Newly Added Medical Services and Corresponding Relative Value Units (RVU)
- Radiation treatment delivery (Code 77401) with an RVU of 10.
- Radiopharmaceutical (radioactive iodine) therapy (Code 79000) with an RVU of 10.
- Hemodialysis procedure (Code 90935) with an RVU of 10.
- Dialysis procedures other than hemodialysis such as peritoneal dialysis and hemofiltration (Code 90945) with an RVU of 10.
- Imaging supervision, interpretation, and report for injection procedures during cardiac catheterization, including coronary angiography (Code 93556) with an RVU of 50.
- Chemotherapy administration (Code 96408) with an RVU of 10.
Specific Procedure Codes for Reimbursable Family Planning Surgeries
- For vasectomy claims, the procedure code is 55250, applicable to unilateral or bilateral vasectomy and covered as a package.
- For tubal ligation claims, the procedure code is 58600, which covers ligation or transaction of fallopian tubes via abdominal or vaginal approach, unilateral or bilateral, also covered as a package.
Reimbursement and Claim Procedures
- Services included in this addendum are subject to reimbursement under PhilHealth claims protocols.
- Claimants must use the specified codes to ensure proper processing and payment.
Authority and Effectivity
- The circular was issued and adopted on February 5, 2002.
- Signed by Francisco T. Duque III, MD, MSc., President and CEO of PhilHealth, emphasizing official endorsement and implementation.
This circular serves as an official guideline for healthcare providers and claimants to ensure proper coding and reimbursement under the PhilHealth insurance system for the enumerated services and procedures.