QuestionsQuestions (PHIC PHILHEALTH CIRCULAR NO. 08, S. 2002)
It is an addendum to the Relative Value Scale (RVS) 2001, informing providers that certain medical services are considered included in the RVS 2001 and are therefore reimbursable when claimed.
In practice for claims, it means the specified services are recognized under RVS 2001 for reimbursement purposes when properly claimed using the indicated codes.
It was adopted on 05 February 2002.
Francisco T. Duque III, MD, MSc., then President and CEO of PhilHealth.
77401 (Radiation treatment delivery), 79000 (Radiopharmaceutical therapy—radioactive iodine), 90935 (Hemodialysis), 90945 (Dialysis other than hemodialysis), and 96408 (Chemotherapy administration), each with RVU 10.
77401 corresponds to “Radiation treatment delivery” and has an RVU of 10.
79000 is “Radiopharmaceutical (radioactive iodine) therapy.”
90935 is for hemodialysis, while 90945 is for dialysis procedures other than hemodialysis (e.g., peritoneal dialysis or hemofiltration).
93556 refers to “Imaging supervision, interpretation and report for injection procedures during cardiac catheterization; coronary angiography,” with an RVU of 50.
It specifies imaging supervision, interpretation, and reporting for injection procedures during cardiac catheterization, including coronary angiography.
Yes. Code 96408 (“Chemotherapy administration”) is included and has an RVU of 10.
For vasectomy, the code is 55250 (Vasectomy, unilateral or bilateral). The circular specifies RVU as “Package.”
For tubal ligation, the code is 58600 (Ligation or transaction of fallopian tube(s), abdominal or vaginal approach; unilateral or bilateral). The circular specifies RVU as “Package.”
It indicates the RVU as “Package” rather than a numeric RVU value.
It guides providers on how to properly report and claim specific services under PhilHealth reimbursement rules, ensuring consistent identification and valuation.
It implies the service is reimbursable when claimed, because the circular expressly includes those services in the RVS 2001.