< Billing codes

Billing code

Z786A

Priapism treatment

Bill for emergency aspiration and irrigation of the corpora cavernosa with vasoactive injection for priapism, with or without a distal shunt.

Watch for: Not payable if S565 or other penile surgery follows in the same priapism episode.

Code

Z786A

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

Emergency treatment of priapism: aspiration and irrigation of the corpora cavernosa with vasoactive injection, with or without a distal shunt.

What it covers

Z786 is aspiration and irrigation of the corpora cavernosa with an intracavernosal vasoactive injection for priapism, with or without a distal corporoglanular shunt (U1).

Billing rules

• Not payable if followed by S565 or another penile surgery during the same priapism episode (U1).
• A distal corporoglanular shunt is included (U1); a proximal cavernoso-spongiosal or other venous shunt is S565 (U2).
• A Z-code is an independent operative procedure: if your major pre-operative visit was in the past 12 months, only a minor assessment (family physicians) or partial assessment (specialists) is payable before it that day; if the major pre-op visit is the same day, no other assessment before it is payable (SP4 §13).
• Non-elective surgery on a special visit evenings, nights, weekends or holidays: add E409 (+50%) or E410 (+75%) to the procedural fee (SP2 §2, GP104).

Often billed with

• E409 or E410 after-hours surgical premium for non-elective surgery on a special visit (SP2 §2).

Related codes: S565, Z700, S582

Source: Schedule of Benefits (July 1, 2026), Male Genital Surgical Procedures, Penis, page U1.

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