Chief Minister's Comprehensive Health Insurance Scheme

SURGICAL GUIDELINES - SURGICAL ONCOLOGY

SERIAL NUMBER CATEGORY PROCEDURE INCLUDING PACKAGE NUMBER PROCEDURE INCLUDING PACKAGE NUMBER
1 SURGICAL ONCOLOGY 80 TN0080 : Composite Resection & Reconstruction
2 SURGICAL ONCOLOGY 81 TN0081 : Wide Excision
3 SURGICAL ONCOLOGY 82 TN0082 : Hemiglossectomy
4 SURGICAL ONCOLOGY 83 TN0083 : Maxillectomy - Any Type
5 SURGICAL ONCOLOGY 84 TN0084 : Thyroidectomy - Any Type
6 SURGICAL ONCOLOGY 85 TN0085 : Parotidectomy - Any Type
7 SURGICAL ONCOLOGY 86 TN0086 : Laryngectomy - Any Type
8 SURGICAL ONCOLOGY 87 TN0087 : Laryngopharyngo Oesophagectomy
9 SURGICAL ONCOLOGY 88 TN0088 : Oesophagectomy - Any Type
10 SURGICAL ONCOLOGY 89 TN0089 : Colectomy - Any Type
11 SURGICAL ONCOLOGY 90 TN0090 : Whipples - Any Type
12 SURGICAL ONCOLOGY 91 TN0091 : Triple Bypass
13 SURGICAL ONCOLOGY 92 TN0092 : Other Bypasses-Pancreas
14 SURGICAL ONCOLOGY 93 TN0093 : Radical Nephrectomy
15 SURGICAL ONCOLOGY 94 TN0094 : Emasculation
16 SURGICAL ONCOLOGY 95 TN0095 : Radical Cystectomy
17 SURGICAL ONCOLOGY 96 TN0096 : Other Cystectomies
18 SURGICAL ONCOLOGY 97 TN0097 : Inguinal Block Dissection - One Side
19 SURGICAL ONCOLOGY 98 TN0098 : Radical Prostatectomy
20 SURGICAL ONCOLOGY 99 TN0099 : High Orchidectomy
21 SURGICAL ONCOLOGY 100 TN0100 : Bilateral Orchidectomy
22 SURGICAL ONCOLOGY 101 TN0101 : Hysterectomy
23 SURGICAL ONCOLOGY 102 TN0102 : Radical Hysterectomy
24 SURGICAL ONCOLOGY 103 TN0103 : Surgery for Ca Ovary - Early Stage
25 SURGICAL ONCOLOGY 104 TN0104 : Surgery for Ca Ovary - Advance Stage
26 SURGICAL ONCOLOGY 105 TN0105 : Vulvectomy
27 SURGICAL ONCOLOGY 106 TN0106 : Salpingo Oophorectomy
28 SURGICAL ONCOLOGY 107 TN0107 : Mastectomy - Any Type
29 SURGICAL ONCOLOGY 108 TN0108 : Axillary Dissection
30 SURGICAL ONCOLOGY 110 TN0110 : Lumpectomy
31 SURGICAL ONCOLOGY 111 TN0111 : Chest Wall Resection
32 SURGICAL ONCOLOGY 112 TN0112 : Skin Tumors Wide Excision
33 SURGICAL ONCOLOGY 113 TN0113 : Skin Tumorswide Excision + Reconstruction
34 SURGICAL ONCOLOGY 114 TN0114 : Skin Tumors Amputation
35 SURGICAL ONCOLOGY 115 TN0115 : Wide Excision
36 SURGICAL ONCOLOGY 116 TN0116 : Wide Excision + Reconstruction
37 SURGICAL ONCOLOGY 117 TN0117 : Amputation
38 SURGICAL ONCOLOGY 118 TN0118 : Lung Cancer Pneumonectomy
39 SURGICAL ONCOLOGY 119 TN0119 : Lung Cancer Lobectomy
40 SURGICAL ONCOLOGY 121 TN0121 : Surgical Correction of Bronchopleural Fistula - Thoracoplasty
41 SURGICAL ONCOLOGY 122 TN0122 : Surgical Correction of Bronchopleural Fistula - Myoplasty
42 SURGICAL ONCOLOGY 123 TN0123 : Surgical Correction of Bronchopleural Fistula - Transpleural BPFClosure
