IMPLEMENTATION INSTRUCTIONS : REVISED ECHS RATES

1. Reference :-

(a) Central Organisation ECHS letter No B/49771/AG/ECHS/Empanelment

dated 05 Dec 2003.

(b) Central Organisation ECHS letter No B/49773/AG/ECHS/CGHS dated

24 Aug 2010 (vide which MoD ID No 22A(48)/2007/US/WE/D(Res) dated
19 Aug 2010 was forwarded to all).

2. Rates for various empanelled hospitals have been revised for Delhi and five
other cities presently and differentiated for NABH Accredited Hospitals, Non NABH
Hospitals and Super Speciality Hospitals by CGHS.

Super Speciality Hospitals

3. Central Organisation of ECHS has received requests for clarification as to

which hospitals will be categorised as “super-speciality hospitals” and which hospitals
can charge rates fixed for Super-speciality hospitals. It has been clarified by the
Ministry of Health and Family Welfare vide their Office Memo No.
S.11011/23/2009-CGHS D.II/Hospital Cell (Part I) dated 13 Sep 2010 for Delhi that
the entitlement of hospitals to super-speciality rates will not be, because hospitals
perceive themselves to be super-speciality hospitals, but subject to their fulfilling the
eligibility conditions for being classified as super-speciality hospitals. These are :-

(a) Hospitals with 300 or more beds.

(b) Should be accredited by NABH or its equivalent such as Joint

Commission International (JCI) of USA, ACHS of Australia or by any other
accreditation body approved by International Society for Quality in Health
Care (ISQua).

(c) Should have ECHS empanelled treatment facilities in at least three of

following Super Specialities in addition to Cardiology, Cardiothoracic Surgery
and Specialised Orthopaedic Treatment facilities that include Joint
Replacement Surgery :-

(i) Nephrology and Urology (including Renal Transplantation).

(ii) Endocrinology.

(iii) Neuro Surgery.

(iv) Gastroenterology and GI-Surgery including Liver

Transplantation.

(v) Oncology-(Surgery Chemotherapy and Radiotherapy).

4. ECHS beneficiaries have, so far, been given the option to get themselves
treated in any empanelled hospital of their choice. However, in view of the increased
outgo on getting treatment in Super Speciality Hospitals, it has now been decided
that ECHS beneficiaries desirous of getting treated in Super Speciality hospitals, in
non emergency conditions, prior approval of the concerned Regional Centres would
have to be obtained.

5. List of hospitals which meet the above criteria at Delhi, Mumbai, Bangalore,
Hyderabad, Kolkata and Chennai and can be qualified as Super Speciality is at
Appendix ‘A’.

6. Further, Station Headquarters be instructed to obtain documentary proof from

the empanelled hospitals and submit the same for categorization of the hospitals as
NABH accredited hospitals and Superspeciality hospitals by 31 Jan 2011.

Zonal Jurisdiction of CGHS Rates

7. Zonal jurisdiction of CGHS rates for ECHS was laid down vide this
Organisation letter No B/49771/AG/ECHS/Empanelment dated 05 Dec 2003.
Revised Zonal Jurisdiction of rates is at Appendix ‘B’ to this letter. (Appendix ‘D’ of
this Organisation letter No B/49771/AG/ECHS/Empanelmentt dated 05 Dec 2003 is
hereby superseded).

Package Rates

8. Package rate shall mean and include lump sum cost of inpatient treatment/
day care/diagnostic procedure for which a ECHS beneficiary has been permitted by
the competent authority or for treatment under emergency from the time of
admission to the time of discharge including (but not limited to) the following :-

(a) Registration charges.

(b) Admission charges.

(c) Accommodation charges including patients diet.

(d) Operation charges.

(e) Injection charges.

(f) Dressing charges.

(g) Doctor/consultant visit charges.

(h) ICU/ICCU charges.

(j) Monitoring charges.

