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Billing code

E545A — Vasectomy outside hospital add-on

Office vasectomy add-on

Add to S626 vasectomy when the vasectomy is done outside hospital, for example in the office.

Watch for: A bilateral vasectomy is one S626 with one E545; your own local anaesthetic isn't paid separately.

Code

E545A

Description

Vasectomy outside hospital add-on

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

Add-on to S626 vasectomy when the vasectomy is done outside hospital, for example in the office.

What it covers

E545 is an add-on printed under S626, vasectomy (unilateral or bilateral, by any technique), payable when the vasectomy is performed outside hospital (U6).

It is specific to vasectomy, not a general office-procedure fee. Other procedures have their own outside-hospital add-on where the Schedule prints one, most often E542 (for example M15).

Billing rules

• Payable only with S626, and only when the vasectomy is done outside hospital (U6).
• S626 covers a unilateral or bilateral vasectomy by any technique, so a bilateral vasectomy is one S626 with one E545 (U6, SP4).
• S626 is a surgical (S) code, not an IOP: the major pre-operative visit where the decision to operate is made is billed separately, whatever the time between that visit and the surgery (SP2, GP4).
• A local anaesthetic or nerve block you give for your own vasectomy is not paid separately (SP5).
• Vasectomy reversal (S623, S625) is insured only to treat significant symptoms and needs prior approval; re-establishing fertility doesn't count (U6).
• FHO: neither S626 nor E545 is listed in Schedule 2 (core services), so they are not part of the base rate basket (Agreement pp.75–82).

Often billed with

• S626 vasectomy, the only code E545 is listed under (U6).
• The consultation or assessment at the visit where the decision to do the vasectomy is made, as the major pre-operative visit (SP2, GP4).

Related codes: S626, S623, S625, Z710, E542

Source: Schedule of Benefits (July 1, 2026), Male Genital Surgical Procedures, Vas Deferens, Vasectomy, page U6; Surgical Preamble SP2, SP4, SP5; General Preamble GP4

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