CGHS Rates for Salivary Gland and Facial Reconstructive Surgery

This page provides a detailed guide to the Central Government Health Scheme (CGHS) approved rates for a range of surgical procedures involving the salivary glands and facial reconstruction. These surgeries address various medical conditions, from common issues like salivary stones and tongue-tie to complex operations such as tumor removal and facial reconstruction after trauma or cancer.

Procedures covered include the removal of salivary glands (parotidectomy, submandibular gland removal), excision of parts of the jaw (maxilla or mandible), and reconstructive techniques like genioplasty (chin surgery) and lip flap operations. Understanding the approved rates is essential for CGHS beneficiaries to manage their healthcare expenses and navigate the treatment process at empanelled hospitals.

The rates provided in the table are determined by CGHS and vary based on the specific procedure and the accreditation status of the hospital (NABH or Non-NABH). This guide aims to clarify what is covered, what may require separate payment, and how to utilize your CGHS benefits for these specialized surgeries.

CGHS Salivary Gland & Facial Reconstructive Surgery Rates (effective 13 October 2025)

ENT codes carry no separate super-speciality rate.

• Ranula Excision, Non-NABH — Rs 17,000
• Ranula Excision, NABH — Rs 20,000
• Tongue Tie excision, Non-NABH — Rs 7,225
• Tongue Tie excision, NABH — Rs 8,500
• Sub Mandibular Duct Lithotomy, Non-NABH — Rs 5,780
• Sub Mandibular Duct Lithotomy, NABH — Rs 6,800
• Styloidectomy, Non-NABH — Rs 17,000
• Styloidectomy, NABH — Rs 20,000
• Estlander Operation (Estlander flap in plastic surgery of lips), Non-NABH — Rs 29,750
• Estlander Operation (Estlander flap in plastic surgery of lips), NABH — Rs 35,000
• Abbe Operation (Abbe flap in plastic surgery of lips), Non-NABH — Rs 23,375
• Abbe Operation (Abbe flap in plastic surgery of lips), NABH — Rs 27,500
• Cheek Advancement, Non-NABH — Rs 29,750
• Cheek Advancement, NABH — Rs 35,000
• Excision of the Maxilla, Non-NABH — Rs 36,550
• Excision of the Maxilla, NABH — Rs 43,000
• Excision of mandible-segmental, Non-NABH — Rs 29,750
• Excision of mandible-segmental, NABH — Rs 35,000
• Parotidectomy - Superficial, Non-NABH — Rs 29,750
• Parotidectomy - Superficial, NABH — Rs 35,000
• Parotidectomy - Total, Non-NABH — Rs 36,550
• Parotidectomy - Total, NABH — Rs 43,000
• Repair of Parotid Duct, Non-NABH — Rs 23,375
• Repair of Parotid Duct, NABH — Rs 27,500
• Removal of Submandibular Salivary gland, Non-NABH — Rs 23,375
• Removal of Submandibular Salivary gland, NABH — Rs 27,500
• Genioplasty, Non-NABH — Rs 29,750
• Genioplasty, NABH — Rs 35,000

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.

Who this covers

This rate guide is intended for CGHS beneficiaries who have been advised to undergo surgery for conditions affecting the salivary glands, mouth, jaw, or facial structures. The procedures listed are applicable for patients with diagnoses such as:

• Salivary gland tumors (in the parotid or submandibular glands) • Salivary gland stones (sialolithiasis) or duct blockages • Salivary cysts, such as a ranula • Congenital conditions like tongue-tie (ankyloglossia) • Facial or jaw tumors requiring excision of the maxilla or mandible • Conditions requiring chin reshaping for functional or reconstructive purposes (genioplasty) • Lip defects requiring surgical reconstruction following trauma or cancer surgery

The specific surgical procedures for which CGHS rates are provided on this page are: Ranula Excision; Tongue Tie excision; Sub Mandibular Duct Lithotomy; Styloidectomy; Estlander Operation (Estlander flap); Abbe Operation (Abbe flap); Cheek Advancement; Excision of the Maxilla; Excision of mandible-segmental; Parotidectomy - Superficial; Parotidectomy - Total; Repair of Parotid Duct; Removal of Submandibular Salivary gland; and Genioplasty.

