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E432

E432Pelvic exam including speculum performed outside of hospital or ICHSC

OHIP Surgical Assists Code · Schedule of Benefits

An add-on fee for a pelvic examination including the use of a speculum, when the service is performed in a setting other than a hospital or an Integrated Community Health Services Centre (ICHSC).

When to Use

  • Use E432 when performing a comprehensive pelvic exam with a speculum during an office-based assessment (e.g., A007 or A203) to compensate for the additional time and equipment setup.
  • Select E432 when the primary purpose of the pelvic exam is diagnostic or investigative, rather than solely for the collection of a cervical cancer screening specimen.

Common Pitfalls

  • Billing E432 in conjunction with E430 or E431 will trigger an automatic rejection, as these codes are mutually exclusive for the same patient encounter.
  • Attempting to claim E432 for procedures performed within a hospital or an Integrated Community Health Services Centre (ICHSC) is a common audit trigger for recovery.
  • Submitting E432 when only a simple bimanual exam is performed without the use of a speculum is an incorrect application of this code.

Billing Tips

  • Prioritize billing E432 over E430 or E431 if you are performing a full pelvic exam, as it is the more appropriate add-on for the comprehensive nature of the procedure.
Provider Fee$5.00

Effective: April 1, 2026

Service Type

Add-on

Code Classes

Premium

E432 is limited to one service per patient per day.

E432 is only eligible for payment when the procedure is personally rendered by the physician.

E432 is not eligible for payment with E430, E431, or E542.

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