Resources
Tier 2 Non-Admitted Services Version 9.1 2025–26
PublicationsThe key publications that support the Tier 2 Non-Admitted Services Classification (Tier 2) are the Tier 2 Non-Admitted Services Definitions Manual and the Tier 2 Non-Admitted Services Compendium.
IHACPA Work Program and Corporate Plan 2025-26
PublicationsThe IHACPA Work Program and Corporate Plan 2025–26 highlights IHAPCA’s strategic objectives and key programs of work that will be undertaken within the upcoming financial year.
ICD-10-AM/ACHI/ACS resources
PublicationsThe resources provided on this page are to assist clinical coders and other users of ICD-10-AM/ACHI/ACS. Information may be updated at any time to maintain currency.
Emergency Care (ICD-10-AM Thirteenth Edition) Principal Diagnosis Short List – User Guide
PublicationsThis document details the components and conventions of the Emergency Care International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM) Principal Diagnosis Short List (the EPD Short List) and is ai...
General List of In-Scope Public Hospital Services Eligibility Policy
PublicationsEach year, the Independent Health and Aged Care Pricing Authority (IHACPA) publishes the General List of In-Scope Public Hospital Services as part of the national efficient price determination. The general list defines the public hospital services eligible for Commonwea...
ICD-10-AM/ACHI/ACS Thirteenth Edition
PublicationsICD-10-AM/ACHI/ACS Thirteenth Edition supersedes ICD-10-AM/ACHI/ACS Twelfth Edition and is applicable for separations from 1 July 2025.
National Pricing Model Technical Specifications 2025–26
PublicationsThis document provides the technical specifications for developing the activity based funding models for the service streams to be funded for the National Efficient Price and the National Efficient Cost Determinations 2025–26 (NEP25 and NEC25).
National Hospital Cost Data Collection Private Hospital Report 2023-24
PublicationsThe National Hospital Cost Data Collection (NHCDC) Private Sector is a voluntary collection that produces a range of hospital cost and activity information by the Australian Refined Diagnosis Related Groups.
Implementation of Cluster Coding Fact Sheet
Fact sheetsCluster coding is a mechanism of linking related diagnosis codes through use of a diagnosis cluster identifier (DCID) that will enhance the value of coded data.
Residential Aged Care Supplementary Pricing Advice 2024–25
PublicationsEach year the Independent Health and Aged Care Pricing Authority (IHACPA) provides evidence-based residential aged care and residential respite care pricing advice to the Australian Government.
Aged Care Cost Collection Fact Sheet
Fact sheetsThis fact sheet will help residential and in-home aged care providers understand what cost collections are and why it’s important to participate.
Virtual Care Project - Final Report
PublicationsIn 2024, IHACPA commenced a project to understand the current state of virtual care, including funding in Australia and internationally. The project also investigated new and emerging trends in virtual care as well as opportunities to adapt the national pricing model. T...