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) |
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S2 | 0001 | Aural polypectomy | 4,000 | N | | | 1 | N | S |
S2 | 0002 | Labyrinthectomy | 20,000 | Y | Clinical Record | | 2 | N | S |
S2 | 0003 | Mastoidectomy | 12,500 | Y | Clinical Record | | 2 | N | S |
S2 | 0004 | Mastoidectomy corticol modified/ radical | 11,500 | Y | Clinical Record | | 2 | N | S |
S2 | 0005 | Mastoidectomy with tympanoplasty | 16,000 | Y | Clinical Record | | 2 | N | S |
S2 | 0006 | Myringoplasty | 7,500 | Y | Clinical Record | | 2 | N | S |
S2 | 0007 | Myringoplasty with Ossiculoplasty | 13,500 | Y | Clinical Record | | 2 | N | S |
S2 | 0008 | Myringotomy – Bilateral | 6,000 | N | | | 2 | N | S |
S2 | 0009 | Myringotomy – Unilateral | 3,500 | N | | | 2 | N | S |
S2 | 0010 | Myringotomy with Grommet – One ear | 6,500 | N | | | 2 | N | S |
S2 | 0011 | Myrinogotomy with Grommet – Both ear | 8,500 | N | | | 2 | N | S |
S2 | 0012 | Ossiculoplasty | 9,500 | Y | Clinical Record | | 2 | N | S |
S2 | 0013 | Partial amputation – Pinna | 4,000 | Y | Clinical Record | | 1 | N | S |
S2 | 0014 | Excision of Pinna for Growths (Squamous/Basal) Injuries – Total Amputation & Excision of External Auditory Meatus | 8,000 | Y | Clinical Record | | 3 | N | S |
S2 | 0015 | Excision of Pinna for Growths (Squamous/Basal) Injuries Total Amputation | 6,500 | Y | Clinical Record | | 3 | N | S |
S2 | 0016 | Stapedectomy | 10,000 | Y | Clinical Record | | 3 | N | S |
S2 | 0017 | Tympanoplasty | 9,000 | Y | Clinical Record | | 3 | N | S |
S2 | 0018 | Vidian neurectomy – Micro | 9,000 | Y | Clinical Record | | 3 | N | S |
S2 | 0019 | Ear lobe repair – single (daycare) | 1,500 | N | | | D | N | S |
S2 | 0020 | Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin and Cartilage | 4,000 | Y | Clinical Record | | D | N | S |
S2 | 0021 | Excision of Pinna for Growth (Squamous/Basal/ Injuries) Skin Only | 2,500 | Y | Clinical Record | | D | N | S |
S2 | 0022 | Pharyngectomy and reconstruction | 15,000 | Y | Clinical Record | | 2 | N | S |
S2 | 0023 | Skull base surgery | 37,000 | Y | CT | Clinical photograph showing scar | 3 | N | S |
| Histopathological report |
S2 | 0024 | Total Amputation & Excision of External Auditory Meatus | 8,000 | Y | CT Scan | | 3 | N | S |
S2 | 0025 | Tympanotomy | 2,500 | N | | | 2 | N | S |
S2 | 0026 | Removal of foreign body from ear | 2,000 | N | | | D | N | S |
S2 | 0027 | Aural polypectomy +Tympanoplasty | 10,000 | N | | | 3 | N | S |
S2 | 0028 | Ant. Ethmoidal artery ligation – open/ endoscopic | 11,000 | N | | | 3 | N | S |
S2 | 0029 | Antrostomy – Bilateral | 8,500 | N | | | 3 | N | S |
S2 | 0030 | Antrostomy – Unilateral | 6,000 | N | | | 3 | N | S |
S2 | 0031 | Cryosurgery | 3,000 | N | | | 1 | N | S |