What CGHS covers vs. what you pay separately

The CGHS package rates are designed to be comprehensive, covering the primary costs associated with a surgical procedure. Typically, the approved rate includes the surgeon's fee, anaesthetist's fee, operation theatre charges, routine medicines and consumables, and accommodation charges as per the beneficiary's ward entitlement.

However, certain high-cost items may not be fully covered by the package rate and could be billed separately. These often include specialized implants, prosthetic devices for reconstruction, bone grafts, certain high-end medications, or specific consumables that are not part of the standard procedure package. The costs for these items are billed as per CGHS guidelines, often at MRP with a specified discount.

It is important for beneficiaries to have a detailed discussion with the hospital's billing or CGHS department before the surgery. Confirm in writing which specific items, if any, fall outside the package rate to avoid unexpected expenses.

How to use this at a CGHS-empanelled hospital

To avail of these surgical procedures at a CGHS-empanelled private hospital, beneficiaries should follow a standard process:

1. Obtain a Referral: First, you must be advised for the specific surgery by a specialist at a government hospital or a CGHS Wellness Centre. This referral is mandatory for seeking treatment at an empanelled facility.

2. Hospital Admission: Present your CGHS card, the specialist's prescription, and other required documents at the CGHS desk of your chosen empanelled hospital. The hospital will initiate the process for cashless approval if applicable.

3. Confirm Procedure Code: Before the procedure, double-check that the procedure code and description used by the hospital for billing match the one on the CGHS rate list. This helps prevent any mismatch in billing and claim settlement.

4. Understand the Rate: The applicable CGHS rate depends on the hospital's accreditation. NABH-accredited hospitals are entitled to charge a slightly higher rate than Non-NABH accredited hospitals. This is a fixed differential based on the hospital's status, not a choice for the patient. The rates are clearly defined in the official CGHS schedule.

Frequently Asked Questions

What is the difference between a superficial and a total parotidectomy?

A parotidectomy is the surgical removal of the parotid gland, a major salivary gland. A superficial parotidectomy involves removing the part of the gland that sits above the facial nerve. A total parotidectomy involves removing the entire gland, both above and below the facial nerve. The choice depends on the size and location of the tumor or condition being treated.

Is genioplasty covered by CGHS for cosmetic reasons?

Genioplasty, or chin surgery, is covered by CGHS when it is medically necessary for reconstructive or functional purposes. This may include correction of congenital deformities, post-traumatic defects, or as part of a larger maxillofacial surgery. Procedures performed for purely cosmetic reasons are generally not covered under CGHS.

Does the CGHS rate for maxilla or mandible excision include the cost of reconstruction?

The CGHS rate for 'Excision of the Maxilla' or 'Excision of mandible-segmental' typically covers the removal of the bone. Subsequent reconstruction, which may involve bone grafts or prosthetic implants, might be billed as a separate procedure with its own code and rate. Clarify the full treatment plan and associated costs with the hospital.

What is a Sub Mandibular Duct Lithotomy?

This is a surgical procedure to remove stones (liths) from the duct of the submandibular salivary gland. These stones can block the flow of saliva, causing pain, swelling, and infection. The surgery aims to restore normal salivary flow.

Do I need prior approval from CGHS for these surgeries?

Yes, for planned surgeries at empanelled private hospitals, a valid referral from a government/CGHS specialist is required, and the hospital will typically seek prior authorization from CGHS for the procedure to be done on a cashless basis. In an emergency, treatment can be started immediately, and paperwork can be completed later.

Are lip reconstruction procedures like the Abbe or Estlander flap covered?

Yes, the CGHS rate list includes specific codes and rates for the 'Abbe Operation' and 'Estlander Operation'. These are specialized plastic surgery techniques used for reconstructing the lips, often after tumor removal or trauma, and are covered when medically indicated.

Related

• How to apply for a CGHS card
• CGHS rate list for common procedures
• CGHS vs Ayushman Bharat: what's the difference

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.