List of Gynecological Disorders Under Magna Carta Special Leave Benefit

Here’s a List of Surgical Operations for Gynecological Disorders covered by the Magna Carta of Women Special Leave Benefit Program (RA 9710):

MINOR — Paid Leave is 2 weeks or less

MAJOR — Paid Leave is more than 3 weeks to 60 days

Payment for Leave is based on Gross Monthly Compensation (Basic Pay plus Mandatory Allowances)

 

See below the covered medical procedures, which are performed on the:

• Breast
• Vulva
• Perineum
• Introitus
• Vagina
• Cervix
• Uterus
• Oviduct
• Ovary

BREAST

MAJOR PROCEDURES performed on the BREAST

Wide excision
(Disease: Phyllodes tumor, Ductal carcinoma in-situ, Lobular carcinoma in-situ)

Total Mastectomy
(Disease: Phyllodes tumor, Ductal carcinoma in-situ, Lobular carcinoma in-situ)

Mastectomy, subcutaneous
(Disease: Silicone Mastitis)

Radical/Modified Radical Mastectomy
(Disease: Breast cancer)

Lumpectomy/quadrantectomy, axillary node dissection
(Disease: Breast cancer)

Lumpectomy, sentinel node biopsy +/- axillary node dissection
(Disease: Breast cancer)

Breast reconstruction with latissimus dorsi flap, with or without prosthetic implant
(Disease: Breast cancer, Phyllodes tumor, Ductal carcinoma in-situ,
lobular carcinoma in-situ, after mastectomy)

Breast reconstruction with free flap
(Disease: Breast cancer, Phyllodes tumor, Ductal carcinoma in-situ, lobular carcinoma in-situ,
after mastectomy)

Breast reconstruction with other technique
(Disease: Breast cancer, Phyllodes tumor, Ductal carcinoma in-situ, lobular carcinoma in-situ,
after mastectomy)

Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM)
(Disease: Breast cancer, Phyllodes tumor, Ductal carcinoma in-situ, lobular carcinoma in-situ,
after mastectomy)

MINOR PROCEDURES performed on the BREAST

Puncture aspiration of cyst of breast
(Disease: Simple breast cyst, Fibrocystic change)

Mastotomy with exploration or drainage of abscess, deep
(Disease: Breast abscess/Mastitis)

Biopsy of breast, needle core, fine needle aspiration
(Disease: Breast mass, benign or malignant)

Excision of lactiferous duct fistula
(Disease: Intraductal Papilloma)

Excision of cyst, fibroadenoma, or other Benign breast masses)
(Disease: Fibroadenoma, Fibrocystic change)

lncision/Excision biopsy
(Disease: Benign breast masses or breast cancer)

VULVA, PERINEUM and INTROITUS

MAJOR PROCEDURES performed on the VULVA, PERINEUM and INTROITUS

Vulvectomy simple; partial or complete
(Disease: Vulvar Masses)

Vulvectomy, radical, partial,
with unilateral inguinofemoral lymphodenectomy
with bilateral inguinofemoral lymphodenectomy
(Disease: Vulvar carcinoma)

Vulvectomy, radical, complete,
with unilateral inguinofemoral lymphodenectomy
with bilateral inguinofemoral lymphodenectomy
(Disease: Vulvar carcinoma)

Vulvectomy, radical, complete,
with inguinofemoral, iliac and pelvic lymphadenectomy
(Disease: Vulvar carcinoma)

MINOR PROCEDURES performed on the VULVA, PERINEUM and INTROITUS

Incision and drainage of vulvar or
perineal abscess/masses
(Disease: Vulvar or perineal abscess)

Incision and drainage of Bartholin’s gland abscess
(Disease: Bartholin’s gland abscess)

Marsupialization of Bartholin’s gland cyst
(Disease: Bartholin’s gland cyst)

Lysis of labial adhesions
(Disease: Labial adhesions)

Biopsy of vulvar or perineal masses
(Disease: Vulvar warts and Vulvar Masses)

Electracautery of vulvar warts
(Disease: Vulvar Warts)

Partial hymenectomy
or revision of hymenal ring
(Disease: Imperforate hymen)

Hymenotomy, simple incision
(Disease: lmperforate hymen)

Excision of Bartholin’s gland or cyst
(Disease: Bartholin’s gland cyst/abscess)

VAGINA

MAJOR PROCEDURES performed on the VAGINA

Colpocleisis (Le Fort type)
(Disease: Uterine prolapse)

Anterior and/or posterior colporrhaphy
(Disease: Cysto+/-urethrocele)

Anterior and/or posterior colporrhaphy,
with or without perineorrhaphy
(Disease: Rectocele)

