Cghs Rate List 2f3ai

Recognized Private Hospitals and Diagnostic Centres Under CGHS HYDERABAD

CGHS OFFICE: 040-27902316, 040-27902583 FAX: 040-27900115

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With Index for the Contents.

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Under each Departmental Package arranged in Alphabetical order.

Ministry of Health and Family Welfare Government of India Nirman Bhawan New Delhi-110 011 F.No.S.11011/38/2001-CGHS Desk.II/CGHS(P)

GOVERNMENT OF INDIA Ministry of Health & Family Welfare

Nirman Bhawan, New Delhi. Dated:23rd December. 2002.

OFFICE MEMORANDUM

SUB:- Recognition of private hospitals/diagnostic centers under CGHS, Hyderabad for specialized and general purpose treatment and diagnostic procedures and fixation of package/ceiling rates -regarding. The undersigned is directed to say that the issue of fresh recognition of private hospitals and diagnostic centers for treatment of CGHS beneficiaries under CGHS, Hyderabad and fixation of package/ceiling rates has been under consideration of the Government for quite some time. It has now been decided to recognize the hospitals/diagnostic centers for different specialities as per list attached at Annex.A&B. 2. (a) Package rate is defined as lump sum cost of in-patient treatment or diagnostic procedure for which a patient has been referred by competent authority or CGHS to Hospital or Diagnostic Center. This includes all charges pertaining to a particular treat ment/procedure including ission charges, accommodation charges, ICU/ICCU charges, monitoring charges, operation charges, anesthesia charges, operation theatre charges, pro cedural charges/surgeon's fee, cost of disposable, surgical charges and cost of medicine used during hospitalization, related routine investigations, physiotherapy charges etc. (b) The package rate does not include diet, telephone charges, T.V.charges and cost of cosmetics, toiletry, tonics and medicines d in mass media. Cost of these, if offered on request of patient will be realized from the individual patient and are not to be included in package charges. (c) The recognized hospital/diagnostic center will not charge more than the package rate from the beneficiary. 3.

- 12 days for specialized procedure - 7-8 day for other procedures. - 3 days for laproscopic surgery. - 1 day for day care/minor procedures (OPD)

4.

However if the beneficiary has to stay in the hospital for his/her recovery for more than the period covered in the package rate, the additional reimbursement shall be limited to room rent as per entitlement, cost of the prescribed medicines and investigations, doctors visits (not more than 2 times a day) for additional stay.

5.

(a) (i)

The entitlement for indoor treatment would be as under : Basic Pay upto Rs.7,500/-

- General Ward.

(ii)

Basic Pay Rs.7,501/- to 10,500/-

- Semi Pvt. Ward.

(iii)

Basic Pay Rs. 10,501/- and above

- Private Ward.

(b) Package rate offered to CGHS for treatment in Semi-Pvt. Ward is mentioned and indicated in the rate list at Annex.-C.

(c) It has further been decided that the CGHS beneficiaries taking treatment in the above mentioned hospitals with the prior permission of the CGHS will be entitled for reimburse ment as per the package rates given in the Annex.-C. The rates for indoor treatment mentioned in attached Annexures are for Semi Private Category. For Private Ward there will be an increase of 15% and for General Ward there will be a decrease of 10%. (d) is

The implant shall be reimbursed as per actuals except for the items where ceiling defined.

6. A Private Hospital/Diagnostic Center whose rates for a procedure/test/facility are lower than the approved rates shall charge the beneficiaries as per actuals.

7.

(a) For investigations and treatment procedures for which ission is not required rates will be same for all categories.

(b)

The maximum room rent for different categories would be :-

General

Rs.500/- per day

Semi Private

Rs.l,000/-per day

Private

Rs.1,500/- per day

Day Care (6-8 hours ission)

Rs.500/- per day (same for all categories)

8.

The beneficiary will have the option of availing specialized treatment/diagnostic tests at CGHS recognized Hospitals/Diagnostic Centers of his/her choice after the Specialist of CGHS/ Govt.Hospital/CMO I/c of CGHS Dispensary recommends the procedure/test.

9.

For non-emergency cases, beneficiaries of Central Govt. Health Scheme are entitled to medical reimbursement for treatment in hospitals/diagnostic centers recognized under the scheme subject to written permission from the competent authority.

10.

On production of valid permission, the recognized hospitals/diagnostic centers shall provide credit facilities to: 

Freedom Fighters, or



Ex- Member of Parliament, or



Ex-Governor/ Ex-Vice President of India/Former Prime Minister, or



CGHS Employees



Pensioners (& their dependants) of Central Govt.drawing pension from Civil Estimates.

holding valid CGHS card. The recognized Private Hospital/Diagnostic Centers required to submit bills pertaining to above mentioned beneficiaries once in a month directly to the office of concerned t Director of CGHS, who will settle the claims within 60 days of submission of bills. 11.

In case of an emergency, the recognized private hospital shall not refuse ission or demand advance from the beneficiary and shall provide credit facilities to the concerned patient on the production of valid CGHS card. The recognized CGHS Hospital/Diagnostic Center shall submit the bill for reimbursement subject to the ceiling of approved rate to the respective Department/t Director, CGHS where the payment is made by CGHS Directorate.

12.

Reimbursement in respect of serving CGHS beneficiaries and of Parliament covered under CGHS will be made by the respective Ministries/Department/ Organizations.

13.

The recognized hospitals/ diagnostic centers will provide necessary medicines & all disposable sundries of standard quality and will not get them purchased through CGHS beneficiaries.

14.

If one or more treatment procedures form part of a major treatment procedure, package charges would be made against the major procedures and only one half of approved charges quoted for the other procedures would be added to the package charges of the first major procedure.

15.

Treatment taken in branches of the recognized hospitals will not be issible for reimbursement.

16.

Any legal liability coming out of such services shall be dealt by the hospital/ diagnostic center and it shall be responsible alone.

17.

This issues with the concurrence of Finance Division Vide JS(FA) Dy. No. 5618/JS(FA)/2002 dated 6.9.2002.

18.

All the Hospitals/Diagnostic Centers mentioned in Annx. A & B have signed the Memo randum of Agreement (MOA) with Director, CGHS about recognition and rates.

19.

An abstract of every indoor treatment/test shall be sent by the recognized private hospitals/diagnostic centers to every t/Additional Director of concerned CGHS city on monthly basis by the 10th of the following month, indicating Name of the patient, CGHS Card Number, Name of Office/Organization, Name of referring Specialist, Permission No. and Date, Description of procedure/tests performed and the amount charged, in the proforma at Annex.'D'

(B.B.BHATTACHARJEE) DY.SECRETARY TO THE GOVERNMENT OF INDIA

1

Annexure-I Rates of Hospital/Diagnostic Center Recognized under CGHS Delhi S. No.

Name of the Treatment Procedure/ Investigation

1.

OUT PATIENT

1.1.1 1.1.2 1.2 1.2.1 1.2.2 1.3 1.3.1. 1.3.2 1.4 1.4.1 1.4.2 1.5 1.5.1

First Visit Revisit or each subsequent visit Private if any First Visit Revisit or each subsequent visit By Medical Officers/Resident Doctors First Visit Revisit or each subsequent visit By Specialists First Visit Revisit or each subsequent visit Out patient procedure Injections SC IM IV (Chemotherapy) IV Dressings Small Medium Large Suturing without local anesthesia Suturing with local anesthesia Removal of Foreign body Cyst Benign Tumor Aspiration Plural Effusion Diagnostic Therapeutic Abdominal Diagnostic Therapeutic Pericardial Bone Marrow ts Biopsy Skin except Hensens Lymphnode Liver Strapping Removal of Stitches Venesection Phimosis Under LA

1.5.2

1.5.3 1.5.4 1.5.4.1 1.5.4.2 1.5.4.3 1.5.5 1.5.5.1 1.5.5.1.1 1.5.5.1.2 1.5.5.2 1.5.5.2.1 1.5.5.2.2 1.5.5.3 1.5.5.4 1.5.5.5 1.6 1.6.1 1.6.2 1.6.3 1.7 1.8 1.9 1.10

CGHS Approved Rates in Rupees

40/30/61/61/40/30/61/61/20/20/20/252/40/81/162/323/505/485/909/909/-

485/808/808/1131/303/566/485/252/909/909/81/50/242/1212/-

2

S. No. 1.11 1.12 1.13 1.13.1 1.13.2 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 2. 2.1 2.2 2.2.1 2.2.2 2.2.3 2.2.4 2.2.5 2.2.6 2.2.7 2.2.8 3. 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.11.1 3.11.2 3.12 3.13 3.14 3.15

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Lumber puncture 646/Sternal puncture 566/Injection for Haemorrhoids 1010/Varicose Veins 1212/Catheterisation 97/Dilatation of Urethra 970/Incision & Drainage 485/Intercostal Drainage 808/Lung function test 566/E.C.G. 100/E.E.G. 707/Inclubation (per day) 606/Stress test 1212/Peritoneal dialysis 1515/SKIN Skin Biopsy 353/Excision Moles 505/Warts 505/Sela cysts 505/Mollus cum contrabiosum 505/Veneral Warts 505/Corns 505/I/D Injection Keloid of Acne 252/Chemical Cautery (per sittings) 101/E.N.T. Pure Tone Audiogram 252/Impedence & other tests 252/SISI, Tone Decay & Difference times 252/Multiple hearing assessment test to Adults 404/Hearing Aid Selection 353/Hearing Aid Analysis 151/Speech Discrimination Score 81/Speech Assessment 162/Speech therapy per session of 30-40 minutes 121/Cold Calorie Test for Vestibular function 161/Removal of foreign body From Nose 303/From Ear 303/Repair ear lobe 970/Syringing 303/Polyp removal under LA 646/Peritonsillar abscess drainage under LA 1293/-

3.16 3.16.1

EAR Ear lobule stitching

1350/-

3

S. No.

Name of the Treatment Procedure/ Investigation

CGHS Approved Rates in Rupees

3.16.2 3.16.3 3.16.4 3.16.5 3.16.6 3.16.7 3.16.8 3.16.9 3.16.10 3.16.11 3.16.12 3.16.13 3.16.14 3.16.15

