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)
M2 0001 Diarrhoea   N   clinical notes   N M
M2 0002 Acute dysentery   N   clinical notes   N M
M2 0003 Pneumonia   N   clinical notes 5 N M
M2 0004 Urinary tract infection   N   clinical notes   N M
M2 0005 Acute Exacerbation of asthma   N   clinical notes   N M
M2 0006 Acute glomerulonephritis   N   clinical notes 5 N M
M2 0007 Acute urticaria/ Anaphylaxis acute asthma   N   clinical notes   N M
M2 0008 Poisonings with normal vital signs   N   clinical notes   N M
M2 0009 Febrile seizures/other seizures   N   clinical notes   N M
M2 0010 Epileptic encephalopathy   N   clinical notes   N M
M2 0011 Optic neuritis   N   clinical notes 5 N M
M2 0012 Aseptic meningitis   N   clinical notes   N M
M2 0013 Trauma   N   clinical notes   N M
M2 0014 Pyrexia of unexplained origin   N   clinical notes   N M
M2 0015 Chronic cough   N   clinical notes D N M
M2 0016 Wheezing   N   clinical notes   N M
M2 0017 Unexplained seizures   N   clinical notes D N M
M2 0018 Global developmental delay/ Intellectual disability of unknown etiology   N   clinical notes D N M
M2 0019 Dysmorphic children   N   clinical notes D N M
M2 0020 Rickets   N   clinical notes D N M
M2 0021 Unexplained severe anemia   N   clinical notes   N M
M2 0022 Short stature   N   clinical notes D N M
M2 0023 Musculoskeletal problems   N   clinical notes D N M
M2 0024 Developmental and behavioral disorders   N   clinical notes D N M
M2 0025 Diabetic ketoacidosis   N   clinical notes   N M
M2 0026 Nephrotic syndrome with peritonitis   N   clinical notes   N M
M2 0027 Pyogenic meningitis   N   clinical notes   N M
M2 0028 Persistent/ Chronic diarrhea   N   clinical notes   N M
M2 0029 Acute severe malnutrition   N   clinical notes   N M
M2 0030 Dengue   N   clinical notes   N M
M2 0031 Enteric fever   N   clinical notes   N M
M2 0032 Chikungunya   N   clinical notes   N M
M2 0033 Acute hepatitis   N   clinical notes   N M
M2 0034 Kala azar   N   clinical notes   N M
M2 0035 Tuberculosis   N   clinical notes   N M
M2 0036 HIV with complications   N   clinical notes   N M
M2 0037 Infantile cholestasis   N   clinical notes   N M
M2 0038 Haemolytic uremic syndrome   N   clinical notes   N M
M2 0039 ITP   N   clinical notes   N M
M2 0040 Juvenile myasthenia   N   clinical notes   N M
M2 0041 Kawasaki Disease   N   clinical notes   N M
M2 0042 Persistent pneumonia   N   clinical notes   N M
M2 0043 Empyema   N   clinical notes   N M
M2 0044 Immune haemolytic anemia   N   clinical notes   N M
M2 0045 Cyanotic spells   N   clinical notes   N M
M2 0046 Rheumatic fever   N   clinical notes   N M
M2 0047 Rheumatoid arthritis   N   clinical notes   N M
M2 0048 Encephalitis   N   clinical notes 10-15 DAYS N M
M2 0049 Chronic meningitis   N   clinical notes 10-15 DAYS N M
M2 0050 Intracranial ring enhancing lesion with complication (neurocysticercosis, tuberculoma)   N   clinical notes   N M
M2 0051 Refractory seizures   N   clinical notes   N M
M2 0052 Floppy infant   N   clinical notes   N M
M2 0053 Acute neuroregression   N   clinical notes   N M
M2 0054 Neuromuscular disorders   N   clinical notes   N M
M2 0055 Opsoclonus myoclonus syndrome   N   clinical notes   N M
M2 0056 Acute ataxia   N   clinical notes   N M
M2 0057 Steven Johnson syndrome   N   clinical notes   N M
M2 0058 Metabolic encephalopathy   N   clinical notes   N M
M2 0059 Ketogenic diet initiation in refractory epilepsy   N   clinical notes   N M
M2 0060 Inborn errors of metabolism   N   clinical notes   N M
M2 0061 Wilson’s disease   N   clinical notes   N M
M2 0062 Celiac disease   N   clinical notes   N M
M2 0063 Unexplained jaundice   N   clinical notes   N M
M2 0064 Unexplained hepatosplenomegaly   N   clinical notes   N M
M2 0065 Severe pneumonia   N   clinical notes   N M
M2 0066 Severe exacerbation of asthma   N   clinical notes   N M
M2 0067 Acute kidney injury   N   clinical notes   N M
M2 0068 Poisonings   N   clinical notes   N M
M2 0069 Serious trauma with unstable vitals   N   clinical notes   N M
M2 0070 Upper GI hemorrhage   N   clinical notes   N M
M2 0071 Lower GI hemorrhage   N   clinical notes   N M
M2 0072 Acute abdomen   N   clinical notes   N M
M2 0073 Liver abscess   N   clinical notes   N M
M2 0074 Complicated malaria   N   clinical notes   N M
M2 0075 Severe dengue with shock   N   clinical notes   N M
M2 0076 Congestive cardiac failure   N   clinical notes   N M
M2 0077 Brain abscess   N   clinical notes   N M
M2 0078 Acute encephalitic syndrome   N   clinical notes   N M
M2 0079 Acute demyelinating myelopathy,   N   clinical notes   N M
M2 0080 Immune mediated CNS disorders such as autoimmune encephalitis   N   clinical notes   N M
M2 0081 Acute transverse myelitis   N   clinical notes   N M
M2 0082 Guillain Barre Syndrome   N   clinical notes   N M
M2 0083 Hydrocephalus   N   clinical notes   N M
M2 0084 Intracranial space occupying lesion   N   clinical notes   N M
M2 0085 Cerebral malaria   N   clinical notes   N M
M2 0086 Acute ischemic stroke   N   clinical notes   N M
M2 0087 Cerebral sino-venous thrombosis   N   clinical notes   N M
M2 0088 Respiratory failure due to any causes (pneumonia, asthma, foreign body, poisoning, head injury etc.)   N   clinical notes   N M
M2 0089 Acute transverse myelitis   N   clinical notes   N M
M2 0090 Acute encephalitis –infectious/immune-mediated   N   clinical notes   N M
M2 0091 Convulsive & non convulsive status epilepticus   N   clinical notes   N M
M2 0092 Cerebral herniation   N   clinical notes   N M
M2 0093 Intracranial hemorrhage   N   clinical notes   N M
M2 0094 Hepatic encephalopathy   N   clinical notes   N M
M2 0095 Complicated bacterial meningitis   N   clinical notes   N M
M2 0096 Raised intracranial pressure   N   clinical notes   N M
M2 0097 Hypertensive encephalopathy   N   clinical notes   N M
M2 0098 CRRT (pre-auth)   N   clinical notes   N M
M2 0099 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, FNAC, pleural aspiration, ascitic tapping, neostigmine challenge test etc.)       clinical notes   N M
M2 0100 Blood and blood component transfusion for indications like Thalassemia/Hemoglobinopathies-       clinical notes   N M
M2 0101 Unspecified Medical Package   on pre-auth from day 1 clinical notes clinical notes   N M
M2 0102 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
M2 0103 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