Medical Schemes Act, 1998 (Act No. 131 of 1998)RegulationsRegulations in terms of the Medical Schemes ActAnnexuresAnnexure AGastro-Intestinal System |
CODE: |
920F |
DIAGNOSIS: |
ANAL FISSURE; ANAL FISTULA |
TREATMENT: |
FISSURECTOMY; FISTULECTOMY; MEDICAL MANAGEMENT |
CODE: |
41F |
DIAGNOSIS: |
ABSCESS OF INTESTINE |
TREATMENT: |
DRAIN ABSCESS; MEDICAL MANAGEMENT |
CODE: |
489F |
DIAGNOSIS: |
ACQUIRED HYPERTROPHIC PYLORIC STENOSIS AND OTHER DISORDERS OF THE STOMACH AND DUODENUM |
TREATMENT: |
SURGICAL MANAGEMENT |
CODE: |
254F |
DIAGNOSIS: |
ACUTE DIVERTICULITIS OF COLON |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT, INCLUDING COLON RESECTION |
CODE: |
124F |
DIAGNOSIS: |
ACUTE VASCULAR INSUFFICIENCY OF INTESTINE |
TREATMENT: |
COLECTOMY |
CODE: |
337F |
DIAGNOSIS: |
AMOEBIASIS; TYPHOID |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
264F |
DIAGNOSIS: |
ANAL AND RECTAL POLYP |
TREATMENT: |
EXCISION OF POLYP |
CODE: |
9F |
DIAGNOSIS: |
APPENDICITIS |
TREATMENT: |
APPENDECTOMY |
CODE: |
952F |
DIAGNOSIS: |
CANCER OF RETROPERITONEUM, PERITONEUM, OMENTUM & MESENTERY - TREATABLE |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY |
CODE: |
950C |
DIAGNOSIS: |
CANCER OF THE GASTRO-INTESTINAL TRACT INCLUDING OESOPHAGUS, STOMACH, BOWEL, RECTUM, ANUS - TREATABLE |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY AND CHEMOTHERAPY |
CODE: |
9SF |
DIAGNOSIS: |
CONGENITAL ANOMALIES OF UPPER ALIMENTARY TRACT - EXCLUDING TONGUE |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT |
CODE: |
214F |
DIAGNOSIS: |
OESOPHAGEAL STRICTURE |
TREATMENT: |
DILATION; SURGERY |
CODE: |
S16F |
DIAGNOSIS: |
ESOPHAGEAL VARICES |
TREATMENT: |
MEDICAL MANAGEMENT; SURGICAL SHUNT; SCLEROTHERAPY |
CODE: |
9O2F |
DIAGNOSIS: |
GASTRIC OR INTESTINAL ULCERS WITH HEMORRHAGE OR PERFORATION |
TREATMENT: |
SURGERY; ENDOSCOPIC DIAGNOSIS; MEDICAL MANAGEMENT |
CODE: |
901F |
DIAGNOSIS: |
GASTROENTERITIS AND COLITIS WITH LIFE-THREATENING HAEMORRHAGE OR DEHYDRATION, REGARDLESS OF CAUSE |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
6F |
DIAGNOSIS: |
HERNIA WITH OBSTRUCTION AND/OR GANGRENE; UNCOMPLICATED HERNIAS UNDER AGE 18 |
TREATMENT: |
REPAIR; BOWEL RESECTION |
CODE: |
20F |
DIAGNOSIS: |
INTESTINAL OBSTRUCTION WITHOUT MENTION OF HERNIA; SYMPTOMATIC FOREIGN BODY IN STOMACH, INTESTINES, COLON & RECTUM |
TREATMENT: |
EXCISION; SURGERY; MEDICAL MANAGEMENT |
CODE: |
232F |
DIAGNOSIS: |
PARALYTIC 1LEUS |
TREATMENT: |
MEDICAL MANAGEMENT |
CODE: |
498F |
DIAGNOSIS: |
PERITONEAL ADHESION |
TREATMENT: |
SURGICAL MANAGEMENT |
CODE: |
3F |
DIAGNOSIS: |
PERITONITIS, REGARDLESS OF CAUSE |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT |
CODE: |
555F |
DIAGNOSIS: |
RECTAL PROLAPSE |
TREATMENT: |
PARTIAL COLECTOMY |
CODE: |
292F |
DIAGNOSIS: |
REGIONAL ENTERITIS; IDIOPATHIC PROCTOCOLITIS - ACUTE EXACCERBATIONS AND COMPLICATIONS ONLY |
TREATMENT: |
MEDICAL AND SURGICAL MANAGEMENT |
CODE: |
900F |
DIAGNOSIS: |
RUPURE OF INTRA-ABDOMINAL ORGAN |
TREATMENT: |
REPAIR; SPLENECTOMY; RESECTION |
CODE: |
5OYF |
DIAGNOSIS: |
THROMBOSED AND COMPLICATED HEMORRHOIDS |
TREATMENT: |
HEMORRHOIDECTOMY; INCISION |