Ear Piercing Myringoplasty Staepedectomy Myringotomy Grommet Insertion Tympanotomy Paracentesis Tympanoplasty Mastoidectomy Pinna Excision Otoplasty Labyrinthectomy Skull Base surgery Facial N Decompression

450/10000/12000/4550/5670/8800/2900/13400/14800/15100/15300/13300/26500/18900/-

3.17 3.17.1 3.17.2 3.17.3 3.17.4 3.17.5 3.17.6 3.17.7 3.17.8 3.17.9 3.17.10 3.17.11 3.17.12 3.17.13 3.17.14 3.17.15 3.17.16 3.17.17 3.17.18 3.17.19 3.17.20

NOSE Septoplasty Submucous Resection Septo-rhinoplasty Rhinoplasty Fracture Reduction Intra Nasal Diathermy Turbinectomy Endoscopic DCR Endoscopic Surgery Septal Perf. Repair Antrum Puncture Lateral Rhinotomy Cranio-facial resection Maxillectomy Ethamoidectomy Caldwell Luc Surgery Angiofibroma Excision Endoscopic Hypophysectomy Endoscopic Optic Nerve Decompression

8500/6600/15400/15100/7500/2800/5480/12000/12600/12600/1500/1100/28000/21200/14100/9600/18900/25680/25000/22000/-

3.18 3.18.1 3.18.2 3.18.3 3.18.4 3.18.5 3.18.6 3.18.7 3.18.8 3.18.9

THROAT Ranula Excision Cyst Excision Tongue Tie excision Sub Mand Duct Lithotomy Adendidectomy Palatopharyngoplasty Cleft Palate repair Pharyngoplasty Styloidectomy

10300/7000/3000/6200/5864/17000/15750/15900/12000/-

4

S. No.

Name of the Treatment Procedure/ Investigation

4. 4.1 4.1.1 4.1.2 4.2 4.2.1 4.2.2 4.2 4.3.1 4.3.2 4.4 4.5 4.6 4.7 4.8 4.9 4.10 4.11 4.11.1 4.11.2 4.11.3 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.23 4.24 4.25 4.26 4.27 4.28

EYE Cauterisation of ulcer/subconjuctival injection One eye 162/Both eyes 242/Retrobular Injection One Eye 162/Both Eyes 242/Syringing of Lacrimal Sac For oen eye 162/For both eyes 242/Paracentesis 808/Foreign body removal 323/Refraction/Fundoscopy 81/Ortho-optic check up 81/Ortho-optic exercises 81/Plepoptic Exercises 81/Perimetry/field test 323/Chalazion operation One Eye 707/Both Eyes 808/Dressing 81/Clinical Photography 600/Pterygium 1440/Orbitotomy 21510/Ptosis 12000/Ectropion 4640/Xenon Arc Laser 1850/DCR 9700/ECCE/ICCE 8200/Epicantuhus 4800/DCY 6300/Squint Correction 11500/Keratoplasty 18600/Trabeculectony 8300/Trabeculectomy 9700/Iridectomy 3200/Goniotomy 9700/Scalaral Bukling 16500/(Retinal Detachment Surgery) Electrooculogram ---ERG 700/Flouresein Angioraphy 1300/A-Scan 300/Tono Graphy 500/VER 1000/Goldmen Perimetry 500/Specular microsopy ----

4.29 4.30 4.31 4.32 4.33 4.34 4.35 4.36

CGHS Approved Rates in Rupees

5

S. No.

Name of the Treatment Procedure/ Investigation

CGHS Approved Rates in Rupees

4.37 4.38 4.39 4.40 4.41 4.42 4.43 4.44 4.45 4.46 4.47 4.48 4.49 4.50 4.51 4.52 4.53 4.54 4.55 4.56 4.57 4.58 4.59 4.60 4.61 4.62 4.63 4.64 4.65 4.66

Syringing & Probing Vitrectomy Enucleation Eviseration Entropion Fluroseince Irdo cynagreen Angiography of Retina IRIS Automated Perimetry Orbital MRI C.T. Scan Corneal endothelial cell count Corneal topography Corneal pachymetry Retinal nerve film analyzer studies Auto Refrectemetry Biometry Ultrasound studies A Scan B Scan Retinal/Meter function studies VER PAN ACUITY METER Laser inter ferometry EKG, EOG Dacryocystography (DGC) Orbital Angio studies Cateract with IOL

3000/10900/7300/6900/3200/800/---1400/700/1350/---4500/2400/300/300/275/---45/315/---200/400/170/1050/------1500/--9300/- + Lens

5. 5.1 5.2 5.3 5.3.1 5.3.2 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13

ORTHOPAEDIC AND PLASTER WORK Fingers (post, slab) Fingers full plaster Colles fracture Below elbow Full plaster Colles fracture Ant. Or post slab Above elbow full plaster Above post-slab Below knee full plaster Below post-slab Tube Plaster (or plaster cylinder) Above knee full plaster Above full slab Minerva Jacket Plaster Jacket

242/242/1111/1818/909/1010/646/1010/646/1515/2626/2222/4040/3030/-

6

S. No.

Name of the Treatment Procedure/ Investigation

CGHS Approved Rates in Rupees

5.14 5.15 5.16 5.17 5.17.1 5.17.2 5.17.3 5.17.4 5.17.5 5.17.6 5.17.7 5.17.8 5.17.9 5.17.10 5.17.11 5.17.12

Shoulder spika Single hip spika Double hip spika STRAPPING Finger Toes Wrist Elbow Knee Ankle Chest Shoulder Nasal bone fracture Figure of 8 bandage Colar and cuff sling Ball bandage

6. 6.1 6.1.1 6.1.2 6.1.3 6.1.4 6.1.5 6.1.6 6.1.7 6.1.8 6.2 6.2.1 6.2.2 6.2.3 6.3 6.3.1 6.3.2 6.3.3 6.4 6.4.1 6.4.2 6.4.3 6.4.4 7. 7.1 7.2 7.3 7.4 7.5 7.5.1

PHYSIOTHERAPY Electro therapy Ultrasonic therapy S.W. Diathermy Electrical stimulation (therapeutic) Muscle testing and diagnostic Infra red U.V. Therapeutic does Electric vibrator Vibrator belt massage Electric/Mechanical Traction Intra Lumbar Traction Intermittent Cervical traction Combined Lumbar & Cervical Hydrotherapy Wax bath Hot pack Whirl pool bath Miscellaneous Obesity Exercises Breathing Exercises & Postural Drainage Cerebral Palsy – Massage Post – polio exercise DENTAL Extraction of tooth including LA Complicated Ext. per Tooth including LA Flap Operation per Tooth Gingivectomy per tooth Cyst under LA (small) Cyst under LA (large)

3030/3030/3636/162/162/323/323/323/323/485/485/485/485/485/485/-

71/71/71/71/71/71/71/71/71/71/71/71/71/71/71/71/71/71/101/202/404/242/242/404/-

7

S. No. 7.6 7.7 7.8 8. 8.1 8.2 8.3 8.3.1 8.3.2 8.4 8.4.1 8.5 8.6 8.7 9. 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 9.10 9.11 9.12 9.13 9.14 9.15 9.16 9.17 9.18 9.19 9.20 9.21 9.22 9.23 9.24 9.25 9.26 9.27 9.28 9.29 9.30 9.31

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Apiscectomy including LA 646/Fracture wiring including LA 808/Intra oral X-ray 81/OTHERS Upper G.I. Endoscopy 1616/Upper G.I. with Biopsy 1818/Esophageal scierotherapy for varices First sitting 2020/Subsequent sitting 1616/Sigmoidoscopy (rigid) 1616/Sigmoidoscopy (flexible) 1212/Oesophagoscopy 1212/Colonoscopy 2020/Fibroptic bronchoscopy 2121/X-RAY Fluroscopy chest 125/Dental 81/Occlusal 109/Abdomen AP or Erect (one film) 125/Abdomen Lateral view (one film) 125/Abdomen for Pregnancy 125/Chest PA view (one film) 125/Chest Oblique or Lateral (One film) 125/Mastoids 125/Extremities, bones & ts (one film) 125/Pelvis (One film) 125/Paranasal sinuses (One film) 125/T.M. ts (One film) 125/Abdomen & pelvis for K.U.B. 250/Skull A.P. & Lateral 250/Spine A.P. & Lateral 250/Barium Swallow 702/Sinography/ Sialography 624/Cystography/ Unrethrography 936/Hysto-Salpaingography 936/Arthrography 702/Retrograde Pyelography 936/Oral or I.V. Cholecystography 780/Barium Enema 1092/Barium Meal Upper or Lower 1092/Bronchography 1092/I.V. Urography 1170/Myelography 1248/Pneumo Encephalography 936/Barium meal Complete 1404/Cerebral/Gemoral Angiography 1404/-

8

S. No.

Name of the Treatment Procedure/ Investigation

CGHS Approved Rates in Rupees

10. 10.1 10.1.1 10.1.2 10.1 10.2.1 10.2.2 10.2 10.3.1 10.3.2 10.3.3 10.3.4 10.3.5 11. 11.1 11.2 11.3 11.4 11.5 11.6 11.7 11.8 11.9 11.10 11.11 11.12 11.13 11.14 11.15 11.15.1 11.15.2 12. 12.1 12.2 12.3 12.4 12.5 12.6 12.7 12.8 12.9 12.10 12.11 12.12 12.13 12.14 12.15

