TATA MEMORIAL HOSPITAL

CLASSIFICATION OF SURGERIES (2011)

19/10/2011
Sl.No. Description of Surgery Grade
1 Abdominal Mass Excision III
2 Abdominal Neuroblastoma Excision VI
3 Abdomino-Perineal Resection IV
4 Abdominoperineal Resection IV
5 Abdominosacral Resection VI
6 Adrenal Tumor Excision Of V
7 Adrenal Tumor Excision Of + Nephrectomy VI
8 Adrenalectomy IV
9 Alveolectomy (Upper) Per Oral II
10 Alveous Composite Resection/Commando IV
11 Amputation Ray III
12 Amputation Above Elbow III
13 Amputation Above Elbow III
14 Amputation Above Elbow III
15 Amputation Above Elbow III
16 Amputation Forequarter IV
17 Amputation Of Fingers/Toes II
18 Amputation Toe II
19 Amputation-above/below elbow & above/below knee III
20 Amputation-Hand / foot III
21 Anterior Craniofacial Excision V
22 Anterior Resection Rectum IV
23 Arthodesis-large joint (hip/knee/ankle/shoulder/elbow/wrist) IV
24 Arthodesis-small joint (fingers/toes) III
25 Assesment/manipulation under GA II
26 Autograft Flap Reconstruction (Breast) free V
27 Autograft Flap Reconstruction (Breast) pedicle III
28 Axillary Dissection Alone IV
29 Bilateral Mastectomy IV
30 Bilateral Orchiectomy II
31 Biopsy Needle I
32 Biopsy Open II
33 Biopsy Open II
34 Bite Excision/Composite IV
35 Bladder Tumor Trans Urethral Resection IV
36 Bone flap removal III
37 Bone Grafting III
38 Bone-Enbloc excision IV
39 Breast implant alone III
40 Breast Lumpectomy + Ax. Dissection IV
41 Breast Lumpectomy Alone II
42 Buccal Mucosa Composite Resection/Commando IV
43 Buccal Mucosa Wide Excision III
44 Buccal Mucosa Wide Excision Cheek Flap III
45 Buccal Mucosa-Wide Excision Peroral III
46 Burr hole procedure for biopsy, tapping III
47 Burst Abdomen Suturing III

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
48 Cald Wel Luc I
49 Caldwell Luc Procedure I
50 Central Compartment Clearance III
51 Cervical Neuroblastoma Excision IV
52 Cervicothoracic Neuroblastoma Excision VI
53 Chest Wall Sinus Exploration II
54 Chest Wall Tumour Resection with mesh plasty V
55 Cholecystectomy III
56 Cholecystectomy Radical IV
57 Choledocho-Duodenostomy III
58 Cholesto-Jejunostomy III
59 Circumcision I
60 Colectomy IV
61 Colectomy Revision III
62 Colectomy Subtotal IV
63 Colectomy Total IV
64 Colon (Left Hemicolectomy) III
65 Colon (Resection Anastomosis) III
66 Colon (Right Hemicolectomy) III
67 Colon (Sigmoid Colectomy) III
68 Colon (Total Proctocolectomy) V
69 Colon (Transverse Colectomy) III
70 Colonic By-Pass (Multiple) III
71 Colonic By-Pass (Single) III
72 Colo-Rectal Anastomosis IV
73 Colostomy II
74 Colostomy + Urinary Diversion IV
75 Colostomy Closure II
76 Colostomy With Closure III
77 Colostomy/Ileostomy Closure III
78 Colo-Whipple VI
79 Colposcopy (Diagnostic+Biopsy) II
80 Colposcopy with cone biopsy III
81 Colposcopy with LEEP III
82 Combined Craniofacial Resection VI
83 Common Bile Duct Excision V
84 Composite Resection (Tonsil) IV
85 Conisation I
86 Conservative Oophorectomy II
87 Continent Urinary Diversion V
88 Craniectomy for posterior fossa tumors - without navigation V
89 Cranioplasty III
90 Craniotomy for posterior fossa tumors - with navigation VI
91 Craniotomy for supratentorial tumors - with navigation VI
92 Craniotomy for supratentorial tumors - without navigation V
93 Curretage III
94 Curretage+Cement/bone graft IV
95 Cystectomy Partial V

