Billing code
S626A — Vasectomy - Uni - Or Bilateral - By Any Technique
Vasectomy, any technique
Bill S626 for a vasectomy, one or both sides, by any technique.
Watch for: One fee covers both sides; add E545 when done outside a hospital.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $115.10 | $0.00 | $0.00 | $95.76 | $95.76 |
- Code
- S626A
- Description
- Vasectomy - Uni - Or Bilateral - By Any Technique
- 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
Vasectomy, unilateral or bilateral, by any technique. Add E545 when done outside hospital.
What it covers
S626 is a vasectomy, one or both sides, by any technique (U6).
Vasectomy reversal (vasovasostomy and/or vasoepididymostomy) is insured only for significant symptoms and needs prior approval; restoring fertility doesn't count (U6).
Billing rules
- One fee covers unilateral or bilateral vasectomy (U6).
- Add E545 when performed outside a hospital (U6).
- Surgical assistant fee is nil (U6).
- Prostatectomy (S650, S651) includes vasectomy when done (U8).
- Age premium of 10–30% for patients under 16 (GP64).
Often billed with
- E545 when performed outside hospital (U6).
Related codes: E545, S623, S625, Z710, S651
Source: Schedule of Benefits (July 1, 2026), Male Genital Surgical Procedures, Vas Deferens, page U6.
APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing