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 · URINARY AND MALE GENITAL SYSTEM

CodeDiagnosisTreatment
289L Ureteral fistula (intestinal) Nephrostomy
354L Abscess of prostate Turp; drain abscess
359L Vesicoureteral reflux Medical management; replantation
436L Torsion of testis Orchidectomy; repair
43L Trauma to the urinary system including ruptured bladder Cystorrhaphy; suture; repair
900L Hyperplasia of the prostate, with acute urinary retention or obstructive renal failure Transurethral resection; medical management
901L End stage renal disease regardless of cause Dialysis and renal transplant where Department of Health criteria are met only (see criteria published in GPS 004-9001)
903L Acute glomerulonephritis and nephritic syndrome Medical management
904L Acute and chronic pyelonephritis; renal and perinephric abscess Medical and surgical management
905L Obstruction of the urogenital tract, regardless of cause Catheterisation; surgery; endoscopic removal of obstructing agent: lithotripsy
906L Congenital anomalies of urinary system - symptomatic and life-threatening Nephrectomy / repair
950L Cancer of testis - treatable Medical and surgical management, which includes chemotherapy and radiation therapy
952L Cancer of urinary system including kidney and bladder - treatable Medical and surgical management, which includes chemotherapy and radiation therapy
953L Cancer of prostate gland - treatable Medical and surgical management, which includes chemotherapy and radiation therapy
954L Cancer of penis and other male genital organ - treatable Medical and surgical management, which includes chemotherapy and radiation therapy

Sentrix Digital, Melbourne · ABN 29 203 554 753. Not medical, legal, or financial advice. Organisation and drafting only. Verify with treating practitioners, the PDS, and the trustee/insurer. Australian complaints: insurer/trustee IDR, then AFCA. · info@sentrixdigital.com · +61 (03) 9088 1341 · Admin login