- ECLIPSE Fund Contacts
- ECLIPSE Certificate Fund Requirements
- ECLIPSE Online Hospital Claiming User Guide V0.7 (May 2023)
- ECLIPSE Data Dictionary Hospital Claim v6.2
- In-Hospital Claiming (IHC) Miscellaneous Codes List (version 3.3)
- In-Hospital Claiming (IHC) Response Codes List (version 2.0)
- ECLIPSE – Medicare Australia
Online Eligibility Presenting Illness List (Version 1.4) – current as at 1/4/2019
The following table contains the current list of presenting illness that can be submitted in the ECLIPSE Online Eligibility Check (OEC).
| Code | OEC Description |
|---|---|
| 301 | Minor Gynaecological Surgery |
| 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 |
| 322 | Bone Marrow transfusion or transplant (autologous and allogeneic incl harvesting, cryopreservation) |
| 323 | Spinal Fusion |
| 324 | Back and spinal surgery excluding spinal fusion surgery |
| 330 | Endoscopy including Colonoscopy and gastroscopy |
| 331 | Cystoscopy |
| 333 | Oesophagoscopy |
| 334 | Shoulder arthroscopy and selected minor shoulder procedures |
| 335 | Ankle arthroscopy and ankle ligament repair |
| 336 | Knee arthroscopy and meniscectomy |
| 341 | Joint replacement – Hip |
| 342 | Joint replacement – Knee |
| 343 | Joint replacement – Shoulder |
| 344 | Joint replacement – Other |
| 347 | Appendicitis |
| 350 | Lithotripsy |
| 351 | Insulin Pumps |
| 360 | Sleep Studies |
| 361 | Removal of Tonsils and Adenoids |
| 370 | Plastic and reconstructive surgery |
| 375 | Cosmetic |
| 376 | Abdominoplasty |
| 377 | Blepharoplasty |
| 378 | Breast Augumentation/Reduction |
| 379 | Labioplasty/vulvoplasty |
| 380 | Lipectomy |
| 381 | Liposuction |
| 382 | Penile Enlargements |
| 383 | Ptosis of skin |
| 384 | Rhinoplasty |
| 385 | Surgical face lifts |
| 390 | Sterilisation |
| 393 | Brain Surgery |
| 394 | Vascular Surgery |
| 395 | Organ Transplant |
| 399 | Unknown or Other Surgery |
| 400 | Miscarriage and termination of pregnancy |
| 401 | Gynaecology |
| 402 | Assisted reproductive services |
| 403 | Pregnancy and birth |
| 404 | Male reproductive system |
| 405 | Cataracts |
| 406 | Eye (not cataracts) |
| 407 | Eye – Laser |
| 408 | Lung and chest |
| 409 | Heart and vascular system |
| 410 | Hospital psychiatric services |
| 411 | Rehabilitation |
| 412 | Palliative care |
| 413 | Kidney and bladder |
| 414 | Dialysis for chronic kidney failure |
| 415 | Chemotherapy, radiotherapy and immunotherapy for cancer |
| 416 | Blood |
| 417 | Bone marrow transfusion or transplant |
| 418 | Dental surgery |
| 419 | Podiatric surgery (provided by a registered podiatric surgeon) |
| 420 | Medical admission (unknown) |
| 423 | Back, neck and spine |
| 424 | Bone, joint and muscle |
| 425 | Joint reconstructions |
| 426 | Joint replacements – other |
| 427 | Joint replacements (hip and knee) |
| 430 | Gastrointestinal endoscopy |
| 431 | Hernia and appendix |
| 432 | Digestive system |
| 433 | Weight loss surgery |
| 441 | Pain management |
| 442 | Pain management with device |
| 451 | Insulin pumps |
| 452 | Diabetes management (excluding insulin pumps) |
| 460 | Sleep studies |
| 461 | Tonsils, adenoids and grommets |
| 462 | Ear, nose and throat |
| 463 | Implantation of hearing devices |
| 470 | Plastic and reconstructive surgery (medically necessary) |
| 471 | Skin |
| 475 | Cosmetic surgery |
| 478 | Breast surgery (medically necessary) |
| 493 | Brain and nervous system |
| 495 | Organ transplant |
| 499 | Unknown or other surgery |