Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Elective care waiting list episode—elective care type, code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termWaiting list category
METeOR identifier:Help on this term269995
Registration status:Help on this termHealth, Superseded 07/12/2005
Definition:Help on this termThe type of elective hospital care that a patient requires, as represented by a code.
Data Element Concept:Elective care waiting list episode—elective care type

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
1Elective surgery
2Other

Collection and usage attributes

Guide for use:Help on this term

Elective surgery comprises elective care where the procedures required by patients are listed in the surgical operations section of the Medicare benefits schedule, with the exclusion of specific procedures frequently done by non-surgical clinicians.

Elective care is care that, in the opinion of the treating clinician, is necessary and admission for which can be delayed for at least twenty-four hours.

CODE 2     Other

Patients awaiting the following procedures should be classified as Code 2 - other:

  • organ or tissue transplant procedures
  • procedures associated with obstetrics (e.g. elective caesarean section, cervical suture)
  • cosmetic surgery, i.e. when the procedure will not attract a Medicare rebate
  • biopsy of:
    • kidney (needle only)
    • lung (needle only)
    • liver and gall bladder (needle only)
  • bronchoscopy (including fibre-optic bronchoscopy)
  • peritoneal renal dialysis;
  • haemodialysis
  • colonoscopy
  • endoscopic retrograde cholangio-pancreatography (ERCP)
  • endoscopy of:
    • biliary tract
    • oesophagus
    • small intestine
    • stomach
  • endovascular interventional procedures
  • gastroscopy
  • miscellaneous cardiac procedures
  • oesophagoscopy
  • panendoscopy (except when involving the bladder)
  • proctosigmoidoscopy
  • sigmoidoscopy
  • anoscopy
  • urethroscopy and associated procedures
  • dental procedures not attracting a Medicare rebate
  • other diagnostic and non-surgical procedures.

These procedure terms are also defined by the ICD-10-AM (3rd edition) codes which are listed under Comments below. This coded list is the recommended, but optional, method for determining whether a patient is classified as requiring elective surgery or other care.

CODE 1     Elective surgery

All other elective surgery should be included in this code.

Comments:Help on this term

The table of ICD-10-AM (3rd edition) procedure codes was prepared by the National Centre for Classification in Health. Some codes were excluded from the list on the basis that they are usually performed by non-surgeon clinicians. A more extensive and detailed listing of procedure descriptors is under development. This will replace the list in the Guide for use to facilitate more readily the identification of the exclusions when the list of codes is not used.

ICD-10-AM CODES FOR THE EXCLUDED PROCEDURES:

Organ or tissue transplant:

90172-00 [555] 90172-01 [555] 90204-00 [659] 90204-01 [659] 90205-00 [660] 90205-01 [660] 13700-00 [801] 13706-08 [802] 13706-00 [802] 13706-06 [802] 13706-07 [802] 13706-09 [802] 13706-10 [802] 30375-21 [817] 90317-00 [954] 90324-00 [981] 36503-00 [1058] 36503-01 [1058] 14203-01 [1906]

Procedures associated with obstetrics: 16511-00 [1274] Obstetric Blocks [1330] to [1345] and [1347]

Biopsy (needle) of:

  • kidney: 36561-00 [1047]
  • lung: 38412-00 [550]
  • liver and gall bladder: 30409-00 [953] 30412-00 [953] 90319-01 [951] 30094-04 [964]

Bronchoscopy:

41889-00 [543] 41892-00 [544] 41904-00 [546] 41764-02 [416] 41895-00 [544] 41764-04 [532] 41892-01 [545] 41901-00 [545] 41898-00 [543] 41898-01 [544] 41889-01 [543] 41849-00 [520] 41764-03 [520] 41855-00 [520]

Peritoneal renal dialysis:

13100-06 [1061] 13100-07 [1061] 13100-08 [1061] 13100-00 [1060]

Endoscopy of biliary tract:

30484-00 [957] 30484-01 [957] 30484-02 [974] 30494-00 [971] 30452-00 [971] 30491-00 [958] 30491-01 [958] 30485-00 [963] 30485-01 [963] 30452-01 [958] 30450-00 [959] 30452-02 [959] 90349-00 [975]

