Pursuant to PhilHealth Board Resolution No. 506, s. 2002, the following amendments to the RVS 2001 shall be applied to all claims with discharge dates starting 01 January 2003:

1. The following procedures with its corresponding codes and relative value units (RVU) shall be considered as addendum to RVS 2001:

CODE	DESCRIPTIVE TERMS		RVU
19140	Mastectomy for gynecomastia		30
27200	Closed treatment of coccygeal fracture		90
31800	Suture of tracheal wound or injury; cervical		50
31805	Intrathoracic		200
33210	Insertion or replacement of temporary transvenous single chamber cardiac electrodes		50
33211	Insertion or replacement of temporary transvenous dual chamber pacing electrodes		50
36450	Exchange transfusion, blood		20
49900	Suture, secondary, of abdominal wall for evisceration or dehiscence		100
57452	Colposcopy (vaginoscopy)		10
62230	Replacement or revision of CSF (VP) shunt, obstructed valve, or distal catheter in shunt system		80
66825	Repositioning of intraocular lens prosthesis, requiring an incision		90
66985	Insertion of intraocular lens prosthesis, not associated with cataract removal		130
66986	Exchange of intraocular lens		130
75665	Angiography, cerebral		50

2. The new relative value units (RVU) for appendectomy and cholecystectomy shall be as follows:

CODE	DESCRIPTIVE TERMS		RVU
44950	Appendectomy		100
47600	Cholecystectomy		180
56315	Laparoscopy, surgical; appendectomy (any method)		100
56340	Laparoscopy, surgical; cholecystectomy (any method)		180

3. RVS code 77401, assigned for radiation treatment delivery by virtue of PhilHealth Circular No. 8, s. of 2002 shall also be amended. Effective for claims with January 1, 2003 discharge date, the said code shall only be used for external radiation treatment delivery while a new code, 77761 shall be used for brachytherapy. The new codes, procedural terminologies and RVU shall be as follows:

CODE	DESCRIPTIVE TERMS		RVU
77401	Radiation treatment delivery; external beam radiation (Cobalt or Linear Accelerator)		10
77761	Radioelement application; surface, interstitial or intracavitary (Brachytherapy)		20

All other circulars consistent herewith remain in full force and effect.

Please be guided accordingly.

Adopted: 12 Dec. 2002

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