(k) Transfusion charges.

 (l) Anesthesia charges.

(m) Operation Theatre charges.

(n) Procedure charges/Surgeon’s fee.

(o) Cost of surgical disposables and all sundries used during

hospitalization.

(p) Cost of medicines.

(q) Related routine and essential investigations.

(r) Physiotherapy charges etc.

(s) Nursing Care and charges for its services.

9. Cost of implants/stents/grafts is reimbursable in addition to package rates as

per ceiling rates of CGHS for Implants/stents/graft or as per actual, in case there is
no CGHS prescribed ceiling rates. The CGHS ceiling rates presently applicable are
given at Appendix ‘C’ (these rates will be valid till the same are revised by CGHS).

10. Treatment charges for new born baby are separately reimbursable in addition
to delivery charges for mother.

11. The hospitals empanelled under ECHS shall not charge more than the
package rates/rates negotiated in MOA whichever is lower.

12. Package rates envisage upto a maximum duration of indoor treatment as

follows :-

(a) 12 days for Specialised (Super Specialities) treatment.

(b) 7 days for other Major Surgeries.

(c) 3 days for Laparoscopic surgeries/normal deliveries.

(d) 1 day for day care/minor (OPD) surgeries.

13. However, if the beneficiary has to stay in the hospital for his/her recovery for
a period more that the period covered in package rate, in exceptional cases,
supported by relevant medical records and certified as such by hospital, the
additional reimbursement shall be limited to accommodation charges as per
entitlement, investigations charges at approved rates and doctors visit charges (not
more than 2 visit per day per visit by specialists/consultants and cost of medicines
for additional stay).
14. No additional charge on account of extended period of stay shall be allowed if
that extension is due to infection on the consequences of surgical procedure or due
to any improper procedure and is not justified.

15. The package rates are for semi-private ward.

16. The ECHS beneficiaries taking treatment in the empanelled hospitals will be
entitled for reimbursement/treatment on credit as per the package rates/rates as
per MOA whichever is lower. The package rates are for semi-private ward. If
the beneficiary is entitled for general ward there will be a decrease of 10% in the
rates. For private ward entitlement there will be an increase of 15%. However, the
rates shall be same for investigation irrespective of entitlement, whether the patient
is admitted or not and the test per se does not require admission to hospital.

17. A hospital empanelled under ECHS whose normal rates for treatment
procedure/test are lower than ECHS prescribed rates shall charge as per the rates
charged by them for that procedure/treatment from a non ECHS beneficiary and will
furnish a certificate to the effect that the rates charged from ECHS beneficiaries are
not more than the rates charged by them from non ECHS beneficiaries.

18. During in patient treatment of the ECHS beneficiary, the hospital will not ask
the beneficiary or his/her attendant to purchase separately the medicines/sundries/
equipment or accessories from outside and will provide the treatment within the
package rate, fixed by the ECHS which includes the cost of all the items.

19. In case of treatment taken in emergency in any non-empanelled private

hospitals, reimbursement shall be considered by competent authority at ECHS
prescribed packages/rates only.

20. If one or more minor procedures form part of a major treatment procedure,
then package charges would be permissible for major procedure and only at 50% of
charges for minor procedure.

21. Any legal liability arising out of such services, responsibility solely rests on the
hospital and shall be dealt with by the concerned empanelled hospital themselves.

Definition of Wards

22. Private Ward. Private ward is defined as a hospital room where single
patient is accommodated and which has an attached toilet (lavatory and bath).
The room should have furnishing like wardrobe, dressing table, bed-side table, sofa
set, carpet etc as well as a bed for attendant. The room has to be air-conditioned.

23. Semi Private Ward. Semi private ward is defined as a hospital room
where two to three patients are accommodated and which has attached toilet
facilities and necessary furnishings.

