Independent Hospital Pricing Authority
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code it! - ACCD Newsletter Vol 6, No 3, June 2019

Welcome the last edition of our code it! Newsletter.


What's New

What's New in CLIP

New Coding Rules
Due to the release of the Eleventh Edition education material and answers to the frequently asked questions (FAQs) received up to 31 May 2019, Coding Rules will not be released on 15 June 2019.
ACCD is however releasing a clarification document which answers queries received to date on procedural complications (ACS 1904) in conjunction with ACCDs last Newsletter. Click here to access it

Retired Coding Rules List
In line with the implementation of Eleventh Edition, the retired Coding Rules list is also being released for implementation on 1 July 2019. Over 200 Coding Rules will be retired on or before 30 June 2019 due to inclusion or redundancy within Eleventh Edition, streamlining of answers to FAQs from previous editions and clinical updates.  Note that the clinical updates and the answers to FAQs from previous editions will still be accessible on the Education pages of the website (as PDFs). Click here to view the retired Coding Rules document.

Updated Coding Rules
There are 37 Coding Rules that will be updated for implementation on 1 July 2019 in conjunction with the release of Eleventh Edition. Click here to view a track changed version of the updated Coding Rules document.


Errata 1, July 2019 now available

ICD-10-AM/ACHI/ACS Eleventh Edition Errata 1 is now available. Please update your hard copy volumes prior to implementation on 1 July 2019. Click here to download Errata 1.


ICD-10/ICD-10-AM Mapping

The ICD-10 to ICD-10-AM and ICD-10-AM to ICD-10 mapping tables are now available. Click here to download the mapping tables.

ICD-10-AM Chronicle

The ICD-10-AM Chronicle of Changes from First to Eleventh Edition is now available. Click here to download the Chronicle.

ICD-10-AM/ACHI/ACS Eleventh Edition Education
Access here

Fundamentals of Morbidity Coding

Fundamentals of Morbidity Coding is now updated for Eleventh Edition. Order here.

Purchase of Products

The ICD-10-AM/ACHI/ACS Eleventh Edition Manuals, Electronic Code Lists (ECLs) and Mapping Tables are available for purchase.  

Please refer to the Ordering section below.


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ICD-10-AM/ACHI/ACS Eleventh Edition

The following milestones have been achieved in this final quarter:

  • launch of the online Eleventh Edition education (see update below)
  • completion of the Reference to Changes document for ICD-10-AM/ACHI/ACS Eleventh Edition
  • completion of the Chronicle for ICD-10-AM/ACHI/ACS, First to Eleventh Edition
  • completion of ICD-10 to ICD-10-AM and ICD-10-AM to ICD-10 mapping tables for Eleventh Edition


ICD-10-AM/ACHI/ACS future Editions

Following a strategic decision by the Independent Hospital Pricing Authority (IHPA), future ICD-10-AM/ACHI/ACS editions will be developed in-house by IHPA. Please refer to the IHPA website for their Work Program 2019-20. Therefore, from 1 July 2019 ACCD, led by the National Centre for Classification in Health (NCCH), University of Sydney with partners from Western Sydney University (WSU) will no longer be working on development and maintenance of ICD-10-AM/ACHI/ACS.

The NCCH is still a centre within the University of Sydney and will look to continue in the classification development and continuing education space in future projects, including its work with the World Health Organization Family of International Classifications (WHO-FIC) Network as part of the WHO-FIC Australian Collaborating Centre and its joint venture with the Health Information Management Association of Australia (HIMAA) in the organisation and delivery of the 2019 HIMAA and NCCH National Conference in Western Sydney between 23 to 25 October.

NCCH  (as part of the ACCD) has been committed and has thoroughly enjoyed providing classification related services to the health care sector both nationally and internationally since 1994, and this year we celebrate 25 years in the classification development, education and implementation space. We would like to thank the members of the ICD Technical Group and all past advisory and technical group members that we have been associated with for their continued support and input into the Australian classifications. We would also like to acknowledge all our stakeholders including Health Information Managers and Clinical Coders that have contributed via public submissions and/or clinical coding queries which inform updates to the classifications as well as areas where education is required. We wish you all the best in the future.

Please contact from 1 July 2019 for any information regarding the transition of the development and maintenance of future editions of ICD-10-AM/ACHI/ACS. IHPA will formally communicate with CLIP users and other stakeholders regarding the launch of their new website link for the acute care classifications.

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Education Update

ICD-10-AM/ACHI/ACS Eleventh Edition education

The Eleventh Edition online education was released on 3 May 2019, available from this link.

