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)
S7 0001 Adrenalectomy-unilateral, open 25,000 Y CT Scan   7 N S
S7 0002 Adrenalectomy-unilateral, Laparoscopic 30,000 Y CT Scan   3 N S
S7 0003 Adrenalectomy-bilateral, open 32,000 Y CT Scan   7 N S
S7 0004 Adrenalectomy-biilateral, Laparoscopic 40,000 Y CT Scan   5 N S
S7 0005 Paraganglioma excision with liver mobilization 50,000 Y CT Scan     N S
S7 0006 Nephrectomy (Benign) Open 25,000 Y CT Scan   5 N S
S7 0007 Nephrectomy (Benign) Laparoscopic 30,000 Y CT Scan   3 N S
S7 0008 Nephrectomy-Radical (Renal tumor) Open 25,000 Y CT Scan   5 N S
S7 0009 Nephrectomy-Radical (Renal tumor) Laparoscopic 30,000 Y CT Scan   3 N S
S7 0010 Nephrectomy-Partial or Hemi, Open 30,000 Y CT Scan   5 N S
S7 0011 Nephrectomy-Partial or Hemi, Laparoscopic 35,000 Y CT Scan   5 N S
S7 0012 Nephro ureterectomy (Benign) Open 25,000 Y CT Scan   5 N S
S7 0013 Nephro ureterectomy (Benign) Laparoscopic 30,000 Y CT Scan   3 N S
S7 0014 Nephro ureterectomy with cuff of bladder Open 30,000 Y CT Scan   5 N S
S7 0015 Nephro ureterectomy with cuff of bladder Laparoscopic 35,000 Y CT Scan   3 N S
S7 0016 Pyeloplasty/pyeloureterostomy/pyelopyelostomy Open 25,000 Y CT Scan   3 N S
S7 0017 Pyeloplasty/pyeloureterostomy/pyelopyelostomy Laparoscopic 30,000 Y CT Scan   2 N S
S7 0018 Endopyelotomy (retrograde with laser/bugbee) 25,000 Y Ultrasound   1 N S
S7 0019 Endopyelotomy (antegrade with laser/bugbee) 28,000 Y Ultrasound   2 N S
S7 0020 Ureterocalycostomy Open 25,000 Y Ultrasound   5 N S
S7 0021 Ureterocalycostomy Laparoscopic 30,000 Y Ultrasound   3 N S
S7 0022 Uretero-ureterostomy Open 25,000 Y Ultrasound   3 N S
S7 0023 Uretero-ureterostomy  Laparoscopic 35,000 Y Ultrasound   3 N S
S7 0024 PCNL (Percutaneous Nephrolithotomy) - Bilateral 40,000 Y Ultrasound   3 N S
S7 0025 PCNL (Percutaneous Nephrolithotomy) - Unilateral 25,000 Y Ultrasound   3 N S
S7 0026 Extracoporeal shock-wave Lithotripsy (SWL) stone, with or without stent (one side) 13,000 Y Ultrasound   D (up to 3 sittings) N S
S7 0027 Extracoporeal shock-wave Lithotripsy (SWL) stone, with or without stent (both sides) 26,000 Y Ultrasound   D (up to 3 sittings) N S
S7 0028 Pyelolithotomy-Open 20,000 Y Ultrasound   3 N S
S7 0029 Pyelolithotomy-Laparoscopic 30,000 Y Ultrasound   2 N S
S7 0030 Nephrolithotomy-Open 20,000 Y Ultrasound   3 N S
S7 0031 Anatrophic nephrolithotomy 30,000 Y Ultrasound   5 N S
S7 0032 Perinephric Abscess drainage (percutaneous) 10,000 N     2 N S
S7 0033 Perinephric Abscess drainage (Open) 20,000 N     3 N S
S7 0034 Renal Cyst deroofing or marsupialization-Open 20,000 Y Ultrasound   3 N S
S7 0035 Renal Cyst deroofing or marsupialization-Laparoscopic 30,000 Y Ultrasound   3 N S
S7 0036 Nephrostomy-percutaneous ultrasound guided 10,000 Y Ultrasound   D N S
S7 0037 Ureterolithotomy-Open 20,000 Y Ultrasound   3 N S
S7 0038 Ureterolithotomy-Laparoscopic 30,000 Y Ultrasound   3 N S
S7 0039 Ureteroscopy+stone removal with lithotripsy, lower ureter, unilateral 20,000 Y Ultrasound   1 N S
S7 0040 Ureteroscopy+stone removal with lithotripsy, upper ureter, unilateral 25,000 Y Ultrasound   1 N S
S7 0041 Ureteroscopy+stone removal with lithotripsy, bilateral 30,000 Y Ultrasound   1 N S
S7 0042 Ureterotomy (Cutaneous) 20,000 Y Ultrasound   2 N S
S7 0043 Endoureterotomy (laser/bugbee) 20,000 Y Ultrasound   1 N S