43 SURGICAL ONCOLOGY 124 TN0124 : Operation of Adernal Glands - Bilateral for Tumor
44 SURGICAL ONCOLOGY 125 TN0125 : Operation on Adrenal Glands - Unilateral for Tumour
45 SURGICAL ONCOLOGY 126 TN0126 : Orbital Exenteration
46 SURGICAL ONCOLOGY 127 TN0127 : Maxillectomy + Orbital Exenteration
47 SURGICAL ONCOLOGY 128 TN0128 : Maxillectomy + Infratemporal Fossa Clearance
48 SURGICAL ONCOLOGY 129 TN0129 : Cranio Facial Resection
49 SURGICAL ONCOLOGY 130 TN0130 : Resection of Nasopharyngeal Tumor
50 SURGICAL ONCOLOGY 131 TN0131 : Palatectomy - Any Type
51 SURGICAL ONCOLOGY 132 TN0132 : Sleeve Resection
52 SURGICAL ONCOLOGY 133 TN0133 : Lateral Temporal Bone Resection
53 SURGICAL ONCOLOGY 134 TN0134 : Subtotal Temporal Bone Resection
54 SURGICAL ONCOLOGY 135 TN0135 : Total Temporal Bone Resection
55 SURGICAL ONCOLOGY 136 TN0136 : Submandibular Gland Excision
56 SURGICAL ONCOLOGY 137 TN0137 : Tracheal Resection
57 SURGICAL ONCOLOGY 138 TN0138 : Sternotomy + Superior Mediastinal Dissection
58 SURGICAL ONCOLOGY 139 TN0139 : Parathyroidectomy
59 SURGICAL ONCOLOGY 140 TN0140 : Small Bowel Resection
60 SURGICAL ONCOLOGY 141 TN0141 : Closure of Ileostomy
61 SURGICAL ONCOLOGY 142 TN0142 : Closure of Colostomy
62 SURGICAL ONCOLOGY 143 TN0143 : Abdomino Perineal Resection (APR) + Sacrectomy
63 SURGICAL ONCOLOGY 144 TN0144 : Posterior Exenteration
64 SURGICAL ONCOLOGY 145 TN0145 : Total Exenteration
65 SURGICAL ONCOLOGY 146 TN0146 : Radical Cholecystectomy
66 SURGICAL ONCOLOGY 147 TN0147 : Resection of Retroperitoneal Tumors
67 SURGICAL ONCOLOGY 148 TN0148 : Abdominal Wall Tumor Resection
68 SURGICAL ONCOLOGY 149 TN0149 : Resection with Reconstruction
69 SURGICAL ONCOLOGY 150 TN0150 : Bilateral Pelvic Lymph Node Dissection (BPLND)
70 SURGICAL ONCOLOGY 151 TN0151 : Radical Trachelectomy
71 SURGICAL ONCOLOGY 152 TN0152 : Radical Vaginectomy
72 SURGICAL ONCOLOGY 153 TN0153 : Radical Vaginectomy + Reconstruction
73 SURGICAL ONCOLOGY 154 TN0154 : Radical Hysterectomy + Bilateral Pelvic Lymph Node Dissection (BPLND) + Bilateral Salpingo Ophorectomy (BSO) / Ovarian Transposition
74 SURGICAL ONCOLOGY 155 TN0155 : Anterior Exenteration
75 SURGICAL ONCOLOGY 157 TN0157 : Total Pelvic Exenteration
76 SURGICAL ONCOLOGY 158 TN0158 : Supra Levator Exenteration
77 SURGICAL ONCOLOGY 159 TN0159 : Total Abdominal Hysterectomy(TAH) + Bilateral Salpingo Ophorectomy (BSO) + Bilateral Pelvic Lymph Node Dissection (BPLND) + Omentectomy
78 SURGICAL ONCOLOGY 161 TN0161 : Chest Wall Resection + Reconstruction
79 SURGICAL ONCOLOGY 162 TN0162 : Without Prosthesis
