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 Office Memorandum effective 13 October 2025. A hospital in a Tier II city is paid 10% less and in a Tier III city 20% less than the figures shown.

CGHS Nose and Sinus Surgery Rates (effective 13 October 2025)

ENT procedure codes carry no separate super-speciality rate. The OM sets the non-NABH rate 15% below the NABH rate for the same code. The OM sets these rates for the semi-private ward: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher. Tier II cities are 10% lower and Tier III cities 20% lower than Tier I.

• Septoplasty (correction of a deviated nasal septum), Non-NABH — Rs 23,375
• Septoplasty (correction of a deviated nasal septum), NABH — Rs 27,500
• Submucous resection (SMR), Non-NABH — Rs 11,390
• Submucous resection (SMR), NABH — Rs 13,400
• Turbinectomy, Non-NABH — Rs 11,390
• Turbinectomy, NABH — Rs 13,400
• Functional endoscopic sinus surgery (FESS) for antrochoanal polyp, Non-NABH — Rs 29,750
• Functional endoscopic sinus surgery (FESS) for antrochoanal polyp, NABH — Rs 35,000
• Functional endoscopic sinus surgery (FESS) for ethmoidal polyp, Non-NABH — Rs 29,750
• Functional endoscopic sinus surgery (FESS) for ethmoidal polyp, NABH — Rs 35,000
• Endoscopic surgery (ENT), Non-NABH — Rs 29,750
• Endoscopic surgery (ENT), NABH — Rs 35,000
• Septo-rhinoplasty, Non-NABH — Rs 36,550
• Septo-rhinoplasty, NABH — Rs 43,000
• Fracture reduction of the nasal bone, Non-NABH — Rs 11,390
• Fracture reduction of the nasal bone, NABH — Rs 13,400

Ear Surgery

• Mastoidectomy, Non-NABH — Rs 29,750
• Mastoidectomy, NABH — Rs 35,000
• Mastoidectomy with ossiculoplasty, including TORP or PORP, Non-NABH — Rs 29,750
• Mastoidectomy with ossiculoplasty, including TORP or PORP, NABH — Rs 35,000
• Tympanoplasty, Non-NABH — Rs 29,750
• Tympanoplasty, NABH — Rs 35,000
• Myringoplasty, Non-NABH — Rs 23,375
• Myringoplasty, NABH — Rs 27,500
• Stapedectomy, Non-NABH — Rs 23,375
• Stapedectomy, NABH — Rs 27,500
• Myringotomy with grommet insertion, Non-NABH — Rs 11,390
• Myringotomy with grommet insertion, NABH — Rs 13,400

Throat and Airway Surgery

• Tonsillectomy, Non-NABH — Rs 23,375
• Tonsillectomy, NABH — Rs 27,500
• Adenoidectomy, Non-NABH — Rs 17,000
• Adenoidectomy, NABH — Rs 20,000
• Tracheostomy, Non-NABH — Rs 11,390
• Tracheostomy, NABH — Rs 13,400
• Microlaryngeal surgery, Non-NABH — Rs 23,375
• Microlaryngeal surgery, NABH — Rs 27,500
• Direct laryngoscopy including biopsy under general anaesthesia, Non-NABH — Rs 11,390
• Direct laryngoscopy including biopsy under general anaesthesia, NABH — Rs 13,400

Rates shown are as per the CGHS approved package rates (Office Memorandum F.No.5-16/CGHS(HQ)/HEC/2024(PartI) dated 03.10.2025, effective 2025-10-13) (2025 (effective 13.10.2025)) and are subject to periodic revision. Always verify the latest approved rates on the official source.

Which Code Applies to Your Sinus Surgery?

The schedule effective 13 October 2025 carries separate FESS codes for an antrochoanal polyp and for an ethmoidal polyp, both at Rs 29,750 (non-NABH) and Rs 35,000 (NABH), plus a broader "Endoscopic Surgery (ENT)" code at the same figures 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.

Under the Office Memorandum effective 13 October 2025, a non-NABH hospital is paid 15% below the NABH rate, and for the specialities the memorandum names, a super-speciality hospital is paid 15% above the NABH rate.

The published rate is the semi-private ward figure: a general-ward entitlement is 5% lower and a private-ward entitlement 5% higher. Hospitals in Tier II cities are paid 10% less and in Tier III cities 20% less than in Tier I, with the North-East and the Union Territories of Jammu & Kashmir and Ladakh at Tier II rates.

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)?

Under the rates effective 13 October 2025, septoplasty is Rs 23,375 at a non-NABH hospital and Rs 27,500 at a NABH hospital, as an all-inclusive package.

Is tonsil surgery covered under the same rates?

Yes. Tonsillectomy has its own code at Rs 23,375 (non-NABH) and Rs 27,500 (NABH) — the same figures as septoplasty. See our separate CGHS tonsillectomy rate guide for adenoid and related throat surgery.

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.