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S.No.

DAY CARE SURGERIES

 

Microsurgical Operations on the middle ear

1

Stapedotomy

2

Stapedectomy

3

Revision of Stapedectomy

4

Other operations on the auditory Ossicles

5

Myringoplasty (Type-I Tympanoplasty)

6

Tympanoplasty (Closure of Eardrum Perforation / reconstruction of the Auditory Ossicles)

7

Myringotomy with grommet insertion

8

Closure of Mastoid fistula

9

Revision of a Tympanoplasty

10

Other microsurgical operations on the Middle Ear

 

Other Operations on the Middle and Internal Ear

11

Myringotomy 

12

Benign Tumour removal from the external ear

13

Incision of the mastiod process and Middle ear

14

Simple Mastoidectomy

15

Reconstruction of the middle ear

16

Other excisions of the middle and inner ear

17

Fenestration of the inner ear

18

Revision of  fenestration of the inner ear

19

Petrous Apicectomy

20

Other microsurgical operations on the inner  Ear

 

Operations on the nose and nasal sinuses

21

Excision and destruction of diseased tissue of the nose

22

Operation on Nasal Turbinates

23

Septoplasty (medically necessitated)

24

Functional Endoscopic Sinus Surgery

25

Endoscopic placement /removal of stents

 

Operations on the Eyes

26

Dacrocystorhinostomy

27

Other Operations  for  tear gland/ duct lesions

28

Tarsorraphy

29

Excision of the diseased tissue of the eyelid

30

Operations of canthus and epicanthus when done for adhesions due to chronic infections

31

Corrective surgery of entropion

32

Corrective surgery for blepharoptosis

33

Excision of lacrimal sac and passage

34

Removal of a deep or embedded foreign body from cornea

35

Corrective surgery of ectropion

36

Operations for Pterygium with or without grafting

37

Other operations on the cornea

38

Removal of a foreign body from the lens of the eye

39

Removal of a foreign body from posterior chamber  of the eye

40

Removal of a foreign body from orbit  and eyeball

41

Cataract Surgery ( ECCE or Phacoemulsification with or without  intraocular lens implant)

42

Operation for glaucoma

43

Repair of corneal laceration or wound with conjunctival flap

 

Operations on the skin and subcutaneous tissues

44

Surgery for pilonidal sinus

45

Surgical wound toilet (Wound debridement) and removal of diseased tissue of the skin and subcutaneous tissues under anaesthesia

46

Local excision or destruction of diseased tissue of skin and subcutaneous tissues under anaesthesia

47

Surgery for pilonidal cyst

48

Free skin transplantation, recipient site

49

Revision of skin plasty

50

Chemosurgery for skin cancer

 

Operations on the tongue

51

Incision, excision and destruction of diseased tissue of the tongue.

52

Partial glossectomy

53

Reconstruction of the tongue

54

Other Operations on the tongue

55

Incision and lancing of salivary glands and Salivary ducts

56

Excision of a diseased tissue of salivary glands and Salivary ducts

57

Resection of a salivary gland with or without  salivary duct

58

Reconstruction of a salivary gland and salivary duct

59

Open Sialolithotomy

 

Other operations on the mouth and face

60

External incision and drainage in the region of the mouth, jaw and face

61

Excision of the diseased hard and soft palate

62

Excision biopsy and/or destruction of diseased structures from the oropharynx.

63

Palatoplasty

64

Other operations in the mouth

 

Operations on the tonsils and adenoids

65

Transoral incision and drainage of a pharyngeal abscess

66

Tonsillectomy without adenoidectomy

67

Tonsillectomy with  adenoidectomy

68

Excision and destruction of a lingual tonsil

69

Drainage of tonsillar abscess/quinsy

 

Trauma surgery and orthopaedics

70

Incision and Drainage of the bone for septic and aseptic conditions

71

Closed reduction of fracture

72

Closed reduction of sub-luxation

73

Epiphyseolysis with osteosynthesis

74

Suture and other Operations on tendons and tendon sheath

75

Reduction of dislocation under GA

76

Arthoscopic knee aspiration

 

 

 

Operations on the breast

77

Incision and Drainage of breast abscess

78

Operations on the nipple except congenitally inverted nipples

 

Operations on the digestive tract

79

Incision and excision of tissue in the perianal region

80

Surgical treatment of anal fistulas

81

Surgical treatment of Haemorrhoids.

