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) |
S14 |
0001 |
Ankyloglossia Major |
15,000 |
Y |
Clinical Picture |
|
|
N |
S |
S14 |
0002 |
Ankyloglossia Minor |
5,000 |
Y |
Clinical Picture |
|
|
N |
S |
S14 |
0003 |
Hernia & Hydrocele |
20,000 |
Y |
Clinical Picture |
|
|
N |
S |
S14 |
0004 |
Sacrococcygeal Teratoma |
20,000 |
Y |
CT Scan |
|
|
N |
S |
S14 |
0005 |
Undescended Testis - Bilateral-Palp + Nonpalp |
15,000 |
Y |
Ultrasound |
|
|
N |
S |
S14 |
0006 |
Undescended Testis - Bilateral Palpable |
15,000 |
Y |
Ultrasound |
|
|
N |
S |
S14 |
0007 |
Undescended Testis - Bilateral Non-Palpable |
20,000 |
Y |
Ultrasound |
|
|
N |
S |
S14 |
0008 |
Undescended Testis - Reexploration/ Second Stage |
20,000 |
Y |
Ultrasound |
|
|
N |
S |
S14 |
0009 |
Undescended Testis - Unilateral-Palpable |
15,000 |
Y |
Ultrasound |
|
|
N |
S |
S14 |
0010 |
Ano Rectal Malformation - Abd-Perineal PSARP |
20,000 |
Y |
Ultrasound |
|
|
N |
S |
S14 |
0011 |
Ano Rectal Malformation – Anoplasty |
20,000 |
Y |
CT Scan |
|
|
N |
S |
S14 |
0012 |
Ano Rectal Malformation – Cutback |
20,000 |
Y |
CT Scan |
|
|
N |
S |
S14 |
0013 |
Ano Rectal Malformation - PSARP |
20,000 |
Y |
CT Scan |
|
|
N |
S |
S14 |
0014 |
Ano Rectal Malformation - Redo Pullthrough |
15,000 |
Y |
CT Scan |
|
|
N |
S |
S14 |
0015 |
Ano Rectal Malformation - Transposition |
15,000 |
Y |
CT Scan |
|
|
N |
S |
S14 |
0016 |
Anti GERD Surgery |
10,000 |
Y |
Barium Studies |
|
|
N |
S |
S14 |
0017 |
Duplication Cyst Excision |
20,000 |
Y |
Barium Studies |
|
|
N |
S |
S14 |
0018 |
Fecal Fistula Closure |
25,000 |
Y |
CT Scan |
|
|
N |
S |
S14 |
0019 |
Gastrostomy + Esophagoscopy+ Threading |
20,000 |
Y |
Barium Studies |
|
|
N |
S |
S14 |
0020 |
GI Tumor Excision |
30,000 |
Y |
CT Scan |
|
|
N |
S |
S14 |
0021 |
Hirschsprung’s Disease - Myectomy |
25,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0022 |
Hirschsprung’s Disease - Pull Through |
20,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0023 |
Hirschsprung’s Disease - Retal Biopsy-Punch |
10,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0024 |
Hirschsprung’s Disease - Retal Biopsy –Open |
10,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0025 |
Hirschsprung’s Disease - Sphinecterotomy |
15,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0026 |
Intussusception - Non –Operative Reduction in infants |
20,000 |
Y |
Ultrasound |
|
|
N |
S |
S14 |
0027 |
Intussusception – Operative in infants |
25,000 |
N |
|
|
|
N |
S |
S14 |
0028 |
Ladds Procedure |
30,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0029 |
Rectal Polypectomy - Sigmoiescopic (Ga) |
8,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0030 |
Retro-Peritoneal Lymphangioma Excision |
25,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0031 |
Congenital Diaphragmatic Hernia |
25,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0032 |
Congenital Lobar Emphysema |
25,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0033 |
Exomphalos/gastroschisis |
25,000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0034 |
Cleft Lip and Palate Surgery (per stage) |
15,000 |
Y |
Clinical Picture |
|
|
N |
S |
S14 |
0035 |
Abdomino Perioneal (Exomphalos) |
13000 |
Y |
Clinical Picture |
|
|
N |
S |
S14 |
0036 |
Anal dilatation |
5000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0037 |
Anal transposition for ectopic anus |
17000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0038 |
chordee coorrection |
10000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0039 |
Closure colostomy |
12500 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0040 |
Colectomy |
12000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0041 |
Colon transplant |
18000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0042 |
Cystolithotomy |
7500 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0043 |
Esophageal atresia( fistula) |
18000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0044 |
Hernia -inguinal -Bilateral |
10000 |
Y |
|
|
|
N |
S |
S14 |
0045 |
Hernia -inguinal -unilateral |
7000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0046 |
Meckels diverticulecotomy |
12250 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0047 |
Meniscectomy |
6000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0048 |
Orchidopexy- Bilateral |
7500 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0049 |
Orchidopexy-unilateral |
5000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0050 |
Pyeloplasty |
15000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0051 |
Pyloric stenosis (Ramsted op) |
10000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0052 |
Rectal polyp |
3750 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0053 |
Resection &anstamosis of intestine |
17000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0054 |
Supra pubic drainage-open |
4000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0055 |
Torsion Testis |
10000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0056 |
Tracheo esophageal fistula |
18750 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0057 |
Ureterotomy |
10000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0058 |
Urethroplasty |
15000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0059 |
Vesicostomy |
12000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0060 |
Adenoma Parathyroid-excision |
28000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0061 |
Adrenal gland tumour-excision |
35000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0062 |
Axillary lymphnode- excision |
21000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0063 |
parotid tumour-excision |
9000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0064 |
Pancreatectomy |
55000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0065 |
Spleenectomy |
13000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0066 |
Thyroid adenoma resection enucleation |
22000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0067 |
Total thyroidectomy +reconstruction |
15000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0068 |
Trendal burge ligation and stripping |
9000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0069 |
post Fossa |
12000 |
Y |
Clinical Record |
|
|
N |
S |
S14 |
0070 |
Excision of lingual thyroid |
18500 |
Y |
Clinical Record |
|
|
N |
S |