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

 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