Surgery Program for Thai Gov Officers – Direct CGD Billing

Surgical Indications Eligible for Government Benefit Coverage
1. Presence of a mass or cyst with a diameter greater than 5 cm.
2. Severe pain that interferes with normal daily activities or does not improve despite the use of strong pain medication.

note
1. The stated price includes the surgeon’s fee, operating room charge, pathology (biopsy) fee, and take-home medications in accordance with the Comptroller General’s Department (CGD) regulations.
2. The price does not include the treatment of other unrelated medical conditions or any complications arising from the surgery.
3. The price does not include preoperative preparation and any special equipment required.
4. The price does not cover the cost of the initial diagnostic consultation or post-operative follow-up visits.
5. The price does not include any excess costs related to prosthetic or implantable devices.
6. Room and meal charges for extended stays beyond the package duration are not included.
7. The use of government medical benefits is subject to the regulations set by the Comptroller General’s Department (CGD).

Surgical Indications Eligible for Government Benefit Coverage
1. Presence of a mass or cyst with a diameter greater than 5 cm.
2. Severe pain that interferes with normal daily activities or does not improve despite the use of strong pain medication.

note
1. The stated price includes the surgeon’s fee, operating room charge, pathology (biopsy) fee, and take-home medications in accordance with the Comptroller General’s Department (CGD) regulations.
2. The price does not include the treatment of other unrelated medical conditions or any complications arising from the surgery.
3. The price does not include preoperative preparation and any special equipment required.
4. The price does not cover the cost of the initial diagnostic consultation or post-operative follow-up visits.
5. The price does not include any excess costs related to prosthetic or implantable devices.
6. Room and meal charges for extended stays beyond the package duration are not included.
7. The use of government medical benefits is subject to the regulations set by the Comptroller General’s Department (CGD).

Indications for surgery that can be reimbursed by government services:
1. The uterus is larger than the size of a 12-week pregnancy.
2. There is excessive menstrual bleeding or prolonged bleeding beyond normal, leading to anemia.
3. There is severe menstrual pain that does not respond well to medication or pain that prevents normal daily activities.
4. Symptoms caused by pressure on adjacent organs, such as difficulty urinating with urinary tract infections, or difficulty defecating.

Note:
1. The stated price includes the surgeon's fee, operating room fee, tissue fee, and home medication according to the conditions set by the Comptroller General's Department.
2. The stated price does not include costs for the treatment of other unrelated diseases and complications from the surgery.
3. The stated price does not include pre-operative preparation and special equipment.
4. The stated price does not cover expenses for the initial diagnostic examination and follow-up after surgery.
5. This price does not include excess costs for prosthetic devices.
6. It does not include accommodation and meal costs beyond the specified package.
7. The conditions for using government reimbursement rights are as stipulated by the Comptroller General's Department.

Indications for surgery that can be reimbursed by government services:
1. The uterus is larger than the size of a 12-week pregnancy.
2. There is excessive menstrual bleeding or prolonged bleeding beyond normal, leading to anemia.
3. There is severe menstrual pain that does not respond well to medication or pain that prevents normal daily activities.
4. Symptoms caused by pressure on adjacent organs, such as difficulty urinating with urinary tract infections, or difficulty defecating.

Note:
1. The stated price includes the surgeon's fee, operating room fee, tissue fee, and home medication according to the conditions set by the Comptroller General's Department.
2. The stated price does not include costs for the treatment of other unrelated diseases and complications from the surgery.
3. The stated price does not include pre-operative preparation and special equipment.
4. The stated price does not cover expenses for the initial diagnostic examination and follow-up after surgery.
5. This price does not include excess costs for prosthetic devices.
6. It does not include accommodation and meal costs beyond the specified package.
7. The conditions for using government reimbursement rights are as stipulated by the Comptroller General's Department.

Indications for surgery that can be claimed under government services:
1. Symptoms of stones and complications.
2. Stones larger than 1 cm.
3. Multiple stones.
4. Asymptomatic stone patients with high-risk conditions, such as chronic diseases.
5. Pancreatitis due to stones.

Notes:
1. The price includes the surgeon's fee, operating room fee, specimen fee, and home medication fee according to the conditions set by the Comptroller General's Department.
2. The price does not include costs for the diagnosis and treatment of other unrelated diseases and complications from the surgery.
3. The price does not cover expenses for the initial disease diagnosis, pre-surgery preparation, and post-surgery follow-up.
4. This price does not include excess costs for prosthetic devices and special equipment.
5. The price covers expenses only for the day of hospitalization for the surgical treatment.
6. It does not include accommodation and meal costs exceeding the hospital's specified limits.
8. The conditions for claiming government services are in accordance with the regulations set by the Comptroller General's Department.

Indications for surgery that can be reimbursed by government services:
1. Long segment coronary artery stenosis
2. Multiple coronary artery stenosis
3. Stenosis at the base of the left coronary artery
4. Ineffective treatment by other methods
5. Acute complications from balloon angioplasty of coronary arteries

Notes:
1. The mentioned price includes the surgeon's fee, operating room fee, and discharge medication.
2. The mentioned price does not include costs for diagnosing other unrelated diseases and surgical complications.
3. The mentioned price does not cover expenses for the initial disease diagnosis, pre-operative preparation, and post-operative follow-up.
4. This price does not include excess costs for prosthetic devices and special equipment.
5. The mentioned price covers expenses only for the day of hospitalization for surgical treatment.
6. It does not include room charges and meal costs exceeding those set by the hospital.
7. In cases of pre-existing conditions such as hypertension or diabetes, symptoms must be stabilized before undergoing surgery.
8. Conditions for government reimbursement are as specified by the Comptroller General's Department.

Indications for surgery that can be reimbursed by government services:
1. Bleeding
2. Pain
3. Inflammation of hemorrhoids
4. Intermittent symptoms
5. Stage 3 and stage 4 hemorrhoids

Note:
1. The stated price includes the surgeon's fee, operating room fee, and home medication costs according to the conditions set by the Comptroller General's Department.
2. The stated price does not include costs for the diagnosis and treatment of other unrelated diseases and complications from the surgery.
3. The stated price does not cover expenses for the initial disease diagnosis, pre-surgery preparation, and post-surgery follow-up examinations.
4. This price does not include excess costs for prosthetic devices and special equipment.
5. The stated price covers expenses only for the day of hospitalization for surgical treatment.
6. It does not include accommodation costs and meal costs exceeding the hospital's specified limits.
8. Conditions for exercising the government reimbursement rights are as determined by the Comptroller General's Department.