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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 term732440
Registration status:Help on this termHealth, Candidate 22/02/2021
Definition:Help on this term

The 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

Classification scheme:Australian Classification of Health Interventions (ACHI) 11th 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 Category 3 – Therapeutic Procedures Group: T8 – Surgical Operations of the Medicare Benefits Schedule (MBS). Specific procedures frequently done by non-surgical clinicians or which cannot be managed through a wait list process (e.g. obstetrics) are excluded.

CODE 1   Elective surgery

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

CODE 2   Other

Patients awaiting other procedures which are not normally managed through the elective surgery waiting list process (e.g. obstetrics) should be classified as Code 2 — Other. This includes the following:

  •  biopsy (closed) (needle) of:
    •  kidney
    •  lung and pleura
    • ​ liver and gall bladder or bile duct
  • cosmetic surgery not attracting a Medicare rebate
  • dental procedures not attracting a Medicare rebate
  • endoscopy of:
    • biliary tract and pancreas
    • gastrointestinal (including panendoscopy (except when involving the bladder)
    • orthopaedic
    • respiratory/ear, nose and throat (including bronchoscopy, pharyngoscopy, laryngoscopy, tracheoscopy, nasendoscopy and otoscopy)
    • urological/gynaecological
  • endovascular interventional procedures
  • in vitro fertilisation
  • miscellaneous cardiac procedures 
  • miscellaneous lower urinary tract procedures
  • obstetrics and procedures associated with obstetrics (e.g. elective caesarean section, cervical suture) 
  • organ or tissue procurement and transplant
  • peritoneal dialysis, renal dialysis and other interventions for renal dialysis
  • other diagnostic and non-surgical procedures (e.g. chemotherapy).

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. A review of this data element was conducted in 2021 and procedure codes were added to some sections to make them more complete (e.g. organ transplant). Other procedures and categories were added as they are listed in the Tier 2 non-admitted services definitions manual sourced from the Independent Hospital Pricing Authority within the 10 series - Procedure Classes category. These procedures can be claimed by hospitals on an outpatient/non-admitted basis ie. In jurisdictions which have a dedicated outpatient/non-admitted clinic to perform the procedures, a formal admission process is not required for procedures such as angioplasty, panendoscopy, colonoscopy.

ACHI codes for the excluded procedures:

Biopsy (closed) (needle) of:
• kidney:
Block [1047]: Biopsy of kidney
36561-00 [1047]
• lung or pleura:
Block [550]: Biopsy of lung or pleura
38418-05 [550] 38418-06 [550] 38418-07 [550]
38418-08 [550]
 liver, and gall bladder or bile duct:
Block [951]: Application, insertion or removal procedures on liver
90319-01 [951]
Block [953]: Excision procedures on liver
30409-00 [953]
Block [964]: Biopsy of gallbladder, bile ducts or sphincter of Oddi
30094-04 [964]

Dental procedures not attracting a Medicare rebate:
Chapter 6: Dental Services (Blocks 450 to 490) (ACHI)

Endoscopy of biliary tract and pancreas:
Block [957]: Examination of gall bladder or biliary tract
30484-00 [957] 30484-01 [957]
Block [958]: Stenting of biliary tract
30452-01 [958] 30491-00 [958]
Block [959]: Endoscopic and percutaneous removal of calculus
30450-00 [959] 30452-02 [959]
Block [963]: Incision of gallbladder, biliary tract or sphincter of Oddi
30485-00 [963] 30485-01 [963]
Block [971]: Other repair of sphincter of Oddi, gallbladder or biliary tract
30494-00 [971] 30452-00 [971]
Block: [974]: Examination of pancreas
30484-02 [974]
Block [975]: Application, insertion or removal procedures on pancreas
90349-00 [975]

