Using the right Read code

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.

List of all the Read codes

You can also check our lists of commonly used Read codes:

Read codes in physiotherapy
Read codes in chiropractic
Read codes in osteopathy

If you can’t find the right Read code

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.

Treatment trigger numbers

Each Read code has a trigger number that shows how many treatments we'll pay for before you need to get prior approval from us. If a Read code doesn’t have a trigger number listed, its trigger number will be 6 by default.

Find the trigger number for a Read code based on the type of provider you are:

Acupuncture treatment triggers
Chiropractic treatment triggers
Osteopathy treatment triggers
Physiotherapy treatment triggers

If your patient needs more treatment

Once you reach the trigger number you’ll need to get prior approval from us before we can pay for more treatments for your patient:

Get prior approval for further treatments

We base certain trigger numbers on treatment profiles

We base the trigger numbers for chiropractors, physiotherapists and acupuncturists on treatment profiles. Treatment profiles are guides for treating common injuries that we’ve created with a range of medical providers.

You can find our treatment profiles in our resource hub:

Treatment profiles

Last reviewed: 14 September 2017