CGHS Rates for Siddha Treatment and Therapies interventions
CGHS Rates for Siddha Treatment and Therapies interventions – Siddha Treatment and Unit Cost under CGHS
CGHS Rates for Siddha Treatment and Therapies interventions – Revised CGHS Rates and Guidelines for reimbursement/ settlement of Siddha treatment expenditure claims under CGHS.
1. List of diseases/disease conditions needing hospitalization of the patients, indicative therapies and likely duration of hospitalization
Note: Any minor / local Siddha procedure/ therapy not included in the above list may be charged upto Rs. 100/- per sitting for upto 28 days.
3. Determination of treatment expenditure for payment/reimbursement
For the purpose of settlement of Siddha treatment expenditure under CGHS , following criteria shall be applied-
i) Above-mentioned rates of therapies/interventions shall be benchmarks for
calculating treatment expenditure.
j) The above unit rates are inclusive of the cost implication of materials, medicines, accessories, equipment maintenance , manpower (medical, paramedical and nursing) and diet used in imparting therapies except room rent of the hospitalization.
k) Pre and post procedure cost will be chargeable @ Rs 75 per day.
l) Room rent , wherever applicable shall be chargeable as per the rates prescribed in the OM.
CGHS Rates for Siddha Treatment and Therapies interventions
Siddha treatments under CGHS unit cost
Revised CGHS Rates and Guidelines for reimbursement/ settlement of  Siddha treatment expenditure claims under CGHS.
1.   List of diseases/disease conditions needing hospitalization of the patients, indicative therapies and likely duration of hospitalization-
| Sl.
No |
Disease |
Condition needing hospitalization |
Indicated therapies
required as per the condition of patient |
Likely duration of hospitaliz ation |
|
1 |
2 |
3 |
4 |
5 |
| 1. | Iraippu,          Swasa
Kasam, Kaba noigal etc., Obstructive Pulmonary Diseases, Bronchial Asthma and other respiratory disorders) |
·  Difficulty in Breathing ·  Cough ·  Fever ·  Head ache |
Ennai Kuzhiyal
Kalichal  /    Vaanthi  / Kutram            thannilai paduthal Thokkanam Nasiyam Nasigaparanam Ottradam |
3- 28
Days |
| 2 | Sagana Vaatham
(Cervical Spondylosis, Cervical   Spondylitis, |
· Persisting or radiating pain in cervical region · Restricted neck |
Ennai Kuzhiyal
Kalichal  /    Vaanthi  / Kutram            thannilai |
7- 28
Days
|
| Ankylosing
Spondylitis of Cervical Spine, Cervical Disc Prolapse) |
movements · Tenderness · Numbness · Vertigo |
paduthal Thokkanam
Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam Asanam |
||
| 3 | Thandaga  Vaatham,
Peraasana  Narambu Thaabitham (Lumbar Spondylosis, Sciatica, Low Back Pain, I.V.D.P, Spondylolysthesis) |
· Persistent or radiating back pain · Restricted movements of low back/ hip region · Tenderness · Burning sensation |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal |
7- 28
Days |
| Podi Kizhi
Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu Asanam |
||||
| 4 | Keel  Vaayu  Kumba
Vaatham (Arthritis, Frozen Shoulder, Periarthritis, Tendinitis, Brachial Neuralgia) |
· Radiating or local pain in shoulder region · Restricted shoulder movements · Tenderness · Numbness · Muscle wasting |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal |
7-28 Days |
| Patru
Pottanam Pasai Peechu Kattu Asanam |
||||
| 5 | Pakka          Vatham, Patcha Vaatham (Paralysis, Monoplegia Hemiplegia, hemiparesis) |
·  Weakness of one side of the body ·  Stiffness of muscles ·  Muscle weakness ·  Numbness ·  Pain ·  Tremor ·  Difficulty in speech |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal |
14  –  35
Days |
| Kali
Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Asanam |
||||
| 6 | Paanikkamba
vaatham, Sirakamba vaatham |