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
96 Cystectomy Radical VI
97 Cysto-Gastrostomy IV
98 Cystoreductive Surgery VI
99 Cystoscopy II
100 Cystoscopy + DJ Stenting III
101 Cystostomy Suprapubic III
102 Decompressive craniectomy IV
103 Decompressive laminectomy IV
104 Dilatation & Curettage I
105 Disarticulation Shoulder III
106 Duodenotomy III
107 Duodenum Partial Excision IV
108 En Bloc Excision + Reconstruction V
109 Endoscopic Laser Excision For Hypopharynx IV
110 Enucleation Of The Eye III
111 Ethmoidectomy III
112 Evaluation Under Anaesthesia I
113 Excision Cholangio + Liver Resection VI
114 Excision Cholangiocarcinoma V
115 Excision Gland/Nodule I
116 Excision Of Carotid Body Tumor V
117 Excision Of Clivus Tumor (Skull Base) + Recon. V
118 Excision of Local Recurrence III
119 Excision Of Parapharyngeal Mass III
120 Excision Of Pinna II
121 Excision of Revision Scar II
122 Excision of Sacrococcygeal Teratoma IV
123 Excision Of Skin Malignancy Head & Neck II
124 Excision of Soft Tissue Sarcoma III
125 Excision of Soft Tissue Sarcoma III
126 Excision of Soft Tissue Sarcoma III
127 Excision Of Transnasal Angiofibroma V
128 Excision Of Undescended Testis Tumor IV
129 Excision STS Neck/Mass Neck III
130 Exenteration Anterior VI
131 Exenteration Posterior VI
132 Exenteration Total VI
133 Expl. Lap/Thoracotomy (Inoperable) II
134 Exploration + Ileo/Colostomy V
135 Exploration Emergency III
136 Exploratory Laporotomy II
137 Extended node dissection IV
138 External Fixation III
139 Eye Exenteration Enucleation III
140 Eye Lid (Upper/Lower) Excision With Reconstruction III
141 Eye lid Excision II
142 Eye Lid Tumor Excision II
143 Floor Mouth Composite Resection IV

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
144 Floor of the Mouth (FOM) Wide Excision III
145 Gastrectomy (Bilroth-1) Distal Radical IV
146 Gastrectomy (Bilroth-2) Distal Radical IV
147 Gastrectomy (Radical) + Extended Lymphad. VI
148 Gastrectomy Partial IV
149 Gastrectomy Partial IV
150 Gastrectomy Proximal Radical IV
151 Gastrectomy Total V
152 Gastric By-Pass III
153 Gastric Wedge Resection III
154 Gastro-Jejunostomy III
155 Gastroscopy I
156 Gastrostomy II
157 Gastrotomy II
158 Glossectomy Anterior 2/3rd IV
159 Glossectomy Total IV
160 Groin Node Dissection (Bil) VI
161 Groin Node Dissection (Uni) III
162 Groin Node Dissection /Axillary/Popliteal III
163 Hemiglossectomy Per Oral III
164 Hemiglossectomy Per Oral + Neck Dissection IV
165 Hemipelvectomy external V
166 Hemipelvectomy External VI
167 Hemipelvectomy Internal VI
168 Hemi-Scrotectomy III
169 Hepatectomy Extended Left VI
170 Hepatectomy Extended Right VI
171 Hepatectomy left V
172 Hepatectomy Left V
173 Hepatectomy Left Extended VI
174 Hepatectomy Left Lateral IV
175 Hepatectomy Right V
176 Hepatectomy Right V
177 Hepatectomy Right Extended VI
178 Hepatic Excision III
179 Hepatic Metastatectomy IV
180 Hepatic Port Placement III
181 Hepatic Port Removal III
182 Hepatic Wedge Excision IV
183 Hepatico-Jejunostomy IV
184 Hickman Cath. Removal I
185 Hickman Catheterisation II
186 Hickman's Insertion III
187 High Inguinal Orchidectomy II
188 High Orchiectomy III
189 High Orchiectomy + Serotectomy IV
190 Hip Disarticulation IV
191 Hysteroscopy (Diagnostic) II

