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ComplianceICD-10 codes and tariffs

ICD-10 codes for South Africa, ready inside your invoice.

Looking up ICD-10 codes in South Africa usually means a PDF in one window and an invoice in another. Wholistic keeps the ICD-10 browser, your tariff codes and each scheme’s details next to the invoice, so the right codes are a click away. It is part of Compliance, one of Wholistic’s three pillars: South African coding built in from the start.

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DemoICD-10 codes and tariffs: a quick tour

  • ICD-10 browser

    F-codes and Z-codes by category. Click to copy.

  • Scheme directory

    Contact details, tariff codes and amounts, and plan-by-plan cover notes.

  • My Codes

    Your own codes per scheme or as cash rates, linked to your session rates.

  • Line items

    Plain reusable items if you don’t bill medical aid.

01

Medical aid claim codes explained

A medical aid claim carries two kinds of code. The ICD-10 code is the diagnosis code: it tells the scheme why the client was seen. The tariff code is the procedure or consultation code: it tells the scheme what you did and for how long, and it determines the amount. A claim needs both, and a mistake in either is a common reason for a rejection.

  • ICD-10 code: the reason for the session
  • Tariff code: the service you provided
  • Both appear on every medical aid invoice
  • Wholistic keeps both next to the invoice
App screenshotMedical aid claim codes explained

02

An ICD-10 browser for mental health practice

The browser groups F-codes and Z-codes by category, so you can find a code by what it describes. Click a code to copy it. On the client profile, diagnoses have their own DSM-5 search.

  • F-codes and Z-codes, grouped by category
  • Click to copy
  • Used on cash and medical aid invoices
  • Diagnosis codes are never included in the export for your accountant
App screenshotAn ICD-10 browser for mental health practice

03

Psychologist tariff codes and scheme details in one directory

The scheme directory holds each medical scheme’s contact details, its tariff codes and amounts, and cover notes plan by plan. When you need psychology tariff codes in South Africa for a particular scheme, they are in the same place as the invoice you are writing.

  • Contact details for each scheme
  • Tariff codes and amounts
  • Plan-by-plan cover notes
  • Scheme details captured on the intake form flow onto the invoice
App screenshotPsychologist tariff codes and scheme details in one directory

04

My Codes: your consultation and procedure codes, linked to your rates

Save the codes you use, per scheme or as cash rates, and link each one to a session rate. Your psychologist consultation code and the psychologist procedure codes you bill most often are then filled in when you invoice that session type. Rates cover psychometric tests and batteries too.

  • Your own codes, per scheme or as cash rates
  • Each code linked to a session rate
  • Psychometric tests and batteries included in your rates
  • A “Needs setup” label on a rate that has no code yet and so can’t be invoiced
App screenshotMy Codes: your consultation and procedure codes, linked to your rates

05

Don’t bill medical aid? Skip the codes

Practitioners who only see cash clients don’t need medical aid billing codes at all. Use plain, reusable line items for your services and invoice without touching the scheme directory.

  • Plain reusable line items
  • No scheme setup needed
  • Switch to medical aid billing later without starting again
App screenshotDon’t bill medical aid? Skip the codes

The Compliance pillar

Compliance, built into the invoice

Generic software leaves South African coding to you. Wholistic’s Compliance pillar is built around it. ICD-10 codes, tariff codes and scheme details live inside the invoice, so billing correctly takes less effort than billing incorrectly.

The right code should be the easy one to pick.

Reminders and messages

What gets sent, and what stays with you

Nothing is sent from this part of Wholistic. It flags what still needs setting up.

In-app

  • A “Needs setup” label on a rate that has no code yet and so can’t be invoiced.

Questions

ICD-10 codes and tariffs: common questions

Straight answers about what this feature does, and what it doesn’t.

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Does Wholistic tell me which ICD-10 code to use?

No. Choosing a diagnosis code is a clinical decision that stays with you. Wholistic makes the codes quick to find and copy, and remembers the codes you use.

Where do psychologist tariffs come from?

Tariff codes and the amounts paid against them differ between medical schemes and plans. The scheme directory keeps codes, amounts and cover notes per scheme. Always confirm current psychologist tariffs with the scheme itself before you rely on them.

Can registered counsellors use the same codes?

Registered counsellors can use the ICD-10 browser and set up their own tariff codes in My Codes. The codes you may bill depend on your registration category, so add the ones that apply to you.

Can I add my own medical aid claim codes?

Yes. My Codes holds your own codes per scheme or as cash rates. That also makes Wholistic usable for other health professions with their own coding.

What if a rate has no code?

It shows a “Needs setup” label and can’t be invoiced until a code is linked, so an incomplete claim doesn’t reach a scheme.

Free resources

Templates and guides to use today

Free to download, with no sign-up. Use them in your practice whether or not you use Wholistic.

Guides

It all connects

Features that work with this one

Enter it once. Use it everywhere. Each part of Wholistic feeds the others, so nothing is typed twice.

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  • 1 month completely free
  • Built around South African private practice
  • Built by practitioners
  • Every feature included