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Wednesday, February 18, 2015

Revision of rates for various treatment procedures under CGHS.

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 Bhawan, New Delhi
Dated the 18th February, 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 OM No. S.11045/36/2012-CGHS (HEC) dated 1.10.2014 whereby CGHS package rates for various treatment procedures were notified by the Government for 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 PROCEDURE
Revised rates
Non-NABH
Revised rates
NABH
Gynae & Obst
1
RVF Repair
18975
21821
2
USG for Onaterics – Anomalies Scan
770
886
Nephrology & Urology
1
Epididymectomy
15938
18750
2
Lithotripsy Extra Corporeal shock wave.
19550
22483
3
Ureteric Catheterization
8278
10950
4
Kidney Transplant (Related)
200000
230000
5
Kidney Transplant unrelated) including immunosuppressant therapy
300000
345000
General Surgery
1
Secondary suture of wounds
3400
4000
2
Haemorrhoidectomy
20720
24375
3
Stappler Haemorrhoidectomy
38000
43700
4
Varicose vein surgey: Tendelenburg operation with suturing or ligation.
10000
11500
5
Catheterization
425
500
6
Fissure in Ano-Fissurectomy
13800
15870
7
Laproscopic Paraumblical Hernia Repair
17500
20125
Ophthalmology
1
Pterygium surgey
5500
6325
2
Conjunctival woumd repair or exploration following blunt trauma
3300
3795
Imaging Investigations
1
CT-Orbit and brain
1600
1840
2
Foramen Magnum decompression for Chari Malformation
93750
107813
Cardiology
1
DVR
155422
178735

Reimbursement to beneficiaries/empanelled hospitals shall be limited to ceiling rate or as per actuals, 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.

Sd/-
(Dr. (Mrs.) Sharda Verma)
Director, CGHS
Tel. No. 011-23062800





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