Classifications

Table 1: Anatomical Therapeutic Chemical (ATC) codes for heart failure related medication classes
Drug classATC code
Angiotensin-converting enzyme inhibitors (ACEIs)C09A, C09B
Angiotensin receptor blockers (ARBs)C09C, C09D
Angiotensin receptor neprilysin inhibitors (ARNIs)C09DX04
AntithromboticsB01A
Beta-blockersC07
DigoxinC01AA05
Loop diureticsC03C
Mineralocorticoid antagonists (MRAs)C03DA01–C03DA04
Sodium-glucose cotransporter 2 (SGLT2) inhibitorsA10BK
Table 2a: International Classification of Disease (ICD) codes for heart failure and other cardiovascular health conditions measured
Cardiovascular conditionsICD-10-AM
Cardiovascular disease (CVD)I00–I99
Coronary heart disease (CHD)I20, I21, I22, I23, I24, I25, U82.1
Acute coronary syndrome (ACS)I21, I20.0
Stable anginaI20.1–I20.9
Chronic coronary heart diseaseI25
StrokeI60, I61, I62.9, I63, I64
Chronic rheumatic heart diseaseI05–I09
Non-rheumatic valvular diseaseI34–I39
Hypertensive diseasesI10–I15
Inflammatory heart diseaseI30–I33, I40, I41
CardiomyopathyI42, I43
Atrial fibrillation and flutterI48
Heart failureI09.9, I11.0, I13.0, I13.2, I25.5, I42.0, I42.5–I42.9, I43, I50, P29.0, U82.2
Congenital heart diseaseQ20–Q28
Table 2b: International Classification of Disease (ICD) codes for non-cardiovascular disease conditions measured
Non-cardiovascular disease conditionsICD-10-AM
Type 1 diabetesE10, O24.0
Type 2 diabetesE11, O24.1
Chronic kidney diseaseE10.2, E11.2, E13.2, E14.2, I12, I13, I15.0, I15.1, N00–N07, N08, N11, N12, N14, N15, N16, N18, N19, N25–28, N391, N392, D59.3, B52.0, E85.3, Q60–Q63, T82.4, T86.1, Z49.0, Z94.0, Z99.2, U87.1
Down syndromeQ90, U88.2
Kidney failureI12.0, I13.1, N18, N19, N25.0, Z49.0-Z49.2, Z94.0, Z99.2
PneumoniaJ10–J18
AnaemiaD50–D53, D56-D59, D61, D62, D63
Chronic obstructive pulmonary disease (COPD)J40–J44
DementiaF00–F03, G30, G31.3. F10.7, F13.7, F18.7, F05.1, U79.1
Table 3: Australian Classification of Health Interventions (ACHI) codes for in-scope procedures and interventions
Health interventionACHI code (block number)Procedure type
Coronary angiography668Diagnostic procedure
Echocardiography1942Diagnostic procedure
Heart valve repair / replacement621–638Therapeutic procedure
Heart transplant660Therapeutic procedure
Percutaneous coronary intervention670, 671Therapeutic procedure
Coronary artery bypass graft672–679Therapeutic procedure

Devices:

Application, insertion or removal procedures on ventricle

Pacemaker insertion

Cardiac defibrillator implant

608,

650,

653

Therapeutic procedure
Table 4: Medicare Benefits Schedule (MBS) services items
Service typeClassification (level and codes)
All GP servicesBroad type of service: 101, 102, 103
GP Enhanced primary careBroad type of service: 102
Health Assessment

Broad type of service: 102

MBS group: A14

Medication Review

Broad type of service: 102

MBS group: A17

MBS subgroup: A1700

Item number: 245, 249, 900, 903

Chronic disease management plans (includes GP management plan, team care arrangements, and multidisciplinary plans)

Broad type of service: 102

MBS group: A15

MBS subgroup: A1501

Item number: 721, 723, 729, 731, 732

Nurse practitioner

Broad type of service: 1100

MBS group: M14

MBS subgroup: M1805, M1810

SpecialistBroad type of service: 200
Cardiologist

Broad type of service: 200

MBS registered speciality codes: 4,84

Indigenous specific health services

Broad type of service: 101, 110, 150

MBS group: A14, M11, M12

MBS subgroup: A1400, M1100, M1203

Item number: 228, 715, 10987, 81300-81360

Note: Includes the lowest level of classification used to define the service type. If not specified, then all codes within the classification level are included.