Cluster-11 SURGICAL ONCOLOGY S15 S , USG System. CT Scan (Abdomen, Pelvis), Biopsy, USG, CT Scan Thorax

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1 Sr.No Package no Throat Sub speciality Procedure name Pre-Operative Investigation Microlaryngeal Surgery including Phonosurgery Post Operative Investigation No of Follow up Package Rates Remarks Speciality Code PMJAY Procedure Code PMJAY Biopsy, CT Scan/ MRI Biopsy S15 S Throat Excision/ Hypopharynx of Tumors in Pharynx Biopsy, CT Scan/ MRI Clinical Photograph, S15 S Pancreas Distal Pancreatectomy CT, CA 19-9, PET Scan Clinical Photograph S15 S Pancreas Enucleation of Cyst CT, CA 19-9 Clinical Photograph S15 S Pancreas Whipples - any type CT, ERCP, CA 19-9, PET Scan, EUS Clinical Photograph S15 S Spleen Splenectomy /CT Clinical Photograph S15 S Radical Nephrectomy Biopsy, CT, IVP, KUB, S15 S Radical Cystectomy Other cystectomies High Orchidectomy Bilateral Orchidectomy Total Penectomy Biopsy, CT, IVP, KUB, Biopsy, CT, IVP, KUB, CT Scan (Abdomen, Pelvis), Biopsy,, CT Scan Thorax Biopsy, Bone Scan, Local X-ray Biopsy, CT Scan (Abdomen, Pelvis),Clinical Photograph Inguinal Block Dissection-one side Biopsy, Clinical phtograph, CT Scan Radical Prostatectomy Partial Penectomy CT, KUB, Bone Scan, Biopsy Biopsy, Clinical Photograph Abdomen Pelvis Gynaec Radical Hysterectomy Biopsy, CT Gynaec Surgery for Ca Ovary - early stage Cluster-11 SURGICAL ONCOLOGY CA 125, CEA, Biopsy/ cytology, afp, ßHCG, LDH, X-ray chest, Tumor Marker S15 S S15 S S15 S S15 S S15 S S15 S S15 S S15 S S15 S S15 S

2 Gynaec Surgery for Ca Ovary - advance stage CA 125, CEA, Biopsy/ cytology, afp, ßHCG, LDH, X-ray chest Gynaec Vulvectomy Biopsy, Photograph Breast Mastectomy - any type Breast Axillary Dissection Breast Wide excision Ca.Rectum Ca. Gall Abdomino Perineal Resection (APR) +Sacrectomy Radical Cholecystectomy Breast Wide excision + Reconstruction ( Pedicle flap) Lung Cancer Pneumonectomy Lung Cancer Lobectomy Lung Cancer Decortication Photograph, CT, Bone scan Photograph, CT, Bone scan Photograph, CT, Tumor Marker S15 S S15 S S15 S S15 S S15 S CT/ Barium Meal Follow through Clinical Photograph, S15 S CT, PET Scan CT/BMFT, Colonoscopy,Biopsy, CEA, PET Scan Photograph, CT Photograph, CT Biopsy, CT, PET scan, CT brain Lung Cancer Surgical Correction of Bronchopleural Fistula. Biopsy, CT, PET scan (SOS) Head &Neck Resection of Nasopharyngeal Tumor Biopsy, CT, PET scan, CT brain Head &Neck Craniofacial resection of any type Biopsy, CT S15 S Clinical Photograph, S15 S S15 S S15 S S15 S S15 S S15 S S15 S A Head &Neck Composite Resection ANY TYPE Biopsy, CT/MRI S15 S B Head &Neck PEDICLE FLAP Reconstruction Biopsy, CT/MRI S15 S Head &Neck Neck Dissection - any type CT/ MRI, Biopsy S15 S Head &Neck Hemiglossectomy Head &Neck Maxillectomy - any type Head &Neck Thyroidectomy - any type Head &Neck Parotidectomy - any type x-ray of maxilla, CT/MRI, Head &Neck Laryngectomy - any type Clinical Photograph/X- Ray,//CT Clinical Photograph, S15 S , X S15 S , X- RAY, MRI S15 S and Clinical Photograph S15 S , X S15 S

