After 3 months. bin. Time(PT), Internatio. Internation Endarterectomy; al Catheter directed thrombolysis. nal. (INR) Normalize d Ration (INR)
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1 Cardiology & CT & CVS Follow-ups No Procedures Code First Follow-up Secod Follow-up Third Follow-up Fourth Fifth Duratio Ivestigatios Amout Duratio Ivestigati o Amout Duratio Ivestigati o Amout Duratio Ivestigatio Amout Duratio Ivestigatio Amout 4.1 Patiet Heart 138,139,140,141,142, 2-4 weeks Prothrombi Part of After 3 Prothrom 4000 After 3 Prothromb Prothrombi Prothromb Valve Surgery; 143,144,145,146,147, Time(PT), bi i Time(PT), i Pulmoary 148,149,150,175, 173, - Iteratioal Time(PT), Time(PT), Iteratio Time(PT), Embolectomy / 1002, 1008, 1009, 170 AT Normalized Ratio Iteratio Iteratio al Iteratio Edarterectomy; NETWORK (INR) al al Normalized al Catheter directed thrombolysis HOSPITAL ECHO Normalize d Ratio (INR) Normalize d Ratio (INR) Ratio (INR) Normalize d Ratio (INR) ECHO 1. ORAL ANTICOAGULANTS: - Oral aticoagulats/warfari/acitrom 2. Tab Ecospri 75mg /Day (with prosthetic heart valves) 3. Chroic RHD with Valve Replacemet- Ij Peicilli Prophylaxis oce i 3 weeks atleast till 40 Years of age, (if allergic to Peicilli, Erthromyci or azithromyci) 4. a) Digoxi/Diltiazem/Verapamil/Beta Blocker/Amiodaroe b) Diuretics: Furosemide +/- Spiroolactoe c) Hematiics (patiets with Aemia) 4.2 Patiets CABG 132,133,134,135,136, weeks profile(fbs - AT NETWORK HOSPITAL s idicated) Part of After 3 profile(fb S- creatiie / electrolyt es idicated) 4000 After 3 s idicated) s ECHO. s ECHO.
2 4.3 Patiets Agioplasty 1. ANTI PLATELET MEDICATIONS: Tab Ecospiri/Aspiri 150 mg daily, Tab Clopidogrel 75mg daily, Oral Stati daily, Beta 2. BETA BLOCKERS: Metoprolol/Bisoprolol/Carvedilol/Nebivolol 3. ACE INHIBIYORS/ARBS (ANGIOTENSION RECEPTOR BLOCKERS) Tab Elapril/Ramipril/Caredilol/Nebivolol 4. DIURETICS Frusemide+/-spiroolactoe (if cliically idicated) 5. ANTI-HYPERTENSIVES AS REQUIRED 6. ANTIDIABETIC MEDICATIONS Oral hypoglycaemic Agets/Isulis idicated 7. PROTON PUMB INHIBITORS Pataprazole/Rabeprazole/Omeprazole/Ratac as required 101,109,110,111,112, 2-4 weeks Part of 242, AT NETWORK HOSPITAL s (TMT if After 3 profile(fb S- creatiie / electrolyt es (TMT if 4000 After 3 s (TMT if s (TMT if, ECHO. s (TMT if, ECHO. 1. ANTI PLATELET MEDICATION: Tab Ecospiri/Aspiri 150 mg daily, Tab Clopidogrel 75mg daily, Oral Stati daily, Beta 2. BETA BLOCKERS: Metoprolol/Bisoprolol/Carvedilol/Nebivolol 3. ACE INHIBITORS/ARBs (ANGIOTENSION RECEPTOR BLOCKERS) Tab Ealapril/Ramipril/Caredilol/Nebivolol 4. DIURETICS Frusemide+/-Spiroolactoe (if cliically idicated) 5. ANTI-HYPERTENSIVES AS REQUIRED 6. ANTIDIABETIC MEDICATIONS Oral hypoglycaemic Agets/Isulis if idicated 7. PROTON PUMB INHIBITORS Patoprazole/Rabeprazole/Omeprazole/Ratac as required
