Billing code
Z127A — Cyst, haemangioma or lipoma (Group 3) — other areas, local anaesthetic — three or more lesions
Three+ body cysts removed
Bill for excising three or more 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.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $65.75 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- Z127A
- Description
- Cyst, haemangioma or lipoma (Group 3) — other areas, local anaesthetic — three or more 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 three or more 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, Z126, Z151, Z124, Z096, Z097
Source: Schedule of Benefits (July 1, 2026), Integumentary System Surgical Procedures, Skin and Subcutaneous Tissue, page M4.
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