Combined anteroposterior colporrhaphy
(Disease: Cystocoele with rectocele)

Combined anteroposterior colporrhaphy
with enterocele repair
(Disease: Pelvic organ prolapse)

Repair of enterocele, vaginal approach
(Disease: Pelvic organ prolapse)

Repair of enterocele, abdominal approach
(Disease: Pelvic organ prolapse)

Colpopexy, abdominal approach
(Disease: Pelvic organ prolapse)

Sacrospinous ligament fixation for
prolapse of vagina
(Disease: Pelvic organ prolapse)

Prespinous on lliococcygeal ligament fixation
(Disease: Pelvic organ prolapse)

Paravaginal defect repair,
including repair of cystocele,
stress urinary incontinence,
and/or incomplete vaginal prolapse
(Disease: Pelvic organ prolapse)

Sling operation for stress incontinence
(eg. fascia or synthetic)
(Disease: Urinary stress incontinence)

Burch calposuspension/retroposbic urethroprosy
(Disease: Urinary stress incontinence)

Pereyra procedure, including anterior colporrhaphy
(Disease: Urinary stress incontinence)

Repair of rectovaginal fistula;
vaginal or transanal approach
(Disease: Rectovaginal fistula)

Repair of rectovaginal fistula,
abdominal approach
(Disease: Rectovaginal fistula)

Repair of rectovaginal fistula,
abdominal approach, with concomitant colostomy
(Disease: Rectovaginal fistula)

Repair of urethrovaginal fistula
(Disease: Urethrovaginal fistula)

Repair of urethrovafinal fistula,
with bulbocavernosus transplant
(Disease: Urethrovaginal fistula)

Repair of vesicovaginal fistula,
vaginal approach
(Disease: Vesicovaginal fistula)

Repair of vesicovaginal fistula,
transvesical and vaginal approach
(Disease: Vesicovaginal fistula)

Laparoscopy, surgical, colpopexy
(suspension of vaginal apex)
(Disease: Pelvic organ prolapse)

MINOR PROCEDURES involving the VAGINA

Biopsy of vaginal mucosa and/or masses
(Disease: Vaginal warts, Vaginal masses)

Excision of vaginal septum
(Disease: Transverse vaginal septum)

Excision of vaginal cyst or tumor
(Disease: Vaginal cyst, Vaginal masses)

Insertion of uterine tandems
and/or vaginal ovoids for clinical brachytherapy
(Disease: Cervical or endometrial cancer)

Colporrhaphy, suture of injury of vagina (nonobsterical)
(Disease: Trauma)

Colpoperineorrhaphy, suture of injury of vagina and/or perineum
(nonobstetrical)
(Disease: Trauma)

Plastic operation on urethral
sphincter, vaginal approach
(eg, Kelly urethral plication)
(Disease: Urethrocele)

Plastic repair of urethrocele
(Disease: Urethrocele)

Removal of impacted vaginal
foreign body under anesthesia
(Disease: Retained foreign body)

Colposcopy (Vaginoscopy)
(Disease: Vaginal intraepithelial lesions)

Colposcopy, with biopsy(s) of the cervix
and/or endocervical curettage
(Disease: Vaginal and cervical intraepithelial lesions)

Colposcopy, with loop electrode excision procedure of the cervix
(Disease: Cervical intraepithelial lesions)

CERVIX

MAJOR PROCEDURES performed on the CERVIX

Trachelectomy or cervicectomy,
amputation of cervix
(Disease: Cervical masses)

Excision of cervical stump,
abdominal approach; with or without pelvic floor repair
(Disease: Cervical stump, S/p subtotal hysterectomy)

Excision of cervical stump, vaginal approach,
with anterior and/or posterior repair,
with repair of enterocele
S/p subtototal hysterectomy
(Disease: Cervival stump, S/p subtotal hysterectomy +/- Pelvic organ prolapse)

Cerclage of cervix, during pregnancy,
vaginal abdominal approach
(Disease: Cervical incompetence)

Hysterorrhaphy of ruptured uterus
(Disease: Cervical incompetence)

MINOR PROCEDURES involving the CERVIX

Cervical Biopsy, single or multiple,
or local excision of lesion,
with or without fulguration
(Disease: Cervical pathology)

Cauterization of cervix, any method
(Disease: Cervical warts)

Conization of cervix
with or without fulguration,
with or without dilation and curettage
with or without repair,
cold knife or laser loop electrode excision
(Disease: Cervical intraepithelial neoplasia)

Trachelorrhaphy, plastic repair of uterine cervix,
vaginal approach
(Disease: Cervical lacerations)