24. General Ward. General ward is defined as halls that accommodate four
to ten patients.
25. Normally treatment in higher category of accommodation than the entitled
category is not permissible. However, in case of an emergency when the entitled
category accommodation is not available, admission in the immediate higher
category may be allowed till the entitled category accommodation becomes
available. However, if a particular hospital does not have the ward as per
entitlement of beneficiary, then the hospital can only bill as per entitlement of the
beneficiary even though the treatment was given in higher type of ward.

Entitlement of Ward

26. ECHS beneficiaries are entitled to facilities of private, semi-private or general

ward depending on their Rank at the time retirement. The entitlement is as
follows :-

Ser Rank at the time or retirement Entitlement

(a) NCOs & below of Army & equivalent in Navy & General Ward
Air Force
(b) JCOs in Army & equivalent in Navy & Air Force Semi Private Ward

(c) Officers of Army, Navy and Air Force Private Ward

MOA with Empanelled Hospitals

27. All Station Headquarters where rates have changed be instructed to sign fresh
MsOA with their respective empanelled hospitals with fresh negotiated rates as per
Appendix ‘B’ to this letter. Rates in no case shall exceed CGHS rates. This must be
done earliest but not later than two months from the date of issue of this letter. The
rates for NABH accredited hospitals will be supported by documentary proof. For
Station Headquarters where rates have not been changed/affected presently, it is
the responsibility of the concerned Station Headquarters to negotiate and sign
fresh MsOA within two months of the declaration of the revised CGHS
rates as applicable as per letters at para 1 above.

28. Kindly ensure speedy dissemination to all concerned in your AOR.

Sd/- X X X

MD ECHS
Authority:B/49773/AG/ECHS/Rates/Policy.10 Jan 2011
 Appendix ‘A’
(Refer to para 5 of Central Organisation
ECHS letter No B/49773/AG/ECHS/Rates/
Policy dated ___ Jan 2011)

LIST OF HOSPITALS MEETING CRITERIA FOR

SUPERSPECIALITY HOSPITAL

Ser Name of Hospitals Cities

1. Kailash Hospital Noida

2. Sir Gangaram Hospital Delhi

3. Indraprastha Apollo Hospital Delhi

4. Wockhard Hospital Mumbai

5. Manipal Hospital Bangalore

6. Narayana Hridayalaya Bangalore

7. Apollo Hospital Hyderabad

8. Medvin Hospital Hyderabad

9. Apollo Hospital Chennai

10. Sri Ramachandra Medical Centre Chennai

11. Apollo Gleaneagles Hospital Kolkata

 8
Appendix ‘B’
(Refer to para 8 of Central Organisation
ECHS letter No B/49773/AG/ECHS/Rates/
Policy dated ___ Jan 2011)

ZONAL JURISDICTION – RATES FOR REIMBURSEMENT/PAYMENT OF

MEDICAL EXPENSES
Ser State CGHS Rates Remarks
Applicable
States
1. Jammu & Kashmir Jammu Rates applicable for Chandigarh
till promulgation of CGHS
Jammu rates.
2. Himachal Pradesh Jammu -do-
3. Punjab Chandigarh CGHS Delhi 2010 rates till
promulgation of second revision
CGHS Chandigarh rates
4. Haryana Chandigarh -do-
5. Delhi and NCR Delhi Delhi 2010 CGHS rates
Region promulgated vide MOH &
FW/OM MOH & FW office
memorandum No S
11011/23/2009-CGHS D-II/
Hospital Cell (Part I) dated 17 Aug
2010.
6. Uttar Pradesh Lucknow (except Pre 2006 rates applicable for
districts under Lucknow till promulgation of
Allahabad, second revision of Lucknow
Meerut, Kanpur rates by CGHS.
Area)
Allahabad (except Pre 2006 rates applicable for
districts under Allahabad till promulgation of
Lucknow, Meerut, second revision of Allahabad
Kanpur) rates by CGHS.
Meerut (except Pre 2006 rates applicable for
districts under Meerut till promulgation of
Lucknow, second revision of Meerut rates
Allahabad, by CGHS.
Kanpur)
Kanpur (except Pre 2006 rates applicable for
districts under Kanpur till promulgation of
Lucknow, Meerut, second revision of Kanpur rates
Allahabad) by CGHS.
7. Uttaranchal Dehradun Rates applicable for Lucknow till
promulgation of second revision
of Dehradun rates by CGHS.
 9