ULTRASOUND INVESTIGATIONS Obstetric First Scan 375/Follow up (2nd visit) 375/Upper abdomen First Scan 500/Follow up (2nd visit) 500/OTHERS Quick look check-up for IUCD & Infants 500/Total Abdominal survey or Multiple study 1000/Special procedures & Aspiration etc. 1125/Image Intensifiers ---Stress test (tredmill) 1500/CLINICAL PATHOLOGY Urine routine 40/Quantitative Albumin/Sugar 40/Urine Bile Pigment and Salt 40/Urine Urobilinogen 40/Urine Ketones 40/Urine Occult Blood 40/Urine total proteins 81/Urine Sodium 81/Urine Chloride 81/Bence Jones protein 81/Stool routine 40/Stool occult blood 40/Post coital smear examination 71/Smear analysis 71/Body fluids – C.S.F/{;ira;/Ascitic etc. ---Chemistry, Sugar, Protein etc. 242/Malignant cells 162/HAEMATOLOGY Haemoglobin (Hb) 30/Total Leucocytic Count (TLC) 30/Differential Leucocytic Count (DLC) 30/E.S.R. 30/Total Red Cell count 40/Platelet count 50/Reticulocyte count 50/Absolute Eosinophil count 40/Packed Cell Volume (PCV) 30/Haemoglobin, total & Differential Leucocyte count (Hb, TLC, DLC) Peripheral Smear Examination 40/Smear for Malaria parasite 40/Bleeding & Clotting Time 40/Clot Retraction Time 40/R.B.C. Fragility Test 61/-

9

S. No.

Name of the Treatment Procedure/ Investigation

CGHS Approved Rates in Rupees

12.16 12.17 12.18 12.19 12.20 12.21 12.22 12.23 13. 13.1 13.2 13.3 13.4 13.4.1 13.4.2 13.5 13.6 13.7 14. 14.1 14.2 14.3 14.4 14.5 14.6 14.7 14.8 14.9 14.10 14.11 14.12 14.13 14.14 14.15 14.16 14.17 14.18 14.19 14.20 14.21 14.22 14.23 14.24 14.25 14.26 14.27 14.28

L.E. Cell Foetal Haemoglobin (Hb-F) Prothrombin Time (P.T.) Hb, TLC, DLC, ESR Haemogram Bone Marrow Smear Exmination Partial Thromboplastin Glucose Phosphate Dehydrogenase (G, 6PD) BLOOD BANK Blood Group & RHO Type Cross match Packed cell preparation Coomb’s Test Direct Indirect Australia Antigen RHO, Antibody titer Blood Bank bag and solution BIO-CHEMISTRY Glucose Blood Urea Nitrogen Serum Creatinine Serum Uric Acid Serum Bilirubin total & direct Serum Iron Serum Cholesterol Total Iron Binding Capacity Glucose (Fasting & PP) Serum Calcium Serum Phosphorus Total Protein Alb/Glo Ratio S.G.P.T. S.G.O.T. Serum amylase Serum Electrolyte Triglyceride Glucose Tolerance Test (GTT) C.P.K. L.D.H. L.D.-1 LDH &LD-1 Alkaline Phosphatase Acid Phosphatase CK MB T3 T4 TSH HDL Cholestrol L.H.

101/162/127/101/101/252/162/162/81/40/40/121/121/162/141/-

50/61/71/81/141/162/81/202/101/81/81/101/81/81/162/202/162/242/202/151/151/252/81/101/323/550/121/505/-

10

S. No.

Name of the Treatment Procedure/ Investigation

14.29 14.30

FSH Prolactin

505/505/-

15. 15.1 15.2 15.3 15.4 15.5 15.6 15.7

HISTOPATHOLOGY Pap Smear Smear for Malignant cells Hostopath Frozen section & Paraffin section Blood gas analysis Blood gas analysis with electrotypes Vaginal Cytology for Hormonal evaluation

162/162/303/242/283/364/323/-

16.

BACTRIOLOGY & SEROLOGY

16.1 16.2 16.3 16.4 16.5 16.6 16.7 16.8 16.9 16.10 16.11 16.12 16.13 17.

Smear gram-strain examination Sputum smear A.F.B. stain Vaginal Smear Examination V.D.R.L. Widal test R.A. test Culture & Sensitivity (other specimens) Urine pregnancy test C.R.P. ASO Titer Quantitative H.C.G. Blood culture & sensitivity Vibro cholera culture ICU/CCU CHARGES (Special Care Cases) Coronary Care with Cardiac Monitoring including ECG & Diet Respirator & Compressed air Respirator with Piped Oxygen Internal Pace-maker Post operative care (ICU) with Diet Child care in children Paediatric care for New born (7 to 12 days) General Nursery Care Incubator charges (Per day) Intensive care in Nursery (Per day) Phototherapy Resuscitation Resuscitation with Incubator attended by Specialist Exchange Transfusion O.T. Charges for Exchange transfusion Pneupack ventilator in Nursery (Per day)

17.1 17.2 17.3 17.4 17.5 17.6 17.7 17.8 17.9 17.10 17.11 17.12 17.13 17.14 17.15 17.16

CGHS Approved Rates in Rupees

61/61/61/101/101/141/141/162/141/162/252/162/141/-

1515/1313/1313/---1414/970/555/303/505/1313/303/303/808/1010/303/707/-

11

S. No.

Name of the Treatment Procedure/ Investigation

18.

OXYGEN CHARGES

18.1

Operation theatre (including supply of Nitrous Oxide) Casuality ICU General Ward Semi-private wards

18.2 18.3 18.4 19. 19.1 19.2 19.3 19.4 19.5 19.6 20. 20.1 20.2 20.3 20.4 20.5 20.6 20.7 20.8 20.9 20.10 20.11 20.12 20.13 20.14 20.15 20.16 20.17 20.18 20.19 20.20 20.21 20.22 20.23

CGHS Approved Rates in Rupees

BURN DRESSING 15% to 30% 1st Dressing Subsequent Dressing 30% to 50% 1st Dressing Subsequent Dressing Extensive Burn above 50% Subsequent dressing OBSTETRIC CASES Normal delivery or with Episiotomy & P. repair Low Forceps Low midcavity forceps Cesarean Section Cesarean Hysterectomy Rupture Uterus, closure & repair with Tubal Ligation Perforation of Uterus after D/E Laparotomy & Closure Laparotomy for Ectopic Rupture Laparotomy-peritonitis Lavage and Drainage Laparotomy-failed laparoscopy to explore Salphingectomy Salphingo-oophrectomy Ovarean Cystectomy Oopherctomy Broad Ligment Haemotoma Drainage Exploration of perineal Haematoma & Resuturing of Episiotor Exploration of abdominal Haematoma (after laparotomy + LUCS) Internal podalic version and extraction Manual Removal of Placenta 3rd stage Complication MRP for outside delivery etc. Examination under anaesthesia Burst-abdomen Repair Gaping Pareneal Wound Secondary Suturing

808/81/81/81/-

303/151/505/252/808/303/-

8080/9090/9090/15000/17170/17170/12120/12120/10100/5050/9696/13130/13130/10100/8484/8080/11110/9090/3030/4040/2020/10100/2020/-

12

S. No.

Name of the Treatment Procedure/ Investigation

20.24

Gaping abdominal wound Secondary Suturing 3030/Complete perineal tear-repair 2020/Exploration of PPH-tear repair 3434/Destructive Operation 9090/Suction evacuation vesicular mole, Missed abortion D/E 4848/Colpotomy-drainage P/V needling EUA 3434/Repair of post-coital tear, perineal injury 3434/Excision of urethral caruncle 3030/Laparoscopy 5050/Shirodhkar, Mc. Donalds stich 3030/Abortion 4040/GENERAL SURGERY Drainage of Abscess 1414/Dressing under G.A. 2020/Aspiration of cold Abscess of Lymphnode 2626/Aspiration of Empyema 2020/Aspiration of Liver Abscess 2020/Open Drainage of Liver Abscess 8080/Drainage of Pelvic Abscess 8080/Drainage of Ischiorectal Abscess 5500/Drainage of Subdiaphragmatic Abscess 10100/Open Drainage of Perinepheric Abscess 10100/Drainage of Perigastric Abscess 8080/Drainage of Perotid Abscess 5500/Drainage of peritonsillar Abscess 5500/Drainage of Retropharyngeal Abscess 5500/Open Drainage of Psoas Abscess 5500/Open Drainage of Perivertebral Abscess 7676/-

20.25 20.26 20.27 20.28 20.29 20.30 20.31 20.32 20.33 20.34 21. 21.1 21.2 21.3 21.4 21.5 21.6 21.7 21.8 21.9 21.10 21.11 21.12 21.13 21.14 21.15 21.16

CGHS Approved Rates in Rupees

INJURY OF SUPERFICIAL SOFT TISSUES 21.17 Suturing of small wounds 21.18 Secondary suture of wounds 21.19 Delayed primary suture 21.20 Debridement of wounds

242/1010/1414/1010/-

REMOVAL OF FOREIGN BODIES 21.21 Removal of F.B. Superficial 21.22 Removal of F.B. Deep

1010/2020/-

BIOPSIES 21.23 21.24 21.25 21.26 21.27

1616/2020/2020/2020/3030/-

Cervical Lymph Node Auxillary Lymph Node Inguinal Lymph Node Excision/Biopsy of Large Lumph Nodes Excision Biopsy of Ulcers

13

S. No. 21.28 21.29 21.30 21.31 21.32 21.33 21.34 21.35 21.36 21.37

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Excision Biopsy of Superficial Lumps 3030/Incision Biopsy of Growths/Ulcers 1616/Trucut Needle Biopsy 1616/Percutaneous Liver Biopsy 1616/Percutaneous Kidney Biopsy 1616/Spleen Aspiration 1616/Marrow Aspiration (Needle) 1616/Marrow Biopsy (Open) 1616/Muscle Biopsy 1616/Scalene Node Biopsy 1212/-

21.38 21.39 21.40 21.41 21.42 21.43 21.44 21.45

EXCISION OF CYST/SMALL TUMOURS Excision of Sebaceous Cysts Excision of Superficial Liipoma Excision of Superficial Neurofibroma Excision of Dermoid Cysts Excision of Ganglion Haemorrhoids Keloids Superficial Variscosity

22. 22.1 22.2 22.2.1 22.2.2 22.2.3 22.2.4 22.2.5 22.3 22.3.1 22.3.2 22.3.3 22.4 22.5 22.6 22.7 22.8 22.9 22.10 22.11 22.12 22.12.1 22.12.2 22.12.3 22.14.4 22.12.5

