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 · HEART AND VASCULATURE

CodeDiagnosisTreatment
100E Patent ductus arteriosus; aortic pulmonary fistula - persistent Ligation
108E Pericarditis Medical and surgical management
111E Injury to major blood vessels - trunk, head and neck, and upper limbs Repair
155E Myocarditis; cardiomyopathy; transposition of great vessels; hypoplastic left heart syndrome Medical and surgical management; cardiac transplant
16E Rupture of papillary muscle Medical and surgical management
18E Dissecting or ruptured aortic aneurysm Surgical management
19E Injury to major blood vessels of extremities Ligation
204E Cardiac failure: acute or recent deterioration of chronic cardiac failure Medical treatment
209E Phlebitis & thrombophlebitis, deep Ligation and division; medical management
210E Diseases of endocardium; endocarditis Medical management
26E Arterial embolism/thrombosis: abdominal aorta, thoracic aorta Medical and surgical management
284E Acute pulmonary heart disease and pulmonary emboli Medical and surgical management
294E Giant cell arteritis, Kawasaki disease, hypersensitivity angiitis Medical management
309E Diseases and disorders of aortic valve NOS Aortic valve replacement
314E Diseases of mitral valve Valvuloplasty; valve replacement; medical management
355E Other aneurysm of artery – peripheral Surgical management
35E Acute rheumatic fever Medical management
450E Hereditary hemorrhagic telangiectasia Excision
497E Multiple valvular disease Surgical management
627E Shock / hypotension – life-threatening Medical management; ventilation
900E Life-threatening complications of elective cardiac and major vascular procedures Medical and surgical management
901E Hypertension – acute life-threatening complications and malignant hypertension; renal artery stenosis and other curable hypertension Medical and surgical management
902E Disorders of arteries: visceral Bypass graft; surgical management
903E Life-threatening cardiac arrhythmias Medical and surgical management, pacemakers, cardioversion
905E Other correctable congenital cardiac conditions Surgical repair; medical management
907E Acute and subacute ischemic heart disease, including myocardial infarction and unstable angina Medical management; surgery; percutaneous procedures
908E Aneurysm of major artery of chest, abdomen, neck, - Unruptured or ruptured NOS Surgical management
914E Rheumatic pericarditis; rheumatic myocarditis Medical management
915E Gangrene; severe atherosclerosis of arteries of extremities; diabetes mellitus with peripheral circulatory disease Medical and surgical management including amputation
93E Ventricular septal defect - persistent Closure
97E Coronary artery anomaly Anomalous coronary artery ligation
98E Complete, corrected and other transposition of great vessels Repair
99E Tetralogy of Fallot (TOF) Total repair tetralogy

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