All codes
E432
E432 – Pelvic 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
A001Minor assessmentA007Intermediate assessment or well baby careA203Specific assessmentA204Partial assessmentA205ConsultationA206Repeat consultationE430Collection of cervical cancer screening specimen(s) - outside of hospital or ICHSCE431Cervical cancer screening specimen collection premiumE542Procedure performed outside hospital
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.