1414/2020/2424/2020/2424/7070/4444/4040/-

HEAD & NECK Ear Lobe Repair one side 505/Excision of Pinna for Growth (Squamous/Basal) Injuries Skin Only 3030/Skin and Cartilage 4444/Partial Amputation 4848/total Amputation 5858/Total Amputation & Excision of External Auditory Meatus 9090/Excision of Cystic Hygroma Minor 4444/Major 6666/Extensive 10908/Excision of Branchial Cyst 10100/Excision of Branchial Sinus 8080/Excision of Pharyngeal Diverticulum 10100/Excision of Carotid Body- Tumours 30300/Operation for Cervical Rib 19594/Scalene Node Biopsy 10100/Block Dissection of Cervical Lymph Nodes 20200/Pharyngectomy & Reconstruction 31310/Operation for Carcinoma Lip ---Wedge-Excision 6464/Vermilionectomy 6060/Wedge Excision and Vermilonectomy 7070/Hstianders Operation 8080/Abbe Operation 9090/-

14

S. No.

Name of the Treatment Procedure/ Investigation

22.12.6 22.12.7 22.13 22.14 22.14.1 22.14.2 22.15 22.15.1 22.15.2 22.15.3 22.15.4 22.16 22.17.1 22.17.2 22.17.3 22.18 22.19 22.20 22.21 22.21.1 22.21.2 22.21.3 22.21.4 22.21.5 22.21.6 22.21.7 22.22 22.23 22.24

Check Advancement Subcutaneous Pedicle Flap Exicision of the Maxilla Excision of the Mandible Segmental Hemimandibulectomy Glossectomy Partial Hemiglossectomy Total Glossectomy The Commondo Operation Parotidectomy Superficial Conservative Radical Total Repair of Parotid Duct Removal of Submandibular Salivary gland Excision/ Enucleation of Dental Cysts Thyroidectomy Hemithyroidectomy Partial Thyroidectomy Subtotal Thyroidectomy (Toxic Goitre) Total Thyroidectomy (Cancer) Resection Enucleation of Adenoma Isthmectomy Total Thyroidectomy and Block Dissection Excision of Lingual Thyroid Excision of Thyroglossal Cyst/Fistula Excision of Parathyroid Adenoma/Carcinoma Laryngectomy Laryngo Pharyngectomy Cyst Excision Sinus & Fistula repair Lymph Node Excision Sub-Mandibular gland excision Hyoid Suspension Genioplasty Thyroidectomy Direct Laryngoscopy Phonosurgery Fibroptic Laryngoscopy Microlaryngeal Surgery Laryngofissure Stenosis Excision

22.25 22.26 22.27 22.28 22.29 22.30 22.31 22.32 22.33 22.34 22.35 22.36 22.37 22.38 22.39

CGHS Approved Rates in Rupees 9090/9090/19392/15150/22624/5050/11312/22624/22624/---17372/10504/22624/19190/8282/6464/12120/11312/17372/19796/10504/10504/27270/22624/10100/22220/31916/37370/7500/10900/4500/9800/13200/17200/16700/4250/14100/3250/9400/17200/21200/-

15

S. No.

Name of the Treatment Procedure/ Investigation

CGHS Approved Rates in Rupees

22.40 22.40.1 22.40.2 22.40.3 22.40.4 22.40.5 22.40.6 22.40.7 22.40.8 22.40.9 22.40.10 22.40.11 22.40.12 22.40.13

HEAD AND NECK CANCER Excisional Biopsies Benign Tumour Excisions Temporal Bone resection Mandibulectomy Glossectomy Commando Surgery Radical Neck Dissection Carotid Body Excision Total Laryngectomy Laryngopathryngectomy Flap Reconstructive Surgery Parapharyngeal Tumour Excision Parotidectomy

6600/15500/28350/25200/22800/35600/25200/35600/35500/38000/35600/35600/34000/-

23 23.1 23.2 23.3 23.4 23.5 23.6

BREAST Drainage of Abscess Excision of Lumps Local Mastectomy (Simple) Radical Mastectomy (Formal or Modified) Excision of Mammary Fistula Segment Resection of Breast

6060/9090/12275/30000/15150/16160/-

24. 24.1. 24.2 24.3 24.4 24.5 24.6 24.7 24.8 24.9 24.10 24.11 24.12 24.13 24.14 24.15 24.16 24.17 24.18 24.19 24.20 24.21 24.22 24.23

CARDIO RESPIRATORY PROCEDURES Direct Laryngoscopy Bronchoscopy Scalene Node Biopsy Mediastinoscopy Aspiration of Pleural Cavity Aspiration of Pericardial Cavity Pleural Biopsy Thoracoscopy Tracheostomy Thoracotomy (Penetrating Wounds) Intercostal Drainage of empyeme Rib Resection for empyeme Decortication (Pleurectomy) Thoracoplasty Pneumonectomy Lobectomy Segmental Resection Hydatid Cyst Thymectomy Mediastinoscopy of pericardial cavity Pulmonary function test BMR Spirometry Spirometry with Helium Dilution

5050/2424/1212/2424/1414/1414/3030/6060/3030/14544/4646/11312/24864/33936/27876/24846/24846/24846/28078/--585/585/1350/-

16

S. No.

24.38 24.39 24.40 24.41 24.42

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Spirometry with a Helium Dilution 1350/with diffusion capacity studies Pulmonery exercise testing 780/Decortication 40000/Segmental resection 40000/Mediastinal Tumour 39600/Partial pericardectomy 47250/Removal tumours of chest wall 40000/Oesophago gatectomy for mid 1/3 lesions 35500/Hiatus hernia repair 32500/Heller’s operation 33000/Colonlnter position or replacement 43700/of Oesophagus Open Lung Biopsy 17750/Anterior medicistonotomy 32400/Oesophago gastrectomy for lower 43400/Corringers procedure Medicistinoscopy(cervical) 25250/Video-assested thoracoscopy (VATS) 18000/Video-assested thoracoscopic lung Surgeries40000/Lung volume reduction surgery 44000/Aortogram 9000/-

25. 25.1 25.2 25.3 25.4 25.5 25.6 25.7 25.8 25.9 25.10 25.10.1 25.11 25.12 25.13 25.14 25.15 25.16 25.16.1 25.16.2 25.17 25.18 25.19 25.20 25.21

ABDOMEN Gastroscopy 1616/Gastric & Duodenal Biopsy (Endoscopic) 2424/Pyleromyotomy 6868/Gastrostomy 10100/Simple Closure of Perforated peptic Ulcer 10100/Vagotomy Pyleroplasty/ Gastro Jejunostomy 21466/Duodenojejunostomy 18988/Partial/Subtotal Gastrectomy for Carcinoma 21816/Partial/Subtotal Gastrectomy for Ulcer 21816/Operation for Bleeding Peptic Ulcer 18988/Gastrojejunostomy & Vagotomy 18988/Operation for Gastrojejunal Ulcer 18988/Total Gastrectomy for Cancer 27876/Highly Selective Vagotomy 18988/Selective Vagotomy & Drainage 18988/Congenital Diaphragma tic Hernia 21210/Hiatus Hernia Repair Abdominal 21210/Transthoracic 21210/Exploratory Laparotomy 11110/Epigastric Hernia 10504/Umbilical Hernia 10504/Ventral and Scar Hernia 12928/Inguinal Hernia ----

24.24 24.25 24.26 24.27 24.28 24.29 24.30 24.31 24.32 24.33 24.34 24.35 24.36 24.37

17

S. No. 25.21.1 25.21.2 25.22 25.23 25.24 25.24.1 25.24.2 25.25 25.26 25.27 25.28 25.29 25.30 25.31 25.32 25.33 25.34 25.35 25.36 25.37 25.38 25.39 25.39.1 25.39.2 25.40 25.40.1 25.40.2 25.40.3 25.41 25.42 25.43 25.44 25.45 25.46 25.47 25.48 25.49 25.50 25.51 25.52 25.53 25.54 25.55

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Herniography 12928/Hernioplasty 20125/Femoral Hernia 18180/Rare Hernias (Spigalion, Obturator, Lumbar, Sciatic) 19190/Splenectomy ---For Trauma 19796/For Hypersplenism 19796/Splenorenal Anastomosis 32320/Portocaval Anastomosis 32320/Direct Operation on Oesophagus for Portal Hypertension 23432/Mesentericocaval Anastomosis 30300/Warren Shunt 30300/Pancerato Duodenectomy 30300/By Procedure for Inoperable Carcinoma of Pancreas 22220/Cystojejunostomy or Cystogastrostomy 22220/Cholecystectomy 12726/Cholecystectomy & Exploration of CBD 16564/Repair of CBD 16564/Operation for Hydatid Cyst of Liver 19797/Cholecystostomy 12928/Hepatic Resections (Lobectomy Hepatectomy) 20200/Operation on Adrenal Glands ---Bilateral 28280/Unilateral for Tumour 14800/Appendicectomy ---Acute 14800/Chronic/Internal 14800/Appendicular Abscess – Drainage 9292/Subphrenic Abscess Drainage 12120/Mesenteric Cyst-Excision 12120/Peritonioscopy/ Laparoscopy 4444/Jejunostomy 12928/Lieostomy 22624/Congenital Atresia & Stenosis of Small Intestine 19796/Muconium Lieus 16564/Mai-rotation & Volvulus of the Midgut 16564/Resection & Anastomosis of Small Intestine 19392/Excision of Meckle’s Deverticulum 19392/Inruauaxwprion 19392/Duodenal Diverticulum 19392/Operation for Intestinal Obstruction 17776/Operation for Intestinal perforation 17776/Benign Tumours of Small Intestine 17776/-

18

S. No. 25.56 25.57 25.58 25.59

25.60 25.61 25.62 25.63 25.64 25.64.1 25.64.2 25.65 25.66 25.67 25.68 25.69 25.70 25.71 25.72 25.72.1 25.72.2 25.73 25.74 25.74.1 25.74.2 25.74.3 25.75 25.75.1 25.75.2 25.76 25.76.1 25.76.2 25.76.3 25.77 25.77.1 25.77.2 25.77.3 25.78 25.79 25.80 25.81 25.82 25.83 25.84