3 Head &Neck Laryngopharyngo Oesophagectomy Head &Neck Hemimandibulectomy Head &Neck Wide excision Any type Ca. Salivary Gland Submandibular Gland Excision Ca. Trachea Tracheal Resection Ca. Trachea Ca. Parathyroid Ca. Tract Ca. Tract Sternotomy + Superior Mediastinal Dissection, X S15 S , X S15 S , X S15 S , X- RAY, OPG/CT scan S15 S , X- RAY S15 S , X- RAY S15 S Parathyroidectomy Biopsy, CT, Bronchoscopy Clinical Photograph, S15 S Small bowel resection Biopsy, CT Clinical Photograph, S15 S Closure of Ileostomy/ Colostomy Spleen Radical Splenectomy CT Resection of Retroperitoneal Tumors Abdominal wall tumor Resection Resection with reconstruction Oesophagectomy - any type Gastrectomy - any type, X S15 S RAY, Serum Parathormone Barium meal test, CT abdomen,, CT abdomen,, CT abdomen, Biopsy, CT, Endoscopy,, PET SCAN Biopsy, CT, Endoscopy,, PET SCAN Colectomy - any type Biopsy, CT, Endoscopy, CEA Anterior Resection Biopsy, CT, Endoscopy, CEA S15 S Biopsy, clinical photograph S15 S BIOPSY, CLINICAL PHOTOGRAPH BIOPSY, CLINICAL PHOTOGRAPH S15 S S15 S S15 S S15 S S15 S S15 S

4 Abdominoperinial Resection Biopsy, CT, Endoscopy, CEA Triple Bypass Other GI Bypasses surgery any type (including pancreas) Biopsy, CT, Endoscopy Biopsy, CT, Endoscopy S15 S S15 S S15 S Gynaec Radical Trachelectomy CT/MRI, Biopsy Clinical Photograph, S15 S Gynaec Radical vaginectomy CT, Biopsy Clinical Photograph, S15 S Gynaec Radical vaginectomy + Reconstruction CT, Biopsy Clinical Photograph, S15 S Chest Radical Hysterectomy +Bilateral Pelvic Lymph Node Dissection (BPLND) + Bilateral Salpingo Ophorectomy (BSO) / Ovarian transposition Pap Smear /, CT Clinical Photograph, S15 S Anterior Exenteration (Gynaec) Pap Smear /, CT Clinical Photograph, S15 S Posterior Exenteration (Gynaec) Pap Smear /, CT Clinical Photograph, S15 S Total Pelvic Exenteration Pap Smear /, CT Clinical Photograph, S15 S Chest wall resection for SOFT tissue bone tumors Biopsy, CT Chest, Bone Scan Clinical Photograph, S15 S Chest Chest wall resection + Reconstruction Biopsy, CT Chest, Bone Scan Clinical Photograph, S15 S Limb salvage surgery for Bone Tumors with modular Prosthesis CT-Local part, CT Chest,MRI, Bone Scan Clinical Photograph, S15 S Forequarter amputation Biopsy, CT Chest Clinical Photlograph/ X-Ray, S15 S Hemipelvectomy Biopsy, CT/MRI Pelvis, CT Chest, PET scan Clinical Photlograph/ X-Ray, S15 S Renal Cell Cancer Renal Cell Cancer Bone resection CT/MRI, Biopsy Clinical Photograph/X-ray, S15 S Partial Nephrectomy CT/Isotope renogram Clinical Photograph, S15 S Nephroureterectomy for Transitional Cell Carcinoma of renal pelvis (one side) CT, Biopsy Clinical Photograph, S15 S

5 Testes cancer Retro Peritoneal Lymph Node Dissection(RPLND) (for Residual Disease) CT-Chest, CT.Abd+Pelvis, Tumor markers, Clinical Photograph, S15 S Tumours Adrenalectomy CT/MRI, hormones Clinical Photograph, S15 S Testes cancer diversion Scrotum Clinical Photograph, S15 S Testes cancer Retro Peritoneal Lymph Node Dissection RPLND as part of staging CT, Clinical Photograph, S15 S Ca. Anterior Exenteration ( ) Cystoscopy, /CT Clinical Photograph, S15 S Ca. Total Exenteration ( ) Cystoscopy, /CT Clinical Photograph, S15 S Ca. Bilateral pelvic lymph Node Dissection(BPLND) CT, Clinical Photograph, S15 S Thoracic and Mediastinum Mediastinal tumor resection CT Clinical Photograph, S15 S Lung Lung metastatectomy of any type CT,, Bone scan/ PET scan X-Ray, Biospy S15 S Lung Sleeve resection of Lung cancer. CT/ Bronchoscopy,, PET scan X-Ray, Biospy S15 S Esophagus Esophagus Reconstructio n Oesophagectomy with Two field Lymphadenectomy Oesophagectomy with Three field Lymphadenectomy UGI Endoscopy, / CT Clinical Photograph, S15 S UGI Endoscopy, / CT Clinical Photograph, S15 S Tracheostomy Clinical Photograph Clinical Photograph S15 S stomy Clinical Photograph Clinical Photograph S15 S Jejunostomy Clinical Photograph Clinical Photograph S15 S Ileostomy Clinical Photograph Clinical Photograph S15 S Colostomy Clinical Photograph Clinical Photograph S15 S Suprapubic Cystostomy Clinical Photograph Clinical Photograph S15 S Jejunostomy, CT SCAN, Clinical Photograph Clinical Photograph, S15 S Ileotransverse BYPASSColostomy Substernal bypass CT SCAN, Endoscopy, Biopsy, Clinical Photograph CT SCAN, Endoscopy, Biopsy, Clinical Photograph Clinical Photograph, S15 S Clinical Photograph, S15 S Myocutaneous / cutaneous flap Clinical Photograph Clinical Photograph S15 S

