CGHS Package rates code Number where differential pricing is not applicable in reference to OM dated 19th December 2023 Revision of CGHS rates for Cardiology procedures inclusion of two new procedure and revision of rates PET CT Scan

 CGHS Package rates code Number where differential pricing is not applicable in reference to OM dated 19th December 2023 Revision of CGHS rates for Cardiology procedures inclusion of two new procedure and revision of rates PET CT Scan

FTS No: 8108208 File No: S-11011/27/2021/CGHS(HEC)-सी.जी.एच.एस. (एच.ई.सी)
File Name: Clarification on CGHS package rates

Government of India
Ministry of Health & Family Welfare
Directorate of Central Government
Health Scheme (CGHS), Hospital
Empanelment Cell (HEC)
Room No. 101 CGHS Bhawan
New Delhi-110066

Dated 12th January 2024

Office Memorandum

Subject: CGHS Package rates code Number where differential pricing is not applicable in reference to OM dated 19th December 2023 Revision of CGHS rates for Cardiology procedures inclusion of two new procedure and revision of rates PET CT Scan

With reference to the above subject, the undersigned is directed to clarify that in respect of Treatment procedures / investigations under CGHS revised vide OM dated 19th December 2023, tabulated hereunder, the rates are same for both NABH and Non-NABH Accredited HCO’s and the differential pricing shall not be applicable. It is also clarified that the rates mentioned for treatment / investigations listed below are package rates and shall not be treated as part of any other procedure.

Sr NoCGHS rate Code NumberTREATMENT PROCEDURE CARDIOVASCULAR AND CARDIAC SURGERY & INVESTIGATIONSNon- NABH / Non- NABL Rates in RupeeNABH / NABL Rates in Rupee
15567Ambulatory BP monitoring1000

 

1000

 

16568External Loop/event recording (Maximum up to 7 days)1500 first day and 1000 for subsequent days1500 first day and 1000 for subsequent days
28584Intravascular ultrasound (IVUS)50,00050,000
371794Intracoronary optical coherence tomography (OCT) / Intravascular optical coherence tomography (IVOCT) Intravascular Ventricular Assist System6500065000
38585Fractional flow reserve (FFR)- inclusive of cost of wire30,00030,000
381795Fractional Flow Reserve (FFR) Wire cost (AIIMS RatesSee code 585See code 585
11854TAVI /TAVR Implant12,84,00012,84,000
21856IVL (Coronary Intra vascular Lithotripsy / Short wave Lithotripsy — Including GST2,68,0002,68,000

This issues with the approval of the competent Authority

The Additional Directors, CGHS are advised to bring the contents of this OM to the notice of all empanelled HCOs

Dr Lanu Wapang
Sr CMO HEC-Policy, CGHS

FTS No: 8090581 File No: S-11011/49/2020/CGHS(HEC)-सी.जी.एच.एस. (एच.ई.सी)
File Name: CGHS package rates Delhi and NCR update
Government of India
Ministry of Health & Family Welfare
Directorate of Central Government
Health Scheme (CGHS), Hospital
Empanelment Cell (HEC)

Room No. 107 CGHS Bhawan
Dated 21st December 2023

Office Memorandum

Subject: CGHS Package rates code number for the revised CGHS rates for Cardiology Procedures, including two new procedures and revision of rates of PET CT Scan- regarding.

Reference: F.No. Z15025/32/2023/DIR/CGHS, Govt. of India, Min. of Health & Family Welfare, Directorate of CGHS, OM dated 19* December 2023 on Revision of CGHS rates for Cardiology Procedures, inclusion of 2 new procedures and revision of rates of PET CT Scan- regarding.

With reference to the OM referred above, CGHS Package rates code number for the revised CGHS rates for Cardiology Procedures, two new procedures and revision of rates of PET CT Scan is tabulated below.

