Revised CGHS Rates for Ayurvedic treatment expenditure claims
Revised CGHS Rates for Ayurvedic treatment expenditure claims and Guidelines for reimbursement/ settlement of Ayurvedic treatment expenditure claims under CGHS.
Revised CGHS Rates for Ayurvedic treatment expenditure claims – CGHS circular
Revised CGHS Rates and Guidelines for reimbursement/ settlement of Ayurvedic treatment expenditure claims under CGHS.
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. | SwasaRoga,
KasaRoga
(Restrictive
/Obstructive Pulmonary Diseases, Bronchial Asthma, Emphysema, COPD..etc)
| · Breathing difficulty · Cough · Fever | Snehapana, Abhyanga,
Nadeesweda, Vamana, Virechana, Kavala, Dhoomapana, Nasya, Pizhichil, Thakra Dhara, Urovasthi, Taila Vasthi, Kashaya Vasthi,Pichu, Thailam, Kashay Dhara, Dhanyamla Dhara, Lepam
| 7- 28
DAYS
|
2 | Greevastambha,
Greevashundan a
(Cervical spondylosis, Cervical spondylitis, Ankylosing spondylitis of cervical spine, Cervical disc prolapse.etc) | · Persisting or radiating pain in cervical region · Restricted neck movements · Tenderness · Numbness · Vertigo | Abhyanga, Lepa, Upanaha,
Jambeerapindasweda,, Kukkutandapindasweda, Shashtikapindasweda, Churnapindasweda, Pizhichil, Pathrapindasweda, Dhanyamlapindasweda, Dhanyamladhara, Pichu, Valukasweda, Aanchanam, Sthanika Sekam, Nadeesweda, Greevavasthi, Nasya, Kavala, Dhoomapana, Sirovasthi, Snehapana,Vamana,
Virechana, Kashaya Vasthi,
Thailavasthi,Thalam,Veshtan am, Dhanya Pindasweda, Valuka Sweda
| 7- 28
DAYS
|
3 | Kateegraha,
gridhrasi, kateesoolatrikap ristakateegraha, (Sciatica, Low Back Pain/Ache, I.V.D.P, Spondylolysthesi s…etc)
| · Persistent or radiating back pain · Restricted movements of low back/ hip region · Tenderness · Burning sensation | KatiVasthi, PrishtaVasthi,
Agnikarma, Kati-pichu, SiraVyadha/Siravedha, Virechana
Abhyanga, Lepa, Upanaha, Jambeerapindasweda, Kukkutandapindasweda, Shashtikapindasweda, Churnapindasweda, Pizhichil, Pathrapindasweda, Dhanyamla Pindasweda, Dhanyamla Dhara, Pichu, Valukasweda, Aanchanam, Sthanika sekam, Nadeesweda, Kati Vasthi, Avagaha, Snehapana, Virechana, Thailavasthi, Kashayavasthi, Ksheeradhara, PrIshtasandhi-marma abhyanga (Lumbar manipulation), Veshtana, Dhanya pindasweda, Valuka sweda | 7- 28
DAYS
|
4 | Apabahuka,
Viswachi (Frozen shoulder, Periarthritis, Tendinitis,
Brachial
neuralgia……etc
)
| · Radiating or local pain in shoulder region · Restricted shoulder movements · Tenderness · Numbness
· Muscle wasting
| Agnikarma, Abhyanga, Lepa,
Upanaha, Veshtanam, Jambeerapindasweda, Kukkutandapindasweda, Shashtikapindasweda, Churnapindasweda, Pizhichil,Pathrapindasweda,Dhanyamlapindasweda, Dhanyamladhara, Pichu, Valukasweda, Aanchanam, Sthanika sekam, Nadeesweda, Greevavasthi, Nasya, KaVala, Dhoomapana,
Sirovasthi, Snehapana, Vamana, Thailavasthi, Kashayavasthi, Dhanya pindasweda, Valuka sweda, Mamsa pindasweda | 7-28
DAYS
|
5 | Pakshaghata
(Paralysis, Hemiplegia, Hemiparesis…et c)
| · Weakness of one side of the body · Stiffness of muscles · Muscle weakness · Numbness · Pain · Tremor · Difficulty in speech | virechana,
kashaya vasthi, taila vasthi, shashtikapindasweda, pathra pindasweda, choorna pindasweda, jambeera pindasweda, dhanyamla pindasweda, sirovasthi, thalapothichil,
pichu,seka, nasya, kabala, dhoomapana, abhyanga, thalam, moordhathailam, pizhichil, thailadhara, kashayadahara, ksheeradhara, ksheera hoomam, jihwalepam, nadeeswedam, valuka sweda, mamsa pindasweda | 14 – 35
DAYS
|
6 | Kampavata(Neur
o-spastic conditions, Parkinson’s
disease..etc)
| · Tremor · Stiffness of muscles · Muscle weakness · Walking
difficulty
· Sluttering movements · Difficulty in speech | pizhichil, nasya, kabala,gandoosha, dhoomapana, sirovasthi, ushmasweda, pichu, choornapindasweda, pathrapindasweda, jambeerapindasweda, shashtikapindasweda,lepa,ab hyanga, nadeesweda, ksheeradhooma, thailavasthi, kashayavasthi, ksheeradhara-full body (different varities), dhanyamlapindasweda, dhanyapindasweda, mamsapindasweda | 14- 28
DAYS
|
7 | Ardita
(Facial
Paralysis..etc)
| · Weakness of facial muscles · Drooping of eye lids · Numbness of facial muscles · Salivation | murdhataila, nasya, kabala,
dhoomapana,
mukhabhyanga, nadeesweda, gandushaksheeradhooma, karnapoorana, akshitharpana, thalam, thailadhara,thakradhara, sirovasthi, pichu, thalapothichil/sirolepa, virechana, tailavasthi, kashayavasthi, choornapindasweda, pathrapindasweda, annalepa/ navaratheppu- sthanika
| 7- 21
DAYS
|
8 | Vatarakta (gouti
arthritis
ischaemic limb, sle, rheumatoid arthritis..etc), kroshtukasheers ha
| · Joint pain · Swelling · Tenderness · Deformity · Burning sensation · Discolouration | kashaya vasthi, thaila vasthi,
virechana,
parisheka, rakthamoksham- jaloukavacharana, siravedha, patra pinda sweda,
nadee sweda, veshtana, valuka sweda, choorna pinda
sweda, shashtika pinda
sweda, dhanyamla dhara, dhanyamla pinda sweda, ksheera dhara, kashaya dhara,lepana, upanaha, avagaha, snehapana, pizhichil
| 14-28
DAYS
|
9 | Amavata
(Connective tissue disorder, Rheumatic fever..etc)
| · Heaviness of body · Body ache · Immobility · Fever · Swelling · Pain in low back | virechana, kashaya vasthi,
thaila vasthi,
valuka sweda, choorna pinda sweda, dhanyamla pinda sweda, dhanyamla dhara, rakthamokshana, upanaha, lepana, dhanya pindasweda, nadee swedam
| 14-28
DAYS
|
10 | Sarvanga Vata
(Cerebral atrophy, Cerebral
Diplegia, Motor- Neuron diseases,
