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(NAR) VOL. 20 NO.2 / APRIL - JUNE 2009

[ PHIC PHILHEALTH CIRCULAR NO. 10, S. 2009, March 17, 2009 ]

REVISED VALUE SCALE FOR 2009 WITH ADDITIONAL PROCEDURES



PhilHealth is mandated by law to adapt to changes in medical technology to meet the needs of its members. As stated in Section 39 of the Implementing Rules and Regulations of RA 7875 (as amended by RA 9241) PhilHealth shall introduce additional benefit items and continuously improve the system for benefits availment.

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.

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