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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

Ear, Nose, Mouth and Throat

 

CODE:

33C

DIAGNOSIS:

ACUTE AND CHRONIC MASTOIDITIS

TREATMENT:

MASTOIDECTOMY; MEDICAL MANAGEMENT



CODE:

482C

DIAGNOSIS:

ACUTE OTITIS MEDIA

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, INCLUDING MYRINGOTOMY



CODE:

900C

DIAGNOSIS:

ACUTE UPPER AIRWAY OBSTRUCTION, INCLUDING CROUP, EPIGLOTTITIS AND ACUTE LARYNGOTRACHEITIS

TREATMENT:

MEDICAL MANAGEMENT; INTUBATION; TRACHEOSTOMY



CODE:

950C

DIAGNOSIS:

CANCER OF ORAL CAVITY, PHARYNX, NOSE, EAR, AND LARYNX - TREATABLE.

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT, WHICH INCLUDES CHEMOTHERAPY AND RADIATION THERAPY



CODE:

241C

DIAGNOSIS:

CANCRUM ORIS

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

38C

DIAGNOSIS:

CHOANAL ATRESIA

TREATMENT:

REPAIR OF CHOANAL ATRESIA



CODE:

133C

DIAGNOSIS:

CHOLESTEATOMA

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

910C

DIAGNOSIS:

CHRONIC UPPER AIRWAY OBSTRUCTION, RESULTING IN CORPULMONALE

TREATMENT:

SURGICAL AND MEDICAL MANAGEMENT



CODE:

901C

DIAGNOSIS:

CLEFT PALATE AND/OR CLEFT LIP WITHOUT AIRWAY OBSTRUCTION

TREATMENT:

REPAIR



CODE:

12C

DIAGNOSIS:

DEEP OPEN WOUND OF NECK, INCLUDING LARYNX; FRACTURE OF LARYNX OR TRACHEA, OPEN

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT; VENTILATION



CODE:

346C

DIAGNOSIS:

EPISTAXIS - NOT RESPONSIVE TO ANTERIOR PACKING

TREATMENT:

CAUIERY / REPAIR / CONTROL HEMORRHAGE



CODE:

521C

DIAGNOSIS:

FOREIGN BODY IN EAR & NOSE

TREATMENT:

REMOVAL OF FOREIGN BODY; AND MEDICAL AND SURGICAL MANAGEMENT



CODE:

29C

DIAGNOSIS:

FOREIGN BODY IN PHARYNX, LARYNX, TRACHEA, BRONCHUS & ESOPHAGUS

TREATMENT:

REMOVAL OF FOREIGN BODY



CODE:

339C

DIAGNOSIS:

FRACTURE OF FACE BONES, ORBIT, JAW; INJURY TO OPTIC AND OTHER CRANIAL NERVES

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

219C

DIAGNOSIS:

LEUKOPLAKIA OF ORAL MUCOSA, INCLUDING TONGUE

TREATMENT:

INCISION/EXCISION; MEDICAL MANAGEMENT.



CODE:

132C

DIAGNOSIS:

LIFE-THREATENING DISEASES OF PHARYNX NOS, INCLUDING RETROPHARYNGEAL ABSCESS

TREATMENT:

MEDICAL AND SURGICAL MANAGEMENT



CODE:

457C

DIAGNOSIS:

OPEN WOUND OF EAR-DRUM

TREATMENT:

TYMPANOPLASTY; MEDICAL MANAGEMENT



CODE:

240C

DIAGNOSIS:

PERITONSILLAR ABSCESS

TREATMENT:

INCISION AND DRAINAGE OF ABSCESS; TONSILLECTOMY; MEDICAL MANAGEMENT



CODE:

347C

DIAGNOSIS:

SIALOADENITIS; ABSCESS / FISTULA OF SALIVARY GLANDS

TREATMENT:

SURGERY



CODE:

543C

DIAGNOSIS:

STOMATITIS, CELLULITIS AND ABSCESS OF ORAL SOFT TISSUE; VINCENTS ANGINA

TREATMENT:

INCISION AND DRAINAGE; MEDICAL MANAGEMENT