Philhealth Coverage for non-Hodgkin’s Lymphoma

Non-Hodgkin’s Lymphoma (NHL) is cancer of the lymph tissue, which is found in the lymph nodes, spleen, and other parts of the immune system.

Non-Hodgkin’s Lymphoma is also called Non-Hodgkin Lymphoma.

All the types of Non-Hodgkin’s Lymphomas listed below are malignant neoplasms of lymphoid, hematopoietic and related tissue.

For all the following codes and types of lymphomas, the total coverage is 13,900 (9,730 for hospital expense and 4,170 for professional fee)

Coverage for hospital expense:  9,730 pesos
Coverage for professional fee (PF):  4,170 pesos
Total coverage:  13,900 pesos

Code C82.0
Small cleaved cell, follicular non-Hodgkin’s lymphoma

Code C82.1
Mixed small cleaved non-Hodgkin’s lymphoma and large cell, follicular non-Hodgkin’s lymphoma

Code C82.2
Large cell, follicular non-Hodgkin’s lymphoma

Code C82.7
Other types of follicular non-Hodgkin’s lymphoma

Code C82.9
Follicular non-Hodgkin’s lymphoma, unspecified; Nodular non-Hodgkin’s lymphoma NOS

Code C83.0
Small cell diffuse non-Hodgkin’s lymphoma

Code C83.2
Mixed small and large cell diffuse non-Hodgkin’s lymphoma

Code C83.3
Large cell diffuse non-Hodgkin’s lymphoma

Code C83.4
Immunoblastic diffuse non-Hodgkin’s lymphoma

Code C83.5
Lymphoblastic diffuse non-Hodgkin’s lymphoma

Code C83.8
Other types of diffuse non-Hodgkin’s lymphoma

Code C83.9
Diffuse non-Hodgkin’s lymphoma, unspecified

Code C85.7
Other specified types of non-Hodgkin’s lymphoma; malignant reticuloendotheliosis; malignant reticulosis; microglioma

Code C85.9
non-Hodgkin’s lymphoma, unspecified type; Lymphoma NOS

Code C21.2
Human immunodeficiency virus (HIV) disease resulting in other types of non-Hodgkin’s lymphoma

Philhealth Coverage for Hodgkin’s Disease

Hodgkin’s Disease Has the Same Coverage Amount as Above

Code C81.0
Hodgkin’s disease (Lymphocytic predominance); Hodgkin’s disease (Lymphocytic-histiocytic predominance)

Code C81.1
Hodgkin’s disease (Nodular sclerosis)

Code C81.9
Hodgkin’s disease, unspecified

Source:

Philhealth Circular No. 35 s. 2013, signed November 15, 2013
Annex 1: List of Medical Case Rates

Disclaimer:  This site is not administered by Philhealth.

3 Comments

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    1. Hi Geffen, if it’s chemo with RVS code 96408, one chemo session deducts 2 days from the 45-day allowance per year, so essentially 22.5 sessions are covered per year.

      1. Last yr nka 6 chemo po ako pero 30 days po naconsume ko and 5600 per chemo ang naavail ko last month pinadalhan po ako ng notice for prof fee refund amounting 1680 pesos for the month of october, posible po ba na may notice pa po ako mtatangap, ang isa ko pa po concern iba po ang price coverage ng hodgkin lymphoma. 5600 po ang ibinibigay ng philhealth sa pgh. Salamat

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