When you lodge a claim for a patient, you need to use a Read code that matches their diagnosis or type of injury. This helps us make sure we're covering the right injuries and to work out the type of support, treatment and rehabilitation your patient can get.
Find the right Read code
Our Read codes are integrated into our eBusiness gateway and most practice management systems. You can look them up and add them to your online claim form. Use the Read code that most accurately describes your patient’s injury.
If you can’t find a Read code to match your diagnosis, use code Z. Give us a written diagnosis and we'll find the best-matched code for the injury you described.
If your patient has more than one injury
Each injury should have its own code. If your patient has more than one injury, record the most severe or complex injury first. The other injuries should then be in order starting from the least severe or complex.
Last published: 23 April 2019
Getting prior approval for further treatment
You may need to get prior approval from us before we can fund more treatment for your patient. Find out when you’ll need prior approval and how to get it.