< Billing codes

Billing code

Z854A — Eyelid abscess drainage – local anaesthetic

Eyelid abscess drainage

Bill for draining an eyelid abscess under local anaesthetic.

Watch for: Under general anaesthetic, bill Z855 instead.

ProviderSpecialistAssistantAnaesthetistNon-anaesthetist
$60.00$0.00$0.00$0.00$0.00
Code
Z854A
Description
Eyelid abscess drainage – 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

Drainage of an eyelid abscess under local anaesthetic.

What it covers

Drainage of an abscess of the eyelid under local anaesthetic (Y10). Under general anaesthetic, bill Z855 (Y10).

Billing rules

  • Z-codes are independent operative procedures (IOP). If you did the major pre-operative visit in the past 12 months, the only assessment payable before the IOP on the same day is a partial assessment for a specialist or a minor assessment for a GP (SP4).
  • If the major pre-operative visit is the same day, no other consultation or assessment before the IOP is payable (SP4).
  • Multiple or bilateral IOPs at the same time: bill each procedure in full, but pre- and post-op care only once (SP4).
  • Age premiums for surgical procedures apply to patients under 16 (GP64).

Related codes: Z855, Z874, E164, Z862

Source: Schedule of Benefits (July 1, 2026), Ocular Surgical Procedures, Eyelids, page Y10.

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