CGHS ENT Surgery Rate List: Septoplasty, Sinus (FESS) and Mastoidectomy

Beyond tonsillectomy, the CGHS rate list covers the common ENT operations — correcting a deviated nasal septum (septoplasty), sinus surgery (FESS) and ear surgery (mastoidectomy).

The figures below are from the Delhi/NCR rate list; other CGHS cities can differ slightly.

CGHS ENT Surgery Package Rates

• Septoplasty (DNS correction), Non-NABH / NABH — Rs 5,750 / Rs 6,613
• Functional Endoscopic Sinus Surgery (FESS), Non-NABH / NABH — Rs 5,750 / Rs 6,613
• Endoscopic Surgery (ENT), Non-NABH / NABH — Rs 13,800 / Rs 15,870
• Mastoidectomy, Non-NABH / NABH — Rs 14,950 / Rs 17,193

Rates shown are as per the CGHS approved package rates, Delhi & NCR 2014 rate list (updated 25.05.2021) (2014, periodically revised) and are subject to periodic revision. Always verify the latest approved rates on the official source.

Which Code Applies to Your Sinus Surgery?

The rate list carries separate FESS entries per sinus group (maxillary, ethmoidal, etc.) at the same base rate, and a broader "Endoscopic Surgery (ENT)" code for more extensive endoscopic work. The empanelled hospital picks the code matching the planned operation, which decides the package amount.

How CGHS Package Rates Work

A CGHS "package rate" is an all-inclusive amount covering admission, surgeon and anaesthetist charges, operation theatre, nursing, routine investigations, medicines and accommodation for the standard length of stay.

Rates for NABH-accredited hospitals are set higher (generally 15%) than the non-NABH rate. The same procedure code can show different figures across city rate lists and revision dates, so always check the list for your CGHS city.

Referral and Prior Permission

For planned (non-emergency) procedures, a CGHS beneficiary needs a referral from the CGHS wellness centre and prior permission from the competent authority. Emergency treatment at an empanelled hospital is reimbursed up to CGHS rates without prior permission.

• Carry a valid CGHS card and follow your ward entitlement (based on pay/pension)
• Use an empanelled hospital for cashless treatment up to CGHS rates
• Obtain prior permission and referral for planned surgery

Frequently Asked Questions

What is the CGHS rate for septoplasty (DNS surgery)?

On the Delhi/NCR list, septoplasty is Rs 5,750 at non-NABH and Rs 6,613 at NABH empanelled hospitals, as an all-inclusive package.

Is tonsil surgery covered under the same rates?

Tonsillectomy has its own CGHS package code — see our separate CGHS tonsillectomy rate guide for those figures.

Related

• CGHS tonsillectomy rate
• CGHS rate list for common procedures

Medical Disclaimer

The information provided in this article is for general informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.