82

Division of the anal sphincter (sphincterotomy)

83

Other operations of the anus

84

Ultrasound guided aspiration of deep seated rectal abscess

85

Sclerotherapy

86

Dilation of digestive tract strictures

87

Endoscopic gastrotomy

88

Endoscopic decompression of colon

89

Endoscopic Polypectomy

 

Operations on the female reproductive organs

90

Incision of the ovary

91

Other operations on  the Fallopian tubes

92

Dilatation of the cervical canal

93

Conisation of the uterine cervix

94

Incision of the Uterus (Hysterotomy) not done as a part of MTP

95

Therapeutic / diagnoistic dilatation and  curettage ( not done as part of MTP)

96

Culdotomy

97

Hymenectomy

98

Local excision and destruction of diseased tissue of the vagina and the pouch of Douglas

99

Incision and drainage of the Vulva

100

Operations on the Bartholin's glands(cyst)

101

Hysteroscope guided biopsy of uterus

102

Suprapubic cytostomy

 

Operations on the prostate and seminal vesicles

103

Drainage of Prostatic abscess

104

Transurethral excision and destruction of prostate tissue

105

Percutaneous excision and destruction of prostate tissue

106

Excision of seminal vesicle

107

Incision  and excision of periprostatic tissue

 

Operations on the Scrotum and tunica vaginalis testis

108

Incision and Drainage of the Scrotum and tunica vaginalis testis

109

Operations on testicular hydrocele

110

Excision or Eversion of Hydrocele

 

Operations on the testis

111

Incision and drainage of the testis

112

Excision or destruction of testicular lesion

113

Unilateral orchidectomy

114

Other operations on the testis

 

Operations on the spermatic cord,Epididymis and ductus deferens

115

Surgical treatment of a varicocele and hydrocele of a spermatic cord

116

Excision of epididymal cyst

117

Epididymectomy

118

Other operations on the spermatic cord, epididymis and ductus deferens (other than vasectomy)

 

Operations on the Penis

119

Circumcision and other Operations on the foreskin (if medically necessitated)

120

Local excision and destruction of diseased tissue of the penis

121

Other operations on the penis

 

Operations on the Urinary system

122

Cystoscopic removal of stones

123

Lithotripsy

 

Other Operations

124

Coronary angiography

125

Bronchoscopic treatment of bleeding lesion

126

Bronchoscopic treatment of fistula/stenting

127

Bronchoalveolar lavage and biopsy

128

Pericardiocentesis

129

Insertion of filter in Inferior Vena cava

130

Insertion of gel foam in artery or vein

131

Carotid angioplasty

132

Renal angioplasty

133

Tumor embolisation

134

Endoscopic drainage of pseudo pancreatic cyst

135

Varicose vain stripping or ligation

136

Excision of dupuytren's contracture

137

Carpal tunnel Decompression

138

PCNS (Percutaneous neprostomy)

139

PCNL(Percutaneous nephro lithotomy)

140

Nail bed deformity/resection and reconstruction

 

