pre- post operativ no of specialty procedure governm ... · supraten torial-basal ct clinical...
TRANSCRIPT
Package
No
Sub
Specialty
Procedur
e Name
Pre-
Operativ
e
Investiga
tion
Post
Operativ
e
Investiga
tion
No of
Follow
up
Package
Rates Remarks
Specialty
Code
PMJAY
Procedure
Code
PMJAY
Governm
ent
Reserve
6.1 Brain
Cranioto
my and
Evacuatio
n of
Haemato
ma
–Subdura
l
CT
Clinical
Photogra
ph
3 57040 S8 S812001 No
6.2 Brain
Cranioto
my and
Evacuatio
n of
Haemato
ma –
Extradura
l
CT
Clinical
Photogra
ph
3 51520 S8 S812002 No
6.3 Brain
Excision
of Brain
Tumor
Supraten
torial-
Parasagit
al
CT
Clinical
Photogra
ph
3 51750 S8 S812003 No
6.4 Brain
Excision
of Brain
Tumor
Supraten
torial-
Basal
CT
Clinical
Photogra
ph
3 51750 S8 S812004 No
6.5 Brain
Excision
of Brain
Tumor -
Brainste
m
CT
Clinical
Photogra
ph
3 70000 S8 S812005 No
6.6 Brain
Excision
of Brain
Tumor -
C P Angle
CT
Clinical
Photogra
ph
3 50000 S8 S812006 No
6.7 Brain
Excision
of Brain
Tumor
Supraten
torial &
others
CT
Clinical
Photogra
ph
3 34500 S8 S800056 No
Cluster - 6 NEUROSURGERY/NEUROLOGY/INTERVENTIONAL NEURORADIOLOGY
6.8 Brain
Excision
of Brain
Tumors –
Infratent
orial
MRI
Clinical
Photogra
ph
3 110000 S8 S812007 No
6.9
Brain /
Spinal
(Endovas
cular)
Intervent
ion with
coiling /
embolisa
tion
procedur
es
DSA DSA 3 85000 S8 S812008 No
6.10 Brain
Ventricul
oatrial
/Ventricu
loperiton
eal/
Ventricul
o-other
Shunt
CT
Clinical
Photogra
ph
3 40000 S8 S812009 No
6.11 Brain
Twist
Drill
Craniosto
my
CT
Clinical
Photogra
ph
3 18630 S8 S800051 No
6.12 BrainSubdural
TappingCT
Clinical
Photogra
ph
3 17020 S8 S812010 No
6.13 Brain
Abscess
Tapping
Single
CT
Clinical
Photogra
ph
3 17250 S8 S800057 No
6.14 Brain
Abscess
Tapping
multiple
CT
Clinical
Photogra
ph
3 23920 S8 S800058 No
6.15 Brain
Meningo
Encephal
ocele
MRI
Clinical
Photogra
ph
3 34270 S8 S812011 No
6.17 Brain
C.S.F.
