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