[ PHIC PHILHEALTH CIRCULAR NO. 17, SERIES 2004, July 13, 2004 ]

EQUIVALENT CODES AND RELATIVE VALUE UNITS (RVU) FOR PROCEDURES INVOLVING THE GENITAL SYSTEM



This coding guide is hereby issued to facilitate the correct assignments of Relative Value Units (RVU) for the following procedures:

Code
Description
RVU
      1. Prostate Cryotherapy to be coded using:       52648 Contact laser vaporization w/ or w/o transurethral resection of prostate, including control of postoperative bleeding, complete (Vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)
180
      2. High Intensity Focused Ultrasound of the prostate Gland to be coded using:       55801 Prostatectomy, perineal, subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy)
200
      3. Clitoroplasty and Vaginal Reconstruction for Congenital Adrenal Hyperplasia to be coded using:       57210 Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)
60

This code, however, should not be interpreted as code for reimbursement of intersex surgeries.

Adopted: 13 July 2004


(SGD.) FRANCISCO T. DUQUE, MD, MSc
President and CEO