Rhinorrh
oea
(Transcra
nial /
Transnas
al)
CT
Clinical
Photogra
ph
3 75000 S8 S812012 No
6.18 BrainCraniopla
sty
CT ,
Clinical
Photogra
ph
Clinical
Photogra
ph
3 27830 S8 S812013 No
6.20 Brain
Excision
of Brain
Abcess
CT
Clinical
Photogra
ph
3 28750 S8 S800059 No
6.21 Brain
Aneurys
m
Clipping
MRI
Angio /
DSA
Clinical
Photogra
ph , X-
RAY
3 34500 S8 S800060 No
6.22
Brain /
Spinal
(Endovas
cular)
Carotid
angioplas
ty with
stent
ANGIOGR
AM
DOPPLER
, X-RAY3 60000 S8 S812014 No
6.23
Brain /
Spinal
(Endovas
cular)
Carotid
angioplas
ty
without
stent
ANGIOGR
AM
DOPPLER
, X-RAY3 40000 S8 S812015 No
6.24 Brain
External
Ventricul
ar
Drainage
(EVD)
CT
Clinical
Photogra
ph
3 28750 S8 S812016 No
6.25 Spinal
Spinal
Cord
Tumours
(extrame
dullary)
MRI
Biopsy ,
Clinical
Photogra
ph
3 34270 S8 S812017 No
6.26 Spinal
Excision
of
Cervical
Inter-
Vertebral
Discs
MRI
Clinical
Photogra
ph
3 34270 S8 S812018 No
6.27 Spinal
Anterior
Cervical
Spine
Surgery
with
fusion
MRI
Clinical
Photogra
ph
3 34270 S8 S812019 No
6.28 Spinal
Anterio
Lateral
Decompr
ession
MRI
Clinical
Photogra
ph
3 17250 S8 S812020 No
6.29 Spinal
Laminect
omy-
Cervical/
dorsal/lu
mbar
MRI
Clinical
Photogra
ph
3 34270 S8 S812021 No
6.30 Spinal
Discecto
my-
Dorsal
MRI
Clinical
Photogra
ph
3 28520 S8 S812022 No
6.31 Spinal
Discecto
my-
Lumbar
MRI
Clinical
Photogra
ph
3 28520 S8 S812023 No
6.32 Spinal
Discecto
my + cost
of
implant
MRI
Clinical
Photogra
ph
3 34270 S8 S812024 No
6.33 Spinal
Spinal
Intra
Medullar
y
Tumours
MRI
Biopsy ,
Clinical
Photogra
ph , X-
RAY
3 68540 S8 S812025 No
6.34 Spinal
Spina
Bifida
Surgery
Major
MRI
Clinical
Photogra
ph , X-
RAY
3 28750 S8 S812026 No
6.35 Spinal
Spina
Bifida
Surgery
Minor
MRI
Clinical
Photogra
ph , X-
RAY
3 20700 S8 S812027 No
6.36Brain /
Spinal
Stereotax
ic
Procedur
es
(Framed
/
Frameles
s)
CT/MRI
Clinical
Photogra
ph
3 50000 S8 S800065 No
6.37
Brain /
Spinal
(Endovas
cular)
Vertebral
artery
Stenting
ANGIOGR
AMDOPPLER 3 60000 S8 S812028 No
6.38AAD
Surgeries
Transoral
surgery
and CV
Junction
(With
Posterior
Fixation)
MRI , X-
Ray
Cerical
Spine
Clinical
Photogra
ph
3 125000 S8 S812029 No
6.39AAD
Surgeries
Trans
oral
Surgery
CT
Biopsy ,
Clinical
Photogra
ph
3 39790 S8 S800071 No
6.40 Brain
Trans
Sphenoid
al
Surgery
CT, MRI
Biopsy ,
Clinical
Photogra
ph
3 34040 S8 S812030 No
6.41 Brain
RF
Lesions
for
Trigminal
Neuralgia
MRI
Clinical
Photogra
ph
3 28750 S8 S800050 No
6.44Neuro
muscular
Muscle
Biopsy
with
report
EMG,
NCVBiopsy 3 17250 S8 S800074 No
