Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Sl.No.

Name of the Treatment Procedurre /Investigation OUT PATIENT First Visit Revisit or each subsequent visit Private if any First Visit Revisit or each subsequent visit By Medical Officers/Resident Doctors First Visit Revisit or each subsequent visit By Specialists First Visit Revisit or each subsequent visit Out Patient Procedure Injection SC IM IV (Chemotherapy) IV Dressing Small Medium Large Suturing without local anesthesia Suturing with local anesthesia Removal of Foreign Body Cyst Benign Tumor Aspiration Plural Effusion Diagnostic Therapeutic Abdominal Diagnostic Therapeutic Pericardial Bone Marrow Joints Biopsy Skin except Hesens Lymphode Liver Strapping Removal of Stiches Venesection Phimosis Under LA Lumber puncture Sternal puncture Injection Haemorrhoids Varicose Veins CGHS Approved Rates in Rupees

1 1.1.1 1.1.2 1.2 1.2.1 1.2.2 1.3 1.3.1 1.3.2 1.4 1.4.1 1.4.2 1.5 1.5.1

40/30/61/61/40/30/61/61/20/20/20/252/40/81/162/323/505/485/909/909/-

1.5.2

1.5.3 1.5.4 1.5.4.1 1.5.4.2 1.5.4.3 1.5.5 1.5.5.1 1.5.5.1.1 1.5.5.1.2 1.5.5.2 1.5.5.2.1 1.5.5.2.2 1.5.5.3 1.5.5.4 1.5.5.5 1.6 1.6.1 1.6.2 1.6.3 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.13.1 1.13.2

485/808/808/1131/303/566/485/252/909/909/81/50/242/1212/646/566/1010/1212/-

Sl.No.

Name of the Treatment Procedurre /Investigation Catherisation Dilatation of Urethra Incision & Drainage Introcostal Drainage Lung Function Test E.C.G. E.E.G. Incubation(per day) Strees Test Peritoneal Dialysis Skin Skin Biiopsy Excision Moles Warts Csela Cysts Mollus cum contrabiosum Veneral Warts Corns I/D Injection Keloid Acne Chemical Cautery (per sittings) E.N.T. Pure Tone Audiogram Impedence & other tests SISI, Tone Decay & Difference times Multiple hearing assesment test to adults Hearing Aid Selection Hearing Aid Analysis Speech Discrimination Score Speech Assesment Speech therapy per session of 30-40 minutes Cold Calorie Test for vestibular function Removal of foregin body From Nose From Ear Repair ear lobe Syringing Polyp removal under LA Peritonsillar abscess drainage under LA EAR Ear lobule Stitching Ear Picrcing Myringoplasty Staepedectomy Myringotomy Grommet Insertion Tympanotomy Paracentesis Tympanotomy Mastoidectomy Pinna Excision Otoplasty

CGHS Approved Rates in Rupees 97/970/485/808/566/100/707/606/1212/1515/353/505/505/505/505/505/505/252/101/252/252/252/404/353/151/81/162/121/161/303/303/970/303/646/11293/1350/450/10000/12000/4550/5670/8800/2900/13400/14800/15100/15300/-

1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 2 2.1 2.2 2.2.1 2.2.2 2.2.3 2.2.4 2.2.5 2.2.6 2.2.7 2.2.8 3 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.11.1 3.11.2 3.12 3.13 3.14 3.15 3.16 3.16.1 3.16.2 3.16.3 3.16.4 3.16.5 3.16.6 3.16.7 3.16.8 3.16.9 3.16.10 3.16.11 3.16.12

Sl.No.

Name of the Treatment Procedurre /Investigation Labyrinthetomy Skull Base Surgery Facial N Decompression NOSE Septoplasty Submucous Resection Septo-rhinoplasty Rhinoplasty Fracture Reduction Intra Nasal Diathermy Turbinectomy Endoscopic DCR Endoscopic Surgery Septal Perf. Repair Antrum Puncture Lateral Rhinotomy Carnio-facial resection Maxillectomy Ethamoidectomy Caldwell Luc Surgery Angiofibroma Excision Endoscopic Hypophysectomy Endoscopic Optic Nerve Decompression THROAT Ranula Excision Cyst Excision Tongue Tie Excision Sub Mand Duct Lithotomy Adendidectomy Palatopharyngoplasty Cleft Plate Repair Pharyngoplasty Styloidectomy EYE Cauterisation of ulcer/subconjuctival injection One eye Both Eye Retrobular Injection One eye Both Eye Syringing of Lacrimal Sac For one eye For both eye Paracentesis Foreign body removal Retraction/Endoscopy Ortho-optic check up Ortho-optic execises Plepotic Exercises Perimetry/field test

CGHS Approved Rates in Rupees 13300/26500/18900/8500/6600/15400/15100/7500/2800/5480/12000/12600/12600/1500/1100/28000/21200/14100/9600/18900/25680/25000/22000/10300/7000/3000/6200/5864/17000/15750/15900/12000/-

3.16.13 3.16.14 3.16.15 3.17 3.17.1 3.17.2 3.17.3 3.17.4 3.17.5 3.17.6 3.17.7 3.17.8 3.17.9 3.17.10 3.17.11 3.17.12 3.17.13 3.17.14 3.17.15 3.17.16 3.17.17 3.17.18 3.17.19 3.17.20 3.18 3.18.1 3.18.2 3.18.3 3.18.4 3.18.5 3.18.6 3.18.7 3.18.8 3.18.9 4 4.1 4.1.1 4.1.2 4.2 4.2.1 4.2.2 4.3 4.3.1 4.3.2 4.4 4.5 4.6 4.7 4.8 4.9 4.10

162/242/162/242/162/242/808/323/81/81/81/81/323/-

Sl.No.

Name of the Treatment Procedurre /Investigation Chalazion operation One eye Both eye Dressing Clinical Photography Pterygium Orbototomy Ptosis Ectropion Xenon Arc Leser DCR ECCE/ICCE Epicantuhus DCY Squint Correction Keratoplasty Trabeculectony Trabeculectomy Iridectomy Goniotomy Scalaral Bukling (Retinal Detachment Surgery) Electooculogram ERG Flouresein Angiography A-Scan Tono Graphy VER Goldmen perimetry Specular Microscopy Syringing & Probing Vitrectomy Enucleation Eviseration Entropion Fluroseince Irdo Cynagreen Angiography of Retina IRIS Automated Perimetry Orbital MRI C.T. Scan Corneal endothelial cell count Corneal Topography Corneal Pachymetry Retinal Nerve Film Analyzer Studiea Auto Refrectometry Biometry Ultrasound Studiea A-Scan B-Scan

CGHS Approved Rates in Rupees

4.11 4.11.1 4.11.2 4.11.3 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.23 4.24 4.25 4.26 4.27 4.28 4.29 4.30 4.31 4.32 4.33 4.34 4.35 4.36 4.37 4.38 4.39 4.40 4.41 4.42 4.43 4.44 4.45 4.46 4.47 4.48 4.49 *4.50 4.51 4.52 4.53 4.54 4.55 4.56 4.57 4.58

707/808/81/600/1440/21510/12000/4640/1850/9700/8200/4800/6300/11500/18600/8300/9700/3200/9700/16500/-

700/1300/300/500/1000/500/3000/10900/7300/6900/3200/800/1400/700/1350/4500/2400/300/300/275/45/315/200/400/-

Sl.No.

Name of the Treatment Procedurre /Investigation Retinal/Meter Function Studies VER PAN ACUITY METER Laser Inter Ferometry EKG, EOG Dacryocystography(DGC) Orbital Angio Studies Cateract with IOL ORTHOPAEDIC AND PLASTIC WORK Fingers(post, slab) Finger Full Plaster Colles Fracture Below Elbow Full Plaster Colles Fracture Ant. Or post slab Above Elbow Full Plaster Above post-slab Below Knee Full Plaster Below post-slab Tube plaster(or plaster cylinder) Above Knee Full Plaster Above Full Slab Minerva Jacket Plaster Jacket Shoulder Spika Single Hip Spika Double Hip Spika STRAPPING Finger Toes Wrist Elbow Knee Ankle Chest Shoulder Nasal Bone Fracture Figure of 8 Bandage Colar and Cuff Sling Ball Bandage PHYSIOTHERAPY Electro Therapy Ultrasonic Therapy S. W. Diathermy Electro Stimulation (Therapeutic) Muscle Testing and Diagnostic Infra red U. V. Therapeutic does Electric Vibrator Vibrator Belt Message

CGHS Approved Rates in Rupees 170/1050/-

4.59 4.60 4.61 4.62 4.63 4.64 4.65 4.66 5 5.1 5.2 5.3 5.3.1 5.3.2 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13 5.14 5.15 5.16 5.17 5.17.1 5.17.2 5.17.3 5.17.4 5.17.5 5.17.6 5.17.7 5.17.8 5.17.9 5.17.10 5.17.11 5.17.12 6 6.1 6.1.1 6.1.2 6.1.3 6.1.4 6.1.5 6.1.6 6.1.7 6.1.8

1500/9300/-+Lens 242/242/1111/1818/909/1010/646/1010/346/1515/2626/2222/4040/3030/3030/3030/3636/162/162/323/323/323/323/485/485/485/485/485/485/-

71/71/71/71/71/71/71/71/-

Sl.No.

