Tuesday, August 14, 2018

 CGHS – REVISION OF CEILING RATES FOR REIMBURSEMENT OF THE COST OF CARDIAC PACEMAKER, AICD, COMBO-DEVICE, ROTABLATOR & AORTIC STENT GRAFT

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 6^th 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 22^nd 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:

SI. NO.	CARDIAC DEVICE	CEILING RATE
1	Single Chamber Cardiac Pacemaker without Rate Response	Rs. 34,840/- + GST
2	Single Chamber Cardiac Pacemaker with Rate Response	Rs. 44.928/-+ GST
3	Dual Chamber Cardiac Pacemaker	Rs.83,200/-+ GST
4	Bi-Ventricular Cardiac Pacemaker	Rs.1,95,000/-+ GST
5	Implantable         Cardioverter         Defibrillator    (Single                      Chamber)(ICD/AICD-Single Chamber)	Rs.1,75.786/-+ GST
6	Implantable         Cardioverter         Defibrillator     (Dual                            Chamber)(ICD/AICD-Single 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 Advancer	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 22^nd 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.

Dr. Atul Prakash)
Director, CGHS

Signed Copy