M.N.D, M.S, C.P..etc), SUPTHI (Neurological disorders, Fibromyalgia..et c)
| · Generalized pain · Stiffness · Numbness · Weakness · Feeling of coldness | Shastikapidna
sweda,
Kaya Seka/Pizhichil, Annalepana/Navaratheppu, Abhyanga,
Kashayavasthi, thailavasthi, Shiropichu, Snehapana, ChoornaPindasweda, DhanyamlaDhara, DhanyamlaPindaSweda, PathraPindaSweda, Thailadhara, ThakraDhara, Sirolepam, Nasyam, Ksheeradhara, MamsaPindasweda | 14-28
DAYS
|
11 | Sandhigatavata
(DEGENERATIVE
JOINT DISORDERS, TENNIS ELBOW), VATHAKANDAKAM (CALCANEAL SPUR)
| · Joint pain · Restricted joint movements · Stiffness
· Crepitus
| Januvasti, Kashaya vasthi,
Thaila Vasthi, Prushta
Vasthi, Katee Vasthi, Greeva Vasthi, Jaloukavacharana, Choorna Pindsweda, Pathra Pinda Sweda, Shashtika Pinda Sweda, Sthanika Annalepa, Sthanika Vasthi, Upanaha, Lepa, Pichu, Snehapana, Parisheka, Veshtana, Mamsakkizhi,Ksheeradhara,
Pizhichil | 14-28
Days
|
12 | Twak Vikara (Skin Diseases), Kitibha, Ekakushta, Vicharchika, Gajacharma (Lichen Planus, Psoriasis, Eczema..etc) | Discolouration · Itching · Scaling · Oozing · Peeling · Burning sensation · Numbness | Vamana, Virechana, Nehapana, Rakthamokshana- (Jaloukavacharana, prachana, siravedha/ siravyadha), Parisheka, Takradhara, Lepa, KashayaDhara, KashayaVasthi,TailaVasthi, Kshalana, Abhyanga, NadeeSweda | 8-28 Days |
13 | Visarpa (Cellulitis, Erisepelus, Necrotising Cellulitis, Impetigo, Pemphiguos vulgaris…etc), Grandhi, Arbuda(Benign & Malignant growths, Hodgkins disease..etc)), | Rashes · Blisters · Itching · Oozing · Burning sensation · Pain · Growths | Rakthamokshana, Jalukavacharana, Vamana, virechana, Kashaya Vasthi, Thaila Vasthi, Kashaya Dhara, Thakra Dhara, Abhyanga, lepa, | 14- 28
Days
|
14 | Arsha,
Bhagandara, Parikarthika (Haemorrhoid, Fistula in ano, Fissure in ano..etc),
NADEE VRANA (Pilonoidal sinus..etc) | · Constipation · Pain in anal region · Itching around anus · Burning sensation · Prolapse of mass from anus · Bleeding from anus · Pus from anus | Virechana, Avagaha,
Upanaha, Lepa, Taila Vasthi- Mathravasthi, Kshalana, Thakrapana, Varthi, Ksharakarma,Ksharasoothra, Agnikarma Varieties Like Classical/ Infra Red Coagulation/ High Frequency Coagulation/ Radio Frequency coagulation ..etc, suction aided ring ligation procedure, Kshara Pathana, Taila Daha, Dhoopana, Goshbanabandha,
| 1-7 DAYS |
15 | Moothraghata,
Moothrakruchra, Asmari (Renal disfunction, Renal/Urinary Calculi, Urinary Disfunction/ Obstruction…etc
) | · Painful micturition or Pain in scrotum and penis with decreased urine output · Presence of blood with urine may be present | Snehapana, Nadee Sweda,
Virechana, Avagaha,
Kashaya vasthi, Taila Vasthi, Abhyanga,Uthara Vasthi, Lepa, Dhara-Sthanika
| 14-28
DAYS
|
16 | Kashtarthava,
Kruchrarthava, Artava Dushti, Yonee Roga , Rakthapradara (Amenorrhoea, Dysmenorrhoea,
PCOD/ PCOS,
D.U.B..etc)
| · Severe pain with menstruation · Very less menstrual flow or no Menstruation · Irregular menstruation · Abnormal menstruation | Vamana, virechana,
Kashaya vasthi, Thaila
Vasthi,
Nasya, snehapana, Uthara vasthi, Yoni Prakshalana, Udwarthana, Dhanyamla Dhara, Dhanyamla Pinda
Sweda, Avagaha ,
Yonidhavana, Yoni Pichu, Yoni Poorana, Yoni Dhoopana, Abhyanga, Ksharakarma, Nadeesweda
| 14- 28
DAYS
|
17 | Mamsagata
Vikara, Mamsakshaya (Muscular Dystrophy…etc)
| · Weakness of muscles · Wastage of muscles | Choorna Pindasweda, Pathra
Pinda Sweda, Swedana, Shashtika Pinda Sweda, mamsa Pinda Sweda, Annalepa, Vesthanam, Pizhichil, Udwarthana, Upanaha, Matra Vasthi, Kashaya Vasthi
| 14-28
DAYS
|
18 | Dristidosha-
Asama Drishti, Nethraja Rakthapitham, Jeerna Nethrabhishyand am, Sushkakshipaka m, Adhimandam,Na kulandhyam, Puyalasa, Chathurtha Patalagatha Vikara
(Refractive
errors, Chronic Allergic & Inflamatory diseases,
Chronic
Conjunctivitis,
Dry Eye Syndrom,Retiniti s Pigmentosa, Night Blindness, Dacrocystitis, A.R.M.D, Retinopathy, Blepharospasm.. etc)
| · Diminished vision · Photophobia · Dyplopia · Watering of eyes · Pus formation in eyes · Itching of eyes · Strain & pain in eyes · Restricted field of vision · Headache | Tharpana, aschothana,
Nasya,
Eye exercises, Anjana, Putapaka, Shashtika Pindasweda- Sthanika, Kashaya Vasthi, Thaila Vasthi, Jaloukavacharana, Nethra Dhara/ Akshi Seka, Sirovasthi, Taila Dhara,
Thakra Dhara, Pichu, Dhoomapana, Snehapana, Virechana,Pindi, Vitalaka, Kshalana, Sirolepa,Sirolepam, Thalam,Eshana, Bhedana | 7- 28
DAYS
|
19 | Sirasoola,
Sooryavartham, Ardhavabhedaka m(Migraine, Headache…etc)
| · Severe headache · Heaviness of head · Nausea · Photophobia | Snehapana, Nadee Sweda,
Nasya, Vamana, Virechana, Dhoomapana, Kabala, Gandoosha, Thalam, Moordha Taila, Pichu- Siropichu, Sirovasthi, Tailadhara, Thakradhara
| 7- 21
DAYS
|
20 | Khanja ,Pangu-
Abhigathaja, AbhighatajaVikar a(Restricted movements due to fracture/ dislocation..etc)
| · Dislocation of bone/ cartilage/ vertebrae · Pain · Swelling · Restricted or painful movements of associated area/ nearby muscles | Veshtanam, Lepam, Dhara-
Sthanika, Kukkutanda Pinda Sweda, Jambeera Pindasweda, Shashtika Pinda Sweda, Annalepa, Choorna Pindasweda, Pathra Pindasweda, Pizhichil, Dhanyamla Dhara, Pichu, Abhyanga
| 14-21
DAYS
|
2. Unit Cost of Ayurvedic therapies/interventions in OPD/IPD –
Unit cost per therapy/intervention means cost of procedure including cost of medicines used in the procedure as under.
