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Elective care type code N

Identifying and definitional attributes

Metadata item type:Help on this termValue Domain
METeOR identifier:Help on this term604345
Registration status:Help on this termHealth, Standard 12/06/2015
ACT Health, Final 08/08/2018
Definition:Help on this termA code set representing the type of elective hospital care.

Representational attributes

Classification scheme:Australian Classification of Health Interventions (ACHI) 9th edition
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.

CODE 1   Elective surgery

All elective surgery, that is excluding procedures listed in the exclusion list for Code 2 below, should be included in this code.

CODE 2   Other

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

  • biopsy of:
    • kidney (needle only)
    • lung (needle only)
    • liver and gall bladder (needle only)
  • bronchoscopy (including fibre-optic bronchoscopy)
  • cosmetic surgery not attracting a Medicare rebate
  • dental procedures not attracting a Medicare rebate
  • endoscopy of:
    • biliary tract and pancreas
    • oesophagus
    • large intestine, rectum and anus
  • endovascular interventional procedures
  • in vitro fertilisation
  • miscellaneous cardiac procedures
  • miscellaneous lower urinary tract procedures
  • obstetrics
  • organ or tissue transplant
  • panendoscopy (except when involving the bladder)
  • peritoneal and renal dialysis
  • procedures associated with obstetrics (e.g. elective caesarean section, cervical suture)
  • other diagnostic and non-surgical procedures.

These procedure terms are also defined by the Australian Classification of Health Interventions (ACHI) codes which are listed in the Comments field below. This coded list is the recommended, but optional, method for determining whether a patient is classified as requiring elective surgery or other care.

Comments:Help on this term

The table of Australian Classification of Health Interventions (ACHI) procedure codes was originally 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 more readily facilitate the identification of the exclusions when the list of codes is not used.

ACHI codes for the excluded procedures:

Biopsy (needle) of:
• kidney: 36561-00 [1047]
• lung: 38418-08 [550]
• liver and gall bladder: 30409-00 [953] 30412-00 [953]
90319-01 [951] 30094-04 [964]

Bronchoscopy (including fibre-optic bronchoscopy):
41889-05 [543] 41898-04 [544] 41904-00 [546]
41764-02 [416] 41895-02 [544] 41764-04 [532]
90163-01 [545] 41898-01 [544] 41849-00 [520]
41764-03 [520] 41855-00 [520]

Dental procedures not attracting a Medicare rebate:
Blocks [450] to [490]
97022-00 [451] 97025-00 [451] 97113-00 [453]
97121-01 [454] 97123-01 [454] 97165-01 [455]
97221-00 [456] 97222-00 [456] 97231-00 [456]
97232-00 [456] 97233-00 [456] 97234-00 [456]
97384-00 [461] 97386-01 [461] 97415-00 [462]
97417-00 [462] 97431-00 [463] 97433-00 [463]
97434-00 [463] 97437-00 [463] 97445-00 [464]
97455-00 [464] 97511-01 [465] 97512-01 [465]
97513-01 [465] 97514-02 [465] 97515-02 [465]
97541-01 [465] 97542-01 [465] 97543-01 [465]
97544-00 [465] 97545-00 [465] 97521-01 [466]
97522-01 [466] 97523-01 [466] 97524-00 [466]
97525-00 [466] 97531-00 [466] 97532-00 [466]
97533-00 [466] 97534-00 [466] 97535-00 [466]
97551-01 [466] 97552-01 [466] 97553-01 [466]
97554-01 [466] 97555-01 [466] 97572-01 [469]
97574-01 [469] 97575-00 [469] 97578-00 [469]
97582-01 [469] 97583-01 [469] 97631-00 [470]
97632-00 [471] 97649-00 [471] 97671-00 [473]
97672-00 [473] 97673-00 [473] 97732-00 [474]
97733-00 [474] 97739-00 [474] 97741-00 [475]
97762-00 [476] 97765-00 [476] 97768-00 [476]
97825-00 [479]

Endoscopy of biliary tract and pancreas:
30484-00 [957] 30484-01 [957] 30484-02 [974]
30494-00 [971] 30452-00 [971] 30491-00 [958]
30491-02 [975] 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]
30478-22 [856] 41819-00 [862] 30478-10 [852]
30478-13 [861] 41816-00 [850] 41825-00 [852]
41831-00 [862] 30490-00 [853]

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]

Endovascular interventional procedures: 
38300-01 [670] 38303-00 [670] 38300-00 [670]
38303-01 [670] 38306-00 [671] 38306-01 [671]
38306-03 [671] 38306-04 [671] 38306-02 [671]
38306-05 [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]

In vitro fertilisation:
13209-00 [1297] 13206-00 [1297] 13200-00 [1297]
13203-00 [1297] 13212-00 [1297] 13212-01 [1297]
13215-00 [1297] 13215-01 [1297] 13215-02 [1297]
13215-03 [1297]

