Written by Dr. Sameer Sippy | 

Medically Reviewed by The Medindia Medical Review Team  on Mar 03, 2016

List of Emergency Conditions

The medical emergency conditions included under the purview of CGHS Act are enlisted below:

  • Acute Coronary Syndromes viz. (Coronary Artery By-pass Graft or Percutaneous Trans-Luminal Coronary Angioplasty) including Myocardial Infarction, Unstable Angina, Ventricular Arrhythmias, Paroxysmal Supra- Ventricular Tachycardia, Cardiac Tamponade, Acute Left-Ventricular Failure, Severe Congestive Cardiac Failure, Accelerated Hypertension, Complete Heart Block and Stokes-Adams Attack, Acute Aortic dissection.
  • Acute Limb Ischemia, Rupture of Aneurism, Medical and surgical shock and peripheral circulatory failure.
  • Cerebro-Vascular Attack, Strokes, sudden Unconsciousness, Head Injury, Respiratory failure, De-compensated Lung Disease, Cerebro-Meningeal Infection, Convulsions, Acute Paralysis, Acute Visual Loss.
  • Acute Abdomen
  • RTA (Road Traffic Accident) with injuries including fall
  • Acute Poisoning
  • Acute Renal Failure
  • Acute Abdomen in females including Acute Obstetrical and Gynecological Emergencies.
  • Heat Stroke

O.P.D (Outdoor Patient Department) treatment and subsequent follow-up after hospitalization is not permitted in Private Hospitals and Diagnostic Centres recognized under CGHS. Exceptions for follow-up treatment are permissible in following conditions for a period of 3 to 6 months after conducting the surgical procedure, are as follows:

  • Neuro-surgery
  • Cardiac Surgery including Angioplasty
  • Cancer Surgery, Radiotherapy and Chemotherapy
  • Organ transplant viz. Kidney
  • Knee replacement.
  • RTA (Road Traffic Accident)

References:

  1. National Portal of India - (india.gov.in/citizen/health/cghs.php)
  2. CGHS - Kolkata - (cghskolkata.nic.in)
  3. CGHS - Mumbai - (http://cghsmumbai.gov.in/)

Comments

ajay3015 Monday, March 26, 2018

Respected sir,
one of out official's wife got treated in Max super speciality Hospital , Patparganj during 4.3.2018 to 6.3.2018 towards treatment of 'RT Loower UretericStricture RT secondary PUJO RT Renal Calculus . Where in their billing Hospital has charged for 'Ureteric Catherterisation 50 % is of Rs. 4927/- while as per CGHS Code No. 746 [2014 ] rate is mentioned as Rs. 794/-. The clarification and correct rate is of the procedure may please be given.
Ajay Sharma
Finance HQ
National Productivity Council
Lodhi Road N Delhi

prashanth039 Friday, February 2, 2018

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@Guest Sunday, July 23, 2017

Complain from the TEACHERS of Kendriya Vidyalaya Sangathan KOLKATA REGION.
As a capacity of THE GENERAL SECRETARY, AIKVTA, Kolkata Region, I am complaining against The Additional Director CGHS, Kolkata. Earlier 25 years CGHS facility was continued but now it was stopped from few months and teachers are debarred to avail the CGHS facility. This facility is continued in other metropolitan towns like Mumbai, Delhi, Chennai and other places where this facility is available. We are deducting CGHS contribution every month from salary but By order of The Additional Director CGHS, Kolkata, Wellness Hospitals refused to give treatment. So, I beg for issuing order for treatment of K.V. teachers in CGHS of Kolkata Wellness Center.

anuudeepthi Monday, July 17, 2017

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CGEPHIS Tuesday, February 28, 2017

Hi All, I am an IT professional and the new proposed scheme looks like the best. CGHS has many draw backs like should be in city to get cards, not all states have good hospitals. Big headache with reimbursement. Modi is doing good job tweet him to support new insurance scheme instead of CGHS which might speed up the process and all employees and retired employees will get insurance cards which never expires in there life time and cashless benifits

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