National Allied Health Casemix Committee
Report on the Development of
Allied Health Indicators for Intervention (IFI)
and Performance Indicators (PI)
and Revision of
Allied Health-sensitive ICD-10-AM codes for
inclusion in ICD-10-AM Edition Two
CHAPTERS 4 & 5
Ian Woodruff
Karen Fitzgerald
Catherine Itsiopoulos
January 2000
The National Allied Health Casemix Committee
Ian Woodruff, Executive Officer
School of Management
RMIT University
GPO Box 2476V
Melbourne Victoria 3001
Ph: 03 9925 5961 Fax: 03 9925 5960
ian.woodruff@rmit.edu.au
A copy of this report can be emailed to you by contacting NAHCC.
It is also available at the website: www.bf.rmit.edu.au/nahcc/
Published 2000
 The Commonwealth of Australia 2000
ISBN 0864590601
Printed by The Document Shop
CHAPTER 4:
PERFORMANCE INDICATORS
Chapter 4 – Performance Indicators
THIS CHAPTER IN CONTEXT
This chapter concerns the development of Performance Indicators. The chapter contents
are listed against the contextual diagram below.
DIAGRAM 4.1: CHAPTER FOUR IN CONTEXT
NATIONAL REFERENCE
STANDARDS PROJECT
Appendix 6
PREVIOUS RESEARCH
A.H. code set ICD-10-AM
Recommend IFI devt.
ENVIRONMENT CONTEXT
Chapter 2
CURRENT RESEARCH
IFI DEVELOPMENT
Chapter 3
NAHCC IFI
MODEL
PI FRAMEWORK
Chapter 4
NAHCC PI
MODEL
ACTIVITY CODES
REVIEW - ED. 2
Chapter 5
A. H.
RELEVANT
ICD-10-AM
FUTURE RESEARCH
IFI REFINEMENT
Chapter 3
PI DEVELOPMENT
Chapter 4
ACTIVITY CODE REVIEW
Chapter 5
NAHCC – IFI/PI Project Report
CONTENTS OF THIS CHAPTER
 Paucity of Allied Health
Performance Measures
 Segregated nature of Performance
Measurement in the three key
health professional categories
 Need for Allied Health to fit
within the broader (patient
focused) approach to outcomes
 The CDHAC PI framework
 The process adopted for PI
development
 The emergent model
 The application of a threshold
 Testing the model
 Case examples
 The findings from model testing
 Feedback on the PI model from
the Discussion Paper
 Potential PI applications
 Recommendations
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Chapter 4 – Performance Indicators
4.1
THE PAUCITY OF ALLIED HEALTH PERFORMANCE
MEASURES
Allied health professionals are routinely involved in quality activities yet historically
their performance measurement tools were largely geared to an examination of patient
satisfaction. There is a paucity of research data generally on outcome measures for
Allied Health Profession-specific interventions. Much of the AHP quality effort is in
process compliance measures. Numerous AHPs commented that it had become
increasingly difficult to find the resources to undertake the type of research required for
validating and advancing their treatment quality.
In a Victorian Hospitals Survey conducted in 1997-8, 60% of allied health managers
agreed that there were few available outcome measures against which they could
evaluate their treatments. Similarly 66% agreed that it was difficult for them to
demonstrate the effectiveness of their interventions.
TABLE 4.1: ALLIED HEALTH PROFESSIONALS’ PERCEPTIONS OF OUTCOME
MEASURES AND ABILITY TO DEMONSTRATE INTERVENTION EFFECTIVENESS
(PERCENTAGE RESPONSE TO A STATE-WIDE SURVEY, n=344)
ALLIED HEALTH BELIEF STATEMENTS
Allied health have few available outcome
measures
Allied health find it difficult to demonstrate the
effectiveness of their interventions
DISAGREE
NEUTRAL
AGREE
21
19
60
20
14
66
THE SEGREGATED NATURE OF PERFORMANCE MEASUREMENT
THREE KEY HEALTH PROFESSIONAL CATEGORIES
IN THE
For much of the past two decades there has been a clear line reporting distinction
between Medicine (inclusive of Surgery), Nursing and Allied Health in Australia’s
hospital system. (Although this is less pronounced in rehabilitation and community
care). AHPs typically reported up through their own discipline-specific departments to
the executive level within their organisation. Clinical and service delivery decisions
were generally made in a consultative but independent manner.
This three columned approach to organisational structure worked well when there were
relatively few resourcing stresses within the system. However, with the tightening of
resources there has been a major move to re-engineer the ways in which hospitals are
structured. Clinical Business Units (functional units) have emerged as a way ahead for
organisational efficiency. In some ways this has led to the marginalisation of AHPs as
they seldom deliver a “health product” in their own right.
AHPs are increasingly finding themselves answerable to a (medical) unit head, who is
typically be seeking evidence that the AHP (and indeed medical) practice is actually of
benefit. This has been a major paradigm shift and has been a primary driver of the
demand for “outcomes” measurement.
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Chapter 4 – Performance Indicators
NEED FOR AH TO FIT WITHIN
APPROACH TO OUTCOMES
THE
BROADER (PATIENT FOCUSSED)
In tandem with this move to evidence-based practice, there has been a major shift
towards patient-centred care. The health consumer has become more assured and
assertive in both the selection and service expectations from the health industry.
Many AHPs argue that they have always been patient focussed because of the nature of
the work they perform. This could certainly be expected in Allied Health disciplines
such as Social Work and Occupational Therapy where the primary concern is assisting
the patient to adjust to an altered environment rather than the performance of a
procedure.
The growing support for concepts such as hospital report cards and published records of
“patient satisfaction” and surgical complication rates has accelerated the move to a
patient centred paradigm of care.
AHPs routinely conduct patient satisfaction surveys and other “soft” measures of
outcome but they find it difficult to engage in “clinical outcome” reporting for several
reasons:



The AHP is often intervening to prevent morbidity so there is no clear health
improvement outcome;
The intervention is often in relation to a chronic disease in which health
improvement may not occur until long after the acute care episode has been
completed and the patient is lost to follow-up;
The patient is usually categorised according to the DRG classification and health
improvement is measured within this context. As the AHP is often treating an
unrelated health issue that AHP-specific treatment outcome is frequently not picked
up.
The challenge for Allied Health is to devise service measures that are patient centred
and team orientated in nature yet are able to tease out the AHP contribution.
NAHCC – IFI/PI Project Report
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Chapter 4 – Performance Indicators
4.2
THE COMMONWEALTH DEPARTMENT OF HEALTH AND
AGED CARE PI FRAMEWORK
The CDHAC uses an eight-dimension framework for the conceptualisation of the
various facets of performance (listed in the table below).
[Readers unfamiliar with this framework should consult the CDHAC webpage or access
the following report: Quality and Outcome Indicators for Acute Healthcare Services
National Hospital Outcomes Program, Health Service Outcome Branch CDHFS AGPS
Canberra 1997]
TABLE 4.2: QUALITY PERFORMANCE DIMENSIONS FRAMEWORK
Access
Safety
Continuity
Appropriateness
PERFORMANCE DIMENSIONS
Efficiency
Effectiveness
Technical proficiency
Acceptability
All eight of these dimensions are relevant to Allied Health services although the
relatively weighting that AHPs apply to these varies considerably.
4.3
THE PROCESS ADOPTED FOR PI DEVELOPMENT
Given this burgeoning need for AHPs to “justify” services, the Performance Indicator
model that arose from this project had to satisfy five important criteria of success:
1.
2.
3.
4.
5.
Maintain a patient-centred focus
Avoid reliance on medical classifications of health / ill-health (particularly DRGs)
Maintain consistency with the general approach adopted by the Commonwealth
Minimise collection burden
Maximise consistency across all care settings.
The IFIs had shown promise of better reflecting AHP activity and by definition were
patient-focussed so it seemed appropriate to attempt to base the Performance Indicators
on the IFI structure.
AHPs were consulted by a variety of mechanisms including:







Focus group meetings in selected locations
Workshops in fifteen locations across Australia
Feed back from the Project Information publications
Feedback from a purpose written article in NAHCCs national publication – Talking
Casemix
Structured responses to the Project Discussion Paper
A PI building workshop with senior AHPs in New South Wales
Discussions and consultations with individuals involved in Performance
Measurement.
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Chapter 4 – Performance Indicators
4.4
THE EMERGENT MODEL
If Allied Health activity is to be measured successfully both in terms of quantity and
quality, it is essential that the “currency” for this measurement be compatible with the
nature of AHP work. The IFI set provides this currency so a simple combination of the
CDHAC performance dimensions with the IFIs provides a logical framework for PI
development.
Thus:
Performance Indicator (PI) = IFI + dimension factor
The performance dimensions were applied to the Level B and C Level IFI sets as
follows:
B Level
At the B (rolled-up) level some of the resultant PIs are be too broad to have clinical
significance, but a number may prove relevant at service planning level and for broad
quality improvement reporting.
TABLE 4.3: LEVEL B IFI –PI MATRIX EXAMPLES
B level
examples
Cognition
IFI
Postural Control
Food Tolerance
Nutrient Adequacy
Speech
Environment
Eye issues
Dimensions of performance
Effectiveness Continuity
Technical
Proficiency
Access
Efficiency
Safety

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






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




How accessible is care for patients with a
speech issue.
Access may be in terms of (eg):
 waiting list time
 assessment before discharge from
hospital
 service available within “x” kilometres
of patient’s home
Appropriate
ness
Acceptab
ility




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


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

Were appropriate arrangements made
for the follow-up of patients with
Nutrient Adequacy issues.
Continuity may be in terms of (eg):
 Referral to Community practitioner
prior to hospital discharge
 Suitable arrangements made for followup within the original treating centre
C Level
At the C level the same cross tabulation of IFI against performance dimension is
possible. Clearly some of these are difficult, if not impossible, to test or apply, however
there will be a core of clinically meaningful PIs arising from this matrix that could be
applied either routinely or as periodic measures.
NAHCC – IFI/PI Project Report
Page 105
Chapter 4 – Performance Indicators
Individual AHPs and Allied Health departments are more likely to be interested in PIs
arising from IFIs at the C Level. The following table illustrates some of the IFI – PI
matrix possibilities. These examples are “drill-down” options from the Level B table
above.
TABLE 4.4: LEVEL C IFI – PI MATRIX EXAMPLES
C level
examples
Dimensions of performance
Effectiveness Continuity
Technical
Proficiency
Access
Efficiency
Safety
Cognition 
Memory





Postural Control 
Head Control




Food Tolerance 
Enzyme deficiency
Nutrient Adequacy





Speech 
@@@

Environment 
Housing
Eye issues 
Visual function

IFI
Appropriate
ness
Acceptab
ility










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

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


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
vitamin
adequacy
How efficient is the provision of “housing”
intervention services?
This might be measured according to (eg):
 Mean time expended on housing issues
(possibly gathered by ICD-10 code time)
 Bed days occupied while “waiting
placement”
How satisfied are patients with the
Memory issue service provided?
This might be measured by (eg):
 Quality of “procedure” explanation
provided by clinician

General manner of staff involved
in the service
The application of a threshold
PIs arising from this model clearly need to have a threshold value which distinguishes
between acceptable and unacceptable performance. This threshold would utilise a
different unit of measurement for the differing dimensions and may well have settingspecific values.
Table 4.5 gives several examples of this concept.
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Chapter 4 – Performance Indicators
TABLE 4.5: APPLYING THRESHOLDS TO PIS
Dimension
Possible measurement unit
Threshold determination
Access
Hours / days / months since issue
detected
Mean “waiting time” over 12 months
data collection
Prior to discharge from acute care
Compliance measure
Service availability outside “working
hours”
Average hours of operation
Stage of disease / health issue
Consensus clinical decision on
appropriate stage
Health status scale(s)
Mean increase in health status over
aggregate data set
Event recurrence
Percentage tolerance of event
recurrence
Effectiveness
In some cases, clinicians could prospectively agree on appropriate thresholds, whereas
for others a period of data collection would be required before a mean (or median) value
could be calculated. This suggests the need for centralisation of data collection and
analysis.
4.5
TESTING THE MODEL
The PI Model was conceptually tested with a group of twenty senior AHPs from various
health service agencies in Sydney, NSW.
The aims of this workshop were to:



