HimCare Scheme Otorhinolaryngology 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)
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

Leave a Reply

Your email address will not be published. Required fields are marked *