Ser State CGHS Rates Remarks

Applicable
8. Bihar Patna Pre 2006 rates applicable for
Patna till promulgation of
second revision of Patna rates
by CGHS.
9. Jharkhand Ranchi Pre 2006 rates applicable for
Ranchi till promulgation of
second revision of Ranchi rates
by CGHS.
10. Orissa Bhubaneshwar Rates applicable for Ranchi till
promulgation of second revision
of Bhubaneshwar rates by
CGHS.
11. West Bengal Kolkata Kolkata 2010 CGHS rates
promulgated vide MOH &
FW/OM MOH & FW office
memorandum No S
11011/23/2009-CGHS D-II/
Hospital Cell (Part V) issued in Aug
2010.
12. Sikkim Kolkata Rates as applicable for Kolkata.
13. Assam Guwahati Kolkata 2010 CGHS rates till
promulgation of second revision
of Guwahati rates by CGHS.
14. Meghalaya Shillong Rates as applicable for
Guwahati till promulgation of
CGHS Shillong rates.
15. Mizoram Guwahati Rates as applicable for
Guwahati.
16. Tripura Guwahati -do-
17. Manipur Guwahati -do-
18. Nagaland Guwahati -do-
19. Arunachal Guwahati -do-
Pradesh
20. Madhya Pradesh Bhopal Rates applicable for Jabalpur
till promulgation of second
revision of Bhopal rates by
CGHS.
Jabalpur Pre 2006 rates applicable for
Jabalpur till promulgation of
second revision of Jabalpur.
 10

Ser State CGHS Rates Remarks

Applicable
21. Chattisgarh Jabalpur Pre 2006 rates applicable for
Jabalpur till promulgation of
second revision of Jabalpur
rates by CGHS.
22. Rajasthan Jaipur Pre 2006 rates applicable for
Jaipur till promulgation of
second revision of Jaipur rates
by CGHS
23. Gujarat Ahmedabad Pre 2006 rates applicable for
Ahmedabad till promulgation of
second revision of Ahmedabad
by CGHS.
24. Maharashtra Mumbai & Thane Mumbai 2010 CGHS rates
(except districts promulgated vide MOH &
under Pune, FW/OM MOH & FW office
Nagpur Area) memorandum No S
11011/23/2009-CGHS D-II/
Hospital Cell (Part II) dated 17
Sep 2010.
Pune (except Pre 2006 rates applicable for
districts under Pune till promulgation of
Mumbai, Thane second revision of Pune rates
and Nagpur by CGHS.
Nagpur (except Pre 2006 rates applicable for
districts under Nagpur till promulgation of
Mumbai, Thane second revision of Nagpur rates
and Pune) by CGHS.
25. Goa Pune Rates as applicable for Pune.
26. Karnataka Bangalore Bangalore 2010 CGHS rates
promulgated vide MOH &
FW/OM MOH & FW office
memorandum No S
11011/23/2009-CGHS D-II/
Hospital Cell (Part III) issued in
Aug 2010.
27. Kerala Trivandrum Pre 2006 rates applicable for
Trivandrum till promulgation of
second revision of Trivandrum
rates by CGHS.
 11