S2 | 0032 | CSF Rhinorrhoea – Repair | 14,000 | N | | | 3 | N | S |
S2 | 0033 | Septoplasty + FESS | 11,500 | N | | | 2 | N | S |
S2 | 0034 | Ethmoidectomy – External | 11,500 | N | | | 2 | N | S |
S2 | 0035 | Fracture reduction nose with septal correction | 8,000 | N | | | 1 | N | S |
S2 | 0036 | Fracture – setting maxilla | 8,000 | N | | | 2 | N | S |
S2 | 0037 | Fracture – setting nasal bone | 4,000 | N | | | 1 | N | S |
S2 | 0038 | Functional Endoscopic Sinus (FESS) | 11,000 | N | | | 1 | N | S |
S2 | 0039 | Intra Nasal Ethmoidectomy | 5,000 | N | | | 1 | N | S |
S2 | 0040 | Rhinotomy – Lateral | 7,500 | N | | | 2 | N | S |
S2 | 0041 | Nasal polypectomy – Bilateral | 7,000 | N | | | 1 | N | S |
S2 | 0042 | Nasal polypectomy – Unilateral | 4,000 | N | | | 1 | N | S |
S2 | 0043 | Turbinectomy Partial – Bilateral | 3,000 | N | | | 1 | N | S |
S2 | 0044 | Turbinectomy Partial – Unilateral | 2,000 | N | | | 1 | N | S |
S2 | 0045 | Radical fronto ethmo sphenodectomy | 18,000 | Y | Clinical Record | | 5 | N | S |
S2 | 0046 | Rhinoplasty | 15,000 | Y | Clinical Record | | 3 | N | S |
S2 | 0047 | Septoplasty | 5,000 | N | | | 1 | N | S |
S2 | 0048 | Youngs operation | 3,000 | N | | | 1 | N | S |
S2 | 0049 | Angiofibroma Excision | 18,000 | Y | CT Scan | | 3 | N | S |
S2 | 0050 | Cranio-facial resection | 22,500 | Y | CT Scan | | 2 | N | S |
S2 | 0051 | Dacryocystorhinostomy (DCR) | 7,000 | N | | | 1 | N | S |
S2 | 0052 | Endoscopic Hypophysectomy | 21,000 | Y | CT Scan | | 2 | N | S |
S2 | 0053 | Intranasal Diathermy | 3,000 | N | | | 1 | N | S |
S2 | 0054 | Rhinosporidiosis | 5,000 | N | | | 2 | N | S |
S2 | 0055 | Septo-rhinoplasty | 12,500 | Y | Clinical Record | | 2 | N | S |
S2 | 0056 | Adeno Tonsillectomy | 5,000 | Y | Clinical Record | | 1 | N | S |
S2 | 0057 | Adenoidectomy | 5,000 | Y | Clinical Record | | 1 | N | S |
S2 | 0058 | Arytenoidectomy | 10,000 | Y | Clinical Record | | 2 | N | S |
S2 | 0059 | Choanal atresia | 12,500 | Y | Clinical Record | | 2 | N | S |
S2 | 0060 | Tonsillectomy + Myrinogotomy | 10,000 | Y | Clinical Record | | 3 | N | S |
S2 | 0061 | Pharyngeal diverticulum’s – Excision | 10,000 | Y | Clinical Record | | 2 | N | S |
S2 | 0062 | Laryngectomy with block dissection | 25,000 | Y | CT Scan | | 3 | N | S |
S2 | 0063 | Laryngofissure | 5,000 | N | | | 2 | N | S |
S2 | 0064 | Laryngophayryngectomy | 20,000 | Y | Clinical Record | | 2 | N | S |
S2 | 0065 | Maxilla – Excision | 12,500 | Y | Clinical Record | | 2 | N | S |
S2 | 0066 | Oro Antral fistula | 7,500 | Y | Clinical Record | | 2 | N | S |
S2 | 0067 | Parapharyngeal – Exploration | 12,500 | Y | CT Scan | | 2 | N | S |
S2 | 0068 | Parapharyngeal Abscess – Drainage | 10,000 | N | | | 2 | N | S |
S2 | 0069 | Peritonsillor abscess under LA | 2,500 | N | | | D | N | S |
