Specialty code Package Code Package name Package Amount Preauth Required or Not (Y/N) 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)
S11 0001 % Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns) - any % (not requiring admission). Needs at least 5-6 dressing 7,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  D N S
S11 0002 % Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns): Upto 40 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. 40,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  Moderate to severe burns need initial ICU stay ranging from  2 – 5 days and then 10 - 14 days of ward stay with alternate day dressings  N S
S11 0003 % Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns): 40 % - 60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. 50,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  Moderate to severe burns need initial ICU stay ranging from  2 – 5 days and then 10 - 14 days of ward stay with alternate day dressings  N S
S11 0004 % Total Body Surface Area Burns (TBSA) (thermal/ scald/ flame burns): >  60 %; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. 80,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  Moderate to severe burns need initial ICU stay ranging from  2 – 5 days and then 10 - 14 days of ward stay with alternate day dressings  N S
S11 0005 Electrical contact burns: Low voltage- without part of limb/limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. 30,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  Moderate to severe burns need initial ICU stay ranging from  2 – 5 days and then 10 - 14 days of ward stay with alternate day dressings  N S
S11 0006 Electrical contact burns: Low voltage- with part of limb/limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. 40,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  Moderate to severe burns need initial ICU stay ranging from  2 – 5 days and then 10 - 14 days of ward stay with alternate day dressings  N S
S11 0007 Electrical contact burns: High voltage- without part of limb/limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. 50,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  Moderate to severe burns need initial ICU stay ranging from  2 – 5 days and then 10 - 14 days of ward stay with alternate day dressings  N S
S11 0008 Electrical contact burns: High voltage- with part of limb/limb loss; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. 60,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  Moderate to severe burns need initial ICU stay ranging from  2 – 5 days and then 10 - 14 days of ward stay with alternate day dressings  N S
S11 0009 Chemical burns: Without significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. 40,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  Moderate to severe burns need initial ICU stay ranging from  2 – 5 days and then 10 - 14 days of ward stay with alternate day dressings  N S
S11 0010 Chemical burns: With significant facial scarring and/or loss of function; Includes % TBSA skin grafted, flap cover, follow-up dressings etc. as deemed necessary; Surgical procedures are required for deep burns that are not amenable to heal with dressings alone. 60,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph  Moderate to severe burns need initial ICU stay ranging from  2 – 5 days and then 10 - 14 days of ward stay with alternate day dressings  N S
S11 0011 Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone-gel sheet and physiotherapy): Excluding Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) / Full Thickness Skin Graft (FTSG)/ Flap cover is done for each joint with post-operative regular dressings for STSG / FTSG / Flap cover. 50,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph    N S
S11 0012 Post Burn Contracture surgeries for Functional Improvement (Package including splints, pressure garments, silicone-gel sheet and physiotherapy): Neck contracture; Contracture release with - Split thickness Skin Graft (STSG) /
Full Thickness Skin Graft (FTSG)/ Flap cover is done for each joint with post-operative regular dressings for STSG / FTSG / Flap cover.		 50,000 Y Clinical photograph and diagram with Rule of 9/ L & B Chart for extent of burns Clinical photograph    N S