PMB list
Below is a list of the PMB condition treatment pairs for Musculoskeletal 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.
Musculoskeletal System
| CODE | CONDITION | TREATMENT |
|---|---|---|
| 353H | Abscess of bursa or tendon | Incision and drainage |
| 32H | Acute osteomyesliti | Medical and surgical management |
| 950H | Cancer of bones – treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 206H | Chronic osteomyelitis | Incision and drainage |
| 902H | Closed fractures/ dislocations of limb bones / epiphyses – excluding fingers and toes | Reduction / relocation |
| 85H | Congenital dislocation of hip; coxa vara and valga; congenital clubfoot | Repair / reconstruction |
| 147H | Crush injuries of trunk, upper limbs, lower limbs, including blood vessels | Surgical management; ventilation; acute renal dialysis |
| 491H | Dislocations / fractures of vertebral column without spinal cord injury | Medical management; surgical stabilisation |
| 500H | Disruptions of the achilles / quadriceps tendons | Repair |
| 178H | Fracture of hip | Reduction; hip replacement |
| 445H | Injury to internal organs | Medical and surgical management |
| 900H | Open fracture / dislocation of bones and joints | Reduction / relocation; medical and surgical management |
| 34H | Pyogenic arthritis | Medical and surgical management |
| 901H | Traumatic amputation of limbs, hands, feet, and digits | Replantation / amputation |
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.
