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RVS CODE DESCRIPTION FIRST CASE RATE 11402 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm 3,640 840 2,800 11403 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms
RVS CODE DESCRIPTION Case Rate Professional Fee Health Care Institution Fee ANNEX 6. LIST OF PROCEDURE CASE RATES FOR PRIMARY CARE FACILITIES - INFIRMARIES/ DISPENSARIES 11626 Excision, malignant lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm 3,976 1,176 2,800 11640
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What are the RVS codes with changes in case rate amount? The following RVS codes with new case rate amounts are applicable as First Case Rate. For the procedures listed as Second Case Rates e.g. code 65205, please refer to the “Search Case Rates” utility for the computed case rate amount available at the PhilHealth website. Page 1 of 2. 4.
C. RVS codes/ procedures that shall be claimed only once in a lifetime per eye 1. The following procedures shall only be reimbursed once in a lifetime pet eye.
Jan 27, 2021 · PhilHealth-accredited hospitals apply a predetermined fixed rate or case rate on each treated case or disease, and then deduct the said rate from the total actual charges. Therefore, the percentage of hospital expenses that PhilHealth will cover depends on your case/disease.
ANNEX 2. LIST OF PROCEDURE CASE RATES (REVISION 2.0) FIRST CASE RATE RVS CODE DESCRIPTION Health Care Case Rate Professional Fee Institution Fee Integumentary System Skin, Subcutaneous and Accessory Structures Incision and Drainage Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, 10060 3,640 840 2,800 cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia ...
