Cluster - 6 NEUROSURGERY/NEUROLOGY/INTERVENTIONAL NEURORADIOLOGY Post Operative Investigation

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1 Sr.No Package No Brain Brain Brain Sub Specialit Procedure Name Pre-Operative Investigation Craniotom and Evacuation of Haematoma Subdural Craniotom and Evacuation of Haematoma Extradural Excision of Brain Tumor Supratentorial- Parasagital Cluster - 6 NEUROSURGERY//INTERVENTIONAL NEURORADIOLOGY Post Operative Investigation No of Follow up Package Rates Remarks Specialit Code PMJAY Procedure Code PMJAY CT Clinical Photograph CT Clinical Photograph CT Clinical Photograph Brain Excision of Brain Tumor Supratentorial-Basal CT Clinical Photograph Brain Excision of Brain Tumor - Brainstem CT Clinical Photograph Brain Excision of Brain Tumor - C P Angle CT Clinical Photograph Brain Excision of Brain Tumor Supratentorial & others CT Clinical Photograph Brain Excision of Brain Tumors Infratentorial MRI Clinical Photograph Brain / Spinal (Endovascular ) Intervention with coiling / embolisation procedures DSA DSA Brain Ventriculoatrial /Ventriculoperitoneal/ Ventriculo-other Shunt CT Clinical Photograph Brain Twist Drill Craniostom CT Clinical Photograph Brain Subdural Tapping CT Clinical Photograph Brain Abscess Tapping Single CT Clinical Photograph Brain Abscess Tapping multiple CT Clinical Photograph Brain Meningo Encephalocele MRI Clinical Photograph Brain C.S.F. Rhinorrhoea (Transcranial / Transnasal) CT Clinical Photograph Brain Cranioplast CT, Clinical Photograph Clinical Photograph Brain Excision of Brain Abcess CT Clinical Photograph Brain Aneursm Clipping MRI Angio / DSA Clinical Photograph, X-RAY Brain / Spinal (Endovascular ) Brain / Spinal (Endovascular ) Carotid angioplast with stent ANGIOGRAM DOPPLER, X-RAY Carotid angioplast without stent ANGIOGRAM DOPPLER, X-RAY Brain External Ventricular Drainage (EVD) CT Clinical Photograph Spinal Spinal Cord Tumours (extramedullar) MRI Biops, Clinical Photograph

2 Spinal Excision of Cervical Inter-Vertebral Discs MRI Clinical Photograph Spinal Anterior Cervical Spine Surger with fusion MRI Clinical Photograph Spinal Anterio Lateral Decompression MRI Clinical Photograph Spinal Laminectom-Cervical/dorsal/lumbar MRI Clinical Photograph Spinal Discectom-Dorsal MRI Clinical Photograph Spinal Discectom-Lumbar MRI Clinical Photograph Spinal Discectom + cost of implant MRI Clinical Photograph Spinal Spinal Intra Medullar Tumours MRI Biops, Clinical Photograph, X-RAY Spinal Spina Bifida Surger Major MRI Clinical Photograph, X-RAY Spinal Spina Bifida Surger Minor MRI Clinical Photograph, X-RAY Brain / Spinal Stereotaxic Procedures (Framed / Frameless) CT/MRI Clinical Photograph Brain / Spinal (Endovascular ) Vertebral arter Stenting ANGIOGRAM DOPPLER AAD Surgeries Transoral surger and CV Junction (With Posterior Fixation) MRI, X-Ra Cerical Spine Clinical Photograph AAD Surgeries Trans oral Surger CT Biops, Clinical Photograph Brain Trans Sphenoidal Surger CT, MRI Biops, Clinical Photograph Brain RF Lesions for Trigminal Neuralgia MRI Clinical Photograph Neuro muscular Muscle Biops with report EMG, NCV Biops Brain MVD MRI Clinical Photograph Neuro Surger Nerve Biops with report EMG, NCV Biops Neuro Surger Nerve Decompression MRI Clinical Photograph Neuro Surger Peripheral Nerve Surger Major EMG, NCV Clinical Photograph Neuro Surger Peripheral Nerve Surger Minor EMG, NCV Clinical Photograph C.V.JUNCTION POSTERIOR FIXATION ALONE MRI SPINE +CT SPINE-FLEXION/ EXTENTION/ NEUTRAL X RAY SPINE BRAIN SURGERY FOR ORBITAL TUMORS/PROPTOSIS MRI CONTRAST/ CECT CECT+BIOPSY REPORT BRAIN+SPINE INFRATENTORIAL TUMOR WITH SPINAL EXTENSION MRI CONTRAST/ CECT CECT+BIOPSY REPORT