Miscellaneous cardiac procedures:
38603-00 [642] 38600-00 [642] 38256-00 [647]
38256-01 [647] 38350-00 [648] 90202-00 [649]
38470-00 [649] 38473-00 [649] 38353-00 [650]
38358-00 [654] 38358-01 [654] 38368-02 [654]
90203-00 [654] 38350-02 [654] 90219-00 [663]
38353-02 [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]
38368-00 [648] 90202-01 [649] 38358-02 [654]
38654-02 [654] 38456-26 [654] 38456-27 [654]
90203-04 [654] 38456-25 [654] 38350-02 [654]
38287-01 [601] 38287-02 [601] 38213-00 [665]

Miscellaneous lower urinary tract procedures:
36800-00 [1090] 36800-01 [1090] 37011-00 [1093]
37008-01 [1093] 37008-00 [1093] 37315-00 [1112]
37318-01 [1116] 36815-01 [1116] 37854-00 [1116]
35527-00 [1116] 37318-04 [1117] 36800-03 [1090]
37318-02 [1116] 37318-03 [1116]

Obstetric:
Blocks [1330] to [1345] and [1347]
90463-01 [1330] 90488-00 [1330]

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]

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]

Peritoneal and renal dialysis:
13100-06 [1061] 13100-07 [1061] 13100-08 [1061]
13100-00 [1060]

Procedures associated with obstetrics:
16511-00 [1274]

Other diagnostic and non-surgical procedures:
90347-01 [983] 30406-00 [983] 90347-02 [983]
30408-00 [983]
Blocks [1820] to [1939], [1940] to [2016]
11003-00 [1825] 11018-00 [1826] 11018-01 [1826]
11614-00 [1851] 11602-00 [1852] 11604-00 [1852]
11605-00 [1852] 11610-00 [1852] 11611-00 [1852]
11612-00 [1852] 11709-00 [1853] 11917-00 [1860]
11919-00 [1860] 96209-00 [1920] 96209-01 [1920]
96209-02 [1920] 96209-03 [1920] 96209-04 [1920]
13706-05 [1893] 96209-06 [1920] 96209-07 [1920]
96209-08 [1920] 96209-09 [1920] 55084-00 [1943]
55600-00 [1943] 60000-01 [1992] 60048-00 [1996]
60060-00 [1997] 60060-01 [1997] 61442-00 [2012]
96196-00 [1920] 96196-01 [1920] 96196-02 [1920]
96196-03 [1920] 96196-04 [1920] 13706-05 [1893]
96196-06 [1920] 96196-07 [1920] 96196-08 [1920]
96196-09 [1920] 96197-00 [1920] 96197-01 [1920]
96197-02 [1920] 96197-03 [1920] 96197-04 [1920]
96197-06 [1920] 96197-07 [1920] 96197-08 [1920]
96197-09 [1920] 96198-00 [1920] 96198-01 [1920]
96198-02 [1920] 96198-03 [1920] 96198-04 [1920]
96198-06 [1920] 96198-07 [1920] 96198-08 [1920]
96198-09 [1920] 96199-00 [1920] 96199-01 [1920]
96199-02 [1920] 96199-03 [1920] 96199-04 [1920]
96199-06 [1920] 96199-07 [1920] 96199-08 [1920]
96199-09 [1920] 96200-00 [1920] 96200-01 [1920]
96200-02 [1920] 96200-03 [1920] 96200-04 [1920]
96200-06 [1920] 96200-07 [1920] 96200-08 [1920]
96200-09 [1920] 96201-00 [1920] 96201-01 [1920]
96201-02 [1920] 96201-03 [1920] 96201-04 [1920]
96201-06 [1920] 96201-07 [1920] 96201-08 [1920]
96201-09 [1920] 96202-00 [1920] 96202-01 [1920]
96202-02 [1920] 96202-03 [1920] 96202-04 [1920]
96202-06 [1920] 96202-07 [1920] 96202-08 [1920]
96202-09 [1920] 96203-00 [1920] 96203-01 [1920]
96203-02 [1920] 96203-03 [1920] 96203-04 [1920]
96203-06 [1920] 96203-07 [1920] 96203-08 [1920]
96203-09 [1920] 96199-00 [1920] 96199-01 [1920]
96199-02 [1920] 96199-03 [1920] 96199-04 [1920]
13706-05 [1893] 96199-06 [1920] 96199-07 [1920]
96199-08 [1920] 96199-09 [1920] 96205-00 [1920]
96205-01 [1920] 96205-02 [1920] 96205-03 [1920]
96205-04 [1920] 96205-06 [1920] 96205-07 [1920]
96205-08 [1920] 96205-09 [1920] 96206-00 [1920]
96206-01 [1920] 96206-02 [1920] 96206-03 [1920]
96206-04 [1920] 96206-06 [1920] 96206-07 [1920]
96206-08 [1920] 96206-09 [1920]

Source and reference attributes

Reference documents:Help on this term

Australian Consortium for Classification Development (ACCD) 2015. The Australian Classification of Health Interventions (ACHI) – Ninth Edition - Tabular list of interventions and Alphabetic index of interventions. Adelaide: Independent Hospital Pricing Authority, Lane Publishing.

 

Relational attributes

Related metadata references:Help on this term

Supersedes Elective care type code N Health, Superseded 12/06/2015

Data elements implementing this value domain:Help on this term

Elective care waiting list episode—elective care type, code N Health, Standard 12/06/2015
ACT Health, Final 08/08/2018

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