Specialty code Package Code Package name Package Amount Preauth Required or Not (Y/N) Pre-auth documents Post-Op documents Average length of Stay (Including Days in intensive care units) Govt Reserved Procedure (Y/N) Medical (M) or Surgical (S)
M6 0001 Cobalt 60 External Beam Radiotherapy (Radical/Adjuvant / Neoadjuvant) 20,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0002 Cobalt 60 External Beam Radiotherapy (Palliative) 10,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0003 Linear Accelerator External Beam Radiotherapy  (Palliative) 20,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0004 Linear Accelerator, External Beam Radiotherapy 3D CRT/2D Planning (Radical/Adjuvant/ Neoadjuvant) 50,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0005 Linear Accelerator,  External Beam Radiotherapy  IMRT (Intensity Modulated Radiotherapy) (Radical/Adjuvant/Neoadjuvant) 75,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0006 Linear Accelerator External Beam Radiotherapy  IGRT (Image Guided radiotherapy) (Radical/Adjuvant/Neoadjuvent) 120,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0007 SRT(Stereotactic radiotherapy) 70,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0008 SRS (Streotactic radiosurgery) 70,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0009 Respiratory Gating along with Linear Accelerator planning 70,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0010 Electron beam with Linear accelerator (Radical) 50,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0011 Tomotherapy(Radical/Adjuvant/Neoadjuvant) 75,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0012 Brachytherapy High Dose  Radiation (Intracavitory) - per fraction, maximum of 4 sessions 4,500 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0013 Brachytherapy High Dose  Radiation (Interstitial) - for one application, multiple dose 30,000 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy  
M6 0014 Brachytherapy High Dose  Radiation (Intraluminal) - per fraction, maximum 4 sessions 4,500 Y Blood test Data of RT treatment plan & dose   N M
CT  
Biopsy