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✅ CGHS Empanelled  ·  M.Ch. Liverpool UK Surgeon  ·  Cashless TKR

Cashless Knee Replacement Under CGHS in Mohali — Gini Advanced Care Hospital

Total knee replacement at CGHS rates. Pre-authorisation guided by our CGHS desk. Zero surprise billing.

Dr. Santosh Agrawal is a Senior Orthopaedic Surgeon (M.Ch. Orthopaedics, University of Liverpool, UK; FASIF & MAQAA, Switzerland) with 40+ years' experience and 2,000+ joint replacements. Gini Hospital is CGHS and ECHS empanelled and NABH accredited. Our dedicated CGHS coordinator handles your pre-auth file, referral, and admission — from first call to cashless discharge.

📍 Sector 69, Mohali · CGHS Desk: 0172 4120100 · Mon–Sat 10 AM–6 PM

📞 0172 4120100
2,000+
Knee Replacements
CGHS
Cashless
7–14
Days Pre-Auth
98%
Patient Satisfaction
🦿
Dr. Santosh Agrawal
M.Ch. Liverpool UK · Joint Replacement
GiniVision™ AR Navigation
CGHS Package Covers
Surgery · Standard Implant · 5-Day Stay · Physio
What CGHS Covers

CGHS Coverage for Knee Replacement — Explained Honestly

We explain what the CGHS package includes, what you may pay additionally, and what to expect financially before your admission.

✅ Covered at CGHS Rates
  • ✓Surgery (total knee replacement, unilateral or bilateral)
  • ✓Standard cemented implant (fixed CGHS rate)
  • ✓Anaesthesia and OT charges
  • ✓Hospital stay (approved number of days per CGHS rate)
  • ✓Standard physiotherapy during admission
  • ✓Pre-op blood investigations and ECG/X-ray
⚠️ May Involve Additional Cost
  • →Premium implants (gender-specific, high-flex, revision) — differential above CGHS implant rate
  • →GiniVision™ AR robo-navigation — optional technology fee
  • →Extra hospital days beyond CGHS approved duration
  • →Post-discharge physiotherapy sessions (outpatient)
  • →Private room upgrade (ward room covered, private room at differential)

Gini provides a written pre-admission estimate that clearly shows covered vs. patient-payable amounts. No surprises at discharge.

Pre-Authorisation Guide

How CGHS Pre-Authorisation Works for Knee Replacement

The most important step — and where most delays happen. Our CGHS desk guides you through every stage.

📋 Document Checklist — What You Need

1
CGHS Referral Letter (from CMO / Wellness Centre)
Must specify "Total Knee Replacement" and refer to Gini Advanced Care Hospital
2
X-ray: AP/Lateral, Weight-Bearing, Both Knees
Must be recent (within 3 months). Weight-bearing X-ray is mandatory — not lying down
3
Specialist Recommendation Letter from Dr. Santosh Agrawal
Gini provides this after the OPD consultation. Includes clinical justification for surgery
4
Pre-op Blood Investigations
CBC, renal function, fasting glucose, HbA1c, coagulation panel (PT/INR). Done at Gini's in-house lab
5
ECG & Echocardiogram (if over 60 or cardiac history)
Cardiac fitness certificate from cardiologist may be required
6
CGHS Card + Photo ID + Hospital Estimate
Gini provides the cost estimate and hospital empanelment confirmation letter

⏱️ Typical Pre-Auth Timeline

Day 1
OPD Consultation
X-ray, blood work, specialist letter prepared
Day 2–3
Pre-Auth Application
Submitted via CGHS portal or Wellness Centre
Day 7–14
Approval Received
CGHS issues pre-authorisation letter
Day 15–21
Admission & Surgery
Scheduled at Gini after approval
Day 26–28
Cashless Discharge
Gini claims directly from CGHS

🚨 If Your Pre-Auth is Delayed or Rejected

Most rejections are administrative — wrong procedure code, missing X-ray view, or incomplete specialist letter. Our CGHS desk handles re-submissions within 2–3 days.

