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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

Respiratory System

 

CODE:

903D

DIAGNOSIS:

BACTERIAL, VIRAL, FUNGAL PNEUMONIA

TREATMENT:

MEDICAL MANAGEMENT, VENTILATION.



CODE:

158D

DIAGNOSIS:

# RESPIRATORY FAILURE, REGARDLESS OF CAUSE

TREATMENT:

# MEDICAL MANAGEMENT; OXYGEN; VENTILATION

Prevention and Treatment: clinically appropriate; vaccination; screening; diagnostic tests; medication; medical management including hospitalisation and treatment of complications; and Rehabilitation of COVID -19

 

CODE:

157D

DIAGNOSIS:

ACUTE ASTHMATIC AUACK; PNEUMONIA DUE TO RESPIRATORY SYNCYTIAL VIRUS IN PERSONS UNDER AGE 3

TREATMENT:

MEDICAL MANAGEMENT



CODE:

125D

DIAGNOSIS:

ADULT RESPIRATORY DISTRESS SYNDROME; INHALATION AND ASPIRATION PNEUMONIAS

TREATMENT:

MEDICAL MANAGEMENT; VENTILATION



CODE:

315D

DIAGNOSIS:

ATELECTASIS (COLLAPSE OF LUNG)

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT; VENTILATION



CODE:

MOD

DIAGNOSIS:

BENIGN NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS

TREATMENT:

BIOPSY; LOBECTOMY; MEDICAL MANAGEMENT; RADIATION THERAPY



CODE:

950D

DIAGNOSIS:

CANCER OF LUNG, BRONCHUS, PLEURA, TRACHEA, MEDIASTINUM & OTHER RESPIRATORY ORGANS -TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

1 7OD

DIAGNOSIS:

EMPYEMA AND ABSCESS OF LUNG

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

934D

DIAGNOSIS:

FRANK HAEMOPTYISIS

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

2O3D

DIAGNOSIS:

HYPOPLASIA AND DYSPLASIA OF LUNG

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

900D

DIAGNOSIS:

OPEN FRACTURE OF RIBS AND STERNUM; MULTIPLE RIB FRACTURES; FLAIL CHEST

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, VENTILATION



CODE:

SD

DIAGNOSIS:

PNEUMOTHORAX AND HAEMOTHORAX.

TREATMENT:

TUBE THORACOSTOMY / THORACOTOMY

 

[Annexure A (Treatment Covid-19) substituted by section 1 of Notice No. 45, GG44103, dated 20 January 2021]