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) |
S10 |
0001 |
Ear Pinna Reconstruction with costal cartilage/ Prosthesis (including the cost of prosthesis/implants). *If requiring multiple stages, each stage will cost Rs. 30,000 provided the operating surgeon demonstrates the photographic results of previous stages. |
30,000 |
Y |
clinical and/or relevant imaging photographs |
clinical and/or relevant imaging photographs |
5 |
N |
S |
S10 |
0002 |
Revascularization of limb/digit |
25,000 |
Y |
clinical and/or relevant imaging photographs |
clinical and/or relevant imaging photographs |
5 |
N |
S |
S10 |
0003 |
Hemangioma – Sclerotherapy (under GA) |
35,000 |
Y |
clinical and/or relevant imaging photographs |
clinical and/or relevant imaging photographs |
3 |
N |
S |
S10 |
0004 |
Hemangioma – Debulking/ Excision |
35,000 |
Y |
clinical and/or relevant imaging photographs |
clinical and/or relevant imaging photographs |
4 |
N |
S |
S10 |
0005 |
Tissue Expander for disfigurement following burns/ trauma/ congenital deformity (including cost of expander / implant) |
50,000 |
Y |
clinical and/or relevant imaging photographs |
clinical and/or relevant imaging photographs |
5 |
N |
S |
S10 |
0006 |
Scalp avulsion reconstruction |
50,000 |
Y |
clinical and/or relevant imaging photographs |
clinical and/or relevant imaging photographs |
5 |
N |
S |
S10 |
0007 |
NPWT (Inpatient only) |
2,000/day |
Y |
clinical and/or relevant imaging photographs |
clinical and/or relevant imaging photographs |
3 |
N |
S |
S10 |
0008 |
Pressure Sore – Surgery |
10,000 |
Y |
clinical and/or relevant imaging photographs |
clinical and/or relevant imaging photographs |
3 |
N |
S |
S10 |
0009 |
Diabetic Foot – Surgery |
10,000 |
Y |
clinical and/or relevant imaging photographs |
clinical and/or relevant imaging photographs |
3 |
N |
S |