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
| · 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 | 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, | 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, | 14 – 35 DAYS |
| 6
| Kampavata(Neur o-spastic conditions, Parkinson’s disease..etc) | · Tremor · Stiffness of muscles · Muscle weakness · Walking difficulty | 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, 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 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, | 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, | 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), | · 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 errors, Chronic Allergic & Inflamatory diseases, 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,
| 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.
| 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-
| S. No . | Disease | Conditions requiring hospitalization | Indicated Therapies required as per the condition of patients | Likely |
|
1 | Shaqīqa | 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 | 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 | 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 | Headache, bodyache, fever | Therapy related Medication, Dalk, Pashoya, Ishāl | 7-28 days |
| 11 | Shahīqa (Pertussis/ Whooping Cough) | Severe episodes of cough | Therapy related | 7-28 days |
| 12 | Iltihāb al-Shu‘ab | 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 | Continuous fever, cough, dyspnoea, pain in chest | Therapy related Medication, Fasd, Ishāl, Hijāma, Zimad and Takmeed | 7-28 days |
| 15 | Ru’af | Recurrent episodes of bleeding from nose | Therapy related Medication, Hijāma, Fasd, | 7-28 days |
| 16 | Salābat-i Kabid | 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 | 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 | Severe pain in stomach, nausea, vomiting | Therapy related Medication, Huqna, Zimad | 7-28 days |
|
21 | Zahīr | repeated urge for defecation, heaviness in abdomen, pain, abdominal distention, tenesmus | Therapy related Medication, Takmīd, Huqna, Ābzan |
7-28 days |
| 22 | Ishāl | 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 | 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 | Loss of appetite, pain abdomen, nausea, vomiting | Therapy related Medication, Fasd, Riyāzat, Hammām and Zimad | 7-28 days |
| 27 | Istisqa’Ziqqi | Abdominal distention, dyspepsia, | Therapy related Medication, Idrār, Ishāl, Tar’riq | 7-28 days |
| 28 | Istisqa’Lehmi | Generalized pitting edema | Therapy related Medication, Tar’riq, Idrār, Hammām, Riyāzat, Hijāma, | 7-28 days |
| 29 | Yaraqān | 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 | 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 | 7-28 days |
| 33 | Waram-i Rahim | 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 | 7-28 days
|
| 36 | Ihtibās-i Tams | 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 | 7-28 days |
|
39 |
Waja‘ al-Mafāsil |
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’ |
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 | 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 | 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’ | 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 | 7-28 days |
| 50 | ‘Izm-i Ghudda-i Mazī Sāda | Urinary hesitance, dribbling | Therapy related | 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:
Therapy/Intervention | ||
S. | 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.
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., 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 | 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 | Ennai Kuzhiyal Kalichal / Vaanthi / Kutram thannilai paduthal Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam 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 Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu 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 Patru Pottanam Pasai Peechu Kattu 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 | 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 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 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 Asanam | 14-28 Days |
| 9
| Vali Keelvayu (Rheumatic Fever & Arthritis)
| · Pain and swelling in the joint · Immobility · Fever · low back Pain | Ennai Kuzhiyal Kalichal / Vaanthi / Kutram thannilai paduthal Thokkanam Ennai Kizhi Ennai Kattu Ennai Poochu Nasiyam 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 Nasiyam Podi Kizhi Illai Kizhi Manar Kizhi Dhaniya Kizhi Poochu 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 Poochu Patru Pottanam Pasai Peechu Kattu | 14-28 Days
|
| 12
| Thol Noikal, Kalanjaga Padai, Karappan, Pathinen Vagai Kuttam
| · Discolouration of skin · Patches · Itching · Scaling · Oozing · Peeling · Burning sensation · Numbness · Rashes
| Ennai Kuzhiyal Kalichal / Vaanthi / Kutram thannilai paduthal Ennai Poochu Kaaram Kalimbu Kattu Kuruthi Vaangal Kalikkam Neer Pugai Poochu Patru Pasai Seelai Podi Attai vidal Peechu Nasiyam Suttigai Varthi Vedhu Aruvai Asanam Varmam application | 8-28 Days
|
| 13
| Pun, Katti, Koppulam, Kiranthi, Pilavai
| · Ulcer · Rashes · Blisters · Itching · Oozing · Burning sensation · Pain · Suppuration
| Ennai Kuzhiyal Kalichal / Vaanthi / Kutram thannilai paduthal Dhaniya Kizhi Ennai Poochu Kalikkam Neer Pugai Poochu Patru Pasai Seelai Podi Attai vidal Peechu Nasiyam Suttigai Varthi Vedhu Aruvai Asanam Varmam application | 7- 28 Days
|
| 14 | Moolam, Pouthiram, Asana Vaai Vedippu, Katti, Adithallal (Haemorrhoids, | · 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 Keeral Kaaram Kalikkam Kalimbu Podi Patru Peechu Pasai Pugai Salaagai Attai Vidal Vedhu Varthi/Thiri Suttigai Seelai Aruvai | 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 | Days | |
| 16 | Karuppai Noikal, Soothaga Kattu, Soothaga Vali, Sinaippai Neer Katty, Athi Uthirapokku (Amenorrhoea, Dysmenorrhoea, Anovulatory, PCOD / PCOS, D.U.B, Menopausal | · Irregular menstruation · Painful menstruation · Excessive menstruation · Excessive Vaginal discharge. · Uterine prolapse | Ennai Kuzhiyal Kalichal / Vaanthi / Kutram thannilai paduthal Kali Kattu Pattru Pottanam Ottradam Attai vidal | 14- 48 Days |
| 17 | Thasai Vaatham (Muscular Dystrophy) | · Weakness of muscles · Muscle wasting · Muscular hypertrophy · Difficulty in | Ennai Kuzhiyal Kalichal / Vamanam / Aamum Neekal | 14-48 Days |
| movements | Ennai Kattu Pattru Poochu Pasai Kali | |||
| 18 | Kan Noigal (Refractive Errors, Amblyopia, Chronic Allergic & Inflamatory Diseases, Chronic Conjunctivitis, Dry Eye Syndrom,Retinitis Pigmentosa, Night Blindness, Dacrocystitis, 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 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 | 7- 21 Days |
| Nasigaparanam Pasai Kali Vedhu Poochu Pattru Thiri Pugai Suttigai Attaividal Varma Thadavul Pranyamam Asanam | ||||
| 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 Kombu Kattal Kalimbu Poochu Poochu Ottradam Pottanam | 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 | ||
| 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 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 | 14- 28 Days |
| Ottradam Pottanam Pasai Thokkanam Kali 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 Nasiyam Kattu Ottradam Pottanam Pasai Kali Vedhu Poochu Pattru Thiri Pugai 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 Pasai Kali Vedhu Poochu Pattru Thiri Pugai Suttigai Attaividal Varma Thadavul Pranyamam Asanam | 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 Kattu Pattru Poochu Pasai Kali | 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 Pasai Kali Vedhu Poochu Pattru Thiri Pugai Suttigai Attaividal Varma Thadavul Pranyamam Asanam | 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.
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.
*****
Download / Read Revised CGHS Rates for Ayurvedic treatment expenditure claims
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