6.45 Brain MVD MRI
Clinical
Photogra
ph
3 45000 S8 S812031 No
6.46Neuro
Surgery
Nerve
Biopsy
with
report
EMG,
NCVBiopsy 3 8625 S8 S812032 No
6.47Neuro
Surgery
Nerve
Decompr
ession
MRI
Clinical
Photogra
ph
3 17250 S8 S800075 No
6.48Neuro
Surgery
Peripher
al Nerve
Surgery
Major
EMG,
NCV
Clinical
Photogra
ph
3 34500 S8 S800076 No
6.49Neuro
Surgery
Peripher
al Nerve
Surgery
Minor
EMG,
NCV
Clinical
Photogra
ph
3 17250 S8 S800077 No
6.50C.V.JUNC
TION
POSTERI
OR
FIXATION
ALONE
MRI
SPINE
+CT
SPINE-
FLEXION/
EXTENTI
ON/
NEUTRAL
X RAY
SPINE5 65000 S8 S812033 No
6.51 BRAIN
SURGERY
FOR
ORBITAL
TUMORS
/PROPTO
SIS
MRI
CONTRAS
T/ CECT
CECT+BI
OPSY
REPORT
5 90000 S8 S812034 No
6.52BRAIN+S
PINE
INFRATE
NTORIAL
TUMOR
WITH
SPINAL
EXTENSI
ON
MRI
CONTRAS
T/ CECT
CECT+BI
OPSY
REPORT
5 100000 S8 S812035 No
6.53 BRAIN
VASCULA
R
MALFOR
MATION
SURGERY
/Procedu
re
(SUPRAT
ENTORIA
L/INFRAT
ENTORIA
L)
CTA/MRA
/DSA
CTA+BIO
PSY5 120000 S8 S812036 No
6.54 BRAIN
EPILEPSY
SURGERY-
GRID
INSERTIO
N +
LOCALISA
TION
+SURGER
Y/Proced
ure
MRI
BRAIN
(1.5/3
TESLA)
+VEEG
+CT SCAN
CT BRAIN 5 110000 S8 S812037 No
6.55 BRAIN
EPILEPSY
SURGERY-
LESIONEC
TOMY
MRI
BRAIN
(1.5/3
TESLA)
+EEG
CT BRAIN 5 60000 S8 S812038 No
6.56 BRAIN
EPILEPSY
SURGERY-
ATL/AH
FOR MTS
MRI
BRAIN
(1.5/3
TESLA)
+EEG
CT BRAIN 5 70000 S8 S812039 No
6.57 SKULL
BONY
TUMOR
OF SKULL
CECT
CT BRAIN
+BIOPSY
REPORT
5 50000 S8 S812040 No
6.58 BRAIN
ENDOSPI
C BRAIN
SURGERI
ES
(DIAGNO
STIC)
MRI
BRAIN/CT
BRAIN
CT BRAIN 5 30000 S8 S812041 No
6.59 BRAIN
ENDOSPI
C BRAIN
SURGERI
ES
(THIRD
VENTRIC
ULOSTO
MY)
MRI
BRAIN/CT
BRAIN
CT BRAIN 5 45000 S8 S812042 No
6.60 BRAIN
ENDOSPI
C BRAIN
SURGERY
(AQUEDU
CTOPLAS
TY)
WITHOU
T
IMPLANT
MRI
BRAIN/
CT BRAIN
CT BRAIN 5 50000 S8 S812043 No
6.61 BRAIN
ENDOSPI
C BRAIN
SURGERY
(AQUEDU
CTOPLAS
TY) WITH
IMPLANT
MRI
BRAIN/
CT BRAIN
CT BRAIN 5 60000 S8 S812044 No
6.62 BRAIN
ENDOSPI
C BRAIN
SURGERI
ES (
TUMOUR
/CYST
EXISION)
MRI
BRAIN/CT
BRAIN
CT BRAIN
+BIOPSY5 60000 S8 S812045 No
6.63 NERVE
PAIN
MANAGE
MENT
SURGERY
(SYMPET
HECTOM
Y/RHIZOT
OMY)
RELATED
INVESTIG
ATIONS
RELATED
INVESTIG
ATIONS
3 40000 S8 S812046 No
6.64C.V.JUNC
TION
C V
JUNCTIO
N
DECOMP
RESSION
(POSTERI
OR)
(ARNOLD-
CHIARY
MALFOR
MATION
AND
OTHERS)
MRI CV
JUNCTIO
N + CT CV
JUNCTIO
N-
FLEXION/
EXTENTI
ON/NEUT
RAL
X RAY
SPINE3 70000 S8 S812047 No
6.65 SKULL
BONE
FLAP
REMOVA
L
CT BRAIN CT BRAIN 3 35000 S8 S812048 No
6.66 SPINE
CORPECT
OMY
AND
FIXATION
CERVICAL
/DORSAL
/LUMBER
(SINGLE
LEVEL)
MRI
SPINE
