Specialty code Package Code Package name Package Amount per day (drop down) for admission type: Routine ward (Rs 1800)/ HDU (Rs (Rs 2700)/ ICU (without ventilator) (Rs 3600)/ ICU (with ventilator)(Rs 4500) Preauth Required or Not (Y/N): after 1st day, 5th day, 10 th day and every 5 day intervals Mandatory investigations for pre-auth Post-Op investigations for claims submission Average length of Stay (Including Days in intensive care units) Govt Reserved Procedure (Y/N) Medical (M) or Surgical (S)
M1 0001 Acute gastroenteritis with moderate dehydration   N   clinical notes   N M
M1 0002 Recurrent vomiting with dehydration   N   clinical notes   N M
M1 0003 Dysentery   N   clinical notes   N M
M1 0004 Renal colic   N   clinical notes   N M
M1 0005 Acute bronchitis   N   clinical notes   N M
M1 0006 Pneumothroax   N   clinical notes   N M
M1 0007 Accelerated hypertension   N   clinical notes   N M
M1 0008 Congestive heart failure   N   clinical notes   N M
M1 0009 Severe anemia   N   clinical notes   N M
M1 0010 Diabetic ketoacidosis   N   clinical notes   N M
M1 0011 Acute febrile illness   N   clinical notes   N M
M1 0012 Acutre excaberation of COPD   N   clinical notes   N M
M1 0013 UTI   N   clinical notes   N M
M1 0014 Malaria   N   clinical notes   N M
M1 0015 Dengue fever   N   clinical notes   N M
M1 0016 Chikungunya fever   N   clinical notes   N M
M1 0017 Leptospirosis   N   clinical notes   N M
M1 0018 Enteric fever   N   clinical notes   N M
M1 0019 Pneumonia   N   clinical notes   N M
M1 0020 Acute excaberation of ILD   N   clinical notes   N M
M1 0021 Liver abscess   N   clinical notes   N M
M1 0022 Acute viral hepatitis   N   clinical notes   N M
M1 0023 Snake bite   N   clinical notes   N M
M1 0024 Acute organophosphorus poisoning   N   clinical notes   N M
M1 0025 Other poisoning   N   clinical notes   N M
M1 0026 Pyrexia of unknown origin   N   clinical notes   N M
M1 0027 Pericardial/ Pleural tuberculosis   N   clinical notes   N M
M1 0028 Systematic lupus erythematosus   N   clinical notes   N M
M1 0029 Vasculitis   N   clinical notes   N M
M1 0030 Seizures   N   clinical notes   N M
M1 0031 Bacterial/ fungal endocarditis   N   clinical notes   N M
M1 0032 Acute inflammatory demyelinating polyneuropathy   N   clinical notes   N M
M1 0033 Lung abscess/ Empyema   N   clinical notes   N M
M1 0034 Acute and chronic meningitis   N   clinical notes   N M
M1 0035 Viral encephalitis   N   clinical notes   N M
M1 0036 Persistent/ Chronic diarrohea   N   clinical notes   N M
M1 0037 Acute and chronic pancreatitis   N   clinical notes   N M
M1 0038 Visceral leishmaniasis   N   clinical notes   N M
M1 0039 HIV with complications   N   clinical notes   N M
M1 0040 Neuromuscular disorders   N   clinical notes   N M
M1 0041 Metabolic encephalopathy   N   clinical notes   N M
M1 0042 Sickle cell Anemia   N   clinical notes   N M
M1 0043 Poisonings with unstable vitals   N   clinical notes   N M
M1 0044 Type 1/2 respiratory failure   N   clinical notes   N M
M1 0045 Acute asthmatic attack   N   clinical notes   N M
M1 0046 Acutre excaberation of COPD   N   clinical notes   N M
M1 0047 Severe pneumonia   N   clinical notes   N M
M1 0048 Acute gastroenteritis with severe dehydration   N   clinical notes   N M
M1 0049 Hypertensive emergencies   N   clinical notes   N M
M1 0050 Dengue hemorrhagic fever/Dengue shock syndrome   N   clinical notes   N M
M1 0051 Complicated malaria   N   clinical notes   N M
M1 0052 Heat stroke   N   clinical notes   N M
M1 0053 Hyperosmolar Non-Ketotic coma   N   clinical notes   N M
M1 0054 Cerebrovascular accident   N   clinical notes   N M
M1 0055 Severe sepsis/Septic shock   N   clinical notes   N M
M1 0056 Upper GI bleeding (conservative)   N   clinical notes   N M
M1 0057 Upper GI bleeding (endoscopic)   N   clinical notes   N M
M1 0058 Lower GI hemorrhage   N   clinical notes   N M
M1 0059 Immune mediated CNS disorders such as autoimmune encephalitis   N   clinical notes   N M
M1 0060 Acute transverse myelitis   N   clinical notes   N M
M1 0061 Guillian Barre Syndrome   N   clinical notes   N M
M1 0062 Hydrocephalus   N   clinical notes   N M
M1 0063 Cerebral sino-venous thrombosis   N   clinical notes   N M
M1 0064 AKI/ renal failure(dialysis payable separately as an add on package for )   N   clinical notes   N M
M1 0065 Status epilepticus   N   clinical notes   N M
M1 0066 Status asthmaticus   N   clinical notes   N M
M1 0067 Respiratory failure due to any cause (pneumonia, asthma, COPD, ARDS, foreign body, poisoning, head injury etc.)   N   clinical notes   N M
M1 0068 Blood and blood component transfusion (admission for a diagnostic procedure leading to treatment requiring admission, e.g. bone marrow and bone biopsy, endoscopy, liver biopsy, bronchoscopy, CT/MRI under GA, broncho-alveolar lavage, lumbar puncture, muscle biopsy, pleural aspiration, ascitic tapping etc.)   N   clinical notes   N M
M1 0069 Plasmapheresis (pre-auth)   Y clinical notes clinical notes   N M
M1 0070 Haemodialysis/Peritoneal Dialysis (only for ARF)     clinical notes clinical notes   N M
M1 0071 Unspecified Medical Package   on pre-auth from day 1 clinical notes clinical notes   N M
M1 0072 High end radiological diagnostic (CT, MRI, Imaging including nuclear imaging) - can only be clubbed with medical package. Rs 5000 per annum limit to a family 5000 Y clinical notes clinical notes   N M
M1 0073 High end histopathology (Biopsies) and advanced serology investigations - can only be clubbed with medical package. Rs 5000 per annum limit to a family 5000 Y clinical notes clinical notes   N M