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
28KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ00.0General medical examinationGeneral examination and investigation of persons without complaint and reported diagnosis
29KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ00.1Routine child health examinationGeneral examination and investigation of persons without complaint and reported diagnosis
30KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ00.2Examination for period of rapid growth in childhoodGeneral examination and investigation of persons without complaint and reported diagnosis
31KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ00.3Examination for adolescent development stateGeneral examination and investigation of persons without complaint and reported diagnosis
32KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ00.6Examination for normal comparison and control in clinical research programmeGeneral examination and investigation of persons without complaint and reported diagnosis
33KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ00.8Other general examinationsGeneral examination and investigation of persons without complaint and reported diagnosis
34KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ01.8Other specified special examinations
35KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ01.9Special examination, unspecifiedGeneral examination and investigation of persons without complaint and reported diagnosis
36KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02Examination and encounter for administrative purposes
37KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.0Examination for admission to educational institution
38KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.1Pre-employment examination
39KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.2Examination for admission to reisdential institutions.
40KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.3Examination for recruitment to armed forces
41KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.4Examination for driving licence
42KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.5Examination for participation in sport
43KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.6Examination for Insurance purposes.
44KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.7Issue of medical Certficate
45KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.8Other examinations for administrative purposes
46KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.9Examination for administrative purposes, unspecified
47KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ09.9Follow-up examination after unspecified treatment for other conditionsFollow-up examination after treatment for conditions other than malignant neoplasms
48KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ11.3Special screening examination for infections with a predominantly sexual mode of transmissionSpecial screening examination for infectious and parasitic diseases
49KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ12.4Special screening examination for neoplasm of cervixSpecial screening examination for neoplasms
51KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ30.0General counselling and advice on contraceptionContraceptive management
52KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ71.2Person consulting for explanation of investigation findingsPersons encountering health services for other counselling and medical advice, not elsewhere classified
53KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ73.3Stress, not elsewhere classifiedProblems related to life-management difficulty
54KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ76.9Person encountering health services in unspecified circumstancesAll but exclude : pathologists , radiologists and pharmacies
55KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ71.9Counselling, unspecifiedAll Groups
56KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ51.9Medical care, unspecifiedAll Groups
57KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ30.9Contraceptive management, unspecifiedAll Groups
58KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ03.9Observation for suspected disease or condition, unspecifiedAll Groups
59KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ47.9Orthopaedic follow-up care, unspecifiedAll Groups
60KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ29.9Prophylactic measure, unspecifiedAll Groups
61KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ53.9Procedure not carried out, unspecified reasonAll Groups
62KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ09.9Follow-up examination after unspecified treatment for other conditionsAll Groups
63KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ02.9Examination for administrative purposes, unspecifiedAll Groups
64KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ01.9Special examination, unspecifiedAll Groups
65KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ20.9Contact with and exposure to unspecified communicable diseaseAll Groups
66KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ13.9Special screening examination, unspecifiedAll Groups
67KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ73.9Problem related to life-management difficulty, unspecifiedAll Groups
68KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ04.9Examination and observation for unspecified reasonAll Groups
69KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ45.9Adjustment and management of unspecified implanted deviceAll Groups
70KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ48.9Surgical follow-up care, unspecifiedAll Groups
71KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ63.9Problem related to primary support group, unspecifiedAll Groups
72KirstyKF16/07/2025 06:34 AMKirstyKF16/07/2025 06:34 AMZ96.9Presence of functional implant, unspecifiedAll Groups
ICD-10ICD-10 DESCRIPTIONICD-10 GROUP DESCRIPTION