< Billing codes

Billing code

Z583A — Hysteroscopy with uterine biopsy and/or D&C

Hysteroscopy with biopsy or D&C

Bill for hysteroscopy with uterine biopsy and/or dilatation and curettage; the D&C is included.

Watch for: Don't also bill diagnostic curettage S754, and only one hysteroscopy code per patient per day.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$133.70$0.00$0.00$95.76$95.76
Code
Z583A
Description
Hysteroscopy with uterine biopsy and/or D&C
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

Hysteroscopy with uterine biopsy and/or D&C.

What it covers

Z583 is a hysteroscopy with uterine biopsy and/or D&C (V7).

Hysteroscopy codes: Z582 diagnostic; Z583 with uterine biopsy and/or D&C; Z585 with cannulation of tube(s) or lysis of adhesions; Z587 with resection of polyps or fibroids; Z586 lysis of adhesions needing at least 60 minutes (V7).

Billing rules

  • Includes the D&C; don't bill S754 diagnostic curettage as well (V7; V1, rule 1).
  • Only one of Z582, Z583, Z585, Z587 or Z586 is payable for the same patient on the same day (V7).
  • Hysteroscopy (Z582, Z583, Z587) is not payable with endometrial ablation S772 (V7).
  • Marked #: hospital-funded premises, equipment and staff are not included; anaesthesia 6 basic units (V7).
  • Z-codes are independent operative procedures (IOP). If the major pre-operative visit was in the previous 12 months, the only assessment payable before the IOP that day is a minor assessment (GP) or partial assessment (specialist); if the major pre-operative visit is the same day, no other assessment before the IOP is payable (SP4, §13).

Common rejections

  • ADH: 'Cannot be billed together': another hysteroscopy code, or endometrial ablation S772, was billed for the same patient the same day (V7).

Related codes: Z582, Z585, Z587, Z586, S772, S754

Source: Schedule of Benefits (July 1, 2026), Female Genital Surgical Procedures, Corpus Uteri, page V7.

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