UTERUS

MAJOR PROCEDURES performed on the UTERUS

Myomectomy, excision of fibroid tumor of uterus,
single or multiple, abdominal approach
(Disease: Uterine pathologies)

Total abdominal hysterectomy (corpus and cervix),
with or without removal of tube(s),
with or without removal of ovary/ovaries
(Disease: Uterine, ovarian and fallopian pathologies)

Supracervical abdominal hysterectomy
(subtotal hysterectomy),
with or without removal of tube(s),
with or without removal of ovary/ovaries
(Disease: Uterine, ovarian and fallopian tube pathologies)

Total abdominal hysterectomy,
including partial vaginectomy,
with para-aortic and pelvic lymph node sampling,
with or without removal of tube(s),
with or without removal removal of ovary/ovaries
(Disease: Uterine, ovarian, fallopian tube malignancies)

Radical abdominal hysterectomy,
with bilateral total pelvic lymphadenectomy and para-aortic
lymph node sampling (biopsy),
with or without removal of tube(s),
with or without removal of ovary(s)
(Disease: Uterine, ovarian malignancies)

Pelvic exenteration for gynecologic malignancy,
with total abdominal hysterectomy or cervicectomy,
with or without removal of tube(s),
with or without removal of ovary/ovaries,
with removal of bladder and ureteral transplantations,
and/or abdominoperineal resection of rectum and colon and colostomy,
or any combination thereof
(Disease: Uterine, ovarian, fallopian tube malignancies)

Vaginal hysterectomy
(Disease: Pelvic organ prolapse/stress urinary incontinence)

Vaginal hysterectomy
with removal of tube(s), and/or ovary/ovaries
(Disease: Pelvic organ prolapse/stress urinary incontinence)

Vaginal hysterectomy
w/ removal of tube(s), and/or ovary/ovaries,
with repair of enterocele
(Disease: Pelvic organ prolapse/stress urinary incontinence)

Vaginal hysterectomy
with colpo- urethrocystopexy
(Marshall-Marchetti-Krantz type, Pereyra type,
with or without endoscopic control)
(Disease: Pelvic organ prolapse/stress urinary incontinence)

Vaginal hysterectomy,
with repair of enterocele
(Disease: Pelvic organ prolapse/stress urinary incontinence)

Vaginal hysterectomy,
with total or partial colpectomy
(Disease: Pelvic organ prolapse/stress urinary incontinence)

Vaginal hysterectomy,
with repair of enterocele
(Disease: Pelvic organ prolapse/stress urinary incontinence)

Vaginal hysterectomy, radical
(Schauta type operation)
(Disease: Pelvic organ prolapse with associated cervical cancer)

Uterine suspension,
with or without shortening of round ligaments,
with or without shortening of sacrouterine ligaments
(Disease: Pelvic organ prolapse)

Hysterorrhaphy,
repair of ruptured uterus (non-obstetrical)
(Disease: Non-obstetrical uterine rupture, e.g. trauma)

Hysteroplasty,
repair of uterine anomaly (Strassman type)
(Disease: Mullerian anomalies, e.g. Septate uterus)

Laparoscopy, surgical, myomectomy, excision;
intramural myomas and/or removal of surface myomas
(Disease: Uterine pathologies)

Laparoscopy surgical, with vaginal hysterectomy,
with removal of tube(s) and/or ovary/ovaries
(Disease: Uterine pathologies)

Laparoscopy, surgical,
with lysis of adhesions (salphingolysis),
with removal of adnexal structures (portial or total
oophorectomy ond/ or salpingectomy)
(Disease: Fallopian tube pathologies)

Laparoscopy, surgical,
with lysis of adhesions (salphingolysis),
with fimbrioplasty
(Disease: Fallopian tube pathologies)

Laparoscopy, surgical,
with lysis of adhesions (salphingolysis),
with salphingostomy (salpingoneostomy)
(Disease: Fallopian tube pathologies)
MINOR PROCEDURES performed on the UTERUS

Endometrial sampling (biopsy),
with or without endocervical sampling (biopsy),
without cervical dilation, any method
(Disease: Uterine pathologies)

Dilation and curettage
(Disease: Uterine pathologies)

Vaginal Myomectomy,
excision of fibroid tumor of uterus, single or multiple
(Disease: Uterine pathologies)

Hysteroscopv, diagnostic
(Disease: Uterine pathologies)

Hysteroscopy, surgical,
with sampling (biopsy) of endometrium
and/or polypectomy,
with or without D & C
(Disease: Uterine pathologies)

Hysteroscopy, surgical,
with lysis of intrauterine
adhesions (any method)
(Disease: Uterine pathologies)