Endoscopy of oesophagus:

30473-03 [850] 30473-04 [861] 41822-00 [861] 30478-11 [856] 41819-00 [862] 30478-10 [852] 30478-13 [861] 41816-00 [850] 41822-00 [861] 41825-00 [852] 30478-12 [856] 41831-00 [862] 30478-12 [856] 30490-00 [853] 30479-00 [856]

Panendoscopy:

30476-03 [874] 32095-00 [891] 30568-00 [893] 30569-00 [894] 30473-05 [1005] 30473-00 [1005] 30473-02 [1005] 30478-00 [1006] 30478-14 [1006] 30478-01 [1007] 30478-02 [1007] 30478-03 [1007] 30478-15 [1007] 30478-16 [1007] 30478-17 [1007] 30478-20 [1007] 30478-21 [1007] 30473-01 [1008] 30478-04 [1008] 30473-06 [1008] 30478-18 [1008]

Endoscopy of large intestine, rectum and anus:

32075-00 [904] 32090-00 [905] 32084-00 [905] 30479-02 [908] 90308-00 [908] 32075-01 [910] 32078-00 [910] 32081-00 [910] 32090-01 [911] 32093-00 [911] 32084-01 [911] 32087-00 [911] 30479-01 [931] 90315-00 [933]

Miscellaneous cardiac:

38603-00 [642] 38600-00 [642] 38256-00 [647] 38256-01 [647] 38256-02 [647] 38278-00 [648] 38278-01 [648] 38284-00 [648] 90202-00 [649] 38470-00 [649] 38473-00 [649] 38281-01 [650] 38281-02 [650] 38281-03 [650] 38281-04 [650] 38281-05 [650] 38281-06 [650] 38281-07 [651] 38281-07 [651] 38281-08 [651] 38281-09 [651] 38281-10 [651] 38281-00 [652] 38278-02 [654] 38456-07 [654] 90203-00 [654] 38284-01 [654] 90219-00 [663] 38281-11 [655] 38281-12 [655] 38212-00 [665] 38209-00 [665] 38200-00 [667] 38203-00 [667] 38206-00 [667] 35324-00 [740] 35315-00 [758] 35315-01 [758]

Endovascular interventional:

35304-01 [670] 35305-00 [670] 35304-00 [670] 35305-01 [670] 35310-00 [671] 35310-01 [671] 35310-03 [671] 35310-04 [671] 35310-02 [671] 35310-05 [671] 34524-00 [694] 13303-00 [694] 34521-01 [694] 32500-01 [722] 32500-00 [722] 13300-01 [738] 13300-02 [738] 13319-00 [738] 13300-00 [738] 13815-00 [738] 13815-01 [738] 34521-02 [738] 34530-04 [738] 90220-00 [738]

Urethroscopy:

36800-00 [1090] 36800-01 [1090] 37011-00 [1093] 37008-01 [1093] 37008-00 [1093] 37315-00 [1112] 37315-01 [1116] 37318-01 [1116] 36815-01 [1116] 37854-00 [1116] 35527-00 [1116] 37318-04 [1117]

Dental:

Blocks [450] to [490]

Other diagnostic and non-surgical:

90347-01 [983] 90760-00 [1780] 90767-00 [1780] 13915-00 [1780] 13918-00 [1780] 13921-00 [1780] 13927-00 [1780] 13939-00 [1780] 13942-00 [1780] 90768-00 [1780] Blocks [1820] to 1939], [1940] to [2016]

Source and reference attributes

Origin:Help on this termInternational Classification of Diseases - Tenth Revision - Australian Modification (3rd edition, 2002) National Centre for Classification in Health, Sydney (ICD-10-AM (3rd edition)).

Data element attributes

Source and reference attributes

Submitting organisation:Help on this term

Hospital Access Program Waiting Lists Working Group

Waiting Times Working Group

Origin:Help on this termNational Health Data Committee

Relational attributes

Related metadata references:Help on this term

Has been superseded by Elective care waiting list episode—elective care type, code N Health, Superseded 07/12/2005

Supersedes Waiting list category, version 3, DE, NHDD, NHIMG, Superseded 01/03/2005.pdf (24.7 KB)

My items Help on this term
Download Help on this term