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Medical Schemes Act, 1998 (Act No. 131 of 1998)

Regulations

Regulations in terms of the Medical Schemes Act

Annexures

Annexure A

Eye

 

CODE:

47B

DIAGNOSIS:

ACUTE ORBITAL CELLULITIS

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

394B

DIAGNOSIS:

ANGLE-CLOSURE GLAUCOMA

TREATMENT:

IRIDECTOMY; LASER SURGERY; MEDICAL AND SURGICAL MANAGEMENT



CODE:

586B

DIAGNOSIS:

BELL’S PALSY; EXPOSURE KERATOCONJUNCTIVITIS

TREATMENT:

TARSORRHAPHY; MEDICAL AND SURGICAL MANAGEMENT



CODE:

950B

DIAGNOSIS:

CANCER OF EYE & ORBIT - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY AND CHEMOTHERAPY



CODE:

901 B

DIAGNOSIS:

CATARACT; APHAKIA

TREATMENT:

EXTRACTION OF CATARACT; LENS IMPLANT



CODE:

911B

DIAGNOSIS:

CORNEAL ULCER; SUPERFICIAL INJURY OF EYE AND ADNEXA

TREATMENT:

CONJUNCTIVAL FLAP; MEDICAL MANAGEMENT



CODE:

4058

DIAGNOSIS:

GLAUCOMA ASSOCIATED WITH DISORDERS OF THE LENS

TREATMENT:

SURGICAL MANAGEMENT



CODE:

386B

DIAGNOSIS:

HERPES ZOSTER & HERPES SIMPLEX WITH OPHTHALMIC COMPLICATIONS

TREATMENT:

MEDICAL MANAGEMENT



CODE:

389B

DIAGNOSIS:

HYPHEMA

TREATMENT:

REMOVAL OF BLOOD CLOT; OBSERVATION



CODE:

4858

DIAGNOSIS:

INFLAMMATION OF LACRIMAL PASSAGES

TREATMENT:

INCISION; MEDICAL MANAGEMENT



CODE:

909B

DIAGNOSIS:

OPEN WOUND OF EYEBALL AND OTHER EYE STRUCTURES

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

407B

DIAGNOSIS:

PRIMARY AND OPEN ANGLE GLAUCOMA WITH FAILED MEDICAL MANAGEMENT

TREATMENT:

TRABECULECTOMY; OTHER SURGERY



CODE:

4198

DIAGNOSIS:

PURULENT ENDOPHTHALMITIS

TREATMENT:

VITRECTOMY



CODE:

922B

DIAGNOSIS:

RETAINED INTRAOCULAR FOREIGN BODY

TREATMENT:

SURGICAL MANAGEMENT



CODE:

904B

DIAGNOSIS:

RETINAL DETACHMENT, TEAR AND OTHER RETINAL DISORDERS

TREATMENT:

VITRECTOMY; LASER TREATMENT; OTHER SURGERY



CODE:

906B

DIAGNOSIS:

RETINAL VASCULAR OCCLUSION; CENTRAL RETINAL VEIN OCCLUSION

TREATMENT:

LASER SURGERY



CODE:

4098

DIAGNOSIS:

SYMPATHETIC UVEITIS AND DEGENERATIVE DISORDERS AND CONDITIONS OF GLOBE; SIGHT THREATENING THYROID OPTOPATHY

TREATMENT:

ENUCLEATION; MEDICAL MANAGEMENT; SURGERY