S7 0044 Ureteric reimplantation-unilateral-open 20,000 Y Ultrasound   3 N S
S7 0045 Ureteric reimplantation-bilateral-open 25,000 Y Ultrasound   3 N S
S7 0046 Ureteric reimplantation-unilateral-Laparoscopic 30,000 Y Ultrasound   3 N S
S7 0047 Ureteric reimplantation-bilateral-Laparoscopic 35,000 Y Ultrasound   3 N S
S7 0048 Uretero-vaginal/uterine fistula repair open 27,000 Y Ultrasound   3 N S
S7 0049 Uretero-vaginal/uterine fistula repair Laparoscopic 37,000 Y Ultrasound   3 N S
S7 0050 Ureterolysis-open, for retroperitoneal fibrosis (with or without omental wrapping) 20,000 Y Ultrasound   3 N S
S7 0051 Ureterolysis-Laparoscopic, for retroperitoneal fibrosis (with or without omental wrapping) 30,000 Y Ultrasound   3 N S
S7 0052 Boari flap for ureteric stricture, open 30,000 Y Ultrasound   3 N S
S7 0053 Boari flap for ureteric stricture, Laparoscopic 40,000 Y Clinical Record   3 N S
S7 0054 Ileal replacement for ureteric stricture 40,000 Y Clinical Record   5 N S
S7 0055 DJ stent unilateral including cystoscopy, ureteric catheterization, retrograde pyelogram 10,000 Y Ultrasound Ultrasound D N S
S7 0056 DJ stent bilateral including cystoscopy, ureteric catheterization, retrograde pyelogram 10,000 Y Ultrasound Ultrasound D N S
S7 0057 Ureteric sampling including cystoscopy, ureteric catheterization, retrograde pyelogram 10,000 Y Ultrasound Ultrasound D N S
S7 0058 Ureterocele incision including cystoscopy, ureteric catheterization, retrograde pyelogram 15,000 Y Ultrasound Ultrasound 1 N S
S7 0059 Urachal Cyst excision -open 15,000 Y Ultrasound   2 N S
S7 0060 Cystolithotomy-open, including cystoscopy 15,000 Y Ultrasound   2 N S
S7 0061 Cystolithotripsy/Urethral Stone endoscopic, including cystoscopy 15,000 Y Ultrasound   1 N S
S7 0062 TURBT (Transurethral Resection of the Bladder Tumor) 25,000 Y Ultrasound   2 N S
S7 0063 TUR-fulgration (Transurethral fulgration of the Bladder Tumor) 18,000 Y Ultrasound   2 N S
S7 0064 Intravesical BCG/Mitomycin 6 induction cycles (weekly for 6 weeks-total cost of 6 cycles) 12,000 Y Ultrasound   D N S
S7 0065 Intravesical BCG/Mitomycin maintenance for 12 doses (total cost of 12 doses) 24,000 Y Ultrasound   D N S
S7 0066 Post TURBT - Check Cystoscopy (Per sitting) with or without cold-cup biopsy 10,000 Y Ultrasound   D N S
S7 0067 Diagnostic Cystoscopy 5,000 Y Video   D N S
S7 0068 Bladder Neck incision-endoscopic 15,000 Y Ultrasound   1 N S
S7 0069 Extrophy Bladder repair including osteotomy if needed + epispadias repair + ureteric reimplant 50,000 Y Ultrasound   5 N S
S7 0070 Bladder injury repair (as an independent procedure with or without urethral injury) 20,000 N     3 N S
S7 0071 Bladder injury repair (only to be used if done as a part of ongoing laparotomy/other surgery) 10,000 N     2 N S
S7 0072 Bladder injury repair with colostomy (as an independent procedure with or without urethral injury) 25,000 N     5 N S
S7 0073 Partial Cystectomy-open 20,000 Y Ultrasound   3 N S
S7 0074 Partial Cystectomy-Laparoscopic 30,000 N     3 N S
S7 0075 Radical cystectomy with neobladder-open 50,000 Y Ultrasound   7 N S
S7 0076 Radical cystectomy with continent diversion-open 50,000 Y Ultrasound   7 N S
S7 0077 Radical Cystectomy with Ileal Conduit-open 50,000 Y Ultrasound   7 N S
S7 0078 Radical Cystectomy with ureterostomy-open 35,000 Y Ultrasound   7 N S
S7 0079 Radical Cystectomy with ureterosigmoidostomy-open 35,000 Y Ultrasound   7 N S
