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17 Jan, 2024 09:13 AM

Rates for two new Cardiology procedures included & revised PET CT Scan

Rates for two new Cardiology procedures included & revised 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 11,500
  1381 Brain I Heart FDG PET I CT Scan 10,000 11,500
  1382 Gallium-68 Peptide PET I CT imaging for Neuroendocrine Tumor 10,000 11,500

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




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