Policy Document - Terms and Conditions of your policy

payable for each day of continuous hospitalisation up to a maximum of 4 times the DHCB per hospitalisation. ICICI Pru Hospital Care II c) Continuous hospitalisation means hospitalisation in one or more hospitals without a day’s break for the same In this Policy, the investment risk in investment portfolio is borne by the Policyholder. illness or injury. v. Recuperating Benefit (RB): a) The Recuperating Benefit shall become payable in case of Unique Identification Number (UIN) allotted by Insurance Regulatory and Development Authority (IRDA) hospitalisation for a continuous period of 7 or more days for the same injury or disease, subject to the DHCB being paid UIN number: ICICI Pru Hospital Care II: 105N108V01 at the time of hospitalisation. b) The benefit payable is 3 times the DHCB. c) The benefit is payable irrespective of The Company relies upon the information given by the Proposer or the Insured Person(s) in the proposal form and in any whether the patient is admitted to one or more hospitals during the same episode. d) The benefit is not payable if the other document(s) and / or during the medical examination, if any. The Policy is declared void in case the information patient dies during hospitalisation. vi. Prolonged Stay Benefit (PSB): a) An additional DHCB is payable for each day given is incomplete or inaccurate or untrue or in case it is found that the Policy was obtained on the basis of fake or of continuous hospitalisation in excess of 30 days. The benefit is payable for a maximum of 60 days for the same Injury tampered documents or proofs or where the claim was found to be fraudulent. The “Incontestability” clause is given or Disease, subject to the DHCB being paid at the time of hospitalisation. b) This benefit will be payable only in respect under General Terms & Conditions. This Policy is subject to the Terms and Conditions as mentioned in the Policy of Primary Insured and spouse (in the case of a family floater) between age 18 years and 65 years at the time of Document and is governed by the laws of India. hospitalisation. vii. Health Check-up: a) All Insured Person(s) are entitled to a Health Check-up once in every two Free look period: A period of 15 days from the date of receipt of the Policy Document is available to the Policyholder to years after completion of the first Policy year. b) This benefit is provided on reimbursement basis to a maximum of Rs. review the Policy. If the terms and conditions of the Policy are not acceptable to the Policyholder, this booklet should be 4,000 per policy irrespective of the plan type opted for. This benefit will not be deducted from the Annual Limit or returned to the Company for cancellation within 15 days from the date it is received by the Policyholder. The Company will Lifetime Limit under the Policy. A summary of the various benefits available under the Policy is given in the table below. cancel the Policy and return the premium paid subject to the following deductions: a. Stamp duty on the Policy b. Any Benefit Plan A (Rs.) Plan B (Rs.) Plan C (Rs.) Plan D (Rs.) expenses borne by the Company on medical examination of the Insured Person(s). The Policy shall terminate on payment DHCB (per day) 1,000 2,000 3,000 4,000 of this amount and all rights, benefits and interests under this Policy will stand extinguished. ICUB (per day) 1,000 2,000 3,000 4,000 1. Definitions: In the Policy Document, unless the context otherwise requires: a. “Accident" means an unexpected Surgical Benefit (per surgery) and unforeseen incident caused by violent, external and visible means which causes Injury. b. “Annual Limit” is the Grade1 10,000 20,000 30,000 40,000 maximum benefit payable under the Policy towards all benefits apart from health check-up, during a Policy Year. Any Grade 2 20,000 40,000 60,000 80,000 unutilised amount shall not be carried forward to the next Policy Year. c. “Company” means ICICI Prudential Life Grade 3 30,000 60,000 90,000 1,20,000 Insurance Company Limited. d. “Dependant” means an Insured Person(s) who does not have any independent Grade 4 40,000 80,000 1,20,000 1,60,000 source of income. Proof of dependency for the child of age above 21 will be required. e. “Diagnosis” shall mean the Grade 5 75,000 1,50,000 2,25,000 3,00,000 findings of a Medical Practitioner based upon but not limited to radiological, clinical, and histological or laboratory Grade 6 1,00,000 2,00,000 3,00,000 4,00,000 tests. f. “Disease” means an alteration in the state of the body or of some of its organs, interrupting or disturbing the Grade 7 1,50,000 3,00,000 4,50,000 6,00,000 performance of the functions, and causing or threatening pain and weakness or physical disorder and certified by a Non-Surgical Benefit (per hospitalisation) Up to 4,000 Up to 8,000 Up to 12,000 Up to 16,000 Medical Practitioner to that effect. g. “Event” means Hospitalisation arising as a result of any Disease or Injury. Recuperating Benefit 3,000 6,000 9,000 12,000 h. “Family Floater” allows the Policyholder to cover Family Members as defined in Clause 1(I) and specified in the Prolonged Stay Benefit (per day) 1,000 2,000 3,000 4,000 Policy Certificate and / or subsequent endorsement(s) to the Policy. Under the Family Floater, any other person apart Health Check-up Up to 4,000 Up to 4,000 Up to 4,000 Up to 4,000 from the Family Members shall not be covered. The premium shall be calculated on the basis of the age of the eldest viii. Additional Daily Hospitalisation Benefit (ADHB) (If opted for): a) An additional DHCB or ICUB per day of member of the family which will be the Primary Insured. The total benefit payable towards all Insured Person(s) shall hospitalisation would be payable as applicable. b) The Policyholder shall be required to pay additional premium for this not exceed the Annual Limit as specified in the Policy Certificate or subsequent endorsements. The family floater benefit. The premium amount stated in the Policy Certificate is inclusive of this additional premium. c) This benefit cover has to be specifically opted for by the Proposer and shown in the Policy Certificate. The Family Floater Cover can shall become payable only if the claim under DHCB or ICUB is paid under the Policy. d) This benefit will however not also be availed by single parents and their first three Dependent children. i. “Family Members” include the Primary change the payout limit for other benefits in the plan. e) The benefit under ADHB option is subject to the total Annual Insured, spouse and/or up to the first three Dependent children. The children under this Policy shall be covered only till Limit under the plan. B) Other conditions: The total benefit payable under this Policy in any Policy Year (Annual Limit) is age 25 years nearest birthday. j. “Hospital” shall mean any institution established for indoor care and day care limited to 400 times the DHCB and the total benefit payable during the Policy term (Lifetime Limit) is limited to 2000 treatment and treatment of sickness/ disease or injuries and which has been registered either as a Hospital or times the DHCB. The Policy shall terminate once the Lifetime Limit is exhausted. The date of admission to the hospital Nursing Home with the local authorities and is under the supervision of a registered and qualified Medical will be considered as the date of Event for classifying the type of benefit and the claim amount to be paid. All benefits Practitioner; and must comply with all minimum criteria as under: (i) Have at least 10 patient beds, in those towns paid for hospital stays with date of admission to the Hospital falling within the same Policy Year are aggregated for the having a population of less than 10,00,000 and 15 patient beds in all other places. (ii) Has fully qualified nursing staff purpose of calculating the total benefit payout in a Policy Year. Any unutilized benefit shall not be carried forward to the and Medical Practitioner(s) under its employment round the clock. (iii) Has a fully equipped operation theatre of its next Policy year. own where surgical procedures are carried out. For the purpose of this definition, the term “Hospital” shall not include 4. To whom the Benefits are payable: To the Proposer, Insured Person(s), or the assign(s) where a valid assignment a place of rest, a place for the aged, a place for drug-addicts or place of alcoholics, a rehabilitation centre, a hotel or or endorsement has been recorded, or the nominee(s) where a valid nomination has been registered by the Company any similar place. k. “Injury” means bodily damage or harm caused solely and directly by an Accident. l. “Insured (in accordance with Section 39 of the Insurance Act, 1938), or the executors, administrators or other legal Person(s)” means the person(s) who has or have been insured by the Company under this Policy. m. “Lifetime representatives who should take out representation to the estate or to such person as directed by a court of Limit” is the maximum benefit payable under the Policy in respect of all benefits apart from health check-up, during competent jurisdiction in India, limited at all times to the monies payable under this Policy. The Company does hereby the Policy term. Once the Lifetime Limit is exhausted, no further benefits shall be payable under the Policy and the agree, that on proof to the satisfaction of the Company of the benefits having become payable as set out in the Policy will be terminated. n. “Medical Practitioner” shall mean qualified allopathic (i.e. conventional) holding a Schedule and of the title of the said person or persons claiming payment and of the correctness of the age of the valid and subsisting licence, granted by the appropriate licensing authority, registered with the Medical Council of Insured Person(s) stated in the Proposal (if not previously admitted) or upon the happening of an Event upon which one India, acting within his scope of licence and who is neither the Insured Person(s) himself nor related to the Insured or more benefits become payable under this Policy, the appropriate benefit will be paid by the Company. Person(s) by blood or marriage. The term “Medical Practitioner” would include physician, specialist, anaesthetist, 5. Policy Alterations: Policy alterations would be allowed after payment of at least one full year’s premium, subject to surgeons, consultants, pathologists, radiologists and radiation oncologists. o. “Network Hospitals” is a group of the rules of the Company and IRDA guidelines at that time. The Policyholder can make following alterations to the Hospitals classified as Network Hospitals by Company. The updated list of Network Hospitals will be made available Policy: a. Change in Plan Type: i. The Policyholder will have an option to change the plan type. This alteration will be by the Company on request. p. “Policyholder” means the proposer under the Policy or the owner of the Policy. allowed only on Policy anniversary. ii. Any increase in plan type will be subject to medical underwriting. The q. “Policy Commencement Date” as shown in the Policy Certificate is the effective date on which the Policy is underwriting cost at the time of alteration will be borne by the Policyholder. Such alteration shall not be allowed on or issued and is the date on which the age of the Insured Person(s) is calculated. r. “Policy Year” means the period of after the Policy anniversary on which the Primary Insured is age 65 years nearest birthday. iii. Waiting period and twelve consecutive calendar months between any two consecutive Policy anniversaries. s. “Primary Insured” specific exclusions as stated in clause 2 and clause 8 respectively shall become applicable for the increased plan type. means an Insured Person and in case of Family Floater Cover is the eldest of all Insured Persons. t. “Regular iv. Decrease in plan type will be allowed on the Policy anniversary. Any subsequent increase in plan type will be Premium” means that the premium is level subject to review and is paid in regular intervals like yearly, half- yearly or subject to underwriting. b. Addition of Family Member: i. The Policyholder may opt to convert an Individual Policy to monthly. a Family Floater Cover or add Family Member(s) to an existing Family Floater Cover. ii. This shall be allowed only in the 2. Waiting Period: Waiting Period is a period of 30 days from the Policy Issuance Date or 30 days from the date of event of marriage or birth or legal adoption of a child. iii. The Policyholder may opt for this within 90 days from the date revival of the Policy, where the Policy is revived after 60 days from the date of first unpaid premium. No benefit shall be of event or next Policy anniversary. iv. Such change shall be carried out subject to receipt of the proof of the event by payable in respect of any claim where the signs or the symptoms of Disease or illness or Injury and / or condition for the Company and subject to the fulfilment of the underwriting norms of the Company in this regard. v. The Policyholder the Event has occurred during the Waiting Period. The Waiting Period shall not be applicable where the claim occurs shall be required to pay additional premium as may be determined by the Company. vi. The cover for the new Family due to Injuries caused by an Accident. Any expense incurred during the first 2 years from Policy Issuance Date or date Members shall be effective for the purpose of this Policy from the next premium due date. vii. Waiting period and of revival of the Policy, where the revival is after 60 days from the date of first unpaid premium, shall not be payable for specific exclusions as stated in clause 2 and clause 8 respectively will be applicable for the new Insured Person(s) diseases/surgeries and any complications arising out the medical conditions as described in Clause 8(iv). from the date of addition. c. Removal of Family Member: i. The removal of a Family Member(s) can occur due to 3. Benefits: ICICI Pru Hospital Care II is a hospitalisation & surgical benefit plan that provides fixed benefit in case of death of the Insured Person(s) other than the Primary Insured or on divorce or on subsequent ineligibility of any child on hospitalisation or surgery. The benefits under this plan will be paid independently of the benefits under any other ground of age or dependency. ii. The Policyholder must inform the Company regarding removal of the Insured medical insurance plan. The Benefits are payable subject to the Policy’s being in force on the date of the event. Persons(s) iii. Such revision shall be carried out subject to receipt by the Company of the proof of the event and A) Details of various benefits payable under the Policy are given below: i. Daily Hospitalisation Cash Benefits subject to the fulfilment of the underwriting norms of the Company in this regard. iv. Such change will be effective (DHCB) a) A Daily Hospital Cash Benefit is payable for each day of hospitalisation, subject to a continuous stay for from the next premium due date with revision of premium. minimum of 24 hours, on the recommendation of a registered medical practitioner to seek medical intervention due 6. No Claim Bonus: i. A no claim bonus in the form of increase in annual limit by 5% of the base annual limit is provided to any Disease or Injury. b) The benefit shall be payable from the first day of hospitalisation. c) In a Policy year the total for every claim free year. ii. The maximum increase over the base Annual Limit (as opted at the inception of the Policy) DHCB payable will be for a maximum of 90 days. d) The DHCB for different plans is given below. will be capped at 