Cluster - 5 GENITO URINARY SURGERY (RENAL) RGU & MCU, Uroflometry. RGU & MCU, Uroflometry. RGU & MCU, Uroflometry

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1 Sr.No Package no Cluster - 5 GENITO URINARY SURGERY (RENAL) Sub speciality Procedure name Pre-Operative Investigation Urology Open Pyelolithotomy IVP, KUB, USG Urology Open Nephrolithotomy IVP, KUB, USG Urology Open Cystolithotomy IVP, KUB, USG Urology VVF Repair IVP, KUB, USG Urology Pyeloplasty IVP, KUB, USG Post Operative Investigation Clinical Photograph, USG, X-RAY, urine analysis Clinical Photograph, USG, X-RAY, urine analysis Clinical Photograph, USG, X-RAY Clinical Photograph, USG, voiding cystogram Clinical Photograph, IVP/DTPA renal scan No of Follow up Package Rates Remarks Speciality Code PMJAY Procedure Code PMJAY S7 S S7 S S7 S S7 S S7 S Urology Cystolithotripsy IVP, KUB, USG Clinical Photograph, X-RAY S7 S Urology PCNL (Percutaneous Nephro Lithotomy) IVP, KUB, USG, Spiral CT KUB Clinical Photograph, X-RAY KUB, USG KUB S7 S Urology ESWL (Extra carporial shock-wave lithotripsy) IVP, KUB, USG X-RAY and USG KUB S7 S Urology URSL IVP, KUB, USG, Spiral CT KUB X-RAY KUB S7 S Urology Nephrostomy (PCN) IVP, USG Clinical Photograph S7 S Urology DJ stent (One side) IVP, USG X-RAY KUB S7 S Urology Urethroplasty for Stricture Diseases-single stage RGU & MCU, Uroflometry RGU & MCU, Uroflometry, Clinical Photograph S7 S Urology Urethroplasty for Stricture Diseases-First Stage RGU & MCU, Uroflometry RGU & MCU, Uroflometry, Clinical Photograph S7 S Urology Urethroplasty for Stricture Diseases-Second Stage RGU & MCU, Uroflometry RGU & MCU, Uroflometry, Clinical Photograph S7 S Urology Hypospadiasis(Adult) USG,Clinical Photograph Clinical Photograph, Uroflowmetry S7 S Urology TURBT Biopsy, CT, USG, ECHO Biopsy, USG KUB S7 S Urology TURP USG, Uroflometry, ECHO Biopsy, USG bladder and prostate S7 S Urology Simple Nephrectomy Biopsy, CT KUB, USG, Renal Scan Biopsy, Clinical Photograph, USG S7 S Urology Lap. Nephrectomy Simple USG, CT, ECHO, Renal Scan Biopsy, Clinical Photograph, USG S7 S Urology Lap. Nephrectomy Radical CT, KUB, USG, Renal Scan Biopsy, Clinical Photograph, USG S7 S Urology Lap. Partial Nephrectomy CT, USG Biopsy, Clinical Photograph, USG S7 S700011

2 RETROGRADE INTRARENAL SURGERY WITH LASER LITHOTRIPSY HOLMIUM ENUCLEATION OF PROSTATE CHECK CYSTOSCOPY CYSTOSCOPY + URINE SAMPLING + B/L RGP URINE C/S, PT/ APTT, X RAY KUB, IVP, USG KUB URINE C/S, X RAY KUB, USG KUB, S. PSA, UROFLOWMETRY, S. ELECTROLYTES USG KUB, URINE CYTOLOGY URINE C/S, PT/ APTT, X RAY KUB, USG KUB X RAY KUB, USG KUB S7 S USG KUB, UROFLOWMETRY S7 S S7 S S7 S COLOSTOMY & SUPRAPUBIC URINARY DIVERSION FOR PELVIC FRACTURE INJURY USG KUB, RGU + MCU S7 S SURGERY FOR URETHRORECTAL FISTULA OPEN SURGERY FOR COLOVESICAL FISTULA OPEN NEPHROURETERECTOMY WITH