What are the billing rules for E432A?

Only with A001 or A007 (Family Practice) or A203, A204, A205 or A206 (Obstetrics and Gynaecology) (A4, A150). Only when the exam is done outside a hospital or ICHSC (A4). One per patient per day (A4).

What is E432A often billed with?

A007 intermediate assessment, the usual base visit (A4). A001 minor assessment (A4). A203 specific assessment or A204 partial assessment by an obstetrician-gynaecologist (A150).

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Billing code

E432A — Pelvic exam with speculum outside hospital or ICHSC

Q: What is OHIP billing code E432A?

Add-on when a pelvic exam with speculum is done outside a hospital or ICHSC, to A001 or A007 (or OB/GYN A203 to A206). Once per day.

Office speculum pelvic exam

Add to A001 or A007 (or A203 to A206 in obstetrics and gynaecology) for a pelvic exam with speculum outside hospital or an ICHSC.

Watch for: Not payable with E430, E431 or E542, so it isn't paid when a Pap or IUD service is billed; one per day.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$5.00	$0.00	$0.00	$0.00	$0.00

Code: E432A
Description: Pelvic exam with speculum outside hospital or ICHSC
FHO+ basket: Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date: Apr 1, 2026
Termination date: No end date

Explanation

Updated October 26, 2026

Add-on when a pelvic exam with speculum is done outside a hospital or ICHSC, to A001 or A007 (or OB/GYN A203 to A206). Once per day.

What it covers

E432 is an add-on for a pelvic exam including speculum performed outside a hospital or ICHSC. In Family Practice it adds to A001 minor assessment and A007 intermediate assessment (A4); in Obstetrics and Gynaecology it adds to A203, A204, A205 and A206 (A150).

Billing rules

Only with A001 or A007 (Family Practice) or A203, A204, A205 or A206 (Obstetrics and Gynaecology) (A4, A150).
Only when the exam is done outside a hospital or ICHSC (A4).
One per patient per day (A4).
Must be personally rendered by the physician, not delegated (A4).
Not payable with E430, E431 or E542. So when a cervical screening specimen is collected outside hospital with G365 and E430, or an IUD is inserted or removed outside hospital (G378 or G552 with E542), E432 is not paid (A4, J46).

Often billed with

A007 intermediate assessment, the usual base visit (A4).
A001 minor assessment (A4).
A203 specific assessment or A204 partial assessment by an obstetrician-gynaecologist (A150).

Related codes: A007, A001, E430, E431, E542, G365, A203, A204

Source: Schedule of Benefits (July 1, 2026), Consultations and Visits, Family Practice & Practice in General (00), page A4; also Obstetrics and Gynaecology (20), page A150

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