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.
ICD-10 Code Exclusions
| wdt_ID | ICD-10 | ICD-10 DESCRIPTION | ICD-10 GROUP DESCRIPTION |
|---|---|---|---|
| 1 | Z00.0 | General medical examination | General examination and investigation of persons without complaint and reported diagnosis |
| 2 | Z00.1 | Routine child health examination | General examination and investigation of persons without complaint and reported diagnosis |
| 3 | Z00.2 | Examination for period of rapid growth in childhood | General examination and investigation of persons without complaint and reported diagnosis |
| 4 | Z00.3 | Examination for adolescent development state | General examination and investigation of persons without complaint and reported diagnosis |
| 5 | Z00.6 | Examination for normal comparison and control in clinical research programme | General examination and investigation of persons without complaint and reported diagnosis |
| 6 | Z00.8 | Other general examinations | General examination and investigation of persons without complaint and reported diagnosis |
| 7 | Z01.8 | Other specified special examinations | |
| 8 | Z01.9 | Special examination, unspecified | General examination and investigation of persons without complaint and reported diagnosis |
| 9 | Z02 | Examination and encounter for administrative purposes | |
| 10 | Z02.0 | Examination for admission to educational institution | |
| 11 | Z02.1 | Pre-employment examination | |
| 12 | Z02.2 | Examination for admission to reisdential institutions. | |
| 13 | Z02.3 | Examination for recruitment to armed forces | |
| 14 | Z02.4 | Examination for driving licence | |
| 15 | Z02.5 | Examination for participation in sport | |
| 16 | Z02.6 | Examination for Insurance purposes. | |
| 17 | Z02.7 | Issue of medical Certficate | |
| 18 | Z02.8 | Other examinations for administrative purposes | |
| 19 | Z02.9 | Examination for administrative purposes, unspecified | |
| 20 | Z09.9 | Follow-up examination after unspecified treatment for other conditions | Follow-up examination after treatment for conditions other than malignant neoplasms |
| 21 | Z11.3 | Special screening examination for infections with a predominantly sexual mode of transmission | Special screening examination for infectious and parasitic diseases |
| 22 | Z12.4 | Special screening examination for neoplasm of cervix | Special screening examination for neoplasms |
| 23 | Z12.4 | Special screening examination for neoplasm of cervix | Special screening examination for neoplasms |
| 24 | Z13.9 | Special screening examination, unspecified | |
| 25 | Z30.0 | General counselling and advice on contraception | Contraceptive management |
| 26 | Z30.0 | General counselling and advice on contraception | Contraceptive management |
| 27 | Z71.2 | Person consulting for explanation of investigation findings | Persons encountering health services for other counselling and medical advice, not elsewhere classified |
| 28 | Z73.3 | Stress, not elsewhere classified | Problems related to life-management difficulty |
| ICD-10 | ICD-10 DESCRIPTION | ICD-10 GROUP DESCRIPTION |