Cluster -1 Burns

Sr. Pre-operative Post-operative Follow

SrNo Sub-specialty Procedure Name Rate
No. Investigation Investigation up
Reconstructive lower limb surgery
Plastic following infection, Trauma, Tumors /
1 1.13 Clinical photograph Clinical photograph 4 42000
Surgery Malignancy, Developmental including
diabetic foot – SEVERE
Plastic Abdominal wall reconstruction including
2 1.14 Clinical photograph Clinical photograph 4 35000
Surgery post cancer excision.
Reconstructive Micro surgery A)
Plastic
3 1.15 replantation of hand, finger, thumb, arm, Clinical photograph Clinical photograph 4 50000
Surgery
scalp etc
Plastic Reconstructive Micro surgery B) free tissue
4 1.16 Clinical photograph Clinical photograph 4 50000
Surgery transfer
Plastic
5 1.17 Flap surgeries b) myocutaneous flap Clinical photograph Clinical photograph 4 35000
Surgery
Plastic
6 1.18 Flap surgeries c) osteo myocutaneous flap Clinical photograph Clinical photograph 4 35000
Surgery
Plastic
7 1.19 operation for vascularmalformation Clinical photograph Clinical photograph 4 30000
Surgery
Plastic
8 1.2 Ear Reconstruction for Microtia (stage-I) Clinical photograph Clinical photograph 4 25000
Surgery
Plastic
9 1.21 Ear Reconstruction for Microtia (stage-II) Clinical photograph Clinical photograph 4 30000
Surgery
Plastic
10 1.22 Ear Reconstruction for Microtia (stage-III) Clinical photograph Clinical photograph 4 35000
Surgery
 Cluster - 5 Renal
SrN Sr. Sub- Post-operative Follow
Procedure Name Pre-operative Investigation Rate
o No. specialty Investigation up
RETROGRADE INTRARENAL
Urology/ CBC, S. CREATININE, URINE R/M, URINE C/S,
1 5.22 SURGERY WITH LASER X RAY KUB, USG KUB 5 50000
Nephrology PT/ APTT, X RAY KUB, IVP, USG KUB
LITHOTRIPSY
CBC, S. CREATININE, URINE R/M, URINE C/S, X
Urology/ HOLMIUM ENUCLEATION OF USG KUB,
2 5.24 RAY KUB, USG KUB, S. PSA, UROFLOWMETRY, 5 50000
Nephrology PROSTATE UROFLOWMETRY
S. ELECTROLYTES
Urology/ CBC, S. CREATININE, URINE R/M, USG KUB,
3 5.3 CHECK CYSTOSCOPY - 5 5000
Nephrology URINE CYTOLOGY

Urology/ CYSTOSCOPY + URINE SAMPLING CBC, S. CREATININE, URINE R/M, URINE C/S,
4 5.31 - 5 8000
Nephrology + B/L RGP PT/ APTT, X RAY KUB, USG KUB
COLOSTOMY & SUPRAPUBIC
Urology/ CBC, S. CREATININE, URINE R/M, USG KUB,
5 5.41 URINARY DIVERSION FOR PELVIC - 5 20000
Nephrology RGU + MCU
FRACTURE INJURY
Urology/ SURGERY FOR URETHRORECTAL CBC, S. CREATININE, URINE R/M, URINE C/S,
6 5.45 MCU 5 25000
Nephrology FISTULA USG KUB, RGU + MCU, CT ABDOMEN

Urology/ OPEN SURGERY FOR CBC, S. CREATININE, URINE R/M, URINE C/S,
7 5.46 MCU 5 30000
Nephrology COLOVESICAL FISTULA USG KUB, RGU + MCU, CT ABDOMEN

CBC, S. CREATININE, URINE C/S, X RAY KUB, S. CREATININE, USG

Urology/ OPEN NEPHROURETERECTOMY
8 5.54 USG KUB, CECT ABDOMEN, LFT, CHEST X RAY, KUB, CHEST X RAY, CT 5 30000
Nephrology WITH BLADDER CUFF EXCISION
URINE CYTOLOTY ABDOMEN