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Excision of Small Intestine Fistual 17776/Operations for Haemorrhage of the Small Intestines 20200/Operations of the Duplication of the Intestines 23432/Operations for Recurrent Intestinal Obstruction (Noble Plication & Other Operations for the Adhesions) 23432/Lieosigmoidostomy 18180/Lieotransverse Colostomy 18180/Sigmoidoscopy 1818/Caecostomy 7676/Colostomy ---Loop Colostomy Transverse Sigmoid 14140/Terminal Colostomy 17776/Closure of Colostomy 17776/Right Hemi-Colectomy 17776/Left Hemi-Colectomy 17776/Total Colectomy 38500/Operations for Volvulus of Large Bowel 22624/Operations for Sigmoid Diverticulitis 18180/Injection of Haemorrhoids 1414/Fissure in Ano ---Dilatation 5656/Fissurectomy 12928/Rectal Polyp-Excision 5050/Operation of Haemorrhoids ---Lords procedure 6060/Ligature and Excision 7272/Parkso Operation ---Fistula in Ano ---High Fistulectomy 15150/Low Fistulectomy 8888/Imperforat Anus ---Colostomy 13130/Cut Back 12726/Pull Through Operation 17372/Prolapse Rectum ---Theirch Wiring 12928/Reotopexy 7070/Grahams Operation 18180/Operations for Hirschsprungs Disease 18180/Excision of Pilonidal Sinus 11716/Abdomino-Perineal Excision of Rectum 22220/Anterior Resection of rectum 22220/Pull Through Abdominal Resection 18180/Operations for Neuroblastoma 18180/Coccygeal Teratoma Excision 18180/-

19

S. No. 26. 26.1 26.2 26.3 26.4 26.5 26.6 26.7 26.8 26.9 26.10 26.11 26.12 26.12.1 26.12.2 26.13 26.14 26.14.1 26.14.2 26.15 26.16 26.17 26.18 26.19 26.20 26.21 26.22 26.23 26.24 26.25 26.26 26.27 26.28 26.29 26.30 26.31 26.32 26.33 26.34 26.35 26.36 26.37 26.38 26.39 26.40 26.41 26.42 26.43

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees GENITOURINARY Nephrectomy 17900/Partial Nephrectomy 17574/Nephrostomy 17574/Nephrolithomy 17574/Pyelolithotomy 17574/Operations for Hydronephrosis 17574/Open Drainage of Perinephric Abscess 10100/Convemostomy 18180/Operations for Cyst of the Kidney 12928/Ureterolithotomy 12120/Nephroureterectomy 12120/Operations for Ureter for ---Double Ureters 20200/Ectopia of Single Ureter 22624/Operations for Versicouretaric Reflux 20200/ureterostomy ---Cutaneous 16160/Uretero Colic anastomosis 16160/Formation of an lieal Conduit 16160/Cystoscopy 3838/Ureteric Catheterisation 5252/Dormia Extraction of Calculus 8484/Biopsy of Bladder (Cystoscopis) 5656/Cystolithotomy 11312/Diathermy Destruction of Bladder Neoplasm 8888/Litholapexy 10504/Operations for Injuries of the Bladder 17372/Suprapubic Drainage (Cystotstomy) 10100/Partial Cystectomy 23230/Total Cystectomy 30300/Diverticulectomy 25856/Open Resection of the Bladder Neck 19392/Y-V Plasty of the Bladder Neck 19392/Repair Urinary Vaginal Fistula 23230/Cystoplasty 23230/Operations for Extrophy of the Bladder 30300/Repair of Ureterocele 12928/Suprapubic Prostatectomy 20200/Retropublic Prostatectomy 19796/Transurethral Resection of Prostate 20200/Urethroscopy 4040/Operations for Injury to Urethra 25452/Urethral Dilatation 2323/Internal urethrotomy 10100/Urethral Reconstruction 25452/Operation for Congenital Valves of Urethra 11312/Operations for Incontinence of Urine ----

20

S. No.

27.8 27.8.1 27.8.2

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Male 18988/Female 18988/Reduction of Paraphimosis 2020/Circumcision 3636/Meatotomy 2020/Meatoplasty 5656/Operations for Hypospidias ---Chordee Correction 11312/Second Stage or One Stage Repair 25452/Operations for Epispidias 16160/Partial Amputation of the Penis 9696/Total amputation of the Penis 17372/Orchidectomy 10504/Epididymectomy 10504/Orchidopexy 14544/Adreneclectomy Unilateral/Bilated for Tumour/For Carcinoma 25452/Operations for Hydrocele ---Unilateral 5252/Bilateral 7676/Vasectomy (Should be free for Family Welfare) Operation for Torsion of Testis 10504/Vasovasostomy 14544/Operations for Varicocele 9090/Block Dissection of Inguinal Nodes ---One Side 20200/Both Sides 28280/Excision of Filarial Scrotum 12928/OESOPHAGUS Oesophagoscopy 1414/Atresia of Oesophagus and Tracheo Oesophageal Fistula 25452/Operations for Replacement of Oesophagus by Colon 31512/Transthoracic Repair or Haitus Hernia 25452/Abdominal Repair of Hiatus Hernia 25452/Oesophagectomy for Carcinoma Easophagus31680/Oesophageal Intubation (Mausseau Barbin Tube) 12928/Achalasia Carida Transthoracic 15352/Abdominal 12120/-

28. 28.1 28.2 28.3 28.3.1

PLASTIC SURGERY Primary Suture of Wound 3232/Excision of Small-Scars, Moles, Small Cysts 4040/Injection of Keloids ---Ganglion 2262/-

26.43.1 26.43.2 26.44 26.45 26.46 26.47 26.48 26.48.1 26.48.2 26.49 26.50 26.51 26.52 26.53 26.54 26.55 26.56 26.56.1 26.56.2 26.57 26.58 26.59 26.60 26.61 26.61.1 26.61.2 26.62 27. 27.1 27.2 27.3 27.4 27.5 27.6 27.7

21

S. No. 28.3.2 28.4 28.5 28.6 28.6.1 28.6.2 28.6.3 28.6.4 28.7 28.7.1 28.7.2 28.7.3 28.7.4 28.7.5 28.7.6 28.7.7 28.8 28.8.1 28.8.2 28.8.3 28.9 28.10 28.11 28.12 28.12.1 28.12.2 28.12.3 28.13 28.14 28.15 28.16 28.17 28.18 28.19 28.19.1 28.19.2 28.20 28.20.1 28.20.2 28.21 28.21.1 28.21.2 28.22 28.23 28.24 28.24.1 28.24.2

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Haemangioma 5050/Excision of Multiple Moles 6464/Excision of Multiple Warts 6464/Free Grafts ---Wolfe Grafts 7070/Theirech-Small Area 5% 7070/Large Area 10% 8282/Very Large Area 20% 10302/Skin Flaps ---Rotation Flaps 7272/Advancement Flaps 9696/Direct-cross Leg Flaps-Cross Arm Flap 12928/Cross Finger 12928/Abdominal 12928/Thoracic 12928/Arm Etc. 12928/Subcutaneous Pedicle Flaps Raising 7070/Delay 6464/Transfer 7070/Cartillate Grafting 8080/Reduction of Facial Fractures of Nose 8080/Reduction of Facial Fractures of Maxilla 12120/Reduction of Fractures of Mandible & Maxilla ---Eye Let Splinting 7070/Cast Netal Splints 7070/Gumming Splints 6464/Internal Wire Fixation of Mandible & Maxilla9696/Cleft Lip 11312/Cleft Palate Repair Severe Degree 12120/Primary Bone Grafting of Cleft Lip Palate 12120/Secondary Surgery for Cleft Lip Deformity 10504/Secondary Surgery for Cleft Palate 10100/Reconstruction of Eyelid Defects ---Minor 7272/Major 10100/Plastic Surgery of Different Regions of the Ear ---Minor 7272/Major 12120/Plastic Surgery of the Nose ---Minor 7272/Major 12120/Plastic Surgery for Facial Paralysis ( with Reanimation) 18786/Mamoplasty 18786/Pendulous Breast ---Underdeveloped Breast 16564/After Mastectomy (Reconstruction) 16564/-

22

S. No. 28.25 28.26

Name of the Treatment Procedure/ Investigation Syndactyly Repair Dermabrasion Face

29. 29.1 29.2

CARDIAC SURGERY Patent Ductus Arteriousus Mitral Valvotomy (Open)

30. 30.1

ORTHOPAEDIC SURGERY PROCEDURE Application of P.O.P Casts for Upper & Lower Limbs 1010/Application of Functional Cast Brace 1414/Application of Skin Traction 1353/Application of Skeletal Tractions 4040/Bandage & Strappings for Fractures 969/Aspiration & Intra Articular Injections 808/Application of P.O.P Spices & Jackets 3030/Close Reduction of Fractures of Limb & P.O.P 2828/Reduction of Compound Fractures 3636/Open Reduction & Internal Fixation of Fingurs & Toes 8080/Open Reduction of Long Bones of Upper & Lower Limb ---Nailing & External Fixation 12524/A.O. Procedures 12524/Tension Band Wirings 5050/Bone Grafting 12928/Excision of Bone Tumours ---Superficial 12524/Deep 23836/Excision Ganglions 4040/Excision or other Operations for Scaphoid Fractures 10504/Sequestrectomy & Sancerizations ---Superficial 12120/Deep 19796/Arthrotomy 14544/S.P. Nailing for Fracture Neck Femur 29492/Multiple Pinning Fracture Neck Femur 29492/Nail Plate Fixations for Fracture Neck Femur 31512/A.O. Compression Procedures for Fracture Neck Femure 32724/Open Reduction of Fracture Neck Femur, Muscle Pedicle Graft and Internal Fixations 28280/Close Reduction of Dislocations 2828/Open Reduction of Dislocations ---Superficial 9696/-

30.2 30.3 30.4 30.5 30.6 30.7 30.8 30.9 30.10 30.11 30.11.1 30.11.2 30.12 30.13 30.14 30.14.1 30.14.2 30.15 30.16 30.17 30.17.1 30.17.2 30.17.3 30.18 30.19 30.20 30.21 30.22 30.23 30.24 30.24.1