Endoscopy – Gastrointestinal (including oesophagoscopy, gastroscopy, colonoscopy, duodenoscopy and sigmoidoscopy and panendoscopy):
Block [850]: Oesophagoscopy
41816-00 [850] 30473-03 [850]
Block [852]: Removal of foreign body of oesophagus
41825-00 [852] 30478-10 [852]
Block [853]: Other application, insertion or removal procedures on oesophagus
30490-00 [853]
Block [856]: Destruction procedures on oesophagus
30478-22 [856]
Block [861]: Other excision procedures on oesophagus
41822-00 [861] 30473-04 [861] 30478-13 [861]
Block [862]: Dilation of oesophagus
41831-00 [862]
Block [874]: Destruction procedures on stomach
30476-03 [874]
Block [891]: Exploration of small intestine
32095-00 [891]
Block [893]: Enterotomy
30568-00 [893]
Block [894]: Other incision procedures on small intestine
30569-00 [894]
Block [904]: Rigid sigmoidoscopy
32075-00 [904]
Block [905]: Fibreoptic colonoscopy
32084-00 [905] 32090-00 [905]
Block [908]: Destruction procedures on large intestine
30479-02 [908] 90308-00 [908]
Block [910]: Rigid sigmoidoscopy with excision
32075-01 [910] 32078-00 [910] 32081-00 [910]
Block [911]: Fibreoptic colonoscopy with excision
32084-01 [911] 32087-00 [911] 32090-01 [911]
32093-00 [911]
Block [931]: Destruction procedures on rectum or anus
30479-01 [931]
Block [933]: Excision of lesion or tissue of rectum or anus
90315-00 [933]
Block [1005]: Panendoscopy
11820-00 [1005] 30473-00 [1005] 30473-02 [1005]
30473-07 [1005] 30473-05 [1005] 30473-08 [1005]
30680-00 [1005]
Block [1006]: Panendoscopy with removal of foreign body
30478-00 [1006] 30478-14 [1006]
Block [1007]: Panendoscopy with destruction
30478-01 [1007] 30478-02 [1007] 30478-03 [1007]
30478-15 [1007] 30478-16 [1007] 30478-17 [1007]
30478-20 [1007] 30478-21 [1007]
Block [1008]: Panendoscopy with excision
30473-01 [1008] 30478-04 [1008] 30473-06 [1008]
30478-18 [1008]

Endoscopy – orthopaedic
Block [1555] Incision procedures on joint of other musculoskeletal sites
50100-00 [1555] 50103-00 [1555] 50112-00 [1555]
90570-00 [1555]
Block [1560] Biopsy of other musculoskeletal sites
50100-01 [1560] 50200-00 [1560] 30094-00 [1560]
30075-01 [1560]

Endoscopy – respiratory/ear, nose and throat (inc Bronchoscopy Tracheoscopy, Laryngoscopy and Pharyngoscopy, Nasendoscopy, Otoscopy):
Block [300]: Examination procedures on external ear
90119-00 [300]
Block [370]: Examination procedures on nose
41653-00 [370] 41764-00 [370] 41764-01 [370]
41653-01 [370]
Block [416]: Examination procedures on pharynx
41764-02 [416]
Block [520]: Examination procedures on larynx
41849-00 [520] 41764-03 [520] 41855-00 [520]
Only this procedure code for Microlaryngoscopy is listed as Code 2. Other Microlaryngoscopy procedure codes listed in block [523] are considered surgical in nature and are therefore included in Code 1.
Block [521]: Application, insertion or removal procedures on larynx
41870-01 [521] 41905-02 [521] 41905-03 [521]
41886-01 [521]
Block [532]: Examination procedures on trachea
41764-04 [532]
Block [533]: Application, insertion or removal procedures on trachea
41905-00 [533] 41905-01 [533] 41886-02 [533]
Block [534]: Excision procedures on trachea
41886-00 [534] 90167-00 [534]
Block [543]: Examination procedures on bronchus
41889-05 [543] 41889-01 [543]
Block [544]: Endoscopic biopsy, broncho-alveolar lavage or removal of foreign body from bronchus
41898-04 [544] 41898-01 [544] 41895-02 [544]
Block [545]: Other excision procedures on bronchus
90163-01 [545]
Block [546]: Repair procedures on bronchus
41904-00 [546]