Examine extent to which meaningful PIs can be generated from the IFI set;
Theoretically evaluate PIs against set criteria;
Identify strategies for creation / testing of a range of PIs reflecting the Allied Health
contribution.
Members of the project research team facilitated the workshop which was attended by
participants comprising representatives from NSW Allied Health Alliance, NSW Allied
Health Casemix Committee and NSW Health.
METHODOLOGY:
All participants were provided with a pre-workshop reading kit which contained the IFI
set and PI model, several “worked up” examples of PIs and a general background
document. At the workshop participants were given an explanation of the PI model and
its elements and were asked to work up specific PIs in small groups. They then explored
the issues that would have to be resolved to make the PIs viable.
NAHCC – IFI/PI Project Report
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Chapter 4 – Performance Indicators
Workshop participants were asked to consider the following criteria from the CDHAC
PI model when working up the PIs.
TABLE 4.6: CRITERIA FOR PERFORMANCE INDICATORS
Definitionally
precise
There should be no confusion over the issue or client group described
Reliable
Reproducibility: Test-retest stability Inter-observer reliability
Valid
Does it really measure what it is supposed to measure?
Responsive
Is it able to detect change?
Meaningful
Collection Burden
Comparable
(ie is it sensitive)
Does it have a qualitative meaning for the target audience and the ability
to promote enhanced performance?
Will the demands of collecting the data (feasibility, cost) be
overwhelming?
Has the influence of confounding factors been taken into account,
allowing for credible comparison?
(From Quality and Outcome Indicators for Acute Healthcare Services National Hospital Outcomes
Program, Health Service Outcome Branch CDHFS AGPS Canberra 1997)
Participants were provided with two case examples as detailed on the following pages:
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NAHCC – IFI/PI Project Report
Chapter 4 – Performance Indicators
CASE EXAMPLE ONE
S t
73 yo female SAH.
H o p e f u l
G e n e r a l
H o s p i t a l
For discharge today



 cognitive impairment
 severe mobility problems.
? ability to manage at home
 Housing placement referral **
Numerous IFIs have been identified.
The IFI that has been selected for a PI is 243 HOUSING issue.
The PI dimension chosen is ACCESS
Possible PI:
Patient must be assessed (by an appropriately skilled professional)
and plans for alternative accommodation in place within 48 hours
(of the IFI being identified).
** In most settings this would mean a Social Work referral.
Precise
IFI identified: referral made to recognised service provider noting housing
issue OR noted in patient record by service provider
Reliable
Reproducible – requires clear and standardised documentation that the issue is
that of housing (indicated by the IFI number or suitable alternative)
Time frame is clearly documented. This would probably require a date AND
time of day.
Valid
The PI is actually indicating whether a patient in need of assessment for
housing issue is assessed. It is not a measure of the outcome (ie patient
successfully placed in appropriate accommodation)
Responsive
If we are seeking to continually improve this PI we would need an actual time
measure (numbers of hours / days) between identification of IFI and
assessment. Simply recording whether the service complied with the 48 hour
“limit” would not permit measurement of improvement. (See “Reliable”)
Meaningful
The time based access measure should be meaningful because it is not a highly
technical concept, it is readily applicable to a number of issues such as Length
of Stay and Patient satisfaction.
Collection
Burden
The collection of this data is relatively simple. It does not require any complex
measurements and could be an intermittently audited statistic. It is probably
best collected by the service provider.
Comparable
When comparing the PI across organisations confounding issues are: are:
 Actual availability of the recognised service provider
 Severity of need for housing (which is not detected by the IFI itself)
 Availability of appropriate housing in the region / network / service
NAHCC – IFI/PI Project Report
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Chapter 4 – Performance Indicators
CASE EXAMPLE TWO
A Group of Insulin Dependent Diabetic Patients
Patients with insulin-dependent diabetes are at risk of hypoglycaemic episodes.
Good health outcomes from diabetes care are numerous and include:
 Minimisation of microvascular complications (premature morbidity eg retinopathy,
nephropathy)
 Minimisation of macrovascular complications (premature mortality eg fatal AMI, stroke)
 Prevention of severe hypoglycaemic / hyperglycaemic episodes
IFI base = 411.1 HYPOGLYCAEMIA
The PI dimension chosen is EFFECTIVENESS
Possible PIs:
Measuring success in arresting progression of macro and micro vascular disease is very
problematic and might best be approached by epidemiologic surveillance data on levels of
morbidity and premature mortality in defined diabetic populations. Given the long time frame
for such data, it is NOT a practical approach for individual health care agencies.
Frequency of hypoglycaemic attacks is, however, a more immediate and measurable statistic
that closely related to the dietary education interventions provided.
The PI proposed here is:
frequency of hypoglycaemic attacks in clients newly commenced on insulin therapy.
The relevant professionals involved could include physicians, dietitians and nurse educators.
Precise
IFI identified: The hypoglycaemic attack must be described and documented
according to an authoritative source (eg Diabetes Australia).
Reliable
The episode may be noted by the patient him/herself. It is unlikely that the patient
will present to the health care agency each time this occurs, so accuracy of the
patient’s recording is vital
Valid
This PI is directly measuring an event that the health care professional and the
patient are working together to avoid.
Responsive
By measuring actual number of episodes of hypoglycaemic incidents data can be
monitored to determine whether there is gradual improvement or simply
maintenance of a set standard
Meaningful
The PI is meaningful because severe hypoglycaemic attacks present clear safety
risks to the client
Collection
Burden
Collection is reliant on the client accurately relating the frequency of episodes to
the health professional and the recording of this information in a central
repository, or in the patient record for later auditing
Comparable
When comparing the PI across patients issues that could confound the
interpretation are:
 Time since commencement of insulin therapy
 Other health issues that may influence control
 Environmental factors such as ready access to food, usual activity level etc
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NAHCC – IFI/PI Project Report
Chapter 4 – Performance Indicators
THE FINDINGS OF MODEL TESTING
Eight Performance Indicators were “worked-up”. These were based on the following IFI
- Performance Dimension combinations:
B Level IFI
141 Adjustment
230 Lower Limb Function
230 Lower Limb Function
512 Productivity
380 Hearing issue
420 Food Tolerance
270 Vision issues
370 Speech Fluency
TABLE 4.7
C Level IFI
142 Adjustment to health condition
234 Skin issue
231 Musculotendenous issue
512 Education
381 Conductive hearing loss
422 Enzyme deficiency
273 Vision loss
371 Acquired
D Level IFI
142.1 Acute Illness
234.4 Hypertrophy
231.1 Weakness
----------422.1 Lactase
-----------
Performance dimension
EFFECTIVENESS
EFFECTIVENESS
EFFECTIVENESS
CONTINUITY
CONTINUITY
ACCESS
ACCESS
EFFECTIVENESS
The major findings of this exercise were as follows:








PIs could be developed that complied with the criteria.
In many cases there are existing health status measures that can be applied to
determine effectiveness.
Thresholds for time-based access issues were problematic as participants felt that
problem acuity should influence the acceptable time delay.
Continuity was readily managed when there were appropriate clinicians to whom
patients could be referred. Some participants felt that continuity would be
considerably distorted by the lack of available clinicians outside of acute care
facilities.
Some participants felt that the PI model needed an additional element to better
differentiate patient groups. The most useful element was felt to be an ICD code.
The model seemed to offer up PIs fairly readily in acute hospital settings, but
required greater effort in rehabilitation and community settings.
Participants noted that suitable data collection systems needed to be in place in order
to manage the PI reporting.
There was concern that patients would be lost to the care provider before the desired
outcome could be measured (this was more an issue in acute hospital settings).
NAHCC – IFI/PI Project Report
Page 111
Chapter 4 – Performance Indicators
4.6
PI MODEL FEEDBACK FROM THE DISCUSSION PAPER
Likelihood of using PIs
Readers of the Discussion Paper were asked the question: How likely would you be to
use the PIs once they are established? Fourteen percent stated that they were unlikely or
very unlikely to use the PIs, 44% were unsure and 42% were either likely or very likely
to use them.
Although this suggests majority acceptance overall, there were additional comments
that indicated many respondents did not fully understand the model, or were unsure how
this would be implemented in their organisation. This clearly suggests that a
comprehensive education program will be required if the PI model is to be successfully
implemented.
DIAGRAM 4.2: DISCUSSION PAPER RESPONDENTS’ LIKELIHOOD OF USING THE PIS
very likely
8%
very unlikely
9%
unlikely
5%
likely
34%
neither likely nor
unlikely
44%
Preferred Dimensions
In the Discussion Paper, readers were asked to nominate the dimensions they would
most likely use for PI development. The following chart reveals that AHPs are most
keen to use Performance Indicators that demonstrate effectiveness. This dimension of PI
was almost double the next most valued - access.
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Chapter 4 – Performance Indicators
DIAGRAM 4.3: PI CATEGORIES SELECTED BY DISCUSSION PAPER RESPONDENTS
(COUNT)
technical proficiency
safety
efficiency
effectiveness
continuity
appropriateness
access
acceptability
0
20
40
60
80
100
Number of responses
The various streams of qualitative feedback regarding PIs suggested that effectiveness is
not only the most desired dimension, but also widely believed to be the most
complicated to demonstrate.
In the focus group discussions, AHPs frequently commented that they were increasingly
being asked to provide justification of their role. This was usually in the form of
questions (from budget holders) around the issue of the appropriate staff to patient ratios
in various clinical (DRG- related) areas.
This exacerbated two key frustrations that AHP experienced:


Their activities and value were invariably evaluated within the DRG framework
which (as discussed in Chapter 3) does not reliably capture AHP activity.
They had few, if any, effectiveness measures to demonstrate their worth.
Many AHP felt that these two issues were instrumental in the “peripheralisation of
Allied Health.”
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Chapter 4 – Performance Indicators
4.7
POTENTIAL PI APPLICATIONS
NAHCC believes that adoption of this framework will help individuals and groups
involved in PI development by ensuring consistency across Australia. With both the PI
framework and the agreed definitions for the IFIs, performance measurement will
become much easier and more consistent.
Some possible applications:



4.8

Allied Health departments could determine benchmarks for PIs to compare their
services with like departments in other agencies;
PIs could form a component of service agreements between health professionals and
hospitals / health centres or other funders;
Funding models could build in an “outcome” component by nominating appropriate
PIs (complete with expected thresholds) that should be achieved.
RECOMMENDATION
The Performance Indicator work needs further testing in conjunction with the
completion of all Levels of the Indicators for Intervention classification.
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NAHCC – IFI/PI Project Report
CHAPTER 5:
REVIEW OF THE AUSTRALIAN ALLIED
HEALTH CLASSIFICATION SYSTEM
VERSION 1
Chapter 5 – Review of the Australian Allied Health Classification System
THIS CHAPTER IN CONTEXT
This chapter concerns the review of the Allied Health related ICD-10 Edition 1 codes.
The contents of this chapter are depicted contextually in the following diagram.
DIAGRAM 5.1: CHAPTER FIVE IN CONTEXT
NATIONAL REFERENCE
STANDARDS PROJECT
Appendix 6
PREVIOUS RESEARCH
A.H. code set ICD-10-AM
Recommend IFI devt.
ENVIRONMENT CONTEXT
Chapter 2
This chapter contains:
CURRENT RESEARCH
IFI DEVELOPMENT
Chapter 3
NAHCC IFI
MODEL
PI FRAMEWORK
Chapter 4
NAHCC PI
MODEL
ACTIVITY CODES
REVIEW - ED. 2
Chapter 5
A. H.
RELEVANT
ICD-10-AM




FUTURE RESEARCH
IFI REFINEMENT
Chapter 3
PI DEVELOPMENT
Chapter 4

Background to the
AAHCSV1 (Australian
Allied Health Classification
System, Version 1)
Integration into the ICD
coding system
Uptake of the classification
Review of the Clinical Care
IPA codes for Edition Two
of the ICD-10-AM coding
manual
Future work and
recommendations
ACTIVITY CODE REVIEW
Chapter 5
5.1
BACKGROUND TO THE AAHCS REVIEW
The National reference Standards project delivered the AAHCS in mid 1997. This gave
Australian Allied Health professionals the ability to describe their activity in a
nationally consistent manner for the first time.
The AAHCS has become an integral component of most Allied Health benchmarking
and is unique in the Western economies in providing a comprehensive framework for
describing both the Allied Health input to care and the characteristics of the client base
the AHPs treat.
NAHCC – IFI/PI Project Report
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Chapter 5 – Review of the Australian Allied Health Classification System
The following diagram illustrates the partitioning of activity within the classification.
DIAGRAM 5.2: LOCATION OF THE ICD-10 CODESET WITHIN THE AAHCS
Allied Health
Activity
The IPA codes
which were
incorporated into
the ICD-10-AM
system
Clinical Care
(CC)
Clinical Services
Management
(CSM)
Teaching and
Training (TT)
Research
(R)
Individual
Patient
Attribute
(IPA)
Non-individual
Patient
Attribute
(NIPA)
Actual
Management
Activities
(CSM-A)
Under
Graduate
(TT-UG)
Research
Activities
(RA)
Discipline
Specific
Intervention
(IPA-A)
Discipline
Specific
Intervention
(NIPA-A)
Travel
Associated With
Management
(CSM-T)
Post
Graduate
(TT-PG)
Travel
Specifically Related
To Research
(RT)
Other
(IPA-O)
Other
(NIPA-O)
Other
- Own
Discipline
(TT-OD)
Travel
(IPA-T)
Travel
(NIPA-T)
Other
- Other
Discipline
(TT-AD)
Travel Associated
With Teaching
And Training
(TT-T)
When the AAHCS was developed it was acknowledged that considerably more work
was required in some areas. These included the Non-individual patient attributable
component of clinical care activity, the three first level splits of clinical services
management, research and teaching and training.
As discussed in the IFI chapter (3), the IFI concept arose from the AAHCS and forms
part of the minimum data set.
5.2
INTEGRATION INTO THE ICD CODING SYSTEM
The AAHCS codes for IPA activity became absorbed into the ICD coding system.
Initially only the generalised Allied Health Intervention Codes were incorporated.
These simply identified which of the ten allied health professions within the ICD system
had been involved in the individual patient’s care. The release of ICD-10 –AM saw the
inclusion of all the Allied Health IPA codes for the ten professions represented in the
AAHCS.
This gave the potential for AHP activity to be tracked up to the National Morbidity Data
Set which is maintained at Commonwealth level – leading to the exciting possibility of
epidemiological and service management research on the impact of Allied Health. In
reality, however, the Allied Health codes were rarely reported because of their low
priority in the code collection hierarchy at hospital level. (See Table 3.1 for an
explanation of this).
Thus the AAHCS codes had been formally incorporated into the ICD system, but were
only effectively used by Allied Health services as a benchmarking currency between
hospitals (and to a lesser extent) community health services.
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The Australian Allied Health Classification System has two components:
 the activity hierarchy and associated codes and
 the minimum data set
These were introduced in Chapter 1. Only the activity hierarchy will be
comprehensively discussed in this chapter.
5.3
UPTAKE OF THE
PROFESSIONALS
AAHCS
BY
ALLIED
HEALTH
NAHCC undertook some research into the uptake of the AAHCS early in 1998 and
determined that only approximately fifty percent of hospital Allied Health services were
using it routinely.
A survey of AHP training courses in Australian Universities in 1998 similarly revealed
that only 56% of the 75 course coordinators used the AAHCS publication in their
teaching.
Anecdotally, this is believed to be due to several factors:




An inability by NAHCC to reach all potential users of the AAHCS
Lack of IT support for Allied Health to effectively utilise the AAHCS
Lack of education opportunities to promote use of the AAHCS
Lack of resources from NAHCC to seek state and territory adoption of the AAHCS
Encouragingly, all major Allied Health benchmarking efforts use the AAHCS as
the basis for their data comparison.
The current IFI / PI Project generated considerable exposure to the AAHCS and has led
(again anecdotally) to greater uptake.
5.4
REVIEW OF THE CLINICAL CARE IPA CODES FOR
EDITION TWO OF THE ICD –10-AM CODING MANUAL
The National Centre for Classification in Health has responsibility for maintaining and
updating the ICD system in Australia. NAHCC works closely with the NCCH in
matters relating to Allied Health related components of the system.
NCCH undertook to review ICD-10-AM to create ICD-10-AM 2nd Edition – scheduled
for release in January 2000 and implementation across Australia in July 2000.
As part of this review the Allied Health codes required considerable revision. The
criteria used for this revision process were as follows:

The interventions generally should reflect direct care to the client/patient (although
some consideration was given to non patient/client attributable interventions such
as team conferences and program development).
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Chapter 5 – Review of the Australian Allied Health Classification System

Where an intervention can be performed by more than one health professional, the
concept will appear in ICD-10-AM once only, (i.e. the intervention will be service
provider neutral) and common definitions will be developed and applied (e.g.
Clinical Nurse Specialist providing nutritional counselling).

