Billing code
Z628A — Cystoscopy with diagnostic ureteroscopy above the intramural ureter
Cystoscopy with ureteroscopy
Bill for cystoscopy with diagnostic ureteroscopy above the intramural ureter; stone removal, lithotripsy, biopsy and tumour work are add-ons.
Watch for: Not payable with endoscopic reflux treatment Z638.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $125.70 | $0.00 | $0.00 | $95.76 | $95.76 |
- Code
- Z628A
- Description
- Cystoscopy with diagnostic ureteroscopy above the intramural ureter
- 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
Cystoscopy with diagnostic ureteroscopy above the intramural ureter. Stone removal, lithotripsy, biopsy and tumour work are add-ons.
What it covers
Z628 is cystoscopy with diagnostic ureteroscopy above the intramural part of the ureter (T4).
Add-ons include E819 (second ureter), E822 (to the upper third of the ureter or renal pelvis), E760 (stone removal), E761 (intracorporeal lithotripsy), E820 (biopsy) and E823 (resection or fulguration of ureteral or renal pelvic tumours) (T4).
Billing rules
- Bill add-ons E819, E822, E760, E761, E820 and E823 for the extra work listed on T4 (T4).
- Bladder 'E' add-ons are also payable with Z628 unless noted otherwise (T6).
- Not payable with Z638 (T3, T4).
- Independent operative procedure (Z code): if you did the major pre-operative visit in the prior 12 months, only a partial assessment is payable before it that day; if the major pre-operative visit is the same day, no other assessment before it (SP4).
- Age premium of 10–30% for patients under 16 (GP64).
Often billed with
- E822, E760, E761, E820, E819, E823 (T4).
- E818 ureteric stent insertion and other bladder add-ons (T6, T7).
Related codes: E822, E760, E761, E820, E819, E823, Z606, Z626
Source: Schedule of Benefits (July 1, 2026), Urogenital and Urinary Surgical Procedures, Kidney and Upper Urinary Tract, page T4.
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