ICD-10 Code Exclusions
Kaelo Prime Cure is a managed Health Care Organisation with the Primary Health Care provision as the main concern for Insurance and Medical Aid Scheme options.
We do not cover any consultations that are related to screening or general examination either for Life Insurance purposes, growth, puberty, driving etc.
Policyholder / member will be liable for all the cost incurred during this examination even with a contracted Prime Cure Provider.
This list is subject to continuous review and may be updated or revised periodically to reflect changes in regulations, best practices, organisational needs, or other relevant factors. It is the responsibility of all stakeholders to stay informed of the latest version and comply accordingly.
| wdt_ID | wdt_created_by | wdt_created_at | wdt_last_edited_by | wdt_last_edited_at | ICD-10 | ICD-10 DESCRIPTION | ICD-10 GROUP DESCRIPTION |
|---|---|---|---|---|---|---|---|
| 28 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z00.0 | General medical examination | General examination and investigation of persons without complaint and reported diagnosis |
| 29 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z00.1 | Routine child health examination | General examination and investigation of persons without complaint and reported diagnosis |
| 30 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z00.2 | Examination for period of rapid growth in childhood | General examination and investigation of persons without complaint and reported diagnosis |
| 31 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z00.3 | Examination for adolescent development state | General examination and investigation of persons without complaint and reported diagnosis |
| 32 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z00.6 | Examination for normal comparison and control in clinical research programme | General examination and investigation of persons without complaint and reported diagnosis |
| 33 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z00.8 | Other general examinations | General examination and investigation of persons without complaint and reported diagnosis |
| 34 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z01.8 | Other specified special examinations | |
| 35 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z01.9 | Special examination, unspecified | General examination and investigation of persons without complaint and reported diagnosis |
| 36 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02 | Examination and encounter for administrative purposes | |
| 37 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.0 | Examination for admission to educational institution | |
| 38 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.1 | Pre-employment examination | |
| 39 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.2 | Examination for admission to reisdential institutions. | |
| 40 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.3 | Examination for recruitment to armed forces | |
| 41 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.4 | Examination for driving licence | |
| 42 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.5 | Examination for participation in sport | |
| 43 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.6 | Examination for Insurance purposes. | |
| 44 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.7 | Issue of medical Certficate | |
| 45 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.8 | Other examinations for administrative purposes | |
| 46 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.9 | Examination for administrative purposes, unspecified | |
| 47 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z09.9 | Follow-up examination after unspecified treatment for other conditions | Follow-up examination after treatment for conditions other than malignant neoplasms |
| 48 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z11.3 | Special screening examination for infections with a predominantly sexual mode of transmission | Special screening examination for infectious and parasitic diseases |
| 49 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z12.4 | Special screening examination for neoplasm of cervix | Special screening examination for neoplasms |
| 51 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z30.0 | General counselling and advice on contraception | Contraceptive management |
| 52 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z71.2 | Person consulting for explanation of investigation findings | Persons encountering health services for other counselling and medical advice, not elsewhere classified |
| 53 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z73.3 | Stress, not elsewhere classified | Problems related to life-management difficulty |
| 54 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z76.9 | Person encountering health services in unspecified circumstances | All but exclude : pathologists , radiologists and pharmacies |
| 55 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z71.9 | Counselling, unspecified | All Groups |
| 56 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z51.9 | Medical care, unspecified | All Groups |
| 57 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z30.9 | Contraceptive management, unspecified | All Groups |
| 58 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z03.9 | Observation for suspected disease or condition, unspecified | All Groups |
| 59 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z47.9 | Orthopaedic follow-up care, unspecified | All Groups |
| 60 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z29.9 | Prophylactic measure, unspecified | All Groups |
| 61 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z53.9 | Procedure not carried out, unspecified reason | All Groups |
| 62 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z09.9 | Follow-up examination after unspecified treatment for other conditions | All Groups |
| 63 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z02.9 | Examination for administrative purposes, unspecified | All Groups |
| 64 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z01.9 | Special examination, unspecified | All Groups |
| 65 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z20.9 | Contact with and exposure to unspecified communicable disease | All Groups |
| 66 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z13.9 | Special screening examination, unspecified | All Groups |
| 67 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z73.9 | Problem related to life-management difficulty, unspecified | All Groups |
| 68 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z04.9 | Examination and observation for unspecified reason | All Groups |
| 69 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z45.9 | Adjustment and management of unspecified implanted device | All Groups |
| 70 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z48.9 | Surgical follow-up care, unspecified | All Groups |
| 71 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z63.9 | Problem related to primary support group, unspecified | All Groups |
| 72 | KirstyKF | 16/07/2025 06:34 AM | KirstyKF | 16/07/2025 06:34 AM | Z96.9 | Presence of functional implant, unspecified | All Groups |