List of PMB conditions: Brain and Nervous System

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Table of Contents

PMB list

Below is a list of the PMB condition treatment pairs for Brain and Nervous System. 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.

Brain and Nervous System

906A Acute generalised paralysis, including polio and Guillain-Barre Medical management; ventilation and plasmapheresis
341A Basal ganglia, extra-pyramidal disorders; other dystonias NOS Initial diagnosis; initiation of medical management
950A Benign and malignant brain tumours, treatable Medical and surgical management which includes radiation therapy and chemotherapy
49A Compound/ depressed fractures of skull Craniotomy/ craniectomy
213A Difficulty in breathing, eating, swallowing, bowel, or bladder control due to non-progressive neurological (including spinal) condition or injury Medical and surgical management; ventilation
83A Anaerobic infections – life threatening Medical management; hyperbaric oxygen
48S Encephalocele; congenital hydrocephalus Shunt; surgery
902A Epilepsy (status epilepticus, initial diagnosis, candidate for neurosurgery) Medical management; ventilation; neurosurgery
211A Intraspinal and Intracranial abscess Medical and surgical management
905A Meningitis – acute and subacute Medical and surgical management
513A Myasthenia gravis; muscular dystrophy; neuro-myopathies NOS Initial diagnosis; initiation of medical management; therapy for acute complications and exacerbations
510A Peripheral nerve injury with open wound Neuroplasty
940A Reversible CNS abnormalities due to other systemic disease Medical and surgical management
1A Severe / moderate head injury: hematoma / oedema with loss of consciousness Medical and surgical management; ventilation
84A Spina Bifida Surgical management
941A Spinal cord compression, ischaemia or degenerative disease NOS Medical and surgical management
901A Stroke – due to hemorrhage, or ischaemia Medical management; surgery
28A Subarachnoid and intracranial hemorrhage / hematoma; compression of brain Medical and surgical management
305A Tetanus Medical management; ventilation
265A Transient cerebral ischaemia; life-threatening cerebrovascular conditions NOS Evaluation; medical management; surgery
109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord Repair /reconstruction; medical management; inpatient rehabilitation up to 2 months
684A Viral meningitis, encephalitis, myelitis and encephalomyelitis 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.

You’ll get the printable guide as well as a weekly newsletter 🙂
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