| 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) |
| S13 | 0001 | Coronary artery bypass grafting (CABG) | 90,000 | Y | 2D ECHO | ECHO | 5 to 7 | N | S |
| CAG report | Post op X Ray | ||||||||
| scar photo | |||||||||
| S13 | 0002 | Coronary artery bypass grafting (CABG) with Intra-aortic balloon pump (IABP) | 110,000 | Y | 2D ECHO | ECHO | 5 to 7 | N | S |
| CAG report | Post op X Ray | ||||||||
| scar photo | |||||||||
| S13 | 0003 | Coronary artery bypass grafting (CABG) + one mechanical Valve Replacement + Intra-aortic balloon pump (IABP) | 150,000 | Y | 2D ECHO | ECHO | 5 to 7 | N | S |
| CAG report | Post op X Ray | ||||||||
| scar photo | |||||||||
| S13 | 0004 | Coronary artery bypass grafting (CABG) with LV Aneurysmal repair | 100,000 | Y | 2D ECHO | ECHO | 5 to 7 | N | S |
| CAG report | Post op X Ray | ||||||||
| scar photo | |||||||||
| S13 | 0005 | Coronary artery bypass grafting (CABG) with Mitral Valve repair without ring | 100,000 | Y | 2D ECHO | ECHO | 5 to 7 | N | S |
| CAG report | Post op X Ray | ||||||||
| scar photo | |||||||||
| S13 | 0006 | Coronary artery bypass grafting (CABG) with Mitral Valve repair with ring | 125,000 | Y | 2D ECHO | ECHO | 5 to 7 | N | S |
| CAG report | Post op X Ray | ||||||||
| scar photo | |||||||||
| S13 | 0007 | Coronary artery bypass grafting (CABG) with post MI Ventricular Septal Defect (Ventricular Septal Defect) repair | 100,000 | Y | 2D ECHO | ECHO | 5 to 7 | N | S |
| CAG report | Post op X Ray | ||||||||
| scar photo | |||||||||
| S13 | 0008 | Open Mitral Valvotomy | 75,000 | Y | 2D ECHO | ECHO | 7 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0009 | Closed Mitral Valvotomy | 30,000 | Y | 2D ECHO | ECHO | 7 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0010 | Open Pulmonary Valvotomy | 75,000 | Y | 2D ECHO | ECHO | 7 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0011 | Mitral Valve Repair | 80,000 | Y | 2D ECHO | ECHO | 7 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0012 | Tricuspid Valve Repair | 80,000 | Y | 2D ECHO | ECHO | 7 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0013 | Aortic Valve Repair | 80,000 | Y | 2D ECHO | ECHO | 7 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0014 | Ring for any Valve Repair | 30,000 | Y | 2D ECHO | ECHO | 7 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0015 | Mitral Valve Replacement (mechanical valve) | 120,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0016 | Mitral Valve Replacement (biological valve) | 125,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0017 | Aortic Valve Replacement (mechanical valve) | 120,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0018 | Aortic Valve Replacement (biological valve) | 125,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0019 | Tricuspid Valve Replacement (mechanical valve) | 120,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0020 | Tricuspid Valve Replacement (biological valve) | 125,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0021 | Double Valve Replacement (mechanical valve) | 150,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0022 | Double Valve Replacement (biological valve) | 155,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0023 | Ross Procedure | 105,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0024 | Atrial Septal Defect (ASD) | 75,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0025 | Ventricular Septal Defect (VSD) | 75,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0026 | Atrioventricular septal defect/ Atrioventricular (AV) Canal Defect | 100,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0027 | Intracardiac repair (ICR) for Tetralogy of Fallot (TOF) | 100,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0028 | Pulmonary Valvotomy + Right Ventricular Outflow Tract (RVOT) Resection | 90,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0029 | Aortopulmonary Window (AP Window) | 90,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0030 | Surgery for Hypertrophic Obstructive Cardiomyopathy (HOCM) | 90,000 | Y | 2D ECHO/TEE | ECHO | 10 | N | S |
| Chest Xray AP view | Post op X Ray | ||||||||
| Cardiac MRI | scar photo | ||||||||