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
192 Hysteroscopy (Operative) III
193 ICD Placement I
194 ICP Cathetar insertion II
195 Ileal Conduit (Bladder) V
196 Ileostomy II
197 Ileostomy Closure Of II
198 Implant lenghtening III
199 Implant Reconstruction (Breast) IV
200 Implant( internal fixation) revision IV
201 Incision & Drainage I
202 Infra Temporal Fossa Clearance V
203 Inguinal Node Biopsy II
204 Inoperable Laparotomy II
205 Internal Fixation of Fractures IV
206 Internal Stenting II
207 Interpolated Flap Reconstruction-Extrem. IV
208 Intracranial reservoir III
209 Ivor Lewis V
210 Jaw Cyst Enucleation II
211 Jaw Tumor Excision III
212 Jejunal Transposition VI
213 Jejunostomy/Gastrostomy III
214 Knife/Puch/Excision Biopsy Tumor I
215 Laminectomy for intradural tumors V
216 Laminectomy for intramedullary tumors VI
217 Laparoscopic Adnexectomy IV
218 Laparoscopic Excenteration (Anterior) VI
219 Laparoscopic Excenteration (Posterior) VI
220 Laparoscopic Excenteration (Total) VI
221 Laparoscopic Hysterectomy+/-BSO V
222 Laparoscopic Nephrectomy VI
223 Laparoscopic Other Procedure V
224 Laparoscopic Pelvic Node Dissection(UNI/BIL) VI
225 Laparoscopic Radical Cystectomy V
226 Laparoscopic Radical Hysterectomy VI
227 Laparoscopic Retroperitoneal Node Dissection VI
228 Laparoscopy V
229 Laparoscopy Diagnostic II
230 Laparoscopy Exploratory III
231 Laparoscopy Therapeutic III
232 Laparoscopy with/without Biopsy III
233 Laparotomy Exploratory III
234 Laparotomy For Staging III
235 Laryngectomy Near Total IV
236 Laryngectomy Partial IV
237 Laryngectomy Total IV
238 Laryngo-Pharyngectomy (Total) + Gast.Pullup V
239 Laryngoscopy Direct I

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
240 Laser Arytenoidectomy III
241 Laser Excision Supraglottic III
242 Laser For Sub Glottic Tracheal Stenosis III
243 Laser Fulguration For Recurrent Lesions I
244 Laser Fulguration Respiratory Papilloma. II
245 Laser Fulguration/Excision Trachea IV
246 LD Flap with Implant reconstruction IV
247 Liver Resection Non Anatomical V
248 Lobectomy IV
249 Lobectomy/Bilobectomy (Pulmonary) IV
250 Local Flap Reconstruction (Extremity) III
251 Lumbar drain insertion II
252 Lumbo-peritoneal shunt III
253 Lung Wedge Resection III
254 Lymph Node Biopsy Superficial I
255 Lymphocoele Drainage III
256 Mandible Composite Resection IV
257 Mandible Curettage II
258 Mandibulectomy III
259 Mandibulectomy Hemi IV
260 Mandibulectomy Hemi IV
261 Mandibulectomy Marginal IV
262 Mandibulectomy Marginal IV
263 Mandibulectomy Segmental IV
264 Mandibulectomy Segmental Incl.Middle 3rd IV
265 Maxilla Curettage II
266 Maxillectomy Medial III
267 Maxillectomy Median III
268 Maxillectomy Partial III
269 Maxillectomy Partial III
270 Maxillectomy Radical with Orbital Exenteration V
271 Maxillectomy total IV
272 Maxillectomy Total IV
273 Maxillectomy Total With Exenteration IV
274 Meatoplasty II
275 Mediastinal Lymph Node Dissection III
276 Mediastinal Tumor Excision V
277 Mediastinal Tumour Resection V
278 Mediastinoscopy III
279 Mediatsinal Neuroblastoma Excision VI
280 Metastatectomy (Both Lungs) IV
281 Metastatectomy (Single Lung) III
282 Microdochectomy II
283 Microlaryngoscopy Cord Stripping (Laser) II
284 Microlaryngoscopy With Laser Exci. Cordectomy III
285 Microvascular Breast reconstruction VI
286 Microvascular Reconstruction (Extremity) V
287 Modified Radical Mastectomy IV