S7 0080 Other Cystectomies 30,000 Y Ultrasound   2 N S
S7 0081 Suprapubic Cystostomy - Open, as an independent procedure 10,000 Y Ultrasound   D N S
S7 0082 Suprapubic Drainage - Closed/Trocar 5,000 N     D N S
S7 0083 VVF/Uterovaginal Repair - Transvaginal approach 25,000 Y CT Scan   5 N S
S7 0084 VVF/Uterovaginal Repair - Abdominal,Open 25,000 Y CT Scan   5 N S
S7 0085 VVF/Uterovaginal Repair - Abdominal,  Laparoscopic 30,000 Y CT Scan   5 N S
S7 0086 Hysterectomy as part of VVF/uterovaginal fistula repair (top-up) 5,000 Y CT Scan     N S
S7 0087 Urethrovaginal fistula repair 30,000 Y CT Scan   3 N S
S7 0088 Y V Plasty of Bladder Neck/Bladder Neck Reconstruction 20,000 Y CT Scan   5 N S
S7 0089 Augmentation cystoplasty-open 30,000 Y Cystography   5 N S
S7 0090 Augmentation cystoplasty-Laparoscopic 40,000 Y Cystography   5 N S
S7 0091 Open bladder diverticulectomy with/without ureteric re-implantation 25,000 Y Ultrasound   3 N S
S7 0092 Open simple prostatetctomy for BPH 25,000 Y Ultrasound, PSA   3 N S
S7 0093 TURP-Transurethral Resection of the Prostate, BPH, Monopolar/Bipolar/Laser 25,000 Y Ultrasound, PSA   2 N S
S7 0094 Holmium Laser Prostatectomy 40,000 Y Ultrasound,PSA   2 N S
S7 0095 TURP/Laser + Circumcision 30,000 Y Ultrasound, PSA   2 N S
S7 0096 TURP/Laser + Cystolithotripsy 30,000 Y Ultrasound, PSA   2 N S
S7 0097 TURP/Laser + Cystolithotomy-open 35,000 Y Ultrasound, PSA   2 N S
S7 0098 TURP/Laser + Orchidectomy 30,000 Y Ultrasound, PSA   2 N S
S7 0099 TURP/Laser + TURBT 30,000 Y Ultrasound, PSA   2 N S
S7 0100 TURP/Laser + URS with stone removal 40,000 Y Ultrasound, PSA   2 N S
S7 0101 TURP/Laser + VIU (visual internal Ureterotomy) 40,000 Y Ultrasound, PSA   2 N S
S7 0102 TURP/Laser + Hydrocele surgery 40,000 Y Ultrasound, PSA   2 N S
S7 0103 TURP/Laser + Hernioplasty 40,000 Y Ultrasound, PSA   2 N S
S7 0104 TURP/Laser + Urethral dilatation-non endoscopic 40,000 Y Ultrasound, PSA   2 N S
S7 0105 TURP/Laser + Urethral dilatation-endoscopic 40,000 Y Ultrasound, PSA   2 N S
S7 0106 Radical prostatectomy - open 50,000 Y Ultrasound, PSA   5 N S
S7 0107 Radical prostatectomy - laparoscopic 70,000 Y Ultrasound, PSA   5 N S
S7 0108 Transrectal Ultrasound guided prostate biopsy (minimum 12 core) 10,000 N       N S
S7 0109 Reduction of Paraphimosis 1,000 N     D N S
S7 0110 Excision of Urethral Caruncle 6,000 N     1 N S
S7 0111 Meatoplasty 3,500 N     1 N S
S7 0112 Meatotomy 3,500 N     1 N S
S7 0113 Post Urethral Valve fulguration 10,000 Y Ultrasound   1 N S
S7 0114 Urethroplasty-End to end 20,000 Y Cystourethrogram   3 N S
S7 0115 Urethroplasty-Substitution-single stage 30,000 Y Cystourethrogram   5 N S
S7 0116 Urethroplasty-Substitution-two stage 35,000 Y Cystourethrogram   5 N S
S7 0117 Urethroplasty-Transpubic 30,000 Y Cystourethrogram   5 N S
S7 0118 Urethroplasty-two stage without substitution 30,000 Y Cystourethrogram   5 N S
S7 0119 Perineal Urethrostomy without closure 20,000 Y Cystourethrogram   2 N S
S7 0120 Urethrorectal fistula repair 40,000 Y Cystourethrogram   6 N S
S7 0121 Urethral Dilatation-non endocopic as an independent procedure 2,000 Y Cystourethrogram   D N S
S7 0122 Urethral Dilatation-endocopic as an independent procedure 5,000 Y Cystourethrogram   D N S
S7 0123 Internal Ureterotomy including cystoscopy as an independent procedure 10,000 Y Ultrasound   1 N S
