Specialty code Package Code Package name Package Amount Preauth Required or Not (Y/N)

S1 00001 Adventious Burse – Excision 10,000 N

S1 00002 Anterior Resection for CA 15,000 N
S1 00003 Appendicectomy 10,000 N

S1 00004 Appendicular Abscess – Drainage 12,000 N

Arteriovenous (AV) Malformation of

S1 00005 Soft Tissue Tumour - Excision 15,000 N
S1 00006 Bakers Cyst – Excision 6,000 N

S1 00007 Bilateral Inguinal block dissection 25,000 N

Bleeding Ulcer - Gastrectomy &
S1 00008 vagotomy 25,000 N

S1 00009 Bleeding Ulcer - Partial Gastrectomy 25,000 N

S1 00010 Block dissection Cervical Nodes 10,000 N
S1 00011 Branchial Fistula 14,000 N
S1 00012 Breast Lump - Left – Excision 5,000 N
S1 00013 Breast Lump - Right – Excision 6,500 N
S1 00014 Branchial Cyst 10,000 N
S1 00015 Bursa – Excision 4,000 N
S1 00016 Bypass - Inoperable Pancreas 15,000 N
S1 00017 Cervial Lymphnodes – Excision 2000 N
S1 00018 Colostomy 10,000 N
S1 00019 Cyst over Scrotum – Excision 2,000 N
S1 00020 Cystic Mass – Excision 2,000 N
S1 00021 Dermoid Cyst - Large – Excision 4,000 N
S1 00022 Dermoid Cyst - Small – Excision 2,000 N

S1 00023 Drainage of Ischio Rectal Abscess 4,000 N

Incision and Drainage of large
S1 00024 Abscess 4,000 N
S1 00025 Drainage of Psoas Abscess 7,500 N
Drainage of Subdiaphramatic
S1 00026 Abscess 10,000 N
S1 00027 Drainage Pericardial Effusion 13,750 N
S1 00028 Duodenal Diverticulum 20,000 N
S1 00029 Duodenal Jejunostomy 20,000 N
S1 00030 Duplication of Intestine 18,000 N
S1 00031 Hydrocele + Orchidectomy 8,000 N
S1 00032 Epidedectomy 8,000 N
S1 00033 Epididymal Swelling –Excision 6,000 N
S1 00034 Epidymal Cyst 4,000 N
S1 00035 Evacuation of Scrotal Hematoma 5,000 N
Excision Benign Tumor -Small
S1 00036 intestine 15,000 N
S1 00037 Excision Bronchial Sinus 8,000 N
S1 00038 Drainage of liver Abscess 8,000 N
S1 00039 Excision Filarial Scrotum 5,000 N
S1 00040 Excision Mammary Fistula 5,000 N
S1 00041 Excision Meckel's Diverticulum 15,000 N
S1 00042 Excision Pilonidal Sinus 8,000 N
S1 00043 Excision Small Intestinal Fistula 15,000 N
Excision of Growth from Tongue
S1 00044 only 6,000 N
Excision of Growth from Tongue
S1 00045 with neck node dissection 15,000 N
Excision of Swelling in Right Cervical
S1 00046 Region 5,000 N

S1 00047 Excision of Large Swelling in Hand 3,000 N

S1 00048 Excision of Small Swelling in Hand 1,500 N

S1 00049 Excision of Neurofibroma 3,000 N
S1 00050 Exicision of Sinus and Curettage 5,000 N
S1 00051 Fibroadenoma – Bilateral 8,000 N
S1 00052 Fibrodenoma – Unilateral 7,000 N
S1 00053 Fissurectomy 8,000 N
Fissurectomy and
S1 00054 Haemorrhoidectomy 12,000 N

