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 · GASTRO-INTESTINAL SYSTEM

CodeDiagnosisTreatment
124F Acute vascular insufficiency of intestine Colectomy
20F Intestinal obstruction without mention of hernia; symptomatic foreign body in stomach, intestines, colon & rectum Excision; surgery; medical management
214F Oesophageal stricture Dilatation; surgery
232F Paralytic ileus Medical management
254F Acute diverticulitis of colon Medical and surgical management, including colon resection
264F Anal and rectal polyp Excision of polyp
292F Regional enteritis; idiopathic proctocolitis – acute exacerbations and complications only Medical and surgical management
337F Amoebiasis; typhoid Medical management
3F Peritonitis, regardless of cause Medical and surgical management
41F Abscess of intestine Drain abscess; medical management
489F Acquired hypertrophic pyloric stenosis and other disorders of the stomach and duodenum Surgical management
498F Peritoneal adhesion Surgical management
507F Thrombosed and complicated haemorrhoids Haemorrhoidectomy; incision
516F Oesophageal varices Medical management; surgical shunt; sclerotherapy
555F Rectal prolapse Partial colectomy
6F Hernia with obstruction and/or gangrene; uncomplicated hernias under age 18 Repair; bowel resection
900F Rupture of intra-abdominal organ Repair; splenectomy; resection
901F Gastroenteritis and colitis with life-threatening haemorrhage or dehydration, regardless of cause Medical management
902F Gastric or intestinal ulcers with hemorrhage or perforation Surgery; endoscopic diagnosis; medical management
920F Anal Fissure; Anal fistula Fissurectomy ; Fistulectomy; medical management
950C Cancer of the gastro-intestinal tract, including oesophagus, stomach, bowel, rectum, anus - treatable Medical and surgical management, which includes chemotherapy and radiation therapy
952F Cancer of retroperitoneum, peritoneum, omentum & mesentery - treatable Medical and surgical management, which includes chemotherapy and radiation therapy
95F Congenital anomalies of upper alimentary tract – excluding tongue Medical and surgical management
9F Appendicitis Appendectomy

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