Philhealth Coverage for Colostomy

COLOSTOMY is a surgical procedure to create an opening for the colon or large intestine through the abdomen to provide a pathway for waste to exit the body.

Here are Philhealth Case Rate coverage amounts for COLOSTOMY:

Code 44188
Surgical laparoscopy, colostomy, or skin level cecostomy
Coverage for hospital expense: 9,600 pesos
Coverage for professional fee (PF): 8,400 pesos
Total coverage: 18,000 pesos

Code 44320
Colostomy or skin level cecostomy
Coverage for hospital expense: 10,700
Coverage for professional fee (PF): 12,600
Total coverage: 23,300

Code 44322
Colostomy or skin level cecostomy, with multiple biopsies
Coverage for hospital expense: 10,700
Coverage for professional fee (PF): 12,600
Total coverage: 23,300

Code 44340
Revision of colostomy; simple (release of superficial scar)
Coverage for hospital expense: 10,700
Coverage for professional fee (PF): 12,600
Total coverage: 23,300

Code 44345
Revision of colostomy; complicated (reconstruction in-depth)
Coverage for hospital expense: 13,500
Coverage for professional fee (PF): 16,800
Total coverage: 30,300

Code 44346
Revision of colostomy; with repair of paracolostomy hernia
Coverage for hospital expense: 13,500
Coverage for professional fee (PF): 16,800
Total coverage: 30,300

Code 45805
Closure of rectovesical fistula; with colostomy
Coverage for hospital expense: 16,800
Coverage for professional fee (PF): 21,000
Total coverage: 37,800

Code 45825
Closure of rectourethral fistula; with colostomy
Coverage for hospital expense: 16,800
Coverage for professional fee (PF): 21,000
Total coverage: 37,800

Code 57307
Closure of rectovaginal fistula; abdominal approach, with concomitant colostomy
Coverage for hospital expense: 13,500
Coverage for professional fee (PF): 16,800
Total coverage: 30,300

Source:   Philhealth Circular No. 35 s. 2013, effective January 1, 2014 Annex 2. List of Procedure Case Rates

Disclaimer:   This blog is NOT administered by Philhealth.

Related Post:
Philhealth Case Rate Coverage for Myoma Removal or Myomectomy
Philhealth Coverage for Hysterectomy