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Portal Procedure Code Portal Procedure Name Portal Package Amount M1.1 Medical Management of Acute Severe Asthma with Acute

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Portal Procedure Code Portal Procedure Name Portal Package Amount M1.1 Medical Management of Acute Severe Asthma with Acute Portal Portal Procedure Portal Procedure Name Package Code Amount Medical Management of Acute Severe Asthma With M1.1 51310 Acute Respiratory Failure Medical Management of COPD with Respiratory M1.2 82095 Failure (Infective Exacerbation) Medical Management of Acute Bronchitis with M1.3 61572 Pneumonia and Respiratory Failure M1.4 Medical Management of ARDS 102619 Medical Management of ARDS with Multi Organ M1.5 118013 failure (R65.1) Medical Management of ARDS with DIC (Blood and M1.6 143668 Blood Products) (D65) Medical Management of Poisioning Requiring M1.7 51310 Ventilatory Assistance M1.8 Intensive care management of Septic Shock 61572 Medical management of SLE (Systemic Lupus M10.1.1 26323 Erythematosis) Medical management of Sle (Systemic Lupus M10.1.2 73116 Erythematosis) with sepsis M10.2 Medical management of Scleroderma 30786 Medical management of Mctd Mixed Connective M10.3 25654 Tissue Disorder M10.4 Medical management of Primary Sjogren\'S Syndrome 20524 M10.5 Medical management of Vasculitis 30786 Medical management of Pyelonephritis in M11.1.1 22074 uncontrolled Diabetes melitus Medical management of Lower Respiratoy Tract M11.1.2 23603 Infection M11.1.3 Medical management of Fungal Sinusitis 42013 M11.1.4 Medical management of Cholecystitis 30479 Medical management of Cavernous Sinus Thrombosis M11.1.5 42085 in uncontrolled Diabetes melitus M11.1.6 Medical management of Rhinocerebral Mucormycosis 52973 Initial evaluation and management of Hypopituitarism M11.2.1 26681 with growth harmone M11.2.2 Hormonal therapy for Pituitary - Acromegaly 18923 M11.2.3 Medical Management of Cushings Syndrome 30787 Hormonal therapy for Delayed Puberty Hypogonadism- M11.2.4 14880 Turners Syndrome/Kleinfelter Syndrome(Q98.4) Hypopiturasim Initial Evaluation And Management M11.2.5 26681 With Growth Hormone Hypopiturasim Maintanance Phase Monthly Package M11.2.6 13915 For Growth Hormone M11.2.7 Medical Management of Graves Disease 10323 M12.1 Medical management of Corrosive Oesophageal Injury 21868 M12.10 Medical management of Acute Pancreatitis (Mild) 51310 M12.11 Medical management of Acute Pancreatitis (Severe) 153930 Conservative management of Acute Pancreatitis With M12.12 30785 Pseudocyst (Infected) Conservative management of Chronic Pancreatitis M12.13 30785 with Severe Pain M12.14 Conservative management of Obscure GI Bleed 51309 Conservative management of Cirrhosis with Hepatic M12.15 41048 Encephalopathy Medical management of Cirrhosis with Hepato Renal M12.16 41048 Syndrome M12.17.1 Medical management of Post op stent 48057 M12.17.2 Medical management of Post op leaks 48539 M12.17.3 Medical management of Sclerosing Cholangitis 76965 Medical Management of Cirrhosis Decompensated M12.18 37836 Including SBP, Portal HTN, Bleed Medical Management of Acute Hepatitis (Viral, M12.19 15392 Alcohol, Drugs, Misc. Infections) Conservative management of Oesophageal Foreign M12.2 8137 Body Medical Management of Ascities Of Any Etiology M12.20 15403 (Tubercolor, Melignant, Pancreatic, Biliary) M12.3 Conservative management of Oesophageal Perforation 51309 M12.4 Medical management of Achalasia Cardia 13638 Medical Management of Oesophageal Varices using M12.5 12509 Variceal Banding Medical Management of Oesophageal Varices with M12.6 10364 Sclerotherapy M12.7 Medical management of Oesophageal Fistula 30786 Medical management of GAVE(Gastric Antral M12.8 20524 Vascular Ectasia) M12.9 Medical management of Gastric Varices 15290 Medical Management of Thrombocytopenia With M2.1 30786 Bleeding Diathesis M2.2.1 Medical Management of Hemophilia (D67/D68.0) 61573 M2.2.2 Medical Management of Other Coagulation Disorders 45153 Medical Management of Chelation Therapy For M2.3 15393 Thalassemia Major M2.4 Medical Management of Cerebral Malaria 25655 M2.5 Medical Management of TB Meningitis 30787 Medical Management of Snake Bite Requiring M2.6 61572 Ventilator Support Medical Management of Scorpion Sting Requiring M2.7 25656 Ventilator Support Medical Management of Metabolic Coma Requiring M2.8 35917 Ventilatory Support M2.9 Medical Management of Dengue Haemorrhagic Fever 35917 M3.1 Medical Management of Severe Tetanus 28703 M3.2 Medical Management of Complicated Diphtheria 27502 M3.3 Medical Management of Cryptococcal Meningitis 30581 Medical management of term Baby With Septicemia M4.1.1 Culture Positive,Hyperbili rubinemia Not requiring 35917 Ventilatory support. Medical management of pre-term Baby of 30 To 32 M4.1.10 Weeks Septi cemia Ductus Arteriosus -requiring 61572 Mechanical Ventilation. Medical management of pre-term Baby of <30 Weeks Severe Hyaline Membrane Disease Septi cemia