Rejection review within 24 hours
Re-submission in 2–3 days
Specialist justification letter provided
Emergency escalation available

CGHS desk: 0172 4120100 · WhatsApp +91 81463 20100

Your Surgeon

Dr. Santosh Agrawal — Knee Replacement Specialist

🎓

M.Ch. Orthopaedics (Liverpool UK)

Trained to M.Ch. Orthopaedics standard at the University of Liverpool, UK, with FASIF & MAQAA fellowships (Switzerland). Brings international precision to every knee replacement.

🤖

GiniVision™ AR Navigation

Computer-assisted robo-navigation for implant alignment within 0.5°. Reduces implant malalignment — the leading cause of early revision surgery. Optional for CGHS patients at a technology differential.

📊

2,000+ Successful Replacements

98% patient satisfaction across 2,000+ joint replacements. Average surgical time: 60–75 minutes. Most patients walk with a frame on Day 1 post-surgery.

👨‍⚕️

Dr. Santosh Agrawal

MBBS · MS · M.Ch. Orthopaedics (Liverpool UK) · Joint Replacement & Sports Medicine Specialist

View Full Profile →
FAQs

CGHS Knee Replacement — Frequently Asked Questions

Is knee replacement covered under CGHS?+
Yes. Total knee replacement (TKR) is covered under CGHS at empanelled hospitals. The CGHS package covers surgery, standard cemented implant, anaesthesia, and the approved hospital stay duration. Premium implants and optional technology (robo-navigation) may have a patient-payable differential. Pre-authorisation is mandatory before scheduled surgery.
How long does CGHS pre-authorisation take for knee replacement?+
CGHS pre-authorisation for elective knee replacement typically takes 7–14 working days from the date of complete application. Incomplete documents are the most common cause of delay. Gini's CGHS desk prepares a complete file — reducing the chance of rejection or requests for additional information. Emergency admissions for urgent fractures can be admitted and pre-auth arranged within 24 hours post-admission.
What documents do I need for CGHS knee replacement pre-auth?+
Required documents: (1) CGHS referral letter from CMO/Wellness Centre specifying TKR at Gini, (2) recent weight-bearing X-ray of both knees (within 3 months), (3) specialist recommendation letter from Dr. Santosh Agrawal — Gini provides this after the OPD consultation, (4) pre-op blood investigations (CBC, renal function, glucose, coagulation), (5) ECG and Echo if over 60 or cardiac history, (6) CGHS card, photo ID, and Gini's cost estimate letter.
Is robotic or navigated knee replacement covered under CGHS?+
CGHS covers the standard knee replacement package at the notified rate. The GiniVision™ AR navigation system is available optionally — the patient pays the navigation technology differential while the base surgery and implant are covered at CGHS rates. The navigation option is discussed at the consultation; it is not mandatory and the base procedure outcomes at Gini are excellent without it.
Can both knees be replaced under CGHS in one admission?+
Yes, bilateral replacement in one admission is possible under CGHS, but requires a pre-authorisation that explicitly approves bilateral TKR — a standard unilateral approval does not cover bilateral. The CGHS rate for bilateral replacement is typically 1.5–1.75x the unilateral rate. Dr. Santosh Agrawal will advise at consultation whether bilateral is appropriate for your case (it depends on your general health, cardiac fitness, and bilateral severity).
What happens if my CGHS pre-auth is rejected?+
Rejection is most commonly administrative — wrong procedure code, missing X-ray, or incomplete specialist letter. Our CGHS desk reviews the rejection reason within 24 hours and re-submits a corrected application within 2–3 working days. If a clinical justification is needed, Dr. Santosh Agrawal provides an additional letter detailing the severity and functional impairment. We do not charge extra for handling rejections. Contact us on 0172 4120100.

Start Your CGHS Knee Replacement — Book OPD Consultation First

The OPD consultation is Step 1 — Dr. Santosh Agrawal confirms the surgery plan, and Gini's CGHS desk prepares your pre-auth file. Mon–Sat, 10 AM–6 PM.

📞 0172 4120100 (CGHS Desk)
CGHS Help