 D1-D3 every 21 days
S12.1 BREAST CANCER
Chemotherapy for Breast Cancer with Biopsy,Mammography,Clinical
S12.1.1 IP 4725 5122 Clinical Photograph
Adriamycin / Cyclophosphamide -Ac Photograph
2D ECHO,BIOPSY,Her 2/NEU status
Chemotherapy for Breast Cancer with
S12.1.10 IP (FISH),CHEST X-RAY,ULTRA SOUND 26500 CBP
Trastuzumab - Remaining 15 Cycles
ABDOMEN
BREAST CANCER - EC -
EPIRUBICIN/CYCLOPHOSPHAMIDE ,
DAY 1: EPIRUBICIN 100MG/M2 IV , Mammography,Clinical
S12.1.14 IP 5100 Clinical Photograph
DAY 1: CYCLOPHOSPHAMIDE photograph,Biopsy
830MG/M2 IV. , REPEAT CYCLE - EVERY
21 DAYS FOR 8 CYCLES
Paclitaxel Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S12.1.5 Cyclophosphamide/ Methotrexate / IP 3150 2733 Clinical Photograph
Photograph
5fluorouracil -Cmf
Tamoxifen Tabs Photograph
Aromatase Inhibitors Photograph
Examination,Bone Scan,USG local
Chemotherapy for Breast Cancer with area,Chest X-Ray Lateral View(1
Docetaxel Film),Chest X-Ray PA View(1
Film),Estrogen Receptor/Progesterone
Receptor,Prostate-Specific Antigen (PSA)
2D ECHO,BIOPSY,Her 2/NEU status

S12.1.9 IP (FISH),CHEST X-RAY,ULTRA SOUND 45000 CBP
Trastuzumab - 1st Cycle
ABDOMEN
S12.10 BLADDER CANCER
Chemotherapy for Bladder Cancer with
S12.10.2 Methotrexate Vinblastine Adriamycin IP Biopsy,USG,CT 5000 8227 Clinical Photograph
Cyclophosphamide -Mvac
S12.11 LUNG CANCER
Chemotherapy for Non SMAL cell Lung
S12.11.1 IP Biopsy,X-RAY,CT-Scan 4725 9700 Clinical Photograph
Cancer with Cisplatin/Etoposide -Iiib
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Chest X-Ray PA View(1 Film),Clinical

Chemotherapy for Non SMAL cell Lung Photograph,Routine histopathological Case Sheet with treatment details,Clinical
S12.11.2 IP 5700
Cancer with Erlotinib examination,CT local area without Photograph
contrast,USG local area
Chemotherapy for Non SMAL cell Lung Examination,Clinical Photograph,CT local
S12.11.3 IP 4725 12700 Case Sheet with treatment details
Cancer with PEM + Cisplatin area with contrast,Bone Scan,SAlkaline
Phosphatase Levels,USG local area
Routine Histopathological Examination,

Chemotherapy for Non SMAL cell Lung Case sheet with clinical History , Alkaline Case Sheet with treatment details, Clinical
S12.11.4 IP 3200
Cancer with GEFITINIB Phosphatase Levels, USG local area, CT Photograph
scan chest with contrast

Alkaline Phosphatase Levels, Fine Needle
Chemotherapy for Non SMAL cell Lung Aspiration Cytology (FNAC)/Routine Case Sheet with treatment details, Clinical
S12.11.5 IP 4725 13750
Cancer with Paclitaxel /Carboplatin histopathological examination, CT chest Photograph
with contrast/CT upper abdomen with
contrast
S12.12 OESOPHAGEAL CANCER
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Chemotherapy for Oesophageal

Cancer with Cisplatin/5fu Cross
protocol -Paclitaxel and Carboplatin
S12.12.1 IP Biopsy,Endoscopy,CT-Scan 4725 7659 Clinical Photograph
Weekly for concurrent chemo radio
therapy for Oesophageal along with
radiation protocol - 6 cycles allowed
S12.13 GASTRIC CANCER

Chemotherapy for Gastric Cancer with Upper GI endoscopy, BCR-ABL1 Case Sheet with treatment details, Clinical
S12.13.5 IP 7750
Imatinib-CML Transcripts By Quantitative PCR, Chest X- Photograph
Ray PA View(1 Film), Upper GI endoscopy

Chemotherapy for Gastric Cancer with Case sheet with clinical History, Upper GI Case Sheet with treatment details, Clinical
S12.13.6 IP 4725 18200
Dcf endoscopy , Chest X-Ray PA View(1 Film), Photograph
CT scan Abdomen With Contrast
S12.14 COLORECTAL CANCER
Chemotherapy for Colorectal Cancer
S12.14.2 with 5-Fluorouracil-Oxaliplatin IP Biopsy,Endoscopy,CT-Scan 3150 16000 Clinical Photograph
Leucovorin -Folfox -Stage III Only
Chest X-Ray PA View(1 Film), CT Scan

Chemotherapy for Colorectal Cancer
Abdomen With Case Sheet with treatment details, Clinical
S12.14.4 with Capecitabine + Oxalipantia - IP 4725 13211
ContrastAbdomen(Whole), CEA(Carcino Photograph
adjuvant and metastatic
Embryonic Antigen) 125-, Colono Scopy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Chemotherapy for Colorectal Cancer CEA(Carcino Embryonic Antigen), Colono Case Sheet with treatment details, Clinical
S12.14.5 IP 9200
with Capacitabine Scopy, Chest X-Ray PA View(1 Film), CT Photograph
Scan Abdomen With Contrast
ANAL CANAL CANCER - 5-FU +

MITOMYCIN , DAYS 1-4 AND 29-32: 5-
HPE,Clinical
FU 1,000MG/M2/DAY IV , DAYS 1 AND Clinical Photograph,Case Sheet with treatment
S12.14.6 IP assessment,Haematology,Clinical 13000
29: MITOMYCIN 10MG/M2 IV BOLUS - details
Photograph
MAXIMUM 20MG PER COURSE , WITH
CONCURRENT RADIOTHERAPY
S12.15 OSTEOSARCOMA/ BONE TUMORS
OTHER BONE TUMORS - GIANT CELL
TUMOR OF BONE - DENOSUMAB , HPE,Clinical
Clinical Photograph,Case Sheet with treatment
S12.15.5 DENOSUMAB 120MG SUBCUTANEOUS IP assessment,Haematology,Clinical 56000
details
ON WEEK 1,2 AND 3 OF A 4 WEEK Photograph
CYCLE
S12.16.1 Lymphoma i) Hodgkin Disease
Chemotherapy for Bone Tumors -
Hodgkin Lymphoma disease with
S12.16.1.1 IP Biopsy 3150 7045 Clinical Photograph
Adriamycin Bleomycin Vinblastine
Dacarbazine -Abvd
Relapse Hodgekin Lymphoma Protocol - LFT,BIOPSY,IHC,LYMPOMA
S12.16.1.2 IP 3150 17500 RFT
ICE/DHAP - 3 cycles are allowed PANEL,PETCT/CECT and BM,2D ECHO,CBP
S12.16.2 Lymphoma ii) NHL
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Chemotherapy for Non Hodgkin

Lymphoma with Cyclophosphamide
S12.16.2.1 IP Biopsy 4725 6372 Clinical Photograph
Adriamycin Vincristine Prednisone -
Chop
CT Scan Lower Abdomen With Contrast,

IHC, Renal Profile, LFT(liver function
tests),Complete blood picture(CBP) , Bone
Marrow Aspiration, Routine
Chemotherapy for Non Hodgkin Histopathological Examination, USG Case Sheet with treatment details, Clinical
S12.16.2.2 IP 4725 21900
Lymphoma with R - chop Abdomen, END OF TREATMENT CT Scan Photograph
Chest With Contrast,Softtissues)With
Contrast/ PET Scan BEFORE TREATMENT
AFTER 4 CYCLES,Parathyroid, CT Scan Neck
(Thyroid, CT local Area
Relapse Non- Hodgekin

LFT,BIOPSY,IHC,LYMPOMA
S12.16.2.3 LymphomaProtocol - RICE/RDHAP - 3 IP 3150 39900 RFT
PANEL,PETCT/CECT and BM,2D ECHO,CBP
cycles are allowed
S12.17 MULTIPLE MYELOMA
Multiple Myeloma Bortezomib + Chemotherapy drug batch number with bar
S12.17.5 IP Clinical assessment 6660
dexamethasone, per cycle x 9 code
S12.18 WILM¿S TUMOR
Chemotherapy for Wilms Tumor with
S12.18.1 IP Biopsy,USG,CT 4725 4700 Clinical Photograph
Siopwts Regimen-Stages I-III
S12.19 HEPATOBLASTOMA- OPERABLE
Chemotherapy for Hepatoblastoma
operable with Cisplatin -Adriamycin
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Chemotherapy Chemotherapy for Alpha Feto Protiens Levels, USG local

S12.19.2 Hepatoblastoma operable with IP area, LFT(liver function tests), Routine 11011 Case Sheet with operation Notes
Sorafenib Histopathological Examination
S12.2 CERVICAL CANCER
Chemotherapy for Cervical Cancer
S12.2.1 IP Biopsy,USG 2733 Clinical Photograph
with Weekly Cisplatin
S12.21 NEUROBLASTOMA ( STAGES I-III )
Chemotherapy for Neuroblastoma -
S12.21.1 IP Biopsy,CT 4725 10800 Clinical Photograph
Stages I-III with Variable Regimen
Chemotherapy for Neuroblastoma - Case sheet with clinical History, Chest X-
S12.21.2 IP 5000 7045 Case Sheet with operation Notes
Stages I-III PCV -medulloblastoma Ray PA View(1 Film), CT Scan Head With
Contrast
S12.23 HISTIOCYTOSIS
HISTIOCYTOSIS - OTHER REGIMEN -
MAY BE CHOSEN FOR ANY OTHER
HPE,Clinical
INTERNATIONALLY APPROVED Clinical Photograph,Case Sheet with treatment
S12.23.2 IP assessment,Haematology,Clinical 31600
CURATIVE REGIMEN WITH details
Photograph
SUBMISSION OF SUBSTANTIATING
DOCUMENTS
S12.24 RHABDOMYOSARCOMA
Chemotherapy for
Rhabdomyosarcoma with Vincristine-
S12.24.1 IP Biopsy 4725 7200 Clinical Photograph
Actinomycin-Cyclophosphamide-Vactc
Based Chemo
S12.26 ACUTE MYELOID LEUKEMIA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Chemotherapy for Acute Myeloid

S12.26.1 Leukaemia with Induction Phase for IP Heamatology,Heamatology 5000 132000 Clinical Photograph,Clinical Photograph
one time only
Chemotherapy for Acute Myeloid
S12.26.2 IP 5000 72000 Clinical Photograph,Clinical Photograph
Leukemia with Consolidation Phase
KARYOTYPING,FLOWCYTOMETRY,BMA+
S12.26.5 APML- Induction IP 5000 90000
BIOPSY,CBP,RFT,LFT
APML - Consolidation - 4 cycles
S12.26.5.1 IP 60000
allowed
S12.27 ACUTE LYMPHOBLASTIC LEUKEMIA
Chemotherapy for Acute
Lymphoblastic Leukaemia with
S12.27.1.1 IP Heamatology,Heamatology 5000 150000 Clinical Photograph,Clinical Photograph
Induction 1st And 2nd Months for -
less than15 years one time only
Chemotherapy for Acute
Lymphoblastic Leukaemia with Haematology Flowcytometry Cytogenetic
S12.27.1.1.2 IP 1575 200000 Clinical Photograph
Induction 1st And 2nd Months for - test Bone Marrow test.
greater than 25 years one time only
Acute Lymphatic Hematology/Clinical Chemotherapy drug batch number with bar
S12.27.1.4 LeukemiaMaintenance Phase - Per IP assessment,Hematology/Clinical 5000 code,Chemotherapy drug batch number with bar
month -x 24 assessment code
Acute Lymphoblastic Leukemia - For
S12.29
Terminally ill Cancer Patient
Palliative And Supportive Therapy for
terminally ill cancer patient
S12.31 MULTIPLE MYELOMA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
2D ECHO,Urine for Bence Jones

Chemotherapy for Multiple myeloma
protein,Skeltal
S12.31.1 with Zoledronic Acid Along With IP 5000 4202 Biochemical Investigations,USG,CT,Biopsy
survey,SIEP,S.Electrolytes,Bone marrow
Adjuvant Chemotherapy Of As-I
aspiration,Biopsy
Bone Marrow Profile/Routine
Histopathological Examination, Complete
Chemotherapy for Multiple myeloma
S12.31.2 IP Blood Picture [CBP] , Renal Profile, Protein 5000 6500 Case Sheet with operation Notes
with Lenalidomide dexa
Electrophoresis, Bence Jones Protein In
Urine
Chemotherapy for Multiple myeloma Bence Jones Protein In Urine,Skeletal
S12.31.3 IP 5000 5200 Case Sheet with operation Notes
with MPT-myeloma Survey Protein Electrophoresis
RFT,FLOW CYTOMETRY,SERUM PROTEIN

ELECTROPHORESIS,SERUM AND URINE
IMMUNOFIXATION
S12.31.5 Myloma autologous HSCT IP 5000 650000 Triple cultures
ELECTROPHOROSIS,FREE LIGHT CHAINS,CT-
SCAN WITH CYTOGENIC TEST,MRI-SPINE
(OR) PET,b2 MIC,Echo,PFT
S12.32 FEBRILE NEUTROPENIA
Chemotherapy for Febrile Neutropenia

with 1st Line Iv Antibiotics And Other
S12.32.1 IP Blood CandS,X-Ray Chest,Tissue Biospy 5000 6000 Biochemical Investigations,USG,CT,Biopsy
Supportive Therapy - Third Generation
Cephalosporin, Aminoglycoside Etc.,
S12.33 CHRONIC LYMPHOID LEUKAMIA

PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Routine Histopathological Examination,Case

Chemotherapy for Chronic lymphoid Bone Marrow Aspiration/ Routine
S12.33.4 IP 9600 Sheet with operation Notes,USG local area,CT
leukemia with Imatinib-CML HistopathologicalExamination
local area without contrast
S12.34 BRAIN TUMORS
Chemotherapy With Temozolamide - Clinical Photograph, Case Sheet with operation
S12.34.1 IP Examination,MRI Brain with contrast,CT 5000 6300
brain tumours Notes
Brain Plain and Contrast
S12.35 OTHERS
CT Scan with Abdomen with
contrast,Complete Blood Picture
[CBP],Renal Profile,CT Scan Chest With
Contrast/CT Scan neck(thyroid, para
Chemotherapy With Benadamustin - Clinical Photograph, Case Sheet with operation
S12.35.1 IP thyroid, soft tissues) with contrast,CT 5000 31300
RITUXIMAB Notes
Brain Plain and Contrast ,Bone Marrow
Profile,USG local area,Chest X-Ray PA
View(1 Film),Routine Histopathological
Examination,LFT(liver function tests)
Dose Dense AC -includes growth factor
LFT,BIOPSY,IHC,CHEST X-RAY,ULTRA
S12.35.12 + apprepitant, Once in two weeks - IP 1575 10000 CBP
SOUND ABDOMEN,2D ECHO,RFT
upto 4 cycles
Dose Dense Paclitaxel -includes growth
S12.35.13 factor , Once in two weeks - upto 4 IP 1575 13000 CBP
cycles
Chemotherapy for NET Pancreas with
RFT,Biopsy,IHC,somatostatin
S12.35.14 octreotide depot - for every 4 weeks IP 30000
receptor,PETCT,CBP
for a period of one year
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CMV,BIOPSY,IHC,LYMPOMA
S12.35.15 auto transplant for lymphomas IP PANEL,PETCT,2D ECHO,CBP,LFT,RFT,VIRAL 5000 935000 HSV
MARKERS,TRIPLE CULTURES,
S12.35.16 Lymphoma workup IP CLINICAL NOTES 20000 CLINICAL PHOTOS
HSV,RFT,LFT,VIRAL MARKERS,TRIPLE
Transplant for paediatric solid cancers -
CULTURES(BLOOD,URINE),CBP,HEPATITIS -
S12.35.17 EWS, Neuro blastoma, Wilms tumour, IP 5000 650000 2D ECHO,PFT
B CORE ANTIGEN,CMV,CT-CHEST AND
RMS, Germcell tumour,
ABDOMEN WITH CONTRAST,PET
HPE,Clinical
Chemotherapy drug batch number with bar
S12.35.34 SMILE IP assessment,Haematology,Clinical 24600
code
Photograph
HPE,Clinical
Chemotherapy drug batch number with bar
S12.35.35 LENALIDOMIDE + RITUXIMAB IP assessment,Haematology,Clinical 28200
code
Photograph
Palliative Chemotherapy with
RFT,ECG,Biopsy,IHC,cect,cxr,usg
S12.35.5 paclitaxel/Carboplatin - for every 3 IP 2250 11000 LFT
abdomen,CBP
weeks upto 6 cycles
HPE,Clinical
S12.35.51 NILOTINIB III IP assessment,Haematology,Clinical 17801
details
Photograph
HPE,Clinical
S12.35.61 THYROID CANCER - PAZOPANIB IP assessment,Haematology,Clinical 9501
details
Photograph
Allogenic -peripheral / Bone marrow
100000
S12.35.77 stem cell Transplantation - less than14 IP
0
Yrs
Allogenic -peripheral / Bone marrow
110000
S12.35.78 stem cell Transplantation - greater IP 5000
0
than14 Yrs
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S12.35.8 Weekly paclitaxel - Per week IP 1575 7500 CBP
Docetaxel + Cyclophosphamide -
S12.35.9 includes groth factor - for every 3 IP 11600 CBP
weeks upto 4 cycles
S12.5 OVARIAN CANCER
Chemotherapy for Ovarian cancer with
Carboplatin / Paclitaxel
S12.6 OVARY- GERM CELL TUMOR
Chemotherapy for Ovarian cancer with
S12.6.1 Germ Cell Tumor Bleomycin-Etoposide- IP Biopsy,USG,CT 4725 13600 Clinical Photograph
Cisplatin -Bep
S12.7.1 Gestational Trophoblast Ds.
Chemotherapy for low risk Gestational
S12.7.1.1 trophoblast DS with Weekly IP Biopsy,USG,CT 1575 1600 Clinical Photograph
Methotrexate
S12.7.2 High risk
Chemotherapy for high risk
Gestational trophoblast DS with
S12.7.2.1 Etoposide-Methotrexate -Actinomycin IP Biopsy,USG,CT 3375 12100 Clinical Photograph
/ Cyclophosphamide Vincristine -Ema-
Co
S12.9 PROSTATE CANCER
FLOT-GASTRIC CANCER 4 CYCLES
S12.9.2 followed by Surgery and 4 CYCLES after IP 35800
Surgery
S12.9.3 Chemotherapy for CLL with IBRUTINIB IP 10000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Urine Cytology For Malignant Cells

,Cystoscopy,Case sheet,Urine Culture & Case Sheet with operation Notes,Intra OP
Intravesical BCG maintenance for one
S9.15.2 IP Sensitivity,Urine Cytology For Malignant 3600 Photo,Case Sheet with operation Notes,Intra OP
time
Cells ,Cystoscopy,Case sheet,Urine Culture Photo
& Sensitivity
SU060 INTRAVESICAL BCG OR MITOMYCIN
Induction cycles -PC - Rate per dose -

SU060A DC 3200
Rs 5000 max no- 06 -including drug
2D EXTERNAL BEAM RADIOTHERAPY -

TELECOBALT OR STROCK LA -6
MR001
FRACTIONS -INCLUSIVE OF
SIMULATION AND PLANNING COST
Additional fractions - 18 Max upto -
MR001D Every additional fraction at Rs.500 per IP 9900
Fraction

PALLIATIVE -TELECOBALT OR STROCK
MR002
LA -UPTO 10 FRACTIONS -INCLUSIVE
OF SIMULATION AND PLANNING COST
MR002A Palliative IP 11000

TELECOBALT OR STROCK LA -25
MR003
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MR003C Neoadjuvant IP 22000

MR003D additional fraction at Rs.500 per IP 5500
Fraction upto a max
LINEAR ACCELERATOR, EXTERNAL
BEAM RADIOTHERAPY 3D CRT -6
MR004
MR004B Adjuvant IP 23100
MR004D Every additional fraction at Rs.1000 IP 19800
per Fraction
BEAM RADIOTHERAPY 3D CRT -25
MR005
per Fraction
BEAM RADIOTHERAPY IMRT -
INTENSITY MODULATED
MR006
RADIOTHERAPY -20 FRACTIONS -
INCLUSIVE OF SIMULATION AND
PLANNING COST
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Additional fractions - 15 -Every

MR006D additional fraction at Rs.2000 per IP 33000
Fraction
BEAM RADIOTHERAPY IMRT -
INTENSITY MODULATED
MR007
RADIOTHERAPY -6 FRACTIONS -
INCLUSIVE OF SIMULATION AND
PLANNING COST
MR007A Radical IP 46200
per Fraction
LINEAR ACCELERATOR EXTERNAL

BEAM RADIOTHERAPY IGRT -IMAGE
MR008 GUIDED RADIOTHERAPY WITH 3D CRT
OR IMRT -20 FRACTIONS -INCLUSIVE
OF SIMULATION AND PLANNING COST

Additional fractions - 15 Max upto- -
per Fraction
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
LINEAR ACCELERATOR EXTERNAL

BEAM RADIOTHERAPY IGRT -IMAGE
MR009 GUIDED RADIOTHERAPY WITH 3D CRT
OR IMRT -6 FRACTIONS -INCLUSIVE OF

Additional fractions - 18 Max upto-
per Fraction
SRT OR SBRT WITH IGRT -
STEREOTACATIC RADIOTHERAPY -4
MR010
Additional fractions - 4- Every
MR010B additional fraction at Rs.11000 per IP 48400
Fraction
SRS WITH IGRT -STEREOTACATIC
MR011 RADIOTHERAPY -INCLUSIVE OF
SRS with IGRT -Stereotacatic
MR011A IP 77000
radiotherapy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
RESPIRATORY GATING ALONG WITH

LINEAR ACCELERATOR PLANNING -5
MR012
Respiratory Gating along with Linear
MR012A IP 71500
Accelerator planning
Additional fractions - 10 Max upto-
MR012B Every additional fraction at Rs.3500 IP 38500
per Fraction
BRACHYTHERAPY HIGH DOSE
MR013 RADIATION -2D OR X-RAY -MAXIMUM
OF 4 SESSION
MR013B Intraluminal IP 3900
MR013C Endobiliary IP 3900
MR013D Endobronchial IP 3900
MR013E CVS IP 3900
BRACHYTHERAPY HIGH DOSE
RADIATION -5 DOSES -INCLUSIVE OF
MR014
SIMULATION, PLANNING COST, OT
AND OTHER CHARGES
Surface Mould Or Intracavitary
MR014B IP 46200
complex planning like CT or MR
MR015 IODINE TREATMENT 3 MCI
large Dose scan Or Pre Ablation -
MR015A IP 11400
calculation of treatment
MR015B Ablation residual disease any risk IP 16900
Ablation for metastatic disease, High
MR017A IP 22400
risk
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

MR018A IP 30100
risk
MR019A IP 34500
risk
MR020A IP 40000
risk
COBALT 60 EXTERNAL BEAM
S13.1
RADIOTHERAPY
Radical Treatment with Cobalt 60
S13.1.1 IP Biopsy,X-RAY,USG,CT 7250 25000 Clinical Photograph, RT Treatment Charts
External Beam Radiotherapy
Palliative Treatment with Cobalt 60
Adjuvant Treatment with Cobalt 60
EXTERNAL BEAM RADIOTHERAPY (ON
S13.2
LINEAR ACCELERATOR)
Radical Treatment With Photons
S13.2.1 External Beam Radiotherapy -on Linear IP Biopsy,X-RAY,USG,CT 7250 87500 Clinical Photograph, RT Treatment Charts
Accelerator
Palliative Treatment With Photons
Biopsy,X-RAY,USG,CT,Biopsy,X- Clinical Photograph, RT Treatment
S13.2.2 External Beam Radiotherapy -on Linear IP 5000 13800
RAY,USG,CT Charts,Clinical Photograph, RT Treatment Charts
Accelerator
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Adjuvant Treatment With

Photons/Electrons / -92.25 External
Beam Radiotherapy -on Linear
Accelerator
S13.3.1 Brachytherapy A) Intracavitary
Brachytherapy Intracavitary II. Hdr Per Biopsy,X-RAY,USG,CT,Biopsy,X- Clinical Photograph, RT Treatment
S13.3.1.2 IP 23500
Application RAY,USG,CT Charts,Clinical Photograph, RT Treatment Charts
Brachytherapy High Dose Radiation -
S13.3.1.3 Intraluminal - per fraction, maximum 4 IP Blood test 4400 Data of RT treatment plan & dose
sessions
S13.3.2 Brachytherapy B) Interstitial
Brachytherapy Interstitial II. Hdr One
Biopsy,X-RAY,USG,CT,Biopsy,X- Clinical Photograph, RT Treatment
S13.3.2.2 Application And Multiple Dose IP 52500
RAY,USG,CT Charts,Clinical Photograph, RT Treatment Charts
Fractions on a whole
SPECIALIZED RADIATION THERAPY -
S13.4.1 IMRT (Intensity modulated
radiotherapy)
Specialized Radiation therapy- IMRT -
S13.4.1.1 Intensity modulated radiotherapy IP Biopsy,CT-Scan with Contrast 7250 87500 CT, RT Treatment Charts,USG,Tumor Markers
Upto 40 Fractions IMRT In 8 Weeks
S13.4.1.2 IP Biopsy,CT-Scan with Contrast 3375 150000 RT Treatment Charts,USG,Tumor Markers,CT
RAPID ARC THERAPY
S13.6 IGRT
IGRT:List of Diseases - 1. CA Prostate
non metastatic2. CA Lung non RFT,BIOPSY,CECT-CHEST,ULTR SOUND
S13.6.1 IP 3375 275001 LFT,IHC
metastatic -minimum of 6600cGy in 33 ABDOMEN,CBP
fractions or its equivalent
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S13.7 RIA
I-131 Radio iodine ablation therapy for
Thyroid Malignancies -For every 50 TSH+ TG+ ANTI THYRO GLOBULIN ANTI
S13.7.1 IP 20400 POST OP HPE
milli curie given dose in each BODIES,BIOPSY,IHC,RADIO IODINE SCAN
application
S14.4.2 3DCRT(3-D conformational
radiotherapy)
Radical - Specialized Radiation therapy -
3DCRT-3-D conformational
S13.4.2.1 IP Biopsy,CT-Scan with Contrast 7250 50000 CT,USG
radiotherapy Upto 30 Fractions 3DCRT
In 6 Weeks
S14.4.3
SRS/SRT
Palliative - Specialized Radiation
therapy - 3DCRT-3-D conformational
S13.4.2.1.1 IP CT-Scan with Contrast Biopsy 1575 26300 USG/CT
In 6 Weeks
Adjuvant - Specialized Radiation
therapy - 3DCRT-3-D conformational
S13.4.2.1.2 IP CT-Scan with Contrast Biopsy 3375 50000 USG/CT
In 6 Weeks
Specialized Radiation therapy -
S13.4.3.1 SRS/SRT Upto 30 Fractions In SRS/SRT IP Biopsy,CT-Scan with Contrast 5000 102500 Tumor Markers, RT Treatment Charts
6 Weeks
SE040
PACKAGE
BM001 THERMAL BURNS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Criteria 1: percentage Total Body

Surface Area Burns -TBSA :less than 20
BM001A percentage in adults and less than 10 ST 7000
percentage in children younger than
12 years. Dressing without anesthesia

Surface Area Burns -TBSA : Upto 25
percentage - Includes percentage TBSA
skin grafted, flap cover, follow-up
BM001B IP 50000
dressings etc. as deemed necessary-
Surgical procedures are required for
deep burns that are not amenable to
heal with dressings alone.

Surface Area Burns -TBSA : 25-40
BM001C IP 62500
BM002 SCALD BURNS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Surface Area Burns -TBSA : less than 20
BM002A percentage in adults and less than 10 ST 7000
percentage in children younger than
12 years. Dressing without anesthesia

Surface Area Burns -TBSA : Upto 25
BM002B IP 50000

Surface Area Burns -TBSA : 25-40
BM002C IP 62500
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Surface Area Burns -TBSA :40- 60
BM002D IP 100000

Surface Area Burns -TBSA :60-80
BM002E IP 100000
BM003 FLAME BURNS
Percentage Total Body Surface Area
Burns -TBSA - any percentage -not
BM003A ST 7000
requiring admission - Needs at least 5-
6 dressing
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Burns -TBSA : Upto 40 percentage -
Includes percentage TBSA skin grafted,
flap cover, follow-up dressings etc. as
BM003B IP 50000
deemed necessary- Surgical
procedures are required for deep
burns that are not amenable to heal
with dressings alone.

Burns -TBSA : 40 Percentage - 60
Percentage - Includes Percentage TBSA
BM003C IP 62500

Burns -TBSA : greater than 60
BM003D IP 100000
BM004 ELECTRICAL CONTACT BURNS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Electrical contact burns: Low voltage -

with part of limb Or limb loss- Includes
percentage TBSA skin grafted, flap
cover, follow-up dressings Amputation
BM004B IP 50000
etc. as deemed necessary- Surgical
Electrical contact burns: High voltage -

without part of limb Or limb loss-
Includes percentage TBSA skin grafted,
flap cover, fasciotomy + Or - Or
debridement Or early skin grafting Or
BM004D flap cover: pedicle or free flap IP 62500
coverage,follow-up dressings etc. as
deemed necessary- Surgical
BM005 CHEMICAL BURNS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Chemical burns: Without significant

facial scarring and Or or loss of
function- Includes percentage TBSA
BM005A Surgical procedures are required for IP 50000
heal with dressings alone.-Similar to
therma burns- require more grafting,
debridement,-skin grafing Or
canthopexy
USG/FNAC,Post op Photo,USG/FNAC,Post op
S1.12.5.1 Free Grafts - Wolfe Grafts IP Clinical Photograph,Clinical Photograph 35500
Photo
greater than 8 percentage TBSA Photograph,Clinical Photograph

8 percentage TBSA Photograph,Clinical Photograph

than 4 percentage TBSA Photograph,Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

S11.36.3 IP 2250 85500 CXR,CXR,CXR
Reconstruction with Ossco CLINICAL IMAGES,BIOPSY,,CLINICAL
S11.36.4 IP 3150 70000
MyoCutaneous flap IMAGES,BIOPSY,
S14.1 PLASTIC REPAIR
S14.1.1 Surgical Management Of Cleft Lip IP Clinical Photograph 2250 20524 Clinical Photograph
S14.1.10 Reimplantation at wrist IP CLINICAL PHOTO,XRAY 5000 75000 INTRA PROCEDURE PHOTOS,POST OF PHOTOS
S14.1.11 Toe transfer IP CLINICAL PHOTO,XRAY 4725 75000 INTRA PROCEDURE PHOTOS,POST OF PHOTOS
CLINICAL PHOTO WITH XRAY,INTRA OPERATIVE
S14.1.12 ULNAR /RADIAL CLUB HAND IP CLINICAL PHOTO WITH XRAY 4725 50000
PHOTO
Reconstructive surgery for facial palsy - CLINICAL PHOTO WITH VIDEO,NERVE
S14.1.13 IP 3150 70000 INTRA PROCEDURE PHOTOS,SCAR PHOTOS
conventional/ Microvascular CONDUCTION
S14.1.2 Surgical correction of Cleft Palate IP Clinical Photograph 2250 25656 Clinical Photograph
S14.1.2.1 Palatal fistula Repair IP Clinical Photograph 2250 39790
Notes
Surgical corection of Velo-Pharyngeal
S14.1.3 IP Endoscopy 2250 36256 Clinical Photograph
Incompetence
Surgical Management of Syndactyly of
Hand For Each Hand
S14.1.4.1 Polydactyly Repair each digit IP X-Ray,Clinical Photograph 2250 29230 X-Ray,Intra & Post OP Photos
Reconstruction or prosthetic appliance
for absent ear
Ear reconstruction per stage-2/3 Clinical Photograph,Case Sheet with operation
S14.1.5.1 IP Clinical Photograph 3150 41880
stages Notes
S14.1.6 Surgery for Tm Joint Ankylosis IP Clinical Photograph,X-RAY 45707 Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Clinical Photograph,USG Penis,MRI CT Scan Of Lower Abdomen & Scrotum,Scar

S14.1.8 Surgical Management of Penile Injuries IP 4725 24920
Scrotum/Doppler And Scrotum & Testes Photo,USG Penis
Penis reconstruction traumatic/
S14.1.8.1 IP CLINICAL PHOTO,HPE REPORT 4725 115000 INTRA PHOTOS,SCAR PHOTOS
oncology
Micrognathia - pierre robbinsequalae-
S14.1.9 IP CT SKULL,CLINICAL PHOTO,X RAY 3150 60000 X RAY,INTRA OPRATIVE PHOTOS
3 Stages -Per Stage
S14.2 BURNS
Conservative management of 40
Percentage burns
Surgical Management of 40
Percentage mixed burns
Percentage burns
Surgical Management of 50 Pecentage
mixed burns
Percentage burns
Surgical Management of 60
Surgical Management of above 60
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Electrical contact burns: Low voltage-

without part of limb/limb loss,
Includes Percentage TBSA skin grafted,
flap cover, follow-up dressings etc. as Clinical Photograph and diagram with
deemed necessary, Surgical Rule of 9/ L & B Chart for extent of burns
electrical burn cases require multiple
procedures serial Clinical Photograph and diagram with
debridements,amputations and flap Rule of 9/ L & B Chart for extent of burns
covers
Chemical burns: Without significant
facial scarring and/or loss of function,
Includes Percentage TBSA skin grafted,
flap cover, follow-up dressings etc. as Clinical Photograph and diagram with
deemed necessary, Surgical Rule of 9/ L & B Chart for extent of burns
Thermal/Flame/ Scald Burns:

S14.2.5 Burns - TBSA - any Percentage - not DC CLINICAL PHOTO,CASE SHEET 5000 7000 CLINICAL PHOTO,CASE SHEET
requiring admission.Needs at least 5-6
dressing
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
POST BURN CONTRACTURE SURGERIES

FOR FUNCTIONAL
S14.3 IMPROVEMENT(PACKAGE INCLUDING
SPLINTS, PRESSURE GARMENTS AND
PHYSIOTHERAPY)
S14.3.1 Post Burn Contracture Surgeries - Mild IP Clinical Photograph 3375 71000 Clinical Photograph
Post Burn Contracture Surgeries -
Moderate
Post Burn Contracture Surgeries -
Severe
S14.4 PLASTIC SURGERY
Surgical Correction of hemifacial
S14.10 IP MRI,3D CT 5000 83133 Clinical Photograph
microsomia
Surgical Correction of Nerve and
S14.12 Tendon Repair + Vascular Repair - IP CT-Scan,Nerve conduction study 7250 48016 Clinical Photograph
82.4+39.3
Clinical Photograph,ICE pack test with
S14.13 Correction of lid retraction IP 2250 25655 Clinical Photograph
Chin Elevation
Surgical Correction of lid retraction
S14.14 IP Biopsy,MRI,HPE,CT 60392 Clinical Photograph
with Tumour of Mandible And Maxilla
Reconstructive procedures for vaginal
S14.15 IP Ultra sound of abdomin 5000 38431 Clinical Photograph
atresia
Surgical correction for Vascular
S14.16 IP ANGIOGRAM 3375 57300 Clinical Photograph
malformations
Tarsorrhaphy surgery to prevent
exposure keratitis to prevent loss or Clinical Photograph , Case Sheet with operation
S14.17 IP Clinical Photograph 1575 10272
impairment of vision especially in Notes
facial burns
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Panfacial fractures combination with 3D CT Facial Bones, Clinical Photograph,X-

S14.18 IP 5000 105196 X-Ray Facial Bones
polytrauma Ray Facial Bones
Aplasia / hypoplasia / post traumatic
S14.19 loss of thumb for reconstruction - IP X-Ray,Clinical Photograph 8375 65205 CT Local Area Without Contrast
conventional surgery
Reimplantation / revascularization -
S14.20 IP X-Ray,Clinical Photograph 5000 86119 X-Ray,Clinical Photograph
single digit
Reimplantation / revascularization -
S14.21 IP X-Ray,Clinical Photograph 10000 86129 X-Ray,Clinical Photograph
multiple digits per finger
Flap cover for trauma of the hand /

forearm / arm / foot / leg / thigh etc.,
with exposure of the underlying vital
S14.22 IP Clinical Photograph 9500 61582 Clinical Photograph
structures like tendons, nerves,
vessels, bone, with or without any
fracture- flap insert
Surgical management for keloid and
S14.23.1 hypertrophic scar requiring flap IP Clinical Photograph 2250 25300 Clinical Photograph
cover/SSG
S14.23.2 Nose injuries / avulsions -flap cover IP Clinical Photograph 4725 33750 Clinical Photograph
S14.23.3 Ear injuries / avulsions - flap cover IP Clinical Photograph 1575 35370 Clinical Photograph
S14.23.4 Lip injuries / avulsions - flap cover IP Clinical Photograph 2250 33290 Clinical Photograph
Sub mucosal fibrosis - surgical
management with flap
Crush injury hand involving loss of skin
and vital parts requiring flap cover
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

- mild less than5 Percentage

- moderate 5-10 Percentage

- major - greater than10 Percentage
Nose injuries / avulsions- primary
closure/ skin graft-86.6
Ear injuries / avulsions - primary
Lip injuries / avulsions - primary
Debridement and primary closure for
avulsion injuries-86.59
Breast reduction for gynacomastia- USG Breast,Case sheet with clinical
S14.26.1 IP 1575 25000 Scar Photo
male-each side unilateral History,Clinical Photograph
Breast reduction for gigantomastia USG Breast,Clinical Photograph With
S14.26.2 female -each side -procedure name IP Scale 12 Cm From Areola Margin To 3150 25000 Scar Photo
unilateral Mammillary Fold
S14.26.3 Nipple areola reconstruction IP 2250 25000 Clinical Photograph
,Clinical Photograph,USG Breast
tongue tie
S14.27.2 Macroglossia Correction IP Clinical Photograph 2250 45000
Notes
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Nerve conduction study,Clinical

S14.28.1 Sequalae of brachial plexus injuries IP 4725 40580 Clinical Photograph
Photograph
Conservative treatment for brachial MRI Local Area,Clinical Photograph,Nerve
plexus injuries conduction study
Nerve conduction study,Clinical Nerve conduction study,Intra OP Photos,Clinical
S14.28.3 Compressive neuropathies IP 3150 30690
Treatment for trisser
S14.29.1 IP X-Ray,Clinical Photograph 2250 28730 X-Ray,Clinical Photograph
fingerenosynovitis-82.2
S14.29.2 Mallet finger Surgery IP X-Ray,Clinical Photograph 1575 26680 X-Ray,Clinical Photograph
S14.29.3 Boutonnieries deformity Repair IP X-Ray,Clinical Photograph 2250 35000 X-Ray,Clinical Photograph
Treatment for supparativechondritis-
S14.29.4 IP X-Ray,Clinical Photograph 3150 15000 X-Ray,Intra & Post OP Photos
EAR
Contrast Enhanced USG,Clinical Intra & Post OP Photos,CT Local Area Without
S14.29.5 Dupuytrens contracture release IP 3150 20000
Photograph Contrast
Tendon transfer procedure for wrist Nerve conduction study,Clinical Clinical Photograph,CT Local Area Without
S14.29.6 IP 4725 32000
drop Photograph Contrast
S14.30.1 Disarticulation through shoulder IP X-Ray,Clinical Photograph 3150 36510 X-Ray,Clinical Photograph
S14.30.2 Disarticulation through thigh IP X-Ray,Clinical Photograph 4725 40000 X-Ray,Clinical Photograph
Amputation of hand / fore arm / arm /
foot / leg / thigh with skin cover -84.1
Amputation of digit with skin cover-
84.11
Post cabg-sternal dehiscence/osdo Sinography ,Clinical Photograph,Chest X- Sinography ,Scar Photo,Chest X-Ray PA View(1
S14.32 IP 4725 40750
Repair Ray PA View(1 Film) Film)
USG CT scan Lower Abdomen Without

S14.33 Tuboplasty/Open Tubal Recanalisation IP Abdomen,HSG(Hysterosalpingography),CT 1575 26590 Contrast,HSG(Hysterosalpingography),Intra &
scan Lower Abdomen Without Contrast Post OP Photos,USG Abdomen
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Scar revision procedures involving

natural orifices
Post traumatic squeal like
S14.34.2 contractures, severe hypertrophy, IP Clinical Photograph 5000 38770 Clinical Photograph
unstable scars, non-healing ulcers etc.,
Injection treatment - each sitting for

S14.35 keloid,haemangioma, lymphangioma IP Clinical Photograph 1000 Scar Photo
and vascular malformations
Corrective surgery for congenital
S14.36.1 IP X- Ray Foot,Clinical Photograph 4725 50000 Clinical Photograph,X- Ray Foot
deformities of foot -per foot
Corrective surgery for Hyperchalonism CT Orbits With Contrast,Clinical
S14.36.2 IP 1575 52740 Clinical Photograph,X-Ray Orbit
elecanthes Photograph
Tissue expansion -for functional
purpose
S14.37.2 Cleft hand / foot Correction IP X-Ray,Clinical Photograph 4500 60000 Clinical Photograph,X-Ray
Case Sheet with operation Notes,Clinical
S14.37.3 Tessiers cleft IP Clinical Photograph 4725 51500
Photograph
clinical and/or relevant imaging
S14.38.1 Pressure Sore ? Surgery IP 4725 48000 clinical and/or relevant imaging Photographs
Photographs
clinical and/or relevant imaging
S14.38.2 Diabetic Foot ? Surgery IP 3150 30000 clinical and/or relevant imaging Photographs
Photographs
Case Sheet with operation Notes,Clinical
S14.39 Hypospadias cripples IP Clinical Photograph 4725 39680
Photograph
Surgical correction for Congenital
S14.4 IP CT-Scan,X-RAY 3375 24126 Clinical Photograph
Deformity of Hand -Per Hand
CT of Nose \ Nasopharynx,X-Ray Facial
S14.40.1 Nose fractures with implants IP 1575 45000 Intra & Post OP Photos,X-Ray Facial Bones
Bones
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Closed reduction -1 jaw using wires - Clinical assessment and Intra & Post OP Photos,Clinical assessment and
S14.40.2 IP 4725 5000
under LA investigations,Clinical Photograph investigations
Orthopantomography (OPG),Clinical
S14.40.3 Alveolar bone grafting with bone graft IP 3150 30320 Intra & Post OP Photos,X-Ray Facial Bones
Photograph
Surgical Correction Of Fracture Lefort Orthopantomography (OPG),3D CT Facial
S14.40.4 IP 4725 51080 Intra & Post OP Photos,X-Ray PNS
III Bones
Exicision of benign lision -With graft /
S14.41.1 IP Clinical Photograph 1575 14000 USG/FNAC,Post op Photo
without graft
S14.41.2 Estlander Operation -lip DC Doppler report 1575 9300 Doppler report,Scar Photo,Operative Photos
Lip reconstruction with flap -more Clinical Photograph,Clinical picture,Biopsy Intra Op Photo,POST OP SCAR Photo,Biopsy
S14.41.3 IP 3150 40000
than 1/3rd report report
USG local area,sclergent used,Clinical Routine Histopathological Examination,Clinical
S14.41.4 Hemangioma Scleotherapy IP 9150
Clinical Photograph,Clinical photograph
S14.41.5 Plexiform neurofibroma IP showing more than 3 leisions,Café-au-lat 3150 5000 Intra Op Photo,Biopsy report,SCAR Photo
spots,FNAC
Surgical correction for
S14.5 IP MRI,3D CT 90173 Clinical Photograph
Craniosynostosis
Surgical Correction of anamolies of Ear
-cup and bat ears
Management of electrical burns with
vitals exposed with flap cover
Reduction Surgery For Filarial
Lymphoedema
Surgical Correction of Hemifacial
S14.9 IP MRI,3D CT 5000 90644 Clinical Photograph
Atrophy
S2.8 MAXILLA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Open reduction and internal fixation of 3D CT facial bones,3D CT facial bones,3D Pre& Post of X-ray,Pre& Post of X-ray,Pre& Post
S2.8.4 ST 25000
maxilla - Bilateral CT facial bones of X-ray
S9.4
PROCEDURES
Children Photo
Children Photo
SC068 REGIONAL FLAP
SC068A Myocutaneous flap IP 54000
SC068B Fasciocutaneous flap IP 54000
OR ZYGOMA
SL034B ST 18000
mandible
SL034C ST 18000
zygoma
REVASCULARIZATION OF LIMB OR
SP003
DIGIT
SP003A Revascularization of limb Or digit IP 39900
EAR PINNA RECONSTRUCTION WITH
COSTAL CARTILAGE OR PROSTHESIS -
SP004
INCLUDING THE COST OF PROSTHESIS
OR IMPLANTS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Ear Pinna Reconstruction with costal

SP004B cartilage Or Prosthesis - -including the IP 100000
cost of prosthesis Or implants
SP005 SCALP AVULSION RECONSTRUCTION

SP005A Scalp avulsion reconstruction IP 60000
TISSUE EXPANDER FOR
DISFIGUREMENT FOLLOWING BURNS
SP006 OR TRAUMA OR CONGENITAL
DEFORMITY -INCLUDING COST OF
EXPANDER OR IMPLANT
Tissue Expander for disfigurement
SP006B IP 62500
following trauma
Tissue Expander for disfigurement
SP006C IP 62500
following congenital deformity
SP007 HEMANGIOMA
SP007A Sclerotherapy under GA ST 20000
SP007B Debulking IP 40000
SP008 NPWT
SP008A NPWT ST 4700
SP009 DIABETIC FOOT ? SURGERY
SP009A Diabetic Foot ? Surgery IP 3800
S15 POLYTRAUMA
ray
S15.1 ORTHOPEDIC TRAUMA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S15.1.2 Amputation Surgery IP X-RAY 12250 10262 Clinical Photograph

S15.1.3 Management of Soft Tissue Injury IP Clinical Photograph 8375 6671 Clinical Photograph
S15.10 OTHERS
Repeated HB and Transfusion clinical
S15.10.1 Blood Transfusion for trauma patients ST HB, PR and reason for tranfusion,BP 1575 2000
photograph
@ Rs.900/-Neuro surgical trauma Photograph
S15.2.1.2 Surgical Trauma in Neuro Icu IP CT,X-RAY,CT,X-RAY,CT,X-RAY,CT,X-RAY 8375 49258
@Rs.4000/Day
S15.3 CHEST INJURIES
Conservative management for Chest
S15.3.1.1 IP CT,X-RAY 5541 Clinical Photograph
Injuries In General [email protected]/Day
Intesive care management for Chest

S15.3.1.2 IP CT,X-RAY 35918 Clinical Photograph
injuries in RICU Rs. 4000/- per day
S15.3.2 Surgical Treatment for Chest injuries IP CT,X-RAY 29566 X-RAY

S15.4 ABDOMINAL INJURIES
Conservative management for
S15.4.1.1 Abdominal Injuries In General IP CT,X-RAY,USG 3375 5541 USG
[email protected]/Day
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Intensive care management for

S15.4.1.2 abdominal injuries in surgical ICU @ IP CT,X-RAY,USG 5000 28734 USG
Rs.4000/-
Surgical Management for Abdominal
S15.4.2 IP CT,X-RAY,USG 10000 76965 Clinical Photograph,USG
Injuries
S15.5.2 Thoracostomy IP Clinical Photograph 10796 Clinical Photograph
WOUND MANAGEMENT FOR
S15.6
COMPOUND FRACTURES
Surgical Management of Grade IandII
S15.6.1 IP Clinical Photograph,X-Ray 8375 15393 Clinical Photograph
Compound Fractures
Surgical Management of wound In
S15.6.3 Compound Fracture with Flap cover- IP Clinical Photograph,X-Ray 8375 26682 Clinical Photograph
86.7
OTHER SMALL BONE FRACTURES-K-
WIRING (TO BE COVERED ALONG WITH
S15.7
OTHER INJURIES ONLY AND NOT AS
EXCLUSIVE PROCEDURE)
Surgical management with K-Wiring
for Small bone fractures -To Be
S15.7.2 IP X-Ray 8375 5132 X-Ray
Covered Along With Other Injuries
Only And Not As Exclusive Procedure
S15.8 FACIAL INJURIES
Surgical Management with Facial Bone
Fractures -Facio- Maxillary Injuries
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Surgical Correction Of Pelvic Bone

S15.9.1 IP X-Ray 15000 35814 X-Ray
Fractures.
fracture
CONSERVATIVE MANAGEMENT OF
SN063
HIGH CERVICAL INJURY
SN063B Moderate head injury IP 66900
SN063D Simple head injury IP 50250
INCLUDING IMPLANTS
implants
ST003A IP 75000

ST003B IP 75000
bone.
ST004
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

ST004A IP 35000
ST004B IP 45000
ST005
long bones
FRACTURE
fracture
ST008A IP 37500
Nerve repair
ST009
TENDON INJURIES
ST009B IP 25560
transfer
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

ST010
ST010A IP 11360
ST010B IP 75000
graft
COCHLEAR IMPLANT SURGERY FOR
S16.1
CHILDREN BELOW 5 YEARS
S16.1.1 Cochlear Implant Surgery IP 533624
Already unilateral surgery done in
other Scheme and proposed opposite
S16.1.2 side -Second Implant ear cochlear IP 533624
implantation under Dr,YSR Aarogyasri
Scheme
Already unilateral surgery done in
Dr,YSR Aarogyasri Scheme previously
S16.1.3 and proposed opposite side -second IP 533624
Implant ear cochlear implantation in
same Dr.YSR Aarogyasri scheme
106724
S16.1.4 Bilateral Cochlear Implantation IP
8
S16.2 AUDITORY-VERBAL THERAPY
Initial Mapping/Switch On for Auditory
S16.2.1 IP Mapping Charts, Progress Reports 51310 Mapping Charts, Progress Reports
- Verbal Therapy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Post Switch On Mapping/Initiation Of

S16.2.2 AVT And Training Of Child And Mother - IP Mapping Charts, Progress Reports 20524 Mapping Charts, Progress Reports
First Installment

Second Installment

Third Installment

Fourth Installment
S16.3 HEARING IMPAIRED
Behind Ear Analogue Hearing Aid for
S16.3.1 IP Audiometry,Audiometry 10262 Clinical Photograph,Clinical Photograph
Hearing impaired
S16.4 External Processor
Certificate of Warranty period
expiry,Letter from Hospital along with
photo,The hospital has to get certified
that this processor services has been
Additional External Processor for
S16.4.1 IP withdrawn and cannot be repaired from 250000
conginital deaf children
the present company rendering the
services,Fir Copy,Police complaint copy by
patient/Attendant.,External processor is
non-functioning
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S17.1.1 Symes Prostheses

SYMES Prostheses - High Density
S17.1.1.1 Ppolyethylene -HDP / Polypropylene - IP Clinical Photograph 7700 1000 Clinical Photograph
PP
S17.1.1.2 SYMES Prostheses - Fibre IP Clinical Photograph 7700 1200 Clinical Photograph
S17.1.1.3 SYMES Prostheses - Modular IP Clinical Photograph 7700 1500 Clinical Photograph
S17.1.2 Below Knee(BK/PTB) Prostheses
Below Knee/ Petellar Tendon Bearing -
S17.1.2.1 High Density Ppolyethylene -HDP / IP Clinical Photograph 7700 1200 Clinical Photograph
Polypropylene -PP
Below Knee/Petellar Tendon Bearing -
Fibre
Below Knee/Petellar Tendon Bearing -
Modular
S17.1.3 Through Knee Prostheses
Through Knee - High Density
PP
S17.1.3.2 Through Knee - Fibre IP Clinical Photograph 7700 1800 Clinical Photograph
S17.1.3.3 Through Knee - Modular IP Clinical Photograph 7700 3500 Clinical Photograph
S17.1.4 Above Knee(AK) Prostheses
Above Knee - High Density
PP
S17.1.4.2 Above Knee - Fibre IP Clinical Photograph 7700 1800 Clinical Photograph
S17.1.4.3 Above Knee - Modular IP Clinical Photograph 7700 3500 Clinical Photograph
S17.1.5.1 Hip disarticulation prostheses - Hdp/Pp IP Clinical Photograph 7700 2500 Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S17.1.5.2 Hip disarticulation prostheses - Fibre IP Clinical Photograph 7700 3000 Clinical Photograph
Hip disarticulation prostheses -
Modular
Hip disarticulation prostheses - Partial
Foot Prostheses
S17.2 UPPERLIMB
Upper Limb - High Density
PP
S17.2.1.2 Upper Limb - Fibre IP Clinical Photograph 7700 1800 Clinical Photograph
S17.2.1.3 Upper Limb - Modular IP Clinical Photograph 7700 3500 Clinical Photograph
Above Elbow - High Density
PP
S17.2.2.2 Above Elbow - Fibre IP Clinical Photograph 7700 2000 Clinical Photograph
S17.2.2.3 Above Elbow - Modular IP Clinical Photograph 7700 4000 Clinical Photograph
Whole Upper Limb - High Density
PP
S17.2.3.2 Whole Upper Limb - Fibre IP Clinical Photograph 7700 1200 Clinical Photograph
S17.2.3.3 Whole Upper Limb - Modular IP Clinical Photograph 7700 1500 Clinical Photograph
HAEMODIALYSIS OR PERITONEAL
MG072
DIALYSIS
MG072C Acute Haemodialysis DC 1050
MG072D Chronic Haemodialysis DC 1050
S19.2 HEART TRANSPLANTATION SURGERY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Serological Tests for HBV,PRA,VO2,C/S Of

Nasal, Axillary, Groin, Dorsum of Hands
for MRSA,Blood Group RH
Type,Coagulation Profile ? BT, CT, APTT,
PT,Oxygen Saturation Values at Rest and
Exercise,PFT,USG Abdomen, HR CT
Chest,Cardiac Cath with CAG and
calculation OF TPG and / or 107751
S19.2.1 Heart Transplantation Surgery IP
PVR,Serological Tests for 0
HBV,PRA,VO2,C/S Of Nasal, Axillary, Groin,
Dorsum of Hands for MRSA,Blood Group
RH Type,Coagulation Profile ? BT, CT,
APTT, PT,Oxygen Saturation Values at Rest
and Exercise,PFT,USG Abdomen, HR CT
Chest,Cardiac Cath with CAG and
calculation OF TPG and / or PVR
S19.2.2 Heart Transplantation Rejection IP 307860

S19.2.3 Heart Transplantation Infection IP 153930
S2.8 MAXILLA
Open reduction and internal fixation of 3D CT facial bones,3D CT facial bones,3D Pre& Post of X-ray,Pre& Post of X-ray,Pre& Post
S2.8.4 ST 25000
maxilla - Bilateral CT facial bones of X-ray
OR ZYGOMA
SL034B ST 18000
mandible
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

SL034C ST 18000
zygoma
SN035 NEURECTOMY
INCLUDING IMPLANTS
implants
M1 CRITICAL CARE
Spirometry,clinical photo intubated with
Medical Management of Acute Severe ventilator,ABG,Serum ABG,other lab investigation,ABG,other lab
M1.1 IP 1575 51310
Asthma With Acute Respiratory Failure IgE,Spirometry,clinical photo intubated investigation
with ventilator,ABG,Serum IgE
HRCT Chest,ventilator when
Medical Management of COPD with
necessary,Blood gases,HRCT ABG,other lab investigation,ABG,other lab
M1.2 Respiratory Failure -Infective IP 1575 82095
Chest,ventilator when necessary,Blood investigation
Exacerbation
gases
Clinical photoHRCT
Medical Management of Acute
Scan,Ventilator,SputumC/S,FOB,Clinical ABG,other lab investigation,ABG,other lab
M1.3 Bronchitis with Pneumonia and IP 61572
photoHRCT investigation
Respiratory Failure
Scan,Ventilator,SputumC/S,FOB
Clinical photoHRCT
Scan,Ventilator,SputumC/S,FOB,Clinical ABG,other lab investigation,ABG,other lab
M1.4 Medical Management of ARDS IP 1575 102619
photoHRCT investigation
Scan,Ventilator,SputumC/S,FOB
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Clinical photoHRCT
Medical Management of ARDS with Scan,ABGS,Ventilator,SputumC/S,,FOB,Cli ABG,other lab investigation,ABG,other lab
M1.5 IP 2250 118013
Multi Organ failure -R65.1 nical photoHRCT investigation
Scan,ABGS,Ventilator,SputumC/S,,FOB
Clinical photoHRCT
Medical Management of ARDS with
Scan,ABGS,Ventilator,SputumC/S,FOB,Clin ABG,other lab investigation,ABG,other lab
M1.6 DIC -Blood and Blood Products,Swine IP 2250 143668
ical photoHRCT investigation
Flu -D65
Scan,ABGS,Ventilator,SputumC/S,FOB
Clinical photo Renal chemistry

Medical Management of Poisioning
M1.7 IP Drug/Poison level in blood,Blood 51310 ABG,other lab investigation
Requiring Ventilatory Assistance
gases,Ventilatory assistance,Intubation
Clinical phot Renal Chemistry,Ventilatory

Intensive care management of Septic
M1.8 IP assistance,Intubation,USG,Urine 1575 61572 ABG and other Lab Investigations
Shock
Culture,Blood Culture,Blood gases
M1.9 Poisonings with unstable vitals ST Gastric Content Anaysis,ECG,RFT,LFT 2250 35000 clinical notes
M10 RHEUMATOLOGY
Serum Uric Acid Levels,T3,Lipid
Profile,T4,TSH,FBS (Fasting Blood
Sugar)/Post Lunch Blood Sugar
(PLBS),Synovial Fluid Analysis,X-Ray,Serum
M10.11 Medical Management of Gout IP 1575 10000 Serum Uric Acid Levels,Serum Uric Acid Levels
Uric Acid Levels,T3,Lipid
Profile,T4,TSH,FBS (Fasting Blood
Sugar)/Post Lunch Blood Sugar
(PLBS),Synovial Fluid Analysis,X-Ray
M12 GASTROENTEROLOGY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

M12.19A Hepatitis -Viral, Alcohol, Drugs, Misc. IP 30000
Infections
Medical Management of Acute Liver
M12.34A IP 15392
Failure
M2 GENERAL MEDICINE
Medical Management of Aspiration / BiopsyReport,Report and
M2.1 Thrombocytopenia With Bleeding IP video clip online,Bone Marrow,Parasite F / 30786 Lab Investigations
Diathesis V,Leptospira,PT APTT,Platelet count
Complete Haemogram,Bone Marrow

Aspiration,Colono Scopy,Upper GI endoscopy
,Folic Acid Levels,Vitamin B12,Perpheral Smear
Complete Blood Picture [CBP] ,ECG,2D
Medical Management of Anaemias - For Malarial Parasites(MP),Stool For Occult
M2.10 IP Echo,ICU Photo on Ventilator,Erythrocyte 1575 20234
Less Than 7 Gms with Heart Failure Blood,UIBCIBC(Unsaturated Iron Binding
Sedimentation Rate (ESR)
Capacity Test/Total),serum iron,Serum Ferritin
Levels,Chest X-Ray PA View(1 Film),USG
Abdomen
Bone Marrow Aspiration ,Coombs Test

Complete Blood Picture [CBP] Direct,Lactate Dehydrogenase(LDH),Complete
M2.11 Medical Management of Pancytopenia IP 1575 20000
,Erythrocyte Sedimentation Rate (ESR) Haemogram,CUE(pH,Specific
Medical Management of Periodic Serum Electrolytes,CPK,RBS,ECG (Electro
M2.12 IP 15000 Serum Electrolytes,ECG(Electro Cardiogram)
Paralysis Cardiogram)
Chest Xray,CBC,Sputum Exam,PFT(if
M2.16 Acute bronchitis ST 7000 clinical notes
necessary)
Chest Xray,CBC,Sputum Exam,PFT(if
M2.17 Severe Asthma ST 5000 clinical notes
necessary)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
M2.18 Acute COPD ST ABG-Respiratory Failure,Chest X-Ray 1575 5000 PFT,clinical notes
Anti-Streptolysin O(ASO) Titres ,C- Reactive
Complete Blood Picture [CBP],ECG Protein,Erythrocyte Sedimentation
M2.19 IP (Electro Cardiogram),Erythrocyte 1575 15000 Rate(ESR),Complete Blood Picture[CBP],Throat
Rheumatic Fever
Sedimentation Rate (ESR) Swab For KLB ,ECHO Cardiogram,ECG(Electro
Cardiogram)
INTERVENTIONS LIMITED TO ACUTE
M2.19.1 RHEUMATIC FEVER AND RELATED IP BLOOD CULTURE,2D ECHO 1575 30000 BLOOD CULTURE,2D ECHO
CONDITIONS
Medical Management of Hemophilia - PT APTT,Factor VIII / IX,Report and video
M2.2 IP 1575 61573 Lab Investigations
D67 Or D68.0 clip online
Medical Management of Other
M2.2.2 IP Von willi brands factor 45153 Lab Investigations
Coagulation Disorders
Complete Blood Picture [CBP],Widal
Medical Management of Typhoid And
M2.20 IP test,Blood Culture & Sensitivity - 10000 Case Sheet with treatment details
Paratyphoid Fevers
Automated /Clinical Photograph
Venous Doppler,CT-PTA,A PTT,Clinical Color Doppler Sonography Single Study,Blood
M2.21 IP Photograph,Complete Blood Picture 1575 25000 Coagulation Analyzer(BCA) Or Coagulation
Thrombosis
[CBP],D-Dimer Test Profile,Case sheet with clinical improvement
ECG(Electro Cardiogram),Renal Profile,Case

Clinical Photograph,Chest X- Sheet with treatment details,CUE(pH,Specific
Medical Management of Hypertensive
M2.22 IP Ray,RFT,ECG,Case sheet with clinical 1575 7500 Gravity,Sugar,Protein And Microscopy),ECHO
Emergencies
History Cardiogram,Cerebrospinal Fluid (CSF) Analysis
Cell Count
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Serum Electrolytes,Random Blood Sugar(RBS)

Serum Electrolytes,CXR,USG,ICU Photo on Test,Clinical Photograph,Case Sheet with
Medical Management of Metabolic Ventilator,Random Blood treatment details,Cerebrospinal Fluid (CSF)
M2.23 IP 1575 35000
Encephalopathy Sugar(RBS)Test,LFT(liver function Analysis Cell Count,CT-Scan Brain Plain And
tests),Renal Profile Contrast/MRI Brain Without Contrast,Renal
Profile,LFT(liver function tests)
M2.25 Hyper Pyrexia ST Complete hemogram,CUE,CXR 4500 clinical notes
Serum electrolytes,LFT,Serum
M2.26 Recurrent vomiting with dehydration DC 2500 clinical notes
Creatinine,RBS
M2.27 Dysentery DC Stool Test,Serum Creatinine,Blood Sugar 1500 clinical notes
Stool For Microscopy,Clinical
Photograph,Complete Blood
Medical Management of Acute Clinical Photograph,Case Sheet with treatment
M2.28 IP Picture[CBP],LFT(liver function 15000
Gastroenteritis details
tests),Blood Culture & Sensitivity -
Automated
M2.29 Unexplained jaundice ST LFT,HIV,US Abdomen,HCV,HBS AG 1575 6500 clinical notes
Heamogram,Agargel Electrophosis for

Hemoglobin,Renal Function Test,Liver
Function Test,Complete Blood
Picture,Peripheral
Medical Management of Chelation Smear,Heamatocrit,S.Iron,Ferritin,Serum,
M2.3 IP 10393 Lab Investigations,Lab Investigations
Therapy For Thalassemia Major Heamogram,Agargel Electrophosis for
Hemoglobin,Renal Function Test,Liver
Function Test,Complete Blood
Picture,Peripheral
Smear,Heamatocrit,S.Iron,Ferritin,Serum
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CXR,Viral Markers,Intra & Post OP

M2.30 HIV with minor complications ST 7000 clinical notes,CD4 count
Photos,Western blot Test
Blood transfusion -Children, Pregnant Blood Grouping,Hb%,Anemia repeated
M2.31 DC 2000 clinical notes
women, Anemic admission HPLC scan copy,RH Typhe
Bone Marrow Aspiration ,Coombs Test

Medical Management of Complete Blood Picture [CBP] Direct,Lactate Dehydrogenase(LDH),Complete
M2.32 IP 1575 30000
Myelodysplastic Syndromes ,Erythrocyte Sedimentation Rate (ESR) Haemogram,CUE(pH,Specific
Non Obstructive Hydrocephalus / NPH
M2.33 ST CT Brain,CFS Analysis SOS 9000 clinical notes
/BIH
US Abdomen,BT CT Platelet
M2.34 Emergency management of Hematuria ST 5000 clinical notes
count,CUE,Urine Analysis
Electrolytes,CPK,ABG,RFT,Blood
M2.35 Heat stroke ST 6000 clinical notes
sugar,CBP
US Abdomen,X ray,Erect
M2.36 Acute abdomen ST 6000 clinical notes
Abdomen,CRP,CBP,serum Amylase,CXR
USG Abdomen,CT KUB,Sr.Calcium,Urine
M2.37 Renal colic ST Culture (if required),Urine 6000 clinical notes
Analysis,Xray,KUB
LFT,HIV,US Abdomen,HCV,HBS
M2.38 Unexplained hepatosplenomegaly ST AG,CBP,Peripheral smear,BM Aspiration if 7000 clinical notes
required,APTT,PT,Sr ammonium
M2.39 Chikungunya fever ST CBP,ELISA 6500 clinical notes
Medical Management of Cerebral
M2.4 IP CSF Analysis,Parasite F Test and QBC 25655 Clinical and Lab Investigations
Malaria
M2.40 Scorpion Bite DC Clinical Photograph 1700 Treatment photo,Casesheet
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
ACTH assay,cortisol assay after dexa

methasone ,lab investigations,ACTH ACTH assay,clinical and lab investigation,ACTH
M2.41 Addison?s disease IP 20000
assay,cortisol assay after dexa methasone assay,clinical and lab investigation
,lab investigations
Electrolytes,ABG,CPK total,LFT,RFT,Blood
M2.42 Heat stroke with ICU IP 1575 6000 clinical notes
sugar ,CBP
M2.43 HYPERKALEMIA MANAGEMENT ST Serum electrolites,2D Echo,ECG 14562 Serum electrolites,ECG
RBS. S.Electrolytes,CT Brain,RBS.
M2.44 HYPOGLYCEMIA MANAGEMENT ST 6800 RBS,RBS
S.Electrolytes,CT Brain
M2.46 Anaphylaxis ST CBP,clinical picture,RFT,S.Electrolytes 12880 Clinical picture,S.Electrolytes,CBP
RBS,Clinical photo, Xray,Colour Dopler

M2.47 IP leg,HV A1c,RBS,Clinical photo, Xray,Colour 1575 32376 RBS,Clinical photo,RBS,Clinical photo
FOOT
Dopler leg,HV A1c
M2.48 PTB DEFAULTER ST HB , LFT,PLATELETS ,TC 7000 RBS,CBP,VIRALS,CHEST X-RAY
CT BRAIN, RFT, CBP, HB,VIRAL
OLD CVA WITH RIGHT
M2.49 ST MARKS,URINE ANALYSIS,ELOTROYES, S. 1575 7000 GRBS,RFT
HEMIPARESIS,T2DM
CREATINE,GRBS
M2.5 Medical Management of TB Meningitis IP ABG,CT Scan Brain CSF ADA Analysis 1575 30787 Lab Investigations
M2.50 HYPONETRENIA ST CT Brain,S. Electrolytes 1575 15861 S. Electrolytes
MEDICAL MANAGEMENT OF CBP,CX-R,ECHO,CT Brain,ECG,S.
M2.51 IP 2250 22253 ECG,ECHO,S. Electrolytes
PNEUMONIA WITH SEPTIC SHOCK Electrolytes
IJV CATHETER INSERTION WITHOUT
M2.52 IP LFT,RFT 5000 LFT,RFT
DIALYSIS
M2.53 PLASMAPHERESIS - PER SESSION IP ROUTINE 2000 ROUTINE
M2.54 ACUTE CEREBELLAR SYNDROME IP MRI BRAIN 1575 15000 MRI BRAIN
M2.55 ALCOHOL WITHDRAWL SEIZURES IP RBS,CT BRAIN 15000 RBS,CT BRAIN
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
M2.56 ALCOHOL WITHDRAWL SYNDROME IP RBS,CT BRAIN 15000 RBS,CT BRAIN

M2.57 alcoholic cardiomyopathy IP 2D ECHO,ECG 15000 2D ECHO,ECG
LEPTOSPIROSIS WITH HEPATITIS WITH
M2.58 IP LEPTO IGG,IGM 2250 15000 LEPTO IGG,IGM
VIRAL FEVER
NEUROTIC, STRESS-RELATED AND
M2.59 SOMATOFORM DISORDERS -ROUTINE IP CT BRAIN,EEG 1575 15000 CT BRAIN,EEG
WARD
Medical Management of Snake Bite ABG 8 hrly (3-day X 7-days),CT Scan
Requiring Ventilator Support Brain,EEG,Blood Sugar 4 hrly
Photo at the site of wound,Renal function
M2.6.1 Medical Management of Snake Bite IP test and Serum Creatinine,Bleeding time 1575 25000 Serum,CT Brain,Electrolytes
Clotting time,Blood Urea,CBP,PT INR
M2.60 RICKETTSIAL Fever IP CBC,BLOOD CULTURE,ESR,CRP 1575 13000 CBC,BLOOD CULTURE,ESR,CRP
Medical Management of Paraquet
M2.63 IP 109660
Poisoning
ABG 8 hrly (3-day X 7-days),Arterial Blood
Medical Management of Scorpion
M2.7 IP Pressure,CVP monitoring,ECG,Echo,Blood 25656 Lab Investigations
Sting Requiring Ventilator Support
Sugar 8 hrly
ABG,Arterial Blood Pressure,CVP
Medical Management of Metabolic monitoring,ECG,Echo,Thyroid
Coma Requiring Ventilatory Support Profile,S.Creatininine,Blood Urea,Blood
Sugar
Complete Blood Picture [CBP],ICU Photo
on Ventilator ,LFT(liver function Platelet Count ,Case Sheet with treatment
Medical Management of Dengue
M2.9 IP tests),Renal profile,CUE (Ph, Specific 39500 details ,Stool For Microscopy,Dengue
Haemorrhagic Fever
Gravity,Sugar,Protein And Serology,PCV
Microscopy),Platelet Count
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
M2.13 SEIZURES
Serum Electrolytes,Eeg,Ct Brain,Serum
Prolactin,Malaria Peripheral
M2.13.1 Seizures ST 1575 15688 Clinical Notes
Smear,Malaria Antibodies,Dengue
Serology,Cbp,Serum Creatine,Rbs
Serum Electrolytes,Serum
Prolactin,Malaria Peripheral
M2.13.2 Seizures without Ventilator -ICU ST Smear,Malaria Antibodies,Dengue 18098 Clinical Notes
Serology,Cbp,Ct Brain(Sos) If
Needed,Eeg,Serum Creatine,Rbs
Serum electrolytes,ABG,CT Brain(SOS) if
M2.13.3 Seizures with ventilator -ICU ST 1575 30000 clinical notes
needed,EEG,Serum Creatine,RBS
M2.14 DIABETIC KETOACIDOSIS
CBP,RBS,Urine Ketones,Serum
Electrolytes,Serum
M2.14.1 Diabetic ketoacidosis ST 1575 15000 clinical notes,clinical notes
creatine,CBP,RBS,Urine Ketones,Serum
Electrolytes,Serum creatine
CBP,ABG,RBS,Urine Ketones,Blood
Diabetic ketoacidosis without
M2.14.3 ST culture,ECG,Chest Xray,Serum 1575 19500 clinical notes
Ventilator -ICU
CBP,ABG,RBS,Urine Ketones,USG
Abdomen,CUE,Urine Culture,Serum
M2.14.4 Diabetic ketoacidosis with ventilator ST 1575 71993 clinical notes
Bicorbonate ,Blood culture,ECG,Chest
Xray,Serum Electrolytes,Serum creatine
M2.15 GASTRO INTESTINAL BLEED
M2.15.1 Upper GI bleeding -conservative ST Gastroscopy,Viral Markers CBP 7000 clinical notes
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
PT,CT,BT ,US abdomen,Platelet

M2.15.2 Lower GI hemorrhage ST 5000 Colonoscopy,clinical notes
count,APTT
M2.4 MALARIA
Perpheral Smear For Malarial Parasites
(MP),ABG,LDH,Parasite F Test and Perpheral Smear For Malarial Parasites(MP) Or
Medical Management of Falciparum
M2.4.1 IP Quantitative Buffy Coat (QBC),Renal 1575 10000 Parasite F Test and Quantitative Buffy
Malaria
Profile,LFT(liver function tests) ,Complete Coat(QBC),Clinical Photograph
Blood Picture [CBP]
Perpheral Smear For Malarial Parasites

M2.4.2 Medical Management of Vivax Malaria IP (MP) Or Parasite F Test and Quantitative 10000 Case sheet with clinical improvement
Buffy Coat(QBC),ICU Photo on Ventilator
M2.9 DENGUE
Chest X-Ray PA View(1 Film),USG
Platelet Count,Case Sheet with treatment
M2.9.1 Medical Management of Dengue Fever IP Abdomen,Dengue Check,Platelet 1575 10000
details,PCV,Dengue Serology
Count,Complete Blood Picture [CBP]
M5 CARDIOLOGY
Medical Management of CAD - Chronic
M5.12A DC 10000
Stable Angina
Medical Management of Pulmonary
M5.3B IP 35916
Embolism
Medical Management Of Simple
M5.5.1A DC 8000
Arrhythmias
M7 NEUROLOGY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Lumbar Puncture CSF analysis,MRI Brain

and Optic nerves,VEPs,Lumbar Puncture
clinical and lab investigation,clinical and lab
M7.11 Medical Management of Optic Neuritis IP CSF analysis,MRI Brain and Optic 1575 11176
investigation,clinical and lab investigation
nerves,VEPs,Lumbar Puncture CSF
analysis,MRI Brain and Optic nerves,VEPs
M8 PULMONOLOGY
Medical Management of Pleural
M8.10A IP 15000
Effusion
MG0100 CHRONIC PD CATHETER INSERTION
MG0100A Chronic PD catheter Insertion ST 4100
DIFFUSE ALVEOLAR HEMORRHAGE
MG0106 ASSOCIATED WITH
SLEORVASCULITISORGP SYNDROME
Diffuse alveolar Hemorrhage
MG0106A Associated with SLE Or Vasculitis Or GP IP 136000
Syndrome
MG0107 SEVEREORREFRACTORY VASCULITIS
MG0107A Severe Or Refractory Vasculitis IP 75000
MG0112 HYBERBILIRUBINEMIA
MG0112A Hyberbilirubinemia IP 6500
MG044 RENAL COLIC
MG053 THYROTOXIC CRISIS
MG053A Thyrotoxic crisis IP 36305
MG060 ELECTROLYTE IMBALANCE
MG060F Hypokalaemia IP 15000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MG072
DIALYSIS
MG072B Peritoneal Dialysis DC 2850
CONTINUOUS RENAL REPLACEMENT
MG077 THERAPYORCONTINUOUS VENO-
VENOUS HEMOFILTRATION
MG077A Initiation cost for disposable IP 16180
DVT PNEUMATIC COMPRESSION
MG085
STOCKINGS -ADD ON PACKAGE IN ICU
DVT Pneumatic Compression Stockings
MG085A DC 900
-Add on package in ICU
Thrombolysis for acute ischemia of
S7.11.12.3B IP 10000
limb due to arterial abstruction
M3 INFECTIOUS DISEASES
Medical Management of Severe Swab for c/s,ABG Ventilator,Clinical
M3.1 IP 2250 28703 Clinical Photograph
Tetanus Photo intubation
Medical Management of Complicated Throat swab for c/s-3 times,ECG-5
Diphtheria times,Urine for ketone bodies
Medical Management of Cryptococcal Lumbar Puncture CSF
Meningitis analysis,Cryptococcal antigen
M2 GENERAL MEDICINE
ACTH assay,cortisol assay after dexa
methasone ,lab investigations,ACTH ACTH assay,clinical and lab investigation,ACTH
M2.41 Addison s disease IP 20000
assay,cortisol assay after dexa methasone assay,clinical and lab investigation
,lab investigations
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
RBS. S.Electrolytes,CT Brain,RBS.

M2.44 HYPOGLYCEMIA MANAGEMENT IP 6800 RBS,RBS
S.Electrolytes,CT Brain
CBP,RBS,Urine Ketones,Serum
Electrolytes,Serum
M2.14.1 Diabetic ketoacidosis IP 1575 15000 clinical notes,clinical notes
creatine,CBP,RBS,Urine Ketones,Serum
M4.1 NEONATAL INTENSIVE CARE
Medical management of term Baby
With Septicemia Culture Lumbar Puncture CSF Evidence for Clinical Improvement with lab
M4.1.1 IP 35917
Positive,Hyperbili rubinemia Not analysis,Neurosonogram investigations
requiring Ventilatory support.
Medical management of pre-term
Baby of 30 To 32 Weeks Septi cemia Neurosonogram on day 2 and 5, 2D ECHO Evidence for Clinical Improvement with lab
M4.1.10 IP 61572
Ductus Arteriosus -requiring -TWICE investigations
Mechanical Ventilation.
Medical management of pre-term
Baby of less than30 Weeks Severe
Hyaline Membrane Disease Septi 2D ECHO -TWICE,Neurosonogram on day Evidence for Clinical Improvement with lab
M4.1.11 IP 92358
cemia Culture Positive,Hyperbili 2 and 5 investigations
rubinemia Patent Ductus Arteriosus -
requiring Mechanical Ventilation.
Medical Management of Term Baby
With Persistent Pulmonary
Evidence for Clinical Improvement with lab
M4.1.12 Hypertension Ventilation-Hfo IP 2D ECHO - 4,Neurosonogram 2 51310
investigations
Hyperbilirubinem ia Clinically evident
septicemia.
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

With Severe Perinatal Asphyxia
CT-Scan,BERA CSF Evidence for Clinical Improvement with lab
M4.1.13 Clinically evident septicemia, IP 35917
analysis(LP),Neurosonogram 2 investigations
Hyperbilirubinem ia - Not requiring
Ventilatory support.
With Severe Perinatal Asphyxia
CT-Scan,BERA CSF Evidence for Clinical Improvement with lab
M4.1.14 Clinically evident septicemia, IP 51310
analysis(LP),Neurosonogram 3 investigations
Hyperbilirubinemia - requiring
Ventilatory support.
M4.1.15 Severe Hyperbilirubinemia Clinically IP Neurosonogram 35917
investigations
evident Septicemia.
CT-Scan,Metabolilc screening-blood and
Medical management of Seizures in urine ABG,lactate, Blood
M4.1.16 term baby requiring ventilatory IP ammonia,Neurosonogram,Lumbar 51310
investigations
support. Puncture CSF analysis,Ultra sound of
abdomin
Medical Management of Necrotising
Ultra sound of abdomin,LFT,Stool for
Enterocolitis, Clinically evident Evidence for Clinical Improvement with lab
M4.1.17 IP occult blood,Abdomen 35917
Septicemia, Hyperbilirubinem ia not investigations
radiograph,,Neurosonogram
requiring ventilatory support.
Medical Management of Term Baby,

2D ECHO,LFT,Stool for occult
Fulminant septicemia Culture Positive
blood,Abdomen radiograph,,BERA CSF Evidence for Clinical Improvement with lab
M4.1.18 with Septic Shock, Hyperbilirubinem ia IP 51310
analysis(LP),Neurosonogram,Ultra sound investigations
Renal Failure requiring ventilatory
of abdomin
support.
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Blood sugar,Blood Gas,Other X-rays,Chest

X ray,Screening,Others as required
Advanced Neonatal Care -Rs. 2500 per
Screening,Metabolic Screen,Coagulation
day : Babies of 1200-1499 g / with at
profile,MRI
least one of the conditions: on
Brain,ECG,EEG,Echocardiogram,USG
ventilation/HIE requiring
Cranium,USG abdomen,Serum CBP,Serial ABG and Ultra sound,LFT,RFT,Repeat
M4.1.19 hypothermia/Cardiac rhythm disorders IP 75000
Magnesium,Serum Calcium,Liver Function X - rays,CRP
needing intervention/Sepsis with
tests,Renal function
complications/Renal failure requiring
tests,Electrolytes,Other Body Fluid
dialysis/Inborn errors of metabolism
Cultures,CSF studies,Blood Culture,Micro
and KMC is mandatory
ESR,CRP,Coombs Test,Complete Blood
Counts,Blood group Bilirubin
Medical Management of Preterm Baby

33 To 34 Weeks with Severe Hyaline
M4.1.2 Membrane Disease Clinically evident IP 2D ECHO,Neurosonogram 61572
investigations
septicemia Hyperbilirubinemia
requiring Bubble Cpap.
Basic neonatal care package -Rs. 500

per day, maximum 1500 :? Any
newborn needing feeding support ?
Babies requiring closer monitoring for Blood sugar ,TSB,others as
M4.1.20 conditions like: o Moderate jaundice ST required,Coombs test,Blood 5000 clinical notes,TSB
requiring Phototherapy o Large for group,Complete blood count
dates - greater than97 percentile
Babies o Small for gestational age -less
than 3rd centile
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
LATE ONSET SEPSIS-AGE UPTO 28 CBP,CUE,NSCT,CREATININE

M4.1.28 IP 40000 BLOOD CULTURE CSF
DAYS ELECTROLYTES,UREA,QBC,CRP
PRE TERM WITH SEVERE
M4.1.29 IP CBP,NSG,S.ELECTROLYTES,CRP 60000 PT,APTT
INTRAVENTRICULAR HEMORRHAGE
Medical Management of pre term

baby of 33 To 34 Weeks with Severe
M4.1.3 Hyaline Membrane Disease Clinically IP 2D ECHO,Neurosonogram 61572
investigations
evident septicemia Hyperbilirubinemia
Medicalmanagement of Preterm baby

of 35 To 36 Weeks with Mild Hyaline
2D ECHO,Neurosonogram 3,Lumbar Evidence for Clinical Improvement with lab
M4.1.4 Membrane Disease septicemia Culture IP 35917
Puncture CSF analysis investigations
Positive Hyperbilirubinem ia not
Medicalmanagement of Preterm baby

of 33 To 34 Weeks with Mild Hyaline
Positive Hyperbilirubinem ia not
Medical management of Preterm baby

of 33 To 34 Weeks with severe Hyaline
Positive Hyperbilirubinem requiring
ventilatory support/ bubble Cpap.
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Positive Hyperbilirubinem ia requiring
Mechanical ventilatory support.

of less than30 Weeks with severe
Hyaline Membrane Disease septicemia 2D ECHO,Neurosonogram 4,Lumbar Evidence for Clinical Improvement with lab
M4.1.8 IP 92358
Culture PositiveHyperbilirubinem ia Puncture CSF analysis investigations
requiring Mechanical ventilatory
support.

Membrane Disease septicemia Culture Evidence for Clinical Improvement with lab
M4.1.9 IP Neurosonogram 4,2D ECHO -TWICE 61572
Positive Hyperbilirubinem ia Patent investigations
Ductus Arteriosus- requiring
Mechanical ventilatory support.
M4.2 PEDIATRIC INTENSIVE CARE

Medical management of Severe
M4.2.1.1 IP ABG OD (ABG -5),CP 15393 X-RAY,pulse oxymetry,ABG
Bronchiolitis-Non Ventilated
Medical Management of Severe
respiratory distress in paediatric Arterial Blood Gas Analysis (ABG),Clinical Arterial Blood Gas Analysis(ABG),Chest X- Ray
M4.2.1.10 IP 35000
patient not requiring ventilatory Photograph,Chest X- Ray PA View(1 Film) PA View(1 Film)
support
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Arterial Blood Gas Analysis (ABG),Clinical Arterial Blood Gas Analysis(ABG),Chest X- Ray
M4.2.1.11 respiratory distress in paediatric IP 40000
Photograph,Chest X- Ray PA View(1 Film) PA View(1 Film)
patient requiring ventilatory support.
M4.2.1.2 IP CP,ABG 8th hrly (3/day X 7 days) 20524 X-RAY,pulse oxymetry,ABG
Bronchiolitis-Ventilated
M4.2.1.3 IP ABG OD (ABG -5),CP 15393 X-RAY,pulse oxymetry,ABG
Bronchopneumon ia-Non Ventilated
M4.2.1.4 IP ABG 8th hrly (3/day X 7 days) 20524 X-RAY,pulse oxymetry,ABG
Bronchopneumon ia-Ventilated
M4.2.1.6 IP ABG OD (ABG -3) 15393 X-RAY,pulse oxymetry,ABG
Aspiration Pneumonia -Non Ventilated

Aspiration Pneumonia - Ventilated
Clinical Photo,Ventilator,ABGS,Sputum C-
Medical Management of ARDS With S,FOB,HRCT Scan,Clinical ABG and other Lab Investigations,ABG and other
M4.2.1.8 IP 118013
Multi- Organ Failure Photo,Ventilator,ABGS,Sputum C- Lab Investigations
S,FOB,HRCT Scan
Clinical Photo,Ventilator,ABGS,Sputum C-
Medical Management of ARDS Plus DIC S,FOB,HRCT Scan,Clinical ABG and other Lab Investigations,ABG and other
M4.2.1.9 IP 143668
-Blood and Blood Products Photo,Ventilator,ABGS,Sputum C- Lab Investigations
S,FOB,HRCT Scan
RFT,CUE,KUB,Platelet count,Complete
M4.2.10 Haemolytic uremic syndrome ST 3000 clinical notes
Hemogram
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management of Severe ECG,ABG 12 hrly, arterial blood

M4.2.2.1 IP 41068 X-RAY,pulse oxymetry,ABG
Myocarditis in Paediatric patient pressure,ECHO
Medical Management of Congenital
Heart Disease With Infection And
Cardiogenic Shock -Ventilated in
Paediatric patients
Medical Management of Cardiogenic
Shock in Paediatric patients
Medical Management of Infective
Endocarditis
ECHO Cardiogram,Anti Nuclear Anti Body

(ANA) Indirect Immunofluorescence (IIF)
/Anti Nuclear Anti Body (ANA)
Titres,Throat Swab For KLB,Complete
Medical Management of Rheumatic Blood Picture [CBP],ECG (Electro Chest X-Ray PA View(1 Film),Case Sheet with
M4.2.2.6 IP 15393
heart disease in Paediatric patient Cardiogram),Chest X Ray,Blood Culture & treatment details
Sensitivity - Automated,CUE (pH , Specific
Gravity , Sugar , Protein And
Microscopy),Erythrocyte Sedimentation
Rate (ESR),Anti-Streptolysin O (ASO) Titres
CXR,Arterial Blood Gas ECG (Electro Cardiogram),CXR,Case Sheet with

Medical Management of Cyanotic
M4.2.2.7 IP Analysis(ABG),ECHO 10000 treatment details,Arterial Blood Gas
heart disease in Paediatric patient
Cardiogram,ECG(Electro Cardiogram) Analysis(ABG)
CHF-Acute Decompensation-Medical ECHO Cardiogram,Chest X-ray PA
M4.2.2.8 DC 10000 Case Sheet with treatment details,ECHO
Management Without Ventilator view,ECG (Electro Cardiogram)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management of Meningo- Evidence for Clinical Improvement with lab

M4.2.3.1 IP CT-Scan,CSF analysis,EEG 41048
Encephalitis -Non Ventilated investigations
Medical Management of Meningo-
CT-Scan,arterial monitoring,ABG 8th hrly Evidence for Clinical Improvement with lab
M4.2.3.2 Encephalitis in Paediatric patients - IP 61572
(3/day X 7 days),CSF analysis,EEG investigations
Ventilated
Medical Management of Status EEG,ABG 8th hrly (3/day X 7 days),CSF Evidence for Clinical Improvement with lab
M4.2.3.3 IP 22074
Epilepticus analysis investigations
Medical Management of Febrile
EEG,ABG 8th hrly (3/day X 7 days),CSF Evidence for Clinical Improvement with lab
M4.2.3.4 Seizures -Atypical- Mechanical IP 25655
analysis investigations
Ventilated in Paediatric patients
Medical Management of Intra Cranial CT Brain,carotied doppler,ABG 8th hrly Evidence for Clinical Improvement with lab
M4.2.3.5 IP 51310
Bleed in Paediatric patient (3/day X 7 days),Blood sugar 4 hrly investigations
ECG (Electro Cardiogram),Cerebrospinal

Fluid(CSF) Analysis Cell Count,USG
Medical Management of Hypertensive Clinical Photograph,Case sheet with
M4.2.3.6 IP 20000 Abdomen,Case Sheet with treatment
Emergencies clinical History
details,CUE(pH,Specific Gravity,Sugar,Protein
And Microscopy),Renal Profile,ECHO Cardiogram
Medical Management of Acute Gastro USG abdomen,ABG OD/Upper GI Evidence for Clinical Improvement with lab
M4.2.4.1 IP 25655
Intestinal Bleed in Paediatric patients Endoscopy investigations
PT,CT,BT ,US abdomen,APTT,Platelet
M4.2.4.1.1 Lower GI hemorrhage ST 10000 clinical notes
count
Medical management of Acute Evidence for Clinical Improvement with lab
M4.2.4.2 IP CT-Scan,USG abdomen 51310
Pancreatitis -Mild in pediatric patients investigations
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CT-Scan,Hepatic viral studies ( Hepatitis B,

Hepatitis C, Hepatitis A),ABG 8th hrly Evidence for Clinical Improvement with lab
M4.2.4.3 Hepatitis With Hepatic Encephalopathy IP 51310
(3/day X 7 days),Blood sugar 4 hrly,USG investigations
in Paediatric patient
abdomen
LFT,HCV,Sr Electrolytes,PT,US
M4.2.4.4 Acute hepatitis ST abdomen,HAV,HBS Ag,APTT,Urine bile 7000 clinical notes,Bilirubin
salts&Bile pigments,Bilirubin
Random Blood Sugar (RBS) Test,Serum

Creatinine Levels ,USG
Abdomen,Prothrombin Time,Serum
Ammonia Levels,HBs Ag,LFT(liver function
Medical Management of Viral hepatitis LFT(liver function tests) ,Case Sheet with
M4.2.4.5 IP tests),Serum Electrolytes,Acquired 10000
in Paediatric patient treatment details
Immune Deficiency Syndrome Serology
(HIV 1&2 Anti Body) - Elisa,Anti-HAV IgM
(IgM Antibody To Hepatitis A Antigen),Anti
HCV (Hepatitis C) Antibodies
USG abdomen,Blood Urea cum Serum

Medical Management of Acute Renal Evidence for Clinical Improvement with lab
M4.2.5.1 IP Creatinine 4 hrly,ABG 8th hrly (3/day X 7 20524
Failure investigations
days)
M4.2.5.2 CRRT IP clinical notes 35000 clinical notes
ACUTE RENAL FAILURE -
CBC,ELECTROLLYTES
M4.2.5.3 CONSERVATIVE MANAGEMENT NOT IP 20000 RFT,Serum ELECTROLYTES
x12HOURSx3D,ELECTROLYTES RFT,CRP
REQUIRING DIALYSIS
Medical Management of Diabetic Blood sugar 4 hrly,Serum Electrolytes CVP Evidence for Clinical Improvement with
M4.2.6.1 IP 30786
Ketoacidosis in Paediatric patient monitoring,ABG 8 hrly (3/day X 5 days), biochemical parameters
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

M4.2.7.1 Medical management of Septic shock IP ECHO,USG abdomen,EEG 61572
investigations
CLINCAL PICTURE CBP,CREATININE
M4.2.7.2 CELLULITIS/MUSCLE ABSCESS IP 10000 PUS CULTURE SENSITIVITY
SGPT,CRP
M4.2.7.3 Toxic epidermol necrolysis IP 50000
Medical Management of Snake Bite ECHO,ABG 4 hrly (3/day X 4 days),ABG 8 Evidence for Clinical Improvement with
M4.2.8.1 IP 61572
Requiring Ventilatory Assistance hrly (3/day X 4 days),CT Brain,EEG biochemical parameters
Medical Management of Scorpion
Sting With Myocarditis And ECG, arterial blood pressure,CVP
M4.2.8.2 Cardiogenic Shock Requiring IP monitoring,Blood sugar 8 hrly,ABG 8 hrly 41048
investigations
Ventilatory Assistance in Paediatric (3/day X 4 days),ECHO
patients
Medical Management of Poison
ECG,arterial blood pressure, CVP
Ingestion/ Aspiration Requiring Evidence for Clinical Improvement with
M4.2.8.3 IP monitoring, Blood sugar 8 hrly,ABG 8 hrly 41048
Ventilatory Assistance in Paediatric biochemical parameters
(3/day X 4 days),ECHO
patients
Gastric content
Poisonings with unstable vital signs
M4.2.8.4 ST analysis,CBP,ECG,APTT,Chest Xray,Sr 30000 clinical notes
with ventilator -ICU
electrolytes,ABG ,Pt,RFT,LFT
Gastric content
M4.2.8.5 Poisonings with normal vital signs ST 25000 clinical notes
analysis,CBP,ECG,APTT,Pt,RFT,LFT
CBP,Anthroponetry,Mountoux test,Sr
M4.2.9 Acute severe malnutrition ST creatinine,Chest X Ray,Sr Proteins,SR 5400 clinical notes
Electrolytes,ESR
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Upper GI endoscopy,Liver
Medical Management of Portal Biopsy(Major)/Liver Biopsy(Minor),Bulida Complete Blood Picture[CBP],Case sheet with
M4.2.9.1 IP 25000
hypertension in Paediatric patient Scan (Hepatobiliary Scan),LFT(liver clinical improvement
function tests),USG-Doppler Abdomen
Raised intracranial pressure -

ventilator / decompressive craniotomy
M4.2.9.2 / ICP monitoring / Shunt procedure / ST MRI Brain,Fundal Examination 30000 clinical notes
Other emergency neuro surgical
procedures
M4.3 GENERAL PEDIATRICS
Serum Creatinine Levels ,Serum
LFT(liver function tests),Serum Copper,Serum
Medical Management of Wilson Copper,USG Abdomen,LFT(liver function
M4.10 IP 15120 Ceruloplasmin Levels,Serum Creatinine Levels,CT
Disease tests),24 Hrs Urinary Copper,Serum
Scan Abdomen With Contrast,BT
Ceruloplasmin Levels
Stool For Microscopy,Serum
Electrolytes,C- Reactive Protein,Complete
Medical Management of Acute Serum Electrolytes,Case Sheet with treatment
M4.11 IP Blood Picture [CBP],LFT(liver function 8330
gastritis in Paediatric patient details,Clinical Photograph
tests),Blood Culture & Sensitivity -
Automated
USG Abdomen,Clinical Photo,Renal
Profile,CUE (pH,Specific
Medical Management of Henoch - Gravity,Sugar,Protein And Serum Creatinine Levels,Case Sheet with
M4.12.1 IP 14380
schonlein purpura in Paediatric patient Microscopy),Serum Creatinine treatment details,Complete Blood Picture[CBP]
Levels,Platelet Count,Complete Blood
Picture [CBP]
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Bone Marrow Aspiration ,Platelet Count,C-

Reactive Protein,USG Abdomen,Renal
Medical Management of Idiopathic Profile,Anti Nuclear Anti Body (ANA)
CBP,Case Sheet with treatment details,Platlet
M4.12.2 thrombocytopenic purpura in IP Titres,Complete Blood Picture 25000
Count
Paediatric patient [CBP],Bleeding Time And Clotting
Time,Activated Partial Thrombo Plastin
Time (APTT),Prothrombin Time
Muscle Biopsy,Complete Blood

Medical Management of Muscular Picture[CBP],Serum Cpk-Mb Levels,Serum
M4.13.2 IP 15000 Case sheet with clinical improvement
dystrophy in Paediatric patient Electrolytes,Anti-DNA Antibodies,ENMG
(Elektroneuromyography)
MRI Spine,Clinical assesment Web EX,CT-

Scan Brain Plain And Contrast,Serum
Immunoglobulines(Each) IgG Or IgA Or
Medical Management of Acute flaccid Post OP Serum Electrolytes,Clinical improment
M4.13.3.1 IP Ig,Complete Blood Picture [CBP] ,Serum 35000
paralysis in Paediatric patient Web EX,Case Sheet with treatment details
Electrolytes,Cerebrospinal Fluid (CSF)
Analysis Cell Count,ENMG
(Elektroneuromyography)
MRI brain,EEG,RBS,Sr Electrolytes
M4.13.3.2 Opsoclonus myoclonus syndrome ST 10000 clinical notes
including Calcium
M4.13.4 Acute ataxia ST Brain Imaging,Clinical assesment Web EX 25000 clinical notes,Clinical improment Web EX
Pancreatic Funtion Tests,Stool
M4.14 Persistent/ Chronic diarrhea ST 10000 clinical notes
Examination
US Abdomen,CRP,CBP,X -Ray errect
M4.15 Acute abdomen ST 10000 clinical notes
abdomen,serum Amylase
M4.16 Unexplained jaundice ST LFT,US Abdomen,HBS AG,HCV 7500 clinical notes
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
LFT,US Abdomen,HCV,HBS
M4.17 Unexplained hepatosplenomegaly ST AG,CBP,Peripheral smear,BM Aspiration if 10000 clinical notes
required,APTT,Sr ammonium,PT
CXR,Investigations pertaining to the
clinical notes,Investigations showing improment
M4.18 HIV with complications /Minor ST complications(conditions),Western blot 10000
of the condition
Test
US abdomen,Hida scan- 3500/-
M4.19 Infantile cholestasis ST 20000 clinical notes,TSB
(extra),APTT,PT,LFT
Brain Imaging,2D echo,ECG,LFT,Muscle
M4.20 Floppy infant ST Biopsy,Nerve conduction velocity 30000 clinical notes
(NCV),RFT,CPK,Sr electrolytes
M4.21 TREATMENT OF SCRUB TYPHUS IP Serology clinical photo,RFT,LFT,CRP,CBP 7525 Clinical improvement and clinical notes,CBP
CLINICAL PHOTO OF
CHICKEN POX WITH CNS RASH,culture,ADA,Cell count,MRI Brain
M4.22 IP 20000 CLINICAL PICTURE
COMPLICATIONS scan,CT Brain,CSF antibodies for HSV,CSF
ANALYSIS,CXR,LFT,RFT,CBP
CXR,Visual evidence of CROUP exposing
CROUP with Severe respiratory
M4.23 IP the Neck AND Chest,CLINICAL 20000 CXR
Distress
PICTURE,CRP,CBP
MEASLESWITH ASSOCIATED serum electrolytes,Chest X-ray and Video
M4.25 IP ROUTINE VITALS,CLINICAL PICTURE,CBP 20000
COMPLICATIONS evidence of Respiratory distress
MUMPS WITH ASSOCIATED
M4.26 IP CBP,CLINICAL PICTURE 13490 USG,CT PAROTID
COMPLICATIONS
USG ABDOMEN,STOOL
M4.27 SHIGELLA-DYSENTRY IP 10000 STOOL C/S
CULTURE,ELECTROLYTES,CBP
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CLINICAL NOTES AND PHOTO EVIDENCE CBP,BONE MARROW STUDY,MICROSCOPIC

M4.28 MANAGEMENT OF KALA AZAR IP 18000
OF ABDOMEN PHOTO EVIDENCE OF AMASTIGOTES,RFT,LFT
X RAY CHEST AND ABDOMEN,METABOLIC
EVALUATION OF DYSMORPHIC BABIES- SCREENING,US ABDOMEN AND RELEVANT
M4.29 IP PHOTO EVIDENCE OF DYSMORPHYSM 25000
less than1YR CHROMOSOMAL STUDIES,2D
ECHOCARDIOGRAPHY,MR BRAIN,NSG
Broncho Lobar pneumonia With
M4.3.1.1 IP X-RAY,Pus culture 25655 X-Ray Chest
Empyema/ Pleural Effusion in
Paediatric patients-J18.1/J43/J90
Medical Management of Urinary Tract MCUG ( Micturating cysto urethrogram),
Infection With Complications Like Urine for Culture and Sensitivity,
M4.3.3.2 IP 14531 urine culture
Pyelonephritis And Renal Failure in Ultrasound,Ultrasound,Urine for Culture
Paediatric patient-N13.617.9 and Sensitivity
M4.3.4 BRONCHOPULMONARY DYSPLASIA IP CBP,LFT,CXR,CRP 20000 CBP,RFT,LFT,CXR,CRP
REFERAL BY THE DOCTOR WHERE THE
ADVERSE EVENTS FOLLOWING
CHILD WAS IMMUNISED WITH DETAILED
M4.30 IMMUNISATION REQUIRING IP 40000 CBP,Allergen Test,IgE,ESR,CRP
CLINICAL H/O ADVERSE EVENTS
VENTILATOR SUPPORT
FOLLOWING IMMUNISATION
REFERAL BY THE DOCTOR WHERE THE
ADVERSE EVENTS FOLLOWING
CHILD WAS IMMUNISED WITH DETAILED
M4.30.1 IMMUNISATION NOT REQUIRING IP 20000 CBP,Allergen Test,IgE,ESR,CRP
CLINICAL H/O ADVERSE EVENTS
VENTILATOR SUPPORT
FOLLOWING IMMUNISATION
ICU PHOTO,USG Abdomen,Dengue
Medical Management of Dengue Fever Case Sheet with treatment details,PCV,Dengue
M4.31 IP Check,Platelet Count,Complete Blood 10000
-UnComplicated Serology,Platelet Count
Picture[CBP],Chest X-Ray PA View(1 Film)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
ICU Photo on Ventilator,CXR,RFT,LFT(liver

function tests)DENGUE SEROLOGY,Renal
Medical Management of Dengue profile,CUE(Ph,Specific Case Sheet with treatment details,Stool For
M4.31.1 IP 35000
Haemorrhagic Fever -Complicated Gravity,Sugar,Protein And Microscopy,Dengue Serology,PCV,Platelet Count
Microscopy),Platelet Count,Complete
Blood Picture[CBP]
M4.32 IP CBC,CRT,UREA,LFT,CRP 10000 PERIPHERAL SMEAR
Falciparum/Vivax Malaria
FOUR OUT OF FIVE CRITERIA FOR
MANAGEMENTOF KAWASAKI DISEASE CBP CUE SERIAL 2D ECHO FOR CORONARY
M4.33 IP KAWASAKI DOSEASE ALL WITH PHOTOS 40000
WITH VENTILATORY SUPPORT ARTERY DILATATION
EVDENCE
FOUR OUT OF FIVE CRITERIA FOR
MANAGEMENTOF KAWASAKI DISEASE CBP CUE SERIAL 2D ECHO FOR CORONARY
M4.33.1 IP KAWASAKI DOSEASE ALL WITH PHOTOS 20000
WITHOUT VENTILATORY SUPPORT ARTERY DILATATION
EVDENCE
DETAILED HISTORY AND PHOTO CBP,METABOLIC SCREENING,MRI
M4.34 Evaluation of NEUROREGRESSION IP 25000
EVIDENCE BRAIN,ENZYME STUDIES,CSF ANALYSIS,RFT,LFT
M4.4.1.1 Cyanotic spells ST PCV,2D Echo,ECG,CXR,CBP 25000 clinical notes
Cerebrospinal Fluid (CSF) Analysis Cell

Count,Clinical Photograph,Sputum For
Acid- Fast Bacilli (AFB) Staining,Mantoux X-Ray PA View(1 Film),Case Sheet with
M4.4.4 koch with complications in Paediatric IP 10000
test,CBNAAAT report,Chest X-Ray PA treatment details
patient
View(1 Film),Erythrocyte Sedimentation
Rate (ESR),Complete Blood Picture [CBP]
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management of Steroid

Resistant Nephrotic Syndrome
M4.3.3.1 IP Renal biopsy 25655 RFT
Complicated Or Resistant in Paediatric
patients
USG Abdomen,CUE(pH,Specific
Medical Management of Nephrotic Gravity,Sugar,Protein And CUE(pH,Specific Gravity,Sugar,Protein And
M4.5.2.1 syndrome-non steriod resistant in IP Microscopy),Serum Total Proteins 15000 Microscopy),Case sheet with clinical
Paediatric patient Levels,Monteux,Urine Culture & improvement
Sensitivity ,Chest X-Ray PA View(1 Film)
USG Abdomen,CUE(pH,Specific
Gravity,Sugar,Protein And
Microscopy),Complete Blood Picture
Medical Management of Acute [CBP],Lipid Profile,Erythrocyte CUE(pH,Specific Gravity,Sugar,Protein And
M4.5.2.2 glomerulonephritis in Paediatric IP Sedimentation Rate (ESR),Serum 10000 Microscopy),Case sheet with clinical
patient Creatinine Levels,Serum improvement,Serum Creatinine Levels
Electrolytes,Blood - Urea,Anti-Streptolysin
O (ASO) Titres,Urine Culture &
Sensitivity,Chest X-Ray PA View(1 Film)
RFT,KUB,US abdomen,Sr Protein,Urine
M4.5.2.3 Nephrotic syndrome with peritonitis ST culture,CUE,Sr cholestrol,Sr 30000 clinical notes
electrolytes,CXR
Medical Management of Acute Renal
RFT,collagen vascular profile,Complement
M4.3.3.4 Failure With Dialysis in Paediatric IP 20524 RFT
levels,,c1,c3,Serum Electrolytes
patients
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Renal Profile,Serum Calcium Levels,USG

Abdomen,ABG,TSH,T4,T3,Spot PR/CR
(Protein-Creatinine) RatioX-Ray Pelvis (1
Film),Serum Creatinine Levelse,Urine
Medical Management of Renal Tubular Culture & Sensitivity,Double Stranded (DS) Renal Profile,Post treatment ABG,Serum
M4.5.5 IP 14683
Acidosis DNA,Anti Nuclear Anti Body (ANA) Titres- Electrolytes
,Serum Uric Acid Levels,Serum
Phosphorus Levels,Cerebrospinal Fluid
(CSF) Analysis Cell Count,Complete Blood
Picture [CBP],LFT(liver function tests)
CUE(pH,Specific Gravity,Sugar,Protein
And Microscopy),Urine Culture &
Medical Management of UTI -Urinary
M4.5.6 IP Sensitivity,Complete Blood Picture 16310 Case sheet with clinical improvement,CUV
Tract Infection
[CBP],Random Blood Sugar (RBS),Renal
Profile
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Hb electrophoresis,Agargel Electrophosis
for Hemoglobin,Renal Function Test,Liver
Function Test,S.Iron,Complete Blood
Picture,Serum Ferritin,Osmotic fragility Clinical and Haematological
Medical Management of Thalassemia
M4.3.4.1 IP test,Hb electrophoresis,Agargel 10393 Improvements,Clinical and Haematological
Major Requiring Chelation Therapy
Electrophosis for Hemoglobin,Renal Improvements
Function Test,Liver Function
Test,S.Iron,Complete Blood Picture,Serum
Ferritin,Osmotic fragility test
Medical Management of Haemophillia Coagulation studies and Factor Clinical and Haematological
M4.3.4.2 Including Von Willibrands disease in IP analysis,Coagulation studies and Factor 20524 Improvements,Clinical and Haematological
Paediatric patients analysis Improvements
Medical Management of Anemia Of
M4.3.4.3 IP Hb electrophoresis 10262 Clinical and Haematological Improvements
Unknown Cause
Coomb s Test Direct,Double Stranded

(DS) DNA ,Anti Nuclear Anti Body (ANA)
Medical Management of Auto immune Titres,Grouping And RH Typing Complete Blood Picture [CBP],Case Sheet with
M4.6.4 IP 15404
hemolytic anemia in Paediatric patient ,Reticulocyte Count,Complete Blood treatment details
Picture [CBP],Platelet Count ,Serum
Bilirubin Levels,Bone Marrow Aspiration
Medical Management of Pyogenic

M4.3.5.1 IP CT-Scan,Lumbar Puncture CSF analysis 28713 Repeat CSF
Meningitis
M4.7.10 Wheezing/ LRTI ST CBP,CXR 2000 clinical notes
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
M4.7.11 Acute Exacerbation of asthma ST CBP,Web EX of RD,peripheral smear,CXR 3000 clinical notes
M4.7.12 Hyper Pyrexia ST Complete hemogram,CXR,CUE 4500 clinical notes
Complete Blood Picture [CBP],LFT(liver

function tests) ,USG Abdomen,ELISA for
IgM,Immunoglobulin (IgG) Elisa,Platelet
Count,CUE(pH,Specific
Medical Management of Viral Gravity,Sugar,Protein And
M4.7.13 haemmaragic fever with complicatons IP Microscopy),Perpheral Smear For Malarial 34180 Case Sheet with treatment details
in Paediatric patient Parasites (MP),Renal Profile,Arterial Blood
Gas Analysis (ABG),Cerebrospinal Fluid
(CSF) Analysis Cell Count,Activated Partial
Thrombo Plastin Time (APTT),Prothrombin
Time,Serum Electrolytes
CT Scan Head Without Contrast ,Bile

Culture & Sensitivity,Serum Phosphorus
Medical Management of Tetanus in
M4.7.14 IP Levels,Webex,Serum Electrolytes,Serum 13550 Case Sheet with treatment details
Paediatric patient
Calcium Levels,Renal Profile ,Complete
Blood Picture [CBP]
M4.7.15 Chikungunya ST CBP,ELISA 3000 clinical notes
Medical Management of Neuro
M4.3.5.2 IP CT-Scan,Brain CSF ADA analysis 15393 clinical and lab investigation
Tuberculosis in Paediatric patient
Medical Management of Neuro
M4.3.5.3 Tuberculosis With Ventilation in IP CT-Scan,Brain CSF ADA analysis,ABG 25655 clinical and lab investigation
Paediatric patient
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management of Enteric Fever

M4.3.5.4 IP USG,ABD,Blood culture 11014 clinical and lab investigation
Complicated in Paediatric patient
Complete Blood Picture [CBP],US
Medical Management of Typhoid And Abdomen,Blood Culture & Sensitivity -
M4.7.4.1 IP 20000 Case Sheet with treatment details
Paratyphoid Fevers Automated / Clinical Photograph,Widal
report
Medical Management of Cerebral Lumbar Puncture CSF analysis,Parasite F
M4.3.5.5 IP 25655 clinical and lab investigation
Malaria -Falciparum Test and QBC
ECG (Electro Cardiogram) -3Times,Renal

Medical Management of Diphtheria in
M4.7.6 IP Profile ,Chest X-Ray PA View(1 Film),ECHO 15393 Case sheet with clinical improvement
Paediatric patient
Cardiogram,Throat Swab For KLB -3 Times
X-Ray Craniovertebral
Medical Management of Croup in Complete Blood Picture[CBP],Arterial Blood Gas
M4.7.7 IP Junction(CVJ)Dynamic(Flexon and 25000
Paediatric patient Analysis(ABG),C-Reactive Protein
Extension),Chest X-Ray PA View(1 Film)
Throat swab,Clinicla Photos,Pus
M4.7.9 URIT-Pharyngitis/Tonsilitis,Otitis ST 5000 clinical notes
culture,CBP
Medical Management of Convulsive Ct,Renal Profile,Serum Prolactin,Malaria
M4.3.6.1 Disorders/Status Epilepticus -Fits in IP Peripheral Smear,Malaria 12732 Clinical And Lab Investigation
Paediatric patient Antibodies,Dengue Serology,Cbp,Eeg
Medical Management of Stroke
M4.3.6.2 IP 2D ECHO,ANGIOGRAM,EEG,CT 20524 clinical and lab investigation
Syndrome in Paediatric patient
ABG,Nerve Conduction
Medical Management of Guillian-Barre
M4.3.6.4 IP studies,ENMG,Lumbar Puncture CSF 82096 clinical and lab investigation
Syndrome
analysis
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Complete Haemogram,LFT(liver function

tests),Erythrocyte Sedimentation Rate
(ESR),Anti Nuclear Anti Body (ANA)
Indirect Immunofluorescence (IIF) / Anti
Medical Management of Rheumatoid Nuclear Anti Body (ANA) Titres,ECHO Complete Haemogram,Case sheet with clinical
M4.9 IP 30000
Arthritis Requiring Hospitalisation Cardiogram,X-Ray Arthrography,Chest X- improvement
Ray PA View(1 Film),Complete Blood
Picture [CBP],Anti CCP (Anti-Cyclic
Citrullinatid Peptide Anti Bodies),Renal
Profile
M4.9.1 Cystic Fibrosis IP 40000

M4.9.2 Covid infections in children IP 30000
M4.9.3 New Born ROP Treatment IP 15000
M4.9.4 Hearing Assesment DC 5000
M4.9.5 Physiological Jaundice Assesment DC 10000
M7 NEUROLOGY
MG001 ACUTE FEBRILE ILLNESS
MG001A Acute febrile illness IP 4500
MG003 MALARIA
MG003A Malaria IP 10000
MG004 DENGUE FEVER
MG004C Dengue shock syndrome IP 10000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MG008 LEPTOSPIROSIS
MG008A Leptospirosis IP 15000
ACUTE GASTROENTERITIS WITH
MG009
DEHYDRATION
Acute gastroenteritis with severe
MG009B1 IP 20000
dehydration
MG016 PNEUMONIA
MG016A Pneumonia IP 15000
MG019 LUNG ABSCESS
MG019A Lung abscess IP 20000
MG020 PERICARDIAL TUBERCULOSIS
MG020A Pericardial tuberculosis IP 20000
MG022 VIRAL ENCEPHALITIS
MG022A Viral Encephalitis IP 25000
MG023 SEPTIC ARTHRITIS
MG023A Septic Arthritis IP 20000
MG024 SKIN AND SOFT TISSUE INFECTIONS
MG024A Skin and soft tissue infections IP 5000
MG026 PYREXIA OF UNKNOWN ORIGIN
MG026A Pyrexia of unknown origin IP 19850
MG027 BRONCHIECTASIS
MG027A Bronchiectasis IP 15000
MG028 ACUTE BRONCHITIS
MG028A Acute bronchitis IP 7000
ACUTE EXCABERATION OF
MG030
INTERSTITIAL LUNG DISEASE
Acute excaberation of Interstitial Lung
MG030A IP 25000
Disease
MG031 ENDOCARDITIS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MG031B Fungal Endocarditis IP 15000

MG032 VASCULITIS
MG032A Vasculitis IP 10000
MG035 ACUTE TRANSVERSE MYELITIS
MG035A Acute transverse myelitis IP 20524
MG036 ATRIAL FIBRILLATION
MG036A Atrial Fibrillation IP 15000
MG039 ASTHMA
MG039B Status asthmaticus IP 22074
MG040 RESPIRATORY FAILURE
MG040B Type 2 respiratory failure IP 25000
MG041 UPPER GI BLEEDING
MG041B1 Upper GI bleeding - endoscopic IP 20000
MG050 IMMUNE MEDIATED CNS DISORDERS
MG050A Immune mediated CNS disorders IP 20524
MG051 HYDROCEPHALUS
MG051A Hydrocephalus IP 10000
MG052 MYXEDEMA COMA
MG052A Myxedema coma IP 20000
MG055 PNEUMOTHORAX
MG055A Pneumothorax IP 21000
MG060 ELECTROLYTE IMBALANCE
MG060A Hypercalcemia IP 10000
MG060B Hypocalcemia IP 10000
MG060C Hyponatremia IP 15863
MG060D Hypernatremia IP 15863
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MG061 HYPEROSMOLAR NON-KETOTIC COMA

MG061A Hyperosmolar Non-Ketotic coma IP 25000
MG062 ACCELERATED HYPERTENSION
MG062A Accelerated hypertension IP 7000
MG064 SEVERE ANEMIA
MG064A Severe anemia IP 7000
MG065 SICKLE CELL ANEMIA
MG065A Sickle cell Anemia IP 10260
MG066 ANAPHYLAXIS
MG066A Anaphylaxis IP 5000
MG067 HEAT STROKE
MG067A Heat stroke IP 6000
MG068 SYSTEMATIC LUPUS ERYTHEMATOSUS
Systematic lupus erythematosus -SLE
MG068A Or Diffuse alveolar hemmorhage IP 15000
associated with SLE
MG073 PLASMAPHERESIS
MG073A Plasmapheresis DC 2000
MG074 BLOOD TRANSFUSION
MG074A Whole Blood transfusion DC 2000
Blood component including platelet
MG074B DC 2000
transfusion -RDP, PC, SDP
HIGH END RADIOLOGICAL DIAGNOSTIC
MG075 -CT, MRI, IMAGING INCLUDING
NUCLEAR IMAGING
High end radiological diagnostic - -CT,
MG075A DC 5000
MRI, Imaging including nuclear imaging
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
HIGH END HISTOPATHOLOGY -

MG076 BIOPSIES AND ADVANCED SEROLOGY
INVESTIGATIONS
High end histopathology -Biopsies and
MG076A DC 5000
advanced serology investigations

MG098 PET SCAN
MG098A PET Scan DC 20000
MG099 PLATELET PHERESIS
MG099A Platelet pheresis IP 11000
SPECIAL NEONATAL CARE PACKAGE:
MN002 BABIES THAT REQUIRED ADMISSION
TO SNCU OR NICU:
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Neonates between 1500-1799g OR

Neonates of any weight with mild
illness like, but not limited to: - Mild
Respiratory Distress Or tachypnea -
Mild encephalopathy - Severe jaundice
requiring intensive phototherapy-
Unwell baby requiring monitoring-
Some dehydration- Hypoglycaemia
The above list is illustrative but not
MN002A IP 25000
limited to these conditions. The
required procedures may include
radiant warmer care, gavage feeding,
oxygen therapy, IV fluid
administration, blood transfusion. The
package includes food and stay for the
mother in the hospital for
breastfeeding, Kangaroo Mother Care -
KMC and Family centered care.
INTENSIVE NEONATAL CARE PACKAGE

MN003 BABIES WITH BIRTHWEIGHT 1500-
1799 G
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Neonates of any birthweight with

moderate illness like - Need for
mechanical ventilation for less than 24
hours or non-invasive respiratory
support -CPAP, HFFNC - Sepsis Or
pneumonia without complications -
Hyperbilirubinemia requiring exchange
transfusion- Seizures requring anti-
convulsants- Major congenital
MN003A malformations -pre-surgical IP 35000
stabilization - Cholestasis requiring
investigations and in-hospital
management - Congestive heart failure
or shock - The above list is illustrative
but not limited to these conditions.
The package includes mandatory stay
and food of the mother in the hospital
for breastfeeding, Kangaroo Mother
Care -KMC and Family centered care
CRITICAL CARE NEONATAL PACKAGE:

BABIES WITH BIRTHWEIGHT OF <1200
MN005 G OR BABIES OF ANY BIRTHWEIGHT
WITH AT LEAST ONE OF THE
FOLLOWING CONDITIONS:
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Neonates less than1200 g OR-

Neonates of any weight 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
MN005A multiple inotropes- Reuiring parenteral IP 150000
nutrition Critical congenital heart
disease -excluding surgical costs - The
above list is illustrative but not limited
to these conditions. The package
includes mandatory stay and food of
the mother in the hospital for
breastfeeding, Kangaroo Mother Care -
KMC and Family centered care
HIGH RISK NEWBORN POST

MN007 DISCHARGE CARE PACKAGE -
PROTOCOL DRIVEN
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Includes but not limited to minimum

six follow-up visits at 40 weeks PMA,
and corrected ages of 3,6,9, 12 and 18
MN007A months for Assessment and ST 3000
Management of growth and
development. Neurosonogram at 40
weeks PMA if indicated.
LASER THERAPY FOR RETINOPATHY OF

MN008 PREMATURITY -IRRESPECTIVE OF NO.
OF EYES AFFECTED - PER SESSION
Laser Therapy for Retinopathy of
MN008A Prematurity- -Irrespective of no. of DC 1900
eyes affected - per session
ADVANCED SURGERY FOR
MN009
RETINOPATHY OF PREMATURITY
Advanced Surgery for Retinopathy- of
MN009A IP 18800
Prematurity
VENTRICULOPERITONEAL SHUNT
SURGERY -VP OR OMAYA RESERVOIR
MN010
OR EXTERNAL DRAINAGE FOR
HYDROCEPHALUS
Ventriculoperitoneal Shunt Surgery -VP
MN010A or Omaya Reservoir or External ST 6300
Drainage for- Hydrocephalus
MN011 BASIC NEONATAL CARE -LEVEL IA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Neonates greater than 2.5 kg nursed

with mother : Includes clinical
monitoring, breastfeeding support,
MN011A IP 9000
birth vaccination, thyroid screening,
universal hearing screening and pre-
discharge counselling
MN012 ROP SCREENING
MN012A ROP screening IP 625
MN013 BERA
MN013A BERA IP 500
MP001 PEDIATRIC SEIZURE DISORDERS
MP001D Acute non-febrile seizures ST 10000
MP002 EPILEPTIC ENCEPHALOPATHY
MP002A Epileptic encephalopathy ST 25000
MP003 ACUTE ENCEPHALOPATHY
MP003A Acute Febrile encephalopathy ST 25655
MP003B Acute Disseminated Encephalomyelitis ST 30000
ACUTE INFECTIOUS MENINGITIS AND
MP005
MENINGOENCEPHALITIS.
MP005B Aseptic meningitis tubercular, ST 15000
MP005C Febrile encephalopathy fungal ST 25000
MP005D Hypertensive encehalopathy viral, ST 30000
MP005E Metabolic encephalopathy parasitic, ST 25000

Brain abscess Or Intracranial abscess
MP005G ST 10000
Or Aseptic meningitis
MP006 MENINGITIS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MP006A Chronic meningitis IP 5000

MP006B Partially treated pyogenic meningitis ST 10000
MP006D Complicated bacterial meningitis ST 10000
MP006E Acute meningitis ST 25000
INTRACRANIAL SPACE OCCUPYING
MP010
LESIONS
Intracranial space occupying lesion
MP010A IP 7500
tuberculoma,
INTRACRANIAL SPACE OCCUPYING
MP011
LESIONS
MP011A neurocysticercosis, brain tumours IP 5000
MP015 JUVENILE MYASTHENIA
Juvenile myasthenia- requiring
MP015A admission for work-up or in-patient IP 5000
care
MP018 ACUTE CHILDHOOD ASTHMA
MP018A Acute asthma Or Status asthmaticus ST 3000
MP020 ACUTE URTICARIA OR ANAPHYLAXIS

MP020A Acute urticaria Or anaphylaxis ST 5000
MP020B Steven Johnson syndrome ST 10000
MP022 CELIAC DISEASE
Celiac disease-requiring admission for
MP022A Work Up and Or or in-patient ST 5000
management
GLOBAL DEVELOPMENTAL DELAY OR
MP029 INTELLECTUAL DISABILITY OF
UNKNOWN ETIOLOGY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Global developmental delay Or

Intellectual disability-requiring
MP029A ST 5000
admission for Work Up and Or or in-
patient management
DEVELOPMENTAL AND BEHAVIORAL
MP032
DISORDERS
Developmental and behavioral
MP032A disorders for Work Up and Or or in- ST 5000
patient management
MP033 SHORT STATURE
Short stature- requiring admission for
MP033A ST 4500
Work Up
MP036 INBORN ERRORS OF METABOLISM
Inborn errors of metabolism-requiring
MP036A admission for work-up and Or or ST 7500
inpatient care
MP039 RHEUMATIC FEVER
MP039A Acute rheumatic fever- ST 15000
MP040 CYANOTIC SPELLS
MP040A Cyanotic spells without CHD IP 25000
MP041 SEVERE ANEMIA IN CHILDREN
MP041A Iron deficiency anemia ST 10000
MP044 STEVE JOHNSON SYNDROME
MP044A Steve Johnson syndrome ST 20000
KETOGENIC DIET INITIATION IN
MP046
REFRACTORY EPILEPSY
Ketogenic diet initiation in refractory
MP046A ST 8500
epilepsy
MP048 HEMOSTATIC DISORDERS
MP048B Platelet disorders IP 10000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MP050 NEPHROTIC SYNDROME

MP050A Uncomplicated steroid sensitive IP 15000
STAPHYLOCOCCAL SCALDED SKIN
MP051
SYNDROME
MP051A Staphylococcal scalded skin syndrome IP 25000
ER002 CARDIOPULMONARY EMERGENCY
Emergency with stable-
ER002A IP 2000
cardiopulmonary status
Emergency with unstable
ER002B cardiopulmonary status with- IP 11000
resuccitation
GELFOAM EMBOLIZATION -WITH
IN019
MICROCATHETER
Gelfoam Embolization - Without
IN019A IP 14600
Microcatheter
Gelfoam embolization -with
IN019B IP 29400
microcatheter
IN023 ANGIOPLASTY -ARTERIAL
IN023A Angioplasty -arterial IP 40800
Angioplasty -arterial using
IN023B IP 65500
microguidewire and guiding catheter
Angioplasty and bare metal stenting -
IN023D IP 76100
arterial CTO lesion
Angioplasty and covered stent
IN023E IP 62700
placement -arterial
CATHETER DIRECTED THROMBOLYSIS -
IN024
ARTERIAL OR VENOUS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Catheter directed thrombolysis -

IN024A IP 44100
arterial Or venous
THROMBECTOMY FOLLOWED BY
IN025 THROMBOLYSIS -ARTERIAL OR
VENOUS
Thrombectomy followed by
IN025A IP 49900
thrombolysis -arterial Or venous
IN026 ANGIOPLASTY -VENOUS
IN026A Angioplasty -venous IP 25100
IN026B Angioplasty and stenting hepatic vein IP 62800
Angioplasty and bare metal stenting -
IN026C IP 63100
venous
Angioplasty -IVC Or central vein with
IN026D IP 66200
high pressure balloon
Angioplasty and covered stent
IN026E IP 56400
placement -venous
ANGIOPLASTY BELOW KNEE
IN027
ANGIOPLASTY
IN027A Angioplasty Below knee angioplasty IP 66600
ANGIOPLASTY - COMPLEX - CUTTING

IN028
BALLOON OR DRUG COATED BALLOON
Angioplasty -complex : cutting balloon
IN028A IP 66500
Or drug coated balloon
ANGIOPLASTY WITH MEDICATED SFA
IN029 STENT ORSPECIALISED STENT -
ARTERIAL CTO LESION
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Angioplasty with medicated SFA stent

IN029A Or Specialised stent -arterial CTO IP 297600
lesion
ANGIOPLASTY -CENTRAL VEINOR CIV
IN030 WITH HIGH PRESSURE BALLOON AAND
SPECILAISED VENOUS STENT
Angioplasty -central vein Or CIV with
IN030A high pressure balloon Aand specilaised IP 207800
venous stent
FENESTRATION OF DISSECTING
IN031
ANEURYSM
IN031A Fenestration of dissecting aneurysm IP 47100
TEVAR FOR AORTIC ANEURYSMOR
IN032
DISSECTION
TEVAR for aortic aneurysm Or
IN032A IP 83800
dissection
IN033 POST EVAR ENDOLEAK MANAGEMENT
IN033A Post EVAR endoleak management IP 27300
IN034 IVC FILTER PLACEMENT
IN034A IVC filter placement IP 19400
IVC filter Placement with Catheter
IN034B directed thrombolysis -arterial Or IP 36200
venous
IN034C IVC filter retrival IP 14400
IN046 ASPIRATION
IN046A Stroke-Stent Retreiver IP 291000
IN046B Stroke-Aspiration Catheter IP 310300
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
INTERVENTION FOR ACUTE STROKE -

IN047
ASPIRATION AND STENT RETRIVAL
Intervention for Acute stroke -
IN047A IP 393200
Aspiration and stent retrival
ENDOVASCULAR THERAPY FOR
IN048
INTRACRANIAL ANEURYSM
IN048B Aneurysm-5 Coil IP 270400
IN048C Aneurysm-7 Coil IP 321700
IN048E 5 Coil + Balloon IP 345400
IN048G 5 Coil + Balloon+Stent IP 432300
IN048H 7 Coil + Balloon+Stent IP 474300
ARTERIOVENOUS FISTULA -
IN049 AVFORARTERIOVENOUS
MALFORMATION -AVM
IN049A Pial AVF -Single hole IP 120400
CAROTID ANGIOPLASTY AND
IN050
STENTING
IN050A Carotid stenting IP 125000
IN050B Carotid stenting-membrane layered IP 176700
CAROTID STENTING WITH
IN053
PROTECTION DEVICE
IN053A Carotid stenting with protection device IP 207900
IN072 DIAGNOSTIC ANGIOGRAPHY -DSA
IN072A Diagnostic angiography -DSA IP 8700
M5 CARDIOLOGY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management of Acute Mi -

M5.1.1 Conservative Management Without IP ECG,2DEcho,Troponin,CPKMB 10262 ECG,Lab Investigations,2DEcho
Angiogram
Management Of Acute MI With ECG,Coronary
M5.1.2 IP 32324 ECG,Lab Investigations,2DEcho
Angiogram Angiodraphy,2DEcho,Troponin,CPKMB
Medical Management of Acute MI ECG,Coronary

M5.1.3 IP 4500 33864 ECG,Lab Investigations,2DEcho
With Cardiogenic Shock Angiodraphy,2DEcho,Troponin,CPKMB
Arterial Blood Gas Analysis (ABG),ICU
Medical Management Cardiogenic Photo on Ventilator,Chest X-Ray PA Arterial Blood Gas Analysis (ABG),Chest X- Ray
M5.1.3.1 IP 22000
Shock -Non AMI With Out Angiogram View(1 Film),ECG (Electro PA View(1 Film),Pulse Oxymetry Chart
Cardiogram),ECHO Cardiogram
Arterial Blood Gas Analysis (ABG),ICU
Arterial Blood Gas Analysis (ABG),Pulse
Medical Management Cardiogenic Photo on Ventilator,Chest X-Ray PA
M5.1.3.2 IP 2250 25000 Oxymetry Chart,Chest X- Ray PA View(1 Film),CT
Shock -Non AMI With Angiogram View(1 Film),ECG (Electro
Angiography(Coronary Angiography)
Cardiogram),ECHO Cardiogram
Medical Management of Acute MI ECG,Coronary
Requiring IABP Pump Angiodraphy,2DEcho,Troponin,CPKMB
Medical Management of Refractory ECG,Coronary

Cardiac Failure Angiodraphy,2DEcho,Troponin,CPKMB
ECHO Cardiogram,Clinical
CHF-Acute Decompensation-Medical
M5.10 IP Photograph,Chest X-ray PA view ,ECG 5000 30000 Case Sheet with treatment details
Management With Ventilator
(Electro Cardiogram)
Venous Doppler,Clinical Color Doppler Sonography Single Study,Blood
M5.11 IP Photograph,Complete Blood Picture 1575 25000 Coagulation Analyzer(BCA) Or Coagulation
Thrombosis
[CBP],D-Dimer Test Profile,Case sheet with clinical improvement
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Chest X-Ray PA View(1 Film),2D ECHO

Medical Management of CAD - Chronic
M5.12 DC With Colour Doppler,ECG (Electro 10000 Case Sheet with treatment details
Stable Angina
Cardiogram)
Medical Management Of Vascular ECG (Electro Cardiogram),2D ECHO With
M5.13 IP 15000 Biopsy
Embolisation Colour Doppler
Medical management of Atrial
M5.14 IP ECG,case sheet 15000 POST ECG,casesheet,treatment notes
Fibrillation
Management of acute exacerbation of
M5.15 IP CT CHEST,ECG,chest-x-ray,ABG,ECHO 13800 VIRAL MARKERS
COPD
MEDICAL MANAGEMENT OF RECENT CBP,SE-CRE,BLOOD
M5.16 ST 2250 6500 CHEST PA,ECG,CBP,QBC M,ECHO,PT,APTT
HEART FAILURE CULTURE,HB,ECG,NA.K,ECHO
MEDICAL MANAGEMENT OF END
M5.17 ST ECHO,CHEST PA,SER-CRE,RAN 3375 8000 ECHO,HOLTER 24 HRS,CBP
STAGE-stage 4 HEART FAILURE
M5.18 AF WITH FVR,LRTI WITH SEPSIS IP ECHO,blood culture,ECG,NA.K 2250 5000 QBCM,PT,APTT,CBP
MEDICAL MANAGEMENT OF ACUTE
M5.19 RIGHT HEART FAILURE/ADVANCED ST ECHO,CHEST PA,ECG 1575 6200 CBP,ABG
LUNG DISEASE
M5.2 IP 2D ECHO,Blood c/s,ECG 2250 25654 2D ECHO,Lab Investigations,ECG
Endocarditis
X-ray chest,ECHO,CPAP Mask,Clinical
2D-ECHO,vital chart,Clinical photo with >95%
M5.20 OCT guided PTCA -CAD Bifurcation IP photo with ventilator or deaturating 2250 50000
oxygen on room air
condition with oxygen,Angiogram,ECG
X-ray chest,ECHO,CPAP Mask,Clinical

2D-ECHO,vital chart,Clinical photo with >95%
M5.21 FFR IP photo with ventilator or deaturating 45000
oxygen on room air
condition with oxygen,Angiogram,ECG
M5.22 ICD - Intra Cardia De-febrillator IP 450000
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

M5.3 IP MRI doppler 1575 35916 DOPPLER,Lab Investigations
Embolism
Medical Management of Complex
M5.4 IP ECG doppler 143667 2D ECHO,Lab Investigations,ECG
Arrhythmias
Ablation Therapy for Simple
M5.5 IP Color Doppler,ECG 100000 2D ECHO,Lab Investigations,ECG
Arrythmias
Medical Management Of Simple 2D ECHO With Colour Doppler,ECG ECHO Cardiogram ,T4,LFT(liver function
M5.5.1 DC 8000
Arrhythmias (Electro Cardiogram) tests),TSH,Chest X-Ray PA View(1Film),T3
Medical Management of Pericardial
M5.6 IP DOPPLER 1575 16419 2D ECHO,Lab Investigations,ECG
Effusion, Tamponade with¿Aspiration
Chest X-Ray PA View(1 Film),Procedure Chest X-Ray PA View(1 Film),ECG (Electro

Medical Management Of Pericardial
M5.6.1 DC CD,2D ECHO With Colour Doppler,ECG 6000 Cardiogram),CT SCAN CT Scan Chest Without
Effusion-Without Aspiration
(Electro Cardiogram) Contrast
Medical Management of Chronic Heart ECHO Cardiogram,Clinical

