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.

Sd/-

(Dr. (Mrs. Sharda Verma)

Director CGHS