The education focuses on major updates for:

  • ACS 0002 Additional diagnoses and ACS 0010 Clinical documentation and general abstraction guidelines
  • Allergens
  • Ear, nose, mouth and throat
  • Neoplasms
  • Obstetrics
  • Ophthalmology interventions
  • Wound management
  • Other ICD-10-AM*
  • Other ACHI*
  • Other ACS*
    * the ‘other’ modules include information on a range of topics

Education Program

The Eleventh Edition online education program includes a series of tutorial videos, html files and PDF slides, accompanied by a Coding Exercises Workbook and Reference to Changes document from Tenth to Eleventh Edition.

Some slides and the exercise workbook have been revised and reloaded to the ACCD website. The updated modules are ACS 0002/0010, Obstetrics, Other ICD and Other ACHI.

Questions related to the Eleventh Edition online education modules received up to 31 May 2019 were consolidated into answers to those questions that were frequently asked (FAQs). Any questions received between 1 June to 30 June will be forwarded to IHPA for processing as part of the transition of contract materials. From 1 July 2019 please direct any education or classification enquiries to IHPA using the email:

Please note that individual responses to questions will not be provided and only those questions that are frequently asked have been answered and published. One off questions do not get answered as part of the FAQs process. Click here to download Frequently Asked Questions Eleventh Edition.


Participation Certificate

To receive a participation certificate, users will need to follow the link to log in to CLIP and complete a short challenge quiz.

To ensure a smooth delivery process, users will need to ensure that CLIP registration details and passwords are correct in advance of completing the quiz, and that the email address is accurate.

Please note this process may change after transition of contract materials to IHPA.

Clarification on the application of ACS 1904 Procedural complications

This clarification document has been developed by ACCD to answer the following queries related to the application of ACS 1904 Procedural complications.

  • Wound ooze (Q3420)
  • Stiffness post TKR (Q3401)
  • Postoperative pain (Q3398)
  • Cellulitis due to prosthetic limb (Q3391)
  • Trauma due to removal of IDC (Q3373, Q3328
  • Additional diagnoses with procedural complication codes (Q3368)
  • Ruptured ACS graft (Q3362)
  • Accidental laceration during a procedure (Q3350)
  • Wound infection at vein harvest site post CABG (Q3348)
  • AAA due to recurrent endoleaks (Q3323)
  • Postprocedural lymphocele (Q3300, Q3409)
  • Ureteral stricture due to procedure (Q3363

The document can be downloaded from this link.


Fundamentals of Morbidity Coding


The Fundamentals of Morbidity Coding Book has been updated to Eleventh Edition and can be ordered now. See the Purchasing section for further details.


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Upcoming Events

HIMAA and NCCH Conference 2019

Sydney, 23-25 October 2019
bankwest STADIUM (formerly called Western Sydney Stadium),  11-13 O’Connell Street, Parramatta, NSW.

Conference topics:

  • Digital Health/Health Informatics – My Health Record, EMRs, personal health records, telehealth,
    consumer health informatics, aged care informatics, mobile technology in health, implementation of
    health information systems, social media and health.
  • Health Analytics - data analytics, business intelligence, predictive analytics.
  • Health Classifications and Coding – activity based funding, casemix, clinical costing, coding quality.
  • Clinical Documentation Improvement – best practice strategies, program development and
    evaluation, quality measures, advancing CDI through technology.
  • Pricing for Patient Quality and Safety - clinical pathways, clinical indicators, patient
    outcomes, integrated care, models of care.
  • Information Governance – data standards, data quality, clinical data management.
  • Medico-legal Issues – privacy principles and policies, security.
  • Leadership and Management – human resource management, change management,
    strategic planning, accreditation, staff engagement.
  • International Health Information Management - practice and perspectives.
  • Education and Training – scholarship of learning and teaching, professional pathways, workforce,
    professional development.

Register here

Visit the Conference website

19th IFHIMA International Congress

Dubai, 17-21 November 2019
Intercontinental Hotel, Dubai Festival City

Visit the Conference website

Professional development

For further professional development opportunities and ongoing education please refer to:

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Ordering ICD-10-AM/ACHI/ACS and AR-DRG Related Products

The Eleventh Edition ICD-10-AM/ACHI/ACS hard copy books, Electronic Code Lists (ECLs) and Mapping Tables are available for purchase from the IHPA Sales website.


Please also refer to the IHPA AR-DRG Classification System Product Sales Frequently Asked Questions Sales website

Fundamentals of Morbidity Coding 2019

The Eleventh Edition revision of the Fundamentals of Morbidity Coding can be ordered here.  This book provides a useful reference for clinical coder trainees or those returning to the coding work force who wish to re-familiarise themselves with clinical coding basics.

ICPC-2 PLUS License

If you are developing a software program, either for clinical or research purposes, and would like to consider using the ICPC-2 PLUS terminology, see the Developers section of the NCCH website.

If you are purchasing an EHR system that incorporates ICPC-2 PLUS and would like to use it for coding your health information, see the End Users section of the NCCH website.

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