Data Sources

ICD-10 Codes

Source: PhilHealth Appendix A1 — Official ICD-10 Code List adopted for Philippine use

Standard: International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)

The Philippines follows WHO ICD-10 with PhilHealth-specific implementation guidelines. Codes are updated periodically per DOH and PhilHealth directives.

RVS Procedure Codes

Source: PhilHealth Appendix A2 — Relative Value Scale (RVS) Code List

Standard: Based on AMA CPT-aligned RVS adapted by PhilHealth for Philippine healthcare reimbursement

RVS codes and associated case rates are per applicable PhilHealth circulars. Rates change periodically and should be verified against the current circular before claim submission.

PhilHealth Reimbursement Data

Source: PhilHealth Circulars — Case rates per applicable PhilHealth reimbursement circular

Case rates, facility components, and professional fee components displayed are for reference only. Always verify current rates against the latest applicable PhilHealth circular before submission.