25%. iii. In case of a claim, the accumulated no claim bonus will reduce by 10% of base Annual Limit Plan Plan A Plan B Plan C Plan D in the following year subject to a minimum of 0%. iv. Health check up will not be considered as a claim for the purpose DHCB (Rs) 1,000 2,000 3,000 4,000 of computing no claim bonus. ii. Intensive Care Unit Benefit (ICUB): a) Intensive Care Unit (ICU) is a specialized section of a Hospital that 7. Death of Insured Person(s): i. No benefit will be payable on death of any insured life. ii. On death of the Primary provides comprehensive and continuous care for person(s) who are critically ill. b) An additional benefit equivalent to Insured, the other Insured Person(s) in the family floater have an option to take a new Policy and the existing Policy will the DHCB under the plan is payable for each day spent in the ICU. c) In any Policy year, the ICU Benefit is limited to a terminate. iii. The new Policy will be issued without any underwriting with then prevailing terms and conditions total of 15 times the DHCB under the plan. d) The maximum benefit payable for DHCB and ICUB combined in a given including the no claim bonus as for the terminated Policy if the new Policy is bought within 60 days of termination of Policy year is for 90 days. iii. Surgical Benefit (SB): The surgeries covered under the plan are classified into 7 the terminated Policy. The maximum entry age condition will not be applicable to the Primary Insured of the new different grades based on severity. A fixed benefit is paid for undergoing of surgeryies depending on the grade of the Policy. The outstanding Waiting Period and the outstanding period for the specific exclusions of the terminated Policy surgery. This benefit is expressed as a multiple of the plan’s DHCB and is given in the table below: as stated in clause 2 and 8(iv) respectively will be applicable to the new Policy. iv. On death of any Insured Person(s) Grade Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 other than the Primary Insured, the Policy will continue after deletion of the Insured Person(s) and reduction in Benefit Paid 10 X DHCB 20 X DHCB 30 X DHCB 40 X DHCB 75 X DHCB 100 X DHCB 150 X DHCB premium as applicable from the next premium due date. The following conditions will apply for the payment of this benefit a) Benefit eligibility is event based (i.e. payable only 8. Exclusions: The Company shall not be liable to make any payments under this Policy in respect of any expenses if surgery was actually performed) b) The benefit will be paid regardless of whether DHCB is payable or not. c) When whatsoever incurred by any Insured Person(s) in connection with or in respect of any of the following. a) Pre-existing more than one surgery is performed under one anaesthesia, the benefit is calculated as follows. (i) The benefit for the condition unless stated in the proposal form and specifically accepted by the Company and endorsed thereon. surgery with the highest grade is paid in full (ii) The benefit for the surgery with the same or next highest grade is b) Permanent exclusions as specifically stated in the Policy Certificate c) For conditions of diabetes or hypertension or reduced by 50% and (iii) No benefit is payable for any other surgery under the same anaesthesia. d) The list of both, if disclosed at inception and accepted for cover, any investigation/treatment for these conditions and any surgeries under the Surgical Schedule and the grading of severity of each surgery (as stated in Annexure 1) are not complications arising from these conditions (including but not restricted to Ischemic Heart Disease and Renal Failure) guaranteed and may be revised subject to prior approval from IRDA. The Policyholder will be notified of the same. e) In shall be excluded for the first two consecutive Policy years from the Policy Issuance Date or revival date in case the any one Policy year, the Surgical Benefit is limited to a total of 300 times the plan’s DHCB. iv. Non Surgical Benefit revival is 60 days after first unpaid premium. d) Any expense incurred during the first 2 years from Policy Issuance Date (NSB): a) This benefit is paid if and only if DHCB is paid and Surgical Benefit is not payable. b) An additional DHCB is or revival date in case the revival is after 60 days from the date of first unpaid premium shall not be payable for the following diseases/surgeries & any complications arising out of them. the Company at that time. The nearest substitute will be that product with a benefit structure most similar to that of 01 Deviated Nasal Septum/ Nasal & Paranasal Sinus Disorders ICICI Pru Hospital Care II as determined by Company. This right will have to be exercised within 30 days from the 02 Diseases of Tonsils / Adenoids Policy termination date stated on the Policy Certificate. The premium rate for renewal are not guaranteed and nor 03 Surgery of Thyroid Gland excluding Malignancy are the terms and conditions, and both are subject to prior approval from the Regulator. b. No-claim bonus as stated 04 All types of Hernia in Clause 6 from the previous Policy shall be carried forward to the new Policy. c. Any outstanding Waiting period 05 Hydrocoel /Varicocoel / Spermatocoel from the original Policy will be applicable to the new Policy. The Permanent Exclusions as stated in the Policy 06 Piles / Fissure / Fistula-in-Ano / Rectal Prolapse Certificate with respect to the Insured Person(s) shall continue to be applicable. d. The Policy shall not be renewed 07 Benign Prostatic Hypertrophy in case the Policy has been cancelled on the basis of fraudulent claim as stated in Clause 7 of General Terms and 08 Menstrual Irregularities, Dysfunctional Uterine Bleeding Conditions. e. Amongst others, the Company reserves the right to use, age at entry as one of the factors for 09 Hysterectomy with or without Bilateral Salphingo - Opherectomy excluding Malignancy charging revised premium. 10 Uterine Fibroid 11.Premium: a. Premiums are payable on the due dates and for the amount mentioned in the Policy Certificate at time 11 Calculus Diseases of Issuance of the Policy. A grace period of not more than 30 days, where the frequency of payment of premium is 12 Prolapsed Intervertebral Disc other than monthly, and not more than 15 days in the case of monthly frequency is allowed. b. If the premium is not 13 Retinopathy / Retinal Detachment paid on the due date or during the grace period, the Policy shall lapse and no benefits shall become payable 14 Peripheral Vascular Disease due to Diabetes / Diabetic Foot hereunder. c. Premiums are payable without any obligation on the Company to issue a notice for the same. 15 Renal Failure due to Diabetes d. Premiums are payable through any of the following modes: i) Cash * ii) Cheques iii) Demand Drafts iv) Pay 16 Osteoporosis / Pathological Fracture Orders v) Bankers Cheque vi) Internet facility as approved by the Company from time to time vii) Electronic Clearing 17 Cataract System viii) Credit Card * Amount and modalities will be subject to Company rules and relevant legislation or 18 Joint Replacements except due to an accident (one Knee or one Hip Replacement in a Policy Year) regulation. e. Premium shall be construed to be received only when the same is received at any of the Company’s 19 Congenital Internal Disease or Anomalies or Disorder offices. f. Where premiums have been remitted otherwise than in cash, the application of the premiums received is e) Treatment directly or indirectly arising from or consequent upon war, commando or bomb disposal duties or conditional upon the realization by the Company of the proceeds of the instrument of payment including electronic training, terrorism, invasion, acts of foreign enemies, engagement in hostilities, active military and police duties such mode g. If the Policyholder suspends payment of premium for any reason whatsoever, the Company shall not be as maintenance of civil order whether war be declared or not, civil war, rebellion ,active participation in strikes, riots or held liable and the benefits, if any will be available only in accordance to the Policy conditions. h. In case of Policy civil commotion, revolution, insurrection or military or usurped power or travel by military aircraft or waterborne alterations by the Insured Person(s) the premium payable under the Policy may be revised as per the norms of the vessel, and fulltime service in any of the armed forces. f) Diagnosis and treatment outside India. However, this Company. exclusion shall not be applicable in the following countries: Australia, Brunei, Canada, Dubai, Hong Kong, Japan, 12.Premium Review: The premium rates are guaranteed for the first policy year. Thereafter the premium rates shall Malaysia, New Zealand, Singapore, Switzerland, UAE, USA, and countries of the European Union. The company may be reviewed on annual basis subject to prior approval from IRDA. The Company reserves the right to carry out a at its discretion review its list of accepted foreign countries from time to time. Claims documents from outside India review of its experience from time to time and change the premium for any class of Policyholders as a result of such are acceptable only in English unless specifically agreed otherwise, and duly authenticated. g) Circumcision (unless review. The Company shall notify the Policyholder of such change. In case the Policyholder is not agreeable to the necessary for treatment of a disease not excluded hereunder or as may be necessitated due to any accident), - Not revised premium, the Policy shall lapse and no benefits shall become payable thereafter. clear with this h) Treatment which results from or is in any way related to sex change or cosmetic or aesthetic 13.Surrenders: Surrenders, either total or partial, are not allowed under this Policy. treatment of any description, plastic surgery other than as may be necessitated due to an accident or as a part of any 14.Legislative Changes: This Policy including the premiums and the benefits under the Policy will be subject to the illness. i) Routine medical, eye and ear examination, laser or other surgery for correction of refractive errors of sight, taxes and other statutory levies as may be applicable from time to time, and such taxes, levies etc. will be cost of spectacles, contact lenses, Issuance of medical certificate and examinations as to suitability for employment recovered, directly and completely from the Policyholder. or travel or any other such purpose. j) Expenses on vitamins and tonics unless medically necessary as a part of 15.Maturity Benefit: No benefits become payable on survival of the Insured Person(s) and the Policy shall terminate treatment for Injury or Disease as certified by the attending physician. k) External and or durable Medical / Non on the Termination Date. medical equipment of any kind used for Diagnosis and or treatment including CPAP, CAPD, Infusion vhpump etc., 16.Loans: No Loans are allowed under this plan. Ambulatory devices i.e. walker , Crutches, Belts ,Collars ,Caps , splints, slings, braces ,Stockings of any kind, Diabetic General Terms and Conditions foot wear, Glucometer / Thermometer and similar related items and also any medical equipment which is 1. Age: a. The premiums payable under the Policy have been calculated on the basis of the age of the Primary Insured subsequently used at home. l) All non Medical Expenses including personal comfort and convenience items or as declared in the Proposal. In case the age of the Insured(s) has not been admitted by the Company, the services such as telephone, television, special mattresses, personal attendant or barber or beauty services, diet Policyholder shall furnish such proof of age of the Insured(s) as is acceptable to the Company and have the age charges, baby food, cosmetics, napkins , toiletry items, guest services and similar incidental expenses or services. admitted. b. In the event the age so admitted (the “correct age”) is found to be different from the age declared in the m) Costs of Donor screening or treatment including surgery to remove organs from a donor in case of transplant Proposal, without prejudice to the Company's other rights and remedies including those under the Insurance Act, surgery. n) Any dental treatment or surgery which is corrective, cosmetic or of aesthetic in nature, filling of cavity, 1938, one of the following actions shall be taken: i) If the correct age of the Insured Person(s) makes him ineligible root canal treatment, and treatment of wear and tear, any orthodontics or orthographic surgery, or temporo- for this plan / product, the Company shall offer a suitable plan / product as per its underwriting norms. If the mandibular joint disorder, except as necessitated by an accidental injury. o) Convalescence, general debility, “run Policyholder does not wish to opt for altered plan / product or if it is not possible for the Company to grant any other down” condition or rest cure, congenital external diseases or defects or anomalies, sterility, any fertility, sub-fertility plan / product, the Policy shall stand cancelled from the date of issue and the premiums paid under the Policy shall or assisted conception procedure, hormone replacement therapy, intentional self-Injury/suicide, all psychiatric and be returned, after deducting all taxes, expenses and claims if any incurred by the Company. ii) If the correct age of psychosomatic disorders and diseases / accident due to and or use, misuse or abuse of drugs / alcohol or use of the Insured Person(s) is found to be higher than the age declared in the Proposal, the Company shall evaluate the intoxicating substances or such abuse or addiction. p) All expenses arising out of any condition directly or indirectly same as per its underwriting norms. If the Insured Person(s) is found insurable the revised premium as per the caused by, or associated with human T-cell Lymphotropic Virus Type III (HTLD - III) or Lymohadinopathy Associated correct age will be recovered from the commencement of the Policy. Where the Insured Person(s) is not found Virus (LAV) or the Mutants Derivative or Variations Deficiency Syndrome or any Syndrome or condition of similar kind insurable, the Company shall refund the premiums paid under the Policy after deducting all taxes, expenses and commonly referred to as AIDS, HIV and its complications and all sexually transmitted diseases. q) Expenses incurred claims if any. The Policy shall terminate thereafter. iii) If the correct age of the Insured Person(s) is found to be lower at Hospital primarily for evaluation / diagnostic purposes, wherein such tests are possible to be carried out on out than the age declared in the Proposal, the Company shall evaluate the same as per its underwriting norms. If the patient basis and which is not followed by active treatment or intervention during the period of hospitalisation. r) Any Insured Person(s) is found insurable the revised premium as per the correct age will be charged from the treatment arising from or traceable to pregnancy, childbirth, miscarriage, caesarean section, abortion or commencement of the Policy and the balance if any will be refunded (without interest). Where the Insured complications of any of these including changes in chronic condition as a result of pregnancy, tests and treatment Person(s) is not found insurable, the Company shall refund the premiums paid under the Policy after deducting all relating to Infertility and in vitro fertilisation. However the exclusion does not apply to Ectopic pregnancy proved by taxes, expenses and claims if any. The Policy shall terminate thereafter. iv) Where the Insured