CGHS Package rates code Number where differential pricing is not applicable in reference to OM dated 19th December 2023 Revision of CGHS rates for Cardiology procedures inclusion of two new procedure and revision of rates PET CT Scan
FTS No: 8108208 File No: S-11011/27/2021/CGHS(HEC)-सी.जी.एच.एस. (एच.ई.सी)
File Name: Clarification on CGHS package rates
Government of India
Ministry of Health & Family Welfare
Directorate of Central Government
Health Scheme (CGHS), Hospital
Empanelment Cell (HEC)
Room No. 101 CGHS Bhawan
New Delhi-110066
Dated 12th January 2024
Office Memorandum
Subject: CGHS Package rates code Number where differential pricing is not applicable in reference to OM dated 19th December 2023 Revision of CGHS rates for Cardiology procedures inclusion of two new procedure and revision of rates PET CT Scan
With reference to the above subject, the undersigned is directed to clarify that in respect of Treatment procedures / investigations under CGHS revised vide OM dated 19th December 2023, tabulated hereunder, the rates are same for both NABH and Non-NABH Accredited HCO’s and the differential pricing shall not be applicable. It is also clarified that the rates mentioned for treatment / investigations listed below are package rates and shall not be treated as part of any other procedure.
| Sr No | CGHS rate Code Number | TREATMENT PROCEDURE CARDIOVASCULAR AND CARDIAC SURGERY & INVESTIGATIONS | Non- NABH / Non- NABL Rates in Rupee | NABH / NABL Rates in Rupee |
| 15 | 567 | Ambulatory BP monitoring | 1000
|
1000
|
| 16 | 568 | External Loop/event recording (Maximum up to 7 days) | 1500 first day and 1000 for subsequent days | 1500 first day and 1000 for subsequent days |
| 28 | 584 | Intravascular ultrasound (IVUS) | 50,000 | 50,000 |
| 37 | 1794 | Intracoronary optical coherence tomography (OCT) / Intravascular optical coherence tomography (IVOCT) Intravascular Ventricular Assist System | 65000 | 65000 |
| 38 | 585 | Fractional flow reserve (FFR)- inclusive of cost of wire | 30,000 | 30,000 |
| 38 | 1795 | Fractional Flow Reserve (FFR) Wire cost (AIIMS Rates | See code 585 | See code 585 |
| 1 | 1854 | TAVI /TAVR Implant | 12,84,000 | 12,84,000 |
| 2 | 1856 | IVL (Coronary Intra vascular Lithotripsy / Short wave Lithotripsy — Including GST | 2,68,000 | 2,68,000 |
This issues with the approval of the competent Authority
The Additional Directors, CGHS are advised to bring the contents of this OM to the notice of all empanelled HCOs
Dr Lanu Wapang
Sr CMO HEC-Policy, CGHS
FTS No: 8090581 File No: S-11011/49/2020/CGHS(HEC)-सी.जी.एच.एस. (एच.ई.सी)
File Name: CGHS package rates Delhi and NCR update
Government of India
Ministry of Health & Family Welfare
Directorate of Central Government
Health Scheme (CGHS), Hospital
Empanelment Cell (HEC)
Room No. 107 CGHS Bhawan
Dated 21st December 2023
Office Memorandum
Subject: CGHS Package rates code number for the revised CGHS rates for Cardiology Procedures, including two new procedures and revision of rates of PET CT Scan- regarding.
Reference: F.No. Z15025/32/2023/DIR/CGHS, Govt. of India, Min. of Health & Family Welfare, Directorate of CGHS, OM dated 19* December 2023 on Revision of CGHS rates for Cardiology Procedures, inclusion of 2 new procedures and revision of rates of PET CT Scan- regarding.
With reference to the OM referred above, CGHS Package rates code number for the revised CGHS rates for Cardiology Procedures, two new procedures and revision of rates of PET CT Scan is tabulated below.
