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...
Three Year Data Plan
PublicationsThe Three Year Data Plan is supported by the Data Compliance Policy, which describes the process and criteria by which IHACPA will publicly report on compliance by jurisdictions with the data requirements and data submission dates specified in the Three Year Data Plan.
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.
AR-DRG Version 12.0
PublicationsThe Australian Refined Diagnosis Related Groups (AR-DRG) classification provides a clinically meaningful way to group together treatments and services provided for admitted acute episodes of care to enable hospitals to be funded for these services using activity based f...
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...
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...