· Tremor · Stiffness of muscles · Muscle weakness · Difficulty in walking · Sluttering movements · Difficulty in speech |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal |
14- 28
Days |
| Varthi / Thiri
Vedhu Thuvalai Pranayamam Varmam application Asanam |
||||
| 7
|
Arpudtha  Vaatham,
Muga Vaatham (Facial Paralysis)
|
· Weakness of facial muscles · Drooping of eye lids · Numbness of facial muscles · Salivation |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal |
7- 21
Days |
| 8 | Uthira            Vaatha
Suronitham, Paithaya Vatha Suronitham Vali Azhal  Keelvayu (Gout Arthritis SLE, Rheumatoid Arthritis), |
·  Joint pain ·  Swelling ·  Tenderness ·  Deformity ·  Burning sensation ·  Discolouration     of skin ·  Palpable cutaneous nodules ·  Migrating arthritis |
Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai paduthal Thokkanam Asanam |
14-28
Days |
| 9 | Vali            Keelvayu
(Rheumatic  Fever  & Arthritis) |
· Pain and swelling in the joint ·  Immobility ·  Fever |
Ennai Kuzhiyal
Kalichal  /    Vaanthi  / Kutram            thannilai |
14-28
Days |
| ·  low back Pain ·  Fleeting arthritis |
paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam Asanam |
|||
| 10 | Sarvanga    Vatham,
Mutrudal        vatham (Cerebral             and Cerebellar     atrophy, Neurological Disorders, Fibromyalgia ) |
·  Generalized   body pain ·  Stiffness ·  Numbness ·  Weakness ·  Feeling of coldness |
Ennai Kuzhiyal
Kalichal Vaanthi / Kutram thannilai paduthal Thokkanam |
14-28
Days |
| Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu Asanam |
||||
| 11 | Azhal         Keelvayu
(Degenerative Joint disorders Tennis Elbow, Kuthi Kaal Vaatham (Calcaneal Spur) |
· Joint pain · Restricted joint movements · Stiffness · Crepitus · Difficulty in walking · Difficulty in squatting |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal |
14-28
Days |
| Poochu
Patru Pottanam Pasai Peechu Kattu Asanam |
||||
| 12 | Thol               Noikal,
Kalanjaga Padai, Karappan, Pathinen Vagai Kuttam |
·  Discolouration     of skin ·  Patches ·  Itching ·  Scaling ·  Oozing ·  Peeling ·  Burning sensation ·  Numbness ·  Rashes |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal Ennai Poochu Kaaram Kalimbu Kattu Kuruthi Vaangal Kalikkam Neer Pugai Poochu Patru Pasai |
8-28
Days |
| Seelai
Podi Attai vidal Peechu Nasiyam Suttigai Varthi Vedhu Aruvai Asanam Varmam application |
||||
| 13 | Pun,                  Katti,
Koppulam, Kiranthi, Pilavai |
·  Ulcer ·  Rashes ·  Blisters ·  Itching ·  Oozing ·  Burning sensation ·  Pain ·  Suppuration |
Ennai Kuzhiyal
Kalichal  /    Vaanthi  / Kutram            thannilai paduthal Dhaniya Kizhi Ennai Poochu Kalikkam Neer Pugai Poochu Patru Pasai Seelai Podi Attai vidal Peechu Nasiyam |
7- 28
Days |
| Suttigai Varthi Vedhu Aruvai Asanam Varmam application |
||||
| 14 | Moolam, Â Pouthiram,
Asana Vaai Vedippu, Katti, Adithallal (Haemorrhoids, |
·  Constipation ·  Pain in anal region ·  Itching around anus · Burning sensation · Prolapse  of  mass from anus · Bleeding from anus · Pus from anus |
Ennai Kuzhiyal
Kalichal    Vaanthi / Kutram thannilai paduthal Keeral Kaaram Kalikkam Kalimbu Podi Patru Peechu Pasai Pugai Salaagai Attai Vidal Vedhu Varthi/Thiri Suttigai Seelai Aruvai |
7- 14
Days |
| 15 | Vindhanu | · Fertility disorders (Male) |
Ennai Kuzhiyal | 14-48 |
| Kuraipaadu, Â Malattu
Thanmai (Male    Reproductive Disorders) |
· Oligospermia · Asthinospermia · Teratozoospermia · Azoospermia · Erectile dysfunction · Spermatorrhoea |
Kalichal  /    Vaanthi  /
Kutram            thannilai paduthal Kalikkam |
Days | |
| 16 | Karuppai       Noikal,
Soothaga        Kattu, Soothaga           Vali, Sinaippai          Neer Katty,                 Athi Uthirapokku (Amenorrhoea, Dysmenorrhoea, Anovulatory,  PCOD  / PCOS,             D.U.B, Menopausal |
· Irregular menstruation · Painful menstruation · Excessive menstruation · Excessive Vaginal discharge. · Uterine prolapse |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal Kali Kattu Pattru Pottanam Ottradam Attai vidal |
