[ PHIC PHILHEALTH CIRCULAR NO. 10, S. 2009, March 17, 2009 ]
REVISED VALUE SCALE FOR 2009 WITH ADDITIONAL PROCEDURES
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 All other issuances inconsistent herewith are hereby modified or repealed accordingly.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.