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

Regulations

Regulations in terms of the Medical Schemes Act

Annexures

Annexure A

Skin and Breast

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CODE:

465J

DIAGNOSIS:

ACUTE LYMPHADENITIS

TREATMENT:

INCISION AND DRAINAGE; MEDICAL MANAGEMENT



CODE:

900J

DIAGNOSIS:

BURNS, GREATER THAN 10% OF BODY SURFACE, OR MORE THAN 5% INVOLVING HEAD, NECK, HANDS, PERINEUM

TREATMENT:

DEBRIDEMENT; FREE SKIN GRAFT; MEDICAL MANAGEMENT



CODE:

950J

DIAGNOSIS:

CANCER OF BREAST - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

954J

DIAGNOSIS:

CANCER OF SKIN, EXCLUDING MALIGNANT MELANOMA - TREATABLE

TREATMENT:

IF HISTOLOGICALLY CONFIRMED, MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY.



CODE:

952J

DIAGNOSIS:

CANCER OF SOFT TISSUE, INCLUDING SARCOMAS AND MALIGNANCIES OF THE ADNEXA -TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

349J

DIAGNOSIS:

CELLULITIS AND ABSCESSES WITH RISK OF ORGAN OR LIMB DAMAGE OR SEPTICEMIA IF UNTREATED; NECROTISING FASCIITIS

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

901J

DIAGNOSIS:

DISSEMINATED BULLOUS SKIN DISEASE, INCLUDING PEMPHIGUS, PEMPHIGOID, EPIDERMOLYSIS BULLOSA, EPIDERMOLYTIC HYPERKERATOSIS

TREATMENT:

MEDICAL MANAGEMENT



CODE:

951J

DIAGNOSIS:

LETHAL MIDLINE GRANULOMA

TREATMENT:

MEDICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY



CODE:

953J

DIAGNOSIS:

MALIGNANT MELANOMA OF SKIN TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY.



CODE:

373J

DIAGNOSIS:

NON-SUPERFICIAL OPEN WOUNDS - NON LIFE-THREATENING

TREATMENT:

REPAIR



CODE:

356J

DIAGNOSIS:

PYODERMA; BODY, DEEP-SEATED FUNGAL INFECTIONS

TREATMENT:

MEDICAL MANAGEMENT~



CODE:

112J

DIAGNOSIS:

TOXIC EPIDERMAL NECROLYSIS AND STAPHYLOCOCCAL SCALDED SKIN SYNDROME; STEVENS-JOHNSON SYNDROME

TREATMENT:

MEDICAL MANAGEMENT