Question & AnswerQ&A (PHIC PHILHEALTH CIRCULAR NO. 08, S. 2002)
Services such as radiation treatment delivery, radiopharmaceutical therapy, hemodialysis procedures, dialysis other than hemodialysis, imaging supervision for cardiac catheterization, and chemotherapy administration were added.
RVU stands for Relative Value Unit, which quantifies the relative value assigned to medical services for reimbursement purposes.
The RVU assigned to radiation treatment delivery (code 77401) is 10.
The code to be reported for vasectomy (unilateral or bilateral) is 55250, which is a package rate.
Claims for tubal ligation should be reported using code 58600, covering ligation or transaction of fallopian tubes by abdominal or vaginal approach, also at a package rate.
Yes, chemotherapy administration is reimbursable and has been assigned an RVU of 10 under code 96408.
The RVU assigned is 50 for code 93556.
Code 90945 includes dialysis procedures other than hemodialysis, such as peritoneal dialysis and hemofiltration.
The circular was officially adopted and signed by Francisco T. Duque III, MD, MSc., then President and CEO of PhilHealth.