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E431 – Collection of cervical cancer screening specimen - outside hospital or ICHSC

OHIP Diagnostic and Therapeutic Procedures Code — DIAGNOSTIC AND THERAPEUTIC PROCEDURES · Schedule of Benefits

This code is an add-on premium, payable in addition to G394 or certain assessments, when cervical cancer screening specimen(s) are collected in a setting other than a hospital or an Integrated Community Health Services Centre (ICHSC). Its eligibility is dependent on meeting the specific criteria for G394.
Sex

Female

G394 is not eligible for payment when performed in conjunction with a consultation, repeat consultation, general or specific assessment or reassessment or routine post-natal visit when a pelvic examination is a normal part of the foregoing services. One of the add-on codes E430 or E431 is eligible for payment in addition to these services when an insured collection of cervical cancer screening specimen(s) is performed outside of hospital or ICHSC.

G394 is not eligible for payment when performed in conjunction with an insured colposcopy service. One of the add-on codes E430 or E431 is eligible for payment in addition to these services when an insured collection of cervical cancer screening specimen(s) is performed outside of hospital or ICHSC.

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