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 Rupees |
1 | Abhyanga | 1145 |
2 | Abhyanga- Sthanika | 570 |
3 | Abhyanga + Sweda | 1280 |
4 | Avagaha | 765 |
5 | Anjana | 340 |
6 | Aanchana (Traction) | 480 |
7 | Annalepa/Njavaratheppu- Full body | 1290 |
8 | Annalepa/Njavaratheppu – Sthanikam | 755 |
9 | Aschothana | 335 |
10 | Agnikarma-Infra Red Coagulation (Package rate for full Course of treatment) | 10,000 |
11 | Agnikarma- High frequency Coagulation (Package rate for full course of treatment) | 10,000 |
12 | Agnikarma- Radio frequency Coagulation (Package rate for full course of treatment) | 10,000 |
13 | Achasnehapana/day | 440 |
14 | Bhedana (of eye) | 565 |
15 | BhagnaBandhana (Fracture Bandage with Reduction &Immobilisation) | 885 |
16 | ChoornaPindaSweda/Podikkizhi-Full Body | 1210 |
17 | ChoornaPindaSweda/Podikkizhi- Sthanika/Ekangam | 715 |
18 | DhanyaPindaswedam/Dhanyakkizhi/ Navadhanyakkizhi- Full body | 1245 |
19 | Dhara/Sirodhara-Thaila | 1420 |
20 | Dhanyamladhara-Sthanika/Local -KateeDharaetc | 705 |
21 | Dhoopana | 480 |
22 | Dhoomapana | 460 |
23 | DhanyamlaPindaSweda/ Dhanyamlakkizhi/Kaatikkizhi-Full Body | 1240 |
24 | Eshana | 565 |
25 | Greevavasthi | 845 |
26 | Gandoosha | 390 |
27 | Goshbanabandha | 300 |
28 | Jaloukavacharana | 745 |
29 | Jambeerapindasweda/ Narangakkizhi-Full Body | 1190 |
30 | Januvasthi | 845 |
31 | Kabala | 390 |
32 | Kateevasthi | 845 |
33 | Kashayavasthi (Niroohavasthi)-Different varieties | 1030 |
34 | KashayaDhara- Full Body | 1045 |
35 | KashayaDhara -Ekangam/ Local | 635 |
36 | KsheeraDhara(Medicated-different varities) -full body | 1155 |
37 | KsheeraDhooma | 735 |
38 | Kshara karma (Package rate for full course of treatment) | 10,000 |
39 | Ksharasoothra-Low level fistula (Package rate for full course of treatment) | 10,000 |
40 | Ksharasoothra-Middle level fistula (Package rate for full course of treatment) | 10,000 |
41 | Ksharasoothra- High level fistula (Package rate for full course of treatment) | 10,000 |
42 | Kshalana | 355 |
43 | KsharaPathana(Package rate for full course of treatment) | 10,000 |
44 | Karnapoorana | 350 |
45 | Kuttanam | 540 |
46 | Lekhana | 540 |
47 | Lepa/Lepana-Local | 390 |
48 | Mathravasthi | 350 |
49 | MamsaPindaSweda/Mamsakkizhi-Full Body | 1420 |
50 | MamsaPindaSweda/Mamsakkizhi-Sthanikam/Ekangam | 820 |
51 | Mukhalepa | 490 |
52 | Moordhataila | 315 |
53 | Nadeesweda/Snigdhasweda – Full | 580 |
54 | Nadeesweda/Snigdhasweda – Ekangam/Local | 450 |
55 | Nethradhara/Akshiseka | 595 |
56 | Nasya | 600 |
57 | PathraPindaSweda/Ilakkizhi-Full | 1220 |
58 | PathraPindaSweda/Ilakkizhi-sthanika/Ekangam | 720 |
59 | Pizhichil/Kayaseka – Full Body | 1995 |
60 | Pizhichil – Sthanikam/Ekangam/Local | 1105 |
61 | Pichu | 410 |
62 | Prushtavasthi | 845 |
63 | Putapaka | 850 |
64 | Prachanna | 590 |
65 | Pindi | 450 |
66 | ShashtikapindaSweda/Navarakkizhi-full body | 1320 |
67 | ShashtikapindaSweda/ Navarakkizhi-Ekangam/Sthanikam | 770 |
68 | Sirovasthi | 970 |
69 | Snehapana/day | 440 |
70 | Sirolepa/Thalapothichil | 1120 |
71 | Siravyadha/Siravedha/Rakthamoksha | 640 |
72 | TailaVasthi | 710 |
73 | Thakradhara | 1145 |
74 | Thalam | 410 |
75 | Tharpana | 735 |
76 | Tailadaha (Package rate for full course of treatment) | 10,000 |
77 | Thakrapana | 250 |
78 | Utharavasthi | 1100 |
79 | Udwarthana | 1095 |
80 | Urovasthi | 845 |
81 | Upanaha/Upanahasweda | 590 |
82 | Vamana | 745 |
83 | Virechana | 355 |
84 | Valukasweda/Manalkkizhi- Full Body | 1080 |
85 | Vitalaka/Bitalaka | 450 |
86 | Yoniprakshalana | 500 |
87 | Yonidhavana | 500 |
88 | Yoni Pichu | 460 |
89 | Yoni Poorana | 460 |
90 | Yoni Dhoopana | 335 |
91 | Valukasweda/Manalkkizhi- Sthanikam | 655 |
92 | Ksheeradhara-Head | 1095 |
93 | Jambeerapindasweda/ Narangakkizhi-sthanika/Local | 735 |
94 | Dhanyapindasweda-Sthanika/Local | 730 |
95 | Dhanyamlapindasweda/ Katikkizhi-Sthanika | 705 |
96 | Veshtanam | 330 |
97 | Agnikarma (Classical with PanchalohaSalaka) | 995 |
3. Determination of treatment expenditure for payment/reimbursement
For the purpose of settlement of Ayurvedic treatment expenditure under CGHS , following criteria shall be applied-
a) Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
b) 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.
c) Pre and post procedure cost will be chargeable @ Rs 75 per day.
d) Room rent , wherever applicable shall be chargeable as per the rates prescribed in the OM.
*****
Revised CGHS Rates and Guidelines for reimbursement/ settlement of Unani treatment under CGHS.
