Resources
ICD-10-AM/ACHI/ACS Thirteenth Edition
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ICD-10-AM/ACHI/ACS Thirteenth Edition supersedes ICD-10-AM/ACHI/ACS Twelfth Edition and is applicable for separations from 1 July 2025.
National Efficient Price Determination 2026–27
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The national efficient price (NEP) sets the price for in-scope public hospital services funded on an activity basis.
AR-DRG Version 12.0
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The 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...
ICD-10-AM/ACHI/ACS resources
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The 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.
National Efficient Cost Determination 2026–27
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The national efficient cost (NEC) determines payments for services that are block-funded.
Organ and Tissue Donation and Transplantation Project – Final Report
In August 2024, IHACPA commenced the Organ and Tissue Donation and Transplantation Project following a review of Australia's organ donation, retrieval and transplantation system by the Council of Australian Governments Health Council.As part of the project, we investiga...
National Coding Advice
The National Coding Advice contains the Coding Rules and new edition frequently asked questions (FAQs). 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 Co...
Data compliance reports
The Independent Health and Aged Pricing Authority (IHACPA) publishes Data Compliance Reports including a Quarterly Report, as required by the National Health Reform Agreement (B81).
Tier 2 Non-Admitted Services Version 9.1 2025–26
The 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 Strategic Plan 2025-30
The IHACPA Strategic Plan 2025–30 sets out IHACPA’s ambitious vision for the future and the steps that will be taken to achieve its goals and objectives. It reflects the agency’s commitment to investing in people, strengthening relationships across the care economy and...
IHACPA Annual Report 2024-25
The Independent Health and Aged Care Pricing Authority (IHACPA) Annual Report 2024–25 has now been published.
National Efficient Price Determination 2025–26
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:
National Efficient Cost Determination 2025–26
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 Pricing Model Technical Specifications 2026–27
These documents provide technical specifications for the activity-based funding models used to inform the National Efficient Price 2026–27 Determination and National Efficient Cost 2026–27 Determination.
NEP25 National Cost and Activity Drivers Report
The NEP25 National Cost and Activity Drivers Report presents insights into the key drivers of growth in the National Efficient Price Determination 2025-26 (NEP25), from the native National Efficient Price Determination 2024-25 (NEP24).
Independent Financial Review 2023-24
The National Hospital Cost Data Collection (NHCDC) is the primary data collection that IHACPA relies on to calculate the national efficient price used for the funding of public hospital services. To ensure that the quality of NHCDC data is robust and fit for purpose, we...
NHCDC Independent Financial Review 2020-21
The National Hospital Cost Data Collection (NHCDC) is the primary data collection that the Independent Health and Aged Care Pricing Authority (IHACPA) relies on to calculate the national efficient price used for the funding of public hospital services. To ensure that th...
Pricing Framework for Australian Public Hospital Services 2026–27
The Pricing Framework for Australian Public Hospital Services 2026–27 is the key strategic document underpinning the national efficient price (NEP) and national efficient cost (NEC) determinations for the 2026–27 financial year.
AR-DRG Classification Fact Sheets
An overview of how AR-DRGs work and how they are used. The fact sheets also include a summary of the refinements for each recent AR-DRG version.
AR-DRG Version 11.0
The Australian Refined Diagnosis Related Groups (AR-DRGs) is a classification that provides a clinically meaningful way to relate or group the number and type of patients treated in admitted acute episodes of care to the resources required in treatment. AR-DRG...
National Benchmarking Portal resources
The National Benchmarking Portal (NBP) is a secure web-based application that provides access to data collected by IHACPA.
Data Quality Framework
This Data Quality Framework has been created to enable the quality of data to be assessed, understood, communicated and managed consistently. It provides systematic and methodological rigour to IHACPA’s data quality processes at each stage of data specification, acquisi...
Pricing for Australian public hospital services for First Nations peoples – Fact sheet
This fact sheet is about the Independent Health and Aged Care Pricing Authority’s role under the National Health Reform Agreement, in relation to public hospital services for First Nations peoples. It involves determining the national efficient price and national effici...