CGHS Rates for Siddha Treatment and Therapies interventions

CGHS Rates for Siddha Treatment and Therapies interventions – Siddha Treatment and Unit Cost under CGHS

CGHS Rates for Siddha Treatment and Therapies interventions – 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

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.

CGHS Rates for Siddha Treatment and Therapies interventions

Siddha treatments under CGHS unit cost

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,

· Persisting or radiating pain in cervical region
· Restricted neck
Ennai Kuzhiyal

Kalichal  /     Vaanthi  / Kutram             thannilai

7- 28

Days

 

Ankylosing

Spondylitis of Cervical Spine, Cervical Disc Prolapse)

movements
· Tenderness
· Numbness
· Vertigo
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

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

7- 28

Days

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

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

7-28 Days
Patru

Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application

Asanam

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

14   –   35

Days

Kali

Suttigai Attai Vidal Ottradam Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application

Asanam

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

14- 28

Days

Varthi / Thiri

Vedhu Thuvalai Pranayamam Varmam application Asanam

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
Ennai Kuzhiyal

Kalichal  /     Vaanthi  / Kutram             thannilai

14-28

Days

·  low back Pain
·  Fleeting arthritis
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

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

14-28

Days

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

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

14-28

Days

Poochu

Patru Pottanam Pasai Peechu Kattu
Kali Suttigai Attai Vidal Ottradam
Varthi / Thiri Vedhu Thuvalai Pranayamam
Varmam application

Asanam

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

8-28

Days

Seelai

Podi

Attai vidal Peechu Nasiyam Suttigai Varthi Vedhu Aruvai Asanam
Pranayamam

Varmam application

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

7- 28

Days

Suttigai

Varthi Vedhu Aruvai Asanam
Pranayamam

Varmam application

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,

·  Cerebral palsy
·  Infantile paralysis
·  Myopathy
·  Mental retardation
·  Nutritional disorders
·  Seizures
Ennai Kuzhiyal

Kalichal  /  Vamanam  / Aamum Neekal
Ennai Poochu

Ennai Kattu

14- 48

Days

Autism) Pattru

Poochu Pasai Kali
Ottradam Pottanam Podithimirthal Varmam application

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.

*****

 

 

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