Name of the Treatment Procedurre /Investigation Electric/Mechanical Traction Intra Lumber Traction Intermittent Cervical Traction Combined Lumber & Cervical Hydrotherapy Wax Bath Hot Pack Whirlpool Bath Miscellaneous Obesity Exercise Breathing Exercise & Postural Drainage Cerebral Palsy-Message Post-polio Exercise DENTAL Extraction of both including LA Complicated Ext. per Tooth including LA Flap operation per Tooth Gingivectomy per Tooth Cyst under LA(Samll) Cyst under LA(Large) Aposectomy including LA Fracture wiring including LA Intra oral X-ray OTHERS Upper G.I. Endoscopy Upper G.I. With Biopsy Esophageal Scierotherapy of Varices First Sitting Subsequent Sitting Sigmoidoscopy (rigid) Sigmoidoscopy (flexible) Oesophagoscopy Clonoscopy Fibroptic Bronchoscopy X-RAY Fluroscopy Chest Dental Occlusal Abdomen AP or Erect(one film) Abdomen Lateral View(one film) Abdomen for Pregnancy Chest PA View (one film) Chest Oblique or Lateral (one film) Mastoids Extremites, Bones & Joints (one film) Pelvis (one film) Paranasal Sinuses (one film) T.M. Joints (one film) Abdomen & Pelvis for K.U.B. Skull A.P. & Lateral Spine A.P. & Lateral Barium Swallow

CGHS Approved Rates in Rupees

6.2 6.2.1 6.2.2 6.2.3 6.3 6.3.1 6.3.2 6.3.3 6.4 6.4.1 6.4.2 6.4.3 6.4.4 7 7.1 7.2 7.3 7.4 7.5 7.5.1 7.6 7.7 7.8 8 8.1 8.2 8.3 8.3.1 8.3.2 8.4 8.4.1 8.5 8.6 8.7 9 9.1 9.2 9.3 9.4 9.5 9.6 9.7 9.8 9.9 *9.10 9.11 9.12 9.13 9.14 9.15 9.16 9.17

71/71/71/71/71/71/71/71/71/71/101/202/404/242/242/404/646/808/81/1616/1818/2020/1616/1616/1212/1212/2020/2121/125/81/109/125/125/125/125/125/125/125/125/125/125/250/250/250/702/-

Sl.No.

Name of the Treatment Procedurre /Investigation Sinography/Sialography Cystography/Unrelthrography Hysto-Salpaingography Arthrography Retrograde Pyelography Oral or I.V. Cholecystography Barium Enema Barium Meal Upper or Lower Bronchography I.V. Urography Myelography Pneumo Encephalography Barium Mealk Complete Cerebral/Gemoral Angiography ULTRASOUND INVESTIGATIONS Obstetric First Scan Follow up(2nd visit) Upper Abdomen First Scan Follow up(2nd visit) Others Quick look check-up for IUCD & Infants Total Abodomen Survey or Multiple Study Special Procedures & Aspiration etc. Image Intensifiers Stress test (tredmill) CLINICAL PATHOLOGY Urine Routine Quantitative Albumin/Sugar Urine Bile Pigment and Salt Urine Urobilonogen Urine Ketones Urine Occult Blood Urine Total Protein Urine Sodium Urine Chloride Bence Jones Protein Stool Routine Stool Occult Blood Post Coital Smear Examination Semar Analysis Body Fluids-C.S.F. Ira/Ascitic etc. Chemistry, Sugar, Protein etc. Malignant Cells HEAMOTOLOGY Haemoglobin(Hb) Total Leucocytic Count(TLC) Differential Leucocytic Count(DLC) E.S.R. Total Red Cell Count Platelet Count

CGHS Approved Rates in Rupees 624/936/936/702/936/780/1092/1092/1092/1170/1248/936/1404/1404/375/375/500/500/500/1000/1125/1500/40/40/40/40/40/40/81/81/81/81/40/40/71/71/242/162/30/30/30/30/40/50/-

9.18 9.19 9.20 9.21 9.22 9.23 9.24 9.25 9.26 9.27 9.28 9.29 9.30 9.31 10 10.1 10.1.1 10.1.2 10.2 10.2.1 10.2.2 10.3 10.3.1 10.3.2 10.3.3 10.3.4 10.3.5 11 11.1 11.2 11.3 11.4 11.5 11.6 11.7 11.8 11.9 11.10 11.11 11.12 11.13 11.14 11.15 11.15.1 11.15.2 12 12.1 12.2 12.3 12.4 12.5 12.6

Sl.No.

Name of the Treatment Procedurre /Investigation Reticulocyte Count Absolute Eosinophil Count Packed Cell Volume(PCV) Haemoglobin,Total & Differential Leucocyte Count (Hb, TLC, DLC) Peripheral Smear Examination Smear for Malaria Parasite Bleeding & Clotting Time Clot Retraction Time R.B.C. Fragility L.E. Cell Foetal Haemoglobin(Hb-F) Prothrombink Time(P.T.) Hb,TLC,DLC,ESR Haemogram Bone Marrow Smear Examination Partial thromboplastin Glucose Phosphate Dehydrogenase(G,6PD) BLOOD BANK Blood Group & RHO Type Cross Match Packed Cell Preparation Coomb's Test Direct Indirect Australiak Antigen RHO, Antibody titer Blood Bank bag and solution BIO-CHEMISTRY Glucose Blood Urea Nitrigen Serum Creatinine Serum Uric Acid Serum Bilirubin total & direct Serum Iron Serum Cholesterol Total Iron Binding Capacity Glucose(Fasting & PP) Serum Calcium Serum Phosphorus Total Protein Alb/Glo Ratio S.G.P.T. S.G.O.T. Serum Amylase Serum Electrolyte Triglyceride Glucose Tolerance Test(GTT) C.P.K L.D.H. L.D.-1 L.D.H. & L.D.-1 Alkaline Phosphatase

CGHS Approved Rates in Rupees 50/40/30/-

12.7 12.8 12.9 12.10 12.11 12.12 12.13 12.14 12.15 12.16 12.17 12.18 12.19 12.20 12.21 12.22 12.23 13 13.1 13.2 13.3 13.4 13.4.1 13.4.2 13.5 13.6 13.7 14 14.1 14.2 14.3 14.4 14.5 14.6 14.7 14.8 14.9 14.10 14.11 14.12 14.13 14.14 14.15 14.16 14.17 14.18 14.19 14.20 14.21 14.22 14.23

40/40/40/40/61/101/162/127/101/101/252/162/162/81/40/40/121/121/162/141/-

50/61/71/81/141/162/81/202/101/81/81/101/81/81/162/202/162/242/202/151/151/252/81/-

Sl.No.

Name of the Treatment Procedurre /Investigation Acidic Phophatase CK MB T3 T4 TSH HDL Cholestrol L.H. FSH Prolactin HISTOPATHOLOGY Pap Smear Smear for Malignant Cells Hostopath Frozen Section & Paraffin Section Blood Gas Analysis Blood Gas Analysis with Electrotypes Vaginal Cytology for Hormonal Evaluation BACTRIOLOGY & SEROLOGY Smear Gram Straink Examination Sputum Smear A.F.B. Stain Vaginal Smear Examination V.D.R.L. Widel Test R.A. Test Culture & Sensitivity (other specimens) Urine Pregnancy Test C.R.P. ASO Titer Quantitative H.C.G. Blood Culture & Sensitivity Vibro Cholera Culture ICU/CCU CHARGES(Special Care Cases) Coronary Care with Cardiac Monitoring including ECG & Diet Respirator & Compressed Air Respirator with Piped Oxygen Internal Pace-Maker Post Operative Care(ICU) with Diet Child Care in Children Paediatric Care for New Born(7 to 12 days) General Nursery Care Incubator Charges (per day) Intensive Care in Nursery Phototherapy Resuscitation Resucitation with Incubator attended by Specialist Exchange Transfusion O.T. Charges for Exchange Transfusion Pneupack Ventilator in Nursery (per day) OXYGEN CHARGES Operation Theatre (including supply of Nitrous Oxide)

CGHS Approved Rates in Rupees 101/323/550/121/505/505/505/162/162/303/242/283/364/323/61/61/61/101/101/141/141/162/141/162/252/162/141/1515/1313/1313/1414/970/555/303/505/1313/303/303/808/1010/303/707/808/-

14.24 14.25 14.26 14.27 14.28 14.29 14.30 15 15.1 15.2 15.3 15.4 15.5 15.6 15.7 16 16.1 16.2 16.3 16.4 16.5 16.6 16.7 16.8 16.9 16.10 16.11 16.12 16.13 17 17.1 17.2 17.3 17.4 17.5 17.6 17.7 17.8 17.9 17.10 17.11 17.12 17.13 17.14 17.15 17.16 18 18.1

Sl.No.

