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.
Liver, Pancreas and Spleen
CODE | CONDITION | TREATMENT |
---|---|---|
325G | Acute necrosis of liver | Medical management |
327G | Acute pancreatitis | Medical management, and where appropriate, surgical management |
36G | Budd-Chiari syndrome, and other venous embolism and thrombosis | Thrombectomy / ligation |
910G | Calculus of bile duct with cholecystitis | Medical management; cholecystectomy; other open or closed surgery |
950G | Cancer of liver, biliary system and pancreas – treatable | Medical and surgical management |
255G | Cyst and pseudocyst of pancreas | Drainage of pancreatic cyst |
156G | Disorders of bile duct | Excision; repair |
910G | Gallstone with cholecystitis and/or jaundice | Medical management; cholecystectomy; other open or closed surgery |
743G | Hepatorenal syndrome | Medical management |
27G | Liver abscess; pancreatic abscess | Medical and surgical management |
911G | Liver failure; hepatic vascular obstruction; inborn errors of liver metabolism; biliary atresia | Liver transplant, other surgery, medical management |
231G | Portal vein thrombosis | Shunt |
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.