Billing code
Z777A — Breech Presentation External Cephalic Version With Or Without Tocolysis To Be Claimed In Hospital After 35 Weeks, Once Per Pregnancy
External cephalic version
Bill for turning a breech baby by external cephalic version, with or without tocolysis, in hospital after 35 weeks.
Watch for: Payable once per pregnancy, and must be claimed in hospital after 35 weeks' gestation.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $60.35 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- Z777A
- Description
- Breech Presentation External Cephalic Version With Or Without Tocolysis To Be Claimed In Hospital After 35 Weeks, Once Per Pregnancy
- 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
External cephalic version for breech presentation, with or without tocolysis, in hospital after 35 weeks. Once per pregnancy.
What it covers
Z777 is an external cephalic version for breech presentation, with or without tocolysis (K10).
It is a # independent operative procedure: the fee does not include hospital-funded premises, equipment and staff (K1, SP4).
Billing rules
- Must be claimed in hospital, after 35 weeks' gestation (K10).
- Payable once per pregnancy (K10).
- 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).
- FHO: physicians in Income Stabilization may bill Z777A at full fee-for-service (Agreement App. J §3.6, p.99).
Common rejections
- AM1: 'Service limit exceeded': Z777 was already paid in this pregnancy (once per pregnancy, K10).
Related codes: P020, P018, P006, P025, J160
Source: Schedule of Benefits (July 1, 2026), Obstetrics, High Risk Pregnancies, page K10.
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