Capturing ICD-10 Codes on the Invoice ensures that the Patient’s Diagnosis is recorded accurately and consistently. Correct use of Primary and Prescribed Minimum Benefit Codes supports compliant billing, enables correct claims processing by Medical Aid, and ensures that Diagnoses, treatment justification, and clinical reporting remain aligned across the Invoice. The available search, builder, and editing options allow you to efficiently select, manage, and confirm the required ICD-10 Codes before finalising and saving the Invoice.

?Please Note: ICD-10 Codes that are marked as Primary Codes will display an [P] at the end of the Code. Primary ICD-10 Codes are the main/primary Code used for the Patients Diagnosis. ICD 10 Codes that are marked as Prescribed Minimum Benefit Codes will display an [PMB] at the end of the Code. Prescribed Minimum Benefit ICD-10 Codes are Codes used for a PMB condition that a Patient has, that must be paid for by Medical Aid. PMBs are a feature of the Medical Schemes Act, in terms of which Medical Schemes have to cover the costs related to the diagnosis, treatment and care of an emergency Medical condition; a limited set of 270 Medical conditions (defined in the Diagnosis Treatment Pairs) according to Medical Schemes.

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