M5.7 DC 5000 Case Sheet with treatment details
Failure Photograph,ECG (Electro Cardiogram)
Anti-Streptolysin O (ASO) Titres ,C-Reactive
Complete Blood Picture [CBP],ICU
Protein,Erythrocyte Sedimentation
Medical Management of Acute Photo,ECG (Electro
M5.8 IP 1575 15000 Rate(ESR),Complete Blood Picture[CBP],Throat
Rheumatic Fever Cardiogram),Erythrocyte Sedimentation
Swab For KLB ,ECHO Cardiogram,ECG(Electro
Rate (ESR)
Cardiogram)
Medical Management Of Aortic Chest X-ray PA view ,CT Scan Chest With
M5.9 IP 3375 20000 Case Sheet with treatment details
Dissection Contrast,2D ECHO With Colour Doppler
CARDIAC INTERVENTIONS /
M5.7
PROCEDURES
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
ECHO Cardiogram,Chest X-ray PA

CHF-Acute Decompensation-Medical view,ECG (Electro Cardiogram),ECHO Case Sheet with treatment details,Case Sheet
M5.7.1 DC 13417
Management Without Ventilator Cardiogram,Chest X-ray PA view,ECG with treatment details
(Electro Cardiogram)
RIGHT OR LEFT HEART
MC001
CATHETERIZATION
MC001A Right Heart Catheterization IP 12500
MC001B Left Heart Catheterization IP 12500
MC002 CATHETER DIRECTED THROMBOLYSIS
MC002A For Deep vein thrombosis -DVT IP 38500
MC002C For Peripheral vessels IP 38500
MC003 BALLOON DILATATION
MC003B Pulmonary Artery Stenosis IP 62300
BALLOON PULMONARY OR AORTIC
MC004
VALVOTOMY
MC004A Balloon Pulmonary Valvotomy IP 43300
MC004B Balloon Aortic Valvotomy IP 43300
MC005 BALLOON MITRAL VALVOTOMY
MC005A Balloon Mitral Valvotomy IP 70000
PTCA, INCLUSIVE OF DIAGNOSTIC
MC011
ANGIOGRAM
PTCA, inclusive of diagnostic
MC011A IP 84928
angiogram
MC012 ELECTROPHYSIOLOGICAL STUDY
MC012A Electrophysiological Study DC 80700
PERCUTANEOUS TRANSLUMINAL
MC013
SEPTAL MYOCARDIAL ABLATION
Percutaneous Transluminal Septal
MC013A IP 42500
Myocardial Ablation
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
TEMPORARY PACEMAKER
MC014
IMPLANTATION
MC014A Temporary Pacemaker implantation IP 24000
SINGLE CHAMBER PERMANENT
MC015
Permanent Pacemaker Implantation - -
MC015A IP 75700
Single Chamber
DOUBLE CHAMBER PERMANENT
MC016
Permanent Pacemaker Implantation -
MC016A IP 106900
Double Chamber
BRONCHIAL ARTERY EMBOLISATION -
MC018
FOR HAEMOPTYSIS
Bronchial artery Embolisation - -for
MC018A IP 41000
Haemoptysis
MC020 SYSTEMIC THROMBOLYSIS -FOR MI
MC020A Systemic Thrombolysis -for MI IP 22400
MG031 ENDOCARDITIS
MG031B1 Fungal Endocarditis IP 15000
MG036 ATRIAL FIBRILLATION
MG036A1 Atrial Fibrillation IP 15000
MG037 CARDIAC TAMPONADE
MG037A Cardiac Tamponade IP 10500
MG038 CONGESTIVE HEART FAILURE
MG038A Congestive heart failure IP 10000
MP039 RHEUMATIC FEVER
MP039B Rheumatic valvular heart disease IP 15393
MP043 KAWASAKI DISEASE
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MP043A Kawasaki Disease IP 20000

CARDIAC & CARDIOTHORACIC
S7
SURGERY
Medical Management Of Congenital ECHO Cardiogram ,ECG (Electro ECHO Cardiogram,Post procedure cath
S7.14 Heart Diseases -Requiring Cardiac IP Cardiogram),ECHO Cardiogram ,ECG 17660 study,ECHO Cardiogram,Post procedure cath
Catheterization (Electro Cardiogram) study
Medical Management Of Congenital
S7.14A Heart Diseases -Requiring Cardiac IP 17660
Catheterization
Medical Management Of Valvular
S7.15A Heart Diseases -Requiring Cardiac IP 17650
Catheterization
CARDIAC INTERVENTIONS Or
S7.1
PROCEDURES
Coronary Balloon Angioplasty with
S7.1.1.1 IP 2 CAD,2 CAD,2 CAD 4725 56441 X-RAY,X-RAY,X-RAY
stent-00.45
S7.1.1.2 PTCA 1 Additional Stent -00.46 IP CAG,CAG,CAG 4725 7974 X-RAY,X-RAY,X-RAY
PTCA CD,Stent Pouch with bar code Details, X-
Coronary Balloon Angioplasty with 2D Echo, ECG,CAG,2D Echo, ECG,CAG,2D RAY,PTCA CD,Stent Pouch with bar code
S7.1.1.3 IP 4725 66713
Drug eluting stent-00.45 Echo, ECG,CAG Details, X-RAY,PTCA CD,Stent Pouch with bar
code Details, X-RAY
PTCA CD,Stent Pouch with bar code Details, X-
PTCA 1 Additional Drug eluting Stent - 2D Echo, ECG,CAG,2D Echo, ECG,CAG,2D RAY,PTCA CD,Stent Pouch with bar code
S7.1.1.4 IP 4725 20524
00.46 Echo, ECG,CAG Details, X-RAY,PTCA CD,Stent Pouch with bar
code Details, X-RAY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
S7.1.2.1 ASD Device Closure IP 2D ECHO,2D ECHO,2D ECHO 8375 83000 2D ECHO,X-RAY,2D ECHO,X-RAY,2D ECHO,X-RAY
S7.1.2.2 VSD Device Closure IP 2D ECHO,2D ECHO,2D ECHO 8375 83000 2D ECHO,X-RAY,2D ECHO,X-RAY,2D ECHO,X-RAY
S7.1.3.1 Patent Ductus Arterious - Stenting IP 2D ECHO,2D ECHO,2D ECHO 8375 76964 2D ECHO,2D ECHO,2D ECHO
Patent Ductus Arterious - Device
S7.1.3.2 IP 2D ECHO,2D ECHO,2D ECHO 8375 74215 2D ECHO,2D ECHO,2D ECHO
Closure
S7.1.4.2 Balloon Atrial Septostomy IP 2D ECHO,2D ECHO,2D ECHO 4500 37679 2D ECHO,2D ECHO,2D ECHO
CARDIAC RESYNCHRONISATION
S7.1.5.3A IP 110000
THERAPY - HOCM
Coaractation of Aorta Repair Without
S7.1.6.2 IP Aortogram,Aortogram,Aortogram 10000 34700 DOPPLER,DOPPLER,DOPPLER
Stent+ Aortoplasty-35.11
DOPPLER,X-RAY,DOPPLER,X-RAY,DOPPLER,X-
S7.1.7.1 Renal Angioplasty IP ANGIOGRAM,ANGIOGRAM,ANGIOGRAM 4500 61571
RAY
2D ECHO,ANGIOGRAM,2D
S7.1.7.2 Peripheral Angioplasty IP ECHO,ANGIOGRAM,2D 4500 67729 DOPPLER,DOPPLER,DOPPLER
ECHO,ANGIOGRAM
S7.1.7.3 Vertebral Angioplasty IP ANGIOGRAM,ANGIOGRAM,ANGIOGRAM 4500 76964 DOPPLER,DOPPLER,DOPPLER
Perpheral Angioplasty - Additional DOPPLER,X-RAY,DOPPLER,X-RAY,DOPPLER,X-
S7.1.7.4 IP ANGIOGRAM,ANGIOGRAM,ANGIOGRAM 4500 9236
Stent-00.46 RAY
Balloon Dilatation of Pulmonary Artrey Post procedure Angio stills,Post procedure
S7.1.7.5 IP 2D ECHO,Angiogram,2D ECHO,Angiogram 2250 40000
Stenosis Angio stills
Right ventricular outflow tract -RVOT Post procedure Angio stills,Post procedure
S7.1.7.6 IP 2D ECHO,Angiogram,2D ECHO,Angiogram 2250 50000
stenting Angio stills
Embolization - Arteriovenous USG Abdomen,Angiogram,USG USG Abdomen,Color Doppler,USG
S7.11.12.1 IP 44000
Malformation -AVM in the Limbs -large Abdomen,Angiogram Abdomen,Color Doppler
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Thrombolysis for acute ischemia of

S7.11.12.3A IP 10000
limb due to arterial abstruction
webex procedure,post of angiogram or colour
TRANS ARTERIAL
S7.11.12.4 IP Angiogram,doppler,Angiogram,doppler 91750 doppler,webex procedure,post of angiogram or
CHEMOEMBOLIZATION
colour doppler
S7.11.15A DVT - Ivc Filter implantation IP 102619
Pulmonary artero venous Pre Op X-ray / CT Scan,Pre Op X-ray / CT
S7.11.20 IP 1575 45000 Post Op X-ray/CT Scan,Post Op X-ray/CT Scan
malformation Scan
THROMBIN INJECTION UNDER DUPLEX
GUIDANCE FOR PSEUDOANEURYSM COLOUR DOPPLER,PROCEDURE WEBEX,COLOUR
S7.11.26 IP COLOUR DOPPLER,COLOUR DOPPLER 16000
AND USG GUIDED COMPRESSION DOPPLER,PROCEDURE WEBEX
THERAPY
S7.12 CATH LAB PROCEDURES
ECG,Chest X ray ? PA view,2D
S7.12.1 CATH IP 9000 Cath CD,Cath CD
ECHO,ECG,Chest X ray ? PA view,2D ECHO
Coronary angiography CD,Coronary CD of Coronary Angioplasty with the visibility of
S7.12.10 ROTABLATION IP Angioplasty,Coronary angiography 48875 Rota burr,CD of Coronary Angioplasty with the
CD,Coronary Angioplasty visibility of Rota burr
PROCEDURAL WEBEX,POST PROCEDURE
VERTEBRAL ARTERY STENTING WITH CT ANGIOGRM,SURGICAL PROFILE,CT ANGIOGRAM,INTRA OPERTAIVE
S7.12.11 IP 65000
EMBOLIC PROTECTION DEVICE ANGIOGRM,SURGICAL PROFILE PHOTOS,PROCEDURAL WEBEX,POST PROCEDURE
ANGIOGRAM,INTRA OPERTAIVE PHOTOS
CAROTID ARTERY STENTING WITH
S7.12.12 IP Carotid doppler,Carotid doppler 2250 65000 Carotid doppler,Carotid doppler
EMBOLIC PROTECTION DEVICE
ECG,Blood Investigations,2D
S7.12.2 ENDOMYOCARDIAL BIOPSY IP 9000 CD of Procedure,CD of Procedure
ECHO,ECG,Blood Investigations,2D ECHO
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
DSA CD,CD of Procedure,DSA CD,CD of

S7.12.3 INTRA VASCULAR COILS IP CT-Scan,CT-Scan 45000
Procedure
DIGITAL SUBSTRACTION
S7.12.4 IP DOPPLER,CT-Scan,DOPPLER,CT-Scan 11500 DSA CD,DSA CD
ANGIOGRAPHY- -PERIPHERAL ARTERY
DIGITAL SUBSTRACTION
S7.12.5 IP DOPPLER,DOPPLER 11500 DSA CD,DSA CD
ANGIOGRAPHY- -VENOGRAM
S7.12.6 EMBOLISATION IP DOPPLER,CT-Scan,DOPPLER,CT-Scan 16200 Embolization CD,Embolization CD
IVUS Imaging CD,CD of Catheter in Coronary
S7.12.7 IVUS IP ANGIOGRAM,ANGIOGRAM 22500 artery,IVUS Imaging CD,CD of Catheter in
Coronary artery
S7.12.8 CARONARY ANGIOGRAPHY IP ECG,2D ECHO,ECG,2D ECHO 11500 Coronary angiogram CD,Coronary angiogram CD
DSA of Carotid Arteries,DSA of Carotid
S7.12.9 CAROTID STENTING IP 42263 CD of Procedure,CD of Procedure
Arteries
CARDIOTHORACIC AND VASCULAR
S7.2
SURGERIES
S7.2.11.3A Pericardiocentesis IP 17200
Balloon Dilatation of Coartication of 2D ECHO report + stills of Angio,2D ECHO report
S7.2.12.3 IP 2D ECHO report ,2D ECHO report 38600
Aorta + stills of Angio
Percutaneous Transluminal Tricuspid 2D ECHO,Angio(Fluroscopy),2D
S7.2.9.6 IP 2D ECHO,2D ECHO 26681
Commissurotormy -PTTC ECHO,Angio(Fluroscopy)
S7.3 LUNGS
BRONCHIAL ARTERY EMBOLIZATION IN
CT SCAN,HEMTO PLATLATE COUNT,CT CT CHEST,INTRA OPETAIV,WEBEX VIDEO,CT
S7.3.8 HEMOPTYSIS USING PVA AND MICRO IP 60000
SCAN,HEMTO PLATLATE COUNT CHEST,INTRA OPETAIV,WEBEX VIDEO
CATHETER
LOW CARDIAC OUTPUT SYNDROME
SV032 REQUIRING IABP INSERTION POST -
OPERATIVELY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Low Cardiac Output syndrome

SV032A1 requiring IABP insertion post - IP 118800
operatively
SV040 AORTIC STENTING
SV040A1 Aortic stenting IP 421000
M6 NEPHROLOGY
2D ECHO,HCD,Urine
protein,HIV,Electolytes,uric
M6.1 Medical Management of AKI IP 20227 RFT,other lab investigation
acid,Phosphate,Calicum,S.Protein,RFT,US
G,HBSAG,ECG
Renal Profile,Peritoneal fluid analysis &
Renal Profile,CAPD BAG Photo Pre & Post
culture & sensitivity,CAPD Bag
M6.10 CAPD Peritonitis IP 2250 22950 treatment,CAPD Pre & Post treatment,Complete
Photo,LFT(liver function tests),Complete
Blood Picture[CBP]
Blood Picture [CBP]
M6.12 PYELONEPHRITIS ST U/S KUB,CUE, Xray KUB,CBP,Urine C/S 15800 CUE,clinical picture
Medical Management of Nephrotic
M6.2 IP RFT, HIV,S.Protein 17333 RFT,other lab investigation
Syndrome
Medical Management of Rapidly
M6.3 IP RFT 2250 40200 RFT,other lab investigation
Progressive Renal Failure
X-Ray Chest,HB Sag, HCV,Spot
Medical Management of Chronic Renal Urine/Creatinine ratio, 24 hrs
M6.4 IP 35800 RFT,other lab investigation
Failure 1 -Crf urine,S.electrolytes,Alb/Globulin
ratio,S.Uric acid,S.Calcium,S.Protein,RFT
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
2D ECHO,HB Sag,HB Sag,HCV,HCV, Spot

Urine/Creatinine ratio, Spot
Urine/Creatinine ratio, 24 hrs urine, 24 hrs
urine,S.electrolytes,S.electrolytes,Alb/Glo
RFT,other lab investigation,other lab
M6.5 Maintenance Hemodialysis For Crf IP bulin ratio,Alb/Globulin ratio,S.Uric 20560
investigation,RFT
acid,S.Uric
acid,S.Po4,S.Po4,S.Calcium,S.Calcium,S.Pr
otein,S.Protein,RFT,RFT,X-Ray Chest,X-Ray
Chest,2D ECHO
Renal Profile,24 Hrs Urinary Protein

,ANCA (Anti Neutrophil Cyto Plasmic Anti
Body),ANA,Anti-Streptolysin O (ASO)
Titres,Spot PR/CR (Protein-Creatinine)
Medical Management of Acute Ratio,CUE (pH , Specific Gravity , Sugar , Renal Profile,CUE (pH , Specific Gravity , Sugar ,
M6.6 IP 26702
Glomerulo Nephritis Protein And Microscopy),Blood Culture & Protein And Microscopy)
Sensitivity - Automated,USG
Abdomen,ECG (Electro
Cardiogram),Complete Blood Picture
[CBP],LFT(liver function tests)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
ABG ,USG Abdomen,Cerebrospinal Fluid

(CSF) Analysis Cell Count,Complete Blood
Picture [CBP],T4,T3,TSH,Spot
PR/CR(Protein-Creatinine) Ratio X-Ray
Pelvis(1 Film),Serum Creatinine
Medical Management of Renal Tubular
M6.7 IP Levelse,Urine Culture & Sensitivity,Double 20300 Renal Profile,Serum Electrolytes
Acidosis
Stranded (DS) DNA,Anti Nuclear Anti Body
(ANA) Titres-,Serum Uric Acid
Levels,Serum Phosphorus Levels,Serum
Calcium Levels,LFT(liver function
tests),Serum Bicardonate,Renal Profile
CUE(pH,Specific Gravity,Sugar,Protein
And Microscopy),Urine Culture &
Sensitivity,Complete Blood Picture
Medical Management of UTI -Urinary
M6.8 IP [CBP],Clinical Photograph,USG 10000 Case sheet with clinical improvement
Tract Infection
Abdomen,Random Blood Sugar(RBS)
Test,Renal Profile,Blood Culture &
Sensitivity
Renal Profile ,Urine Culture &

Sensitivity,CSF Viral Culture - ,CSF For
Fungal Culture,HRCT Chest &
Medical Management of Post Renal Profile ,High Resolution CT Chest &
M6.9 IP Abdomen,CXR,Blood Culture & Sensitivity - 2250 50200
Transplant Sepsis Abdomen,USG Abdomen
Automated/ manual,USG
Abdomen,LFT(liver function
tests),Complete Blood Picture [CBP]
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MG0100 CHRONIC PD CATHETER INSERTION

MG0100A Chronic PD catheter Insertion ST 4100
MG044 RENAL COLIC
MG072
DIALYSIS
MG072B Peritoneal Dialysis DC 2850
M7 NEUROLOGY
CSF analysis,HIV profile,CSF Monoclonal
M7.1 Medical Management of ADEM IP 5000 20524 clinical and lab investigation
Bands,, Evoked Potentials,MRI Brain
Medical Management of Guillian-Barre CSF analysis, Nerve Biopsy (2000),,NCS /
M7.10 IP 10000 82096 clinical and lab investigation
Syndrome EMG(1000)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Management with Immunoglobulin
M7.12 IP Investigations indicative of diseases 5000 102620 clinical and lab investigation
Therapy - Iv
Serum Creatinine Levels ,USG
Medical Management of Wilson Abdomen,LFT(liver function tests),Serum LFT(liver function tests),CT Scan Abdomen With
M7.13 IP 1575 15120
Disease Ceruloplasmin Levels,24 Hrs Urinary Contrast,BT
Copper
MRI Brain Without Contrast,Case sheet
M7.14 Medical Management of Parkinsonism IP 1575 12190 Case Sheet with treatment details
with clinical History
M7.14.1 Parkinson Plus syndromes IP 7174
MRI Brain Without Contrast,EEG
(Electroencephalogram) \
M7.15 Medical Management of Dementia IP 2250 12940 Diagnostic Psychometry
Video,Cerebrospinal Fluid (CSF) Analysis
Cell Count Analysis,TSH,T3,T4
CT-Scan Brain Plain And Contrast ,Case
M7.16 Medical Management of Migraine IP 1650 Case Sheet with treatment details
sheet with clinical History
CT-Scan Brain Plain And Contrast /MRI
Brain With Contrast,Erythrocyte
Medical Management of Epilepsy - CT-Scan Brain Plain And Contrast/MRI Brain
Sedimentation Rate (ESR),Complete Blood
M7.17 Idiopathic Neurocysticercosis IP 1575 18000 With
Picture [CBP],EEG (Electroencephalogram)
Tuberculoma Contrast,EEG(Electroencephalogram)\Video EEG
\ Video EEG,CSF- Adenosine Deaminase
(ADA) Analysis
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
M7.18 THRAMBOLYTIC THERAPY CVA,A/S IP CBP,CAROTID DOPPLER,APTT,PT,RBS,CUE 1575 13800 ECHO,LFT,LIPIDS,APTT,PT

2DECHO,photo of drug vial with batch
THROMBOLYTIC THERAPY FOR ACUTE
M7.18.1 IP RBS,CT brain plain 1575 30000 number,Video of injecting the drug to
ISCHEMIC STROKE
patient,C/V Doppler,Lipid profile
CSF analysis,VEP,MRI spine and
brain,photo of patient undergoing
plasmapheresis ,patient on 02 mask or
ventilator or NIV or patient on Ryles
tube,CXR,Repititive nerve stimulation
PLASMAPHERESIS FOR NEUROLOGICAL
M7.19 IP RNS,photo of patient undergoing 2250 100000 clinical note with treatment details,CXR
DISORDERS
plasmapheresis AUTOIMMUNE
ENCEPHALITIS:clinical notes MRI Brain,CSF
Analysis photo of patient undergoing
plasmapherisis.MYASTHENIA GRAVIS IN
CRISIS:clinical notes,EEG
ECG, Carotid and vertebral Doppler etc.
special tests for Evaluation of cause,Lipid
profile,repeated blood tests for
Medical Management of Chronic
electrolytes and glucose,
M7.2 Inflammatory Demyelinating IP 10000 14715 clinical and lab investigation
Echocardiography,MRV /MRA,MRI Brain,
Polyneuropathy-CIDP
Nerve Biopsy .,Serum Protein
electropheresis,NCS,CT Brain,CSF
analysis,EMG
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MULTIPLE SCLEROSIS:clinical notes,Ach R

antibody or MUSK antibody
CBC,CXR,CBC.REFRACTORY MYASTHENIA
GRAVIS:RNS,positive autoimmune
encephaltis panel report,CBC.Antibody
RITUXIMAB FOR NEUROLOGICAL
positive AUTOIMMUNE clinical notes and photos of infusion of
M7.20 DISORDERS-INITIAL DOSE - Day 1 - IP 50000
ENCEPHALITIS:clinical notes MRI brain drug,photos of drug vials with Batch number
1000mg Day 14 - 1000mg
report,Positive auto antibody Report
(AQPO4,or Anti MOG
antibody),CBC.NMOSD(Antibody
positive):clinical notes MRI Brain,VEP,CSF-
OCBs,MRI Brain and spine
RITUXIMAB FOR NEUROLOGICAL

DISORDERS-MAINTENANCE DOSE - clinical notes and photos of infusion of
M7.21 IP CBC,SGPT,SGOT,CXR 22500
1000 mg ever 6 months from the initial drug,photos of drug vials with Batch number
dose
M7.22 Neurocutaneous Syndromes IP 12651
M7.23 Mucopoly Sacharidosis IP 11073
M7.24 Multiple Sclerosis IP 17500
M7.25 Motor Neuron Disease IP 13833
M7.26 Peripheral Neuropathy ST 12568
CT BRAIN,Enchocardiography,Lipid
profile,4-Vessel Cerebral Angio if
Medical Management of Hemorrhagic
M7.3 IP necessary (DSA),Special tests for 30000 31843 clinical and lab investigation
Stroke/Strokes-I61/I62/I63/I64
Evaluation of Cause,Carotid and Vertebral
Doppler etc.,ECG,MRA,MRV,MRI BRAIN
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
ECG, Carotid and vertebral Doppler etc.

special tests for Evaluation of cause,Lipid
Medical Management of Ischemic profile,repeated blood tests for
Strokes electrolytes and glucose,
Echocardiography,MRV /MRA,MRI
Brain,CT Brain
M7.4.1 Stroke in Young IP 11418
NCS, /EMG, Serum calcium,Muscle
Medical Management of Acquired
M7.5 IP Biopsy,endocrine evaluation,Phosphate 30000 19970 clinical and lab investigation
Myopathies
and alkaline phophatase,Serum CPK
CSF analysis,Fungal studies, CSF serology

M7.6 IP for tuberculous antigens,culture,ADA,Cell 30000 55754 clinical and lab investigation
Neuroinfections -Fungal Meningitis
count,MRI Brain scan,CT Brain
CSF analysis,culture,ADA,Cell count,MRI
M7.7 Neuroinfections -Pyogenic Meningitis- IP 5000 30000 clinical and lab investigation
Brain scan,CT Brain
Bacterial
CSF analysis,CSF antibodies for
Neuroinfections -Viral
M7.8 IP HSV,culture,ADA,Cell count,MRI Brain 15000 40503 clinical and lab investigation
Meningoencephalitis -Including Herpes
scan,CT Brain
Encephalitis
CT-Abdomen,Thyroid profile,Neostgmine
M7.9 Neuromuscular disorders -Myasthenia IP 10000 21910 clinical and lab investigation
test,RNS,CT-Chest
Gravis
M7.9.1 Leucodystrophies IP 11270
M7.9.2 Muscular Dystophies IP 11568
M7.9.3 Spinal Muscular Atrophy ST 12568
MG0116 MYASTHENIC CRISIS -PLASMAPHERESIS
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MG0116B Myasthenic crisis -Plasmapheresis IP 82000

EVALUATION OF DRUG RESISTANT
MG0118
EPILEPSY-PHASE-1
Evaluation of drug resistant epilepsy-
MG0118A ST 5000
Phase-1
MG0119 DRUG RESISTANT EPILEPSY
MG0119A Drug resistant epilepsy ST 6900
MG047 PEDIATRIC SEIZURE DISORDERS
MG047A Status epilepticus IP 8500
MG056 NEUROMUSCULAR DISORDERS
MG056A Neuromuscular Disorders IP 12568
MG069 GUILLAIN BARRE SYNDROME
MG069A Guillain Barre syndrome -IVIG IP 51922
MG087 VENOUS SINUS THROMBOSIS
MG087A Venous sinus thrombosis IP 18500
MG090 AUTOIMMUNE ENCEPHALITIS -IVIG
Autoimmune encephalitis -
MG090B IP 55922
Immunoglubulin -IVIG
TUBERCULOUS MENINGITIS -
MG094 HYDROCEPHALUS ? VP SHUNTOR
EVDOROMAYA
Tuberculous meningitis -
MG094A Hydrocephalus ? VP SHUNT Or EVD Or IP 20100
Omaya
M1 CRITICAL CARE
Medical Management of Acute Severe
M1.1A IP 51310
Asthma With Acute Respiratory Failure
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management of COPD with

M1.2A Respiratory Failure -Infective IP 82095
Exacerbation
M1.3A Bronchitis with Pneumonia and IP 61572
Respiratory Failure
M1.4A Medical Management of ARDS IP 102619
UNCONTROLLED DIABETES MELLITUS
M11.1
WITH INFECTIOUS EMERGENCIES
Medical management of Lower
M11.1.2A IP 23603
Respiratoy Tract Infection
M14.1 COVID - 19
Post COVID Management with NIV -
M14.1.23A IP 3800
Nasal O2,CPAP, BIPAP, HFNO
Non Critical COVID 19 Treatment per
M14.1.24A IP 2300
day
Non Critical COVID 19 Treatment with
M14.1.25A IP 4650
O2
Critical Care - ICU with NIV -CBAP,
M14.1.26A IP 10350
BIPAP, HFNO per day
Post Covid with Mucor Mycosis
M14.1.28A IP 31950
Management
M2 GENERAL MEDICINE
M2.16A Acute bronchitis ST 7000
M2.17A Severe Asthma ST 5000
M2.18A Acute COPD ST 5000
M2.48A PTB DEFAULTER ST 7000
M5 CARDIOLOGY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Management of acute exacerbation of

