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Billing code

Z778A — Amniocentesis Diagnostic Or Genetic

Amniotic fluid sampling

Bill for diagnostic or genetic amniocentesis.

Watch for: When fetoscopy Z773 is done, amniocentesis is part of it; therapeutic amnio-reduction is P050.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$102.00$0.00$0.00$0.00$0.00
Code
Z778A
Description
Amniocentesis Diagnostic Or Genetic
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

Amniocentesis for diagnostic or genetic testing.

What it covers

Z778 is a diagnostic or genetic amniocentesis, listed under High Risk Pregnancies (K10).

It is a # independent operative procedure: the fee does not include hospital-funded premises, equipment and staff (K1, SP4).

Billing rules

  • Fetoscopy (Z773) may include amniocentesis; when fetoscopy is done, amniocentesis is part of Z773 (K10).
  • Therapeutic amnio-reduction is a different service, P050 (K11).
  • 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).
  • The Surgical Preamble applies to obstetric codes (K2, rule 5).

Related codes: Z779, Z773, Z776, P050, P052

Source: Schedule of Benefits (July 1, 2026), Obstetrics, High Risk Pregnancies, page K10.

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