Name of the Treatment Procedurre /Investigation Casuality ICU General Ward Semi-Private Ward BURN DRESSING 15% to 30% Ist Dressing Subsequent Dressing 30% to 50% Ist Dressing Subsequent Dressing Extensive Burn above 50% Subsequent Dressing OBSTETRIC CASES Normal Delivary or with Episiotomy & Prepair Low Forceps Low Medeavity Forceps Cesarean Section Cesarean Hysterctomy Rupture Uterus, Closure & Repair with Tuber Ligation Perforation of Uterus after D/E Laparotomy & Closure Laparotomy for Ectopic Rupture Laparotomy-peritonitis Lavage & Drainage Laparotomy-failed Laparoscopy to Explore Salphingectomy Salphingo-oophrectomy Ovarean Cystectomy Oopherctomy Broad Ligment Haemotoma Drainage Exploration of Perineal Haemotoma & Resuturing of Episitor Exploration of Abdominalk Haematoma (after laparotomy + LUCS) Internal Podalic Version and Extraction Manual Removal of Placenta 3rd Stage Complication MRP for outside delivery etc Examination under anaesthesia Burst-Abdomen Repair Gaping Pareneal Wound Secondary Suturing Gaping Abdominal Wound Secondary Suturing Complete Perineal tear-repair Exploration of PPH-tear repair Destructive Opration Suction evacuation vesicular mole, missed abortion D/E Colpotomy-drainage P/V needing EUA Repair of post-coital, perineal injury Excision of urethral caruncle Laparoscopy Shirodhkar, Mc. Donald stich Abortion

CGHS Approved Rates in Rupees 81/81/81/303/151/505/252/808/303/8080/ 9090/9090/15000/17170/17170/12120/12120/10100/5050/9696/13130/13130/10100/8484/8080/-

18.2 18.3 18.4 19 19.1 19.2 19.3 19.4 19.5 19.6 20 20.1 20.2 20.3 20.4 20.5 20.6 20.7 20.8 20.9 20.10 20.11 20.12 20.13 20.14 20.15 20.16 20.17 20.18 20.19 20.20 20.21 20.22 20.23 20.24 20.25 20.26 20.27 20.28 20.29 20.30 20.31 20.32 20.33 20.34

9090/3030/4040/2020/10100/2020/3030/2020/3434/9090/4848/3434/3434/3030/5050/3030/4040/-

Sl.No.

Name of the Treatment Procedurre /Investigation GENERAL SURGERY Drainage of Abscess Dressing under G.A. Aspiration of cold Abscess of Lymphnode Aspiration of Empyema Aspiration of Liver Abscess Open Drainage of Liver Abscess Drainage of Pelvic Abscess Drainage of Ischiorectal Abscess Drainage of Subdiaphragmatic Abscess Open Drainage of Perinepheric Abscess Darinage of Perigastic Abscess Drainage of Perotid Abscess Drainage of peritonsillar Abscess Drainage of Retropharyngeal Abscess Open Drainage of Psoas Abscess Open Drainage of Perivertebral Abscess INJURY OF SUPERFICIAL SOFT TISSUES Suturing of small wounds Secondary suture of wounds Delayed primary suture Debridement of wounds REMOVAL OF FOREIGN BODY Removal of F.B. Superficial Removal of F.B. Deep BIOPSIES Cervical Lymph Node Auxillary Lymph Node Inguinal Lymph Node Excision/Biopsy of Large Lymph Node Excision Biopsy of Ulcers Excision Biopsy of Superficial Lumps Incision Biopsy of Growths/Ulcers Trucutk Needle Biopsy Percutaneaus Liver Biopsy Percutaneaus Kidney Biopsy Spleen Aspiration Marrow Aspiration (Needle) Marrow Biopsy (Open) Muscle Biopsy Scalence Node Biopsy EXCISION OF CYST/SMALL TUMOURS Excision of Sebaceous Cysts Excision of Superficial Liipoma Excision of Superficial Neurofibroma Excision of Dermoid Cysts Excision of Ganglion Haemorhoids Keloids Superficial Variscosity

CGHS Approved Rates in Rupees

21 21.1 21.2 21.3 21.4 21.5 21.6 21.7 21.8 21.9 21.10 21.11 21.12 21.13 21.14 21.15 21.16 21.17 21.18 21.19 21.20 21.21 21.22 21.23 21.24 21.25 21.26 21.27 21.28 21.29 21.30 21.31 21.32 21.33 21.34 21.35 21.36 21.37 21.38 21.39 21.40 21.41 21.42 21.43 21.44 21.45

1414/2020/2626/2020/2020/8080/8080/5500/10100/10100/8080/5500/5500/5500/5500/7676/242/1010/1414/1010/1010/2020/1616/2020/2020/2020/3030/3030/1616/1616/1616/1616/1616/1616/1616/1616/1212/1414/2020/2424/2020/2424/7070/4444/4040/-

Sl.No.

Name of the Treatment Procedurre /Investigation HEAD & NECK Ear Lobe Repair one side Excision of Pinna for Growth (Squamous/Basal) Injuries Skin Only Skin and Cartilage Partial Amputaion Total Amputaion Total Amputaion & Excision of External Auditory Maeatus Excision of Cyst Hygroma Minor Major Extensive Excision of Branchial Cyst Excision of Branchial Sinus Excision of Pharyngeal Diverticulum Excision of Carotid Body-Tumours Operation for Cervical Rib Scalene Node Biopsy Block Dissection of Cervical Lymph Nodes Pharyngectomy & Reconstruction Operation for Carcinoma Lip Wedge-Excision Vermilionectomy Wedge-Excision & Vermilionectomy Hstianders Operation Abbe Operation Check Advancement Subcutaneous Pedicle Flap Excision of Maxilla Excision of Mandible Segmental Hammandibalectomy Glossectomy Partial Hemiglossectomy Total Glossectomy The Commondo Operation Parotidectomy Superficial Conservative Redical Total Repair of Parotidk Duct Removal of Submandibular Salivary Gland Excision/Enucleation of Dental Cysts Thyroidoctomy Hemithyroidectomy Partial Thyroidectomy Subtotal Thyroidectomy (Toxic Coitre) Total Thyroidectomy (Cancer) Resection Enuleation of Adenoma

CGHS Approved Rates in Rupees

22 22.1 22.2 22.2.1 22.2.2 22.2.3 22.2.4 22.2.5 22.3 22.3.1 22.3.2 22.3.3 22.4 22.5 22.6 22.7 22.8 22.9 22.10 22.11 22.12 22.12.1 22.12.2 22.12.3 22.12.4 22.12.5 22.12.6 22.12.7 22.13 22.14 22.14.1 22.14.2 22.15 22.15.1 22.15.2 22.15.3 22.15.4 22.16 22.17.1 22.17.2 22.17.3 22.18 22.19 22.20 22.21 22.21.1 22.21.2 22.21.3 22.21.4 22.21.5

505/-

330/4444/4848/5858/9090/-

4444/6666/10908/10100/8080/10100/30300/19594/10100/20200/31310/6464/6060/7070/8080/9090/9090/9090/19392/15150/22624/5050/11312/22624/22624/17372/10504/22624/19190/8282/6464/12120/11312/17372/19796/10504/-

Sl.No.

Name of the Treatment Procedurre /Investigation Isthmectomy Total Thyroidectomy and Block Dissection Excision of Lingual Thyroid Excision of Thyroglossal Cyst/Fistula Excision of Parathyroid,Adenema/Carcinoma Laryngectomy Laryngo Pharyngectomy Cyst Excision Sinus & Fistula Repair Lymph Nodal Excision Sub-Mandibular Gland Excision Hyoid Suspension Genioplasty Thyroidectomy Direct Laryngoscopy Phonosurgery Fibroptic Laryngoscopy Microlaryngeal Surgery Laryngofissure Stenosis Excision Head and Neck Cancer Excision Biopsies Benign Tumour Excision Temporal Bone Resection Mandibulectomy Glossectomy Commondo Surgery Redical Neck Dissection Carotid Body Excision Total Laryngectomy Laryngppathryngectomy Flap Reconstructive Surgery Parapharyngealk Tumour Excision Parotidectomy BREAST Drainage of Abscees Excision of Lumps Local Mastectomy (Simple) Radical Mastectomy (Format or Modified) Excision of Mammary Fistula Segment Resection of Breast CARDIO RESPIRATORY PROCEDURES Direct Laryngoscopy Bronchoscopy Scalene Nodal Biopsy Mediastinoscopy Aspiration of Pleural Cavity Aspiration of Pericardial Cavity Pleural Biopsy Thoracoscopy Tracheostomy Thoracotomy (Penetrating Wounds)

CGHS Approved Rates in Rupees 10504/27270/26624/10100/22220/31916/37370/7500/10900/4500/9800/13200/17200/16700/4250/14100/3250/9400/17200/21200/6600/15500/28350/25200/22800/35600/25200/35600/35500/38000/35600/35600/34000/6060/9090/12275/30000/15150/16160/5050/2424/1212/2424/1414/1414/3030/6060/3030/14544/-

22.21.6 22.21.7 22.22 22.23 22.24 22.25 22.26 22.27 22.28 22.29 22.30 22.31 22.32 22.33 22.34 22.35 22.36 22.37 22.38 22.39 22.40 22.40.1 22.40.2 22.40.3 22.40.4 22.40.5 22.40.6 22.40.7 22.40.8 22.40.9 22.40.10 22.40.11 20.40.12 22.40.13 23 23.1 23.2 23.3 23.4 23.5 23.6 24 24.1 24.2 24.3 24.4 24.5 24.6 24.7 24.8 24.9 24.10

Sl.No.