M5.15A IP 13800
COPD
MEDICAL MANAGEMENT OF ACUTE
M5.19A RIGHT HEART FAILURE Or ADVANCED ST 6200
LUNG DISEASE
M5.3A IP 35916
Embolism
M8 PULMONOLOGY
Spirometry,drug susceptability,Sputum
M8.1 Bronchiectasis with Repeated IP 2250 30787 clinical and lab investigation
culture,FOB,HRCT Chest
Hospitalisation greater than6per Year
M8.1.1 Bronchiectasis ST Chest X Ray 1575 4500 CBP,ESR,stable clinical condition,Chest X Ray
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Complete Blood Picture [CBP],Serum

Creatinine Levels,Chest X-Ray PA View(1
Film),Viral Markers,Anti HCV (Hepatitis C)
Antibodies/CSF Viral
Culture,Deoxyribonucleic Acid (DNA)
Quantitative,HBV (Hepatitis B),ECHO
Cardiogram,High Resolution CT Chest/CT
Medical Management of Pleural Scan Abdomen Without Contrast/Pleural
M8.10 IP 1575 15000 Chest X-Ray PA View(1 Film)
Effusion Biopsy,Chest &Abdomen,Urine Culture &
Sensitivity,Fluid for Fungal Stain,Fluid For
Gram Stain,Sputum For Acid-Fast Bacilli
(AFB) Staining,Lactate Dehydrogenase
(LDH)),Adenosine Deaminase Test
(ADA),Pleural Fluid Analysis,Blood -
Urea,Random Blood Sugar (RBS)
Test,Erythrocyte Sedimentation Rate (ESR)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Creatinine Levels,Chest X-Ray PA View(1
Film),Spirometry,ABG,Viral Markers,Anti
HCV (Hepatitis C)
Antibodies,Deoxyribonucleic Acid (DNA)
Quantitative,/HBV (Hepatitis B),ECHO
Cardiogram,High Resolution CT Chest/CT
Scan Abdomen Without Contrast/Pleural Pleural Fluid analysis,Chest X-Ray PA View(1
M8.11 Medical Management of Empyema IP 1575 22000
Biopsy,Chest &Abdomen,Urine Culture & Film)
Sensitivity,Fluid for Fungal Stain,Fluid For
Gram Stain,Sputum For Acid-Fast Bacilli
(AFB) Staining,Lactate Dehydrogenase
(LDH)),Adenosine Deaminase Test
(ADA),Pleural Fluid Analysis,Blood -
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Complete Blood Picture [CBP],Arterial

Blood Gas Analysis (ABG),Chest X-Ray PA
View(1 Film),Viral Markers,Anti HCV
(Hepatitis C) Antibodies,Deoxyribonucleic
Medical Management of Inhalational Acid (DNA) Quantitative,HBV (Hepatitis Complete Blood Picture[CBP],Chest X-Ray PA
M8.12 IP 2250 20000
Lung Injuries B),Spirometry,CT scan Lower Abdomen View(1 Film),Spirometry
Without Contrast/CT Scan Chest With
Contrast,Serum Electrolytes,Blood -

Ig,X-Ray PNS,Absolute Eosinophilic
Count,CT Scan Chest With
Contrast/Spirometry/Fluid For Gram Stain
Medical Management of Chronic /ECHO Cardiogram / Bronchoscopy/
M8.13 IP 2250 15000 Complete Blood Picture[CBP],Spirometry
Persistent Asthama Pulmonary Function Test(Major),Arterial
Blood Gas Analysis (ABG)/ CT scan Lower
Abdomen Without Contrast,Serum
Electrolytes,Chest X-Ray PA View(1
Film),Random Blood Sugar (RBS)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Complete Blood Picture [CBP] ,Chest X-

Ray PA View(1 Film),Blood - Urea,USG
Abdomen,/Dlco/ECHO
Cardiogram/LFT(liver function tests),High
Medical Management of Emphysema Resolution CT Chest,Alpha Anti-Trypsin C-Reactive Protein,spirometry,Chest X-Ray PA
M8.14 IP 1575 15000
Without Respirative Failure Levels,spirometry,C-Reactive View(1 Film)
Protein,Arterial Blood Gas Analysis
(ABG),Serum Creatinine Levels,Random
Blood Sugar (RBS) Test,Erythrocyte
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Complete Blood Picture [CBP] ,C-Reactive

Protein,Blood - Urea,/LFT(liver function
tests)/Serum Electrolytes and Routine
Histopathological Examination,Serum
Ig,CUE(pH,Specific Gravity,Sugar,Protein
And Microscopy),Bronchoscopy,Renal Erythrocyte Sedimentation Rate(ESR),Chest X-
M8.15 IP Profile,Pulmonary Angiogram(CT Angio 2250 20000 Ray PA View(1 Film),C-Reactive
Vasculitis
Chest) - ,ECHO Cardiogram,Arterial Blood Protein,Complete Blood Picture [CBP]
Gas Analysis (ABG),High Resolution CT
Chest ,ANCA (Anti Neutrophil Cyto Plasmic
Anti Body),Collagen Profile ,Serum
Creatinine Levels,Random Blood Sugar
(RBS) Test,Erythrocyte Sedimentation
Rate (ESR)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Complete Blood Picture [CBP] ,High

Resolution CT Chest,Blood - Urea,Sputum
Culture & Sensitivity,X-Ray PNS/Fluid For
Gram Stain,Chest X-Ray PA View(1
Film),USG Abdomen,Sweat Chloride
Test(Chloride Levels),Arterial Blood Gas
M8.16 Medical Management of Cystic Fibrosis IP Analysis (ABG),CFTR(Cystic Fibrosis 1575 20000 Chest X-Ray PA View(1 Film)
Transmembrane Regulator Gene),Nasal
endoscopy,Serum
Ig,Bronchoscopy,Serum Creatinine
Levels,Random Blood Sugar (RBS)
Complete Blood Picture [CBP],Chest X-

Ray PA View(1 Film),Blood - Urea,Blood
Grouping And RH Typing /Blood Fungal
Culture/Bronchoscopy,CT Scan Chest With
Contrast ,Serum Immunoglobulines(Each)
Complete Blood Picture[CBP],Chest X-Ray PA
M8.17.1 Medical Management of Aspergilloma IP IgG Or IgA Or IgE,Fluid for Fungal 2250 27335
View(1 Film)
Stain,Fluid For Gram Stain,Sputum For
Acid-Fast Bacilli (AFB) Staining,Serum
Creatinine Levels ,Random Blood Sugar
Rate (ESR)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CXR,Blood - Urea,Serum Creatinine Levels

,spirometry/Blood Fungal
Culture/Bronchoscopy,Skin Prick
Test,S.Precipitin test(IgG) ,Serum
Ig,Serum Electrolytes,Fluid for Fungal
Medical Management of A.B.P.A -
Stain ,Fluid For Gram Stain,Sputum For spirometry,Serum Immunoglobulines(Each) IgG
M8.17.2 Alergic Broncho Pulmonary IP 2250 24850
Acid-Fast Bacilli (AFB) Staining ,Arterial Or IgA Or Ig,Chest X-Ray PA View(1 Film)
Aspergillosis
Blood Gas Analysis (ABG),High Resolution
CT Chest ,X-Ray PNS,Chest X-Ray PA
View(1 Film),Absolute Eosinophil
Count,Random Blood Sugar (RBS)
Test,Erythrocyte Sedimentation
Rate(ESR),Complete Blood Picture [CBP]
Complete Blood Picture [CBP],Chest X-

Ray PA View(1 Film),Blood - Urea,High
Resolution CT Chest/USG local area,Fine
Needle Aspiration Cytology (FNAC),Fluid
Medical Management of Cold Abscess Clinical Photograph,Case sheet with clinical
M8.18 IP for Fungal Stain,Fluid For Gram Stain 1575 12500
Chest Wall improvement
,Sputum For Acid-Fast Bacilli (AFB)
Staining,Serum Creatinine Levels,Random
Blood Sugar (RBS) Test,Erythrocyte
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Ray PA View(1 Film) spirometry,Blood -
Urea,Sputum AFB,Routine
Histopathological
Examination,Angiotensin Converting
Enzymes,Bones & Joints AP & Lateral
View(2 Film),Extremities ,24 Hrs Urinary
Angiotensin Converting Enzymes -,C-Reactive
Calcium/Pulmonary Function
M8.19 Medical Management of Sarcoidosis IP 1575 16500 Protein,Routine Histopathological
Test(Major)/Fundus floroscence,Serum
Examination,Chest X-Ray PA View(1 Film)
Calcium Levels,Mantoux test,C-Reactive
Protein,LFT(liver function
tests),Bronchoscopy,Collagen Profile,CT
Scan Chest With Contrast,Serum
Rate (ESR)
Medical Management of Lung Abscess

M8.2 IP CT-Chest,PUS c/s,FOB 1575 35918 clinical and lab investigation
,Non Resolving
Lung Biopsy - A - Ultrasound or B - CT
M8.20 DC 820
Guided
M8.21 FNAC Lung DC 4000
M8.22 Thoracoscopic Adhenolysis DC 35000
M8.3 IP HRCT Chest,VATS 1575 30787 clinical and lab investigation
Pneumothorax -Large/Recurrent
Medical Management of Interstitial 2D ECHO,collagen profile,HRCT
Lung Diseases Chest,Spirometry,Bronchoscopy
Medical Management of 2D ECHO,collagen profile,HRCT
Pneumoconiosis Chest,Spirometry,Bronchoscopy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
2D ECHO,ET suction for analysis,Bronchial

M8.6 IP washing,sputum,Serum 25656 clinical and lab investigation
Respiratory Failure -Without Ventilator
Electrolytes,ABG,ECG,Bronchoscopy
2D ECHO,ET suction for analysis,Bronchial

M8.7 IP washing,sputum,Serum 1575 51311 clinical and lab investigation
Respiratory Failure -With Ventilator
Electrolytes,ABG,ECG,Bronchoscopy
Complete Blood Picture [CBP],Blood

Culture & Sensitivity,Aspirate For
Culture(Barium, Fungus, Anaerobic),Fluid
for Fungal Stain,Sputum For Culture & Chest X-Ray PA View(1 Film),C-Reactive
M8.8 Medical Management of Pneumonias IP 30786
Sensitivity,C-Reactive Protein,Arterial Protein,Complete Blood Picture [CBP]
Blood Gas Analysis (ABG),Chest X-Ray PA
View(1 Film),Random Blood Sugar (RBS)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE

Ray PA View(1 Film),Blood - Urea,ANCA
(Anti Neutrophil Cyto Plasmic Anti
Body),Upper GI endoscopy ,CT Scan Chest
With Contrast/Arterial Blood Gas Analysis
(ABG),Blood Grouping And RH Typing /CT
scan Lower Abdomen Without Erythrocyte Sedimentation Rate(ESR),Chest X-
Medical Management of Haemoptysis
M8.9 IP Contrast,LFT(liver function tests),Renal 2250 10000 Ray PA View(1 Film),Platelet Count,Complete
For Evaluation
Profile,Blood Coagulation Analyzer (BCA) Blood Picture [CBP]
Or Coagulation Profile,Platelet
Count,Serum Electrolytes,CT scan Lower
Abdomen Without Contrast,Serum
Rate (ESR)
MG096 FIBREOPTIC BRONCHOSCOPY -FOB

MG096A Bronchoscopy DC 10900
ENDOBRONCHIAL ULTRASOUND -
MG097
EBUS
Endobronchial Ultrasound guided fine
MG097A DC 10900
needle biopsy
M9 DERMATOLOGY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
M9.1 Medical management of Pemphigus IP Tzanck Smear,Skin biopsy - HPE,DIF 60000 32498 clinical and lab investigation
Skin Biopsy,Serum Electrolytes,Direct

Medical Management of Bullous Immunoflorscence,Tzanck Smear,Skin
M9.10 IP 8375 23000 Clinical Photograph
Disorders -Pemphigoid/Pemphigois Biopsy - Routine Histopathological
Examination
LFT(liver function tests),Patch Test,Routine

M9.11 IP Clinical Photograph 3150 13664 Histopathological Examination,Urine Culture &
Contact Allergic Dermatitis
Sensitivity,USG Abdomen
Medical Management of Pustular
M9.12 IP Clinical Photograph,Skin-Biopsy 8375 15000 Clinical Photograph
Psoriasis
Medical management of Chronic
plaque psoriasis greater than20
M9.12.2 IP 23357
percentage BSA /Palmo plantar
psoriasis
Medical Management of Adverse Drug
M9.13 IP Clinical Photograph,AEC,CBP,ESR 5000 13194 Clinical Photograph
Reactions
M9.14 IP Clinical Photograph,CBP,ESR 5000 13463 Clinical Photograph
Urticaria
Medical Management of Erythema
M9.15 IP Clinical Photograph,CBP,ESR 1575 8640 Clinical Photograph
Multiforme
M9.16 Medical Management of Erythroderma IP Skin Biopsy 8375 18819 Clinical Photograph
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Skin Biopsy,Serum Aldose Levels,Serum

Creatinine Levels,CPK,Clinical Routine Histopathological Examination,Serum
Medical Management of Photograph,ENMG(Elektroneuromyograp Creatinine Levels,Clinical Photograph,Serum
M9.17 IP 19382
Dermatomyositis hy),Anti Nuclear Anti Body (ANA) Aldose Levels,Anti Nuclear Anti Body (ANA)
Titres,MRI Muscle,Muscle Biopsy -Routine Titres,ENMG(Elektroneuromyography)
Skin
Medical Management of Connective Routine Histopathological Examination,Clinical
M9.18.1 IP Biopsy,ECG,PFT,ECHO,LFT,RFT,CBP,Collage 20000
Tissue Disorders - Systemic Sclerosis Photograph,Case Sheet with treatment details
n Profile
Serum Cpk-Mb Levels/ENMG
Medical Management of Connective Case Sheet with treatment details,Clinical
M9.18.2 IP (Elektroneuromyography),Collagen 17512
Tissue Disorders - SLE / MCTD Photograph
Profile,Clinical Photograph
Management of connective tissue
M9.18.3 disorders. Morphea - IP 11726
Linear/Generalised
Medical Management of Vitiligo
M9.19 DC Skin Biopsy 1575 15000 Clinical Photograph
Medical -OP Management
LFT,Echo-Cardiogram,Skin biopsy -
Medical management of Toxic
M9.2 IP HPE,,USG abdomen,Skin swab,,urine 10000 38791 clinical and lab investigation
Epidermal Necrolysis
culture,Blood culture
Medical management of cutaneous
M9.20 IP 15516
vasculitis
Medical management of Hidradenitis
M9.21 IP 16724
suppurativa
Medical management of Alopecia
M9.22 Areata greater than10 percentage of IP 10469
scalp involvement
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical management of
M9.23 IP 21141
Mycetoma/Subcutaneous mycoses
LFT,Echo-Cardiogram,Skin biopsy -
Medical management of Stevens-
M9.3 IP HPE,USG abdomen,Skin swab,,urine 5000 22224 clinical and lab investigation
Johnson Syndrome
culture,Blood culture
LFT(liver function tests) ,Skin Swab For Culture &
Sensitivity,Sputum For Acid-Fast Bacilli(AFB)
Medical Management of Leprosy Staining,Direct Immunofluorescence,ECHO
M9.5 Reactions and Deformities -Type I and IP Case sheet with clinical History 3150 20000 Cardiogram,Routine Histopathological
Type Ii Examination,Skin Biopsy,USG Abdomen,Blood
Culture & Sensitivity - Automated,Urine Culture
& Sensitivity
Cervical Swab Culture,Case Sheet with
Medical Management of Chlamydial
M9.6 IP Cervical Swab Culture,FREI Test 1575 27290 treatment details,FREI Test,Routine
Tests
Medical Management of Herpes Zoster
M9.7 IP Clinical Photograph 3150 12592 Case Sheet with treatment details
Post Herpetic Neuralgia
M9.8 IP Clinical Photograph 8210 Case Sheet with treatment details
Electro/Cryocautery For Warts
M10 RHEUMATOLOGY
ANA PROFILE,EN ANTIGEN,HR CT,ACL
Medical management of SLE -Systemic
M10.1 IP ANTIBODIES,dSDNA,24 Hrs URINARY 4500 26323 clinical and lab investigation
Lupus Erythematosis
PROTEIN,KIDNEYBIOPSY
Medical management of Sle -Systemic
M10.1.2 IP 4500 73116
Lupus Erythematosis with sepsis
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
APLA(Anti Phospholipid Anti Body

Test),Anti Nuclear Anti Body (ANA)
Titres,Activated Partial Thrombo Plastin
Time (APTT),Evidence of Ischemia,Case
sheet with clinical History,CUE(pH,Specific
Medical Management of Anti Phospho Gravity,Sugar,Protein And
M10.1.3 Lipid Antibody Syndrome With IP Microscopy),Alanine Aminotransferase - 2250 50000 Case Sheet with treatment details
Ischemia Blood ,Serum Creatinine
Levels,Erythrocyte Sedimentation Rate
(ESR),Complete Blood Picture [CBP]
,Double Stranded (DS) DNA,Prothrombin
Time,Lupus Anti Coagulant,Complete
Haemogram
Anti Nuclear Anti Body (ANA)

Titres,Erythrocyte Sedimentation Rate
(ESR),Complete Blood Picture [CBP],Case
sheet with clinical History,Clinical
Photograph,Serum Total Proteins
Medical Management of Severe Lupus Levels,Urine Culture & Case Sheet with treatment details,Complete
M10.1.4 IP 3150 30000
Erythamatosis Sensitivity,CUE(pH,Specific Haemogram
Gravity,Sugar,Protein And
Microscopy),LFT(liver function
tests),Serum Creatinine Levels,Serum Uric
Acid Levels,Complement
Levels(C3,C4),Double Stranded(DS)DNA
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Extremities ,Serum Vitamin D3

Levels,P.T.H Assay(Parathyroid
M10.10 Medical Management of Osteomalacia IP Assay),Serum Phosphorus Levelss,Serum 1575 12950 Serum Vitamin D3 Levels,Serum Calcium Levels
Calcium Levels,Bones & Joints AP &
Lateral View(2 Film)
2D ECHO,SKIN BIOPSY WITH HPE
M10.2 Medical management of Scleroderma IP 4500 30786 clinical and lab investigation
REPORT,RENAL DOPPLER,ANA PROFILE
CPK,24 Hrs URINARY
Medical management of Mctd Mixed
M10.3 IP PROTEIN,KIDNEYBIOPSY,MRI OF 4500 25000 clinical and lab investigation
Connective Tissue Disorder
HANDS,MRI OF MUSCLES,ENMG,LDH
Anti Nuclear Anti Body (ANA) Titres,Case
M10.3.1 Undifferentiated Connective Tissue IP 1575 20290 Case Sheet with treatment details
sheet with clinical History
Disorder
CANCA,24 Hrs URINARY
PROTEIN,KIDNEYBIOPSY,MRI OF
Medical management of Primary
M10.4 IP HANDS,MRI OF 4500 20000 clinical and lab investigation
Sjogren Syndrome
MUSCLES,ENMG,LDH,CPK,ANA
PROFILE,pANCA
M10.5 Medical management of Vasculitis IP 4500 30786 clinical and lab investigation
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
RA Factor,Erythrocyte Sedimentation
Rate (ESR),Complete Blood Picture
[CBP],Anti Nuclear Anti Body (ANA)
Indirect Immunofluorescence (IIF) / Anti
Medical Management of Rheumatoid Nuclear Anti Body (ANA) Titres,ECHO Case sheet with clinical improvement,Complete
M10.6.1 IP 3150 30000
Arthritis Requiring Hospitalisation Cardiogram,X-Ray Arthrography,Chest X- Haemogram
Ray PA View(1 Film),LFT(liver function
tests),Anti CCP (Anti-Cyclic Citrullinatid
Peptide Anti Bodies),Renal
Profile,Complete Haemogram
Complete Haemogram,Clinical
Medical Management of Severe Clinical Photograph,Case Sheet with treatment
M10.6.2 IP Photograph,USG local area,Contrast 1575 20000
Psoriatic Arthritis details
Enhanced USG
Medical Management of Juvenile
M10.6.3 IP Clinical Photograph 1575 10000 Case sheet with clinical,Complete Haemogram
Idiorpathic Arthritis
Complete Haemogram,Serum Creatinine

Levels,Serum Uric Acid Levels,Clinical
Photograph,Lymph Node Biopsy For
Medical Management of Juvenile Serum Ferritin Levels,C-Reactive Protein,Case
Examination,Fine Needle Aspiration
M10.6.4 Idiorpathic Arthritis with systemic IP 1575 30000 sheet with clinical improvement,Complete
Cytology (FNAC),Routine Histopathological
onset Haemogram
Examination,Bone Marrow
Aspiration,Lactate Dehydrogenase
(LDH),LFT(liver function tests),C-Reactive
Protein,Serum Ferritin Levels
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Complete Haemogram,Synovial Fluid

Medical Management of Infection
M10.6.5 IP Analysis,Cerebrospinal Fluid (CSF) Analysis 1575 9670 Case Sheet with treatment details
Related Arthrites
Cell Count,X-Ray,C-Reactive Protein
Complete Haemogram,Clinical
M10.6.6 Undifferentiated Inflammatory IP 1575 15000 Case sheet with clinical,Complete Haemogram
Photograph,Renal Profile
Arthritis
X-Ray Dorso Lumbar Spine,Clinical
Photograph,MRI Spine/MRI Ankle Both
M10.6.7 IP Joints Without Contrast,Complete 1575 24750 Case sheet with clinical improvement
Spondylo Arthropathies
Haemogram ,Human Leukocyte Antigen
(HLA) B27

Ray PA View(1 Film) spirometry,Blood -
Urea,Angiotensin Converting
Enzymes,Bones & Joints AP & Lateral
View(2 Film),Extremities ,24 Hrs Urinary
Calcium/Pulmonary Function
Angiotensin Converting Enzymes -,C-Reactive
Test(Major)/Fundus floroscence,Serum
M10.7 Medical Management of Sarcoidosis IP 1575 15000 Protein,Routine Histopathological
Calcium Levels,Mantoux test,C-Reactive
Examination,Chest X-Ray PA View(1 Film)
Protein,LFT(liver function
tests),Bronchoscopy,Collagen Profile,CT
Scan Chest With Contrast,Serum
Rate (ESR)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Serum Cpk-Mb Levels/ENMG

Medical Management of Inflamatory
M10.8.1 IP (Elektroneuromyography),Clinical 1575 30000 Case Sheet with treatment details
Myositis
Photograph
(Elektroneuromyography),Clinical
Medical Management of Severe Photograph,Collagen Profile,Double
M10.8.2 IP 3150 30000 Case Sheet with treatment details
Myositis Requiring IVIG Stranded(DS)DNA,Anti Nuclear Anti Body
(ANA) Titres
Extremities ,Serum Vitamin D3

Levels,Serum Calcium Levels,Dexa Scan
(Hip and Spine/Heel)(Bone Scan),P.T.H
Medical Management of Osteoporosis Assay (Parathyroid Assay),Bone Mineral
M10.9 IP 1575 14110 Serum Calcium Levels,X-Ray
With Recent Painful Yertebral Fracture Density\Densitometry(BMD)-Three
Sites(Spine,Hip and Extremity),Alkaline
Phosphatase Levels,Bones & Joints AP &
Lateral View(2 Film)
Uncontrolled Diabetes mellitus with

M11.1
infectious emergencies
Medical management of
M11.1.1 Pyelonephritis in uncontrolled IP Urine C and S,USG 22074 clinical and lab investigation
Diabetes melitus
Medical management of Lower
M11.1.2 IP CXR,Sputum C/S 23603 clinical and lab investigation
Respiratoy Tract Infection
Medical management of Fungal
M11.1.3 IP CT PNS 42013 clinical and lab investigation
Sinusitis
M11.1.4 Medical management of Cholecystitis IP CT-Abdomen,USG 30479 clinical and lab investigation
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical management of Cavernous

M11.1.5 Sinus Thrombosis in uncontrolled IP MRI,Venogram 1575 42085 clinical and lab investigation
Diabetes melitus
Medical management of Rhinocerebral
M11.1.6 IP CT-Scan 1575 52973 clinical and lab investigation
Mucormycosis
M11.2 OTHER ENDOCRINAL DISORDERS
Initial evaluation and management of
M11.2.1 IP FSH,t3 t4TSH,estradiol,testosterone,LH 1575 26681 clinical and lab investigation
Hypopituitarism with growth harmone
2D ECHO,Visual field,MRI colonoscopy if

needed,,water deprivation test(if
Hormonal therapy for Pituitary -
M11.2.2 IP needed),,Basal cortisal cost ACTH, t3 2250 18923 clinical and lab investigation
Acromegaly
t4TSH,prolactin,Post glucose on
assay,estradiol,testosterone,LH,FSH
Cortisol assay after dexamethasone,Dexa

Medical Management of Cushings
M11.2.3 IP of Hip spine,CT Chest,MRI pituitary CT 30787 clinical and lab investigation
Syndrome
ABD,DHEAS,ACTH assay
2D ECHO,MRI brain DEXA,X-ray skull,T4
Hormonal therapy for Delayed Puberty
TSH X-ray bone age,USG pelvis
M11.2.4 Hypogonadism-Turners IP 1575 14880 clinical and lab investigation
karyotyping,estradiol,
Syndrome/Kleinfelter Syndrome-Q98.4
testosterone,LH,FSH
T3, T4, TSH,Growth Hormone (Basal, Post
Hypopiturasim Initial Evaluation And Glucose Load),Cortisol Assay After
M11.2.5 IP 26681 Case sheet with clinical improvement ,T4
Management With Growth Hormone Dexamethasone,Basal Cortisol Levels
(Adrenal Corticotrophin Stimulation Test)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
T3, T4, TSH,Growth Hormone (Basal, Post

Hypopiturasim Maintanance Phase
Glucose Load),Cortisol Assay After
M11.2.6 Monthly Package For Growth IP 18162 Case sheet with clinical improvement ,T4
Dexamethasone,Basal Cortisol Levels
Hormone
(Adrenal Corticotrophin Stimulation Test)
Medical Management of Graves
M11.2.7 IP T3, T4, TSH 2250 10323 Case Sheet with treatment details
Disease
FSH(Follicle-Stimulating Hormone)
Levels,Skeletal Survey ,TSH,USG Abdomen
Medical Management of Precocious Serum Luteinizing Hormone(Lh) Levels,Case
M11.2.8 IP & Pelvis,X-Ray Skull,T4,T3,Serum Free 15865
Puberty sheet with clinical improvement
Testosterone Levels/ Estradiol
Levels,Luteinizing Hormone (Lh) Levels
Dexa Scan (Hip & Spine / Heel) (Bone Serum Calcium Levels,P.T.H Assay (Parathyroid
Scan)/ Bone Mineral Assay),Case sheet with clinical
M11.2.9 Medical Management of Osteoporosis IP 1575 11090
Density\Densitometry -Whole Body,Xray improvement,Serum Phosphorus Levelss,Serum
Spine Vitamin D3 Levels
M2 GENERAL MEDICINE
M2.41A Addison s disease IP 20000
M2.44A HYPOGLYCEMIA MANAGEMENT IP 6800
M2.47A IP 32376
FOOT
M2.14.1A Diabetic ketoacidosis IP 15000
MG052 MYXEDEMA COMA
MG052A1 Myxedema coma IP 45000
M12 GASTROENTEROLOGY
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical management of Corrosive

