Thursday, February 19, 2015

Revision of rates for various treatment procedures under CGHS.

F. No.S-11011/48/2014 – CGHS (HEC)
Ministry of Health & Family Welfare
Directorate General Central Govt. Health Scheme
(Hospital Empanelment Cell)

Nirman Bhavan, New Delhi,
Dated the February 18, 2015

OFFICE MEMORANDUM

Subject:- Revision of rates for various treatment procedures under CGHS.



With reference to the above mentioned subject the undersigned is directed to draw attention to O.M. No. S.11045/36/2012-CGHS (HEC) dated 1.10.2014 whereby CGHS package rates for various treatment procedures were notified by the Government empanelled hospitals under CGHS Delhi and NCR. This Directorate has been receiving representations from different stake holders regarding discrepancies in these notified rates. The matter was examined in this Directorate and now it has been decided with the approval of competent authority to revise the rates of following treatment procedures under CGHS.

Sr. No.TREATMENT PROCEDURERevised Rates Non-NABHRevised RatesNABH
Gynae & Obst
1RVF Repair1897521821
2USG for Obstetrics –Anomalies scan770887
Nephrology & Urology
1Epididymectomy1593818750
2Lithotripsy Extra corporeal shock wave1955022483
3Ureteric Catheterization827810950
4Kidney transplant (Related)200000230000
5Kidney transplant (Unrelated including immunosuppressant therapy)300000345000
General Surgery
1Secondary suture of wounds34004000
2Haemorrhoidectomy2072024375
3Stappler Haemorrhoidectomy3800043700
4Varicose vein surgery; Trendelenburg operation with suturing or ligation.1000011500
5Catheterization425500
6Fissure in Ano-Fissurectomy1380015870
7Laparoscopic Paraumbilical Hernia Repair1750020125
Ophthalmology
1Pterygium Surgery55006325
2Conjunctival wound repair or exploration following blunt trauma33003795
Imaging Investigations
1CT-orbit and brain16001840
2Foramen magnum decompression for Chari Malformation93750107813
Cardiology
1DVR155422178735

Reimbursement to beneficiaries/empanelled hospitals shall be limited to ceiling rate or as per actual, whichever is lower. The other terms and conditions as regards to CGHS package rates remain unchanged. 

2. The revised rates shall come into force from the date of issue and shall be in force till further orders and are applicable in all CGHS cities. 

3. This issues with concurrence of Integrated Finance Division of Ministry of Health and Family Welfare vide diary no.C-2289 dated 13/02/2015.

(Dr. (Mrs. Sharda Verma)
Director CGHS

Source: http://msotransparent.nic.in/writereaddata/cghsdata/mainlinkfile/File924.pdf
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