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Billing code

G378A — I.U.D. Insertion

IUD insertion

Bill G378 for inserting an intrauterine contraceptive device; add E542 when done outside hospital.

Watch for: IUD removal (G552) isn't payable the same day, so a same-day removal and reinsertion pays G378 only.

Code

G378A

Description

I.U.D. Insertion

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

Insertion of an intrauterine contraceptive device (IUD). Add E542 in the office; IUD removal (G552) can't be billed the same day.

What it covers

G378 is insertion of an intrauterine contraceptive device (J46). Removal is G552, and E542 is the add-on when insertion or removal is done outside hospital (J46).

Like other D&T procedures, it is payable in addition to a consultation or assessment at the same visit (J3).

Billing rules

• Add E542 when the insertion is performed outside hospital (J46).
• G552 removal isn't payable on the same day as G378, so for a same-day removal and reinsertion only G378 is payable (J46).
• E432, the speculum pelvic exam add-on to A001/A007, is not payable with E542, so it isn't paid on an office IUD insertion claimed with E542 (A4).
• G378 is not marked (+), so G700 doesn't apply (J3, J46).
• FHO: a Schedule 2 core service and a Schedule 2B code, so shadow billing for enrolled patients is 50% of the fee (Agreement p.59 §4.3–4.4, p.77, p.87).
• FHO: also a Schedule 4 code for the office procedures special payment when done in your office (Agreement p.67 §8.7, p.93).

Often billed with

• E542 in the office (J46).
• A905 limited consultation, or A007 or another assessment, at the visit where the IUD is inserted (J3).
• E430 or G365 if cervical screening is done at the same visit, within those codes' rules (J46, J47).

Related codes: G552, E542, G318, E432, A905

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Gynaecology, page J46; E432 note on page A4

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