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Billing code

S639A

Laser prostate enucleation

Bill S639 for laser enucleation of the prostate, such as HoLEP, including morcellation of the tissue.

Watch for: Morcellation is included; use S654 for regrowth within a year of your previous prostatectomy.

Code

S639A

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

Laser enucleation of the prostate (e.g. HoLEP), including morcellation of the prostatic tissue.

What it covers

S639 is laser enucleation of the prostate, including morcellation of the prostatic tissue (U8).

Other endoscopic prostate surgery is S655; repeat surgery for residual tissue or regrowth within one year of a previous prostatectomy by the same surgeon is S654 (U8).

Billing rules

• Morcellation is included and not billed separately (U8).
• Use S654 for residual tissue or regrowth within one year of a previous prostatectomy by the same surgeon (U8).
• Multiple procedures under the same anaesthetic: full fee for the major procedure, 85% for the others (SP2).
• The surgical fee doesn't include the major pre-operative visit, which is billed separately (SP2).
• Age premium of 10–30% for patients under 16 (GP64).

Related codes: S655, S654, S650, S651

Source: Schedule of Benefits (July 1, 2026), Male Genital Surgical Procedures, Prostate, page U8.

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