PHIC Philhealth Circular No. 10 (2009)
REVISED VALUE SCALE FOR 2009 WITH ADDITIONAL PROCEDURES
(NAR) VOL. 20 NO.2 / APRIL - JUNE 2009
[ PHIC PHILHEALTH CIRCULAR NO. 10, S. 2009, March 17, 2009 ]
REVISED VALUE SCALE FOR 2009 WITH ADDITIONAL PROCEDURES
PhilHealth is mandated by law to adapt to changes in medical technology to meet the needs of its members. As stated in Section 39 of the Implementing Rules and Regulations of RA 7875 (as amended by RA 9241) PhilHealth shall introduce additional benefit items and continuously improve the system for benefits availment. Pursuant to PhilHealth Board Resolution No. 1207 series of 2009, amendments to the RVS 2001 include:
1. Fifteen additional procedures to wit: CODE DESCRIPTIVE TERMS RVU Bronchoscopy; diagnostic, (flexible or rigid), with placement of 31636 100 bronchial stents with placement of catheters for intracavitary radioelement 31643 100 application High intensity focused ultrasound (HIFU) of the prostate including 52649 250 transurethral resection of the prostate (TURP) 55101 Drainage and debridement of Fournier’s gangrene of the scrotum 25 58750 Tubotubal anastomosis 100 59814 Manual vacuum aspiration for spontaneous abortion 50 65780 Ocular surface reconstruction; amniotic membrane transplantation 200 65781 limbal stem cell allograft (e.g., cadavaric or living donor) 200 65782 limbal conjunctival autograft (includes obtaining graft) 200 Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification), complex, 66982 requiring devices or techniques not generally used in routine 200 cataract surgery (e.g., iris expansion device, suture support for intraocular lens, or primary posterior capsullorhexis) or performed on patients in the amblyogenic developmental stage Implantation of intravitreal drug delivery system (e.g., ganciclovir 67027 170 implant), includes concomitant removal of vitreous 68371 Harvesting conjunctival allograft, living donor 120 75757 Angiography, fluorescein (eye) 50 Transcatheter placement of an intracoronary stent(s), percutaneous, 92980 with or without other therapeutic interventions, any method; single 200 vessel 92981 each additional vessel 2002. Revision of relative value units (RVU) of selected procedures currently found in the RVS will be revised as listed in the attached [*] Annex of this Circular.
3. In addition, to properly guide all concerned in the implementation of this circular, the ground rules for RVS 2001 shall remain in effect until its revision. This Circular shall take effect for all claims starting April 1, 2009 admissions. All other issuances inconsistent herewith are hereby modified or repealed accordingly. Please be guided accordingly. Adopted: 17 March 2009
(SGD.) DR. REY B. AQUINO President and CEO [*] Text Available at Office of the National Administrative Register, U. P. Law Complex, Diliman, Quezon City.