M12.1 IP Endoscopic dilatation-video/photo 5000 21868 Barium swallow
Oesophageal Injury
Medical Management of Infective Upper GI endoscopy ,Viral Markers,HBS Case Sheet with treatment details ,Clinical
M12.1.1 IP 12080
Oesophagitis -Candida Viralbacterial Ag,HCV,HIV,Clinical Photograph Photograph
Medical management of Acute
M12.10 IP CT-Abdomen + Pelvis,MRCP,EUS 3375 51310 USG,Lab Investigations
Pancreatitis -Mild
Medical management of Acute
M12.11 IP CT-Abdomen + Pelvis 5000 153930 USG,Lab Investigations
Pancreatitis -Severe
Conservative management of Acute CT-Abdomen + Pelvis,Post procedure
M12.12 IP 5000 36300 USG,Lab Investigations
Pancreatitis With Pseudocyst -Infected USG,EUS
Conservative management of Chronic

M12.13 IP CT-Abdomen + Pelvis,EUS 5000 30785 Lab Investigations
Pancreatitis with Severe Pain
LFT(liver function tests),Breath Test,Fecal

Medical Management of Chronic Elastase,HIV,HCV,HBS Ag,CT scan Lower
Pancreatitics With Maldigestion Abdomen Without Contrast/MRCP,Upper
GI endoscopy,USG Abdomen
USG Abdomen/ CT scan Upper Abdomen
Medical Management of Chronic Without
M12.13.2 IP 3150 33000 X-Ray,Endoscopic Photograph
Pancreatitis With Pseudocyst Infected Contrast,RFT,LFT,CBP,ESR,HIV,HCV,HBS
Ag,Serum Amylase Levels
Conservative management of Obscure BMFT,Enteroscopy biopsy,Capsule
M12.14 IP 3375 51309 Endoscopic photograph
GI Bleed Endoscopy
Medical Management of Lower GI Upper GI endoscopy/ Colono
M12.14.1 IP 22000 Intra Op Photo
Bleed Scopy,Enteroscopy,HBS Ag,HCV,HIV
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Conservative management of Cirrhosis

M12.15 IP UGI Endoscopy,Ascitic fluid analysis 5000 41048 Lab Investigations
with Hepatic Encephalopathy
Medical management of Cirrhosis with
M12.16 IP Reports of Serum Chemistry 3375 55320 Lab Investigations
Hepato Renal Syndrome
M12.17.1 Medical management of Post op stent IP ERCP,PTBD,MRCP,EUS 1575 48057 Radiological and endoscopic image
M12.17.2 Medical management of Post op leaks IP ERCP,PTBD,MRCP,EUS 3375 48539 Radiological and endoscopic image
Medical management of Sclerosing
M12.17.3 IP ERCP,PTBD,MRCP,EUS 3375 76965 Radiological and endoscopic image
Cholangitis
M12.17.4 Cholidocholithiasis IP 30000
LFT(liver function tests),Rna
Medical Management of Cirrhosis
Quantitative,HCV Geno Type/HCV,HBs Case sheet with clinical History, Case Sheet with
M12.18 Decompensated Including SBP, Portal IP 5000 37836
Ag,Fluid Analysis,Upper GI endoscopy,USG treatment details
HTN, Bleed
Abdomen
LFT(liver function tests),HBS
Medical Management of Compensated Ag,HCV,Serum Electrolytes,Serum
Cirrhosis Creatinine,HIV,CBP,Upper GI
endoscopy,USG Abdomen
LFT(liver function tests),Case sheet with
clinical History,Anti-HAV IgM (IgM
Antibody To Hepatitis A LFT(liver function tests),Case sheet with clinical
M12.19 Hepatitis -Viral, Alcohol, Drugs, Misc. IP 5000 30000
Antigen),IgA/IgG/IgM,Anti-Endomysial improvement
Infections
Antibodies,Rna Quantitative,HCV Geno
Type /HCV,HBs Ag,USG Abdomen
Conservative management of Foreign body removal - photo of the
M12.2 IP 15000 Endoscopic photograph
Oesophageal Foreign Body procedure
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management of Ascities Of

USG Abdomen,Ascitic Fluid Analysis-
M12.20 Any Etiology -Tubercolor, Melignant, IP 3375 15403 Fluid Analysis
Routine
Pancreatic, Biliary
Upper GI endoscopy/Colono Scopy,HBS
Medical Management of Other
M12.21.1 IP Ag,HCV,HIV,US Abdomen,Case sheet with 17150 Endoscopic Photograph
Bacterial Intestinal Infections
clinical History,Stool For Microscopy
Upper GI endoscopy/Colono Scopy,Stool
Medical Management of Viral And Culture Sensitivity,HBS Ag,HCV,HIV,Case
M12.21.2 IP 17150 Endoscopic Photograph
Other Specified Intestinal Infections sheet with clinical History,Stool For
Microscopy
Stool For Microscopy,Stool Culture
M12.21.3 IP Sensitivity,US Abdomen,HBS 17150 Endoscopic Photograph
Proctitis entero Colitis
Ag,HCV,HIV,Sigmoidoscopy (REGID)
Colono Scopy,Montoux test/TB
gold,ESR,HIV,HCV,HBS Ag,Barium
Studies/Ascitic Fluid Analysis-Routine/CT
Medical Management of Abdominal Routine Histopathological Examination/X-Ray PA
M12.22 IP scan Lower Abdomen Without 20000
Tuberculosis View(1 Film),Ascitic Fluid Analysis- Routine
Contrast(Any One),Routine
Histopathological Examination,Upper GI
endoscopy
Medical Management - SEMS -Stent
CT Scan Abdomen With Contrast,GI
M12.23 For Paliation Of Advanced GI IP 50000 Endoscopic Photograph
Endoscopy,HBS Ag,HCV,HIV
Malignancy
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG Abdomen,Upper GI
endoscopy,Protein C/ protein S
Medical Management of Budd-Chiari ,Angiography,HBS
M12.24 IP 34240 USG Abdomen,MRI Abdomen With Contrast
Syndrome Ag,HCV,HIV,Prothrombin Time,MRI
Abdomen With Contrast,Doppler For
Hepatic Veins,LFT(liver function tests)
Medical Management ofGastro Upper GI endoscopy ,HBS Case Sheet with treatment details ,Clinical
M12.25.1 IP 7430
Esophageal Reflux Disease Ag,HCV,HIV,Oesophageal manometry Photograph
Medical Management of Mallory
M12.25.2 IP Upper GI endoscopy,HBS Ag,HCV,HIV 10000 Endoscopic Photograph
Weiss Tear
Medical Management of Duodenal Upper GI endoscopy,H Pylori test,USG
M12.26 IP 11240 Endoscopic Photograph
Ulcer Abdomen,HBS Ag,HCV,HIV
Conservative Management of
M12.26A IP 16240
Duodenal Ulcer with Bleeding
Upper GI endoscopy,H Pylori test,HBS
M12.27.1 Medical Management of Gastric Ulcer IP 11910 Endoscopic Photograph
Ag,HCV,HIV
Stool For Occult Blood,Routine
Histopathological Examination,Upper GI
endoscopy ,H Pylori test,HBS
Medical Management of Erosive Serum Electrolytes,Case Sheet with treatment
M12.27.2 IP Ag,HCV,HIV,Rapid Ureae Test,C-Reactive 10640
Gastritis details
Protein,Complete Blood Picture [CBP]
,LFT(liver function tests),Stool For
Microscopy
Medical Management of Gastric Outlet Upper GI endoscopy /Barium Meal Follow

M12.27.3 IP 1800 12610 Endoscopic Photograph
Obstruction Through,H Pylori test,HBS Ag,HCV,HIV
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Upper GI endoscopy,Routine
Endoscopic Photograph,Routine
M12.27.4 Medical Management of Gastric Polyp IP Histopathological Examination,HBS 11080
Ag,HCV,HIV
Colono Scopy/ Barium Swallow /
Medical Management of Ulcerative
M12.28.1 IP Sigmoidoscopy (REGID) (Any One),USG 25370 Routine Histopathological Examination
Colitis
Abdomen,HBS Ag,HCV,HIV
Medical Management of Ischaemic
M12.28.2 IP Contrast,HBS Ag,HCV,HIV,USG,Colono 28700 Routine Histopathological Examination
Bowel Disease
scopy
Upper GI endoscopy /Barium Meal Follow
Through/Colono Scopy/CT scan Lower
Medical Management of Crohn Abdomen Without Contrast/MRI Routine Histopathological
M12.28.3 IP 42330
Disease Enterography,LFT,RFT,CBP,HIV,HCV,HBS Examination/Endoscopic Photograph
Ag,Capsule Enteroscopy/Balloon
Enteroscopy(Any One)
Upper GI endoscopy/ Barium Meal Follow
Through/ CT scan Lower Abdomen
M12.28.4 IP Without Contrast,Routine 20000 Serum Vitamin D3 Levels,Biopsy
Malabsorption Syndrome
Histopathological Examination,HBS
Ag,HCV,HIV
Sigmoidoscopy (REGID)/Colono
Scopy/Barium Enema (Single
Medical Management of Rectal Polyp
M12.29.1 IP Contrast\Double Contrast)(Any 7040 Clinical Photograph
Medical Management
One),Histopathological
examination,HIV,HCV,HBS Ag
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management of Solitary Routine Histopathological Examination,Clinical
M12.29.2 IP Contrast\Double Contrast) (Any 10240
Rectal Ulcer Syndrome Photograph
One),APC,HBS Ag,HCV,HIV,LASER Argon
plasma coagulation
Medical Management of Radiation Sigmoidoscopy (REGID)/Colono
M12.29.3 IP 10190 Clinical Photograph
Proctitis Scopy,HBS Ag,HCV,HIV
Medical Management of Colorectal
M12.29.4 IP Contrast\Double Contrast)(Any 10190 Clinical Photograph
Polyps
One),HCV,HBS Ag,Histopathological
examination,HIV
Conservative management of
M12.3 IP CT scan thorax,and abdomen, 5000 51309
Oesophageal Perforation
LFT(liver function tests),CBC,HBS
Medical Management of Chronic Ag,DNA/RNA Viral,AFP,FIBRO Scan,Serum
Case sheet with clinical History,Case Sheet with
M12.30.1 Hepatitis -Viral , Alchohol, NASH, Drug, IP Electrolytes,Serum 22060
treatment details
auto Immune, metabolic Creatinine,HCV,HIV,Case sheet with
clinical History,USG Abdomen
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
AST- Aspartate
Transaminase(SGOT),Serum
Creatinine,LFT,FIBRO Scan,APRI
Scan,ALKM Ab,ASM Ab,AMA,HIV,Alpha
Feto Protiens Levels,MRI Local Area,CT
Local area,Serum Copper Levels/24 Hrs
Urinary Copper,Alpha Anti-Trypsin Levels
,Serum Electolytes,Renal
Profile,Prothrombin time,CBP,Bile Salts
M12.30.2 Chronic hepatitis, unspecified IP And Pigments,Qualitative - 12920 Case Sheet with operation Notes
Urine,Bilirubin,Anti Nuclear Anti Body
(ANA) Titres,Anti-HBS (Antibody To
Hepatitis B Surface Antigen),HBV
(Hepatitis B) Deoxyribonucleic Acid (DNA)
Quantitative ,Anti HCV (Hepatitis C)
Antibodies,HCV RNA Quantitative,Serum
Albumin Levels ,Random Blood Sugar
(RBS) Test,Liver Biopsy (Major) ,ALT -
Alanine Aminotransferase - Blood
Proctoscopy,Coagulation Profile,HBS
M12.31.1 Medical Management of Fissure IP 2250 5000 Case Sheet with treatment details
Ag,HCV,HIV,Sigmoidoscopy (REGID)
Medical Management of Sigmoidoscopy (REGID) /Colono
M12.31.2 IP 10130 Endoscopic Photograph
Haemorrhoids Scopy,HBS Ag,HCV,HIV
Medical Management of Liver Abscess -
Without Contrast,Rapid AFB LFT(liver function tests),USG Abdomen,Case
M12.32 Amoebic, Pyogenic and Misc. IP 30000
Culture,HIV,RFT,CBP,HCV,HBS Ag,LFT(liver sheet with clinical improvement
Infections
function tests)
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
USG-Doppler Abdomen,Serum
Creatinine,HBS
Medical Management of Billiary Ag,RFT,CBP,HCV,HIV,ERCP,LFT(liver
M12.33 IP 15000 Intra Op Photo
Stricture function tests) /CT scan Lower Abdomen
Without Contrast/Magnetic Resonance
Cholangiopancreatography (MRCP)
LFT(liver function
tests),HCV,HIV,RBS,RFT,CBP,HBS
Medical Management of Acute Liver LFT(liver function tests),Case sheet with clinical
M12.34 IP Ag,Cerebrospinal Fluid (CSF) Analysis Cell 15392
Failure improvement
Count,Serum Ammonia Levels,Arterial
Blood Gas Analysis (ABG),USG Abdomen
Medical Management - SEMS -Stent
CT Scan Abdomen With
M12.35.1 For Paliation Of Advanced Biliary IP 51660 Endoscopic Photograph
Contrast,ERCP/PTBD,HBS Ag,HCV,HIV
Malignancy
Medical Management- SEMS -Stent
CT Scan Abdomen With
M12.35.2 For Paliation Of Advanced Pancreatic IP 51660 Endoscopic Photograph
Contrast,ERCP,HBS Ag,HCV,HIV
Malignancy
HB, LFT,Endoscopy/
M12.36 Any Variceal Bleed ST 9000 CERULOPLASMIN,IRON,TIBC,Clinical photo ,HB
colonoscopy,GRBS,ECG
EUS FNA-FNB of SPLS in liver Pancreas
M12.37 ST 30000
GIT
Medical management of Achalasia
M12.4 IP UGI Endoscopy 3375 13638 Endoscopic photograph
Cardia
Medical Management of Oesophageal
Varices using Variceal Banding
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Medical Management of Oesophageal

Varices with Sclerotherapy
Medical management of Oesophageal
M12.7 IP CT Thorax Gastrograffin contrast picture 3375 30786 Photograph of stent in position
Fistula
Medical management of GAVE-Gastric Argon laser coagulation,UGI
M12.8 IP 2250 20524 Endoscopic photograph
Antral Vascular Ectasia Endoscopyphoto
Medical management of Gastric
M12.9 IP UGI Endoscopy,Endoscopic Glue injection 1575 15290 Endoscopic photograph
Varices
ACUTE GASTROENTERITIS WITH
MG009
DEHYDRATION
Acute gastroenteritis with moderate
MG009A ST 7290
dehydration
Acute gastroenteritis with severe
MG009B ST 10640
dehydration
MG010 DIARROHEA
MG010A Chronic diarrohea ST 20000
MG010B Persistent diarrohea ST 17150
MG0101 ACUTE SEVERE ULCERATIVE COLITIS
MG0101A Acute severe ulcerative colitis ST 25370
ACUTE NECROTIZING SEVERE
MG0104
PANCREATITIS
MG0104A Acute necrotizing severe pancreatitis ST 153930
RECURRENT VOMITING WITH
MG025
DEHYDRATION
MG025A Recurrent vomiting with dehydration ST 7500
MG034 ASCITES
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MG034A Ascites ST 15403

MG041 UPPER GI BLEEDING
MG041A Upper GI bleeding -conservative ST 20000
MG041B Upper GI bleeding - endoscopic ST 15290
MG042 LOWER GI HEMORRHAGE
MG042A Lower GI hemorrhage ST 20000
MG078 ALCOHOLIC LIVER DISEASE
MG078A Alcoholic Liver Disease ST 15392
M13 PSYCHIATRY
Cognitive Tests,ECG,Serum
Electrolytes,Homocysteine levels,Lipid
Pre- Electro Convulsive Therapy -ECT
Profile,Folate levels,Vitamin B12 Clinical assessment& report/Mental Status
M13.1.1 and Pre- Transcranial Magnetic DC 10000
levels,HIV Test,VDRL,Thyroid Function Examination
Stimulation -TMS Package
Test,Electroencephalogram,CT/MRI
Brain,RFT,LFT,Complete Haemogram
Electro Convulsive Therapy -ECT - per Clinical assessment& report/Mental Status
M13.1.2 DC Clinical assessment 3000
session Examination
Medical Management of Bipolar
M13.3 IP Case sheet with clinical History,CT Scan 3375 30500 Case Sheet with treatment details
Affective Disorder -A. Type-1
M13.4 IP Case sheet with clinical History,CT Scan 3375 25000 Case Sheet with treatment details
Psychotic Episode
M13.5 Medical Management of Schizophrenia IP Case sheet with clinical History,CT Scan 3375 28690 Case Sheet with treatment details
SERUM CE,Clinical picture,RAN.VIRAL SERUM POTASIUM,SERUM
M13.6 FUNCTIONAL,PANIC ATTACK ST 6000
MARKERS SODIUM,CBP,LFT,RBS
MENTAL RETARDATION -
MM001
INTELLECTUAL DISABILITY
MM001A Intellectual Disability -ID - - IP 6900
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MENTAL DISORDERS - ORGANIC,

MM002
INCLUDING SYMPTOMATIC
Mental disorders - Organic, including
MM002A IP 6900
symptomatic
BEHAVIOURAL SYNDROMES
ASSOCIATED WITH PHYSIOLOGICAL
MM006
DISTURBANCES AND PHYSICAL
FACTORS
Behavioural syndromes associated
MM006A with physiological disturbances and IP 6900
physical factors
MENTAL AND BEHAVIOURAL
MM007 DISORDERS DUE TO PSYCHOACTIVE
SUBSTANCE USE
Mental and Behavioural disorders due
MM007A IP 6900
to psychoactive substance use
NEURODEVELOPMENTAL DISORDERS -
MM010 NDD OTHER THAN INTELLECTUAL
DISABILITY
MM010A Autism Spectrum Disorder DC 2300
MM010B Mixed Developmental Disorder DC 2300
Tourette Syndrome Or Chronic Tic
MM010C DC 2300
Disorder
Attention Deficit Hyperactivity
MM010D DC 2300
Disorder -ADHD
MM010E Specific Developmental Disorders DC 2300
BEHAVIORAL AND MOTIONAL
MM011 DISORDERS OF CHILDHOOD AND
ADOLESCENCE
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
MM011A Oppositional Defiant Disorder DC 2300

MM011B Conduct Disorder DC 2300
Mixed Disorder of Conduct and
MM011C DC 2300
Emotions
MM011D Anxiety and Depressive Disorders DC 2300
Other Internalizing and Externalizing
MM011E Disorders of Childhood and DC 2300
Adolescence
NON-PHARMACOLOGICAL
MM012
INTERVENTIONS
Psychological, Behavioural and

Developmental and Educational
Interventions -Typically Includes Child
Counselling Or Psychotherapy, Family
Counselling Or Psychotherapy Or
Training Such As Parent Management
Training, Behavioral Or Cognitive-
MM012A Behavioral Interventions, IP 3300
Developmental Interventions Such As
Early Intervention, Speech Or
Language Therapy, Occupational
Therapy, Physiotherapy, Remediation
For Specific Learning Disability and
Other Rehabilitative Or Psychosocial
Interventions
MM013 PHARMACOLOGICAL INTERVENTIONS

PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Common Medications Used in

Management of Child and Adult
MM013A IP 2200
Psycholoigical DisordersiIncluding Anti-
ADHD Medication
PSYCHOLOGICAL OR PSYCHOSOCIAL
ASSESSMENT PACKAGE FOR ALL CHILD
MM014
AND ADOLESCENT PSYCHIATRIC
DISORDERS
Psychological Assessments -Includes IQ

Testing, Specific Learning Disability
Assessments, Assessments For Autism
Spectrum Disorder, Developmental
MM014A IP 2800
Assessments, Projective Tests and
Other Tests Of Psychopathology ,
Other Psychosocial Assessments -
Family, Schooling
LABORATORY TESTS FOR COVID-19

INFECTION -PCR -REIMBURSEMENT
ID001 LEVEL FOR THIS PACKAGE WILL BE AS
PER THE ICMR GUIDELINES, ISSUED
FROM TIME TO TIME
ID001A Screening Test for COVID-19 Infection IP 230

Test for Confirmation of COVID-19
ID001B IP 350
Infection
M14.1 COVID - 19
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
Post COVID Management with NIV - CRP,2D Echo,ABG,HRCT

M14.1.23 IP 3800
Nasal O2,CPAP, BIPAP, HFNO Chest,RFT,ECG,Hemogram
Non Critical COVID 19 Treatment per
M14.1.24 IP RFT,Chest Xray,Hemogram,LFT,ECG 2300
day
Electrolytes,Chest
Non Critical COVID 19 Treatment with
M14.1.25 IP Xray,ECG,RFT,LFT,Hemogram,Serum 4650
O2
ferritin,CRP,D - Dimer,Troponin
Electrolytes,Hemogram,Chest
Critical Care - ICU with NIV -CBAP,
M14.1.26 IP Xray,ECG,RFT,Serum ferritin,CRP,D - 10350
BIPAP, HFNO per day
Dimer,LFT,Troponin
LDH,Chest Xray,RFT,D - Dimer,CRP,Serum
Critical Care - ICU with Invasive
M14.1.27 IP ferritin,LFT,ECG,Hemogram,Electrolytes,C 12440
Ventilatory Support
T - Chest,Troponin,Procalcitonin
CT/MRI PNS,diagnostic nasal
endoscopy,HbA1C,Fasting and post
Post Covid with Mucor Mycosis prandial blood sugar ,renal function tests CRP,Diagnostic nasal endoscopy,RFT,CT/MRI
M14.1.28 IP 31950
Management ,Complete blood picture,Deep nasal swab PNS
Histopathological examination or fungal
culture
M14.2 COVID - 19
CBP,CT-CHEST,IL-6,ANTI PRO
Multisystem Inflammatory Syndrome BNP,LDH,Electrolytes,RFT,LFT,SEROLOGY(I
M14.2.1 in Children -MIS-C with shock with or IP gG),RTPCR,PT AND aPTT,2D ECHO,USG 77533
without respiratory support. ABDOMEN,TROPONIN,CXR,D-
Dimer,CRP,Ferritin,ABG
PROCE
AASARA PACKAGE
AMOUNT S
TYPE
CBP,CT-CHEST,IL-6,ANTI PRO
Multisystem Inflammatory Syndrome BNP,LDH,Electrolytes,RFT,LFT,SEROLOGY(I
M14.2.2 in Children -MIS-C presenting as IP gG),RTPCR,PT AND aPTT,2D ECHO,USG 62533
Kawasaki like illness ABDOMEN,TROPONIN,CXR,D-
CBP,LDH,RFT,LFT,SEROLOGY(IgG),RTPCR,P
Multisystem Inflammatory Syndrome T AND aPTT,2D ECHO,USG
M14.2.3 IP 42233
in Children -MIS-C without shock ABDOMEN,TROPONIN,CXR,D-
CBP,Urine culture
sensitivity,CSF,Blood,Smear for
MP,LDH,Dengue
M14.2.4 Febrile Inflammatory Syndrome IP serology,RFT,LFT,SEROLOGY(IgG),RTPCR,P 42183
T AND aPTT,2D ECHO,USG
ABDOMEN,TROPONIN,CXR,D-

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PROCE

Thyroglossal sinus/ fistula/ cyst POST OP HPE,INTRA OP PHOTOS,CASE

S1.1.5.3 Partial Thyroidectomy IP FNAC,T F T,USG 4500 24844 Biopsy,Clinical Photograph

Fine Needle Aspiration Cytology Routine Histopathological Examination,Clinical

clinical notes,Operative Photos,Scar

clinical notes,Operative Photos,Scar

clinical notes,Operative Photos,Scar

Operative notes with steps of Operative notes with steps of surgery,POST OP

Release of fibrous bands and grafting - Clinical assessment and investigations,Scar

Any raw area which needs skin grafting

S1.13 Excision of Dermal Growths

Routine Histopathological Examination,Scar

Excision of Large Swelling in Hand - Routine Histopathological Examination,Biopsy

Congential Arteriovenus mall Post Op color Doppler,Angio,Scar

Abdomen Radiograph Supine Or Abdomen Radiograph Supine Or Erect,Biopsy

Fine Needle Aspiration Cytology Routine Histopathological Examination,Intra OP

USG Abdomen,Doppler Scan Study Of

Intra Op Photo,Scar Photo,VIDEO RECORD,Intra

Surgical treatment for Filarial Scrotum - USG Abdomen, Clinical Photograph,CT

USG Abdomen,Clinical Photograph,CT Routine Histopathological Examination,Scar

clinical notes,Intra OP Photos,Scar,Routine

USG Abdomen/ CT Scan Lower Abdomen

CT Scan Of Lower Abdomen &

Contrast Enhanced USG,Clinical Routine Histopathological Examination,Scar

Clinical Photograph,CT CHEST,X-RAY Clinical Photograph,Biopsy CHEST,POST OP X-

Clinical Photograph,CT Chest,FNAC,X-RAY Intra Op Photo,Post OP X-Ray Chest,SCAR

USG GUIDED MINOR PROCEDURES -

All Inguinal Hernia Operation with out USG Abdomen,Clinical Photograph,Chest

USG of the Abdomen ,Clinical

USG Abdomen,Case sheet with clinical

Chest X-Ray PA View(1 Film),Abdomen

USG,CECT,Clinical Photograph,Sugar,Viral USG,Viral markers,Sugar,Webex,Intra Op

Surgical management For

Surgical treatment for Mal-Rotation Clinical Photograph,X-RAY,Clinical Photograph,X-

USG Abdomen,Routine Histopathological

USG Abdomen/CT scan Lower Abdomen Routine Histopathological Examination,USG

Surgical treatment For Hydatid cyst of

Routine Histopathological Examination,WEBEX

Intra Op Photo,Webex,Biopsy report SCAR

USG Abdomen,Fine Needle Aspiration

USG Abdomen/CT Scan Lower Abdomen Routine Histopathological Examination

Anterior Resection of rectum in Biopsy,USG,Endoscopy,CT,Biopsy,USG,En Biopsy,USG,Clinical

Whipples Any Type In malignant Biopsy,USG,Endoscopy,CT,Biopsy,USG,En Biopsy,USG,Clinical

Triple Bypass -Pancreas in malignant Biopsy,USG,Endoscopy,CT,Biopsy,USG,En Biopsy,USG,Clinical

Reconstructon with Myocutaneous Or

Neck dissection selectiveOr clinical notes,Biopsy,Scar Photo,clinical

OPERATION FOR GASTRIC OR

HEPATICO JEJUNOSTOMY FOR BILIARY

SG028 RECTAL POLYP EXCISION

SG059A Orchidectomy ST 12000

SG096E Vulval DC 2500

HEAD INJURY WITH REPAIR OF FACIO-

Extradural hematoma along with

INTERNAL FIXATION WITH FLAP COVER

Plexus injury along with Vascular injury

Pure Tone Audiometry ,OTO endoscopy/

Excision of Pinna for Growths -

CT Scan Neck Includes Chest And

TRANS ORAL LASER EXCISION OF