Allied health interventions can be performed (or included) as part of other allied
health interventions (e.g. counselling provided during an assessment, education
done as part of another therapeutic intervention). When two or more interventions
are performed in conjunction, rules must be included which indicate whether each
individual intervention is coded or whether some interventions are excluded.
Primarily, consideration should be given to selecting a code that captures the
‘intent’ of the intervention, rather than assigning codes for each individual
component of an intervention.
NAHCC facilitated the review of the codes through its profession representatives and
the NCCH to arrive at the agreed set for ICD-10-AM 2nd Edition. This follows the
recommendations.
5.5
FUTURE WORK AND RECOMMENDATIONS
Criterion Two of the review process – that of provider neutrality – caused considerable
anxiety within the Allied health professions. The key concern was that their input to the
care process would be lost if there was no identifying label for them. In reality,
however, AHP input rarely achieved coding status in the state and territory hospital
morbidity data sets.
The recommendations are as follows:

The NAHCC Activity classification model be adopted as a nationally consistent
means of describing Allied Health activity.

The NAHCC activity classification model be used in any software developed to
capture Allied Health activity in all care provision settings.

The ICD-10-AM Edition Two codes relevant to Allied Health be captured routinely
in acute healthcare settings so that a comprehensive data base can be established and
made available for benchmarking purposes and health management research.

An education program be established to inform AHPs (and others involved with the
collection of Allied Health related data) of the changes to the procedure codes. This
should be planned in association with the National Centre for Classification in
Health (NCCH).

