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Billing code

S416A — Nephrectomy

Kidney removal

Bill S416 for a nephrectomy, removing a kidney; add-ons cover lymph gland dissection, vena cava repair and a laparoscopic approach.

Watch for: Don't claim an incidental adrenalectomy or rib resection for access separately; add E792 when done laparoscopically.

Code

S416A

Description

Nephrectomy

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

Open nephrectomy: surgical removal of a kidney. Add E792 when done laparoscopically and E766 for lymph gland dissection.

What it covers

S416 is a nephrectomy, listed under Excision in the Kidney and Upper Urinary Tract section (T2). Add-ons listed with it cover gland dissection (E766), vena cava repair for tumour thrombus below (E767) or above (E768) the hepatic vein, and a laparoscopic approach (E792) (T2).

Partial or heminephrectomy is S411; total nephroureterectomy is S420; donor nephrectomy for transplant is S436 (T2, T3).

Billing rules

• No extra claim for an adrenalectomy that is incidental to removing the kidney (T1 preamble §3).
• No extra claim for rib resection done for access in a routine approach to the kidney (T1 preamble §2).
• Add E752 for repeat surgery on the kidney at least 30 days after previous kidney surgery (T2).
• The fee includes pre-op preparation, the operation and post-op care up to the first post-op visit, but not the major pre-operative visit, which is billed separately (SP1, SP2 §1).
• With other procedures under the same anaesthetic, or within 14 days in the same hospital stay for the same condition, the major procedure pays 100% and the others 85% (SP2 §3).
• A second assistant is payable without prior authorization for S416 (GP90).
• E676A (+25%) may apply for a patient with BMI over 40 under general anaesthesia; BMI must be charted (SP6, SP7).
• Patients under 16 get a surgical age premium of 10% to 30%, depending on age (GP64).

Often billed with

• E792 when performed laparoscopically (+25%) (T2).
• E766 with gland dissection (T2).
• E767 or E768 for vena cava repair for thrombus (T2).
• E752 for repeat kidney surgery at least 30 days after previous kidney surgery (T2).

Related codes: S411, S420, S436, E792, E766, E767, E768, E752

Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Kidney and Upper Urinary Tract, page T2.

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