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Billing code

G396A — Injections Of Extensive Keloids

Extensive keloid injections

Bill G396 for injecting extensive keloids; under general anaesthesia it is Z455.

Watch for: Keloid treatment outside the head or neck needs Ministry prior authorization and must be significantly symptomatic or functionally limiting.

Code

G396A

Description

Injections Of Extensive Keloids

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

Injections of extensive keloids. Keloid injection under general anaesthesia is Z455.

What it covers

G396 is injection of extensive keloids; the same service under general anaesthesia is Z455 (J53).

Smaller numbers of lesions may fit intralesional infiltration, G375 (1–2 lesions) or G377 (3 or more) (J54).

Billing rules

• Keloid repair on the head or neck, which may include injection, is insured without prior authorization (Appendix D, AD2).
• Excision of keloids in other areas is insured only when significantly symptomatic (pain, ulceration) or causing functional impairment, and needs Ministry prior authorization (AD2).
• Payable in addition to a consultation or assessment (J3).
• G396 is not marked (+), so G700 does not apply (J3, J53).

Related codes: Z455, G375, G377

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Injections or Infusions, page J53.

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