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 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

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