NZa tariffs 2023 known

23 August 2022

The NZa rates for 2023 have been published. What does this mean for the rate of placing or removing spirals or the implantation rod in the first line?

The new rate for placing or removing an IUD or the implantation rod in 2023 is €72. In 2022 this was €68.66. This rate includes all activities related to the insertion, implantation or removal of an IUD or the implantation rod. Previously this rate only applied to the Placing of an IUD or for place or remove of the implantation rod. As of 2023, this rate applies to both the Placing of an IUD or an implantation rod as for the remove of an IUD or an implanted rod. What is new, therefore, is that the rate also applies to just the removal of an IUD; this was not the case previously.


The rate of €72 includes all activities related to the placement or removal of an IUD or an implantation rod, including related ultrasound scans, if these are required. If another healthcare provider performs actions that are part of the performance, these actions can be settled through mutual services. Also good to know: if removal and insertion take place in the same consultation, the performance may only be invoiced once.

General practitioner care

Finally, it applies specifically to general practitioner care that this performance cannot be charged if the care provider also declares the registration fee for the client in question. In that case this care must be declared via the performance 'Insertion/implantation or removal of etonogestrel implantation rod' within the regulations for general practitioner care.

More information

Want to know more about the NZa rates for 2023? The complete performance and rate decision for obstetrics can be found here. The National Association of General Practitioners (LHV) has incorporated the most important changes for general practitioners in a news report. In this news item, you will also find a reference to the complete overview of NZa rates for the coming year.