M4.1.11 92358 Culture Positive,Hyperbili rubinemia Patent Ductus Arteriosus -requiring Mechanical Ventilation. Medical Management of Term Baby With Persistent M4.1.12 Pulmonary Hypertension Ventilation-Hfo 51310 Hyperbilirubinem ia Clinically evident septicemia. Medical Management of Term Baby With Severe Perinatal Asphyxia Clinically evident septicemia, M4.1.13 35917 Hyperbilirubinem ia - Not requiring Ventilatory support. Medical Management of Term Baby With Severe M4.1.14 Perinatal Asphyxia Clinically evident septicemia, 51310 Hyperbilirubinemia - requiring Ventilatory support. Medical Management of Term Baby Severe M4.1.15 35917 Hyperbilirubinemia Clinically evident Septicemia. Medical management of Seizures in term baby M4.1.16 51310 requiring ventilatory support. Medical Management of Necrotising Enterocolitis, M4.1.17 Clinically evident Septicemia, Hyperbilirubinem ia not 35917 requiring ventilatory support. Medical Management of Term Baby, Fulminant septicemia Culture Positive with Septic Shock, M4.1.18 51310 Hyperbilirubinem ia Renal Failure requiring ventilatory support. Medical Management of Preterm Baby 33 To 34 Weeks with Severe Hyaline Membrane Disease M4.1.2 61572 Clinically evident septicemia Hyperbilirubinemia requiring Bubble Cpap. Medical Management of pre term baby of 33 To 34 Weeks with Severe Hyaline Membrane Disease M4.1.3 61572 Clinically evident septicemia Hyperbilirubinemia requiring ventilatory support. Medicalmanagement of Preterm baby of 35 To 36 Weeks with Mild Hyaline Membrane Disease M4.1.4 35917 septicemia Culture Positive Hyperbilirubinem ia not requiring ventilatory support. Medicalmanagement of Preterm baby of 33 To 34 Weeks with Mild Hyaline Membrane Disease M4.1.5 35917 septicemia Culture Positive Hyperbilirubinem ia not requiring ventilatory support. Medical management of Preterm baby of 33 To 34 Weeks with severe Hyaline Membrane Disease M4.1.6 61572 septicemia Culture Positive Hyperbilirubinem requiring ventilatory support/ bubble Cpap. Medical management of Preterm baby of 30 To 32 Weeks with severe Hyaline Membrane Disease M4.1.7 61572 septicemia Culture Positive Hyperbilirubinem ia requiring Mechanical ventilatory support. Medical management of Preterm baby of<30 Weeks with severe Hyaline Membrane Disease septicemia M4.1.8 92358 Culture PositiveHyperbilirubinem ia requiring Mechanical ventilatory support. Medical management of Preterm baby of 33 To 34 Weeks with severe Hyaline Membrane Disease M4.1.9 septicemia Culture Positive Hyperbilirubinem ia 61572 Patent Ductus Arteriosus- requiring Mechanical ventilatory support. Medical management of Severe Bronchiolitis(Non M4.2.1.1 15393 Ventilated) Medical Management of Severe M4.2.1.2 20524 Bronchiolitis(Ventilated) Medical Management of Severe Bronchopneumon M4.2.1.3 15393 ia(Non Ventilated) Medical Management of Severe Bronchopneumon M4.2.1.4 20524 ia(Ventilated) Medical Management of Acute Severe Asthma M4.2.1.5 20524 (Ventilated) Medical Management of Severe Aspiration Pneumonia M4.2.1.6 15393 (Non Ventilated) Medical Management of Severe Aspiration Pneumonia M4.2.1.7 20524 ( Ventilated) Medical Management of ARDS With Multi- Organ M4.2.1.8 118013 Failure Medical Management of ARDS Plus DIC (Blood and M4.2.1.9 143668 Blood Products) Medical Management of Severe Myocarditis in M4.2.2.1 41048 Paediatric patient Medical Management of Congenital Heart Disease M4.2.2.2 25655 With Infection (Non Ventilated) in Paediatric patient Medical Management of Congenital Heart Disease M4.2.2.3 With Infection And Cardiogenic Shock (Ventilated) in 51310 Paediatric patients Medical Management of Cardiogenic Shock in M4.2.2.4 51310 Paediatric patients M4.2.2.5 Medical Management of Infective Endocarditis 25654 Medical Management of Rheumatic heart disease in M4.2.2.6 15393 Paediatric patient Medical Management of Meningo- Encephalitis (Non M4.2.3.1 41048 Ventilated) Medical Management of Meningo- Encephalitis in M4.2.3.2 61572 Paediatric patients (Ventilated) M4.2.3.3 Medical Management of Status Epilepticus 22074 Medical Management of Febrile Seizures (Atypical- M4.2.3.4 25655 Mechanical Ventilated) in Paediatric patients Medical Management of Intra Cranial Bleed in M4.2.3.5 51310 Paediatric patient Medical Management of Acute Gastro Intestinal Bleed M4.2.4.1 25655 in Paediatric patients Medical management of Acute Pancreatitis (Mild) in M4.2.4.2 51310 pediatric patients Medical Management of Acute Hepatitis With Hepatic M4.2.4.3 51310 Encephalopathy in Paediatric patient M4.2.5.1 Medical Management of Acute Renal Failure 20524 Medical Management of Diabetic Ketoacidosis in M4.2.6.1 30786 Paediatric patient M4.2.7.1 Medical management of Septic shock 61572 Medical Management of Snake Bite Requiring M4.2.8.1 61572 Ventilatory Assistance Medical Management of Scorpion Sting With M4.2.8.2 Myocarditis And Cardiogenic Shock Requiring 41048 Ventilatory Assistance in Paediatric patients Medical
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