Billing code
Z322A — Direct laryngoscopy – removal of foreign body
Laryngoscopy, foreign body removal
Bill for direct laryngoscopy with removal of a foreign body; indirect laryngoscopy with removal is Z324.
Watch for: Add E600 when an operating microscope is used.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $106.45 | $0.00 | $0.00 | $95.76 | $95.76 |
- Code
- Z322A
- Description
- Direct laryngoscopy – removal of foreign body
- 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
Direct laryngoscopy with removal of a foreign body.
What it covers
Z322 is direct laryngoscopy with removal of a foreign body (P7). Indirect laryngoscopy with foreign body removal is Z324 (P7).
Billing rules
- No manual review is needed when Z322 is done with gastroscopy or other upper endoscopy (P7).
- Add E600 when an operating microscope is used (P7).
- Surgical procedures on children under 16 get the age premium (10–30% by age) (GP64).
- Non-elective surgery started in the evening, at night, or on a weekend or holiday can add E409 (+50%) or E410 (+75%) (GP104, SP2).
- Z codes are independent operative procedures (IOP), payable in addition to an assessment. If you made the decision to operate in the past 12 months, only a partial assessment (specialist) or minor assessment (GP) is payable before the IOP that day; if the decision is the same day, no other assessment before it is paid (GP4, SP4).
Often billed with
- E600 operating microscope (P7).
Related codes: Z292, Z293, Z323, Z324, E600
Source: Schedule of Benefits (July 1, 2026), Respiratory Surgical Procedures, Larynx, page P7.
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