Medical Schemes Act, 1998 (Act No. 131 of 1998)RegulationsRegulations in terms of the Medical Schemes ActAnnexuresAnnexure AMental Illness |
CODE: |
182T |
DIAGNOSIS: |
ABUSE OR DEPENDENCE ON PSYCHOACTIVE SUBSTANCE, INCLUDING ALCOHOL |
TREATMENT: |
HOSPITAL-BASED MANAGEMENT UP TO 3 WEEKS/YEAR |
CODE: |
901T |
DIAGNOSIS: |
ACUTE DELUSIONAL MOOD, ANXIETY, PERSONALITY, PERCEPTION DISORDERS AND ORGANIC MENTAL DISORDER CAUSED BY DRUGS; |
TREATMENT: |
HOSPITAL-BASED MANAGEMENT UP TO 3 DAYS |
CODE: |
910T |
DIAGNOSIS: |
ACUTE STRESS DISORDER ACCOMPANIED BY RECENT SIGNIFICANT TRAUMA, INCLUDING PHYSICAL OR SEXUAL ABUSE |
TREATMENT: |
HOSPITAL ADMISSION FOR PSYCHOTHERAPY COUNSELLING UP TO 3 DAYS, OR UP TO 12 OUTPATIENT PSYCHOTHERAPY / COUNSELLING CONTACTS |
CODE: |
910T |
DIAGNOSIS: |
ALCOHOL WITHDRAWAL DELIRIUM; ALCOHOL INTOXICATION DELIRIUM |
TREATMENT: |
HOSPITAL BASED MANAGEMENT UP TO 3 DAYS LEADING TO REHABILITATION |
CODE: |
908T |
DIAGNOSIS: |
ANOREXIA NERVOSA AND BULIMIA NERVOSA |
TREATMENT: |
HOSPITAL-BASED MANAGEMENT UP TO 3 WEEKS/YEAR OR MINIMUM OF 15 OUTPATIENT CONTACTS PER YEAR |
CODE: |
903T |
DIAGNOSIS: |
ATTEMPTED SUICIDE, IRRESPECTIVE OF CAUSE |
TREATMENT: |
HOSPITAL-BASED MANAGEMENT UP TO 3 DAYS OR UP TO 6 OUTPATIENT CONTACTS |
CODE: |
184T |
DIAGNOSIS: |
BRIEF REACTIVE PSYCHOSIS |
TREATMENT: |
HOSPITAL-BASED MANAGEMENT UP TO 3 WEEKS/YEAR |
CODE: |
910T |
DIAGNOSIS: |
DELIRIUM: AMPHETAMINE, COCAINE, OR OTHER PSYCHOACTIVE SUBSTANCE |
TREATMENT: |
HOSPITAL-BASED MANAGEMENT UP TO 3 DAYS |
CODE: |
902T |
DIAGNOSIS: |
MAJOR AFFECTIVE DISORDERS, INCLUDING UNIPOLAR AND BIPOLAR DEPRESSION |
TREATMENT: |
HOSPITAL-BASED MANAGEMENT UP TO 3 WEEKSLYEAR (INCLUDING INPATIENT ELECTRO-CONVULSIVE THERAPY AND INPATIENT PSYCHOTHERAPY) OR OUTPATIENT PSYCHOTHERAPY OF UP TO 15 CONTACTS |
CODE: |
907T |
DIAGNOSIS: |
SCHIZOPHRENIC AND PARANOID DELUSIONAL DISORDERS |
TREATMENT: |
HOSPITAL-BASED MEDICAL MANAGEMENT UP TO 3 WEEKS/YEAR |
CODE: |
909T |
DIAGNOSIS: |
TREATABLE DEMENTIA |
TREATMENT: |
ADMISSION FOR INITIAL DIAGNOSIS; MANAGEMENT OF ACUTE PSYCHOTIC SYMPTOMS - UP TO I WEEK |