X RAY
SPINE5 65000 S8 S812049 No
6.67 SPINE
CORPECT
OMY
AND
FIXATION
CERVICAL
/DORSAL
/LUMBER
(MULTIPL
E LEVEL)
MRI
SPINE
X RAY
SPINE5 80000 S8 S812050 No
6.68 SPINE
CERVICAL
SPINE
STABLISA
TION
ANTERIO
R
MRI
SPINE
X RAY
SPINE5 60000 S8 S812051 No
6.69 A SPINE
CERVICAL
SPINE
STABLISA
TION-
POSTERI
OR Level
one
MRI
SPINE
X RAY
SPINE5 50000 S8 S812052 A No
6.69 B SPINE
CERVICAL
SPINE
STABLISA
TION-
POSTERI
OR Level
two
MRI
SPINE
X RAY
SPINE5 60000 S8 S812052 B No
6.70 A SPINE
CERVICAL
SPINE
STABLISA
TION-
GLOBAL
(Anterior
&
Posterior
combine)
MRI
SPINE
X RAY
SPINE5 90000 S8 S812053 A No
6.70 B SPINE
CERVICAL
SPINE
STABLISA
TION-
POSTERI
OR Level
three
MRI
SPINE
X RAY
SPINE5 70000 S8 S812053 B No
6.70 C SPINE
CERVICAL
SPINE
STABLISA
TION-
POSTERI
OR Level
four
MRI
SPINE
X RAY
SPINE5 80000 S8 S812053 C No
6.71 SPINE
DL SPINE
STABLISA
TION-
ANTERTI
OR
MRI
SPINE
X RAY
SPINE5 60000 S8 S812054 No
6.72 A SPINE
DL SPINE
STABLISA
TION-
POSTERI
OR Level
one
MRI
SPINE
X RAY
SPINE5 50000 S8 S812055 A No
6.72 B SPINE
DL SPINE
STABLISA
TION-
POSTERI
OR Level
two
MRI
SPINE
X RAY
SPINE5 60000 S8 S812055 B No
6.73 A SPINE
DL SPINE
STABLISA
TION-
GLOBAL
(Anterior
&
Posterior
combine)
MRI
SPINE
X RAY
SPINE5 90000 S8 S812056 A No
6.73 B SPINE
DL SPINE
STABLISA
TION-
POSTERI
OR Level
three
MRI
SPINE
X RAY
SPINE5 70000 S8 S812056 B No
6.73 C SPINE
DL SPINE
STABLISA
TION-
POSTERI
OR Level
four
MRI
SPINE
X RAY
SPINE5 80000 S8 S812056 C No
6.74 SKULL
CRANIOS
YNOSTOS
IS
SURGERY
MRI+3D
CT BRAIN
CT
BRAIN5 100000 S8 S800009 No
6.75 SPINE
LAMINOP
LASTY
CERVICAL
/DORSAL
/LUMBER
MRI
SPINE
X RAY
SPINE3 50000 S8 S812057 No
6.76 BRAIN
DIAGNOS
TIC
CEREBRA
L/SPINAL
ANGIOGR
APHY
(DSA-
DIGITAL
SUBSTRA
CTION
ANGIOGR
APHY)
CT
BRAIN/M
RI SPINE
RELATED
INVESTIG
ATIONS
0 12000 S8 S812058 No
6.77 SPINE
ENDOSC
OPIC
SPINE
SURGERY
MRI
SPINE
X RAY
SPINE3 40000 S8 S812059 No
6.78 SPINE
THECO-
PERITON
EAL
SHUNT
MRI
BRAIN/CT
BRAIN
X RAY
SPINE+CS
F REPORT
3 30000 S8 S812060 No
6.79 BRAIN
CRANIO-
FACIAL
RESECTIO
N
MRI
BRAIN/CT
BRAIN
+FACE
CT BRAIN
+FACE5 90000 S8 S812061 No
6.80
BRAIN
REVASCU
LARISATI
ON
ST-MCA
BYPASS/E
C-ICA
BYPASS
CTA/MRA
/DSACTA 5 95000 S8 S812062 No
6.81VASCULA
R
CAROTID
LIGATION
FOR
CCF/GIA
NT
ANEURYS
M
CTA/MRA
/DSACTA 5 30000 S8 S812063 No
6.82 BRAIN
REEXPLO
RATION
FOR
DEBRIDE
MENT/CS
F
LEAK/HA
EMATOM
A
CT BRAIN CT BRAIN 3 25000 S8 S812064 No
6.83REANIMA
TION
FACIAL
NERVE
REANIMA
TION
CONCER
NED
INVESTIG
ATIONS
CONCER
NED
INVESTIG
ATIONS