Hysteroscopy, surgical,
with division or resection of
introterine septum (any method)
(Disease: Uterine pathologies)

Hysteroscopy, surgical,
with removal of leiomvomata
(Disease: Uterine pathologies)

Hysteroscopy, surgical,
with removal of impacted foreign body
(Disease: Uterine pathologies)

Hysteroscopy, surgical,
with endometrial ablation (e.g.,
endometrial resection,
electrosurgical ablation, thermoablation)
(Disease: Uterine pathologies)

Hysteroscopy, surgical,
with bilateral fallopian tube
connulation to induce occlusion by
placement of permanent implants
(Disease: Uterine pathologies)

Laparoscopy, surgical,
with lysis of adhesions (salphingolysis)
(Disease: Fallopian tube pathologies)

Laparoscopy, surgical,
with lysis of adhesions (salphingolysis),
with fulguration or excision of lesions of the ovary, pelvic viscero,
or peritoneal surface by any method
(Disease: Fallopian tube pathologies)

Laparoscopy, surgical,
with lysis of adhesions (salphingolysis),
with fulguration of oviducts (with or without transection)
(Disease: Fallopian tube pathologies)

Laparoscopy, surgical,
with lysis of adhesions (salphingolysis),
with occlusion of oviducts by device (e.g., band, clip, or Falope ring)
(Disease: Fallopian tube pathologies)

OVIDUCT

MAJOR PROCEDURES performed on the OVIDUCT

Tubal Reanastomosis
(Disease: Fallopian tube pathologies)

Salpingectomy, complete or partial,
unilateral or bilateral
(Disease: Fallopian tube pathologies)

Salpingo-oophorectomy, complete or partial,
unilateral or bilateral
(Disease: Fallopian tube and ovarian pathologies)

Lysis of adhesions (salpingolysis)
(Disease: Fallopian tube pathologies)

Fimbrioplasty
(Disease: Fallopian tube pathologies)

Salpingostomy
(salpingoneostomy)
(Disease: Fallopian tube pathologies)

Transcervical introduction of fallopian tube catheter for diagnosis
and/or re-establishing patency (any method) with or without
hysterosalpingogrophy
(Disease: Fallopian tube pathologies)

OVARY

MAJOR PROCEDURES performed on the OVARY

Ovarian cystectomy, unilateral or bilateral
(Disease: Benign ovarian cysts (e.g. endometriotic cyst,
dermoid cyst, serous cystadenoma, mucinous cystadenoma)

Oophorectomy, partial or total,
unilateral or bilateral;
(Disease: Benign ovarian cvsts)

Oophorectomy, partial or total,
unilateral or bilateral;
for ovarian malignancy, with paraaortic and pelvic lymph node biopsies,
peritoneal washings, peritoneal biopsies,
diaphragmatic assessments,
with or without solpingectomy(s),
with or r without peritoneal biopsies,
diaphrogmatic assessments,
with or without salpingectomy(s),
with or without omentectomy
(Disease: Ovarian cancer)

Resection of ovarian malignancy
with bilateral salpingo-oophorectomy and omentectomy
(Disease: Ovarian cancer)

Resection of ovarian malignancy,
with total abdominal hysterectomy,
pelvic and limited para-aortic lymphadenectomy
(Disease: Ovarian cancer)

Resection of ovarian malignancy,
with radical dissection for debulking
(Disease: Ovarian cancer)

Laparotomy, for staging or restaging of ovarian malignancy
(“second look”),
with or without omentectomy, peritoneal washing, biopsy of abdominal and
pelvic peritoneum, diaphragmatic
assessment with pelvic and limited para-aortic lymphadenectomy
(Disease: Ovarian cancer)

Ovariolysis
(Disease: Lysis of Adhesions)

MINOR PROCEDURES performed on the OVARY

Aspiration of ovarian cyst(s),
unilateral or bilateral, vaginal approach
(Disease: Ovarian cyst)

Drainage of ovarian abscess, vaginal approach
(Disease: Tuboovarian abscess)

 

MINOR Procedure — if estimated period of recuperation after surgery requires 2 weeks or less  (if without concomitant medical problems)

MAJOR Procedure — if estimated period of recuperation after surgery is more than 3 weeks to 2 months  (if without concomitant medical problems)

Are you qualified for this benefit? Go here and find out:  Magna Carta of Women Special Leave Benefit Program

Source: Civil Service Commission Resolution No. 1000432, promulgated November 22, 2010 entitled Guidelines on the Availment of the Special Leave Benefits for Women under RA 9710 (An Act Providing for the Magna Carta of Women)