MAJOR SURGICAL BENEFIT ANNEXURE

Sl. No. LIST OF MAJOR SURGERIES % of
Major Surgical Benefit Sum Assured
Category
1 Major Surgery of Aorta 100% Category 1
2 CABG (two or more coronary arteries must be bypassed) via open chest surgery 100% Category 1
3 Heart Valve Replacement using mechanical prosthesis 100% Category 1
4 Heart/Heart-Lung Transplant 100% Category 1
5 Aortic root transplantation with coronary artery reimplantation for proximal aortic aneurysm 100% Category 1
6 Pericardiotomy / Pericardectomy 60% Category 2
7 Initial implantation of permanent pacemaker in the heart 60% Category 2
8 Mitral valve repair 60% Category 2
9 Aortic valve repair 60% Category 2
10 Tricuspid valve repair 60% Category 2
11 Pulmonary valve repair 60% Category 2
12 Coronary Angioplasty with stent implantation (two or more coronary arteries must be stented) 40% Category 3
13 Major vein repair with or without grafting for traumatic & nontraumatic lesions 40% Category 3
II HAEMIC AND LYMPHATIC SYSTEM    
14 Bone Marrow transplant (as recipient) 100% Category 1
15 Major Excision and grafting of Lymphoedema 60% Category 2
16 Splenectomy 60% Category 2
III NERVOUS SYSTEM    
17 Repair of Cerebral or Spinal Arterio- Venous Malformations or aneurysms 100% Category 1
18 Craniotomy for malignant Cerebral tumours 100% Category 1
19 Excision of pineal gland 100% Category 1
20 Excision of the pituitary gland 100% Category 1
21 Craniotomy for  non malignant space occupying lesions 60% Category 2
22 Operations on Surbaracahnoid space of brain 60% Category 2
23 Intracranial transection of Cranial nerve 60% Category 2
24 Other operations on the meninges of the Brain 60% Category 2
25 Microvascular decompression of cranial nerves/nervectomy 60% Category 2
26 Craniotomy for Drainage of Extradural, subdural or intracerebral space 40% Category 3
27 Decompression surgery for Entrapment Syndrome 40% Category 3
28 Unilateral or Bilateral sympathectomy 40% Category 3
29 Peripheral nerve Graft 40% Category 3
30 Free Fascia Graft for Facial Nerve Paralysis 40% Category 3
31 Excision of deep seated peripheral nerve tumour 40% Category 3
32 Multiple Miscrosurgical Repair of digital nerve 40% Category 3
33 Bur-hole Drainage of Extradural, subdural or intracerebral space 20% Category 4
IV RESPIRATORY SYSTEM    
34 Lung Transplantation 100% Category 1
35 Unilateral Pneumonectomy 60% Category 2
36 Diaphragmatic/Hiatus Hernia  Repair 60% Category 2
37 Thoracotoplasty 60% Category 2
38 Open Lobectomy of Lung 60% Category 2
39 Excision of benign mediastinal lesions 60% Category 2
40 Partial Extirpation of Bronchus 60% Category 2
41 Partial Pharyngectomy 60% Category 2
42 Total Pharyngectomy 60% Category 2
43 Total Laryngectomy 60% Category 2
44 Excision of Diaphragmatic tumours 60% Category 2
45 Pleurectomy or Pleural decortication 40% Category 3
46 Tracheal reconstruction  for various lesion 40% Category 3
V DIGESTIVE SYSTEM    
47 Excision of esophagus and stomach 100% Category 1
48 Abdominal-Perineal Pull Through Resection of rectum with Colo-Anal Anastomosis 100% Category 1
49 Total excision of oesophagus 60% Category 2
50 Total excision of stomach 60% Category 2
51 Resection and Anastomosis of any part of digestive tract 40% Category 3
52 Open Surgery for treatment of Peptic Ulcer 40% Category 3
53 Artificial opening into stomach 20% Category 4
VI ENDOCRINE SYSTEM    
54 Complete excision of adrenal glands 60% Category 2
55 Complete excision of Thyroid gland 60% Category 2
56 Complete excision of Parathyroid gland 60% Category 2
57 Partial excision of adrenal glands 40% Category 3
58 Partial excision of Thyroid gland 40% Category 3
59 Partial excision of Parathyroid gland 40% Category 3
VII ENT    
60 Total ear amputation with reconstruction 60% Category 2
61 Transmastoid removal cholesteatoma with extended Mastoidectomy 60% Category 2
62 Total Nasal Reconstruction due to Traumatic lesions   Category 2
63 Labyrinthotmy for various lesions 40% Category 3
VIII ORAL    
64 Wide excision and Major reconstruction of malignant  Oro-pharyngeal tumours 60% Category 2
65 Total Glossectomy 40% Category 3
66 Wide local Excision for oral leukoplakia 20% Category 4
IX EYE    
67 Orbit Tumour Exenteration /Flap reconstruction 40% Category 3
68 Corneal or Retinal Repair for Traumatic eye injuries 20% Category 4
69 Penetrating injuries of the eye or repair of ruptured globe 20% Category 4
X LIVER, GALL BLADDER & PANCREAS    
70 Liver Transplantation 100% Category 1
71 Partial Resection of Liver 60% Category 2