LAPAROSCOPIC CBC, S. CREATININE, URINE C/S, X RAY KUB, S. CREATININE, USG

Urology/
9 5.55 NEPHROURETERECTOMY WITH USG KUB, CECT ABDOMEN, LFT, CHEST X RAY, KUB, CHEST X RAY, CT 5 45000
Nephrology
BLADDER CUFF EXCISION URINE CYTOLOTY ABDOMEN
CBC, S. CREATININE, URINE R/M, URINE C/S, X
Urology/ USG KUB, DIURETIC
10 5.57 OPEN URETEROCALICOSTOMY RAY KUB, IVP, USG KUB, DIURETIC RENAL 5 30000
Nephrology RENAL SCAN
SCAN
 CBC, S. CREATININE, URINE R/M, URINE C/S, X
Urology/ LAPAROSCOPIC USG KUB, DIURETIC
11 5.58 RAY KUB, IVP, USG KUB, DIURETIC RENAL 5 35000
Nephrology URETEROCALICOSTOMY RENAL SCAN
SCAN
CBC, S. CREATININE, URINE R/M, URINE C/S, X
Urology/ OPEN HEMINEPHRECTOMY FOR
12 5.59 RAY KUB, CT IVU, USG KUB, DIURETIC RENAL USG KUB 5 30000
Nephrology FUSION ANOMALY
SCAN
LAPROSCOPIC CBC, S. CREATININE, URINE R/M, URINE C/S, X
Urology/
13 5.6 HEMINEPHRECTOMY FOR RAY KUB, CT IVU, USG KUB, DIURETIC RENAL USG KUB 5 35000
Nephrology
FUSION ANOMALY SCAN
OPEN ANATROPHIC
Urology/ CBC, S. CREATININE, URINE R/M, URINE C/S, X USG KUB, X RAY KUB, S.
14 5.61 NEPHROLITHOTOMY ( For 5 30000
Nephrology RAY KUB, CT IVU, USG KUB CREATININE
Staghorn Stone)
OPEN URETERAL
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Urology/ CBC, S. CREATININE, URINE R/M, URINE C/S, USG KUB, DIURETIC IVP,
15 5.66 REIMPLANTATION FOR 5 30000
Nephrology PT/ APTT, X RAY KUB, IVP, USG KUB, MCU MCU
URETEROVAGINAL FISTULA
LAPAROSCOPIC URETERAL
Urology/ CBC, S. CREATININE, URINE R/M, URINE C/S, USG KUB, DIURETIC IVP,
16 5.67 REIMPLANTATION FOR 5 40000
Nephrology PT/ APTT, X RAY KUB, IVP, USG KUB, MCU MCU
URETEROVAGINAL FISTULA
Urology/ CBC, S. CREATININE, URINE R/M, URINE C/S,
17 5.68 LAPAROSCOPIC VVF REPAIR MCU 5 38000
Nephrology IVP, USG KUB, MCU

Urology/ URETEROLYSIS FOR CBC, S. CREATININE, URINE R/M, URINE C/S,

18 5.71 DIURETIC IVP 5 30000
Nephrology RETROPERITONEAL FIBROSIS CT IVU, USG KUB

Urology/ OPEN RADICAL CYSTECTOMY CBC, S. CREATININE, URINE CYTOLOGY, URINE USG KUB, CT IVU,
19 5.78 5 70000
Nephrology WITH NEOBLADDER C/S,CT ABDOMEN, USG KUB, CHEST X RAY POUCHOGRAM

CBC, S. CREATININE, URINE CYTOLOGY, URINE CBC, S. CREATININE,

Urology/ OPEN RADICAL CYSTECTOMY
20 5.8 C/S,CT ABDOMEN, USG KUB, CHEST X RAY, ABG, USG ABDOMEN, 5 50000
Nephrology WITH MAINZ 2 POUCH
COLONOSCOPY CT IVU, COLONOSCOPY
CBC, S. CREATININE, MCU, URINE C/S,CT
Urology/ OPEN AUGMENTATION
21 5.82 ABDOMEN, USG KUB, CHEST X RAY, URINE MCU 5 50000
Nephrology CYSTOPLASTY
AFB, IVP
 OPEN BLADDER
Urology/ CBC, S. CREATININE, URINE R/M, URINE C/S, MCU, DMSA RENAL
22 5.84 DIVERTICULECTOMY WITH 5 30000
Nephrology USG KUB, MCU, DMSA SCAN SCAN
URETERIC REIMPLANTATION
Urology/ OPEN ORCHIECTOMY (SIMPLE / USG SCROTUM, DOPPLER SCROTUM / AFP, AFP, LDH, B HCG, CT
23 5.91 5 15000
Nephrology RADICAL) LDH, B HCG, CT ABDOMEN ABDOMEN