Name of the Treatment Procedurre /Investigation Inerocostal Drainage of empyeme Rib Resection for empyeme Decortication(Pleurectomy) Thorcoplasty Pneumonectomy Lobectomy Segmental Resection Hydatid Cyst Thymectomy Mediastinocopy of pericardial cavity Pulmonary function test BMR Spirometry Spirometry with Helium Dilution Spirometry with Helium Dilution sith diffusion capacity studies Pulmonary exercise testing Decortication Segmental Resction Mediastinal Tumour Partial pericardectomy Removal tumour of chest wall Oesophago gatectomy for mid 1/3 lesions Hiatus Hernia Repair Heller's opration Colon Inter position of replacement Open Lung Biopsy Anterior medicistonotomy Oesophago gastrectomy for lower Corringers procedure Medicistinoscopy (cervical) Video-assested thoracocopy (VATS) Video-assested thoracocopic lung surgeries Lung volume reduction surgery Aortogram ABDOMEN Gastroscopy Gastric & Duodenal Biopsy (Endoscopic) Pyleromyotomy Gastrostomy Simple Clousure of Perforated peptic Ulcer Vagotomy Pyleroplast/Gastro Jejunostomy Duodenojejunostomy Partial/Subtotal Gastrectomy for Carcinoma Partial/Subtotal Gastrectomy for Ulcer Operationk for Bleeding peptic Ulcer Gastrojejunostomy & Vagotomty Operation for Gastrojejunal Ulcer Total Gastroctomy for Cancer Highly Selective Vagotomy Selective Vagotomy & Drainage Congenitalk Diaphragmatic Hernia

CGHS Approved Rates in Rupees 4646/11312/24864/33936/27876/24846/24846/24846/28078/585/585/1350/1350/780/40000/40000/39600/47250/40000/35500/32500/33000/43700/17750/32400/43400/25250/18000/40000/44000/9000/1616/2424/6868/10100/10100/21466/18988/21816/21816/18988/18988/18988/27876/18988/18988/21210/-

24.11 24.12 24.13 24.14 24.15 24.16 24.17 24.18 24.19 24.20 24.21 24.22 24.23 24.24 24.25 24.26 24.27 24.28 24.29 24.30 24.31 24.32 24.33 24.34 24.35 24.36 24.37 24.38 24.39 24.40 24.41 24.42 25 25.1 25.2 25.3 25.4 25.5 25.6 25.7 25.8 25.9 25.10 25.10.1 25.11 25.12 25.13 25.14 25.15

Sl.No.

Name of the Treatment Procedurre /Investigation Hiatus Hernia Repair Abdominal Transthoratic Exploratory Laparotomy Epigastric Hernia Umbilical Hernia Ventral and Scar Hernia Inguinal Hernia Herniography Hernioplasty Femoral Hernia *Rare Hernias(Spigalion, O..,Lumber,Sciatio) Splenectomy For Trauma For Hypersplenism Splenorenal Anastomosis Protocaval Anastomosis Direct Operation on Oesophagus for Portal Hypertension Mesentericocaval Anastomosis Warren Shunt Pancerato Duodenoctomy By Pass Procedure for Inoperable Carcinoma of Pancreas Cystojejunostomy or Cystogastrosomy Cholecystectomy Cholecystectomy & Exploration of CBD Repair of CBD Operation for Hydatid Cyst of Liver Cholecystostomy Hepatic Resections (Labactomy Hepatectomy) Operation on Adrenal Glands Bilateral Unilateral for Tumour Appendicectomy Acute Chronic/Internal Appendicular Abscess-Drainage Subphrenic Abscess-Drainage Mesentric Cyst-Excision Peritonioscopy/Laproscopy Jejunostomy Lieostomy *Congenital Ateseia & Stenosie of Small Intestine Muconium Lies Mai-rotation & Volvulus of the Midgut Resection & Anastomosis of Small Intestine Excision of Meckle's Deverticulum Inruauaxwprion Duodenal Diverticulum

CGHS Approved Rates in Rupees

25.16 25.16.1 25.16.2 25.17 25.18 25.19 25.20 25.21 25.21.1 25.21.2 25.22 25.23 25.24 25.24.1 25.24.2 25.25 25.26 25.27 25.28 25.29 25.30 25.31 25.32 25.33 25.34 25.35 25.36 25.37 25.38 25.39 25.39.1 25.39.2 25.40 25.40.1 25.40.2 25.40.3 25.41 25.42 25.43 25.44 25.45 25.46 25.47 25.48 25.49 25.50 25.51 25.52

21210/21210/11110/10504/10504/12928/12928/20125/18180/19190/19796/19796/32320/32320/23432/30300/30300/30300/22220/22220/12726/16564/16564/19797/12928/20200/28280/14800/14800/14800/9292/12120/12120/4444/12928/22624/19796/16564/16564/19392/19392/19392/19392/-

Sl.No.

Name of the Treatment Procedurre /Investigation Operation of Intestinal Obstruction Operation of Intestinal perforation Benign Tumours of Small Intestine Excision of Small Intestinal Fistual Operations for Haemorrhage of the Small Intestine Operations of the Duplication of the Intestines Oprations for Recurrent Intestinal Obstruction (Noble Pelicator & other Oprations for the Adhesions) Lieosigmoidostomy Lieotransverse Colostomy Sigmoidoscopy Caecostomy Colostomy Loop Colostomy Transverse Sigmoid Terminalk Colostomy Closure of Colostomy Right Hemi-Colectomy Left Hemi-Colectomy Total Colectomy Operations for Volvulus of Large Bowl Operations for Sigmoid Diverticculitis Injection of Haemorrhoids *Fissure in Ano Dilatation Fissurectomy Rectal Polyp-Excision Operation of Haemorrhoids Lords procedure Ligature and Excision Parliso Operation Fistula in Ano High Fistulectomy Low Fistlectomy Imperforat Anus Colostomy Cut Back Pull Through Operation Prolapse Rectum Thretch Wiring Reotopexy Grahams Operation Operation for Hirschsprungs Disease Excision of Pilonidal Sinus Abdomini-perinealk of Rectum Anterior Resection of Rectum Full Through Abdominal Resection Operations for Neuroblastoma Coccygeal Teratoma Excision

CGHS Approved Rates in Rupees 17776/17776/17776/17776/20200/23432/-

25.53 25.54 25.55 25.56 25.57 25.58 25.59

25.60 25.61 25.62 25.63 25.64 25.64.1 25.64.2 25.65 25.66 25.67 25.68 25.69 25.70 25.71 25.72 25.72.1 25.72.2 25.73 25.74 25.74.1 25.74.2 25.74.3 25.75 25.75.1 25.75.2 25.76 25.76.1 25.76.2 25.76.3 25.77 25.77.1 25.77.2 25.77.3 25.78 25.79 25.80 25.81 25.82 25.83 25.84

23432/18180/18180/1818/7676/14140/17776/17776/17776/17776/38500/22624/18180/1414/5656/12928/5050/6060/7272/----15150/8888/13130/12726/17372/12728/7070/18180/18180/11716/22220/22220/18180/18180/18180/-

Sl.No.

