ICICI Lombard General Insurance Company Annexure - List of Day Care Surgeries

Operations on the eyes Other operations on the mouth & face 1. Incision of tear glands 45. External incision and drainage in the region of the mouth, jaw and 2. Other operations on the tear ducts face 3. Incision of diseased eyelids 46. Incision of the hard and soft 4. Excision and destruction of diseased tissue of the eyelid 47. Excision and destruction of diseased hard and soft palate 5. Operations on the canthus and epicanthus 48. Incision, excision and destruction in the mouth 6. Corrective surgery for entropion and ectropion 49. Plastic surgery to the floor of the mouth 7. Corrective surgery for blepharoptosis 50. Palatoplasty 8. Removal of a foreign body from the conjunctiva 51. Other operations in the mouth 9. Removal of a foreign body from the cornea Operations on the tonsils & adenoids 10. Incision of the cornea 52. Transoral incision and drainage of a pharyngeal abscess 11. Operations for pterygium 53. without 12. Other operations on the cornea 54. Tonsillectomy with adenoidectomy 13. Removal of a foreign body from the lens of the eye 55. Excision and destruction of a lingual tonsil 14. Removal of a foreign body from the posterior chamber of the eye 56. Other operations on the tonsils and adenoids 15. Removal of a foreign body from the orbit and eyeball Operations on the salivary glands & salivary ducts 16. Operation of cataract 57. Incision and lancing of a salivary gland and a salivary duct Operations on the nose & the nasal sinuses 58. Excision of diseased tissue of a salivary gland and a salivary duct 17. Excision and destruction of diseased tissue of the nose 59. Resection of a salivary gland 18. Operations on the turbinates (nasal concha) 60. Reconstruction of a salivary gland and a salivary duct 19. Other operations on the nose 61. Other operations on the salivary glands and salivary ducts 20. Nasal sinus aspiration Operations on the breast 21. Foreign body removal from nose 62. Incision of the breast Microsurgical operations on the middle ear 63. Operations on the nipple 22. Stapedotomy Operations on the skin & subcutaneous tissues 23. Stapedectomy 64. Incision of a pilonidal sinus 24. Revision of a stapedectomy 65. Other incisions of the skin and subcutaneous tissues 25. Other operations on the auditory ossicles 66. Surgical wound toilet (wound debridement) and removal of 26. Myringoplasty (Type -I Tympanoplasty) diseased tissue of the skin and subcutaneous tissues 27. Tympanoplasty (closure of an eardrum perforation/reconstruction of 67. Local excision of diseased tissue of the skin and subcutaneous the auditory ossicles) tissues 28. Revision of a tympanoplasty 68. Other excisions of the skin and subcutaneous tissues 29. Other microsurgical operations on the middle ear 69. Simple restoration of surface continuity of the skin and Other operations on the middle & internal ear subcutaneous tissues 30. Myringotomy 70. Free skin transplantation, donor site 31. Removal of a tympanic drain 71. Free skin transplantation, recipient site 32. Incision of the mastoid process and middle ear 72. Revision of skin plasty 33. Mastoidectomy 73. Other restoration and reconstruction of the skin and subcutaneous 34. Reconstruction of the middle ear tissues. 35. Other excisions of the middle and inner ear 74. Chemosurgery to the skin. 36. Fenestration of the inner ear 75. Destruction of diseased tissue in the skin and subcutaneous tissues 37. Revision of a fenestration of the inner ear Operations on the digestive tract 38. Incision (opening) and destruction (elimination) of the inner ear 76. Incision and excision of tissue in the perianal region 39. Other operations on the middle and inner ear 77. Surgical treatment of anal fistulas Operations on the 78. Surgical treatment of haemorrhoids 40. Incision, excision and destruction of diseased tissue of the tongue 79. Division of the anal sphincter (sphincterotomy) 41. Partial 80. Other operations on the anus 42. Glossectomy 81. Ultrasound guided aspirations 43. Reconstruction of the tongue 82. Sclerotherapy etc. 44. Other operations on the tongue Operations ontheprostate&seminalvesicles Operations onthefemalesexualorgans 83. Operations ofbonesandjoints 84. 