PhilHealth Circular No. 39, s. 2002 is hereby amended such that claims from hospitals and ambulatory surgical clinics (ASC) for outpatient services with surgical procedure or multiple surgical procedures done with a total RVU of 201 and above shall no longer be denied.  However, the maximum payment for hospital charges (Drugs/Medicines, X-ray/Laboratory and Operating Room) and the surgeon's professional fee shall be based on RVU of 200.

This rule take effect for day surgeries with admission dates starting August 15, 2004.  All other rules and guideline not contrary hereto shall remain in full force and effect.

Adopted: 15 July 2004


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