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

Regulations

Regulations in terms of the Medical Schemes Act

Annexures

Annexure A

Female Reproductive System

 

CODE:

539M

DIAGNOSIS:

ABSCESSES OF BARTHOLIN’S GLAND AND VULVA

TREATMENT:

INCISION AND DRAINAGE; MEDICAL MANAGEMENT



CODE:

288M

DIAGNOSIS:

ACUTE PELVIC INFLAMMATORY DISEASE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

954M

DIAGNOSIS:

CANCER OF CERVIX - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY AND CHEMOTHERAPY



CODE:

952M

DIAGNOSIS:

CANCER OF OVARY - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

950M

DIAGNOSIS:

CANCER OF UTERUS - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

953M

DIAGNOSIS:

CANCER OF VAGINA, VULVA AND OTHER FEMALE GENITAL ORGANS NOS - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY AND CHEMOTHERAPY



CODE:

960M

DIAGNOSIS:

CERVICAL AND BREAST CANCER SCREENING

TREATMENT:

CERVICAL SMEARS; PERIODIC BREAST EXAMINATION



CODE:

645M

DIAGNOSIS:

CANCER OF CERVIX - TREATABLE

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES RADIATION THERAPY AND CHEMOTHERAPY



CODE:

266M

DIAGNOSIS:

DYSPLASIA OF CERVIX AND CERVICAL CARCINOMA-IN-SITU; CERVICAL CONDYLOMATA

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

53M

DIAGNOSIS:

ECTOPIC PREGNANCY

TREATMENT:

SURGERY



CODE:

460M

DIAGNOSIS:

FISTULA INVOLVING FEMALE GENITAL TRACT

TREATMENT:

CLOSURE OF FISTULA



CODE:

951M

DIAGNOSIS:

HYDATIDIFORM MOLE; CHORIOCARCINOMA

TREATMENT:

D & C; HYSTERECTOMY; CHEMOTHERAPY



CODE:

902M

DIAGNOSIS:

INFERTILITY

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

528M

DIAGNOSIS:

MENOPAUSAL MANAGEMENT, ANOMALIES OF OVARIES, PRIMARY AND SECONDARY AMENORRHOEA, FEMALE SEX HORMONES ABNORMALITIES NOS, INCLUDING HIRSUTISM.

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT,INCLUDING HORMONE REPLACEMENT THERAPY



CODE:

4MM

DIAGNOSIS:

NON-INFLAMMATORY DISORDERS AND BENIGN NEOPLASMS OF OVARY, FALLOPIAN TUBES AND UTERUS

TREATMENT:

SALPINGECTOMY; OOPHORECTOMY; HYSTERECTOMY; MEDICAL AND SURGICAL MANAGEMENT



CODE:

237M

DIAGNOSIS:

SEXUAL ABUSE, INCLUDING RAPE

TREATMENT:

MEDICAL MANAGEMENT; PSYCHOTHERAPY



CODE:

903M

DIAGNOSIS:

SPONTANEOUS ABORTION

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

435M

DIAGNOSIS:

TORSION OF OVARY

TREATMENT:

OOPHORECTOMY; OVARIAN CYSTECTOMY



CODE:

530M

DIAGNOSIS:

UTERINE PROLAPSE; CYSTOCELE

TREATMENT:

SURGICAL REPAIR



CODE:

296M

DIAGNOSIS:

VOLUNTARY TERMINATION OF PREGNANCY

TREATMENT:

INDUCED ABORTION; MEDICAL AND SURGICAL MANAGEMENT