80 SURGICAL ONCOLOGY 163 TN0163 : With Custom Made Prosthesis
81 SURGICAL ONCOLOGY 164 TN0164 : With Modular Prosthesis
82 SURGICAL ONCOLOGY 165 TN0165 : Forequarter Amputation
83 SURGICAL ONCOLOGY 166 TN0166 : Hemipelvectomy
84 SURGICAL ONCOLOGY 167 TN0167 : Internal Hemipelvectomy
85 SURGICAL ONCOLOGY 168 TN0168 : Curettage & Bone Cement
86 SURGICAL ONCOLOGY 169 TN0169 : Bone Resection
87 SURGICAL ONCOLOGY 170 TN0170 : Shoulder Girdle Resection
88 SURGICAL ONCOLOGY 171 TN0171 : Sacral Resection
89 SURGICAL ONCOLOGY 172 TN0172 : Partial Nephrectomy
90 SURGICAL ONCOLOGY 173 TN0173 : Nephroureterectomy for Transitional Cell Carcinima of Renal Pelvis
91 SURGICAL ONCOLOGY 174 TN0174 : Retro Peritoneal Lymph Node Dissection(RPLND) (for Residual disease)
92 SURGICAL ONCOLOGY 175 TN0175 : Adrenalectomy
93 SURGICAL ONCOLOGY 176 TN0176 : Urinary Diversion
94 SURGICAL ONCOLOGY 177 TN0177 : Retro Peritoneal Lymph Node Dissection (RPLND) as Part of Staging
95 SURGICAL ONCOLOGY 182 TN0182 : Mediastinal Tumor Resection
96 SURGICAL ONCOLOGY 183 TN0183 : Lung Metastatectomy - Solitary
97 SURGICAL ONCOLOGY 184 TN0184 : Lung Metastatectomy - Multiple
98 SURGICAL ONCOLOGY 185 TN0185 : Sleeve Resection of Lung Cancer.
99 SURGICAL ONCOLOGY 186 TN0186 : Oesophagectomy with Two Field Lymphadenectomy
100 SURGICAL ONCOLOGY 187 TN0187 : Oesophagectomy with Three Field Lymphadenectomy
101 SURGICAL ONCOLOGY 188 TN0188 : Tracheostomy
102 SURGICAL ONCOLOGY 189 TN0189 : Substernal Bypass
103 SURGICAL ONCOLOGY 190 TN0190 : Gastrostomy
104 SURGICAL ONCOLOGY 191 TN0191 : Jejunostomy
105 SURGICAL ONCOLOGY 192 TN0192 : Ileostomy
106 SURGICAL ONCOLOGY 193 TN0193 : Colostomy
107 SURGICAL ONCOLOGY 194 TN0194 : Suprapubic Cystostomy
108 SURGICAL ONCOLOGY 195 TN0195 : Intercostal Drainage (ICD)
109 SURGICAL ONCOLOGY 196 TN0196 : Gastro Jejunostomy
110 SURGICAL ONCOLOGY 197 TN0197 : Ileotransverse Colostomy
111 SURGICAL ONCOLOGY 198 TN0198 : Myocutaneous / Cutaneous Flap
112 SURGICAL ONCOLOGY 199 TN0199 : Micro Vascular Reconstruction
113 SURGICAL ONCOLOGY 200 TN0200 : Marginal Mandibulectomy
114 SURGICAL ONCOLOGY 201 TN0201 : Segmental Mandibulectomy
115 SURGICAL ONCOLOGY 202 TN0202 : Total Glossectomy + Reconstruction
116 SURGICAL ONCOLOGY 203 TN0203 : Full Thickness Buccal Mucosal Resection & Reconstruction
117 SURGICAL ONCOLOGY 204 TN0204 : Abbe Operation
118 SURGICAL ONCOLOGY 205 TN0205 : Vermilionectomy
119 SURGICAL ONCOLOGY 206 TN0206 : Wedge Excision & Vermilionectomy
120 SURGICAL ONCOLOGY 207 TN0207 : Wedge Excision
121 SURGICAL ONCOLOGY 208 TN0208 : Cryotherapy for Treatment Of Malignancies