NAHCC investigate ways of accessing the state / territory data in order to conduct
research into the contribution of Allied Health in acute care settings.
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5.6
REVISED ALLIED HEALTH- SENSITIVE ICD-10 CODES
FOR INCLUSION IN ICD-10-AM EDITION TWO
Proposed merger of
Chapters XIX and XXI
ICD-10-AM Vol 3
The following section is the proposed activity codeset, which revises the Australian Allied
Health Classification System Version One codes.
The revised codes were developed by NAHCC member bodies in liaison with the NAHCC
Secretariat and the National Centre for Classification In Health.
© Commonwealth Department of Health and Aged Care 1999
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CHAPTER XIX
MISCELLANEOUS PROCEDURES, INCLUDING NON-INVASIVE AND COGNITIVE INTERVENTIONS
(BLOCKS 1820-1912)
XSD
Note:
Cognitive interventions Interventions which require cognitive skills such as evaluating, education
or counselling (for example, dietary education, nutritional assessment, crisis intervention,
bereavement counselling).
Non-invasive
Interventions:
Therapeutic or diagnostic interventions without disruption of an epithelial lining or entry into a
body part or cavity (e.g. ithotripsy, hyperbaric oxygenation, manipulation of a fracture, exercise
therapy). Note that non-invasive diagnostic imaging interventions (those not requiring an incision
or entry into a body part) are classified to Chapter XX Imaging Services.
Client:
The term ‘client’ when used throughout this chapter, can refer to a patient, family member or
significant other. ‘Client’ has generally been used in the singular form but can refer to an
individual client or client group.
DIAGNOSTIC INTERVENTIONS
ASSESSMENT, CONSULTATION, INTERVIEW, EXAMINATION, EVALUATION
Note:
Assessment:
Excludes:
1820
The gathering, evaluation and recording of information relative to the client’s problem, functional
status or situation through the use of cognitive skills and simple measurements (for eg:
observation, history taking, anthropometry). Assessment is performed for the purpose of diagnosis,
screening, monitoring, follow up, review, case management or discharge planning. Also included
in assessment is the development of treatment plans or programs, ordering of diagnostic tests,
prescription of medications or assistive/adaptive equipment, aids or devices, referral to another
service provider, consultation with other service provider.
assessment or consultation with electroconvulsive therapy (see block [1907]) dental examination
(see blocks [450] [451] [452])
specific diagnostic tests, measures, investigations or imaging classified elsewhere (see Index)
Physiological assessment
Note:
A physiological investigation to assess function using techniques such as history taking,
observation, inspection, palpation, percussion, auscultation and other such physical tests.
Excludes:
that as part of an ageing assessment (96023-00 [1822])
96008-00
Neurological assessment
92021-00
General eye examination
(moved from block 1836}
Includes:
slit lamp (biomicroscope)
Excludes:
examination of:
eye, by impression cytology of cornea (11235-00 [1835]
optic fundi (11212-00 [1835])
that performed under general anaesthesia (42503-00 [160])
96009-00
Hearing function assessment
Excludes:
that to determine need for assistive hearing device (96024-00 [1822])
96010-00
Swallowing function assessment
96011-00
Voice assessment
96012-00
Speech assessment
80005-00
Fluency assessment
80006-00
Language assessment
Assessment of language:
spoken / non spoken
written / non written
96015-00
Respiratory assessment
96016-00
Cardiorespiratory assessment
96017-00
Cardiovascular assessment
96018-00
Vascular assessment
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92127-00
Gynaecological examination without anaesthesia {moved from block 1875}
Pelvic examination
96019-00
Biomechanical assessment
Balance assessment
Mobility/gait analysis
Musculoskeletal evaluation
Posture assessment
Range of movement/muscle testing (without devices or equipment)
Excludes:
assessment of functional mobility in relation to a client’s environment (96021-00[1822])
range of movement/muscle testing with specialised equipment (96159-00 [1905])
96020-00
Skin integrity assessment
Evaluation of:
Scar
skin lesion
ulcer
wound
92001-00
Other physiological assessment {moved from block 1822
General physical examination
1821
Includes:
basic physical measurements:
blood pressure
height / length
temperature
weight
Excludes:
child health examination (96036-00[1824])
physical examination as part of genetic assessment (96035-00 [1824])
Preoperative anaesthesia assessment
92500-00
Routine preoperative anaesthesia assessment {all codes moved from block 1894}
92500-01
Prolonged preoperative anaesthesia assessment
92500-02
Emergency preoperative anaesthesia assessment
1822
Assessment of personal care and other activities of daily/independent living
96021-00
Self care/self maintenance assessment
Activities of daily living skills assessment
Assessment of:
bathing/showering
dressing [clothing]
functional communication, handwriting
grooming
mobility within environment
toileting
washing hair
.
Note:
Assessment of a client’s ability to execute the activities usually performed in the course of a
normal day in the client’s life that relate to self care, such as grooming, eating, toileting or
mobility within their environment.
Excludes:
assessment of:
ageing (96023-00 [1822])
food intake (dietary) (nutritional) (96026-00 [1822])
health maintenance or recovery (96022-00 [1822])
home management (96028-00 [1822])
96022-00
Health maintenance or recovery assessment
Assessment of coping/skills with:.
adjustment to a disease or condition and its clinical and functional implications.
applying bandages or dressings
diagnostic testing/monitoring (for conditions such as amputation stumps, asthma, diabetes)
foot/leg care or hygiene (bunions) (toenails) (ulcers) (including assessment of existing footwear)
oral hygiene
self examination (breasts) (genitalia)
self injection
stoma care
Note:
Assessment of a client’s ability to perform activities related to the maintenance of their health;
preventative measures such as self examination, or maintenance measures such as dressing leg/foot
ulcers, monitoring glucose levels in diabetes or vital lung capacity in asthma.
Excludes:
assessment of medication regime/management (96027-00 [1822])
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96023-00
Ageing assessment
Includes:
physiological, psychosocial and mental status assessment
Note:
An evaluation of a client’s ability to cope with the characteristics of the ageing
process performed particularly to distinguish the effects of ageing from the effects of pathology in
order to determine the most suitable care or treatment for the client.
96024-00
Assessment of need for assistive or adaptive device, aid or equipment
Assessment of need for prosthesis/orthosis
Measurement for assistive or adaptive device, aid or equipment
Prescription for assistive or adaptive device, aid or equipment
Note:
96025-00
For list of assistive and adaptive devices, aids or equipment see block 1870]
Review of assistive or adaptive device, aid or equipment
Evaluation of assistive or adaptive device, aid or equipment
Note:
For list of assistive and adaptive devices, aids or equipment see block [1870]
Excludes:
that with fitting, adjustment or repair (96092-00 [1870])
96026-00
Nutritional/dietary assessment
Note:
96027-00
An evaluation of the client’s nutritional status to determine if intake meets the
metabolic needs of the client or to determine nutritional qualities, composition
and effects on health
Prescribed medication assessment
Adverse drug reaction assessment
Medication management assessment
Review of medication(s)
Therapeutic drug monitoring
Includes:
history of medication(s)
Note:
Assessment of a client’s current medication regime to determine appropriateness of regime or the
client’s ability to manage medications safely
96028-00
Home management assessment
Assessment of coping/skills in:
cleaning
gardening
housekeeping/maintenance
laundering
meal preparation
safety procedures around the home
shopping
96029-00
Financial management assessment
Assessment of coping/skills in budgeting
Money management assessment
V96030-00
Situational/occupational/environmental assessment
Assessment Assessment of a client’s legal situation
Carer
Employment
Ergonomic
Housing/accommodation
Transport
}
}
}
}
}
assessment
Note:
Assessment of a client’s home, school, work, play, leisure or recreational environment to determine
productivity, accessibility, suitability or the client’s ability to function within that environment
Excludes:
assessment of client’s ability to function socially within their environment (96032-00 [1823])
financial management assessment (96029-00 [1822])
home management assessment (96028-00[1822])
96031-00
Parenting skills assessment
Assessment of parenting skills:
for parents with a disability or who have children with a disability
to determine suitability for adoption or fostering
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1823
Psychobehavioural or psychosocial assessment
Excludes:
93300-00
Psychiatric assessment
Includes:
96000-01
interview (diagnostic) and evaluation
General psychological assessment {moved from block 2075}
Note:
96032-00
General psychological Evaluation of a client’s personality, aptitude, attitude, intellectual abilities
and assessment workplace to determine the need to change the client’s behaviour.
Psychosocial assessment
Note:
96000-03
Psychosocial assessment Evaluation of a client’s mental health in relation to their social status and
functional capacity within the community. Includes social interaction, social conduct, social
network, interpersonal skills and role performance.
Complex psychological assessment {moved from block 2075}
Diagnostic formulation and/or psychological functioning
Note:
Assessment
Complex psychological Evaluation of a client’s development, cognitive/behavioural, emotionality,
psychopathology or psychophysiology to determine the need to change the client’s behaviour.
Excludes:
neuropsychological assessment (96000-02 [1829])
96033-00
Cognitive skills assessment
Note:
96034-00
Assessment of a client’s ability to learn and apply new knowledge, recognise, remember and
perceive objects/people
Alcohol and other drug assessment
Note:
1824
neuropsychological assessment (96000-02 [1829])
Assessment of a client’s alcohol and other non prescribed drug use with a focus on developing
treatment plan to reduce the harm resulting from alcohol or other drug use disorders
Other assessments, consultations, interviews, examinations or evaluations
Excludes:
96035-00
assessment of cognitive skills (96033-00 [1823])
Genetic assessment
Genetic tracing
Includes:
general physical examination
Note:
Assessment of a client’s genetic history by construction of a family tree
Child health examination or developmental status assessment
96036-00
Newborn examination
Excludes:
96037-00
that as part of a complex psychological assessment (96000-03 [1823])
Other assessment, consultation or evaluation
Assessment NOS
Consultation NOS
Evaluation NOS
Interview NOS
DIAGNOSTIC TESTS, MEASURES OR INVESTIGATIONS – NERVOUS SYSTEM
1825
Electroencephalography [EEG]
11000-00
Electroencephalography {All codes in this block moved from 1829}
11003-00
Electroencephalography of  3 hours duration
11006-00
Temporosphenoidal electroencephalography
11009-00
Electrocorticography
Electroencephalography of cerebral cortex
92011-00
Video and radio-telemetered electroencephalographic [EEG] monitoring
Note:
Only to be assigned for monitoring  24 hours
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1826
Neuromuscular electrodiagnosis
EMG [electromyography]:
• of  1 muscle(s)
• using concentric needle electrodes
Study of neuromuscular conduction
11012-00
Electromyography [EMG] {all codes within this block moved from 1830}
Excludes:
that of pelvic floor and anal sphincter muscles (11833-01 [1859])
Excludes:
that of pelvic floor and anal sphincter muscles (11833-01 [1859]) that with repetitive
neuromuscular conduction studies (11021-02 [1826])
11021-00
Electromyography with quantitative computerised analysis
11012-01
Conduction studies on 1 nerve
11012-02
Conduction studies on 1 nerve with electromyography
Excludes:
11015-00
repetitive neuromuscular conduction studies (11021-00, 11021-02 [1826])
that of single fibres of nerves and muscles (11018-02 [1826])
Conduction studies on 2 or 3 nerves
11015-01
Conduction studies on 2 or 3 nerves with electromyography
Excludes:
repetitive neuromuscular conduction studies (11021-00, 11021-02 [1826])
11018-00
Conduction studies on  4 nerves
11018-01
Conduction studies on  4 nerves with electromyography
Excludes:
repetitive neuromuscular conduction studies (11021-00, 11021-02 [1826])
11018-02
Conduction studies with electromyography of single fibres of nerves and muscles
11021-01
Repetitive neuromuscular conduction studies
11021-02
Repetitive neuromuscular conduction studies with quantitative computerised analysis
electromyography
1827
Investigation of central nervous system evoked responses
Includes:
Note:
that by computerised averaging techniques
One study Refers to 1 stimulus at 1 point
Second or subsequent studies Refers to a different stimulus at the same point or another point of
stimulation
{codes moved to block 1827}
11024-00
Investigation of central nervous system evoked responses, 1 or 2 studies
11027-00
Investigation of central nervous system evoked responses,  3 studies
1828
Sleep study
12203-00
Polysomnography {P131 & codes moved from block 1832}
Polysomnography for investigation of sleep apnoea
Note:
Sleep Involves continuous monitoring of oxygen saturation and breathing using a multi-channel
Apnoea polygraph (polysomnogram), and recordings of EEG, EOG, submental EMG, anterior
Investigation tibial respiratory movement, airflow, oxygen saturation and ECG
92012-00
1829
Other sleep disorder function tests
Multiple sleep latency test [MSLT]
Neuropsychological assessment
96000-02
Page 126
Neuropsychological assessment {moved from block 2075}
Assessment of cognition for rehabilitation or discharge planning
Brief or screening assessment, for example:
mental status screening
neurobehavioural assessment
Formal assessment/diagnostic formulation
Mental competency assessment including support for Guardianship and administration
applications
Neurocognitive monitoring
WADA, cognitive activation study and other such interoperative specialised procedures
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1830
Other diagnostic neurological tests, measures or investigations
92013-00
Intracarotid amobarbital test {moved from block 1833}
Wada activation test
92014-00
Other neurological or neuromuscular non-invasive diagnostic tests, measures or investigations
DIAGNOSTIC TESTS, measures OR INVESTIGATIONS – EYE & ADNEXA
1831
Measurement or study of visual function
96038-00
Measurement of visual acuity
96039-00
Contrast sensitivity test
92018-00
Colour vision study {moved from block 1836}
92019-00
Dark adaptation study {moved from block 1836}
1832
Perimetry
Visual field study
96040-00
Manual perimetry, unilateral
96041-00
Manual perimetry, bilateral
11224-00
Full quantitative computerised perimetry, unilateral {Moved from block 1835}
11221-00
Full quantitative computerised perimetry, bilateral {moved from block 1835}
1833
Measurement of accommodation or refraction
96042-00
Measurement of accommodation
96043-00
Measurement of refraction
1834
Orthoptics measurement or investigation
96044-00
1835
Measurement of ocular motility and binocular function
Other diagnostic ophthalmic tests, measures or investigations
11200-00
Provocative test for glaucoma {moved from block 1836}
Includes:
11203-00
water drinking
Tonography for glaucoma {moved from block 1836}
Includes:
92016-00
that using an electrical tonography machine producing a
directly recorded tracing
Tonometry {moved from block 1836}
Measurement of intra-ocular pressure
11206-00
Electroretinography [ERG] {moved from block 1836}
11206-01
Electro-oculography [EOG {moved from block 1836}
11209-00
Electroretinography with electro-oculography {moved from block 1836}
92015-00
Visual evoked potential [VEP] {moved from block 1836}
11212-00
Examination of optic fundi {moved from block 1836}
Includes:
11235-00
intravenous dye injection
ophthalmoscopy
Examination of eye by impression cytology of cornea {moved from block 1836}
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DIAGNOSTIC TESTS, MEASURES OR INVESTIGATIONS-EAR, NOSE, MOUTH
AND THROAT
Excludes:
1836
dental diagnostic tests, measures or investigations (see blocks [451] [452])
Auditory function tests
Pure tone audiometry
11309-00
Air conduction audiometry, standard technique {moved from block 1839}
11309-01
Air conduction audiometry using visual reinforcement
11312-00
Air and bone conduction audiometry, standard technique {Moved from block 1839}
11312-02
Air and bone conduction audiometry using visual reinforcement
1837
Speech audiometry
Excludes:
11315-01
.
that involving central auditory function tests (see block [ ])
Speech discrimination test
Speech thresholds:
awareness
detection
most comfortable levels [MCL]
reception
11315-02
Speech discrimination test with background noise
96045-00
Speech rollover test
1838
Speech audiometry involving central auditory function tests
Excludes:
masking level difference test (96057-00 [ ])
96046-00
Staggered spondaic words [SSW] test
96047-00
96048-00
Filtered speech test
Synthetic sentence identification [SSI] test
96049-00
Fusion test
1839
Auditory evoked potentials
11300-00
Brain stem evoked response audiometry {moved from block 1840}
96173-00
