From 1 November 2025, some health funds (e.g. NIB, ARHG) required the use of MMA ECLIPSE mapping codes for certain items. 

Hospitals are now required to submit IHC miscellaneous mapping codes for applicable items, instead of using the standard PX codes. 

Additionally, some items are no longer valid under the latest Prescribed List of Medical Devices and Human Tissue Products – Private Healthcare Australia (PHA) 

What this means for you: 

• You’ll need to apply the new DR mapping code via the updated menu when working with relevant funds or fund groups.

• Ensure fees are correctly maintained and aligned with agreed fund-specific rates.