3 4.4 Patiets PTCA /Balloo Mitral Valvotomy; Balloo Aortic Valvotomy; Veous stetig;coarcto plasty with stetig;carotid agioplasty with stet 102,103,104,105, 131, 239, 240,241, 246, 108, 275, 277, 423, 1004, weeks ECHO,(Hb% Part of - AT NETWORK HOSPITAL After 3 to After 3 to ECHO, 6 (Hb% to 6 to ECHO, 6 (Hb% 1. Ij Bezathiepeicilli 12Lakhs uit IM oce i 3 weeks (if ot available, oral Petidz-400 (1-0-1) to cotiue till 40years of age). 2. Diuretics - dose accordig to cliical idicatio. 3. cotrol measures (eg. Betablockers/Diltiazem/Verapamil/Digoxi) 4. Aticoagulats: Warfari /Nicoumaloe dose adjusted to recommeded Iteratioal Normalised Ratio (INR) 5. Haematiics i aemia. 4.5 Patiets ASD/VSD/PDA Device closure ;Coarctatio dilatatio/coarctati o dilatatio* ( For age 0-6 ); Coarctatio Repair/ with graft 119, 120, 121, 106, 276, 177, weeks ECHO, Hb% (as, - Chest (as AT NETWORK HOSPITAL Part of After 2 ECHO (as, Hb% (as, Chest (as 4000 After 2 ECHO (as, Hb% (as, Chest (as After 2 ECHO (as, Hb% (as, Chest (as 1. Atiplatelet Medicatios- Aspiri +/- Clopidogrel for ; oly aspiri 6 2. Diurectics ad Digoxi as required 3. Haematiics if aemia 4.6 Patiets Itra Cardiac Repair for TOF ad other Cyaotic Heart Diseases 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 164, 165, 166, 167, 168, weeks Ray Chest - AT NETWORK HOSPITAL Part of After 3 if required 4000 After 3 ECHO, Chest if required if required
4 4.6a Aortic Aeurysm Repair without usig Cardiopulmoary bypass (CPB) icludig graft/ with CPB; Pulmoary Valve Replacemet; Itrathoracic Aeurysm (without graft)-aeurysm ot Requirig Bypass Techiques/ with bypass 172, 220, 282, 217, weeks Ray Chest - AT NETWORK HOSPITAL Part of After 3 if required 4000 After 3, CT chest ECHO, Chest if required if required 1. Diuretics as required 2. Haematiics if required 3. ACE ihibitors/betablockers/digoxi (if Note: The first follow-up will be madatory i the Network Hospital subsequet follow-up ca be doe i District Hospital
5 No 5.1 Procedures Patiets Brai Trauma Surgeries (Craiotomy Sub dural ad Extradural) medicies Code 401,402, 462 Duratio Ivestigatios Amout Duratio CBC 1. Tab Eptoi 100mg (1-1-1) for 1 year 2. Tab Citicholie 500mg (1-0-1) for 3. Tab Piracetam 1gm (1-1-1) for Neuro-Surgery First Follow-up Secod Follow-up Third Follow-up Fourth Follow-up Ivestigatio Brai Amout Duratio Ivestigatio Amout Duratio Ivestigatio Amout CBC Year CBC a Spia Bifida 437, 426, 436 Nil 6 /MRI of Spie Level Idicated 6 /MRI of Spie Level Idicated Oly 3 s 5.2.b Myelomeigocoele 416, 417 Nil /MRI of Spie Level Idicated 1 1 Year /MRI of Spie Level Idicated 1 Oly 3 s medicies 1. Tab Calcium (0-1-0) for 6 - If requried 2. Patiet with Comorbities like DM ad HTN to be followed up with cocered Physicia 5.3 Patiets Brai Aeurysm Clippig/AVM Surgery 422, 457 CBC Brai, Plai with CT Agio/DSA Year CBC 1500 Oly 3 s 5.4 medicies 3. Tab