Resources
National Efficient Cost Determination 2025–26
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IHACPA was established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Cost Determination 2025–26:
National Efficient Price Determination 2025–26
PublicationsFeatured
IHACPA was established under the National Health Reform Act 2011 (the NHR Act) and by virtue of section 131(1) of the NHR Act is invested with the following functions relevant to this National Efficient Price Determination 2025–26:
IHACPA Annual Report 2023–24
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The Independent Health and Aged Care Pricing Authority (IHACPA) Annual Report 2023–24 has now been published.The annual report details the agency’s activities throughout the 2023–24 financial year. This includes the financial and operational performance against planned...
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...
Data compliance reports
PublicationsThe Independent Health and Aged Pricing Authority (IHACPA) publishes Data Compliance Reports including a Quarterly Report, as required by the National Health Reform Agreement (B81).
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 Coding Advice
PublicationsNational Coding Advice are the Coding Rules and frequently asked questions (FAQs) about the new edition. These are published to facilitate nationally consistent assignment of ICD-10-AM and ACHI codes in the implemented edition of ICD-10-AM/ACHI/ACS. National Coding Advi...
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.