PMB list
Below is a list of the PMB condition treatment pairs for Ear, Nose, Mouth and Throat 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.
Ear, Nose, Mouth and Throat
| CODE | CONDITION | TREATMENT |
|---|---|---|
| 33C | Acute and chronic mastoiditis | Mastoidectomy; medical management |
| 482C | Acute otitis media | Medical and surgical management, including myringotomy |
| 900C | Acute upper airway obstruction, including croup, epiglottitis and acute laryngotracheitis | Medical management; intubation; tracheostomy |
| 950C | Cancer of oral cavity, pharynx, nose, ear, and larynx – treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 241C | Cancrum oris | Medical and surgical management |
| 38C | Choanal atresia | Repair of choanal atresia |
| 133C | Cholesteatoma | Medical and surgical management |
| 910C | Chronic upper airway obstruction, resulting in cor pulmonale | Medical and surgical management |
| 901C | Cleft palate and/or cleft lip without airway obstruction | Repair |
| 12C | Deep open wound of neck, including larynx; fracture of larynx or trachea, open | Medical and surgical management; ventilation |
| 346C | Epistaxis – not responsive to anterior packing | Cautery / repair / control hemorrhage |
| 521C | Foreign body in ear and nose | Removal of foreign body; and medical and surgical management |
| 29C | Foreign body in pharynx, larynx, trachea, bronchus & esophagus | Removal of foreign body |
| 339C | Fracture of face bones, orbit, jaw; injury to optic and other cranial nerves | Medical and surgical management |
| 219C | Leukoplakia of oral mucosa, including tongue | Incision/excision; medical management |
| 132C | Life-threatening diseases of pharynx NOS, including retropharyngeal abscess | Medical and surgical management |
| 457C | Open wound of ear-drum | Tympanoplasty; medical management |
| 240C | Peritonsillar abscess | Incision and drainage of abscess; tonsillectomy; medical management |
| 347C | Sialoadenitis; abscess / fistula of salivary glands | Surgery |
| 543C | Stomatitis, cellulites and abscess of oral soft tissue; Vincent’s angina | Incision and drainage; 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.