14- 48
Days |
| 17 | Thasai        Vaatham
(Muscular Dystrophy) |
·  Weakness of muscles ·  Muscle wasting ·  Muscular hypertrophy ·  Difficulty in |
Ennai Kuzhiyal
Kalichal  /  Vamanam  / Aamum Neekal |
14-48
Days |
| movements | Ennai Kattu
Pattru Poochu Pasai Kali |
|||
| 18 | Kan Noigal
(Refractive      Errors, Amblyopia,    Chronic Allergic & Inflamatory Diseases,      Chronic Conjunctivitis,      Dry Eye Syndrom,Retinitis Pigmentosa,      Night Blindness, Dacrocystitis, Retinopathy-Diabetic/ Hypertensive) |
·  Diminished vision ·  Photophobia ·  Dyplopia ·  Watering of eyes ·  Pus formation in eyes ·  Itching of eyes ·  Strain & pain in eyes ·  Restricted field of vision ·  Headache ·  Conjunctivitis ·  Stye |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal Kattu Vedhu |
7- 28
Days |
| 19 | Soorya       vartham,
Chandra vartham, Thalaivali (Migraine, idiopathic Headache) |
·  Severe headache ·  Heaviness of head ·  Nausea ·  Photophobia |
Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai paduthal |
7- 21
Days |
| Nasigaparanam
Pasai Kali Vedhu Poochu Pattru Thiri Pugai Suttigai Attaividal Varma Thadavul Pranyamam Asanam |
||||
| 20 | Enbu Murivu / Mootu
nazhuval / Â (Fracture/ Dislocation / Ligamental injuries) |
·  Difficulty in movements / walking ·  Fracture ·  Dislocation of bone/ cartilage/ vertebrae ·  Pain ·  Swelling ·  Restricted or painful movements of associated area/ nearby muscles |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal Kombu Kattal Kalimbu Poochu Poochu Ottradam Pottanam |
7-21 Days |
| 21 | Vayiru     /     Kudal
Noigal  /  Gunmam, |
·  Abdominal pain and discomfort ·  Flatulence |
Ennai Kuzhiyal
Kalichal  /  Vaanthi  / |
14- 28
Days |
| Soolai,   Peruvayiru,
Vikkal, Kazhichal (Gastro intestinal disorders) |
·  Constipation / Diarrhoea ·  Nausea / Vomiting ·  Digestive disorders ·  Fever |
Kutram            thannilai
paduthal Poochu Ottradam Pottanam Patru Peechu Attai vidal |
||
| 22 | Kalleral / Manneeral
/ Kanaya Noigal (Liver,      Spleen  & Pancreatic diseases) |
·  Nausea / Vomiting ·  Flatulence ·  Constipation / Diarrhoea ·  Indigesion ·  Abdominal pain and discomfort ·  Dyspnea ·  Anaemia ·  Jaundice ·  Liver and Speen enlargement. ·  Madhumegam |
Ennai Kuzhiyal
Kalichal / Vamanam / Kutram thannilai paduthal Varmam application |
14- 28
Days |
| 23 | Siruneeraga Noigal
(Kidney disorders, Chronic  renal failure,  Renal calculi, UTI etc |
·  Dysruia ·  Anuria ·  Oliguria ·  Urinary obstruction ·  Renal colic ·  Haematuria ·  Pyuria |
Ennai Kuzhiyal
Kalichal / Vamanam / Kutram thannilai paduthal |
14- 28
Days |
| Ottradam
Pottanam Pasai Thokkanam Kali Varmam application |
||||
| 24 | Thottra  noigal  (Non
communicable disorders such as Diabetes, Hypertension, Cardivascular disorders,   Obesity, Cancer etc.,) |
·  Hyperglycaemic ·  Hypercholesteralem ia ·  Diabetic ulcer ·  Giddiness ·  Neruopathy ·  Weakness ·  Nephropathy ·  Weight gain / loss ·  Depression ·  Pain |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal Nasiyam Kattu Ottradam Pottanam Pasai Kali Vedhu Poochu Pattru Thiri Pugai Suttigai Attaividal |
14- 48
Days |
| Varma Thadavul
Pranyamam Asanam Varmam application |
||||
| 25 | Mudhiyor noigal
(Geriatrics  / Nadukku vatham, Marathi noigal , Alzemier’s disease, Sleep disorders, Depression) |
·  Generalised debility ·  Degenerative disorders ·  Osteopenia & Osteoporosis ·  Generalised body pain ·  Neuropathy ·  Tremour ·  Memory loss ·  Sleep disorders |
Ennai Kuzhiyal Kalichal /Â Â Vaanthi / Kutram thannilai paduthal Pasai Kali Vedhu Poochu Pattru Thiri Pugai Suttigai Attaividal Varma Thadavul Pranyamam Asanam |
14- 48
Days |
| 26 | Kuzhanthai    Noigal
(Paediatric diseases such as Sirakamba vatham, Thasai vatham,       Valippu, |