CGHS Approved Rates in Rupees 16564/13332/-

101000/133650/-

23

S. No. 30.24.2 30.25 30.26 30.27 30.28 30.29 30.30 30.31 30.32 30.33 30.34 30.35 30.36 30.36.1 30.36.2 30.37 30.37.1 30.37.2 30.38 30.39 30.40 30.41 30.42 30.43 30.43.1 30.43.2 30.43.3 30.43.4 30.43.5 30.43.6 30.44 30.44.1 30.44.2 30.45 30.46 30.46.1 30.46.2 30.47 30.48 30.49 30.50

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Deep 19190/Open Reduction of Fracture Dislocation & Internal Fixation 27068/Neurolysis/Nerve Suture 12524/Nerve Repair with Grafting 19190/Tendon with Transplant or Graft 19190/Tendon Lengthening/Tendon Sutures 12524/Tendon Transfer 19190/Laminectomy, Excision Disc and Tumours 30300/Spinal Ostectomy and Internal Fixations 35148/Anterolateral Clearance for tuberculosis 23836/Antereolateral Decompression and Spinal Fusion 32724/Costo Transversectomy 23836/Corrective Ostectomy & Internal Fixation ---Minor 12524/Major 26260/Arthrodisis of ---Minor ts 12120/Major ts 26260/Soft Tissue Operations for C.T.E.V. 15857/Soft Tissue Operations for Poloi 15857/Partial Hip Replacement 30300/Total t Replacement ---Operations for Brachial Plexus & Cervical Rib 24644/Amputations ---Below Knee 12524/Below Elbow 12524/Above Knee 18180/Above Elbow 18180/Forequarter 36360/Hind Quarter and Hemipelvectomy 36360/Disarticulations ---Major 20604/Minor 12524/Arthrography & Osteomedullography 8888/Arthroscopy ---Diagnostic 9292/Operative 20200/Soft Tissue Operation on Knee 24240/Myocutaneous and Fasciocutaneous Flat Procedures for Limbs 20604/Removal of Nails, Wires & Screw 5656/Removal of Plates 7272/-

24

S. No. 31. 31.1 31.1.1 31.1.2 31.2 31.3 31.4 31.5 31.5.1 31.5.2 31.6 31.7 31.8 31.9 32. 32.1 32.2 32.3 32.4 32.5 32.5.1 32.5.2 32.5.3 32.5.4 32.5.5 32.5.6 32.5.7 32.6 32.6.1 32.6.2 32.7 32.8 32.9 32.10 32.11 32.12 32.13 32.14 32.15 32.16 32.17 32.17.1 32.17.2 32.18

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees NEURO-SURGERY Craniotomy and Evacuation of Haematoma ---Subdural 50000/Extradural 50000/Cranioplasty 50000/Evacuation of Brain Abscess 50000/Excision of Lobe (Frontal, Temporal, Cerebelium etc.) 50000/Excision of Brain Tumours ---Supratentotial 50000/Subtentorial 50000/Surgery of Cord Tumours 50000/Meningomyelocele 50000/Ventriculoatrial Shunt/Ventriculoperitoneal 25000/Excision of Cervical Inter-Vertebral Discs 30000/VASCULAR SURGERY Arterial Embolectomy 25048/Patch Graft Angioplasty 21008/Femoropopliteal by procedure 29896/Thrombendarterectomy 29896/Surgery for Arterial Aneursysm ---Distal Abdominal Aorta 28280/Upper Abdominal Aorta 37168/Splenic Artery 35451/Renal Artery 35451/Carotid 35451/Vertebral 35451/Main Arteries of the Limbs 27876/Intrathoracic Aneurysm ---Aneurysm not Requiring By Techniques28280/Requiring By Techniques 35451/Dissecting Aneurysms 35451/Operations for Acquired Arteriovenous Fistula 24442/Congential Arteriovenus Fistula 26664/Operations for Stenosis of Renal Arteries 29896/Injection of Varicose Veins 1212/Trendelenburg Operation 12928/Stripping of Short or Long Sephenous Veins 12928/Ligation of Ankle Perforators 16160/Excision and Skin Graft of Venous Ulcer 12928/Venous Thromoectomy 19392/Sympatectomy ---Lumbar 19392/Cervical 15352/Lymphatics Excision of Subcutaneous Tissues In Lymphoedema 24240/-

25

S. No. 33 33.1 33.2 33.3 33.4 33.5 33.6 33.7 33.8 33.9 33.10 33.11 33.12 33.13 33.14 33.15 33.16 33.17 33.18 33.19 33.20 33.21 33.22 33.23 33.24 33.25 33.26 33.27 33.28 33.29 33.30 33.30.1 33.30.2 33.31 33.31.1 33.31.2 33.31.3 33.32 33.33 33.33.1 33.34 33.35 33.35.1 33.35.2 33.35.3

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees PAEDIATRIC SURGERY Trachostomy 8080/Excision of Branchial Cyst 11312/Excision of Branchial Sinus 11312/Excision of thyroglossal Duct/Cyst 15756/Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) 20200/Tracheo Oesophageal Fistula (Correction Surgery) 29492/Colon Replacement of Oesophagus 23432/Omphalo Mesenteric Cyst Excision 17372/Omphalo Mesenteric Duct-Excision 15756/Meckels Diverticulectomy 15756/st Omphalocele 1 Stage (Hernia Repair) 14140/Omphalocele 2nd Stge (Hernia Repair) 15756/Gastrochisis Repair 15756/Inguinal Herniotomy 11312/Congenital Hydrocele 11312/Hydrocele of Cord 11312/Umbilical Hernia Repair 14140/Orchipexy 14544/Torsion Testis Operation 14544/Gastrostomy 12928/Congenital Pyloric Stenosis-operation 14140/Duodenal- Atresia Operation 19392/Pancreatic Ring Operation 29290/Meconium Ileus Operation 16160/Malrotation of Intestines Operation 17372/Rectal Biopsy (Megacolon) 16160/Colostomy Transverse 16160/Colostomy Left ILLAC 16160/Abdominal Perineal Pull Through (Hirschaprugis Disease) 20200/Imperforate Anus Low Anomaly ---Cut Back Operation 9696/Perineal Anoplasty 15750/Inperforate Anus High Anomaly ---Transverse Colostomy 16160/Sacroabdomino Perineal Pull Through 20200/Closure of Colostomy 8080/Intrusussusception Opertion 20200/Atresia of Extra Hepatic Billiary Duct ---Choledochoduodenstomy 20200/Operation of Choledochal Cyst 20200/Nephrectomy for ---Pyonephrosis 20200/Hydronephrosis 20200/Wilms Tumour 20200/-

26

S. No.

33.36 33.37 33.37.1 33.37.2 33.38

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Paraortic Lymphadenoctomy with Nephrectomy for Wilms Tumour 23432/Sacro-Coccygeal Teratoma Excision 17372/Neuroblastoma 4800/Debulking 17372/Total Excision 20200/Rhabdomyosarcoma wide Excision 23432/-

34. 34.1 34.2 34.3 34.4 34.5 34.6 34.7 34.8 34.9 34.10 34.11 34.12 34.13 34.14 34.15 34.16 34.17 34.18 34.19 34.20 34.21 34.22 34.22.1 34.22.2 34.22.3 34.22.4 34.22.5 34.22.6 34.22.7 34.22.8 34.22.9 34.23 34.23.1 34.23.2 34.23.3 34.23.4 34.23.5 34.23.6 34.23.7

GYNAE, OPERATION CHARGES Abdominal Hysterectomy Vaginal Hysterectomy Myomectomy Vaginoplasty Laparotomy (Ectopic Pregnancy) Vulvectomy (Simple/Radical) VVF/RVF Other Major Operations Manchester Operations Perineorraphy Colporraphy Ovariectomy Modified Gilliam Shirodkar’s Operation Diagnostic Curettage Fractional Curettage D & C and Cervical Biopsy Polypectomy Other-Minor Operation Excision Vaginal Cyst/Burtholin Cyst Excision Vaginal Septum Laparoscopy Diagnostic Sterilisation Operative LAVH Ovanan Cystectomy Drilling of Overy Myomectomy Adhesiolysis Ectopic pregnancy HYSTEROSCOPY ICRE Removal of IVCD Removal of Seplum Diagnostic Werthimas Hystrectomy for Cancer cervix Sterilisation Post Pertum Intervaginal

33.35.4

16160/16160/14140/15756/14140/20200/20200/20200/16160/14140/14140/14140/14140/9292/2222/2828/2828/3232/3232/3232/4848/4848/7690/6400/15000/26400/14900/14600/16200/15000/16700/15400/7180/10260/7100/30780/5500/3570/-

27

S. No. 34.24 34.25 34.26 34.27 34.28 35 35.1 35.2 35.3 35.4 35.5 35.6 35.7 35.8 35.9 35.10 35.11 35.12 35.13

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Abortion 4800/D&C 3800/Evacuation 3685/MTP—1st Trimester 3600/nd MTP---2 Trimester 6000/LAPROSCOPIC OPERATIONS IN GEN. SURG. Laproscopic Cholecystectomy 21000/Laproscopic Appenjdicectomy 19660/Laaproscopic Hernia Repair 25100/Laproscopic Hiatus Hernia Repair 30500/Laproscopic Adhesiolysis 21000/Laproscopic Adrenalectomy 36000/Laproscopic Thyroidectomy 30500/Laproscopic Spleenectomy 30000/Laproscopic Coliatomus 37000/Laproscopic donor Nephroctomy 36000/Infra red coagulation in Haemeroohoids 8150/Laproscopic Pyelolithotomy 25300/Laproscopic ureterolithotomy 26000/-

28

SPECIALISED PROCEDURES/INVESTIGATIONS Rates of Hospital/Diagnostic Centers Recognized under CGHS Delhi. Item Code 1. 1.1.1 1.1.1 1.1.2 1.1.3 1.1.4 1.1.5. 1.1.6 1.1.7 1.1.8 1.1.9 1.1.10 1.1.11 1.1.12 1.1.13 1.1.14 1.1.15 1.1.16 1.1.17 1.1.18 1.1.19 1.1.20 2.2.3 2.2.4 2.2.5 2.2.6 2.2.7 2.2.8 2.2.9 2.2.10 2.2.11 2.2.12 2.2.13 2.2.14 2.2.15 2.2.16 2.2.17 2.2.18 2.2.19 2.2.20 2.2.21 2.2.22 2.2.23 2.2.24 2.2.25