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
288 More than 2 Intermediate Procedures III
289 Multi Organ Excision V
290 Neck Biopsy (Excision) I
291 Neck Dissection (Functional) III
292 Neck Dissection Bilateral IV
293 Neck Dissection Modified III
294 Neck Dissection Supraomohyoid III
295 Neck Exploration II
296 Neobladder V
297 Nephrectomy Partial VI
298 Nephrectomy Radical V
299 Nephrectomy Radical + IVC Thrombectomy V
300 Nephroureterectomy V
301 Node Biopsy I
302 Nonresectable Esophageal Ca Exploration II
303 Oral Cavity Excision Large Lesion Laser III
304 Oral Cavity Excision Small Lesion Laser II
305 Oral Cavity Fulguration (Laser) I
306 Orbital Enucleation with occuloplasty IV
307 Orbital Exenteration IV
308 Orbital Mass Biopsy I
309 Orbital Mass Excision Of III
310 Ovarian Mass/Cyst Excision Of III
311 Palliative Bowel Bypass III
312 Pan Endoscopy II
313 Pancreas Triple Bypass III
314 Pancreas Tumor Enucleation IV
315 Pancreatectomy Distal IV
316 Pancreatectomy Subtotal V
317 Pancreatectomy Total VI
318 Pancreatectomy Whipple's Procedure VI
319 Pancreatic Fistula Closure IV
320 Pancreaticoduodenctomy VI
321 Parapharyngeal Mass Excision V
322 Parathyroid Adenoma Excision III
323 Parathyroid Excision III
324 Parotidectomy Radical IV
325 Parotidectomy Radical III
326 Parotidectomy Superficial III
327 Parotidectomy Superficial III
328 Parotidectomy Total III
329 Parotidectomy Total Nerve Sparing IV
330 Parotidectomy With Neck Dissection IV
331 Partial Cystectomy II
332 Partial Nephrectomy IV
333 Pedicled reconstruction breast IV
334 Pelvic Exenteration Total VI
335 Pelvic Neuroblastoma Excision VI

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
336 Pelvic Posterior Exenteration VI
337 Penectomy Partial IV
338 Penectomy Total IV
339 Penile Reconstruction V
340 Percutaneous ablation II
341 Pericardial Tap I
342 Pericardiectomy III
343 Peustow's Procedure IV
344 Pharyngectomy Partial III
345 Pleural Tap I
346 Pleurodesis Talc I
347 Pneumonectomy V
348 Pnuemonectomy V
349 Port Insertion III
350 Post Exenteration V
351 Pre-Maxillectomy III
352 Prostate Biopsy II
353 Prostate Transurethral Resection Of V
354 Prostatectomy Radical V
355 Prosthesis /spacer insertion IV
356 Prosthesis revision V
357 Pulmonary Metastatectomy IV
358 Radical Cystectomy VI
359 Radical Hysterectomy + Pelvic Lympha.(Wer) V
360 Radical Mastectomy IV
361 Radical Nephrectomy IV
362 Reconstruct. with Flap (Chest & Abdominal) V
363 Reconstruct. with Interpol. Composite Flap IV
364 Reconstruct. with Local Skin/Mucosal Flap III
365 Reconstruct. with Single Flap (H & N) III
366 Reconstruct. with Skin/Mucosal Graft III
367 Reconstruction With Anatomical Closure III
368 Reconstruction With Double Flaps (H & N) IV
369 Rectum Anterior Resection IV
370 Rectum Local Excision III
Rectum Post Exenteration V
371
372 Re-Exploration IV
373 Retromastoid craniotomy VI
374 Retroperitoneal Lymph Node Diss.Nerve Sp VI
375 Retroperitoneal Lymphadenectomy VI
376 Retroperitoneal Sarcoma V
377 Retroperitoneal Sarcoma + Visceral Exc. VI
378 Retroperitoneal Tumor + Ureter Excision Of VI
379 Retroperitoneal Tumor Excision VI
380 Retroperitoneal Tumor Excision Of VI
381 Rib Excision Only III
382 Rigid Sigmoidoscopy I
383 Rotationplasty V

