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Billing code

Z722A — Vaginal biopsy – sole procedure, local anaesthetic

Vaginal biopsy

Bill for biopsy of the vagina under local anaesthetic when it is the only procedure; under general anaesthetic bill Z723.

Watch for: A biopsy taken during colposcopy is billed as Z731 instead.

Code

Z722A

Description

Vaginal biopsy – sole procedure, local anaesthetic

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

Biopsy of the vagina under local anaesthetic, when it is the only procedure done.

What it covers

Z722 is biopsy(ies) of the vagina as the sole procedure, under local anaesthetic (V3). Under general anaesthetic, bill Z723 (V3).

When a listed procedure needs no anaesthetic, use the local anaesthetic listing (SP5, §19).

Billing rules

• Only when the biopsy is the sole procedure (V3).
• Add E542 when performed outside hospital (V3).
• Colposcopic investigation of a lower genital tract lesion with biopsy is Z731 (V6).
• 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).

Often billed with

• E542 when performed outside hospital (V3).

Related codes: Z723, E542, Z477, Z731, Z728

Source: Schedule of Benefits (July 1, 2026), Female Genital Surgical Procedures, Vagina, page V3.

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