S2 | 0070 | Pharyngoplasty | 10,000 | Y | Clinical Record | | 2 | N | S |
S2 | 0071 | Retro pharyngeal abscess – Drainage | 5,000 | N | | | D | N | S |
S2 | 0072 | Tonsillectomy + Styloidectomy | 10,000 | N | | | 2 | N | S |
S2 | 0073 | Thyroglossal Fistula/ cyst – Excision | 7,000 | N | | | 2 | N | S |
S2 | 0074 | Tonsillectomy – (Uni/ Bilateral) | 6,000 | N | | | 1 | N | S |
S2 | 0075 | Total Parotidectomy | 18,000 | N | | | 2 | N | S |
S2 | 0076 | Superficial Parotidectomy | 12,000 | N | | | 4 | N | S |
S2 | 0077 | Uvulophanyngo Plasty | 14,000 | Y | Clinical Record | | 2 | N | S |
S2 | 0078 | Commondo Operation (glossectomy) | 17,500 | N | | | 4 | N | S |
S2 | 0079 | Excision of Branchial Cyst | 7,000 | N | | | 3 | N | S |
S2 | 0080 | Excision of Branchial Sinus | 7,000 | N | | | 3 | N | S |
S2 | 0081 | Excision of Cystic Hygroma | 7,500 | N | | | 3 | N | S |
S2 | 0083 | Excision of the Mandible Segmental | 7,500 | N | | | 3 | N | S |
S2 | 0084 | Hemi-mandibulectomy with graft | 15,000 | Y | Clinical Record | | 3 | N | S |
S2 | 0085 | Hemiglossectomy | 6,000 | Y | Clinical Record | | 3 | N | S |
S2 | 0086 | Palatopharyngoplasty | 10,000 | N | | | 2 | N | S |
S2 | 0087 | Partial Glossectomy | 5,000 | N | | | 3 | N | S |
S2 | 0088 | Ranula excision | 5,000 | N | | | 3 | N | S |
S2 | 0089 | Removal of Submandibular Salivary gland | 5,000 | N | | | 3 | N | S |
S2 | 0090 | Total Glossectomy | 15,000 | Y | Clinical Record | | 3 | N | S |
S2 | 0091 | Total Laryngectomy + Neck dissection | 25,000 | Y | Biopsy | Clinical photograph showing scar | 4 | N | S |
CECT | HPE report |
S2 | 0092 | Laryngopharyngectomy with Gastric pull-up/ jejunal graft | 30,000 | Y | Biopsy | Clinical photograph showing scar | 4 | N | S |
Routine hematological investigations | HPE report |
S2 | 0093 | Excision of CA cheek/ oral cavity + radial forearm flap | 30,000 | Y | Hematological and radiological investigations | Hematological and radiological investigations | 4 | N | S |
S2 | 0094 | Excision of growth Jaw + free fibular flap reconstruction | 30,000 | Y | Hematological and radiological investigations | Hematological and radiological investigations | 4 | N | S |
S2 | 0096 | Fenestration | 7000 | | | | | N | S |
S2 | 0097 | Caldweell-luc-Bilateral | 8000 | | | | | N | S |
S2 | 0098 | Caldweell-luc-unilateral | 4600 | | | | | N | S |
S2 | 0100 | Submucos resection | 7500 | | | | | N | S |
S2 | 0101 | Removal of FB from nose | 900 | | | | | N | S |
S2 | 0102 | Release of tongue tie | 2500 | | | | | N | S |
S2 | 0103 | Cleft palate repair | 8000 | | | | | N | S |
S2 | 0104 | Removal of Foreign body from Larynx | 4000 | | | | | N | S |
S2 | 0105 | Tracheostomy | 3000 | | | | | N | S |
S2 | 0106 | Microlaryngoscopic Surgery | 15,000 | N | | | 3 | N | S |