HimCare Scheme Obstetrics Gynaecology Package

Specialty codePackage CodePackage namePackage AmountPreauth Required or Not (Y/N)Mandatory investigations for pre-authPost-Op investigations for claims submissionAverage length of Stay (Including Days in intensive care units)Govt Reserved Procedure (Y/N)Medical (M) or Surgical (S)
S40001Hysterectomy ± Salpingo-oophorectomy20,000YUltrasound 5 S
S40002Abdominal Myomectomy16,000YUltrasound 5 S
S40003Surgeries for Prolapse – Sling Surgeries16,000YUltrasound 5 S
S40004Surgeries for Stress Incontinence ‘Burch’35,000YUltrasound 5 S
S40005Hysterotomes – 2nd Trimester abortions5,000YUltrasound D S
S40006Incisional Hernia Repair15,000YClinical Picture 3 S
S40007Radical Hysterectomy (Wertheims)25,000YUltrasound 5 S
S40008Laparotomy and proceed for Ovarian Cancers. Omentomy with Bilateral Salpingo-oophorectomy25,000YUltrasound 5 S
S40009Non descent vaginal hysterectomy 14,000YUltrasound 4 S
S40010Vaginal hysterectomy with anterior and posterior colpoperineorrhaphy16,000YUltrasound 5 S
S40011Vaginal surgical repair for vesico-vaginal fistula20,000YCystography 5 S
S40012Sacrocolpopexy16,000YUltrasound 7 S
S40013Repair for rectovaginal fitulas10,000YUltrasound 3 S
S40014Vaginoplasty 10,000Y  3 S
S40015LLETZ3000YClinical Picture 3 S
S40016Colpotomy1,200N  D S
S40017Dilation and Evacuation (D&E)1,000N  D S
S40018Cervical biopsy and Polypectomy3,000N  D S
S40019Bartholins Cyst Enucleation/ Incision drainage3,000N  D S
S40020Vulvectomy simple15,000YCT Scan 3 S
S40021Radical Vulvectomy20,000YCT Scan 3 S
S40022Diagnostic laparoscopy4,000NUltrasound 3 S
S40023Laparoscopic hysterectomy (TLH)20,000YUltrasound 5 S
S40024Laparoscopic myomectomy15,000YUltrasound 3 S
S40025Laparoscopic cystectomy15,000YUltrasound 5 S
S40026Laparoscopic ovarotomy10,000YUltrasound 3 S
S40027Laparoscopic adhesiolysis6,000YUltrasound 1 S
S40028Laparoscopic tubal surgeries – salpingectomy, salpingotomy11,000YUltrasound 3 S
S40029Drag hysteroscopy6,000YUltrasound 1 S
S40030Hysteroscopic myomectomies6,000YUltrasound 1 S
S40031Hysteroscopic adhesiolysis6,000YUltrasound 1 S
S40032Hysteroscopic polypectomy3,000YUltrasound 2 S
S40033Hysteroscopic IUCD removal3,000YUltrasound 1 S
S40034Caesarian Delivery6,500N  5 S
S40035Caesarian hysterectomy20,000N  5 S
S40036High risk delivery: Pre-mature delivery9,000N  3  
S40037High risk delivery: Expected Gestation at delivery less than 35 weeks9,000N  3  
S40038High risk delivery: Mothers with eclampsia or imminent eclampsia9,000N  3  
S40039High risk delivery: Obstructed labour9,000N  3  
S40040High risk delivery: Major Fetal malformation requiring intervention immediately after birth9,000N  3  
S40041High risk delivery: Mothers with severe anaemia (<7 g/dL)9,000N  3  
S40042High risk delivery: Other maternal and fetal conditions as per guidelines-Such as Rh haemolytic disease, uncontrolled diabetes, severe growth retardation etc that qualify for high risk delivery etc.9,000N  3  
S40043Manual removal of placenta5,000N  2 S
S40044Laparotomy for ruptured ectopic10,000N  5 S
S40045MTP > 12 weeks6,500N  1 S
S40046MTP upto 12 weeks5,000N  1 S
S40047MTP upto 8 weeks3,500N  1 S
S40048McDonald’s stitch4,000N  D S
S40049Shirodkar’s stitch4,000N  D S
S40050Tuboplasty10,000N  5 S
S40051Laparotomy for broad ligament haematoma16,000YUltrasound 3 S
S40052Trans-vaginal tape/ Trans-obturator tape5,000YUltrasound D S
S40053Abdominal Perineal neo construction Cx + Uteria + Vagina20,000YCT Scan   S
S40054Ablation of Endometriotic Spot + Adhenolysis10,000YUltrasound   S
S40055Ablation of Endometriotic Spot +Salpingostomy10,000YUltrasound   S
S40056Adhenolysis + Hernia – Ventral – Lipectomy/Incision16,000YUltrasound   S
S40057Adhenolysis+ Ovarian Cystectomy10,000YUltrasound   S
S40058Adhenolysis+ Salpingostomy10,000YUltrasound   S
S40059Broad Ligment Haemotoma drainage10,000YUltrasound   S
S40060Brust abdomen repair14,000N    S
S40061Cone Biopsy Cervix1,000N    S
S40062Conventional Tubectomy1,000N    S
S40063Cyst -Vaginal Enucleation1,000N    S
S40064Cyst-Labial1,000N    S
S40065Cystocele – Anterior repair1,000N    S
S40066Cystocele – Anterior Repair + Perineal Tear Repair13,000YCystography   S
S40067D&C (Dilatation &curretage) + Electro Cauterisation Cryo Surgery1,500N    S
S40068D&C (Dilatation&curretage)1,000N    S
S40069Diagnostic laparoscopy & hysteroscopy for infertility5,000N    S
S40070Electro Cauterisation Cryo Surgery1,500N    S
S40071Exploration of abdominal haematoma (after laparotomy + LSCS)14,000N    S
S40072Fractional Curretage1,000N    S
S40073Gaping Perineal wound secondary suturing/ episiotomy2,500N    S
S40074HaematoColpo/Excision – Vaginal Septum5,000N    S
S40075Hymenectomy& Repair of Hymen1,000N    S
S40076Amniocentesis5,000YClinical investigations D S
S40077Chorionic villus sampling5,000YClinical investigations D S
S40078Cordocentesis5,000YClinical investigations D S
S40079Intrauterine transfusions10,000YClinical investigations D S

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