BLADDER CUFF EXCISION LAPAROSCOPIC NEPHROURETERECTOMY WITH BLADDER CUFF EXCISION OPEN URETEROCALICOSTOMY LAPAROSCOPIC URETEROCALICOSTOMY OPEN HEMINEPHRECTOMY FOR FUSION ANOMALY LAPROSCOPIC HEMINEPHRECTOMY FOR FUSION ANOMALY OPEN ANATROPHIC NEPHROLITHOTOMY ( For Staghorn Stone) URINE C/S, USG KUB, RGU + MCU, CT ABDOMEN URINE C/S, USG KUB, RGU + MCU, CT ABDOMEN CBC, S. CREATININE, URINE C/S, X RAY KUB, USG KUB, CECT ABDOMEN, LFT, CHEST X RAY, URINE CYTOLOTY CBC, S. CREATININE, URINE C/S, X RAY KUB, USG KUB, CECT ABDOMEN, LFT, CHEST X RAY, URINE CYTOLOTY URINE C/S, X RAY KUB, IVP, USG KUB, DIURETIC RENAL SCAN URINE C/S, X RAY KUB, IVP, USG KUB, DIURETIC RENAL SCAN URINE C/S, X RAY KUB, CT IVU, USG KUB, DIURETIC RENAL SCAN URINE C/S, X RAY KUB, CT IVU, USG KUB, DIURETIC RENAL SCAN URINE C/S, X RAY KUB, CT IVU, USG KUB MCU S7 S MCU S7 S S. CREATININE, USG KUB, CHEST X RAY, CT ABDOMEN S. CREATININE, USG KUB, CHEST X RAY, CT ABDOMEN USG KUB, DIURETIC RENAL SCAN USG KUB, DIURETIC RENAL SCAN S7 S S7 S S7 S S7 S USG KUB S7 S USG KUB S7 S USG KUB, X RAY KUB, S. CREATININE S7 S712014

3 OPEN URETERAL REIMPLANTATION FOR URETEROVAGINAL FISTULA LAPAROSCOPIC URETERAL REIMPLANTATION FOR URETEROVAGINAL FISTULA LAPAROSCOPIC VVF REPAIR URETEROLYSIS FOR RETROPERITONEAL FIBROSIS OPEN RADICAL CYSTECTOMY WITH NEOBLADDER OPEN RADICAL CYSTECTOMY WITH MAINZ 2 POUCH OPEN AUGMENTATION CYSTOPLASTY OPEN BLADDER DIVERTICULECTOMY WITH URETERIC REIMPLANTATION OPEN ORCHIECTOMY (SIMPLE / RADICAL) OPEN ILEAL REPLACEMENT FOR URETERIC STRICTURE URINE C/S, PT/ APTT, X RAY KUB, IVP, USG KUB, MCU URINE C/S, PT/ APTT, X RAY KUB, IVP, USG KUB, MCU URINE C/S, IVP, USG KUB, MCU URINE C/S, CT IVU, USG KUB CBC, S. CREATININE, URINE CYTOLOGY, URINE C/S,CT ABDOMEN, USG KUB, CHEST X RAY CBC, S. CREATININE, URINE CYTOLOGY, URINE C/S,CT ABDOMEN, USG KUB, CHEST X RAY, COLONOSCOPY CBC, S. CREATININE, MCU, URINE C/S,CT ABDOMEN, USG KUB, CHEST X RAY, URINE AFB, IVP URINE C/S, USG KUB, MCU, DMSA SCAN USG SCROTUM, DOPPLER SCROTUM / AFP, LDH, B HCG, CT ABDOMEN CT IVU, MCU, URINE FOR AFB, USG ABDOMEN USG KUB, DIURETIC IVP, MCU USG KUB, DIURETIC IVP, MCU S7 S S7 S MCU S7 S DIURETIC IVP S7 S USG KUB, CT IVU, POUCHOGRAM CBC, S. CREATININE, ABG, USG ABDOMEN, CT IVU, COLONOSCOPY S7 S S7 S MCU S7 S MCU, DMSA RENAL SCAN S7 S AFP, LDH, B HCG, CT ABDOMEN S7 S DIURETIC IVP S7 S OPEN BOARI FLAP CT IVU, MCU, USG ABDOMEN MCU S7 S OPEN URETEROLYSIS URINE C/S, CT IVU, USG KUB DIURETIC IVP S7 S OPEN COLOVAGINAL FISTULA REPAIR CT ABDOMEN, COLONOSCOPY BARIUM ENEMA S7 S URETHROVAGINAL FISTULA REPAIR RADIOCEPHALIC AV FISTULA FOR HEMODIALYSIS BRACHIOCEPHALIC AV FISTULA FOR HEMODIALYSIS MAINTENANCE HEMODIALYSIS (MHD) (WITH INJ. ERYTHROPOETINE WITH INJ. IRON) PER DIALYSIS. URINE C/S, IVP, USG KUB, MCU MCU S7 S DOPPLER UPPER LIMB DOPPLER UPPER LIMB S7 S DOPPLER UPPER LIMB DOPPLER UPPER LIMB S7 S CBC, S.CRETAIN, BL UREA, S. Na+ /S.K+, HIV(ELLISA), HCV (ELLISA), HBS Ag (ELLISA) S7 S712024