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
384 S/C Fossa Gland Dissection II
385 Sacral Tumors (posterior approach only) V
386 Sacral tumours excision(combined approach) VI
387 Salpingo-Oophorectomy III
388 Scalp Tumor + Skull Bone Excision III
389 Scalp tumor excision III
390 Scalp Tumour Excision III
391 Scapulectomy Partial III
392 Scapulectomy Total III
393 Scar Excision III
394 Scrotectomy III
395 Second Look Laparoscopy III
396 Second Look Laparotomy III
397 Secondary Suturing (Thoracic) II
Segmental Hepatectomy IV
398
399 Shoulder Disarticulation III
400 Simple Mastectomy III
Skeletal Reconstruct.(Chest & Abdominal) V
401
402 Skeletal Reconstruction (Extremity) V
403 Skeletal Reconstruction (Head & Neck) VI
404 Skin Malignancy Excision III
405 Skull tumor excision IV
406 Small Bowel By-Pass (Multiple) III
407 Small Bowel By-Pass (Single) III
408 Small Bowel Resection Anastomosis III
409 Small Intestine Resection and anastomosis III
410 Soft Tissue Wide Excision III
411 Soft Tissue Wide Excision + Reconstruction IV
412 Spinal Decompression IV
413 Spinal tumours excision+stabilisation V
414 Splenectomy III
415 Splenectomy III
Stereotactic procedures (Biopsy,localization,catheter placement) -
includes cost of CT/MR scan required for localization as well as VI
416 confirmation
417 STS wide excision+neurovasc.dissection IV
418 STS wide excision+neurovasc.dissection+reconstruction V
419 Submandibular Gland Excision II
420 Submandibular Gland Resection II
421 TAH (Total Abdominal Hysterectomy) III
422 TAH + Bil. Salpingo-Oopherectomy (UNI/BIL) III
423 TAH + BSO + Omentectomy IV
424 TAH + BSO + Omento + Node Dissection VI
425 TAH + BSO + Pelvic Lymphadenectomy IV
TAH + BSO + Pelvic Lymphadenectomy + Para-aortic VI
426 Lymphadenectomy
427 Temporal Bone Resection Partial IV

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
428 Temporal Bone Resection Total V
429 Testicular Biopsy I
430 Thoracic Surgery (Comb. of two or more) VI
431 Thoracoscopic Excision IV
432 Thoracoscopic Lobectomy/Pneumonectomy VI
433 Thoracoscopic Pleurectomy IV
434 Thoracoscopic Pleurodesis II
435 Thoracoscopy-Diagnostic II
436 Thoracoscopy-Therapeutic III
437 Thoracotomy - Inoperable II
438 Thorax (Truecut Biopsy) I
439 Thorax Re-Exploration II
440 Thymectomy V
441 Thymectomy With Vascular Surgery/Lung VI
442 Thyroid (Hemithyroidectomy) III
443 Thyroid Hemithyroidectomy with Neck Dissection IV
444 Thyroidectomy (Subtotal) with Neck Dissection IV
445 Thyroidectomy Hemi III
446 Thyroidectomy Subtotal III
447 Thyroidectomy Total IV
448 Thyroidectomy Total III
449 Thyroidectomy Total With Neck Dissection IV
450 Thyroidectomy with Tracheal Resection VI
451 Tongue Composite Resection/Commando IV
452 Tongue Wide Excision Per Oral II
453 Tongue Wide Excision Per Oral + Neck Diss. III
454 Tongue/Floor Mouth Pull Through Neck IV
455 Tonsillectomy II
456 Total Esophagectomy (Trans Thoracic) VI
457 Total Esophagectomy (Transhiatal) V
458 Tracheal Resection VI
459 Tracheal Resection With Anastomosis IV
460 Tracheal Stent IV
461 Tracheal Wall Partial Resection III
462 Tracheostomy I
463 Tracheostomy II
464 Trans Thoracic Needle Biopsy I
465 Trans-sphenoidal surgery VI
466 Tumor excision IV
467 Ureter Resection Anastomosis V
468 Ureter(s) Reimplantation Of V
469 Ureterectomy + Bladder Cuff V
470 Ureteroscopic Resection V
471 Ureteroscopy V
472 Urethra Dilatation II
473 Urethrectomy V
474 Urethroplasty VI
475 Urethrotomy Visual Internal IV

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 TATA MEMORIAL HOSPITAL
CLASSIFICATION OF SURGERIES (2011)
19/10/2011
476 Vaginal Reconstruction VI
477 Venrticuloperitoneal Shunt III
478 Ventricular drain insertion II
479 Vertebral biopsy II
480 Vulva Hemivulvectomy III
481 Vulva Wide Excision II
482 Vulvectomy Radical IV
483 Vulvectomy Total IV
484 Wide Excision Floor Mouth (FOM) Neck III
485 Wide Excision Lip And Neck III
486 Wide Excision Lip Lesion II
487 Wound Lavage II

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