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) |
S15 |
0001 |
Tracheal resection |
25,000 |
Y |
CECT |
Clinical photograph showing scar |
|
N |
S |
Biopsy |
HPE report |
S15 |
0002 |
Sternotomy with superior mediastinal dissection |
40,000 |
Y |
CECT |
Clinical photograph showing scar |
|
N |
S |
Biopsy |
HPE report |
S15 |
0003 |
Substernal bypass |
30,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
HPE report |
S15 |
0004 |
Resection of nasopharyngeal tumour |
40,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT/ MRI |
HPE report |
S15 |
0005 |
Myocutaneous flap |
20,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
S15 |
0006 |
Fasciocutaneous flap |
15,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
S15 |
0007 |
Palatectomy- Soft palate |
20,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT/ MRI |
HPE report |
S15 |
0008 |
Palatectomy- Hard palate |
20,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT/ MRI |
HPE report |
S15 |
0009 |
Microvascular reconstruction |
45,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
S15 |
0010 |
Composite resection |
40,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT/ MRI |
HPE report |
S15 |
0011 |
Composite resection with reconstruction(excluding microvascular) |
60,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT/ MRI |
HPE report |
S15 |
0012 |
Neck dissection-selective |
12,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
FNAC |
HPE Report |
S15 |
0013 |
Neck dissection-comprehensive |
16,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
FNAC |
HPE Report |
S15 |
0014 |
Total Maxillectomy |
18,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT/MRI |
HPE Report |
S15 |
0015 |
Radical Maxillectomy |
25,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT/MRI |
HPE Report |
S15 |
0016 |
Radical parotidectomy |
25,000 |
Y |
FNAC |
Clinical photograph showing scar |
|
N |
S |
CECT/MRI |
HPE Report |
S15 |
0017 |
Partial laryngectomy ( voice preserving) |
20,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE Report |
S15 |
0018 |
Voice prosthesis |
30,000 |
Y |
Biopsy |
Invoice of prosthesis |
|
N |
S |
CECT |
scar photo |
S15 |
0019 |
Total Thyroidectomy with central compartment LN dissection |
20,000 |
Y |
FNAC |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE report |
S15 |
0020 |
Total Thyroidectomy with central compartment LN dissection with Lateral LN dissection |
25,000 |
Y |
FNAC |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE report |
S15 |
0021 |
Tracheostomy |
5,000 |
Y |
|
Clinical photograph showing scar |
|
N |
S |
HPE report |
S15 |
0022 |
Axillary dissection |
15,000 |
Y |
FNAC/ BIOPSY |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE report |
S15 |
0023 |
Breast conserving surgery (lumpectomy + axillary surgery) |
12,000 |
Y |
FNAC/ BIOPSY |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE report |
S15 |
0024 |
Lung metastectomy- solitary |
30,000 |
Y |
FNAC/ BIOPSY |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE report |
|
X ray chest |
S15 |
0025 |
Lung metastectomy- multiple (< four) |
50,000 |
Y |
FNAC/ BIOPSY |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE report |
|
X ray chest |
S15 |
0026 |
Lung metastectomy- multiple (> four) |
60,000 |
Y |
FNAC/ BIOPSY |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE report |
|
X ray chest |
S15 |
0027 |
Sleeve resection of lung cancer |
70,000 |
Y |
FNAC/ BIOPSY |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE report |
|
X ray chest |
S15 |
0028 |
Oesophagectomy with two field lymphadenectomy |
60,000 |
Y |
UGI endoscopy |
Clinical photograph showing scar |
|
N |
S |
Biopsy |
HPE report |
CECT |
X ray chest |
S15 |
0029 |
Oesophagectomy with three field lymphadenectomy |
60,000 |
Y |
UGI endoscopy |
Clinical photograph showing scar |
|
N |
S |
Biopsy |
HPE report |
CECT |
X ray chest |
S15 |
0030 |
Enucleation of pancreatic neoplasm |
25,000 |
Y |
CECT |
Clinical photograph showing scar |
|
N |
S |
|
HPE report |
S15 |
0031 |
Radical Cholecystectomy |
25,000 |
Y |
CECT/MRI |
Clinical photograph showing scar |
|
N |
S |
|
HPE report |
S15 |
0032 |
Abdominal wall tumour resection |
25,000 |
Y |
CECT |
Clinical photograph showing scar |
|
N |
S |
|
HPE report |
S15 |
0033 |
Abdominal wall tumour resection with reconstruction |
35,000 |
Y |
CECT |
Clinical photograph showing scar |
|
N |
S |
|
HPE Report |
S15 |
0034 |
Oesophageal stenting including stent cost |
40,000 |
Y |
CECT |
Stent invoice |
|
N |
S |
S15 |
0035 |
Triple bypass GI tract |
30,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT |
HPE Report |
Endoscopy |
|
S15 |
0036 |
Segmentectomy- hepatobiliary system |
50,000 |
Y |
CECT/MRI |
Clinical photograph showing scar |
|
N |
S |
|
HPE Report |
S15 |
0037 |
Radical Hysterectomy + Bilateral pelvic lymph node dissection + bilateral salpingo ophorectomy (BSO)/ ovarian transposition |
50,000 |
Y |
CECT |
Clinical photograph showing scar |
|
N |
S |
Biposy |
HPE report |
S15 |
0038 |
Skin Tumours Wide Excision + Reconstruction |
25,000 |
Y |
|
|
|
N |
S |
S15 |
0039 |
Skin Tumours Amputation |
8,000 |
Y |
|
|
|
N |
S |
S15 |
0040 |
Radical Vaginectomy |
30,000 |
Y |
CECT |
HPE report |
|
N |
S |
Biposy |
|
S15 |
0041 |
Radical Vaginectomy + Reconstruction |
35,000 |
Y |
CECT |
HPE report |
|
N |
S |
Biposy |
|
S15 |
0042 |
Bilateral Pelvic Lymph Node Dissection (BPLND) |
20,000 |
Y |
CECT |
Clinical photograph showing scar |
|
N |
S |
Biposy |
HPE report |
S15 |
0043 |
Radical Trachelectomy |
40,000 |
Y |
CECT |
Clinical photograph showing scar |
|
N |
S |
Biposy |
HPE report |
S15 |
0044 |
Vulvectomy with bilateral groin dissection |
45,000 |
Y |
Biopsy |
HPE report |
|
N |
S |
S15 |
0045 |
Limb salvage surgery for bone tumor with prosthesis |
70,000 |
Y |
Biopsy |
Clinical photograph |
|
N |
S |
CECT/MRI - local |
XRAY showing prosthesis |
CT-Thorax |
HPE report |
Bone scan |
|
S15 |
0046 |
Hemipelvectomy |
45,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT/ MRI –local |
HPE report |
S15 |
0047 |
Sacral resection |
40,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CECT/ MRI –pelvis |
HPE report |
S15 |
0048 |
Chest wall resection with reconstruction for soft tissue / bone tumors |
40,000 |
Y |
Biopsy |
Clinical photograph showing scar |
|
N |
S |
CT/ XRAY -thorax |
HPE report |