Medical Schemes Act, 1998 (Act No. 131 of 1998)

CODE:

906A

DIAGNOSIS:

ACUTE GENERALISED PARALYSIS, INCLUDING POLIO AND GUILLAIN-BARRE

TREATMENT:

MEDICAL MANAGEMENT; VENTILATION AND PLASMAPHERESIS

CODE:

341A

DIAGNOSIS:

BASAL GANGLIA, EXTRA-PYRAMIDAL DISORDERS; OTHER DYSTONIAS NOS

TREATMENT:

INITIAL DIAGNOSIS; INITIATION OF MEDICAL MANAGEMENT

CODE:

950A

DIAGNOSIS:

BENIGN AND MALIGNANT BRAIN TUMOURS, TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY AND CHEMOTHERAPY

CODE:

49A

DIAGNOSIS:

COMPOUND/DEPRESSED FRACTURES OF SKULL

TREATMENT:

CRANIOTOMY/CRANIECTOMY

CODE:

213A

DIAGNOSIS:

DIFFICULTY IN BREATHING, EATING, SWALLOWING, BOWEL, OR BLADDER CONTROL DUE TO NON-PROGRESSIVE NEUROLOGICAL (INCLUDING SPINAL) CONDITION OR INJURY

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT; VENTILATION

CODE:

83A

DIAGNOSIS:

ENCEPHALOCELE; CONGENITAL HYDROCEPHALUS

TREATMENT:

SHUNT; SURGERY

CODE:

902A

DIAGNOSIS:

EPILEPSY (STATUS EPILEPTICUS, INITIAL DIAGNOSIS, CANDIDATE FOR NEUROSURGERY)

TREATMENT:

MEDICAL MANAGEMENT; VENTILATION; NEUROSURGERY

CODE:

211A

DIAGNOSIS:

INTRASP1NAL AND INTRACRANIAL ABSCESS

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT

CODE:

905A

DIAGNOSIS:

MENINGITIS - ACUTE AND SUBACUTE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT

CODE:

513A

DIAGNOSIS:

MYASTHENIA GRAVIS; MUSCULAR DYSTROPHY; NEURO-MYOPATHIES NOS

TREATMENT:

INITIAL DIAGNOSIS; INITIATION OF MEDICAL MANAGEMENT; THERAPY FOR ACUTE COMPLICATIONS AND EXACERBATIONS

CODE:

510A

DIAGNOSIS:

PERIPHERAL NERVE INJURY WITH OPEN WOUND

TREATMENT:

NEUROPLASTY

CODE:

940A

DIAGNOSIS:

REVERSIBLE CNS ABNORMALITIES DUE TO OTHER SYSTEMIC DISEASE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT

CODE:

1A

DIAGNOSIS:

SEVERE/MODERATE HEAD INJURY: HEMATOMA/EDEMA WiTH LOSS OF CONSCIOUSNESS

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT; VENTILATION

CODE:

MA

DIAGNOSIS:

SPINA BIFIDA

TREATMENT:

SURGICAL MANAGEMENT

CODE:

941A

DIAGNOSIS:

SPINAL CORD COMPRESSION, ISHAEMIA OR DEGENERATIVE DISEASE NOS

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT

CODE:

901A

DIAGNOSIS:

STROKE - DUE TO HAEMORRHAGE, OR ISCHAEMIA

TREATMENT:

MEDICAL MANAGEMENT; SURGERY

CODE:

28A

DIAGNOSIS:

SUBARACHNOID AND INTRACRANIAL HEMORRHAGE/HEMATOMA; COMPRESSION OF BRAIN

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT

CODE:

305A

DIAGNOSIS:

TETANUS

TREATMENT:

MEDICAL MANAGEMENT; VENTILATION

CODE:

265A

DIAGNOSIS:

TRANSIENT CEREBRAL ISCHEMIA; LIFE-THREATENING CEREBROVASCULAR CONDITIONS NOS

TREATMENT:

EVALUATION; MEDICAL MANAGEMENT; SURGERY

CODE:

109A

DAGNOSIS:

VERTEBRAL DISLOCATIONS/FRACTURES, OPEN OR CLOSED WITH INJURY TO SPINAL CORD

TREATMENT:

REPAIR/RECONSTRUCTION; MEDICAL MANAGEMENT; INPATIENT REHABILITATION UP TO 2 MONTHS

CODE:

684A

DIAGNOSIS:

VIRAL MENINGITIS, ENCEPHAUTIS, MYELITIS AND ENCEPHALOMYELITIS

TREATMENT:

MEDICAL MANAGEMENT