Here are Philhealth coverages for different kinds of kidney stone removal:
Code 50590
Extracorporeal Shock Wave Lithotripsy (ESWL)
This is a procedure that uses shock waves to break down kidney stones into
smaller pieces that can be passed or moved out of the body through urine.
Coverage for Professional Fee (PF): 8,400 pesos
Coverage for Hospital Expenses: 9,600 pesos
Total Coverage: 18,000 pesos
Code 50060
Nephrolithotomy; removal of calculus
With this procedure, the doctor removes kidney stones by making a small incision in the patient’s back
Coverage for PF: 15,120 pesos
Coverage for Hospital Expenses: 12,000 pesos
Total Coverage: 27,120 pesos
Code 50065
Nephrolithotomy; secondary surgical operation for calculus
Coverage for PF: 16,800 pesos
Coverage for Hospital Expenses: 13,500 pesos
Total Coverage: 30,300 pesos
Code 50070
Nephrolithotomy; complicated by congenital kidney abnormality
Coverage for PF: 15,120 pesos
Coverage for Hospital Expenses: 12,000 pesos
Total Coverage: 27,120 pesos
Code 50075
Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and
calyces (including anatrophic pyelolithotomy)
Coverage for PF: 21,000 pesos
Coverage for Hospital Expenses: 16,800 pesos
Total Coverage: 37,800 pesos
Code 52320
Cystourethroscopy (including ureteral catheterization; with removal of
ureteral calculus)
Coverage for PF: 5,880 pesos
Coverage for Hospital Expenses: 6,100 pesos
Total Coverage: 11,980 pesos
Code 52336
Cystourethroscopy (with ureteroscopy and/or pyeloscopy (includes dilation of
the ureter and/or pyeloureteral junction by any method); with removal or
manipulation of calculus (ureteral catheterization is included)
Coverage for PF: 6,720 pesos
Coverage for Hospital Expenses: 5,400 pesos
Total Coverage: 12,120 pesos
Code 52337
Cystourethroscopy (with ureteroscopy and/or pyeloscopy (includes dilation of
the ureter and/or pyeloureteral junction by any method); with lithotripsy
(ureteral catheterization is included)
Coverage for PF: 9,240 pesos
Coverage for Hospital Expenses: 12,700 pesos
Total Coverage: 21,940 pesos
Hi. Ask lang po ako. My mom is 58 years old. She was diagnosed with kidney stone o her left and right kidneys. Per hospital’s advised, since dependent ko po sya sa medicard ko, and unfortunately,wala po sya philhealth, we need to shoulder 9600 per session para po sa ESWL nya on aug 11 and 13. Total of 19200 po shoulder namin. Ask ko po sana if possible po na matulungan kami ng philhealth khit wala po sya 60 as my dependent po. Phillealth member po ako since 2005 if im not mistaken .your advise will be. Good help to us thnks in advance . God bless
Hi jena, your mom should be at least 60 to be eligible as your dependent. If you like, you can go to Philhealth and ask if your mom can avail if she pays for 1 year in advance. There was a news release about this, but I’m not sure if they’re implementing it. God bless din.
hello is it automatic that my parents can be my dependents when they reached 60 and above even if they were not listed as my dependents with philhealth? thanks
Hi jin, yes and no. You should update your MDR with Philhealth. Bring your ID, birth certificate (proof of relationship) and your parents’ birth certificates or senior citizen IDs (proof of age). Many hospitals require that your parents’ names are written in your MDR.
Hi I had IVP, was confined and used philheatlh. IN a week’s time, I’ll have surgery. Can I use my Philhealth?
Hi Delilah, if the surgery code will be different from your previous confinement code, you can use your Philhealth again.
If no philhealth, how much is ESWL? pls
Hi aljon, ask your surgeon. The costs vary from doctor to doctor. By the way, I’ not a doctor and we’re not working for Philhealth
How much is extracorporeal shockwave lithotripsy. I have kidney stone 15mm in my right and 10mm in my left kidney. thanks much
Hi Cayetano, Philhealth’s coverage for ESWL is 18k (8,400 for pf and 9,600 hospital costs). Ask your surgeon about total cash out if you use Philhealth.
Yung kumpare ko ay may kidney stones. Sabi sa kanya ng doktor na mag-ready ng 100k for operation. Buti na lang at nalaman nya ang USANA. nag-take sya ng products at within 1month ay lumabas ang kidney stones nya at hindi nya na kinailangan magpaopera. Ang galing talaga ng products at nakatipid pa sya.
Pm me or call me 09255006779
I’m willing to help you guys.
We have also a money back guarantee.
Hi po. Anu po ibig sabhin ng patient refund request form?
hi, my brother is 59 years old and he is now confined and scheduled for removal of kidney stones. he missed payment of his contribution during the first quarter, We paid for this quarter on the day of his confinement, the hospital staff told us that he is not covered. His wife is senior citizen, can he used the Philhealth of his wife as her dependent?
thanks for your reply
Hi rose, yes, but sorry I’m not sure how Philhealth will treat the latest premium payment by the husband. A person cannot be a Philhealth member and at the same time a dependent. If you decide so, the wife or representative with authorization letter and IDs can go to Philhealth with her marriage certificate to register her husband as dependent. Bring husband’s letter requesting Philhealth to cancel his membership and to register him as dependent of his wife. Then get a new MDR with the husband written as dependent of his wife.
In which hospital can kidneystones be removed through shockwave? goverment employee po, how much will I pay?
Hi bong, sorry I don’t know specific hospitals. Ask hospitals nearest your work or residence. Philhealth coverage is 9,600 for hospital cost and 8,400 for PF. You pay the balance after deduction. In many government hospitals, you buy the meds/supplies and other hospital costs are usually covered and you pay PF to the surgeon separately.
My Wife is 64 years old and diagnosed that her left kidney had stone measuring more than 3.0 CM. Doctor advice it has to be removed by any of the 3 methods of stone removal. Further advice it need at least 170,000.00 pesos. Will this expenses be covered by Philhealth. Thanks
Hi Max, sorry no. Philhealth covers only a small portion of it. See here the coverages for kidney stone removal
hi, maam.sa mga laboratory tests at dignostic tests wla po bang covered ang philhealth dun,wla n ba akong marereimburse? ct stonogram is very expnsive.tnx
Hi miral, yes, it’s sad, pero hindi covered ang outpatient diagnostic procedures na non-invasive, katulad ng x-rays o CT scans na walang ginagawang treatment procedure during the scan. Ang puede lang is biopsy, kasi merong excision, or endoscopy or colonoscopy kasi merong ipapasok sa loob ng body. Pero ask mo pa rin ang hospital.
I have 6 kidney stones and 37 mm staghorn calculli was the biggest , PCNL procedure pinagawa ko
4 days in hospital then 1 week recovey yun nga lang bill is 211k-30,300 ( philhealth)at Naga City Camarines Sur province.