Person(s) other than utrasonography/ diagnostic means and is certified to be life threatening by the medical practioner. s) Naturopathy the Primary Insured is found uninsurable, then that Insured Person(s) will be removed from the Policy and the treatment, unproven procedure or treatment, experimental or alternative medicine and related treatment including premium will be adjusted from the next premium due date. Also no Benefits as specified in Clause (3) of the Policy acupressure, acupuncture, magnetic and such other therapies, Ayurvedic, Homeopathy, Unani, reflexology, bone- terms and conditions shall become payable in respect of that Insured Person(s). Where the Primary Insured is found setting, herbalist treatment, hypnotism, rolfing, massage therapy, aroma therapy, Steam bathing, Shirodhara and uninsurable, the Company would return the premiums paid under the Policy without interest subject to deduction of alike treatment under Ayurvedic treatment or any other treatments other than Allopathy /western medicines and any the taxes, expenses and claims if any incurred by the Company on the Policy and terminate the Policy. treatment taken at home, health hydro, nature care clinic or similar establishments. t) Expenses incurred for 2. Assignment and Nomination: a. An assignment of this Policy may be made by an endorsement upon the Policy investigation or treatment irrelevant to the Diseases diagnosed during Hospitalisation or primary reasons for itself or by a separate instrument signed in either case by the assignor specifically stating the fact of assignment and admission, private nursing/attendants charges incurred during Pre-Hospitalisation period or Post-Hospitalisation duly attested. The first assignment may be only made by the Proposer. Such assignment shall be effective, as period, Referral fee to family doctors, out station consultants / Surgeons fees. u) Genetic disorders and stem cell against the Company, from and upon the service of a written notice upon the Company and the Company recording implantation / surgery. v) Any treatment related to sleep disorder or sleep Apnoea syndrome. w) Only one Coronary the assignment in its books. Assignment will not be permitted where Policy is under the Married Women’s Property Angiography is payable in a Policy Year except in case where a Coronary Intervention has been undergone after the Act, 1874. Section 38 of the Insurance Act may be referred for the complete provision. b. The Primary Insured, first angiography. x) Medical or surgical treatment of obesity and any other weight control programme, services or where he is the holder of the Policy, may, at any time during the tenure of the Policy, make a nomination for the supplies. y) Any treatment required arising from Insured’s participation in any hazardous activity including but not purpose of payment of the monies of the pending claim in the event of his death. Nomination shall be applicable only limited to scuba diving, motor racing, parachuting, hang gliding, rock or mountain climbing unless specifically agreed in the event where the Proposer and the Primary Insured are the same person. Where the nominee is a minor, the by the Insurance Company. z) Any stay in the Hospital or extended period of Hospitalisation beyond the customary Primary Insured may also appoint a person to receive the monies during the minority of the nominee. In case of length of stay for any domestic reason or where no active regular treatment is given by the specialist. aa) Out patient death of the Insured Person(s) (other than the Primary Insured) money in respect of any pending claim shall become Diagnostic / Medical or Surgical procedures / or treatments, non-prescribed drugs and medical supplies, Hormone payable to the Policyholder. replacement therapy. bb) Hospitalisation and treatment of any kind not actually performed, necessary or reasonable, 3. Special Provisions: Any special provisions subject to which this Policy has been entered into whether endorsed in or any kind of elective surgery or treatment which is not medically necessary. cc) Domiciliary treatment the Policy or in any separate instrument shall be deemed to be part of the Policy and shall have effect accordingly. dd) Treatments or procedures customarily and usually performed by Medical Practitioners in Out Patient Department 4. Incontestability: a. Section 45 of the Insurance Act,1938: “No Policy of life insurance effected before the or clinic and casualty setting shall not be payable even if performed as inpatient or Day Care Procedures. ee) Any commencement of this Act shall after the expiry of two years from the Policy Issuance Date of this Act and no Policy treatment for xanthelesema, syringoma, acne and Alopecia. of life insurance shall after the expiry of two years from the date on which it was effected after the coming into force 9. Revival (Re-instatement) of Lapsed Policy: A Policy, which has lapsed for non-payment of premium within the of this Act shall after the expiry of two years from the date on which it was effected, be called in question by an days of grace, may be revived subject to the following conditions. a. The application for revival is made within 2 years insurer on the ground that a statement made in the proposal of insurance or any report of a medical officer, or a from the due date of the first unpaid premium and before the termination of the Policy. Revival will be based on the referee , or friend of the insured , or in any other document leading to the Issuance of the Policy, was inaccurate or then applicable revival norms of the Company. b. The revival of the Policy may be on terms different from those false, unless the insurer shows that such statements was on material matter or suppressed facts which it was applicable to the Policy before it lapsed. c. In case of Family Floater Cover, the application for revival should be made material to disclose and that it was fraudulently made by the Policyholder and that the Policyholder knew at the time for all Insured Person(s) subject to continuing eligibility. d. No Waiting Period will be applicable for any revival within of making it that the statement was false or that it suppressed facts which it was material to disclose. Provided that 60 days from the due date of the first unpaid premium. e. There shall be a Waiting Period of 30 days from the date of nothing in the clause shall prevent the insurer from calling for proof of age at any time if he is entitled to do so and no revival applicable for all Insured Person(s) where the Policy was lapsed for a period of more than 60 days from the Policy shall be deemed to be called in question merely because the terms of the Policy are adjusted on subsequent date of first unpaid premium. Also, all exclusions applicable at the Policy Issuance Date shall once again become proof that the age of the Life Insured was incorrectly stated in the proposal.” b. The Company would declare the applicable from the revival date of the Policy with the period of exclusion being the same as that at Policy Issuance Policy void in case of suppression or mis-statement or mis-representation of facts and all monies paid under the Date. Only claims in respect of injuries caused by accident will be payable during the waiting period. f. The Company Policy would belong to the Company. may subject all the Insured Person(s) to medical examination before taking a decision on the revival of the Policy. The 5. Notices: Any notice, direction or instruction given under the Policy shall be in writing and delivered by hand, post, Policyholder shall have to furnish, at his own expense, satisfactory evidence of good health as required by the facsimile or e-mail to: In case of the Policyholder or Nominee: As per the details specified by the Policyholder or Company. g. No benefit is payable for an Event which occurred or symptoms of which first occurred or were first Nominee in the Proposal Form or Change of Address intimation submitted by him. In case of the Company: diagnosed during the period when Policy was in lapsed condition. h. The Policyholder shall be required to pay arrears Address: Customer Service Desk, ICICI Prudential Life Insurance Company Limited, Vinod Silk Mills Compound, of premium together with the interest at such rate as the Company may charge for late payment of premium i. The Chakravarthy Ashok Nagar, Ashok Road, Kandivali (East), Mumbai- 400 101. Facsimile: 022 67100803 / 805 E-mail: revival will take effect only on its being specifically communicated by the Company to the Policyholder [email protected]. Notice and instructions sent by the Company to the Policyholders will be deemed served 10.Guaranteed Renewability: a. The Policyholder shall have guaranteed insurability, whereby the Policyholder shall 7 days after posting or immediately upon receipt in the case of hand delivery, facsimile or e-mail. It is very important have the right to continue under the then offered ICICI Pru Hospital Care II product or the nearest substitute offered by that the Policyholder immediately informs the Company about the change in the address or the nominee particulars to enable the Company to service him effectively. Surgical Schedule: List of Surgeries in Grade 1: 1. Ankle, Various Lesions, Repair of Ligaments 2. Anterior Chamber, 6. Payment of Claim: Before payment of any claim under the Policy, the Company shall require documents as Glaucoma, Paracentesis (diagnostic/therapeutic) 3. Anterior Chamber, Hyphaema, Irrigation 4. Anterior Chamber, mentioned below establishing the right of the claimant/s to receive payment. Claim payments are made only in Indian Various Lesions, Vitreous Removal 5. Anus, Anal Stricture, Dilatation 6. Anus, Ano-Rectal Prolapse, Circumanal currency. a. All documents submitted must be duly attested by the Policyholder or Insured Person(s) and the same Suture 7. Anus, Fissure, Excision/Lateral Sphincterotomy 8. Anus, Fistula-in-ano(low/high), Excision, Low/High must be submitted to the Company within 10 days from the date of discharge from the Hospital or Nursing Home. Fistulectomy 9. Anus, Hemorrhoids, Cryosurgery 10. Anus, Hemorrhoids, Hemorrhoidectomy 11. Anus, Perineal b. In addition to the documents stated in (A) below, the Insured Person(s) shall also provide to the Company such Abscess, Saucerisation/Drainage 12. Anus, Stricture, Dilatation 13. Artery (temporal), Various Lesions, Biopsy additional information and assistance as the Company may require during processing of the claim. c. In the event of 14. Artery, Various Lesions, Arterio-venous Shunt (external) 15. Artery, Various Lesions, Ligation (include repair of any doubt regarding the appropriateness or correctness of the Diagnosis, the Company reserves the right to call for artificial arterio-venous shunt) 16. Bladder, Retention of Urine, Suprapubic Cystostomy 17 Bone (Lower Limb), an examination of the Insured Person(s) by a Medical Practitioner appointed by the Company. The expenses incurred Simple Implants, Removal 18. Bone (Upper Limb), Simple Implants, Removal 19. Bone, Various Lesions, Biopsy for the medical examination of the Insured Person(s) for the purpose of this clause shall be solely borne by the 20. Breast, (Nipple), Various Lesions, Reconstruction. 21. Breast, Various Lesions, Biopsy 22. Bronchoscopy Company. The evidence used from such examination, and the opinion of such Medical Practitioner as to such with/without biopsy 23. Bronchoscopy, bronchoalveolar lavage 24. Bronchoscopy, transbronchial lung biopsy Diagnosis shall be considered binding on both the Policyholder and the Company. A) Documents common for 25. Bronchus, Foreign Body, Removal (Bronchoscopic) 26. Bronchus, Various Lesions, Laser Application 27. Bursa, claims across all benefits: Photocopies of the following documents are required at the claim stage: a. Policy Bursitis, Excision 28. Cervix, Cervical Incompetence, Cerclage/Removal of Suture 29. Cervix, Cone Biopsy, LEEP 3 certificate b. Medico Legal Case /FIR as applicable c. Additional acceptable photo identification proof d. Health card 30. Cervix, Polyp/Erosion, Laser Therapy with/without Colposcopy 31. Cervix, Tear, Complicated Repair under e. Claimant statement form / Attending physician certificate f. Discharge summary or card, original Hospital bill, Anasthesia 32. Cervix, Various Lesion, Punch Biopsy 33. Closure of mastoid fistula 34. Closure of salivary fistula payment receipts from the Hospital(s). g. Admission notes, receipts, Pathological and other test reports from 35. Coccyx, Various Lesions, Excision 36. Colonoscopy, fibreoptic with removal of polyps 37. Conjunctiva, Limbic Medical Practitioner including films etc supported by the note from the attending Medical Practitioner demanding Tumour, Removal 38. Conjunctiva, Naevus, Removal 39. Conjunctiva, Pterygium, Removal 40. Cystoscopy, removal such test. h. Photocopies of cash memo from the chemist(s) supported by proper prescription. i. Attending Medical of foreign body/ureteric stent 41. Cystoscopy, with urethral dilatation 42. Dilatation of cervical canal 43. Ear (Middle), Practitioner’s certificates regarding Diagnosis and bill, receipts etc. j. Any additional document which may be Abscess/Inflammation, Operation 44. Ear, Deformity, Correction (unilateral) 45. Ear, Deformity, Lobule required to process the claim. All documents can be submitted at any branch of the Company. Reconstruction (unilateral) 46. Ear, Foreign Body, Removal with Incision of External Auditory Canal 47. Ear, 7. Fraudulent Claims: In the event that it is found that any claim is in any respect fraudulent, or if any false statement, Haematoma/Seroma, Evacuation 48. Ear, Polyp, Removal 49. Ear, Preauricular Sinus, Excision 50. Ear, Sebaceous or declaration is made or used in support thereof, or if any fraudulent means or devices are used by the Insured Cyst, Excision 51. Ear, Various Lesions, Myringotomy (simple) 52. Elbow, Tennis Elbow, Release 53. Eustachian Tube, Person(s) or anyone acting on his or her behalf to obtain any benefit under this Policy, the Company reserves the right Various Lesions, Catherisation/Inflation 54. Excision of cyst of epididymis 55. Excision of seminal vesicle 56. Eye, to terminate the Policy and no benefits shall become payable thereafter. All premiums paid till date under the Policy Glaucoma, Cyclodiathermy/Cyclocryotherapy 57. Eye, Intraocular Foreign Body, Removal from Anterior Segment will not be refunded. 