AIHW logo
METEOR logo
Our sites
AIHW GEN Aged Care Data Aboriginal and Torres Strait Islander
Health Performance Framework
Indigenous Mental Health and
Suicide Prevention Clearinghouse
Australian Mesothelioma Registry Housing data Regional Insights for Indigenous Communities
Contact FAQs
  • Find metadata
    • Find metadata
    • Getting started
    • Data set specifications
    • Indicator sets
    • Data quality statements
    • Data dictionary archives
  • Metadata management
    • Metadata management
    • Data standards
    • Registration authorities
    • Registration statuses
  • How to use METEOR
    • How to use METEOR
    • First steps
    • Using My Page
    • Downloading and printing
    • FAQs
    • About METEOR
  • Learn about metadata
    • Learn about metadata
    • Metadata explained
    • How to create metadata
    • Metadata development resources

Number of lumbar spinal decompression (excluding lumbar spinal fusion) hospitalisations per 100,000 people aged 18 years and over, 2012-13 to 2014-15 and 2015-16 to 2017-18

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termLumbar spinal decompression (excluding lumbar spinal fusion) hospitalisations 18 years and over, 2012-13 to 2014-15 and 2015-16 to 2017-18
METEOR identifier:Help on this term724433
Registration status:Help on this term
  • Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021
Description:Help on this term

Number of lumbar spinal decompression (excluding lumbar spinal fusion) hospitalisations per 100,000 people aged 18 years and over, age and sex standardised. 

Indicator set:Help on this termAustralian Atlas of Healthcare Variation 2021
Australian Commission on Safety and Quality in Health Care, Standard 27/04/2021
Quality statement:Help on this termData quality statement: National Hospital Morbidity Database 2014–15 AIHW Data Quality Statements, Standard 31/08/2016

Collection and usage attributes

Population group age from:Help on this term

18 years and over

Computation description:Help on this term

Inclusion codes, description and additional requirement

ICD-10-AM  (7th to 10th editions) diagnosis codeDescriptionAdditional requirement
M43.16Spondylolisthesis Lumbar region

Principal diagnosis

M43.17Spondylolisthesis Lumbosacral regionPrincipal diagnosis
M48.06Spinal stenosis Lumbar regionPrincipal diagnosis
M48.07Spinal stenosis Lumbosacral regionPrincipal diagnosis
M51.0Lumbar and other intervertebral disc disorders with myelopathyPrincipal diagnosis
M51.1Lumbar and other intervertebral disc disorders with radiculopathyPrincipal diagnosis
M51.2Other specified intervertebral disc displacementPrincipal diagnosis
M54.16Radiculopathy Lumbar regionPrincipal diagnosis
M54.17Radiculopathy Lumbosacral regionPrincipal diagnosis
M54.4Lumbago with sciaticaPrincipal diagnosis
M54.5Low back painPrincipal diagnosis
M54.86Other dorsalgia Lumbar regionPrincipal diagnosis
M54.87Other dorsalgia Lumbosacral regionPrincipal diagnosis
M54.96Dorsalgia, unspecified Lumbar regionPrincipal diagnosis
M54.97Dorsalgia, unspecified Lumbosacral regionPrincipal diagnosis

 

Inclusion codes, description and additional requirement

ACHI (7th to 10th editions) procedure codeDescriptionAdditional requirement
90024-00 [48]Decompression of lumbar spinal canal, 1 levelInclude records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.
90024-01 [48]Decompression of lumbar spinal canal, >=2 levelsInclude records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.
40330-00 [49]Spinal rhizolysisInclude records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.
40303-00[51]Discectomy for recurrent disc lesion, 1 levelInclude records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.
40303-01[51]Discectomy for recurrent disc lesion, 2 levelsInclude records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.
48636-00 [52]Percutaneous lumbar discectomyInclude records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.
40300-00 [52]Discectomy, 1 levelInclude records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.
40300-01 [52]Discectomy, >= 2 levelsInclude records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.


