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code it! - ACCD Newsletter Vol 4, No 3, June 2017

Welcome to another edition of our code it! Newsletter.


What's New

What's New in CLIP

New Coding Rules
New Coding Rules have been published in CLIP as at 15 June 2017, for implementation 1 July 2017. Click here to view them.

Retired Coding Rules List

The retired Coding Rules list for implementation 1 July 2017 in line with the release of Tenth Edition is now available. The 112 Coding Rules are notated with a retirement date of 30 June 2017. Click here to view the retired Coding Rules list.

Updated Coding Rules

There are 41 Coding Rules that will be updated for implementation 1 July 2017 in conjunction with the release of Tenth Edition. Click here to view a track changed version of the updated Coding Rules.

Errata 1, July 2017 now available

ICD-10-AM/ACHI/ACS Tenth Edition Errata 1 is now available. Please update your hard copy volumes prior to implementation, 1 July 2017. Click here to download the errata.


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 Tenth Edition is now available. Click here to download the Chronicle.

AR-DRG V9.0 Final Report

The Report can now be be downloaded here and from the Independent Hospital Authority (IHPA) website.


ICD-10-AM/ACHI/ACS Tenth Edition Education

Access here


AR-DRG V9.0 Education

The AR-DRG V9.0 Video tutorial is now available from this link.  


Fundamentals of Morbidity Coding

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


Purchase of Products

The ICD-10-AM/ACHI/ACS Tenth Edition Manuals, Electronic Code Lists (ECLs) and Mapping Tables as well as the AR-DRG V9.0 Definitions Manuals are available for purchase. 

Please refer to the Ordering section below.

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Tenth Edition update

The following milestones have been achieved in the last quarter:
  • launch of the online education (see update below)

  • completion of the Reference to Changes document for ICD-10-AM/ACHI/ACS Tenth Edition

  • completion of the Chronicle for ICD-10-AM/ACHI/ACS Tenth Edition

  • completion of ICD-10 to ICD-10-AM and ICD-10-AM to ICD-10 mapping tables


Eleventh Edition update

Following completion of Tenth Edition ACCD has developed in consultation with IHPA a preliminary work program for Eleventh Edition. This will be tabled at the first ICD Technical Group (ITG) meeting of the new edition development phase. The major focus areas of the work program for ICD-10-AM/ACHI/ACS Eleventh Edition will then be published on our website. Back to top

AR-DRG Update


The final report is available on the ACCD website as well as from the Independent Hospital Pricing Authority (IHPA) website.

Further information regarding the AR-DRG V9.0 can also be found on the AR-DRG V9.0 page.

The AR-DRG V9.0 education has been finalised. Please refer to the Education Update below for further details. 


The DCL/ECCS Calculator

The AR-DRG Version 9.0 DCL/ECCS Calculator will be available on the ACCD website by the end of June 2017.

The measure of complexity in the Episode Clinical Complexity (ECC) Model implemented in both AR-DRG Version 8.0 and Version 9.0 is the ECC Score (ECCS). The primary element of the ECCS is the Diagnosis Complexity Level (DCL), which is a complexity weight estimating the relative cost of each diagnosis within a particular ADRG.

Rather than having a limited list of complication and/or comorbidity (CC) codes, most ICD-10-AM disease codes are in scope for receiving a DCL. As a result there are in excess of 12,000 ICD-10-AM codes that may have a nonzero DCL and therefore it is not practicable to include a table of all the codes in the AR-DRG Definitions Manual. The DCL/ECCS Calculator is provided on the ACCD website to assist end users in understanding the process of finding a DCL for each diagnosis, and enable the computation of the ECCS for an individual acute admitted episode of care.

The calculator is not a Grouper. The data items used in the grouping process for assignment to an ADRG (such as intervention codes and length of stay) are not accounted for in the calculator. Additionally, as the principal diagnosis (PDx) code is considered in the complexity calculation, it is essential that the PDx code used is appropriate for the selected ADRG.The calculator should be used in conjunction with the AR-DRG Version 8.0 or Version 9.0 Definitions Manual.  


AR-DRG future versions

Following a strategic decision by the Independent Hospital Pricing Authority (IHPA), future AR-DRG Versions will be developed inhouse by IHPA. Please refer to the IHPA website for their Work Program 2017-18.

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Education Update

ICD-10-AM/ACHI/ACS Tenth Edition Education

The  ICD-10-AM/ACHI/ACS Tenth Edition Online Education program was released on 15 May at the website:

The education focuses on major updates for:

  • Type 1 and Type 2 Excludes notes
  • Same-day endoscopy
  • Chronic Pain
  • Mental health interventions
  • Obstetrics
  • Ophthalmology review
  • Thrombolytic therapy
  • Destruction procedures
  • Other ICD
  • Other ACHI
  • Other ACS
  • Standards for ethical conduct in clinical coding

The online program includes a series of online tutorial videos accompanied by a Coding Exercises Workbook. On completion of the program, participants can complete a short challenge quiz to receive a certificate of participation.

Note: The Exercises Workbook Version 2 has been released and is available on the ACCD website. The amendments made are highlighted in the front of the book. Any future amended documents will also be loaded to the ACCD website.

Please also complete the Participant Evaluation form. Feedback is essential in helping us to refine and improve the online educational experience in the future. A summary of the feedback from the participant evaluation will be provided in the next newsletter.

Questions related to the Tenth Edition updates can be submitted through the ACCD Enquiries page. While individual responses will not be provided, these questions will inform the Frequently Asked Questions (FAQs) to be published after the implementation of Tenth Edition.

The NCCH is also planning to provide a face to face educational session based on the FAQs generated from the Tenth Edition education at the upcoming HIMAA/NCCH Conference (November 2017).

Fundamentals of Morbidity Coding

The Tenth Edition revision of the Fundamentals of Morbidity Coding is available now.

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 coding basics. You can order it here

AR-DRG V9.0 Education 

An education tutorial outlining the changes in AR-DRG Version 9.0 is now available on the ACCD website


OTEN and QUT Student Awards

NCCH is proud to sponsor the OTEN award for the ‘Highest Achievement Clinical Coding’. This year's winner was: Ruth Brady.

The 2017 NCCH Health Classifications Prize awarded to the QUT Bachelor of Health Management student with the highest overall grade across the units Introduction to Clinical Classification, Advanced Clinical Classification, Practical Clinical Classification and Casemix and Activity Based Funding went to Jessica Franiek.


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Upcoming Events

IHPA ABF and PCSI (Patient Classification Systems International) Conference 2017

Sydney, 9-13 October 2017
Hilton Hotel

Registration available now. Visit the Conference website

HIMAA NCCH Conference 2017

Cairns, 1-3 November 2017
Pullmann Cairns International

Register now

Program Themes
  1. Digital Health/Health Informatics – EMRs, personal health records, telehealth, consumer health informatics, aged care informatics, mobile technology in health, implementation of health information systems, social media and health.
  2. Health Classifications and Coding – funding, activity based funding, casemix, clinical costing, coding audits.
  3. Pricing for Patient Quality and Safety - clinical pathways, clinical indicators, patient outcomes, integrated care, models of care
  4. Information Governance – data standards, data quality, clinical data management, clinical documentation improvement.
  5. Health Services Management – human resource management, change management, strategic planning, accreditation, leadership.
  6. Medico-legal Issues – privacy principles and policies, security.
  7. International Health Information Management - practice and perspectives.
  8. Education and Training – workforce, professional pathways.
  9. Health Analytics - data analytics, business intelligence, predictive analytics.
  10. Health Information Management in 2025 – the future of health information management in the changing landscape, climate change and its effect on the future of health information and health generally in Australia, technology interoperability during major weather events. 

Visit the Conference Website


Professional development

For further professional development opportunities and ongoing education please refer to: (What’s New)  

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

The Tenth Edition ICD-10-AM/ACHI/ACS hard copy books, Electronic Code Lists (ECLs) and Mapping Tables as well as AR-DRG V9.0 Definition Manuals

are now 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.

The Ninth Edition ICD-10-AM/ACHI/ACS hard copy books, Electronic Code Lists (ECLs), Mapping Tables and AR-DRG Version 8.0 Definitions Manual continue to be available for purchase from the IHPA Sales website.

Fundamentals of Morbidity Coding

The NCCH has released the Tenth Edition revision of the Fundamentals of Morbidity Coding. You can order it here

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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