4 Interventional Radiology Permanent tunnelled catheter placement as substitute for AV fistula in long term dialysis Colour Doppler/ Peripheral Angiogram Clinical Photograph 0 30,000 S7 S Interventional Endovascular intervention for salvaging Colour Doppler/ Peripheral Radiology hemodialysis AV fistula Angiogram Clinical Photograph 0 40,000 S7 S Interventional Colour Doppler/ Peripheral SPC for atony bladder Radiology Angiogram Clinical Photograph 3 20,000 S7 S Urology Adrenalectomy-unilateral, open clinical notes,ct/mri/usg Clinical photograph,usg 25,000 S7 S Urology Adrenalectomy-unilateral, Laparoscopic clinical notes,ct/mri/usg Clinical photograph,usg 30,000 S7 S Urology Adrenalectomy-bilateral, open clinical notes,ct/mri/usg Clinical photograph,usg 32,000 S7 S Urology Adrenalectomy-biilateral, Laparoscopic clinical notes,ct/mri/usg Clinical photograph,usg 40,000 S7 S Urology Paraganglioma excision with liver mobilization clinical notes,ct/mri/usg Clinical photograph,usg 50,000 S7 S Urology Nephrectomy-Radical (Renal tumor) Open USG,CT / MRI HPEE 25,000 S7 S Urology Nephrectomy-Partial or Hemi, Open USG,CT / MRI HPEE 30,000 S7 S Urology Nephrectomy-Partial or Hemi, Laparoscopic USG,CT / MRI HPEE 35,000 S7 S Urology Nephro ureterectomy (Benign) Open Renal Scan(DTPA) HPEE 25,000 S7 S Urology Nephro ureterectomy (Benign) Laparoscopic Renal Scan(DTPA) HPEE 30,000 S7 S Urology Endopyelotomy (retrograde with laser/bugbee) USG,X Ray,IVP/CT USG 25,000 S7 S Urology Endopyelotomy (antegrade with laser/bugbee) USG,X Ray,IVP/CT USG 28,000 S7 S Urology Uretero-ureterostomy Open USG,X Ray,IVP/CT USG 25,000 S7 S Urology Uretero-ureterostomy Laparoscopic USG,X Ray,IVP/CT USG 35,000 S7 S Urology Pyelolithotomy-Laparoscopic USG,X Ray,IVP/CT USG 30,000 S7 S Urology Perinephric Abscess drainage (percutaneous) USG/CT USG 10,000 S7 S Urology Perinephric Abscess drainage (Open) USG/CT USG 20,000 S7 S Urology Renal Cyst deroofing or marsupialization- Open USG/CT USG 20,000 S7 S Urology Renal Cyst deroofing or marsupialization- Laparoscopic USG/CT USG 30,000 S7 S Urology Ureterolithotomy-Open USG,X Ray,IVP/CT Clinical photograph,usg 20,000 S7 S Urology Ureterolithotomy-Laparoscopic USG,X Ray,IVP/CT Clinical photograph,usg 30,000 S7 S Urology Ureterotomy (Cutaneous) USG,X Ray,IVP/CT Clinical photograph,usg 20,000 S7 S Urology Endoureterotomy (laser/bugbee) USG,X Ray,IVP/CT Clinical photograph,usg 20,000 S7 S Urology Uretero-vaginal/uterine fistula repair open USG KUB,CT Urography/ MRI Urography USG 27,000 S7 S Urology Uretero-vaginal/uterine fistula repair USG KUB,CT Urography/ MRI Laparoscopic Urography USG 37,000 S7 S Urology Boari flap for ureteric stricture, Laparoscopic USG,IVP/CT USG 40,000 S7 S700053