S1 00055 Eversion of Hydrocele Sac – Bilateral 10,000 N

Eversion of Hydrocele Sac –
S1 00056 Unilateral 5,000 N

S1 00057 Fissurectomy with Sphincterotomy 15,000 N

Foreign Body Removal in Deep
S1 00058 Region requiring GA 5,000 N
S1 00059 Fundoplication 20,000 N
G J Vagotomy/ Vagotomy +
S1 00060 Pyloroplasty 15,000 N
S1 00061 Ganglion - large – Excision 3,000 N
S1 00062 Ganglion - Small – Excision 2,000 N
S1 00063 Gastrojejunostomy 15,000 N
S1 00064 Gastrostomy 15,000 N
Graham's Operation for duodenal
S1 00065 perforation 15,000 N
S1 00066 Granuloma – Excision 2,000 N
S1 00067 Haemangioma – Excision (large) 10,000 N
S1 00068 Haemangioma – Excision (small) 5,000 N
S1 00069 Haemorrhage of Small Intestine 15,000 N
S1 00070 Hepatic Resection (lobectomy) 20,000 N
S1 00071 Hernia – Epigastric 11,000 N
S1 00072 Hernia – Incisional 15,000 N
Hernia - Repair & release of
S1 00073 obstruction 15,000 N
S1 00074 Hernia – Umbilical 11,000 N
S1 00075 Hernia – Femoral 10,000 N
S1 00076 Hernioplasty – Inguinal 10,000 N
S1 00077 Herniorraphy 9,000 N
S1 00078 Hiatus Hernia – abdominal 15,000 N
S1 00079 Hydatid Cyst of Liver 12,500 N
S1 00080 Hydrocele - Excision – Unilateral 5,000 N
S1 00081 Hydrocele - Excision – Bilateral 10,000 N
S1 00082 IlieoSigmoidostomy 17,000 N
S1 00083 Infected Bunion Foot – Excision 4,000 N
Inguinal Node (dissection) -
S1 00084 Unilateral 10,000 N
S1 00085 Intestinal perforation 12,500 N
S1 00086 Intestinal Obstruction 12,500 N
S1 00087 Intussusception 15,000 N
S1 00088 Jejunostomy 10,000 N
S1 00089 Gastric Perforation 15,000 N
Intestinal Perforation (Resection
S1 00090 Anastomosis) 20,000 N
S1 00091 Appendicular Perforation 15,000 N
S1 00092 Burst Abdomen Obstruction 15,000 N

S1 00093 Closure of Hollow Viscus Perforation 15,000 N

Laryngectomy & Pharyngeal
S1 00094 Diverticulum (Throat) 15,000 N
S1 00095 Ileostomy 10,000 N
S1 00096 Lipoma excision 2,500 N
S1 00097 Loop Colostomy Sigmoid 12,000 N
S1 00098 Mastectomy 12,000 N
S1 00099 Mesenteric Cyst – Excision 16,000 N
S1 00100 Mesenteric Caval Anastomosis 15,000 N
S1 00101 Microlaryngoscopic Surgery 15,000 N
Oeshophagoscopy for foreign body
S1 00102 removal 7,500 N
S1 00103 Oesophagectomy 17,500 N

S1 00104 Portal Hypertension shunt surgery 18,000 N

S1 00105 Pelvic Abscess - Open Drainage 10,000 N
S1 00106 PancreaticoDuodenectomy 25,000 N
Distal Pancreatectomy with
S1 00107 PancreaticoJejunostomy 25,000 N
S1 00108 Papilloma Rectum – Excision 4,000 N

S1 00109 Haemorroidectomy+ Fistulectomy 10,000 N

S1 00110 Growth in the Scalp – Excision 4,000 N
S1 00111 Porto Caval Anastomosis 15,000 N
S1 00112 Pyeloroplasty 10,000 N
S1 00113 Radical Mastectomy 10,000 N

S1 00114 Radical Neck Dissection – Excision 15,000 N

S1 00115 Hernia – Spigelian 5,000 N
S1 00116 Rectal Dilation 2,000 N

S1 00117 Prolapse of Rectal Mass – Excision 10,000 N

S1 00118 Rectopexy 10,000 N
S1 00119 Repair of Common Bile Duct 15,000 N
Resection Anastomosis (Large
S1 00120 Intestine) 15,000 N
Resection Anastomosis (Small
S1 00121 Intestine) 15,000 N

S1 00122 Retroperitoneal Tumor – Excision 20,000 N

S1 00123 Haemorroidectomy 5,000 N
S1 00124 Salivary Gland – Excision 10,000 N
S1 00125 Segmental Resection of Breast 10,000 N
Scrotal Swelling (Multiple) –
S1 00126 Excision 5,000 N
S1 00127 Sigmoid Diverticulum 15,000 N

S1 00128 Simple closure - Peptic perforation 15,000 N

S1 00129 Sinus – Excision 5,000 N

S1 00130 Soft Tissue Tumor (small) – Excision 5,000 N

S1 00131 Soft Tissue Tumor (large) – Excision 10,000 N

S1 00132 Splenectomy 25,000 N
Submandibular Lymph node –
S1 00133 Excision 5,000 N
Submandibular Mass Excision +
S1 00134 Reconstruction 20,000 N