Piracetam 1gm (1-1-1) for Nil Patiets Dissectomy ad 428, 429, 431, 432, 433, Lamiectomy 472, 476 (Cervical, Lumbar ad Dorsal) medicies 1. Tab Eptoi 100mg (1-1-1) for 1 year -/ Ati epileptic 2. Tab Citicholie 500mg (1-0-1) for If requried 1. Tab Calcium (0-1-0) for 6 2. Tab Amitryptylli (0-0-1) for 6 if required 3. Tab Pregabali 75mgh (1-0-1) for oe moth if required 6 of Spie Level Localized 6 1 Year of Spie Level required Oly 3 s
6 patiets Spial 5.5 fixatio (Spial Fusio 435, 447, 473, 479 Surgeries) 5.6 medicies Patiets Brai Tumour Surgeries (supratetorial) medicies Nil 6 of Spie Level Localized 6 1. Tab Calcium (0-1-0) for 6 2. Tab Amitryptylli (0-0-1) for 6 if required 3. Tab Gabati 100mgh (1-0-1) for or Tab Pregabali 75mgh (1-0-1) for oe moth if required a. For Tumours:C BC, CT Brai Plai ad Cotrast For ad 403, 404, 405, 406, 407, every 3 No-maligat Tumours: CBC b. No Tumours: Brai if symptoms appear Tab Eptoi 100mg (1-1-1) for 1 Year 1 Year of Spie Level required a. For Tumours:C BC, CT Brai Plai ad Cotrast every 3 b. No- Tumours: Brai if symptoms appear Year Oly 3 s a. For Tumours:CB C, CT Brai Plai ad Cotrast every 3 b. No- Tumours: Brai if symptoms appear 1500 Note: Patiets with Ryles Tube, Tracheostomy/Foleys Catheter i-situ have to be followed up frequetly by the cocered doctor every 15 days ad all of the above to be chaged every moth
7 Procedures Code 585,586,588, 590, 591, 593, 663 Ivestigatio 500 Withi 6 USG/RFT/Ur ie Routie, Drugs Duratio Ivestigatios Amout Duratio withi oe moth Creatiie, Urie Routie, Trasportatio, Drugs (iter departmetal referral/ cosultatio) Ocology First Follow-up Secod Follow-up Third Follow-up Amout Duratio Ivestigatio At the ed USG, Chest of Oe year x-ray Amout Uro-Oco surgery 584, 587 withi oe moth Creatiie, Urie Routie, Trasportatio, Drugs (iter departmetal referral/ cosultatio) 500 Withi 6 USG/RFT/Ur ie Routie, Drugs CECT Sca At the ed abd, Chest x- of Oe year ray PSA every three 400 for each three moth Note: The first follow-up will be madatory i the Network Hospital subsequet follow-up ca be doe i District Hospital
8 Sl.No Code Procedures Ope Pyelolithotomy Ope Nephrolithotomy VVF Repair Pyeloplasty PCNL ESWL Geito Uriary Procedures Secod F/U Cost Ivestigatios USG/UFM/Urie Routie 1500 USG/UFM/Urie Routie 1200 Third F/U Procedur Ivestigatios e Cost NR NR NIL NIL URSL Nephrostomy (PCN) 1200 USG/ 500 Urethroplasty Sigle USG/UFM/Urie Stage Routie USG/UFM/Urie U.P II d stage Routie USG/UFM/Urie Hypospadiasis Repair Routie URSL - Laser Ope Ureterolithotomy Lap Ureterolithotomy ESWL USG/ Repair of stress 500 icotiece Retrograde Itra Real Surgery (RIRS) 1200 USG/ Deflux for VUR 1200 IVU Partial Cystectomy USG 500 Bladder 952 USG Diverticulectomy Surgery for priaprism 500 NOTE: First F/U Procedure Cost is Icluded i Cost
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