Billing code
Z861A — Conjunctival biopsy
Conjunctival biopsy
Bill for a biopsy of the conjunctiva.
Watch for: Excision of a conjunctival lesion is E210, not Z861.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $26.60 | $0.00 | $0.00 | $95.76 | $95.76 |
- Code
- Z861A
- Description
- Conjunctival biopsy
- 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
Biopsy of the conjunctiva.
What it covers
Biopsy of the conjunctiva, listed under conjunctiva excision procedures (Y12). Excision of a conjunctival lesion is E210 (Y12).
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: E210, E208, Z871, Z874
Source: Schedule of Benefits (July 1, 2026), Ocular Surgical Procedures, Conjunctiva, page Y12.
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