S1 00135 Swelling in foot (small) – Excision 1,500 N

S1 00136 Swelling in foot (large) – Excision 3,500 N

S1 00137 Coloectomy – Total 20,000 N
Pharyngectomy& Reconstruction –
S1 00138 Total 20,000 N
Tracheal Stenosis (End to end
S1 00139 Anastamosis) (Throat) 15,000 N
S1 00140 Tracheoplasty (Throat) 15,000 N
S1 00141 Umbilical Sinus – Excision 5,000 N
Varicose Veins - Excision and
S1 00142 Ligation 10,000 N
S1 00143 Vasovasostomy 12,000 N
S1 00144 Volvlous of Large Bowel 25,000 N
S1 00145 Cleft lip operation 12,000 N

S1 00146 Cleft palate repair (for each stage) 12,000 Y

Cleft lip & palate operation (for
S1 00147 each stage) 15,000 Y
Aneurysm not Requiring Bypass
S1 00148 Techniques t 36,000 N
S1 00149 Aneurysm Resection & Grafting 36,000 N
S1 00150 Arterial Embolectomy 10,000 N
S1 00151 Carotid artery aneurysm repair 20,000 N
S1 00152 Carotid Body tumour - Excision 20,000 N
Cholecystectomy & Exploration of
S1 00153 CBD 22,000 N
S1 00154 Cholecystostomy 10,000 N
Congential Arteriovenus Fistula
S1 00155 (large) 20,000 N
Congential Arteriovenus Fistula
S1 00156 (small) 10,000 N
S1 00157 Decortication (Pleurectomy) 20,000 N
S1 00158 Dissecting Aneurysms 36,000 N
S1 00159 Distal Abdominal Aorta repair 36,000 N
S1 00160 Estlander Operation (lip) 7,000 N
Excision and Skin Graft of Venous
S1 00161 Ulcer 15,000 N
Excision of Parathyroid
S1 00162 Adenoma/Carcinoma 22,000 N
S1 00163 Flap Reconstructive Surgery 20,000 N
Split thickness skin grafts – Small (<
S1 00164 4% TBSA) 5,000 N
Split thickness skin grafts – Medium
S1 00165 (4 - 8% TBSA) 10,000 N
Split thickness skin grafts – Large (>
S1 00166 8% TBSA) 15,000 N
S1 00167 Free Grafts - Wolfe Grafts 10,000 N
S1 00168 Hemi thyroidectomy 10,000 N
S1 00169 Total thyroidectomy 20,000 N
S1 00170 Laparoscopic Hernia Repair 18,000 N

S1 00171 Lap. Assisted left Hemi colectomy t 25,000 N

Lap. Assisted Right Hemi colectomy
S1 00172 t 25,000 N

S1 00173 Lap. Assisted small bowel resection 15,000 N

S1 00174 Lap. Assisted Total Colectomy 25,000 N
Lap. Cholecystectomy & CBD
S1 00175 exploration 20,000 N
S1 00176 Lap. For intestinal obstruction 15,000 N
S1 00177 Lap. Hepatic resection 25,000 N
S1 00178 Lap. Hydatid of liver surgery 20,000 N
S1 00179 Laparoscopic Adhesinolysis 15,000 N
S1 00180 Laparoscopic Appendicectomy 18,000 N
S1 00181 Laparoscopic Cholecystectomy 15,000 N
S1 00182 Laparoscopic cystogastrostomy 20,000 N
S1 00183 Laparoscopic Gastrostomy 12,000 N

S1 00184 Laparoscopic Hiatus Hernia Repair 22,000 N

S1 00185 Laparoscopic Pyloromyotomy 20,000 N
S1 00186 Laparoscopic Rectopexy 15,000 N
S1 00187 Laparoscopic Spleenectomy 16,500 N

S1 00188 Laparoscopic umbilical hernia repair 15,000 N

S1 00189 Laparoscopic ventral hernia repair 20,000 N

 Laparotomy-peritonitis lavage and
S1 00190 drainage 10,000 N
S1 00191 Ligation of Ankle Perforators 5,000 N

