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) |
S3 |
0001 |
Buckle Removal |
5,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0002 |
Canaliculo Dacryocysto Rhinostomy |
7,000 |
Y |
Clinical Record |
|
1 |
N |
S |
S3 |
0003 |
Capsulotomy (YAG) |
1,500 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0004 |
Corneal Grafting |
15,000 |
Y |
Clinical Record |
|
3 |
N |
S |
S3 |
0005 |
Prophylactic Cryoretinopexy- Closed |
2,500 |
Y |
Clinical Record |
|
1 |
N |
S |
S3 |
0006 |
Cyclocryotherapy/Cyclophotocoagulation |
3,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0007 |
Pterygium + ConjunctivalAutograft |
9,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0008 |
Dacryocystectomy with implants |
10,000 |
Y |
Clinical Record |
|
D |
N |
S |
SS |
0009 |
Enucleation |
6,000 |
Y |
Clinical Record |
|
1 |
N |
S |
S3 |
0010 |
Enucleation with Implant |
11,000 |
Y |
Clinical Record |
|
1 |
N |
S |
S3 |
0011 |
Exenteration |
15,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0012 |
Glaucoma Surgery (Trabeculectomy only) with or without Mitomycin C, including postoperative medications for 12 weeks (and wherever surgical or laser procedures required for bleb augmentation and anterior chamber maintenance) |
13,000 |
Y |
IOP |
|
D |
N |
S |
S3 |
0013 |
Intraocular Foreign Body Removal from Anterior Segment |
4,000 |
N |
|
|
D |
N |
S |
S3 |
0014 |
Intraocular Foreign Body Removal from Posterior Segment |
20,000 |
N |
|
|
D |
N |
S |
S3 |
0015 |
Lensectomy /pediatric lens aspiration |
9,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0016 |
Limbal Dermoid Removal |
4,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0017 |
Surgical Membranectomy |
8,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0018 |
Perforating Corneo - Scleral Injury |
10,000 |
N |
|
|
2 |
N |
S |
S3 |
0019 |
Ptosis Surgery |
10,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0020 |
IRIS Prolapse – Repair |
4,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0021 |
Retinal Detachment Surgery |
15,000 |
Y |
Clinical Record |
|
2 |
N |
S |
S3 |
0022 |
Small Tumour of Lid – Excision + Lid Reconstruction |
8,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0023 |
Socket Reconstruction with amniotic membrane |
8,000 |
Y |
Clinical Record |
|
1 |
N |
S |
S3 |
0024 |
Iridectomy – Laser |
2,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0025 |
Iridectomy – Surgical |
3,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0026 |
Iris cyst removal |
2,500 |
Y |
Clinical Record |
|
D |
N |
S |
SS |
0027 |
Vitrectomy |
7,500 |
Y |
Clinical Record |
|
1 |
N |
S |
S3 |
0028 |
Vitrectomy + Retinal Detachment surgery (pre-auth required) |
17,500 |
Y |
Clinical Record |
|
1 |
N |
S |
S3 |
0029 |
Cataract with foldable hydrophobic acrylic IOL by Phaco emulsification tech |
7,500 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0030 |
Cataract with non-foldable IOL using SICS technique |
5,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0031 |
Cataract with foldable hydrophobic acrylic IOL by Phaco emulsification tech + Glaucoma |
10,500 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0032 |
Cataract with non-foldable IOL using SICS technique + Glaucoma |
6,500 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0033 |
Conjunctival tumour excision + AMG |
5,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0034 |
Entropion correction |
4,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0035 |
Ectropion correction |
5,000 |
Y |
Clinical Record |
|
D |
N |
S |
SS |
0036 |
Evisceration |
3,500 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0037 |
Laser for retinopathy (per sitting) |
1,500 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0038 |
Lid tear |
5,000 |
Y |
Clinical Record |
|
D |
N |
S |
SS |
0039 |
Orbitotomy |
10,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0040 |
Squint correction (per muscle) |
4,000 |
Y |
Clinical Record |
|
D |
N |
S |
S3 |
0041 |
Anterior Chamber Reconstruction +Perforating corneo - Scleral Injury + IOL |
11,500 |
N |
|
|
2 |
N |
S |
S3 |
0043 |
Abscess Drainage of lid |
550 |
N |
|
|
|
N |
S |
S3 |
0044 |
Cryoretinopexy-Open |
5500 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0045 |
Endoscopic Optic nerve Decompression |
5500 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0046 |
Endoscopic Optic orbital Decompression |
8800 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0047 |
Keratoplasty |
3300 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0049 |
Tumours of IRIS |
2000 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0050 |
Acid and alkali burns |
500 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0051 |
Cauterisation of ulcer/subconjuctival injection-both eye |
300 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0052 |
Cauterisation of ulcer/subconjuctival injection-one eye |
200 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0053 |
Chalazion-both eye |
600 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0054 |
Chalazion-one eye |
400 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0055 |
Conjuntival Melanoma |
1100 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0058 |
Epicantuhus correction |
2200 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0060 |
ERG |
800 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0061 |
Laser inter ferometry |
1650 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0063 |
Abscess Drainage of lid +Cryoretinopexy -closed |
5250 |
Y |
Clinical Record |
|
|
N |
S |
S3 |
0066 |
Syringing of lacrimal sac for both eyes |
350 |
Y |
|
|
|
N |
S |
S3 |
0067 |
Syringing of lacrimal sac for one eyes |
250 |
Y |
|
|
|
N |
S |