PMB list
Below is a list of the PMB condition treatment pairs for Respiratory 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.
Respiratory
| CODE | CONDITION | TREATMENT |
|---|---|---|
| 903D | Bacterial, viral, fungal pneumonia | Medical management, ventilation |
| 158D | # Respiratory failure, regardless of cause # | Medical management; oxygen; ventilation |
| 157D | Acute asthmatic attack; pneumonia due to respiratory syncytial virus in persons under age 3 | Medical management |
| 125D | Adult respiratory distress syndrome; inhalation and aspiration pneumonias | Medical management; ventilation |
| 315D | Atelectasis (collapse of lung) | Medical and surgical management; ventilation |
| 340D | Benign neoplasm of respiratory and intrathoracic organs | Biopsy; lobectomy; Medical management; radiation therapy |
| 950D | Cancer of lung, bronchus, pleura, trachea, mediastinum & other respiratory organs – treatable | Medical and surgical management, which includes chemotherapy and radiation therapy |
| 170D | Empyema and abscess of lung | Medical and surgical management |
| 934D | Frank haemoptysis | Medical and surgical management |
| 203D | Hypoplasia and dysplasia of lung | Medical and surgical management |
| 900D | Open fracture of ribs and sternum; multiple rib fractures; flail chest | Medical and surgical management, ventilation |
| 5D | Pneumothorax and haemothorax | Tube thoracostomy / thoracotomy |
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.