S7 0124 Hypospadias repair-single stage 20,000 Y Clinical Picture   3 N S
S7 0125 Hypospadias repair-two or more stage 30,000 Y Clinical Picture   3 N S
S7 0126 Orchiopexy-without laparoscopy, unilateral 10,000 Y Ultrasound   2 N S
S7 0127 Orchiopexy-without laparoscopy, bilateral 10,000 Y Ultrasound   2 N S
S7 0128 Orchiopexy-with laparoscopy, unilateral 20,000 Y Ultrasound   2 N S
S7 0129 Orchiopexy-with laparoscopy, bilateral 20,000 Y Ultrasound   2 N S
S7 0130 Stress incontinence surgery, open 20,000 Y Ultrasound   4 N S
S7 0131 Stress incontinence surgery, laparoscopic 30,000 Y Ultrasound   4 N S
S7 0132 Stress incontinence surgery with slings 35,000 Y Ultrasound   3 N S
S7 0133 Partial Penectomy 15,000 Y Clinical Picture   2 N S
S7 0134 Total Penectomy + Perineal Urethrostomy 20,000 N Clinical Picture   2 N S
S7 0135 Ilio-Inguinal lymphadenectomy-unilateral 13,000 N Clinical Record   3 N S
S7 0136 Ilio-Inguinal lymphadenectomy-bilateral 25,000 N     3 N S
S7 0137 Pelvic lymphadenectomy open, after prior cancer surgery 25,000 N     3 N S
S7 0138 Pelvic lymphadenectomy laparoscopic, after prior cancer surgery 30,000 N     3 N S
S7 0139 Orchiectomy-High inguinal 12,000 Y Ultrasound   1 N S
S7 0140 Orchiectomy-simple 10,000 Y Ultrasound   D N S
S7 0141 Bilateral Orchidectomy for hormone ablation 10,000 Y Ultrasound   D N S
S7 0142 Retroperitoneal lymph node dissection-open 25,000 Y CT Scan   3 N S
S7 0143 Retroperitoneal lymph node dissection-Laparoscopic 35,000 Y CT Scan   3 N S
S7 0144 Infertility-Scrotal exploration unilateral 10,000 Y Lab Investigations   D N S
S7 0145 Infertility-Scrotal exploration bilateral 12,000 Y Lab Investigations   D N S
S7 0146 Infertility-Vasoepididymostomy, microsurgical, unilateral 15,000 Y Lab Investigations   D N S
S7 0147 Infertility-Vasoepididymostomy, microsurgical, bilateral 20,000 Y Lab Investigations   D N S
S7 0148 Varicocele-unilateral-non microsurgical 10,000 Y Ultrasound   1 N S
S7 0149 Varicocele-unilateral-microsurgical 12,000 Y Ultrasound   1 N S
S7 0150 Varicocele-bilateral-non microsurgical 15,000 Y Ultrasound   1 N S
S7 0151 Varicocele-bilateral-microsurgical 20,000 Y Ultrasound   1 N S
S7 0152 Penile prosthesis insertion, Malleable (Indian implant) 30,000 Y Clinical Picture   3 N S
S7 0153 Priapism-aspiration/shunt 15,000 N     2 N S
S7 0154 Neurogenic bladder-Package for evaluation/investigation (catheter + ultrasound + culture + RGU/ MCU) for 1 month (medicines - antibiotics). Follow up visit once in 3 months 7,500 N Ultrasound     N S
S7 0155 Chronic prostatitis-Package for evaluation/investigation (ultrasound + culture + prostate massage) for 1 month (medicines). Follow up visit once in 3 months 2,500 Y   Ultrasound   N S
S7 0156 Emergency management of Ureteric stone - Package for evaluation/investigation (ultrasound + culture) for 3 weeks (medicines). 3,500 Y   Ultrasound   N S
S7 0157 Emergency management of Hematuria 2,000 N     7 N S
S7 0158 Emergency management of Acute retention of Urine 2,000 N     3 N S
S7 0159 Acute management of upper urinary tract trauma – conservative 2,000 N       N S
S7 0160 Urinary tract trauma – open surgery (exploratory) 20,000 N     5 N S
S7 0161 Urinary tract trauma – Laparoscopy surgery 30,000 N     5 N S
S7 0162 Bldder calculi -Removal 7000 Y Ultasound     N S
S7 0172 Nephropexy 9000 Y Ultrasound     N S
S7 0173 Nephrourethrotomy 11000 Y Ultrasound     N S