Accommodation and Theatre Banding
There are four levels of accommodation and theatre banding, provided to the Centre by the individual health fund.
ACC1: Band 1, being minor surgical and non-surgical procedures normally not requiring any anaesthetic.
ACC2: Local anaesthetic.
ACC3: Band 3, carried out under general, regional anaesthesia or intravenous sedation. Theatre time < 1 hour.
ACC4: Band 4, as defined above. Theatre time > 1 hour.
ACC1A: Type C procedure (An individual contract may stipulate a different rate for type C procedures; and not all practices will use them)
Practices who qualify for the
price structure are required to add the letter 'D' at the end of each item number (e.g. ACC1D, ACC2D, ACC3D). The 'D' triggers a change in the way the hospital claim form prints.Rule 1: Day Surgery (DS) recognises codes with 'ACC' as accommodation based items
Rule 2: There is only one accommodation band per visit. If two or more theatre procedures are charged, then the accommodation code for the highest theatre band is used.
Rule 3: Case-based payment or episodic payments are bundled items. The amount charged includes costs for both procedure and accommodation and always end in with a 'C' (e.g. 42702C or 32093C). The 'C' identifies that it is case-based.