Name of the Treatment Procedurre /Investigation GENITOURINARY Nephrectomy Partial Nephrectomy Nephrostomy Nephorolithomy Pyeloihtotomy Operations for Hydronephorosis Open Drainage of Perinephric Abscess Convemostomy Operation for Cyst of the Kidney Ureterolithotomy Nephroureterectomy Operations for Ulcer for Double Ureters Ectopia of Single Ureter Operations for Versicouretaric Reflux Ureterostomy Cutaneous Uretero Colocc anastomosis Formation of an lieal Conduit Cystoscopy Ureteric Catheterisation Dornia Extraction of Calculus Biopsy of Bladder(Cystoscopis) Cystolithotomy Diathermy Destruction of Bladder Neoplasm Litholapexy Operations for injuries of the Bladder Suprapubic Drainage(Cystotstomy) Partial Cystectomy Total Cystectomy Diverticulectomy Open Resection of the Bladder Neck Y-V Plasty of the Bladder Neck Repair Urinary Vaginal Fistula Cystoplasty Operations for Extrophy of the Bladder Repair of Ureterocele Superpubic Prostatectomy Retropubic Prostectomy Transurethral Resection of Prostate Urethroscopy Operations for injury to Urethra Urethral Dilation Internal Urethrotomy Urethral Reconstructio Operation for Congenital Valves of Uretha *Operations for Incontinence of Urine Male Female Reduction of Paraphimosis Circumcision

CGHS Approved Rates in Rupees

26 26.1 26.2 26.3 26.4 26.5 26.6 26.7 26.8 26.9 26.10 26.11 26.12 26.12.1 26.12.2 26.13 26.14 26.14.1 26.14.2 26.15 26.16 26.17 26.18 26.19 26.20 26.21 26.22 26.23 26.24 26.25 26.26 26.27 26.28 26.29 26.30 26.31 26.32 26.33 26.34 26.35 26.36 26.37 26.38 26.39 26.40 26.41 26.42 26.43 26.43.1 26.43.2 26.44 26.45

17900/17574/17574/17574/17574/17574/10100/18180/12928/12120/12120/20200/22624/20200/16160/16160/16160/3838/5252/8484/5656/11312/8888/10504/17372/10100/23230/30300/25856/19392/19392/23230/23230/30300/12928/20200/19796/20200/4040/25452/2323/10100/25452/11312/18988/18988/2020/3636/-

Sl.No.

Name of the Treatment Procedurre /Investigation Meatotomy Meatoplasty Operations for Hypospidias Chordee Correction Second Stage or One Stage Repair Operations for Episdidias Partial Amputation of Penis Total Amputation of Penis Orchidectomy Epididymectomy Orchidopexy Adrenelectomy Unilateral/Bilated for Tumour/For Carcinoma Operation for Hydrocele Unilateral Bilateral Vesectomy(Should be free for family Welfare) Operation for Torsion of Testis Vasovasostomy Operation for Varicocele Block Dissection of Inguinal Nodes One Side Both Side Excision of Filarial Scortum OESOPHAGUS Oesophagoscopy Atresia of Oesophagus and Tracheo Oesophgeal Fistula Operations for Replacement of Oesophagus by Colon Transthoracic Repair of Haitus Hernia Abdominal Repair of Hiatus Hernia Oesophagectomy for Carcinoma Easophagus Oesophageal Intubation (Mausseau Barbin Tube) Achalasia Carida Transthoracic Abdominal PLASTIC SURGERY Primary Suture of Wound Excision of Small-Scares, Moles, Small Cysts Injection of Keloids Ganglion Haemangioma Excision of Multiple Moles Excision of Multiple Warts Free Grafts Wolfe Grafts Theirech-Small Area 5% Large Area 10% Very Large Area 20%

CGHS Approved Rates in Rupees 2020/5656/11312/25452/16160/9696/17372/10504/10504/14544/25452/5252/7676/10504/14544/9090/20200/28280/12928/1414/25452/31512/25452/25452/31680/12928/15352/12120/3232/4040/2262/5050/6464/6464/7070/7070/8282/10302/-

26.46 26.47 26.48 26.48.1 26.48.2 26.49 26.50 26.51 26.52 26.53 26.54 26.55 26.56 26.56.1 26.56.2 26.57 26.58 26.59 26.60 26.61 26.61.1 26.61.2 26.62 27 27.1 27.2 27.3 27.4 27.5 27.6 27.7 27.8 27.8.1 27.8.2 28 28.1 28.2 28.3 28.3.1 28.3.2 28.4 28.5 28.6 28.6.1 28.6.2 28.6.3 28.6.4

Sl.No.

Name of the Treatment Procedurre /Investigation Skin Flaps Rotation Flaps Advancement Flaps Direct-cross Leg Flaps-Cross Arm Flap Cross Finger Abdominal Thoracic Arm Etc. Subcutaneous Pedicle Flaps Raising Delay Transfer Cartillate Grafting Reduction of Facial Fractures of Nose Reduction of Facial Fractures of Maxilla Reduction of Fractures of Mandibel & Maxilla Eye Let Splinting Cast Netal Splints Gumming Splints Internal Wire Fixation of Mandible & Maxilla Cleft Lip Cleft Plate Repair Severe Degree Primary Bone Grafting of Cleft Lip Plate Secondary Surgery for Cleft Lip Deformity Secondary Surgery for Cleft Palate Reconstruction of Eyelid Defects Minor Major Plastic Surgery of Different Regions of the Ear Minor Major Plastic Surgery of the Nose Minor Major Plastic Surgery for Facial Paralysis (Support with Reanimation Mamoplasty Pendulous Breast Underdeveloped Breat After Masterctomy(Reconstruction) Syndactyly Repair Dermabrasion Face CARDIAC SURGERY Patent Ductus Arteriousus Mitral Valvotomy(Open) ORTHOPADEIC SURGERY PROCEDURE Application of P.O.P. Casts for Upper & Lower Limbs Application of Functional Cast Brace Application of Skin Traction Application of Skeletal Tractions Bandage & Strappings for Fractures

CGHS Approved Rates in Rupees

28.7 28.7.1 28.7.2 28.7.3 28.7.4 28.7.5 28.7.6 28.7.7 28.8 28.8.1 28.8.2 28.8.3 28.9 28.10 28.11 28.12 28.12.1 28.12.2 28.12.3 28.13 28.14 28.15 28.16 28.17 28.18 28.19 28.19.1 28.19.2 28.20 28.20.1 28.20.2 28.21 28.21.1 28.21.2 28.22 28.23 28.24 28.24.1 28.24.2 28.25 28.26 29 29.1 29.2 30 30.1 30.2 30.3 30.4 30.5

7272/9696/12928/12928/12928/12928/12928/7070/6464/7070/8080/8080/12120/7070/7070/6464/9696/11312/12120/12120/10504/10100/7272/10100/7272/12120/7272/12120/18786/18786/16564/16564/16564/13332/101000/133650/-

1010/1414/1353/4040/969/-

Sl.No.

Name of the Treatment Procedurre /Investigation Aspiration & Intra Articular Injections Application of P.O.P. Spices & Jackets Close Reduction of Fractures of Limb & P.O.P Reduction of Compund Fractures Open Reduction & Internal Fixation of Fingures & Toes Open Reduction of Long Bones of Upper & Lower Limb Nailingk & External Fixation A.O. Procedures Rtension Band Wiring Bone Grafting Excision of Bone Tumours Superficial Deep Excision Ganglion Excision or other Operations for Scaphoid Fractures Sequestrectomy & Sancerizations Superficial Deep Arthrotomy S.P. Nailing for Fracture Neck Femur Multiple Pinning Fracture Neck Femur Nail Plate Fixations for Fracture Neck Femur A.O. Compression Procedures for Fracture Neck Femure Open Reduction of Fracture Neck Femure, Musclel Pedicle Graft and Internal Fixations Close Reduction of Dislocations Open Reduction of Dislocations Superficial Deep Open Reduction of Fracture Dislocation & Internal Fixation Neurolysis/Nerve Suture Nerve Repair with Grafting Tendon with Transplant or Graft Tendon Lengthening/Tendon Sutures Tendonk Trasfer Lamimectomy, Excision Disc and Tumours Spinal Ostectomy and Internal Fixations Anterolateral Clearance for Tuberculosis Anterolateral Decompression and Spinal Fusion Costo Transversectomy Corrective Ostectomy & Internal Fixation Minor Major

CGHS Approved Rates in Rupees 808/3030/2828/3636/8080/-

30.6 30.7 30.8 30.9 30.10 30.11 30.11.1 30.11.2 30.12 30.13 30.14 30.14.1 30.14.2 30.15 30.16 30.17 30.17.1 30.17.2 30.17.3 30.18 30.19 30.20 30.21 30.22 30.23 30.24 30.24.1 30.24.2 30.25 30.26 30.27 30.28 30.29 30.30 30.31 30.32 30.33 30.34 30.35 30.36 30.36.1 30.36.2

12524/12524/5050/12928/12524/23836/4040/10504/12120/19796/14544/29492/29492/31512/32724/28280/2828/9696/19190/27068/12524/19190/19190/12524/19190/30300/35148/23836/32724/23836/12524/26260/-

Sl.No.

