Billing code
S420A — Nephrectomy - Nephroureterectomy, Total, With Resection Of Ureterovesical Junction
Kidney and ureter removal
Bill S420 for a total nephroureterectomy, removing the kidney and whole ureter, including the ureterovesical junction.
Watch for: Add E792 (+25%) when done laparoscopically; an incidental adrenalectomy or rib resection isn't claimed separately.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $1,336.35 | $0.00 | $90.37 | $159.60 | $159.60 |
- Code
- S420A
- Description
- Nephrectomy - Nephroureterectomy, Total, With Resection Of Ureterovesical Junction
- 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
Total nephroureterectomy: removal of the kidney and whole ureter, including resection of the ureterovesical junction.
What it covers
S420 is a total nephroureterectomy with resection of the ureterovesical junction, where the ureter enters the bladder (T2).
Nephrectomy alone is S416; ureterectomy without the kidney is S449 or S450 (T2, T4).
Billing rules
- Add E792 (+25%) when performed laparoscopically (T2).
- No extra claim for an adrenalectomy incidental to removing the kidney, or for rib resection for access (T1 preamble §2–3).
- Add E752 for repeat kidney surgery 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).
- 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 (T2).
- E752 for repeat kidney surgery (T2).
Related codes: S416, S411, S449, S450, E792, E752
Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Kidney and Upper Urinary Tract, page T2.
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