Taking into consideration the basis of disallowing claims for vitrectomy procedure after cataract surgery, the Corporation hereby clarifies Section D, Item No. 3b of PhilHealth Circular 16, series of 2009 as follows:

A claim for vitrectomy procedure performed within 90 days from date of discharge for a cataract surgery shall be disallowed payment.
For example:
 

Date of Cataract Surgery	Date of Vitrectomy	Claim of Vitrectomy
July 1, 2011	August 6, 2011	Denied
July 1, 2011	November 5, 2011	Paid

Vitrectomy done during the same confinement period shall also be disallowed.

All other issuances not inconsistent with the provisions of this issuance shall remain in full force and effect.

This Circular shall take effect fifteen (15) days after its publication in the Official Gazette or in a newspaper of general circulation.

Adopted: 30 December 2010


(SGD.) DR. REY B. AQUINO
President and CEO