5 Urology Ureterocele incision including cystoscopy, ureteric catheterization, retrograde USG,IVP/CT USG 15,000 S7 S pyelogram Urology Urachal Cyst excision -open USG,IVP/CT USG 15,000 S7 S Urology Cystolithotomy-open, including cystoscopy USG,IVP/CT USG 15,000 S7 S Urology Urology Cystolithotripsy/Urethral Stone endoscopic, including cystoscopy TUR-fulgration (Transurethral fulgration of the Bladder Tumor) Urology Bladder Neck incision-endoscopic USG,IVP/CT USG 15,000 S7 S USG/CT USG/HPEE 18,000 S7 S CBC, S. Cretanine, Urine-R/M, USG KUB, Urine Cytology CLINICAL NOTES 15,000 S7 S Urology Extrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric Clinical Photo Clinical Photo 50,000 S7 S reimplant Urology Bladder injury repair (as an independent procedure with or without urethral injury) Clinical Photo Clinical Photo 20,000 S7 S Urology Bladder injury repair with colostomy (as an independent procedure with or without USG, Clinical Notes Clinical Photo 25,000 S7 S urethral injury) Urology Partial Cystectomy-open Clinical Photo, HPEE 20,000 S7 S Urology Partial Cystectomy-Laparoscopic Clinical Photo, HPEE 30,000 S7 S Urology Radical cystectomy with continent diversionopen Clinical Photo, HPEE 50,000 S7 S Urology Radical Cystectomy with Ileal Conduit-open Clinical Photo, HPEE 50,000 S7 S Urology Radical Cystectomy with ureterostomy-open Clinical Photo, HPEE 35,000 S7 S Urology Radical Cystectomy with ureterosigmoidostomy-open Clinical Photo, HPEE 35,000 S7 S Urology Other Cystectomies Clinical Photo, HPEE 30,000 S7 S Urology Suprapubic Cystostomy - Open, as an independent procedure Clinical Photo 10,000 S7 S Urology Suprapubic Drainage - Closed/Trocar Clinical Photo 5,000 S7 S Urology VVF/Uterovaginal Repair - Transvaginal approach /IVP Clinical Photo 25,000 S7 S Urology VVF/Uterovaginal Repair - Abdominal,Open /IVP Clinical Photo 25,000 S7 S Urology Hysterectomy as part of VVF/uterovaginal fistula repair (top-up) /IVP Clinical Photo 5,000 S7 S Urology Urethrovaginal fistula repair /IVP Clinical Photo 30,000 S7 S700087

6 Urology Y V Plasty of Bladder Neck/Bladder Neck Reconstruction Clinical Photo 20,000 S7 S Urology Augmentation cystoplasty-open Clinical Photo 30,000 S7 S Urology Augmentation cystoplasty-laparoscopic Clinical Photo 40,000 S7 S Urology Open simple prostatetctomy for BPH Clinical Photo 25,000 S7 S Urology TURP-Transurethral Resection of the Prostate, BPH, Monopolar/Bipolar/Laser USG, Uroflowmetry HPEE, USG 25,000 S7 S Urology TURP/Laser + Circumcision USG, Uroflowmetry HPEE, USG 30,000 S7 S Urology TURP/Laser + Cystolithotripsy USG, Uroflowmetry HPEE, USG 30,000 S7 S Urology TURP/Laser + Cystolithotomy-open USG, Uroflowmetry HPEE, USG 35,000 S7 S Urology TURP/Laser + Orchidectomy USG, Uroflowmetry HPEE, USG 30,000 S7 S Urology TURP/Laser + TURBT