5 40000 S8 S812065 No
6.84 SPINE
TRANSPE
DICULAR
BIOPSY
MRI
SPINE
CONTRAS
T
X RAY
SPINE
+BIOPSY
REPORT
1 25000 S8 S812066 No
6.85 SPINE
VERTEBR
OPLASTY
/KYPHOP
LASTY
MRI
SPINE
X RAY
SPINE
+BIOPSY
REPORT
5 50000 S8 S812067 No
6.86 Brain
Cranioto
my and
Evacuatio
n of
Haemato
ma -
Intracrani
al
Spontane
ous /
Traumati
c
NCCT
BRAIN
NCCT
BRAIN5 90000 S8 S812068 No
6.87 Brain
Decompr
essive
Craniecto
my - For
Infarct /
Lesion
with
mass
effect on
brain
NCCT
BRAIN
NCCT
BRAIN5 70000 S8 S812069 No
6.88 BRAIN
SUPRATE
NTORIAL
TUMOUR
WITH
INFRATE
NTORIAL
TUMOR
EXTENSI
ON
MRI/CT
BRAIN
(WITH
CONTRAS
T)
CECT+BI
OPSY
REPORT
5 100000 S8 S812070 No
6.89*
MEDICAL
NEUROL
OGY
CONSERV
ATIVE
MANAGE
MENT
(ISCHEMI
C
STROKE)
CT brain
plain,oth
ers
MRI
brain
with
angiogra
phy
3
60000
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
S8 M112001 No
6.90*
MEDICAL
NEUROL
OGY
THROMB
OLYSIS
WITH
ACTILYSE
FOR
ISCHEMI
C STROKE
CT brain
plain,oth
ers
Repeat
CT brain
after 24
hours,MR
I brain
with
angiogra
phy
3
120000
(Payment
fraction (
1st week-
55%,2nd
week-
15%,3rd
week-
10%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
(Payment
fraction (
1st week-
55%,2nd
week-
15%,3rd
week-
10%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
S8 M112002 No
6.91*
MEDICAL
NEUROL
OGY
INTRAPA
RENCHY
MAL
/SUBARA
CHNOID
HEMMO
RRHAGE
(CONSER
VATIVE
MANAGE
MENT)
CT brain
plain,oth
ers
Repeat
CT brain
plain , CT
angiogra
phy brain
3
40000
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
S8 M112003 No
6.92*
MEDICAL
NEUROL
OGY
MENING
OENCEPH
ALITIS,
OR/ AND
EVD/VP
shunt
(CONSER
VATIVE
MANAGE
MENT)
CT brain
plain,CSF
,others
MRI
brain
with
contrast
3
110000
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
S8 M112004 No
6.93*
MEDICAL
NEUROL
OGY
MYASTH
ENIA
CRISIS
MANAGE
MENT BY
PLASMAP
HERESIS
Clinical
diagnosis
by
neurophy
sician OR
previousl
y
diagnose
d case
Anyone
of the
following
:repetitiv
e nerve
stimulati
on,ACH-R
antibody,
Anti-
MUSK
antibody
3
110000
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
S8 M112005 No
6.94*
MEDICAL
NEUROL
OGY
MYASTH
ENIA
CRISIS
MANAGE
MENT BY
IV
IMMUNO
GLOBINS
Clinical
diagnosis
by
neurophy
sician OR
previousl
y
diagnose
d case
Anyone
of the
following
:repetitiv
e nerve
stimulati
on,ACH-R
antibody,
Anti-
MUSK
antibody
3
200000
(Payment
fraction (
1st week-
55%,2nd
week-
15%,3rd
week-
10%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
(Payment
fraction (
1st week-
55%,2nd
week-
15%,3rd
week-
