Revision of CGHS rates for Cardiology Procedures, inclusion of 2 new procedures and revision of Rates of PET CT Scan – CGHS O.M. dated 19.12.2023

Revision of CGHS rates for Cardiology Procedures, inclusion of 2 new procedures and revision of Rates of PET CT Scan – CGHS O.M. dated 19.12.2023

Revision of CGHS rates for Cardiology Procedures, inclusion of 2 new procedures and revision of Rates of PET CT Scan – CGHS O.M. dated 19.12.2023

Z15025/32/2023/DIR/CGHS

I/3637291/2023

F No   Z15025/32/2023/DIR/CGHS
Govt. of India
Min. of Health & Family Welfare
Department of Health & Family Welfare
Directorate of CGHS

CGHS Bhawan,
RK Puram -Sector-13, New Delhi.
Dated the 19th  December,  2023

OFFICE  MEMORANDUM

Subject: Revision of CGHS rates for Cardiology Procedures, inclusion of 2 new procedures and revision of Rates of PET CT Scan-regarding

***

I am directed to convey the approval of Competent Authority for revision of CGHS rates for Cardiology Procedures, inclusion of 2 new procedures and revision of rates of PET CT Scan as per the details given below:

(all Figures are in Rupees)

S No TREATMENT  PROCEDURE and Investigations in CARDIOLOGY CGHS package rates for NABH Hospitals CGHS package rates for Non- NABH Hospitals
1 Balloon  coronary angioplastv/PTCA 92,000 78,200
2 Balloon coronary angioplasty/PTCA without Vascular Closure Device 83,725 71,150
3 Rotablation 56,206 47,775
4 Balloon Mitral Valvotomy / Percutaneous transvenous mitral  commissurotomy (PTMC) – 90,700 77,000
5 Cardiac Catheterization (CATH) 13,545 11,510
6 Coaractation dilatation 71,600 60,860
7 Temporary Pacemaker Implantation (TPI) (Temporary Cardiac Pacing) Single Chamber 19,200 16,320
8 Permanent pacemaker implantation (PPI)- Single chamber 32,000 27,200

9 Permanent pacemaker implantation-  Dual Chamber 43,000 36,550
10 Permanent pacemaker implantation (PPI)- Biventricular 49,625 42,180
11 Automatic  implantable Cardioverter  defibrillator AICD Single chamber 50,000 42,500
12 Automatic  implantable Cardioverter  defibrillator AICD – Dual Chamber 52,350 44500
13 Combo device implantation 59,000 50,150
14 Diagnostic Electrophysiological studies conventional(  including catheter) 66,000 56,100
15 Ambulatory BP monitoring 1,000 1,000
16 External Loop/event recording (maximum up to 7 days) 1,500 first day and 1,000 for subsequent days 1,500 first day and 1,000 for subsequent days
17 Radiofrequency (RF) ablation conventional 96,000 81,600
18 Radiofrequency (RF) ablation Atrial Tachycardia/with 3-D mapping  – all inclusive 1,81,000 1,53,850
19 Endomyocardial biopsy Deleted Deleted
20 Intra-aortic balloon pump (IABP) including Cost of Balloon 50,000 42,500
21 Intravascular coils 75,000 63,750
22 Septostomy- Balloon 30,000 25,500
23 Aortic valve balloon dilatation (AVBD) / Pulmonary valve Balloon Dilatation(PVBD) 56,400 47,940
24 Digital subtraction angiography-Peripheral artery 14,610 12,400
25 Digital subtraction angiography- venogram 14,610 12,400

revision-of-cghs-rates-for-cardiology-procedures-inclusion-of-2-new-procedures-and-revision-of-rates-of-pet-ct-scan-cghs-o-m-dated-19-12-2023

26 Peripheral Angioplasty 55,500 46,750
27 Renal Angioplasty 55,000 46,750
28 Intravascular ultrasound (IVUS) – 50,000 50,000
29 Holter analysis 2,500 2,125
30 Inferior Vena Cava (IVC) filter implantation (Cost of Filter extra) 30,000 25,500
31 ASD/VSD/PDA device closure ASD 98,900  VSD 1,09,900  PDA – 55,000 ASD 84,065  VSD 93,415 PDA 46,750
32 Head–up tilt test (HUTT) 4,000 3,400
33 Stress Myocardial Perfusion Imaging(MPI)-exercise 9000 7,650
34 Stress Myocardial Perfusion Imaging (MPI) – pharmacological 9000 7,650
35 Coronary angiography 13225 11,240
36 Pericardiocentesis 10,000 8,500
37 Intracoronary optical coherence tomography (OCT) / Intravascular optical coherence tomography (IVOCT)/ Intravascular Ventricular Assist System 65,000 65,000
38 Fractional Flow Reserve (FFR) inclusive of cost of wire Rs.30,000 30,000

New Procedures included

1 TAVI/TAVR    Implant 12,84,000 12,84,000
TAVI/TAVR Procedure cost 1,00,000 85,000
2 IVL (Coronary Intra Vascular Lithotripsy I Short wave Lithotripsy) – including GST 2,68,000 2,68,000

Revised rates for PET-CT Scan 

FDG Whole body PET/CT Scan 11,500 10,000
Brain/Heart FDG PET/CT Scan
Gallium-68 Peptide PET/CT imaging for Neuroendocrine  tumor

2. These rates are applicable in all CGHS

3. These rates are in supersession of the hitherto existing CGHS package rates for the above items. The other terms and conditions of empanelment  shall remain unchanged.

4. The revised rates shall be applicable from the date of issue of this OM and shall be valid till further orders.

5. This issues with the approval of Competent Authority and concurrence of Integrated Finance Division, Ministry of H&FW vide CD No. 2820 dated  19.12.2023.

Signed by
Manoj Jain
Date: 19-12-2023 17:57:19

(Dr Manoj Jain)
Director, CGHS

Source: CGHS

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