Ser State CGHS Rates Remarks

Applicable
28. Tamil Nadu Chennai Chennai 2010 CGHS rates
promulgated vide MOH &
FW/OM MOH & FW office
memorandum No S
11011/23/2009-CGHS D-II/
Hospital Cell (Part VI) issued in
Aug 2010.
29. Andhra Pradesh Hyderabad Hyderabad 2010 CGHS rates
promulgated vide MOH &
FW/OM MOH & FW office
memorandum No S
11011/23/2009-CGHS D-II/
Hospital Cell (Part IV) dated 16
Sep 2010.
Union Territory
30. Chandigarh Chandigarh Rates as applicable for
Chandigarh
31. Andaman & Chennai Rates as applicable for Chennai.
Nicobar Islands
32. Puducherry Chennai -do-
33. Lakhsadeep Trivandrum Rates as applicable for
Islands Trivandrum.
34. Daman Diu Mumbai Rates as applicable for Mumbai
35. Dadra & Nagar Mumbai -do-
Haveli
 12

Appendix ‘C’
(Refer to para 10 of Central Organisation
ECHS letter No B/49773/AG/ECHS/Rates/
Policy dated ___ Jan 2011)

CGHS CEILING RATES FOR IMPLANTS

Cardiology Implantation Devices

1. The ceiling rates for Cardiology Implantation Devices are as under :-

Name of the item Maximum Ceiling Rate

(a) Coronary stent
(i) Cypher stent Rs.95,000/- + VAT
(ii) Taxus Stent Rs.67,300/- + VAT
(iii) Endeavor Rs.85,000/- + VAT
(iv) Xience VEECSS Rs.95,000/- + VAT
(v) Yukon Choice Rs.55,000/- + VAT
(vi) Bare Metal Stent Rs.50,000/- (inclusive all )
(b) Rotablator Rs.50,000/-
(c) Pacemaker ( Single Chamber)
(i) Without rate response Rs.37,000/-
(ii) With rate response Rs.65,000/-
(d) Pacemaker (Dual Chamber) Rs1,15,500/-

2. Prior approval to be obtained as per Central Org letter No B/49773/AG/ECHS

dated 12 May 2006. The reimbursement for implants will be as per ceiling rates
above or actual cost whichever is lesser.

3. A maximum of three Coronary stents shall be permitted of which not more

than two shall be of Drug Eluting Stents (DES). However, DES shall be permitted
only for patients where re-stenosis will involve high risk to patient’s life,. i.e

(a) Osteal/Proximal LAD lesions.

(b) Stenosis of a Coronary artery, which is giving collaterals to another

blocked artery, thus supplying a large area of myocardium.

(c) Stenting of restenotic lesions after previous angioplasty.

(d) Permission shall be granted as per laid down procedure.

4. If a beneficiary under ECHS has been implanted by any other non approved
drug coated stent or a drug eluting stent is implanted in conditions other than those
mentioned above, reimbursement shall be limited to the cost of Bare metal stent.
 13

5. If a non-approved drug eluting stent (DES) is implanted or a drug eluting

stend (DES) is implanted in conditions other than those mentioned above in an
empanelled hospital and no written informed consent was obtained from the
beneficiary, that he/she would bear the difference in cost between the DES and Bare
Metal Stent and the hospital has charged this amount from the beneficiary. the
additional amount shall be deducted from the pending bills of hospitals and shall be
paid to the beneficiary.

6. It is essential for the empanelled hospital to quote the Batch number when a
coronary stent of any type ( Ordinary metal/Drug Eluting stent) is implanted in the
case of a beneficiary under ECHS. In addition to this the outer pouch of the stent
packet alongwith the sticker on it on which details of the stent are printed alongwith
invoice shall also be enclosed with the medical bills for claiming reimbursement from
the Govt. In case the private empanelled hospital has not given the batch number
and or outer pouch of the stent (s) in a particular case, the cost for stents will not be
reimbursed (for reimbursement claims). In case of empanelled hospitals, the bills
without supporting documents as above will NOT be accepted.

