PMB list
Below is a list of the PMB condition treatment pairs for Endocrine, Metabolic and Nutritional.. Your medical aid has to pay for the treatment, and cannot use funds from your savings, even if the treatment is given out-of-hospital.
To see the rest of the 270 PMB conditions, please see our “List of PMBs” page.
For an explanation of general treatments (example: “Medical Management”) please read our explainer.
Endocrine, Metabolic and Nutritional
| CODE | CONDITION | TREATMENT |
|---|---|---|
| 331K | Acute thyroiditis | Medical management |
| 951K | Benign and malignant tumours of pituitary gland with/without hypersecretion syndromes | Medical and surgical management; radiation therapy |
| 30K | Benign neoplasm of islets of Langerhans | Excision of tumour; medical management |
| 950K | Cancer of endocrine system, excluding thyroid – treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 952K | Cancer of thyroid – treatable; carcinoid syndrome | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 61K | Congenital hypothyroidism | Medical management |
| 902K | Disorder of adrenal secretion NOS | Medical management; adrenalectomy |
| 447K | Disorders of parathyroid gland; benign neoplasm of parathyroid gland | Medical and surgical management |
| 904K | Hyper and hypothyroidism with life-threatening complications or requiring surgery | Medical management, Surgery |
| 31K | Hypoglycemic coma; hyperglycemia; diabetic ketoacidosis | Medical management |
| 236K | Iron deficiency; vitamin and other nutritional deficiencies – life-threatening | Medical management |
| 901K | Life-threatening congenital abnormalities of carbohydrate, lipid, protein and amino acid metabolism | Medical management |
| 903K | Life-threatening disorders of fluid and electrolyte balance, NOS | Medical management |
To see the rest of the 270 PMB conditions, please see our “List of PMBs” page.
How does your medial aid plan cover this benefit?
What you see above is the minimum level of cover for each condition. Medical aids can offer more benefits than the limits above.To see how your plan pays out for a condition, find your plan here, and view your plan’s full benefits.
You can also compare any two medical aid plans side by side, to see which one suits your needs best.
Remember, a medical aid can still impose conditions on how PMBs are treated. For example, the scheme can impose network service providers (DSPs), a medicine formulary or even require that you be treated in a state hospital. You can read a full explanation on how medical aids must pay for PMBs here.