10%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
S8 M112006 No
6.95*
MEDICAL
NEUROL
OGY
Gullian-
barre
syndrom
e
manage
ment by
plasmaph
eresis
Clinical
diagnosis
by
neurophy
sician
CSF
study,
NCV/EM
G
3
109627
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
(Payment
fraction (
1st week-
40%,2nd
week-
25%,3rd
week-
15%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
S8 M112007 No
6.96*
MEDICAL
NEUROL
OGY
Gullian-
barre
syndrom
e
manage
ment by
Intraveno
us
immunog
lobulin
Clinical
diagnosis
by
neurophy
sician
CSF
study,
NCV/EM
G
3
200000
(Payment
fraction (
1st week-
55%,2nd
week-
15%,3rd
week-
10%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
(Payment
fraction (
1st week-
55%,2nd
week-
15%,3rd
week-
10%,4th
week-
10%,5th
week-
10%) of
total
package
rate)
S8 M112008 No
6.97Neurolog
y
Anterior
Encephal
ocele
CT Brain/
MRI
Brain
CT Brain 2 50000 S8 S800001 No
6.100Neurolog
y
Carpal
Tunnel
Release
including
pre and
post Op.
MRI
MRI,
EMG/NC
V
- 2 10000 S8 S800004 No
6.101Neurolog
y
Cervical
Ribs –
Bilateral
X-Ray
Cervical
Spine/
Chest X-
Ray, CT
Scan
X-Ray
Cervical
Spine/
Chest X-
Ray, CT
Scan
2 35000 S8 S800005 No
6.102Neurolog
y
Cervical
Ribs –
Unilatera
l
X-Ray
Cervical
Spine/
Chest X-
Ray, CT
Scan
X-Ray
Cervical
Spine/
Chest X-
Ray, CT
Scan
2 20000 S8 S800006 No
6.103Neurolog
y
Duroplas
ty -
Endogen
ous
CT Brain CT Brain 2 12500 S8 S800010 No
6.104Neurolog
y
Duroplas
ty -
Exogeno
us(Impla
nt cost is
not
iclluded
in
package
rate)
CT Brain
PlainCT Brain 2 12500
Implant
cost will
added
seperatly
in this
package
S8 S800011 No
6.105Neurolog
y
Haemato
ma (Child
subdural)
inclusive
of
General
anaesthe
sia, pre
and post
Op. CT
CT Brain CT Brain 2 50000 S8 S800014 No
6.106Neurolog
y
Laminect
omy with
Fusion
and
fixation
MRI
Spine
X-Ray
Spine.2 50000 S8 S800015 No
6.107Neurolog
y
Laminect
omy with
Fusion
MRI
Spine
X-Ray
Spine.2 40000 S8 S800016 No
6.108Neurolog
y
Local
Neurecto
my
CT/MRI
Clinical
Photogra
ph
2 16000 S8 S800017 No
6.109Neurolog
y
Meningo
cele –
Anterior
Brain ,
Spinal
Cord MRI
X Ray/
Post OP
Operativ
e Site
2 36000 S8 S800019 No
6.110Neurolog
y
Meningo
cele –
Lumbar
Brain ,
Spinal
Cord MRI
X Ray/
Post OP
Operativ
e Site
2 36000 S8 S800020 No
6.111Neurolog
y
Meningo
coccal –
Occipital
Clinical
Photo/M
RI/CT
X Ray/
Post OP
Operativ
e Site
2 50000 S8 S800021 No
6.113Neurolog
y
Spine -
Canal
Stenosis
CT/MRI CT 2 40000 S8 S800027 No
6.114Neurolog
y
Spine -
Extradura
l
Haemato
ma
MRI
Spine
X-Ray
