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

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