Speciality Speciality Package Preauth Procedure ID Name Procedure ID Procedure Name Amount Required Type S12 Cardiology S1200001 Balloon Atrial Septostomy 18000 Yes Tertiary S12 Cardiology S1200002 Balloon Aortic Valvotomy 25000 Yes Tertiary S12 Cardiology S1200003 Balloon Mitral Valvotomy 27500 Yes Tertiary S12 Cardiology S1200004 Balloon Pulmonary Valvotomy 25000 Yes Tertiary S12 Cardiology S1200005 Vertebral Angioplasty with single stent (medicated) 50000 Yes Tertiary S12 Cardiology S1200006 Vertebral Angioplasty with double stent(medicated) 65000 Yes Tertiary S12 Cardiology S1200007 Carotid angioplasty with stent (medicated) 130000 Yes Tertiary S12 Cardiology S1200008 Renal Angioplasty with single stent (medicated) 50000 Yes Tertiary S12 Cardiology S1200009 Renal Angioplasty with double stent (medicated) 65000 Yes Tertiary S12 Cardiology S1200010 Peripheral Angioplasty with balloon 25000 Yes Tertiary S12 Cardiology S1200011 Peripheral Angioplasty with stent (medicated) 50000 Yes Tertiary S12 Cardiology S1200012 Coarctation dilatation 25000 Yes Tertiary Medical treatment of Acute MI with Thrombolysis /Stuck Valve Tertiary S12 Cardiology S1200013 Thrombolysis 10000 Yes S12 Cardiology S1200014 ASD Device Closure 80000 Yes Tertiary S12 Cardiology S1200015 VSD Device Closure 80000 Yes Tertiary S12 Cardiology S1200016 PDA Device Closure 40000 Yes Tertiary S12 Cardiology S1200017 PDA multiple Coil insertion 20000 Yes Tertiary S12 Cardiology S1200018 PDA Coil (one) insertion 15000 Yes Tertiary S12 Cardiology S1200019 PDA stenting 40000 Yes Tertiary S12 Cardiology S1200020 Pericardiocentesis 4000 Yes Tertiary S12 Cardiology S1200021 Temporary Pacemaker implantation 5000 Yes Tertiary Permanent pacemaker implantation (DDR) including Pacemaker Tertiary S12 Cardiology S1200022 value/pulse generator replacement (DOUBLE CHAMBER) 60000 Yes Permanent pacemaker implantation (VVI) including Pacemaker Tertiary S12 Cardiology S1200023 value/pulse generator replacement (SINGLE CHAMBER) 50000 Yes S12 Cardiology S1200024 PTCA - single stent (medicated, inclusive of diagnostic angiogram) 65000 Yes Tertiary S12 Cardiology S1200025 PTCA - double stent (medicated, inclusive of diagnostic angiogram) 90000 Yes Tertiary S12 Cardiology S1200026 PTCA - additonal stent (linked to package no:0025) 28849 Yes Tertiary S12 Cardiology S1200027 PTSMA 25000 Yes Tertiary S12 Cardiology S1200028 Pulmonary artery stenting 40000 Yes Tertiary S12 Cardiology S1200029 Pulmonary artery stenting (double) 65000 Yes Tertiary S12 Cardiology S1200030 Right ventricular outflow tract (RVOT) stenting 40000 Yes Tertiary S12 Cardiology S1200031 Rotablation+ Balloon Angioplasty 65000 Yes Tertiary S12 Cardiology S1200032 Rotablation+ Balloon Angioplasty + 1 stent (medicated) 100000 Yes Tertiary S12 Cardiology S1200033 Rotablation+ Balloon Angioplasty + 2 stent (medicated) 125000 Yes Tertiary S12 Cardiology S1200034 Thrombolysis for peripheral ischemia 10000 Yes Tertiary S12 Cardiology S1200035 Bronchial artery Embolisation (for Haemoptysis) 25000 Yes Tertiary S12 Cardiology S1200036 Percutaneous Transluminal Tricuspid Commissurotormy (PTTC) 25000 Yes Tertiary S12 Cardiology S1200037 Coiling - Pseudoaneurysms of Abdomen 55000 Yes Tertiary S12 Cardiology S1200038 Embolization - Arteriovenous Malformation (AVM) in the Limbs 40000 Yes Tertiary Catheter directed Thrombolysis for: Deep vein thrombosis (DVT), Tertiary S12 Cardiology S1200039 Mesenteric Thrombosis Peripheral vessels 50000 Yes S12 Cardiology U100 Unspecified Surgical Package 0 Yes Secondary