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) |
S2 |
0001 |
Aural polypectomy |
4,000 |
N |
|
|
1 |
N |
S |
S2 |
0002 |
Labyrinthectomy |
20,000 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0003 |
Mastoidectomy |
12,500 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0004 |
Mastoidectomy corticol modified/ radical |
11,500 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0005 |
Mastoidectomy with tympanoplasty |
16,000 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0006 |
Myringoplasty |
7,500 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0007 |
Myringoplasty with Ossiculoplasty |
13,500 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0008 |
Myringotomy – Bilateral |
6,000 |
N |
|
|
2 |
N |
S |
S2 |
0009 |
Myringotomy – Unilateral |
3,500 |
N |
|
|
2 |
N |
S |
S2 |
0010 |
Myringotomy with Grommet - One ear |
6,500 |
N |
|
|
2 |
N |
S |
S2 |
0011 |
Myrinogotomy with Grommet - Both ear |
8,500 |
N |
|
|
2 |
N |
S |
S2 |
0012 |
Ossiculoplasty |
9,500 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0013 |
Partial amputation – Pinna |
4,000 |
Y |
Clinical Record |
|
1 |
N |
S |
S2 |
0014 |
Excision of Pinna for Growths (Squamous/Basal) Injuries - Total Amputation & Excision of External Auditory Meatus |
8,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0015 |
Excision of Pinna for Growths (Squamous/Basal) Injuries Total Amputation |
6,500 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0016 |
Stapedectomy |
10,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0017 |
Tympanoplasty |
9,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0018 |
Vidian neurectomy – Micro |
9,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0019 |
Ear lobe repair - single (daycare) |
1,500 |
N |
|
|
D |
N |
S |
S2 |
0020 |
Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage |
4,000 |
Y |
Clinical Record |
|
D |
N |
S |
S2 |
0021 |
Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only |
2,500 |
Y |
Clinical Record |
|
D |
N |
S |
S2 |
0022 |
Pharyngectomy and reconstruction |
15,000 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0023 |
Skull base surgery |
37,000 |
Y |
CT |
Clinical photograph showing scar |
3 |
N |
S |
|
Histopathological report |
S2 |
0024 |
Total Amputation & Excision of External Auditory Meatus |
8,000 |
Y |
CT Scan |
|
3 |
N |
S |
S2 |
0025 |
Tympanotomy |
2,500 |
N |
|
|
2 |
N |
S |
S2 |
0026 |
Removal of foreign body from ear |
2,000 |
N |
|
|
D |
N |
S |
S2 |
0027 |
Aural polypectomy +Tympanoplasty |
10,000 |
N |
|
|
3 |
N |
S |
S2 |
0028 |
Ant. Ethmoidal artery ligation - open/ endoscopic |
11,000 |
N |
|
|
3 |
N |
S |
S2 |
0029 |
Antrostomy – Bilateral |
8,500 |
N |
|
|
3 |
N |
S |
S2 |
0030 |
Antrostomy – Unilateral |
6,000 |
N |
|
|
3 |
N |
S |
S2 |
0031 |
Cryosurgery |
3,000 |
N |
|
|
1 |
N |
S |
S2 |
0032 |
CSF Rhinorrhoea – Repair |
14,000 |
N |
|
|
3 |
N |
S |
S2 |
0033 |
Septoplasty + FESS |
11,500 |
N |
|
|
2 |
N |
S |
S2 |
0034 |
Ethmoidectomy – External |
11,500 |
N |
|
|
2 |
N |
S |
S2 |
0035 |
Fracture reduction nose with septal correction |
8,000 |
N |
|
|
1 |
N |
S |
S2 |
0036 |
Fracture - setting maxilla |
8,000 |
N |
|
|
2 |
N |
S |
S2 |
0037 |
Fracture - setting nasal bone |
4,000 |
N |
|
|
1 |
N |
S |
S2 |
0038 |
Functional Endoscopic Sinus (FESS) |
11,000 |
N |
|
|
1 |
N |
S |
S2 |
0039 |
Intra Nasal Ethmoidectomy |
5,000 |
N |
|
|
1 |
N |
S |
S2 |
0040 |
Rhinotomy – Lateral |
7,500 |
N |
|
|
2 |
N |
S |
S2 |
0041 |
Nasal polypectomy – Bilateral |
7,000 |
N |
|
|
1 |
N |
S |
S2 |
0042 |
Nasal polypectomy – Unilateral |
4,000 |
N |
|
|
1 |
N |
S |
S2 |
0043 |
Turbinectomy Partial – Bilateral |
3,000 |
N |
|
|
1 |
N |
S |
S2 |
0044 |
Turbinectomy Partial – Unilateral |
2,000 |
N |
|
|
1 |
N |
S |
S2 |
0045 |
Radical fronto ethmo sphenodectomy |
18,000 |
Y |
Clinical Record |
|
5 |
N |
S |
S2 |
0046 |
Rhinoplasty |
15,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0047 |
Septoplasty |
5,000 |
N |
|
|
1 |
N |
S |
S2 |
0048 |
Youngs operation |
3,000 |
N |
|
|
1 |
N |
S |
S2 |
0049 |
Angiofibroma Excision |
18,000 |
Y |
CT Scan |
|
3 |
N |
S |
S2 |
0050 |
Cranio-facial resection |
22,500 |
Y |
CT Scan |
|
2 |
N |
S |
S2 |
0051 |
Dacryocystorhinostomy (DCR) |
7,000 |
N |
|
|
1 |
