< Billing codes

Billing code

E323A — Myringoplasty

Eardrum repair (myringoplasty)

Bill for myringoplasty, the surgical repair of the eardrum.

Watch for: Z913 small perforation repair is not payable with E323.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$209.05$0.00$0.00$95.76$95.76
Code
E323A
Description
Myringoplasty
FHO+ basket
Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date
Apr 1, 2026
Termination date
No end date

Explanation

Updated October 26, 2026

Myringoplasty (surgical repair of the eardrum).

What it covers

E323 is myringoplasty, listed under Middle Ear repair (Y16). It is a procedure code, not an add-on.

Repair of a small perforation under local anaesthesia is Z913, and tympanoplasty Type 1 (myringoplasty with exploration of the middle ear) is E336 (Y16, Y17).

Billing rules

  • Z913 is not payable with E323 (Y17).
  • Listed surgical fees are unilateral unless stated (SP4).
  • More than one procedure under the same anaesthetic: 100% for the major procedure and 85% for the others, including bilateral procedures, unless the Schedule says otherwise (SP2).
  • Surgical procedures on children under 16 get the age premium (10–30% by age) (GP64).

Related codes: Z913, E336, Z908, E337

Source: Schedule of Benefits (July 1, 2026), Aural Surgical Procedures, Middle Ear, page Y16.

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