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Billing code

Z536A — Sigmoidoscopy with biopsy(ies)

Sigmoidoscopy with biopsy

Bill for sigmoidoscopy, with or without anoscopy, when one or more biopsies are taken.

Watch for: Add E746 when done outside hospital.

Code

Z536A

Description

Sigmoidoscopy with biopsy(ies)

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

Sigmoidoscopy, with or without anoscopy, with one or more biopsies.

What it covers

Z536 is sigmoidoscopy with or without anoscopy, with biopsy(ies) (S25).

Billing rules

• Add E746 when done outside hospital (S25).
• 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).
• Under-16 age premiums (10–30%) apply to surgical procedures in Parts K to Z (GP64).

Often billed with

• E746 when performed outside hospital (S25).

Related codes: Z535, Z592, E746, Z580, Z544

Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Rectum, page S25.

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