58. Eye, Intraocular Foreign Body, Removal from Posterior Segment 59. Eyelids, Chalazion Cyst Excision 60. Eyelids, 8. Electronic Transactions: The Policyholder shall adhere to and comply with all such terms and conditions as the Ectropion/Entropion (simple), Correction (unilateral - one lid) 61. Eyelids, Ectropion/Entropion (simple), Correction Company may prescribe from time to time. All transactions effected by or through facilities for conducting remote (unilateral - two lids) 62. Eyelids, Exposure, Tarsorrhaphy (permanent) 63. Eyelids, Exposure, Tarsorrhaphy transactions including the Internet, World Wide Web, electronic data interchange, call centres, teleservice (temporary) 64. Eyelids, Ptosis, Tarsorrhaphy (permanent) 65. Eyelids, Ptosis, Tarsorrhaphy (temporary) 66. Eyelids, operations (whether voice, video, data or combination thereof) or by means of electronic, computer, automated Simple Laceration, Repair 67. Eyelids, Tumour, Incisional Biopsy 68. Eyelids, Tumour, Shaving Excision 69. Finger, machines network or through other means of telecommunication, established by or on behalf of the Company, for Injury, Debridement and tendon repair (single finger) 70. Finger, Various Lesions, Amputation (single) 71. Fistulization and in respect of the Policy or its terms, or the Company’s other products and services, shall constitute legally binding of sinus 72. Foot, Crush Injuries (simple), Wound Debridement 73. Gastrointestinal Endoscopy (GI), Laser Treatment and valid transactions when done in adherence to and in compliance with the Company’s terms and conditions for for tumours 74 Genital Tract, Pelvic Cyst, Ultrasound Guided Procedure-Aspiration 75. Hand, Crush Injuries (simple), such facilities, as may be prescribed from time to time. Wound Debridement 76. Hand, Deep Infection, Drainage 77. Hand, Superficial Infection, Drainage 78. Heart, 9. Force majeure: If the performance by the Company of any of its obligations herein shall be in any way prevented or Pericardial Effusion, Paracentasis 79. Hip, Snapping Syndrome, Release 80. Hip, Various Lesions, Application of Hip hindered in consequence of any act of God or State, Strike, Lock out, Legislation or restriction of any Government or Spicas 81. Hymenectomy 82. Incision and excision of periprostatic tissue 83. Incision of breast abscess 84. Incision other authority or any other circumstances beyond the anticipation or control of the parties, the performance of this of seminal vesicle 85. Incision of testis 86. Incision on bone, septic and aseptic 87. Iris, Various Lesions, Laser contract shall be wholly or partially suspended during the continuance of the contract. Examples of such Force Iridotomy 88. Iris, Various Lesions, Surgical Iridectomy/Iridotomy 89. Joints (Lower Limb), Simple Implants, Removal Majeure or unforeseen circumstances would include: i. When one or more stock exchanges which provide a basis for 90. Joints (Temporo-mandibular), Dislocation, Reduction under Anaesthesia 91. Kidney, Blocked Nephrostomy Tube, valuation for a substantial portion of the assets of the fund are closed other than for ordinary holidays ii. When, as a Change 92. Kidney, Various Lesions, Biopsy (closed) 93. Knee, Haemarthrosis, Aspiration under General Anaesthesia result of political, economic, monetary or any circumstances out of our control, the disposal of the assets of the Unit 94. Lacrimal Gland (Canaliculus), Various Lesions, Immediate Repair 95. Lacrimal Gland (Punctum), Various Lesions, fund are not reasonable or would not reasonably be practicable without being detrimental to the interests of the Snip Operation 96. Larynx and Pharynx, Various Lesions, Laser Application 97. Lens, Various Lesions, Yag Laser remaining Unit holders iii. During periods of extreme volatility of markets during which surrenders and switches Capsulotomy 98. Lip, Mucous Cyst/Mucocele, Removal 99. Liver, Various Lesions, Percutaneous Biopsy 100. Lymph would, in our opinion, be detrimental to the interests of the existing Unit holders of the fund iv. In the case of natural node (inguinal), Various Lesions, Radical Excision 101. Lymphatics, Lymphoedema, Excision (small) 102. Marrow, calamities, strikes, war, civil unrest, riots and bandhs v. If so directed by IRDA Various Lesions, Diagnostic Aspiration 103. Mouth, Abscess (deep), Drainage 104. Mouth, Abscess (superficial), 10.Customer Service: (a) For any clarification or assistance, the Policyholder may contact our advisor or call our Drainage 105. Mouth, Foreign Body (superficial), Removal 106. Mouth, Leukoplakia, Limited Excision 107. Mouth, Customer Service Representative at Telephone Numbers listed below during office hours (9.00 a. m. to 9.00 p.m.). Mucous Cyst/Ranula of Floor of Mouth, Marsupialization 108. Mouth, Mucous Cyst/Ranula of Floor of Mouth, Alternatively you may communicate with us at the Customer Service Desk address mentioned above. The Removal 109. Mouth, Nasolabial Cyst, Excision 110. Mouth, Small Soft Tissue Tumour, Excision 111. Mouth, Various Company’s website must be checked for the updated contact details. (b) Grievance Redressal Officer: For any Lesions of Oral Mucosa, Cryosurgical Application 112. Mouth, Various Lesions, Laser Application 113. Mouth, complaints/grievances, you may get in touch with our designated Grievance Redressal Officer (GRO). For GRO Various Lesions, Uvulotomy 114. Muscle (Lower Limb), Deep Abscess, Drainage 115. Muscle (Lower Limb), Various contact details please refer to the Grievance Redressal section on our website www.iciciprulife.com. (c) Grievance Lesions, Marginal Excision 116. Muscle (Upper Limb), Deep Abscess, Revision with Drainage 117. Muscle (Upper Redressal Committee: In the event that any complaint/grievance addressed to the GRO is not resolved within 10 Limb), Various Lesions, Marginal Excision 118. Nail, Infection/Injury, Avulsion 119. Nerve, Various Lesions, Biopsy days you may escalate the same to the Grievance Redressal Committee at the address mentioned below. ICICI 120. Nose, Foreign Body, Removal 121. Nose, Haematoma/Abscess, Evacuation 122. Nose, Haemorrhage, Prudential Life Insurance Company Limited, 4th Floor, ICICI Ventures Building, 1089 Appasaheb Marathe Marg, Haemostasis (packing)/Cryotherapy 123. Nose, Polypi (complex), Removal 124. Nose, Polypi (simple), Removal Prabhadevi, Mumbai- 25. (d) Insurance Ombudsman: i. The Central Government has established an office of the 125. Nose, Simple Fracture, Manipulation 126. Operations on the nipple except congenital inverted nipples Insurance Ombudsman for redressal of grievances with respect to life insurance policies. ii. As per provision 13(3) of 127. Orbit, Tumour/Foreign Body, Enucleation/Removal 128. Orchidopexy* (non congenital) 129. Penis, the Redressal of Public Grievances Rules 1998, the complaint to the Ombudsman can be made only if: • The Paraphimosis/Phimosis/Reduction Prepuce, Circumcision 130. Penis, Priapism, Decompression (Single) 131. Penis, grievance has been rejected by the Grievance Redressal Machinery of the Insurance Company • Within a period of Various Lesions, Excision 132. Pharynx, Adhesions, Division 133. Prostate Gland, Various Lesion, one year from the date of rejection by the Insurance Company • If any other Judicial authority has not been Transrectal/Transperineal Biopsy 134. Rectum, Stricture, Laser Treatment 135. Repair of scrotum and tunica approached iii. In case if the Policyholder is not satisfied with the decision/resolution of the Company, the vaginalis 136. Retina, Detachment, Removal of Encircling Silicone Band 137. Retina, Tears, Photocoagulation (laser) Policyholder may approach the Insurance Ombudsman at the address given below if the grievance pertains to: • any 138. Revision of stapedectomy 139. Sacrum and Coccyx, Pilonidal Sinus/Cyst, Excision 140. Sacrum and Coccyx, partial or total repudiation of claims • the premium paid or payable in terms of the Policy • any claim related dispute Various Lesions, Excision 141. Sigmoidoscopy (flexible), Fibreoptic with/without biopsy 142. Sigmoidoscopy, with on the legal construction of the policies in so far as such dispute relate to claims • delay in settlement of claims diathermy/resection of rectal tumor 143. Sinuses-Nasal, Foreign Body-Removal of Foreign Body 144. Sinuses-Nasal, •non-issue of Policy Document to customers after receipt of premiums iv. The complaint to the office of the Various Lesions of Antrum, Roof Puncture and/or Lavage 145. Skin (Upper Limb), Neuromas/Haemangiomas, Insurance Ombudsman (contact details given below) should be made in writing duly signed by the complainant Excision 146. Skin (Upper Limb), Open Wound, Major Desloughing 147. Skin and Mucous Membrane, Various (Policyholder) or by his legal heirs with full details of the complaint and the contact information of complainant. Lesions, Excision Biopsy 148. Skin and Subcutaneous Tissue, Abscess, Saucerisation 149. Skin and Subcutaneous nd 1. Ahmedabad: Office of Insurance Ombudsman, 2 floor, Nr. C.U.Shah College 5, Navyug Colony, Ashram Road, Tissue, Burns, Escharotomy (limited) 150. Skin and Subcutaneous Tissue, Defect, Free Graft (Split Skin Graft/ Pinch Ahmedabad - 380 014. Jurisdiction: State of Gujarat, UT of Dadra & Nagar Haveli, Daman and Diu. Tel: 079- Grafts under 1/2%) 151. Skin and Subcutaneous Tissue, Defect, Staged Local Flap (division) 152. Skin and 27546150, Fax: 079-27546142, E-mail:[email protected]. 2. Bhopal: Office of the Insurance Subcutaneous Tissue, Foreign Body (subcutaneous), Removal 153. Skin and Subcutaneous Tissue, Haematoma Ombudsman Janak Vihar Complex, 2nd floor Malviya Nagar, Bhopal. Jurisdiction: States of Madhya Pradesh & (large)/Carbuncle Cellulitis/Similar Lesion, Incision with Drainage 154. Skin and Subcutaneous Tissue, Laceration Chhattisgarh. Tel: 0755-2769201/02, Fax: 0755-2769203, E-mail:[email protected]. (superficial) of less than 7cm, Repair 155. Skin and Subcutaneous Tissue, Sebaceous Cyst, Excision 156. Skin and 3. Bhubneshwar: Office of the Insurance Ombudsman 62, Forest Park Bhubaneshwar - 751 009 Jurisdiction: Subcutaneous Tissue, Sinus, Excision 157. Skin and Subcutaneous Tissue, Wound (large), Secondary Suture State of Orrisa Tel:0674-2596461(Direct), Secretary No.: 0674-2596455 Tele Fax: 0674-2596429, 158. Skin and Subcutaneous Tissue, Wound, Debridement 159. Skin, Burns (less than 2%), Excision of Scar Tissue E-mail: [email protected] 4. Chandigarh: Office of the Insurance Ombudsman S.C.O. No.101, 102 & 103 2nd floor, 160. Skin, Burns (more than 10%), Dressing 161. Skin, Keratoses/Warts/Similar Lesions, Excision (6-10 lesions) Batra Building, Sector 17-D Chandigarh - 160 017. Jurisdiction: State of Punjab, Haryana, Himachal Pradesh, 162. Skin, Keratoses/Warts/Similar Lesions, Excision (not more than 5 lesions) 163. Skin, Plantar Warts Jammu & Kashmir, UT of Chandigarh. Tel: 0172-2706196, Fax: 0172-2708274, E-mail: [email protected] (single/multiple), Excision 164. Skin, Various Lesions of Face (1 to 3), Excision Biopsy 165. Skin, Various Lesions, Trial 5. Chennai: Office of the Insurance Ombudsman Fatima Akhtar Court, 4th floor, 453 (old 312) Anna Salai, Teynampet, Dermabrasion 166. Small Bowel, Various Lesions, Intubation with/without Biopsy 167. Soft Tissue (Lower Limb), Chennai- 600 018. Jurisdiction: State of Tamil Nadu, UT–Pondicherry Town and Karaikal (which are part of UT of Open Wound/Infection, Major Desloughing 168. Soft Tissue (Lower Limb), Small Tumours (benign), Excision under Pondicherry) Tel: 044-24333678, Fax:044-24333664, E-mail: [email protected] 6. New Delhi: Office of General Anesthesia 169. Soft Tissue (Palmar Space), Abscess, Drainage 170. Spermatic Cord, the Insurance Ombudsman 2/2 A, Universal Insurance Bldg. Asaf Ali Road, New Delhi- 110 002. Jurisdiction: Spermatocele/Epididymal Cyst, Excision/ Epididymectomy 171. Spine, Various Lesions, Application of Body Casts States of Delhi & Rajasthan. Tel: 011-23239611, Fax: 011-23230858, E-mail: [email protected] 172. Stapedotomy 173. Tendon Sheath (Upper Limb), Ganglion/Villo-Nodular Synovitis, Excision 174. Tendon 7. Guwahati: Office of the Insurance Ombudsman Jeevan Nivesh, 5th floor Nr. Panbazar Overbridge, S. S. Road, Sheath (Upper Limb), Tenosynovitis (multiple), Drainage 175. Tendon Sheath (Upper Limb), Trigger Finger (single), Guwahati- 781 001. Jurisdiction: States of Assam, Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland Release 176. Tendon Sheath and Subcutaneous Tissue, Ganglion/Small Bursa, Excision 177. Tendon-Extensor and Tripura. Tel: 0361-2131307, Fax: 0361-2732937, E-mail: [email protected] 8. Hyderabad: Office of the (Upper Limb), Adhesion, Tenolysis (single) 178. Tendon-Flexor (Upper Limb), Adhesion, Tenolysis (single) 179. Testis Insurance Ombudsman 6-2-46, 1st floor, Moin Court Lane Opp. Saleem Function Palace, A.C.Guards, Lakdi-Ka-Pool, Various Lesions, Biopsy/Exploration/Repair/Orchidoplasty 180. Thoracoscopy, with/without division of pleural Hyderabad- 500 004. Jurisdiction: States of Andhra Pradesh, Karnataka and UT of Yanam – a part of the UT of adhesions 181. Thorax, Mediastinal Lesions, Cervical Exploration with/ without Biopsy 182. Toe, Various Lesions, Pondicherry. Tel: 040-23325325, Fax: 040-23376599, E-mail: [email protected] 9. Ernakulam: Amputation (single) 183. Tonsils, Abscess, Drainage 184. Trachea, Foreign Body, Removal 185. Transoral incision Office of the Insurance Ombudsman 2nd Floor, CC 27/2603, Pulinat Building, Opp. Cochin Shipyard, M.G. Road, and drainage of a pharyngeal abscess 186. Tympanic Membrane, Perforation, Cauterisation/Diathermy 187. Urethra, Ernakulam – 682 015. Jurisdiction: State of Kerala, UT of (a) Lakshadweep, (b) Mahe – a part of UT of Pondicherry. Caruncle/Polyp, Excision/Laser Vaporisation 188. Urethra, Meatal Stenosis, Meatotomy 189. Urethra, Prolapse, Tel: 0484-2358734, Fax: 0484-2359336, E-mail:[email protected] 10. Kolkata: Office of the Insurance Excision 190. Vagina, Atresia/Stenosis, Dilatation 191. Vagina, Foreign Body, Removal 192. Vagina, Lacerations Ombudsman North British Bldg. 29, N.S. Road, 3rd floor, Kolkata- 700 001. Jurisdiction: States of West Bengal, (complex), Examination under Anaesthesia and Debridement/Suture 193. Vagina, Lacerations (simple), Bihar, Jharkhand and UT of Andaman & Nicobar Islands, Sikkim. Tel: 033-22134869, Fax: 033-22134868, Debridement/Suture 194. Vagina, Various Lesions, Biopsy 195. Vas Deferens, Various Lesions, E-mail: [email protected] 11. Lucknow: Office of the Insurance Ombudsman Jeevan Bhawan, Phase 2, 6th floor, Vasoepididymography & Vasovesiculography 196. Vein (small), Injury, Repair (single) 197. Vein, Varicosity, Sub- Nawal Kishore Rd. Hazratganj, Lucknow- 226 001. Jurisdiction: State of Uttar Pradesh and Uttaranchal Tel: 0522- fascial Ligation of Single Deep Perforator 198. Vein, Various Lesions, Ligation (include repair of artificial arterio- 2201188, Fax: 0522-2231310, E-mail: [email protected] 12. Mumbai: Office of the Insurance Ombudsman venous fistula) 199. Vulva, Abscess, Incision 200. Vulva, Bartholin Cyst, Incision/Marsupialization using Laser Jeevan Seva Annexe, 3rd floor, S.V.Road, Santacruz(W), Mumbai - 400 054. Jurisdiction: States of Maharashtra, 201. Vulva, Bartholin Cyst, Incision/Marsupialization without use of Laser 202. Vulva, Laceration, Goa. PBX: 022-26106928, Fax: 022-26106052, E-mail: [email protected] Debridement/Suture (complicated) 203. Vulva, Tight Introitus, Fenton’s Operation “The Policy shall be subject to and be governed by this Policy document and the terms and conditions of List of Surgeries in Grade 2: 204. Abdominal Cavity, Adhesions ,Lysis 205. Abdominal Cavity, Subphrenic the schedule enclosed herewith including every endorsement by the Company and shall together form Abscess, Drainage 206. Ankle, Various Lesions, Synovectomies 207. Ano-Rectal Malformation, Perineal Anoplasty single contract. (Ver T22:1)” Primary/Secondary Repair 208. Anus, Hemorrhoids, Laser Excision 209. Anus, Incontinence, Operation 210. Anus, Stricture, Repair 211. Appendix, Abscess, Drainage only 212. Artery - small, Injury, Repair (single) 213. Artery- Subcutaneous Tissue, Defect (deep), Staged Distant Flap (division) 394. Skin and Subcutaneous Tissue, Defect Maxillary, Various Lesions, Transantral Ligation 214. Arthroscopy of temporo-mandibular joints (multiple digits), Staged Local Flap (division) 395. Skin and Subcutaneous Tissue, Defect (single digit), Free Full 215. Atticoantrotomy 216. Bladder, Bladder Neck Contracture, (Acquired), Wedge Excision 217. Bladder, Calculus, Thickness Graft 396. Skin and Subcutaneous Tissue, Haemangioma/Lymphangioma (small), Excision 397. Skin and Vesicolithotomy/Litholapaxy/Ultrasonic Lithotripsy 218. Bladder, Diverticulum, Excision 219. Bladder, Mild Stress Subcutaneous Tissue, Laceration (superficial) of more than 7cm, Repair 398. Skin and Subcutaneous Tissue, Incontinence, Cystoscopic