3 BRAIN VASCULAR MALFORMATION SURGERY/Procedure (SUPRATENTORIAL/INFRATENTORIAL) CTA/MRA/DSA CTA+BIOPSY BRAIN EPILEPSY SURGERY-GRID INSERTION + MRI BRAIN (1.5/3 TESLA) +VEEG +CT LOCALISATION +SURGERY/Procedure SCAN CT BRAIN BRAIN EPILEPSY SURGERY-LESIONECTOMY MRI BRAIN (1.5/3 TESLA) +EEG CT BRAIN BRAIN EPILEPSY SURGERY- ATL/AH FOR MTS MRI BRAIN (1.5/3 TESLA) +EEG CT BRAIN SKULL BONY TUMOR OF SKULL CECT CT BRAIN +BIOPSY REPORT BRAIN ENDOSPIC BRAIN SURGERIES (DIAGNOSTIC) MRI BRAIN/CT BRAIN CT BRAIN BRAIN BRAIN ENDOSPIC BRAIN SURGERIES (THIRD VENTRICULOSTOMY) ENDOSPIC BRAIN SURGERY (AQUEDUCTOPLASTY) WITHOUT IMPLANT MRI BRAIN/CT BRAIN CT BRAIN MRI BRAIN/ CT BRAIN CT BRAIN BRAIN ENDOSPIC BRAIN SURGERY (AQUEDUCTOPLASTY) WITH IMPLANT MRI BRAIN/ CT BRAIN CT BRAIN BRAIN ENDOSPIC BRAIN SURGERIES ( TUMOUR/CYST EXISION) MRI BRAIN/CT BRAIN CT BRAIN +BIOPSY NERVE PAIN MANAGEMENT SURGERY (SYMPETHECTOMY/RHIZOTOMY) RELATED INVESTIGATIONS RELATED INVESTIGATIONS C.V.JUNCTION C V JUNCTION DECOMPRESSION (POSTERIOR) (ARNOLD-CHIARY MALFORMATION AND MRI CV JUNCTION + CT CV JUNCTION- X RAY SPINE OTHERS) FLEXION/EXTENTION/NEUTRAL SKULL BONE FLAP REMOVAL CT BRAIN CT BRAIN SPINE SPINE CORPECTOMY AND FIXATION CERVICAL/DORSAL/LUMBER(SINGLE LEVEL) CORPECTOMY AND FIXATION CERVICAL/DORSAL/LUMBER (MULTIPLE LEVEL) MRI SPINE X RAY SPINE MRI SPINE X RAY SPINE SPINE CERVICAL SPINE STABLISATION ANTERIOR MRI SPINE X RAY SPINE SPINE CERVICAL SPINE STABLISATION-POSTERIOR MRI SPINE X RAY SPINE SPINE CERVICAL SPINE STABLISATION-GLOBAL MRI SPINE X RAY SPNE SPINE DL SPINE STABLISATION-ANTERTIOR MRI SPINE X RAY SPINE A SPINE DL SPINE STABLISATION-POSTERIOR Level one MRI SPINE X RAY SPINE B SPINE DL SPINE STABLISATION-POSTERIOR Level two MRI SPINE X RAY SPINE A SPINE DL SPINE STABLISATION-GLOBAL (Anterior & Posterior combine) MRI SPINE X RAY SPINE

