Shells of Modiolus philippinarum can reach a length of, with a maximum of about. These shells are thin but solid, swollen, elongate-ovate and roughly trapeziform. The anterior margin is short, while posterodorsal margin is long and oblique in relation to the ventral margin. Hind margin is convex and hinge-line is approximately one half the total length. Outer surface of the shell shows many concentric growth striae. The basic color of the external surface is yellowish brown, while the interior varies from pearly white to purplish red.