Electric auditory brainstem response audiometry
96050-00
Cortical evoked response audiometry
96051-00
Steady state evoked potentials
1840
Electrocochleography
11303-00
Electrocochleography by extratympanic method {all codes in block moved from block 1841}
11304-00
Electrocochleography by transtympanic method
Includes:
1841
insertion of electrodes through the tympanic membrane
Impedance audiometry
11324-00
Tympanometry using standard probe tone {moved from block 1840}
11324-01
Tympanometry using high frequency probe tone
96052-00
Acoustic reflex threshold
96053-00
Acoustic reflex decay
96054-00
Eustachian tube dysfunction test
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1842
Psychoacoustic tests
96055-00
Short increment sensitivity index test [SISI]
96056-00
Alternating binaural loudness balance test [ABLB]
96057-00
Masking level difference test
96058-00
Tone decay test
96059-00
Other psychoacoustics tests
Psychoacoustics tests:
measuring loudness discomfort levels [LDL]
using promontory stimulation
1843
Other audiometry
11321-00
Assessment of glycerol induced cochlear function changes {No need to index –same block nu m}
Klockoff’s tests
11306-00
Other audiometry {moved from block 1840}
1844
Otoacoustic emissions evaluation
96060-00
Click evoked otoacoustic emissions evaluation
96061-00
Distortion product otoacoustic emissions evaluation
96062-00
Other otoacoustic emissions evaluation
Spontaneous otoacoustic emissions evaluation
1845
Vestibular function tests
11333-00
Caloric test of labyrinth {moved from block 1842}
Oculovestibular test
11336-00
Simultaneous bithermal caloric test of labyrinths
bithermal oculovestibular test
11339-00
Electronystagmography [ENG] {moved from block 1836}
96063-00
Rotating chair evaluation of vestibular function
Includes:
96064-00
1846
{moved from block 1842}Simultaneous
fixation suppression
simple harmonic acceleration
spontaneous nystagmus
trapezoids
Other vestibular function tests
Other ear, nose, mouth and throat diagnostic tests, measures or investigations
96065-00
Tinnitus matching or masking
92026-00
Nasal function studies {moved from block 1843}
Rhinomanometry
DIAGNOSTIC TESTS, MEASURES OR INVESTIGATIONS - RESPIRATORY SYSTEM
1847
Measurement of respiratory muscle strength {Codes in this block moved from block 1844}
11503-00
Measurement of respiratory muscle strength involving transdiaphragmatic or oesophageal
pressures
11503-01
Measurement of respiratory muscle strength at multiple lung volumes
Includes:
that of inspiratory and expiratory muscles
11503-02
Measurement of respiratory muscle endurance or fatigability
11503-03
Measurement of respiratory muscle strength before and after intravenous injection of placebo and
anticholinesterase drugs
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1848
Exercise testing to assess respiratory status
11503-04
Exercise testing to assess respiratory status {all codes moved from block 1846}
Exercise testing using incremental workloads with monitoring of ventilatory and cardiac responses
at rest, during exercise and recovery
11503-05
Spirometry with exercise testing
Note:
1849
Performed for investigation of asthma
Other measurement of respiratory function
11503-06
Assessment of phrenic nerve function {moved from block 1847}
11503-07
Assessment of pulmonary distensibility {moved from block 1847}
Includes:
measurement of:
lung volumes
oesophageal pressure
Excludes:
measurement of total lung volume (11503-12 [1849])
11503-08
Assessment of arterial carbon dioxide tension or cardiac output, rebreathing method {moved from
block 1847}
11503-09
Measurement of resistance of anterior nares or pharynx {moved from block 1847}
11503-10
Measurement of gas exchange {moved from block 1847} Measurement of gas exchange
involving simultaneous collection of arterial blood and expired air with measurements of partial
pressures of oxygen and carbon dioxide in gas and blood
Excludes:
11503-11
intra-arterial cannulation for blood gas analysis (13842-00 [1858])
Measurement of carbon monoxide diffusing capacity {moved from block 1847}
Excludes:
intra-arterial cannulation for blood gas analysis (13842-00 [1858])
11503-12
Measurement of total lung volume {moved from block 1847}
Measurement of absolute lung volume
11503-13
Measurement of airway or pulmonary resistance {moved from block 1847}
Includes:
measurement of compound action potential of diaphragm
percutaneous stimulation
11503-14
Measurement of ventilatory and/or occlusion pressure responses to progressive hypercapnia and
hypoxia {moved from block 1847}
11503-15
Measurement of ventilation perfusion ratios using multiple inert gas elimination techniques
{moved from block 1847}
11512-00
Continuous measurement of relationship between flow and volume during expiration or inspiration
Flow volume loops {moved from block 1847}
11503-16
Continuous monitoring of pulmonary function for  6 hours duration {moved from block 1847}
Excludes:
11503-17
that for  5 hours – omit code
Inhalation provocation testing {moved from block 1847}
Includes:
11503-18
construction of a dose response curve
pre-provocation spirometry
post-bronchodilator spirometry
use of:
• cholinergic
• histamine
• non isotonic fluids
• sensitising agents
Tests of distribution of ventilation {moved from block 1847}
Includes:
11503-19
inhalation of inert gases
Simulated altitude test {moved from block 1847}
Includes:
Page 130
exposure to hypoxic gas mixtures
measurement of:
• heart rate
• oxygen saturation
• ventilation
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observation of effect of supplemental oxygen
Bronchospirometry {moved from block 1845}
11500-00
Includes:
11506-00
gas analysis
Other measurement of respiratory function {moved from block 1847}
Respiratory function test NOS
Spirometry NOS
DIAGNOSTIC TESTS, MEASURES OR INVESTIGATIONS – CARDIOVASCULAR SYSTEM
1850
Vascular pressure monitoring
11600-00
Cardiac intracavity blood pressure monitoring {No indexing as no change for this block}
11600-01
Pulmonary arterial pressure monitoring
Excludes:
pulmonary artery wedge pressure monitoring (13818-00 [657])
that by Swan Ganz catheter (13818-00 [657])
11600-02
Central venous pressure monitoring
11600-03
Systemic arterial pressure monitoring
1851
Examination and recording of wave forms of carotid or vertebral vessels
Includes:
Doppler recordings:
• periorbital
{no indexing as no change for this block}
• real time fast fourier transform analysis
oculoplethysmography
phono-angiography
11618-00
Examination and recording of wave forms of carotid or vertebral vessels by
1 technique
11621-00
Examination and recording of wave forms of carotid or vertebral vessels by
2 techniques
11624-00
Examination and recording of wave forms of carotid or vertebral vessels by
 3 techniques
1852
Examination and recording of wave forms of peripheral vessels
Includes:
11603-00
Doppler recordings:
• continuous wave
{no indexing as no change to block}
• pulsed
• real time fast fourier transform analysis
• with pulse volume recordings
plethysmography:
• air
• impedance
• photo
• strain gauge
Examination and recording of wave forms of peripheral vessels at rest by
1 technique
Excludes:
that of artery of penis (55282-00 [1947])
11606-00
Examination and recording of wave forms of peripheral vessels at rest by
2 techniques
11609-00
Examination and recording of wave forms of peripheral vessels at rest by
 3 techniques
11612-00
Examination and recording of wave forms of peripheral vessels before exercise and measurement
of pressure after exercise
Includes:
measured exercise using:
• bicycle
• treadmill
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Chapter 5 – Review of the Australian Allied Health Classification System
1853
Ambulatory continuous electrocardiography [ECG]
Includes:
interpretation and report of recordings
microprocessor based analysis
Excludes:
that of < 12 hours – omit code
11708-00
Ambulatory continuous ECG recording {Moved from block 1854}
11709-00
Holter ambulatory continuous ECG recording {moved from block 1854}
Includes:
1854
that using a system capable of superimposition and full disclosure printout
Patient activated ambulatory electrocardiography [ECG]
Includes:
single or multiple event recording{Codes moved from block 1855}
use of a looping memory recording device
11710-00
Patient activated ambulatory ECG monitoring, recording for at least 20 seconds prior to and 15
seconds after each activation
11711-00
Patient activated ambulatory ECG monitoring, recording for at least 30 seconds after each
activation
1855
Other electrocardiography [ECG
Excludes:
11706-00
Phonocardiography with electrocardiograph [ECG] lead {codes moved from block 1856}
Includes:
11706-01
indirect pulse tracing:
• arterial
• venous
Phonocardiography with electrocardiograph [ECG] lead with apex cardiogram
Includes:
indirect pulse tracing:
• arterial
• venous
Includes:
analysis, interpretation and report of recording
that involving not more than 300 beats, using at least 3 leads with data
acquisition at not less than 1000Hz of at least 100 QRS complexes
11713-00
Signal averaged ECG recording
11700-00
Other electrocardiography [ECG]
Excludes:
1856
ambulatory ECG (11708-00, 11709-00 [1853], 11710-00, 11711-00 [1854])
that for cardiovascular stress test (11712-00 [1857])
that involving less than twelve leads – omit code
Testing of implanted cardiac pacemaker {P160}
Includes:
electrocardiography
measurement of stimulus:
• amplitude
• rate
• width
reprogramming
telemetry
testing of pulse generator or electrode {Codes moved from block 1857}
11721-00
Testing of atrioventricular [AV] sequential implanted pacemaker
11721-01
Testing of rate responsive implanted pacemaker
11721-02
Testing of antitachycardia implanted pacemaker
11718-00
Testing of other implanted cardiac pacemaker
Testing of implanted cardiac pacemaker NOS
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1857
Other cardiovascular diagnostic tests, measures or investigations
11615-00
Measurement of digital temperature {moved from block 1853}
Includes:
measurement, before of temperature and after cold stress testing
11715-00
Blood dye - dilution indicator test {moved from block 1858}
11724-00
Upright tilt table testing {moved from block 1858}
Includes:
blood pressure monitoring
continuous ECG monitoring
recording of parameters
Note:
Performed for investigation of syncope
11712-00
Cardiovascular stress test {moved from block 1858}
Masters’ two-step test
Multi channel ECG monitoring and recording during exercise or pharmacological stress
Thallium stress test
Includes:
continuous blood pressure monitoring
measured exercise using:
• bicycle
• step climbing
• treadmill
recording of other parameters
resting ECG
92056-00
Monitoring of cardiac output or blood flow, not elsewhere classified {moved from block 1858)
92057-00
Telemetry {moved from block 1858}
Electrographic monitoring
Excludes:
that for testing of cardiac pacemaker (see block [1856])
DIAGNOSTIC TESTS, MEASURES OR INVESTIGATIONS – BLOOD AND BLOOD FORMING ORGANS
1858
Collection of blood for diagnostic purposes
13839-00
Collection of blood for diagnostic purposes {moved from block 1859}
Includes:
that by arterial puncture
Excludes:
collection of blood for transfusion (13709-00 [1891])
haemapheresis:
• donor (13755-00 [1892])
• therapeutic (13750 [1892])
intra-arterial cannulation for blood gas analysis (13842-00 [1858])
that in neonate (13312 [1858])
13312-00
Collection of blood for diagnostic purpose in neonate {moved from block 1860}
Note:
13842-00
Neonate
Live birth < 28 days old
Intra-arterial cannulation for blood gas analysis {moved from block 1859}
DIAGNOSTIC TESTS, MEASURES OR INVESTIGATIONS – DIGESTIVE SYSTEM
1859
Digestive system diagnostic tests, measures or investigations
Excludes:
gastrointestinal non-imaging nuclear medicine procedures (12506-00, 12509-00 [1863])
11800-00
Oesophageal motility test {moved from block 1866}
Manometric oesophageal motility test
11810-00
Assessment of gastro-oesophageal reflux involving 24 hour pH monitoring
Includes:
analysis
Interpretation
Report
Excludes:
that with < 24 hour pH monitoring – omit code
11830-00
Anal manometry {moved from block 1866}
Note:
11830-01
Performed for diagnosis of abnormality of pelvic floor
Measurement of anorectal sensation {moved from block 1866}
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Chapter 5 – Review of the Australian Allied Health Classification System
Note:
Performed for diagnosis of abnormality of pelvic floor
Measurement of rectosphincteric reflex {moved from block 1866}
Note:
Performed for diagnosis of abnormality of pelvic floor
Excludes:
that with electromyography (11833-00 [1859])
11830-02
11833-00
Measurement of pudendal and spinal nerve motor latency {moved from block 1866}
Note:
11833-01
Performed for diagnosis of abnormality of pelvic floor and sphincter muscles
Electromyography of pelvic floor and anal sphincter muscles {moved from block 1866}
92091-00
Gastric analysis test {moved from block 1866}
Includes:
injection of stimulant of gastric secretion
92092-00
Digital examination of rectum without anaesthesia {moved from block 1866}
30493-00
Biliary manometry {moved from block 1868}
DIAGNOSTIC TESTS, MEASURES OR INVESTIGATIONS – GENITOURINARY SYSTEM
1860
Cystometrography
11903-00
Cystometrography {all codes moved from block 1869}
11912-00
Cystometrography with measurement of rectal pressure
Excludes:
11915-00
Cystometrography with urethral sphincter electromyography
Excludes:
11918-00
that with any other simultaneous measurement (11918-00 [1860])
Cystometrography with one or more measurements
Cystometrography with any other measurements of:
• rectal pressure
• urethral pressure profilometry
• urethral sphincter electromyography
• urine flow rate (uroflowmetry)
Includes:
1861
that with any other simultaneous measurement (11918-00 [1860])
imaging
Urethral pressure profilometry
Excludes:
that with cystometrography (11918-00 [1860])
11906-00
Urethral pressure profilometry [UPP] {all codes moved from block 1870}
11909-00
Urethral pressure profilometry [UPP] with urethral sphincter electromyography
1862
Other genitourinary diagnostic tests, measures or investigations
11900-00
Urine flow study {all codes moved from block 1875}
Uroflowmetry [UFR]
Includes:
peak urine flow measurement
Excludes:
that with cystometrography (11918-00 [1860])
11921-00
Bladder washout test study
Note:
Performed for localisation of urinary infection
Excludes:
endoscopic therapeutic bladder washout (36827-00 [1107])
92130-00
Papanicolaou smear study
Pap smear
92128-00
Urinary manometry study {moved from block 1875}
Manometry through:
indwelling ureteral catheter
• nephrotomy
• pyelostomy
• ureterostomy
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OTHER DIAGNOSTIC TESTS, MEASURES OR INVESTIGATIONS
1863
Nuclear medicine (non-imaging)
12500-00
Blood volume nuclear medicine estimation {all codes moved from block 1884}
Includes:
erythrocyte screening test, volume 51Cr
2503-00
Erythrocyte radioactive uptake survival time test
12503-01
Iron kinetic test
12506-00
Gastrointestinal nuclear medicine blood loss estimation
Includes:
examination of stool specimens
Excludes:
bowel haemorrhage study (61364 [2007])
12509-00
Gastrointestinal nuclear medicine protein loss test
12512-00
Radioactive B12 absorption test, 1 isotope
12515-00
Radioactive B12 absorption test, 2 isotopes
12518-00
Thyroid uptake study
Includes:
that using probe
Excludes:
that with imaging (61473-00 [2014])
12521-00
Perchlorate discharge study
12524-00
Renal function nuclear medicine test
Renal clearance study
12530-00
Nuclear medicine whole body count
Excludes:
12533-00
1864
whole body study using:
• cells labelled with technetium (61433, 61434 [2012])
• gallium (61429, 61430 [2012])
• iodine (61426 [2012])
Carbon labelled urea breath test
Includes:
measurement of exhaled 13CO2 or 14CO2
that using oral 13C or 14C urea
Note:
Performed for:
• confirmation of Helicobacter pylori colonisation
• monitoring of therapy for Helicobacter pylori
Skin sensitivity allergy testing
Excludes:
epicutaneous patch testing (12012, 12015, 12018 [1865])
12000-00
Skin sensitivity testing using  20 allergens {all codes moved from 1885}
12003-00
Skin sensitivity testing using  21 allergens
1865
Epicutaneous patch allergy testing
Note:
12012-00
Performed for investigation of allergic dermatitis {all codes moved from block 1886}
Epicutaneous patch testing using less than the total number of allergens in a standard patch test
battery
12015-00
Epicutaneous patch testing using all the allergens in standard patch test battery
Excludes:
that with additional allergens (12018, 12021 [1865])
Epicutaneous patch testing using  50 allergens
12018-00
Includes:
all allergens in standard patch test battery and additional allergens to a total of  50
Epicutaneous patch testing using  51 allergens
12021-00
Includes:
all allergens in standard patch test battery and additional allergens to a total of  51
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Chapter 5 – Review of the Australian Allied Health Classification System
1866
Other diagnostic tests, measures or investigations
92204-00
Non-invasive diagnostic tests, measures or investigations, not elsewhere
classified {moved from block 1893}
THERAPEUTIC INTERVENTIONS
Excludes:
dental therapeutic interventions (see Chapter: VI Dental Services)
COUNSELLING, EDUCATION
Note:
Advice
1867
Counselling:
Supportive or educative therapy with the aim of alleviating emotional, physiological,
psychological, social and/or occupational consequences of a client’s illness or issue.
Education:
Structured instruction and guidance with the aim of enhancing the client’s knowledge, awareness
or understanding of their illness or issue for the purpose of monitoring, managing, maintaining or
improving their health outcomes. Includes the provision of educational material.