Spine.2 30000 S8 S800032 No
6.115Neurolog
y
Spine -
Extradura
l
Haemato
ma with
fixation
MRI
Spine
X-Ray
Spine.2 40000 S8 S800033 No
6.116Neurolog
y
Spine -
Intradura
l
Haemato
ma
MRIX-Ray
Spine.2 40000 S8 S800036 No
6.117Neurolog
y
Spine -
Intradura
l
Haemato
ma with
fixation
MRI
Spine
X-Ray
Spine.2 50000 S8 S800037 No
6.118Neurolog
y
Spine -
Intramed
ullar
Tumour
CT/MRI HPEE 2 50000 S8 S800038 No
6.119Neurolog
y
Spine -
Intramed
ullar
Tumour -
fixation
MRI
Spine
Biopsy , X-
Ray Spin2 60000 S8 S800039 No
6.120Neurolog
y
Brain
Biopsy
MRI
Brain/ CT
Brain
Biopsy 2 15000 S8 S800045 No
6.121Neurolog
y
Cranial
Nerve
Anastom
osis
concecrn
ed
Investigat
ion
concecrn
ed
Investigat
ion
2 32000 S8 S800046 No
6.122Neurolog
y
Depresse
d
Fracture
CT Brain CT Brain 2 40000 S8 S800047 No
6.123Neurolog
y
Peripher
al
Neurecto
my
(Trigemin
al)
MRI Biopsy 2 16500 S8 S800049 No
6.124Neurolog
y
Additonal
clip for
Aneurys
m
Clipping
MRI
ANGIO/D
SA
X Ray +
Clinical
Photo of
Operativ
e Site
2 15000 S8 S800061 No
6.125Neurolog
y
Cervical
Disc
Multiple
level
without
Fusion
MRI
Spine
X Ray +
Clinical
Photo of
Operativ
e Site
2 40000 S8 S800068 No
6.126Neurolog
y
Foramen
Magnum
Decompr
ession
CT/MRI X-Ray 2 45000 S8 S800072 No
6.127Neurolog
y
Arterio
venous
malforma
tion
(AVM)
excision
(whateve
r size and
location)
MRA/DS
A Report
X-Ray ,
Clinical
Photo of
Operativ
e Site
2 50000 S8 S800079 No
6.128Neurolog
y
Scalp
Arterio
venous
malforma
tion
(AVM)
CT/MRI
ANGIO
HistoPath
o Repot +
Clinical
Photo of
Operativ
e Site
2 25000 S8 S800080 No
6.129Neurolog
y
Gamma
Knife
radiosurg
ery
(GKRS)/
SRS for
tumours/
Arteriove
nous
malforma
tion
(AVM)
CT/MRIClinical
Photo 2 75000 S8 S800083 No
6.130
Intervent
ional
Neurorad
iology
Coil
emboliza
tion for
aneurys
ms
(includes
cost of
first 3
coils +
balloon
and/ or
stent if
used) 1
to 20
coils may
be
required
as per
need.
DSA/CT/
MRI
ANGIO
CT/MR
ANGIO2 1,00,000 S9 S900001 No
6.131
Intervent
ional
Neurorad
iology
Additiona
l coil for
coil
emboliza
tion for
aneurys
ms
DSA/CT/
MRI
ANGIO
CT/MR
ANGIO2 24000 S9 S900002 No
6.132
Intervent
ional
Neurorad
iology
Dural
AVMs/AV
Fs (per
sitting)
with glue
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 70000 S9 S900003 No
6.133
Intervent
ional
Neurorad
iology
Dural
AVMs/AV
Fs (per
sitting)
with onyx
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 1,50,000 S9 S900004 No
6.134
Intervent
ional
Neurorad
iology
Carotico-
cavernou
s Fistula
(CCF)
emboliza
tion with
coils.