Name of the Investigation/ CGHS approved rates Treatment Procedure without contrast With Contrast CAT SCAN a) Head 1400/1900/b) Head Scan Involv. Spl. Investigation 1940/2560/Chest (HRCT) 2325/2945/Spine (Cervical, Dorsal, Lumbar, Sacral) 2325/2945/Cervical C.T. 3D Reconstruction only ------C.T. Guided Biopsy 1550/---C.T. Guided percutaneous cath drainage 2015/---C.T. Myelogram (Cervical Spine) 2558/3875/C.T. Myelogram (Lumbar Spine or D/S) 2558/3875/C.T. Scan Brain 1400/1900/C.T. Scan Chest 2325/2945/C.T. Scan Upper Abdomen 2092/3100/C.T. Scan Lower Abdomen 2092/3100/C.T. Scan Whole Abdomen 4185/5580/C.T. Scan Neck (Thyroid Soft Tissue) 1940/2790/C.T. Scan Orbits with contract 1940/---C.T. Scan Orbits with contract ---2325/C.T. Scan Limbs 2325/---C.T. Scan Whole Body 9300/---C.T. Scan Thorax 2325/3410/C.T. Scan of Para Nasal Sinus 1900/2325/MRI Head 5000/8000/MRI Orbits 5000/8000/MRI Nasopharynx and PNS 5000/8000/MRI Neck 5000/8000/MRI Shoulder 5000/8000/MRI Shoulder both t 5000/8000/MRI Wrist Single t 5000/8000/MRI Wrist both t 5000/8000/MRI Knee Single t 5000/8000/MRI Knee both t 5000/8000/MRI Ankle Single 5000/8000/MRI Ankle Both 5000/8000/MRI Hip 5000/8000/MRI Pelvis 5000/8000/MRI Extremities 5000/8000/MRI Temporomandibular Single t 5000/8000/MRI Temporomandibular Double ts 5000/8000/MRI Abdomen 5000/8000/MRI Breast 5000/8000/MRI Spine Screening 5000/8000/MRI Chest 5000/8000/MRI Cervical Spine 5000/8000/MRI Lumber Spine 5000/8000/-

29

Item Code 2.2.26 2.2.27 2.2.28 2.2.29 2.2.30 2.2.30.1 2.2.30.2 2.2.30.3 2.2.30.4 2.3.1 2.3.2 2.3.3 2.3.4 2.3.5 2.3.6 2.3.7 2.3.8 2.3.9 2.3.10 2.3.11 2.3.12 2.3.12.1 2.3.12.2 2.3.12.3 2.3.12.4 2.3.13 2.4.1 2.4.2 2.5 2.5.1 2.5.2 2.5.3 2.5.4 2.6 2.7.1 2.7.2 2.7.3 2.7.4 2.7.5 2.7.6 2.7.7 2.7.8 2.7.9 2.7.10 2.7.11

Name of the Investigation/ CGHS approved rates Treatment Procedure without contrast With Contrast MRI Thorax 5000/8000/MRI Screening 5000/8000/MRI Angiography 5000/8000/Mammography (Single side – Both side) 540/- 810/Bone Densitometry Single sites 1200/Two sites 2000/Three sites 3000/Whole body 3500/2D Echo with colour Doppler 1400/Trans Oesophaedral Echo (Tee) 3030/Treil Test (TMT) 1212/Holter Analysis 1616/Fluoroscopic Screening 204/Holter Report (with Prd. Specification) 1616/Test of Pacemaker 606/Oxygen Saturation 303/PKG Charges for Cardiovascular Investigation 3636/Cardiac Cath Angiography (W/o Coronary Angio) 14160/Aortogram 4040/Pulmonary function test 450/Test for Pacemaker 403/Oxygen Saturation 303/Package charges for ---Cardiovascular investigation 707/Fibroptic Bronchoscopy with Washing/Biopsy 2828/Uroflow Study (Micturomatry) 404/Urodynamic Study (Cystometry) 404/Cystoscopy with Retrograde Catheter 909/Unilateral 4040/Bilateral 5050/Cystoscopy Diagnostic 2424/Cystoscopy with Bladder Biopsy 3030/Diagnostic Laproscopy 6060/T-3 303/T-4 303/TSH 303/Cortisol 505/Voiding-cysto-urethrogram 1010/Renal Transplant Evaluation 1616/Whole body scan 2424/Spect bone Scan 2400/Bone Marrow Scan 2424/Scan (Spect) 3000/Stress Thallium 6000/-

30

Item Code 2.7.12 2.7.13 3. 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 3.34 3.35 3.36 3.37 3.38 3.40 3.41 3.42

Name of the Investigation/ CGHS approved rates Treatment Procedure without contrast With Contrast Muga (Resting) 2424/Muga (Stress) 3030/A.V. Fistula 4444/Coronary Angiography 14160/Coronary By Surgery 133650/Coronary By Surgery-post Angioplasty133650/Coronary Baloon Angioplasty 87500/Balloon Angioplastus with Valvotomy 105000/Open Heart Procedures 133650/Patent Ductus Arterious 101000/Total Corrextion of Tetralogy of Fallot 133650/RSUV Correction 133650/TAPVC Correction 133650/Open ASD VSD 133650/Open Pulmonary Valvotomy 133650/Open Aortic Valvotomy 133650/Coarctation of Aorta ---Balock Taussing Operation 115140/Mitral Valvotomy ---Open Mitral Valvotomy 133650/Mitral Valve Replacement 133650/Aortic ValveReplacement 133650/Double Valve Replacement 180000+cost of Valve Closed Valvotomy 116150/Coarctation-Arota Repair of Block Taussing Shunt 116150/B.T. Shunt 116150/Pericardiostomy 116150/Pericardiectomy 116150/Pericardio Centrosis 3232/Permanent Pacemaker Implantation 16160/+ Cost of Pacemaker Temporary Pacemaker Implantation 12120/+ Cost of Pacemaker Test of Pacemaker ---Embolectomy 17372/Aneurysm Resection & Grafting ---Thoraco Centesisi 1616/Thorachostomy 12322/Exploratory Thorocotomy 36360/Aorta-Femoral By 50500/Node Biopsy 2020/Pleural Biopsy 3030/Open Lung Biopsy 32320/Removal of Foreign Body from Trachea or Oesophagus 4040/RBI Resection & Drainage 10100/Pulmonary function test (BMR) 606/-

31

Item Code 3.43 3.44 3.45 3.46 3.47 3.48 3.49 3.50 3.51 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 4.9.1 4.9.2 4.9.3 4.9.4 4.9.5 4.9.6 4.9.7 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.22.1 4.22.2 5.2.1 5.2.2 5.2.3 5.2.4

Name of the Investigation/ CGHS approved rates Treatment Procedure without contrast With Contrast Mediastinal Tumour 30300/Thymectomy 25350/Partial Pericardectomy 18180/Removal Tumours of Chest Wall 18180/Oesophago Gatectomy for mid 1/3 lesion 25351/Hiatus Hernia Repair 20200/Heller’s Operation 20200/Colon-Inter position or Replacement of Oesophagus 23230/Oesophago Gastrectomy – Lower Corringers procedure 18180/Vascular Precedure – Major ---Vascular Precedure – Minor 26462/Arterial Embolectomy ---Removal of Foreign body from ---Trachea of Oesophagus ---Patch Graft Angioplasty 25351/Femoro-Popliteal by procedure 30300/Thrombo-Endarterectomy 25351/Surgery for Arterial Aneurysm ---Distal Abdominal Aorta 40400/Upper Abdominal Aorta 40400/Spleen Artery 20200/Renal Artery 20200/Carotid 23230/Vertebral ---Main Arteries of the Limb 20604/Intra-Thoracic Aneurysm ---Aneurysm not requiring by techq. ---Requiring by techniques ---Dissecting Aneurysm 49490/Operations for Acquired Arteriovenous Fistual 23230/Congenital Arterio Venous Fistula 20200/Operations for Stenosis of Renal Arteries 23230/Injection of Varicose Veins 1818/Trendelenburg Operations 12827/Stripping of Short/long Sephaneous Veins 15150/Excision & Skin Graft of Venous Ulcer 15554/Venous Thrombectomy 30400/Sympathetectomy ---Lumbar 14140/Cervical 3030/Emergency Dialysis Femoral Puncture 1010/Subclavian Puncture 1717/Peritoneal Dialysis 2020/-

32

S. No.

Name of the Treatment Procedure/ Investigation

5.2.5 5.2.6 5.2.7 5.2.8 5.2.9 5.2.10 5.2.11 5.2.12 5.2.13 5.2.14 5.2.15 5.3.1 5.3.2 5.3.3 5.3.4 5.3.5 5.3.6 5.3.7 5.3.8 5.3.9 6.1 6.1.1 6.1.2 6.2 6.3 6.4.1 6.4.2 6.5 6.6 6.7 6.8

Kidney Biopsy 4040/Fistula/Shunt 6262/Carotid ---Dialysis Femoral Catheterisation Bilateral 3232/Haemo Dialysis 1200/Intra-Thoracic Aneurysm ---Double Lumen Sub Clavian Catheter 4040/Continuous Arterio Venus Dialysis (CAVD) 15150/Subclavian Access 1616/Femoral Access 1616/Plasma Exchange ---Donor Nephrectomy 48000/Renal Transplantation 160000/Perfusion ---Ureteric Reimplant ---Lymphocoel 12120/Transplant Nephrectomy 17170/Bilateral Nephrouretectomy (Native) 17170/Vascular Prosthetic Graft 20200/CAPD 6060/PCNL --Unilateral 20200/Bilateral 30300/Meatotomy 3636/Meatoplasty 6060/Palomo’s Unilateral 6060/Palomo’s Bilateral 12120/Emdoscopic Teflon Inject 5050/Testicular Biopsy 3737/Gil-Verner’s Extended Pyelolithotomy 17970/Nephrectomy Complicated Tumour or Adhesions 20200/Anderson Hynes Pyeloplasty 16160/Unilateral Implantation 14140/Vasico Vaginal Fistula 16160/Urethroplastic one stage procedure 16500/Radical Cystectomy 24240/Epispadias/Extroply Repair 20200/Caeco Cystoplasty 18180/Pyelolithotomy 16160/Nephrectomy Simple 16160/Nephrostomy 9090/Ureteric Reimplant 9090/Partial Cystectomy 16160/TURP & TUR Bladder Tumour 20200/TURP Cystolitho Tripsy 19392/Open Prostectomy 17372/-