Endoscopy – urological/gynaecological
Block [1089]: Examination procedures on bladder
36812-00 [1089] 36812-01 [1089]
Block [1259]: Examination procedures on uterus
35630-00 [1259]
Block [1279]: Examination procedures on vagina
35614-00 [1279] 35539-04 [1279]

Endovascular interventional procedures:
Block [670]: Transluminal coronary angioplasty
38300-00 [670] 38303-00 [670] 38300-01 [670]
38303-01 [670]
Block [671]: Transluminal coronary angioplasty with stenting
38306-00 [671] 38306-01 [671] 38306-02 [671]
38306-03 [671] 38306-04 [671] 38306-05 [671]
Block [694]: Arterial catheterisation
13303-00 [694] 34524-00 [694] 34521-01 [694]
Block [722]: Injection of varicose veins
32500-00 [722] 32500-01 [722]
Block [738]: Venous catheterisation
13300-01 [738] 13300-02 [738] 13319-00 [738]
13300-00 [738] 13815-01 [738] 13815-00 [738]
34521-02 [738] 90220-00 [738] 34530-04 [738]

In vitro fertilisation:
Block [1297]: Procedures for reproductive medicine
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:
Block [601]: Destruction procedures on atrium
38287-02 [601] 38290-01 [601] 38287-01 [601]
Block [642]: Myocardial preservation
38600-00 [642] 38603-00 [642]
Block [647]: Insertion of temporary transvenous electrode for cardiac pacemaker or defibrillator
38256-00 [647] 38256-01 [647]
Block [648]: Insertion of permanent transvenous electrode for cardiac pacemaker or defibrillator
38368-00 [648] 38350-00 [648]
Block [649]: Insertion of other electrode or patch for cardiac pacemaker or defibrillator
90202-00 [649] 38470-00 [649] 38473-00 [649]
Block [650]: Insertion of cardiac pacemaker generator
38353-00 [650]
Block [654]: Adjustment, replacement or removal of electrode for cardiac pacemaker or defibrillator
90203-00 [654] 38368-02 [654] 38350-02 [654]
38358-01 [654] 38358-00 [654]
Block [655]: Adjustment, replacement or removal of cardiac pacemaker generator
38353-02 [655]
Block [663]: Revision procedures on other sites of heart
90219-00 [663]
Block [665]: Electrophysiological studies [EPS]
38213-00 [665] 38212-00 [665] 38209-00 [665]
Block [667]: Cardiac catheterisation
38200-00 [667] 38203-00 [667] 38206-00 [667]
Block [740]: Examination procedures on other vascular sites
35324-00 [740]
Block [758]: Peripheral laser angioplasty
35315-00 [758] 35315-01 [758]

Miscellaneous lower urinary tract procedures:
Block [1090]: Urinary catheterisation
36800-00 [1090] 36800-01 [1090] 36800-03 [1090]
Block [1093]: Cystotomy
37011-00 [1093] 37008-01 [1093] 37008-00 [1093]
Block [1112]: Examination procedures on urethra
37315-00 [1112]
Block [1116]: Destruction procedures on urethra
37318-01 [1116] 36815-01 [1116] 37854-00 [1116]
35527-00 [1116] 37318-02 [1116] 37318-03 [1116]
Block [1117]: Biopsy of urethra
37318-04 [1117]

Obstetrics and procedures associated with obstetrics:
Block [1274]: Application, insertion or removal procedures on cervix
16511-00 [1274]
Any procedures in Chapter 14 Obstetric Procedures (Blocks 1330 to 1347) (ACHI)

