Medical Schemes Act, 1998 (Act No. 131 of 1998)RegulationsRegulations in terms of the Medical Schemes ActAnnexuresAnnexure AHeart and Vasculature |
CODE: |
155E |
DIAGNOSIS: |
MYOCARDITIS; CARDIOMYOPATHY; TRANSPOSITION OF GREAT VESSELS; HYPOPLASTIC LEFT HEART SYNDROME. |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT; CARDIAC TRANSPLANT |
CODE: |
108E |
DIAGNOSIS: |
PERICARDITIS |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT |
CODE: |
907E |
DIAGNOSIS: |
ACUTE AND SUBACUTE ISCHEMIC HEART DISEASE, INCLUDING MYOCARDIAL INFARCTION AND UNSTABLE ANGINA |
TREATMENT: |
MEDICAL MANAGEMENT; SURGERY; PERCUTANEOUS PROCEDURES |
CODE: |
284E |
DIAGNOSIS: |
ACUTE PULMONARY HEART DISEASE AND PULMONARY EMBOLI |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT |
CODE: |
35E |
DIAGNOSIS: |
ACUTE RHEUMATIC FEVER |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
908E |
DIAGNOSIS: |
ANEURYSM OF MAJOR ARTERY OF CHEST, ABDOMENI NECK, -UNRUPTURED OR RUPTURED NOS |
TREATMENT: |
SURGICAL MANAGEMENT |
CODE: |
26E |
DIAGNOSIS: |
ARTERIAL EMBOLISM/THROMBOSIS: ABDOMINAL AORTA, THORAC1C AORTA |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT |
CODE: |
204E |
DIAGNOSIS: |
CARDIAC FAILURE: ACUTE OR RECENT DETERIORATION OF CHRONIC CARDIAC FAILURE |
TREATMENT: |
MEDICALTREATMENT |
CODE: |
98E |
DIAGNOSIS: |
COMPLETE, CORRECTED AND OTHER TRANSPOSTION OF GREAT VESSELS |
TREATMENT: |
REPAIR |
CODE: |
97E |
DIAGNOSIS: |
CORONARY ARTERY ANOMALY |
TREATMENT: |
ANOMALOUS CORONARY ARTERY LIGATION |
CODE: |
309E |
DIAGNOSIS: |
DISEASES AND DISORDERS OF AORTIC VALVE NOS |
TREATMENT: |
AORTIC VALVE REPLACEMENT |
CODE: |
210E |
DIAGNOSIS: |
DISEASES OF ENDOCARDIUM; ENDOCARDITIS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
314E |
DIAGNOSIS: |
DISEASES OF MITRAL VALVE |
TREATMENT: |
VALVULOPLASTY; VALVE REPLACEMENT; MEDICAL MANAGEMENT |
CODE: |
902E |
DIAGNOSIS: |
DISORDERS OF ARTERIES: VISCERAL |
TREATMENT: |
BYPASS GRAFT; SURGICAL MANAGEMENT |
CODE: |
18E |
DIAGNOSIS: |
DISSECTING OR RUPTURED AORTIC ANEURYSM |
TREATMENT: |
SURGICAL MANAGEMENT |
CODE: |
915E |
DIAGNOSIS: |
GANGRENE; SEVERE ATHEROSCLEROSIS OF ARTERIES OF EXTREMITIES; DIABETES MELLITUS WITH PERIPHERAL CIRCULATORY DISEASE |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT INCLUDING AMPUTATION |
CODE: |
294E |
DIAGNOSIS: |
GIANT CELL ARTERITIS, KAWASAKI DISEASE, HYPERSENSITIVITY ANGIITIS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
450E |
DIAGNOSIS: |
HEREDITARY HEMORRHAGIC TELANGIECTASIA |
TREATMENT: |
EXCISION |
CODE: |
901E |
DIAGNOSIS: |
HYPERTENSION - ACUTE LIFE-THREATENING COMPLICATIONS AND MALIGNANT HYPERTENSION; RENAL ARTERY STENOSIS AND OTHER CURABLE HYPERTENSION |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT |
CODE: |
111E |
DIAGNOSIS: |
INJURY TO MAJOR BLOOD VESSELS - TRUNK, HEAD AND NECK, AND UPPER LIMBS |
TREATMENT: |
REPAIR |
CODE: |
19E |
DIAGNOSIS: |
INJURY TO MAJOR BLOOD VESSELS OF EXTREMITIES |
TREATMENT: |
LIGATION |
CODE: |
903E |
DIAGNOSIS: |
LIFE-THREATENING CARDIAC ARRHYTHMIAS |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT, PACEMAKERS, CARDIOVERSION |
CODE: |
900E |
DIAGNOSIS: |
LIFE-THREATENING COMPLICATIONS OF ELECTIVE CARDIAC AND MAJOR VASCULAR PROCEDURES |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT |
CODE: |
497E |
DIAGNOSIS: |
MULTIPLE VALVULAR DISEASE |
TREATMENT: |
SURGICAL MANAGEMENT |
CODE: |
355E |
DIAGNOSIS: |
OTHER ANEURYSM OF ARTERY - PERIPHERAL |
TREATMENT: |
SURGICAL MANAGEMENT |
CODE: |
905E |
DIAGNOSIS: |
OTHER CORRECTABLE CONGENITAL CARDIAC CONDITIONS |
TREATMENT: |
SURGICAL REPA!R; MEDICAL MANAGEMENT |
CODE: |
100E |
DIAGNOSIS: |
PATENT DUCTUS ARTERIOSUS; AORTIC PULMONARY FISTULA - PERSISTENT |
TREATMENT: |
LIGATION |
CODE: |
209E |
DIAGNOSIS: |
PHLEBITIS & THROMBOPHLEBITIS, DEEP |
TREATMENT: |
LIGATION AND DIVISION; MEDICAL MANAGEMENT |
CODE: |
914E |
DIAGNOSIS: |
RHEUMATIC PERICARDITIS; RHEUMATIC MYOCARDITIS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
16E |
DIAGNOSIS: |
RUPTURE OF PAP1LLARY MUSCLE |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT |
CODE: |
627E |
DIAGNOSIS: |
SHOCK / HYPOTENSION - LIFE THREATENING |
TREATMENT: |
MEDICAL MANAGEMENT; VENTILATION |
CODE: |
99E |
DIAGNOSIS: |
TETRALOGY OF FALLOT (TOF) |
TREATMENT: |
TOTAL REPAIR TETRALOGY |
CODE: |
93E |
DIAGNOSIS: |
VENTRICULAR SEPTAL DEFECT - PERSISTENT |
TREATMENT: |
CLOSURE |