Urology/ OPEN ILEAL REPLACEMENT FOR CT IVU, MCU, URINE FOR AFB, USG
24 5.11 DIURETIC IVP 5 50000
Nephrology URETERIC STRICTURE ABDOMEN

Urology/
25 5.11 OPEN BOARI FLAP CT IVU, MCU, USG ABDOMEN MCU 5 25000
Nephrology

Urology/ CBC, S. CREATININE, URINE R/M, URINE C/S,

26 5.12 OPEN URETEROLYSIS DIURETIC IVP 5 30000
Nephrology CT IVU, USG KUB
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Urology/ OPEN COLOVAGINAL FISTULA

27 5.13 CT ABDOMEN, COLONOSCOPY BARIUM ENEMA 5 30000
Nephrology REPAIR

Urology/ URETHROVAGINAL FISTULA CBC, S. CREATININE, URINE R/M, URINE C/S,

28 5.13 MCU 5 30000
Nephrology REPAIR IVP, USG KUB, MCU

Urology/ RADIOCEPHALIC AV FISTULA FOR

29 5.14 DOPPLER UPPER LIMB DOPPLER UPPER LIMB 5 5600
Nephrology HEMODIALYSIS

Urology/ BRACHIOCEPHALIC AV FISTULA

30 5.14 DOPPLER UPPER LIMB DOPPLER UPPER LIMB 5 7200
Nephrology FOR HEMODIALYSIS
MAINTENANCE HEMODIALYSIS
Urology/ (MHD) (WITH INJ. CBC, S.CRETAIN, BL UREA, S. Na+ /S.K+,
31 5.14 - 0 2000
Nephrology ERYTHROPOETINE WITH INJ. HIV(ELLISA), HCV (ELLISA), HBS Ag (ELLISA)
IRON) –PER DIALYSIS.
 Cluster - 7 Pediatrics
Sr.
SrNo Sub-specialty
No.
1 7.24 PEADIATRIC SURG.
2 7.25 PEADIATRIC SURG.
3 7.26 PEADIATRIC SURG.
4 7.27 PEADIATRIC SURG.
5 7.28 PEADIATRIC SURG.
6 7.29 PEADIATRIC SURG.
Post-operative Follow
Procedure Name Pre-operative Investigation Rate
Investigation up
EXSTROPHY BLADDER TOTAL
8 110000
CORRECTION1) SINGLE STAGE - -
USG ABD, PREOPERATIVE
EXSTROPHY BLADDER 2) FIRST STAGE CLINICAL PHOTOGRAPH,
8 87500
BLADDER CLOSURE IVP(OPTIONAL) X-RAY KUB USG/ELECTROLYTES/
(OPTIONAL) MCU
EXSTROPHY BLADDER 3) SECOND
STAGE BLADDER NECK 8 15000
RECONSTRUCTION - -
EXSTROPHY BLADDER 4) PRIMARY OR
SECONDARY 8 75000
URETEROSIGMOIDOSTOMY - -
PREOPERATIVE CLINICAL
EPISPADIAS REPAIR 1) CONTINENT 5 45000
PHOTOGRAPH USG/MCU
EPISPADIAS REPAIR 2) INCONTINENT
PREOPERATIVE CLINICAL 5 45000
(EPISPADIAS REPAIR +BNR)
PHOTOGRAPH, USG/MCU USG/MCU
 Cluater - 8 Polytrauma
Sr. Sub- Pre-operative Post-operative Follow
SrNo Procedure Name Rate
No. specialty Investigation Investigation up
JOINT RECONSTRUCTION (TO BE COVERED ALONG CLINICAL
MRI , CLINICAL
1 8.50 ORTHO WITH OTHER INJURIES ONLY AND NOT AS PHOTOGRAPH, 3 65000
PHOTOGRAPH, X-RAY
EXCLUSIVE PROCEDURE) X-RAY
ELLIZAROV FIXATION (TO BE COVERED ALONG CLINICAL
CLINICAL PHOTOGRAPH, X-
2 8.51 ORTHO WITH OTHER INJURIES ONLY AND NOT AS PHOTOGRAPH, 3 45000
RAY
EXCLUSIVE PROCEDURE) X-RAY
OPEN REDUCTION INTERNAL FIXATION- SMALL
CLINICAL
BONE (TO BE COVERED ALONG WITH OTHER CLINICAL PHOTOGRAPH, X-
3 8.52 ORTHO PHOTOGRAPH, 3 15000
INJURIES ONLY AND NOT AS EXCLUSIVE RAY
X-RAY
PROCEDURE)
OPEN REDUCTION INTERNAL FIXATION- LARGE
CLINICAL
BONE (TO BE COVERED ALONG WITH OTHER CLINICAL PHOTOGRAPH, X-
4 8.53 ORTHO PHOTOGRAPH, 3 35000
INJURIES ONLY AND NOT AS EXCLUSIVE RAY
X-RAY
PROCEDURE)
OPEN REDUCTION OF SMALL JOINT(TO BE CLINICAL
CLINICAL PHOTOGRAPH, X-
5 8.54 ORTHO COVERED ALONG WITH OTHER INJURIES ONLY PHOTOGRAPH, 3 10000
RAY
AND NOT AS EXCLUSIVE PROCEDURE) X-RAY
OPEN REDUCTION WITH PHEMISTER GRAFTING CLINICAL
CLINICAL PHOTOGRAPH, X-
6 8.55 ORTHO (TO BE COVERED ALONG WITH OTHER INJURIES PHOTOGRAPH, 3 15000
RAY
ONLY AND NOT AS EXCLUSIVE PROCEDURE) X-RAY

