All codes
H264
H264 – Emergency department pelvic exam with speculum
OHIP Obstetrics Code · Schedule of Benefits
A pelvic examination performed using a speculum in an emergency department or hospital urgent care clinic setting.
When to Use
- Use H264 when performing a speculum examination for suspected ectopic pregnancy, pelvic inflammatory disease, or vaginal bleeding in the emergency department.
- Bill H264 alongside your primary assessment code (e.g., A405) when the clinical complexity of the emergency visit requires a formal speculum exam.
Common Pitfalls
- Do not bill H264 for a bimanual exam alone, as the code specifically requires the use of a speculum.
- Avoid billing H264 if the pelvic exam is performed as part of a sexual assault kit, as these are typically covered under specific provincial forensic billing arrangements rather than standard ED procedure codes.
Billing Tips
- Always pair H264 with the appropriate ED assessment code (A405, A406, or A407) to ensure you are compensated for both the cognitive assessment and the procedural component.
Provider Fee$12.00
Effective: April 1, 2026
Service Type
Consultations and Visits
Code Classes
Procedure
The service is specifically for the use of a speculum during a pelvic exam in the emergency setting.
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