Exclusion codes, description and additional requirement 

ICD-10-
  AM (7th 
  to 10th 
  editions) 
  diagnosis 
  code
DescriptionAdditional 
  requirement
A00-B99Certain infectious and 
  parasitic diseases 
Value of the 
condition onset 
flag is 2 
(Condition not 
noted as arising 
during the 
episode of 
admitted patient 
care)
C00-D48Neoplasms Value of the 
condition onset 
flag is 2 
(Condition not 
noted as arising 
during the 
episode of 
admitted patient 
care)
V00-Y89External causes of 
  morbidity and mortality 
Value of the 
condition onset 
flag is 2 
(Condition not 
noted as arising 
during the 
episode of 
admitted patient 
care)

Exclusion codes and description

ICD-10-AM  (7th to 10th editions)
procedure code
Description
40351-00 [47]Anterior decompression of thoracolumbar spinal cord
48660-00 [1389]Anterior spinal fusion, 1 level
48669-00 [1389]Anterior spinal fusion, >=2 levels
48642-00 [1389]Posterior spinal fusion, 1 or 2 levels
48645-00 [1389]Posterior spinal fusion, >=3 levels
48648-00 [1389]Posterolateral spinal fusion, 1 or 2 levels
48651-00 [1389]Posterolateral spinal fusion, >=3 levels
48654-00 [1389]Posterior spinal fusion with laminectomy, 1 level
48657-00 [1389]Posterior spinal fusion with laminectomy, >=2 levels
48654-01 [1389]Posterolateral spinal fusion with laminectomy, 1 level
48657-01 [1389]Posterolateral spinal fusion with laminectomy, >=2 levels

 

Exclusion codes and description:

Care type Description
7.3Newborn—unqualified days only
9.0Organ procurement—posthumous
10.0Hospital boarder

 

The following codes are used for analysis by procedure type of lumbar spinal decompression
(decompression via discectomy, decompression via laminectomy, other decompression).
Other decompression includes records that fall outside the specifications below for discectomy

and laminectomy.

Inclusion codes, description and additional requirement for
decompression via discectomy

ICD-10-
  AM (7th to 
  10th 
  editions)
  diagnosis code 
DescriptionAdditional 
  requirement 
M51.1Lumbar and other 
intervertebral disc
disorders with 
radiculopathy 
Principal diagnosis
M51.2Other specified 
intervertebral disc 
displacement
Principal diagnosis

 

Inclusion codes, description and additional requirement for 
decompression via discectomy

ACHI (7th 
  to 10th 
  editions)
  procedure 
  code
DescriptionAdditional 
 requirement
40330-00 [49]Spinal rhizolysisInclude records 
with at least one of 
the listed procedures.
A record with more 
than one of the listed
procedures is only 
counted once.
40303-00 [51]Discectomy for recurrent 
disc lesion, 1 level
Include records 
with at least one of 
the listed procedures.
A record with more 
than one of the listed
procedures is only 
counted once.
40303-01 [51]Discectomy for recurrent 
disc lesion, 2 levels
Include records 
with at least one of 
the listed procedures.
A record with more 
than one of the listed
procedures is only 
counted once.
48636-00 [52]Percutaneious lumbar 
discectomy
Include records 
with at least one of 
the listed procedures.
A record with more 
than one of the listed
procedures is only 
counted once.
40300-00 [52]Discectomy, 1 levelInclude records 
with at least one of 
the listed procedures.
A record with more 
than one of the listed
procedures is only 
counted once.
40300-01 [52]Discectomy, >=2 levelsInclude records 
with at least one of 
the listed procedures.
A record with more 
than one of the listed
procedures is only 
counted once.

 

Inclusion codes, description and additional requirement for 
decompression via laminectomy 

ACHI (7th 
 to 10th 
editions)
 diagnosis 
  code 
Description Additional 
requirement 
M43.16Spondylolisthesis Lumbar region

Principal 

diagnosis
M43.17Spondylolisthesis Lumbosacral region

Principal 

diagnosis
M48.06Spinal stenosis Lumbar region 

Principal 

diagnosis
M48.07Spinal stenosis Lumbosacral region

Principal 

diagnosis
M54.16 Radiculopathy Lumbar region

Principal 

diagnosis

Inclusion codes, desciption and additional requirement for 
decompression via laminectomy

ACHI (7th to 10theditions) 

procedure code

Description

Additional 

requirement

90024-00 [48]

Decompression of lumbar spinal canal, 1 level

Include records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.

40330-00 [49]

Decompression of lumbar spinal canal, >=2 levels

Include records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.

40330-00 [49]

Spinal rhizolysisInclude records with at least one of the listed procedures. A record with more than one of the listed procedures is only counted once.

 

Presented as number of hospitalisations per 100,000 people.

