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Definition

Rates at which selected hospital procedures are performed for different population groups and in public and private hospital sectors.

Indicator Summary

Numerator

Number of hospital separations involving the following procedures:

(a) Cataract extraction

(b) Cholecystectomy

(c) Coronary artery bypass graft

(d) Coronary angioplasty

(e) Cytoscopy

(f) Haemorrhoidectomy

(g) Hip replacement

(h) Inguinal herniorrhaphy

(i) Knee replacement

(j) Myringotomy

(k) Tonsillectomy

(l) Varicose veins stripping and ligation

(m) Septoplasty

(n) Prostatectomy

(o) Hysterectomy (limited to patients aged 15-69 years)

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Denominator

For procedures (a) to (m): Total population

For procedure (n): Male population

For procedure (o): Female population aged 15–69 years

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Computation

ICD-10-AM selected surgical procedure codes
Number of separations in which one of the following surgical procedures was undertaken: cataract extraction; cholecystectomy; coronary artery bypass graft; coronary angioplasty; cystoscopy; haemorrhoidectomy; hip replacement; inguinal herniorrhaphy; knee replacement; myringotomy; tonsillectomy; varicose veins stripping and ligation; septoplasty; prostatectomy; hysterectomy.

ACHI (6th Edition) procedure codes

The following is a list of the specific ACHI (6th …

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Disaggregation

2009-10—Nationally, by procedure type, by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles

2009-10—State and territory, by procedure type (and total), by:

  • age groups (50–64 years, 65 years and over)
  • hospital sector
  • Indigenous status
  • remoteness (Australian Standard Geographical Classification Remoteness Structure)
  • SEIFA IRSD quintiles.

2007–08 and 2008–09 (requested by COAG Reform Council)—State and territory, by procedure type (and total), by:

  • age groups (50–64 years, 65 years and over)

Some disaggregation may result in numbers too small for publication. National disaggregation …

See more

Calculation rules

Computation Rule
Description

ICD-10-AM selected surgical procedure codes
Number of separations in which one of the following surgical procedures was undertaken: cataract extraction; cholecystectomy; coronary artery bypass graft; coronary angioplasty; cystoscopy; haemorrhoidectomy; hip replacement; inguinal herniorrhaphy; knee replacement; myringotomy; tonsillectomy; varicose veins stripping and ligation; septoplasty; prostatectomy; hysterectomy.

ACHI (6th Edition) procedure codes

The following is a list of the specific ACHI (6th Ed) procedure codes which are included in the specifications for each of the selected surgical procedures.

Procedure

Procedure Codes

Description

Cataract extraction

42698-00

Intracapsular extraction of crystalline lens

42702-00

Intracapsular extraction of crystalline lens with insertion of foldable artificial lens

42702-01

Intracapsular extraction of crystalline lens with insertion of other artificial lens

42698-01

Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique

42702-02

Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of foldable artificial lens

42702-03

Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of other artificial lens

42698-02

Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract

42702-04

Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of foldable artificial lens

42702-05

Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of other artificial lens

42698-03

Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract

42702-06

Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract with insertion of foldable artificial lens

42702-07

Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract with insertion of other artificial lens

42698-04

Other extracapsular extraction of crystalline lens

42702-08

Other extracapsular extraction of crystalline lens with insertion of foldable artificial lens

42702-09

Other extracapsular extraction of crystalline lens with insertion of other artificial lens

42731-01

Extraction of crystalline lens by posterior chamber sclerotomy with removal of vitreous

42698-05

Other extraction of crystalline lens

42702-10

Other extraction of crystalline lens with insertion of foldable artificial lens

42734-00

Capsulotomy of lens

42788-00

Capsulotomy of lens by laser

42719-00

Capsulectomy of lens

42731-00

Capsulectomy of lens by posterior chamber sclerotomy with removal of vitreous

42719-02

Mechanical fragmentation of secondary membrane

42716-00

Removal of juvenile cataract

42702-11

Other extraction of crystalline lens with insertion of other artificial lens

42722-00

Capsulectomy of lens by posterior chamber sclerotomy

Cholecystectomy

30443-00

Cholecystectomy

30454-01

Cholecystectomy with choledochotomy

30455-00

Cholecystectomy with choledochotomy and biliary intestinal anastomosis

30445-00

Laparoscopic cholecystectomy

30446-00

Laparoscopic cholecystectomy proceeding to open cholecystectomy

30448-00

Laparoscopic cholecystectomy with removal of common bile duct calculus via cystic duct

30449-00

Laparoscopic cholecystectomy with removal of common bile duct calculus via laparoscopic choledochotomy