Name of the Treatment Procedurre /Investigation Arthrodisis of Minor Joints Major Joints Soft Tissue Operations for C.T.E.V. Soft Tissue Operations of Poloi Partial Hip Replacement Total Joint Replacement Operations for Brachial Plexus & Cervical Rib Amputations Below Knee Below Elbow Above Knee Above Elbow Forequarter Hind Quarter and Hemipelvectomy Disarticulations Major Minor Arthrography & Ostcomedullography Arthroscopy Diagnostic Operative Soft Tissue Operation on Knee Myocutaneous and Fascioucutaneous Flat Procedures for Limbs Removal of Nails, Wires & Screw Removal of Plates NEURO-SURGERY Carniotomy and Evacuation of Haematoma Sudural Extradural Cranioplasty Evacuation of Brain Abscess Excision of Lobe (Frontal, Temporal Cerebelium etc.) Excision of Brain Tumours Supratentotial Subtentorial Surgery of Cord Tumours Meningomyelocele Ventriculoatrial Shunt/Ventriculoperitoneal Excision of Cervical Inter-Vertebral Discs VASCULAR SURGERY Arterial Embolectomy Patch Graft Angioplasty Femoropopliteal by pass procedure Thrombendarterectomy Surgery for Arterial Aneursysm Distal Abdominal Aorta Upper Abdominal Aorta Splenic Artery Renal Artery

CGHS Approved Rates in Rupees

30.37 30.37.1 30.37.2 30.38 30.39 30.40 30.41 30.42 30.43 30.43.1 30.43.2 30.43.3 30.43.4 30.43.5 30.43.6 30.44 30.44.1 30.44.2 30.45 30.46 30.46.1 30.46.2 30.47 30.48 30.49 30.50 31 31.1 31.1.1 31.1.2 31.2 31.3 31.4 31.5 31.5.1 31.5.2 31.6 31.7 31.8 31.9 32 32.1 32.2 32.3 32.4 32.5 32.5.1 32.5.2 32.5.3 32.5.4

12120/26260/15857/15857/30300/24644/12524/12524/18180/18180/36360/36360/20604/12524/8888/9292/20200/24240/20604/5656/7272/-

50000/50000/50000/50000/50000/-

50000/50000/50000/50000/25000/30000/25048/21008/29896/29896/28280/37168/35451/35451/-

Sl.No.

Name of the Treatment Procedurre /Investigation Carotid Vertebral Main Arteries of the Limbs Intrathoracic Aneurysm Aneurysm not Requiring Bypass Techniques Requiring Bypass Techniques Dissecting Aneurysm Operations for Acquired Arteriovenous Fistula Congenital Arterovenus Fistula Operations for Stenosis of Renal Arteries Injection of Varicose Veins Trendelenburg Operation Stripping of Short or Long Sephenous Veins Ligation of Ankle Perforators Excision and Skin Craft of Venous Ulcer Venus Thromoectomy Sympatectomy Lumber Cervical Lymphatics Excision of Subcutaneous Tissues in Lymphoderma PAEDIATRIC SURGERY Trahostomy Excision of Branchial Cyst Excision of Branchial Sinus Excision of Thyroglossal Duct/Cyst Diaphragmatic Hernia Repair (Thoracic or Abdominal Approach) Tracheo Oesophageal Fistula (Correction Surgery) Colon Replacement of Oesophagus Omphalo Mesenteric Cyst Excision Omphalo Mesenteric Euct-Excision Meckels Diverticulectomy Omphalocele 1st Stage (Hernia Repair) Omphalocele 2nd Stage (Hernia Repair) Gastrochisis Repair Inguinal Herniotomy Congenital Hydrocele Hydrocele of Cord Umbilical Hernia Repair Orchipexy Tersion Tests Operation Gastrostomy Congenital Pyloric Stenosis-operation Duodenal-Atresia Operation Pancreatic Ring Operation Meconium Ileus Operation Malrotation of Intestines Operation Rectal Biopsy (Megacolon) Colostomy Transverse Colostomy Left ILLAC

CGHS Approved Rates in Rupees 35451/35451/27876/28280/35451/35451/24442/26664/29896/1212/12928/12928/16160/12928/19392/19392/15352/24240/8080/11312/11312/15756/20200/29492/23432/17372/15756/15756/14140/15756/15756/11312/11312/11312/14140/14544/14544/12928/14140/19392/29290/16160/17372/16160/16160/16160/-

32.5.5 32.5.6 32.5.7 32.6 32.6.1 32.6.2 32.7 32.8 32.9 32.10 32.11 32.12 32.13 32.14 32.15 32.16 32.17 32.17.1 32.17.2 32.18 33 33.1 33.2 33.3 33.4 33.5 33.6 33.7 33.8 33.9 33.10 33.11 33.12 33.13 33.14 33.15 33.16 33.17 33.18 33.19 33.20 33.21 33.22 33.23 33.24 33.25 33.26 33.27 33.28

Sl.No.

Name of the Treatment Procedurre /Investigation Abdominal Perineal Pull Through (Hirs 1 chaprugis Disease) Imperforate Anus High Anomaly Cut Back Operation Perineal Anoplasty Imperforate Anus High Anomaly Transverse Colostomy *Sacroabdomino Perineal Pull Through Closure of Colostomy Intrusussuception Operation Atresia of Extra Hepatic Billary Duct Choledochoduodenstomy Operation of Choledochal Cyst Nephrectomy for Pyonephrosis Hydronephrosis Wilms Tumour Paraotic Lymphadenoctomy with Nephrectomy for Wilms Tumour Sacro-Coccygcal Teratoma Excision Neuroblastoma Debulking Totalk Excision Rhabdomyosarcoma wide Excision GYNAE, OPERATION CHARGES Abdominal Hysterectomy Vaginal Hysterectomy Myomectomy Vaginoplasty Laparotomy(Ectopic Pregnancy) Vulvectomy(Simple/Radical) VVF/RVF Other Major Operations Manchestor Operations Perineorraphy Colporraphy Ovariectomy Modified Gilliam Shirodkar's Operation Diagnostic Curettage Fractional Curettage D & C and Cervical Biopsy Polypectomy Other-Minor Operation Excision Vaginal Cyst/Burtholin Cyst Excision Vaginal Septum Laparoscopy Diagnostic Sterilisation Operative LAVH Ovanan Cystectomy

CGHS Approved Rates in Rupees

33.29 33.30 33.30.1 33.30.2 33.31 33.31.1 33.31.2 33.31.3 33.32 33.33 33.33.1 33.34 33.35 33.35.1 33.35.2 33.35.3 33.35.4 33.36 33.37 33.37.1 33.37.2 33.38 34 34.1 34.2 34.3 34.4 34.5 34.6 34.7 34.8 34.9 34.10 34.11 34.12 34.13 34.14 34.15 34.16 34.17 34.18 34.19 34.20 34.21 34.22 34.22.1 34.22.2 34.22.3 34.22.4 34.22.5

20200/9696/15750/16160/20200/8080/20200/20200/20200/20200/20200/20200/23432/17372/4800/17372/20200/23432/16160/16160/14140/15756/14140/20200/20200/20200/16160/14140/14140/14140/14140/9292/2222/2828/2828/3232/3232/3232/4848/4848/7690/6400/15000/26400/14900/-

Sl.No.

Name of the Treatment Procedurre /Investigation Drillingk of Overy Myomectomy Adhesiolysis Ectopic Pregnancy Hysteroscopy ICRE Removal of IVCD Removal of Septum Diagnostic Werthimas Hysterctomy for Cancer cervix Sterilisation Post Pertum Intervaginal Abortion D&C Evacuation MTP-1st Trimester MTP-2nd Trimester LAPROSCOPIC OPERATIONS IN GEN. SURG. Laparoscopic Cholecystectomy Laparoscopic Appenjdicectomy Laparoscopic Hernia Repair Laparoscopic Hiatus Hernia Repair Laparoscopic Adhesiolysis Laparoscopic Adrenalectomy Laparoscopic Thyroidectomy Laparoscopic Spleenectomy Laparoscopic Coliatomus Laparoscopicdonor Nephroctomy Infra red coagulation in Hermeroohoids Laparoscopic Pyclolithotomy Laproscopic ureterolithotomy

CGHS Approved Rates in Rupees 14600/16200/15000/16700/15400/7180/10260/7100/30780/5500/3570/4800/3800/3685/3600/6000/21000/19660/25100/30500/21000/36000/30500/30000/37000/36000/8150/25300/26000/-

34.22.6 34.22.7 34.22.8 34.22.9 34.23 34.23.1 34.23.2 34.23.3 34.23.4 34.23.5 34.23.6 34.23.7 34.24 34.25 34.26 34.27 34.28 35 35.1 35.2 35.3 35.4 35.5 35.6 35.7 35.8 38.9 38.10 38.11 38.12 38.13

