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Billing code

Z611A — Bladder catheterization – hospital or office

Bladder catheterization

Bill for bladder catheterization in hospital or office for acute retention, a Foley or suprapubic tube change, or instilling medication.

Watch for: Not payable with any surgical procedure or with Z610, and must be done personally by you.

Code

Z611A

Description

Bladder catheterization – hospital or office

FHO+ basket

Covered by the FHO+ base rate payment for enrolled patients, and shadow billed at 30% (50% for Schedule 2B procedures).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Bladder catheterization in hospital or the office for acute retention, a Foley or suprapubic tube change, or instilling medication.

What it covers

Z611 is catheterization in hospital or the office. It is only payable for acute retention, change of a Foley catheter or suprapubic tube, or instillation of medication (T8).

Catheterization at home is Z603 (T8).

Billing rules

• Only for acute retention, a Foley or suprapubic tube change, or instillation of medication (T8).
• Must be done personally by the physician (T8).
• Not payable with any surgical procedure (T8).
• Not payable in addition to Z610 intravesical BCG or chemotherapy instillation (T8).
• Urinary catheters are included in life-threatening critical care (G521–G523) by the same physician the same day (J26).
• Marked #: the fee doesn't include premises, equipment, supplies or staff, which the hospital budget funds when done in hospital (GP13).
• FHO: a Schedule 2 in-basket code (Agreement p.82).

Common rejections

• ASP: Not allowed with surgical procedure: Z611 isn't payable with any surgical procedure (T8).

Related codes: Z603, Z608, Z610, Z606

Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Bladder, page T8.

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