PHIC Philhealth Circular No. 03 (2003)
ADDITIONAL LIST OF COMPENSABLE SURGICAL PROCEDURES AND SERVICES IN RELATIVE VALUE SCALE 2001
(NAR) VOL. 14 NOS. 3-4 / OCTOBER - DECEMBER 2003
[ PHIC PHILHEALTH CIRCULAR NO. 03, S. 2003, December 12, 2003 ]
ADDITIONAL LIST OF COMPENSABLE SURGICAL PROCEDURES AND SERVICES IN RELATIVE VALUE SCALE
2001 Pursuant to PhilHealth Board Resolution No. 506, s. 2002, the following amendments to the RVS 2001 shall be applied to all claims with discharge dates starting 01 January 2003:
1. The following procedures with its corresponding codes and relative value units (RVU) shall be considered as addendum to RVS 2001: CODE DESCRIPTIVE TERMS RVU 19140 Mastectomy for gynecomastia 30 27200 Closed treatment of coccygeal fracture 90 31800 Suture of tracheal wound or injury; cervical 50 31805 Intrathoracic 200 33210 Insertion or replacement of temporary 50 transvenous single chamber cardiac electrodes 33211 Insertion or replacement of temporary 50 transvenous dual chamber pacing electrodes 36450 Exchange transfusion, blood 20 49900 Suture, secondary, of abdominal wall for 100 evisceration or dehiscence 57452 Colposcopy (vaginoscopy) 10 62230 Replacement or revision of CSF (VP) shunt, 80 obstructed valve, or distal catheter in shunt system 66825 Repositioning of intraocular lens prosthesis, 90 requiring an incision 66985 Insertion of intraocular lens prosthesis, not 130 associated with cataract removal 66986 Exchange of intraocular lens 130 75665 Angiography, cerebral 50 2. The new relative value units (RVU) for appendectomy and cholecystectomy shall be as follows: CODE DESCRIPTIVE TERMS RVU 44950 Appendectomy 100 47600 Cholecystectomy 18056315 Laparoscopy, surgical; appendectomy (any 100 method) 56340 Laparoscopy, surgical; cholecystectomy (any 180 method) 3. RVS code 77401, assigned for radiation treatment delivery by virtue of PhilHealth Circular No. 8, s. of 2002 shall also be amended. Effective for claims with January 1, 2003 discharge date, the said code shall only be used for external radiation treatment delivery while a new code, 77761 shall be used for brachytherapy. The new codes, procedural terminologies and RVU shall be as follows: CODE DESCRIPTIVE TERMS RVU 77401 Radiation treatment delivery; external beam 10 radiation (Cobalt or Linear Accelerator) 77761 Radioelement application; surface, interstitial or 20 intracavitary (Brachytherapy) All other circulars consistent herewith remain in full force and effect. Please be guided accordingly. Adopted: 12 Dec. 2002
(SGD.) FRANCISCO T. DUQUE III, MD, MSc President and CEO