Coronary artery bypass graft

38497-00

Coronary artery bypass, using 1 saphenous vein graft

38497-01

Coronary artery bypass, using 2 saphenous vein grafts

38497-02

Coronary artery bypass, using 3 saphenous vein grafts

38497-03

Coronary artery bypass, using ≥ 4 saphenous vein grafts

38497-04

Coronary artery bypass, using 1 other venous graft

38497-05

Coronary artery bypass, using 2 other venous grafts

38497-06

Coronary artery bypass, using 3 other venous grafts

39497-07

Coronary artery bypass, using ≥ 4 other venous grafts

38500-00

Coronary artery bypass, using 1 LIMA graft

38503-00

Coronary artery bypass, using ≥ 2 LIMA grafts

38500-01

Coronary artery bypass, using 1 RIMA graft

38503-01

Coronary artery bypass, using ≥ 2 RIMA grafts

38500-02

Coronary artery bypass, using 1 radial artery graft

38503-02

Coronary artery bypass, using ≥ 2 radial artery grafts

38500-03

Coronary artery bypass, using 1 epigastric artery graft

38503-03

Coronary artery bypass, using ≥ 2 epigastric artery grafts

38500-04

Coronary artery bypass, using 1 other arterial graft

38503-04

Coronary artery bypass, using ≥ 2 other arterial grafts

90201-00

Coronary artery bypass, using 1 other material graft, not elsewhere classified

90201-01

Coronary artery bypass, using 2 other material grafts, not elsewhere classified

90201-02

Coronary artery bypass, using 3 other material grafts, not elsewhere classified

90201-03

Coronary artery bypass, using ≥ 4 other material grafts, not elsewhere classified

Coronary angioplasty

38300-00

Percutaneous transluminal balloon angioplasty of 1 coronary artery

38303-00

Percutaneous transluminal balloon angioplasty of ≥ 2 coronary arteries

38300-01

Open transluminal balloon angioplasty of 1 coronary artery

38303-01

Open transluminal balloon angioplasty of ≥ 2 coronary arteries

38306-00

Percutaneous insertion of 1 transluminal stent into single coronary artery

38306-01

Percutaneous insertion of ≥ 2 transluminal stents into single coronary artery

38306-02

Percutaneous insertion of ≥ 2 transluminal stents into multiple coronary arteries

38306-03

Open insertion of 1 transluminal stent into single coronary artery

38306-04

Open insertion of ≥ 2 transluminal stents into single coronary artery

38306-05

Open insertion of ≥ 2 transluminal stents into multiple coronary arteries

Cystoscopy

36812-00

Cystoscopy

36812-01

Cystoscopy through artificial stoma

36836-00

Endoscopic biopsy of bladder

Haemorrhoidectomy

32138-00

Haemorrhoidectomy

32132-00

Sclerotherapy for haemorrhoids

32135-00

Rubber band ligation of haemorrhoids

32135-01

Destruction of haemorrhoids

Hip replacement

47522-00

Hemiarthroplasty of femur

49315-00

Partial arthroplasty of hip

49318-00

Total arthroplasty of hip, unilateral

49319-00

Total arthroplasty of hip, bilateral

49324-00

Revision of total arthroplasty of hip

49327-00

Revision of total arthroplasty of hip with bone graft to acetabulum

49330-00

Revision of total arthroplasty of hip with bone graft to femur

49333-00

Revision of total arthroplasty of hip with bone graft to acetabulum and femur

49339-00

Revision of total arthroplasty of hip with anatomic specific allograft to acetabulum

49342-00

Revision of total arthroplasty of hip with anatomic specific allograft to femur

49345-00

Revision of total arthroplasty of hip with anatomic specific allograft to acetabulum and femur