85. 88. 87. 86. 90. 89. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 109. 108. 110. 111. 112. 113. 114. 115. 116. 117. Surgery forligamenttear Surgery formeniscustear Surgery forhemoarthrosis/pyoarthrosis Closed reductiononfracture,luxation R R Epiphyseolysis withosteosynthesis R T Incision onbone,septicandaseptic Closed reductiononfracture,luxationorepiphyseolysiswith Suture andotheroperationsontendonstendonsheath Arthroscopic kneeaspiration Incision oftheovary Insufflation ofthefallopiantubes Other operationsontheF Dilatation ofthecervicalcanal Conisation oftheuterinecervix Other operationsontheuterinecervix Incision oftheuterus(hysterotomy) Therapeutic curettage Culdotomy Incision ofthevagina Local excisionanddestructionofdiseasedtissuethevagina Incision ofthevulva Incision oftheprostate Operations onBartholin T T Open surgicalexcisionanddestructionofprostatetissue R Other excisionanddestructionofprostatetissue Operations ontheseminalvesicles Incision andexcisionofperiprostatictissue Other operationsontheprostate osteosynthesis the pouchofDouglas rauma surgeryandorthopaedics ransurethral excisionanddestructionofprostatetissue ransurethral andpercutaneousdestructionofprostatetissue adical prostatovesiculectomy emoval ofmetalwire emoval offracturepins/nails eduction ofdislocationunderGA Registered OfficeAddress: Mailing Address: ’s glands(cyst) ICICI LombardGeneralInsurance CompanyLimited, allopian tube ICICI LombardGeneralInsurance CompanyLimited.Insuranceisthesubject matterofthesolicitation. ICICILombardGeneralInsuranceCompanyLimited, InterfaceBuildingNo.11,401/4024thFloor Visit usat For complete detailsoncoverage,T www .icicilombard.com • erms &conditions &exclusions,Please refertoP Mail usat [email protected] • ICICI LombardHouse,414, V 118. Other Operations Operations ontheurinarysystem Operations onthepenis Operations onthespermaticcord,epididymisundductusdeferens Operations onthetestes Operations onthescrotum&tunicavaginalistestis 119. 120. 121. 122. 123. 124. 125. 126. 127. 128. 129. 131. 130. 132. 133. 134. 135. 138. 137. 136. 139. 140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. Incision ofthescrotumandtunicavaginalistestis Operation onatesticularhydrocele Excision anddestructionofdiseasedscrotaltissue Plastic reconstructionofthescrotumandtunicavaginalistestis Other operationsonthescrotumandtunicavaginalistestis Incision ofthetestes Excision anddestructionofdiseasedtissuethetestes Unilateral orchidectomy Bilateral orchidectomy Orchidopexy Abdominal explorationincryptorchidism Surgical repositioningofanabdominaltestis Implantation, exchangeandremovalofatesticularprosthesis R Other operationsonthetestis Surgical treatmentofavaricoceleandhydrocelethespermatic Excision intheareaofepididymis Epididymectomy Other operationsonthespermaticcord,epididymisandductus R R Operations ontheforeskin Local excisionanddestructionofdiseasedtissuethepenis Amputation ofthepenis Plastic reconstructionofthepenis Other operationsonthepenis Cystoscopical removalofstones Lithotripsy Coronary angiography Haemodialysis R Cancer Chemotherapy Endoscopic polypectomy cord deferens adiotherapy forCancer econstruction ofthetestis econstruction oftheductusdeferensandepididymis econstruction ofthespermaticcord eer SavarkarMarg olicy W Our tollfreenumberis ordings (available onrequest) , NewLinkR , NearSiddhiVinayakT IRD A R oad Malad(W),Mumbai-400064. eg . No.115. 1800 2666 emple, P rabhadevi, Mumbai400 025.

014243MI/SC