ClaimHubPeople. Evidence. Fair Outcomes.
ClaimHub ResourcesGuides. Tools. Definitions. Support.
Powered by RiskAtlas intelligence The library explains. ClaimBuddy and ClaimHub apply it to a live claim. Browse all resources →

← Medical schemes & PMBs

Diagnosis Treatment Pairs (DTPs)

266 PMB conditions linking diagnosis to mandated treatment — from CMS Annexure A / coded list.

← All categories · PREGNANCY AND CHILDBIRTH

CodeDiagnosisTreatment
52N Pregnancy Antenatal and obstetric care necessitating hospitalisation, including delivery
54N Necrotizing enterocolitis in newborn Medical and surgical management
56N Respiratory conditions of newborn Medical management; ventilation
67N # Low birth weight (under 1000g) with respiratory difficulties # Medical management not including ventilation
71N Birth trauma for baby Medical management; surgery
74N Neonatal and infant GIT abnormalities and disorders, including malrotation and atresia Medical and surgical management
901N Congenital systemic infections affecting the newborn Medical management, ventilation
902N Neonatal endocrine, metabolic and toxin-induced conditions Medical management
903N Neurological abnormalities in the newborn Medical management
904N Haematological disorders of the newborn Medical management
967N # Low birth weight (under 2500 grams & > 1000g) with respiratory difficulties # Medical management, including ventilation; intensive care therapy