Lymphatics Excision of
Subcutaneous Tissues In
S1 00192 Lymphoedema 10,000 N

S1 00193 Repair of Main Arteries of the Limbs 25,000 N

S1 00194 Mediastinal Tumour 20,000 N
Oesophagectomy for Carcinoma
S1 00195 Oesophagus 25,000 N

S1 00196 Operation for Bleeding Peptic Ulcer 15,000 N

Operation for Carcinoma Lip –
S1 00197 Vermilionectomy 10,000 N

Operation for Carcinoma Lip -

Wedge Excision and
S1 00198 Vermilionectomy 12,000 N
Operation for Carcinoma Lip -
S1 00199 Wedge-Excision 10,000 N
Appendicectomy - Appendicular
S1 00200 Abscess – Drainage 12,000 N
S1 00201 Caecostomy 10,000 N
S1 00202 Closure of Colostomy 5,000 N
S1 00203 Coccygeal Teratoma Excision 15,000 N
Congenital Atresia & Stenosis of
S1 00204 Small Intestine 20,000 N
CystoJejunostomy/or
S1 00205 Cystogastrostomy 20,000 N

S1 00206 Drainage of perivertebral abscess 10,000 N

S1 00207 Hernia -hiatus-Transthoracic 25,000 N
S1 00208 Intercostal drainage 2,000 N
Operation for carcinoma lip- cheek
S1 00209 advancement 12,000 N
S1 00210 Thymectomy 20,000 N
S1 00211 Operation of Choledochal Cyst 15,000 N
Operations for Acquired
S1 00212 Arteriovenous Fistula 15,000 N
Operations for Replacement of
S1 00213 Oesophagus by Colon 25,000 N
S1 00214 Hemodialysis per sitting 2,000 N

S1 00215 Parapharyngeal Tumour Excision 20,000 N

Partial/Subtotal Gastrectomy for
S1 00216 Carcinoma 22,000 N
S1 00217 Patch Graft Angioplasty 20,000 N
S1 00218 Pericardiostomy 30,000 N
S1 00219 Pneumonectomy 25,000 N
Removal of Foreign Body from
S1 00220 Trachea or Oesophagus 5,000 N
S1 00221 Removal Tumours of Chest Wall 20,000 N
Procedures Requiring Bypass
S1 00222 Techniques 35,000 N
Resection Enucleation of Adenoma
S1 00223 (lung) 10,000 N
S1 00224 Rib Resection & Drainage 10,000 N
S1 00225 Skin Flaps - Rotation Flaps 6,200 N
S1 00226 Splenectomy - For Trauma 20,000 N
Surgery for Arterial Aneurism
S1 00227 Spleen Artery 20,000 N
Surgery for Arterial Aneurism –
S1 00228 Vertebral 25,000 N
S1 00229 Sympathetectomy – Cervical 5,000 N
S1 00230 Temporal Bone resection 15,000 N
S1 00231 Thorachostomy 10,000 N
S1 00232 Thoracocentesis 1,500 N
S1 00233 Thoracoplasty 20,000 N
S1 00234 Thoracoscopic Decortication 25,000 N

S1 00235 Thoracoscopic Hydatid Cyst excision 20,000 N

S1 00236 Thoracoscopic Lobectomy 25,000 N
S1 00237 Thoracoscopic Pneumonectomy 30,000 N

S1 00238 Thoracoscopic Segmental Resection 25,000 N

S1 00239 Thoracoscopic Sympathectomy 15,000 N
S1 00240 Thrombendarterectomy 15,000 N
S1 00241 Thorax (penetrating wounds) 12,500 N
Total Thyroidectomy and Block
S1 00242 Dissection 20,000 N
S1 00243 Trendelenburg Operation 10,000 N
S1 00244 Debridement of Ulcer-Leprosy 5,000 N

S1 00245 Tissue Reconstruction Flap Leprosy 25,000 N

S1 00246 Tendon Transfer-Leprosy 25,000 N
S1 00247 Adhenolysis + Appendicectomy 20,000 N
Hernia - Repair & release of
S1 00248 obstruction+ Hernioplasty 20,000 N
Aspiration of cold Abscess of
S1 00249 Lymphnode 3,000 N
S1 00250 Aspiration of Empyema 2,000 N
S1 00251 AV Shunt for dialysis 6,000 N
S1 00252 Peritoneal dialysis per sitting 2,000 N
S1 00253 Vasectomy 2,500 N