Billing code
Z588A
Double balloon enteroscopy
Bill for double balloon enteroscopy of the small bowel, an all-inclusive fee; add E250 per 15 minutes of surgical time.
Watch for: No other surgical or procedural service, such as biopsy or bleeding add-ons, is payable with Z588.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $50.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- Z588A
- 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
Double balloon enteroscopy, an all-inclusive endoscopic exam of the small bowel. Surgical time is added with E250 per 15 minutes.
What it covers
Z588 is double balloon enteroscopy, listed with the small bowel endoscopy codes under Intestines (Except Rectum) (S15).
It is an all-inclusive fee: apart from the E250 surgical time add-on, no other surgical or procedural service is payable when Z588 is payable (S15).
Billing rules
- Add E250 for surgical time, per 15 minutes or major part (S15).
- No other surgical or procedural service (for example biopsy or bleeding control add-ons) is payable with Z588 (S15).
- Time is the physician's direct contact with the patient for the procedure: it starts when you are first in attendance in the operating/procedure room and ends when you are no longer in attendance (S15).
- Marked #: the fee does not include the premises, equipment, supplies or staff for the procedure itself (SP1).
- As a Z-code (independent operative procedure), if the major pre-operative visit was in the previous 12 months, only a partial assessment (specialist) or minor assessment (GP) is payable before the procedure that day; if the major pre-operative visit is the same day, no other assessment before it is payable (SP4).
Often billed with
- E250 surgical time, per 15 minutes or major part (S15).
Related codes: E250, Z584, Z560, Z749, G332, Z540
Source: Schedule of Benefits (July 1, 2026), Digestive System Surgical Procedures, Intestines (Except Rectum), page S15.
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