Sr NoCGHS rate Code NumberTREATMENT PROCEDURE CARDIOVASCULAR  AND CARDIAC SURGERY & INVESTIGATIONSNon- NABH / Non-NABL Rates in RupeeNABH / NABL Rates in Rupee
1544Balloon coronary angioplasty/ Percutaneous transluminal coronary angioplasty (PTCA)/ Percutaneous coronary intervention (PCI) with vascular closure device (VCD)78,20092,000
2545Balloon coronary angioplasty / Percutaneous transluminal coronary angioplasty (PTCA) / Percutaneous coronary intervention (PCI) without vascular closure device (VCD)71,15083,725
3546Rotablation47,77556,206
4547Balloon Mitral Valvotomy I Percutaneous transvenous mitral commissurotomy  (PTMC)77,00090,700
5548Cardiac Catheterization (CATH)11,51013,545
6556Coarctation dilatation Balloon dilatation of Aortic coarctation – including cost of Balloon60,86071,600
7558Temporary Pacemaker Implantation (TPI) (Temporary Cardiac Pacing) Single Chamber16,32019,200
8560Permanent pacemaker implantation (PPI)- Single Chamber27,20032,000
9561Permanent pacemaker implantation- Dual Chamber36,55043,000
10562Permanent pacemaker implantation (PPI)- Biventricular42,18049 625
11563Automatic implantable cardioverter defibrillator (AICD) -Single Chamber42,50050.000
12564Automatic implantable cardioverter defibrillator (AICD) -Dual Chamber44,50052 350
13565Combo device implantation50,15059,000
14566Diagnostic Electrophysiological studies conventional (Including catheter)56 10066,000
15567Ambulatory BP monitoring10001000
16568External Loop/event recording (Maximum up to 7 days1500 first day land 1000 for subsequent days1500 first day and 1000 for subsequent days
17569Radiofrequency (RF) ablation conventional 81,60096,000
18570Radiofrequency (RF) ablation Atrial Tachycardia/ with 3-D mapping-All inclusive 1,53,8501,81,000
19571Endomyocardial biopsyDeletedDeleted
20572Intra-aortic balloon pump (IABPJ- Including Cost of Balloon42,50050,000
21573Intra vascular coils63 75075,000
22574Septostomy- Balloon25,50030,000
23576Aortic valve balloon dilatation (AVBD) I ppulmonary valve balloon dilatation (PVBD)47,94056,400
24577Digital subtraction angiography-Peripheral artery12,40014,610
25578Digital subtraction angiography- venogram12,40014,610
26581Peripheral Angioplasty with VCD46,75055,500
27583Renal Angioplasty46,75055,000
28584Intravascular ultrasound (IVUS)50,00050,000
29586Holter analysis2,1252500
30588Inferior Vena Cava (IVC) filter implantation cost of Filter extra)25,5oo30,000
31589ASD/VSD/PDA device closureDeleteDelete
31520Atrial Septal Defect (ASD) closure84,06598,900
31521Ventricular septal defect (VSD) closure93,4151,09,900
31541Patent ductus arteriosus (PDA), device closure46,75055,000
32591Head-up tilt test (HUTI)3,4004,000
33599Stress Myocardial Perfusion Imaging(MP1)- exercise7,6509,000
34600Stress Myocardial Perfusion Imaging (MPI)  pharmacological7,6509,000
35601Coronary angiography11,24013,225
36608Pericardiocentesis18,50010,000
371794Intracoronary optical coherence tomography (OCT) / Intravascular optical coherence tomography (IVOCT) Intravascular Ventricular Assist System6500065000
38585Fractional flow reserve (FFR)- inclusive of cost of wire30,00030,000
381795Fractional Flow Reserve (FFR) Wire cost 1AllMS RatesSee code 585See code 585
Sr. NoCGHS rate Code NumberNew CGHS Treatment Procedure under Cardiology included w.e.f. 19.12.2023
11854TAVI /TAVR Implant12,84,00012,84,000
21855 :Transcatheter Aortic Valve Implantation rAVI) / Transcatheter Aortic Valve Replacement (TAVR) – Procedure Cost85,000100,000
31856IVL (Coronary Intra vascular Lithotripsy I Shock wave Lithotripsy- Including GST2,68,0002,68,000
CGHS Package Rate code for Revised Rates for PET-CT scan w.e.f. 19.12.2023
1380FDG Whole body PET CT Scan (with or without contrast)10,0001 1,500
1381Brain Heart FDG PET CT Scan10,0001 1,500
1382Gallium-68 Peptide PET CT imaging for Neuroendocrine Tumor10,0001 1,500

The Additional Directors, CGHS are advised to bring the contents of this OM to the notice of all empanelled HCOs

(Dr. Manoj Jain)
Director, CGHS

Encls – Revision of CGHS rates for Cardiology Procedures , inclusion of 2 new procedures and revision of Rates of PET CT Scan: CGHS OM dated 19.12.2023

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