·  Cerebral palsy ·  Infantile paralysis ·  Myopathy ·  Mental retardation ·  Nutritional disorders ·  Seizures |
Ennai Kuzhiyal
Kalichal  /  Vamanam  / Aamum Neekal Ennai Kattu |
14- 48
Days |
| Autism) | Pattru
Poochu Pasai Kali |
|||
| 27 | Mana      noigal      /
Narambu Noigal) (Psychiatric disorders                 / Depression              / Valippu,           Sleep disorders,  Nadukku vatham etc) |
·  Mood disorders ·  Sleep disorders ·  Tremour ·  Difficulty in movements ·  Psychiatric symptoms |
Ennai Kuzhiyal
Kalichal /Â Â Vaanthi / Kutram thannilai paduthal Pasai Kali Vedhu Poochu Pattru Thiri Pugai Suttigai Attaividal Varma Thadavul Pranyamam Asanam |
14- 48
Days |
3. 2. Unit Cost of Siddha therapies/interventions in OPD/IPD –
Unit cost per therapy/intervention means cost of procedure including cost of medicines used in the procedure as under
|
Therapy / Intervention |
||
|
No. |
Treatment Name |
Unit  Cost  in Rs |
| 1 | Aruvai | Rs.500/- |
| 2 | Asanam | Rs.500/- |
| 3 | Attai Vidal – (Leech Therapy) | Rs.350/- |
| 4 | Dhaniya Kizhi (Complete ) | Rs.700/- |
| 5 | Dhaniya Kizhi (local) | Rs.350/- |
| 6 | Ennai Kattu (Medicated oil bandage for bone
and joint Disorder, Muscle weakness) |
Rs.200/- |
| 7 | Ennai Kizhi.(Complete) | Rs.700/- |
| 8 | Ennai Kizhi.(Local) | Rs.350/- |
| 9 | Ennai Kuliyal | Rs.500/- |
| 10 | Kaara Uppu (Local) | Rs.100/- |
| 11 | Kali | Rs.350/- |
| 12 | Kalikkam | Rs.150/- |
| 13 | Kalimbu, | Rs.350/- |
| 14 | Karanool application in Fistula (Initial) under L.
A |
Rs.1100/- |
| 15 | Karanool application in Fistula (Follow-up) | Rs.450/- |
| 16 | Karanool application in Piles / other conditions | Rs.450/- |
| 17 | Keeral | Rs.500/- |
| 18 | Kuruthi vaangal – Blood Letting (Cupping) | Rs.350/- |
| 19 | Kuruthi  vaangal  –  Blood  Letting  (I&D  and
Dressing) |
Rs.450/- |
| 20 | Mai | Rs.150/- |
| 21 | Manal Kizhi | Rs.350/- |
| 22 | Murichal & Kombu Kattal | Rs.500/- |
| 23 | Nasigaparanam | Rs..200/- |
| 24 | Nasiyam | Rs.200/- |
| 25 | Neer | Rs.200/- |
| 26 | Ottradam (fomentation) | Rs.550/- |
| 27 | Pattikattal | Rs.200/- |
| 28 | Pasai | Rs.350/- |
| 29 | Peetchu (Rectal oil Douche)Â (Enema) | Rs.200/- |
| 30 | Peetchu (Vaginal Douche) | Rs.200/- |
| 31 | Podi Kizhi.(Complete) | Rs.700/- |
| 32 | Podi Kizhi.(Local) | Rs.350/- |
| 33 | Podi Thimirthal | Rs.700/- |
| 34 | Poochu (Ennai application) | Rs.700/- |
| 35 | Poochu (Ennai application – local) | Rs.300/- |
| 36 | Pottanam (Bundle) / | Rs.550/- |
| 37 | Pranayamam | Rs.350/- |
| 38 | Pugai application in Piles and Fistula | Rs.200/- |
| 39 | Salaagai | Rs.350/- |
| 40 | Seelai | Rs.350/- |
| 41 | Sira Thokkanam with Medicated Ennai | Rs.550/- |
| 42 | Suttigai – Cauterization | Rs.150/- |
| 43 | Thokkanam (Complete) (Massage) | Rs.1000/- |
| 44 | Thokkanam (Local) (Massage) | Rs.500/- |
| 45 | Thuvalai | Rs.500/- |
| 46 | Vamanam (Herbal Kudinner or Tablets) | Rs.400/- |
| 47 | Varma Application | Rs.350/- |
| 48 | Varthi | Rs.150/- |
| 49 | Vedhu | Rs..200/- |
Note: Any minor / local Siddha procedure/ therapy not included in the above list may be charged upto Rs. 100/- per sitting for upto 28 days.
3. Determination of treatment expenditure for payment/reimbursement
For the purpose of settlement of  Siddha  treatment expenditure under CGHS , following criteria shall be applied-
i)Â Â Â Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
j)Â Â Â The above unit rates are inclusive of the cost implication of materials, medicines, accessories, equipment maintenance , manpower (medical, paramedical and nursing) and diet used in imparting therapies except room rent of the hospitalization.
k) Â Pre and post procedure cost will be chargeable @ Rs 75 per day.
l)   Room rent , wherever applicable  shall be chargeable as per the rates prescribed in the OM.
*****
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