[includes
5 coils,
guide
catheter,
micro-
catheter,
micro-
guidewir
e,
general
items]
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 1,50,000 S9 S900005 No
6.135
Intervent
ional
Neurorad
iology
Carotid-
cavernou
s Fistula
(CCF)
emboliza
tion with
balloon
(includes
one
balloon,
guide
catheter,
micro-
catheter,
micro-
guidewir
e,
general
items)
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 75000 S9 S900006 No
6.136
Intervent
ional
Neurorad
iology
Cerebral
& Spinal
AVM
emboliza
tion (per
sitting).
Using
Histoacry
l
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 1,00,000 S9 S900007 No
6.137
Intervent
ional
Neurorad
iology
Parent
vessel
occlusion
- Basic
CT/MR
ANGIO
CT/MR
ANGIO2 30000 S9 S900008 No
6.138
Intervent
ional
Neurorad
iology
Additonal
coil for
Parent
Vessel
Occlusion
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 24000 S9 S900009 No
6.139
Intervent
ional
Neurorad
iology
Additonal
balloon
for
Parent
Vessel
Occlusion
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 11000 S9 S900010 No
6.140
Intervent
ional
Neurorad
iology
Balloon
test
occlusion
CT/MR
ANGIO
CT/MR
ANGIO2 70000 S9 S900011 No
6.141
Intervent
ional
Neurorad
iology
Intracrani
al
balloon
angioplas
ty with
stenting
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 1,60,000 S9 S900012 No
6.142
Intervent
ional
Neurorad
iology
Intracrani
al
thrombol
ysis / clot
retrieval
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 1,60,000 S9 S900013 No
6.143
Intervent
ional
Neurorad
iology
Pre-
operative
tumour
emboliza
tion (per
session)
DSA/CT/
MR
ANGIO
CT/MR
ANGIO2 40000 S9 S900014 No
8.76NEUROS
URGERY
SKULL
TRACTIO
N
CLINICAL
PHOTOG
RAPH, X-
RAY, CT
SCAN
BRAIN
CLINICAL
PHOTOG
RAPH, X-
RAY
3 12880 S8 S612027 No
8.77NEUROS
URGERY
BURR
HOLE
CLINICAL
PHOTOG
RAPH, X-
RAY, CT
SCAN
BRAIN
CLINICAL
PHOTOG
RAPH, X-
RAY
3 28750 S8 S612028 No
8.78NEUROS
URGERY
TEMPOR
AL BONE
RESECTIO
N
CLINICAL
PHOTOG
RAPH, X-
RAY, CT
SCAN
BRAIN
CLINICAL
PHOTOG
RAPH, X-
RAY
3 57500 S8 S612029 No
8.79NEUROS
URGERY
SKULL
BASE
SURGERY
CLINICAL
PHOTOG
RAPH, X-
RAY, CT
SCAN
BRAIN
CLINICAL
PHOTOG
RAPH, X-
RAY
3 69000 S8 S612030 No
8.88NEUROS
URGERY
DEFORMI
TY
SURGERY
FOR
SPINE
(KYPHO/S
COLIOSIS
)
Clinical
Photogra
ph, Xray
Clinical
Photogra
ph, Xray
3 150000 S8 S612036 No
8.89NEUROS
URGERY
Plexus
injury
along
with
Vascular
injury
repair/
graft
Pre-op.
Doppler
study,Ne
rve
Conducti
on
study,CT
Post-op.
Doppler
study,Cli
nical
photo
showing
scar
2 60000 S8 S600002 No
8.91NEUROS
URGERY
Head
injury
requiring
Facio-
Maxillary
Injury
repairs &
fixations
(includin
g
implants)
X-RAY/CT
Clinical
photogra
ph
showing
scar,Post-
op. X-ray
2 35000 S8 S600004 No
6.144NEUROS
URGERY
Unspecifi
ed
Surgical
Package
(Amount
Capped
@
1,00,000r
s per
anum per
family,Pa
ckage
amount
is
Negotiabl
e)
Concern
Investigat
ion
Concern
Investigat
ion
1 1,00,000 S8 U100 No