Rates are directly age and sex standardised, to the 30 June 2001 Australian population aged 18 years and over, using 5-year age groups: 18-24, 25-29, … , 80-84, 85 and over.

Indigenous and other Australian rates are directly age and sex standardised, to the 30 June 2001 Australian population aged 18 years and over, using 5-year age groups: 18-24, 25-29, …, 60-64, 65 and over.

Population estimates at 31 December are calculated as an average of the 30 June population estimates before and after the relevant December to derive a midpont (31 December) population estimate.

For more information about age-standardisation in general see glossary item Age-standardised rate. 

Analysis by Statistical Area Level 3 (SA3) 2016 is based on:

  • Statistical Area Level 2 (SA2) 2011 of usual residence of the patient for 2012-13 to 2016-17, converted to SA3 (ASGS 2016) equivalents through an ABS concordance file
  • SA2 2016 of usual residence of the patient for 2017-18.

Suppress data (number and rate) if at least one of the following conditions are met:

•  the total denominator is less than 1,000

•  the total numerator is less than 10

​Age and sex standardised rates are also suppressed where the denominator for at least one of the age and sex groups used to calculate the rate is below 30 and results of sensitivity analysis indicate that the rates are volatile. However, for SA3 data, if the volatility of the rate is not found to have a material impact on its decile, the rate is published with caution. For more information about the sensitivity analysis, see the Technical Supplement of the Fourth Atlas.

Consequential suppression may be applied to preserve confidentialised data. 

Computation:Help on this term

100,000 × (Numerator ÷ Denominator)

Numerator:Help on this term

Number of lumbar spinal decompression (excluding lumbar spinal fusion) hospitalisations aged 18 years and over, 2012-13 to 2014-15 and 2015-16 to 2017-18.

Numerator data elements:Help on this term
Data Element / Data Set

Episode of admitted patient care—admission date, DDMMYYYY

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

NMDS/DSS
Admitted patient care NMDS 2012-13 to 2017-18

Data source type: Administrative by-product data 

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2016-17

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 9th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2015-16

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 9th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2016-17

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Person—sex, code A

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

NMDS/DSS
Admitted patient care NMDS 2012-13 to 2017-18

Data source type: Administrative by-product data 

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 10th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2017-18

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—condition onset flag, code N

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

NMDS/DSS
Admitted patient care NMDS 2012-13 to 2017-18

Data source type: Administrative by-product data 

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 10th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2017-18

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Hospital service—care type, code N[N]

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

NMDS/DSS 
Admitted patient care NMDS 2012-13 to 2017-18

Data source type: Administrative by-product data 

Data Element / Data Set

Person—date of birth, DDMMYYYY

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

NMDS/DSS
Admitted patient care NMDS 2012-13 to 2017-18

Data source type: Administrative by-product data 

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 7th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2012-13

Guide for use

 Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 7th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2012-13

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 8th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2013-14

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 8th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2014-15

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2013-14

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2014-15

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

NMDS / DSS

Admitted patient care NMDS 2015-16

Guide for use

Data source type: Administrative by-product data

Denominator:Help on this term

Sum of population aged 18 years and over as at:

  • 31 December 2012, 31 December 2013 and 31 December 2014
  • 31 December 2015, 31 December 2016 and 31 December 2017.
Denominator data elements:Help on this term
Data Element / Data Set

Person—estimated resident population of Australia, total people N[N(7)]

Data Source

ABS Australian Demographic Statistics

Guide for use

Data source type: Census based plus administrative by-product data.

Data Element / Data Set

Person—estimated resident population of Australia, total people N[N(7)]

Data Source

ABS Indigenous estimates and projections (2016 Census-based)

Guide for use

Data source type: Census based plus administrative by-product data.

Data Element / Data Set

Person—estimated resident population of Australia, total people N[N(7)]

Data Source

ABS Regional Population by Age and Sex, Australia

Guide for use

Data source type: Census based plus administrative by-product data.