Organ or tissue procurement and transplant:
Block [161]: Excision procedures on eyeball
42506-00 [161]
Block [173]: Keratoplasty
42659-00 [173] 42653-00 [173]
Block [174]: Other repair procedures on cornea
90065-00 [174]
Block [254]: Excision procedures on conjunctiva
42683-00 [254]
Block [553]: Pneumonectomy
38438-03 [553]
Block [555]: Transplantation of lung
90172-00 [555] 90172-01 [555]
Block [659]: Removal of donor heart or lung
90204-00 [659] 90204-01 [659]
Block [660]: Transplantation of heart or lung
90205-00 [660] 90205-01 [660]
Block [801]: Other excision procedures on bone marrow
13700-00 [801]
Block [802]: Bone marrow/stem cell transplantation
13706-00 [802] 13706-06 [802] 13706-07 [802]
13706-09 [802] 13706-10 [802] 13706-08 [802]
Block [953]: Excision procedures on liver
96258-01 [953] 96258-02 [953] 96258-03[953]
Block [954]: Repair procedures on liver
90317-00 [954]
Block [978]: Pancreatectomy
30593-00 [978] 30583-00 [978] 30593-01 [978]
30584-00 [978]
Block [981]: Other repair procedures on pancreas
90324-00 [981]
Block [1050]: Complete nephrectomy for transplantation
36516-04 [1050] 36516-05 [1050] 36516-06 [1050]
Block [1058]: Kidney transplantation
36503-00 [1058] 36503-01 [1058]
Block [1561]: Excision procedures on joint of other musculoskeletal sites
90608-01 [1561] 90608-00 [1561] 90574-00 [1561]
50104-00 [1561] 90574-01 [1561]
Block [1563]: Other excision procedures on bone or other musculoskeletal sites
48400-01 [1563] 90572-00 [1563] 47933-02 [1563]
47936-00 [1563] 90573-00 [1563] 30241-00 [1563]
50230-00 [1563] 50203-00 [1563] 50206-00 [1563]
47726-00 [1563] 47732-00 [1563]
Block [1891]: Therapeutic collection and processing of blood/bone marrow
13709-00 [1891] 13760-00 [1891]
Block [1892]: Apheresis
13755-00 [1892] 13750-00 [1892] 13750-01 [1892]
13750-02 [1892] 13750-03 [1892] 13750-04 [1892]
13750-05 [1892] 13750-06 [1892]
Block [1893]: Administration of blood and blood products
13706-01 [1893] 13706-02 [1893] 13706-03 [1893]
13706-04 [1893] 13706-05 [1893] 92060-00 [1893]
92061-00 [1893] 92062-00 [1893] 92063-00 [1893]
92064-00 [1893] 92206-00 [1893] 13306-00 [1893]
Block [1906]: Implantation of hormone or living tissue
14203-00 [1906] 14203-01 [1906] 14206-00 [1906]
14206-01 [1906]

Peritoneal dialysis, renal dialysis and other interventions for renal dialysis:
Block [1060]: Haemodialysis
13100-00 [1060] 13100-01 [1060] 13100-02 [1060]
13100-03 [1060] 13100-04 [1060] 13100-05 [1060]
Block [1061]: Peritoneal dialysis
13100-06 [1061] 13100-07 [1061] 13100-08 [1061]
Block [1063]: Other interventions for renal dialysis
13104-00 [1063] 90353-00 [1063] 90353-01 [1063]

Other diagnostic and non-surgical procedures:
Block [983]: Application, insertion or removal procedures on abdomen, peritoneum or omentum
90347-01 [983] 30406-00 [983] 90347-02 [983]
30408-00 [983]
Chapter 19: Interventions not elsewhere classified - Any procedure in (Blocks 1820 to 1923) (ACHI)
Chapter 20: Imaging - Any procedure in (Blocks 1940 to 2016) (ACHI)

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Reference documents:Help on this term

Australian Consortium for Classification Development (ACCD) 2019. The Australian Classification of Health Interventions (ACHI) – Eleventh Edition - Tabular list of interventions and Alphabetic index of interventions. Adelaide: Independent Hospital Pricing Authority, Lane Publishing.

Data element attributes

Collection and usage attributes

Collection methods:Help on this term

This data element is necessary for determining whether patients are in scope for the Elective surgery waiting times NMDS, but is not explicitly included in that NMDS.

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Relational attributes

Related metadata references:Help on this term

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

See also Elective surgery waiting times NMDS 2021–22 Health, Standard 05/02/2021

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