Elective care type code N
Identifying and definitional attributes
|Metadata item type:||Value Domain|
|Registration status:||Health, Candidate 22/02/2021|
A code set representing the type of elective hospital care.
|Classification scheme:||Australian Classification of Health Interventions (ACHI) 11th edition|
|Maximum character length:||1|
Collection and usage attributes
|Guide for use:|
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
Elective surgery excluding procedures listed under Code 2 below.
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:
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.
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:
Endoscopy of biliary tract and pancreas:
Endoscopy – Gastrointestinal (including oesophagoscopy, gastroscopy, colonoscopy, duodenoscopy and sigmoidoscopy and panendoscopy):
Endoscopy – orthopaedic
Endoscopy – respiratory/ear, nose and throat (inc Bronchoscopy Tracheoscopy, Laryngoscopy and Pharyngoscopy, Nasendoscopy, Otoscopy):
Endoscopy – urological/gynaecological
Endovascular interventional procedures:
In vitro fertilisation:
Miscellaneous cardiac procedures:
Miscellaneous lower urinary tract procedures:
Obstetrics and procedures associated with obstetrics:
Organ or tissue procurement and transplant:
Peritoneal dialysis, renal dialysis and other interventions for renal dialysis:
Other diagnostic and non-surgical procedures:
Source and reference attributes
Australian Institute of Health and Welfare
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.
|Related metadata references:|
Supersedes 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
|Data elements implementing this value domain:|
Elective care waiting list episode—elective care type, code N Health, Candidate 22/02/2021