49346-00

Revision of partial arthroplasty of hip

Inguinal herniorrhaphy

30614-03

Repair of inguinal hernia, bilateral

30615-00

Repair of incarcerated, obstructed or strangulated hernia

30609-03

Laparoscopic repair of inguinal hernia, bilateral

30614-02

Repair of inguinal hernia, unilateral

30609-02

Laparoscopic repair of inguinal hernia, unilateral

Knee replacement

49527-00

Revision of total arthroplasty of knee

49517-00

Hemiarthroplasty of knee

49518-00

Total arthroplasty of knee, unilateral

49519-00

Total arthroplasty of knee, bilateral

49534-01

Total replacement arthroplasty of patellofemoral joint of knee

49521-00

Total arthroplasty of knee with bone graft to femur, unilateral

49521-01

Total arthroplasty to knee with bone graft to femur, bilateral

49521-02

Total arthroplasty to knee with bone graft to tibia, unilateral

49521-03

Total arthroplasty to knee with bone graft to tibia, bilateral

49524-00

Total arthroplasty of knee with bone graft to femur and tibia, unilateral

49524-01

Total arthroplasty of knee with bone graft to femur and tibia, bilateral

49530-00

Revision of total arthroplasty of knee with bone graft to femur

49530-01

Revision of total arthroplasty of knee with bone graft to tibia

49533-00

Revision of total arthroplasty of knee with bone graft to femur and tibia

49554-00

Revision of total arthroplasty of knee with anatomic specific allograft

Myringotomy

41626-00

Myringotomy, unilateral

41626-01

Myringotomy, bilateral

41632-00

Myringotomy with insertion of tube, unilateral

41632-01

Myringotomy with insertion of tube, bilateral

Tonsillectomy

41789-00

Tonsillectomy without adenoidectomy

41789-01

Tonsillectomy with adenoidectomy

Varicose veins stripping and ligation

32508-00

Interruption of sapheno-femoral junction varicose veins

32508-01

Interruption of sapheno-popliteal junction varicose veins

32511-00

Interruption of sapheno-femoral and sapheno-popliteal junction varicose veins

32504-01

Interruption of multiple tributaries of varicose veins

32507-00

Subfascial interruption of one or more perforating varicose veins

32514-00

Reoperation for varicose veins

Septoplasty

41671-02

Septoplasty

41671-03

Septoplasty with submucous resection of nasal septum

Prostatectomy

37200-03

Suprapubic prostatectomy

37200-04

Retropubic prostatectomy

37200-05

Other open prostatectomy

37201-00

Transurethral needle ablation of prostate [TUNA]

37203-00

Transurethral resection of prostate [TURP]

37203-02

Transurethral electrical vaporisation of prostate

37203-03

Cryoablation of prostate

37203-04

Microwave thermotherapy of prostate

37203-05

High intensity focused ultrasound [HIFUS] (transrectal) of prostate

37203-06

Other closed prostatectomy

37207-00

Endoscopic laser ablation of prostate

37207-01

Endoscopic laser excision of prostate

37209-00

Radical prostatectomy

37209-01

Laparoscopic radical prostatectomy

37210-00

Radical prostatectomy with bladder neck reconstruction

37210-01

Laparoscopic radical prostatectomy with bladder neck reconstruction

37211-00

Radical prostatectomy with bladder neck reconstruction and pelvic lymphadenectomy

37211-01

Laparoscopic radical prostatectomy with bladder neck reconstruction and pelvic lymphadenectomy

37224-01

Endoscopic resection of lesion of prostate

37224-00

Endoscopic destruction of lesion of prostate

90407-00

Excision of other lesion of prostate

Hysterectomy

35653-00

Subtotal abdominal hysterectomy

35653-01

Total abdominal hysterectomy

35653-04

Total abdominal hysterectomy with removal of adnexa

35661-00

Abdominal hysterectomy with extensive retroperitoneal dissection

35670-00

Abdominal hysterectomy with radical excision of pelvic lymph nodes

35667-00

Radical abdominal hysterectomy

35664-00

Radical abdominal hysterectomy with radical excision of pelvic lymph nodes

90448-00

Subtotal laparoscopic abdominal hysterectomy

90448-01

Total laparoscopic abdominal hysterectomy

90448-02

Total laparoscopic abdominal hysterectomy with removal of adnexa

35657-00

Vaginal hysterectomy

35750-00

Laparoscopically assisted vaginal hysterectomy

35756-00

Laparoscopically assisted vaginal hysterectomy proceeding to abdominal hysterectomy

35673-02

Vaginal hysterectomy with removal of adnexa

35753-02

Laparoscopically assisted vaginal hysterectomy with removal of adnexa

35756-03

Laparoscopically assisted vaginal hysterectomy proceeding to abdominal hysterectomy with removal of adnexa

35667-01

Radical vaginal hysterectomy

35664-01

Radical vaginal hysterectomy with radical excision of pelvic lymph nodes

90450-00

Anterior pelvic exenteration

90450-01

Posterior pelvic exenteration

90450-02

Total pelvic exenteration

Numerator excludes multiple procedures for the same separation within the same procedure group; separations with care type newborn with no qualified days, hospital boarders and posthumous organ procurement.

Rates directly age-standardised to the 2001 Australian population. Hysterectomy limited to female patients aged 15–69 years. Prostatectomy limited to males.

Analysis by state and territory is based on location of service.

Analysis by remoteness and SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) is based on usual residence of person.

Presented as:

  • number, and
  • per 1,000.
Numerators

Number of hospital separations involving the following procedures:

(a) Cataract extraction

(b) Cholecystectomy

(c) Coronary artery bypass graft

(d) Coronary angioplasty

(e) Cytoscopy

(f) Haemorrhoidectomy

(g) Hip replacement

(h) Inguinal herniorrhaphy

(i) Knee replacement

(j) Myringotomy

(k) Tonsillectomy

(l) Varicose veins stripping and ligation

(m) Septoplasty

(n) Prostatectomy

(o) Hysterectomy (limited to patients aged 15-69 years)

Denominators

For procedures (a) to (m): Total population

For procedure (n): Male population

For procedure (o): Female population aged 15–69 years

Disaggregation

2009-10—Nationally, by procedure type, by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles

2009-10—State and territory, by procedure type (and total), by:

  • age groups (50–64 years, 65 years and over)
  • hospital sector
  • Indigenous status
  • remoteness (Australian Standard Geographical Classification Remoteness Structure)
  • SEIFA IRSD quintiles.

2007–08 and 2008–09 (requested by COAG Reform Council)—State and territory, by procedure type (and total), by:

  • age groups (50–64 years, 65 years and over)

Some disaggregation may result in numbers too small for publication. National disaggregation by Indigenous status will be based on data only from jurisdictions for which the quality of Indigenous identification is considered acceptable.

References

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