Medical Schemes Act, 1998 (Act No. 131 of 1998)RegulationsRegulations in terms of the Medical Schemes ActAnnexuresAnnexure AHaematological, Infectious and Miscellaneous Systemic Conditions |
CODE: |
505 |
DIAGNOSIS: |
SYPHILIS - CQNGENITAL, SECONDARY AND TERTIARY |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
168S |
DIAGNOSIS: |
# HIV-INFECTION |
TREATMENT: |
# HIV VOLUNTARY COUNSELLING AND TESTING CO-TRIMOXAZOLE AS PREVENTIVE THERAPY SCREENING AND PREVENTIVE THERAPY FOR TB. DIAGNOSIS AND TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS. PAIN MANAGEMENT IN PALLIATIVE CARE. TREATMENT OF COMMON OPPORTUNISTIC INFECTIONS. PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV. POST-EXPOSURE PROPHYLAXIS FOLLOWING SEXUAL ASSAULT. MEDICAL MANAGEMENT AND MEDICATION, INCLUDING THE PROVISION OF ANTI-RETROVIRAL THERAPY, TO THE EXTENT THAT THIS IS PROVIDED FOR IN ESTABLISHED NATIONAL GUIDELINES APPLICABLE IN THE PUBLIC SECTOR (THE NATIONAL GUIDELINES ARE SET OUT IN THE OPERATIONAL PLAN FOR COMPREHENSIVE HIV AND AIDS CARE, MANAGEMENT AND TREATMENT FOR SOUTH AFRICA; AND THE NATIONAL ANTIRETROVIRAL TREATMENT GUIDELINES. BOTH DOCUMENTS ARE AVAILABLE AT THE OFFICE OF THE DIRECTOR-GENERAL: NATIONAL DEPARTMENT OF HEALTH). |
CODE: |
260S |
DIAGNOSIS: |
# IMMINENT DEATH REGARDLESS OF DIAGNOSIS |
TREATMENT: |
# COMFORT CARE; PAIN RELIEF; HYDRATION |
CODE: |
113S |
DIAGNOSIS: |
ACQUIRED HAEMOLYT1C ANAEMIAS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
901S |
DIAGNOSIS: |
MULTIPLE MYELOMA AND CHRONIC LEUKEMIAS |
TREATMENT: |
TREATMENT: MEDICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY |
CODE: |
2778 |
DIAGNOSIS: |
ANAEROBIC INFECTIONS - LIFE THREATENING |
TREATMENT: |
MEDICAL MANAGEMENT; HYPERBARIC OXYGEN |
CODE: |
488 |
DIAGNOSIS: |
ANAPHYLACTIC SHOCK |
TREATMENT: |
MEDICAL MANAGEMENT; VENTILATION |
CODE: |
9008 |
DIAGNOSIS: |
APLASTIC ANEMIA; AGRANULOCYTOSIS; OTHER LIFE-THREATENING HERIDITARY IMMUNE DEFICIENCIES |
TREATMENT: |
BONE MARROW TRANSPLANTATION; MEDICAL MANAGEMENT |
CODE: |
197S |
DIAGNOSIS: |
BOTULISM |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
338S |
DIAGNOSIS: |
CHOLERA; RAT-BITE FEVER |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
1968 |
DIAGNOSIS: |
CHRONIC GRANULOMATOUS DISEASE |
TREATMENT: |
MEDICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY |
CODE: |
9168 |
DIAGNOSIS: |
COAGULATION DEFECTS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
2468 |
DIAGNOSIS: |
CYSTICERCOSIS; OTHER SYSTEMIC CESTODE INFECTION |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
903S |
DIAGNOSIS: |
DEEP-SEATED (EXCLUDING NAIL INFECTIONS), DISSEMINATED AND SYSTEMIC FUNGAL INFECTIONS |
TREATMENT: |
MEDICAL MANAGEMENT; SURGERY |
CODE: |
44S |
DIAGNOSIS: |
ERYSIPELAS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
179S |
DIAGNOSIS: |
HEREDITARY ANGIOEDEMA; ANGIONEUROTIC ADEMA |
TREATMENT: |
MEDICAL AND SURGICAL THERAPY |
CODE: |
174S |
DIAGNOSIS: |
HEREDITARY HAEMOLYTIC ANAEMIAS (EG. SICKLE CELL); DYSERYTHROPOIETIC ANEMIA (CONGENITAL) |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
201S |
DIAGNOSIS: |
HERPETIC ENCEPHALITIS; REYE’S SYNDROME |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
913S |
DIAGNOSIS: |
IMMUNE COMPROMISE NOS AND ASSOCIATED LIFE-THREATENING INFECTIONS NOS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
9128 |
DIAGNOSIS: |
LEPROSY AND OTHER SYSTEMIC MYCOBACTERIAL INFECTIONS, EXCLUDING TUBERCULOSIS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
336S |
DIAGNOSIS: |
LEPTOSPIROSIS; SPIROCHAETAL INFECTIONS NOS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
252S |
DIAGNOSIS: |
LIFE-THREATENING ANAEMIA NOS |
TREATMENT: |
MEDICAL MANAGEMENT; TRANSFUSION |
CODE: |
908S |
DIAGNOSIS: |
LIFE-THREATENING CONDITIONS DUE TO EXPOSURE TO THE ELEMENTS, INCLUDING HYPO AND HYPERTHERMIA; LIGHTNING STRIKES] |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
9078 |
DIAGNOSIS: |
LIFE-THREATENING RICKETTSIAL AND OTHER ARTHROPOD-BORNE DISEASES |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
1728 |
DIAGNOSIS: |
MALARIA; TRYPANOSOMIASIS; OTHER LIFE-THREATENING PARASITIC DISEASE |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
9048 |
DIAGNOSIS: |
METASTATIC INFECTIONS; SEPTICEMIA |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
910S |
DIAGNOSIS: |
MULTIPLE MYELOMA AND CHRONIC LEUKAEMIAS |
TREATMENT: |
MEDICAL MANAGEMENT; WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY |
CODE: |
2478 |
DIAGNOSIS: |
POISONING BY INGESTION, INJECTION, AND NON-MEDICINAL AGENTS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
9118 |
DIAGNOSIS: |
SEXUALLY TRANSMITTED DISEASES WITH SYSTEMIC INVOLVEMENT NOT ELSWHERE SPECIFIED |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
1288 |
DIAGNOSIS: |
TETANUS; ANTHRAX; WHIPPLES DISEASE |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
122S |
DIAGNOSIS: |
THALASSEMIA AND OTHER HEMOGLOBINOPATHIES - TREATABLE |
TREATMENT: |
MEDICAL MANAGEMENT; BONE MARROW TRANSPLANT |
CODE: |
316S |
DIAGNOSIS: |
TOXIC EFFECT OF GASES, FUMES, AND VAPORS |
TREATMENT: |
MEDICAL THERAPY |
CODE: |
11S |
DIAGNOSIS: |
TUBERCULOSIS |
TREATMENT: |
DIAGNOSIS AND ACUTE MEDICAL MANAGEMENT; SUCCESSFUL TRANSFER TO MAINTENANCE THERAPY IN ACCORDANCE WITH DOH GUIDELINES |
CODE: |
937S |
DIAGNOSIS: |
TUMOUR OF INTERNAL ORGAN (EXCLUDES SKIN): UNKNOWN WHETHER BENIGN OR MALIGNANT |
TREATMENT: |
BIOPSY |
CODE: |
15S |
DIAGNOSIS: |
WHOOPING COUGH, DIPTHERIA |
TREATMENT: |
MEDICAL MANAGEMENT |