Excludes:
counselling or education for assisted reproductive services [IVF] (13200-00, 13206-00 [1297])
Counselling or education relating to personal care and other activities of
daily/independent living
96066-00
Preventative counselling or education
Advice on risks regarding:
.
96067-00
abuse (domestic) (physical) (sexual) (substance)
dietary intake
exercise
footwear
gambling or betting
hearing loss (conservation)
immunisation/vaccination
physical fitness
sexual activity
substance use
Counselling or education about safe performance of daily living activities for example, preventing
falls
Nutritional/dietary counselling or education
Excludes:
96068-00
preventative counselling or education (96066-00 [1867])
Counselling or education for hearing loss or aural disorder Advice relating to management of
tinnitus
Excludes:
96069-00
preventative counselling or education (96066-00 [1867])
That for hearing device/auditory aid (96071-00 [1867])
Counselling or education for visual loss or ocular disorder
Excludes:
96070-00
that for visual aid or prosthesis (96071-00 [1867])
Counselling or education for voice, speech, fluency or language
96071-00
Counselling or education regarding assistive or adaptive device, aid or equipment
Note:
For list of assistive and adaptive devices, aids or equipment see block [1870]
.
Prescribed medication counselling or education
Advice or education on:
action/effect of drugs and other medications
management of medication regimes
Excludes:
substance addiction counselling or education 96073-00 [1867])
96072-00
96073-00
Substance addiction counselling or education
Excludes:
96074-00
preventative counselling or education (96066-00 [1867])
Gambling or betting addiction counselling or education
Excludes:
Page 136
preventative counselling or education (96066-00 [1867])
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Chapter 5 – Review of the Australian Allied Health Classification System
96075-00
Self care/self maintenance counselling or education
Advice on self care/self maintenance activities such as:
bathing/showering
dressing [clothing]
functional communication, handwriting
grooming
toileting
Excludes:
96076-00
nutritional/dietary counselling, education (96067-00 [1867])
Counselling or education on recovery or health maintenance activities
Advice on health maintenance activities such as:
diagnostic testing/monitoring (for conditions such as amputation stumps, asthma, diabetes).
foot/leg care (including advice on bunions, ulcers or wound care, footwear or basic foot hygiene)
oral hygiene
management of disease or condition (for example, post acquired brain disorder)
self examination (breasts) (genitalia)
stoma care
Counselling or education for recovery from illness NOS
Excludes:
counselling, education for:
assistive or adaptive device, aid or equipment (96071-00 [1867])
gambling/betting addiction (96074-00 [1867])
hearing loss or aural disorder (96068-00 [1867])
medication management (96072-00 [1867])
substance addiction (96073-00 [1867])
visual loss or ocular disorder (96069-00 [1867])
voice, speech, fluency or language (96070-00 [1867])
nutritional/dietary counselling, education (96067-00 [1867])
preventative counselling, education (96066-00 [1867])
96077-00
Home management counselling or education
Advice on:
cleaning
gardening
housekeeping/maintenance
laundering
meal preparation
safety procedures around the home
shopping
96078-00
Financial management counselling or education
Advice on:
dealing with creditors
welfare support
96079-00
Situational/occupational/environmental counselling or education
Advice on issues relating to education:
kindergarten
preschool
secondary
tertiary
Advice on adjusting to psychosocial events such as:
empty nest syndrome
mid life crisis
redundancy, retirement
significant life event NOS
Advice and support on or following:
employment/unemployment
pre-employment suitability or options
retrenchment/redundancy
Counselling or education on carer role
Education on issues such as:
housing/accommodation
legal matters
transport
Leisure/pay counselling or education
Vocational counselling
96080-00
Counselling or education on preparing for parenthood, parenting skills or family planning
1868
96081-00
Psychosocial counselling
Relationship counselling
Family counselling
Marriage counselling
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Chapter 5 – Review of the Australian Allied Health Classification System
96082-00
Crisis situation/event counselling
Note:
Counselling or education aimed at assisting the client to cope in a crisis situation such as terminal
illness diagnosis, sudden death, physical assault, violence or abuse, retrenchment from
employment, natural disasters such as storm or flood
Excludes:
ongoing counselling following crisis situation counselling (see Index: Counselling, by specified
type)
96083-00
Critical incident stress debriefing [CISD]
Excludes:
ongoing counselling following CISD (see Index: Counselling, by specified type)
.
Physical abuse/ violence/assault counselling
Counselling regarding:
domestic violence
physical abuse
sexual abuse
96084-00
96085-00
Grief/bereavement counselling
96086-00
Other psychosocial counselling
1869
Other counselling or education
96087-00
Religious/spiritual counselling or education
96088-00
Genetic counselling or education
96089-00
Resource education
Note:
96090-00
Educational intervention aimed at providing the client with the information to access available
resources, assist or facilitate the client to determine their needs and make resource decisions
Other counselling or education
Counselling NOS
Education NOS
INTERVENTIONS INVOLVING ASSISTIVE OR ADAPTIVE DEVICES, AIDS OR EQUIPMENT
1870
Interventions involving assistive or adaptive device, aid or equipment
Includes:
Page 138
adhesive padding
assistive or adaptive devices, aids or equipment for:
play/leisure
productivity
self care/self maintenance
auditory aid [cochlear implant] [hearing aid]
artificial [prosthetic] limb(s)
bandage
brace
callipers
cast (fibreglass) (plaster) (plastic)
communication systems (emergency response, call systems, telephones)
corset
crutches
dressings (Velpeau)
elastic stocking(s)
electronic gaiter
electrotactile/vibrotactile aid
footwear manufactured for a specific purpose, such as gait assistance, postural adaptation or to
facilitate the use of an orthosis
intermittent pressure device
neck support [cervical collar]
orthosis NOS
parallel bars
pressure dressing [Gibney bandage] [Robert Jones bandage] [Shanz dressing]
pressure trousers [anti-shock trousers] [MAST trousers] [vasopneumatic device]
prosthesis NOS
rib belt
spinal support
splint (acrylic) (cap) (cast metal) (felt) (silicone) (thermoplastic)
strapping
support frame
thermoplastic splint (dynamic) (static)
visual aid [contact lenses] [glasses] [spectacles]
walking stick
wheelchair
**check indexing for other codes
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Chapter 5 – Review of the Australian Allied Health Classification System
Note:
This block classifies external fixation devices that are generally noninvasive in nature. External
fixation devices that are invasive (i.e. applied to bone) are classified elsewhere. Refer to the index
for guidance.
Excludes:
application of:
immobilisation devices for fracture or dislocation (see Index: Immobilisation, fracture or
Immobilisation, dislocation). traction devices classified elsewhere (see Index: Traction)
implantation of prosthetic device of limb (see Index: Implantation, prosthesis)
insertion of prosthetic device (see Index: Insertion, prosthesis)
interventions involving assistive or adaptive device, aid or equipment, classified elsewhere:
assessment of need for device (96024-00 [1822])
assistance with application of device (96165-00 [1914])
counselling or education regarding device (96071-00 [1867])
measurement of device (96024-00 [1822])
prescription for device (96024-00 [1822])
review only of device (96025-00 [1822])
skills training in use of device (96142-00 [1878])
96091-00
Manufacture of assistive or adaptive device, aid or equipment
Casting of prosthetic or orthotic device
Design and fabrication of prosthetic or orthotic device
Includes:
47708-00
coding of assistive or adaptive device, aid or equipment for identification purposes
Application of plaster jacket {Moved from block 1550}
Excludes:
47711-00
that with:
closed reduction of fracture/dislocation of spine (47690-00, 47693-00 [1387])
immobilisation of fracture/dislocation of spine (see block [1381])
Application of halo {Moved from block 1550}
Excludes:
47717-00
that with:
closed reduction of fracture/dislocation of spine (47690-00, 47693-00 [1387])
immobilisation of fracture/dislocation of spine (see block [1381])
Application of halo and thoracic jacket {Moved from block 1550}
Excludes:
47720-00
that with:
closed reduction of fracture/dislocation of spine (47690-00, 47693-00 [1387])
immobilisation of fracture/dislocation of spine (see block [1381])
Application of halo femoral traction {moved from block 1550}
Excludes:
that with:
closed reduction of fracture/dislocation of spine (47690-00, 47693-00 [1387])
immobilisation of fracture/dislocation of spine (see block [1381])
47540-01
Application of shoulder spica {moved from block 1394}
47540-00
Application of hip spica {Moved from block 1477}
Note:
Performed for congenital dislocation of hip
90531-00
Traction, not elsewhere classified {moved from block 1550}
Manual or mechanical traction NOS
92139-00
Non-invasive placement of bone growth stimulator {moved from block 1878}
Transcutaneous (surface) placement of pads or patches
Note:
96092-00
Performed to stimulate bone healing
Application, fitting, adjustment or replacement of other assistive or adaptive device, aid or
equipment
Issue of assistive or adaptive device, aid or equipment
Programming of assistive or adaptive device, aid or equipment
Includes:
instructions on use of /how to care for assistive or adaptive device, aid or equipment
Excludes:
application of dressing to:
burn (see block [1600])
wound, other than burn (30055-00 [1601])
96093-00
Repair of assistive or adaptive device, aid or equipment
Excludes:
96094-00
adjustment only (96092-00 [1870])
Removal of assistive or adaptive device, aid or equipment
Excludes:
removal of ocular or orbital implant (42518-02, 42812-00 [164])
that with replacement (96092-00 [1870])
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Chapter 5 – Review of the Australian Allied Health Classification System
NUTRITIONAL SUPPORT INTERVENTIONS
1871
Nutritional support interventions
Includes:
assessment or review of client’s tolerance/progress to dietary intake
Note:
Interventions that support the proper dietary intake and assimilation of nutriments for proper body
functioning and maintenance of health
Excludes:
assistance with food intake (96163-00 [1914])
nutritional/dietary:
assessment alone (96026-00 [1822])
counselling, education (96067-00 [1867])
skills training in:
food intake (96140-00 [1878])
preparation of food (96143-00 [1878])
shopping for food (96143-00 [1878])
96095-00
Therapeutic diet support
Note:
96096-00
Involves making recommendations about diet, identifying client preferences, ordering of items
which constitute a therapeutic diet and ensuring meals or menus provided are appropriate.
Oral nutritional support
Note:
96097-00
Involves supplementation of therapeutic diet, enteral or parenteral nutrition with oral nourishing
fluids and/or foods
Enteral nutritional support
Note:
96098-00
Involves making recommendations on enteral nutrition and ordering of nutrients or necessary
equipment
Parenteral nutritional support
Note:
Involves making recommendations on parenteral nutrition, either alone or in combination with
enteral or oral nutrition and ordering of nutrients or necessary equipment
PSYCHOBEHAVIOURALTHERAPY, PSYCHOSOCIAL THERAPY, SKILLS TRAINING
1872
Alcohol and drug rehabilitation and detoxification
92002-00
Alcohol rehabilitation {all codes in this block moved from block 1828}
92003-00
Alcohol detoxification
92004-00
Alcohol rehabilitation and detoxification
92005-00
Drug rehabilitation
92006-00
Drug detoxification
92007-00
Drug rehabilitation and detoxification
92008-00
Combined alcohol and drug rehabilitation
92009-00
Combined alcohol and drug detoxification
92010-00
Combined alcohol and drug rehabilitation and detoxification
1873
Psychological therapies
Includes:
evaluation of progression
Note:
The use of psychological techniques rather than physical means to treat mental and emotional
disorders
Exclude:
biofeedback (96152-00 [1880])
96099-00
Psychotherapy
Interpersonal psychotherapy
Supportive psychotherapy
96100-00
Psychodynamic therapy
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96001-00
Psychological skills training {moved from block 2075}
Behaviour therapy
Skills training in:
anger management
assertiveness
conflict resolution
coping/stress management techniques
interpersonal [relationship] skills with colleagues/peers, family [children] [parents], friends, partner
[spouse]
social skills
time management techniques
96101-00
Cognitive behaviour therapy
96102-00
Systems therapy
Family therapy
Note:
Therapy with a focus on social context and the relationships
Formed within that context that impact on the individual
96103-00
Clinical hypnosis
Hypnotherapy
96174-00
Other psychological therapies
1874
Psychosocial therapies
96104-00
Music therapy
Note:
96105-00
Relaxation therapy, not elsewhere classified
Relaxation therapy NOS
Note:
Skills training in techniques aimed at promoting lessening of tension, reduction of anxiety or
management of pain
Excludes:
skills training in coping/stress management techniques (96001-00 [1873])
96106-00
Resourcing intervention
Excludes:
96107-00
resource education (96089-00 [1869])
Service co-ordination
Note:
96108-00
Service co-ordination Involves arrangement, facilitation and co-ordination of a range of services
necessary to meet identified needs of the client
Advocacy
Note:
96109-00
1875
Interventions using music designed to enhance and/or maintain the physical , emotional,
pyschosocial, behavioural, sensory, cognitive, communication, cultural, spiritual, developmental,
musical and/or related needs identified during the assessment/evaluation process.
Representation or defence of the client’s interests to facilitate access to and use of health care
services
Other psychosocial therapies
Skills training in relation to learning, knowledge and cognition
Includes:
evaluation of progression
96110-00
Skills training in activities related to learning
Skills training in:
arithmetic
reading
study skills
written expression
96111-00
Skills training in activities related to memory
96112-00
Skills training in activities related to sensory/sensorimotor/sensorineural function
Fine or gross motor skills training
Recognition therapy
Sensory integration therapy
Tactile stimulation
Note:
96113-00
Interventions involving sensory stimulation and adaptive responses to it according to neurologic
needs. The aim is to improve the brain’s ability to process and organise sensations
Skills training in activities related to orientation, perception or attention
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Chapter 5 – Review of the Australian Allied Health Classification System
96114-00
1876
Skills training in activities related to executive skills
Skills training in:
creative thinking
decision making
motivation
planning
problem solving
organisation
Skills training in movement
Exercise therapy
Work hardening/conditioning
Includes:
evaluation of progression
Note:
Skills training which involves assisting or supervising the client in performing exercises for the
purpose of conditioning the body, improving health or maintaining fitness or as a means for
correcting a deformity or restoring the organs and bodily functions to a state of health
Active
Active assisted
Movement initiated by client. Includes isotonic exercise.
Movement initiated by client with external assistance
Active resisted
Aerobic
Movement initiated by client and resisted by external force.
Physical conditioning exercise that requires additional effort by heart and lungs to meet increased
demand by skeletal muscles for oxygen
Anaerobic
Muscular exertion sufficient to result in metabolic acidosis because of accumulation of lactic acid
as a product of muscle metabolism
Conditioning
Exercises to improve the fitness of a body system, such as the cardiovascular system
Muscle setting A method of maintaining muscle strength and tonality by alternately contracting and relaxing a
skeletal muscle or any group of muscles without moving the associated part of the body
Passive
Movement initiated by external force with no active muscle contraction by client
Resisted
Movement initiated by client and resisted by external force
Range of motion Exercise involving muscles, joints and natural directional movements such as abduction,
extension, flexion, pronation and rotation
Stretches
Taking limb or body part to end of available range of movement [extension] and holding this
position.
Underwater
Any exercise activity performed in a pool or large bath or tub where the
[aquatic]
buoyancy of the water facilitates the movement of weak or injured muscles
96115-00
Exercise therapy, facial muscles/temporomandibular joint
96116-00
Exercise therapy, ocular muscles
96117-00
Exercise therapy, oesophageal muscles
Skills training in swallowing functions
96118-00
Exercise therapy, shoulder joint
96119-00
Exercise therapy, chest or abdominal muscles
96120-00
Exercise therapy, back or neck muscles
Exercise therapy on muscles supporting spine [cervical] [lumbar] [thoracic]
96121-00
Exercise therapy, arm muscles
Upper limb re-education
96122-00
Exercise therapy, elbow joint
96123-00
Exercise therapy, hand muscles, wrist or finger joints