4 B SPINE DL SPINE STABLISATION-POSTERIOR Level three MRI SPINE X RAY SPINE C SPINE DL SPINE STABLISATION-POSTERIOR Level four MRI SPINE X RAY SPINE SKULL CRANIOSYNOSTOSIS SURGERY MRI+3D CT BRAIN CT BRAIN SPINE LAMINOPLASTY CERVICAL/DORSAL/LUMBER MRI SPINE X RAY SPINE BRAIN DIAGNOSTIC CEREBRAL/SPINAL ANGIOGRAPHY (DSA-DIGITAL SUBSTRACTION CT BRAIN/MRI SPINE RELATED INVESTIGATIONS ANGIOGRAPHY) SPINE ENDOSCOPIC SPINE SURGERY MRI SPINE X RAY SPINE SPINE THECO-PERITONEAL SHUNT MRI BRAIN/CT BRAIN X RAY SPINE+CSF REPORT BRAIN CRANIO-FACIAL RESECTION MRI BRAIN/CT BRAIN +FACE CT BRAIN +FACE S BRAIN REVASCULARI ST-MCA BYPASS/EC-ICA BYPASS CTA/MRA/DSA CTA SATION VASCULAR CAROTID LIGATION FOR CCF/GIANT ANEURYSM CTA/MRA/DSA CTA BRAIN REEXPLORATION FOR DEBRIDEMENT/CSF LEAK/HAEMATOMA CT BRAIN CT BRAIN REANIMATIO CONCERNED FACIAL NERVE REANIMATION CONCERNED INVESTIGATIONS N INVESTIGATIONS SPINE TRANSPEDICULAR BIOPSY MRI SPINE CONTRAST X RAY SPINE +BIOPSY REPORT SPINE VERTEBROPLASTY/KYPHOPLASTY MRI SPINE X RAY SPINE +BIOPSY REPORT Brain Brain BRAIN Craniotom and Evacuation of Haematoma - Intracranial Spontaneous / Traumatic Decompressive Craniectom - For Infarct / Lesion with mass effect on brain SUPRATENTORIAL TUMOUR WITH INFRATENTORIAL TUMOR EXTENSION NCCT BRAIN NCCT BRAIN NCCT BRAIN NCCT BRAIN MRI/CT BRAIN (WITH CONTRAST) CECT+BIOPSY REPORT

5 * CONSERVATIVE MANAGEMENT (ISCHEMIC STROKE) CT brain plain,others MRI brain with angiograph 5 week %,2nd 25%,3rd 15%,4th M * THROMBOLYSIS WITH ACTILYSE FOR ISCHEMIC STROKE CT brain plain,others Repeat CT brain after 24 hours,mri brain with angiograph 5 week %,2nd 15%,3rd 10%,4th M * INTRAPARENCHYMAL /SUBARACHNOID HEMMORRHAGE (CONSERVATIVE MANAGEMENT) CT brain plain,others Repeat CT brain plain, CT angiograph brain 5 week %,2nd 25%,3rd 15%,4th M112003

6 * MENINGOENCEPHALITIS, OR/ AND EVD/VP shunt (CONSERVATIVE MANAGEMENT) CT brain plain,csf,others MRI brain with contrast 5 week %,2nd 25%,3rd 15%,4th M * MYASTHENIA CRISIS MANAGEMENT BY PLASMAPHERESIS Clinical diagnosis b neurophsician OR previousl diagnosed case Anone of the following:repetitive nerve stimulation,ach-r antibod,anti-musk antibod 5 week %,2nd 25%,3rd 15%,4th M * MYASTHENIA CRISIS MANAGEMENT BY IV IMMUNOGLOBINS Clinical diagnosis b neurophsician OR previousl diagnosed case Anone of the following:repetitive nerve stimulation,ach-r antibod,anti-musk antibod 5 week %,2nd 15%,3rd 10%,4th M112006

7 * Gullian-barre sndrome management b plasmapheresis Clinical diagnosis b neurophsician CSF stud, NCV/EMG 5 week %,2nd 25%,3rd 15%,4th M * Gullian-barre sndrome management b Intravenous immunoglobulin Clinical diagnosis b neurophsician CSF stud, NCV/EMG 5 week %,2nd 15%,3rd 10%,4th Neurolog Anterior Encephalocele CT Brain/ MRI Brain CT Brain 50, Neurolog Burr hole CT Brain/ MRI Brain CT Brain 7, Neurolog Burr hole with chronic Sub Dural Haematoma (including pre and post Op. CT) M CT Brain/ MRI Brain CT Brain 20, Neurolog Carpal Tunnel Release including pre and post Op. MRI MRI, EMG/NCV - 10, Neurolog Cervical Ribs Bilateral X-Ra Cervical Spine/ Chest X-Ra, X-Ra Cervical Spine/ Chest CT Scan X-Ra, CT Scan 35, Neurolog Cervical Ribs Unilateral X-Ra Cervical Spine/ Chest X-Ra, X-Ra Cervical Spine/ Chest CT Scan X-Ra, CT Scan 20, Neurolog Duroplast - Endogenous CT Brain CT Brain 12,

