HimCare Scheme Obstetrics Gynaecology Package

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)
S4 0001 Hysterectomy ± Salpingo-oophorectomy 20,000 Y Ultrasound   5   S
S4 0002 Abdominal Myomectomy 16,000 Y Ultrasound   5   S
S4 0003 Surgeries for Prolapse – Sling Surgeries 16,000 Y Ultrasound   5   S
S4 0004 Surgeries for Stress Incontinence ‘Burch’ 35,000 Y Ultrasound   5   S
S4 0005 Hysterotomes – 2nd Trimester abortions 5,000 Y Ultrasound   D   S
S4 0006 Incisional Hernia Repair 15,000 Y Clinical Picture   3   S
S4 0007 Radical Hysterectomy (Wertheims) 25,000 Y Ultrasound   5   S
S4 0008 Laparotomy and proceed for Ovarian Cancers. Omentomy with Bilateral Salpingo-oophorectomy 25,000 Y Ultrasound   5   S
S4 0009 Non descent vaginal hysterectomy  14,000 Y Ultrasound   4   S
S4 0010 Vaginal hysterectomy with anterior and posterior colpoperineorrhaphy 16,000 Y Ultrasound   5   S
S4 0011 Vaginal surgical repair for vesico-vaginal fistula 20,000 Y Cystography   5   S
S4 0012 Sacrocolpopexy 16,000 Y Ultrasound   7   S
S4 0013 Repair for rectovaginal fitulas 10,000 Y Ultrasound   3   S
S4 0014 Vaginoplasty  10,000 Y     3   S
S4 0015 LLETZ 3000 Y Clinical Picture   3   S
S4 0016 Colpotomy 1,200 N     D   S
S4 0017 Dilation and Evacuation (D&E) 1,000 N     D   S
S4 0018 Cervical biopsy and Polypectomy 3,000 N     D   S
S4 0019 Bartholins Cyst Enucleation/ Incision drainage 3,000 N     D   S
S4 0020 Vulvectomy simple 15,000 Y CT Scan   3   S
S4 0021 Radical Vulvectomy 20,000 Y CT Scan   3   S
S4 0022 Diagnostic laparoscopy 4,000 N Ultrasound   3   S
S4 0023 Laparoscopic hysterectomy (TLH) 20,000 Y Ultrasound   5   S
S4 0024 Laparoscopic myomectomy 15,000 Y Ultrasound   3   S
S4 0025 Laparoscopic cystectomy 15,000 Y Ultrasound   5   S
S4 0026 Laparoscopic ovarotomy 10,000 Y Ultrasound   3   S
S4 0027 Laparoscopic adhesiolysis 6,000 Y Ultrasound   1   S
S4 0028 Laparoscopic tubal surgeries – salpingectomy, salpingotomy 11,000 Y Ultrasound   3   S
S4 0029 Drag hysteroscopy 6,000 Y Ultrasound   1   S
S4 0030 Hysteroscopic myomectomies 6,000 Y Ultrasound   1   S
S4 0031 Hysteroscopic adhesiolysis 6,000 Y Ultrasound   1   S
S4 0032 Hysteroscopic polypectomy 3,000 Y Ultrasound   2   S
S4 0033 Hysteroscopic IUCD removal 3,000 Y Ultrasound   1   S
S4 0034 Caesarian Delivery 6,500 N     5   S
S4 0035 Caesarian hysterectomy 20,000 N     5   S
S4 0036 High risk delivery: Pre-mature delivery 9,000 N     3    
S4 0037 High risk delivery: Expected Gestation at delivery less than 35 weeks 9,000 N     3    
S4 0038 High risk delivery: Mothers with eclampsia or imminent eclampsia 9,000 N     3    
S4 0039 High risk delivery: Obstructed labour 9,000 N     3    
S4 0040 High risk delivery: Major Fetal malformation requiring intervention immediately after birth 9,000 N     3    
S4 0041 High risk delivery: Mothers with severe anaemia (<7 g/dL) 9,000 N     3    
S4 0042 High 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. 9,000 N     3    
S4 0043 Manual removal of placenta 5,000 N     2   S
S4 0044 Laparotomy for ruptured ectopic 10,000 N     5   S
S4 0045 MTP > 12 weeks 6,500 N     1   S
S4 0046 MTP upto 12 weeks 5,000 N     1   S
S4 0047 MTP upto 8 weeks 3,500 N     1   S
S4 0048 McDonald’s stitch 4,000 N     D   S
S4 0049 Shirodkar’s stitch 4,000 N     D   S
S4 0050 Tuboplasty 10,000 N     5   S
S4 0051 Laparotomy for broad ligament haematoma 16,000 Y Ultrasound   3   S
S4 0052 Trans-vaginal tape/ Trans-obturator tape 5,000 Y Ultrasound   D   S
S4 0053 Abdominal Perineal neo construction Cx + Uteria + Vagina 20,000 Y CT Scan       S
S4 0054 Ablation of Endometriotic Spot + Adhenolysis 10,000 Y Ultrasound       S
S4 0055 Ablation of Endometriotic Spot +Salpingostomy 10,000 Y Ultrasound       S
S4 0056 Adhenolysis + Hernia – Ventral – Lipectomy/Incision 16,000 Y Ultrasound       S
S4 0057 Adhenolysis+ Ovarian Cystectomy 10,000 Y Ultrasound       S
S4 0058 Adhenolysis+ Salpingostomy 10,000 Y Ultrasound       S
S4 0059 Broad Ligment Haemotoma drainage 10,000 Y Ultrasound       S
S4 0060 Brust abdomen repair 14,000 N         S
S4 0061 Cone Biopsy Cervix 1,000 N         S
S4 0062 Conventional Tubectomy 1,000 N         S
S4 0063 Cyst -Vaginal Enucleation 1,000 N         S
S4 0064 Cyst-Labial 1,000 N         S
S4 0065 Cystocele – Anterior repair 1,000 N         S
S4 0066 Cystocele – Anterior Repair + Perineal Tear Repair 13,000 Y Cystography       S
S4 0067 D&C (Dilatation &curretage) + Electro Cauterisation Cryo Surgery 1,500 N         S
S4 0068 D&C (Dilatation&curretage) 1,000 N         S
S4 0069 Diagnostic laparoscopy & hysteroscopy for infertility 5,000 N         S
S4 0070 Electro Cauterisation Cryo Surgery 1,500 N         S
S4 0071 Exploration of abdominal haematoma (after laparotomy + LSCS) 14,000 N         S
S4 0072 Fractional Curretage 1,000 N         S
S4 0073 Gaping Perineal wound secondary suturing/ episiotomy 2,500 N         S
S4 0074 HaematoColpo/Excision – Vaginal Septum 5,000 N         S
S4 0075 Hymenectomy& Repair of Hymen 1,000 N         S
S4 0076 Amniocentesis 5,000 Y Clinical investigations   D   S
S4 0077 Chorionic villus sampling 5,000 Y Clinical investigations   D   S
S4 0078 Cordocentesis 5,000 Y Clinical investigations   D   S
S4 0079 Intrauterine transfusions 10,000 Y Clinical investigations   D   S

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