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Q043A
Q043A – New Patient Fee Abnormal Colorectal Cancer (CRC) / Increased Risk
OHIP Appendix Q Code — APPENDIX Q · Schedule of Benefits
The Q043A New Patient Fee is for patients with an abnormal colorectal cancer (CRC) test or who are at increased risk. The payment amount is tiered based on the patient's age:
• $150.00 for patients up to 64 years of age
• $170.00 for patients aged 65 to 74 years
• $230.00 for patients 75 years of age and older
This service is only eligible for physicians participating in the following models: CCM, FHG, FHN, FHO, RNPGA, BSM, GHC, SJHC, SEAMO, WHA. For complete billing information and minimum requirements, physicians must refer to the Primary Health Care Fact Sheets and INFOBulletin 4723. This code is listed in Appendix Q (), which is provided for informational purposes and is not part of the formal Schedule of Benefits.
Age
Fee of $150.00 applies to patients up to 64 years of age.; or Fee of $170.00 applies to patients from 65 to 74 years of age.; or Fee of $230.00 applies to patients 75 years of age and older.
Appendix Q does not form part of the Schedule of Benefits: Physician Services under the Health Insurance Act and is for your information only.
Please Refer to the Primary Health Care Fact Sheets for complete billing information.
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