8 Neurolog Duroplast - Exogenous(Implant cost is not iclluded in ) CT Brain Plain CT Brain 12,500 Implant cost will added seperatl in this package Neurolog Haematoma (Child subdural) inclusive of General anaesthesia, pre and post Op. CT CT Brain CT Brain 50, Neurolog Laminectom with Fusion and fixation MRI Spine X-Ra Spine. 50, Neurolog Laminectom with Fusion MRI Spine X-Ra Spine. 40, Neurolog Local Neurectom CT/MRI Clinical Photograph 16, Neurolog Meningocele Anterior Brain, Spinal Cord MRI X Ra/ Post OP Operative Site 36, Neurolog Meningocele Lumbar Brain, Spinal Cord MRI X Ra/ Post OP Operative Site 36, Neurolog Meningococcal Occipital Clinical Photo/MRI/CT X Ra/ Post OP Operative Site 50, Neurolog Skull Traction MRI Spine X-Ra Spine. 8, Neurolog Spine - Canal Stenosis CT/MRI CT 40, Neurolog Spine - Extradural Haematoma MRI Spine X-Ra Spine. 30, Neurolog Spine - Extradural Haematoma with fixation MRI Spine X-Ra Spine. 40, Neurolog Spine - Intradural Haematoma MRI X-Ra Spine. 40, Neurolog Spine - Intradural Haematoma with fixation MRI Spine X-Ra Spine. 50, Neurolog Spine - Intramedullar Tumour CT/MRI HPEE 50, Neurolog Spine - Intramedullar Tumour - fixation MRI Spine Biops, X-Ra Spin 60, Neurolog Brain Biops MRI Brain/ CT Brain Biops 15, Neurolog Cranial Nerve Anastomosis concecrned Investigation concecrned Investigation 32, Neurolog Depressed Fracture CT Brain CT Brain 40, Neurolog Peripheral Neurectom (Trigeminal) MRI Biops 16, Neurolog Additonal clip for Aneursm Clipping MRI ANGIO/DSA X Ra + Clinical Photo of Operative Site 15, Neurolog Cervical Disc Multiple level without Fusion MRI Spine X Ra + Clinical Photo of Operative Site 40, Neurolog Foramen Magnum Decompression CT/MRI X-Ra 45, Neurolog Arterio venous malformation (AVM) excision X-Ra, Clinical Photo of MRA/DSA Report (whatever size and location) Operative Site 50, Neurolog Scalp Arterio venous malformation (AVM) CT/MRI ANGIO HistoPatho Repot + Clinical Photo of Operative Site 25, Neurolog Gamma Knife radiosurger (GKRS)/ SRS for tumours/ Arteriovenous malformation (AVM) CT/MRI Clinical Photo 75,

9 Coil embolization for aneursms (includes cost of first 3 coils + balloon and/ or stent if used) 1 to 20 coils ma be required as per need. DSA/CT/MRI ANGIO CT/MR ANGIO 1,00,000 S9 S Additional coil for coil embolization for aneursms DSA/CT/MRI ANGIO CT/MR ANGIO 24,000 S9 S Dural AVMs/AVFs (per sitting) with glue DSA/CT/MR ANGIO CT/MR ANGIO 70,000 S9 S Dural AVMs/AVFs (per sitting) with onx DSA/CT/MR ANGIO CT/MR ANGIO 1,50,000 S9 S Carotico-cavernous Fistula (CCF) embolization with coils. [includes 5 coils, guide catheter, micro-catheter, microguidewire, general items] Carotid-cavernous Fistula (CCF) embolization with balloon (includes one balloon, guide catheter, micro-catheter, micro-guidewire, general items) DSA/CT/MR ANGIO CT/MR ANGIO 1,50,000 S9 S DSA/CT/MR ANGIO CT/MR ANGIO 75,000 S9 S Cerebral & Spinal AVM embolization (per sitting). Using Histoacrl DSA/CT/MR ANGIO CT/MR ANGIO 1,00,000 S9 S Parent vessel occlusion - Basic CT/MR ANGIO CT/MR ANGIO 30,000 S9 S Additonal coil for Parent Vessel Occlusion DSA/CT/MR ANGIO CT/MR ANGIO 24,000 S9 S Additonal balloon for Parent Vessel Occlusion DSA/CT/MR ANGIO CT/MR ANGIO 11,000 S9 S Balloon test occlusion CT/MR ANGIO CT/MR ANGIO 70,000 S9 S900011

10 Intracranial balloon angioplast with stenting DSA/CT/MR ANGIO CT/MR ANGIO 1,60,000 S9 S Intracranial thrombolsis / clot retrieval DSA/CT/MR ANGIO CT/MR ANGIO 1,60,000 S9 S Pre-operative tumour embolization (per session) DSA/CT/MR ANGIO CT/MR ANGIO 40,000 S9 S Neurolog Unspecified Surgical Package (Amount 1,00,000rs per anum per famil,package amount is Negotiable) Concern Investigation Concern Investigation 1,00,000 U100

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