1. List of diseases/disease conditions needing hospitalization of the patients, indicative therapies and likely duration of hospitalization-
1. List of diseases/disease conditions needing hospitalization of the patients, indicative therapies and likely duration of hospitalization-
S. No . | Disease | Conditions requiring hospitalization | Indicated Therapies required as per the condition of patients |
Likely
duration of hospitali zation |
1
|
Shaqīqa
(Migraine) |
Recurrent episodic throbbing pain in one half of head
| Therapy related Medication, Fasd, Ishāl , Natūl, Lakhlakhah and Zimad |
7-28 days
|
2
|
Sar‘ (Epilepsy)
|
Recurrent spells of convulsions
| Therapy related Medication, Qay’, Fasd, Ishāl, Huqna, Hammām, Hijāma, Ghargharah, Nafookh and Nashooq |
7-28 days
|
3
|
Fālij (Paralysis)
|
flaccidity/atony of organs
| Therapy related Medication, Huqna, Dalk, Hijāma, Natūl, Ghargharah, Nafookh and Nashooq |
7-28 days
|
4
|
Laqwa (Bell’s
palsy) |
flaccidity of angle of mouth and/or dropping of lower eyelid
| Therapy related Medication, Tadhīn, Facial exercise, Mazoogh, Ghargharah and Zimad |
7-28 days
|
5
|
Ri‘sha (Tremor)
|
involuntary movement of affected body part
| Therapy related Medication, Hammām Hār, Takmīd Hār, Tamrīkh, Fasd, Dalk and Is’hal |
7-28 days
|
6
|
Waram-i Asl al- Uzun (Mumps/ Parotitis)
|
Pain and swelling below the ears
| Therapy related Medication, Fasd, Ishāl, Hijāma, Inkibāb, Takmīd |
7-28 days
|
7
|
Waram-i Halaq
(Pharyngitis) |
Sore throat, dry cough, difficulty in swallowing
| Therapy related Medication, Fasd, Irsal-I Alaq, Hijāma and Ghargharah |
7-28 days
|
8
| Waram-i Lawzatayn (Tonsillitis) |
Sore throat, difficulty in swallowing, fever
| Therapy related Medication, Fasd, Huqna, Ishāl, Hijāma,
Gharghara
|
7-28 days
|
9
|
Iltihāb-i Tajāwīf- i Anf (Sinusitis)
|
Headache, post nasal drip
| Therapy related Medication, Fasd, Takmīd, Tar’riq, Inkibāb, |
7-28 days
|
10
|
Nazla Wabā’ī
(Influenza) |
Headache, bodyache, fever
| Therapy related Medication, Dalk, Pashoya, Ishāl |
7-28 days
|
11
| Shahīqa (Pertussis/ Whooping Cough) |
Severe episodes of cough
|
Therapy related
Medication, Inkibāb |
7-28 days
|
12
|
Iltihāb al-Shu‘ab
(Bronchitis) |
Productive cough, pain in chest, fever
| Therapy related Medication, Inkibāb, Gharghara, Qai, Dalk and Zimad |
7-28 days
|
13
|
Zīq al-Nafas (Bronchial Asthma)
|
Recurrent attacks of cough, dyspnoea, pain
| Therapy related Medication, Fasd, Hijāma, Bukhoor and Qai |
7-28 days
|
14
|
Zāt al-Riy’a
(Pneumonia) |
Continuous fever, cough, dyspnoea, pain in chest
| Therapy related Medication, Fasd, Ishāl, Hijāma, Zimad and Takmeed |
7-28 days
|
15
|
Ru’af
(Epistaxsis) |
Recurrent episodes of bleeding from nose
| Therapy related Medication, Hijāma, Fasd, |
7-28 days
|
16
|
Salābat-i Kabid
(Cirrhotic Liver) | Heaviness in abdomen and loss of appetite | Therapy related Medication, Fasd and Zimad |
7-28 days
|
17
| Zaghṭ al-Dam Qawī Lāzimī (Essential Hypertension) |
Headache, heaviness in head, clouding of conscious, epistaxsis
| Therapy related Medication, Fasd, Dalk, Hijāma, Hammām, Riyāzat |
7-28 days
|
18
| Zayābīṭus Sukkari Qism Sānī (Diabetes Mellitus Type II) |
Excessive thirst, urination
| Therapy related Medication, Takmīd, Ābzan, Dalk, Qay’, Tar’riq, Riyāzat |
7-28 days
|
19
|
Waram-i Mi‘da
(Gastritis) |
Burning pain in chest, decreased appetite, distended stomach,
| Therapy related Medication, Fasd, Riyāzat, Dalk, Inkibāb, Hammām and Zimad |
7-28 days
|
20
|
Qarḥa-i Huzūmī
(Peptic Ulcer) | Severe pain in stomach, nausea, vomiting | Therapy related Medication, Huqna, Zimad |
7-28 days
|
21
|
Zahīr
(Dysentery) | repeated urge for defecation, heaviness in abdomen, pain, abdominal distention, tenesmus |
Therapy related Medication, Takmīd, Huqna, Ābzan
|
7-28 days
|
22
|
Ishāl
(Diarrhoea) |
repeated defecation, indigestion, flatulence and gurgling
| Therapy related Medication, Hammām, Dalk and Huqna |
7-28 days
|
23
|
Bawāsīr (Piles/ Heamorrhoids)
|
Mass, pain and itching in the anus
| Therapy related Medication, Fasd, Ābzan and Irsal-e- Alaq |
7-28 days
|
24
|
Sū’ al-Qinya
(Anaemia) |
Pallor, swelling
| Therapy related Medication, Dalk, Hammām, Riyāzat |
7-28 days
|
25
| Tashaḥḥum al- Kabid (Fatty Liver) |
Anorexia, dyspepsia, pain in abdomen
| Therapy related Medication, Takmīd, Zimad |
7-28 days
|
26
|
Waram-i Kabid
(Hepatitis) |
Loss of appetite, pain abdomen, nausea, vomiting
| Therapy related Medication, Fasd, Riyāzat, Hammām and Zimad |
7-28 days
|
27
|
Istisqa’Ziqqi
(Ascites) |
Abdominal distention, dyspepsia,
| Therapy related Medication, Idrār, Ishāl, Tar’riq |
7-28 days
|
28
|
Istisqa’Lehmi
(Anasarca) |
Generalized pitting edema
| Therapy related Medication, Tar’riq, Idrār, Hammām, Riyāzat, Hijāma, |
7-28 days
|
29
|
Yaraqān
(Jaundice) |
Yellow discolouration of skin, eyes and urine
| Therapy related Medication, rest, Is’hal, Qai, Fasd and Huqna |
7-28 days
|
30
| Waram-i Kulya (Glomeruloneph ritis / Pyelonephritis) |
Fever, difficulty in urination
| Therapy related Medication, Fasd, Takmīd, Qay’, Huqna, Ābzan, Natūl |
7-28 days
|
31
|
Hasāt-i Bawl
(Urolithiasis) |
heaviness in lower back, excruciating pain
| Therapy related Medication, Riyāzat, Hammām, Ābzan, Qay’, Fasd, Takmīd |
7-28 days
|
32
| Zu‘f-i Masāna (Overactive bladder) |
Dribbling of urine
|
Therapy related
Medication, Takmīd |
7-28 days
|
33
|
Waram-i Rahim
(Metritis) |
fever, nausea, shooting pain in lower back and pubic region
| Therapy related Medication, Fasd, Qay’, Ishāl, Takmīd, Ābzan |
7-28 days
|
34
|
Kasrat-I Isqat (Habitual Abortion)
|
Recurrent abortions
| Therapy related Medication, Riyāzat, Qai, Huqna, Hammam, Aabzan, Zimad and Hijamah |
7-28 days
|
35
| Sayalān-i Rahim
(Leucorrhoea)
| excessive discharge from the uterus | Therapy related Medication, Fasd,
Ishāl, Dalk , Ābzan
and Huqna |
7-28 days
|
36
|
Ihtibās-i Tams
(Amenorrhoea) |
cessation of menses
| Therapy related Medication, Fasd, Hammām, Hijāma, Idrar and Aabzan |
7-28 days
|
37
| Kasrat-i Tams (Polymenorrhoe a) |
Excessive loss of blood, pallor, weakness,
| Therapy related Medication, Hijāma, Tar’riq, Idrār, Ishāl, Fasd, and Aabzan |
7-28 days
|
38
| Zu’f-i Bah (Sexual Debility) |
Decrease in sexual competency
|
Therapy related
Medication, Dalk |
7-28 days
|
39
|
Waja‘ al-Mafāsil
(Arthritis) |
pain, swelling, stiffness and restricted movement of affected joint
| Therapy related Medication, Fasd, Qay’, Idrār, Hijāma, Huqna, Natūl, Ābzan, Takmīd, Dalk, Riyazat, Irsale-e-Alaq, Hammam and Ta’areeq |
7-28 days
|
40
|
Irq al-Nasā’
(Sciatica) |
Pain in hips and leg
| Therapy related Medication, Qay’, Kayy, Fasd, Hammām, Huqna, Ābzan and Hijamah |
7-28 days
|
41
|
Niqris (Gout)
|
severe pain in great toe or ankle joint
| Therapy related Medication, Fasd, Riyāzat , Zimad, Tila, Qai, Dalk and Nutool |
7-28 days
|
42
|
Sharā
(Urticaria) |
abrupt appearance of reddish itchy rashes
| Therapy related Medication, Fasd, Hammām and Hijamah |
7-28 days
|
43
|
Jarab (Scabies)
| rashes between the fingers, wrist, elbow, groin, etc | Therapy related Medication, Hammām, Fasd, Ishāl |
7-28 days
|
44
|
Nār Fārsī
(Eczema) |
Red coloured lines and eruptions
| Therapy related Medication, Fasd, Ishāl, Hijāma, Zimad and Irsal-e-Alaq |
7-28 days
|
45
| Dā’ al-Ṣadaf (Psoriasis) | Thick rough patches on skin with silvery scales | Therapy related Medication, Hammām, |
7-28 days
|
46
|
Baraṣ (Vitiligo)
|
glossy white patches on skin
| Therapy related Medication, Dalk-i Khashin, Qai, Tila, and Hammam |
7-28 days
|
47
| Dā’ al-Fīl (Lymphatic
Filariasis)
| Increase in the circumference of leg
and feet
| Therapy related Medication, Fasd,
Ishāl, Hijāma, Qay’
and Zimad |
7-28 days
|
48
| Ḥummā Ajāmiyya (Malaria) |
High fever with chills and rigors
|
Therapy related Medication, Huqna, Qay’, Fasd, Hammām
|
7-28 days
|
49
| Ḥummā Mewi (Enteric fever) |
Continuous fever, loss of appetite, headache
|
Therapy related
Medication, Takmīd, |
7-28 days
|
50
| ‘Izm-i Ghudda-i Mazī Sāda |
Urinary hesitance, dribbling
|
Therapy related
Medication, Fasd |
7-28 days
|
2. Unit Cost of Unani therapies/interventions in OPD/IPD -:
Unit cost per therapy/ intervention means cost of procedure including cost of medicines used in the procedure as under:
Unit cost per therapy/ intervention means cost of procedure including cost of medicines used in the procedure as under:
Therapy/Intervention
| ||
S.
