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

CODE:

505

DIAGNOSIS:

SYPHILIS - CQNGENITAL, SECONDARY AND TERTIARY

TREATMENT:

MEDICAL MANAGEMENT

CODE:

168S

DIAGNOSIS:

# HIV-INFECTION

TREATMENT:

# HIV VOLUNTARY COUNSELLING AND TESTING CO-TRIMOXAZOLE AS PREVENTIVE THERAPY SCREENING AND PREVENTIVE THERAPY FOR TB.

DIAGNOSIS AND TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS.

PAIN MANAGEMENT IN PALLIATIVE CARE.

TREATMENT OF COMMON OPPORTUNISTIC INFECTIONS.

PREVENTION OF MOTHER-TO-CHILD TRANSMISSION OF HIV.

POST-EXPOSURE PROPHYLAXIS FOLLOWING SEXUAL ASSAULT.

MEDICAL MANAGEMENT AND MEDICATION, INCLUDING THE PROVISION OF ANTI-RETROVIRAL THERAPY, TO THE EXTENT THAT THIS IS PROVIDED FOR IN ESTABLISHED NATIONAL GUIDELINES APPLICABLE IN THE PUBLIC SECTOR (THE NATIONAL GUIDELINES ARE SET OUT IN THE OPERATIONAL PLAN FOR COMPREHENSIVE HIV AND AIDS CARE, MANAGEMENT AND TREATMENT FOR SOUTH AFRICA; AND THE NATIONAL ANTIRETROVIRAL TREATMENT GUIDELINES. BOTH DOCUMENTS ARE AVAILABLE AT THE OFFICE OF THE DIRECTOR-GENERAL: NATIONAL DEPARTMENT OF HEALTH).

CODE:

260S

DIAGNOSIS:

# IMMINENT DEATH REGARDLESS OF DIAGNOSIS

TREATMENT:

# COMFORT CARE; PAIN RELIEF; HYDRATION

CODE:

113S

DIAGNOSIS:

ACQUIRED HAEMOLYT1C ANAEMIAS

TREATMENT:

MEDICAL MANAGEMENT

CODE:

901S

DIAGNOSIS:

MULTIPLE MYELOMA AND CHRONIC LEUKEMIAS

TREATMENT:

TREATMENT: MEDICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY

CODE:

2778

DIAGNOSIS:

ANAEROBIC INFECTIONS - LIFE THREATENING

TREATMENT:

MEDICAL MANAGEMENT; HYPERBARIC OXYGEN

CODE:

488

DIAGNOSIS:

ANAPHYLACTIC SHOCK

TREATMENT:

MEDICAL MANAGEMENT; VENTILATION

CODE:

9008

DIAGNOSIS:

APLASTIC ANEMIA; AGRANULOCYTOSIS; OTHER LIFE-THREATENING HERIDITARY IMMUNE DEFICIENCIES

TREATMENT:

BONE MARROW TRANSPLANTATION; MEDICAL MANAGEMENT

CODE:

197S

DIAGNOSIS:

BOTULISM

TREATMENT:

MEDICAL MANAGEMENT

CODE:

338S

DIAGNOSIS:

CHOLERA; RAT-BITE FEVER

TREATMENT:

MEDICAL MANAGEMENT

CODE:

1968

DIAGNOSIS:

CHRONIC GRANULOMATOUS DISEASE

TREATMENT:

MEDICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY

CODE:

9168

DIAGNOSIS:

COAGULATION DEFECTS

TREATMENT:

MEDICAL MANAGEMENT

CODE:

2468

DIAGNOSIS:

CYSTICERCOSIS; OTHER SYSTEMIC CESTODE INFECTION

TREATMENT:

MEDICAL MANAGEMENT

CODE:

903S

DIAGNOSIS:

DEEP-SEATED (EXCLUDING NAIL INFECTIONS), DISSEMINATED AND SYSTEMIC FUNGAL INFECTIONS

TREATMENT:

MEDICAL MANAGEMENT; SURGERY

CODE:

44S

DIAGNOSIS:

ERYSIPELAS

TREATMENT:

MEDICAL MANAGEMENT

CODE:

179S

DIAGNOSIS:

HEREDITARY ANGIOEDEMA; ANGIONEUROTIC ADEMA

TREATMENT:

MEDICAL AND SURGICAL THERAPY

CODE:

174S

DIAGNOSIS:

HEREDITARY HAEMOLYTIC ANAEMIAS (EG. SICKLE CELL); DYSERYTHROPOIETIC ANEMIA (CONGENITAL)

TREATMENT:

MEDICAL MANAGEMENT

CODE:

201S

DIAGNOSIS:

HERPETIC ENCEPHALITIS; REYE’S SYNDROME

TREATMENT:

MEDICAL MANAGEMENT

CODE:

913S

DIAGNOSIS:

IMMUNE COMPROMISE NOS AND ASSOCIATED LIFE-THREATENING INFECTIONS NOS

TREATMENT:

MEDICAL MANAGEMENT

CODE:

9128

DIAGNOSIS:

LEPROSY AND OTHER SYSTEMIC MYCOBACTERIAL INFECTIONS, EXCLUDING TUBERCULOSIS

TREATMENT:

MEDICAL MANAGEMENT

CODE:

336S

DIAGNOSIS:

LEPTOSPIROSIS; SPIROCHAETAL INFECTIONS NOS

TREATMENT:

MEDICAL MANAGEMENT

CODE:

252S

DIAGNOSIS:

LIFE-THREATENING ANAEMIA NOS

TREATMENT:

MEDICAL MANAGEMENT; TRANSFUSION

CODE:

908S

DIAGNOSIS:

LIFE-THREATENING CONDITIONS DUE TO EXPOSURE TO THE ELEMENTS, INCLUDING HYPO AND HYPERTHERMIA; LIGHTNING STRIKES]

TREATMENT:

MEDICAL MANAGEMENT

CODE:

9078

DIAGNOSIS:

LIFE-THREATENING RICKETTSIAL AND OTHER ARTHROPOD-BORNE DISEASES

TREATMENT:

MEDICAL MANAGEMENT

CODE:

1728

DIAGNOSIS:

MALARIA; TRYPANOSOMIASIS; OTHER LIFE-THREATENING PARASITIC DISEASE

TREATMENT:

MEDICAL MANAGEMENT

CODE:

9048

DIAGNOSIS:

METASTATIC INFECTIONS; SEPTICEMIA

TREATMENT:

MEDICAL MANAGEMENT

CODE:

910S

DIAGNOSIS:

MULTIPLE MYELOMA AND CHRONIC LEUKAEMIAS

TREATMENT:

MEDICAL MANAGEMENT; WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY

CODE:

2478

DIAGNOSIS:

POISONING BY INGESTION, INJECTION, AND NON-MEDICINAL AGENTS

TREATMENT:

MEDICAL MANAGEMENT

CODE:

9118

DIAGNOSIS:

SEXUALLY TRANSMITTED DISEASES WITH SYSTEMIC INVOLVEMENT NOT ELSWHERE SPECIFIED

TREATMENT:

MEDICAL MANAGEMENT

CODE:

1288

DIAGNOSIS:

TETANUS; ANTHRAX; WHIPPLES DISEASE

TREATMENT:

MEDICAL MANAGEMENT

CODE:

122S

DIAGNOSIS:

THALASSEMIA AND OTHER HEMOGLOBINOPATHIES - TREATABLE

TREATMENT:

MEDICAL MANAGEMENT; BONE MARROW TRANSPLANT

CODE:

316S

DIAGNOSIS:

TOXIC EFFECT OF GASES, FUMES, AND VAPORS

TREATMENT:

MEDICAL THERAPY

CODE:

11S

DIAGNOSIS:

TUBERCULOSIS

TREATMENT:

DIAGNOSIS AND ACUTE MEDICAL MANAGEMENT; SUCCESSFUL TRANSFER TO MAINTENANCE THERAPY IN ACCORDANCE WITH DOH GUIDELINES

CODE:

937S

DIAGNOSIS:

TUMOUR OF INTERNAL ORGAN (EXCLUDES SKIN): UNKNOWN WHETHER BENIGN OR MALIGNANT

TREATMENT:

BIOPSY

CODE:

15S

DIAGNOSIS:

WHOOPING COUGH, DIPTHERIA

TREATMENT:

MEDICAL MANAGEMENT