| S13 | 0031 | Ebsteins | 90,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0032 | Fontan | 90,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0033 | Total Anomalous Pulmonary Venous Connection (TAPVC) | 105,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0034 | Any RV to PA conduit (Valved) | 115,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0035 | Arterial Switch Operation | 120,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0036 | Double Switch Operation | 120,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0037 | Sennings | 105,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0038 | Mustards | 105,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0039 | Truncus Arteriosus Surgery | 115,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0040 | Root Replacement (Aortic Aneurysm/ Aortic Dissection) / Bental Procedure | 145,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0041 | Aortic Arch Replacement | 160,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0042 | Aortic Aneurysm Repair using Cardiopulmonary bypass (CPB) | 150,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0043 | Aortic Aneurysm Repair without using Cardiopulmonary bypass (CPB) | 75,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0044 | Pulmonary Embolectomy | 90,000 | Y | 2D ECHO | ECHO | 5 | N | S |
| ABG report | Post op X Ray | ||||||||
| CT Chest report | scar photo | ||||||||
| S13 | 0045 | Surgery for Cardiac Tumour/ Left Atrial (LA) Myxoma/ Right Atrial (RA) Myxoma | 95,000 | Y | 2D ECHO | ECHO | N | S | |
| CT Chest report | Post op X Ray | ||||||||
| scar photo | |||||||||
| S13 | 0046 | Patent Ductus Arteriosus (PDA) Closure | 30,000 | Y | 2D ECHO | ECHO | N | S | |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0047 | Coarctation Repair | 30,000 | Y | 2D ECHO | Doppler report with stills | N | S | |
| CAG report | |||||||||
| S13 | 0048 | Coarctation Repair with interpostion graft | 38,000 | Y | 2D ECHO | Doppler report with stills | N | S | |
| CAG report | |||||||||
| S13 | 0049 | Blalock–Thomas–Taussig (BT) Shunt (inclusives of grafts) | 30,000 | Y | 2D ECHO | ECHO | N | S | |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0050 | Glenn Shunt (without cardiopulmonary bypass) | 35,000 | Y | 2D ECHO | ECHO | N | S | |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0051 | Central Shunt | 50,000 | Y | 2D ECHO | ECHO | N | S | |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0052 | Pericardiectomy | 30,000 | Y | 2D ECHO | ECHO | N | S | |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0053 | Pulmonary AV Fistula surgery | 45,000 | Y | CT Chest | ECHO | N | S | |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0054 | Lung Cyst | 45,000 | Y | CT Chest | ECHO | 7 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0055 | Space-Occupying Lesion (SOL) mediastinum | 45,000 | Y | CT Chest | ECHO | N | S | |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0056 | Surgical Correction of Bronchopleural Fistula | 50,000 | Y | CT Chest | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0057 | Diaphragmatic Eventeration | 40,000 | Y | CT Chest | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0058 | Oesophageal Diverticula /Achalasia Cardia | 35,000 | Y | Barium Study | ECHO | 10 | N | S |
| CT Chest | Post op X Ray | ||||||||
| scar photo | |||||||||
| S13 | 0059 | Diaphragmatic Injuries/Repair | 35,000 | Y | CT Chest | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0060 | Thoracotomy, Thoraco Abdominal Approach | 30,000 | Y | CT Chest | Post op X Ray | 10 | N | S |
| scar photo | |||||||||
| S13 | 0061 | Foreign Body Removal with scope | 20,000 | Y | CT Chest | Endoscopy Picture | 2 | N | S |
| Bronchoscopy report | |||||||||
| S13 | 0062 | Bronchial Repair Surgery for Injuries due to FB | 35,000 | Y | CT Chest | Endoscopy Picture | 7 | N | S |
| Bronchoscopy report | |||||||||
| S13 | 0063 | Lung Injury repair | 35,000 | Y | CT Chest | Post op X Ray | 7 | N | S |
| scar photo | |||||||||
| S13 | 0064 | Thyomectomy | 35,000 | Y | CT Chest | Post op X Ray | N | S | |
| scar photo | |||||||||
| S13 | 0065 | Pulmonary Valve Replacement | 120,000 | Y | 2D ECHO | ECHO | 10 | N | S |
| Post op X Ray | |||||||||
| scar photo | |||||||||
| S13 | 0066 | Intercostal Drainage and Management of ICD, Intercostal Block, Antibiotics & Physiotherapy | 10,000 | Y | Pre-Op X-ray / CT Scan | Post Op X-ray / CT Scan | 7 | N | S |
| S13 | 0067 | Encysted Empyema/Pleural Effusion - Tubercular | 10,000 | Y | Pre-Op X-ray / CT Scan | Post Op X-ray / CT Scan | N | S | |
| S13 | 0068 | First rib Excision by transaxillary approach, Excision of cervical rib / fibrous band / muscle by cervical approach | 30,000 | Y | Pre-Op X-ray / CT Scan | Post Op X-ray / CT Scan | 7 | N | S |
| scar photo | |||||||||
| S13 | 0069 | Congenital Cystic Lesions | 30,000 | Y | Pre-Op X-ray / CT Scan | Post Op X-ray / CT Scan | 7 | N | S |
