< Billing codes

Billing code

Z513A — Colonoscopic hydrostatic/pneumatic dilatation of colon stricture

Colon stricture dilatation

Bill for hydrostatic or pneumatic dilatation of one or more colon strictures through the colonoscope.

Watch for: Use this code only for stricture dilatation done through the colonoscope.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$107.50$0.00$0.00$0.00$0.00
Code
Z513A
Description
Colonoscopic hydrostatic/pneumatic dilatation of colon stricture
FHO+ basket
Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date
Apr 1, 2025
Termination date
No end date

Explanation

Updated October 26, 2026

Hydrostatic or pneumatic dilatation of one or more colon strictures through the colonoscope.

What it covers

Z513 is hydrostatic-pneumatic dilatation of colon stricture(s) through the colonoscope (S19).

Billing rules

  • Z codes are independent operative procedures: if your major pre-operative visit was in the prior 12 months, only a partial assessment is payable before the procedure that day; if the major pre-operative visit is that day, no other assessment is payable before it (SP4).
  • Marked #: premises, equipment, supplies and staff are funded by the hospital budget or ICHSC facility costs, and patients can't be charged for them (GP13).
  • Under-16 age premiums (10–30%) apply to surgical procedures in Parts K to Z (GP64).

Related codes: Z764, Z765, E630, E698, Z496

Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Intestines (Except Rectum), page S19.

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