PERCUTANEOUS- FIXATION OF FRACTURE (TO BE CLINICAL

CLINICAL PHOTOGRAPH, X-
7 8.56 ORTHO COVERED ALONG WITH OTHER INJURIES ONLY PHOTOGRAPH, 3 10000
RAY
AND NOT AS EXCLUSIVE PROCEDURE) X-RAY
PREPATELLAR BURSA AND REPAIR OF MCL OF
CLINICAL
KNEE (TO BE COVERED ALONG WITH OTHER MRI, CLINICAL
8 8.57 ORTHO PHOTOGRAPH, 3 50000
INJURIES ONLY AND NOT AS EXCLUSIVE PHOTOGRAPH, X-RAY
X-RAY
PROCEDURE)
 RECONSTRUCTION OF ACL/PCL (TO BE COVERED CLINICAL
MRI, CLINICAL
9 8.58 ORTHO ALONG WITH OTHER INJURIES ONLY AND NOT AS PHOTOGRAPH, 3 50000
PHOTOGRAPH, X-RAY
EXCLUSIVE PROCEDURE) X-RAY
SHOULDER JACKET (TO BE COVERED ALONG WITH CLINICAL
CLINICAL PHOTOGRAPH, X-
10 8.60 ORTHO OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PHOTOGRAPH, 3 15000
RAY
PROCEDURE) X-RAY
RESECTION & ANASTOMOSIS OF INTESTINE (TO BE CLINICAL PHOTOGRAPH, X- CLINICAL
PAEDIATR
11 8.61 COVERED ALONG WITH OTHER INJURIES ONLY RAY, USG ABD, CT SCAN PHOTOGRAPH, 3 30000
IC
AND NOT AS EXCLUSIVE PROCEDURE) ABD X-RAY
OPERATION FOR INJURY OF BLADDER (TO BE CLINICAL PHOTOGRAPH, X- CLINICAL
12 8.62 UROLOGY COVERED ALONG WITH OTHER INJURIES ONLY RAY, USG ABD, CT SCAN PHOTOGRAPH, 3 28000
AND NOT AS EXCLUSIVE PROCEDURE) ABD X-RAY
URETHRAL INJURY (TO BE COVERED ALONG WITH CLINICAL PHOTOGRAPH, X- CLINICAL
13 8.63 UROLOGY OTHER INJURIES ONLY AND NOT AS EXCLUSIVE RAY, USG ABD, CT SCAN PHOTOGRAPH, 3 25000
PROCEDURE) ABD X-RAY
URETHRAL RECONSTRUCTION (TO BE COVERED CLINICAL PHOTOGRAPH, X- CLINICAL
14 8.64 UROLOGY ALONG WITH OTHER INJURIES ONLY AND NOT AS RAY, USG ABD, CT SCAN PHOTOGRAPH, 3 30000
EXCLUSIVE PROCEDURE) ABD X-RAY
INTESTINAL RESECTION (TO BE COVERED ALONG CLINICAL PHOTOGRAPH, X- CLINICAL
15 8.66 SURGERY WITH OTHER INJURIES ONLY AND NOT AS RAY, USG ABD, CT SCAN PHOTOGRAPH, 3 35000
EXCLUSIVE PROCEDURE) ABD X-RAY
SPLENECTOMY (TO BE COVERED ALONG WITH CLINICAL PHOTOGRAPH, X- CLINICAL