72 Partial Pancreatectomy 60% Category 2
73 Cholecystectomy /Choledochotomy  for various Gall bladder lesions 40% Category 3
XI MUSCULOSKELETAL SYSTEM (due to accident only)    
74 Replantation of upper limb 60% Category 2
75 Replantation of lower limb 60% Category 2
76 Total prosthetic replacement of hip joint using cement 40% Category 3
77 Total prosthetic replacement of hip joint not using cement 40% Category 3
78 Other total prosthetic replacement of hip joint 40% Category 3
79 Total prosthetic replacement of knee joint using cement 40% Category 3
80 Total prosthetic replacement of knee joint not using cement 40% Category 3
81 Other total prosthetic replacement of knee joint 40% Category 3
82 Total prosthetic replacement of other joint using cement 40% Category 3
83 Total prosthetic replacement of other joint not using cement 40% Category 3
84 Other total prosthetic replacement of other joint 40% Category 3
85 Prosthetic replacement of head of femur using cement 40% Category 3
86 Prosthetic replacement of head of femur not using cement 40% Category 3
87 Other prosthetic replacement of head of femur 40% Category 3
88 Prosthetic replacement of head of humerus using cement 40% Category 3
89 Prosthetic replacement of head of humerus not using cement 40% Category 3
90 Other prosthetic replacement of head of humerus 40% Category 3
91 Prosthetic replacement of any other bone using cement 40% Category 3
92 Prosthetic replacement of any other bone not using cement 40% Category 3
93 Other prosthetic replacement of any other bone 40% Category 3
94 Prosthetic interposition reconstruction of joint 40% Category 3
95 Other interposition reconstruction of joint 40% Category 3
96 Excision reconstruction of joint 40% Category 3
97 Other reconstruction of joint 40% Category 3
98 Implantation of prosthesis for limb 40% Category 3
99 Amputation of arm 40% Category 3
100 Amputation of leg 40% Category 3
101 Fixation of fracture of spine 40% Category 3
102 Elevation, Exploration and Fixation of fractured Zygoma 40% Category 3
103 Amputation of hand 20% Category 4
104 Amputation of foot 20% Category 4
105 Therapeutic endoscopic operations on cavity of knee joint 20% Category 4
106 Replantation of finger following traumic amputation 20% Category 4
107 Surgical Drainage and Curettage for osteomyelitis 20% Category 4
XII ORO-MAXILLOFACIAL SURGERY    
108 Major reconstructive oro-maxillafacial surgery due to trauma or burns and not for cosmetic purpose 60% Category 2
109 Osteotomy including segmental resection with bone grafting for Mandibular and maxillary lesions 60% Category 2
XIII KIDNEY/URINARY TRACT/REPRODUCTIVE SYSTEM    
110 Renal transplant (recipient) 100% Category 1
111 Hysterectomy for malignant conditions 60% Category 2
112 Radical prostatovesiculectomy 60% Category 2
113 Microvascular reattachment of penis following traumatic amputation 60% Category 2
114 Total nephrectomy due to medical advice (not as a transplant donor) 40% Category 3
115 Partial excision of kidney 40% Category 3
116 Open extirpation of lesion of kidney 40% Category 3
117 Excision of ureter 40% Category 3
118 Total excision of bladder 40% Category 3
119 Kidney injury repair 40% Category 3
120 Pyloplasty / Ureterocalcycostomy  for pelvic ureteric junction obstruction 40% Category 3
121 Amputation of penis 40% Category 3
122 Excision of vagina 40% Category 3
123 Unilateral or Bilateral excision of adnexa of uterus 40% Category 3
124 Partial excision of bladder 20% Category 4
125 Therapeutic ureteroscopic operations on ureter 20% Category 4
126 Urinary diversion 20% Category 4
127 Replantation of ureter 20% Category 4
128 Unilateral or Bilateral excision of testes 20% Category 4
129 Other operations on  Scrotum and tunica vaginalis testis 20% Category 4
130 Reconstruction of the testis 20% Category 4
131 Open surgical excision and destruction of prostate tissue 20% Category 4
132 Extirpation of lesion of vulva 20% Category 4
133 Excision of vulva 20% Category 4
XIV Operations on the sinuses    
134 Operations on frontal sinus 40% Category 3
135 Operations on maxillary antrum using sublabial approach 20% Category 4
XV Others    
136 Radical Mastectomy 60% Category 2
137 Malignant soft tissue tumour excision and reconstruction 40% Category 3
138 Excision and Major Flap Repair of skin and Subcutaneous tissue due to Major Burns 40% Category 3
139 Simple Mastectomy 20% Category 4
140 TIPS procedure for portal Hypertension 20% Category 4
 

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