Injection of Collagen 220. Bone (Lower Limb), Defect/Non-Union, Implantation of Bone Neurofibromatosis of Face and Neck, Excision (small) 399. Skin and Subcutaneous Tissue, Periorbital Dermoid, Stimulator 221. Bone (Lower Limb), Fracture/Dislocation, Manipulation and Kirschner Wire Fixation 222. Bone Excision 400. Skin and Subcutaneous Tissue, Sinus (deep), Excision 401. Skin and Subcutaneous Tissue, (Lower Limb), Grade 1 and 2 Open Fractures/Dislocations, Wound Debridement 223. Bone (Lower Limb), Tumour/Cyst/Ulcer, Excision 402. Skin, Burns (2% to 10%), Excision of Scar Tissue 403. Skin, Defect, Distant Skin Osteomyelitis, Simple Drainage 224. Bone (Lower Limb), Plates and Screws/Nails, Removal 225. Bone (Upper Flaps 404. Skin, Various Lesions (4 and above), Excision Biopsy 405. Skin, Various Lesions, Abrasive Therapy Limb), Defect/Non-union, Implantation of Bone Stimulator 226. Bone (Upper Limb), Exostosis, Excision 227. Bone (limited) 406. Skin, Various Lesions, Insertion of Tissue Expander (single) 407. Soft Tissue (Lower Limb), (Upper Limb), Grade 1 and 2 Open Fractures/Dislocation, Wound Debridement 228. Bone (Upper Limb), Contracture, Major Release 408. Soft Tissue (Lower Limb), Contracture, Minor Release 409. Soft Tissue (Lower Osteomyelitis/Septic Arthritis, Simple Drainage 229. Bone (Upper Limb), Plates and Screws, Removal 230. Breast, Limb), Tumour/Tumour-like Lesions, Marginal Excision 410. Soft Tissue (Lower Limb), Various Lesions, Minor Release Lump (single), Excision 231. Breast, Tumour (malignant), Lumpectomy/Segmental Mastectomy 411. Spermatic Cord, Hydrocele/Varicocele, Removal 412. Spine, Various Lesions, Application of Full Body Jacket 232. Bronchoscopy, with dilatation of tracheal stricture 233. Bronchus, Foreign Body, Removal via Bronchotomy 413. Stomach, Tumour of the Cardia, Endoscopic YAG Laser Surgery/Vaporisation 414. Stomach, Ulcer, Endoscopic 234. Carpus, Fracture/Dislocation, Open Reduction and Internal Fixation 235. Cervix, Polyp, Excision Laser Coagulation 415. Sublingual Gland, Tumour, Excision 416. Submandibular Gland, Calculus(deep), Removal 236. Clavicle/Scapula, Fracture/Dislocation, Open Reduction and Internal Fixation 237. Colon, Colostomy, Closure 417. Submandibular Gland, Calculus, Removal 418. Sweat Gland, Axillary Hyperhidrosis, Wedge Excision 238. Conjunctiva, Pterygium, Removal with conjunctival graft 239. Cornea, Laceration, Conjunctival Graft over 419. Tendon (Upper Limb), Contracture, Tenotomy 420. Tendon Sheath (Upper Limb), De Quervain's (unilateral), Cornea 240. Cornea, Laceration, Conjunctival Peritomy/Repair by Conjunctival Flap 241. Cystoscopic fulguration of Release 421. Tendon Sheath (Upper Limb), Tenosynovitis (single), Drainage 422. Tendon Sheath (Upper Limb), tumour 242. Cystoscopy and insertion of double J stent 243. Cystoscopy, external sphincterotomy for neurogenic Trigger Finger (multiple), Release 423. Tendon-Achilles (Lower Limb), Disruption, Repair 424. Tendon-Extensor bladder neck obstruction 244. Ear (Middle), Various Lesions, Insertion of Tube for Drainage (including Myringotomy) (Upper Limb), Injury, Repair (single) 425. Tendon-Flexor (Lower Limb), Disruption, Repair (single) 426. Tendon-Flexor 245. Ear, Deformity, Lobule Reconstruction (bilateral) 246. Ear, Laceration (full thickness), Repair 247. Ear, Various (Upper Limb), Injury, Repair (multiple) 427. Testis, Various Lesions, Orchidectomy (simple) 428. Thorax, Empyema, Lesions, Fenestration Operation 248. Ear, Various Lesions, Various Graft to Fenestration Cavity 249. Elbow (Medial Resection of Rib and Open Drainage 429. Thorax, Various Lesions, Thoracoplasty (in stages) - each stage Epicondyle), Fracture, Excision Bony Fragment 250. Endoscopic, insertion of biliary stent 251. Endoscopic, insertion 430. Thumb, Deformities, Correction 431. Thumb, Paralysis, Opponens Plasty 432. Toe, Various Lesions, Amputation of nasal biliary drain 252. Esophagoscopy with dilatation 253. Esophagoscopy, gastroscopy, duodenoscopy with (multiple) 433. Toe, Various Lesions, Arthrodesis 434. Tonsils, Lingual/Lateral Pharyngeal Bands, Removal injection of esophageal/gastric varices 254. Esophagoscopy, gastroscopy, duodenoscopy with polypectomy/ 435. Tonsils, Various Lesions, Removal with/without Adenoidectomy 436. Trachea, Various Lesions, Laser removal of foreign body/diathermy of bleeding lesions 255. Esophagus, Stricture, Dilatation 256. Esophagus, Application 437. Trachea, Various Lesions, Tracheostomy 438. Transplantation of salivary duct opening 439. Upper Tumour, Laser Fulguration 257. Excision or other destruction of Bartholin's gland (cyst) 258. Eye, Exophthalmos due Limb, Fracture/Dislocation, Manipulation and Reduction 440. Upper Limb, Ischaemia, Fasciotomy 441. Ureter, to Thyrotoxicosis, Retractor Recessions (bilateral) 259. Eye, Exophthalmos due to Thyrotoxicosis, Retractor Calculus, Ultrasound Lithotripsy, Ureterolithotomy 442. Ureter, Cutaneous Ureterostomy, Closure 443. Ureter, Recessions (unilateral) 260. Eye, Glaucoma, Filtering and Allied Operations 261. Eye, Glaucoma, Various Lesions, Ureterotomy/Insertion of Double J Stent 444. Urethera, Stricture, Urethrotomy 445. Urethra, Goniotomy/Trabeculotomy 262. Eye, Perforating Wound (not involving intraocular structures), Repair 263. Eye, Diverticulum, Excision 446. Urethra, Stenosis, Dilatation 447. Urethra, Stricture, Urethral Wall Stenting Squint, Operation (one/both eyes - adjustable sutures) 264. Eye, Squint, Operation (one/both eyes - transposition) 448. Urethra, Stricture, Urethrotomy 449. Urethra, Various Lesions, Urethrotomy 450. Uterus, Various Lesions, 265. Eye, Various Lesions, Enucleation with Insertion of Implant 266. Eye, Various Lesions, Enucleation without Curettage with Colposcopy/Biopsy/Diathermy/Cryosurgery/Laser Therapy of Cervix 451. Uterus, Various Lesions, Implant 267. Eye, Various Lesions, Evisceration 268. Eye, Various Lesions, Laser Trabeculoplasty 269. Eye, Various Curettage with/without Dilatation 452. Vagina, Incarcerated Pessary, Removal 453. Vagina, Pelvic Abscess, Lesions, Resuturing of wound following Intraocular Procedures 270. Eyelids, Ectropion/Entropion (complicated), Colpotomy and Drainage 454. Vagina, Rectocele, Repair 455. Vagina, Simple Tumour/Gartner's Cyst, Removal Correction (unilateral - one lid) 271. Eyelids, Ectropion/Entropion (complicated), Correction (unilateral - two lids) 456. Vagina, Stress Incontinence, Kelly's Operation 457. Vas Deferens, Various Lesions, Exploration (Microsurgical) 272. Eyelids, Ectropion/Entropion, Correction (bilateral) 273. Eyelids, Full Thickness Laceration, Repair 274. Eyelids, and Testicular Biopsy 458. Vas Deferens, Various Lesions, Varicocelectomy (Microsurgical) 459. Vas Deferens, Ptosis, Correction Fasanella (bilateral) 275. Eyelids, Ptosis, Correction Fasanella (unilateral) 276. Eyelids, Ptosis, Various Lesions, Vasoepididymostomy 460. Vas Deferens, Various Lesions, Vasoepididymostomy (Microsurgical) Correction Levator Palpebrae Superioris Resection (unilateral) 277. Eyelids, Ptosis, Correction with Fascia Lata Graft 461. Vascular System, Various Lesions, Insertion of Tenchoff Catheter 462. Vein (large), Various Lesions, Ligation (unilateral) 278. Eyelids, Tumour, Excision and Repair with Local Flap 279. Eyelids, Various Lesions, Blepharoplasty 463. Vein (major), Trauma, Repair 464. Vein, Varicosity, High Ligation and Complete Stripping/Excision of Saphenous (combined upper and lower) 280. Eyelids, Various Lesions, Blepharoplasty (lower/upper) 281. Eyelids, Various Vein 465. Vein, Various Lesions, Arteriovenous Shunt (external) 466. Veins, Varicosity, Sub-fascial Ligation of Lesions, Full Thickness Wedge Resection with Repair 282. Face, Infection/Osteomyelitis, Simple Drainage and Multiple Perforators 467. Vulva, Bartholin Cyst, Excision using Laser 468. Vulva, Bartholin Cyst, Excision without use Sequestrectomy 283. Fallopian Tubes, Salpingostomy/Salpingostomatomy/Salphingolysis, Laproscopic 4 of Laser 469. Vulva, Haematoma, Evacuation (complicated) 470. Vulva, Malignant Condition, Vulvectomy (simple) 284. Fallopian Tubes, Salpingotomy 285. Fallopian Tubes, Tubo-Ovarian Abcess Drainage 286. Fascia-Palmar, using Laser List of Surgeries in Grade 3: 471. Abdominal Cavity, Ruptured Viscus, Simple Repair 472. Abdominal Dupuytren's Contracture (recurrent), Fasciectomy 287. Fascia-Palmar, Dupuytren's Contracture, Fasciectomy Cavity, Various Lesions, Laparotomy (exploratory) 473. Abdominal Cavity, Volvulus, Reduction 474. Abdominal Wall, (single) 288. Finger, Defect/Contracture (single), Reconstruction 289. Finger, Deformities, Correction 290. Finger, Burst Abdomen, Repair 475. Abdominal Wall, Inguinal Hernia, Unilateral Herniorrhaphy 476. Abdominal Wall, Ring Constriction (single), Correction 291. Finger, Trauma, Terminalisation (multiple) 292. Finger, Trauma, Inguinal/Femoral Hernia, Bilateral Herniorrhaphy 477. Abdominal Wall, Strangulated/Obstructed Hernia, Repair Terminalisation (single) 293. Finger, Various Lesions, Amputation (multiple) 294. Finger, Various Lesions, Ray without Bowel Resection 478. Ankle, Dislocation, Open Reduction 479. Ankle, Fracture, Open Reduction and Internal Amputation (single) 295. Fistulization of salivary gland 296. Foot, Crush Injuries (complex), Wound Debridement Fixation 480. Anus, Anal Stricture, Repair 481. Anus, Ano-Rectal Prolapse, Radical Operation without Resection 297. Foot, Various Lesions, Floating Osteotomy 298. Gamma Knife radiosurgery 299. Hand, Closed 482. Anus, Fistula-in-ano (high), Fistulectomy & Colostomy 483. Aorta, Various Lesions, Insertion/Removal of Intra- Fracture/Dislocation, Open Reduction and Fixation (single) 300. Hand, Crush Injuries (complex), Wound aortic Balloon 484. Appendix, Various Lesions, Appendicectomy with/without Drainage 485. Artery (extremity), Debridement 301. Hand, Deformities, Osteotomy 302. Hand, Foreign Body (deep), Removal with Mobilisation of Thrombosis, Endarterectomy 486. Artery (femoral/iliac), Thrombosis, Endarterectomy 487. Artery (large), Various Neurovascular Bundle 303. Hand, Foreign Body (superficial), Removal with Mobilisation of Neurovascular Bundle Lesions, Ligation 488. Artery, Embolism, Embolectomy 489. Artery, Various Lesions, Arterio-venous Fistula Creation 304. Hand, Scar, Revision 305. Hand, Soft Tissue Tumour, Excision 306. Hand/Digit, Stump, Revision 307. Heart, 490. Artery, Various Lesions, Transluminal Arterioplasty 491. Bladder, Cutaneous Fistula, Closure 492. Bladder, Various Lesions, Cardiac Biopsy 308. Heart, Various Lesions, Left/Right Heart Catheterisation (direct) 309. Hip, Fistula, Closure/Correction 493. Bladder, Various Lesions, Partial Excision 494. Blood Vessels, Ischaemia/Peripheral Dislocation, Manipulation and Reduction 310. Humerus, Delayed/Non-Union, Reconstruction 311. Hysteroscopy, Vascular Disease, Periarterial Sympathectomy 495. Bone (Lower Limb), Major Crush Injury, Wound Debridement therapeutic 312. Hysteroscopy, therapeutic (with laser) 313. Incision of the hard and soft palate 314. Intestine, 496. Bone (Upper Limb), Osteomyelitis/Septic Arthritis, Extensive Curettage/Debridement and Irrigation 497. Bone, Intussusception, Reduction by Fluid 315. Joints (Finger), Contracture, Capsulectomy/Capsulotomy 316. Joints Metatarsus,Osteotomy 498. Brain, Hydrocephalus, Revision/Removal of Shunt 499. Breast, Lumps (multiple/ (Finger), Various Lesions, Excision,Arthroplasty 317. Joints (Foot excluding Ankle), Synovitis, Synovectomy bilateral), Excision 500. Breast, Tumour (malignant), Simple Mastectomy 501. Breast, Various Lesions, Unilateral 318. Joints (Hand excluding Wrist), Synovitis, Synovectomy 319. Joints (Lower Limb), Dislocations, Manipulation Subcutaneous Mastectomy 502. Cornea, Various Lesions, Transplantation (superficial/lamellar/full thickness) and Kirschner Wire Fixation 320. Joints (Lower Limb), Dislocations, Wound Debridement 321. Joints (Lower Limb), 503. Cystoscopy, with endoscopic removal/ manipulation of ureteric calculus 504. Cystoscopy, with endoscopic Loose Bodies, Removal 322. Joints (Lower Limb), Septic Arthritis, Simple Drainage 323. Joints (Other than Hand resection/incision of bladder neck 505. Cystoscopy, with resection of bladder tumor (less than 1.5 cm) excluding Wrist), Various Lesions, Synovectomy 324. Joints (Upper Limb), Dislocation, Wound Debridement 506. Cystoscopy, with ureteric meatotomy/with resection of Ureterocele 507. Diaphragm, Diaphragmatic/Hiatus 325. Joints (Upper Limb), Plates and Screws, Removal 326. Joints (Upper Limb), Rush Rods/Wires/Screws, Hernia, Repair 508. Diaphragm, Tumour, Excision 509. Duodenum, Trauma, Bypass Operation 510. Ear (Middle), Removal 327. Joints (Upper Limb), Septic Arthritis, Extensive Curettage/ Debridement and Irrigation 328. Joints Round Window Perforation, Repair 511. Ear (Middle), Various Lesions, Exploration and Tympanotomy 512. Ear, (Upper Limb), Septic Arthritis, Simple Drainage 329. Kidney, Calculus, Lithotripsy (ESWL, Percutaneous Cauliflower Ear. Correction 513. Ear, Deformity, Composite Graft 514. Ear, Exostosis Obturans, Removal 515. Ear, U/S)/Nephrolithotomy/Pyelolithotomy 330. Lacrimal Gland (Lacrimal Sac), Various Lesions, Excision 331. Larynx, Various Lesions, Meatoplasty with Split Skin Graft 516. Ear, Various Lesions, Myringoplasty (post-aura/endaural Various Lesions, Direct Examination with Removal of Tumour 332. Lens, Cataract (Juvenile), Removal and Needlings approach) 517. Ear, Various Lesions, Myringoplasty (simple) 518. Elbow, Septic Arthritis/Effusion, Arthrotomy 333. Lens, Cataract, Extraction with Intra-ocular Lens Implant 334. Lens, Various Lesions, Extraction 335. Lens, 519. Elbow, Various Lesions, Synovectomy with Reconstruction 520. Electro Physiology Study +Radio Frequency Various Lesions, Removal of Intra-ocular Artificial Lens 336. Lip, Various Lesions, Full Thickness Wedge Excision with Ablation 521. Endoscopic, dilation of biliary stricture 522. Endoscopy, sphincterotomy with/without extraction of Repair/ Vermilionectomy 337. Lower Limb, Fractures/Dislocation, Manipulation and Reduction with/without stones from common bile duct 523. Esophagoscopy with insertion of prosthesis 524. Esophagus, Tumour, Insertion Application of Cast 338. Lymph node (axillary), Various Lesions, Limited Excision 339. Lymph node (axillary), Various of Celestin Tube 525. Esophagus, Varices, Esophageal/Subcardial Transection 526. Esophagus, Various Lesions, Lesions, Radical Excision 340. Lymph node (cervical), Various Lesions, Excision Biopsy 341. Lymph node (inguinal), Cervical Esophagostomy 527. Esophagus, Pyloric Stenosis, Pyloroplasty 528. Excision and destruction of Diseased Various Lesions, Limited Excision 342. Lymphatics, Lymphangiectasis, Limited Excision 343. Lymphatics, hard and soft palate 529. Excision of Diseased tissue of a salivary gland and a salivary duct >2.5 cm in size 530. Eye, Lymphoedema, Excision (moderate) 344. Mandible, Alveolar Defect/Deformity, Simple Alveoloplasty Perforating Wound (with incarceration/prolapse of uveal tissue/lens/vitreous), Repair 531. Eye, Squint, Operation 345. Mandible, Odontogenic Cyst (smaller than 10mm), Enucleation 346. Mandible, Odontogenic Cyst, (one/both eyes - 2 muscles) 532. Eyelids, Ptosis, Correction Levator Palpebrae Superioris Resection (bilateral) Marsupialization 347. Mandible, Old Fractures, Removal of Plates and Wires under General Anaesthesia 533. Eyelids, Ptosis, Correction with Fascia Lata Graft (bilateral) 534. Eyelids, Tumour, Excision and Repair with Full 348. Mandible, Various Lesions, Alveolectomy (per quadrant) 349. Mandible, Various Lesions, Insertion of Thickness Skin Grafting 535. Eyelids, Various