| Code | Description | Amount | Ans Units | Assist Units |
|---|---|---|---|---|
| G367 | Artificial insemination | $0.00 | N/A | N/A |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | N/A | N/A | |
| G363 | Cervical mucous penetration test | $0.00 | N/A | N/A |
| G364 | Postcoital test of cervical mucous | $0.00 | N/A | N/A |
| G378 | Insertion of intrauterine contraceptive device | $0.00 | N/A | N/A |
| E542 - Abscess or haematoma Local anaesthetic subcutaneous palmar or plantar spaces, when performed outside hospital add | $0.00 | N/A | N/A | |
| G362 | Insertion of laminaria tent | $0.00 | N/A | N/A |
| E870 - when laminaria tent supplied by the physician … add | $0.00 | N/A | N/A | |
| G334 | Telephone supervisory fee for ovulation induction with human menopausal gonadotropins or gonadotropin-releasing hormone (not eligible for payment same day as visit), to a maximum of 10 per cycle … per call | $0.00 | N/A | N/A |
| G399 | Transvaginal sonohysterography, introduction of catheter, with or without injection of contrast media | $0.00 | N/A | N/A |
| G365 | Papanicolaou smear - periodic | $0.00 | N/A | N/A |
| E430 - Papanicolaou smear when papanicolaou smear is performed outside of hospital, to G365 … add | $0.00 | N/A | N/A | |
| G394 | Papanicolaou smear - additional | $0.00 | N/A | N/A |
| E431 - Papanicolaou smear when papanicolaou smear is performed outside of hospital, to G394 … add | $0.00 | N/A | N/A | |
| Z463 | Removal of Norplant | $0.00 | N/A | N/A |
| G398 | Pessary | $0.00 | N/A | N/A |