Billing code
Z514A — Endoscopy of ileostomy or colostomy with biopsy
Stoma endoscopy with biopsy
Bill for endoscopy through an ileostomy or colostomy when a biopsy is taken.
Watch for: Without a biopsy, bill Z512 instead.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $44.55 | $0.00 | $0.00 | $63.84 | $63.84 |
- Code
- Z514A
- Description
- Endoscopy of ileostomy or colostomy with biopsy
- 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
Endoscopy through an ileostomy or colostomy with biopsy.
What it covers
Z514 is endoscopy of an ileostomy or colostomy, with biopsy (S15). Without biopsy it is Z512 (S15).
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).
Often billed with
- E747 to cecum (S15).
Related codes: Z512, E747, Z536, Z496
Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Intestines (Except Rectum), page S15.
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