SPECIALISED PROCEDURES / INVESTIGATIONS Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Item Code 1 1.1.1 1.1.1 1.1.2 1.1.3 1.1.4 1.1.5 1.1.6 1.1.7 1.1.8 1.1.9 1.1.10 1.1.11 1.1.12 1.1.13 1.1.14 1.1.15 1.1.16 1.1.17 1.1.18 1.1.19 1.1.20 2.2.3 2.2.4 2.2.5 2.2.6 2.2.7 2.2.8 2.2.9 2.2.10 2.2.11 2.2.12 2.2.13 2.2.14 2.2.15 2.2.16 2.2.17 2.2.18 2.2.19 2.2.20 2.2.21 2.2.22 2.2.23 2.2.24 2.2.25 2.2.26 2.2.27 2.2.28 2.2.29 Name of the Treatment Procedurre /Investigation CAT SCAN a)Head b)Head Scan Involv. Spl. Investigation Chest (HRCT) Spine(Cervical, Dorsal, Lumber, Sacral) Cervical C.T. 3D Reconstruction only C.T. Guided Biopsy C.T. Guided percutaneous cath drainage C.T. Myleogram(Cervical Spine) C.T. Myleogram(Lumber Spine or D/S) C.T. Scan Brain C.T. Scan Chest C.T.Scan Upper Abdomen C.T. Scan Lower Abdomen C.T. Scan Whole Abdomen C.T. Scan Neck(Thyroid Soft Tissue) C.T. Scan Orbits with contract C.T. Scan Orbits with contract C.T.Scan Limbs C.T. Scan Whole Body C.T. Scan Thorax C.T. Scan of Para Nasal Sinus MRI Head MRI Orbits MRI Nasopharynx and PNS MRI Neck MRI Shoulder MRI Shoulder both Joint MRI Wrist Single Joint MRI Wrist both Joint MRI Knee Single Joint MRI Knee both Joint MRI Ankle Single MRI Ankle Both MRI Hip MRI Pelvis MRI Extremities MRI Temporomandibular Single Joint MRI Temporomandibular Double Joint MRI Abdomen MRI Brest MRI Spine Screening MRI Chest MRI Cervical Spine MRI Lumber Spine MRI Thorax Mri Screening MRI Angiography Mammography(Single side-Both side) CGHS approved rates Without Contrast 1400/1940/2325/2325/---1550/2015/2558/2558/1400/2325/2092/2092/4185/1940/1940/---2325/9300/2325/1900/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/5000/- 8000/5000/540/- 810/With Contrast 1900/2560/2945/2945/---------3875/3875/1900/2945/3100/3100/5580/2790/---2325/------3410/2325/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/8000/-

SPECIALISED PROCEDURES / INVESTIGATIONS Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Item Code Name of the Treatment Procedurre /Investigation CGHS approved rates Without Contrast With Contrast

2.2.30 2.2.30.1 2.2.30.2 2.2.30.3 2.2.30.4 2.3.1 2.3.2 2.3.3 2.3.4 2.3.5 2.3.6 2.3.7 2.3.8 2.3.9 2.3.10 2.3.11 2.3.12 2.3.12.1 2.3.12.2 2.3.12.3 2.3.12.4 2.3.13 2.4.1 2.4.2 2.5 2.5.1 2.5.2 2.5.3 2.5.4 2.6 2.7.1 2.7.2 2.7.3 2.7.4 2.7.5 2.7.6 2.7.7 2.7.8 2.7.9 2.7.10 2.7.11 2.7.12 2.7.13 3

Bone Densitometry Single sites Two sites Three sites Whole body 2D Echo with colour Doppler Trans Oesophaedral Echo(Tee) Treadmil Test(TMT) Holter Analysis Fluoroscopic Screening Holter Report (with Prd. Specification) Test of Pacemaker Oxygen Saturation PKG Charges for Cardiovascular Investigation Cardiac Cath Angiography (W/o Coronary Angio) Aortogram Pulmonary function test Test for Pacemaker Oxygen Saturation Package Chargesk for Cardiovascular Investigation Fibroptic Bronchoscopy with Washing/Biopsy Uroflow Study(Micturomatry) Urodynamic Study(Cystometry) Cystoscopy with Retrograde Catheter Unilateral Bilateral Cystoscopy Diagnostic Cystoscopy with Bladder Biopsy Diagnostic Laprosscopy T-3 T-4 TSH Cortisol Voiding cysto-urethogram Renal Transplant Evaluation Whole body scan Spect body scan Bone Marrow Scan Scank(Spect) Stress Thallium Muga (Resting) Muga (Strees) A.V. Fistula

1200/2000/3000/3500/1400/3030/1212/1616/204/1616/606/303/3636/14160/4040/450/403/303/---707/2828/404/404/909/4040/5050/2424/3030/6060/303/303/303/505/1010/1616/2424/2400/2424/3000/6000/2424/3030/4444/-

SPECIALISED PROCEDURES / INVESTIGATIONS Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Item Code 3.1 Name of the Treatment Procedurre /Investigation Coronary Angiography CGHS approved rates Without Contrast 14160/With Contrast

SPECIALISED PROCEDURES / INVESTIGATIONS Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Name of the Treatment Procedurre /Investigation CGHS Approved Rates in Rupees

Item Code

3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 3.11 3.12 3.13 3.14 3.15 3.16 3.17 3.18 3.19 3.20 3.21 3.22 3.23 3.24 3.25 3.26 3.27 3.28 3.29 3.30 3.31 3.32 3.33 3.34 3.35 3.36 3.37 3.38 *3.40 3.41 3.42 3.43 3.44 3.45 3.46 3.47 3.48 3.49

Coronary Bypass Surgery 133650/Coronary Bypass Surgery-post Angioplasty 133650/Coronary Baloon Angiography 87500/Ballon Angioplastus with Valvotomy 105000/Open Heart Procedures 133650/Patent Ductus Arterious 101000/*Total Correcxtion of Tetralogy of Fallot 133650/RSUV Correction 133650/TAPVC Correction 133650/Open ASD VSD 133650/Open Pulmonary Valvotomy 133650/Open Aortic Valvotomy 133650/Coarctation of Aorta ---Balock Taussing Operation 115140/Mitral Valvotomy ---Open Mitral Valvotomy 133650/Mitralk Valve Replacement 133650/Aortic Valve Replacement 133650/*Doublek Valve Replacement 180000+ cost of valve Closed Valvotomy 116150/Coarctation-Aorta Repairk of Block Taussing Shunt 116150/B. T. Shunt 116150/Pericardiostomy 116150/Pericardiectomy 116150/Percardio Centrosis 3232/Permanent Pacemaker Implatation 16160/-+cost of pacemaker Temporary Pacemaker Implatation 12120/-+cost of pacemaker Test of Pacemaker ---Embolectomy 17372/Aneurysm Resection & Grafting ---Thoraco Centesisi 1616/Thorachostomy 12322/Exploratory Thorocotomy 36360/Aorta-Femoral Bypass 50500/Node Biopsy 2020/Pleural Biopsy 3030/Open Lung Biopsy 32320/Removal of Foreign Body from Trachea or Oesophagus 4040/RBI Resection & Drainage 10100/Pulmonary function test(BMR) 606/Mediastinal Tumour 30300/Thymectomy 25350/Partial Pericardectomy 18180/Removal Tumours of Chest Wall 18180/Oesophago Gatectomy for mid 1/3 lesion 25351/Hiatus Herniak Repair 20200/Heller's Operation 20200/-

SPECIALISED PROCEDURES / INVESTIGATIONS Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Name of the Treatment Procedurre /Investigation CGHS Approved Rates in Rupees

Item Code

3.50 3.51 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 4.9.1 4.9.2 4.9.3 4.9.4 4.9.5 4.9.6 4.9.7 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.22.1 4.22.2 5.2.1 5.2.2 5.2.3 5.2.4 5.2.5 5.2.6 5.2.7 5.2.8 5.2.9 5.2.10 5.2.11 5.2.12 5.2.13 5.2.14

Colon-Inter position or Replacement of Oesophagus Oesophago Gastrectomy Lower Corringers procedures Vascular Precedure-Major Vascular Precedure-Minor Arterial Embolectomy Removal of foreign body from Trachea of Oesophagus Patch Graft Angioplasty Femoro-Popliteal bypass procedure Thrombo Endarterectomy Surgery of Arterial Aneurysm Distalk Abdominal Aorta Upper Abdominalk Aorta Spleen Artery Renal Artery Carotid Vertebral Main Arteriesk of the Lemb Intra-Thoracic Aneurysm Aneurisym not requiring bypass techq. Requiring Bypass Techniques Dissectingk Aneurysm Operations for Acquired Arteriovenous Fistual Congenital Arterio Venous Fistula Operations for Stenosis of Renal Arteries Injection of Varicose Veins Trendelenburg Operations Stripping of Short/longk Sephaneous Veins Excision & Skin Graft of Venous Ulcer Venous Thrombectomy Sympathetectomy Lumber Cervical Emergency Dialysis Femoral Puncture Suclavian Puncture Peritoneal Dialysis Kidney Biopsy Fistula/Shunt Carotid Dialysis Femoral Catheterisation Bilateral Haemo Dialysis Intra-Thoracic Aneurysm Double Lumen Subk Clavian Catheter Continuous Aeterio Venus Dialysis(CAVD) Subclavian Access Femoral Access

23230/18180/---26462/---------25351/30300/25351/---40400/40400/20200/20200/23230/---20604/---------49490/23230/20200/23230/1818/12827/15150/15554/30400/---14140/3030/1010/1717/2020/4040/6262/---3232/1200/---4040/15150/1616/1616/-

SPECIALISED PROCEDURES / INVESTIGATIONS Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Name of the Treatment Procedurre /Investigation CGHS Approved Rates in Rupees

