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) |
S6 |
0001 |
Nerve Plexus injuries, Tendon injury repair/reconstruction/ Transfer |
50,000 |
N |
|
Nerve conduction velocity (NCV), Clinical Photographs with Graft site + Showing scar |
5-10 Days |
N |
S |
|
CT, POST OP ELECTRO DISGNOSTIC STUDY |
S6 |
0002 |
Plexus injury along with Vascular injury repair/ graft |
60,000 |
N |
|
Pre-op. Doppler study, Post-op. Doppler study |
5-10 Days |
N |
S |
|
Nerve Conduction study, Clinical photo showing scar |
|
CT |
S6 |
0003 |
Internal fixation with Flap cover Surgery for wound in compound fracture |
40,000 |
N |
|
PRE OP CLINICAL PICTURE, Post- op. X-ray, |
5-10 Days |
N |
S |
|
X-RAY/CT, Clinical Photograph showing flap cover |
S6 |
0004 |
Head injury requiring Facio-Maxillary Injury repairs & fixations (including implants) |
35,000 |
N |
|
X-RAY/CT, Clinical Photograph showing scar |
5-10 Days |
N |
S |
Post OP Xray |
S6 |
0005 |
Internal fixation of Pelviacetabular fracture |
40,000 |
N |
|
X-RAY/CT, Clinical Photograph showing scar |
5-10 Days |
N |
S |
|
Post OP Xray |
S6 |
0006 |
Craniotomy and evacuation of Haematoma – subdural/Extra dural along with fixation of fracture of single long bone |
60,000 |
N |
|
Pre-op. X-ray , Post-Op. X-ray/CT |
5-10 Days |
N |
S |
|
CT, Scar Photo |
S6 |
0007 |
Craniotomy and evacuation of Haematoma – subdural/Extra dural along with fixation of fracture of 2 or more long bone. |
75,000 |
N |
|
Pre-op. X-ray , Post-Op. X-ray/CT |
5-10 Days |
N |
S |
|
CT, Scar Photo |
S6 |
0008 |
Visceral injury requiring surgical intervention along with fixation of fracture of single long bone. |
30,000 |
N |
|
Pre-op. X-ray, Post-Op. X-ray |
5-10 Days |
N |
S |
|
CT scan, Scar Photo |
|
Ultra sound/ X-ray |
S6 |
0009 |
Visceral injury requiring surgical intervention along with fixation of fracture of 2 or more long bones. |
45,000 |
N |
|
Pre-op. X-ray, Post-Op. X-ray |
5-10 Days |
N |
S |
|
CT scan, Scar Photo |
|
Ultra sound/ X-ray |
S6 |
0010 |
Chest injury with one fracture of long bone (with implants) |
35,000 |
N |
|
Pre-op. X-ray of fracture, Post-Op. X-ray |
5-10 Days |
N |
S |
|
CHEST X- ray, Scar Photo |
S6 |
0011 |
Chest injury with fracture of 2 or more long bones |
45,000 |
N |
|
Pre-op. X-ray of fracture Post-Op. X-ray |
5-10 Days |
N |
S |
Scar Photo |
S6 |
0012 |
Emergency tendons repair ± Peripheral Nerve repair/ reconstructive surgery |
30,000 |
N |
|
Clinical electro/ diagnostic reports, Clinical Photographs with Graft site + Showing scar |
5-10 Days |
N |
S |
|
MRI |