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List of PMB conditions: Heart and Vasculature

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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.

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.

There’s more help here:

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