Neuro Implant

7. The ceiling rates for Neuro Implant are as under :-

Name of the item Ceiling Rate Cost of Battery

DBS Implants (Including MER) Rs. 3,60,000/- Rs. 2,50,000/-
Intra Thecal Pumps (Intra Thecal Rs. 2,62,000/- Rs. 2,25,000/-
Beclofen Pump, Intra Thecal
Morphine Pump)
Spinal Cord Stimulator Rs. 2,62,000 Rs. 2,00,000

8. Prior approval to be obtained as per Central Org letter No dated

12 May 2006. Original Invoice alongwith the warranty/Implant stickers to be
submitted alongwith claims. The reimbursement/payments for implants will be as
per ceiling rates above or actual cost whichever is lesser.

9. Guidelines.

(a) DBS Implant. The patient should be a case of idiopathic

Parkinsonism resistant to conservative treatment. ECHS/patient shall be
informed in writing by treating specialist of the cost of implant and the efficacy
of the treatment.

(b) Intra Thecal Pumps (Intra Thecal Beclofen Pump, Intra Thecal
Morphine Pump)/Spinal Cord Stimulator. All conservative treatment
procedures have failed and the diagnosis was confirmed. Treating specialist
shall certify that there is reasonable chance of survival of terminally ill patient.
Therapeutic trials shall be conducted and recommendation should be based on
positive therapeutic trials. The treating specialist shall certify as such in writing.
ECHS/patient shall be informed in writing by treating specialist of the cost of
implant and the efficacy of the treatment.
 14

10. Warranty. The company offers limited warranty for two yrs from date of
Implantation to provide free replacement in the case of battery failure or if
malfunctioning of the device is reported by the concerned Physician. The company
shall also supply all the implants with not more than 1/6 of the life of battery
exhausted.

11. Life/Replacement of Batteries

(a) Life of Battery is 3-5 years in case of DBS Implants and Spinal cord
stimulator depending on parameters selected for stimulation and usage and
up to 7 years in case of Intrathecal Infusion pump.

(b) Replacement of Battery before 4 years may be permitted in exceptional

cases on the basis of justification by the treating specialist and shall be
considered on a case to case basis by Central Organisation ECHS.

Hip Knee Implants

12. The ceiling rates for Hip Knee Implants are as under :-

Name of the item Maximum Ceiling Rate

Knee Implant Rs. 60,000/- + the cost of bone cement Rs.5,000/-
Hip Implant Rs.35,000/- + the cost of Bone cement Rs.5,000/-

13. The treating orthopaedic specialist shall issue a certificate to the effect that
the implant has been implanted successfully and is functioning satisfactorily.

14. Invoice alongwith the Implant stickers will be submitted alongwith bills/
claims. The reimbursement/payments for implants will be as per ceiling rates
above or actual cost whichever is lesser.

IOL

15. The ceiling rates for IOL are as under :-

Name of the item Maximum Ceiling Rate

Hydrophobic Foldable IOL Rs.5,000/-
Silicon Foldable IOL Rs.3,600/-
Hydrophilic Acrylic Lens Rs.5,800/-
PMMA IOL Rs. 490/-

16. The ceiling rates mentioned above for different types of IOL implants to be
used will be as per actual expenditure or the rates mentioned whichever is less and
will be reimbursable in addition to the package rates for cataract surgery procedure.
 15

17. The reimbursement at the above mentioned ceiling rates will be done as per
the rates fixed for the various IOL mentioned above and the IOL actually used in the
surgery. It is mandatory for the operating surgeon of all private empanelled
hospital/ECHS beneficiaries to attach the empty IOL sticker, bearing the signature
and stamp of the operating surgeon on it, alongwith the bill in support of the type of
IOL used, containing its batch number. In the event of the private empanelled
hospital not giving the batch number and/or empty IOL sticker in a particular case,
the cost for IOL will not be reimbursed (for reimbursement claims). In case of
empanelled hospitals, the bills without supporting documents as above will NOT be
accepted.