6.9 6.10 6.11 6.12 6.13 6.14 6.15 6.16 6.17 6.18 6.19 6.20 6.21.1 6.21.2 6.22

CGHS Approved Rates in Rupees

33

S. No. 6.23 6.24.1 6.24.2 6.25 6.26 6.27 6.28 6.29 6.30 6.31 6.32 6.33 6.34 6.35 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 7.11 7.12 7.13 7.14 7.15 7.16 7.17 7.18 7.19 7.20 7.21 7.22 7.23 7.24 7.25 7.26 7.27 7.28 7.29 7.30 7.31

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Closure of Urethal Fistula 10100/Orchidopexy Unilateral 8882/Orchidopexy Bilateral 11110/Cystolithotomy Suprapubic 9898/Endoscopic Removal of Stone in Bladder 9696/Resection Bladder Neck Endoscopic 10504/Ureteroscopic Removal 13130/Cystoscopic Basketing of urethra 10100/st Urethroplasty 1 Stage 10100/Optical Urethrotomy 9696/Exploratory Scrototomy 7676/Perineal Urethrostomy 6060/Dilatation of Stricture Urethra under G.A. 2525/Dilatation of Stricture Urethra without Anesthesia 1818/Cholecystectomy Laparoscopic Surgery 20000/Hernia Repair 18180/Diagnostic Laproscopy 4040/Thoracoscopic Decortication 40000/Thoracoscopic Pneumonectomy 50000/Thoracoscopic Lebectomy 50000/Thoracoscopic Segmental Resection 51700/Thoracoscopic Hydatid Cyst excision 42750/Thoracoscopic Sympathectomy 30000/Laproscopic Pyloromyotomy 20000/Laproscopic Gastrostomy 18900/Laproscopic Closure of 24800/Perforated peptic ulcer Laproscopic Vagotomy 29500/Pyleroplasty/ gastro jejunostomy Laproscopic hiatus hernia repair 30700/Laproscopic umbilical hernia repair 28000/Laproscopic ventral hernia repair 28000/Laproscopic hernia repair 25100/Laproscopic spleenectomy 30000/Laproscopic cystogastrostomy 25600/Laproscopic cholecystectomy 20500/Lap. Cholecystectomy & CBD exploration 28800/Lap. Hydatid of liver surgery 30000/Lap. Hepatic resection 37800/Lap. Adrenalectomy 37800/Lap. Appendicectomy 20250/Lap. Assisted small bowel resection 27600/Lap. For intestinal obstruction 26000/Lap. For intestinal perforation 26000/Lap. Assisted Right Hemicolectomy 29000/Lap. Assisted left Hemicolectomy 29000/Lap. Assisted Total Colectomy 40090/-

34

S. No. 7.32 7.33 7.34 7.35 7.36 7.37 7.38 7.39 7.40 7.41 7.42 7.43 7.44 8. 8.1 9. 10. 10.1 10.2 10.3 10.4 10.5 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 10.10 10.11 10.12 10.13 10.14 10.15 10.16 10.17 10.18 10.19 10.20 10.21 10.22

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Laproscopic Rectopexy 30000/Lap. Asisted Abdominoperineal 40090/Resection of rectum Lap. Assisted anterior resection 36560/Retroperitoneoscopy Nephrectomy 35000/Retroperitoneoscopy partial 34020/Nephrectomy Retroperitoneoscopic nephrolithotomy 31700/Retroperitoneoscopic pyelolithotomy 31500/Retroperitoneoscopic operation for 31200/Hyderonenphyrosis Retroperitoneoscopic surgery for 24550/Renal cyst Retroperitoneoscopic ureterolithotomy 29830/Retroperitoneoscopic Nephroureteroectomy 33640/Laproscopy aassisted orchidopexy 21875/Laproscopic operation for varicocele 18060/Liver Transplantation Receipient ---Liver Transplantation Donor ---IOL Implementation 9300/- + Lens Total Hip Replacement 91350/Total Ankle t Replacement 132000/Total Knee t Replacement 115000/Total Shoulder t Replacement 110000/Total Elbow t Replacement 100000/Toral Wrist t Replacement 100000/Orchidopexy Unilateral 50000/Ventriculoatrial Shunt/Ventriculo Peritoneal40000/Excision of Cervical Intervertebral Discs 50000/Twist Drill Craniostomy 25000/Subdural Tapping 2222/Ventricular Tapping 2666/Abscess Tapping 2626/Placement of I Monitor ---Urokinase Therepy for ICH ---Skull Traction Application 5050/Lumber Pressure Monitoring 6060/Vascular Malformations 22220/Peritoneal Shunt 12120/Atrial Shunt 12120/Meningo Encephalocoel 40000/Meningomyelocoel 40000/C.S.F. Rhinorrhaea 40000/Cranioplasty 40000/Posterior Cervical Dissectomy 24240/Anterior Cervical Dissectomy 20200/Brachial Plexus Exploration Microsuturing 20200/Median Nerve Decompression 11312/-

35

S. No. 10.23 10.33 10.34 10.35 10.36 10.37 10.38 10.39 10.40 10.41 10.42 10.43 10.44 10.45 10.46 10.47 10.48 10.49 10.50 10.51 10.52 10.53 10.54 10.55 10.56 10.57 10.58 10.59 10.60 10.61 10.62 11.1 11.2 11.3 11.4 12. 12.1 12.2 12.3 13. 13.1 13.2

Name of the Treatment Procedure/ CGHS Approved Investigation Rates in Rupees Periphrale Neurectomy (Tirgeminal) 11312/Cranieotomy ---Trigeminal Rhiotomy 26260/Cranial Nerve Anastomosis 14140/Meningocoele Excision 10908/Peripheral Nerve Surgery – Major 14140/Minor 6464/Ventriculo-Atrial Shunt (Exclud. Cost of valve) 12120/Nerve Biopsy or Brain Biopsy 6868 or 14140/Anterior Cervical Spine Surgery with fusion30300/Anterior Lateral Decompression 26967/Brain Mapping 3600/Cervical or Dorsal Laminectomy 23230/Combined Trans-oral Surgery & CV Junction Fusion ---C.V. Junction Fusion 30300/Depressed Fracture 28280/Dissectomy 26967/Endarterectomy 20806/Endoscopic Surgery ---R.F. Lesion for Trigeminal Neuralgia ---Shunt Procedures (VA/VP/TP/Shunt) ---Skull Base Surgery 31613/Spasticity Surgery ---Spinal Fusion Procedure 31613/Spinal Intra Medullary Tumours 31613/Spinal Bifida Surgery Major 17271/Spina Bifida Surgery Minor 17271/Stereotaxic Procedures 17270/Trans Sphenoidal Surgery 31613/Trans Oral Surgery 31613/Trans Cranial Doppler ---Radiation Source Charges per Fraction 303/Consul. Fee per Fraction Phys. Chrg. & Oth. Chrgs. 303/Renal Transplant (including donor work) 208000/Lithotripsy 20000/COBALT 60 THERAPY Radical Treatment 20200/Palliative Treatment 10100/Adjustment Therapy 16160/LINER ACCELERATORS Radical Radiotherapy Liner 51500/Palliative Radiotherapy Liner 25250/-

36

S. No.

Name of the Treatment Procedure/ Investigation

14.

BRACHY THERAPY

14.1 14.2

15.

Intracayitary Interestical (Implant) i) Head & Neck ii) Breast iii) Soft Tissue Sarcome CHEMOTHERAPY CHARGES

15.1 15.2 15.3

Single Drug Therapy per day Multiple Drug Therapy per day Infusional Chemotherapy

CGHS Approved Rates in Rupees

1000/11110/10100/12120/-

500/808/909/-

I am to inform you that 55 private hospitals and diagnostic centers were recognized vide Ministry OM No.Rec-24/ 2001/ JD(M)/ CGHS/ Delhi/ CGHS(P) dated 7th September, 2001. The beneficiary can take treatment in the following hospitals and reimbursement will be restricted to the package rates approved in the Ministry OM No.S11011/16/94/-CGHS Desk-II/CMO(D)/CGHS(P) dated 18th September, 1996. 1. Sir Ganga Ram Hospital Rajendra Nagar, New Delhi General /Specialized purpose, Diagnostic (including Cardiac & Vascular Surgeries) 2. Sunder Lal Jain Hospital Ashok Vihar, Phase-III, Delhi General & Specialized Purpose, Diagnostic except Cardiac Surgery 3. Escorts Heart Institute & Research Centre Okhla Road, New Delhi-25 Specialized Purpose- Cardiology, Cardiac & Vascular Surgery & related diagnostic procedures 4. Indraprastha Apollo Hospitals Sarita Vihar, New Delhi General/ all super specialty/ Diagnostic Purpose (except Radio Therapy) 5. Batra Hospital & Med. Research Centre Tughlakabad Indst. Area, M.B. Road, New Delhi General/ Specialized/ Diagnostic Purpose (including Cardiac & Vascular Surgeries & Radiotherapy) 6. Dharamshila Cancer Hospital & Research Center Vasundhara Enclave, New Delhi Specialized Purpose-Cancer & Cancer related surgeries & Investigations All Additional Directors are advised to inform CMO I/c of the dispensaries under their istrative control to issue permission to the beneficiaries if they desired to avail treatment in above mentioned private hospitals. CMO I/c may also be instructed to issue medicines to the beneficiary on their prescription as per rules.

DIRECTOR(CGHS)