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    ECLIPSE Portal

    Online Eligibility Presenting Illness List

    The following table contains the current list of presenting illness that can be submitted in the ECLIPSE Online Eligibility Check (OEC).

    Code OEC Description
    302
    Assisted Reproductive services or infertility treatments
    303
    Pregnancy related services including Obstetrics
    304
    Eye – Laser Surgery / refractive
    305
    Eye – Cataracts
    306
    Eye – Glaucoma
    309
    Cardiac (heart and artery)
    310
    Psychiatric
    311
    Rehabilitation
    313
    Surgical Podiatry
    314
    Dialysis for chronic renal failure
    315
    Chemotherapy
    318
    Teeth/Dental
    319
    Palliative care
    320
    Medical admission
    321
    Gastric Banding and all obesity related treatment (new from 01/04/2013)
    322
    Bone Marrow and Organ Transplant (new from 01/04/2013)
    323
    Spinal Fusion (new from 01/04/2013)
    341
    Joint replacement – Hip
    342
    Joint replacement – Knee
    343
    Joint replacement – Shoulder
    344
    Joint replacement – Other
    350
    Lithotripsy
    370
    Plastic and reconstructive surgery
    375
    Cosmetic
    376 Abdominoplasty (new 01/06/2014)
    377 Blepharoplasty (new 01/06/2014)
    378 Breast Augumentation/Reduction (new 01/06/2014)
    379 Labioplasty/vulvoplasty (new 01/06/2014)
    380 Lipectomy (new 01/06/2014)
    381 Liposuction (new 01/06/2014)
    382 Penile Enlargements (new 01/06/2014)
    383 Ptosis of skin (new 01/06/2014)
    384 Rhinoplasty (new 01/06/2014)
    385 Surgical face lifts (new 01/06/2014)
    390
    Sterilisation
    399
    Unknown or Other Surgery
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