N |
S |
S2 |
0052 |
Endoscopic Hypophysectomy |
21,000 |
Y |
CT Scan |
|
2 |
N |
S |
S2 |
0053 |
Intranasal Diathermy |
3,000 |
N |
|
|
1 |
N |
S |
S2 |
0054 |
Rhinosporidiosis |
5,000 |
N |
|
|
2 |
N |
S |
S2 |
0055 |
Septo-rhinoplasty |
12,500 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0056 |
Adeno Tonsillectomy |
5,000 |
Y |
Clinical Record |
|
1 |
N |
S |
S2 |
0057 |
Adenoidectomy |
5,000 |
Y |
Clinical Record |
|
1 |
N |
S |
S2 |
0058 |
Arytenoidectomy |
10,000 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0059 |
Choanal atresia |
12,500 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0060 |
Tonsillectomy + Myrinogotomy |
10,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0061 |
Pharyngeal diverticulum's – Excision |
10,000 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0062 |
Laryngectomy with block dissection |
25,000 |
Y |
CT Scan |
|
3 |
N |
S |
S2 |
0063 |
Laryngofissure |
5,000 |
N |
|
|
2 |
N |
S |
S2 |
0064 |
Laryngophayryngectomy |
20,000 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0065 |
Maxilla – Excision |
12,500 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0066 |
Oro Antral fistula |
7,500 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0067 |
Parapharyngeal – Exploration |
12,500 |
Y |
CT Scan |
|
2 |
N |
S |
S2 |
0068 |
Parapharyngeal Abscess – Drainage |
10,000 |
N |
|
|
2 |
N |
S |
S2 |
0069 |
Peritonsillor abscess under LA |
2,500 |
N |
|
|
D |
N |
S |
S2 |
0070 |
Pharyngoplasty |
10,000 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0071 |
Retro pharyngeal abscess – Drainage |
5,000 |
N |
|
|
D |
N |
S |
S2 |
0072 |
Tonsillectomy + Styloidectomy |
10,000 |
N |
|
|
2 |
N |
S |
S2 |
0073 |
Thyroglossal Fistula/ cyst – Excision |
7,000 |
N |
|
|
2 |
N |
S |
S2 |
0074 |
Tonsillectomy – (Uni/ Bilateral) |
6,000 |
N |
|
|
1 |
N |
S |
S2 |
0075 |
Total Parotidectomy |
18,000 |
N |
|
|
2 |
N |
S |
S2 |
0076 |
Superficial Parotidectomy |
12,000 |
N |
|
|
4 |
N |
S |
S2 |
0077 |
Uvulophanyngo Plasty |
14,000 |
Y |
Clinical Record |
|
2 |
N |
S |
S2 |
0078 |
Commondo Operation (glossectomy) |
17,500 |
N |
|
|
4 |
N |
S |
S2 |
0079 |
Excision of Branchial Cyst |
7,000 |
N |
|
|
3 |
N |
S |
S2 |
0080 |
Excision of Branchial Sinus |
7,000 |
N |
|
|
3 |
N |
S |
S2 |
0081 |
Excision of Cystic Hygroma |
7,500 |
N |
|
|
3 |
N |
S |
S2 |
0083 |
Excision of the Mandible Segmental |
7,500 |
N |
|
|
3 |
N |
S |
S2 |
0084 |
Hemi-mandibulectomy with graft |
15,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0085 |
Hemiglossectomy |
6,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0086 |
Palatopharyngoplasty |
10,000 |
N |
|
|
2 |
N |
S |
S2 |
0087 |
Partial Glossectomy |
5,000 |
N |
|
|
3 |
N |
S |
S2 |
0088 |
Ranula excision |
5,000 |
N |
|
|
3 |
N |
S |
S2 |
0089 |
Removal of Submandibular Salivary gland |
5,000 |
N |
|
|
3 |
N |
S |
S2 |
0090 |
Total Glossectomy |
15,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S2 |
0091 |
Total Laryngectomy + Neck dissection |
25,000 |
Y |
Biopsy |
Clinical photograph showing scar |
4 |
N |
S |
CECT |
HPE report |
S2 |
0092 |
Laryngopharyngectomy with Gastric pull-up/ jejunal graft |
30,000 |
Y |
Biopsy |
Clinical photograph showing scar |
4 |
N |
S |
Routine hematological investigations |
HPE report |
S2 |
0093 |
Excision of CA cheek/ oral cavity + radial forearm flap |
30,000 |
Y |
Hematological and radiological investigations |
Hematological and radiological investigations |
4 |
N |
S |
S2 |
0094 |
Excision of growth Jaw + free fibular flap reconstruction |
30,000 |
Y |
Hematological and radiological investigations |
Hematological and radiological investigations |
4 |
N |
S |
S2 |
0096 |
Fenestration |
7000 |
|
|
|
|
N |
S |
S2 |
0097 |
Caldweell-luc-Bilateral |
8000 |
|
|
|
|
N |
S |
S2 |
0098 |
Caldweell-luc-unilateral |
4600 |
|
|
|
|
N |
S |
S2 |
0100 |
Submucos resection |
7500 |
|
|
|
|
N |
S |
S2 |
0101 |
Removal of FB from nose |
900 |
|
|
|
|
N |
S |
S2 |
0102 |
Release of tongue tie |
2500 |
|
|
|
|
N |
S |
S2 |
0103 |
Cleft palate repair |
8000 |
|
|
|
|
N |
S |
S2 |
0104 |
Removal of Foreign body from Larynx |
4000 |
|
|
|
|
N |
S |
S2 |
0105 |
Tracheostomy |
3000 |
|
|
|
|
N |
S |
S2 |
0106 |
Microlaryngoscopic Surgery |
15,000 |
N |
|
|
3 |
N |
S |