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Billing code

Z565A — Complete Haemorrhoidectomy Using Cryotherapy And/or Barron Ligation(s) Including Rectal Dilation

Complete haemorrhoidectomy, non-excisional

Bill for complete haemorrhoidectomy using cryotherapy and/or Barron ligation, including rectal dilation.

Watch for: Insured only after failed non-surgical therapy, for Grade III or IV haemorrhoids, or with substantial skin tags.

Code

Z565A

Description

Complete Haemorrhoidectomy Using Cryotherapy And/or Barron Ligation(s) Including Rectal Dilation

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

Complete haemorrhoidectomy using cryotherapy and/or Barron ligation, including rectal dilation. Insured only when set criteria are met.

What it covers

Z565 is complete haemorrhoidectomy using cryotherapy and/or Barron ligation(s), including rectal dilation (S28).

Fees for excision, ligation and injection of haemorrhoids include anoscopy (S27).

Billing rules

• Insured only when the patient has failed a trial of non-surgical therapy, has Grade III or IV haemorrhoids, or has haemorrhoids with substantial concomitant skin tags (S28).
• Anoscopy is included (S27).
• Barron ligation alone is Z546, and with cryotherapy Z566; each is limited to 6 in any one year (S28).
• As a Z-code (independent operative procedure), if the major pre-operative visit was in the previous 12 months, only a minor assessment (GP) or partial assessment (specialist) is payable before the procedure that day (SP4).
• Marked #: premises, equipment, supplies and staff for the procedure are not included in the fee (SP1).

Related codes: S247, Z546, Z566, Z575, Z545

Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Rectum, page S28.

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