USG, Uroflowmetry HPEE, USG 30,000 S7 S Urology TURP/Laser + URS with stone removal USG, Uroflowmetry HPEE, USG 40,000 S7 S Urology TURP/Laser + VIU (visual internal Ureterotomy) USG, Uroflowmetry HPEE, USG 40,000 S7 S Urology TURP/Laser + Hydrocele surgery USG, Uroflowmetry HPEE, USG 40,000 S7 S Urology TURP/Laser + Hernioplasty USG, Uroflowmetry HPEE, USG 40,000 S7 S Urology TURP/Laser + Urethral dilatation-non endoscopic USG, Uroflowmetry HPEE, USG 40,000 S7 S Urology TURP/Laser + Urethral dilatation-endoscopic USG, Uroflowmetry HPEE, USG 40,000 S7 S Urology Radical prostatectomy - laparoscopic USG HPEE, USG 70,000 S7 S Urology Transrectal Ultrasound guided prostate biopsy (minimum 12 core) USG HPEE, USG 10,000 S7 S Urology Reduction of Paraphimosis Clinical Photo Clinical Photo 2,000 S7 S Urology Excision of Urethral Caruncle Clinical Notes Clinical Photo 6,000 S7 S Urology Meatoplasty Clinical Photo Clinical Photo 3,500 S7 S Urology Meatotomy Clinical Photo Clinical Photo 3,500 S7 S Urology Post Urethral Valve fulguration USG, MCU USG 10,000 S7 S Urology Urethroplasty-End to end clinical notes,rgu/ Uroflowmetry RGU 20,000 S7 S Urology Urethroplasty-Transpubic clinical notes,rgu/ Uroflowmetry RGU 30,000 S7 S Urology Perineal Urethrostomy without closure USG, Clinical Notes Clinical Photo 20,000 S7 S Urology Urethrorectal fistula repair Dye Study Clinical Notes 40,000 S7 S Urology Urethral Dilatation-non endocopic as an independent procedure Clinical Notes Clinical Notes 2,000 S7 S Urology Urethral Dilatation-endocopic as an independent procedure Clinical Notes Clinical Notes 5,000 S7 S Urology Internal Ureterotomy including cystoscopy as an independent procedure clinical notes,rgu Clinical Notes 10,000 S7 S Urology Orchiopexy-without laparoscopy, unilateral USG, Clinical Notes USG 15,000 S7 S Urology Orchiopexy-without laparoscopy, bilateral USG, Clinical Notes USG 15,000 S7 S700127

7 Urology Orchiopexy-with laparoscopy, unilateral USG, Clinical Notes USG 30,000 S7 S Urology Orchiopexy-with laparoscopy, bilateral USG, Clinical Notes USG 30,000 S7 S Urology Stress incontinence surgery, open Clinical Notes Uroflowmetry 20,000 S7 S Urology Stress incontinence surgery, laparoscopic Clinical Notes Uroflowmetry 30,000 S7 S Urology Stress incontinence surgery with slings Clinical Notes Uroflowmetry 35,000 S7 S Urology Partial Penectomy Clinical Notes Clinical Notes 15,000 S7 S Urology Total Penectomy + Perineal Urethrostomy Clinical Notes Clinical Notes 20,000 S7 S Urology Ilio-Inguinal lymphadenectomy-unilateral USG/FNAC HPEE 15,000 S7 S Urology Ilio-Inguinal lymphadenectomy-bilateral USG/FNAC HPEE 25,000 S7 S Urology Pelvic lymphadenectomy open, after prior cancer surgery CT/MRI/USG pelvis,clinical notes HPEE 25,000 S7 S Urology Pelvic lymphadenectomy laparoscopic, after prior cancer surgery