Cochlear Implant Surgery

18. The ceiling rate for Cochlear Implant Surgery is Rs 5,35,000/- (Rupees five
lacs and thirty five thousands only).

19. The best results are achieved if cochlear implants take place between the age
of 1-5 years. Hence it is therefore proposed to permit reimbursement in a graded
manner. In the pre lingual deafness, total reimbursement of the ceiling rate or
actuals, whichever is less, for cochlear implant will be allowed in respect of implants
carried out on children aged between 1 and 5 years. For children between the
age of 5 and 10 yrs, 80% of the ceiling rate for implant will be reimbursed. For
children above the age of 10 years, but below 16 years of age, only 50% of the
ceiling rate for the implant will be reimbursed.

20. 50% of the cost of the wearable components, e.g. Speech Processor,
Microphone, etc. (excluding cords, batteries) for the purpose of up-gradation and /
or replacement due to wear and tear may be allowed, after a period of three years,
to be considered on the basis of advice of Sr Adv (ENT).

21. Only unilateral implantation will be allowed. As cochlear implant surgery is

a planned surgery, prior permission has to be obtained before the surgery is
undertaken i.e prior approval procedure will be followed.

22. Selection criteria for Cochlear Implant

(a) Pre-lingually deaf children (severe to profound B/L S.N.H. Loss)

(i) Age group between 1 to 16 yrs. However, children using

hearing aids and getting auditory training from age 1 yr of less may be
considered at higher age also on a case to case basis.

(ii) No appreciable benefit from hearing aids after 6 months of trial

with hearing aids. No speech formation seen.

(iii) No mental retardation.

(iv) No active middle ear cleft disease. Perforation of the TM should

be closed at least three months prior to implantation.
 16

(v) No cochlear aplasia and/ or agenesis of cochlear nerve.

(vi) No retro cochlear lesion or central deafness, and

(vii) Good family support for post op rehabilitation

(b) Post- lingually deaf candidates (B/L profound S N H Loss).

(i) There should be no appreciable benefit from hearing aids (both

ears).

(ii) No active middle ear cleft disease.

(iii) Perforation of the TM should be repaired three months prior to

the implantation.

(iv) Deafness should be due to cochlear lesions, and

(v) Post meningitic labyrinthitis osscificans of the cochlea is a

contraindication. However cases like post inflammatory ossification of
cochlea, cochlear dystrophies and cochlear otosclerosis with visible
perilymphatic shadow in MRI are relative indications and can be done
on case to case basis.

23. Type of Implants. Only multi channel cochlear implant duly approved by
appropriate authority should be recommended.

24. Basic pre-op Investigations for Cochlear Implant :

(a) Audiological.

(i) OAE.
(ii) BERA/ASSR.
(iii) Impedence (in children).
(iv) Audiogram/Aided audiogram.

(b) Radiological.

(i) HRCT temporal bone for bony cochlea and middle ear cleft.
(ii) 3D MRI for membranous cochlea, Neural Bundle and brain

(c) IQ/Psychiatric evaluation in children with prelingual deafness.

