Philhealth Deduction for Colonoscopy

COLONOSCOPY is mainly a diagnostic procedure. Your doctor uses a colonoscope to examine your large intestine (rectum and colon) and the lower part of your small intestine.

A colonoscope is a thin flexible tube that has a small video camera at the tip.

Colonoscopy is used to find tumors, polyps, ulcers, inflammation and bleeding in your large intestine.
It can also be used to collect tissue samples for biopsy.

Philhealth deductions for different kinds of colonoscopy:

Code 44388
Diagnostic colonoscopy through stoma, with or without collection of specimen by brushing or washing
Code 44389
Colonoscopy through stoma, with biopsy, single or multiple
Total coverage: 14,960
For PF: 7,560
For hospital costs: 7,400

 

Code 44390
Colonoscopy through stoma, with removal of foreign body
Code 44391
Colonoscopy through stoma, with control of bleeding, any method
Code 44392
Colonoscopy through stoma, with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or
bipolar cautery
Total coverage: 18,000
For PF: 8,400
For hospital expenses: 9,600

 

Code 44393
Colonoscopy through stoma, with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar caurtery or snare technique
Code 44394
Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
Total coverage: 21,940
For PF: 9,240
For hospital costs: 12,700

 

Code 45355
Colonoscopy, rigid or flexible, transabdominal via colotomy, single or multiple
Total coverage: 10,540
For PF: 5,040
For hospital costs: 5,500

 

Code 45378
Diagnostic flexible colonoscopy, proximal to splenic flexure, with or without collection of specimen(s) by brushing or washing, with or without colon decompression
Code 45379
Flexible colonoscopy, proximal to splenic flexure, with removal of foreign body
Code 45380
Flexible colonoscopy, proximal to splenic flexure, with biopsy, single or multiple
Total coverage: 12,120
For PF: 6,720
For hospital costs: 5,400

 

Code 45382
Flexible colonoscopy, proximal to splenic flexure, with control of bleeding, any method
Code 45385
Flexible colonoscopy, proximal to splenic flexure, with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
Total coverage: 18,000
For PF: 8,400
For hospital costs: 9,600

 

Code 45383
Flexible colonoscopy, proximal to splenic flexure, with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique
Code 45384
Flexible colonoscopy, proximal to splenic flexure, with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery
Total coverage: 14,960
For PF: 7,560
For hospital costs: 7,400

4 thoughts on “Philhealth Deduction for Colonoscopy”

  1. Hello. i would like to ask for example. I will have to under go colonoscopy how much will i pay including pf and hospital. How much philhealth will cover. Thank you.

    Reply
    • Hi Ferdinand, you should ask your doctor, kasi iba-iba ang presyo nila. Tanungin mo “Doc, how much ang cashout ko kung gagamit ako ng Philhealth?”. With this question, you will know rin kung Philhealth-accredited yong doctor. Pag basic colonoscopy: 14,960 ang total deduction (PF: 7,560, Hospital: 7,400). Kapag merong tatanggalin, total deduction ay 18k (PF: 8,400, Hospital: 9,600).

      Reply
    • Hi Gannie, sorry wala akong ma-recommend. Makati Medical Center siguro. I-research mo yong mga gastroenterologists sa MMC. Gastroenterologists have special training in colonoscopy. In case of colorectal surgery, ang mag-perform ng surgery is the colorectal surgeon. Or mag-research ka online ng gastroenterologists na merong mga good comments. Mag-research ka na rin ng mga tips to do or foods to eat prior to colonoscopy para mas effective yong procedure.

      Reply

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