96124-00
Exercise therapy, hip joint
96125-00
Exercise therapy, pelvic floor muscles
96126-00
Exercise therapy, leg muscles
96127-00
Exercise therapy, knee joint
96128-00
Exercise therapy, foot muscles, ankle or toe joints
96129-00
Exercise therapy, total body
Exercise therapy NOS
General exercise therapy such as exercise classes, swimming
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96130-00
Skills training in activities related to body position/mobility/movement
Ambulation and gait training
Mobility or body positioning training such as:
bed mobility
bending
log roll
lying to sitting
sitting balance
sitting out of bed
sit to stand
squatting
standing balance
straightening
Posture management
Skills training in methods to improve integrated movement awareness such as Feldenkrais method,
tai chi, yoga
Excludes:
96131-00
Skills training in activities related to transfers
Skills training in transfers to/from:
bath
bed
chair
floor
shower
toilet
vehicle
Excludes:
1877
exercise therapy (96115 to 96129 [1876])
that where the primary purpose is to train in the use of assistive or adaptive device, aid or
equipment (96142-00 [1878])
that for entry and exit to hydrotherapy pool (96150-00 [1879])
that where the primary purpose is to instruct in the use of an assistive or adaptive device, aid or
equipment (96142-00 [1878])
Skills training in body system functions
Includes:
evaluation of progression
96132-00
Skills training for hearing
Auditory training
96133-00
Skills training for binocular vision
Exercising the sensory aspect of vision
Excludes:
exercise therapy for ocular muscles (96116-00 [1876])
skills training in visual ergonomics (96147-00 [1878])
96134-00
Skills training for voice
96135-00
Skills training for speech
Training in speech reading
96136-00
Skills training for fluency
96137-00
Skills training for language
Training in language skills:
spoken/non spoken
written/non written
96138-00
Exercise therapy, respiratory system [breathing]
Note:
96139-00
Exercise to increase tidal volume and thoracic excursion and assist in loosening secretions
and /or improve breathing pattern
Exercise therapy, cardiorespiratory/cardiovascular system
Cardiac rehabilitation program
Note:
Exercise program aimed at achieving maximum cardiac and respiratory function
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1878
Skills training for personal care and other activities of daily/independent living
Includes:
96140-00
evaluation of progression
Skills training in activities related to self care/self maintenance
Skills training in:
bathing/showering
dressing [clothing]
food intake [dietary] [nutrition]
functional communication, handwriting
grooming
toileting
washing hair
Excludes:
96141-00
skills training for:
health maintenance activities (96141-00 [1878])
home management activities (96143-00 [1878])
mobility (96130-00 [1876])
use of assistive or adaptive device, aid or equipment (96142-00 [1878])
Skills training in activities related to health maintenance
Skills training in: diagnostic testing/monitoring (for conditions such as amputation stumps, asthma,
diabetes etc) foot/leg care (bunion) (ulcer) (cutting and filing of nonpathological toenails MB make
examples. medication management oral hygiene postural drainage self examination (breasts)
(genitalia) self injection stoma care [colostomy] [tracheostomy]
Excludes:
96142-00
exercise therapy (see Index: Therapy, exercise) skills training in use of assistive or adaptive device,
aid or equipment (96142-00 [1878])
Skills training in use of assistive or adaptive device, aid or equipment
Ambulation and gait training in conjunction with the use of assistive or adaptive device, aid or
equipment
Habilitative or rehabilitative training in the use of assistive or adaptive device, aid or equipment
Mobility training with aids
Skills training in application of dressings or bandages
Note:
For the list of assistive or adaptive devices, aids or equipment see block [1870]
96143-00
Skills training in activities related to home management
Skills training in:
cleaning
gardening
housekeeping/maintenance
laundering
meal preparation
safety procedures around the home
shopping
96144-00
Skills training in activities related to financial management
Skills training in budgeting
96145-00
Skills training in parenting techniques
96146-00
Occupational/vocational skills training
Skills training in:
job acquisition
job or work performance
retirement planning
vocational exploration
volunteer participation
Excludes:
work hardening/conditioning (see Index: Therapy, exercise)
96147-00
Skills training in ergonomics
Skills training in visual ergonomics
96148-00
Play/leisure/recreation therapy
Play/leisure/recreation exploration
1879
Other psychobehavioural or psychosocial therapies, skills training
Includes:
96149-00
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evaluation of progression
Religious/spiritual therapy
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96150-00
Skills training in water confidence techniques
Skills training in:
adjustment to water, breathing and rotation control
buoyancy factors
entry and exit to pool
96151-00
Other skills training
Skills training NOS
THERAPIES USING ELECTROPHYSICAL AGENTS
1880
Therapies using electrophysical agents, not elsewhere classified
96152-00
Biofeedback
Note:
96153-00
Process by which the physiologic activity of a client can be translated into electric signals of a
visual or auditory system. Examples of the kinds of biological feedback that can be provide include
information about changes in skin temperature, muscle tonicity, cardiovascular activities, blood
pressure and brain wave activities.
Hydrotherapy
Note:
The external use of water, hot and/or cold, in the therapeutic treatment of disease or injury.
Applications of moist heat and warm water help relieve pain and improve circulation, promote
relaxation and reduce muscle tightness and include measures such as warm baths, hot packs or
compresses. Applications of cold water help to decrease body temperature, reduce swelling and
constrict blood vessels and include measures such as cold packs, ice compresses, cold baths and
showers. Special equipment such as the Hubbard tank or whirlpool baths are fitted with devices
that mechanically agitate the water, thereby providing gentle massage in addition to the therapeutic
effects of heat.
Excludes:
that to induce:
hypothermia (92178-00 [1880])
hypothermia (13606-00 [1880])
13606-00
Cold therapy {moved from block 1888}
Hypothermic therapy
Total body hypothermia
Note:
The application of cold in the therapeutic treatment of disease or injury Hypothermia can be
induced by ice packs or compresses, cooling blankets, immersion in cold water (bath or tub) or by
extracorporeal cooling of the blood. Hypothermia can also be induced as a protective measure in
certain cardiovascular and neurological surgical procedures or as an adjunct to anaesthesia in
surgical procedures involving a limb.
Excludes:
cryotherapeutic destruction of tissue(see Index: Cryotherapy, by site)
gastric hypothermia (13500-00 [1899])
hypothermic therapy in conjunction with open heart surgery 38574-00 [642])
92178-00
Heat therapy {moved from block 1888}
Hyperthermic therapy
Includes:
therapeutic treatment with the use of:
heating pad
infrared radiation
microwaves
shortwaves
wax
Note:
The application of heat in the therapeutic treatment of disease or injury. Hypothermia can be
induced by hot packs or compresses, electric blankets, immersion in hot water (bath or tub), using
humidified air or by extracorporeal warming of the blood. Hypothermia can also be used as an
adjunct to radiation therapy or chemotherapy and induced by microwave, ultrasound, low energy
radio-frequency conduction or probes.
Code also when performed:
• chemotherapy (see Index: Chemotherapy)
• radiation therapy (see Index: Therapy, radiation)
Excludes:
96154-00
thermocauterisation (see Index: Thermocauterisation)
thermocoagulation (see Index: Neurotomy, by site, radiofrequency)
thermokeratoplasty (42671-00, 42671-01 [173])
thermosclerectomy (42746-03 [191])
thermotherapy to prostate by microwaves (37203-04 [1166])
Therapeutic ultrasound
Excludes:
diagnostic ultrasound (see blocks [1940] to [1950])
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96155-00
Stimulation therapy, not elsewhere classified
Therapeutic laser treatment NOS
Includes:
electrical neuromuscular nerve stimulation [EMS]
functional electrical stimulation [FES]
transcutaneous electrical nerve stimulation [TENS]
Note:
The therapeutic application of a device (electrical, laser or ultrasound)
which excites or induces functional activity in a body part with the aim of promoting healing and
reducing pain
92199-00
Extracorporeal shockwave lithotripsy [ESWL] of sites not elsewhere classified {moved from
block 1893}
Excludes:
extracorporeal shockwave lithotripsy [ESWL] of:
• biliary tract (90956-00 [962])
• gall bladder (90957-00 [962])
• urinary tract (36546-00 [1125])
IMMUNISATION, INJECTIONS, PERFUSION
1881
Prophylactic vaccination or inoculation against certain bacterial diseases
92143-00
Vaccination against cholera {all codes moved from block 1880}
92144-00
Vaccination against typhoid and paratyphoid fever Administration of TAB vaccine
92145-00
Vaccination against tuberculosis
Administration of BCG vaccine
92146-00
Administration of diphtheria toxoid
Excludes:
92147-00
Vaccination against pertussis
Excludes:
92148-00
administration of diphtheria-tetanus-pertussis, combined (92149-00 1881])
Administration of tetanus toxoid
Excludes:
92149-00
1882
administration of diphtheria-tetanus-pertussis, combined (92149-00 1881])
administration of diphtheria-tetanus-pertussis, combined (92149-00 [1881])
Administration of diphtheria-tetanus-pertussis, combined
Prophylactic vaccination or inoculation against certain viral diseases
92150-00
Administration of poliomyelitis vaccine {all codes moved from block 1881}
92151-00
Vaccination against rabies
92152-00
Vaccination against yellow fever
92153-00
Vaccination against measles
Excludes:
92154-00
administration of measles-mumps-rubella vaccine (92156-00 [1882])
Vaccination against mumps
Excludes:
92155-00
administration of measles-mumps-rubella vaccine (92156-00 [1882])
Vaccination against rubella
Excludes:
administration of measles-mumps-rubella vaccine (92156-00 [1882])
92156-00
Administration of measles-mumps-rubella vaccine
92157-00
Vaccination against viral diseases, not elsewhere classified
1883
Other vaccination or inoculation
92158-00
Prophylactic vaccination against the common cold {all codes in block moved from 1882}
92159-00
Prophylactic vaccination against influenza
Excludes:
92160-00
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Haemophilias influenza type b (92167-00 [1883])
Prophylactic vaccination against arthropod-borne viral encephalitis
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92161-00
Prophylactic administration of vaccine against other diseases
Vaccination against:
• anthrax
• brucellosis
• Rocky Mountain spotted fever
• Staphylococcus
• Streptococcus
• typhus
92162-00
Administration of tetanus antitoxin
92163-00
Administration of botulism antitoxin
92164-00
Administration of other antitoxins
Administration of antitoxin:
• diphtheria
• gas gangrene
• scarlet fever
92165-00
Vaccination against Pneumococcus
92166-00
Vaccination against Meningococcus
92167-00
Vaccination against Haemophilias influenza type b *Change in index
92169-00
Vaccination against Hepatitis A
92168-00
Vaccination against Hepatitis B
92170-00
Vaccination against Q fever
92171-00
Other vaccination or inoculation
Vaccination NOS
1884
Passive immunisation with immunoglobulin
92172-00
Passive immunisation with normal immunoglobulin {all codes moved to block 1884}
92173-00
Passive immunisation with Rh(D) immunoglobulin
Injection of:
• Anti-D (Rhesus) globulin
• RhoGAM
92174-00
Passive immunisation with
Varicella-Zoster immunoglobulin
92175-00
Passive immunisation with Rabies immunoglobulin
92176-00
Passive immunisation with Hepatitis B immunoglobulin
92177-00
Passive immunisation with Cytomegalovirus immunoglobulin
1885
Injection or infusion of therapeutic or prophylactic substance
Includes:
injection:
• intramuscular
• intravenous
• subcutaneous
infusion
92179-00
Immunisation for allergy {all codes moved from block 1892}
Desensitisation
92180-00
Immunisation for autoimmune disease
92181-00
Injection of gamma globulin
Injection of immune sera
92182-00
Injection of antidote
Injection of:
• acetylcysteine
• antibody fragments
• antivenom
• dioxin
• heavy metal antagonist
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92183-00
Injection of insulin
92184-00
Injection or infusion of electrolytes
92185-00
Injection of anticoagulant
92186-00
Injection of antibiotic
92187-00
Injection of other anti-infective
92188-00
Injection of steroid
Injection of cortisone
Excludes:
injection of steroid into:
• costotransverse joint (39013-01 [31])
• scar (30207-00, 30210-00 [1602])
• skin lesion (30207-00, 30210-00 [1602])
• zygapophyseal joint (39013-01 [31])
92189-00
Injection of other hormone
92190-00
Injection of tranquilliser
12200-00
Iontophoresis
Note:
Performed for collection of specimen of sweat
92191-00
Enteral infusion of nutritional substances
92192-00
Parenteral infusion of nutritional substances
Hyperalimentation
Peripheral parenteral nutrition [PPN]
Total parenteral nutrition [TPN]
92193-00
Injection or infusion of other therapeutic or prophylactic substance
1886
Perfusion
34533-00
Isolated limb perfusion {all codes moved from block 1888}
Includes:
cannulation of artery and vein
regional perfusion for chemotherapy
repair of arteriotomy and venotomy
Excludes:
that for regional anaesthesia (18213 [1909])
13600-00
Perfusion of organ
13603-00
Whole body perfusion
THERAPEUTIC INTERVENTIONS – EYE, EAR, NOSE, MOUTH AND THROAT
1887
Therapeutic interventions on eye, ear, nose, mouth and throat
92025-00
Irrigation of eye {moved from block 1838}
Irrigation of cornea
Excludes:
96156-00
irrigation of anterior chamber (42743-00 [185])
Eye occlusion therapy
Note:
Therapeutic occlusion of the eye by a patch or medicinal agents such as eye drops
92027-00
Packing of external auditory canal {moved from block 1843}
92028-00
Dilation of frontonasal duct {moved from block 1843}
92029-00
Irrigation of nasal passages {moved from block 1843}
92030-00
Replacement of nasal packing {moved from block 1843}
92031-00
Removal of nasal packing {moved from block 1843}
Excludes:
92032-00
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that with replacement (92030-00 [1887])
Removal of foreign body from larynx without incision {Moved from block 1843}
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THERAPEUTIC INTERVENTIONS – RESPIRATORY SYSTEM
Excludes:
1888
exercise therapy, respiratory system [breathing] (96138-00 [1877])
Hyperbaric oxygen therapy
Hyperbaric oxygenation
Includes:
that to wound
13020-00
Hyperbaric oxygen therapy,  3 hours {both codes moved from block 1889}
13025-00
Hyperbaric oxygen therapy, > 3 hours
1889
Other therapeutic interventions on respiratory system
96157-00
Non-incisional drainage of respiratory tract
Manual clearance of respiratory secretions
Postural drainage
Sputum clearance/mobilisation
Includes:
active cycle of breathing technique [ACBT]
forced expiration technique [FET]
that using techniques/devices such as:
percussion
shaking
vibrator
Note:
Postural drainage
Excludes:
that involved with intubation (see block [568])
Positioning allowing gravity to assist drainage of secretions from
lungs and to increase ventilation
92042-00
Nonmechanical methods of resuscitation {moved from block 1849}
Mouth-to-mouth resuscitation
92043-00
Respiratory medication administered by nebuliser {moved from block 1849}
Mist therapy
92044-00
Other oxygen enrichment {moved from block 1849}
Catalytic oxygen therapy
Cytoreductive effect
Oxygenators
Oxygen therapy
Excludes:
92045-00
hyperbaric oxygenation (13020-00, 13025-00 [1888])
Other control of atmospheric pressure and composition {moved from block 1849}
Antigen-free air conditioning
Helium therapy
Humidification therapy *Index
Excludes:
humidification therapy with medication administered via
nebuliser (92043-00 [1889])
that to induce:
hypothermia (92178-00 [1880])
hypothermia (13606-00 [1880])
THERAPEUTIC INTERVENTIONS – CARDIOVASCULAR SYSTEM
Excludes:
1890
exercise therapy, cardiorespiratory/cardiovascular system (96139-00 [1877])
Therapeutic interventions on cardiovascular system
92052-00
Cardiopulmonary resuscitation {moved from block 1858}
13400-00
Cardioversion {moved from block 1858}
Defibrillation
Electric countershock of heart
Restoration of cardiac rhythm by electrical
Stimulation
Excludes:
that incidental to cardiac surgery – omit code
92053-00
Closed chest cardiac massage {moved from block 1858}
Cardiac massage NOS
Manual external cardiac massage
92054-00
Carotid sinus stimulation {moved from 1858}
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92055-00
Other conversion of cardiac rhythm {moved from 1858}
13851-00
Management of circulatory support device {moved from block 1858}
13939-01
Maintenance (alone) of implantable infusion device or pump
Includes:
flushing
injection of isotope to test pump
withdrawing sample of fluid for culture
Excludes:
loading of device or pump (13939-00 [1780])
13942-01
Maintenance (alone) of ambulatory drug delivery device
Maintenance (alone) of external infusion pump
Includes:
flushing
Excludes:
loading of device (13942-00 [1780])
92058-00
Irrigation of vascular catheter {moved from block 1858}
Flushing of central venous catheter [CVC]
THERAPEUTIC INTERVENTIONS – BLOOD AND BLOOD FORMING ORGANS
1891
Therapeutic collection and processing of blood/bone marrow
13709-00
Collection of blood for transfusion {moved code from 1859}
