Billing code
Z804A — Lumbar Puncture
Lumbar puncture
Bill for a lumbar puncture; any medication injected at the time and any image guidance are included.
Watch for: Not payable with surgical or obstetrical C-suffix anaesthesia or the epidural nerve block services.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $150.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- Z804A
- Description
- Lumbar Puncture
- 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
Lumbar puncture, including any medication injected at the time and any image guidance.
What it covers
Z804 is a lumbar puncture. It includes injection of any medication or other therapeutic agent introduced at the time, and image guidance if performed (J83).
Billing rules
- Not payable with C-suffix anaesthesia for surgical procedures, obstetrical anaesthesia, or the epidural services in the nerve block sections (J83).
- Image guidance is included; don't bill it separately (J83).
- Injection of medication or other agents at the LP is included (J83).
Related codes: G551, G068, G248, G125
Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Neurology, page J83.
APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing