Powered by RiskAtlas intelligence
The library explains. ClaimBuddy and ClaimHub apply it to a live claim.
Browse all resources →
109A
Vertebral dislocations/ fractures, open or closed with injury to spinal cord
BRAIN AND NERVOUS SYSTEMMandated treatment
Repair /reconstruction; medical management; inpatient rehabilitation up to 2 months
PMB context
This diagnosis–treatment pair is a Prescribed Minimum Benefit. Your scheme must fund the specified treatment path using public-sector protocols where there is dispute. PMB cover runs independently of benefit option annual limits.