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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

Urinary and Male Genital System

 

CODE:

354L

DIAGNOSIS:

ABSCESS OF PROSTATE

TREATMENT:

TURP; DRAIN ABSCESS



CODE:

904L

DIAGNOSIS:

ACUTE AND CHRONIC PYELONEPHRITIS; RENAL & PERINEPHRIC ABSCESS

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

903L

DIAGNOSIS:

ACUTE GLOMERULONEPHRITIS AND NEPHROTIC SYNDROME

TREATMENT:

MEDICAL MANAGEMENT



CODE:

954L

DIAGNOSIS:

CANCER OF PENIS AND OTHER MALE GENITAL ORGAN - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

953L

DIAGNOSIS:

CANCER OF PROSTATE GLAND - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

950L

DIAGNOSIS:

CANCER OF TESTIS - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

952L

DIAGNOSIS:

CANCER OF URINARY SYSTEM INCLUDING KIDNEY AND BLADDER - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

906L

DIAGNOSIS:

CONGENITAL ANOMALIES OF URINARY SYSTEM - SYMPTOMATIC AND LIFE-THREATENING

TREATMENT:

NEPHRECTOMY/REPAIR



CODE:

901L

DIAGNOSIS:

END STAGE RENAL DISEASE REGARDLESS OF CAUSE

TREATMENT:

DIALYSIS & RENAL TRANSPLANT WHERE DEPARTMENT OF HEALTH CRITERIA ARE MET ONLY (SEE CRITERIA PUBLISHED IN GPS 004-9001)



CODE:

900L

DIAGNOSIS:

HYPERPLAS1A OF THE PROSTATE, WITH ACUTE UR1NARY RETENTION OR OBSTRUCTIVE RENAL FAILURE

TREATMENT:

TRANSURETHRAL RESECTION; MEDICAL MANAGEMENT



CODE:

905L

DIAGNOSIS:

OBSTRUCTION OF THE UROGENITAL TRACT, REGARDLESS OF CAUSE

TREATMENT:

CATHETERIZATION; SURGERY; ENDOSCOPIC REMOVAL OF OBSTRUCTING

AGENT:

LITHOTRIPSY



CODE:

436L

DIAGNOSIS:

TORSION OF TESTIS

TREATMENT:

ORCHIDECTOMY; REPAIR



CODE:

43L

DIAGNOSIS:

TRAUMA TO THE URINARY SYSTEM INCLUDING RUPTURED BLADDER

TREATMENT:

CYSTORRHAPHY;SUTURE; REPAIR



CODE:

289L

DIAGNOSIS:

URETERAL FISTULA (INTESTINAL)

TREATMENT:

NEPHROSTOMY



CODE:

359L

DIAGNOSIS:

VESICOURETERAL REFLUX

TREATMENT:

MEDICAL MANAGEMENT; REPLANTATION