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

Revision of CGHS rates for Cardiology Procedures, inclusion of 2 new procedures and revision of Rates of PET CT Scan: CGHS OM dated 19.12.2023

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 angioplasty/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
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 98,900VSD 1,09,900PDA – 55,000		ASD 84,065VSD 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 / 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 C

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

5. This issues with the approval of Competent Authority and concurrence of Integrated Finance Division, Ministry of H&FW vide CD 2820 dated 19.12.2023.

Signed by
(Manoj Jain)
Director, CGHS

Click here to view/download the pdf