No. |
Treatment Name
|
Unit cost in Rupees
|
1.
| Therapy related Medication, Fasd, Ishāl , Natūl, Lakhlakhah and Zimad |
1,000
|
2. | Therapy related Medication Qay’, Fasd, Ishāl, Huqna, Hammām, Hijāma, Ghargharah, Nafookh and Nashooq |
2,850
|
3. | Therapy related Medication Huqna, Dalk, Hijāma, Natūl, Ghargharah, Nafookh and Nashooq |
2,450
|
4. | Therapy related Medication, Tadhīn, Facial exercise, Mazoogh, Ghargharah and Zimad |
150
|
5. | Therapy related Medication, Hammām Hār, Takmīd Hār, Tamrīkh, Fasd, Dalk and Is’hal |
1,750
|
6. | Therapy related Medication, Fasd, Ishāl, Hijāma, Inkibāb, Takmīd |
2,400
|
7. | Therapy related Medication, Fasd, Irsal-I Alaq, Hijāma and Ghargharah |
2,750
|
8. | Therapy related Medication, Fasd, Huqna, Ishāl, Hijāma, Gharghara |
2,200
|
9. | Therapy related Medication, Fasd, Takmīd, Tar’riq, Inkibāb, |
1,650
|
10. | Therapy related Medication, Dalk, Pashoya, Ishāl |
850
|
11. | Therapy related Medication, Inkibāb |
150
|
12. | Therapy related Medication, Inkibāb, Gharghara, Qai, Dalk and Zimad |
150
|
13. | Therapy related Medication, Fasd, Hijāma, Bukhoor and Qai |
2,000
|
14. | Therapy related Medication, Fasd, Ishāl, Hijāma, Zimad and Takmeed |
2,000
|
15. | Therapy related Medication, Hijāma, Fasd, |
2,000
|
16. | Therapy related Medication, Fasd and Zimad |
750
|
17. | Therapy related Medication, Fasd, Dalk, Hijāma, Hammām, Riyāzat |
3,750
|
18. | Therapy related Medication, Takmīd, Ābzan, Dalk, Qay’, Tar’riq, Riyāzat | 2,300 |
19. | Therapy related Medication, Fasd, Riyāzat, Dalk, Inkibāb, Hammām and Zimad |
2,150
|
20. | Therapy related Medication, Huqna, Zimad |
450
|
21. | Therapy related Medication, Takmīd, Huqna, Ābzan |
650
|
22. | Therapy related Medication, Hammām, Dalk and Huqna |
1,250
|
23. | Therapy related Medication, Fasd, Ābzan and Irsal-e-Alaq |
900
|
24. | Therapy related Medication, Dalk, Hammām, Riyāzat |
1,750
|
25. | Therapy related Medication, Takmīd, Zimad |
500
|
26. | Therapy related Medication, Fasd, Riyāzat, Hammām and Zimad |
1,750
|
27. | Therapy related Medication, Idrār, Ishāl, Tar’riq |
50
|
28. | Therapy related Medication, Tar’riq, Idrār, Hammām, Riyāzat, Hijāma, |
2,250
|
29. | Therapy related Medication, rest, Is’hal, Qai, Fasd and Huqna | |
30. | Therapy related Medication, Fasd, Takmīd, Qay’, Huqna, Ābzan, Natūl |
1,750
|
31. | Therapy related Medication, Riyāzat, Hammām, Ābzan, Qay’, Fasd, Takmīd |
1,800
|
32. | Therapy related Medication, Takmīd |
250
|
33. | Therapy related Medication, Fasd, Qay’, Ishāl, Takmīd, Ābzan |
1,300
|
34. | Therapy related Medication, Riyāzat, Qai, Huqna, Hammam, Aabzan, Zimad and Hijamah |
500
|
35. | Therapy related Medication, Fasd, Ishāl, Dalk , Ābzan and Huqna |
1,650
|
36. | Therapy related Medication, Fasd, Hammām, Hijāma, Idrar and Aabzan |
2,500
|
37. | Therapy related Medication, Hijāma, Tar’riq, Idrār, Ishāl, Fasd, and Aabzan |
2,500
|
38. | Therapy related Medication, Dalk |
750
|
39. | Therapy related Medication, Fasd, Qay’, Idrār, Hijāma, Huqna, Natūl, Ābzan, Takmīd, Dalk, Riyazat, Irsale-e-Alaq, Hammam and Ta’areeq |
3,000
|
40. | Therapy related Medication, Qay’, Kayy, Fasd, Hammām, Huqna, Ābzan and Hijamah |
3,000
|
41. | Therapy related Medication, Fasd, Riyāzat , Zimad, Tila, Qai, Dalk and Nutool |
1,250
|
42. | Therapy related Medication, Fasd, Hammām and Hijamah |
1,250
|
43. | Therapy related Medication, Hammām, Fasd, Ishāl |
1,250
|
44. | Therapy related Medication, Fasd, Ishāl, Hijāma, Zimad and Irsal-e-Alaq |
2000
|
45. | Therapy related Medication, Hammām, |
500
|
46. | Therapy related Medication, Dalk-i Khashin, Qai, Tila, and Hammam | 400 |
47. | Therapy related Medication, Fasd, Ishāl, Hijāma, Qay’ and Zimad | 2,150 |
48. | Therapy related Medication, Huqna, Qay’, Fasd, Hammām |
1,600
|
49. | Therapy related Medication, Takmīd, |
250
|
50. | Therapy related Medication, Fasd |
1500
|
51. | Dalk (Massage) – Whole Body |
750
|
52. | Dalk (Massage) – Half Body |
400
|
53. | Dalk (Massage) – Single Limb |
150
|
54. | Dalk (Massage) – Single Joint |
100
|
55. | Dalk-i Khashin (Dry massage) |
400
|
56. | Hammām (Turkish Bath) |
500
|
57. | Inkibāb (Steam Bath) |
150
|
58. | Hammām Mu‘arriq (Sauna Bath) |
500
|
59. | Hip Bath |
200
|
60. | Spinal Bath |
250
|
61. | Ābzan (Sitz Bath) |
150
|
62. | Dastshoya (Hand Bath) |
100
|
63. | Pāshoya (Foot bath) |
100
|
64. | Qay’ (Emesis) |
150
|
65. | Huqna (Enema) |
200
|
66. | Natūl (Irrigation) |
250
|
67. | Irsal-i Alaq (Leeching) |
750
|
68. | Ḥijāma bila shart (Dry Cupping) |
500
|
69. | Ḥijāma bi’l Shart (Wet Cupping) |
1250
|
70. | Faṣd (Venesection) |
750
|
71. | Takmīd (Fomentation) |
250
|
72. | Zimād/ Tamrīkh (Applying Paste) |
250
|
73. | Riyāzat (Exercise) |
500
|
74. | Kayy (Cauterization) |
1250
|
75. | Ultrasound Therapy |
250
|
76. | Interferential Therapy |
250
|
77. | Nerve Stimulation |
200
|
78. | Short Wave Diathermy |
200
|
79. | Long Wave Diathermy |
250
|
80. | Intermittent Traction |
250
|
81. | Paraffin Wax Bath |
250
|
82. | Chest Physiotherapy |
250
|
83. | Exercise Therapy |
200
|
84. | Specialized Gait Therapy |
150
|
85.