Donation of blood
13760-00
In vitro processing of bone marrow or peripheral blood for autologous stem cell transplantation
Includes:
1892
that as an adjunct to high dose chemotherapy
that with cryopreservation
Aphaeresis
13755-00
Donor haemapheresis {All codes in this block moved from 1859}
Collection of blood products for transfusion following aphaeresis
13750-00
Therapeutic plasmapheresis
13750-01
Therapeutic leukopheresis
Therapeutic leukocytapheresis
13750-02
Therapeutic erythropheresis
Therapeutic erythrocytapheresis
13750-03
Therapeutic plateletpheresis
13750-04
Aphaeresis of stem cells
13750-05
Aphaeresis of stem cells with cryopreservation
13750-06
Other therapeutic haemapheresis
1893
Transfusion of blood and gamma globulin
13706-01
Transfusion of whole blood
Administration of blood NOS
13706-02
Transfusion of packed cells
Transfusion of erythrocytes [red blood cells]
13706-03
Transfusion of platelets
Transfusion of thrombocytes
13706-04
Transfusion of leucocytes
Transfusion of white blood cells
13706-05
Transfusion of gamma globulin
Transfusion of immunoglobulin
Excludes:
intramuscular administration of gamma globulin (92181-00 [1885])
92060-00
Transfusion of previously collected autologous blood
Blood component
92061-00
Transfusion of coagulation factors
Transfusion of antihaemophilic factor
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92062-00
Transfusion of other serum
Transfusion of plasma
92063-00
Transfusion of blood expander
Haemodilution
Transfusion of:
• Dextran
• Rheomacrodex
92064-00
Transfusion of other substance
Transfusion of:
• blood surrogate
• granulocytes
92206-00
Exchange transfusion
Blood transfusion for complete replacement of blood
13306-00
Exchange transfusion in infant
Blood transfusion for complete replacement of blood in neonate
Includes:
venesection
Note:
Neonate
Live birth < 28 days old
THERAPEUTIC INTERVENTIONS – DIGESTIVE SYSTEM
Excludes:
1894
exercise therapy, oesophageal muscles 96117-00 [1876])
Non-incisional insertion and dilation interventions on digestive system
92065-00
Rectal packing {moved from block 1862}
92066-00
Insertion of rectal tube {moved from block 1862}
Replacement of rectal tube
92067-00
Dilation of enterostomy stoma {moved from block 1862}
32115-00
Dilation of rectum {moved from block 1862}
92069-00
Dilation of anal sphincter {moved from block 1862}
1895
Non-incisional irrigation, cleaning and local instillation, digestive system
92036-00
Insertion of nasogastric tube {moved from block 1848}
Intubation for decompression
Excludes:
92037-00
Sengstaken tube (13506-00 [1899])
Irrigation of nasogastric tube {moved from block 1848}
Excludes:
14200-00
gastric lavage (14200-00 [1895])
Gastric lavage {moved from block 1863}
Note:
Performed for treatment of ingested poison
92072-00
Gastric gavage {moved from block 1863}
92073-00
Irrigation of gastrostomy or enterostomy {moved from block 1863}
92074-00
Irrigation of pancreatic tube {moved from block 1863}
92096-00
Irrigation of cholecystostomy or other biliary tube {moved from block 1863}
92075-00
Gastrointestinal tract instillation, except gastric gavage {moved from block 1863}
92076-00
Removal of impacted faeces {moved from block 1863}
Removal of impaction:
• by flushing
• manually
Excludes:
92077-00
that with:
• debridement and lavage of peritoneal cavity (30396-00 [989])
• dilation of anus under general or regional anaesthesia (32153-00 [946])
Other rectal irrigation {moved from block 1863}
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1896
Non-incisional replacement or removal of therapeutic device, digestive system
92078-00
Replacement of (naso-) gastric or oesophagostomy tube {All codes moved from block 1864}
92079-00
Replacement of tube or enterostomy device of small intestine
92080-00
Replacement of tube or enterostomy device of large intestine
92081-00
Removal of retroperitoneal drainage device
92082-00
Removal of peritoneal drainage device
92083-00
Removal of tube from small intestine
92084-00
removal of tube from large intestine or appendix
92085-00
Removal of pancreatic tube or drain
92098-00
Removal of cholecystostomy tube
92097-00
Removal of T-tube, other bile duct tube or liver tube
Excludes:
removal of biliary stent (30451-01 [960])
92141-00
Removal of device from abdomen
Removal of sutures from abdominal wall
92086-00
Removal of other device from gastrointestinal tract
Removal of rectal packing
1897
Non-incisional removal of foreign body or calculus from gastrointestinal tract
92087-00
Removal of foreign body from mouth without incision {all codes moved from 1865}
92088-00
Removal of foreign body from large intestine without incision
92089-00
Removal of foreign body from artificial stoma without incision
92090-00
Removal of foreign body from rectum or anus without incision
1898
Fluid and gas reduction of intussusception
14212-00
Fluid reduction of intussusception {moved from block 1891}
Hydrostatic reduction of intussusception
Includes:
14212-01
1899
barium enema
Gas reduction of intussusception
Other therapeutic interventions on digestive system
13500-00
Gastric hypothermia {moved from block 1867}
Gastric cooling
Includes:
closed circuit circulation of refrigerant
Note:
Performed for gastrointestinal haemorrhage
13506-00
Gastro-oesophageal balloon tamponade {moved from block 1867}
Oesophageal tamponade
Includes:
that by:
• Minnesota balloon
• Sengstaken-Blakemore tube (balloon)
Note:
Performed for control of haemorrhage from gastro-oesophageal varices
92070-00
Manual reduction of enterostomy prolapse {moved from block 1862}
92071-00
Manual reduction of hernia {moved from block 1862}
92094-00
Rectal massage {moved from block 1867}
Note:
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Performed for levator spasm
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THERAPEUTIC INTERVENTIONS – GENITOURINARY SYSTEM
1900
Non-incisional insertion, replacement and removal of therapeutic device, genital tract
92104-00
Vaginal packing {all codes in block moved from block 1872}
92105-00
Insertion of vaginal mould
92106-00
Insertion of vaginal diaphragm
92107-00
Insertion of other vaginal pessary
Excludes:
that for induction of:
abortion (see Index: Induction, abortion)
Labour (see Index: Induction, labour, medical)
92108-00
Replacement of vaginal diaphragm
Refitting of vaginal diaphragm
92109-00
Replacement of other vaginal pessary
92110-00
Replacement of vaginal or vulvar packing or drain
92111-00
Removal of intrauterine pack
92112-00
Removal of vaginal or vulvar packing
Excludes:
92113-00
that with replacement (92110-00 [1900])
Removal of vaginal diaphragm
Excludes:
92114-00
that with replacement (92108-00 [1900])
Removal of other vaginal pessary
Excludes:
that with replacement (92109-00 [1900])
92115-00
Removal of prostatic stent or coil
92116-00
Removal of other device from genital tract
Removal of sutures from genital tract
1901
Non-incisional irrigation, cleaning and local instillation, genitourinary system
92099-00
Irrigation of nephrotomy or pyelostomy {all codes moved from block 1871}
92100-00
Irrigation of ureterostomy or ureteral catheter
92102-00
Irrigation of cystotomy
92103-00
Vaginal douche
92101-00
Irrigation of other indwelling urinary catheter
1902
Non-incisional removal of therapeutic device from urinary tract
92117-00
Removal of pyelostomy or nephrotomy tube {all codes moved from block 1873}
Excludes:
92118-00
that with replacement (36649-00 [1041])
Removal of ureterostomy tube or ureteral catheter
Excludes:
92121-00
endoscopic:
• removal of ureteric stent (36833-01 [1066])
• replacement of ureteric stent (36800-01 [1089])
• replacement of ureterostomy tube (90367-00 [1068])
Removal of cystotomy tube
Excludes:
92119-00
that with endoscopic replacement (36800-02 [1091])
Removal of other urinary drainage device
Removal of indwelling urinary catheter
Excludes:
endoscopic:
• removal of indwelling urinary catheter (36800-03 [1089])
• replacement of indwelling urinary catheter (36800-01 [1089])
removal of ureteral catheter (92118-00 [1902])
92120-00
Removal of urethral stent
92122-00
Removal of other device from urinary system
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Chapter 5 – Review of the Australian Allied Health Classification System
1903
Non-incisional removal of foreign body from genitourinary system
92123-00
Removal of foreign body from uterus without incision {all codes moved from block 1874}
92124-00
Removal of foreign body from vagina without incision
92125-00
Removal of foreign body from vulva without incision
92126-00
Removal of foreign body from scrotum or penis without incision
1904
Other therapeutic interventions on genitourinary system
96158-00
Bladder retraining
92131-00
Prostatic massage {moved from block 1876}
92132-00
Stretching of foreskin (moved from block 1876}
THERAPEUTIC INTERVENTIONS – MUSCULOSKELETAL SYSTEM
Excludes :
1905
exercise therapy (see block [1876])
Therapeutic interventions on musculoskeletal system
96159-00
Range of movement/muscle testing with specialised equipment
Isokinetic testing
50115-00
Manipulation/mobilisation of joint, not elsewhere classified {Moved from block 1567}
Manual rupture of joint NOS
Release or stretching of joint NOS
Note:
Manipulation The forceful passive movement of a joint beyond its active limit of motion
Mobilisation Freeing a body part(s) with the aim of increasing movement
96160-00
Phototherapy, joint
Ultraviolet therapy to joint
96161-00
Phototherapy, soft tissue
Ultraviolet therapy to soft tissue
92138-00
Removal of foreign body from head or neck without incision { moved from block 1878}
Removal of sutures from head and neck
Excludes:
removal of foreign body from eye (see Index: Removal, foreign body, eye)
92140-00
Removal of packing from trunk, not elsewhere classified {moved from block 1879}
92142-00
Removal of other device from trunk {moved from block 1879}
Removal of sutures from trunk NOS
OTHER THERAPEUTIC INTERVENTIONS
1906
Implantation of hormone or living tissue
14203-00
Direct hormone implantation {all codes moved from block 1890}
Subdermal implantation:
• oestrogen
• progesterone
Includes:
14203-01
incision
suture
Direct living tissue implantation
Includes:
incision
suture
14206-00
Hormone implantation by cannula
14206-01
Living tissue implantation by cannula
1907
Electroconvulsive therapy
Includes:
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consultation
electroencephalographic monitoring
stimulus dosing techniques
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93340-00
Electroconvulsive therapy [ECT]  8 treatments {moved from block 1827}
93340-01
Electroconvulsive therapy [ECT] > 8 treatments {moved from block 1827}
1908
Other therapeutic interventions
93173-00
Acupuncture {moved from block 1893}
92195-00
Irrigation of catheter, not elsewhere classified {moved from block 1893}
Excludes:
indwelling urinary (92101-00 [1901])
ureteral (92100-00 [1901])
vascular (92058-00 [1890])
ventricular (90002-00 [5])
92049-00
Removal of thoracotomy tube or pleural cavity drain {moved from block 1849}
92050-00
Removal of mediastinal drain {moved from block 1849}
92200-00
Removal of sutures, not elsewhere classified {moved from block 1893}
Excludes:
92201-00
removal of sutures from sites elsewhere specified
(see Index: Removal, sutures)
Removal of foreign body without incision, not elsewhere classified {moved from block 1893}
Excludes:
removal of:
• foreign body from sites elsewhere specified (see Index: Removal, foreign body)
• suture from sites elsewhere specified (see Index: Removal, suture)
92202-00
Removal of therapeutic device, not elsewhere classified {moved from block 1893}
92203-00
Extraction of milk from lactating breast {moved from block 1893}
96162-00
Therapeutic massage or manipulation of connective/soft tissue, not elsewhere classified
Point stimulation, penetration or sedation therapy
Massage of therapeutic gel, cream or lotion into scar tissue or wound
Note:
Manual therapy involving manipulation of the connective/soft tissues of the body and administered
to produce effects on the nervous and muscular systems and the local and general circulation of the
blood and lymph. Generally performed with the hands but other mechanical devices, such as a
vibrator may also be used. Includes techniques such as acupressure, where pressure is applied to
acupuncture sites to relieve pain friction, small accurate localised, penetrating movements
performed in circular or transverse direction to soft tissue
Excludes:
manipulation of joint (50115-00 [1905])
massage:
cardiac (closed chest) (92053-00 [1890])
prostate (92131-00 [1904])
rectum (92094-00 [1899])
92205-00
Non-invasive therapeutic intervention, not elsewhere classified {moved from block 1893}
ADMINISTRATIVE/CLINICAL/CLIENT SUPPORT INTERVENTIONS
Note:
Interventions which are neither diagnostic nor therapeutic in nature
ANAESTHESIA
Excludes:
1909
preoperative anaesthesia assessment (see block [1821])
that for dental procedure (see blocks [487] [488])
Regional anaesthesia
Excludes:
anaesthesia:
• caudal (see Index: Infusion, spinal, caudal)
• epidural (see Index: Infusion, epidural)
• spinal (see Index: Infusion, spinal, intrathecal)
nerve blocks (see Index: Injection, nerve)
92501-00
Topical anaesthesia {moved from block 1895}
92501-01
Local infiltration anaesthesia
18213-00
Intravenous regional anaesthesia of upper limb by retrograde perfusion
18213-01
Intravenous regional anaesthesia of lower limb by retrograde perfusion
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Chapter 5 – Review of the Australian Allied Health Classification System
1910
General anaesthesia
92502-00
Intravenous anaesthesia {all codes moved from block 1896}
92502-01
Inhalational anaesthesia
92502-02
Intravenous and inhalational anaesthesia
1911
Sedation
92503-00
Intravenous sedation, anaesthetist controlled {all codes moved from block 1897)
92503-01
Intravenous sedation, patient controlled
92503-02
Inhalation sedation, anaesthetist controlled
92503-03
Inhalation sedation, patient controlled
1912
Protocol based postoperative analgesia
Note:
Codes within this block are to be used only when a formal protocol
based pain scoring system is documented.
92504-00
Opined loading protocol {all codes moved from block 1898}
92504-01
Opined infusion protocol
Excludes:
protocol based patient controlled analgesia (92504-02 [1912])
92504-02
Protocol based patient controlled analgesia [PCA]
92504-03
Protocol based intravenous, subcutaneous or intramuscular injection
1913
Other anaesthetic administration procedures
92505-00
Application of loose facemask or oxygen via cannula {all codes moved from block 1899}
Application of tracheostomy shield
92505-01
Application of fitted facemask
92505-02
Application of laryngeal airway mask
ASSISTANCE
1914
Assistance interventions
Note:
Interventions where the purpose is to provide assistance only to the client or service provider and
any therapeutic treatment such as counselling, education, skills training or exercise therapy for
example is not involved.
96163-00
Assistance with activities related to self care/self maintenance
Assistance provided to client with:
bathing/showering
dressing [clothing]
food intake [drinking] [eating]
grooming
toileting
washing hair
96164-00
Assistance with activities related to health maintenance
Assistance provided to client with:
diagnostic testing/monitoring (for conditions such as amputation stumps, asthma, diabetes etc.)
foot/leg care (such as cutting or filing of non pathological toenails)
medication
oral hygiene
self injection
stoma care
96165-00
Assistance with application of assistive or adaptive device, aid or equipment
Note:
96166-00
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For the list of assistive or adaptive devices, aids or equipment see block [1870]
Assistance with activities related to body position/mobility/movement
Assistance provided to client with ambulation
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96167-00
Assistance with activities related to transfers
Assistance provided to client with transfers to/from:
bath/shower
bed
chair
floor
toilet
vehicle
80103-00
Assistance with activities related to home management
Assistance provided to client with:
cleaning
gardening
housekeeping/maintenance
laundering
meal preparation
safety procedures around the home
shopping
96169-00
Assistance with activities related to parenting
Assistance provided to client with:
infant feeding
settling of infant
Excludes:
96170-00
extraction of milk from lactating breast (92203-00 [1908])
Procedure/intervention assistance
Note:
Support provided by one service provider to another during a diagnostic or therapeutic intervention
OTHER ADMINISTRATIVE/CLINICAL/CLIENT SUPPORT INTERVENTIONS
1915
Administrative/clinical/client support interventions
96171-00
Accompanying or transportation of client
Escort of client to other service provider or agency within or outside health care facility
96172-00
Sterile precautions
Instrument preparation and sterilisation
92194-00
Autopsy {moved from block 1893}
GENERALISED ALLIED HEALTH PROFESSIONS
GENERALISED ALLIED HEALTH INTERVENTIONS
1916
Generalised allied health interventions
95550-00
Allied health intervention, dietetics
95550-01
Allied health intervention, social work
95550-02
Allied health intervention, occupational therapy
95550-03
Allied health intervention, physiotherapy
95550-04
Allied health intervention, podiatry
95550-05
Allied health intervention, speech pathology
95550-06
Allied health intervention, audiology
95550-07
Allied health intervention, orthoptics
95550-08
Allied health intervention, prosthetics and orthotics
95550-09
Allied health intervention, pharmacy
95550-10
Allied health intervention, psychology
95550-11
Allied health intervention, other
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