PMB list
Below is a list of the PMB condition treatment pairs for Heart and Vasculature.. 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.
Heart and Vasculature
| CODE | CONDITION | TREATMENT |
|---|---|---|
| 155E | Myocarditis; cardiomyopathy; transposition of great vessels; hypoplastic left heart syndrome | Medical and surgical management; cardiac transplant |
| 108E | Pericarditis | Medical and surgical management |
| 907E | Acute and subacute ischemic heart disease, including myocardial infarction and unstable angina | Medical management; surgery; percutaneous procedures |
| 284E | Acute pulmonary heart disease and pulmonary emboli | Medical and surgical management |
| 35E | Acute rheumatic fever | Medical management |
| 908E | Aneurysm of major artery of chest, abdomen, neck, – Unruptured or ruptured NOS | Surgical management |
| 26E | Arterial embolism/thrombosis: abdominal aorta, thoracic aorta | Medical and surgical management |
| 204E | Cardiac failure: acute or recent deterioration of chronic cardiac failure | Medical treatment |
| 98E | Complete, corrected and other transposition of great vessels | Repair |
| 97E | Coronary artery anomaly | Anomalous coronary artery ligation |
| 309E | Diseases and disorders of aortic valve NOS | Aortic valve replacement |
| 210E | Diseases of endocardium; endocarditis | Medical management |
| 314E | Diseases of mitral valve | Valvuloplasty; valve replacement; medical management |
| 902E | Disorders of arteries: visceral | Bypass graft; surgical management |
| 18E | Dissecting or ruptured aortic aneurysm | Surgical management |
| 915E | Gangrene; severe atherosclerosis of arteries of extremities; diabetes mellitus with peripheral circulatory disease | Medical and surgical management including amputation |
| 294E | Giant cell arteritis, Kawasaki disease, hypersensitivity angiitis | Medical management |
| 450E | Hereditary hemorrhagic telangiectasia | Excision |
| 901E | Hypertension – acute life-threatening complications and malignant hypertension; renal artery stenosis and other curable hypertension | Medical and surgical management |
| 111E | Injury to major blood vessels – trunk, head and neck, and upper limbs | Repair |
| 19E | Injury to major blood vessels of extremities | Ligation |
| 903E | Life-threatening cardiac arrhythmias | Medical and surgical management, pacemakers, cardioversion |
| 900E | Life-threatening complications of elective cardiac and major vascular procedures | Medical and surgical management |
| 497E | Multiple valvular disease | Surgical management |
| 355E | Other aneurysm of artery – peripheral | Surgical management |
| 905E | Other correctable congenital cardiac conditions | Surgical repair; medical management |
| 100E | Patent ductus arteriosus; aortic pulmonary fistula – persistent | Ligation |
| 209E | Phlebitis & thrombophlebitis, deep Ligation and division; | medical management |
| 914E | Rheumatic pericarditis; rheumatic myocarditis | Medical management |
| 16E | Rupture of papillary muscle | Medical and surgical management |
| 627E | Shock / hypotension – life-threatening | Medical management; ventilation |
| 99E | Tetralogy of Fallot (TOF) | Total repair tetralogy |
| 93E | Ventricular septal defect – persistent | Closure |
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.
