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Phil Health Classification of Procedures

Phil Health Classification of Procedures

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Published by: Sharyl Plan Saromines on Jun 23, 2010
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05/18/2012

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Incision

50010Renal exploration, not necessitating other specific procedures

120

50020Drainage of perirenal or renal abscess

100

50040Nephrostomy, nephrotomy w/ drainage

100

50045Nephrotomy, w/ exploration

100

50060Nephrolithotomy; removal of calculus

150

50065

secondary surgical operation for calculus

170

50070

complicated by congenital kidney abnormality

180

65 of 96

CODE

DESCRIPTIVE TERMS

RVU

50075

removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic
pyelolithotomy)

200

50080Percutaneous nephrostolithotomy or pyelostolithotomy, w/ or w/o dilation, endoscopy, lithotripsy,
stenting, or basket extraction; up to 2 cm

180

58081

over 2 cm

200

50100Transection or repositioning of aberrant renal vessels

200

50120Pyelotomy; w/ exploration

100

50125

w/ drainage, pyelostomy

100

50130

w/ removal of calculus (pyelolithotomy, pelviolithotomy, including coagulum pyelolithotomy)

120

50135

complicated (eg, secondary operation, congenital kidney abnormality)

130

Excision

50200Renal biopsy; percutaneous, by trocar or needle

10

50205

by surgical exposure of kidney

30

50220Nephrectomy, including partial ureterectomy, any approach including rib resection;

150

50225

complicated because of previous surgery on same kidney

150

50230

radical, w/ regional lymphadenectomy and/or vena caval thrombectomy

180

50234Nephrectomy w/ total ureterectomy and bladder cuff; through same incision

200

50236

through separate incision

200

50240Nephrectomy, partial

150

50280Excision or unroofing of cyst(s) of kidney

100

50290Excision of perinephric cyst

100

Renal Transplantation

50320Donor nephrectomy, w/ preparation and maintenance of allograft; from living donor

150

50360Renal allotransplantation, implantation of graft; excluding donor and recipient nephrectomy

250

50365 w/ recipient nephrectomy

400

50370Removal of transplanted renal allograft

150

50380Renal autotransplantation, reimplantation of kidney

200

Introduction

50390Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous

20

Repair

50400Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal pelvis, w/ or w/o plastic operation on
ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting; simple

180

50405

complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty)200
50500Nephrorrhaphy, suture of kidney wound or injury

150

50520Closure of nephrocutaneous or pyelocutaneous fistula

100

50525Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; abdominal approach

150

50526

thoracic approach

200

50540Symphysiotomy for horseshoe kidney w/ or w/o pyeloplasty and/or other plastic procedure, unilateral
or bilateral (one operation)

200

Endoscopy

50551Renal endoscopy through established nephrostomy or pyelostomy, w/ or w/o irrigation, instillation, or
ureteropyelography, exclusive of radiologic service;

38

50553

w/ ureteral catheterization, w/ or w/o dilation of ureter

40

50555

w/ biopsy

45

50557

w/ fulguration and/or incision, w/ or w/o biopsy

31

50559

w/ insertion of radioactive substance w/ or w/o biopsy and/or fulguration

34

50561

w/ removal of foreign body or calculus

50

50570Renal endoscopy through nephrotomy or pyelotomy, w/ or w/o irrigation, instillation, or
ureteropyelography, exclusive of radiologic service;

40

50572

w/ ureteral catheterization, w/ or w/o dilation of ureter

40

50574

w/ biopsy

40

66 of 96

CODE

DESCRIPTIVE TERMS

RVU

50575

w/ endopyelotomy (includes cystoscopy, ureteroscopy, dilation of ureter and ureteral pelvic
junction, incision of ureteral pelvic junction and insertion of endopyelotomy stent)

50

50576

w/ fulguration and/or incision, w/ or w/o biopsy

50

50578

w/ insertion of radioactive substance, w/ or w/o biopsy and/or fulguration

50

50580

w/ removal of foreign body or calculus

50

Other Procedures

50590Lithotripsy, extracorporeal shock wave

100

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