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Circular 66 of 2021: Practice Coding System

The Council for Medical Schemes (CMS) wishes to notify the industry that it recognises the National Reference Price List (NRPL) 2006 as the last legal procedure coding system for South Africa and uses it to adjudicate complaints and claim-related matters.

Taking note of the emergence of new codes for various clinical disciplines, the CMS requests that the industry ensure this coding system does not negatively affect members and beneficiaries of medical schemes.

Download the circular here.