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CGHS Reimbursement: Ceiling Rates Cardiac pacemaker, AICD, Combo-device, Rotablator and Aortic Stent Graft

August 14, 2018 admin Leave a Comment

Revision of ceiling rates for reimbursement of the cost of Cardiac pacemaker, AICD, Combo-device, Rotablator and Aortic Stent Graft for beneficiaries of CGHS/CS(MA) Rules

CGHS Reimbursement: Ceiling Rates Cardiac Devices

Government of India
Ministry of Health and Family Welfare
Department of Health & Family Welfare
Directorate Genera! of CGHS
Office of the Director, CGHS

No. S-11011/29/2018-CGHS(HEC)/ DIR/CGHS

Nirman Bhawan, New Delhi
Dated the 6th August, 2018

Office Memorandum

Subject:- Revision of ceiling rates for reimbursement of the cost of Cardiac pacemaker, AICD, Combo-device, Rotablator and Aortic Stent Graft for beneficiaries of CGHS/CS(MA) Rules

With reference to the above subject attention is drawn to the OM No 12034/02/2014/Misc./­CGHS D.III dated 22nd July 2014 vide which ceiling rates for reimbursement of the cost of Cardiac pacemaker, AICD, Combo-device, Rotablator and Aortic Stent Graft for beneficiaries of CGHS/CS (MA) Rules were prescribed and to state that the matter has been reviewed by the Ministry and it is decided to revise the ceiling rates as per the details given under:

1 Single Chamber Cardiac Pacemaker without rate response – Rs.34,840/- + GST
2 Single Chamber Cardiac Pacemaker with rate respose Rs.44,928/- + GST
3 Daul Chambers Cardiac Pacemaker Rs.83,200/- + GST
4 Bi-Ventricular Pacemaker (CRT-P) Rs.1,95,000/- + GST
5 Implantable Cardioverter Defibrillator (Single Camber) (ICD/AICD-Single Chamber) Rs. 1,75,786/- + GST
6 Implantable Cardioverter Defibrillator (Daul Camber) (ICD/AICD-Daul Chamber) Rs.3,75,000/- + GST
7 Combo Device (CRT-D) Rs.4,90,000/- + GST
8 Aortic Stent Graft (expandable bifurcated and including delivery system) Rs.4,40,960/- + GST
9 Rotablator with advance Rs.49,920/- + GST
10 Rotablator Burr Rs.23,920/- + GST

2. Other terms and conditions prescribed under OM No 12034/02/2014/Misc./-CGHS D.III dated 22nd July 2014 shall remain unchanged.

3. These rates shall remain valid till the rates for the above devices are notified by National Pharmaceutical Pricing Authority (NPPA).

4. Issued with the concurrence of SS&FA, Ministry of Health & Family Welfare vide CD — 1295 dated 25.07.2018.

sd/-
Dr. Atul Prakash)
Director, CGHS

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Filed Under: CGHS

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