Can I bill a Pap test and a pelvic exam with a visit in Manitoba?
In Manitoba, tariff 9795 ($25.15) for a Pap test and tariff 8448 ($21.23) for a pelvic exam can each be added to a visit billed as 8540, 8529 or 8510. Claim 9795 where appropriate and 8448 when you provide a pelvic examination (Manitoba Physician's Manual, pages A-119 to A-120, A-128 and N-3, and Rule 17). The pages we checked do not say whether both may be claimed with the same visit. Confirm with Manitoba Health before you claim both.
Last checked: Checked against the Manitoba Physician's Manual (April 1, 2026 edition, with the October 1, 2026 update) by Unbilled on . Not yet reviewed by a medical biller.
Fee box
| Tariff | Description | Fee | Manual page | Manual dated |
|---|---|---|---|---|
| 9795 | Taking of cytological smears for cancer screening (a Pap test) | $25.15 | N-3 | |
| 8448 | Pelvic examination, add (see Rule 17) | $21.23 | A-120 | |
| 8540 | Complete history and physical examination | $93.66 | A-119 | |
| 8529 | Regional intermediate visit: regional or subsequent visit, or well baby care | $41.02 | A-119 | |
| 8510 | Regional history and examination, or subsequent visit (hospital care) | $41.02 | A-128 |
When it applies / when it does not
When it applies
- "Tariff 9795 (cytological smears for cancer screening) may be claimed in addition to tariff 8540, where appropriate." The manual says the same for 8529 and 8510. (A-119; A-120; A-128)
- "Tariff 8448 may be claimed in addition to 8540 where a pelvic examination is provided." The manual says the same for 8529 and 8510. (A-119; A-120; A-128)
- Rule 17(a): a pelvic examination for a patient who is not pregnant "is usually comprised of the following elements, where indicated". (Rules-5) They are:
- a look at the vulva and perineum
- a speculum exam of the vault and cervix
- a bimanual exam of the uterus and ovaries
- a pelvic-rectal exam
- Rule 17(b): for a pregnant patient "presenting with a concern that may be unrelated to the pregnancy", a comprehensive pelvic examination usually includes the same elements. The bimanual exam is of the uterus. (Rules-5)
When it does not
- The pages we checked do not say whether 9795 and 8448 may both be claimed with the same visit. Confirm with Manitoba Health before you claim both. (A-119 to A-120; A-128)
- "Tariff 9795 (cytological smears for cancer screening) may not be claimed in addition to tariff 8426." The manual says the same for 8428. These are the tariffs for medical management of ectopic pregnancy (8426) and of early pregnancy failure or elective pregnancy termination (8428). Both already include taking the smear. (B-5)
- The General Practice section names 9795 and 8448 as add-ons under 8540, 8529 and 8510 only. It does not name them under 8509, 8640 or the virtual visit tariffs. (A-119 to A-122; A-128)
- Rule 33 says the comprehensive pre-natal assessment (8400) already includes "a comprehensive pelvic examination". The pages we checked do not list 8448 as an add-on to 8400. (Rules-7)
Worked example
A 38-year-old patient comes in about pelvic pain. You take a history and give advice. You inspect the vulva and perineum and do a speculum and bimanual exam. The visit takes 15 minutes.
Bill 8529: $41.02. Add 8448 for the pelvic examination: $21.23. The two lines total $62.25.
If you had also taken a smear for cancer screening, the manual lists 9795 as an add-on to 8529 too. The pages we checked do not say whether 9795 and 8448 may both be claimed with one visit. Confirm with Manitoba Health before you claim both.
What is often not billed
The pelvic examination has its own tariff. Bill 8448 ($21.23) in addition to 8540, 8529 or 8510 when you provide a pelvic examination. Record the examination in your note. Rule 17 lists what a pelvic examination usually includes, where indicated. (A-119 to A-120; A-128; Rules-5)
Source
Manitoba Physician's Manual, April 1, 2026 edition (with the October 1, 2026 update), pages A-119 to A-122, A-128, B-5 and N-3, and Rules of Application 17 and 33 (pages Rules-5 and Rules-7). Manitoba Health publishes the manual at gov.mb.ca/health/manual.
Last checked: Checked against the Manitoba Physician's Manual (April 1, 2026 edition, with the October 1, 2026 update) by Unbilled on . Not yet reviewed by a medical biller.
Unbilled is not Manitoba Health or Doctors Manitoba. This page is general information, not a ruling on any claim. Manitoba Health decides what is payable. Check the current manual before you bill.
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Unbilled reads your notes against the fee schedule and finds care you provided but did not bill.
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