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Billing code

G398A — Pessary fitting - initial or re-fitting (1 per 12 month per patient)

Pessary fitting

Bill G398 for an initial pessary fitting or re-fitting for prolapse, once per patient per 12 months.

Watch for: Not payable more than once in 12 months, and routine pessary care (G550) can't be billed the same day.

Code

G398A

Description

Pessary fitting - initial or re-fitting (1 per 12 month per patient)

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

Pessary fitting, initial or re-fitting, for medical management of prolapse. Once per patient per 12 months.

What it covers

G398 is fitting of a pessary, initial or re-fitting, under Medical management of prolapse in the Gynaecology listings (J48).

Routine pessary care (removal, care and reinsertion) is G550 (J48).

Billing rules

• Payable once per patient per 12-month period (J48).
• G550 isn't payable for the same patient on the same day as G398 (J48).
• Not payable when the pessary is only removed, with no care or reinsertion (J48).
• A visit fee may be claimed as well, if applicable, for the same visit (J48).
• FHO: not listed in Schedule 2 (core services), so not part of the base rate basket (Agreement pp.75–82).

Often billed with

• An assessment such as A007 at the same visit, if applicable (J48).

Related codes: G550, A007, A003

Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Gynaecology — Medical management of prolapse, Pessary, page J48

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