Position statements
Mental Illness PMB'S as per the medical schemes act, act 131 of 1998
| MENTAL ILLNESS | ||
| Code: | Diagnosis: | Treatment: |
| 182T | Abuse or dependence on psychoactive substance, including alcohol | Hospital-based management up to 3 weeks/year |
| 910T | Acute delusional mood, anxiety, personality, perception disorders and organic mental disorder caused by drugs; | Treatment: hospital-based management up to 3 days |
| 901T | Acute stress disorder accompanied by recent significant trauma, Including physical or sexual abuse | Hospital admission for medical/psychotherapy up to 3 days; counselling |
| 910T | Alcohol withdrawal delirium; alcohol intoxication delirium | Hospital-based management up to 3 days leading to rehabilitation |
| 908T | Anorexia nervosa and bulimia nervosa | Hospital-based management up to 3 weeks/year or minimum of 15 outpatient contacts per year |
| 903T | Attempted suicide, irrespective of cause | Hospital-based management up to 3 days or up to 6 outpatient contacts |
| 184T | Brief reactive psychosis | Hospital-based management up to 3 weeks/year |
| 910T | Delirium: amphetamine, cocaine, or other psychoactive substance | Hospital-based management up to 3 days |
| 902T | Major affective disorders, including unipolar and bipolar depression | Hospital-based medical management up to 3 weeks/year (including inpatient electro-convulsive therapy and inpatient psychotherapy) or outpatient psychotherapy of up to 15 contacts |
| 907T | Schizophrenic and paranoid delusional disorders | Hospital-based medical management up to 3 weeks/year |
| 909T | Treatable dementia | Admission for initial diagnosis; management of acute psychotic symptoms – up to 1 week |
