Guidelines and ceiling rates for permission/reimbursement for Bariatric Surgry procedures under CGHS/CS(MA) Rules, 1944 — reg
File No. S. 11030/33113/CGHS(P)
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
Dated the 6th November, 2013
Sub: Guidelines and ceiling rates for permission/reimbursement for Bariatric Surgry procedures under CGHS/CS(MA) Rules, 1944 — reg.
The undersigned is directed to state that this Ministry has been receiving requests from beneficiaries covered under CGHS I CS (MA) Rules, 1944 for allowing `Bariatric Surgery' procedures. Since no guidelines were in place for this medical treatment procedure under CGHS/ CS(MA) Rules, the requests for allowingbariatric surgery were considered on merits of each case. In view of the increasing number of such cases, the matter was considered in the Ministry and it has been decided to issue guidelines for dealing with such requests and. fix ceiling rates for Bariatric Surgery procedure under CGHS and CS (MA) Rules, 1944.
2. Bariatric Surgery procedures shall be allowed in respect of CGHS/ CS(MA beneficiaries / patients with 'morbid obesity' as per the guidelines outlined below:-