Disaggregation:Help on this term

SA3 2016 

Remoteness (ASGS Remoteness structure 2016) 
Socio-Economic Indexes for Areas (SEIFA 2016) Index of Relative Socioeconomic Disadvantage (IRSD 2016)

Primary Health Network (PHN) 2017

State and territory by:

•  Aboriginal and Torres Strait Islander status

•  Patient funding status

•  Procedure type (decompression via discectomy, decompression via laminectomy, other decompression)

Disaggregation data elements:Help on this term
Data Element / Data Set

Establishment—sector, code N

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

For more information about the patient funding status, see the Technical Supplement of the Fourth Atlas

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 10th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Person—area of usual residence, statistical area level 2 (SA2) code (ASGS 2016) N(9)

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 10th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Person—Indigenous status, code N

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—patient election status, code N

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 7th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 7th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 8th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 8th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of care—source of funding, patient funding source code NN

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of care—principal diagnosis, code (ICD-10-AM 9th edn) ANN{.N[N]}

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Data Element / Data Set

Episode of admitted patient care—procedure, code (ACHI 9th edn) NNNNN-NN

Data Source

National Hospital Morbidity Database (NHMD)

Guide for use

Data source type: Administrative by-product data

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termInteger
Unit of measure:Help on this termEpisode
Format:Help on this term

N[NNNN]

Data source attributes

Data sources:Help on this term
Data Source

ABS Australian Demographic Statistics

Frequency

Quarterly

Data custodian

Australian Bureau of Statistics

Data Source

National Hospital Morbidity Database (NHMD)

Frequency

Annual

Data custodian

Australian Institute of Health and Welfare

Data Source

ABS Indigenous estimates and projections (2016 Census-based)

Frequency

Periodic

Data custodian

Australian Bureau of Statistics

Data Source

ABS Regional Population by Age and Sex, Australia

Frequency

Annually

Data custodian

Australian Bureau of Statistics

Accountability attributes

Methodology:Help on this term

Statistical Area Level 3 (SA3s) are geographic areas defined in the ABS Australian Statistical Geography Standard (ASGS). The aim of SA3s is to create a standard framework for the analysis of ABS data at the regional level through clustering groups of SA2s that have similar regional characteristics. There are 340 spatial SA3s covering the whole of Australia without gaps or overlaps. They are designed to provide a regional breakdown of Australia. SA3s generally have a population of between 30,000 and 130,000 people. There are approximately 78 with fewer than 30,000 people and 46 with more than 130,000 as at 30 June 2016. The Other Territories of Jervis Bay, Cocos (Keeling) Islands, Christmas Island and Norfolk Island are each represented by a SA3 in the 2016 ASGS. For further information see the ABS publication, Population by Age and Sex, Regions of Australia, 2016. 

 

The scope of the NHMD is episodes of care for admitted patients in all public and private acute and psychiatric hospitals, free-standing day hospital facilities and alcohol and drug treatment centres in Australia. Hospitals operated by the Australian Defence Force, corrections authorities and in Australia’s off-shore territories are not in scope, but some are included. 

Reporting requirements:Help on this term

Australian Commission on Safety and Quality in Health Care

Australian Atlas of Healthcare Variation 2021

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Accountability:Help on this term

Australian Commission on Safety and Quality in Health Care

Release date:Help on this term28/04/2021

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Relational attributes

Related metadata references:Help on this term
See also ABS Estimated resident population (total population), QS
  • Health, Standard 08/06/2011
See also ABS Indigenous experimental estimates and projections, QS
  • Health, Standard 08/06/2011
  • Indigenous, Standard 11/09/2012
See also Australian Atlas of Healthcare Variation: Number of lumbar spinal decompression (excluding lumbar spinal fusion) hospitalisations per 100,000 people aged 18 years and over, 2012-13 to 2014-15
  • Australian Commission on Safety and Quality in Health Care, Standard 07/06/2017
See also Data quality statement: Admitted Patient Care 2015-16
  • AIHW Data Quality Statements, Standard 27/11/2019
See also Data quality statement: Admitted Patient Care 2016-17
  • AIHW Data Quality Statements, Standard 27/11/2019
See also Data quality statement: Admitted Patient Care 2017-18
  • AIHW Data Quality Statements, Standard 27/11/2019
See also Data quality statement: National Hospital Morbidity Database 2013–14
  • AIHW Data Quality Statements, Standard 03/06/2015
See also Data quality statement: National Hospital Morbidity Database 2014–15
  • AIHW Data Quality Statements, Standard 31/08/2016
Help
Downloading

The download may take a while, please wait.

Do not refresh the screen until the download is complete.

<Title>

<body>
<footer>
  • View
  • Print view
  • Download
  • Word™
  • Pdf
  • Advanced Download
  • Review
  • Compare items
© Australian Institute of Health and Welfare
Version 1.0.0+20220531.2