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Billing code

Z114A — Foreign body removal - local anaesthetic

Foreign body removal

Bill for removing a foreign body under local anaesthetic, including long-acting contraceptive implants such as Nexplanon.

Watch for: Under general anaesthetic bill Z115; add E542 when done outside hospital.

Code

Z114A

Description

Foreign body removal - local anaesthetic

FHO+ basket

Covered by the FHO+ base rate payment for enrolled patients, and shadow billed at 30% (50% for Schedule 2B procedures).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Removal of a foreign body under local anaesthetic, including non-biodegradable long-acting subcutaneous medication implants. E542 adds outside hospital.

What it covers

Z114 is foreign body removal under local anaesthetic (M1). Under general anaesthetic it is Z115, and a complicated removal is Z100 on an independent consideration basis (M1, GP12).

The Schedule's commentary says Z114 and Z115 are eligible for removal of non-biodegradable long-acting subcutaneous medication implants, such as Nexplanon; insertion of one is G318 (M1, J41). As a Z code, Z114 is an independent operative procedure, payable in addition to an assessment (GP4).

Billing rules

• Add E542 when performed outside hospital (M1).
• Use the local anaesthetic listing when no anaesthetic, or only local, is needed; general anaesthetic is Z115 (SP5, M1).
• If you did the major pre-operative visit in the previous 12 months, only a minor assessment (GP/FP) or partial assessment (specialist) is payable before the removal that day; if the decision is made at that day's visit, no other assessment before the IOP (SP4).
• Age premiums apply to surgical procedures for patients under 16 (GP64).
• FHO: in basket (Schedule 2), and a Schedule 2B code, so shadow billing for enrolled patients is 50% of the fee; it also counts toward the Schedule 4 office procedures payment (Agreement p.59 §4.4, p.80, p.87, p.67 §8.7, p.94).

Often billed with

• E542 when the removal is done in the office or another non-hospital setting (M1).
• A007 intermediate assessment at the visit where the decision to remove is made, or for an unrelated, significant problem (GP4, SP4).

Related codes: Z115, E542, G318, Z101

Source: Schedule of Benefits (July 1, 2026), Integumentary System Surgical Procedures, Skin and Subcutaneous Tissue, Foreign body removal, page M1; Surgical Preamble SP4, SP5; FHO Agreement 2026-04 pp.59, 80, 87, 94

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