Emergency Department ICD-10-AM (Ninth Edition) Principal Diagnosis Short List

In 2013 IHPA initiated a review to assess long term options for classification of emergency care services for activity based funding in Australia.

A major objective of the approach to classifying emergency care services in Australia is to drive efficiency and effectiveness of these services through pricing and funding in conjunction with the collection of underlying data that supports clinical care and other uses such as quality improvement, epidemiological monitoring and health services research.

The review recommended development of a new Emergency Care Classification to replace the Urgency Related Groups (URGs) and Urgency Disposition Groups (UDGs) given the lack of support for the ongoing use of triage and the strong interest in moving to a more diagnosis based classification. There was also strong support for a more nationally consistent approach to principal diagnosis reporting in the Emergency Department to underpin the new Emergency Care Classification.

The national short list replaces current inconsistencies whereby states and territories have developed localised short lists and variously report principal diagnosis using Systematized Nomenclature of Medicine – Clinical Terms (SNOMED CT) and various editions of International Statistical Classification of Diseases and Related Health Problems – Tenth Revision – Australian Modification (ICD-10-AM) or the International Classification of Diseases – Ninth Revision – Clinical Modification (ICD-9-CM).

The short list was developed in 2015 using classification principles endorsed by IHPA’s Emergency Care Advisory Working Group and in consultation with key health sector stakeholders. It was subject to a public consultation in August 2015.

The short list and associated components are provided below and will be updated for compatibility with ICD-10-AM Tenth Edition, in the latter half of 2017. Please note, that the short list mapping file contains the full ICD-10-AM code set and is not available on the website as it is licensed material.

Any enquiries related to the short list should be directed to enquiries.ihpa [at] ihpa.gov.au.