 LIST OF SUPERSPECIALITY HOSPITALS

Ser Name of Hospitals Recognized for

General Services Specialised Services
1. Kailash Hospital and General Medicine, ENT, Dental Surgery : Neuro Surgery, Plastic and
Research Centre, H-33, (Prosthetic, Periodontal & Reconstructive, Cardiothoracic
Sector-27, Noida- Orthodontics only), Orthopedics, Surgery, Vascular Surgery, Geneto
201301 Microbiology, General Surgery, Urinary Surgery, Pediatric Surgery,
Ophthalmology, Psychiatry, Oncology Surgery, Gastro Intestinal
Blood Bank, Obstetrics and Surgery, Traumatology, Joint
Gynecology, Pediatrics, Replacement, Spinal, Prosthetic and
Dermatology, Pathology and Laparoscopic Surgery.
Radio Diagnosis. Medicine : Neuro Medicine,
Cardiology, Respiratory Disease,
Gastroenterology, Endocrinology,
Nephrology, Clinical Haematology,
Oncology (Medical), Critical Care
Medicine and Interventional
Cardiology.
Radio-diagnosis/Imaging :
MRI
Paediatrics : Nenatology
2. Sir Gangaram Hospital, - Surgery : Heart, Cancer, Renal, Total
Sir Gangaram Hospital Hip/Knee Joint Replacement and
Marg, Delhi Prostate Surgery
3. Indraprastha Apollo Radio-Diagnosis Surgery : Cardiothoracic Surgery,
Hospital, Sarita Vihar, Genito Urinary Surgery (Urology and
Delhi Mathura Road, Lithotripsy), Joint Replacement,
New Delhi – 110044 Prosthetic and Laparoscopic Surgery.
Medicine : Cardiology, Nephrology
(Including Dialysis), Interventional
Cardiology, Radiotherapy and Nuclear
Medicine.
Radio-diagnosis/Imaging :
CT Scan and MRI
Others : Kidney Transplant.
4. Wockhard Hospital Ltd, General Medicine, ENT, Surgery : Neuro Surgery,
Mulund Goregon Link Orthopedics, Microbiology, Cardiothoracic, Vascular Surgery,
Road, Mumbai – General Surgery, Geneto Urinary Surgery, Paediatric
400078 Ophthalmology, Anesthesia, Surgery, Gastro Intestinal,
Blood Bank, Paediatrics, Traumatology, Joint Replacement,
Pathology, Radio-diagnosis and Spinal and Laproscopic Surgery.
Emergency Medicine : Neuro Medicine,
Cardiology, Respiratory Diseases,
Gasto Enterology, Endocranology,
Rheumatology, Critical Care medicine
and Interventional Cardiology.
Radio-diagnosis/Imaging :
CT Scan and MRI.
5. Manipal Hospital, 98, - Heart and Cancer
Rustan Bag Airport
Road, Bangalore
6. Narayana Hridayalaya, - Surgery : Cardiology and Cardiac
Bangalore Surgery.
 2

Ser Name of Hospitals Recognized for

General Services Specialised Services
7. Apollo Hospital, Deccan - Surgery : Heart, Cancer, Renal, Total
Hospital Ltd, Jubilee Hip, Knee, Joint Replacement,
Hills, Phase 3, Prosthetic Surgery (TCRP) and
Hyderabad Lithotripsy
8. Medvin Hospital, - Heart, Cancer and Renal
Raghava Ratana
Towers, Chirag, Ali
Lane, Hyderabad
9. Apollo Hospital, 21 - Surgery : Heart, Cancer, Renal and
Greams Land (Off Total Hip, Knee, Joint Replacement
Greams Road), Chennai and Prosthetic Surgery (TCRP)
10. Sri Ramachandra Gerneral Medicine, ENT, Dental, Surgery : Neuro Surgery, Plastic and
Medical Centre Orthopaedics, Microbiology, Reconstructive, cardiopthoracic
1. Ramachandra Nagar General Surgery, Surgery, Vascular Surgery, Genito
Porur, Chennai – Ophthalmology, Psychiatry, urinary Surgery, Paediatric Surgery,
600116 Blood Bank, Obstetrics and Gastro intestinal Surgery,
Gynaecology, Paediatrics, Traumatology, Joint Replacement,
Dermatology, Pathology and Spinal Surgery and Laparascopic
Radio Diagnosis Surgery
Medicine : Neuro medicine,
Cardiology, Respiratory Disease,
Gastroenterology, Endocrinology,
Nephrology, Rheumatology, Oncology
(Medical), Critical Care Medicine and
Interventional Cardiology.
Radio-diagnosis/Imaging :
CT Scan and MRI.
Paediatrics : Neonatology
Cardiology, Haematology and
Nephrology
11.