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)
M4 0001 Acute lymphoblastic leukemia (chemotherapy including diagnostics): induction 55,000 Y Clinical Reports     N M
M4 0002 Acute lymphoblastic leukemia (chemotherapy including diagnostics): consolidation 40,000 Y Clinical Reports     N M
M4 0003 Acute lymphoblastic leukemia (chemotherapy including diagnostics): maintainence 15,000 Y Clinical Reports     N M
M4 0004 Acute lymphoblastic leukemia: radiation 5,000 Y Clinical Reports     N M
M4 0005 Acute lymphoblastic leukemia: Supportive care/ rehabilitation  20,000 Y Clinical Reports     N M
M4 0006 Acute myeloid leukemia (chemotherapy including diagnostics): induction 55,000 Y Clinical Reports     N M
M4 0007 Acute myeloid leukemia (chemotherapy including diagnostics): consolidation 40,000 Y Clinical Reports     N M
M4 0008 Acute myeloid leukemia: Supportive care/ rehabilitation  20,000 Y Clinical Reports     N M
M4 0009 Hodgkin Lymphoma (Favorable group) (chemotherapy including diagnostics): induction 45,000 Y Clinical Reports     N M
M4 0010 Hodgkin Lymphoma (Favorable group): radiation 10,000 Y Clinical Reports     N M
M4 0011 Hodgkin Lymphoma (Favorable group): Supportive care/ rehabilitation  15,000 Y Clinical Reports     N M
M4 0012 Hodgkin Lymphoma (unfavorable group): chemotherapy including diagnostics 70,000 Y Clinical Reports     N M
M4 0013 Hodgkin Lymphoma (unfavorable group): radiation 15,000 Y Clinical Reports     N M
M4 0014 Hodgkin Lymphoma (unfavorable group): Supportive care/ rehabilitation  25,000 Y Clinical Reports     N M
M4 0015 Non-Hodgkin Lymphoma: chemotherapy including diagnostics 100,000 Y Clinical Reports     N M
M4 0016 Non-Hodgkin Lymphoma: Supportive care/ rehabilitation  50,000 Y Clinical Reports     N M
M4 0017 Retinoblastoma (Intraocular): chemotherapy including diagnostics 45,000 Y Clinical Reports     N M
M4 0018 Retinoblastoma (Intraocular): radiation 10,000 Y Clinical Reports     N M
M4 0019 Retinoblastoma (Intraocular): surgery 10,000 Y Clinical Reports     N S
M4 0020 Retinoblastoma (Intraocular): supportive care/ rehabilitation 20,000 Y Clinical Reports     N M
M4 0021 Retinoblastoma (extraocular): chemotherapy including diagnostics 65,000 Y Clinical Reports     N M
M4 0022 Retinoblastoma (extraocular): radiation 10,000 Y Clinical Reports     N M
M4 0023 Retinoblastoma (extraocular): supportive care/ rehabilitation 35,000 Y Clinical Reports     N M
M4 0024 Brain tumors: chemotherapy including diagnostics 40,000 Y Clinical Reports     N M
M4 0025 Brain tumors: radiation 30,000 Y Clinical Reports     N M
M4 0026 Brain tumors: surgery 40,000 Y Clinical Reports     N S
M4 0027 Brain tumors: supportive care/ rehabilitation 25,000 Y Clinical Reports     N M
M4 0028 Wilms tumors: chemotherapy including diagnostics 20,000 Y Clinical Reports     N M
M4 0029 Wilms tumors: radiation 5,000 Y Clinical Reports     N M
M4 0030 Wilms tumors: surgery 20,000 Y Clinical Reports     N S
M4 0031 Histiocytosis: chemotherapy including diagnostics 45,000 Y Clinical Reports     N M
M4 0032 Histiocytosis: supportive care/ rehabilitation 5,000 Y Clinical Reports     N M
M4 0033 Bone tumors/soft tissue sarcomas : chemotherapy including diagnostics 80,000 Y Clinical Reports     N M
M4 0034 Bone tumors/soft tissue sarcomas : radiation 25,000 Y Clinical Reports     N M
M4 0035 Bone tumors/soft tissue sarcomas : surgery (inlcuding prosthesis) 80,000 Y Clinical Reports     N S
M4 0036 Bone tumors/soft tissue sarcomas : supportive care/ rehabilitation 50,000 Y Clinical Reports     N M
M4 0037 Chronic Myeloid Leukemia : chemotherapy including diagnostics 80,000 Y Clinical Reports     N M
M4 0038 Chronic Myeloid Leukemia : supportive care/ rehabilitation 20,000 Y Clinical Reports     N M