< Billing codes

Billing code

S565A

Priapism shunt surgery

Bill S565 for a proximal cavernoso-spongiosal or other venous shunt to manage priapism.

Watch for: If S565 follows Z786 aspiration in the same priapism episode, Z786 isn't payable.

Code

S565A

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

Proximal cavernoso-spongiosal or other venous shunt surgery for priapism.

What it covers

S565 is a proximal cavernoso-spongiosal or other venous shunt for managing priapism (U2).

Emergency aspiration and irrigation with vasoactive injection (with or without distal shunt) is Z786 (U1).

Billing rules

• If S565 follows Z786 in the same priapism episode, Z786 is not payable (U1).
• 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).
• Non-elective surgery on a special visit evenings, nights, weekends or holidays: add E409 (+50%) or E410 (+75%) to the procedural fee (SP2 §2, GP104).

Often billed with

• E409 or E410 after-hours surgical premium (SP2 §2).

Related codes: Z786, S582, S597

Source: Schedule of Benefits (July 1, 2026), Male Genital Surgical Procedures, Penis, page U2.

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