Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Linda Best
10.45 - 11.30 Tuesday, 6th December 2011
ACHI development and principles
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Australian Classification of Health Interventions – ACHI
WHO ICD-10 does not have a companion intervention classification
An Australian intervention classification was produced to be used in conjunction with ICD-10-AM (Australian modification)
Self-contained classification based on a fee schedule (MBS)
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Australian Classification of Health Interventions – ACHI cont.
Contains codes for surgical operations, medical procedures, allied health and dental interventions
Codes are numeric only – five digits with a two digit extension
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Structure of ACHI
Numbering system and blocks- Code numbers not in numerical order- Block numbers are used to aggregate codes- Blocks in numerical order, to help find codes
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Structure of ACHI cont.
Multi-axial structure, three axes:- Primary axis – site- Secondary axis – procedure type- Tertiary axis – specific site, procedure or
technique used
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Structure of ACHI cont.For example:
Eardrum and middle ear
Examination41629-00 Exploration of middle ear41650-00 Inspection of tympanic membrane, unilateral
Application, insertion, removal41647-00 Ear toilette, unilateral
Incision41626-00 Myringotomy, unilateral41632-00 Myringotomy with insertion of tube, unilateral
Type of procedure
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Structure of ACHI cont.
42773-00 Repair of retinal detachment by diathermy
42773-01 Repair of retinal detachment by cryotherapy
The first five characters represent the MBS item number:
42773 Detached retina, diathermy or cryotherapy for
The last two characters are allocated for each new
procedural concept derived from the MBS item
description
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Structure of ACHI cont.
Exceptions:- Dental- Obstetrics- Radiation oncology - Imaging and miscellaneous procedures
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Coding procedures with ACHI
Conventions used in Tabular List of Interventions – ACS 0040
- Same as those for diseases essential and nonessential modifiers NEC – not elsewhere classified ‘see’ and ‘see also’
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Coding procedures with ACHI cont.
Conventions used in Tabular List of Interventions – ACS 0040 (cont)
- New or different: includes notes – refers to procedural
components or equipment used that is inherent in the description of a code or block heading or may further define the site
and/or in code titles – ‘and’ means and, ‘or’ means or. 59903-00 [607] Left
ventriculography59903-01 [607] Right ventriculography59903-02 [607] Left and right ventriculography
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Coding procedures with ACHI cont.
Conventions used in Tabular List of Interventions – ACS 0040 (cont)
- ‘Omit code’ – instruction in index next to procedures that are an operative approach, e.g. laparotomy for resection of bowel.
- ‘see block’ – instruction that you must go to the Tabular List and look at the codes in the block
Serbia Health Project – Additional Financing Training for Trainers on AR-DRG, 05-09.12.2011
Република СрбијаМИНИСТАРСТВО ЗДРАВЉА
Process for procedure coding
Three basic steps:1.Analyse the documentation used in the
record to describe the procedure – main term and modifiers
2.Locate the main term in the Alphabetic Index, then check the indented modifiers
3.Verify the code shown in the index by checking it in the Tabular List