E643

When using laser with microlaryngoscopy for benign disease, to Z323

Fee

ComponentValue
Provider fee$121.65
Schedule and sources
Fee edition
October 1, 2026
Record effective
2025-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 647 / P7

- when using laser with microlaryngoscopy for benign disease, to Z323 ........................................................ add 121.65
Passages mentioning E643

PDF page 647 / P7

RESPIRATORY SURGICAL PROCEDURES
 LARYNX
7                                                                                                       Asst   Surg     Anae
    ENDOSCOPY
    Laryngoscopy
# E600   - using operating microscope - to charges for laryngoscopy
           ................................................................................... add              33.60
      Direct
# Z292 - without biopsy.....................................................................                    61.30    6
# Z293 - with biopsy..........................................................................                  61.30    6
# Z322 - with removal of foreign body ..............................................                           106.45    6
# Z323 - with removal of lesion(s).....................................................                        226.35    6
# E643    - when using laser with microlaryngoscopy for benign
             disease, to Z323 ........................................................ add                     121.65
      Note:
      1.E600 is not eligible for payment in addition to E643.
         2.Z292 rendered in association with gastroscopy, oesophagoscopy, oesophagoscopy-
           gastroscopy, duodenoscopy, and small bowel push enteroscopy services is not eligible for
           payment unless the laryngoscopy service is rendered for suspicion of disease of the larynx.
           Claims for Z292 in these circumstances are assessed by a medical consultant on a manual
           review basis and require the submission of a written explanation.
         3.Z296 is not eligible for payment in addition to Z292 on the same patient on the same date of
           service
         [Commentary:
         Manual review is not required for Z293, Z322 and Z323 rendered in association with
         gastroscopy, oesophagoscopy, oesophagoscopy-gastroscopy, duodenoscopy, and small bowel
         push enteroscopy services.]
# Z343        - with dilatation of larynx, to include bronchoscopy if
                necessary ...........................................................................          202.35    7
      Indirect
# Z324 - with biopsy or removal of foreign body...............................                                  44.70    6
Fee master record

Master, record 1339. Record Layout PDF, page 1.

E64320250401999999990000121650000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00001216500 / 121.65
assistant00000000000 / 0
specialist00000000000 / 0
anaesthetist00000000000 / 0
non anaesthetist00000000000 / 0
Explanation

AI-generated. Unreviewed.

This is an add-on for using laser with microlaryngoscopy for benign disease. It is listed under respiratory endoscopy for laryngoscopy, direct.

Watch out for

Applies only to code Z323. Source note: E600 is not eligible for payment in addition to E643. The source note about Z292 is incomplete, so See Schedule.

Related codes

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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