PMB SearchLookup the ICD.10 code for your specific condition by entering any keyword from the diagnosis received for your condition.Our lookup is not a legislated document and should be used only as a basic guideline, not as legal interpretation of Prescribed Minimum Benefit (PMB) conditions and benefit entitlements.
The following are examples of the 3 alternative ways of searching for potential benefits.
If you are checking an unpaid account, look for the ICD.10 code for potential PMB rights.
|General Condition||Specific Diagnosis||ICD.10 code|
|Paralysis or||poliomyelitis or||A80.1|
|Tumour or||cerebellum or||C71.6|
|Fracture or||skull or||S02.10|
|Stroke or||intracerebral or||I61.0|
|Ear-drum or||perforation or||H72.8|
|Angina or||pectoris or||I20.9|
|Menopause or||amenorrhoea or||N95.9|
Contact us for specific advice about your potential PMB rights and unpaid claim account balances, and enquire about Designated Service Providers, formularies and protocols that may apply to your medical scheme option.