Home Retirement Central government employees, pensioners take note! CGHS package rates revised; check new rates, full list of CGHS treatments and more | Business

Central government employees, pensioners take note! CGHS package rates revised; check new rates, full list of CGHS treatments and more | Business

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CGHS package revised rates: The Central Government Health Scheme (CGHS) has revised its rates for general surgery. According to an Office Memorandum from the Directorate of CGHS, Department of Health and Family Welfare, Ministry of Health and Family Welfare, the new rates came into effect on February 1.
As per an ET report, the Office Memorandum stated that these rates will replace the previous CGHS package rates for general surgery.The terms and conditions of empanelment will remain the same. The revised rates will remain valid until further notice.
Eligibility for CGHS facilities
CGHS is available to all central government employees paid from the central civil estimates (excluding railways and Delhi administration) and their families. Additionally, pensioners of the central government (excluding those from Railways and the Armed Forces) and their families are also eligible for CGHS coverage.
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Eligibility for the revised rates of CGHS packages
Under the CGHS, eligibility for medical facilities is determined solely by residence. Therefore, central government employees and their families residing in any notified city are covered under the Scheme. CGHS services are accessible in 80 cities across India. The updated rates for general surgery apply to all CGHS cities, as stated in the Office Memorandum.
In order to access CGHS services, a central government employee must fill out the necessary forms in the prescribed format and attach photos of eligible family members. These forms should then be submitted to the respective ministry, department, or office where the employee is employed.
Central government pensioners have the option to obtain a CGHS card from the office of an additional director in their city. Forms for this purpose can be obtained from the office of the additional director of the city (or additional director headquarters in Delhi), or they can be downloaded from the CGHS website. In situations where the Pension Payment Order (PPO) is not yet available, a provisional card can be issued based on the last pay certificate.
The revised rates of CGHS packages for general surgery will be implemented from February 1, 2024.

S. No.
Code CGHS Treatment/Procedure/ Investigation List
Revised CGHS rates for NABH accredited hospitals (Rs) Revised CGHS rates for Non- NABH accredited hospitals (Rs)
1 3 Dressings of wounds 300 255
2 5 Aspiration Plural Effusion – Diagnostic 700 595
3 6 Aspiration Plural Effusion – Therapeutic 700 595
4 7 Abdominal / Peritoneal Aspiration – Diagnostic / Ascitic tapping / paracentesis – Diagnostic 700 595
5 8 Abdominal / Peritoneal Aspiration – Therapeutic/ Ascitic tapping / paracentesis- Therapeutic 750 640
6 12 Removal of Stitches /Sutures (7- 12 sutures) 200 170
7 13 Venesection 700 595
8 14 Phimosis correction / Paraphimosis reduction / Circumcision Under LA 6000 5100
9 16 Injection /Sclerotherapy / Banding of Haemorrhoids 700 595
10 17 Injection for Varicose Veins 700 595
11 18 Urinary bladder Catheterisation 700 595
12 19 Dilatation of Urethral stricture 2300 1955
13 20 Incision & Drainage under local Anaesthesia (Large) 2300 1955
14 371 Suturing of small wounds 1250 1060
15 372 Secondary suture of wounds 4000 3400
16 373 Debridement of wounds 1500 1275
17 374 Removal Of Foreign Bodies- without C-ARM 1500 1275
18 375 Excision of Cervical Lymph Node under LA 3100 2635
19 376 Excision of Axillary Lymph Node under Gl Anaesthesia 7900 6715
20 377 Excision of Inguinal Lymph Node under LA 3000 2550
21 381 Trucut Needle Biopsy (Including Needle) 3500 2975
22 390 Haemorrhoidectomy 30000 25500
23 391 Stappler haemorrhoidectomy 43700 37145
24 393 Varicose vein Surgery- Trendelenburg operation with suturing or ligation 23000 19550
25 420 Congenital Diaphragmatic Hernia 40000 34000
26 421 Hiatus Hernia Repair- Abdominal 33000 28050
27 422 Hiatus Hernia Repair-Transthoracic 33000 28050
28 423 Exploratory Laparotomy (open) 25000 21250
29 424 Epigastric Hernia Repair 25000 21250
30 427 Inguinal Hernia Herniorrhaphy 26000 22100
31 428 Inguinal Hernia – Hernioplasty- 32000 27200
32 429 Femoral Hernia Repair 32000 27200
33 441 Cholecystectomy 24000 20400
34 442 Cholecystectomy & Exploration of CBD 33000 28050
35 444 Operation for Hydatid Cyst of Liver 27000 22950
36 446 Hepatic Resections (Lobectomy/Hepatectomy) 33000 28050
37 449 Appendicectomy 19000 16150
38 455 including exploratory Laparotomy 47500 40375
39 460 Excision of Small Intestine Fistula 45000 38250
40 463 Operations of the Duplication of the Intestines — including exploratory Laparotomy 41000 34850
41 469 Terminal Colostomy 30000 25500
42 470 Closure of Colostomy 30000 25500
43 471 Right Hemi-colectomy 32000 27200
44 472 Left Hemi-colectomy 32000 27200
45 473 Total Colectomy 40000 34000
46 476 Fissure in Ano with Internal sphinctrectomy with fissurectomy. 32000 27200
47 477 Fissure in Ano – Fissurectomy 29000 24650
48 478 Rectal Polyp-Excision 13700 11645
49 479 Fistula in Ano – High Fistulectomy 35000 29750
50 480 Fistula in Ano – Low Fistulectomy 23000 19550
51 482 Prolapse Rectum – Rectopexy 14000 11900
52 483 Prolapse Rectum – Grahams Operation Deleted Deleted
53 485 Excision of Pilonidal Sinus (open) 22000 18700
54 486 Excision of Pilonidal Sinus with closure 25000 21250
55 491 Radio ablation of varicose veins (RFA Ablation) 8500 7225
56 492 Laser ablation of varicose veins 40000 34000
57 502 Laparoscopic Cholecystectomy 33000 28050
58 503 Laparoscopic Appedicectomy 30000 25500
59 504 LaparoscopicHernia – inguinoplasty (includingTacker and Mesh) 35000 29750
60 509 Other Major Surgery-Abdomen/GI Surgery Deleted Deleted
61 510 Other Minor Surgery-Abdomen/GI Surgery Deleted Deleted

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