| Transcutaneous Electrical Nerve Stimulation (TENS) |
250
|
86. | Hydrocollator Moist Heat Therapy |
150
|
Note: Any minor / local Unani 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 Unani treatment expenditure under CGHS , following criteria shall be applied-
e) Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
e) Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
f) 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.
g) Pre and post procedure cost will be chargeable @ Rs 75 per day.
h) Room rent , wherever applicable shall be chargeable as per the rates prescribed in the OM.
*****
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.,
(Restrictive
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
Pasai Pugai Poochu Ennai Poochu Ennai Kattu Patru Pottanam Varthi – Thiri Vedhu Peechu Suttigai Asanam Pranayamam Varmam application | 3- 28
Days
|
2 | Sagana Vaatham
(Cervical Spondylosis, Cervical Spondylitis,
Ankylosing
Spondylitis of Cervical Spine, Cervical Disc Prolapse)
| · Persisting or radiating pain in cervical region · Restricted neck
movements
· Tenderness · Numbness · Vertigo | Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai
paduthal Thokkanam
Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu Patru Pottanam Pasai Peechu Kattu Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Varmam application
Asanam
| 7- 28
Days
21
|
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 / Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi
Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Varmam application
Asanam
| 7- 28
Days
|
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 / Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru
Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Varmam application
Asanam
| 7-28 Days |
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 / Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu Patru Pottanam Pasai Peechu Kattu Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Varmam application Asanam | 14 – 35
Days
|
6 | Paanikkamba
vaatham,
Sirakamba vaatham
| · Tremor · Stiffness of muscles · Muscle weakness · Difficulty in walking · Sluttering movements · Difficulty in speech | Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu Patru Pottanam Pasai Peechu Kattu Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri
Vedhu Thuvalai Pranayamam Varmam application Asanam
| 14- 28
Days
|
7 | Arpudtha Vaatham,
Muga Vaatham
(Facial Paralysis)
| · Weakness of facial muscles · Drooping of eye lids · Numbness of facial muscles · Salivation | Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu Patru Pottanam Pasai Peechu Kattu Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Varmam application
Asanam
| 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
Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu Patru Pottanam Pasai Peechu Kattu Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Varmam application
Asanam
| 14-28
Days
|
9 | Vali Keelvayu
(Rheumatic Fever & Arthritis)
| · Pain and swelling in the joint · Immobility · Fever
· low back Pain
· Fleeting arthritis | Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai
paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu Patru Pottanam Pasai Peechu Kattu Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Varmam application
Asanam
| 14-28
Days
|
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
Ennai Kizhi Ennai Kattu Ennai Poochu
Nasiyam
Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu
Patru Pottanam Pasai Peechu Kattu Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Varmam application
Asanam
| 14-28
Days
|
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 / Vaanthi / Kutram thannilai paduthal
Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi
Poochu
Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam Varmam application Asanam | 14-28
Days
|
12 | Thol Noikal,
Kalanjaga Padai, Karappan, Pathinen Vagai Kuttam
(18 Types Kuttam – Skin Diseases), (Lichen Planus, Psoriasis, Eczema) | · Discolouration of skin · Patches · Itching · Scaling · Oozing · Peeling · Burning sensation · Numbness · Rashes | Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai paduthal
Dhaniya Kizhi
Ennai Poochu Kaaram Kalimbu
Kali
Kattu
Kuruthi Vaangal
Kalikkam Neer Pugai Poochu Patru Pasai
Patti Kattal
Seelai
Podi
Attai vidal Peechu Nasiyam Suttigai Varthi Vedhu Aruvai Asanam
Pranayamam
Varmam application
| 8-28
Days
|
13 | Pun, Katti,
Koppulam, Kiranthi, Pilavai
(Cellulitis, Necrotising Cellulitis, Erysipelas, Impetigo, Pemphiguos Vulgaris, Carbungle etc., ) | · Ulcer · Rashes · Blisters · Itching · Oozing · Burning sensation · Pain · Suppuration | Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai paduthal Dhaniya Kizhi Ennai Poochu
Kaaram Kalimbu Kali Kattu Kuruthi Vaangal
Kalikkam Neer Pugai Poochu Patru Pasai
Patti Kattal
Seelai
Podi
Attai vidal Peechu Nasiyam
Suttigai
Varthi Vedhu Aruvai Asanam
Pranayamam
Varmam application
| 7- 28
Days
|
14 | Moolam, Pouthiram,
Asana Vaai Vedippu, Katti, Adithallal (Haemorrhoids,
Fistula In Ano, Fissure In Ano, Perianal abscess, Rectal prolapse etc.,) | · 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
Kuruthi Vaangal
Keeral Kaaram Kalikkam Kalimbu
Kaara Nool Sikitchai
Podi Patru Peechu Pasai Pugai Salaagai Attai Vidal Vedhu Varthi/Thiri Suttigai Seelai Aruvai
Kali Asanam Pranayamam Varmam application | 7- 14
Days
|
15 | Vindhanu | · Fertility disorders (Male) | Ennai Kuzhiyal | 14-48 |
Kuraipaadu, Malattu
Thanmai
(Male Reproductive
Disorders)
| · Oligospermia · Asthinospermia · Teratozoospermia · Azoospermia · Erectile dysfunction · Spermatorrhoea | Kalichal / Vaanthi /
Kutram thannilai paduthal Kalikkam
Kali Kattu Pattru Pottanam Ottradam Attai vidal Dhaniya Kizhi Poochu Asanam Pranayamam Varmam application | Days | |
16 | Karuppai Noikal,
Soothaga Kattu, Soothaga Vali, Sinaippai Neer Katty, Athi Uthirapokku (Amenorrhoea, Dysmenorrhoea, Anovulatory, PCOD / PCOS, D.U.B, Menopausal
Disorders) | · Irregular menstruation · Painful menstruation · Excessive menstruation · Excessive Vaginal discharge. · Uterine prolapse | Ennai Kuzhiyal
Kalichal / Vaanthi / Kutram thannilai paduthal
Kalikkam
Kali Kattu Pattru Pottanam Ottradam Attai vidal
Dhaniya Kizhi Poochu Asanam Pranayamam Varmam application | 14- 48
Days
|
17 | Thasai Vaatham
(Muscular Dystrophy)
| · Weakness of muscles · Muscle wasting · Muscular hypertrophy · Difficulty in | Ennai Kuzhiyal
Kalichal / Vamanam / Aamum Neekal
Ennai Poochu | 14-48
Days
|
movements | Ennai Kattu
Pattru Poochu Pasai Kali
Ottradam Pottanam Podithimirthal Varmam application | |||
18 | Kan Noigal
(Refractive Errors, Amblyopia, Chronic Allergic & Inflamatory Diseases, Chronic Conjunctivitis, Dry Eye Syndrom,Retinitis Pigmentosa, Night Blindness, Dacrocystitis,
A.R.M.D,
