Code 1 Workers' Compensation Queensland
The patient is entitled to claim compensation under the Queensland Workers' Compensation and Rehabilitation Act 2003. This includes workers injury claims managed by WorkCover Queensland and those Queensland firms who are self-insured. The Regulator is responsible for:
- regulating the workers' compensation scheme,
- monitoring the compliance of insurers under the Act,
- monitoring the performance of insurers under the Act including the consistent application of this Act; and
- deciding applications relating to self-insurance.
Code 2 Workers' Compensation (Other)
The patient is entitled to claim damages under a Workers' Compensation Act other than Queensland (e.g. if an employee of the Commonwealth, an interstate company or national organisation insured under the workers' compensation act of another State or Territory not under the Queensland Workers Compensation and Rehabilitation Act 2003).
Code 3 Compensable Third Party
The patient is admitted to hospital for the treatment of an injury, illness or disease sustained in:
- A motor vehicle accident that occurred prior to 1 September 1994.
- An accident that is not associated with Compulsory Third Party (CTP) insurance and not covered by workers' compensation insurance. For example, accidents involving mobile machinery or equipment such as bulldozers and forklifts, or agricultural implements.
- A motor vehicle accident where liability is unclear, or where there is a possibility of shared liability.
This code may also be used for patients seeking to claim against public or product liability insurance, and who do not fit into any of the other categories.
Victims of criminal acts are not considered compensable, so a charge is not to be raised for their treatment.
Code 4 Other compensable
The patient has other compensable entitlement.
Code 5 Department of Veterans' Affairs
The patient is an entitled veteran whom the Department of Veterans' Affairs has accepted responsibility for the payment of any charges relating to his/her episode of care. This relates to all Gold Card holders and those White Card holders for specific illness or injury. White Card holders should not be classified as DVA patients unless they are receiving care or treatment for a recognised and accepted by DVA as a compensable condition.
Code 6 Motor Vehicle (Queensland)
The patient is admitted to hospital from a motor vehicle accident can establish negligence against an owner or driver of a Queensland registered motor vehicle. Where the person has suffered a serious injury, they may be covered under the National Injury Insurance Scheme (Queensland) and do not have to establish negligence against an owner or driver of a Queensland registered motor vehicle.
Code 7 Motor Vehicle (Other)
The patient is admitted to hospital from a motor vehicle accident and can establish negligence against an owner or driver of a motor vehicle registered in a state or territory other than Queensland or where the patient is a driver-at-fault covered under a motor vehicle policy for drivers at fault.
Code 8 None of the above
The patient cannot be classified as compensable under any of the above categories, or their compensable status is unknown.
Code 9 Department of Defence
The patient is Australian Defence Force personnel for whom the Department of Defence has accepted responsibility for the payment of any charges relating to his/her episode of care. This relates to permanent and part-time members. Part-time members should only be classified as Department of Defence where they seek and receive treatment for an injury or illness sustained while serving in the Defence Forces (e.g. Regular, Reserve Forces and Cadets).