< Billing codes

Billing code

G375A — Intralesional infiltration — one or two lesions

Lesion injection, one or two

Bill G375 for intralesional infiltration of one or two lesions; three or more lesions are G377.

Watch for: Corticosteroid injection of acne lesions isn't insured.

Code

G375A

Description

Intralesional infiltration — one or two lesions

FHO+ basket

Covered by the FHO+ base rate payment for enrolled patients, and shadow billed at 30% (50% for Schedule 2B procedures).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Intralesional injection (infiltration) of one or two lesions. Three or more lesions are G377.

What it covers

G375 is intralesional infiltration of one or two lesions; 3 or more lesions is G377, and extensive infiltration is G383, independent consideration (J54).

Intralesional injection of acne lesions with corticosteroids is not an insured service (J54).

Billing rules

• Uninsured for corticosteroid injection of acne lesions (J54).
• Payable in addition to a consultation or assessment (J3).
• Marked (+): add G700 when it is the sole reason for the visit, once per visit however many procedures; not in hospital, and paid at 15% for patients enrolled to a capitation group (J3).
• Extensive infiltration is G383, claimed by independent consideration (J54, GP12).
• FHO: an in-basket core service in Schedule 2 and the LTC Schedule 2A (Agreement p.77, p.84).

Often billed with

• G700 when the injection is the sole reason for the visit (J3).
• A specialist or family practice assessment when one is needed for another reason (J3).

Related codes: G377, G396, G700, G372

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Injections or Infusions, page J54.

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