16 8.67 SURGERY OTHER INJURIES ONLY AND NOT AS EXCLUSIVE RAY, USG ABD, CT SCAN PHOTOGRAPH, 3 45000
PROCEDURE) ABD X-RAY
ILIEOSIGMOIDOSTOMY (TO BE COVERED ALONG CLINICAL PHOTOGRAPH, X- CLINICAL
17 8.70 SURGERY WITH OTHER INJURIES ONLY AND NOT AS RAY, USG ABD, CT SCAN PHOTOGRAPH, 3 25000
EXCLUSIVE PROCEDURE) ABD X-RAY
PERFORATING SCLERA-CORNEAL INJURY (TO BE CLINICAL
OPHTHAL CLINICAL PHOTOGRAPH, X-
18 8.73 COVERED ALONG WITH OTHER INJURIES ONLY PHOTOGRAPH, 3 40000
MOLOGY RAY
AND NOT AS EXCLUSIVE PROCEDURE) X-RAY
DEPRESSED FRACTURE (TO BE COVERED ALONG CLINICAL
NEUROSU CLINICAL PHOTOGRAPH, X-
19 8.74 WITH OTHER INJURIES ONLY AND NOT AS PHOTOGRAPH, 3 35000
RGERY RAY, CT SCAN BRAIN
EXCLUSIVE PROCEDURE) X-RAY
 SKULL TRACTION (TO BE COVERED ALONG WITH CLINICAL
NEUROSU CLINICAL PHOTOGRAPH, X-
20 8.76 OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PHOTOGRAPH, 3 11200
RGERY RAY, CT SCAN BRAIN
PROCEDURE) X-RAY
BURR HOLE (TO BE COVERED ALONG WITH OTHER CLINICAL
NEUROSU CLINICAL PHOTOGRAPH, X-
21 8.77 INJURIES ONLY AND NOT AS EXCLUSIVE PHOTOGRAPH, 3 25000
RGERY RAY, CT SCAN BRAIN
PROCEDURE) X-RAY
TEMPORAL BONE RESECTION (TO BE COVERED CLINICAL
NEUROSU CLINICAL PHOTOGRAPH, X-
22 8.78 ALONG WITH OTHER INJURIES ONLY AND NOT AS PHOTOGRAPH, 3 50000
RGERY RAY, CT SCAN BRAIN
EXCLUSIVE PROCEDURE) X-RAY
SKULL BASE SURGERY (TO BE COVERED ALONG CLINICAL
NEUROSU CLINICAL PHOTOGRAPH, X-
23 8.79 WITH OTHER INJURIES ONLY AND NOT AS PHOTOGRAPH, 3 60000
RGERY RAY, CT SCAN BRAIN
EXCLUSIVE PROCEDURE) X-RAY
RUPTURE UTERUS, CLOSER AND REPAIR WITH
CLINICAL
GYNAECO TUBAL LIGATION (TO BE COVERED ALONG WITH CLINICAL PHOTOGRAPH, X-
24 8.80 PHOTOGRAPH, 3 35000
LOGY OTHER INJURIES ONLY AND NOT AS EXCLUSIVE RAY,
X-RAY
PROCEDURE)
THORACOPLASTY (TO BE COVERED ALONG WITH CLINICAL
THORACIC CLINICAL PHOTOGRAPH, X-
25 8.84 OTHER INJURIES ONLY AND NOT AS EXCLUSIVE PHOTOGRAPH, 3 30000
SURGERY RAY, CT SCAN THORAX
PROCEDURE) X-RAY