| Sr No | CGHS rate Code Number | TREATMENT PROCEDURE CARDIOVASCULAR AND CARDIAC SURGERY & INVESTIGATIONS | Non- NABH / Non-NABL Rates in Rupee | NABH / NABL Rates in Rupee |
| 1 | 544 | Balloon coronary angioplasty/ Percutaneous transluminal coronary angioplasty (PTCA)/ Percutaneous coronary intervention (PCI) with vascular closure device (VCD) | 78,200 | 92,000 |
| 2 | 545 | Balloon coronary angioplasty / Percutaneous transluminal coronary angioplasty (PTCA) / Percutaneous coronary intervention (PCI) without vascular closure device (VCD) | 71,150 | 83,725 |
| 3 | 546 | Rotablation | 47,775 | 56,206 |
| 4 | 547 | Balloon Mitral Valvotomy I Percutaneous transvenous mitral commissurotomy (PTMC) | 77,000 | 90,700 |
| 5 | 548 | Cardiac Catheterization (CATH) | 11,510 | 13,545 |
| 6 | 556 | Coarctation dilatation I Balloon dilatation of Aortic coarctation – including cost of Balloon | 60,860 | 71,600 |
| 7 | 558 | Temporary Pacemaker Implantation (TPI) (Temporary Cardiac Pacing) Single Chamber | 16,320 | 19,200 |
| 8 | 560 | Permanent pacemaker implantation (PPI)- Single Chamber | 27,200 | 32,000 |
| 9 | 561 | Permanent pacemaker implantation- Dual Chamber | 36,550 | 43,000 |
| 10 | 562 | Permanent pacemaker implantation (PPI)- Biventricular | 42,180 | 49 625 |
| 11 | 563 | Automatic implantable cardioverter defibrillator (AICD) -Single Chamber | 42,500 | 50.000 |
| 12 | 564 | Automatic implantable cardioverter defibrillator (AICD) -Dual Chamber | 44,500 | 52 350 |
| 13 | 565 | Combo device implantation | 50,150 | 59,000 |
| 14 | 566 | Diagnostic Electrophysiological studies conventional (Including catheter) | 56 100 | 66,000 |
| 15 | 567 | Ambulatory BP monitoring | 1000 | 1000 |
| 16 | 568 | External Loop/event recording (Maximum up to 7 days | 1500 first day land 1000 for subsequent days | 1500 first day and 1000 for subsequent days |
| 17 | 569 | Radiofrequency (RF) ablation conventional | 81,600 | 96,000 |
| 18 | 570 | Radiofrequency (RF) ablation Atrial Tachycardia/ with 3-D mapping-All inclusive | 1,53,850 | 1,81,000 |
| 19 | 571 | Endomyocardial biopsy | Deleted | Deleted |
| 20 | 572 | Intra-aortic balloon pump (IABPJ- Including Cost of Balloon | 42,500 | 50,000 |
| 21 | 573 | Intra vascular coils | 63 750 | 75,000 |
| 22 | 574 | Septostomy- Balloon | 25,500 | 30,000 |
| 23 | 576 | Aortic valve balloon dilatation (AVBD) I ppulmonary valve balloon dilatation (PVBD) | 47,940 | 56,400 |
| 24 | 577 | Digital subtraction angiography-Peripheral artery | 12,400 | 14,610 |
| 25 | 578 | Digital subtraction angiography- venogram | 12,400 | 14,610 |
| 26 | 581 | Peripheral Angioplasty with VCD | 46,750 | 55,500 |
| 27 | 583 | Renal Angioplasty | 46,750 | 55,000 |
| 28 | 584 | Intravascular ultrasound (IVUS) | 50,000 | 50,000 |
| 29 | 586 | Holter analysis | 2,125 | 2500 |
| 30 | 588 | Inferior Vena Cava (IVC) filter implantation cost of Filter extra) | 25,5oo | 30,000 |
| 31 | 589 | ASD/VSD/PDA device closure | Delete | Delete |
| 31 | 520 | Atrial Septal Defect (ASD) closure | 84,065 | 98,900 |
| 31 | 521 | Ventricular septal defect (VSD) closure | 93,415 | 1,09,900 |
| 31 | 541 | Patent ductus arteriosus (PDA), device closure | 46,750 | 55,000 |
| 32 | 591 | Head-up tilt test (HUTI) | 3,400 | 4,000 |
| 33 | 599 | Stress Myocardial Perfusion Imaging(MP1)- exercise | 7,650 | 9,000 |
| 34 | 600 | Stress Myocardial Perfusion Imaging (MPI) pharmacological | 7,650 | 9,000 |
| 35 | 601 | Coronary angiography | 11,240 | 13,225 |
| 36 | 608 | Pericardiocentesis | 18,500 | 10,000 |
| 37 | 1794 | Intracoronary optical coherence tomography (OCT) / Intravascular optical coherence tomography (IVOCT) Intravascular Ventricular Assist System | 65000 | 65000 |
| 38 | 585 | Fractional flow reserve (FFR)- inclusive of cost of wire | 30,000 | 30,000 |
| 38 | 1795 | Fractional Flow Reserve (FFR) Wire cost 1AllMS Rates | See code 585 | See code 585 |
| Sr. No | CGHS rate Code Number | New CGHS Treatment Procedure under Cardiology included w.e.f. 19.12.2023 | ||
| 1 | 1854 | TAVI /TAVR Implant | 12,84,000 | 12,84,000 |
| 2 | 1855 : | Transcatheter Aortic Valve Implantation rAVI) / Transcatheter Aortic Valve Replacement (TAVR) – Procedure Cost | 85,000 | 100,000 |
| 3 | 1856 | IVL (Coronary Intra vascular Lithotripsy I Shock wave Lithotripsy- Including GST | 2,68,000 | 2,68,000 |
| CGHS Package Rate code for Revised Rates for PET-CT scan w.e.f. 19.12.2023 | ||||
| 1380 | FDG Whole body PET I CT Scan (with or without contrast) | 10,000 | 1 1,500 | |
| 1381 | Brain I Heart FDG PET I CT Scan | 10,000 | 1 1,500 | |
| 1382 | Gallium-68 Peptide PET I CT imaging for Neuroendocrine Tumor | 10,000 | 1 1,500 | |
The Additional Directors, CGHS are advised to bring the contents of this OM to the notice of all empanelled HCOs
(Dr. Manoj Jain)
Director, CGHS
COMMENTS