Billing code
Z600A — Change Of Nephrostomy Tube
Nephrostomy tube change
Bill for changing a nephrostomy tube; creating a percutaneous nephrostomy is Z629.
Watch for: Changing a suprapubic tube isn't Z600; it is billed with visit fees.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $44.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- Z600A
- Description
- Change Of Nephrostomy Tube
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Changing a nephrostomy tube.
What it covers
Z600 is a change of nephrostomy tube, listed under Percutaneous Procedures (T3). Creating a percutaneous nephrostomy is Z629 (T3).
Billing rules
- A Z-code is an independent operative procedure: if your major pre-operative visit was in the past 12 months, only a minor assessment (family physicians) or partial assessment (specialists) is payable before it that day; if the major pre-op visit is the same day, no other assessment before it is payable (SP4 §13).
- Marked #: in hospital, premises, equipment, supplies and personnel are funded by the hospital, not the fee (GP13, SP1).
- Changing a suprapubic tube is a different service, billed with visit fees (T6 preamble §2).
Related codes: Z629, Z623, Z624, Z626
Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Kidney and Upper Urinary Tract, page T3.
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