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2003 / Dec

PHIC PHILHEALTH CIRCULAR NO. 03, S. 2003 ADDITIONAL LIST OF COMPENSABLE SURGICAL PROCEDURES AND SERVICES IN RELATIVE VALUE SCALE 2001 December 12, 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
19140Mastectomy for gynecomastia 30
27200Closed treatment of coccygeal fracture 90
31800Suture of tracheal wound or injury; cervical 50
31805Intrathoracic 200
33210Insertion or replacement of temporary transvenous single chamber cardiac electrodes 50
33211Insertion or replacement of temporary transvenous dual chamber pacing electrodes 50
36450Exchange transfusion, blood 20
49900Suture, secondary, of abdominal wall for evisceration or dehiscence 100
57452Colposcopy (vaginoscopy) 10
62230Replacement or revision of CSF (VP) shunt, obstructed valve, or distal catheter in shunt system 80
66825Repositioning of intraocular lens prosthesis, requiring an incision 90
66985Insertion of intraocular lens prosthesis, not associated with cataract removal 130
66986Exchange of intraocular lens 130
75665Angiography, cerebral 50

2. The new relative value units (RVU) for appendectomy and cholecystectomy shall be as follows:

CODE
DESCRIPTIVE TERMS
 RVU
44950Appendectomy 100
47600Cholecystectomy 180
56315Laparoscopy, surgical; appendectomy (any method) 100
56340Laparoscopy, surgical; cholecystectomy (any method) 180

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
77401Radiation treatment delivery; external beam radiation (Cobalt or Linear Accelerator) 10
77761Radioelement application; surface, interstitial or intracavitary (Brachytherapy) 20

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