Lesions, Multiple Plastic Lid Procedures 536. Face, Endosseous Implants (one stage-simple) 350. Marsupialization of kidney lesion 351. Mastoid, Various Lesions, Infection/Osteomyelitis, Major Drainage and Sequestrectomy 537. Face, Intraosseous Tumor (small), Excision Mastoidectomy (cortical) 352. Microlaryngoscopy, with/without removal of tumour 353. Mouth, Foreign Body 538. Fascia-Palmar, Dupuytren's Contracture, Fasciectomy (multiple) 539. Finger, Defect/Contracture (multiple), (deep), Removal 354. Muscle (Lower Limb), Rupture, Repair 355. Muscle (Lower Limb), Various Lesions, Wide Reconstruction 540. Finger, Ring Constriction (multiple), Correction 541. Finger, Swan Neck/Boutonniere Deformity Excision 356. Muscle (Upper Limb), Rupture, Repair 357. Muscle (Upper Limb), Various Lesions, Wide Excision (single), Correction 542. Finger, Various Lesions, Synovectomy with Soft Tissue Reconstruction 543. Foot, Hallux 358. Nail Bed, Deformity/Defect Reconstruction 359. Nail Bed, Laceration, Repair (multiple) 360. Neck, Torticollis, Valgus/Hammer Toes, Reconstruction 544. Gall Bladder, Various Lesions, Cholecystectomy 545. Hand, Correction 361. Nerve (Lower Limb), Entrapment Syndrome, Decompression 362. Nerve (Upper Limb), Carpal Fractures/Dislocation, Open Reduction and Internal Fixation (multiple) 546. Head-Face, Soft Tissue Tumors (small), Tunnel Syndrome, Release (bilateral with Endoneurolysis) 363. Nerve (Upper Limb), Carpal Tunnel Syndrome, Excision 547. Heart, Arrhythmia, electrophysiology study (Mapping) with radiofrequency ablation 548. Heart, Release (unilateral with Endoneurolysis) 364. Nerve (Upper Limb), Entrapment Syndrome (others), Decompression Arrhythmia, Implanatable Cardioverter Defibrillator(ICG) Implantation 549. Heart, Coronary Disease, Coronary (bilateral) 365. Nerve (Upper Limb), Entrapment Syndrome (others), Decompression (unilateral) 366. Nerve (Upper Arteriography (selective) 550. Heart, Pericardial Effusion, Transthoracic Drainage 551. Heart/Lung, Various Lesions, Limb), Guyon's Tunnel Syndrome, Release (unilateral) 367. Nerve-Digital, Injury, Microsurgical Repair (single) Cardiopulmonary Perfusion 552. Hip, Various Lesions, Arthrotomy 553. Intestine, Enterostomy, Closure 368. Nerve-Digital, Injury, Primary Repair 369. Nerve-Sympathetic, Various Lesions, Sympathectomy (unilateral) 554. Intestine, Intussusception, Laparotomy and Reduction 555. Intestine-Meckel's Diverticulum, Various Lesions, 370. Nose, Choanal Atresia, Repair by Puncture and Dilatation 371. Nose, Laceration Full Thickness, Repair Resection 556. Iris, Tumor, Excision 557. Joints (Finger), Various Lesions, Arthrodesis 558. Joints (Lower Limb) - 372. Nose, Post-Nasal Space, Laser Application 373. Nose, Various Lesions (turbinates), Submucous small, Various Lesions, Arthroplasty 559. Joints (Lower Limb), Major Crush Injuries, Wound Debridement 560. Joints Resection/Turbinectomy 374. Pancreas, Various Lesions, External Drainage 375. Parotid, Calculus, Removal (Upper Limb), Contracture, Capsulectomy/Capsulotomy (multiple) 561. Joints (Wrist), Various Lesions, Arthrodesis 376. Penis, Peyronie’s Disease, Operation 377. Penis, Trauma, Repair of Avulsions 378. Penis, Trauma, Repair of 562. Kidney, Nephroptosis, Nephropexy 563. Kidney, Pyonephrosis, Nephrostomy/Pyelostomy 564. Kidney, Laceration/Fracture Involving Cavernous Tissue 379. Penis, Tumour, Amputation (Partial) 380. Pharynx, Pyonephrosis/Perinephric Abscess, Drainage 565. Kidney, Various Lesions, Biopsy (open) 566. Kidney, Various Cysts/Vallecular, Removal 381. Prostate Gland, Abscess, Retropubic/Endoscopic Drainage 382. Prostate Gland, Lesions, Exploration 567. Knee, Various Lesions, Arthrotomy 568. Lacrimal Gland, Various Lesions, Various Lesions, Endoscopic Biopsy 383. Prostate, Benign Hyperplasia, TUMT 384. Rectum, Hirschsprung’s Dacryocystorhinostomy 569. Laparoscopy, therapeutic, except for retrieval and placement of gametes and Disease, Anal Sphincterotomy 385. Rectum, Tumour, Laser Vaporisation/Endoscopic Fulguration 386. Retina, Tears, placement of embryos 570. Larynx, Fractures, Operation 571. Lens, Cataract, Extraction with Trabeculectomy Diathermy/Cryotherapy 387. Sinuses-Ethmoidal, Various Lesions, External Operation 388. Sinuses-Frontal, Various 572. Lower Limb, Deformities, Epiphysiodesis 573. Lower Limb, Open Fractures, External Fixation 574. Lymph node Lesions, Trephine 389. Sinuses-Nasal, Haematoma/Abscess, Antral Drainage 390. Skin and Subcutaneous Tissue (cervical), Various Lesions, Limited Block Dissection 575. Lymph node (cervical), Various Lesions, Radical Block (ear/nose/eyelid), Laceration, Full Thickness Repair 391. Skin and Subcutaneous Tissue, Burns, Escharotomy Dissection 576. Lymphatics, Cystic Hygroma, Excision (moderate) 577. Mandible, Alveolar Defect/Deformity, (extensive) 392. Skin and Subcutaneous Tissue, Deep/Extensive Contaminated Wound, Debridement 393. Skin and Complex Alveoloplasty 578. Mandible, Fracture, Closed Reduction and Fixation 579. Mandible, Fracture, Open Reduction and Fixation 580. Mandible, Odontogenic Cyst (11-20mm), Enucleation 581. Mandible, Various Lesions, Resection 756. Joints (Finger), Various Lesions, Replacement Arthroplasty 757. Joints (Lower Limb), Deformities, Insertion of Endosseous Implants (one stage-complex/two stages-simple) 582. Mandible, Various Lesions, Corrective Surgery with Osteotomy alone 758. Joints (Lower Limb), Septic Arthritis, Drainage with Curettage and Segmental Ostectomy/Osteotomy (one segment only) 583. Mastoidotomy 584. Maxilla, Deformity-Lefort I, Irrigation 759. Joints (Temporo-mandibular), Various Lesions, Meniscectomy 760. Joints (Temporo-mandibular), Osteotomy 585. Maxilla, Fracture, Closed Reduction and Fixation 586. Maxilla, Lefort I Fracture, Osteotomy Various Lesions, Plication of Disc 761. Joints (Upper Limb), Deformities/Contracture, Corrective Surgery 762. Joints 587. Mouth, Leukoplakia, Wide Excision and Skin Grafting 588. Mouth, Oro-antral Fistula, Removal of Tooth/Roots in (Upper Limb), Deformities/Contracture, Osteotomies and Fixation 763. Kidney and Ureter, Various Lesions, Antrum and Closure 589. Muscle (Quadriceps)/Tendon (Lower Limb), Disruption, Repair 590. Nerve-Cutaneous, Nephroureterectomy 764. Kidney, Cyst, Excision 765. Kidney, Injury, Repair 766. Kidney, Various Lesions, Injury, Primary Suture 591. Nerve-Facial, Paralysis, Free Fascia and Nerve Graft (microsurgical - Stage 1) 592. Nerve- Nephrectomy 767. Knee, Various Lesions, Arthrotomy and Synovectomy 768. Knee, Various Lesions, Menisectomy Peripheral (superficial), Tumour, Excision 593. Nerve-Trigeminal (Ganglion), Neuralgia, Injection with alcohol/ with/without Arthroscopy 769. Labyrinth, Various Lesions, Destruction/Labyrinthotomy 770. Lacrimal Gland, Various Radiotherapy Ganglionotomy 594. Nose, Various Lesions, Rhinoplasty (augmentation excluding cost of implants) Lesions, Dacryocystorhinostomy with Lester Jones Tube 771. Laparoscopy, therapeutic (with laser) 772. Lens, 595. Nose, Various Lesions, Rhinoplasty (correction of bony vault only) 596. Nose, Various Lesions, Cataract, Extraction with Intra-ocular Lens Implant and Trabeculectomy 773. Lens, Various Lesions, Secondary Septoplasty/Submucous Resection 597. Orbit, Various Lesions, Anterior Orbitotomy 598. Ovary, Cyst, Cystectomy, Insertion of Intra-ocular Lens 774. Liver, Abscess, Trans-Abdominal Drainage 775. Liver, Hydratid Cyst, Trans- via Laparoscopy 599. Ovary, Various lesions, Biopsy/Ovariopexy/Ovarioplasty/Wedge resection 600. Palatoplasty Abdominal Drainage/Excision 776. Liver, Obstructive Jaundice, Longmire Operation/Chlodedocho Jejunostomy for pure palatal defects 601. Parathyroid, Various Lesions, Excision 602. Parotid, Fistula, Repair 603. Parotid, 777. Liver, Trauma, Minor Repair Laceration 778. Liver, Trauma/Tumour, Hepatic Artery Ligation 779. Liver, Various Trauma, Repair/Reimplantation 604. Patella, Fracture, Open Reduction and Internal Fixation 605. Patella, Various Lesions, Wedge/Local Excision 780. Lower Limb, Length Discrepancies, Lengthening Procedures 781. Lower Limb, Lesions, Patellectomy 606. Penis, Priapism, Decompression (Shunt Op) 607. Penis, Trauma, Reconstruction (2nd Various Lesions, Amputation 782. Lymph node (retroperitoneal),Various Lesions, Limited Excision 783. Lymphatics, Stage) 608. Radius (head), Various Lesions, Excision 609. Radius and/or Ulna, Fracture/Dislocation, Closed Lymphangiectasis, Radical Excision 784. Lymphatics, Lymphoedema, Excision (large) 785. Mandible and Maxilla, Reduction and Internal Fixation 610. Rectum, Hirschsprung’s Disease, Rectal Myectomy 611. Retro-Peritoneum, Various Lesions, Osteotomy including Segmental Osteotomy with/without Grafting 786. Mandible, Condylar Lesions, Abscess, Drainage with/without Laparotomy 612. Shoulder, Deformity, Osteotomy 613. Shoulder, Septic Condylectomy 787. Mandible, Condylar Lesions, Condylotomy 788. Mandible, Fracture (comminuted), Open Arthritis/Effusion, Arthrotomy 614. Sinuses, Various Lesions, Intranasal Operation 615. Sinuses-Nasal, Infection, Reduction and Fixation 789. Mandible, Odontogeric Cyst (larger than 20mm), Enucleation 790. Mandible, Tumours, Functional Sinuscopic Drainage of Ethmoidal/Maxillary Sinuses 616. Sinuses-Nasal, Infection, Functional Sinuscopic Marginal Resection with/without Bone Graft 791. Mandible, Various Lesions, Alveoloplasty with Epithelial Graft Ethmoidectomy 617. Sinuses-Nasal, Oro-antral Fistula, Closure 618. Sinuses-Nasal, Various Lesions, Antrostomy 792. Mandible, Various Lesions, Complex Genioplasty (not as a combined procedure) 793. Mandible, Various (radical) 619. Skin and Subcutaneous Tissue, Burns, Excision and Small Full Thickness Graft 620. Skin and Lesions, Coronoidectomy 794. Mandible, Various Lesions, Insertion of Endosseous Implants (two stages-complex) Subcutaneous Tissue, Defect (deep), Dermofat/ Fascia Graft (including transplant/muscle flap) 621. Skin and 795. Mandible, Various Lesions, Insertion of Transmandibular Implant/ Subperiosteal Implant 796. Mastoid, Various Subcutaneous Tissue, Defect (multiple digits), Free Full Thickness Graft 622. Skin and Subcutaneous Tissue, Defect, Lesions, Mastoidectomy (radical/modified) 797. Mastoid, Various Lesions, Mastoidectomy (radical/modified) with Free Grafts (Split Skin Graft 1/2 to less than 2%) 623. Skin and Subcutaneous Tissue, Defect, Single Staged Local Myringoplasty 798. Mastoid, Various Lesions, Obliteration of Cavity 799. Mastoid, Various Lesions, Revision Flap (simple/ small) 624. Skin and Subcutaneous Tissue, Haemangioma/Lymphangioma (moderate), Excision Mastoidectomy 800. Maxilla, Lefort I Fracture, Closed Reduction and Fixation 801. Maxilla, Unilateral Incomplete 625. Skin and Subcutaneous Tissue, Laceration (deep)/Multiple Lacerations, Repair 626. Skin and Subcutaneous Alveolar Cleft, Bone Graft 802. Mouth, Various Lesions, Pharyngotomy (lateral) with Excision of Tongue 803. Nerve Tissue, Neurofibromatosis of Face and Neck, Excision (large) 627. Skin and Subcutaneous Tissue, (Lower Limb), Disruption, Major Repair (single) 804. Nerve (Upper Limb), Defect, Graft (single) using microsurgical Neurofibromatosis of Face and Neck, Excision (moderate) 628. Skin and Subcutaneous Tissue, Tumour (malignant), techniques 805. Nerve (Upper Limb), Entrapment Syndrome (others), Decompression with Nerve Excision and Reconstruction 629. Skin, Burns (more than 10%), Excision of Scar Tissue 630. Skin, Transposition/Endoneurolysis 806. Nerve (Upper Limb), Guyon's Tunnel Syndrome, Release (bilateral with Keratoses/Warts/Similar Lesions, Excision (more than 10 lesions) 631. Skin, Various Lesions, Insertion of Tissue Endoneurolysis) 807. Nerve (Upper Limb)-major, Injury, Microsurgical Repair (single) 808. Nerve, Defect, Peripheral Expander (multiple) 632. Small Bowel, Ileostomy Stenosis, Revision 633. Small Intestine, Various Lesions, Graft 809. Nerve, Various Lesions, Primary/Secondary Suture 810. Nerve-Digital, Injury, Microsurgical Repair Repair/Correction 634. Small Intestine, Volvulus, Reduction 635. Soft Tissue, Tumour, Wide Excision 636. Spleen, (multiple) 811. Nerve-Facial (Mastoid Portion), Entrapment, Decompression 812. Nerve-Facial, Paralysis, Free Trauma/Various Non-Traumatic Lesions, Splenectomy 637. Stomach, Ulcer, Vagotomy - all types Fascia Graft 813. Nerve-Peripheral (deep), Tumour, Excision 814. Nerve-Ulnar, Entrapment, Transposition 638. Submandibular Gland, Tumour/Sialectasis, Excision 639. Tendon (Peroneal), Subluxation, Reconstruction 815. Nose, Choanal Atresia, Plastic Repair 816. Nose, Various Lesions, Composite Graft (chondro- 640. Tendon (Upper Limb), Bowstringing/Entrapment, Pulley Reconstruction 641. Tendon (Upper Limb), Various cutaneous/chondro-mucosal) 817. Nose, Various Lesions, Rhinoplasty (correction of lateral and/or alar cartilages), Lesions, Tendon Transfer (single) 642. Tendon-Extensor (Upper Limb), Injury, Repair (multiple) 643. Tendon-Flexor Secondary revision 818. Orbit, Contracture, Reconstruction including Mucous Membrane Grafting and Stent Mould (Lower Limb), Disruption, Repair (multiple) 644. Tendon-Flexor (Upper Limb), Injury, Repair (single) 645. Tendon- 819. Orbit, Various Lesions, Decompression (unilateral) 820. Orbit, Various Lesions, Lateral Orbitotomy 821. Orbit, Flexor (Upper Limb), Injury, Tendon Graft 646. Testis, Various Lesions, Orchidectomy with Complete Excision of Various Lesions, Reconstruction of Floor/Roof with Silastic/Bone Graft 822. Ovary, Various Lesions, Salpingo- Spermatic Cord 647. Thorax, Various Lesions, Thoracotomy (exploration) with/without Biopsy 648. Thyroglossal Oophorectomy, via Laparoscopy 823. Ovary, Various Lesions, Salpingo-Oophorectomy, via Laparotomy Duct Cyst/Fistula, Excision 649. Thyroid, Tumour, Excision 650. Tibia, Fracture, Open Reduction and Internal Fixation 824. Pancreas, Cyst/Pseudocyst, Anastomosis to Stomach/Intestine 825. Parotid, Tumour, Parotidectomy with Plates and Screws 651. Tongue, Various Lesions, Partial Excision 652. Tympanic Membrane, Perforation, Round 826. Patella, Recurrent Dislocation/Chondromalacia, Reconstruction 827. Penis, Tumour, Amputation (Total) Window Repair 653. Upper Limb, Various Lesions, Amputation 654. Ureter, Various Lesions, Ureteroureterostomy 828. Pharynx, Pouch, Endoscopic Resection/Removal 829. Pharynx, Various Lesions, Flap/Pharyngoplasty 655. Ureter,Ectopic orifices, Ureterostomy 656. Urethra, Valves/Membrane, Resection 657. Urethra, Various 830. Pharynx, Various Lesions, Partial Pharyngectomy with Primary Closure 831. Pharynx, Various Lesions, Lesions, Excision 658. Urethra, Various Lesions, Urethropexy 659. Urinary Bladder, Diverticula,Excision 660. Uterus, Pharyngotomy (lateral) with Excision of Tongue 832. Prostate Gland, Various Lesions, Prostatectomy (Open) Perforation, Repair 661. Uterus, Ruptured, Repair (simple) 662. Vagina, Cystocele, Repair 663. Vagina, Malignant 833. Prostate Gland, Various Lesions, Transurethral Resection of Prostrate 834. Radius and Ulna, Delayed/Non- Condition, Vaginectomy (partial) 664. Vagina, Prolapse, Obliteration 665. Vein (distal extremity/digit), Various union, Reconstruction 835. Radius and Ulna, Fracture/Dislocation, Open Reduction and Internal Fixation Lesions, Microvascular Repair 666. Vein (small), Injury, Repair (multiple) 667. Vein, Arterio-venous Fistula, 836. Rectum, Hirschsprung’s Disease, Recto-Sigmoidectomy 837. Rectum, Various Lesions, Transphincteric Dissection and Ligation 668. Vein, Various Lesions, Intra-arterial Infusion of Arteries of Neck/Thorax/Abdomen Removal 838. Sinuses-Nasal, Various Lesions, Antrsotomy (radical) with transantral Ethmoidectomy/Transantral 669. Vena Cava-Inferior, Various