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 / Vaanthi / Kutram thannilai paduthal Kattu
Mai Kalikkam Poochu Neer Salaagai Peechu Ottradam Thokkanam Pranayamam Asanam Varma Thadaval
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
Kalikkam Nasiyam Kattu Ottradam Pottanam | 7- 21
Days
|
Nasigaparanam
Pasai Kali Vedhu Poochu
Ennai Poochu
Pattru Thiri Pugai
Sira Thokkanam
Suttigai
Attaividal
Varma Thadavul Pranyamam Asanam
Varmam application | ||||
20 | Enbu Murivu / Mootu
nazhuval / (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 / Vaanthi / Kutram thannilai paduthal
Kattu
Kombu Kattal Kalimbu Poochu Poochu Ottradam Pottanam
Pasai Murichal Thokkanam Asanam Pranayamam Varmam application | 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
Thokkanam Asanam Pranayamam Varmam application | ||
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
Poochu Ottradam Pottanam Pasai Thokkanam Kali Patru Peechu Attail vidal Suttigai Asanam Pranayamam
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
Poochu | 14- 28
Days
|
Ottradam
Pottanam Pasai Thokkanam Kali
Patru Peechu Attail vidal Suttigai Seelai Asanam Pranayamam
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 / Vaanthi / Kutram thannilai paduthal
Kalikkam
Nasiyam Kattu Ottradam Pottanam
Nasigaparanam
Pasai Kali Vedhu Poochu
Ennai Poochu
Pattru Thiri Pugai
Sira Thokkanam
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 / Vaanthi / Kutram thannilai paduthal
Kalikkam Nasiyam Kattu Ottradam Pottanam Nasigaparanam
Pasai Kali Vedhu Poochu
Ennai Poochu
Pattru Thiri Pugai
Sira Thokkanam
Suttigai
Attaividal
Varma Thadavul Pranyamam Asanam
Varmam application | 14- 48
Days
|
26 | Kuzhanthai Noigal
(Paediatric diseases such as Sirakamba vatham, Thasai vatham, Valippu,
Autism)
| · Cerebral palsy · Infantile paralysis · Myopathy · Mental retardation · Nutritional disorders · Seizures | Ennai Kuzhiyal
Kalichal / Vamanam / Aamum Neekal
Ennai Poochu
Ennai Kattu
Pattru
Poochu Pasai Kali
Ottradam Pottanam Podithimirthal Varmam application | 14- 48
Days
|
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 / Vaanthi / Kutram thannilai paduthal
Kalikkam Nasiyam Kattu Ottradam Pottanam Nasigaparanam
Pasai Kali Vedhu Poochu
Ennai Poochu
Pattru Thiri Pugai
Sira Thokkanam
Suttigai
Attaividal
Varma Thadavul Pranyamam Asanam
Varmam application | 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) (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) 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.
*****
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-
YOGA
S. No. | Disease | Therapies | Charges per day | Minimum duration of treatment | Repetition |
1. | Musculo-skeletal disorders like Arthritis, Cervical or Lumbar Spondylitis, Backache etc. | Yogic SukshmaVyayaam, Yogasana, Pranayama, Bandha&Mula, Dhyana/Yoganidra. | Rs. 500/- to 1000/- | 4 weeks | At least 2 weeks after the first course of treatment, if needed |
2. | Cardiovascular disorders | Ahara, Yogic SukshmaVyayaam, Yogasana, Pranayama, Mantra Japa,Yoganidra | Rs. 500/- to 1000/- | 2 weeks | At least one week after the first course of treatment, if needed |
3. | Cancer rehabilitation | Ahara, Shat Karma, Yogasana,Pranaya ma,Mantra Japa,Dhyana, Yoganidra | Rs. 500/- to 1000/- | 3-4 weeks | At least 10 days to 2 weeks after the first course of treatment, if needed |
4. | Psychiatric conditions, Depression, Anxiety, Insomnia etc. | Shat Karma, Yogic SukshmaVyayaam, Suryanamaskar, Yogasana, Pranayama,Bandha &Mula, Mantra Japa, Dhyana. | Rs. 500/- to 1000/- | 3-4 weeks | At least 10 days to 2 weeks after the first course of treatment, if needed |
5. | Metabolic disorder, Diabetes, Obesity, etc. | Ahara, Shat Karma, Suryanamaskar, Yogasana, Pranayama, Mantra Japa, Dhyana. | Rs. 500/- to 1000/- | 6 weeks | At least 3 weeks after the first course of treatment, if needed |
6. | Psychosomatic Disorders, Irritable Bowel Syndrome (IBS), Constipation, | Ahara, Shat Karma, Yogasana, Pranayama,Mantra Japa, Yoganidra | Rs. 500/- to 1000/- | 3 weeks | At least 2 weeks after the first course of treatment, if |
Acidity, etc. | needed | ||||
7. | Asthma, Chronic respiratory disorder | Ahara, Shat Karma,Yogic SukshmaVyayaam, Yogasana, Pranayama, Bandha&Mula, Mantra Japa, Dhayana | Rs. 500/- to 1000/- | 4 weeks | At least 2 weeks after the first course of treatment, if needed |
8. | Sinusitis, Migraine, etc. | Ahara, Shat Karma,Yogasana, Pranayama, Mantra Japa, Yoganidra | Rs. 500/- to 1000/- | 3 weeks | At least 2 weeks after the first course of treatment, if needed |
NATUROPATHY
S. No. | Disease |
Therapies
| Rate per day | Minimum duration of treatment | Repetition |
01 | Diabetes mellitus | Full body / local massage, steam bath, Hip bath, Alternate Hip bath, Mud bath/ mud pack, Underwater massage, Packs, Naturopathy diet | Rs. 500/- to 1000/- | 15 days | After 6 months |
02 | Obesity | Fasting, Full body/local Dry massage, steam bath, Hip bath, Alternate Hip bath, Mud bath/ mud pack, Full wet sheet pack, Underwater massage, Naturopathy diet | Rs. 500/- to 1000/- | 21 days | After 6 months |
03 | Metabolic disorders | Fasting, Full body/local Dry massage, steam bath, Hip bath, Alternate Hip bath, Mud bath/ mud pack, Full wet sheet pack, Full Immersion bath, Underwater massage, Naturopathy diet | Rs. 500/- to 1000/- | 15 days | After 6 months |
04 | Hypertension and Cardio- vascular diseases | Full body / local massage, steam bath, Spinal bath, Arm & Foot bath, Mud bath/ mud pack, Full wet sheet pack, local packs, Naturopathy diet | Rs. 500/- to 1000/- | 15 days | After 6 months |
05 | Bronchial asthma/ Chronic bronchitis | Full body / local massage, steam bath, Spinal bath, Arm & Foot bath, Mud bath/ mud pack, chest pack, Facial steam, Naturopathy diet | Rs. 500/- to 1000/- | 15 days | After 6 months |
06 | Arthritis (Osteo, Rheumatoid, Gout) | Full body / local massage, steam bath, Local steam, Spinal bath, Arm & Foot bath, Full Immersion bath, Mud bath/ mud pack, packs, Naturopathy diet | Rs. 500/- to 1000/- | 15 days | After 6 months |
07 | Musculo- skeletal disorders (Low back pain, sciatica, cervical spondylosis) | Full body/ local massage, steam bath, Spinal bath, Arm & Foot bath, Local steam, Full Immersion bath, Mud bath/ mud pack, packs, Naturopathy diet | Rs. 500/- to 1000/- | 15 days | After 6 months |
08 | Skin disorders (Psoriasis, Eczema) | Full body/ local massage, steam bath, Spinal bath, Local steam, Full Immersion bath, Mud bath/ mud pack, packs, Full wet sheet Pack, Naturopathy diet | Rs. 500/- to 1000/- | 21 days | After 6 months |
2. Unit Cost of YOGA/ NATUROPATHY therapies/interventions in OPD/IPD -:
Unit cost per therapy/ intervention means cost of procedure including cost of medicines used in the procedure as under:
YOGA
S.No. | Procedures/ Treatment | Rate per
unit.
