PHIC PHILHEALTH CIRCULAR NO. 10, S. 2009, March 17, 2009
REVISED VALUE SCALE FOR 2009 WITH ADDITIONAL PROCEDURES
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
|
|
31636
|
Bronchoscopy; diagnostic, (flexible or rigid), with placement of bronchial stents |
100
|
|
31643
|
with placement of catheters for intracavitary radioelement application |
100
|
|
52649
|
High intensity focused ultrasound (HIFU) of the prostate including transurethral resection of the prostate (TURP) |
250
|
|
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
|
|
66982
|
Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (e.g., irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine 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 |
200
|
|
67027
|
Implantation of intravitreal drug delivery system (e.g., ganciclovir implant), includes concomitant removal of vitreous |
170
|
|
68371
|
Harvesting conjunctival allograft, living donor |
120
|
|
75757
|
Angiography, fluorescein (eye) |
50
|
|
92980
|
Transcatheter placement of an intracoronary stent(s), percutaneous, with or without other therapeutic interventions, any method; single vessel |
200
|
|
92981
|
each additional vessel |
200
|
2. 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.