CGHS Delhi and NCR: Revision of rates for various treatment procedures

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 PROCEDURE Revised Rates Non-NABH Revised Rates NABH
Gynae & Obst
1 RVF Repair 18975 21821
2 USG for Obstetrics –Anomalies scan 770 887
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 surgery; Trendelenburg operation with suturing or ligation. 10000 11500
5 Catheterization 425 500
6 Fissure in Ano-Fissurectomy 13800 15870
7 Laparoscopic Paraumbilical Hernia Repair 17500 20125
Ophthalmology
1 Pterygium Surgery 5500 6325
2 Conjunctival wound 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 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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