Lesions, Plication/Ligation 670. Zygoma, Fracture, Elevation Vidian Neurectomy 839. Sinuses-Nasal, Various Lesions, Fronto-nasal Ethmoidectomy with/without List of Surgeries in Grade 4: 671. Abdominal Cavity, Lymphoma, Laparotomy for grading Lymphoma with Sphenoidectomy 840. Sinuses-Sphenoidal, Various Lesions, Intranasal Operation 841. Skin and Subcutaneous Splenectomy/Liver/Lymph Node Biopsy 672. Abdominal Cavity, Various Lesions, Laparotomy including Tissue, Burns, Excision and Major Full Thickness Graft 842. Skin and Subcutaneous Tissue, Defect (deep), Free Graft Colostomy/Enterostomy/Gastrostomy 673. Abdominal Wall, Epigastric/Umbilical Hernia, Repair 674. Abdominal (Split Skin Graft - Extensive/Inlay Graftusing a mould) 843. Skin and Subcutaneous Tissue, Defect, Free Grafts (Split Wall, Strangulated/Obstructed Hernia, Repair with Bowel Resection 675. Abdominal Wall, Skin Graft 2 to less than 5%) 844. Skin and Subcutaneous Tissue, Defect, Free Grafts (Split Skin Graft 5 to less than Ventral/Incisional/Recurrent Hernia, Repair 676. Adrenals, Various Lesions, Biopsy/Excision 677. Anus, Ano-Rectal 10%) 845. Skin and Subcutaneous Tissue, Defect, Free Grafts (Split Skin Graft more than 10%) 846. Skin and Prolapse, Radical Operation with Resection 678. Artery - large, Injury, Repair with Grafting 679. Artery - small, Injury, Subcutaneous Tissue, Haemangioma/Lymphangioma (large), Excision 847. Skin and Subcutaneous Tissue, Tumour Repair (multiple) 680. Artery (major), Trauma, Repair 681. Artery (others), Thrombosis, Endarterectomy 682. Artery (malignant), Excision with Immediate Block Dissection 848. Skin, Defect, Neurovascular Island Flap 849. Skull, (trunk), Embolism, Embolectomy 683. Artery, Arterio-venous Fistula (small), Excision 684. Artery, Defect, Arterial Intracranial Haemorrhage, Burr-hole Craniotomy (unilateral) 850. Small Bowel, Various Lesions, Enterostomy Patch Graft 685. Artery, Trauma/Resection, Arterial Anastomosis 686. Artery, Various Lesions, Axillary- 851. Small Bowel, Various Lesions, Resection 852. Soft Tissue (Lower Limb), Tumours (benign), Wide Excision femoral/Subclavian-femoral By-pass 687. Artery, Various Lesions, By-pass/ Graft 688. Artery-Carotid, 853. Soft Tissue (Lower Limb), Various Lesions, Major Release 854. Soft Tissue (Upper Limb), Tumours (benign), Aneurysm/Arterio-Venous Fistula, Ligation 689. Artery-Carotid, Thrombosis, Endarterectomy 690. Artery-Profunda Major Excision 855. Soft Tissue (Upper Limb), Tumours (malignant), Wide Excision 856. Spinal Cord, Intractable Pain, Femoris, Stenosis, Profundoplasty 691. Arthroscopy, therapeutic 692. Auditory Meatus (Internal), Tumour, Percutaneous Cordotomy 857. Spine, Cervical Rib, Excision 858. Spine, Prolapsed Disc, Lumbar Endoscopic Transtympanic Removal 693. Bile Duct Various Lesions, Choledocho-Duodenostomy/ Choledocho-Gastrostomy Discectomy 859. Stomach, Pyloric Stenosis, Pyloroplasty 860. Stomach, Tumour/Ulcer, Gastrojejunostomy 694. Bile Duct, Various Lesions, Choledocho-Jejunostomy 695. Bile Duct, Various Lesions, Choledochotomy 861. Stomach, Various Lesions, Partial/Subtotal Gastrectomy 862. Stomach, Various Lesions, Wedge Resection (Exploration Common Bile Duct only) 696. Bile Duct, Various Lesions, Transduodenal 863. Tendon Sheath (Upper Limb), De Quervain's (bilateral), Release 864. Tendon-Flexor (Upper Limb), Defect, Sphincteroplasty/Sphincterotomy 697. Bladder, Broken Cable Connection to Neurogenic Bladder, Reconnection of Grafting (single) 865. Testis, Tumour, Retroperitoneal Lymph Node Dissection following Orchidectomy 866. Thorax, Cable 698. Bladder, Incontinence, Correction 699. Bone (Lower Limb), Cyst/Tumor (benign), Curettage with Bone Tumour (Mediastinal), Resection 867. Thorax, Various Lesions Thoracotomy with Pulmonary Decortication Grafting 700. Bone (Lower Limb), Deformities, Corrective Surgery with Osteotomy Alone 701. Bone (Lower Limb), 868. Thorax, Various Lesions, Intrathoracic Operation on Lungs/Bronchial Tree/Mediastinum 869. Thorax, Various Osteomyelitis, Drainage with Curettage and Irrigation 702. Bone (Lower Limb), Tumour (benign), Wide Excision Lesions, Thoracoplasty (complete) 870. Thyroid, Various Lesions, Hemithyroidectomy/Partial Thyroidectomy 703. Bone (Skull), Tumour (benign), Major Excision 704. Bone (Skull), Tumour (malignant), Wide Excision 705. Bone 871. Thyroid, Various Lesions, Total/Subtotal Thyroidectomy 872. Tibia, Delayed/Non-Union, Reconstruction (Upper Limb), Cyst/Tumour (benign), Curettage with Bone Grafting 706. Bone (Upper Limb), Defect, Bone Grafting 873. Tibia, Fracture(s), Open Reduction and Internal Fixation with Intramedullary Rod 874. Tongue, Tumour, 707. Bone (Upper Limb), Deformities, Corrective Surgery 708. Bone (Upper Limb), Tumor (benign), Major Excision Glossectomy (Hemi/Total) 875. Trachea, Various Lesions, Trachea Reconstruction 876. Upper Limb, Cerebral Palsy, 709. Bone (Upper Limb), Tumor (malignant), Wide Excision 710. Bone, Femoral/Tibial Torsion, Osteotomy Major Reconstruction 877. Upper Limb, Vascular Injury, Revascularisation 878. Ureter,Various Lesion, 711. Brain, Hydrocephalus and Other Lesions, Ventriculoatrial/ Ventriculoperitoneal Shunt 712. Brain, Reimplantation 879. Urethra, Valves, Resection 880. Urethra, Fistula, Closure 881. Urethra, Fistula, Closure Hydrocephalus, External Ventricular Drainage 713. Brain, Intracranial Abscess, Drainage via Burr-hole 714. Brain, 882. Urethra, Injury, Repair/Urethroplasty of Anterior Urethra 883. Urethra, Various Lesions, Anterior Urethroplasty Tumour, Ventricular Puncture through Burr-hole 715. Brain,Spina Bifida manifesta,Meninges,Excision of Sac 884. Urethra, Various Lesions, Posterior/Transpubic Urethroplasty 885. Uterus, Benign/Malignant Conditions, 716. Breast, Tumour (malignant), Lumpectomy/Segmental Mastectomy with Axillary Lymph Node Clearance Total/Subtotal Hysterectomy with/without Salpingo- Oophorectomy 886. Uterus, Broad Ligament Tumour, Chronic 717. Breast, Tumour (malignant), Simple Mastectomywith Axillary Sampling 718. Carpus, Delayed/Non-Union, Pelvic Inflammation, Hysterectomy 887. Uterus, Fibroids, Myomectomy (complicated) 888. Uterus, Fibroids, Reconstruction 719. Cystoscopy, with resection of bladder tumor (more than 1.5 cm) 720. Duodenum, Ulcer, Myomectomy (simple) 889. Uterus, Prolapse, Vaginal Hysterectomy with/without Pelvic Floor Repair 890. Uterus, Vagotomy - all types 721. Duodenum, Various Lesions, Gastroenterostomy/Gastroduodenostomy 722. Ear (Middle), Retroversion, Ventrosuspension 891. Uterus, Ruptured, Repair (complicated) 892. Vagina, Atresia, Vaginoplasty Various Lesions, Stapedectomy 723. Ear, Deformity, Correction (bilateral) 724. Ear, Partial Amputation, 893. Vagina, Enterocele, Repair/Vaginal Vault Suspension (abdominal) 894. Vagina, Fistula, Repair (complicated) Reconstruction 725. Ear, Total Amputation, Staged Reconstruction (each stage) 726. Ear, Various Lesions, Ossicular 895. Vagina, Fistula, Repair (simple) 896. Vagina, Malignant Condition, Vaginectomy (complete) 897. Vagina, Chain Reconstruction with/without Myringoplasty 727. Elbow, Fracture/Dislocation, Open Reduction and Internal Prolapse, Colporrhaphy with Amputation of Cervix (Manchester) 898. Vagina, Prolapse, Colporrhaphy with Repair of Fixation 728. Esophagus, Achalasia, Cardiomyotomy 729. Esophagus, Varices, Transgastric Ligation Pelvic Floor 899. Vagina, Stress Incontinence, Sling/Combined/Abdomino-Vaginal Operation 900. Vein, Varicosity, 730. Esophagus,Hernia, Repair 731. Eye, Squint, Operation (one/both eyes - 3 muscles or more) 732. Eyelids, Bilateral Stripping/Excision/Multiple Ligations 901. Vein, Various Lesions, Saphenous to Femoral Cross-leg Bypass Various Lesions, Composite Graft (chondro-cutaneous/ chondro-mucosal) 733. Eyelids, Various Lesions, Graft 902. Vein-Portal, Portal Hypertension, Bypass 903. Vitreous, Various Lesions, Vitrectomy (pars plana/Removal Reconstruction using Full Thickness Flap 734. Eyelids, Various Lesions, Whole Thickness Reconstruction (other than of silicone oil) 904. Vitreous, Various Lesions, Vitrectomy (pars plana/sclerotomy/ silicone oil/giant tears 905. Vulva, direct suture only) 735. Face, Contour Defect, Reconstruction and Insertion of Implants 736. Femur, Delayed/Non- Malignant Condition, Vulvectomy (simple) without use of Laser 906. Zygoma, Fracture, Exploration and Fixation Union, Reconstruction 737. Femur, Fracture(s), Open Reduction and Internal Fixation with Intramedullary Rod List of Surgeries in Grade 5: 907. Abdominal Cavity, Neonatal Alimentary Obstruction, Laparotomy 908. Ankle, 738. Femur, Fracture, Open Reduction and Internal Fixation with Plates and Screws 739. Gall Bladder, Various Various Lesions, Arthrodesis 909. Ankle, Various Lesions, Excision/Interposition Arthroplasty 910. Anus, Ano-Rectal Lesions, Laparoscopic Cholecystectomy 740. Hand, Complex Injuries, Debridement with Repair/Reconstruction Malformation, Rectoplasty Primary/Secondary Repair 911. Aorta, Abdominal Aortic Aneurysm, Excision and 741. Hand, Tumors, Excision with Dissection of Neurovascular Bundle 742. Head-Face, Contour Defect, Insertion of Graft 912. Artery (distal extremity/digit), Various Lesions, Microvascular Repair 913. Artery (major), Reconstruction 743. Heart, Coarctation of Aorta, Repair via Catheterisation 744. Heart, Great Vessels, Various Aneurysm, Excision and Insertion of Graft 914. Artery, Arterio-venous Fistula (large), Excision 915. Artery, Arterio- Lesions, Intrathoracic Operation 745. Heart, Patent Ductus Arteriosus. Ligation 746. Heart, Pericardial Disease, venous Fistula, Dissection and Repair with Restoration of Continuity 916. Artery-Carotid, Arterio-Occlusive Lesions, Pericardiectomy 747. Heart, Pulmonary Incompetence, Pulmonary Artery Banding 748. Heart, Pulmonary Valve External Carotid-Internal Carotid Bypass 917. Arthroscopy, knee reconstruction 918. Auditory Meatus (Internal), Lesions, Balloon Valvuloplasty 749. Heart, Septal Defects, Closure via Catheterisation 750. Heart, Various Lesion, Tumour, Transmastoid Removal with Extended Mastoidectomy 919. Bile Duct Various Lesions, Hepatico- Balloon Atrial Septostomy 751. Hip, Avascular Necrosis, Core Decompression 752. Hip, Various Lesions, Jejunostomy 920. Bone (Lower Limb), Deformities, Corrective Surgery with Plate Fixation and Fluoroscopy Arthrotomy and Synovectomy 753. Humerus, Fracture/Dislocation, Open Reduction and Internal Fixation 921. Bone (Lower Limb), Various Lesions, Epiphysiolysis with/without Microsurgery 922. Bone (Upper Limb), 754. Humerus, Intercondylar Fracture, Open Reduction and Internal Fixation 755. Intestine, Intussusception, Deformities, Osteotomies with Plate Fixation and Fluoroscopy 923. Brain, Hydrocephalus, Spino-peritoneal Shunt 924. Brain, Intracranial Tumor/Intracranial Cyst, Biopsy/Drainage via Burr-hole 925. Brain,Spina Bifida Malformation, Clipping/ Reinforcement of Sac 1081. Brain, Carotico-Cavemous Fistula, Extracranial and Intracranial manifesta,Meninges, Repair with Skin Flaps/Z-plasty with our without meningocoele excision 926. Breast, Post Trapping 1082. Brain, Epilepsy, Craniotomy 1083. Brain, Hydrocephalus, Ventriculo-cisternostomy 1084. Brain, Mastectomy, Reconstruction using Distal Musculocutaneous Flap(unilateral) 927. Breast, Post Mastectomy, Intracerebral Tumour, Biopsy and/or Decompression/Removal via Craniotomy 1085. Brain, Intracranial Abscess, Reconstruction using Tranverse Abdominis Musculocutaneous Flap (unilateral) 928. Breast, Post Mastectomy, Craniectomy and Drainage 1086. Brain, Intracranial Abscess, Excision 1087. Brain, Intracranial Extracerebral Reconstruction(unilateral) 929. Breast, Tumour (malignant), Modified Radical Mastectomy/Simple Mastectomy Tumour, Craniotomy & Removal/ Hemispherectomy 1088. Brain, Psychiatric Causes, Leucotomy/Lobotomy with Axillary Clearance 930. Breast, Tumour (malignant), Radical Mastectomy 931. Bronchus, Various Lesions, 1089. Brain, Various Lesions, Chemopallidectomy/Other Stereotactic Procedure 1090. Breast, Post Mastectomy, Bronchoplastic Procedure 932. Cervical Spine, Various Lesions, Anterior Decompression and Fusion (multiple levels) Reconstruction using Distal Musculocutaneous Flap(bilateral) 1091. Breast, Post Mastectomy, Reconstruction using 933. Cervical Spine, Various Lesions, Anterior Decompression and Fusion (single level) 934. Colon, Colostomy, Tranverse Abdominis Musculocutaneous Flap (bilateral) 1092. Breast, Post Mastectomy, Reconstruction(bilateral) Resection and Reanastomosis 935. Cornea, Various Lesions, Transplantation with Cataract Extraction and Intra- 1093. Colon, Various Lesion, Hemicolectomy 1094. Colon, Various Lesions, Colectomy 1095. Diaphragm, Tumour, ocular Lens Implantation 936. Duodenum, Ulcer, Partial Gastrectomy 937. Ear, Total Amputation, Microvascular Excision with Wedge Resection of Lung 1096. Duodenum, Tumor, Pancreatico-Duodenectomy 1097. Esophagus, Reconstruction 938. Elbow, Various Lesions, Hemiarthroplasty 939. Endolymphatic Sac, Various Lesions, Tumour, Allison/Ivor-Lewis Operation 1098. Esophagus, Varices, Esophageal/Transection with Splenectomy Transmastoid Decompression 940. Endolymphatic Sac, Various Lesions, Transmastoid Shunt Procedure 1099. Face, Fractures (more than 2), Open Reduction and Internal Fixation 1100. Finger, Trauma, Replantation 941. Esophagus, Esophageal atresia with/without Tracheo-esophageal Fistula, Repair 942. Esophagus, Tumour, (multiple) 1101. Finger, Various Lesions, Free Pulp Transfer 1102. Hand, Complex Injuries, Microsurgical Bypass with Stomach/Intestine 943. Face, Defect,Deformity, Insertion of Subperiosteal Implant 944. Face, Repair/Reconstruction 1103. Head-Face, Trauma, Craniofacial Approach Reduction and Fixation with Bone Graft Intraosseous Tumor (large), Excision 945. Finger, Trauma, Replantation (single) 946. Finger, Trauma, 1104. Heart, Anamalous Pulmonary Venous Connection, Repair 1105. Heart, Coarctation of Aorta, Repair via Open Replantation/Transplantation (single) 947. Foot, Various Lesions, Triple Arthrodesis 948. Gall Bladder, Various Heart Surgery 1106. Heart, Coronary Disease, Coronary Angioplasty (transluminal) with stent placement Lesions, Cholecystectomy and Choledocho- Jejunostomy/Duodenostomy/Gastrostomy/Exploration Common Bile 1107. Heart, Heart Block, Insertion/Replacement of Transvenous Pacemaking electrode 1108. Heart, Left Ventricular Duct 949. Hand, Deformities, Major Reconstructive Procedures 950. Hand, Deformity, Intrinsic Muscle Aneurysm, Resection without Coronary Artery Bypass 1109. Heart, Septal Defects, Closure via Open Heart Surgery Release/Transfer/Extensor Relocation 951. Hand, Flexor Tendon Injuries, Insertion of Silastic Rod(s) 952. Head- 1110. Heart, Tetralogy of Fallot, Repair 1111. Heart, Valvular Disease, Open Heart Surgery 1112. Heart, Various Face, Trauma, Craniofacial Approach Reduction and Fixation 953. Heart, Aortic/Mitral Valve Lesion, Balloon Lesions, Aneurysmectomy and/or Combined Valve Replacement/Repair & Coronary Bypass Grafting 1113. Heart- Valvuloplasty 954. Heart, Coronary Disease, Coronary Angioplasty (transluminal) without stent placement Atrium, Arrhythmia, Arrhythmia Surgery 1114. Hip, Avascular Necrosis, Core Decompression with Grafting 955. Heart, Transposition of the Great Arteries, Repair 956. Heart, Truncus Arteriosis, Repair 957. Heart, Ventricular 1115. Joints (Other than Finger), Various Lesions, Total Joint Replacement 1116. Joints (Shoulder/Elbow), Various Conduction Delay/Defect Biventricular Pacing 958. Hip, Dislocation, Open Reduction 959. Hip, Various Lesions, Lesions, Arthroplasty (single/multiple) 1117. Joints (Temporo-mandibular), Various Lesions, Condylectomy with Arthrodesis 