6 Reconstructio n Soft Tissue and Bone Tumors Soft Tissue and Bone Tumors Soft Tissue and Bone Tumors Ano-rectal Surgery Micro vascular reconstruction Doppler study, Clinical Photograph Clinical Photograph S15 S Wide excision - for soft tissue and bone tumors Wide excision + Reconstruction for soft tissue and bone tumors Amputation for bone / soft tissue tumours (Major / Minor) Inguinal Block Dissection-both side Low Anterior resection OR Sphincter preserving surgery of any type Laproscopic resection of any type Liver Hepatic surgery of any type Lung & Oesophagus Thoracoscopic and Laproscopic surgery of any type Laproscopic surgery for kidney & supra renal any type Clinical Photograph, Clinical Photograph, S15 S Clinical Photograph, Clinical Photograph, S15 S Clinical Photograph, Clinical Photograph, Biopsy S15 S CT scan CT/ BMFT, Colonoscopy, Biopsy, CEA Barium meal test, CT abdomen,, Endoscopy, Tumor Marker CT abdomen,, Endoscopy, Tumor Marker CT abdomen,, Endoscopy CT abdomen,, Endoscopy S15 S S15 S S15 S S15 S S15 S S15 S Brain Tumour Brain tumours surgery of any type CT/ MRI, Biopsy CT, Photograph S15 S Gynaec Body of the uterus Bone & soft tissue Bone & soft tissue Gynaec CIN Early cancer of any female organ TAH + BSO + BLND + O.S. Biopsy, CT scan, CA 125 CT, Biopsy, Photograph S15 S Hind Quarter Amputation MRI, Bone scan & PET scan CT, Biopsy, Photograph S15 S Hip & Knee Disarticulation MRI Photograph S15 S Radical Trachelectomy Cone Biopsy, Simple Hysterectomy Biopsy, CT scan, CA 125 Biopsy S15 S All Pre malignant and Malignant Lesion Laser Surgery Any type Usg,/x-ray,/ct,/ clinical photograph S15 S

7 Head & Neck Flap Cutting any type Usg,/x-ray,/ct,/ previous procedure report clinical photograph S15 S Head & Neck Eyeball enucleation Usg,/x-ray,/ct,/ clinical photograph S15 S For All Long term Chemotherap PICC (For cluster 9 user also) Usg,/x-ray,/ct,/ clinical photograph S15 S y For All Long term Chemotherap Port Insertion (For cluster 9 user also) Usg,/x-ray,/ct,/ clinical photograph S15 S y ICD Tube Insertion Usg,/x-ray,/ct,/ clinical photograph S15 S Pancreas Wide Excision any type (Surgery other than Whipples) Usg,/x-ray,/ct,/ clinical photograph S15 S Drain Insertion any type Usg,/x-ray,/ct,/ clinical photograph S15 S Any Wound Gap Surgery Resuturing Usg,/x-ray,/ct,/ previous procedure report Larynx Voice prosthesis Biopsy, CECT clinical photograph S15 S Invoice of prosthesis, scar photo 30,000 S15 S Skin Skin Tumours Wide Excision + Reconstruction Biopsy, Blood Routine (CBC), CT Scan clinical photograph 25,000 S15 S Skin Skin Tumours Amputation Biopsy, Blood Routine (CBC), CT Scan clinical photograph 25,000 S15 S Oncosurgery Unspecified Surgical Package (Amount 1,00,000rs per anum per family) Concern Investigation Concern Investigation 1,00,000 S15 U100