CT/MRI/USG pelvis,clinical notes HPEE 30,000 S7 S Urology Orchiectomy-simple USG/CT Abdomen pelvis HPEE 10,000 S7 S Urology Retroperitoneal lymph node dissection- CT/MRI,USG Abdomen pelvis,clinical Laparoscopic notes HPEE 35,000 S7 S Urology Infertility-Scrotal exploration unilateral Semen Analysis Clinical Notes/HPEE 10,000 S7 S Urology Infertility-Scrotal exploration bilateral Semen Analysis Clinical Notes/HPEE 12,000 S7 S Urology Infertility-Vasoepididymostomy, microsurgical, unilateral USG Vasography 15,000 S7 S Urology Infertility-Vasoepididymostomy, microsurgical, bilateral USG Vasography 20,000 S7 S Urology Varicocele-unilateral-non microsurgical Doppler Doppler 10,000 S7 S Urology Varicocele-unilateral-microsurgical Doppler Doppler 12,000 S7 S Urology Varicocele-bilateral-non microsurgical Doppler Doppler 15,000 S7 S Urology Varicocele-bilateral-microsurgical Doppler Doppler 20,000 S7 S Urology Penile prosthesis insertion, Malleable (Indian implant) Clinincal History implant sticker 30,000 S7 S Urology Priapism-aspiration/shunt Clinical Notes Clinical Notes 15,000 S7 S Neurogenic bladder-package for Urology evaluation/investigation (catheter + Clinical assessment and ultrasound + culture + RGU/ MCU) for 1 investigations month (medicines - antibiotics). Follow up Clinical Notes 7,500 S7 S visit once in 3 months Urology Urology Urology Chronic prostatitis-package for evaluation/investigation (ultrasound + culture + prostate massage) for 1 month (medicines). Follow up visit once in 3 months Emergency management of Ureteric stone - Package for evaluation/investigation (ultrasound + culture) for 3 weeks (medicines). Emergency management of Hematuria (Package rete per day) Clinical assessment and investigations Clinical assessment and investigations Clinical Notes 2,500 S7 S Clinical Notes 3,500 S7 S Daily Urine- RM Clinical Notes 2,000 Package rete per day S7 S700157

8 Urology Urology Urology Emergency management of Acute retention of Urine (Package rete per day) Acute management of upper urinary tract trauma conservative (Package rete per day) Urinary tract trauma open surgery (exploratory) Clinincal Notes/USG Clinical Notes 2,000 USG/CT, Clinical History Clinical Notes 2,000 Package rete per day Package rete per day S7 S7 S S USG/CT, Clinical History Clinical Notes 20,000 S7 S Urology Urinary tract trauma Laparoscopy surgery USG/CT, Clinical History Clinical Notes 30,000 S7 S Urology Urology Urology Pyeloplasty/pyeloureterostomy/pyelopyelost omy Open Pyeloplasty/pyeloureterostomy/pyelopyelost omy Laparoscopic Unspecified Surgical Package (Amount 1,00,000rs per anum per family,package amount is Negotiable) USG,X Ray,IVP/CT USG 25,000 S7 S USG,X Ray,IVP/CT USG 30,000 S7 S Concern Investigation Concern Investigation 1,00,000 S7 U100

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