- ECLIPSE Fund Contacts
- ECLIPSE Certificate Fund Requirements
- ECLIPSE Online Hospital Claiming User Guide
- ECLIPSE Hospital Claim Data Dictionary v1.0
- In-Hospital Claiming (IHC) Miscellaneous Codes List (version 4.4)
- In-Hospital Claiming (IHC) Response Codes List (version 2.0)
- In-Hospital Claiming (IHC) Claim Examples – Private Hospital (version 2.7)
- In-Hospital Claiming (IHC) Claim Examples – Public Hospital (version 2.4)
- ECLIPSE – Medicare Australia
ECLIPSE Online Eligibility Presenting Illness List (Version 1.6) – current as at 10th September 2026
The following table contains the current list of presenting illness that can be submitted in the ECLIPSE Online Eligibility Check (OEC, ECF or ECO).
| Code | OEC Description |
|---|---|
| 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 |