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Billing code

Z126A — Cyst, haemangioma or lipoma (Group 3) — other areas, local anaesthetic — two lesions

Two body cysts removed

Bill for excising two cysts, haemangiomas or lipomas outside the face or neck under local anaesthetic.

Watch for: Removal for cosmetic purposes, without clinical suspicion of disease, isn't insured.

Code

Z126A

Description

Cyst, haemangioma or lipoma (Group 3) — other areas, local anaesthetic — two lesions

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

Excision of two cysts, haemangiomas or lipomas (Group 3) outside the face or neck, under local anaesthetic.

What it covers

Group 3 lesions are cysts, haemangiomas and lipomas. In other areas, the local anaesthetic codes are Z125–Z127; general anaesthetic codes are Z149–Z151 (M4).

Lipomas 5 to 10 cm are Z096 and over 10 cm Z097 (M4).

Billing rules

• Use the local anaesthetic listing when no general anaesthetic is needed (SP5 §19).
• Add E542 when performed outside hospital (listed under this group; M4).
• Removal of lesions for cosmetic purposes, without clinical suspicion of disease, is not insured (M3, AD3).
• A Z code is an independent operative procedure: if your decision-to-operate visit was in the prior 12 months, only a minor (GP) or partial (specialist) assessment is payable before it the same day (SP4 §13).
• FHO: a Schedule 4 office procedure for the office procedures special payment (Agreement p.67 §8.7, p.94).

Often billed with

• E542 outside hospital (M4).

Related codes: Z125, Z127, Z150, Z123, Z096

Source: Schedule of Benefits (July 1, 2026), Integumentary System Surgical Procedures, Skin and Subcutaneous Tissue, page M4.

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