Sentrix Digital riskatlas.com.au Compass

← Medical schemes & PMBs

Diagnosis Treatment Pairs (DTPs)

266 PMB conditions linking diagnosis to mandated treatment — from CMS Annexure A / coded list.

← All categories · BRAIN AND NERVOUS SYSTEM

CodeDiagnosisTreatment
109A Vertebral dislocations/ fractures, open or closed with injury to spinal cord Repair /reconstruction; medical management; inpatient rehabilitation up to 2 months
1A Severe / moderate head injury: hematoma / oedema with loss of consciousness Medical and surgical management; ventilation
211A Intraspinal and Intracranial abscess Medical and surgical management
213A Difficulty in breathing, eating, swallowing, bowel, or bladder control due to non-progressive neurological (including spinal) condition or injury Medical and surgical management; ventilation
265A Transient cerebral ischaemia; life-threatening cerebrovascular conditions NOS Evaluation; medical management; surgery
28A Subarachnoid and intracranial hemorrhage / hematoma; compression of brain Medical and surgical management
305A Tetanus Medical management; ventilation
341A Basal ganglia, extra-pyramidal disorders; other dystonias NOS Initial diagnosis; initiation of medical management
386B Herpes zoster & herpes simplex with ophthalmic complications Medical management
389B Hyphaema Removal of blood clot; observation
394B Angle-closure glaucoma Iridectomy; laser surgery; medical and surgical management
405B Glaucoma associated with disorders of the lens Surgical management
407B Primary and open angle glaucoma with failed medical management Trabeculectomy; other surgery
409B Sympathetic uveitis and degenerative disorders and conditions of globe; sight threatening thyroid optopathy Enucleation; medical management; surgery
419B Purulent endophthalmitis Vitrectomy
47B Acute orbital cellulitis Medical and surgical management
485B Inflammation of lacrimal passages Incision; medical management
49A Compound/ depressed fractures of skull Craniotomy/ craniectomy
510A Peripheral nerve injury with open wound Neuroplasty
513A Myasthenia gravis; muscular dystrophy; neuro-myopathies NOS Initial diagnosis; initiation of medical management; therapy for acute complications and exacerbations
586B Bell’s palsy; exposure keratoconjunctivitis Tarsorrhaphy; medical and surgical management
684A Viral meningitis, encephalitis, myelitis and encephalomyelitis Medical management
83A Encephalocele; congenital hydrocephalus Shunt; surgery
84A Spina Bifida Surgical management
901A Stroke – due to hemorrhage, or ischaemia Medical management; surgery
901B Cataract; aphakia Extraction of cataract; lens implant
902A Epilepsy (status epilepticus, initial diagnosis, candidate for neurosurgery) Medical management; ventilation; neurosurgery
904B Retinal detachment, tear and other retinal disorders Vitrectomy; laser treatment; other surgery
905A Meningitis – acute and subacute Medical and surgical management
906A Acute generalised paralysis, including polio and Guillain-Barre Medical management; ventilation and plasmapheresis
906B Retinal vascular occlusion; central retinal vein occlusion Laser surgery
909B Open wound of eyeball and other eye structures Medical and surgical management
911B Corneal ulcer; Superficial injury of eye and adnexa Conjunctival flap; medical management
922B Retained intraocular foreign body Surgical management
940A Reversible CNS abnormalities due to other systemic disease Medical and surgical management
941A Spinal cord compression, ischaemia or degenerative disease NOS Medical and surgical management
950A Benign and malignant brain tumours, treatable Medical and surgical management which includes radiation therapy and chemotherapy
950B Cancer of the eye and orbit - treatable Medical and surgical management, which includes radiation therapy and chemotherapy

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