South African Medical Association





Rendani Tendane - Medical Coding Consultant
Use of Morphology codes
We received enquiries about the use of ICD-10 Morphology codes (M-codes) on accounts where some medical schemes are insisting on the morphology codes on accounts for e.g. where neoplasias are coded.

The below information was published on the 4th of April 2014 by the Department of Health on implementation of ICD-10 phase 3 and phase 4 Since then there has been no further information published regarding morphology codes.

Please note that the compulsory submission of ICD-O (morphology coding) has been postponed and will thus not be implemented on 01 July 2014 as previously indicated. A new implementation date will be communicated in due course. Those who are using morphology codes should however continue to do so.

Caution regarding different versions of ICD-10

Please note that not all reference to ICD-10 on the internet is referring to the World Health Organisation (WHO) edition of ICD-10. In South Africa, we use the WHO ‘vanilla’ version of ICD-10, with a few local code additions. The SA ICD-10 Master Industry Table (MIT), Jan 2014 (containing all WHO Corrigenda updates until January 2014), is the ONLY official reference list for ICD-10 codes appropriate for use in South Africa.

The American ICD-10-CM (Clinical Modification), the new diagnostic coding system replacing ICD-9-CM in America is also referred to as ICD-10 on the internet. This is a very different set of codes, although based on ICD-10, a clinical modification has been done and some of the codes now have up to 7 characters (Format: XXX.XXXX). These are not appropriate for use in South Africa. The WHO also have a version of ICD-10 (2016) available in electronic look-up format on their website. However, this does not contain the South African local codes or specific rules for use of the code set in South Africa. An updated 2016 set of ICD-10 books is available from DENOSA – please note that there are some new codes in this edition which are not in the SA ICD-10 MIT January 2014.

It is thus vital to always cross-reference your ICD-10 codes to the SA MIT to ensure adherence to local industry requirements. The MIT can be freely downloaded from the website of the National Department of Health:

Our SAMA Products

Electronic ICD-10 browser developed by SAMA. It includes the latest 2014 MIT ICD-10 codes which is the official version of ICD-10 used in South-Africa.

For non SAMA members you can go to our SAMA website, select SAMA Products, then you select ICD-10 electronic browser developed by SAMA. See below pricing list

2019 edition of the Electronic ICD-10 (browser)
(Based on the 2014 ICD-10 Master Industry Table)

Number of copies / licenses

Price per unit

1st Licence for SAMA Members

R 176.54 /licence (VAT Incl)

1st Licence for Non-SAMA Members

R 201.75 /licence (VAT Incl)

2nd - Unlimited Licences

R 201.75 /licence (VAT Incl)

NB!! When payment is received a link and activation key will be emailed to download on your PC.

Licence period:

The ICD-10 Browser program has a one year licence period valid from 1 January 2019 to 31 December 2019. Should you purchase the product within this allocated time period, the licence will only remain valid for the remainder of the above mentioned one year period. A grace period of two months will apply, thus the program will remain functional for January and February 2020.

For SAMA members you can go to our SAMA website, log in on your top right hand corner, once you logged in select SAMA products then Electronic Doctors Coding Manual 2019 which has procedure codes and ICD-10 codes.
Kindly note that the electronic MDCM first licence is free for SAMA members.

Please direct any coding queries to our Coding Division on 012 481 2073 or email and we will gladly assist you.

SAMA's Medical Coding Division in the Private Practice Department

The South African Medical Association - Postal Address-The South African Medical Association P O Box 74789,Lynnwood Ridge Pretoria 0040, South Africa Physical address The South African Medical Association, Block F Castle Walk Corporate Park Nossob Street Erasmuskloof Ext3 Pretoria 0181,
South Africa

If you no longer wish to receive these emails, simply click on the following link Unsubscribe.


Cookie Consent

Our website uses cookies to provide your browsing experience and relavent informations. Before continuing to use our website, you agree & accept of our Cookie Policy & Privacy