960. Hip, Various Lesions, Excision/Interposition Arthroplasty 961. Hip, Various Lesions, Hemi- Reconstruction 1118. Joints (Temporo-mandibular), Various Lesions, Reconstruction 1119. Larynx, Tumour, (various Arthroplasty 962. Joints (Lower Limb), Deformities, Corrective Surgery with Plate Fixation and Fluoroscopy Lesions), Laryngectomy with Radical Neck Dissection/Block Dissection 1120. Liver, Trauma, Major Repair Laceration 963. Joints (Lower Limb), Various Lesions, Epiphysiolysis with/without Microsurgery 964. Joints (Other than Hand 1121. Liver, Various Lesions, Lobectomy (3-4 segments) 1122. Liver, Various Lesions, Partial Lobectomy/Segmental and Wrist), Various Lesions, Arthrodesis 965. Kidney, Agenesis, Repair/Nephrectomy 966. Kidney, Carcinoma, Resection 1123. Lower Limb, Fractures, Open Reduction and Fixation with Repair of Arterial Injuries 1124. Lower Radical Nephrectomy 967. Kidney, Pelvi-ureteric Junction Obstruction, Pyeloplasty/Ureterocalycostomy 968. Knee Limb, Length Discrepancies, Shortening Procedures 1125. Lower Limb, Various Lesions, Hip Disarticulation Ligaments, Disruption, Reconstruction and Repair 969. Knee, Dislocation, Open Reduction with Repair of Ligaments 1126. Lung, Various Lesions, Pneumonectomy/Lobectomy/Segmental Resection/Repeat/Multiple Resection 970. Knee, Various Lesions, Arthrodesis 971. Knee, Various Lesions, Excision/Interposition Arthroplasty 972. Larynx 1127. Lymphatics (Upper Limb), Lymphangioma, Excision 1128. Lymphatics, Lymphoedema, Excision (extensive and Trachea, Various Lesions, Major Microsurgery without Reconstruction 973. Larynx and Trachea, Various and complex) 1129. Lymphatics, Lymphoedema, Major Excision & Grafting 1130. Mandible, Various Lesions, Lesions, Major Plastic Operation 974. Larynx, Laryngofissure, External Operation 975. Larynx, Tumour, (Various Segmental Resection with Bone Graft 1131. Maxilla (excluding alveolar margins) and/or Zygoma, Various Lesions, Lesions), Laryngectomy (hemi/partial/total) 976. Lip, Various Lesions, Reconstruction Using Full Thickness Flap Complex Ostectomy/Osteotomy 1132. Maxilla, Bilateral Complete Alveolar Cleft, Bone Graft and Closure of Naso 977. Lower Limb, Crush Injuries (extensive), Debridement with Repair of Bone and Soft Tissues 978. Lower Limb, Buccal Fistula 1133. Maxilla, Bilateral Incomplete Alveolar Cleft, Bone Graft 1134. Maxilla, Deformity-Lefort II, Crush Injuries (limited), Debridement with Repair of Bone and Soft Tissues 979. Lower Limb, Various Lesions, Osteotomy 1135. Maxilla, Lefort II Fracture (complex), Reduction and Fixation 1136. Maxilla, Lefort II Fracture, Hindquarter Amputation 980. Lung, Various Lesions, Wedge Resection 981. Lymphatics, Cystic Hygroma, Excision Osteotomy 1137. Maxilla, Lefort III Fracture, Reduction and Fixation 1138. Mouth, Various Lesions, Pharyngotomy (extensive) with/without Thoracotomy 982. Lymphatics, Lymphoedema, Excision (large & deep seated) (lateral) with Excision of Tongue and Reconstruction 1139. Nerve (Lower Limb), Disruption, Major Reconstruction 983. Mandible (excluding alveolar margins), Various Lesions, Complex Osteotomy/Ostectomy 984. Mandible, with Repair and/or Neurovascular Transfer 1140. Nerve (Upper Limb), Defect, Grafting/Interfascicular Repair/ Various Lesions, Mandibular Ramus/Body Ostectomy/Osteotomy with Segmental Osteotomy 985. Mandible, Neurovascular Transfer 1141 Nerve-Cranial, Various Lesions, Microvascular Decompression/Neurectomy Various Lesions, Mandibular Ramus/Body Ostectomy/Osteotomy without Segmental Osteotomy 986. Mandible, 1142. Nerve-Sympathetic, Various Lesions, Sympathectomy (bilateral) 1143. Orbit, Tumour, Removal via Various Lesions, Reconstruction with Bone Graft 987. Mandible, Various Lesions, Simple Genioplasty (not as a Craniotomy 1144. Orbit, Various Lesions, Reconstruction including Orbital Shift and Soft Tissue (craniofacial combined procedure) 988. Marrow, for Various Lesions, Harvesting 989. Mastoid, Various Lesions, Mastoidectomy approach) 1145. Parathyroid, Various Lesions, Re-Exploration 1146. Parotid, Tumour, Total Parotidectomy with (radical/modified radical) with Myringoplasty and Ossicular Chain Reconstruction 990. Maxilla, Deformity-Lefort III, Preservation/ Reconstruction Facial Nerve/Radical Neck Dissection 1147. Pelvis, Fracture (double columns), Open Osteotomy 991. Maxilla, Lefort II Fracture, Closed Reduction and Fixation 992. Maxilla, Lefort III Fracture, Reduction and Internal Fixation 1148. Penis, Trauma (Amputation), Microvascular Reattachment 1149. Penis, Osteotomy 993. Maxilla, Unilateral Complete Alveolar Cleft, Bone Graft and Closure of Naso Buccal Fistula Trauma, Reconstruction (Ist Stage) 1150. Pharynx, Tumour, Partial Pharyngectomy and Radical Neck Dissection with 994. Maxilla, Various Lesions, Ostectomy/Osteotomy (more than one segment) 995. Maxilla, Various Lesions, Flap 1151. Pituitary, Various Lesions, Transphenoidal Hypophysectomy/ Excision of Tumour 1152. Plexus-Brachial, Resection/Hemimaxillectomy 996. Maxilla, Various Lesions, Segmental Ostectomy/Osteotomy (one segment only) Injury, Exploration 1153. Prostate Gland, Various Lesions, Total Prostatectomy (open) 1154. Rectum, Tumour, 997. Musculoskeletal System, Various Lesions, Free Composite Tissue Graft 998. Nerve (Upper Limb), Defect, Graft Anterior Resection/Abdominal Perineal Resection with/without Salphingo- Oophrectomy and Total Hysterectomy (multiple) using microsurgical techniques 999. Nerve (Upper Limb)-major, Injury, Microsurgical Repair (multiple) 1155. Rectum, Various Lesions, Abdominal-Perineal Pull Through Resection with Colo-Anal Anastomosis 1000. Nerve-Facial, Paralysis, Free Fascia and Nerve Graft (microsurgical - Stage 2) 1001. Nerve-Facial, Various 1156. Retina, Detachment (complex), Operation (more than one plomb/ encirclage) 1157. Shoulder, Various Lesions, Combined Middle Fossa and Transmastoid Facial Nerve Decompression 1002. Nose, Various Lesion, Lesions, Hemiarthroplasty 1158. Skin and Subcutaneous Tissue, Neurofibromatosis of Face and Neck, Excision Rhinoplasty (total) including correction of all Bony and Cartilaginous Elements 1003. Nose, Various Lesions, (extensive and complex) 1159. Skin and Subcutaneous Tissue, Neurofibromatosis of Face and Neck, Excision (large Rhinoplasty (restoration of face involving autogenous bone or costal cartilage graft) 1004. Orbit, Tumour, and complicated) 1160. Skull, Compound Fracture with Dural Penetration and Brain Damage, Operation 1161. Skull, Exenteration/Flap Reconstruction 1005. Orbit, Various Lesions, Decompression (bilateral) 1006. Orbit, Various Fracture with Rhinorrhoea/Otorrhoea, Cranioplasty and Repair 1162. Skull, Intracranial Haemorrhage, Osteoplastic Lesions, Exenteration 1007. Pancreas, Chronic Pancreatitis, Anastomosis of Pancreatic Duct to Bowel Craniotomy/Extensive Craniectomy 1163. Soft Tissue (Upper Limb), Tumours (malignant), Radical Excision 1008. Pancreas, Tumour, Triple Bypass 1009. Pancreas, Various Lesions, Distal Pancreatectomy 1164. Spinal Cord, Aneurysm/Arterio-Venous Malformation Clipping/ Reinforcement of Sac 1165. Spinal Nerve 1010. Parapharyngeal Space, Tumour, Excision 1011. Pelvis, Fracture, Open Reduction and Internal Fixation Roots, Various Lesions, Spinal Rhizolysis involving Exposure of Spinal Nerve Roots 1166. Spine (cervical), Various 1012. Penis, Tumour, Amputation (Total) with Block Dissection 1013. Penis, Various Lesions, Insertion of Penile Lesions, Laminoplasty 1167. Spine, Fracture-Dislocation, Open Reduction and Stabilisation 1168. Spine, Infection, Prosthesis 1014. Rectum, Various Lesions, Hartmann's Procedure 1015. Retina, Detachment, Resection/Buckling Anterior Drainage and Fusion 1169. Spine, Various Lesions, Spinal Rhizolysis involving Exposure of Spinal Nerve Operation/Revision Operation with Single Plomb 1016. Retro-Peritoneum, Tumour, Removal 1017. Sacrum and Roots 1170. Stomach, Various Lesions, Total/Proximal Gastrectomy with/ without Splenectomy 1171. Tendon- Coccyx, Tumour, Excision 1018. Shoulder, Impingement Syndrome, Anterior Acromioplasty 1019. Shoulder, Flexor (Upper Limb), Defect, Grafting (multiple) 1172. Thumb, Various Lesions, Pollicisation 1173. Thyroid, Various Impingement Syndrome, Anterior Acromioplasty with Rotation 1020. Sinuses-Frontal, Various Lesions, Radical Lesions, Total/Subtotal Thyroidectomy with Block Dissection 1174. Tongue, Tumour, Glossectomy with Radical Neck Obliteration 1021. Skin and Subcutaneous Tissue, Burns, Excision and Major Flap Repair 1022. Skin and Dissection 1175. Tonsils, Tumour, Resection with Reconstruction 1176. Upper Limb, Various Lesions, Forequarter Subcutaneous Tissue, Defect (deep), Direct Flap (cross arm/ radial fore arm/ abdominal/ similar) 1023. Skin and Amputation 1177. Ureter, Previous Diversion, Revision 1178. Uterus, Malignant Condition, Anterior/Posterior Pelvic Subcutaneous Tissue, Defect (deep), Direct Flap Repair (cross leg) 1024. Skin and Subcutaneous Tissue, Defect Exenteration 1179. Uterus, Malignant Conditions, Wertheim's Operation 1180. Vulva, Malignant Condition, Radical (deep), Free Flaps 1025. Skin and Subcutaneous Tissue, Defect, Direct Flap (cross finger/ similar flaps) 1026. Skin Vulvectomy List of Surgeries in Grade 7: 1181. Aorta, Thoraco-abdominal Aneurysm, Excision and Insertion of and Subcutaneous Tissue, Defect, Single Staged Local Flap (complicated/ large) 1027. Skin and Subcutaneous Graft 1182. Bile Duct, Various Lesions, Revision of High Biliary Stricture 1183. Bone (Upper Limb), Various Lesions, Tissue, Defect, Staged Local Flap to Multiple Digits (cross finger/ thenar/ flag/ rotation flap) 1028. Skin and Vascularised Bone Transfer 1184. Bone, Tumour (malignant), Wide/Major Resection and Reconstruction Subcutaneous Tissue, Haemangioma/Lymphangioma (extensive and complex), Excision 1029. Skin and 1185. Bone, Various Lesions, Free Vascularised Bone Graft 1186. Brain, Acoustic Tumour/Cerebello-Pontine Angle Subcutaneous Tissue, Haemangioma/Lymphangioma (large and deep-seated), Excision 1030. Skull, Compound Tumour, Excision 1187. Esophagus, Tumour, Cervical/Laryngopharyngectomy with Tracheostomy with/without Fracture without Dural Penetration, Operation 1031. Skull, Defect, Cranioplasty (large) 1032. Skull, Defect, Plastic Reconstruction 1188. Esophagus, Tumour, Total Esophagectomy 1189. Esophagus, Varices, Gastro- Cranioplasty (small) 1033. Skull, Depressed/Comminuted Fracture, Elevation 1034. Skull, Intracranial Esophageal Devascularisation with Esophageal Transection 1190. Hand, Amputated Digit(s), Toe to Hand Transfer Haemorrhage, Burr-hole Craniotomy (bilateral) 1035. Skull, Osteomyelitis, Craniectomy 1036. Soft Tissue (Lower 1191. Head, Various Lesions, Craniofacial Resection and Reconstruction 1192. Head-Face, Tumor, Craniofacial Limb), Tumours (malignant), Radical Excision 1037. Soft Tissue, Tumour (malignant), Radical Excision 1038. Spine, Resection 1193. Head-Face, Tumor, Craniofacial Resection with Reconstruction 1194. Head-Face, Various Lesions, Deformities, Corrective Osteotomy 1039. Spine, Prolapsed Disc, Laminectomy/Fenestration with Discectomy Major Corrective Surgery 1195. Heart, Coronary Disease, Coronary Artery Bypass Graft 1196. Heart, Proximal Aortic 1040. Spine, Syringomyelia, Laminectomy and Posterior Fossa Decompression and Drainage 1041. Spine, Various Aneurysm, Aortic Root Replacement with Coronary Artery Reimplantation 1197. Heart, Valvular Disease, Open Heart Lesions, Decompression Laminectomy 1042. Spleen, Hypersplenism/Massive Enlargement, Splenectomy Surgery on more than one valve/involving more than one chamber 1198. Heart, Various Lesions, Heart 1043. Stomach, Post-Gastrectomy Complications, Revision Gastrectomy 1044. Tendon-Extensor (Upper Limb), Transplantation 1199. Heart/Lung, Various Lesions, Heart and Lung Transplantation 1200. Heart-Ventricle, Adhesion, Tenolysis (multiple) 1045. Tendon-Flexor (Upper Limb), Adhesion, Tenolysis (multiple) 1046. Thumb, Arrhythmia, Arrhythmia Surgery 1201. Hip, Various Lesions, Total Joint Replacement 1202. Joints (Upper Limb), Various Lesions, Microsurgical Reconstruction 1047. Upper Limb, Deformity, Bony and Soft Tissue Reconstruction Various Lesions, Vascularised Joint Transfer 1203. Kidney, Renal Failure, Transplant 1204. Knee, Various Lesions, 1048. Upper Limb, Nerve Injuries/Ischaemia, Tendon Transfer (multiple) 1049. Ureter, Various Lesions, Boari Flap Total Joint Replacement 1205. Liver, Trauma/Tumour, Extended Lobectomy (5 segments/more) 1206. Liver, Reimplantation 1050. Ureter, Various Lesions, Intestinal Conduit 1051. Ureter, Various Lesions, Reduction Trauma/Tumour, Liver Transplant 1207. Lower Limb, Traumatic Amputation, Major Replantation 1208. Lymphatics, Ureteroplasty 1052. Ureter, Various Lesions, Reimplantation/Repair 1053. Ureter, Various Lesions, Replacement By Lymphoedema, Lympho - Venous Anastomoses (microsurgery) 1209. Maxilla, Lefort III Fracture, Reduction and Bowel 1054. Ureter, Various Lesions, Ureterocalycostomy 1055. Uterus, Malignant Condition, Extended Fixation using Craniofacial approach 1210. Mouth, Intra-oral Tumour, Radical Excision with Resection of Mandible Hysterectomy 1056. Vein, Various Lesions, Bypass/Graft 1057. Vessels (large), Distruption/Obstruction, Repair and Lymph Nodes 1211. Mouth, Malignant Tumor, Wide Excision and Major Reconstruction 1212. Mouth, Tumour, with Autogenous Vein Grafting 1058. Vitreous, Various Lesions, Simple Vitrectomy (pars plana) 1059. Vitreous, radical Excision with Resection of Mandible and Lymph nodes and reconstruction 1213. Pancreas, Various Lesions, Various Lesions, Vitrectomy (pars plana/sclerotomy/ lensectomy/endolaser) 1060. Zygoma, Down Fracture, Whipple Operation/Total Pancreatectomy 1214. Parotid, Tumour, Total Parotidectomy with Parapharyngeal Space Ostectomy/Articular Eminectomy/ Augmentation List of Surgeries in Grade 6: 1061. Abdominal Cavity, Multiple Resection and Flap Reconstruction 1215. Pharynx, Various Lesions, Pharyngotomy (lateral) with Excision of Tongue Ruptures, Major Repair/Removal 1062. Abdominal Cavity, Recurrent Intra-Abdominal Tumour, Resection and Reconstruction 1216. Pituitary, Various Lesions, Transsphenoidal Hypophysectomy with Resection of Nasal 1063. Ankle, Various Lesions, Total Joint Replacement 1064. Anus, Tumour, Abdomino-Perineal Resection Septum & Grafting 1217. Soft Tissue, Tumor (malignant), Major Resection and Reconstruction (microsurgical) 1065. Aorta, Descending Aortic Aneurysm, Excision and Insertion of Graft 1066. Aorta, Ruptured Abdominal Aortic 1218. Upper Limb, Major Defect, Composite Tissue Transplant 1219. Upper Limb, Trauma, Major Replantation Aneurysm, Excision and Insertion of Graft 1067. Appendix, Tumour, Right Hemicolectomy 1068. Artery, 1220. Upper Limb, Various Lesions, Composite Tissue Transfer 1221. Upper Limb, Various Lesions, Free Muscle Trauma/Resection, Micro-vascular Graft 1069. Artery-Carotid, Atherosclerosis, Carotid Endarterectomy Transfer 1222. Uterus, Malignant Conditions, Total Pelvic Exenteration 1070. Artery-Carotid, Carotid Body Tumour, Excision 1071. Artery-Pulmonary, Pulmonary Embolism, Pulmonary Embolectomy using Cardiopulmonary Bypass 1072. Bladder, Tumour, Anterior Exenteration (Female) 1073. Bladder, Various Lesions, Enlargement Cystoplasty with Bowel 1074. Bladder, Various Lesions, Total Cystectomy 1075. Blood Vessels, Defect, Major Grafts (multiple) 1076. Bone (Lower Limb), Tumour (malignant), Radical

Excision 1077. Bone (Skull), Tumour (malignant), Radical Excision 1078. Bone (Upper Limb), Tumor (malignant), Comm/ WK/ HCII/ T&C/ 1.0 Radical Excision 1079. Brain and Spine, Arachnoidal Cyst, Operation 1080. Brain, Aneurysm/Arterio-Venous