Item Code

5.2.15 5.3.1 5.3.2 5.3.3 5.3.4 5.3.5 5.3.6 5.3.7 5.3.8 5.3.9 6.1 6.1.1 6.1.2 6.2 6.3 6.4.1 6.4.2 6.5 6.6 6.7 6.8 6.9 6.10 6.11 6.12 6.13 *6.15 6.16 6.17 6.18 6.19 6.20 6.21.1 6.21.2 6.22 6.23 6.24.1 6.24.2 6.25 6.26 6.27 6.28 6.29 6.30 6.31 6.32 6.33 6.34

Plasma Exchange Donor Nephrectomy Renal Transplantation Perfusion Ureterick Reimplant Lymphocoel Transplant Nephrectomy Bilateral Nephrouretectomy(Native) Vascularl Prosthetic Graft CAPD PCNL Unilateral Bilateral Meatotomy Meatoplasty Palomo's Unilateral Palomo's Bilateral Emdoscopick Teflon Inject Testicular Biopsy Gil-Verner's Extended Pyelotithotomy Nephrectomy Complicated Tumour or Adhesions Anderson Hynes Pyeloplasty Unilateral Implantation Vasicok Vaginal Fistula Urethroplastic one stage procedure Redicalk Cystectomy Caeco Cystoplasty Pyelolithotomy Nephrectomy Simple Nephrostomy Uretic Reimplant Partial Cystectomy TURP & TUR Bladder Tumour TURP Cystolithok Tripsy Open Prostectomy Closure of Urethal Fistula Orchidopexy Unilateral Orchidopexy Bilateral Cystolothotomy Suprapubic Endoscopic Removalk of Stone in Bladder Resection Bladder Neck Endoscopic Ureteroscopick Removal Cystoscopick Basketingk of urethra Urethroplasty 1st Stage Optical Urethotomy Exploratory Scrototomy Perieal Urethrostomy Dilatation of Stricture Urethra under G.A.

---48000/160000/------12120/17170/17170/20200/6060/---20000/30300/3636/6060/6060/12120/5050/3737/17970/20200/16160/14140/16160/16500/24240/18180/16160/16160/9090/9090/16160/20200/19392/17372/10100/8882/11110/9898/9696/10504/13130/10100/10100/9696/7676/6060/2525/-

SPECIALISED PROCEDURES / INVESTIGATIONS Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Name of the Treatment Procedurre /Investigation CGHS Approved Rates in Rupees

Item Code

6.35 7.1 7.2 7.3 7.4 7.5 7.6 7.7 7.8 7.9 7.10 7.11 7.12 7.13 7.14 7.15 7.16 7.17 7.18 7.19 7.20 7.21 7.22 7.23 7.24 7.25 7.26 7.27 7.28 7.29 7.30 7.31 7.32 7.33 7.34 7.35 7.36 7.37 7.38 7.39 7.40 7.41 7.42 7.43 7.44

Dilatation of Stricture Urethrak without Anesthesia Cholecystectomy Laparoscopick Surgery Herniak Repair Diagnostic Laproscopy Thoracoscopic Decortication Thoracoscopic Pneumonectomy Thoracoscopic Lebectomy Thoracoscopic Segmental Resection Thoracoscopic Hydatid Cyst Excision Thoracoscopic Sympathectomy Laproscopic Pyloromotomy Laproscopic Gastrostomy Laparoscopic Closure of Perforated peptic Ulcer Laproscopic Vagotomy Pyleroplasty/gastro Jejunostomy Laproscopic Hiatus Herniak Repair Laproscopic umbilicalk hernia repair Laproscopic ventral hernia repair Laproscopic hernia repair Laproscopic spleenectomy Laproscopic cystogastrostomy Laproscopic cholecystectomy Lap. Cholecystectomy & CBD exploration Lap. Hydatid of liver surgery Lap. Hepatic resection Lap. Adrenlectomy Lap. Appendicectomy Lap. Assisted small bowl resection Lap. For intestinal obstruction Lap. For intestinal perforation Lap. Assisted Right Hemicolectomy Lap. Assisted Left Hemicolectomy Lap. Assisted Total Colectomy Laproscopick Rectopexy Lap. Assisted Abdominoperineal Resection of rectum Lap. Assisted anterior resection Retroperitoneoscopy Nephrectomy Retroperitoneoscopy Partial Nephrectomy Retroperitoneoscopic Nephrolithotomy Retroperitoneoscopic pyelolithotomy Retroperitoneoscopic operation for Hyderonenphyrosis Retroperitonoscopic surgery for Renal cyst Retroperitoneoscopic ureterolithotomy Retroperitoneoscopic Nephroureteroectomy Laproscopy assisted orchiodopexy Laproscopic operation for varicocele

1818/20000/18180/4040/40000/50000/50000/51700/42750/30000/20000/18900/24800/29500/30700/28000/28000/25100/30000/25600/20500/28800/30000/37800/37800/20250/27600/26000/26000/29000/29000/40090/30000/40090/36560/35000/34020/31700/31500/31200/24550/29830/33640/21875/18060/-

SPECIALISED PROCEDURES / INVESTIGATIONS Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Name of the Treatment Procedurre /Investigation CGHS Approved Rates in Rupees

Item Code

8 8.1 9 9.1 9.2 9.3 9.4 9.5 9.6 10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 10.10 10.11 10.12 10.13 10.14 10.15 10.16 10.17 10.18 10.19 10.20 10.21 10.22 10.23 10.33 10.34 10.35 10.36 10.37 10.38 10.39 10.40 10.41 10.42 10.43 10.44 10.45 10.46 10.47 10.48

Liver Transplantation Recipient Liver Transplantation Donor IOL Implementation Total Hip Replacement Total Ankle Joint Replacement Total Knee Joint Replacement Total Shoulder Joint Replacement Total Elbow Joint Replacement Total Wrist Joint Replacement Orchiodopexy Unilateral Ventriculoatrial Shunt/Ventriculo Peritoneal Excision of Cervical Intervertebral Discs Twist Drill Craniostomy Subdural Tapping Ventricular Tapping Abscess Tapping Placement of ICP Monitor Urokinase Therapy of ICH Skull Traction Application Lumber pressure Monitoring Vasculark Malformations Peritoneal Shunt Atrial Shunt Meningol Encephalocoel Meningomycelocoel C.S.F. Rhinorrhea Carnioplasty Posterior Cervical Dissectomy Anterior Cervical Dissectomy Brachial Plexus Exploration Microsuturing Median Nerve Decompression Periphrale Neurectomy (Tirgeminal) Cranieotomy Trigeminal Rhiotomy Carnial Nerve Anastomosis Meningocele Excision Peripheral Nerve Surgery-Major Minor Ventriculo-Artial Shunt(Exclud. Cost of Valave) Nerve Biopsy or Brain Biopsy Anterior Cervical Spinek Surgery with fusion Anterior Lateral Decompression Brain Mapping Cervialk or Dorsal Leminectomy Combined Trans-oral Surgery & CV Junction Fusion C. V. Junction Fusion Depressed Fracture Dissectomy

------9300+Lens 91350/132000/115000/110000/100000/100000/50000/40000/50000/25000/2222/2666/2626/------5050/6060/22220/12120/12120/40000/40000/40000/40000/24240/20200/20200/11312/11312/---26260/14140/10908/14140/6464/12120/6868 or 14140/30300/26967/3600/23230/---30300/28280/26967/-

SPECIALISED PROCEDURES / INVESTIGATIONS Rates of Hospital/Diagnostic Centre Recognised under CGHS Delhi Name of the Treatment Procedurre /Investigation CGHS Approved Rates in Rupees

Item Code

10.49 10.50 10.51 10.52 10.53 10.54 10.55 10.56 10.57 10.58 10.59 10.60 10.61 10.62 11.1 11.2 11.3 11.4 12 12.1 12.2 12.3 13 13.1 13.2 14 14.1 14.2

15 15.1 15.2 15.3

Endarterectomy Endoscopic Surgery R.F. Lesion for Trigeminal Neuralgia Shunt Procedures (VA/VP/TP/Shunt) Skull Base Surgery Spasticity Surgery Spinal Fusion Procedure Spinal Intra Medullary Tumours Spinal Bifida Surgery Major Spinal Bifida Surgery Minor Stereotaxic Procedures Trans Sphenoidal Surgery Trans Oral Surgery Trans Cranial Doppler Rediation Source Charges per Fraction Consul. Fee per Fraction Phys.Chrg.& Oth. Chrgs. Renal Transplant (including donor work) Lithotripsy COBALT 60 THERAPY Redical Treatment Palliative Treatment Adjustment Therapy LINER ACCELERATORS Redical Radiotherapy Liner Palliative Radiotherapy Liner BRACHY THERAPY Intracayitary Interestical (Implant) i) Head & Neck ii) Breast iii) Soft Tissue Sarcome CHEMOTHERAPY CHARGES Single Drug Therapy per day Multiple Drug Therapy per day Infusional Chemthorapy

20806/---------31613/---31613/31613/17271/17271/17271/31613/31613/---303/303/208000/20000/20200/10100/16160/51500/25250/1000/11110/10100/12120/5000/808/909/-