| scar photo | |||||||||
| S13 | 0070 | Pulmonary Sequestration Resection | 40,000 | Y | Pre-Op X-ray / CT Scan | Post Op X-ray / CT Scan | 7 | N | S |
| scar photo | |||||||||
| S13 | 0071 | Pulmonary artero venous malformation | 40,000 | Y | Pre-Op X-ray / CT Scan | Post Op X-ray / CT Scan | 7 | N | S |
| scar photo | |||||||||
| S13 | 0072 | Thromboembolectomy (pre-auth not required, usually done as emergency) | 20,000 | N | Duplex ultrasound | Scar photo | 3 | N | S |
| Angio report | Post op CT angio | ||||||||
| S13 | 0073 | Surgery for Arterial Aneursysm -Upper/Distal Abdominal Aorta | 90,000 | Y | CT Angio Report | Scar photo | 10 | N | S |
| Post op CT angio | |||||||||
| S13 | 0074 | Intrathoracic Aneurysm-Aneurysm not Requiring Bypass Techniques | 90,000 | Y | CT Angio Report | Scar photo | 10 | N | S |
| Post op CT angio | |||||||||
| S13 | 0075 | Intrathoracic Aneurysm-Requiring Bypass Techniques | 125,000 | Y | CT Angio Report | Scar photo | 10 | N | S |
| Post op CT angio | |||||||||
| S13 | 0076 | Surgery for Arterial Aneurysm Renal Artery | 40,000 | Y | Renal arterial Doppler | Doppler Report | N | S | |
| Angiogram | scar photo | ||||||||
| S13 | 0077 | Operations for Congenital Arteriovenous Fistula | 15,000 | Y | Regional Angiogram & Stills | Scar photo | N | S | |
| S13 | 0078 | Operations for Stenosis of Renal Arteries | 40,000 | Y | Renal arterial Doppler | Doppler Report | N | S | |
| angiogram & Stills | scar photo | ||||||||
| S13 | 0079 | Aorto Bi-lliac / Bi femoral /Axillo bi femoral bypass with Synthetic Graft | 90,000 | Y | Angiogram/spiral CT Angiogram reports | Stills showing the procedure with graft | 7 | N | S |
| scar photo | |||||||||
| S13 | 0080 | Femoro Distal / Femoral - Femoral / Femoral infra popliteal Bypass with Vein Graft | 50,000 | Y | Angiogram/spiral CT Angiogram reports | Stills showing the procedure with graft | 7 | N | S |
| Duplex ultrasound | |||||||||
| scar photo | |||||||||
| S13 | 0081 | Femoro Distal / Femoral - Femoral / Femoral infra popliteal Bypass with Synthetic Graft | 70,000 | Y | Angiogram/spiral CT Angiogram reports | Stills showing the procedure with graft | 7 | N | S |
| Duplex ultrasound | |||||||||
| scar photo | |||||||||
| S13 | 0082 | Axillo Brachial Bypass using with Synthetic Graft | 65,000 | Y | Angiogram/spiral CT Angiogram reports | Stills showing the procedure with graft | 7 | N | S |
| Duplex ultrasound | |||||||||
| scar photo | |||||||||
| S13 | 0083 | Brachio - Radial Bypass with Synthetic Graft | 30,000 | Y | Angiogram/spiral CT Angiogram reports | Stills showing the procedure with graft | 5 | N | S |
| Duplex ultrasound | |||||||||
| scar photo | |||||||||
| S13 | 0084 | Excision of body Tumor with vascular repair | 35,000 | Y | Angiogram/spiral CT Angiogram reports | Stills showing the procedure with graft | 7 | N | S |
| Duplex ultrasound | |||||||||
| scar photo | |||||||||
| S13 | 0085 | Carotid artery bypass with Synthetic Graft | 60,000 | Y | Angiogram/spiral CT Angiogram reports | Stills showing the procedure with graft | 7 | N | S |
| Duplex ultrasound | |||||||||
| scar photo | |||||||||
| S13 | 0086 | Excision of Arterio Venous malformation - Large | 50,000 | Y | Angiogram/spiral CT Angiogram reports | Stills showing the procedure with graft | 7 | N | S |
| scar photo | |||||||||
| S13 | 0087 | Excision of Arterio Venous malformation - Small | 30,000 | Y | Angiogram/spiral CT Angiogram reports | Stills showing the procedure with graft | 7 | N | S |
| scar photo | |||||||||
| S13 | 0088 | Deep Vein Thrombosis (DVT) - Inferior Vena Cava (IVC) filter | 80,000 | Y | Color doppler | X-ray abdomen showing the filter | 7 | N | S |
| scar photo | |||||||||
| S13 | 0089 | Carotid endarterectomy | 32,000 | Y | Angiogram | Stills showing the procedure with graft | 7 | N | S |
| scar photo | |||||||||
| S13 | 0090 | Aortic Angioplasty with two stents / Iliac angioplasty with stent Bilateral | 90,000 | Y | ECG | Angioplasty stills showing Balloon & post flow | 7 | N | S |
| 2D ECHO | scar photo | ||||||||
| CAG stills showing blocks | |||||||||
| S13 | 0091 | Bilateral thrombo embolectomy | 30,000 | Y | Duplex ultrasound/Angiogram - pre or intra operative | Duplex ultrasound | 7 | N | S |
| scar photo | |||||||||
| S13 | 0092 | Aorto-uni-iliac/uni-femoral bypass with synthetic graft | 70,000 | Y | Angiogram/ Computed Tomography Angiography (3D-CTA)/Magnetic Resonance Angiography | Duplex ultrasound | 7 | N | S |
| scar photo |