Philhealth Coverage for Kidney Stone Removal

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