|
01 | Jalaneti(OPD) | Rs. 050/- |
02 | Sutra neti(OPD) | Rs. 050/- |
03 | Dugdhaneti(OPD) | Rs. 100/- |
04 | Ghritaneti(OPD) | Rs. 100/- |
05 | Kunjala / Vamanadhouti(OPD) | Rs. 100/- |
06 | Vastradhouti(OPD) | Rs. 100/- |
07 | Jalabasti(OPD) | Rs. 150/- |
08 | Sthalabasti(OPD) | Rs. 050/- |
09 | Moolashodhana/ Chakri karma (OPD) | Rs. 050/- |
10 | Shankhaprakshalana (with therapeutic diet) (OPD) | Rs. 500/- |
11 | Kapalabhati (OPD) | Rs. 025/- |
12 | Nauli (OPD) | Rs. 050/- |
13 | Trataka (Jyoti) (OPD) | Rs. 050/- |
14 | Shat karma package – I (Jalaneti, Sutra neti andKapalabhati) (OPD) | Rs. 150/- |
15 | Shat karma package – II (Jalaneti, Sutra neti, Kunjala/VastraDhouti
and Kapalabhati) (OPD)
| Rs. 200/- |
16 | Trataka package (Jatrutrataka, JyotiTrataka, Eye wash and
relaxation technique) (OPD)
| Rs. 100/- |
17 | Individual Yoga Therapy Session (Yogic Sukshmavyayama, Surya
namaskar, Yogasana, Relaxation) (Minimum one hour duration) (OPD)
| Rs. 100/- |
18 | Individual Pranayama/ Dhyana (Meditation) session (Minimum one
hour duration) (OPD)
| Rs. 100/- |
19 | One day individual Yoga therapy package (Shatkarma, Yogasana,
Pranayama, Dhyana) (around 3 hours) (OPD)
| Rs. 250/- |
20 | One week individual Yoga therapy package (Shatkarma, Yogasana,
Pranayama, Dhyana etc.) (Minimum 1 hour daily) (OPD)
| Rs. 500/- |
21 | One month individual Yoga therapy package (Shatkarma, Yogasana,
Pranayama, Dhyana etc.) (Minimum 1 hour daily) (OPD)
| Rs. 1,500/- |
22 | One week Yoga therapy package (3-4 hours per day) (OPD) | Rs. 1,500/- |
23 | Two weeks Yoga therapy package (3-4 hours per day) (OPD) | Rs. 2,500/- |
24 | One month Yoga therapy package (3-4 hours per day) (OPD) | Rs. 5,000/- |
25 | One week Yoga therapy package (Indoor) / (IPD) | Rs. 10,000/- |
26 | Two weeks Yoga therapy package (Indoor) / (IPD) | Rs. 18,000/- |
27 | Three weeks Yoga therapy package (Indoor) / (IPD) | Rs. 25,000/- |
NATUROPATHY
S.No. | Procedures/ Treatment | Rate per unit |
JalChikitsa (Hydrotherapy) | ||
01 | Hip bath | Rs. 150/- |
02 | Spinal bath | Rs. 100/- |
03 | Spinal spray | Rs. 200/- |
04 | Arm/ Foot bath | Rs. 150/- |
05 | Full Immersion bath | Rs. 200/- |
06 | Local jet spray | Rs. 200/- |
07 | Under Water Massage | Rs. 350/- |
08 | Deluxe Hydro Massage | Rs. 400/- |
09 | Whirl pool bath | Rs. 400/- |
10 | Circular jet bath | Rs. 350/- |
11 | Enema | Rs. 100/- |
12 | Colon Hydrotherapy | Rs. 500/- |
13 | Local steam | Rs. 100/- |
14 | Full body steam | Rs. 200/- |
15 | Sauna bath | Rs. 250/- |
MardanaChikitsa. | ||
16 | Full body Mardana | Rs. 300/- |
17 | Local Mardana | Rs. 150/- |
18 | Dry Mardana | Rs. 200/- |
Packs / Fomentation | ||
19 | Full wet sheet pack or Fomentation | Rs. 150/- |
20 | Local pack / Fomentation(chest, abdomen, leg etc.) | Rs. 100/- |
Mud Therapy | ||
21 | Full Body Mud Bath | Rs. 250/- |
22 | Local Mud pack / Application | Rs. 100/ – |
Chromo Therapy | ||
23 | Thermoleum Sun bath | Rs. 200/- |
Naturopathy Therapeutic Diet | ||
24 | Naturopathy diet (Single Serve) | Rs. 100/- |
Package Treatments with minimum 3 procedures. | ||
25 | One day package treatment (OPD) | Rs. 750/- |
26 | One week package treatment (OPD) | Rs. 3,500/- |
27 | Two weeks package treatment (OPD) | Rs. 6,000/- |
28 | Three weeks package treatment (OPD) | Rs. 9,000/- |
29 | One week package treatment (IPD) | Rs. 10,000/- |
30 | Two weeks package treatment (IPD) | Rs. 18,000/- |
31 | Three weeks package treatment (IPD) | Rs. 25,000/- |
Note: Any minor / local Naturopathy 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 Unani treatment expenditure under CGHS , following criteria shall be applied-
a) Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
a) Above-mentioned rates of therapies/interventions shall be benchmarks for calculating treatment expenditure.
b) The above unit rates are inclusive of the cost implication of materials, medicines, accessories, equipment maintenance and manpower (medical, paramedical and nursing) and diet used in imparting therapies except room rent of the hospitalization.
c) Pre and post procedure cost will be chargeable @ Rs 75 per day.
d) Room rent , wherever applicable shall be chargeable as per the rates prescribed in the OM.
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